HomeMy WebLinkAbout93-3370
BUILDING PERMIT
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CITY OF ZEPHYRHILLS Permit N4? _ 3370f3
_ (813) 7~8-6611 _ Date 1-.50 _?~
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Parcell.D. # 'I-;l~ - 2./-003n- 00000- 003 ~. ~ I
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Pre SLB
Lintel
FRM.
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WL
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fe ust Acco~ Appli
All work shall be performed in acc ance with City Pi; an Or
FINAL
C.O.
DATE
DATE
SLB
Tub Set
Water
Sewer
Final
/
.-/
Breakers
Ducts Insl.
Compressor
Final
0, II. r{~ i<5~~
!/ '7-:;.v''i3
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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FRANK A. LONGO
FL DLL520-261-59-456-0
PHONE 813 960-9321
3837 NORTH DALE BLVD, STE 100
TAMPA, Fl33624
3355
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7~
63-905612631
19~
FOR
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$ ~7 I J. ~l
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GREATWFSlERN
A Federal 8ev\noI Bri .. .':... ~ c:. ~
3845 NORTHDALE BLVD.
TAMPA, FLORIDA 33624
1-800-222-2242 '... S {) (;; 7
DaLLA RS
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CONTRACtQRS BUILDING AGRBDmNT
Articles of Agreeme,t made and entered into this
day of May, 1993 , by and between Roger Cook and Sandra
Demers, as owners, whose present mailing address is 4807
Bayshore Blvd. Apt. D5, Tampa, Florida and Ossi Construction,
Inc. Contractor. '<.
The Contractor promises and agrees with the Owners that
he will for the consideration hereinafter mentioned finish
and deliver a residence on land owned by or held under
contract for deed by Roger Cook and Sandra Demers, said land
or lot specifically described as 6425 Brentwood Drive,
Zepherhills, and per the legal description attached to and
made a part thereof, situated in Pasco County, State of
Florida.
FIRST: That the Owners promise and agree to and with
the Contractor that they will and shall in consideration of
this agreement being executed and performed by the Contractor
as specified, payor cause to be paid to the Contractor as
follows:
( 1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
Price of Horne
Lot estimated value, subject to
Total PaCkage Price
Amount to be Financed
Total Down Payment
Lot equity
Deposit
Balance Due (if any)
$157,000.00
appraisal 30,000.00
N/A
N/A
N/A
N/A
N/A
$ N/A
Payable on final Closing (per draw schedule)
xxx X A.
B.
All Closing cost (Bank Fees, Title Insurance,
Recording Fees, Construction interest,etc.)
wtll be paid by Owners.
Closing cost allowance of S N/A included
in price of home (No.1 above).
SECOND:
deposit whall
by Contractor
fees, etc.
In the event financing is not obtained, Owners
be refunded, less reasonable expenses incurred
such as plans, permits, survey, appllication
The payment Schedule necessary for the construction of
this residence shall be per bank schedule, or in the event of
cash sale as follows:
( 1 ) 10% at permitting $ 15,700.00
(2) 15% at slab completion $ 23,550.00
(3) 20% at wa~~ and dry in $ 31,400.00
(4) 25% at general(drywall,shingles,etc.) $ 39,250.00
(5) 20% complete dry in $ 31,400.00
(6) 10% at certificate of occupancy $ 15,700.00
Third: The Contractor agrees to promptly begin said
work as soon as notified by Owner, and to complete the work
in a timelylike manner.
Fourth: The Contractor shall take out and pay for
Workman's Compensation and Public Liability Insurance and all
other necessary insurance, as required by the State or
County.
Fifth: The Contractor shall pay all Sales Taxes, Old
Age Benefit and Unemployment Compensation Taxes upon the
material and labor furnished under this contract, as required
by the United States Government and the State.
Sixth: No'extra work or changes under this contract
will be recognized or paid for, unless agreed to in writing
before the work is done or the changes made.
Seventh: This contract shall not be assigned by the
Contractor without first obtaining permission in writing from
the Owner.
In the event owner shall fail to pay any periodic or
installment payment due, Contractor may cease work without
breach pending payment or resolution of any dispute.
The Contractor and the Owner for themselves, their
successors, executors, administrators and assigns, hereby
agree to the full performance of the convenants of this
agreement.
IN WITNESS WHEREOF, they have executed this agreement.
WITNESS:
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CONTRACTOR
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FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600B-93 Residential Component Prescriptive Method B CENTRAL 4 5 6
Department of Community Affairs
Compliance with Method B Chapter 6 01 the Florida Energy Efficiency Code may be demonstrated by the use 01 Form 6008-93 lor single and muKilamily residences of 3 stories or less In height, and
addilions to existing residential buildings. To comply, a building must meet or exceed all 01 the energy efficiency prescriptives in any QIle 01 the prescriptive component packages l!mI comply with the
prescriptive measures listed in Table 68-1 01 this lorm. Compliance by this method will be, in most cases, equivalent to an EPI 01 100 points or less. An alternative method is provided lor addilions of
600 uare leet or less b use 01 Form 600c-93. II a buildin does not com I with this method, it ma still com I under other sections in Cha ter 6 01 the Code.
PROJECT NAME:
AND ADDRESS:
OWNER:
BUILDER:
PERMITTING t!-/rt( of D D
OFFICE: p, 'L I L (...~ ZONE: 4 5 6
PERMITNO.~ JURISDICTIONNO.:~
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GENERAL DIRECTION
1. New construction including additions which incorporates any of the following features cannot comply using this method: raised wood floors without continuous stem walls,
steel stud walls, single assembly roof/ceiling construction, or skylights or other non-vertical roof glass.
2. Choose one of the component packages "A" through up from Table 6B-1 by which you intend to comply with the Code. Circle the column of the package you have chosen.
3. Fill in all the applicable spaces of the 'To Be Installed' column on Table 6B-1 with the information requested. All "To Be Installed" values must be equal to or more efficient
than the required levels.
4. Complete page 1 based on the "To Be Installed" column information.
5. Read "Minimum Requirements for All Packages", Table 6B-2 and check each box to indicate your intent to comply with all applicable items.
6. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form.
Please Print
CK
0/
1. Compliance package chosen (A-F) 1. ~ .,/
2. New construction or addition 2. N G V'
3. Single family detached or Multifamily attached 3. S P ./
4. If Multifamily-No. of units covered by this submission 4.
5. If Multifamily, Is this a worst case (yes I no) 5.
6. Conditioned floor area (sq. ft.) 6. Z,<i$ '10 ,/
,
7. Predominant eave overhang (ft.) 7. Z' yo'
8. Porch overhang length (ft.) L. p..,4 A. L 8. \0' ../
9. Glass area and type: Single Pane Double Pane
a. Clear glass 9a. L! zl-l sq. ft. sq. ft. ./
-
b. Tint, film or solar screen 9b. sq. ft. - sq. ft.
10. Percentage of glass to floor area '12-1f1 Z ~ ,/0 -- 10. /kf, , 7 % ./
-
11. Floor type and insulation:
a. Slab on grade (R-value) 11a. R= to sq. ft. ./
b. Wood, raised (R-value) 11b. R= sq. ft.
c. Wood, common (R-value) 11c. R= sq. ft.
d. Concrete, raised (R-value) 11d. R= sq. ft.
e. Concrete, common (R-value) 11e. R= sq. ft.
12. Wall type and Insulation:
a. Exterior:
1. Masonry (Insulation R-value) 12a-1 R= 7 sq. ft. ,/
2. Wood frame (Insulation R-value) 12a-2 R= sq. ft.
b. Adjacent:
1. Masonry (Insulation R-value) 12b-1 R= sq. ft.
2. Wood frame (Insulation R-value) 12b-2 R= II sq. ft. ./
13. Ceiling type and Insulation:
a. Under attic (Insulation R-value) 13a. R= :36 sq. ft. ./
b. Single assembly (Insulation R-value) 13b. R= sq. ft.
