HomeMy WebLinkAbout93-3245
'BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611... Date ,~...Ir-p---S'
~~/. ~ /~7--..!:.O_~...5. crD __ 1.:1..1 7~. tTV
elECTRIC"'=> c PlUMBIN~ECHANVS'W" Conn ~~f~~.
Water Conn: /J _
..... /~' /"lTD ~
Water Meter:02- "3.30.()'V
T.IJ:,'s: /t t ~;J. tTD
'?J(rI7P.CV
l ~g--d-'~()
0U;L~
Property Owner:
Job Address: /5
Parcell.D. # 3 - 6:. ..;2.1,- CJ / 0 - / / ~ cJ....? U
Zoning' '::L2 En,'gy Cod" 5Z' '" R." 7. _ 6$ '. crD
DescriptionofWork_~) ~ d_-<!.:- jl ~.P-.:J
Permit N 9
324s.a
r5~ 4,f!;;/~ I
/7;1 /-P ~-li-ff
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NO OCCUPANCY BEFORE C.O.
FINAL 2. ."
DATE
;.~ -
c.o.
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector 0 - .
Permit Fee / / J ~~.. tTZJ
Signature)l/ - \ ~J--- ~
---r (
Company
Address
Telephone#
Valuation or
Contract Price
c2 70; trHJ, OV
,
City License Registration # ...s 6[("
State Certified License#
SLB
ub et
Water .4f.'l51,:;, r). 6 J:l /L
Sewer . ()~ r./UY ~
Final
~ Final"}" ~44f/IJaJa ~~"'tj{tJJ
Driveway l)~~-e ~.2-I'~d (,Vts"'f ttkvf (p '1~
'~~~(I\\6- -S,31-q3~ ~. 10 tJ c CS"'d,\-q3
TRUSSES 12-29-93 BOB 2.~ r1v0c.~ Yl~ ~-V:;"~13 /I!$
REINSPECTION FEES: When extra inspection trips are necessary dJe tGJany one of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
FRM.
Insul. CL~I
WLD- A13
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.
MECHANICAL
Breakers
Ducts Insl. 02/09/94 OOB
Compressor
Final 1,.nr- ) . [ ~
M d.-- ~---/~--Y3
;-l c:2-/'1- y'f
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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-FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCf1ON
CHAPTER 8 . SIMPLIFIED ANNUAL ENERGY METHOD
ADMINISTERED ft THE DEPARTMENT OF COMMUNITY AFFAIRS
ALL CUIIATE ZONES
1-
I
BUILDING INFORMATION
WALLS RnnF/CEILlNG FLOO RS D OORS GLASS
TYPE u AREA TYPE U MEA TYPE U AREA TYPE U AREA TYPE U AREA
Concrete (C8S~ 0.31 1'31 C'tJ Under .1Iic ~.o5 GS'So Slab-on1lrade s'Ss-o Wood () Smgle. -~ IJ,/ 3'l.S
WOOd frame SingleAssemb!y Raised WOOd Melli (u. '2.0 00.bIe -"
Metal frame OIher: Raised concrete Insulated SmgIe aJ
InsulatlOll R--..e Insulation A-walue Insulation R-value OlIIer 00.bIe IDt'f
SYSTEMS INFORMATION
AIR CONDITIONER HEATING SYSTEM Mm WATFR
TYPF HFICIENCY TONS TYPE EFFICIENCY ITU/H TYPE
l"*'Y & HeaT ~ Centra' & Heat Pump Electne
45.000 ... U. 0 SEER ~ < IISJIXl Blu 1 h _ HSPF ~u gJ
~.ooo et..'t' _EER - "'LV - ~ I5.ClOO Blu 1 h _cop Dee: .... ~ 0
~ eoo..= _EER _lPLV - _cop Gas
...... CIDClIed 0
Eo4ClOfatl.ello c-d _EER NItilia'
- E~..ety cooIeCl _cop LPG 0
PTAC _EER - EIec:tric Resistance -L- COP 0
Oil
~ _COP - "'LV - Gas lOt pete onel HRU 0
0IhP _AFUE Or!lf ,
< 225.000/300.000 Btu/h
LIGHTING 0; C? ~ c.. ~ 22S.lIOO I 300,000 Btul" _Et Duct R..-.: ~ . '2-
PRESCRIPTIVE MEASURES (Must be met or exceeded by IU buildings.)
CQMPONE""'-S SECTION REQUIREMENTS CHECK
W,ndows 502~ Maximum of .37 c:fm per linea' loot of operable sash cra(j( ;/
Doors 502" Maximum of 125 c:fm per sq.are fOOl of door .rea u-v
Joints.'Cracks 502~ To be caulked. gasketed. wea1herstripped or otherwise sealed V
Reheat 503.3 Supply .ir restnc:ted 10 set (X)Id.'hot deck temperature to meet load ot worsl case zone Resistance rehea~ ~ted
Ve~latlon 503." Supplied with ,..,.ry .C'.....fd.... switch for shut,glt .nd/or volume reductIon when ventilalton IS no! req<JI'eC ./
HV AC EIt,cie"'cy 503." Mmimum effloenoes-Heatl"1\j Tables s... 5-5 & H Coolincr Tables 5.7A. 5-7B. SoB & 5-9 -V
T lal'\SPOrt Eneow, 503.5 M,n.mum 0' BO /'
Bala'lCina 5036 Provide means for balancnc HVAC air system & waler dIstribution sYStem ,./
HVAC Contrt:>s 503_7 Separat!! read.ly acx:essil:llll! manual or automal1c thermostat for each system. ../
HV AC Ducts 503.B Air ducts. finings. rnechanca' equipment .nd plenum ct1ambers snail be mect1anoeally anacheC sealeC
503.9 insulated.nd instahed In a:x:ortlance WIth the cnlena of sections 503B. 503.9 and 503.10
503 to ../
P'P~ InsulC?"' 503 tt In .ccordance ~ T.bIe 5-10 ..,/
Wale' Heateo-s 504_2 AutomallC eleclnc SIOrage water heaters s120 gallons .nd gas & oil.fired storaoe waler heale'S
~ 7S 000 Btul\1lhar ~ ~ormance m.M'lLIms in T.ble 5-11. Elac:tric >120 gallons: slal'dby ~s~.JC-r.NT'
Gu >75.000. Oi >105.000- EI.7B, StandbY. Iou 1.30+114NT' Gas, Oil >155,000: E,.7B. 'ta..~t..OS51Yr'*'VT. ../
SwImming Poos 504.2 Spas & heated pools mus:: have covers. Non-commercoal pools musl have pump t.mer.
& Spas Gas spa & pool heaters mus' nave minimum thermal effiCiency of 7B%
Hot W.ter Ptpe 504.~ Piping heal lOSS 15 mvted 10 17.5 Bluth hnear 1001 of pipe for f8Clrculaltng 5ystems (see l' NIle ~ 12)
Insulalton
Water FIX1~ 504.S Water flow restnc:led to tna%1mUm of3 gpm at 80 pslg. toilets ma.imum 3.5 gallon fluSh
Public lavatory bt.Jre mB1<'TliJ!'11l1ow ot .5 gpm or .5 gallon ~ has &eM.c1os"'g valve ../
- -
ltgh!t..g 5051 Minimum Ballas' Efficacy Factors are listed In Table 5.1"
CHAPTER.OOIIP-'tANCE: I her.by 08"'1)' 1Nt' the pIa~$ .rv:l~ c.~e' a~ 7.....
8.ldge~ (TatlIe &-', 0 (~ WlI!'IIhe FlonIla Ene<;y ........ f'.
Building Me- J I SI' ~c.. PREPARED BY 7// DA'E 1-:J
CotlCIllione<l s:: t: 5550 I hereby ce,,"Y tha,lI'/ff buIldIng 15 '" compllA...ce .; ... 1'_ E.....-;. :00. -
OWNER AGENT DA~E
~hance ~ Olapte!' 8 was demonstrated by a Presc'ip...e Measures fle..-- of pla'l5 a"" speoloca!lons CO\Ief'ed by !hIS ~ ....".,... CDmP'lA'ICO' W':' "*
mel!lOdc>log. 0' 0). Dual Calculalton FIOnCIa E....g, coo. 8e:~~"'n .... tuIC!o"'5.' ~ ""'P"e,t'<: to.
~ 807.2 ~-markelS B 8092 8aSJe FeatUl"eS eomptlA"lCe" aa:ortla'>C8 "'" y~ F 5 ...\l
807.3 Rrs"..Jranls 809 3 [)u,a' Calculll'OO" BUILDING ~FlClAL / . ~" - ....
L:. _.1' 9/- 't (" . "'-
807" 1(':''t'~S ~. DATE
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t:LORlDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
CHAPTER 8 . SIMPLIFiED ANNUAL ENERGY METHOD
ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS
FORM 800 MtS
Non-ResldMttial BuildIng.
PROJECf NAME:
ADDRESS:
ern ZIP CODE:
BUILDER:
OWNER: ~.S. 'e>~
BUILDING INFORMATION
WALLS RooF/CI I LING FLOORS D OORS GLASS
TYPE u AREA TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA
Concrete (CBS' 10.31 ~1<='''> UndiIr .ax: a.oS 'S~o SIatHln1Iradt 5<SS'o Wood () Single. wall 11.1 3'Z.5
WOOCl "Ime &irge AIsIJNlly Raised WOOd Metal o. 'Z.O 00IbIe. ..m
Melli hme Olher Raised cone.... Il5UlIled Single. roof
InsulatiOn A..-..e ...-.on "'wlue InsulatiOn A-wlue Other 00ubIe. IOOf
SYSTEMS INFORMATION
AIR CONDITIONER HEATING SYSTEM HOT WAUR
TYPF EFFICIENCY TONS TYPE EFFICIENCY lTutH TYPE
una<y & HNI ~ Central & Heal Pump ElectrIC
45.000 ..... U.O SEER ~ < 65.000 Bllllh _ HSPF Aesisll nee gJ
~.ooo Btu..,.. _EEl'I ..Ii Oed Hal Pump 0
-..- ~ 65.000 Bllllh _COP
~ CocIIIK! _EER _....v _ Water COOled _COP Gas
E-.uat'.... c-d _fiR Hltllll' 0
- Evaporatwty cooled _COP LPG 0
PTAC _EER - Electric Resistanoe -L COP 0.1 0
ChIers _coP _....v _ Gas 10.' (circle one) HRU 0
ClIne< . < 225.000/300.000 Blulh _AFUE Olner
UQHTlNG n; cr. (p (... ~ 225.000/300.000 BIII/h _Et Duct R-wlu.: '3 . "2-
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COMPONEJI.'TS
Windows
Doors
Jooms!Cracks
Reheal
VentilatIon
HVAC Eff,eie"'q
Transport Enr;,
Bala'lCino
HVAC Contro~
HV AC Ducts
I
I
I Ptp"ll'll$ulr<Y
WIIlt" Heate~
I Swimtnl"ll Poo.s
& Spas
Hot Waler PIpe
InsulallOn
Water FIXt~
I Ug~"O
ALL CLIMATE ZONES
ZONE: 4-
BUILDING CLASSIFICATIO
BUILDING PERMIT NO.:
PERMmlNG OFFICE: C,
.lURISDICfION NO.: ~ ,
fL..
s
PRESCRIPTIVE MEASURES (Must be met or exceeded by III buildings.)
