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Home My WebLink About94-3813 BUILDING PERMIT Permit N ~ 3813 & ''?J? F?~ nJ CITY OF ZEPHYRHILLS (813) 788-6611 j-.;lE--?'/ PmpertyOwne, ~~ Job Address: ~,. ~ ~ D Parcell.D. # 31... ;LS""-C)./-CJt700- t!)()SOO - ot!>O D Zon;n9' ~ ~n)j'!Jj' Code, ROdJ: ~." /01- -(, - 9'3 ,;2 fp-tJ De",dp';on of Wmk ,,,1'/' -.:T . r ~:..JJ..Ir ~..f /"';:-7 c; YXs. tr1J BUILDING 6 P t17J ELECTRICAL ,,/-s":o-o PLUMBING NO OCCUPANCY BEFORE C.O. Date /y'tJ. crv MECHANICAL Sewer Conn I 9 /7. ~ , ~ Water Conn: ~"02.S-: cJ-i) Water Met~r/cJ-'r7Y jI-.( T.lF.:~s: ~yy~ 9tJ 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 ~'R; tfOtJ, cJc; City License Registration # /j/ Sta~Certified License# _ ~: 34//7/1 -~ 7&&' BUILDING ~/e. 123 ELECTRICAL DATE Permit Fee Signatu Company Address Telephone# lJ~o/-?/ PLUMBING ~ /f/c . 7r MECHANICAL SLB Tub Set Water Sew Final .$ E.wEfL ~,ii.=lJJ ftLL aMs 3-Z<&-mtLL Ftr. Pre SLB Lintel FRM. PIg -~4: ~\D-L Insul. CL WL 3~q -~4~~ f~ rj..Zb'q,/ glLL- Driveway Tp. Servo Rough In f"{ -Ib-qc.( f;cl> Meter Can Canst. Pole POOI~" P~e-Me -. iLl Flnal_ _ Breakers Ducts Insl. 3-11:,-.c'j t.( ~~h comp~sor Final -2b.Q,-/ &~ 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. Va j-.;2g--}>~ fJ-J. ~ol..b-7Y The payment of inspection fees shall be made before any further permits will be issued to the person owning same. " APPL.ICA1'ION fOR PERnIT CITY OF ZIl:PIIl1UII US BtJI'ILDlliG DIl',PARJftE'BT OWNER'S NAHE OWNER'S .JOB ADDRIl'SS LEGAL DIl'.SCRIPl'IOlM: 1.Or(S):2 ~ :J BlncK - SurBDIVISIOR J~...I h-u ~^'" A)11<. O~ PARCEL LD.' ~.,;2f - .2 S-..- 21- () 00t) - (j{') 30ZJ -0 doO WORK PRoPOsm:A-lIew Construction --.-J\ddil ion _Alteration _Repair _Install _Sign ~ve _DeIIO.lish PROPOSED USE: Single Fallily A-c:c-ercial _"'F _' of llTnits _K/8 _Indust. _Swill. Pool Other _Restaurant 5- Health Deparhlent Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: COIPtttERCIAL : ATTACH (2) PLOI' PIAIIS 5- (2) SEIS OF BUILDING PLUS 5- (I) SEI' ENERGY FORKS. U ATTACH (3) SETS OF BUILDUIG PLANS &: (1) SEI'ENERGY fORtIS....... ......COPl' OF CONTRACT RIIQlIIIRllD. PEmIlTS KEOUESTED v;;.n LDING ~ECTRICAL, ~(''BJ\NICAL 6UKBING $ Valuation of Total Construction MlP Service Florida Power Corp. W.K.E.C. $ Va.luation of Kechanica.l Installation GAS X Block ROOFING SPECIALTY TYPE OF CONSTRUCTIOR: _Fr:mte _Steel Other FINISHED FLOOR ELEVATIONS: FI' . IS PROJECI' IN FLOOD ZONE AREA? YES NO .............................................................................................................................. BUT I.OER COIn'RAClOR SECI'lON OO!tPMY 80.~~ \Jh.J. Co. I ~v.J~ State Cerl:. or gisl:.' c..~a \~ ~3 \ City License Registration I /. .............................................................................................................................. Signatu ELECTRICIAN ~ OOPIPMYCaA"!~h E/~c.<</c /J ~( / Ll~ State Cert. or Regist. I SiJ!Dature,( _~~ 0t..J,. ~ Cit.y I.icense Registration' .#" /7:"5 ... ............................................................................................................. PLUltlBER OOIIPARY ~o. ~ 0 N~:\:~ ~\ ~ "'" ~ State Oerl:. or Regist.' <2. F 2...>1J1_ r Signature City License Registration , 9/ . ................................................................................................. KECBAlUCAL :&J tuIPAH ' State Cerl:. or Regist. . () W ~A---CitY License Registration , ............................................................................................................ Signature ))01) 0IIIIl:R OO!tPARY State Vert. or Regist. I City License Registration t ........................................................................................................ Signature APPLICATION APPIlOVIID.. '71 i!dl-<,~_4.d-d\_r PERIIlT OFFICER. CONDI~ION5 OF PERMIT AFFIDAVIT A. t-IOT l.J,:E OF _:Q.~ED_RE~TR I CT I OI\IE; The undersigned understands that this per.it lay be subject t~ "deed restrictions" which .ay be lore restrictive than City regulations. The undersigned assuaes responsibility for co~plian[e with any applicable deed restrictions. B. WNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES I f the owner has h ired a contractc.r or contract~'~~-t~~-~~-rtake -;ork, th;Y';;Y'" be-~~q;i-;;dt;t;;"iicensed in accordance wi th state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be cited for a .isde.eanor violation under state IaN. If the owner or intended contractor are uncertain as to "hat licensing require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, IBI3) 7BB-bbll. Further.ore, if the owner has hired a contractor or contract~rs, he is advised t~ 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 contract~r, are responsible for the Nork. If the contractor wishes you to sign as contractor that .ay be an indication that he is not properly licensed and is not entitled t~ per.itting privileges in the City of Zephyrhills. C. TRANSPORT A T I ON I t'1Pt4CT FEE~ f.