HomeMy WebLinkAbout94-3772
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- Date /-/0 -9f
40
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Water Conn: "I '3'7. 50
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BUILDING PERMIT
-
-
CITY OF ZEPHYRHILLS
(813) 788-6611
:-0
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Permit N~
1~
~
Parcell.D. #
Zoning:
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Valuation o~ . ~ I'j,' r 0 DO' '!.!!-
Contract Price ~ I'~
City License Registration # I~
State Certifie License# e73 t!.O 1090{ ~
Permit Fee
Signature
Company
Address
Telephone#
'-{
ELECTRICAL
MECHANICA#=-
SLB Breakers
Tub Set ~?~V Due" In'l. 02/0fl/Q4Tq<
wat~ . Comp""o<
Sew Final c..f -lJ,.,.t{ if fitli:>
Final ....ZIo-tM lLL
Tp. Servo
Rough In 02/08/94 R1R
Meter Can
Const. Pole
Pool .
pre-Me~r. ~{l4L/ rb-
Final -2.f.:,'-4 <.( &.
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL 1dJ'~ ti'-t ~iLL
Driveway
f;~""
1-1.(p.-tji iLU-
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.
)J C{ tj-02b - 9V
;-) Lj-.J.'-7Y
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
APPLICANT ~O~N~\ E.~ ~~.\ Q.C4..."- '\\,l-S \)o.rt~E\Sl f
ADDRESS ~~3S Gt..\.\ ~\\)d-=\f';l. 2--~'1 \ \ ~ PHONi ~\~:J '1l?3 -'~~ <to
-
OWNER ~bW~\)\t~\ 'fv0~c\\ ~\... '\\r-TS 'QG..f-\~~r..<\'k'\ r
JOB LOCATION ~f"\8\'-\ -~ ~\CL..\. A(t.d~7t.OT SIZE
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
~ \.\- ~S-" 1- 0000 - 00300 - 0 DO 0
x
AREA SQ. FT.
PARCEL I.D.#
WORK PROPOSED:~New Construction ~ddition _Alteration _Repair _Install
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: _Single Family _M/F _# of Units .~/H
$commercial _Indust. _Swim. Pool Other
~estaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUlRED.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTI~ ~
Company r-\..u~ ~'eu. c.o. NQ.
State Cert. or Re 'st. # ('_~r (),rH~
City License Registration #
******************************************
Company 'mOAt;:; ZkL
~ 1J 1-1.. ~ L State Cert. or Regist. # FRoG 1//(0
I()I... I -~ City License Registration ~~ SY'
*********"******************************* .
Company ~ a~ D J..\ f -\-\., ~Jt'"' \, ~w 'f'f '
State Cert. or R ist. ~~ c.. 69 Y
City License Registration #
****************************
F.T.F.CTRICTAN
SilZtlature
MECHANICAL Company ~tI4l1lf:.s &Y/1';VC 6A$-€. 1~ :;:c
~ J ~ / State Cert. or Regist. ~ CACoyJ 'j YR
Signature - ,.{ ~ -L-- City License Registration ~~
- ******************************************
Company
State Cert. or Regist. #
City License Registration #
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS O~ PERMIT AFFIDAVIT
A. 'NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit aay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for 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 re4uired by law, both the owner and contractor lay be
cited for a tisdeteanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, 18131
788-6611.
Further.ore, if the ONner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
"Contractor Sections" of this application for which they Mill 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 tay 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 Mith a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuter Affairs. If the applicant is soteone other than the
"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"oNner" prior to [oltencetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all Nork will be done in cOlpliance with all
applicable laMS regulating construction, zoning, and land developlent.
Application is hereby .ade to obtain a pertit to do Nork and installation as indicated. I certify that no work or
installation has co.tenced prior to. issuance of a per.it and that all work Nill be perforled to leet 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 governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify Nhat actions I lust take to be in cotpliance. Such agencies include but are not lilited to:
f Departtent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treattent
f Southwest Florida Water "aRaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departtent of Health 1 Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental Protection AQency - Asbestos abatetent
I also certify that, if fill taterial is to be used in Flood Zone "A" Dr "A,ett.', it is understood that a drainage plan
addressing a "colpensating volule" will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A per.it 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 perlit prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such per.it is cOllenced within six lonths of issuance, Dr if Nork authorized by the perlit is
suspended or abandoned for a period of six tonths after the tile the Mork is cOllenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection tust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR IHPROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO ENCE"ENT. JOBS UNDER $2,500 N VA 0 NOT NEED TO RECORD A D POST A 'NOTICE OF COM"ENCE T.
was acknowledged
, 19.:l::L by
. '<a.t ~~"
STATE OF FLORIDA (\
COUNTY OF 'Vc\'sc"O
The foregoing ~trument
befc.re me th i 5 ~~ \
was a~:l.:owledged
, 19~ by
STATE OF FLORIDA \?
COUNTY OF o.s c.P
The foregoing instrument
before me this~. \ ~y
, \QQ.," \-c t.\
who" r known 0 me or who has
pro uced
as identification and whc. d~..~id no_t ~
take tl,~ ;s:~~o~
(Slgnat~e)\ 1-. -c- ""t-. + \
O~_:~.~ <.J E c..~ \ \ ~ 0 V\--J
(Name Typed, nted or Stamped)
NOTARY PUBLIC
'('j
who is ersonall known to me or who has
produced
as identification and who d~~
tak~h. :s-~~
(Sig~ ~ C\ Ot
oJ Eo.~ \\ ~ ON
(Name Typed, inted Dr Stamped)
NOTARY PUBLIC
,'~':i.~''fi:J:'' BETTY JEAN TIPTON
~~, '.. -'t\ MY COMMISSION' CC 233547
~~j EXPIRES: October&, 1996
..~
, .... . ..' 1IondIll11llu No\ary I"uIIIic UndIrMllrlra
,.\tl...." BETTY JEAN TIPTON
<$i!\..~..
i.: ~.\ MY COMMISSION' CC 238647
. ~~J EXPIFIES: October 8. 1996
. ' 8GlIdBd 11IIu No\ary PubIo lMdIIwIIIn
fJ7 ~LJ a:t- C;~
uJA-
I I ~u ,r 1,,1 CJU f 1"--- sq- . Ft. LI'VI'ng!'
\1...1.................. '-/1 <.-- /T7'r-J" /1""),' D 10
VdIUdLIUII'1 J, 1/ UL/, v LJ I
r:::=--;..-:--~
~. Other
Permit Fees:
------------ .-.-
_________~uilding
_~Iumbing
Electrical
Mechanical
.3;) 7, OD
.~
7r, _@_,_
____!W.-!__t!:IJ__
iJ'7~~_Q___
Subtotal
---.. .-----,--.
Credit
Total
If J' 7,.50
Connection Fees:
-.- --.-.-,--.- --- ---'-""--- . .---
Sewer ')I; /6-3, So
-.---.----------- -~-----_.._-
________ Water ~ /..3 7 .--5 ()
Meter ~~_
,_____.. Total ~ ~ 9 /. tJ7J.___
-... .._---------;~I~ --------,-
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Z /37', ~~
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t () 6_~_?:,-;I
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1 /.'10 \. /
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VClIUClLIUII. ..J,
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I
Permit Fees:
-.----
______~uildin~ ____~'Q_'i. 00 __
~Iumbing. 50
Electrical ]'J. 0 ~~
Mechanical 40. () ()____
____~l.I_bt~~~I_ ___CJIQ_~ ~~ ___
Credit - fdJ. Qr>
=-=~~- Total -- q-fD. <50---l
Connection Fees:
--------~._-_..._~-
______~ew_er~151-6~-.
______- WaJer -41-31. -?o__
~ tl Meter /105. D ;:}
_ _____ Total 5;tf6lo. o~~.__
[-~~~~~~Q~s ~~t~f]~=~=1
l. Sq. Feet 2,417
7/39, '$ Z-
[:----T:-i.-F:;-~9%
II!!?
. /0
cJI> If 5: JU >'-
f;iq. Ft. living!. ?-,4/7
I. ~c., [) 'I-
~q--:Ft~;T- ~ J
.. ff!J (L .- ,
s: 137.' &j. rv\.