SECTION REQUIREMENTS
5024 ....r:r'TUIT\ of .37 cfm per ~near toot of operable sash crack
502 4 Mar:mJm of 125 cfm per square tool of door area
5024 Te tie ~ed. gasketed. wealherslripped or Clfherwise sealed
503_3 ~ air restricted to set cold'hol deck temperature to meelload of worsl case zone ReSIstance reheat prohlbrted
503.4 ~ wrth readily accessible switch tor IhuI~ andlor volume reduction when ventilation 1$ nol requored
5034 ItInrr.um efficiencies-Heating Tables 5-<'.5-5 & 5-6 Coohna Tables 5-7A. 5-78. 5-8 & 5-9
503 5 "'~ of 80.
5036 PlrDVlCIe means tor balancino HVAC air SYStem & waler dlSlributlon system
5037 Se;la-ate readily accessible manual or automat.c lhennostal for each syslem.
5038 Air 00lClS. fttllllgs. mechanical equipmenl Ind plenum chambers shall be mechanICally Itlached Haled_
503_9 iIIIs.Ated Ind installed in accortlanoe WIth the c:ntena of HClIons 503.8, 5039 and 50310
50310
50311
50012
CHECK
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50012
~.lOCOrdance with Table 5-10
~lIC elect"c storage waler healers s120 galiDns and gas & oil-flied slora08 waler heale's
~ 75 000 Btulh.Shall _I oertormanoe m,n.r,lUms in Table 5-11. Electric .'20 D8l!0llI: standby 1055 s...3o+:nNT-
ca. .75.000. Oil .'05.000: EI.78. Standb)' Io5s ,.3D+114NT' Gas, Oil .,55.000 EI .78.Sl&"dbv Iou' .3O+~'VT_
5IPas & healed pools must have covers. Non-<OmlTl8lClal poolS musl have pump time'
Gas spa & pool healers must have minimum thermal effICiency of 78%.
~ heal lOSs is hmiled to 17.5 B1Ulh ~near 1o?i of pIpe for r8CIrculahng syslems (see Table 5.12)
../
5001 4
50015
"alt!'" flow reslricted to maximum 01 3 gpm al80 pslg. toilets maximum 3.5 gallo~ flus....
p...coc Iavalory ftxture maximum flow of .5 gpm or .5 gallon 11 has Hn-closlllg valve
y..,...."""" Ballasl Efficacy Factors Ire hSled III Tat>Ie 5-14.
.../
5051
~ha'lCe ~ CMplr 8 was demanStra!ed by a P'escriptive Measures
metllOdolog-. fT by Dual CalculatIOn
~ 807.2 ~-markeIS
807.3 Aes"..JranIS
807 4 I(-:.~.,s
B tKl92 Basic Fealures
tKl9 3 Dual Calculalton
Budoel
.,.,.et>y C8"11)< 11>II' ~ cal<O'1S~t'l' the l(:Uioll":;-~..e '" mp~ .
_ \he F~ Ererg / Cl"1
PREPARED BY ~ _ _ DUE /; -J-.;~
'-" CR"oIy lhaIllI\Is butld<ng .. '" ~'>ClI ""I' Ilw F~ E...'g,
OWNER AGENl DATE
,.".. of pia'" .tId apec:lfocatoons =-wd by ItllS ~tl(>n ...oc.lr.; CO'T\p1"'O' w~. ~
F~ Energy ~ Be'o<e ~~~ "IS buJIcI'"'llw.' bP 'nspKl..e ".
~""''''acc:ord.'>ClI~:.5S3 .FS ~
IIUIlDING OI'FICIAl.' ~ . _.A_
DATE ~J9-Y?
CHAPTER' COMPUANCE:
Buclge~ (Table &-. '2. 0 {.
8.Jild'''Il MB'"'J IS~ ~ C6
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TABLE A - WORKSHEET
CITY OF ZEPHYRHILLS CONNECTION FEES
RESOLUTION #312 WATER $1.75/GALLON SEWER $6.39/GALLON
RESIDENTIAL (Each Lot or Unit )
Residence $ 350.00 $1,278.00
Travel Trailer Park 131. 25 479.25
CmU1ERCIAL (PER FIXTURE )
Sinks 87.50 319.50
Water Closet 131.25 '.79.25
Urinal 87.50 319.50
Lavatory 43.75 159.75
Tub/Shower 87.50 319.50
Hashing Machines-Commercial Size 350.00 1.278.00
Washing Machines-Domestic Size 87.50 3J9.50
FOOD SERVICE - Dishwasher 700.00 2.556.00
Sinks (3 Compartment) . 175.00 639.00
Car r,'ash (Per Stall) 1,000.00 6.390.00
FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE
Sinks 50 eL/- 2.)00, ~ 1!o hg~ ()o C?7hP, ~
Water Closets 75 8 / CJ5f), 0,9 3.8 ~4. ~ ~ ~ grj~ rsQ
--
Urinals 50
Lavatories 25 R 350. S,) 1278.~ )~ 0 28. €>~
T
Tubs/Showers 50
Washing Machine 200
Washing Machine 50
Dishwasher 'tOO
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
35t;tJ,~ /2.. 780.0!::- /0, 2.80. ~
3 - ~4
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WATER METER
'-I- 9.5 ~o
/~. 775. ~
,
GRAND TOTAL
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APPLICATION FOR PERHIT
CITY OF Z.EJl'IIYRBILLS
BUllDlliG DEPARntEooT
OWNER" S
MAKE B .S.I3e&', M,v, SJ,wvtA- i' ,f!x.J,(/D.N.D/7.<. q
, K0wcuJ-.S. 13 EJ)7.. D.M1Q ~
ADDRESS .~~ 43 ~ Nc)'ytf/\ ~.' 2-en~,,<, "'''I'''' ,Lt .
I I
mONE
7~-$)1 ~
OWBER · S
fA
JOB ADDRESS
~
LEGAL DESCRIPTION: LOT(S)
SUBDIVISIOIi
PARCEL LD.I O~ - :2-6-d-l ---00 (0 - \1."2. 00 - 00'30 .
l<<lRK PROPOSED:.-LJKfew Construction _Addition _Alteration
_Repair
_Install
_Sign
_Hove
_DeJIOlish
PROPOSED USE: Single Faaily
Lec:-ercial
_KIF
_' of Units
_K/H
_Indust.
_SwI... Pool
Other
_Restaurant &: Health Deparblent Approval
BUILDING SIZE: /:lc X "IS-. ~'55V'~
Square Feet.
Height
RESIDENTIAL :
CC>>tKERCIAL :
A'ITACH (2) PLOT PUUilS &: (2) SEIS OF BUILDlliG PLUS &: (1) SEI' ENERGY FORMS. **
A'ITACH (3) SETS OF BUllDDilG PUUilS &: 0) SET ErrmRGY. FORKS. u
...-t:COPY OF C:Ol!fTRACT REQUllUID.
..
~UILDING
I
~ELECTRICAL
/
~CAL
/ PLUMBING
PEHJI[['IS REQUESTED
-
$ ;j () OJ ()Cft ~ Valuation of Total Construction
j OOO~ .J& Service V' Florida Power Corp.
W.R.E.C.
$
/5; 1:68
Valuation of Mechanical IDs,tallation
GAS
~lock
ROOFlliG
SPECIALTY
TYPE OF CONSTRUCTION:
_FraIIe
_Steel
Other
YES
-L
NO
FllfiSBED FLOOR ELEVATIONS: I/')O FT.
.
IS PROJECT IN FLOOD ZONE AREA?
.....................-t:-t:....-t:-t:*......*............-t:.....................-t:..................
COnKACIOR SECTION
BIDI.DER
------'-1 "
CDlfPANY Sa.1vI(/UIt1 ~ - B't D"j.
State Cert. or Regist. , C 13(, O;;Z oCfQ3
City License Registration' 3' go
-t:......-t:................-t:......-t:...*****-t:**
Signature
SiP11ature
~ OOIIPAHY '^ e. E ~c +v l..C
~ c\.:-.... J State Cert. or Regist.:/# C1YJ c..
~~ City License Registration I
u*u-t:...*-t:-t:.........-t:~*.......-t:.**....-t:......-t:............*-t:-t:
ELECTRICIAN
DAVYt> "ATTD!:
tIeetz1eaJ/M" i,'I: ~mtroct...
u: 7118-4001
PLUKBER ~~ CDlfPAHY &:1jOYle1- PlLL1'Vt~J ~C.
State Cert. or Regist. 1# ,-/:2 '191
Signature .... .. City License Registration I Gi /
"'" .**-t:*-t:*-t:.*-t:.-t:**-t:..***.*...**..-t:-t:**-t:*.***** 7 f
':pd-{-+~~ ~/~v~c
State Cert. or Regist.' f5.c.: (')Qo 11-b ij
City License Registration t II tj'.!f,-
*...*....*.-t:*.-t:-t:*******-t:**-t:.....*-t:.-t:....**.**......*
III!mAlIICAL ~ _
Signature. C~
C'.OifFMI
OTHER
~-=-
OO1fPMW ~~~ ~L I~
State Cert. ~r Regist. " ~""''''~4B
City License Registration ,
*.*-t:.-t:........-t:*...*....-t:-t:.....-t:.-t:*............*.-t:-t:.
Signature
APPLICATION APPROVED BY
PERKIT om CRR.
CONDITIONS OF PERMIT AFFJDAVI~
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it 'lay be subject to "deed restrictions" which lay be. lore,restrictive than City
regulations. The undersigned assu.es responsibility for co.pliance Mith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSrBILITIES
If the owner has hired a contractor or contractors to undertake 1I0rk, they lay be r~qui~~icensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state IaN. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (BI3)
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the cDntractorls) sign portions of the
"ContractDr Sections" of this applicatiDn for Ilhich they Mill be responsible. If you, as the OWner sign as the contractor,
you are indicating that you, rather than the cDntractor, are responsible for the wDrk.. If the contractor Mishes 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 with a CDPy of "Florida's Construction lien Law - HOleowner's Protection
Guide" prepared by the FIDrida Departlent of Agriculture and Consuler Affairs. If the applicant is SDleDne other than the
'owner", I certify that I have obtained a copy of the above described dDculent and promise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'SIOWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
applicable laMS regulating cDnstruction, zoning, and land development.
