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HomeMy WebLinkAbout92-2889 ......-',. . ~/S1J C:::0 Sewer Conn / Ol.? t?; d7), Water Conn: ..ss?J. P'ZJ Water Meter: /6..5--: t7V Job Address: T,I.F.'s: Parcell.D. #..3- ~b .-rJ./ - /'J- -6. ,/ 0 6 A Zoning: Energy Code: ~...?: 0 Rad~n Gas: ~ y: <:f:S'-~ D.'CriPtiono,wo",'71.-"A.l _~~~.0f~ ~.a_(J BUILDING PERMIT Permit N<? 2889~ Date 1.;l-3/ -7;1 NO OCCUPANCY BEFORE C.O. FINAL C.O. ...... ....:~ - y~./ DATE -?3 Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances, DATE Permit Fee 7~"""'" crD Signature ~..1u.-.U~~ Company Address Telephone# Valuation or Contract Price 7 t l77J7J . tJ't) City License Registration # ~ State Certified License# C!J 2;;) J39 , MECHANIC Ft., ~rr> ~. Pre SLB '-2-0-- 7- ~. Lintel FRM. Insul. CL em WL ~~-q6 ' Tp. Servo tT7ft... SLB J -2.0 ~ ~ 'ttt Rough In 2-1')...&,3 ~,"Tub Set 2.-/7-~ . Meter Can Water Const. Pole / - J:3-'fB AJ" Sewer Pool Final Pre-Meter 0-'2..\-,\ 3S~ Final t3Ji/~ Breakers Ducts Insl. </-/7-13 Compressor Final Driveway 4-~<<{-~S ~J... ~ 1-2.3-'13 6iQ1 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. )je{ ;J J-" /- 93 .5--7-73 The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~ ,'. , ~ I ., -..-....--.-.....-... 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I-r- _. n , I . /)\11 ~G.l EJ;J:".,S___._.........._~_._._ ',' ~ . " #:- " , . /0 ~ 7?1 L_.__,_.___ , FORM 900-B-91 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 - Residential Point System Method Department of Community Affairs Climate Z9-res CENTRAIlj' 5 6 OWNER:C t ' BUILDER: t:;..:;:. l. . PERMITTING , OFFICE: PERMIT NO.: PROJECT NAME AND ADDRESS: NEW CONSTRUCTION ~' ADDITION D .MULTIFAMILY ATTACHED D SINGLE.FAMILY DETACHED~ IF MULTIFAMILY, NUMBER OF UNITS CCNERED BY [II] THIS SUBMITTAL: CHECK IF THIS SUBMITTAL REPRESENTS A WORST CASE CONDITION '~ C NDITIONED ~l ,. Gi:' SO FLOOR AREA ~ FT. PREDOMINANT rn [g EAVE OVERHANG LENGTH . . {) Fl PORCH OVERHANG OJ 0 LENGTH . FT. GLASS AREA AND TYPE CLEAR TINT,FILM,SOLAR SCREEN SINGLE- [ill] SO SINGLE- ~ SO PANE FT PANE ~ Fl DOUBLE. [ill] so. DOUBLE- [ill] so, ~E FT ~E Fl NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R = rnmSQ, OJ.O [li]ili]g ~~,' OJ rnmSQ. OJ [[0]] ~.' OJ FT. FT. ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R = rnmSQ, OJ.O CIJ:iEEl SQ, OJ rnmSQ, OJ rnmSQ, OJ FT. ' FT. FT. FT. CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R= SGL ASSEMBLY R = SLAB PERIMETER R = RAISED WD 0 CON 0 I R = ~SQ, rn rnmso. OJ DIJITZ] Fl rn [[O]]~~: OJ Fl Fl DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS IN t81-CENTRAL o ELECTRIC STRIP ~ HEAT fg] CEILING FANS ~ ELECTRIC SOLAR: O.OJ UNCONDITIONED SF = SPACE R = o ROOM o NATURAL GAS PUMP gj CROSS VENTILATION o NATURAL GAS HEAT RECOVERY (CHECK) 0 rn.5J o PACKAGE TERMINAL o ROOM UNIT OR o OTHER o WHOLE HOUSE FAN o OTHER m,LS FUELS DEDICATED .. AIR CONDITIONER PACKAGE TERMINAL o ATIlC RADIANT o NONE HEAT PUMP: 0 .~ IN CONDITIONED o NONE HEAT PUMP o NONE SPACE R = BARRIER EJ. = OJ.O SEER/EER = [ff].8 cOP I HSPF I ~.rn o MULTIZONE EF = ,6IfJ NUMBER OF rn AFUE = BEDROOMS = INFILTRATION I 131c) [ell 1,2.j ~ liars I.Ej PRACTICE USED -/ ? X 100 = D #1 ~ #20 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.1. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. PREPARED BY: DATE: Review of plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Betor nstructio.' completed, this buildin.ll..w. e inspected for compliance in accordan Sectio ,908, F.S. I hereby certity that the plans and specifications covered by the calculation are in compliance with the Florida Energy Code, DATE: / OWNER AGENT: ' da Energy Code, ~ DATE: BUILDING OFFICIAL: FORM 900-A-91 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 - Residential Point System Method Department of Community Affairs Climate Z9\les CENTRALGY 5 6 OWNER: BUILDER: PERMITTING OFFICE: PERMIT ~ NO,:~ CLIMATE 4 rr;::r- 5 0 6 0 ZONE: L:.J JU~ISDICTION ~ NO" ~ PROJECT NAME AND ADDRESS: '9, \_., (\ ...l..) t,~ ~" "~ . ~_ ..:.:.... ~ o MULTIFAMILY ATTACHED 0 SINGLE.FAMILY DETACHED 5ZI NEW CONSTRUCTION ADDITION IF MULTIFAMILY, NUMBER OF UNITS COVERED BY []JJ THIS SUBMITTAL CHECK IF THIS SUBMITTAL REPRESENTS A WORST CASE CONDITION. 0 CONDITIONED ~ SO FLOOR AREA LJ.llJJ..U.QJ FT PREDOMINANT EAVE OVERHANG LE NGTH PORCH OVERHANG LENGTH rn.~ FT rn.D FT GLASS AREA AND TYPE CLEAR TINT,FILM,SOLAR SCREEN SINGLE. []JJJS11 SINGLE. ~ SQ. PANE FT PANE ~ FT DOUBLE. []JJJ SO DOUBLE- []JJJ SQ. ~E FT ~E FT NET WALL AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R - EXTERIOR STEEL R = EXTERIOR LOG R = OJIJ] SO rn.D CILIiJQ] SO UTI] OJIJ] SO rn [IITD ~~, rn FT ii, FT FT ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R = OJIJ] SO rn.o CIEITI SO ITliJ OJIJ] ~~ rn OJIJ] SO rn FT \ ::' ~. FT FT CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION UNDER ATTIC R - SINGLE ASSEMBLY R - SLAB PERIMETER R = RA,ISED WD 0 CON 0 R = [[lli[E]so. rn OJIJ]so, rn ITIIJ FT OJ []]]]]SQ, rn " ' .."/ FT :, \.~ FT. FT DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS IN ca CENTRAL o ELECTRIC STRIP J:8J HEAT o CEILING FANS 1ZI ELECTRIC SOLAR: D.rn UNCONDITIONED SPACE R = o ROOM o NATURAL GAS PUMP l2J CROSS VENTILATION o NATURAL 3AS SJ. = 0 []JJ ~l o PACKAGE TERMINAL o ROOM UNIT OR o OTHER o WHOLE HOUSE FAN o OTHER FUELS HEAT RECOVERY ICHECKI , 'ilL-.;:::.J AIR CONDITIONER PACKAGE TERMINAL FUELS DEDICATED .rn IN CONDITIONED o NONE o ATTIC RADIANT o NONE HEAT PUMP: 0 SPACE R = o NONE HEAT PUMP BARRIER E F = rn,o SEER/EER = ern.1Q] COP/HSPFI ~ ~ o MULTIZONE EF= ,m NUMBER OF OJ AFUE = . , ) I ) BEDROOMS : INFIL TRA TION PRACTICE USED o 111 lXJ 112 0 #3 PREPARE ~ ~O x100= ~n) ~ Ll~ L..l:2L::J.L::::J TOTAL AS.BUlLT POINTS TOTAL BASE POINTS CALCULATED E,P.1. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. Review of plans and specifications covered by this calculation indicates compliance with the Florida Energy Code, Before onstruction is completed, this building will be inspected for compliance in accordan i Seclio .908, F,S, eo BUILDING OFFICIAL: DATE 9A PRESCRIPTIVE ME COMPONENTS SECTIO WINDOWS 904,1 EXTERIOR & 904.1 ADJACENT DOORS EXTERIOR JOINTS 904,1 & CRACKS WATER HEATERS 904.2 URES (must be met or exceeded by all residences.) REQUIREMENTS Maximum of 0,34 CFM er linear foot of 0 erable sash crack includes slidin lass doors. Maximum of 0,5 CFM per sq, ft, of door area: solid core, wood panel. insulated or glass doors only, CHECK To be caulked, gasketed, weatherstripped or otherwise sealed, SWIMMING POOLS 904.3 & SPAS SHOWER HEADS 904,5 HVAC DUCT 904,6 CONSTRUCTION, INSULATION & INSTAllATION HVAC CONTROLS 904.7 INSULATION 904.9 Comply with efficiency requirements in Table 9.7A. Switch or clearly marked circuit breaker (electric) or cutoff as must be rovided, External or built.in heat tra re uired, Spas & heated pools must have covers (except solar heated), Non.commercial pools must have a um timer. Gas s a & 001 heaters must have minimum thermal efficienc of 78%. Water flow must be restricted to no more than 3 allons er minute at 80 PSIG. All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section 904.6, Ducts in unconditioned space and air handlers located in attics must be Insulated to a minimum R.4,2 (R-6 after 1/1/92), Separate readily accessible manual or automatic thermostat for each system, Ceilings.Min. R.19, Common Walls. Frame R.11 or CBS R,3. Common Ceilings & Floors R.11. W.NTER CALCULATIONS CLIMA TE Z~ES 4 5 6 ~ GLASS IBASE WINTERI BASE I-' SINGLE.PANE OR DOUBLE-PANE I WINTER I AS.BUIL T z GLASS )( )( OVERHANG:: GLASS w )( POINT:: WINTER w WINTER POINT Mi.lU,. WINTER POINT MULl a: AREA MULTIPLIER pnlNT~ a: AREA CLEAR 7 T1NT'/ CLEAR TINT' FACTORi9B\ WIN. PTS. 0 0 r,.}..n,,~ N /, 'Z- 5.6 "3'--\I\"'L N (,,'2,- 9.6 9.6 5.6 6.1 \,O~ NE 3.5 "- NE 7.4 7.3 3.5 4.2 '"'I ..... E U:::D - 'i R ( -z..~O,O) ~ '''':;-0 - 2.2 - ?:o - 5.6 - 3.6 \ \ CA. { - ICf, 0 ~E - \. .10.3 - 97 -13.4 -10.4 -c. " -13.4 SE ~ 74- -14.0 ( -33.(.,0 J .~' 2A- 10.9 -10.2 14.0 -11.0 ,'%3 1-~~,'1. SW -13.4 "- SW 10.3 - 9.7 -13.4 -10.4 "- W C,D - 5.6 , -'50~, 0 ) W qD - 2.2 - 20 5.6 - 3.6 \ \C\ / - 3u.:, 2.. \ - NW ~.!; NW 7.4 73 3.5 4.2 H' -14.0 H' 32.1 28.0 -27.0 -21.5 In In :5 C) - , -r CONDo J TOTAL I BASE I BASE 1 ADJUSTED AS.BUIL T .15 )( FLOOR + GLASS ADJUST)( GLASS :: GLASS GLASS I AREA I AREA I FACTOR Ii SUBTOTAl.. /1' BASE W{l SUBTOTAL .1" I I \,7, T - '7 '72.9:. T I-c..t R\ . ~ ) ~~(.11oof, --- , ~ BASE WINTER ~ BASE 1 WINTER T AS.BUIL T COMPONENT AREA WINTER COMPONENT AREA lC POINT MUL~1 :: WINTER DESCRIPTION POINT MULl pnlNTs DESCRIPTION 19C THRU 90 POINTS EXTERIOR \ \ rJ n 1.1 1.2'6/.D Tv ~~ \\'10 \,\ l l-Yo'l, I.:) ...J ADJACENT IS7 1.8 ~ "1 ~ (_ V " \ \ \ C:::::l. \ o;z: 27"2,,\.,::, ...J < ~ ~A 51 4.0 , '~i:~ II . f~ , \ 5",-, 0 \(.)1.., 1.. [~ERIOR 8 AD ACENT Q ~ i,~ , C) UNDER ATTIC \c-\ \ (4 A \ \ 5Cl.~ \"., 1.(- \0..,9, ! ,I \ ~u.'L \V z OR SINGLE .R ::i I W A~SEMBL Y .6 I I 0 BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING. AS.BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE ...... ., ..... , SLAB (PERIMETER\ \'l'} - 1.9 7 -c. z,{,.. 3 ) TiC ~"\ Z."::::> 4~'1..,'S' a:: RAISED (AREA) "- ~ , 8 - .2 It FOR SLAB-ON-GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE. 4.1 TOT AL COMPONENT BASE WINTER POINTS , TOTAL BASE )( WINTER POINTS '1 USE TOTAL FLOOR AREA OF CONDITIONED SPACE , 1'-1I'-\3.\.'-t I I I 1.1 (tL\~\.,-\ BASE :: HEATING PINTS ID '3"14.5' TOTAL COMPONENT AS.BUILT WINTER POINTS ~ TOTAL AS-BUlL T )( WIN. PTS. \ \ ,-}-:;4 \ \.\0- _ I HEATING SYSTEM BASE HEATING SYSTEM MULTIPLIER BASE I BASE I BASE I TOTAL AS-BUILT I AS-BUlL T I AS.BUIL T [ TOTAL COOliNG + HEATING + HOT WATER :: BASE COOLING + HEATING + HOT WATER :: AS.BUIL T ...J ~ POINTS POINTS POINTS POINTS POINTS POINTS POINTS POINTS 0 'Fr""" P.2\ 'From P.2\ tEnter on P.1\ tFrom P .2\ tFrom P.2\ tEnter on P.1\ l- I \S,I2-'-V; \0.3-]4. 'S 10.58\ 3<o,Co~D It..{ \'5,3'?;,/,1 4 S~~:) to,56"' 36,5/3,'1 lH = Horizontal Glass (Skylights) 2For glass with known Shading Coefficient, see section 903.2(a). Tint Multipliers may be used for glass with solar screens. film, or tint. ~. SUMMER CALCULATIONS " I-' I BASE I BASE I-' I SINGLE-PANE DOUBLE-PANE I SUMMER I AS-BUILT I z GLASS z GLASS )( SUMMER POINT MULl OR )( OVERHANG:: GLASS )( SUMMER SUMMER w SUMMER POINT MULl w :: a: a: AREA PT MULT AREA CLEAR TINT' CLEAR TINT' FACTOR (9B) SUM. PTS. 0 POINTS 0 N Ld..- 47.8 2.~1..3.k> N (p2, 51.0 (51.5 ) 47.8 43.5 \'9-.1 2/77. c; NE 71.7 NE 77.2 7R 71.7 63.4 E 50 102.0 '5100.0 -L- 50 109.2 (107. "') 102.0 87.3 ,<J..,";; 4.5'51,6 SE 104.1 SE 112.9 1'r1r: 104.1 89.4 S ]l.f 909 2-\ ~ \ ,"" S 2.4- 100.2 1'"98.3) 90.9 78.8 .-1 } .~( lc \~ SW 104.1 SW 112.9 11'['3 104.1 89.4 W 40 102.0 CJ,I'DO.6 W ~D 109.2 (107:1) 102.0 87.3 be,:> 8. \~~ ,1.. NW 71.7 NW 77.2 '-~.6 71.7 63.4 "- H' 367.7 303.3 324.6 238.1 H' 90.9 In In < ...J C) , I CONDo I TOTAL 1 BASE I BASE I ADJUSTED AS.BUIL T .15 )( FLOOR + GLASS ADJUSl )( GLASS :: GLASS GLASS I AREA I AREA I FACTOR I SUBTOT AL I BASE SP SUBTOTAL 15 I \~\H I -z..'2.~ I 1 2. 1 IQA 1.:5, L... [2.4 10'10. D \'),~,S- , COMPONENT 1 SUMMER I AS.BUIL T DESCRIPTION AREA )( POINT MULl = SUMMER (9C THRU 9G) POINTS \NO() [) -r1<... \\f") 0 \,0 \ \ '1D D ( \~ \'51- .1 lObA- r(. \ \ l' CLIMATE ZONES 4 5 8 COMPONENT DESCRIPTION EXTERIOR ...J :i AD ACE NT ~ rro '1- )( BASE SUMMER :: POINT MULl 1.0 .7 AREA rn EXTERIOR 8 ADJACENT Q 48 1.6 it~ II 1-0 If.:!> l=U , "'2.-0 \B ",J)!!') {) \ 1..\'-\ . 0 '-l J. 2.. , C) UNDER ATTIC \Ch ~ .6 \ \SO.~ E. ?,(" l~l~ , " \~L4" ,l.o z OR SINGLE .6 ::i W ASSEMBL Y .6 0 BASE CEILING AREA EOUALS FLOOR AREA DIRECTLY UNDER CEILING. AS.BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE. /' , "... I \ ~ , ...... a:: SLA8 WtHIMETtH) \ 1 -, -31.8 ( -'"'I, i-:l2.'6 . (, lL~n \ r'"}<'I -- ~l \ lit \ f -'S"'''4~, ~ ) 8 RAISED (AREA) - 3.43 --- ..- - ...J IL. Fe R SLAB.ON-GRADt USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE. TOT AL COMPONENT BASE SUMMER POINT./.- BASE COOLING TOTAL BASE SYSTEM )( SUMMER MULTIPLIER POINTS 42.,41C1 . L, COOLING SYSTEM :: TOTAL COMPONENT AS-BUILT SUMMER POINTS , TOTAL AS.BUIL T )( lC )( SUM. PTS. 35,405. (., 13S.l..\Q:S ,Ip I 1991 1992 HOT WATER SYSTEM BASE lC HOT WATER :: MULTIPLIER 3527 'H = Horizontal Glass (Skylights) 2For glass with known Shading Coefficient. see section 903.2(a) Tint Multipliers may be used for glass with solar screens. film, or tint. -2- APPLICATION FOR PERtlIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT &. LI S1&VC-, I....... Co~S~~ ADDRESS :S7'74-fo ~e-S f.A:vJ1G- PHONE 7?Sc-Q y lf~ OWNER C~L&S'" P16N'T/---6-f JOB LOCATION~ SlwmoA11 <,.Dn...., LOT SIZE 65" X llo LEGAL DESCRIPTION: LOT(S) lob -A- BLOCK ;S-LCO- '2[- i 2. - 0- 10 ~-> AR.EA SQ. FT. 7fj:Jo <5 f UUr5{l OilK''S SUBDIVISION PARCEL I.D.~t WORK PROPOSED:~New Constru~tion ____Addition ____Alteration ____Repair ____Install _Sign/Temp. PROPOSED USE: ~Single Family _Sign _!'love ____DemQlish ..:.--M / F ____~t of Units ,._M/H _Commercial _Indust. _Swim.. Pool Other BUILDING SIZE: 5'"0 X 68 , _Restaurant & Health Department Approval 24BS- Square Feet, B LoLl' Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORI-IS. ** **COPY OF CONTRACT REQUIRED. l'F.RMTTS REOUESTED XBUILDING $ 15; OCO.~o Valuation of Total Construction ~ELECTRICAL ZOO AMP Service rc Florida Power Corp. _W.R.E.C. ~ MECHANICAL $ ~~(X)l~ Valuation of Mechanical Installation -ff-PLUMBING ..... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ~Block ~Frame ____Steel Other FINISHED FLOOR ELEVATIONS: '7() FT. ******.**~******************************** CONTRACTOR S Company State Cert. or Recist. D City License Registration ****************************************** Thu :T:=:~~Cf=.) Company 7--\-\,u-<; ELC,-, ~,~ . State Cert. or Regist. ~I ~o ~ 'J...i l.J:- ~. 0 _ ..... *...............~~;~.; ~;:~:: .~;.~ ~~; ~~; ~~~ " l <l Signature . Company' ClIft's 13A.-flJ( -#tL~~'j)h ~ _ _~ 5J. "3,~ State Cert. or Regist." K-" 00 1- - 'A/2. . (: 'Z VOl City License Registration II ~ 7 . ****************************************** PLUMBER MECHANICAL Company 4;1H~ '.5 ~O~A~L GAS L Jf/<' fA./e. -V./ ~ State Cert. or Regist. if CA CD VJ"7 ~4> Signature .."L-- z.d. . City License Registration j~ 7~ ~ ****************************************** -, Signature Company State Cert. or Regist. a City License Registration D pTHER APPLICATION APPROVED BY ~********~************************* // Art ..P.A. (f t7.AA"J"'l.-.t"'-.. PERl'lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The.undersigned understands that this perlit lay be sublect io "deed restrlcti~ns" which may bc D~re restr1ctive than City rvgulatlons. The undersigned assules responsibilitf;for..colpllance with any applicable deed restrictions. . .., . . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor .~r contractors to undertake work, .they lay be required to be licensed in accordance with state and local regulations. . If the contractor Is not licensed as required by I~w, both the OHner and contractor lay be cited for a misdeaeanor violation under state laK., If the owner or intended contractor are uncertain as to what licensing requirelents aay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, (913) 788-6611. Furtherlore, 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 Hill be responsible. If you, as the ~wner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Horr.. 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 Kith a copy of "Florida's Construction Lien Law - Hoaeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle6ne other than the "owner", I certify that I have [obtained a. cripy of the above described dCocullent ..nd prc'~lisc in good fai th to deliver it to the .6Mner. prior to c61Iencel~nt. -'1,":":.' '" .:. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inf6rlation in this application is accurate and that all ~~rk will be done in compliance with all applicable laws regulating construction, zoning, and land developDent. Application is hereby Dade to obtain a perlit to' do work and install~tion as indicated. I certify that n6 work or installati~n has cOI!enced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laMS regulating construction, City codes, zoning regulations, an~ land developm~nt requl..tions in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~..y apply" to th~ intended work, and that it is IY responsibility to identify what actions I must tar.e to be in cOlI\pliance. Such aqE?ncies include bill ~\e IIcot liaited to: '" I Departle~t of Envir~nlental Renul;tion - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds, Water/Wastewater Treatment . SouthNest Florida Hater" Manaqell\ent District - Wells; Cypress Bayheads, Wetl..nd Areas, Altering Hatercourses I Ar.y Corps ~f Enqineers - Seawalls, Dotks, Navigable Waterways f Departlent of Heallh L Rehabilitative Services. Environmental Health Unit - Hells, \j..stE?water Treat~en~. Septic Tanks f US Environaental Protection Aqenty - Asbestos abatement 1 also certif"1 that, if fill latedal is to be used in Flc,od Zc,ne "A" clr 'A,etc.', it is undHslC,(.d \1131 a drainage plan addressing a 'coapensating volute" will be sublitted which is prepared by a profession..1 enqincer reqisl~red in lhe state of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proce~d with the work ..nd n~t as aulhority to yiol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prE?venl lhe Building Offici.1 fro. thereafter requiring a correction of errors in plans; construction, or violations of any codE? Every per~il issll~d ~hal1 becOle invalid unless the Hc,rk authc,rized by such penit is c[ouenced Hithin six months of issuancc, (,r if 11('1 f; ~lI\1lr"I,ed bt the perait is suspended or abandoned for a period of six lonths after the t;~e the "ork is co~menrcd. One 90 day e:le~sipll of tile, lay be all~wed for the perll\it with fee charge of $15.00. The extension shall be requested in Hriting l~ the ~uilding Official. An approved inspectic,n r.aust be lc,gged during each six tonth period, or the prcojed ~i 11 be cc,nsidered i1bal,dc.ned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO'NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". . ~ SIGNATURE__e~O-W-N--ER~-]OR"~ A-G~E' -N-T--~-~--. ---- SIGNATURE"~'-:f-.-'AbJ-&.';~ :ENT-------7 ,1("0"''; pers ,,^,..jllJ.'R~O~ "-~. DATE___~__t~_~L~~f~----------_.------- DATE_l~~~------------------------ /") NOTARY AS TO,/, .../ ,. ',1 j"~) '-//!\... NOTARY A T~ /2 / ,,~ OWNER OR AGEN-t L<< tL {f)"?C/'!.t tv~~ -NOTARy-,.mlrn:;-""""- "__,- CONTRACT~R_ 0 ""-------- -- --------- MY COMlvHSSION EXPIRES: .18,1995. Dawn E. Woodwaru ee!Jr?oo9Z- MY COMMISSION E~~~~~~T~~~~~~~__~~~~~~-- MY COMMISSION EXPIRES__________________ ,~OTARY PUBLIC, STATE OF FLORIDA MY COMMISSION EXPIRES: Jan. 25, 1995. BONDED THRU NOTARY PUBLIC UNDERWRITERS. --- - MAP SHOWING SURVEY OF A parcel of land being the North 15 feet of Lot 107 and the 'outb 50 feet of Lot 10' a. .hown on the plat of 'llver O.k. 'ha.e One, .. recorded In Plat look 2', '.g.1 ., throU9h ., Inclullve, of the Public aecord. of P..co County, Florid.. Containing 7,'00 'q~r. f.et, aor. or 1.... Subject to a utility .a....nt oYer and acro.. the ,..t.rly 5 f..t of the above d..crlbed parcel of land. '0 \ .'.) ,"I) ~ , t:.. \ \., \l ~ t2 J 06 .... A -;J Ob.""S ~ (/po' 121'/'J ) Dt2.\\lt; ..1. ~ \"l:~ ,. LDi,08 ., J,.j .. ..;-..-:t-, ~.. :.. ~:~:::.:.. ..-:'-' ,,'" ::1~: .:....:.. ....,:-,.~ ~:. f. '. .. , .. . If'''.:. ,. :::; i \..:. . t....: "0 r'" .... '.... . ..... . .." , , ,. .. . I..,,". .....',..... .. ,.- '.... ... ....... f'.~': : .'.. :.'~ t: I.. ~ ~ ..of..... ' ; ..- t. loOt" Ie>? ;:s 9 ~ N.l):'.lP46'?b"W. I .CO' ~. ~.CO' l1'O(.( "24- (... 10.00' ,t. ., ..' "~i.. ............... '. tJ:IDID1L~ I.OT a (" LOT 'I, 11 leu I... ...". llel... U. INN4 .. tile lac.. .1.t, .. r_l,," I. ,l.t IeM 1>> , ..... t1t, t111....11 4a , IllCl_hd, .t MW-Mlle bceiu. I HEREBY CERTIFY THAT THE LANDS SHOWN HEREON LIE WITHIN ZONE COMMUNITY NO. DATED 21 "._a" ..... _1_ U. lor .111....., etlUtl.. ... ....., ..1... Itlle",l_ _~ "'1_. JI IIOTICI, fllel. ..,... ....Itl_l I..tlletl_ tMt .,. MC recor.. .. till. put tMt ..,... I.... la tile Pvb11e lec.r" .e MI. ea.atl 1'1'11" ,catet.. 17'."11. 41 ftl. .lIn.'....... .It.....t _..Ilt .e .. ...tlact o~ tlt1.. Tllerel.ro, tllere _W lie ..wlll...l ..._ata, eo....ata ... I..tllctl...., Itller ..ttu. If .._He recll' tlllt .., II .., aot .'fect t~l. porcel. AS SHOWN ON F.IA. FLOOD HAZARD BOUNDARY MAP NOT VALID UNLESS EMOOSScO WITI1 A SURVEYOR'S SEAL GBC ..~D'Oin"_ . LEGEND I HIIlU' ClATIfY THAT THE AltIJVi LANOS WiAi $UflvlYiD UNDtR ...,~... -"'VI"DN AND DIMCTION. T.....T THiM AM 1olO ~I UCUT AlIHOWN AHO THAT THI SUIIVI' SHOwN ....OH ..ETI THI__ TICHIoIICAl. IT~ lET 'Ol'l-rH 8Y THE '~Ol'lIOA IOAIID Of LANO IURVlYOIII. ~T TO MCTION 47UI7. f..oRlOA IT"TUTU. SIGNED-1JO\l "2-~ 19 e;q SCALE I";: ~ 0 ' ~320 LUllar C...t~'., Suite 108 T~. Florida 33618 . (813) '211-0081 08~...~g'p~-<~/ _ CBlJI$ E.~L..$WICI(, P.l.S. CERT. NO.3/QO . CONCReTE MONUMENT .-. FENCE o IRON PIPE SeT . IRON PIPE FOuND x CROSS CUT CHK. By F.B, P.G. PASCO COUNTY, FLORIDA Permit # ~ J'>;fY9 A Date ,5-- ,7- 9-.$ Name/Owner .-4 if,- _ ~- (~ CoontyPa=I#~-02B; 1~-~2 /O~ /f- Location & ~,,_ I '/t.(J A.,C l Classii1cation/TypeofUse 'x d.A..t ;a4t tt::... tl TRANSPORTATION IMPACT FEE CALCULATION Rate $ Zone # Sq. Ft./ Unit Prepared by Impact Fee Amount $ The above impact fee has been established p to the Pasco County Transportati t Ordinance as adopted by the Board of COlmty Commissioners. This amo . payable PRIOR to the issuance of a Certificate of Occupancy or . to utilize the permitted structure. RESOURCE RECOVERY ASSESSMENT RESIDENTIAL NONRESIDENTIAL # Units / Gross Sq. Ft. (GSp) Rate/ERU= 50.00 x 0.96* / Year or$0.1315/Day ERU Assign # Assessment = (# Units) x ($0.1315) x (# Days) . TOTAL FEE $ .3;). ~ I *Discounted for Prepayment Assessment = !Q.Sfl x (ERU) x (0.1315) x (# Days) 100 TOTAL FEE $ 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 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. .!)-j -93 Date Received By ------------------------------------------------------------------------------------------------------------------------------..----------------------------------... OFFICE USE ONLY ~ TRANSPORTATIONREC. # RESOURCE RECOVERY REC. ';) 3[, DATE DATE ~- -'1-f~ BY BY 7~ White Applicant Canary Trans / Finance Canary RR / Finance Pink Office Green Bldg / Insp