-)tm UT 1"- I TV .J.::;ONNECTJ 01'''._ FEE.;?. D. ~ONSTRUCTION ,=_IEN LAW. (CHAPTER 713~ FUJF:ID{) STATUTES~ ;C,S ()1'1ENDED) I certify that I, the applicant, have been provided with a copy ~f "Florida's Construction lien Law - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "owner" prior to co..ence.ent. E. CONTRr,CTOR I S/OHNE~":""'!:L AFF:..LPIlY II. I certify that all the infor.ation in this application is accurate and that all work "ill be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a per.it and that all work "ill be perfor.ed to .eet standards of all laws regulating construction, City c~des, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are n~t li.ited to: , Depart.ent of Environ.ental ReQulation - Cypress Barheads, Hetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treat~ent , Southwest Florida Nater ManaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f. ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health & Rehabilitative Services, Environlental Health Unit - Hells, Wastewater Treat.ent, Septic Tanks , US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating volute" will be sub.itted which is prepared by a professi~nal engineer registered in the State of Florida prior to per.it issuance. A perait issued shall be construed to be a license to proceed with the "~rk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid unless the work authorized by such per.it is co.,enced within six .onths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extensi~n of ti~e, .ay be allo"ed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT nAY RESULT IN YOUR PAYING THICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM"ENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OHNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 1? _ by STATE OF FLORIDA COUNTY OF The foregoing instrument befclj-e me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument before me this \l'Ji\S acknowledged ~ 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has pl-oduced as identification and who did/did not take an oath. (SignatLn-e) (Signature) (Name Typed~ Printed or Stamped) till.TAR_L PUBLIC (Name Typed, Printed Clj- Stamped) NOTARY PUBLIC APPLICATION FOR PERMIT CITY OF Z~PHYRHILLS BUILDING DEPARTMENT APPLICANT 0 W \\J \) \ <t \..\J ~ ~c\.' \ Q..C4. \. r \s ADDRESS '\ 3 3S G-Q.\'\' ~\ \) d""* "- 2 \(, \.\~ PHON OWNER ~ ()u)~\J\ t.~ ~u-1 \ ~c:...\... 't\r-\s ?C((-\: 't\J ~cs hI f JOB LOCATIOh-<o ?/1 ~O" 'M.,<c.J"I~c...\. Ai \s e.1 LOT SIZE X AREA SQ. FT. , ~ LEGAL DESCRIPTION: LOT (S l.2..f2O~ ':2.-- BLOCK - SUBDIVIS IO~.A 'hA.A ~) ~.oJJ PARCEL I.D.ti ~ ~-;2S-~l-D 006 -Oc.3DO -0 C60 WORK PROPOSED:~New Construction ----Addition ____Alteration ~epair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units .~/H ~commercial ____Indust. ____Swim. Pool ~estaurant & Health Department Approval Other 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 REQUIRED. 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. ****************************************** CONTRACTOR SECTION 0 \ ~ ~ Company \ ~ 0. \..) d.~ ~\ . . J..: ..u C . State Cert. or Regist. "-- Gj~ City License Registration # :::::::::~~..~~............:::::::.::....:....~..~.. . - II State Cert. or Regist. #_ . . ,..oJ.) City License Registration # #=-/73 ......... ............................... Signature Company ~o.ik 0 ~ 'L -\::.-\:: State Cert. or gist. # City License Registration **************************** ~ l~~~: ~~ L ~O:) .v # MECHANICAL Signature Y Company g ,e!.s ~I'- ~,y~ b,f"...e... / ./ ~ State Cert. or Regist. # CI4Co '.J ~ 71/ LJ ," . City License Registration ~~ ****************************************** Company State Cert. or Regist. # City License Registration # OTHER Signature .*~*******~**~/*************************** APPLICATION APPROVED BY ~(J ~.A4J-y..r- PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAvIT A., NOTICE OF DEED RESTRICTIONS - . The undersigned understands that this perlit lay be subject to "deed rlstrictions" 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 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 what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owneT has hired a contractor Dr 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 "oNner", 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 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 COltenced prior to,issuance of a perlit 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 govern.ental agencies lay apply to the intended work, and that it is IY responsibility to identify Nhat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: I Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of Enqineers - Seawalls, Docks, Navigable WaterMays I Departlent of Health l Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environlental Protection Aqency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "colpensating volule" Mill be sublitted 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 with the Mork 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 frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid unless the Mork authorized by such per.it is coa.enced within six aonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the Mork is cOllenced. One 90 day extension of tile, lay be allowed for the perait 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 lonth period, or the proiect will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR PROPERTY. IF YOU'INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C M"ENCE"ENT. JOBS UNDER $ , VALUE DO NOT NEED TO RECORD A D POST A "NOTICE OF COMME " . IGNATURE: OWNER OR AGENT STATE OF FLORIDA (). COUNTY OF . " o..s Q. 0 The foregoing i~trument was acknowledged before me this ~E~ \ , 19C1J by . R~~ ~~ STATE OF FLORIDA COUNTY OF . The foregoing i~ument before me this ~C \ Q~~o was acknowledged , 19~ by . who i produc as identification take an at. Scc.