Application is hereby lade to obtain a perlit to dD work and installation as indicated. I'certify that no Mork or
installation has cOI.enced prior to issuance of a perlit and that all work will be performed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies may apply .to the intended work, and that it is
IY r1rsponsibiIity to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to:
, Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatlent
, Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
, AllY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatment, Septic Tanks
, US Environ.ental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood ZDne "AU Dr "A,etc.", it is understood that a drainage plan
addressing a "colpensating volule" Mill be submitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it issued shall be construed to be a license to proceed Mith the work and not as authDrity tD viDlate, cancel alter, Dr
set aside any prDvisiDns of the technical codes, nor shall issuance of a perlit prevent the Building Official frot thereafter
requiring a correctiDn of errDrs in plans, construction, or violatiDns of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is co..enced within six tonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six .onths after the tile the work is commenced. One 90 day extensiDn Df time, lay be
allowed for the p~rlit with fee charge of $15.00. The extension shall be request~d in writing tD the Building Official. An
approved inspection Dust be logged during each six lonth period, or the project will be (onsider~d abandon~d.
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 TTORNEY.BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A OTICE OF COMMENCEMENT".
STATE OF FlO~
COUNTY OF r.45'(20
The foregoing ~nstrument was acknowledged
before me th is IfY/, J/Af 1922- by
g,s. 13d-t 1/,()
wh~ is personally known to me or wno has
produced ~~r /...H_
as identification and who did/did not
~
(8 :z;eO Mc~
(Name Typed, PI-inCd 0\- Stamped)(!.C-o/bf<!L
NOTARY PUBLIC ':)T.".RY PUGUC. STATE: OF FLORIDA
'.1 CuiYJMiSSiON EXhl;ES: MAY 30. 1991
,ONO.ED THRU NOTARy PUl,;i!..tc LlNOERWRI r.e;R~
S ATURE: ~ONT~ACTOR
S . ~. I:).u.i-t.' D /) :;,
(
STATE OF FLO~
COUNTY OF r R}s-' (,A)
The foregoing in~;.rA-lment vJas ackm'vJledged
before me th is, Irtt:-JI AjI , 19~ by
Sr: ~ DO)"
((3D/ ~I r.fL
"':.Tl'-.....v r'rr-JJ~, ST.'"',T::-- Cr:' r:'L{;,r:~:_~i!f.;
'.,',_'_1,(,..::
0.), 19',~T~
;:.. ,'.... _.......IL. Lt>.;~:':-..~.',^"n" l;;.f,:l
h:;../.:.'v ;'("(" he;.;
Description:
SEcrIOI\J :3
TOWNSHIP 26 SOUTH, RANGE 21
COUNTY, FLORIDA
lAST
..~-- ..-, ..~. >-
PASCO
DESCRIPTION
PART OF TRACTS 97 AND 112. ZEPHYRHILLS COLONY COHPANY LANDS
SUBDIVISION OF SECTION 3. TOWNSHIP 46 SOUTH, RANGE 21 EAST.
AS SHOWN ON HAP RECORDED IN PLAT BOOK 1. PAGE 55. PUBLIC RECORDS
OF PASCO COUNTY. FLORIDA, DESCRIBED AS FOLLOWS: BEGIN AT THE
INTERSECTION OF THE EASTERLY RIGHT-OF-WAY LINE OF U.S. HWY. 301
AND THE WESTERLY RIGHT-OF-WAY LINE OF tORT Kr~G ROAD AS BOTH ARE
SHOWN ON FLORIDA DEPARTHENT OF TRANSPOR7ATION RIGHT-OF-WAY HAP ON
PROJECT NO. 1405-2526 DATED SEPTEHBER 16. 1961. THENCE ALONG THE
WESTERLY RIGHT-OF-WAY LINE OF FORT KING ROAD, S-240 50'15"-E.
240.10 FEET TO THE NORTH BOUNDARY OF THAT CERTAIN PARCEL OF LAND
DESCRIBED IN OFFICIAL RECORD BOOK 1448, PAGES 1452 AND 1454.
PUBLIC RECORDS OF PASCO COUNTY. FLORIDA, THENCE ALONG SAID LINE,
S-73005'01"-W. 206.53 FEET TO THE EASTERLY RIGHT-OF-WAY LINE OF
U.S. HWY. 301, THENCE ALONG SAID LINE ALONG A CURVE CONCAVE
EASTERLY WITH AN ANGLE OF 13009'07", RADIUS OF 1031.21 FEET. ARC
OF 236.71 FEET AND CHORD BEARING N-18 10'42"-E, 236.19 FEET.
THENCE N-24045'15"-E. 59.65 FEET TO THE POINT OF BEGINNING;
CONTAINING 0.61 ACRES HORE OR LESS,
:-
~
Pattie Electric & Refrigeration
May 18, 1993
Air Condltlonlng and Electrlcal Contractor
391' 1 PATTlE RD. · ZEPHYRHILLS, FL $.3.r~.'. (813) 782-3319
Dr. Bhupinder S. Bedi
38535 N. Ave.
Zephyrhills, Fla. 33540
Re: Electric and Air Conditioning Contract for Bedi Professional
Offices for Dr. Bhupinder S. Bedi, Dr. Satnam S. Bedi, Dr.
Kalwant S. Bedi.. located at Fort King Hwy and us Hwy 301
Zephyrhills, Pasco Co. Fla.
Sir:
Pattie Electric proposes to purchase and install electric systems
and equipment in accordance with plans submitted by De~ign Services
Inc. 4336 st. Lawrence Dr. New Port Richey, Fla. Electrical sheet
7 of job #DS-5POWE, dated 3/14/93, and A/c & Heat sheet 8 of job
'DS-5AIRC. The following changes or addendum are included:
1- Penciled in changes to our plans reflecting re-Iocation of
receptacles over pass-through window and additional phone
outlets are included.
2- Additional smoke detectors as noted by Zephyrhills Fire Dept are
included.
3- Addition of Service entrance disconnects as noted by
Zephyrhills Building Dept and change of main service panels to
MLO is included.
4- utility Company expenses, including but not necessarily limited
to, Temporary power for construction and underground service
entrance is not included.
5- Concrete slabs for a/c condensing units are not included as this
can be done by masonry contractor during floor pour.
Any changes to location of electric or A/C devices that require no
additional material. or labor will be done at no charge. changes
that require additional material or labor will not be done without
written authorization from owner or owners agent. Equipment other
than indicated operational Trane manufactured A/C components with
duct system, Electrical equipment including indicated lighting,
110/220 electrical outlets, light switches, indicated conduit and
conductors, toi I et exhaust fans and acc., A/C disconnects, and
Service equipment as manufactured by ITE, Westinghouse or Square
D including sub-panels and circuit breakers, is not included.
The fact that plans were submitted by Dr. Bhupinder S. Bedi and all
negotiations have been conducted with same, indicates that same is
acting in capacity as Owner or Owners Agent and as such will be
totally responsible for the provisions of this contract. ,In
addition, Any non compliance that requires litigation will be paid
for by the undersigned owner or owners agent.
All work by Pattie Electric will be done in a workmanlike manner
and meet or exceed local and national electrical/mechanical codes.
Work schedule, in so far as practical, will be coordinated with
building contractor for maximum efficiency. Due to the short time
frame, and escalating costs, material will be ordered immediately
upon signing of contract and stored for quick access. An invoice
will be submitted by the 25th of each month for work completed and
material stored, with payment due by the lOth of the following
month. Failure to make payments on time will cause harm to our
account with material suppliers and will necessitate delinquent
charges at accepted government maximums. Total cost for Electric
installation will be $24,320 (twenty four thousand three hundred
twenty & 00/100) excluding cost of electrical permit that has not
been determined at this time. Total cost of A/C installation
including one year unconditional warranty against defects in
material or workmanship and addi tional four year warranty for
compressor failure due to defects in manufacturing (includes
replacement of compressor only, material and labor to make change
is not included) will be $15658.00 (fifteen thousand six hundred
fifty eight & 00/100) excluding cost of mechanical permit.
~~
Donald D Pattie, Owner
EC0001268 CMC055476
ACCEPTANCE OF PROPOSAL- the above prices,
specifications, and conditions are satisfactory
and are hereby accepted. You are authorized to
do the work as specified. Payment will be made
as outlined.
Date of acceptance:
~ l(}q~
~
Authorized Owner/Agent:
@ 40% Pre-Consumer Content. 10% Post-Consumer Content
Jrnpnnnl
Page No. 2
of
2
Pages
BAYONET P.LUMBING, INC"
P.O. Box 5308
BAYONET POINT. FLORIDA 34674.5308
(813) 868.4636 1.800.535.4505
4724
PROPOSAL SUBMITTED TO
PHONE
STREET
JOB NAME
CITY. STATE AND ZIP CODE
JOB LOCATION
ARCHITECT
DATE OF PLANS
JOB PHONE
We hereby submit specifications and estimates for:
.......AirlirestDbe T~. L~r
filterOO..waterJires to beTypeL..copper
......~lJ1nestobe YZ11 W L copper
.. . ...Nitrogen lires. tDbe3/8U WLc:qJ\Er
. . CcmectOtlYar1 sequijllB1t.,.,Carpressor. vacwn pUlp, oxygen, ard nitrogen manifold
.&Lfeet of 411 PVCse,.er lire
..Qmecttw13/4"water services with 00 Febco backflGl valves.
. EXCLUSI~ ...
u~p.ermit.fe.es..
.
~.1JJpactfees ..
. .~ne:ter fees
.tt>equiprent other than \tlat is specified in this bid
lit 'rupuSt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Payment to be made as follows:
--------------------------~olla rs ($
15.767.00
).
All material is guaranteed to be as specified_ All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifica-
tions involving extra costs will be executed only upon written orders. and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
Authorized
Signature
Note: This proposal may be
withdrawn by us if not ccepted within
days.
Atttplantt of Jropollal- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specifi~~)tG ~ade as outlined above.
Signature
Date of Acceptance: .
HtOvUC. 1 J Us ~ (~":!:'l!~~l"'. Croton Mass 01471 To Orlk'l PHQNllCU fREll + 8(022)-0380
'1)9 40% pt'lK:onsllmer Content . 10% Post-Consumer Content
'rnposul
Page No. 1
aT
t.
nges
BAYONET PLUMBING, INC"
P.O. Box 5308
BAYONET POINT, FLORIDA 34674-5308
(813) 868.4636 1.800.535.4505
4724
PROPOSAL SUBMITTED TO
PHONE
STREET
JOB NAME
JOB LOCATION
JOB PHONE
ARCHITECT
DATE OF PLANS
We hereby submit specifications and estimates for:
...~P~1~Hardicapped water closets with qJeJl frCllt less cover seats
.+P~l~Elcmate.dwater closets. withooen frootJessCQver seats
.. ....... J1-P~2~WallIygJava:t:Qries. wi thfvbenL.egeOO Ja~
.. u+p~~~rtg)Javatorieswlth fvben .leQerYJ JaLJGets
.... ...~P+KioosfQrd25J< ...24stQinlesssteelsirtswi th ]~fi3YCets
..]~P~~DaytooJ5 X 15 stQinless steel. sini<swi thfvben. 49Q1faLlCe't$
. 2~~galloo l~y. energy miser wgter heaters with. drain. pans~Instal1~ . in the GeUioo
:}-P-~E1.kaY GR3.'322 stainless steel sinks with .MJen7843 faucets
.. .+W. J~se pitlbswi'th. vac:ut.I1I. breakers
]~Floorservice. tIlits~CaIlect...CJlly
.. 7~WaUservicetllits-CaIlect ally
u~i.tArY~Je 40. PVC
~rJi~1:pbe JypeL.c:q:lper
Vaaun lines to be SchedJle 40 PVC
JUr Jrnpnsr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
dollars ($
) .
Payment to be made as follows:
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifica.
tions involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance_
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
days.
Date of Acceptance:
Signature
Atttptantt nf Jrupusa1- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
Signature
FHOuuCI lib 3 L~'c_~~lnc.Groton.Mi~ OWl TaOrlkl PHQNl HllfRH I +8002256380
~ Florida Testing & Environmental, Inc.
P.O. Box 937 . Zephyrhi11s, Florida 33539. TELEPHONE (813)780-87_67
· FAX (813)780-8864
geotechnical engineering/materials testing/special inspections
MOISTURE-DENSITY RELATIONS OF SOIL
Laboratory Compaction Test
ASTM D 698 METHOD ~
CLIENT
Zephyr Masonry
DATE:
June 10, 1993
PROJECT: Bedi Professional Building
Zephyrhills, Florida
PROJECT NO.:
93-5018
LAB NO.
lP
......
;t:: I"
:; 116
u
.......
en Max. Dry Density 116.8 pet
..0
-
>- 114
!:: Optimum Moisture 12.2 %
en
Z
w
Cl 112
>-
a:
Cl
110
6
8
10 12 14
MOISTURE (%)
16
18
DATE SAMPLED
6-9-93
SAMPLED BY:
Robert Bode
LOCATION SAMPLED
Imported Building Pad Fill
VISUAL CLASSIFICATION Light Yellowish-Tan, Silty Sand, Some Clay (SM-SC)
REPORT DISTRIBUTION:
3: Addressee
CHECKED BY:
Bode
J(L
Sonny Gulati, P.E.
Principal
Mtcraft Printers. (813) 665-9153
SO'IL TESTING
1 FIELD DENSITY - PERCENTAGE
, OF COMPACTION REPORT
~
Florida Testing & Environmental, Inc.
P.O. Box 937 .Zephyrhi11s, Florida 33539. TELEPHONE (813) 780-8767
· FAX (813) 780-8864
JOB NO:
93-5018
LAB NO: ID
TECHNICIAN: Robert Bode
CONTRACTOR: Zephyr Masonry
WEATHER
CONDITIONS Clear
PROJECT:
Bedi Professional Building
Zephyrhills, Florida
Zephyr Masonry
CLIENT:
DATE:
June 10, 1993
T
ASTM D 2922 & 2937 IN PLACE FIELD DENSITIES - DATE MADE 6-9-93 H
I
COMPACTION C
K
IN-SITU IN-PLA LAB. PERCENT N
TEST MOISTURE DRY MAX. E
NO. lOCATION OF TEST DENSITY DENSITY ATTAINED REQUIRED S
PERCENT PCF PCF S
BUILDING PAD - FILL
l. 10' N. & 9' w. of S.E. Corner of Building
Grade 12.0 113.7 116.8 97 95
2. 9' S. & 15' w. of N.E. Corner of Building
Grade 10.0 115.7 116.8 99 95
3. 10' S. & 10' E. of N.W. Corner of Building
Grade 9.6 116.0 116.8 99 95
4. 10' N. & 12' E. of S. W. Corner of Building
Grade 13.1 110.8 116.8 95 95
5. 10' N. & 35' W. of S.E. Corner of Building
I' Below Grade 10.9 111.2 116.8 95 95
6. 10' S. & 35' w. of N.E. Corner of Building
l' Below Grade 12.8 110.9 116.8 95 95
LAB NO.
IP
MAXIMUM DRY DENSITY
116.8 pcf
BY:
The percentage of compaction for. the In-place density tests are based on laboratory Moisture Density Relations Tests
REPORT DISTRIBUTION: 3: Addressee
AIl<nft PrIntera. (813) lIlI5-8153
SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT
MANAGEMENT AND STORAGE OF SURFACE WATER
NOTICED GENERAL CONSTRUCTION
PERMIT NO. 4810688.00.
;:. l:' '. ,.
PERMIT ISSUE DATE: December 30, 1992
t EXPIRATION DATE: December 30, 1995 I
This permit, issued under the provisions of Chapter 373, Florida Statutes,
Florida Administrative Code Rules 40D-4 and 40D-40 authorizes the permittee to
perform the work shown by the application, approved drawing(s), plans, and other
documents, attached hereto and kept o~.f~le at,the District:
~ . . . \ r .
PROJECT NAME:
GRANTED TO:
OP. & MAINT. ENTITY:
PROPERTY LOCATION:
SEC/TWP/RGE:
TOTAL ACRES OWNED:
PROJECT SIZE:
LAND USE:
DATE APPLICATION FILED:
AMENDED DATE:
SPECIFIC CONDITIONS
Bedi Professional Offices
B S Bedi, Satnam S. Bedi & Ku1want S. Bedi
38435 North Avenue
Zephyrhi11s, FL 33540
B S Bedi, Satnam S. Bedi & Ku1want S. Bedi
Pasco
3/26S/21E
0.61
0.61
Commercial
December 3, 1992
N/A
1. In order to ensure that the person who will construct the proposed work is
identified as required by 373.413(2)(f), Florida Statutes, once the
contract is awarded, the name, address, and telephone number of the
contractor will be submitted to the District prior to construction
referencing Noticed General Permit Number 4810688.00.
TRACKING CONDITIONS
1. The permittee shall immediately provide written notification to the
District upon beginning any construction authorized by this permit.
2. The applicant shall retain the Design Engineer, or other Professional
Engineer registered in Florida, to conduct on-site observations of
construction and assist with the as-built certification requirements of
this project; the permittee shall inform the District in writing and prior
to beginning construction of the name, address and phone number of the
Professional Engineer so employed by the applicant/permittee for that
purpose.
3. The 9p~ration and Maintenance Entity shall submit inspection reports in
the form required by the District, in accordance with the following
schedule unless specified oth~rwiseherein ot lh Applicatio~ Information.
",l,~~~';';"~nnn . III.J1 r?O ._.1_ .
I I
...J
Perm:i.t No.
Project Name:
Page
4810688.00
Bedi Professional Offices
2
() For. systems utilizing effluent filtration or exfiltration, the
inspections shall be performed 18 months after operation is
authorized and every 18 months thereafter.
(X) For systems utilizing retention and wet detention, the inspections
shall be performed two (2) years after operation is authorized and
every two (2) years thereafter.
() For systems utilizing effluent filtration or exfi1tration and
retention and wet detention, the inspections shall be performed 18
months after operation is authorized and every 18 months thereafter.
4. Refer to LIMITING CONDITION No.4 herein.
LIMITING AND STANDARD CONDITIONS
1. The Permittee shall comply with the attached Limiting and Standard
Conditions which are attached hereto, incorporated herein by reference as
Exhibits "A" and "B" respectively and made a part hereof.
~~d1f:ature
Rev. 1/92
,
~ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
lJ r',
Business Name Ot:{)/ MJr.JrESS/o<.l,fl
Address (;l5' I h 1(1,4/c, f? b
/'
C)Fr Ie,! Classification
Owner/Manager
Business Phone
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
~B APPROVED
o FINAL
o OTHER CoN 1}
o NOT APPROVED
o ANNUAL 0 BI-ANNUAL
,- /1/1 /- r. ,./
1"0/2 /j/IO~/A(e- t-':"C;u ~A'k'(>l <.J'~.,"w~y( C)...,II.y
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
'1"--
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Re-lnspect.Date 1!; Inspectors Name -~-- ~
OwnerlManager Signature I~ I ~i n...Y-; .Js -e (1,.; Title
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This building has been checked b..;Jhe Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy - File Yellow Copy - Bid. Depl. Pink Copy - Business
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ZEPHYRHILLS FIRE DEPT
Business Name
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
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Classification
Address (- / S- ) ,
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Business Phone
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
o FINAL 0 ANNUAL
o OTHER
@ NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
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This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy .' File Yellow Copy .' Bid. Depl. Pink Copy , Business
"
ZEPHYRHILLS FIRE DEPT
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Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
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o QUARTERLY
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A APPROVED 0 NOT APPROVED
o COMMERCIAL CHECK
TYPE OF
AFINAL
RE-INSPECTION 0 OTHER
INSPECTION CONDUCTED
o ANNUAL
OBI-ANNUAL
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
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In,spectors Name
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This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
While Copy - File Yellow Copy - Bid. Depl. Pink Copy - Business
Re-Inspect. Date
OwnerlManager Signature
Title
J\'" \ C" (t (( c:;..;..Q,_~".,-,. .
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C:ONTF:ACTOF: #:
NAME: SATNAM S.BEDDI
ADDR: 6151 ~ 6153 FORT
(: JI :::; T : [I.. c.
C E N l' R ALP E R M I T TIN G DATE: 02/14/94
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
I :::;:::;UE OFF I CE: D
RECEIPT NUMBR: 00203428
KING OFFICE: DADE CITY
F-OR:
CHECK # 231
t-:\CCNT
li4
MEDICHL OFFICES
03-26-21-0010-11200-0030
TOTAL AMOUNT: 350.41
COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION;PERMT DATA DRICR
8450 - 363000 - _ 350.41 ****** SOLID WASTE FEE 60
. Ii / I)'
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PASCO COUNTY, FLORIDA
Permit #
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Date
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Name/Owner
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County Parcel #
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Classification / Type of Use
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lRANSPORTATION IMPACTFEE CALCULATION
Rate $
Zone #
Sq. Ft./ Unit
. . /'''''., /',/
a .' ( J
-
.
.f\ i
Prepared by
Impact Fee Amount $
The above impact fee has been established pursuant to the PascQ County Transportation Impact Ordinance as adopted by the Board of
County Commissioners. This amount is payable PRIOR to the issuanCe af_l!Certificate of Occupancy or authority to utilize the permitted
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
Gross Sq. Ft (GSF)
Rate / ERU = 50.00 x 0.96'" / Year
or $0.1315 / Day
ERU Assign #
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Assessment = (# Units) x ($0.1315)
x (# Days)
Assessment =
rosfl x (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
TOTAL FEE $
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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 / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp