HomeMy WebLinkAbout92-2889
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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.
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,
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.
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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