HomeMy WebLinkAbout92-2865
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
~~s-o b o...s7J .5D, o-v
~LDING ~ ~TRICAL5 ~~
Pmpe,,, Owne" ~ :.1t--"". ~. _ _ ~:I i
Job Address: ...3 ~_ _~-~
Parcell.D. # J (7 -d-6 --.2/- 0 /.J-- /) c:FO DO
y:
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
Permit
N~
2865~
Date /.;L -CJ-/- r;;L
Sewer Conn 1,.;L 7d: ,;.1()
Water Conn: ..1.!>o . n
Water Meter: /6~: t:nI
T,I.F.'s:
..-----
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price 6 ~ /J7}7J. o-v
City License Registration # Y
State Certified License#
Ftr.
Pre SLB
Lintel
FRM. ~-~...q"8 0,11..
Insul. CL
WL .:l- i 1- <1,:) ;3 (~ ~
Tp. Servo
Rough In ~..~ ...'V5 .B~
Meter Can
Const. Pole
Pool
Pre-Meter 3-z.,(Q -93 &A--
Final
Driveway
DATE
Inspector
Pe,ml' Fee ~~
Signature tAl .
Company
Address
Telephone#
~
7/
SLB
Tub Set
Water
Sewer
Final
Breakers ~ ~
Ducts Insl. 2.- -~1A 6e.
Compressor
Final
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.
/~~:/-;~
j-,J-7- 7 .s
The payment of inspection fees shall be made before any further permits will be .
same.
owning
A.PPLLCATIOII FOR PHRKIT
CI'IY OF ZIl:PHIKH II"T.~
BUII.DDiG J)EPARIIIEIn'
JOB ADDRESS
OWNER'S MAKE
OWNER'S ADDRESS
LEGAL DFSCIUPl'IOlI: 1DI'(S)
PARCEL I.D.t
WORK PROPOSED: ~ev Construction _Addition _Alteration _Repair _Install
S.
- 19D.
_Move
_ne.olish
PROPOSED USE: VS-ingle Faaily
_"IF
_, of Units
_K/H
_~rcia1
_Indust.
_Swill. Pool
Other
_Restaurant &: Bea1t:h nepan:.ent Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL :
COttKERCIAL :
ATTACH (2) PLOI' PLAIIS &: (2) SEI'S OF BUlLDUiG PLANS &: (1) SEI' ENERGY FORKS. **
ATTACH (3) SEI'S OF BUII.DDiG PLAIIS &: (1) SEI' ENERGY FORKS. **
**COPT OF CORTRACf ~m:RED.
PEmlITS REOUESTED
_BUILDING
$
Valuation of Tot:a1 Construction
_ELECI'RICAL
AIIP Service
Florida Power COrp.
"...,-;
W.R.E.C.
_KEGllAlITCAL
$
Valuation of Mechanical Inst:allation
_PLUKBIBG
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Pralle _Steel
..
Other
FIliISBED FLOOR KLEVATIOBS:
FT.
IS PKOJECf Di FLOOD ZONE AREA?
YES NO
******************************************
<DrI'KAClUR SEcrION
BUTTJlER ~ W!tPANYW.O.I\G.JIY\OV,J ._
11 \ 0 State Cert. or Regist. , D<J2,u g. yz-
Signature lAJ, _ City License Regist:.ration :f ~
**************************~~********~*****
J I-
I - 17 ("/'/'
W!tPARY, 'A- //."<:...--:~ // '- <- -{ ( -< ,,< '. 'k::::, L /2 ('
State Cert:. or Regist." t' C /"~I I /../ /
/J ((f:-- City License Registration I /' ( (,
******************************************
ELECI'RICIAll . I
I
Si...n::lt:ure ',/ _L~'12 <..
<- ...., --,-
c._/~'
~A
PLlJItBER
CDlPARY u,{}~ld^ fJJ,,~ j/~7
State Cert. or Kegist:. .
City License Registration I / ;J...S-
* *************************...*~++~~~~~***
Signature
W!tPARY ~1-.vS"J //i-'JII-~;'-
State Cert. or Re . st. t
City License Registration t 7/
****************************************** ~,
CO!IPMIY ~ -
State Cert. egist. ,
City Lic e egistration I
************************* **************
KECBAlfICAL
Signature
S ignat:ure
OT'IIRR
APPLICATION APPROVED BY
/YaM~~ ~'/l...T7~)-
PERKIT OFFICER.
"Il
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peTlitlay be subject to "deed restrictions" IIhich lay be lore restrictive than City
regulations. The undersigned assule~ responsibility for cOlpliance lIith any applicable deed restrittions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ollner has hired a contractor or contractors to undertake 1I0rk, they lay be required to be licensed in accordance lIith
state and local regulations. If the contractor is not licensed as required by lall, both the ollner and contractor lay be
cited for a lisdeleanor violation under state lall. If the ollner or intended contractor are uncertain as to IIhat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the ollner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided Nith a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work lIill be done in cOlpliance lIith all
applicable lalls regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit lnd that all work lIill be perforled to leet standards of all lalls
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdittion. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
, Departlent of Environlental ReQulation - Cypress Bayheads, ~etland Areas and Environlentally Sensitive Lands,
Water/Wastellater Treatlent
, Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Are~s, Altering Watercourses
, ArlY Corps of EnQineers - SeaNalls, Docks, Navigable WaterNays
, Departlent of Health & Rehabilitative Services, Environlental Health Unit - Wells, ~astellater Treatlent, Septic Tanks
, US Environlental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood lone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volule" lIill be sublitted IIhich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance, .
A perlit issued shall be construed to be a license to proceed lIith the 1I0rk and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro I thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if 1I0rk authorized by the per.it is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
allowed ,for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project lIill be considered abandoned.
WARNING TO O~NER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IKPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT 'WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
tE"BIT' 30 O"OER '2,500 I' VAlUE 00 NOT.m TO REC1lR~Q~::"
SIGNATURE: 0 TRACTOR
STATE OF~ FLORlmr::z """' ^ "........
COUNTY OF ~ ~
The foregoing instrument was acknowledged
befc,re me tilis 12 - 'Z../- , 192k::. bv
c----'
STATE OF FLORIDA ....l -(\ '\
COUNTY OF ~\..,V
The foregDing instrument was acknDwledged
befclre me th i s / t. ..- Z (- , 19 ~ by
has
whc. has
(Name )"Y-R-edr F'p-i ntlf"tJ'.....Oi'-""Sfamped)
NOTARV PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC . .If!,~"., ,..I~;"'::;~;\~~"~1f:;.".
.. (~ t.'" "\ "" ~ '" ',.::'.. :\.J, ,"" ,~~
I ~,---"., \ ".,. .~.~.._-
~_~--1-~'""'~-"--~
,.
u
") . ,( ,
/'
Climate Zones \
CENTRAL(!) 5 6
FORM 900-B-91
FLORIDA E.._riGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
OWNER:
UILDER: II)
PERMITTING
OfFICE:
PERMIT
NO.:
oJCtJ,\A )1'\,..
CLIMATE
ZONE:
JURISDICTION
NO.:
4ff'SO 60
~
PROJECT NAME
AND ADDRESS:
NEW CONSTRUCTION ff IF MULTIFAMILY. NUMBER OF CONDITIONED ~ sa, GLASS AREA AND TYPE
UNITS COVERED BY ITIJ FLOOR AREA .,..::;; Fl CLEAR TINT,FILM,SOLAR SCREEN
ADDITION 0 THIS SUBMITTAL PREDOMINANT
EAVE OVERHANG rn~ SINGLE- CIi:W sa SINGLE- CIJTI sa.
MULTIFAMILY ATTACHED 0 CHECK IF THIS SUBMITTAL LENGTH . Fl PANE Fl PANE Fl
REPRESENTS A WO~E PORCH OVERHANG rn 'eJ DOUBLE- CIJTI sa DOUBLE- CIJTI sa
SINGLE-FAMILY DETACHED 0 CONDITION LENGTH . FT PANE FT PANE Fl
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R =
[]]]I] SQ. m.o ~SQ, [ill] OJ]]] SQ m ITIID SQ, m
FT Fl FT FT
ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R =
D:IIIJ SQ, m.o CIEiliJ sa, IT] mIJ]SQ, m [[Ill] SQ, m
FT I 'd' Fl Fl FT
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R = SGL ASSEMBLY R = SLAB PERIMETER R = RAISED WD 0 cor-, 0 R=
CIlIiliDw [3] [[[I]] sa. m [[Jili] rn [[I[[jSQ, m
Fl i ~; ... Fl Fl
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS
IN ,.G'CENTRAL o ELECTRIC STRIP Q-ffEAT ffiElLlNG FANS 01lECTRIC SOLAR: o.m
UNCONDITIONED S.F, =
SPACE R = o ROOM o NATURAL GAS PUMP B'CROSS VENTILATION o NATURAL GAS HEAT RECOVERY (CHECK) 0
[0]. ~ o PACKAGE TERMINAL o ROOM UNIT OR o OTHER o WHOLE HOUSE FAN o OTHER FUELS
FUELS DEDICATED 0 m
IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL o NONE o ATTIC RADIANT o NONE HEAT PUMP:
SPACE R = o NONE HEAT PUMP BARRIER E.F, = .
m.D SEER/EER = [IT].O cOP I HSPF I om o MULTllONE EF= .~ NUMBER OF rn
AFUE = ~.' .. BEDROOMS = ,,) L
INFIL TRA TlON ~ IT~ LEZEJ.0
PRA~SED X 100 =
0 #1 #2 0 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P,I.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS,
, 00"" 000' ~, .. .00' 00400.00. ~".. ., ~ 00,"'''''' ~ '" 00"'- w""..
Florida Energy Code. } C
PREPAREDBY:t~. -.' U~- DATE:/~'- Ij'~f--
I hereby certify that this)>uil'l'9 ~J1' com ' nce with the Florida Energy Code,
OWNER AGENT: IN, L DATE: / e - 1-'- -f '-
Review of plans and specifications covered by this calculation indicates compliance wifh
the Florida Energy Code. Before constru~ion i completed. this buildin ill be inspected
for compliance in accordance it Section B. F ,5, ~
BUILDING OFFICIAL:
DATE:
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~
CONTRACTOR #: 003012
NAME: WARREN A NEUMANN
ADDR: 39716 MEADOW LOOP
C/ST: ZEPHYRHILLS
.JF-<.
DATE: 01/2.1:../9:;:
PAGE: 1 OF 1
I ~:::::;UE OFF I CE: D
RECEIP1' NUMBR: 00162312
OFFICE: DADE CITY
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
FL 3424:::0(H)O
FOR:
CHECI< "* CA:;H
RESOURCE FEE ON PERMIT 2865B CITY
CONTRACTOR: 003012
TOTAL, AI'10UNT:
ACCNT COMPNY ACCOUNT CENTER
114 8450 - 363000 - -
46.44
AMOUNT
46. 4'!~
DESCRIPTION/PERMT DATA DRieR
*.**** 60
\.-<:~,,-/ ...., .,...-. -.. ., "'<'"
RE.... E '( \JE"[ f" "'\ " .' , \]. ~,... ..':L..... ).
N' ,. I -~. ,\ \ ~..'" \" " """ry""
_l, ., ....' ~ ,_____ ___\...._..~_-.::::..-~ '.- ,.1........;j- _....._~-- ----
;".t.r"""., "..,: -,A ',,,,,,,t,,,,'.,,..' .",'~\l'i ,_-; ~4;~:\,"\f'1.t;, _ - ,
','__"''''''''',_ .,,~,:bIt:lW",~~,,/JI.\i; ;'1"\,!\\if~.;;&j5:$t'~'~il";&:';.\1,,~",~..r.W ,'!f"~':, ,:'~~'..I.. ;(S~,,\,...t{
PASCO COUNTY, FLORIDA
Pennit #
Date
Name/Owner
Comty Parcel #
Location
Classification / Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft./ Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established pursUant to the Pasco Comty Transportation Impact Ordinance as adopted by the Board of
Comty Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
/
Gross Sq. FL (GSF)
Rate / ERU =
50.00 x 0.96'" / Year
or$0.1315/Day
ERU Assign #
Assessment =
(# Units) x ($0.1315)
x (# Days)
Assessment =
(QSElx (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
I'
" j..,+
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.
THE 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 RECEIYfED 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 fonn, placing the building permit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
----------------------------------------------------------------------------------------------------.---------.--.-----.-------------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
, ,
i'-
, ,
DATE
DATE
BY
BY <
r
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp