HomeMy WebLinkAbout93-2909
BUILDING PERMIT
71( F-Lf-!:.-:rv
Permit
N~
2909-&
CITY OF ZEPHYRHILLS
, _ (813) 788-6611 _ Date / _ 7- 9'.3
, 37 ?~--SO S7?j ..s-.;J...s."-V c2~,tJ1)
C-;U';:OIN'? -=:>c ElECTRICA~Biilj~~ANIC~ S,w" Conn / .;l 7tf;{/'lJ
- Water Conn: .3 ~l? tJ7J
'" .
Water Meter: / 6-.5""; tJ7J
/. ,,'- ~(-; ,~,
T.I.F.'s: L;j >=l. O'-.l Co' V
Property Owner:
Job Address:
Parcell.D. #
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspecto
Pe,mit Fe~.s7 .;;l ~
Signature L l.1~.... ~.
Company
Address
Telephone# (j I J - c29/- ..:2-7) ?
Valuation or
Contract Price ?I(~, //>>-rJ" cTtJ
City License Registration # ~ ~' :J :::::2
State Certified License# C/J ~ /J YR 97S--
Tp. Servo SLB .. '.
Rough In '2.-,)...qj ~ Tub Set '2:- -Cj ~
Meter Can Water
Const. Pole ~- /j,.ljJ~ewer
Pool Final
Pre-Meter~-z.s,. 9 3 .&J,...
Final
Breakers
Ducts Insl. '2:-5'.t:tS tf'erJr-
Compressor
Final
Insul. CL
WL
Driveway 2-/7-'i:' ~il.-
5hu.hN &- 2-3-93
I tJ ~1~Jr co tJ ~k-
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
Ala .:J-/7~
IJ ~~1/-?3
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
ADDRESS
J?'c1e 6'U/:a:~,) :LAC'
?O? JO/les ~". /7~/<?c..r e~y/
, -
OWNER {' ~e LfD(/~Y'..s
JOB LOCATI0N3f63:2.A/eAc4rc-tlood
~~
PHONE If'(3/ 7~?? - 3'2<;/6
APPLICANT
LEGAL DESCRIPTION: LOT(S)
77
BLOCK
r /
LOT SIZE"'7/ X //0 AREA SQ.FT. '7g1D
SUBDIVISION .Alet?,huJOchJ1 C4"7f.,,--7e.....r
PARCEL 1.D.# /37~- 2/- O/</() - 00000
WORK PROPOSED:~ Construction ----Addition
~ 07' 7cJ
_:;.__.Alteration
~epair
_Install
_Sign/Temp. C' _Move _Demolish
_~1gn
PROPOSED USE: ~~gle Family ~/F _# of Units ,_M/H
_Commercial _Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
. .y';. I ( (( '/2 ~ I
BUILDING SIZE: 1-< X / :/2~? Square Feet, J? Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
~LDING
$
~ ,-
Ji.!/ 007)
I
PERMITS REOUESTED
Valuation of Total Construction
_PLUMBING
/S"O AMP Service
$ fI.~~d'O/~
GAS
i~orida Power Corp.
_W.R.E.C.
_ELECTRICAL
,
_MECHANICAL
Valuation of Mechanical Installation
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~ock ____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION /}, ~ ../ .,..
Company jl'\ r C . 9 e b#,..~k" fA e-
State Cert. or Regis't. IF(~j( of~7/J
City License Regis tration # ,9' .:J....l..
**************************************
Company r!iJ/f4 rj c (ee-/J,"t:'. ,,;Z;'c ,
State Cert. or Regis t. # b i:. 0(.1 /0 73;J-
City License Registration IF :J.-J.t/
*******************************
PLUMBER ~ /-.
Signature at'
...
(~"'1 C''/' (!)A
~
Company A-.'CC A.~;"7
/
State Cert. or Regist. IF
City l,i('ense Registr8tion iF -dL.?___
**************~***************************
MECHANICAL Vt:</;0.-r /e 64-LA
Signa ture Vult, ;tltv,,_
Company eC.Q/1 () &~r:;"e; k ~
State Cert. or Regist. 4F RII 6oIJoqsa
City License Registration iF I tJ(n
******************************************
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
APPLICATION APPROVED BY
******-It*****'''****~**************:r***
~., .~ . ~A.&,^_
.
PERMIT OFFICER.
CONDITIONS OF P~RMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait .ay be subject to "deed restrictions' which lay be lore restr,ictive than City
regulations. The undersigned assuaes responsibility fOT COlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or 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 law, both the OMner and contractor lay be
cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to Khat licensing
requirelents lay apply for the intended Kork, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
furtherlore, 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 owner 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 ZephyrhilIs.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRVCTIQN LI~N LAW (CHAPTER 7!~. ~l nPTn~ STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien LaM - HOleoMner's Protection
Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
" ollner " , I certify that I have obtained a copy of the above described doculent and proli se, in good f ai th to del i ver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inferlation in this application is accurate and that all 1I0rk will be done in cOlpliance with all
applicable lalls regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do 1I0rk and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perait and that all work will be perforled to leet standards of all laMS
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. 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 coapliance. Such agencies include but are not lilited to:
f Departlent of Environaental ReQulation - Cypress Bayheads, We~land Areas and Environlentally Sensitive Lands,
Water/Wastellater Treatlent
I Southllest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seallalls, Docks, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services, Environaental Health Unit - Wells, Wastellater Treat_ent, Septic Tanks
I US Environ.ental Protection Aqency - Asbestos abatelent
I also certify that, if fill aaterial i~ to be ussd in FIDDd ?~~e "A' or "A,eie,", it IS understood that a drainage plan
addressing a "coapensating volule" lIill be sublitted IIhich is prepared by a professional engineer registered in the State of
Florida prior to perait issuance.
A perlit issued shall be construed to be a license to proceed with the 1I0r~ 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. thereafter
requiring a correction of errors in plans, construction, Dr violations of any code. Every per_it issued shall becole invalid
unless the 1I0rk authorized by such perait is coalenced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six aonths after the tile the work is cOI.enced. One qQ day extension of tile, lay be
allowed for the perlit Kith 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 .onth period, or the projeet will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEV BEFORE RECORDING YOUR NOTICE OF
CO""ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A,'NOTICE OF COMMENC MENT".
I
STATE OF flORIDA A~.
COUNTY OF
Th~.forego~~;n~tr~ent was ~knOwledged
befc.re me "tliis 30 ~ , 19~ by
~;l~ W(~~
who is personally know to me or who has
produced ~
~ identification and ~d/did not
tU~r-K_~
(Signatur~).-..
/$Ftrch~k . C'0:-,T-~(,.....CO
(Name Typed, Printed or Stamped)
NOTARY PUBLI~
STATE OF FLORIDA it () /)
COUMTY OF fj~
. The foregc.ing i~strument vias ac;lmc,wledged
befc.re me this 36 , 1~ by
~~'rJtJ~ aJ. ~ f;f
who is personally known tc me or who has
produced )uJ
~ identification and '<Jho di-d/did not
ta~~A-? (l C~ee
(SJ.Jgnature)
I~A~(J.-Ft -1< - CO.::; -rc=:r-Cl')
(Name Typed, Printed or Stamped)
NOTARY P~]LIC.
.......It.....
~. I'uilt~'...
: ~.
to ~
to .
. .
\~1rOF~....
...........
OFFiCIAL SEAL
B ,,-hMB R. Costello
My C,):nmlsslon Expll'es
Nov. 2, 1994
Comm. No. CC 054525
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OFFIC' -\L S~)~,L
Barbllltm R COlltll,jO
My Coml'l'ilil!lIOn ExtJirtll
NoV. ~. 1994
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FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
FORM 900-B-91
Climate Zones
CENTRAL@/5 6
PROJECT NAME
AND ADDRESS:
6
OWNER: ;(/~4C' 6c..,u'/C.t!'/S ",,x/:<.
BUILDER:
PERMITTING
OFFICE:
PERMIT
NO.:
-21
CLIMATE
lONE:
JURISDICTION
NO.:
4~5D6D
~
NEW CONSTRUCTION {gj.. IF MULTIFAMILY, NUMBER OF CONOITIONED ~ so. GLASS AREA AND TYPE
UNITS COVERED BY ITIJ FLOOR AREA O. FT.
ADDITION 0 THIS SUBMITTAL CLEAR TINT,FILM,SOLAR SCREEN
PREDOMINANT rn.~ FT.
EAVE OVERHANG SINGLE- om SO SINGLE- om so.
MULTIFAMILY ATTACHED 0 CHECK IF THIS SUBMITTAL LENGTH PANE FT PANE FT.
REPRESENTS A WORST CASE PORCH OVERHANG OJ.D FT DOUBLE- om so DOUBLE- om so
SINGLE-FAMILY DETACHED 0 CONDITION: 0 LENGTH PANE FT. PANE FT.
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R =
~o, rn.~ mID SO, OJ mID so. OJ mID so. OJ
FT FT. FT. FT,
ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R =
mID so. OJ.O ~so, [LI2J mID so. OJ mID so. OJ
FT, FT. FT. FT.
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R= SGL ASSEMBLY R = SLAB PERIMETER R = RA!SED WD 0 CON 0 I R =
~so. ~ mID so. OJ om FT OJ DllTIso1 OJ
FT. FT. FTI
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS
IN III CENTRAL D ELECTRIC STRIP [K] HEAT D CEILING FANS 1R1 ELECTRIC SOLAR: O.OJ
UNCONDITIONED
SPACE R = D ROOM D NATURAL GAS PUMP [lI CROSS VENTILATION D NATURAL GAS SJ. = HEAT RECOVERY (CHECK) D
rn.~ D PACKAGE TERMINAL D ROOM UNIT OR D OTHER D WHOLE HOUSE FAN D OTHER FUELS
FUELS DEDICATED
IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL D NONE D ATTIC RADIANT D NONE HEAT P~MP: 0 .OJ
D NONE HEAT PUMP
SPACE R = BARRIER E.F -
OJ.D SEER/EER = ~.IE] COPIHSPFI ~.~ D MULTIZONE EF= .~ NUMBER OF em
AFUE = BEDROOMS =
INFILTRATION
PRACTICE USED
o #1 ~ #2 0 #3
~ X 100 = DZ:IKJ.~
OTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
the Florida Energy Code.
DATE: / Z -:::.1D 7'c DATE:
, :"~ .:)
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her certlTY that this bUIldIng is
In complIance wIth the rlorlda Energy
C-()d{~ ~
(J1;Jfj[!<.'(,C,::'I'jT' ~~ ,~
C:(:T :"_""_.___L~_ -:7Q_ _~____.."___""_________,
ReVI w of the plans and specIficati liS
C~()\j0(e(j b>' thi:3 c,3.lculation i.ndlcate::,
complIance with the Florida Energy
Code. Before construction is completeJ
thIS bUIlding will be inspected tor
complIance in accordance with Section
~",:,.3 9CH3 F:. <:, "
Uti I !.D J Nil
C(~T[' .
~
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Of F 1..1HL /.::.-_ _ .
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SUMMER ALCUl.AlIGNS
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C E N 1 R ALP E R M I T T r N G
PASCO COUNTY. FLORIDA
C:ONTF<ACTOR #:
NAME: LANE
ADDR: 13-26-21-0140-00000-0970
C/ST: 39632 MEADOWOOD LOOP l;HILLS
FOR: RESOURCE FEE
{~C:C::NT
111+
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - 2
CHECK :J:I: CA:=;H
43.4::;::
AMOUNT
4::::.43
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liECEIVED
DATE: 02/17/9':3,:
PAGE: 1 OF 1
I ::;:::::UE CIFF I C:E : D
RECEIPT NUMBR: 00164578
OFFICE: DADE CITY
DESCRIPTION/PERMT DATA DRICR
****** 60
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PASCO COUNTY, FLORIDA
Pennit #
Date
Name/Owner
-
County Parcel #
'-'.
~
Location
Classiftcation / Type of Use
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone#
Sq. Ft./ Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco County transportation Impact Ordinance as adopted by the Board of
County 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
i
I
Gross Sq. Ft (GSF)
Rate / ERU =
Assessment =
50.00 x 0.96* / Year
or $0.1315 I Day
(# Units) x ($0.1315)
x (# Days)
ERU Assign #
Assessment =
(QSflx (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.
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.
Date
Received By
-------..------------------------------------------------......---------------------------------------------------...--------------------.....--------------------------
OFFICE USE ONLY
lRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
DATE
DATE
BY
BY
White
Applicant
Canary
Trans I Finance
Canary
RR I Finance
Pink
Office
Green
Bldg I Insp