I ~tN&
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- ,MED\LAL.:. A{l.-r B~
0t-.JiT A
TARLE A - WORKSHEET
CITY OF ZEPHYRIIILLS CONNECTION PEES
RESOLUTION 11312 WATER $1. 75/GALLON SEWER S6.39/GALLON
RESIDENTIAL (Each Lot or UnH )
Residence - $ 3-50.00 $1.278.00
Travel Trailer Park 131. 25 /, 7 9 . 2 5
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
!-later Closet 131.25 /, 79 . 2 5
Urinal 87.50 319.50
Lavatory /,3.75 159.75
Tub/Shower 87.50 - 319.50
!-lashing Machines-Commercial Size 350.00 1.278.00
Washing Machines-Domestic Size 87.50 319.50
FOOD SERVICE - D islmBsher 700.00 2.556.00
Sinks (3 Compartment) . 175.00 639.00
Car ""ash (Per Stall) 1,000.00 6.390.00
FIXTURE G.P.D. It WATER SEWER TOTAL PER FIXTURE
Sinks 50 7 (P/2-.5O 2;23(0,5'0 2.1>4-Cf, ,)~
Water Closets' 75 2- 2~2.. 50 Q5<3, &'0 ( J 2..2..1 , 0 Cl
Urinals 50 _.-- ..--
.
Lavatories 25 2 ~7j5O 31q, 5c ,-/07. ~ (';
Tubs I Shm.;rers 50
Washing Machine 200
Washing Nachine 50 2- J 75. c!) h?li. 00 <Dlt.J-,oO
Dishwasher /,00
Sinks-3 Comprt 100
Car Wash-p/st. 1,000
II 137. 6"0 4/53. -30 S2/II.oU
3'
Y'1
"
h'ATER ~IETER
/1tJ5'.oo
,;\-t.f~. oP
GRANO TOTAL
, ,
FORM 500 A-93
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
CHAPTER 5 . BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH
ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS
Non.Resldentlal Buildings
Residential Buildings over 3 stories
ALL CLiMATE ZONES
ZONE:
BUILDING CLASSIFICATION S:
BUILDING PERMIT NO.:J
PERMITTING OFFICE:
JURISDICTION NO.:
"
~'"
BUILDING INFORMATION
WALLS ROOF/CEILING FLOORS DOORS GLASS
TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA
Concrete (CBS) ./3 01../9,(, Under attic 31 Cf'o / () Slab-on-grade 0 '10,'(.1 Wood Single. wall rgg 16 I. (a
Wood frame Single Assembly Aaised Wood Metal , Double. wall
Metal frame Other: Aaised concrete Insulated .fb y....J .r~ Single. roof
I nsulation A-value Insulation A-value ~O Insulation A-value Other Double. roof
SYSTEMS INFORMATION
AIR CONDITIONER HEATING SYSTEM HOT WATER
TYPE EFFICIENCY TONS TYPE EFFICIENCY BlU/H TYPE
Unitary & Heat Pump ~ Central & Heat Pump Electric
<65,000 Btuth iO SEER < 65,000 Btulh _ HSPF - Resistance [2\.
;,65.000 Btuth EER iPLV 2: 65,000 Btu 1 h -L COP ~ Dedicated Heat Pump 0
~ ~ - Water cooled _COP Gas
Water Cooled -
~ EER ~ IPLV - Evaporatively cooled _COP 0
- Natural
Evaporatively Cooled ~ EER - Electric resistance _COP LPG 0
-
PTAC ~ EER - GaslOil (circle one) Oil 0
Chillers ~ COP ~ IPLV - < 225,0001300.000 Btulh _AFUE - HRU 0
Other: 2: 225.0001300.000 Btulh Et Other:
UGHTlNG Total Lighting Wattage (pc-' 't!>V = /", ~ Lighting Budget: .;( DUCTS R-value: ~
Total Conditioned Floor Area i-Jo /1) Wattslsq,ft. (from Table 5-13)
PRESCRIPTIVE MEASURES (Must be met or exceeded by all buildings.)
COMPONENTS SECTION REQUIREMENTS CHECK
Windows 502.4 Maximum of ,37 cfm per linear foot of operable sash crack. ><
Doors 502.4 Maximum of 1,25 cfm per square foot of door area. 1>.
Joints/Cracks 502.4 To be caulked, gasketed, weatherstripped or otherwise sealed, X
Reheat 503.3 Supply air restricted to set cold/hot deck temperature to meet load of worst case zone, Resistance reheat prohibited. X.
