HomeMy WebLinkAbout94-3779
-BUILDING PERMIT
Permit N ~
CITY OF ZEPHYRHILLS
(813) 788-6611
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PLUMBING
BUILDING
ELECTRICAL
Date
3779 &
/-/d. -9Y
.30 - trD
MECHANICAL
Sewer Conn ~ J.. 7 ;'-; tfl)
Water Conn: 3..5CJ ~ di)
Water Meter: /6 -:;': tJ7.)
T.I.F.'s:
Property Owner:
Job Address: J~'
Parcell.D, # I CJ -d-6 e:::l -0/ - C) iJ Z;
Zon;n9' . En""2""- - ~....~d7f;lit!. -.5-7
Description of Work '-/l r;Jt.LA..J ~ r '- ~ (j
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.
Valuation or
Contract Price
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.
City License Registration # if
State Certified License# ~
J/I1~4wI- 0rZb
BUILDING
ELECTRICAL
Ftr. 01/13/~4 ;;;L'Tb Tp. Serv.. ~ SLB 01/f!/94 ~
Pre SLB / -2:J-____~'6. Rough In J.{-I-tr4 Tub Sa; -{-9L{ fyu--
Lintel Meter Can j-I:J.-91 Water
FRM. 4 -~~ C\ 4- ~ ~ 0 Const. Pole Sewer
InsuJ. CL Pool Final
WL ~"i{~~~\b-l- Pre-Meter ,5-/3-14 ~
~ l I /1. f P... i I Final
Driveway ~
DATE
p.,m;' Fee ~;;;' ~
Signature L)6..... . ~ ' ~
Company
Address
Telephone#
(L.li'r/,2~-
PLUMBING
{j~Aad ~~~
MECHANICAL
Breakers ~
Ducts Insl. 1f-l-4 '-I
Compressor
Final
~\1l '3 ~ \ \~ 'f 4- 6"J..t
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
?La/ /-/~-9Y
~() , /-/$/-'1r
Ii
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
VALUATION:
SQ. FT. LIVING:
COST/FT:
W~A. NEUMANN
37344 CASTLEBERRY
$60,451.00
1,576
$35.00
SQ. FT. OTHER:
481
COST/FT:
$11.00
VALUATION
$60,451.00
DRIVEWAY
$20.00
ADDRESS
$20.00
FEE SHEET
$309.00
SQ. FT. UNDER ROOF
RADON GAS
2,057
$20.57
TRAFFIC IMPACT FEES
99%
1 %
$0.00
$0.00
$0.00
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
503.50
57.50
64.75
30.00
$655.75
45.00
$610.75
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $2,424.32
1f). dl. 1teumaJlJl eOJlJ.teuctloJl, PJlc.
P.O. BOX 596 - ZEPHYRHILLS, FLORIDA 34283-0596 - (813) 782-9080
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P.O. BOX 596 - ZEPHYRHILLS. FLORIDA 34283-0596 - (813) 782-9080
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Department of Community Affairs - FlORIDA'ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL 4 5 6
PROJECT NAME:
AND ADDRESS:
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units covered by this submission
4. If Multifamily, is this a worst case (yes I no)
5. Conditioned floor area (sq. ft.)
6. Predominant eave overhang (ft,)
7. Porch overhang length (ft.)
8. Glass type and area:
a. Clear glass
b. Tint, film or solar screen
9. Floor type and insulation:
a. Slab on grade (R-value + perimeter)
b. Wood, raised (R-value + sq, ft.)
c. Concrete, raised (R-value)
10. Net Wall type, area and insulation:
a. Exterior: 1. Concrete block (Insulation R-value)
2, Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
4. Log (Insulation R-value)
b. Adjacent: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3, Steel frame (Insulation R-value)
4. Log (Insulation R-value)
11. Ceiling type, area and insulation:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
12. Air distribution system:
a. Ducts (Insulation + Location)
b. Air Handler( Insulation + Location)
13. Cooling system:
(Types: central-split, central-single pkg., room unit, PTAC., none)
14. Heating system:
(Types: heat pump, elec, strip, nat. gas, L.P, gas, room or PTAC. none)
15. Hot water system:
(Types: elee., natural gas, solar, L.P, gas, none)
16. Hot Water Credits:
a. Heat Recovery (HR)
b. Dedicated Heat Pump(DHP)
17. Infiltration practice: 1,2 or 3
18. HV AC Credits (Type in Letter designation: CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, AS-Attic radiant barrier, MZ-Multizone)
19. EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
EPI = Total As.Buinpoints X 100
Total Base points
12a.
12b.
13a.
13b.
13c.
14a.
14b,
14c.
15a.
15b.
16a.
16b.
17.
18.
119.
19a.
19b.
1.
2.
3.
4.
5. , r ?,<?
6. ,.j:}
7.
sq. ft.
ft.
ft,
Double Pane
sq. ft.
I ~ '-I sq. ft.
Single Pane
8a. sq. ft.
8b. __sq. ft.
9a. R= 0
9b. R=
9c. R=
I. ft.
sq. ft,
sq. ft,
1 Oa-1 R=
10a-2 R= ! ,
10a-3 R=
10a-4 R=
10b-1 R=
10b-2 R= "
10b-3 R=
10b-4 R=
11a. R= 1."'-
11b. R=
sq. ft.
9 '-f ~-- sq. ft.
sq. ft.
sq. ft.
sq. ft.
7j~ sq. ft.
sq. ft.
sq. ft.
J,"I
.. 1,,/1 sq, ft.
sq, ft.
R= ..{, (eond.lu9
R= , (eond.luneond.)
Type: (r.._Jr. - ~ I
SEERlEERlCOP: (.). 'J-.J
Capacity: 3. "09 V
Type: f/(--:~.,J f..: V"-/'
HSPF/COP/AFUE: "." J
Capacity: .3 '" OJQ
Type: .~" . ~
EF: q,
"'1-
CJ< , t'_ 1/
'j ? J; $(.. - . I
~.J. r .1
].,.~'i5't.{ . 3 -
OWNER AGENT:
DATE/V... I C/.~'
P nee wnh the Florida Energy Code. . ~
,.,U.....-. DATE:lO-/Y-' 11
. 'cations covered by the calculation are in compliance with the
-1-
DATE:
SUMMER CALCULATIONS
CLIMATE ZONES 4 5 6
N
NE
E
SE
S
SW
W
NW
H'
GLASS ~ SINGLE-PA~ ~., DOUBLE-PANE I SUMMER lAS-BUILT
SUMMER POINT L OR SUMMER POINT MUL T, x OVERHANG = GLASS
AREA CLEAR ) Nf2 \ CLEAR TlNf2 FACTOR (GA-l) SUM. PTS
N 00 51.0 / 51.5 I 47,8 43.5 .'11./ L/..... -*. .?"
NE , 77.2 76,6 < 71.7 63.4
\
E J(() cJ '" 109,2 07,1 102.0 87.3 '7J 1</t..J;.7
SE 112.9 10,3 104.1 89,4
S <:'"'0- u. '" 100.2 98,3 , 90.9 78.8 .OJ. I "1-:l ~I!. I
SW 112.9 110,3 i 104.1 89.4
W II~ I ~ 109,2 107.1 I 102,0 87.3 'h...... II ...U 7. :<
NW 77.2 76,61 71,7 63.4
H' 367,7 303,3 324.6 238,1
I
I
\ I
'-"
en
en
:5
<-'
COMPONENT
DESCRIPTION
EXTERIOR
::l ADJACENT
c:(
:=
ADJUSTED
= GLASS
BASE SP
1.0
,7
..
BASE
SUMMER
POINTS
L r ...
COMPONENT
DESCRIPTION
'f
AS-BUILT
GLASS
SUBTOTAL
,,-/
,15
I if-A'I
4,8
1.6
'f
../J'I'.;' c> I
'f
4t"?oc I
[] EXTERIOR
g ADJACENT
i~~.
I ~',f.1
'.J
INFILTRATION
UNDER ATTIC ,6
OR SINGLE .6
ASSEMBLY
<-'
z
:J
W
u
BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS.BUIL T CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
'f
a:
o
o
-'
u..
-31.8
-3,43
FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE.
'f
10,9
HOT
WATER
SYSTEM
NUMBER
OF
BEDROOMS
-
4-
AS-BUILT
HOT WATER
SYSTEM DESC.
AS-BUILT
HOT WATER
POINTS
'H = HORIZONTAL GLASS (SKYLIGHTS)
2FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1,1 OF APPENDIX C, TINT MULTIPLIERS MAY BE
USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT,
-2,
NINTER CALCULATIONS
en
en
:3
Cl
N
NE
E
SE
S
SW
W
NW
H'
GLASS
AREA
BASE
= WINTER
POINTS
CLIMATE ZONES 4 5 6
GLASS I SINGLE-PANE OIR DOUBLE-PANE I WINTER lAS-BUILT
AREA x WINTER POINT J'!UL T, WINTER POINT MUL T, x OVERHANG = GLASS
CLEAR ~ CLEAR TINf2 FACTOR (6A-10) WIN. PTS
N fi.O::I^ 9.6 9,6\ 5,6 6,1 7,.,~ ':-0. ~
NE 7.4 7,3 \ 3,5 4.2 ,
E I~.DI - 2,2 - 2,0 \ - 5.6 - 3,6 '71 ill.-::1).0
SE -10.3 - 9.7 -13.4 -10.4
S ~ Ltl} -10.9 -10.2 -14,0 -11.0 , '11 ~--IO. Lj
SW -10,3 .9.7 -13.4 -10.4
W /~.I. - 2.2 - 2.0 - 5,6 - 3.6 ' JI ~L) ()
NW , 7.4 7.3 3,5 4.2
H' -32,1 -28,0 J -27,0 -21.5
I
\ /
./
COMPONENT COMPONENT AREA
DESCRIPTION DESCRIPTION =
EXTERIOR 1,1
...J ADJACENT 1.8
...J
<
~
~ ~
] EXTERIOR L.J~ 5,1 7 ~!;' 'La I I /~?" I ~:.~ -:-' 1..1' ~.
ADJACENT j ~ 4.0 "
I'
~ ~
UNDER ATTIC IC'"J[" 0 ,6 QJ.!.- ] J (' 7{".C . ~c. p ...-, .'
Cl
z OR SINGLE ,6 I
:::i
jjj ASSEMBLY ,6
(.) BASE CEILING AREA EQUALS FLOOR AREA OIRECTL Y UNDER CEILING, AS,BUIL T CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
~ ~
SLAB {PERIMETER (-. . , I -1.9 .... Lt: 'f..', 'A , "') 7 ( -, ; ~. '::1 -j.
. \
a: RAISED (AREA)
0 - ,2
0
...J
~
FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED flOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE.
INFILTRATION
4,1
~
~
TOTAL COMPONENT AS-BUILT WINTER POINTS
r~-----u
TOTAL
AS-BUILT
WIN. PTS.
~
I /(),t,I,7).~, L/
HEATING
SYSTEM
...J
<
I-
o
I-
2FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1.1 OF APPENDIX C, TINT MULTIPLIERS MAY BE
USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT.
-4-
SUMMER POINT MULT~~ERS (SPM) CLIMATE ZONES 4 S 6
6A-1 SUMMER OVERHANG FACTORS (SOl {;OR SI GLE AND DOUBLE PANE GLASS.
~r OH RATIO ,00'.11 .12-.17 .18-.26 ,27-.35 ,36-,46 .47-,57 .58-.70 .71-.83 ,84-1.18 1.19-1,72 1.73-2,73 2,74+
N 1.00 .94 .91 .87 .83 ,79 .75 ,72 ,69 .62 ,56 .50
NElNW 1.00 .94 .91 .85 .79 .72 ,68 .63 .58 ,50 .40 .36
Oa: E!W 1.00 .95 I .92 ,85 ,78 ,70 ,64 .58 .52 ,42 .33 ,26
wO
~L SElSW 1.00 .93 .90 .81 ,72 ,62 ,55 ,49 ,42 ,33 ,27 ,22
S 1.00 .91 j .87 ,77 ,67 .57 .50 ,45 ,39 ,32 .28 ,25
. Oft. 1 ft J 1'/, ft 2 ft. 3 ft. 3%11. 4'h ft, 5'h ft f;1j,ft ~1'I, ft 14ft :lOft...
\ 'r.6 select bv Overhano Lenalh no oart 01 alass shall be more !hart 8 ft. below the ovemana.
6A-2 WALL SUMMER POINT MULTIPLIERS (SPMI
FRAME CONCRETE BLOCK' FACE BRICK LOG
INT. INSULATION XT. INSUL R.VALUE WOOD FR
WOOD STEEL NORMAL WT. NOR. WT. 0-6.9 2,9 6 INCH
R.V ALUE EXT ADJ EXT ADJ R.VALUE EXT ADJ EXT 7-10.9 .6 R.VALUE EXT
0-6,9 6.4 2.2 8,9 2.9 0-2.9 2,5 ,9 2,5 11-18.9 .4 0-2.9 1.7
7.1.0,9 2,3 .8 4.1 1.3 3-4,9 1.4 .7 .7 19-25.9 ,2 3-6,9 1.1
11-12.9 (~ /.f"l 3..0 1.0 5-6,9 1,0 .6 ,3 26 & Uo .1 I, 7 & Uo .8
13-18.9 1.7 ':'6" 2,8 0.9 7-10.9 .8 .4 .1 R.VALUE BLOCK 8 INCH
19-25.9 1.0 .3 2.4 .0,8 11-18,9 .4 ,3 .0 0.2,9 1.0 i. R.VALUE EXT
26& Uo .6 .2 1.3 0.4 19-25,9 ,2 ,2 .... 3-6,9 ,6 .0-2,9 1.0
26&Uo ,1 ,1 7-9,9 ,4 3-6.9 .8
ln II. lJn ,2 7 & Uo .7
6A.3 DOOR SUMMER POINT MULTIPLIERS SPM)
DOOR TYPE EXTERIOR ADJACENT
6A-4 CEILING SUMMER POINT MUL TIPUERS (SPMI
UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF
R.VALUE SPM R.VALUE SPM CEILING TYPE
19-21.9 1.1 10-10.9 3..0 R.VALUE DROPPED EXPOSED
22-25,9 ,9 11-12,9 2,7 10-13,9 3,0 3.3
26-29.9 .7 13-18,9 2,4 14-2.0,9 2,0 2.1
30-37,9 ,6 19-25.9 1.8 21 & Up 1.4 1.3
38 & Uo .4 26-29,9 1.1
10R.lln .0,9
6A.S FLOOR SUMMER POINT MULTIPLIERS (SPMI
SLAB-ON-GRADE RAISED RAISED WOOD2
EDGE INSULATION CONCRETE POST OR PIER STEM WALL wI UNDER ADJ~CENT
CONSTRUCTION FLOOR INSULATION
R.VALUE SPM R.VALUE SPM R.VALUE SPM SPM SPM
0-2,9 -31.9 0-2,9 -1..0 0-6,9 0,9 -5.8 5.3
3-4,9 -31,8 3-4,9 -1.7 7-10.9 -1.1 -2.8 2.1
5-6,9 -31.7 5-6.9 -1.7 11-18,9 -1.0 -2.2 .1,8_
7 & Uo -31.6 7& Uo -17 HI II. UO -MI -1.8 1.0
WOOD
INSULATED
6A-6 INFILTRATION SUMMER POINT MULTIPLIERS (SPM)
INFILTRATION PRACTICE SPM
(SEE TABLE 6A-211
PRACTICE #1 13.8
PRACTICE #2 10.9
:#3 .L6
6A-7 DUCT MULTIPLIERS (DMI
RETURN DUCTS RETURN DUCTS ...
R.VALUE IN UNCONDITIONED SPACE IN CONDITIONED SPACE
SUPPLY DUCTS IN 4.2-5,9 1,14 1,10
UNCONDITIONED SPACE 6,0-6,6 1,10 1.07
6,7 & Uo 1.09 1.06
SUPPLY DUCTS IN 4.2-5,9 1.10 1.00
CONDITIONED SPACE3 6,0-6.6 1.07 1..00
6.7 & Uo 1.06 Lon
6A-8 COOUNG SYSTEM MULTIPLIERS CSM
~"-SIE"'- TYPE . . COOLING SYSTEM MUL TIPLIER.S CSM._____
Central Units (SEER) Ratin 7.5-7,9 ~-'-01l':9$_85.-8'8. 8,!l.-M 9k9,9 10,.0:10,4 10.5-1.0..911.-0-11.4_ 11.5:1.Ulj12,O.:..1g.4
CSM .45.43 . ,4.0 ,38 .36 ,34 ,32 ,31 .3.0 .28
PTAC & Room Units (EER) . ~~~===.._1~;~~~ 1~~~~_3,4 13,~;~~,9 ~~.~;t.~ _14'~;14,9 15,~~5.4 15~~~~5.9 16.~~~6.4 16,5;~6.917,~~7.4 _17.51~UP
MINIMUMS: CENTRAL UNITS-AIR COOLED SPLIT SYSTEM 10.0 SEER, SINGLE PKG. 9.7 SEER, GROUND WATER HEAT PUMP 11.0 EER. PTAC-.SEE TABLE 6-2'- - .. -- - ---
6A.9 HOT WATER MULTIPLIERS (HWMI
~~YS:reM TYPE HOT WATE8-MULnPUERS (HWM
Electric Resistance EF ,80-.81 .82-,83 ,84-.85 ,86-.87 ,~]tt..... ,91-,93 ,94-,96 .97 & Uo
HWM 3879 3785 3695 3609 j527 ) 3411 330L 3200._
Natural Gas EF .43-.47 .48-,49 I ,5.0-,51 ,52-,53 ,54-.55 .56-,57 ,58-,59 ,6~V ,62-.63 ,~-.65 .66 & Uo
HWM 2974 2664 I 2558 2459 2368 2284 22.05 2132 2063 1998 1938
LP Gas HWM 3638 3259 I 3129 3009 2897 2794 2697 2607 2523 2444 2370
1 FOR MULTIPLIERS FOR OTHER TYPES OF CONCRETE BLOCK CONSTRUCTION SEE SECTION 2.1 OF APPENDIX C. 2 MULTIPLIERS FOR OTHER TYPES OF RAISED WOOD ASSEMBLIES SEE
SECTION 3.1 OF APPENDIX C. 3 DUCTS IN CONDITIONED SPACE NEED TO BE INSULATED ONLY TO THE R.VALUE NECESSARY TO PREVENT CONDENSATION.
-3,
APPLICATIOII fOR PERllIT
CITY OF Zl!;ntIKltU.U;
BUII.DDIG DEPAImIEIIT
OWER'S lWIE uJ..4. NGUr71BrJrJ
OWER'S ADDRESS PO, go 'f.- 0'9 ~ Z, C:;/ fjlL,i' /h, /::;:,. /
JOB ADDRESS . ~ 73 ijLJ (lJdILi~/lIt./ Hvt.-
I
LEGAL DESCIUPl'IOIII: I.OI'(S) fo 9 JII.OCI( SOBDIYISIOR tJ {.. J j!-W ()o d
PARCEL I.D.# I<J- 20-2/- O,cc)- 000<.)0 -6090
-
PIIOfIE
7~~-9oJV
IiORK PROPOSIl:D:~ Construction _Addition _All:eration _Repair _Install
S. _lIIove _De.olish
- J.gIl
PROPOSED USE: ~FaaiIY _II/F _' of Unit:s _II/B
_ec-ercial _Indust. _SwbI. Pool Other
_Rest:auran.t 5: Health Depar'-ent Approval
BUILDIRG SIZE:
x
Square Feet.
Beighl:
RESIDERTIAL:
alIIIIERCIAL :
ATlAaI (2) PLOI' PIAIIIS 5: (2) SEI'S OF BUIlJlIlIG PIAIIS 5: (1) SEI' ERERGY FORtIS..*
ATlAaI (3) SEI'S OF BUD.DDIG PIAIIIS 5: (1) SKI' EIIItRGY FORIIS. *.
*.mn OF mllTKAct .REQUIRED.
Plr.RllTTS KEOUESTED
_BUILDIIIG
$.
Valuation of Total Construction
_ELECTRICAL
AIIP Service
Florida Power Corp.
~E.C.
---.JIECIIAIIICAL
s.
Valuation of lIechanica1 Inst:allation
-PJ.,UttBIRG GAS KOOFDIG
SPECIALTY
TYPE OF OORSmUCTIOII: ----Block _f'raIIe _Steel
Other
FIIIISBED FLOOR ELEVATIOIiS:
FI' .
IS PROJEct III FLOOD ZOIlE AREA.?
YES NO
.........................*................
aJlIIRACIOR SECI'IOR
RmIDF.ll ~ <DIPAIIY w. /).1[) ('v M -t,l/..v Co"" r'/
I, ) 0 State Cert:. or Regist:. I {)020 P'C Y
Signat:ure W r City License Registration I 0 I.{
........*................................*
h.,v.
RI.F.CTRTCIAR WllPARY (/Yh~'~/J..-'~~ t/AA~' ~
~ /~-0 / ./ ./)/ State Cert:. or Regist. I nt:;> t. -f-f.S-
SilPllature ~ 'l ~~ City License Registration I J-.t/'-
.......*..**.............................*
PLUIIBER. ~~ <DIPAIIY ad~l &~~
State Cert:. or Re t:.'
Signat:ure ~ City License Registration , /2 J ,-
..............................*...........
fIIlaIAIIICAL ~ 1/ _ :;::n J{/~~, ~~~~{
Signat:ure 6( ft ~ --- City License Regisl:rat:ion , 7 /
/ .f."...*.."."...."..............."..* .
'-.j :/ WllPAIIY y//t/' k/~./?
, -#.- /. Stat:e Cert:. or Regist:. , c: OC
7{/~~ City License RegiSl:ration' [/
*........*.....*...........*..*.*.........
APPLICAnllR APPIlOVIlD IIY 'jf aA'lA' ~ ~ ~,..
OTRIIR
Signature
P.ERIII.T OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assutes 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 required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to "hat licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, IBI31
7BB-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 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 copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone 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
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perfor.ed to .eet 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 governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
, Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
, Southwest Florida Water "anaQeleot District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
, ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
, Depart.ent of Health & Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
, US Environlental Protection AQency - Asbestos abatelent
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 "colpensating volule" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit 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 perlit prevent the Building Dfficial frol 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 perlit is cOltenced within six lonths of issuance, or if work authorized by the perlit is
suspended Dr abandoned for a period of six lonths after the tite the work is cOI.enced. Dne 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 Dfficial. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO DWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~NCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO DBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COIIENOEKEIT. J~~ $2,500 1M VIlUE DO MOT MEED Tn RECORD All POST A .~MtEftEMT.'
!IJ()/ (I;,~ If)a /~
SIGNATURE: OWNER OR AGENT SIGNATURE: CDNT ACTDR
STATE DF FLORIDA (~
COUNTY OF '\' ~, ()
The foregoing instrument
before me th i s / I (0
was acknowledged
, 19 -3.!:J. by
STATE DF FLDRIDA ~
CDUNTY DF ~ t"n ~. C)
The foregoing instrument was acknowledged
befc.re me th i s I ll..o ,19....9.::L by
t l.. )Q....,\"" c:J'\ ~,N. e u-f'Y\o..J, "
who is pe~nally known to me or who
produced "Pe\<"-<,>r'\lJ. \\t ~ 'Kn{),,~ V'\
as identification and wno did/did not
t~ke a~ oa~h. l D
('j, I. ,,,,T"." !LJ. ~ ()~r ~
(!3,ignature)
C..hri."...,-\-'\C' l - ~o.~')r
(Name Typed, Printed or amped)
NOTARY PUBLI C
has
L")On'pC\. ~. \"'-.\eldY'ClIo'l""
who is personally known to me or who has
produced QeT~(\Q I \ I \ KI'\()1 .~,\l,
as identification and who did/did not
t~ke an oath. .
~. .~,r, ~ ~ '\\\~ ~
(&nature>
~\ ~~~\ e... L. \'\\ 0 ~0. '\
(Name Typed, Printed or tamped)
NOTARY PUBLIC
OFFICIA.L NdtAR'lSSAL
ci-IRI'STIE L MAF)R
NCITARY PUEUC STAr,,; 0;:; rL(}~mA
C{)!\.1~!iIE2IS~'i r';~. !~~'~~:~~~J I _,~~
MY ..f2l~j~.'r~~~I'cl::L!2Sf~~~~-.l" i,l~L~~.
h..,.....}./i:.~.i.."":-;-l\.,..-><."-~. '.""'~-l
'IT t..,J/~,~.. 1 .\,..'lTI',~~';t ::~~~J\L
Cf!H~~rr~'-!I~ 1-. ~/fji,.~~'r:li ~
NOT t pv "'.. "'<T 'C S" "'T r. .-. ,,-, -.,. 'n ~ ~
. C~):;ii~t':f.~;',~~{~_;; ~ ~.,:;~.~ :~:_~~;:~;;~~;~:;;:.~:~;:..~ u..' --:
UiY CC'1:[;ti.~~J~?li...~~~_~~[{(C !,~~~::S;,~~ j
- --"'-"~-.-.---'-'--~-----..~~,-,--. .----
CENT R ALP E R MIl ,.
PASCO COUNTY, FLORIDA
CONTn?~CTOf.: *~;
NAME: W A NEUMANN CONST.
ADDR: 10-26-21-0120-00000-0690
C/ST: 37344CASTLEBERRY Z/HILl
FOri::
CHEC:K :>> .ij.117
(;C:CNT
114
TOT AL AI'101lNT:
COMPNY ACCOUNT CENTER
[{.'l.5r) -, 36:=:(1'.)1)-. ..
4:;::" ::;::::
AMOUNT DESCRIPTION/PERMT DATA DRieR
48.22 ****** SOLID WASTE FEE 60
nECE I VED r,y
:' . / / . /'. / /1,- . '
._.;.o':'--,~~:"Ll...L.!. _._ ._L .f.j..i...L.-.i....LL 5-~..f. ,(.L_. ,_,__,_,__
--.----~--------------l
D~~TE: (1 i /1 :::::/94
P,~CiE: 1 OF 1
I :3:~;UE OFF I CE: D
RECEIPl NUMBR: 00200000
OFFICE: DADE CITY
[ l\j Ci
PASCO COUNTY, FLORIDA
Permit #
Date
Name/Owner
County Parcel #
Location
Classification / Type of Use
TRANSPORTATION IMP ACT FEE CALCULATION
Rate $
Zone #
Sq. Ft. / Unit
Prepar~ by
Impact Fee Amount $
....-
The above impact fee has been established pursuant to the Pasco County Tiinsportati~n 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
Gross Sq. Ft (GSp)
Rate / ERU = 50.00 x 0.96* / Year
or $0.1315 /Day
ERU Assign #
Assessment = (# Units) x ($0.1315)
x (# Days)
Assessment =
illill x (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
lRANSPORTATIONREC. #
RESOURCE RECOVERY REC. #
DATE
DATE
BY
BY
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg /Insp