{o~ nally who has who is sc.nall to me prod . ~ as identification and who d~d' ot) take an o~~ ~ Uf\-I ~ (SignatU}-e~'L~~ "S t:.~ ~I ~~ (Name Typed, pri~d or Stamped) NOTARY PUBLI C (Name Typed, Pr' NOTARY PUBLIC ",'r;.t~" BETIY JEAN nPTON !"f ....f~ MY COMMlSSION , CC 233547 .~! EXPIRES: Octllber 8. 1996 .~. BondId lbru NollIy PuIllIc ~ BETIY JEAN nPTON MY COMMISSION' CC 233547 EXPIRES: 0ct0bIr 8. 1996 BondId lbru NlllIIY PubIIo ~ BUilDING- PERMIT Permit N ~ ''iYR F ?-.S: prJ CITY OF ZEPHYRHILLS (813) 788-6611 3813 & PmpertyOwneco ~ Job Address: ~.. ~ 'J/~ D ParcelLD. # .sY...~-a../-cU:U:)O -- t!J()SOO - (;Tc!>C>D Zoning: ~ ~n)7r~ Code: RadJn ,Gas: /~ -6 ~ 93 ;;;. 5IlT1J Desc';Pt;onofwo,,0N,p~---T<r< ~,,~ -td~7 \; Y'7(s, o-tJ BUILDING 6P tn) ELECTRICAL ,,/~'..tJ?) PLUMBING NO OCCUPANCY BEFORE C.O. Date 1-02.R--7'/ /y'c>, crv MECHANICAL Sewer Conn I 9/71 CriJ ,. - Water Conn: ~~-: ch) Water Meter/~-6--PY~/ T.lF.'~s: ~ $I y.y: 9" 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 ~'R; tfOtJ, dcJ City License Registration # / Y Sta~Certified License# _ ~: 24.77/3 -~ ~~. BUILDING ~/e. 123 ELECTRICAL DATE Permit Fee Signatu Company Address Telephone# 1l~/7/-5'l PLUMBING c/J~ -1~ ' ?~ MECHANICAL Ftr. Pre SLB Lintel FRM. PIg -q4: J1\tL Insul. CL WL 3~q -~L\ ~,.jJl Fl/.1io1L J-/-U:;itt.( elU-- Driveway Tp. Servo Rough In ,5 -Ib-qt{ f.x,b Meter Can Const. Pole POOI~' P~e-Me . ~ . iq Flnal_ _ SLB :.~mqjJ; Final .$ E-wUt.- ~,fi.::-llJ ItLL aMs 3-l<&*tLL Breakers Ducts Insl. "S-II:.-.c:'ft.( ~~h comp~sor Final -2b.Q4 &~ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. ]Ja 1-.:2 g-.~f'~ fJ-J - ~ol.b -;I Y The payment of inspection fees shall be made before any further permits will be issued to the person owning same. " APPL,ICAl'IOIl fUR FERtIIT CITY OF Zll:IlIfIYRHIUS B(JIIUlUiG DII',PARlftEBT OWNER'S NAHE OWNER'S .JOB ADDRESS LEGAL DESCRIPTlmt: IDl(S):2 ~ ::J BlncK - StmDIVISIOIll~ )~"'/h1Jl.A...-l-aAA)?J(O~ j~-2C:;''-21-()()OC) -(J(')3OCJ -odOtJ PARCEL 1. D.' WORK PRoPOsm:A-lIew Construction _MdHi90 _Alteration _Repair _Install _Sign ~ve _DeIIOlish PROPOSED USE: Single F:DIily A-~rcial _"'F _' of Uni~s _KID _Indust. _Swill. Pool Other ---.Jlestaurant 5- Health Deparhleot Approval BUILDING SIZE: x Square Feet. Height RESIDENTIAL: C'OttftERCIAL : AtTACH (2) PLOf PI.AIIS 5- (2) SEI'S OF BUILDING PUUiS 5- (1) SET ERERGY FORKS. U ATtACH (3) SEI'S OF BUILDUIG PLANS 5- (l) SEI' EJ1IERGY FORKS....... ......COPT OF COIfTRAC'f RIlQUllRIlD. PIlmIlTS REOU&STED ~nLDING ~HC'fRlCAL ~CBANlCAL '-6.UKBING $ Valuation of Total Construction AftP Service Florida Power Corp. W.R.E.C. $ Valuation of Kechanica.l Installation GAS X Block ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Fr~ _Steel Other FINISHED FLOOR ELEVATIONS: FI' . IS FROJEC'f IN FLOOD ZOBE AREA? YES NO .............................................................................................................................. BUT I J)ER cornMClUR SECI'ION W!tPMY 80.~~ \Jh~. eo. I ~ 'v,.J0- State Cert. or gist.' c..~O \%J ~3 \ City License Registration , /. ............................................................................................................................ Signatu ELECTRICIAN ~ mtIIPMlYO/f(yk E/~c<<IC ~ ~( /' L7~ State Cert. or Regist. , Sif!D8tureL'~~h 0tJ.. ~ Cit.y I.icense Registration t .#'/:7:-:5 ... ~........................................................................................................ PLUlBKR OOItPARf ~o. ~ a ~~ ~~ '0\ ~\.>1 ~ State Cert. or Regist.' <2. F 2..>iJ?_ r Signature City License Registration , 91 ................................................................................................. IlECllANICAL PtaJ ~ <DIPMY ' State Cert. or Regist. , () 'W ~ Cit.l' License Registration .............................................................................................................................. Signature ))OQ 01BIl:R W!tPMY State Cert. or Regist. , City License Registration , .............................................................................................................................. Signature APPLICATION APPIlOVIIIl BY Jr.u:z.t <1_ 4ul-dl_r PERIIIT OFFICER. CONDI~ION5 OF PERMIT AFFIDAVIT A. NOTI~_E OF _Q.~ED_RE_!?JRICT.lpt-m The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for (o~plian(e with any applicable deed restrictions. B. !JNL I CENSED CONTRACTORS AJi~L.CO!:llRA~TOR _RJ;:.p.E.91~S I B_1 L:Cf I Ei2. If the owner has hired a contractor or contractors to undertake work, they may 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 .isde.eanor violation under state IaN. If the ONner Dr 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 Departlent, 18131 788-6611. Furthereore, 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 pereitting privileges in the City of ZephyrhilIs. [' TRANSPORT A T I ON H1PHCT FEE~ {.)t-m UT I!:- I TY .J::;ONNECT I 01'>1_ FEE.2. D . ~ONSTRUCT I ON L I EN .!:-AH (CHAPTER 713. FUJH I Df) STATUTES ~ (,S ()MENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoeeowner's Protection Guide" prepared by the Florida Departeent 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 doco,ent and proeise in good faith to deliver it to the "owner" prior to coelencelent. E. ~ONTRACTOR' S/QHNER' S AFFIDAY_IT. I certify that all the inforeation in this application is accurate and that all work "ill be done in co.pliance with all applicable laws regulating construction, loning, and land developeent. Application is hereby eade to obtain a pereit to do work and installation as indicated. I certify that no work or installation has cO'lenced prior to issuance of a perlit and that all work will 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 .ay apply to the intended work, and that it is IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not li.ited to: , Depart.ent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent , Southwest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses J. ArlY Corps of Enqineers - Seawalls, Docks, Navigable Waterways , Departlent of Health L Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks , US Environ.ental Protection AQencv - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating yolute" Mill 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 Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid unless the work authorized by such per.it is cOI.eneed within six lonths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six .onths after the tile the work is co..enced. One 90 day extension of ti~e, aay be alloNed for the per.it Hith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT nAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,50Q IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR was acknowledged , 1? _ by STATE OF FLORIDA COUNTY OF The foregoing instrument befclj-e me th i 5 STATE OF FLORIDA COUNTY OF The foregoing instrument before me this "leiS acknowledged ~ 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has pl-oduced as identification and who did/did not take an oath. (SignatLu-e) (Signature) (Name Typed, Printed or Stamped) tlOTARY PUBLIC (Name Typed, Printed or Stamped) NOT AR'LPUBL I C APPLICATION FOR PERMIT CITY OF Z~PHYRHILLS BUILDING DEPARTMENT APPLICANT c W~\,)\ ~W ~<ec\.\ Q.c:... \.. ('1s ADDRESS ~ 335 G-c...\.\.. ~\\) d""* :L 2. ~\ \..\~ PHON OWNER '6uJ ~ (), t. ~ ~ U-~ \ ~c... \.. '{\ f -\ S ?~ (-\ ~ E: Cs l, f JOB LOCATIOh__ ~'lWb~ l"V\.<c.c\'I~c:.r.\. Ai\,s e."\ LOT SIZE X AREA SQ.FT. , ~ LEGAL DESCRIPTION: LOT(S~.A..A.AR :2-- BLOCK - SUBDIVISIO~.A hA..A~) ~.D..f) PARCEL I.D.~F ~ l\-~S-~l-D 006 -OcJDO -0060 WORK PROPOSED:~New Construction ----Addition ____Alteration ~epair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____t~ of Uni ts .~/H f-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. ****************************************** CONTRACTOR SECTION (\ rr ~ Company \ ~ 0. \.> d.~ ~\. "--0. .r ~ C' . State Cert. or Regist. C-OI{}G~~ Signature City License Registration # ************************************~***** ::=:: :;:JitJAit- ~~~~~~~:~~e o~~:~;~:;~::~ tI=-/7 3 ....~........................... Signature Company ~o.ik 0 ~ 'L. \-t: State Cert. or gist. # City License Registration **************************** ~l~~~~~~ C- ~O:) Y 4~ MECHANICAL Signature Y Company giOlI,e is ~().;;-t,y~ G,f".t...~ _) /-<--. State Cert. or Regist~ # CtllcoJ/3fjy ;7 ~,~ ' City License Registration # ****************************************** Company State Cert. or Regist. # City License Registration # OTHER Signature .*"*******~**~'*************************** APPLICATION APPROVED BY ~(J ~A4J-u~ PERMIT 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 assuaes responsibility for cOlplianc! with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay be required to be licensed in accordance with state and local regulations. If the contractor isnDt 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 what licensing requirelents lay apply for the intended wDrk, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) 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 docutent and protise 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 cOlaenced prior to. issuance of a perlit and that all work will 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 what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: I Departlent of Environaental Requlation - Cypress Bayheads, Yetland Areas and Environlentally Sensitive Lands, Water/Wastewater Treatlent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health 1 Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I 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 Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, Dr if Nork authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work 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 lust 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 KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C ""ENCEKENT. JOBS UNDER $ , VALUE DO NOT NEED TO RECORD A D POST A "NOTICE OF CO""E " who i. produc as identification and take an at. Q o.sQ.O STATE OF FLORIDA COUNTY OF . The foregoing i~ument before me this ~C \ QC0~O who has -s~( who is sonall own to me who has prod . ~ as identification and who d~' ot) take an o~~ "\ ~ ~ (Signature~~~~ :s t:~ ~l {>10~ (Name Typed, pri~d or Stamped) NOTARY PUBLIC was acknowledged , 19~ by , (Name Typed, Pr' NOTARY PUBLI C ....~'.(.t~ BETTY JEAN nPTON /~ . ~ MY COMMISSION , CC 233547 - EXPIRES: October 8. 1998 IIClndId TIlnI NallIy NilIc \JndIrWIIIIII BETTY JEAN TIPTON MY COMMISSION , CC 233547 EXPIRES: 0ctabIr 8. 1998 IIClndId TIlnI NoIIIy NilIc lJndIrMlWI ----- . Tax Folio No. Permit No. State of County of FLORIDA PASCO NOTICE OF COMMENCEMENT To whom it may concern: The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, the following information is provided in this notice of commencement. Oescriplion 01 real property to be ImprlMld (legal ~iplion end address H BWMbIe) , ""'\ .Cb a .5 (:) 4. <J:) ,.ex> d.'-\So SEE EXHIBIT "A" ATTACHED HERETO AND INCORPORATED HEREIN BY REFERENCE \ "\ \..\ 5 q <6 \ General de9criplion oIlmprCMlfTlllllIs Construct a 4-Unit Medical Office BuildinB Address Sandy Development Company 12303 Highway 301, Dade City, Florida ~;';l";' r: or rLORI DA general p~r.t!tler!llip:~'3CO :";: l:, 'I n G:~~i!' Y 'l"I1,H THF. mREGfll NO I S A 33525' ..'." '.:' " ~.'.' :;.,\;.1' ii~ H!~ :,'.j~~U~ftH ON FIlF. I"~ .' '....".:::.",;,.W.ld li:!~.(,I:I~':~tti~f.SS MY '."- :.~~l ~ ::.::;~.. 19f~~:F'.- IJM OF ,:,...,',.;....".,".'.;'.lr.".':"'H.rlJ)...lI" ;.. (~ . . . , ~" '~':'. :~"'~;p t. ,", ~ .. I -"--.-1~u..~ . ~...t;.. Owner InIormalion TOWNVIEW MEDICAL ARTS CENTER, a Florida Name Address 2006 S. Highway 301, Dade City, Florida Owner', inler. in Iha IIiIe 0I1ha improll8lTl8flls (W olller than lee simple li1Ie holder): Name 01 lee simple li1Ie holder (if olher than 0Nnet'): Address Contractor 33525 Contractor Address Contr8Clor Address ~1~'~"3~ V'S'~~01~ fI /"t..J7 / (oJ,.. RECOnOINGiINDEXING RECORDS MODERNIZATION FEE CERTIFICATIONS & SEARCH~5 COPIES-RECORDED 1::23/93 12:41 ~M 17.UU Address ContrllClOr Contractor 2.Ju LOU ~. uU Addtess Surety on any peymenI bond: Name Addr8S1 ""'f\T .'1 . I... ti_. -:; _ I:.~'i Amount 01 bond s ,"LIE f' I .. . ...r ...r\. NIIlTl8 01 any lender making eloan for Iha conslruction 0I1ha imprO\llllTl8nl1: Bannett EGiI; WO pascdlbWnW1T PAW: Address 10220 u. S. Highway 19, Port Richey,' Florida 34668 Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by section 713.13(1)(a)7, Florida Statutes: 2Lt.~u 24.JU I: In addition to himself, owner designates the following person to receive a copy of the lienor's notice as provided in section 713.13(1)(b), Florida Statut NIIlTl8 - I' .... pp I' M 'N M ~ CI EREBY CERTIFY that on this day, before me, an Officer du uthorized to a acknowledgements in the state and county named above, personally appeared Thomas E. Oakley as Presi nt of Concire, Inc., as Florida corporation as General Partner of ,Townview Medical Arts Center and James H. Bingham, as Vice President of Requme, Inc..~ to me known to be the persons pescribed in and who executed the foregoin nd ap ed d before me that they executed the same freely and voluntarily for th~, purR~es tb~rein expressed. """'RIP ...; su"","~ ~ ~ lh~ q+1-- day of ~ f).H:~:lt.i'6 ~"') ,09 0. . ...:: ~ .~ (NOfARIAL ~.sEAL) Penny McCollom Barn tt Bank of Pasco Count Address 19 Port Riche Florida 34668 This Notice of COJIIm~ncement TOWNVIEW MEDICAL ARTS CENTER, a. F or a genera partners shall expire 11L~9 L94. By: Cone ire , a Flo i a Corporation as G';!neral Partner Prepar~ by: LARSON & BOBENHAUSEN, P. (Typ or print legibly.) & Return To :rri ,Larson & Bobenhausen, P.A.By: dress' P . 0 . Box 219 . Y : te, Zip:' Port Richey, Florida 346 3 . General Partner Name: PLEASE PRINT Notary Public, State of Roode at l8rRe My Commission Expires: My eefflfflinion [JCI)ires March :i9, 1994 (Post certified copy. at recorded' notice on construction site.) no'77n lit.... ".. PC \I...I.......;~_. r L..- C-- /~.., ~:... 1 v ClIUClLIUII.1 '-.J c".; v v (/. v'-" I Permit Fees: -.--------..--.- ____.__~uilding _~!L.5': PlJ_ Plumbing )jb-, 07J Electrical b..L_ ~__. __Me~banical __--.!ifl~_,fl)_._ ____ S~btotal _.~.J!!L.r!Z2._. ___.____ C~edit ___ - 70."'. ~_ T otal ~ - .2 Lj, c/Z) -'--- ---7'----.::::l.~- Connection Fees: -.-. ---"----- --- Sewer -.----------- Water -.5-;;;.:;-.- d7J Meter IJ-.{, -73} Total ~ 'fi:l. ()b J- .--.-. /9'/7- t'7) ~.-.._-_.~-- R~,d;'!_~~St" -(ol-~_!_- .____..~q~. Feet . _____~ _ijYV yO [__ . T.I. F .'s 1.911 /% ~ ~~o.~TI oZ Y Y.s- /J112-~~~d tltZ- ~ 2tJ D 6JP- ~ (Sq. Ft. LivingJ c2/3 c2..0 f ~. Ft. Oth;!T -~] [r~ta~i~~~.~l ~I\"..;'\\J \. -;,ri~)...c'.)....,.:\.JI.\T ,/'....w-~ )j,.....\t. I --r';'.:",J ~.tf~~,/l.\.€-.\) I ff2-lS j:)':V\5>i- ]]J::- f:;u: '" u> \ ., ," !\. I' . ""tv: t lJ . r---- ----- .-.----- -- -.-- ~-~-----.-, I ,-?"I I \1...1.......:.......... ,),.,i) Cl C C. VC1IUC1l1UII. ~_ t.._~I_~__~ Permit Fees: -----.----.----.- ---------- ---_._- 4' ,- ,.- ) _ Bujlding __~>~. ~~ Plumbing ~ll D'::> Electrical -. q - () ~y-- -~e..l-':.--.- Mechanical L-IO. C> C) -~._------_._._. -----~--- --.--..--. __~_~bt~~~. ,iB~..=)c _.__. Credit --l6~ Ci)C --_.~_._.__.._------ ----- ,.-. --~-_.._- .___.__Total ':'~/'t~ So Connection Fees: .- --...-.-.-.---.-- .---------.--..-.-- -----. .."--- Sewer 1 Ql-7.0'::> .----..--.--.---- ._~-_._--_._- Water .5-2~)_ 00 ------.-.------- --~-- Meter t-J~~' ;~,i~ A Total 2 4'+ 2-~ 0 u ....-.-.---.----- ----~------_._. . ( So Hfi.U- [---.---.-----E-.-.-----.- [a:~: ~e:: --1J/I\~"i~-ll1..c, [=-=:ii-F. 's L==~=~=J - ~ e 5~-e:e- ~~1~ ~~ ;v 02 () . 5(5-- ') - ..) . \./ u (/, ',FO / % : ~ 'I Ys~ / \ ~v \L.l~ ouT rsq~-Ft~LM~2.~~c x' 2.~~Df ~.:..--r:.---=-_I-- ~t. Oth~L I / ~~=~._- .- . . /OtJi~ \[i i~V-: v"t(1..,.Y. r~,rt:'1;) U..u i I' 1> TAIlLE A - WORKSHEET Pt\....}~1L l1L:;~l..vGo:. CUY OF ZEPHYRIIlLLS CONNECTION FEES RESOLUTION {1312 WATER $1. 7S/GALLON SEWER S6.39/GALLON RESIDENTIAL (Each Lot or Unit ) Residence ..- $ :}-SO.OO $1,278.00 Travel Trailer Park 131. 25 I, 79 . 2 5 COMMERCIAL (PER FIXTURE) Sinks 87.50 319.50 \va te r Closet 131.25 I, 79 . 25 Urinal 87.50 319.50 Lavatory i13.75 159.75 Tub/Shower 87.50 - 319.50 \vashing Machines-Commercial Size 350.00 1.278.00 Washing Machines-Domestic Size 87.50 319.50 FOOD SERVICE - Dish\0,7asher 700.00 2.556.00 Sinks (3 Compartment) . 175.00 639.00 Car Kash (Per Stall ) 1,000.00 6.390.00 FIXTURE G.P.D. If HATER SEh'ER TOTAL PER FIXTURE Sinks 50 :2- 115, c) v fo?lj, 0 u CSi'-l. Di) Hater Closets 75 2 Z~2.~O q 5''8. 5""0 \ 21-\ L 00 Urinals 50 --.- n. Lavatories 25 :~ ~/. -S-O 31';.5O !.fo 7 . 0 0 Tubs / Shm0,7ers SO Hashing Machine 200 Hashing t-Iachine 50 Dishwasher. 1,00 Sillks-3 Comprt 100 Car Wash-p/st. 1,000 5251 aD 1 Qtl, <:>0 2/-14 Zt 00 I " h'A TER METER J R- 'l t> u.5rrH S \\1iU- L.,4W.2..00 GRANO TOTAL Component Perform~nce Method for Commercial Buildings Form 400B-94 1Jn~1 )) ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs FLA/COM-94 Version 2.1 PROJECT NAME.._TOWNVIEW MEDICAL ARTS CENTE ADDRESS: ._MEDICAL ARTS COURT _____ ._Z E P H Y R HI L L S , FL. w..___.._..,..___~__..___. _CONCIRE CENTERS INC ..____........... OWNER: AGENT: BUILDING TYPE :_.Bus i ness (Off i ce ) _..___._.._____,.._ CONSTRUCTION CONDITION: New construction DESIGN COMPLETION: _"F-inished Building_____ . CONDIT IONED FLOOR AREA: ....2340. ._.._..mmm..m,._ MAX. TONNAGE OF EQUIPMENT PER SYSTEM: COMPLIANCE CALCULATION: METHOD B ENVELOPE PERFORMANCE OTHER ENVELOPE REQUIREMENTS LIGHTING INTERIOR LIGHTING EXTERIOR LIGHTING LIGHTING CONTROL REQUIREMENTS HVAC EQUIPMENT COOLING EQUIPMENT 1. SEER 2. SEER HEATING EQUIPMENT AIR DISTRIBUTION SYSTEM 1. Ventilated 2. Ventilated WATER HEATING EQUIPMENT 1. EF PIPING INSULATION REQUIREMENTS 1. Non-Circulating PERMITTING OFFICE: U) HILLS5l0ROI~'GH COUNTY _TI!~_._ CLIMATE ZONE :._4 PERMIT NO: JURISDICTION NO: _.391000._____ NUMBER OF ZONES: 2 3 DESIGN CRITERIA RESULT 63.41 78.03 PASSES PASSES 4104.00 75.00 4657.06 75.00 PASSES PASSES PASSES 10.00 10.00 10.00 10.00 PASSES PASSES INSULATION LEVEL 6.00 6.00 COMPLIANCE CERTIFICATION: I hereby ceYtlfy that the plans and speci fi<::;~tio,d$,:~'9vered by this calcu- lation?re i Tt},'l;'o f:>liance w~. th the Florida' En~rjy'/ I Ci::zc Cod. PREPARE02.: '..-- _.. ........m ___...._..__._~__...._~_.... DATE: " : !'" , __.~.~~.w_~__,.~_._.~~.._~,_,~.~~._,~~__. .),:~ . I hereb~~certify that this building is in compli'M6. with the Florida Energy Efficiency Code. OWNER/AGENT: DATE: 6.00 6.00 PASSES PASSES 0.91 0.89 PASSES 1.00 0.77 PASSES Review of the plans and specifica- tions covered by this calculation indicates compliance with the Florida Energy Efficiency Code. Before construction is completed, this building will be inspected for compliance in accordance with ~~~~~~~G5;;F9g8~ ~~~:~~,,~ DA TE: ~ -..~~___._ __..._____._.___. I hereby certify(*) that the system design is in compliance wj~th the Florida Energy Efficiency Code. SYSTEM DESIGNER REGISTRATION/STATE ARCHITECT : MECHANICAL: PLUMBING "~_~__~"~_'_~__~_~_"_____~'__~A_________~.~._.,.~_~,'_~~,'_,~., ..___^'_.__'_...~_^~_._..___~~,~_~_____~._________.__._.______~._~_~_____ C"l Cr-TDTf"AI .. 'm_'~'_,~_'_.~'___m_.'___'~"m~..~.^_._,,_, "'_""'<".'w,.."~_"'_",,,._.,.~,,_ "'>-W_"""'''_''_.___'_n_~__'''__~~_~_~n~~._._,........w_n".~......,~___"~_~_~..______~_,_~,'.~_...A_...._..n_'~....~,,~,_..,,______ '-.----..------'~--,..~~-.._~-.------...~..~,...~"'-..-~~~,.~,._y~_y.._._M"M'__...,~.,,~...,y_.Y...A..."__. ~.....~"W~__A~..__....~...'_~A__'~'_...~_, ".m_"_'=_'___""_~'A'_,_,"A "~_"_~"~'~~~'A_~~__.'_W'_'_'___'___'_'A"'C" I-. L-. L_ V I l'\.J.. \.....- M l- " :_:: (31-!'Y' I ~\[C~ :.:) S_snature is fequired where Florida law requires design to be performed oy registered design professionals. Typed names and registration numbers may oe used where all relevant information is contained on signed/sealed plans. COMPLIANCE CHECK 401.------GLAZING--ZONE 1------------------------------------------------v- Elevation Type U SC VLT Shading Area(Sqft)3 -------------- ----------3 1.04 .71 .52 Continuous Ove 1013 1.04 .71 .52 Continuous Ove 303 1.04 .71 .52 None 303 Total Glass Area in Zone 1 = 1613 401.------GLAZING--ZONE 2-------------------------------------------------v- Elevation Type U SC VLT Shading Area(Sqft)3 -------------- ----------3 1.04 .71 .52 None 303 1.04 .71 .52 None 383 Total Glass Area in Zone 2 = 683 Total Glass Area = 2303 402.------WALLS--ZONE 1-------------------------------------------------3--- Elevation Type U Added R Gross(Sqft)3 --------- -------------------------------- ----- ------- ------------3 North 4" Face Brick + Air Space/ 1" In 0.130 0 4673 West 4" BRICK,SHEATHING,R- .075 0 2193 Total Wall Area in Zone 1 = 6863 402.------WALLS--ZONE 2------------------------------------------------3--- Elevation Type U Added R Gross(Sqft)3 --------- -------------------------------- ----- ------- -----------3 West 4" BRICK, SHEATHING, R- .075 0 2473 South 4" Face Brick + Air Space/ 1" In 0.13 0 4673 Total Wall Area in Zone 2 = 7143 Total Gross Wall Area = 14003 403.------DOORS--ZONE 1------------------------------------------------3--- Elevation Type U Area(Sqft)3 --------- ------------------------------------------- ----- ----------3 Total Door Area in Zone 1 = 03 403.------DOORS--ZONE 2------------------------------------------------3--- Elevation Type U Area(Sqft)3 --------- ------------------------------------------- ----- ----------3 South 1-3/4 Steel Door-Fiberglass/Mineral woo 0.60 213 Total Door Area in Zone 2 = 213 Total Door Area = 213 404.------ROOFS--ZONE 1-------------------------------------------------3--- Type Color U Added R Area(Sqft)3 ------ ----- ------- ----------3 Medium 0.030 0 13503 Total Roof Area in Zone 1 = 13503 404.------ROOFS--ZONE 2------------------------------------------------3--- Type Color U Added R Area(Sqft)3 ------ ----- ------- ----------3 Medium 0.030 0 12303 Total Roof Area in Zone 2 = 12303 Total Roof Area = 25803 1------------------------------------------------3--- BUILDING INFORMATION North NOi-th West Commercial Commercial Commercial West South Commercial Commercial TIN,SHEATHING,R-30,D.W. TIN,SHEATHING,R-30,D.W. 405.------FLOORS-ZONE Type R Area(Sqft)3 ------- ----------3 o 12703 Total Floor Area in Zone 1 = 12703 2------------------------------------------------3--- R Area(Sqft)3 Slab on Grade/Uninsulated 405.------FLOORS-ZONE Type ------------------------------------------------ ----------. .? ~, Slab on Grade/Uninsulated 0 12303 Total Floor Area in Zone 2 = 12303 Total Floor Area = 25003 406.------INFILTRATION--------------------------------------------------3--- ;.iCHECK3 T..-..-f=;l+-...-~+_;^Y""l r-......;+o.......;~ in lif"t~ 1 ^Rr 1 h~\JO hoo....... m.c':)+ ? ? ..J...lli,l...I........I<,..:.l...........VII '-'i..l.,-vi.J...<;,;.l. .J...ll .....T'Vv~.J.....r,w'..........J... iIQVx.;;.; l-J'V'Vll Illv........ ~07..------caci_:~G SvS~EvS~~---~--------------------------------_._----------3--- , , Type ~n Efficiency IPLV Tons ~? -, _..._~-'--_.'--_.~--'---- .-.: ~, i. Split SystE?:T 1 10.00 0 3.003 2. Split System 1 10.00 0 3.003 408.------HEATING SYSTEMS-----------~-----------------------------------3--- Type No Efficiency BTU/hr3 -------~----~-------------------- ---------- --------------3 1. No Heating System 0 0 03 2. No Heating System 0 0 03 409.------VENTILATION---------------------------------------------------3--- 3CHECK3 Ventilation Criteria in 409.1.ABC.1 have been met. 3 3 410.-----AIR DISTRIBUTION SYSTEM----------------------------------------3--- AHU Type Duct Location R-value3 ----------------------------------- ---------------------- -------3 1. Constant Volume Ventilated 6.03 2. Constant Volume Ventilated 6.03 411.-----PUMPS AND PIPING-ZONE 1---------------------------------------3--- Type R-value/in Diameter Thickness3 ------------------------ ---------- -------- ---------3 411.-----PUMPS AND PIPING-ZONE 2---------------------------------------3--- Type R-value/in Diameter Thickness3 ------------------------ ---------- -------- ---------3 1. Non-Circulating 5.0 .75 1.03 412.-----WATER HEATING SYSTEMS-ZONE 1----------------------------------3--- Type Efficiency standbyLoss InputRate Gallons3 ------------------------ ---------- ---------- ---------- ----------3 412.-----WATER HEATING SYSTEMS-ZONE 2-----------------------------------3--- Type Efficiency StandbyLoss InputRate Gallons3 ------------------------- ---------- ---------- ---------- ----------3 1. (=12 kW .91 .02 4.5 303 413.-----ELECTRICAL POWER DISTRIBUTION----------------------------------3--- 3CHECK3 Metering criteria in 413.1.ABC.1 have been met. 3 3 Transformer criteria in 413.1.ABC.2 have been met. 3 3 414.-----MOTORS---------------------------------------------------3-----3--- Motor efficiencies in 414.1.ABC.l have been met. 3 3 415.-----LIGHTING SYSTEMS-ZONE 1---------------------------------------3--- Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)3 ---------- -------------- -------------- --- ------ ----------3 Toilet and lOn/Off 2 144 943 Reading, T lOn/Off 2 144 1033 Reading, T lOn/Off 5 On/Off 2 1872 9903 Total Watts for Zone 1 = 21603 Total Area for Zone 1 = 11873 2---------------------------------------3--- No Control Type 2 No Watts Area(Sqft)3 -------------- --- ------ ----------3 72 603 72 953 1800 9873 := 19443 = 11423 := 41043 = 23293 3CHECK 3 Lighting criteria in 415.1.ABC have been met. 3 3 ------------------------------------------------------------------3-----3--- 16. HVAC load sizing has been performed. (407.1.ABC.1) 3 3 ------------------------------------------------------------------3-----3--- 17. Duct sizing and design have been performed. (410.1.ABC.1.2) 3 3 ------------------------------------------------------------------3-----3--- 18. Testing and balancing will be performed. (410.1.ABC.4) 3 3 ----~-------------------------------------------------------------3-----3--- 415.-----LIGHTING SYSTEMS-ZONE Space Type No Control Type 1 Kitchen Fine Activ Reading, T 1 1 1 On/off On/Off On/Off 2 2 6 On/Off Total Watts Total Area 1 for Zone 2 for Zone 2 Total Watts Total Area " ."') ,..., ........ .-.....-- .-. -I- .; .-. """ / >'V'."'" .; '-' +- -. ........ -. ..-. .-.. ....... ....... .-.. __, . ...... 'I ,,:. 1 1 l,...,. """" _ ........ .-., , .: ...J __....J +-...... .-. I ...................... (-1 /'\ -"') _I "\ _") .....) .;..7 ',...."t.....Jl:;:;.: a:..,....:.. '....) I ; / j i j ct .J.. I I :...... t::.:::' I I Q I I '-- ~ i I: Cl. : J U 0. .L lAJ J.. ...I.....L U t t-' I V V J... U ~ U L. V V IN I i c: I .. \. .J.......J.::... .. ..L ) ,-, ~1 Townview Medical Arts Center Unit 01 HVAC LOAD CALCULATION July 21 4:00 pm Walls N 348 12 0.130 543 S 406 20 () . 130 1 OSfi W 407 16 0.130 847 - Gl ass N 119 36 0.71 3 042 S 38.4 28 0.71 763 W 60 214 0.71 (0.75) DraDes 6 837 Trans 217.4 16 1.04 3 618 Doors 1::'1 1~ 0.46 155 Roof 2500 65 0.030 4 875 L i oh ts 4614 - 3.41 15 734 - PeoDle 20 255 5 100 - EqUlp. 4500 - - 4 500 ~en$ible 47 070 p-eOPre 20 255 - 5 100 a/A 300 54 - 16 200 Total 68 370 ~ Heating 1161 (40) O. 130 = 6037 217.4 (40) 1.04 = 9044 21 (40) 0.46 = 386 2500 (40) 0.030 = 3000 300 ( 40 ) 1. 08 = 12960 9.22K\~ = 31,427 1'\JW'f! \: -\\~'y" L ':::(; i ,'\ ,. cl~t.I:.i;' Un'~ t {",'j !.qi:\C ':\~~ '-'," ,~~_:L"\i-~t)~: --,{:- ,- "-I ~ ;~\ \ ~r' ',.1 C'! .- r:.:' T'~,!.') r::,r":-' ,.._::. ., f:"' :3?/3 -I' "-,,":<";0"" II i-' .r:(::j:- '!-o,o-J"C,.1""' ~. .".. ..... PASCO COUNTY, FLORIDA Name/owner_J~ iOAJ CountyParcel#SY- ~ -~- Ot!J~ - o~3Po.- oCJt) D Location J 7 tfA oal. >>1 ~c/ ax (7 l~ D CIassllu:ation/TypeofUse j;z",L~ ;fJ;/~ Permit# 34-'lJ 13 / -01.J:'- - 7' Y Date lRANSPORTATION IMPACT FEE CALCULATION Rate $ Zone # Sq. Ft. / Unit Prepared by Impact Fee Amount $ The above impact fee n established pursuant to the Pasc ty Transportation Impact Ordinance as adopted by the Board of Countye missioners. This amount is payable PRIOR to the issuance of a . lcate of Occupancy or authority to utilize the permitted structure. RESOURCE RECOVERY ASSESSMENT RESIDENTIAL NONRESIDENTIAL # Units Gross Sq. Ft (GSF) d. '1'11 I ::) Rate / ERU = 50.00 x 0.96* / Year or $0.1315 / Day ERU Assign # Assessment = (# Units) x ($0.1315) x (# Days) Assessment = !QSEl x (ERU) x (0.1315) x (# Days) 100 TOTAL FEE $ TOTAL FEE $ . ~r; 6- 93 *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. TIffi ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF TIffi 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. # "2/0 :5 79 g1~ ~-;Z c. ~ t;/ ( BY BY / 4 (-:J . White Applicant Canary Trans / Finance Canary RR / Finance Pink Office Green Bldg /Insp _.~- ~~...._... -_'__._'"l!"III'O........, __ .. --- , . .....,~.-._~'" T' __ " -. - ~,"'t~~~'!'" ,... ...,...,. ., -, ~.--.......- "'f". . ...~. ZEPHYRHILLSFIRE"!}DEPf,F"L, ::': :",.).~l~':~<;""':;~~:::' -- '1;':' . ',' ':,:_,:.,:,-::i,::f:~~~::. . Zephyrhills .Florida 33540 '};i(813) 782-8184;:;!~;<;;' ,~;, . FIRE CODE INSF;t.~~TION f~/f'// 0','~ ,1, # f Address J 7 S tfJ Z /li 1;'-;/ Ii J../.(' JJ if h . ,,7;t, t'- I ",:,';j;'~i:-~:,~.{::'_::'J... ~r.;p ~.." j " ' ~f:;';~:f;'~;';:i"~ . ,.i'i~I,F'" ..'.... Classification ,"JY;)~!" . t,_' ',: ',J, :,--/:,;-:< 1I,;'.I:,'P_, <: ,.:,.,:/\:~'~~;t,;~;F,~~'\":P;:i,:::i~~-:. ", owner/Manager/7~;":' //'~;';':;';Y/l )'f ~ /<.. " ':; - '.~.~' Business Name ;.. ,', -:)t" TYPt;:.' OFI~SPECllQ~~~'~~"Q~. , <" : .; - ~,-,,\~;:jIi:,;,r__ "'/,',:;!~:" -,.'.,i;,---,>;'r._{, Business Phone Occupancy Load OQU~RJ.~~~): ~FINAL t;",~""~,,"".i.vl,, O'c RE~INSrECTION . O:OTHER<" "'.f.,; ~ APPROVEI)"; 0 NOT APPROVED o COMMERCIAL CHECK o ~~~IJ~f'!'.:,/: . ',. ~,).t.;.,? ;"'" :~r"~:.;l4)::'-~:~;;iti,:: :>4}:t~'~'i~{ " .. ('..:,.-".. ~ ;'1:' ~'~ Listed below areiterns which must be complied with before this occupancy can be approv~by the Fire' Department. :~;i~~x /,\-;i-i::':.-:: ~~, o CODEVIO~TIONS !:~;.;,t~'tS\ . This inspection report specifies code violation{s) which if not corrected could ,cause a firj:J/ C90tribute to,Jhe spread of fire, or prevent $8fe egress during a fire. Your immediate attention to the C()rrection;:'ofthese~' violations shall be.required, as failure to do so is a violation of thecity,otZephyrhills:f,irt:t'Preven,tion Code. .,__,::':-.-" , . " .. '-',:~: ~:,; ,'~,::t"f,;,tt~',:.',-,',-, . 'y.'/:;~;"?,,::;; -":~,r,:,:'~'~:,:'~>',~"ji"i ,<.-. Q) I:':~,?: i /~~:;~;5t c~ ;~:~~YE;3f:;fi~YftJ:? " ,. .,- ,- ';. " ',., ,." ".-:.";'.1-',',. ,;.~,., ,,"'--" ." . - ~1~(~ I~~ i'f,~,:'~.;.~-~:1~ ""',' , ,- "::",.4t~:";~~;;:t '~;;;~. ;, " ".; :.: i;7t:~ ~ .>i~,::~;~:~?;.; :;,;; : .; '., I !,",,;,,:.,.:, . ~~~,""'_::"i':; "~ . ,_}-,:~:'~:'./: :.1-: '(l;,,::/:;r:,,' ..,:.,,' ,; _: :;'.-tl, ""-.~''- ". \':(t';~l?i::~i~ :~ , ..'!...':..... t':/___, ,!~' . ..' ,,~ ': - . '.: ~,' Inspect, qEl~e Re-Inspect.~ O~te ':""-"Vj~<,.. OwnerlMana~~~...~i~nature .~' t;~:~", ~:,o I ,< ''''4,,,,\,;~~ii~\\!'l:f,t,~~r' po.,ii'.,'" by the Zephyrhills.Fire' Dept.~.undertht:tCQQ~' &;.tBg~latlons "'NFPA minimum hall's Uniform Fire Safety rule~ and otht:tr;~aJ.fi~!-'8,t~!}'%~~. ';:'e!; '+' ' WhIte Copy - fie Yellow COpy . BId. Dept. Pink Copy . BUsIneaa; .' . , Inspect.lim, .. I This building has been ch standards, the State Fire Ma