Ventilation 503.4 Supplied with readily accessible switch for shut-off and/or volume reduction when ventilation is not required, 'f,
HV AC Efficiency 503.4 Minimum efficiencies-Heating: Tables 5-4, 5-5 & 5-6. Cooling: Tables 5-7A, 5-7B, 5-8 & 5-9, r:-
Transport Energy 503.5 Minimum of 8.0. "-
Balancing 503.6 Provide means for balancing HVAC air system & water distribution system, r-
HV AC Controls 503.7 Separate readily accessible manual or automatic thermostat for each system. /'
HV AC Ducts 503.8 Air ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed,
503.9 insulated and installed in accordance with the criteria of sections 503.8, 503.9 and 503,10, X
503.10
Piping Insulation 503.11 In accordance with Table 5-10. l'
Water Heaters 504,2 Automatic electric storage water heaters ,s; 120 gallons and gas & oil-fired storage water heaters ,s; 75,000 BtuIh shall
meet performance minimums in Table 5-11, Electric> 120 gallons: standby loss < ,30+27NT' Gas> 75,000, Oil> r
105,000: E ,78, Standby loss 1,30 + 114NT, Gas. Oil> 155,000: E,,78, standby loss 1,30 + 95NT'
Swimming Pools 504.2 Spas & heated pools must have covers. Non-commercial pools must have pump timer. /JI
& Spas Gas spa & pool heaters must have minimum thermal efficiency of 78%,
Hot Water Pipe 504.4 Piping heat loss is limited to 17,5 Btu/h linear foot of pipe for recirculating systems (see Table 5-12), 'i
Insulation
Water Fixtures 504.5 Water flow restricted to maximum of 3 gpm at 80 psig: toilets maximum 3,5 gallon flush. .}
Public lavatory fixture maximum flow of .5 gpm or .5 gallon if has self-closing valve,
Lighting 505,1 Lighting power budgets are listed in Table 5-13. Minimum Ballast Efficacy Factors are listed in Table 5-14, t
Uo wall Allowable . ~<Jl Uo wall Actual /7 If complying under the provisions of S. 502.2 enter the combined Uo values for the entire envelope
Uo roof 1 ceiling Allowable . Ie> UO roof 1 ceiling Actual .D~ in this section.
Uo floor Allowable Uo floor Actual Uo envelope Allowable Uo envelope Actual
OTTV wall Allowable ol.l-? . .J-- OTTV wall Actual 'V Iv
OTTV roof 1 ceiling Allowable OTTV roof 1 ceiling Actual
Compliance with Chapter 5was demonstrated by a Prescriptive Measures methodology:
D 508,0 (al Detached commercial buildings D 508,0 (b) Skyboxes or sports stadium buildings
less than 100 square feet. that are used only seasonally,
D 508,O(c) Traffic safety
control towers
OWNER/AGENT:
. cations covered by the calculation are in compliance
DiiE: 10- 9~7J
rida Energy Code.
ATE I ~(J-7f
Review of plans and spaedications covered by this calculation indicates compliance with the
Florida Energy Code. Before struction is pleted. this building will be inspected for
compliance in accordance ction 55 . F.S.
BUILDING OFFICIAL:
DATE:
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WALL R.VALUES
BUILDING COMPONENT DESCRIPTION WALL WALL WALL WALL WALL
TYPE 1 TYPE 2 TYPE 3 TYPE 4 TYPE 5
Ext~or air film . d"
Stucco I .) 6
Block (. I (
Stud
Firring strip
Insulation ~ D
Wall board '/5/
Solid
Other
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R TOTAL I / 7
7
U = l/R /-::J
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AREA ;; 1'7'5 {/J
Weight (Ib/sq. ft.) ;(0
IF FRAME: Size _ x _ Inches O,C. _
ROOF/CEILING R.VALUES
BUILDING COMPONENT DESCRIPTION ROOF ROOF ROOF ROOF ROOF
TYPE 1 TYPE 2 TYPE 3 TYPE 4 TYPE 5
Room air film , 7/
Wall board /'15
Truss
Insulation h (] )
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Other ~ /7 /
Other
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R TOTAL /1
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