14. Cooling system
(Types: central, room unit, package terminal A.C., none) 14. Type:~~ ,-
SEERlEER: l\. oosS- ./
15. Heating system: 15. Type: .\.kA--\- '"?J tftIt e ./
(Types: heat pump, elec_ strip, nat. gas, L.P. gas, room or PTAC, none) HSPF/COP/AFUE: _~ ../
16. Hot water system: 16. Type: ~\ dL- A-n...." c- "
-
(Types: elec., nat. gas, L.P_ gas, solar, heat ree., ded. heat pump, other, none) EF: .C\ C ../
I hereby certify that tha plans and specifications covered by the calculation are In compliance with the Review 0' plans and specfflcatlons covered by this calculation indicates compliance whh
Florida Energy Code. the Florida Energy Code. Belore construction Is completed, ~ bulldIng will be Inspected
PREPAREDBY:tO---...- M.~\\6""'1 (~ DATE:~ for comptlance In accordance with Section 553.908, F.S.
I hereby certify that this building Is in compliance whh the Aorida Energy Code. BUILDING OFFICIAL:
OWNER AGENT: DATE: DATE:
"- " "
-1-
TABLE 6B-1
MINIMUM REQUIREMENTS
COMPONENTS ""1 PACKAGES FOR NEW CONSTRUCTION
IAJ B C D E F
Max,%of glass 10 Floor Area 65~ 15% 20% 20% 25% 25%
en Type / Single gear lScr
en Single Tint (ST) Single Tint (ST) Single Tint (ST) Double Tint (DT) Double Tint (DT)
:5
(!) Overhang \.., -../-2~ 2. 2' 2' 2' 2'
Masonry EXTERIOR AND ADJACENT MASONRY WALLS R-5
en COMMON MASONRY WALLS R-3 EACH SIDE.
...J
...J
~ Wood EXTERIOR, ADJACENT, AND COMMON WOOD FRAME
Frame WALLS R-11
CEILINGS CEILINGS UNDER ATTIC R-30. FRAME COMMON CEILINGS R-11.
(NO SINGLE ASSEMBLY CEILINGS ALLOWED)
en Slab-On-Grade R-O
a::
0 Raised Wood R-11 (ONLY STEM WALL CONSTRUCTION ALLOWED)
g
u. Raised Concrete R-5
DUCTS ;' R~6 ) R-6 CONDo R-6 R-6 R-6
SPACE COOLING (SEER) ("11..1 i 10.0* 10.0* 10.5 10.0* 10.9
I- Elect. IHSPF) :....-- 6.8* 6.8*
<( STRIP 7.3 6.8* 7.6
w Gas/Oil (AFUE) MINIMUM OF .73 (Direct heating) or .78 (Central)
::r:
-
a:: Electric ~~ EF .90 EF.90 EF .90 NOT ALLOWED EF.90
w~ Resistance** (SEE BELOW)
!;(w Gas & Oil ** MINIMUM EF OF .54 NATURAL GAS ONLY
~t;
1->- (SEE BELOW)
Oen
::r: Other Any of the following are allowed: dedicated heat pump,
heat recovery unit or solar system.
Climate Zones 4 5 6
TO BE INSTALLED
%
DC: 0 DT: 0
FEET
EXT: R= '7
ADJ: R=
COM: R=
EXT: R=
ADJ: R= ll-II
COM: R=
UNDER ATTIC: R = .30
COMMOM: R=
R= 0
R=
R=
R= tp CONDo 0
SEER = . rr...:)S""'
COP= _or HSPF= 0--1.:
AFUE =
EF= ,90
EF=
DHP: b! EF= -
HRU: 0
SOLAR: 0 EF= -
Single package units minimum SEER=9.7, HSPF = 6.6.
Minimum efficiencies for gas and electric hot water systems apply to to 40 gallon water heaters. Refer to Table 6-11 for minimum Code efficiencies for oil water heaters and other sizes.
DESCRIPTION OF BUILDING COMPONENTS LISTED
Pen:ent 01 GlalS to Floor Area: This percentage is calculated by dividing the total of all glass areas by the total conditioned floor area.
Overhang: The overhang is the distance the roof or soff" projects oul horizontally from the face of the glass. All glass areas shall be under an overhang of at least the prescribed length wl1h the following exceptions: 1) glass
on the gabled ends of a house and 2) the glass in the lower stories of a mufti.story house.
Wall, Ceiling and Floor Insulation Valuea: The R-values indiceted represent the minimum acceptable insulation level added to the stnx:tural components of the wall, ce~ing or floor. The R.value of the stnx:tural building
materials shall nol be included in this calculation. "Common' components are those separating cond"ioned tenancies in a multifamily building. 'Adjacent' components separate conditioned space from unconditioned bul
enclosed space. 'Exterior' components separate conditioned space from unconditioned and unenclosed space.
Floor: Slab-on-grade floors without edge insulation are acceptable. Raised wood floors shall have continuous stem walls wl1h insulation placed on the stem wall or under the floor.
Duets: 'CONO" indicates that the ducts must be installed within the conditioned space; that is, the ductwork shall be located on the conditioned side of the insulation. Ducts in conditioned space are acceptable for any
prescriptive package.
Space Cooling System: Coo"ng systems shall have a Seasonal Energy Efficiency Ratio (SEER) for central units or Energy Efficiency Ratio (EER) for room units or PTAC's equal to or greater than the prescribed value,
Eleclric Space HeatIng OptIon: Heat pump systems shall be rated with a Heating Seasonal Performance Factor (HSPF) equal to or greater than the prescribed HSPF. Heat pump systems may contain electric strip backups
meeting the criteria of section 608.1.ABC.3.2.2. No electric resistance space heat is allowed for these packages,
Electric Resistance Hot Water OptIon: For packages designated "Not Allowed", an electric resistance hot water system may be installed only in conjunction w"h one of the .Other Hot Water System Options". See below.
Other Hot Water System OptIons: Any dedicated heat pump, heat recovery unit, or solar hot water system with an EF of 1.5 or higher may be installed. Solar systems must be designed to provide at least 40% of the total
hot water, Electric rasistance systems having an EF of .88 or greater, or natural gas systems with EF .54 or greater may be used in conjunction with these systems.
TABLE 6B-21 MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather-stripped or otherwise sealed. t/
Interior Joints & Cracks 606.1 All openings in interior surfaces of ceilings and exterior walls must be sealed. V
Sole II< Top Plates 606.1 I Sole plates and penetrations through top plates of extenor walls mustoe seatea. V
Infiltration Barrier 606.1 Infiltration barrier must be installed in exterior walls & raised wood floors. V
Fireplaces 606.1 Fireplaces must have flue dampers, glass doors and outside combustion air intakes. v.
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion V
devices with integral exhaust ductwork.
Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) V
or cutoff (gas) must be provided. External or built-in heat trap required.
Swimming 612.1 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a ./
Pools & Spas pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%.
Hot Water Pipes 612.1 Insulation is required for hot water circulating systems, (including heat recovery units) and the first v'
8. of piping from the water heater (or until piping enters an insulated wall or slab).
Shower Heads 612.1 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. ."...
HV AC Duct 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, v'
Construction, sealed, insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be
Insulation II< Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets.
HV AC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. V'
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SHORT FORM OF MANUAL J 1986 7TH EDITiON. 2ND PRINTING
BASED UPON THE MOST COMMONLY FOUND CONSTRUCTION FACTORS
(IN THE TAMPASAVAAEA)
CUSTOMER NAME
L-- 00 .rL
OA
irE (~l ~~ l~~
COOLING COOUNC
MULTIPLIER lOAD
BTU/HR
17' TO
SHADING
NONE INSIDE OUTSIDE
29 ( 0/ 29 ."')( 0
62 9 29
ffT / 4j 29 j;Z7~
76 47 29-
46 30 r.! 9 / I-v..&) Z4
USE FACTOR FROM ABO'O E
NOT USED IN
COOLING
. 9.5 '790
5.6
4.0
1.9 b8"O
6.8
1.9
1.5 Z'IQ-::J
DARK LIGHT
3.4 2.8
2.2 1.7 G:l3 If. 'I
1.6 1.3
12.1 9.7
3.0 2.4
2.0 1.6
1.7 1.3
0
4.7
0.0 -
5
4 19G.~
2
500 ~lJCJ
1200
SENSIBLE HEAT OAIN !tOTAl COLSI . L~i)39'
DUCT OAIN (SENSIBLE HEAT OAIN. .151 "0 ~30':::;
tOTAL SENSIBLE HEAT OAIN 1.3, . 3y.z.-
HUMIDITY CNf CTOYl'l SENSIBll! ..301
TOTAL HEAT GAIN I.l./ 'lZHlf
UNIT SHOULD NOT EXCEED 125% 5'1 O.~
OF TOTAL NOR BE LESS THAN 100%
OF TOTAL
ITEM
I. GLASS AREA SO. FT.
DIRECTION
N z,v,
NE and NW
EandW 2..Vo
SE and SW
S /Sl9
GLASS DOORS (:0..- I_Jc~.o "" 1
GLASS AREA SO. FT.
TYPE WINDOW
)INGLE GLAZE (IncIUdBS jalousie or awnina) 'Y -qj'
JOUBLE GLAZE
!. DOORS Sl~
I. NET WALL AREA SO. FT.
'RAME. NO INSUL.. SIDING. SHEETROCK
'RAME. R-5-7
'RAME. R-11-13 .....- --,
.lASONRY. BLK. FURRING. SIR. NO INSUL.
'SAY. BLK. FURRING. SIR. INSUL R-5 10 7
.1SAY. BLK. Fun RING. SIR, INSUL R-71a 9.... 1/""z,...
'OA OTHER MSAY WALLS. SEE MANUAL .~"
I. CEILING AREA SO. FT.
'ENTED ATTIC
INSULATION A-II
INSULATION R-'9 V" '2'ic93
INSULATION R-26
'LAT ROOF DECK
NO INSULATION
lOOF-CEILlNG COMBINATION (CATHEDRAL
INSULATION - R.ll
INSULATION - R-19
INSULATION - A-26
JTHER CEILINGS-SEE MANUAL "J"
. FLOOR AREA so. FT.
OVER UNCONDITIONED AOOM
OVER OPEN OA VENTED SPACE-
(SO. FT.)-NO INSULATION
INSULATION R-l1
CONCRETE SLAB-NO INSULATION { 2. ~i 3
OTHER FLOORS. SEE MANUAL .~..
WINDOW & OOOAI SO. FT.
INFILTRATION · POOR
AVERAGE ' ~fn"l
BEST
PEOPLE (ACTUAL) OR 2 PER BEDROOM q
APPLIANCES ALLOWED
. JALOUSIE. AWNING & OLDER DOUBLE
HUNG WINDOWS. USE POOA. WINDOWS
WITH .2 to .45 CFM. USE BEST
ALL OTHER WINDOWS USE AVERAGE
EQUIPMENT SELECTION
HEATING HEATING
lOAD
MULTIPLIER BTUlHR
35' TD
NOT
USED
IN
HEATING
40.4 J~/Lq
25.4
16.1 L-J_~ --
9.5
6.6
'J~ 3.1 ,r/o- -
17.0
5.0
3.9 6Y91
3.1
1.9 ~'/iI,L
1.3
11
2.5
1.7
1.4
SO. FT. x 5.5
SO. FT. x 11
Z~b PERIMETER x 28.3 1'7L.'7
,
20
14 5/38
6
SUBTOTAL HEAT LOSS
DUCT LOSS (.10 x sUBTOTAL),dl
TOTAL HEAT LOSS
UNIT SHOULD NOT EXCEED 125%
OF TOTAL NOR BE LESS THAN
100% OF 'TOTAL
:R RESIDENTIAl. use ONI.Y
APl'LIGA'I'IOlNl FUR PERHIT
CI'lY OF ZE'.PllYRllILLS
BUII.DIl!iG DEPARnIE'NlT
OWER'S NAHE
OWNER'S ADDRJiSs-10CiD).
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n o(t ((]A
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h 1t4l'/tI
2pp~~ ~Hl-l.S
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JOB ADDRESS
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LEGAL DESCRIPTION: LDT(S)
3
BLOCK
SUBDIVISION
r [..1\,IOPi
I
Dn~od
/AiIl
PARCEL 1. D.I
WORK PROPOSED:-K..lNIev Construction ----i\ddiUon _All:eration _Repair _Insl:all
___Sign
_nove
_De.-olish
PROPOSED USE:
X Single Faaily
_KIF
_, of Units
_KID
_~rcial
_IndUSl:.
_Swi.. Pool
Other
_Rest:auranl: &: Health Deparblent Approval
BUILDING SIZE:
x
3Bc,1
Square Feet.
/0'
Height
RESIDENTIAL:
COHHERCIAL :
ATTACH (2) PLOT PI.MilS &: (2) SEIS OF BUIIJ)IHG PLANS &: 0) SET ENERGY FORMS. **
ATTACH (3) SETS OF BlJIU)ll/IG PLANS &: (I) SET ENERGY FURMS. **
......COPI' OF COlNlTRACT REQUIRED.
PEmlITS REQUESTED
~BUILDING
~
$~57,o~O .
Valuation of Tot:a1 Constcucl:ion
_ELECTRICAL
-X..HECHAlUCAL
-LPLutmIBG
AMP Service
Florida Power COrp.
W.R.E.C.
$
lP
5,000.
Valuation of Mechanical Installation
GAS
XBIOclt.
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION:
_Fra.e _Steel
,Other
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YES
X
NO
FIIMISIIED FLOOR ELEVATIOltiS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
CONTRACTOR SECT'IOIN
Signature
~)J)d
COIfPMiIY OSS..I ~1MI("Tl.~ 1 TNl.. .
SLate Cer!:. or Regist.' c..C::ac:,n~c.Bbg
City License Registration' 38Cf
..........................................................................................*.................................
~
BUILDER
~~ ......ARY \)"""I~ f.L"'",,\<-
St:ate Ger!:. or Regis!:. j ~ 0000.(2--'2-
Si ture City License Registration 1 ~S1
-- ..........................................
l/
PLmtBER
O~N1Ai,i,l /
f:.r:-r nl.f!)" ""'1 ,/
I /&0
......Mrr L)i2A-.+.O",L...;... ,S'f'fVwv:l, .~,
/11 ~ _ St:ate Cer!:. or Regist:. , (' /ii,-) .3tf7.3n
~ City License RegiSl:ration ,
.................................*. :**........................*...........................*........................
Signature
PfECBAliICAL
Signature C)~ !iYl~
OTIIER COlIPMfY
State Cert. or Regist. I
Signat:ure _ City Licenc;e Registration j
"''''''''''''''''..................*...",... ,..,.."':I:'l!:...'l!:'l!:*:I:..............................'l!:...............
APPLlCAnON APPROVED BY PERKIT OFPICER.
CONDITIONS OF P~RMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertittay b~--;ubject to "deed restrictions" which aay be .ore restrictive fhan City
regulations. The undersigned assutes responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to unJertale work, they may be required to be licensed ,in accordance with
state and local regulatiolls. If the contractor is'not ,ic~ns~d as reQuir2j oy law, both ~he owner 3nd contractor lay be
cited for a tisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requiretents lay apply for the intended Nr,rk, thei arc ~I:vised tr tC)ltact the City of Zephyrhills Building Departaent, 18131
788-6611.
Furthertore, 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 yo:!; 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 Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
1 certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoteowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is SOleone other than the
"owner", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the
"owner" prior to cOI.encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work Hill be done in co.pliance with all
applicable laws regulating construction, zoning, and land develop.ent. '
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify,that no work or
installation has cotlenced prior to issuance of a pertit and that all work will be perforted to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
IY responsibility to identify "hat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaQe.ent District - Hells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways .
f Departlent of Health ~ Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treattent, Septic Tanks
f US Environtental Protection Aqency - Asbestos abatetent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan
addressing a "co.pensating volule" Mill be subtitted which is prepared by a professional engineer registered in the state of
Florida prior to per.it issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, Dr violations of any code. Every pertit issued shall beco.e invalid
unless the work authorized by such perlit is cot.enced within six .onths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is co.tenced. One 90 day extension of ti.e, .ay be
allowed f~r the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved 'inspection lust be logged during each six tonth period, or the project will be considered abandoned.
WARNING TO OWNER: YUUR FAILURE TO RECORD A llOTICE OF CGMMENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO""ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~~~d.. M~ ~~L-
~I1iN E: R OR AGENT7(/' r SIGNATURE: CONTRACTOR
was acknc.wledged
19 by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befc'l-e me this
STATE OF fLORIDA
COUNTY OF
The foregoing instrument
befc.re me this
was acknowledged
, 19_ by
who is personally known to me 0r who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(S i gna tLll-e)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC