HomeMy WebLinkAbout92-2824
CITY OF ZEPHYRHILLS Permit N<1 2824.tJ.
(813) 788-6611 Date / J -..50 - 7:L
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- Water Conn: 3~~. d7J
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Job Add,..", 1. 7 - - ~ - - -~ _ACL_ - J1t ~~.y HF. s.
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BUILDING, PERMIT
Description of Work
Zoning:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
01/28/94
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector. i:.Jt
Permit Fee eO.. ~-
SignatureN. -~ 4~4""'\
Company
Address
Valuation or
Contract Price
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/
City License Registration # ~
State Certified License#
Ftr,
Pre SLB l- s:
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Insul. CL
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PLUMBING
SLB ~-'I-qL- ~,
Tub Set l-,-i~ ~-6..
Water
Sewer
Final 5"'21-f?f Bafr
s
Tp, Serv,
Rough In 1-1rc;~ ~
Meter Can
Const, Pole
Pool
Pre-Meter 1/"5-/1 ~ 7~"1 &L-
Final
D~eway
p~" 5'-J....,I.tt~ ~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15,00) shall be made for each trip for each trade:
a.
b.
c,
d,
e.
f.
,g,
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site,
Plans not at job site.
Work not accessible.
utl- /1--:J-J;)-
~ IJ. -/I-'7~
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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FORM 990-A-91
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
Climate Zones
CENTRALtY 5 6
PROJECT NAME
AND ADDRESS:
OWNER: )J~
Y1~
BUILDER;
PERMITTING
OFFICE:
PERMIT
NO.;
:;'..' ;~'I )
CLIMATE 4 rrV5 ~ 60
ZONE: ~ t ~
JU~ISDICTION ~
NO,. ~
NEW CONSTRUCTION [0
ADDITION 0
MULTIFAMILY ATTACHED 0
SINGLE-FAMILY DETACHED ~
IF MULTIFAMILY, NUMBER OF
UNITS COVERED BY []]]
THIS SUBMITTAL:
CHECK IF THIS SUBMITTAL
REPRESENTS A WORST CASE
CONDITION ~
CONDITIONED IT.TID SQ,
FLOOR AREA ~ FT
PREDOMINANT
EAVE OVERHANG
LENGTH
PORCH OVERHANG
LENGTH
DJ.D FT
rn.~ FT
GLASS AREA AND TYPE
CLEAR TINT, lM,SOLAR SCREEN
SINGLE- om SQ, SINGLE- 1r.l':TJ1 rl 4 sa,
PANE FT PANE Ll.llll.5J FT
DDUBLE- om sa, DOUBLE- om sa,
PANE FT PANE FT
NET WAll AREA AND INSULATION
EXTERIOR MASONRY R EXTERIOR FRAME R = EXTERIOR STEEL R - EXTERIOR LOG R -
ITIID SO DJ.D ~SO [L[] ITIID ~I~ DJ ITIID so DJ
FT .~ . FT FT
--. R - ADJACENT STEEL R = ADJACENT LOG R -
ADJAClI~l MASONRY R - ADJACENT FRAME
-rrTTIJ ~~ DJ.[J CIJ:Zm so [ili] ITIIDSI) DJ ITIID so [IJ
- FT r: Fl
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R - SINGLE ASSEMBLY R = SLAB PERIMETER R= RAISED WD D CON 0 R=
[]l[[JJsa [JJ ITIIDsa, DJ [I[l] FT rn OillJsa. DJ
' -" ,
I ..- ,.J FT ~-- .- FT FT
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS
IN [2] CENTRAL o ELECTRIC STRIP G HEAT o CEILING FANS o ELECTRIC SOLAR: D.DJ
UNCONDITIONED
o ROOM o NATURAL GAS PUMP D CROSS VENTll.r'iON o NATURAL GAS SF =
SPACE R = 0
[1][-1 o OTHER HEAT RECOVERY ,CH,UI
__L..~ . .:..-.1 o PACKAGE TERMINAL o ROOM UNIT OR FUELS o WHOLE HOUSE ;:AN D OTHER FUELS DEDICATED []
IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL o NONE o ATTIC RADIANT o NONE HEAT PUMP: .Le]
SPACE R o NONE HEAT PUMP BARRIER E F " _
[LJ.[_] LI1J .V)l [J [II []]
cOP I HSPF I o MULTIZONE ~.~.. NUMBER OF I~kl
SEER/EUi c AFUE = ' ): 'I EF = . ,.' .'- .' BEDROOMS = L_ _
INFilTRATION
PRACTICE USED
o # 1 ~ #2 0 #3
~ + D2I1LETJ x 100 = ~.~J.
TOTAL AS-BUilT POINTS TOTAL BASE POINTS CALCULATED E,P.IJ i
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. ..~
OWNER AGENT
DATE: .
BUILDING OFFICIAL:
DATE ---L/---
1 hereby Certify that the P7a.."lS ~nd SPJ~~icattons covered by the calculation are in com pliance with the
Florida Energy cope/ / / .// /.
/!, .. . 17 . (
PREPAREDBY ~~~<-?~"g..""'_N. __ DATE /i-:.......:::. .~; G
I hereby certIfy that this bUIldIng IS'ln compliance With the Flonda Energy Code.
9A I PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.)
COMPONENTS SECTION REQUIREMENTS CHECK
-
WINDOWS 904.1 Maximum of 0,34 CFM per linear foot of operable sash crack (includes sliding glass doors).
EXTERIOR & 904.1 Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel, insulated or glass doors only.
ADJACENT DOORS
EXTERIOR JOINTS 904,1 To be caulked, gasketed, weatherstripped or otherwise sealed.
& CRACKS
WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker (electric)
or cutoff (oas) must be provided. External or built-in heat trap required.
SWIMMING POOLS 904.3 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a
& SPAS pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%.
SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 oallons per minute at 80 PSIG.
HVAC DUCT 904.6 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
CONSTRUCTION, sealed, insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned
INSULATION space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92).
& INSTAllATION
.----- ---
HVAC CONTROLS 904,7 Separate readily accessible manual or automatic thermostat for each system.
INSULATION 904.9 Ceilings-Min. R-19. Common Walls-Frame R-ll or CBS R-3. Common Ceilings & Floors R-ll. -.--
- 1 -
~ ~. 'Heumann edn4teuctidn, 9nc.
P.o. BOX 596 - ZEPHYRHILlS, FLORIDA 34283-0596 - (813) 782-9080
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P.O. BOX 596 - ZEPHYRHILLS. FLORIDA 34283-0596 - (813) 782-9080
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APPLTi.:ATIOWl FOR PERMIT
CITY OF ZEPIfY'K"IT.,.I,;:i
BUII.DllIG DEPAK.ntmiI'
PARCEL I. D. f
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f! 0 . /SJ~ s r ~ ~(fl.f-y~'/Is
3 7 Lj 23 LD (- ~ ~ 1-- w J J ~ 1) ll.. ,
77
/cJ-2"-'2-/
_PHONE
78 g- - (. .r j -7
~I.
j- j.,
OWNER' S MAKE
OWNER' S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: I.OT(S)
SUBDIVISIOOO ,AJ ~ J f t- '"<I .'1< J J
.JlLZ U - CJuo,hJ ~ d ,/'0
BLOCK
KORK PROPOSED: ~ Construction _ __Addition __Alteration _Repair _Install
_Sign
_.__lItove
__DetIolish
PROPOSED USE:
~e
Faaily
_KIF
_' of 1JJnits
_K/H
"_~rcia1
_IOOust.
_Stn.. Pool
Other
_Rest:aurant &: Health nepan:.ent Approval
BUILDING SIZE:
x
Square Feet.
Height
RESIDElwTIAL :
rottttERCIAI. :
A1TACII (2) PI.OT PLANlS &: (2) SEIS OF BUILDDiG PLUlS &: (1) SEI' ENERGY FORMS. "''''
ATTACH (3) SEI'S OF BUII.DllJG RUS &: (1) SEI' mmRGYFoRMS.....*
*.CO:PY OF CON'l'RACl" REQ(JJI]mD,
.p~mfS ~0ES"fJ"J.!
_BUILDING
$
Va1uation of Tot:al Construction
_ELECTRICAL
AKP Service
_FlcTiea Power Corp.
i/'il.R.E.C.
_ItECIIANICAL
$
_Val1!J3tf':>i~.!f Hecbanica1 In.c;....allat:ion
__PJ,JJKBTSG
GAS
. JbJOY'D ~'
SPtiCIALl'Y
TYPE OF COliSTRUCTIOINl: _Block __F.::.dU?'. _ _SceE:I
Other
FDiISHED FLOOR ELEVATIOUS:_
FT'.
IS PRo.JECT Di FLOOD ZONE AREA?
YES NO
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aJINl'I'RACI\lR ._SECTION
BUILDER 4 OOlfP.....c .A>. A_;Jf:..)'lI\ 4"/./ (;.Hj..) iA-L
II} j). St:at:e Cert. or Regist. ,"---ADO:z.. 0 ~1._1,.
Signature ~~~ J:"ity License Registration'
. ..........***...............*,11:.',,,>11:....*.....,.:-...*"'........................................
/--; . . .. /-
ELECTRICIAN "",,/ . (+''> '. ^/, 1!.;r)Mp.i\'L!V.~...!!.._~'-f/'._u"'-@~-,/{ /../..--,\_./0.-
(' -,... Cd" - (- -<_J-tJ.()--A'- .- "..... R - <10. /'< (' I /J I, J /
. ;..\'-:-/ p" (l, /'V ..a:ate ,-,,<::1:1:. iQ eg....:,:t:. .". c..' ~""\ I~
S. t:ure' <: . VI- I'lL- ;-"., I ". L,. City Licer.lSe Reg." sl~t:iou t ~ (l (", ~ /
...**......"'''''i:-**......,J:......................a-....*.............*. . ctJ.* t~ ...e.r r ~ h, ~
. jt~ OOJIPARY '
State Cert:. or Regist, j: . f F~ f5 _
City License Registration I __ / ~~
...........*....*"'........*...........*.*...........~*...........................*........*......
PLUttBER
Signat:ure
Signat:ure
ClJl!WLU"'l.7_ ~'; (V 51Z,/
State GeT..... or Regist. I
Cit..-y Lic.e:..se Regist:ration
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aJK?,.)fi'
St:at-:' {"~ to or Regist:. I
Cil:"j'".::" :e:D:5e Regist:rati~ I
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011IER
S ignat:ure
APPLICATION APPIlOVED n <-j( CJ.-MAA~>$~ ~A AfYlJ
PERMIT OFFICER.
CONDITIO;-.JS OF PEWHT AFFIDA....IlT I
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perai1uy be subject h 'deed restrictions. which uy be lore restrictive than City
regulations. The undersigned assu.es responsibilit} for cD.pliante with any applicable deed restrictions.
B. UNL I CENSED CONTRACTOr~S AND COI\lTRf;CTOR RESPONS I B I LIT I ES
If the owner has hired a contractor or cootractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. if thedfnt'ractof is not .licensed as required by law, both tile owner ilnd con~ractor .ay be
cited for a .isde.eanor violation under state lall. If the ~lIn~r Dr intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended 1'I"i-l:, tll\::1 are iI;l~iseiJ tr contact the City of 2ephyrhills Building Deparhent, (8131
788-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the'contractor(sl sign portions of the
.Contractor Sections. of this application for which they will r~ responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than ~he contractor, are responsible for the wrrk. If the contractor wishes you to sign
as contractor that .ay be an indication t'iat he .s not prop2rly licensed and is not en~itled to per.itting privileges in'the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
D. CONSTRUCTION LIEN LAl{ (CHAPTER 713, FLORIDA StATUTES, AS AMENDED)
I certify that I, the applicant, have beei1 provided with a copy of .Florida's Construction Lien Law - Ho.eowner's Protection
Guide. prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the
.owner., I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
.owner. prior to cO.lence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in thi5 application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, loning, and land develop.ent.
Application is hereby lade to obtain a perlit to do work and installation 'as indicated. I certify that no work or
installation has co..enced prior to issuance of a per.it and +'hat all work will be perfor.ed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdicti~n. I also
certify that I understand that the regulations of other ~overn'ent~l agencies .ay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be !n co.pliance. Such agencies include but are not li.ited to:
f Depar~.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treattent
f Southwest Florida Water "anaQele"t District - Wells, CyprESS Bayheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of EnQineers - Seawalls, DocK5, Navigable Waterways
f Depart.ent of Health l Rehabilitative Services, Environ~enta! H2alth Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environtental Protection AQe~~ - A~bestos abate.ent
i aiso certify that, if fill laterial is to be used in Flood Zo~e .f' or .A,etc.., it. is understo.d that a drainagE plan
addressing a .colpensating volute. will be subtitted which is prepar~d by a profrssional engineer registered in the State of
Florida prior to periit issuance.
A per.it issu:d shall be construed to be a license to proceed with the work and, not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peri it issued shall beeo.e invalid
unless the work authorized by such pertit is co.tenced within six .onths of issuance, or if w~rk authorized by the perlit is
suspended or abandoned for a period of SlX lonths after the ti.e th~ work is cOI.enced. One 90 day extension of tile, .ay be
allowed for the per.it with fee charge of $15.00. The exten~:on shall be requested in writing to the Building Official. An
approved inspection lust be logged durinu each six .~nth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CUMMENCEMENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD HND POST A .NOTICE Ur COMMENCEMENT".
...1:1) C 4tU-<4~~
SIGNATURE: COMTR ~TOR
WdS acknow:i.edged
, 1';23- by
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument
before me this 11/30
\.<Jas ac kno\.<J1 edged
! 19-.2.L by
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument
befol-e me th is 11 / 30
W. A. Neumann
who is personally known to me or W~0 has
produced -----------------------
as identification not
take
W. A. Neumann
who is personally known to me or who has
produced ---------------------
as identification
t-'.:e
.,. #
(Signature)
Mary H. Ray
(Name Typed, Printed or Stamped)
NOTARY PUBLIC '
(SignatLlI-e)
Mary H. Ray
(Name Typed, Pr i nted or Stam: ied )
NOTARY PUBLIC
.:-r&""i) MARY H. RAY
I.: UYCOUMISSlON f CC 181412 DI'IIIE8
\.,.\ .~, December 14. 1895
.,..,,~-!;~W-. BONDED1HRUTROYFAIN 1NllUAANCE.INC,
MARY H. RAY
II'fCOMMItSION' CC 188412"-
December 14, 1.
IONDED THAU TROY FAIN IH8UfWlCe, IlC.
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CONTRACTOR #: 003u12
NAME: WARREN A NEUMANN JR.
flUDF;: :3')71(;. M(:.ADO(;..I U..')(:P
C.,'S1~: ZEF'}iYR!~IL,_LS F~L" 3424~;(~)(:J~:~,)
- F N f PAL
FA:;:.CO COUNT'(,
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DATE:
1 ~2 / J <) / ~:;l ~:t
F-'?\Ci[. ;;
:. C!~
I ::;:::=;.UE OFF- ICE:;; ,i)
RECEIPT NUMBR~ 00158614
OFFICE: DADE CITY
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(PERMIT #2324
CONTF<{~CTOh ~ 003(' j :2 /:.,.
TOT {:;L (-\MourH:
ACCNT CO~PNY ACCOUNT CFNTER
J. 1.i+ [{.:'i:5() -.~ :3.~~::':(H)() ."-
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DESCRIPTION/PERMT DATA DRieR
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PASCO COUNTY, FLORIDA
Name/Owner 2/ 71~/Yt~,
-~/
Permit # :2 tr a 'I .jJ
Date J;;J.. -..;l.. - 9' ~
County Parcel #
Location .3 7
O/~b
D
'....
lRANSPORTATION IMPACf FEE CALCULATION
Rate $
Zone #
Sq. Ft. / Unit
pared by
Impact Fee Amount $
The above impact fi been established pursuant to asco County Transportation Impact Ordinance as adopted by the Board of
County Commissioners. This amount is payable PRIOR to the iss e of a Certificate of Occupancy or authority to utilize the pennitted
structure.
"
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
I
Gross Sq. Ft. (GSF)
Rate / ERU =
50.00 x 0.96* / Year
or$0.1315/Day
ERU Assign #
Assessment =
(# Units) x ($0.1315)
x (# Days)
~~.~-
Assessment =
!QSEl x (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
TOTAL FEE $
*Discounted for Prepayment
The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197, as commended.
1HE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
OFFICE USE ONLY
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lRANSPORTATION REC. #
RESOURCERECOVERYREC.# f~ ~ tRI-.~
I 58<OlLf
Canary
Trans / Finance
DATE
DATE \~-I [)- q:?;r
BY \
BY~~ '~""~X\J...r--.-r-~
White
Applicant
Canary Pink
RR / Finance Office
Green
Bldg / Insp