HomeMy WebLinkAbout94-3892
BUILDING PERMIT
Permit N~ _ 389~
Date ..J - .~ -91
CITY OF ZEPHYRHILLS
(813) 788-6611
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Property Owner:
Job Address:
Parcell.D. #
Zoning:
Description of Work
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Sewer Conn /~ :J7f( -
Water Conn: ;}5"D -
Water Meter: /6S
T.I.F.'s: tyrO. .:TVl,1 t -I/-?~-
NO OCCUPANCY BEFORE C.O. DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances,
Valuation or , -Ii I2E.
Contract Price 7f 1'~, /'1S" -
City License Registration # .t? ~:3
State Certified License# tZ.G eD ::? ~ /1
Inspector
Permit Fee
Signature
Company
Address
Telephone#
S~~.~
7~R ~ ~;1M-
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ELECTRICAL7f=-/0; PLUMBI~-I01 MECHANICAL7f77
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Tub Set -- t). S
Water
Sewer z..-z.~.q5" ~LU-
Final (/;-/~ -f) lJ;LL
~u.$1lL(~~<h1
BUILDING
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Pre SLB/f'J-lv--Cj ~LLL.
Lintel /D --d4 ~ qJ..j Ii a.P.l
FRM. .~~Ar5 B(.w
Insul. CL
WL d-~-'Y5 fSLflQ.
flN t\L- (p--l~. -1) P lC>--
Driveway
~'j '''~-''5 bJ-t
Tp. Servo
Rough In .:l~;:). q ~.;
Meter Can .g - ~ -
Const. Pole
Pool
Pre-Meter i~ 'BeLL
Final ~-l~-)' ILl....
~on:IL bcA.i~
10-4'14 l3c.b
Breakers
Ducts Insl. ;;; ~;;J - <1 S" /jcJ,.-/
Compressor
Final {";-f1 -7) I::SK~
tvl't1TE 14~5ffl.1./~5tJ~
6Z - '3 -9,/
p/ & -/9 -7-i-
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
VALUATION:
SQ. FT. LIVING:
COST/FT:
Russell Brown
4773 Silver Circle
$43,195.00
1 ,165
$35.00
SQ. FT. OTHER:
220
COST/FT:
$11.00
VALUATION
DRIVEWAY
$43,195.00
$20.00
ADDRESS
$20.00
FEE SHEET
$235.00
SQ. FT. UNDER ROOF
RADON GAS
1 ,385
$13.85
TRAFFIC IMPACT FEES
99%
1 %
$1,585.00
$1,569.15
$15.85
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL :
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
392.50
55.00
59.50
25.00
$532.00
40.00
$492.00
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $3,883.85
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.3.
WINTER CALCULATIONS CLIMATe LONES 4 5 6
BASE SINGLHANE OR DOUBLE.PANE 'WINTERTAS-BUILT-
WINTER = WINTER POINT MUL T. WINTER PO:~';T MULT. x OVERHNlG::: GLASS
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.._---"-----~._--"'._.,."-~,.__.--...~_....."'_...---....-.._- ',.._._'--.....~~-----"._._-"'------------.~.--_._..,--,~~._-".--- --....._---_..~. -.-.--,--.-.-.. .-'.> ._..
2FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1.1 OF APPENDIX C. TINT MUL Tlt'L1E:HS tv,A I BE
USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT.
-4.
VJ!NTER PO~NT MULTIPLIERS (\'VPM)
.6A-10 WINTER OVERHANG FACTORS tWo
OH RATIO .00-.11
CU~~ATE ZQt.JES 4 5 6
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SINGLE P.~NE GLASS
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.l-!E/NW 1.10 1.15 ~ 115 1.30 J.JL 1.3_Lj__1,;'i0 ..L~__ _LElL
EJW .57 .19 -.20 --.:.&5 -1.05 -1.48 -2,03 -=~:O.L. -4.0!i._ ~5.04___
~ SE/SW .90 .80 .68 .54 .39. .22 ~JL -.::71 _...:.LQL_
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'fi-'1f:Of~'~:,UCll-PLi~~s-~-'OP; 0 rriER"TY-PES OF CONCRfr'EBi1iCKcoNs'rRUCTlON SEE SECTiON 2 _lOF APPENDIX c~2MUi. TIPlH:"iiS"w"h-OIHEFrrVPE'S 6-F-RAjStiD~VO{)D A;s:J':~Ul:j[s'~;~i~'--'k'
SECTION 3.1 OF APPENDIX C. 3 DUCTS IN CONDITIONED SPACE NEED TO BE INSULATED ONL YTO THE R.V ALUE NECESSARYTO PREVENT CONDENSATION.
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5A.18 HEAm:G CREDIT MULTIPLIERS HCM
____SJ~!;M_UE_L__________
Attic Radiant Barrier
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APPLICATIOII fOR PERllIT
CItY OF ZIl:nIIKHIU.s
BOII.DIIIG DEPAKIl'mIrr
OWNER'S RAIlE 1< USSELL W\, <tS Qowt-L PRONE (go - / 8G~
OWlIER'S ADDRESS 'i5'Z. '35 V\ N G- ELI4 cou R"\ '2. E PH-v 12 HILI .s 1=; '3. 'S. 54-(
,
JOB ADDRESS Jf. 7'73 -5, L VGR CI RCLc=) zc:S /? 1-1 Y f( ~ILL~ FL .-~.:s s 4-(
SUBDIVISIOB CH W L FaNI vi LLb4..s. ']C
P\4&F /0
LEGAl. DESGRIPl'IOII: I.OI'(S)
PARCEL I.D.' 12EcoRD PL14T
-
BI.OCX
'BecK. 3 I
IiURK PROPOSED: V lIIev Construction _Addition _Alteration ---.Jlepair _Install
_Sign
_lIove
_~lish
PROPOSED USE:
~ingle Faaily
_"IF
_' of Units
_/H
_~rcia1
_Indust. _Swm. Pool
Other
R~sbmrant & Heal~t Approval
. I jt<? r. .' fV10ceL UN I QuE) I L
BUILDING SIZE: 2Q-o x't=-.Yb7, /20(:,. ~e het, ~ t')ir tVC El4vES Height
/
RESIDENTIAL: ATI'AaI (2) PUJI' PLAlIS &: (2) SEIS OF BUIIJ)IRG PLAIIS & (1) SKI' EllERGY FORKS...
OOItIIERCIAL: ATI'AaI (3) SEIS OF BUIlDIRG PJAliS & (1) SRI' ENERGY FORKS...
..oopy OF OOlI11IACI RIIQOllUlD.
PmDfTTS REOlJR.conm
~UlLDING
t~.RcnuCAL
~CAL
~UKBIBG
Valuation of Total Construction
AIIP Service
,,/, Florida Power Corp.
W.R.E.C.
$
Valuation of "ecbanica1 Installation
GAS
vii.ock
ROOFIRG
SPECIALTY
TYPE OF ooBSTRUCl'IOB:
_Fra.e _Steel
Other
~
YES NO
FIlIISHED FLOOR ELEVATIOIIS: '7 '7 Fr .
IS JIRO.JECI' IN FI.OOD ZOIIE AREA?
..........................................
Rml.DRR r:-J . .
Signature /~ iY\. <g~
aJIIII'JL\CIOR SECTION
(DIpAIIY ex U.sc;EL-L YVl. 13 f20G./^-C
State Cert. or Regist.' C6=.C 03 b 1\
City License Registration' :;< J.r 3
..........................................
1tI.F.CIIUClAN
SiPOAture ~~ M,<6}Ot..~
CDlPARY 9 u 5.s 6LLnt. ~ R 0 Lv/'-./.
State Cert. or Regist. , J.::.R CDI 0 ~5 I
City License Registration' J b 'X
..........................................
Signature
CDlIPAlIY qUS.S~ M. JSROl..uAJ
() . . (J State Cert. or Regist. , C I~ L 0 SC1 Cl q ~
y ~ OY). :...D~ City License Registration' {Ot
..........................................
PUIIIBRR
IIEaIAlIICAL r-J . .
Signature ~
&/e/
SiJpJature ~
OOIIPAIIY QU~c..EL-L M. ~R.oLv ,,(
en 3 State Cert. or Regist.' C V\- co 4-1 z.54-
. ~ City License Registration' 'f r
..........................................
OOIIPAlIY
VI A b State Cert. or Regist. ,
.. V\, ;;ft,.~__
.. v -~ City License Registration ,
..........................................
APPLICATION APPROVED BT'...{J ~
PERIIIT OFFICER.
'l-.,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay be subject to -deed restrictions- which .ay be .ore restrictive than City
regulations. The undersigned assules responsibility for co.pliante with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with
state and IDcal regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be
cited for a .isdeaeanor viDlation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813}
788-6611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} 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 .ay 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 so.eoneother 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..encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation 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 .ade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOI.enced 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 developaent 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
.y responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environaental ReQuIation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environ.ental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood lone "A- or "A,etc.", it is understood that a drainage plan
addressing a -co.pensating volule- will be sublitted 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, Dr
set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid
unless the work authorized by such perlit is cO'lenced within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six .onths after the ti.e the work is cOI.ented. One 90 day extension of ti.e, .ay 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 .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 CO~NCE"ENT ~Y RESULT IN YOUR PAYING TWICE FOR I"PROYE"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 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO~NCE"ENP.
SIGNATURE: OIlMER OR AGENT
~~ w\. <Rv1~
SIGNATURE: CONTRACTOR
was acknowledged
, 19 _ by
STATE OF FLO~A
COUNTY OF t'A~( (:)
The foregoing ~trume~was acknowledged
before "i<c this .::.~. 19 q<f by
t{ ~r; e 1/ DR(J&!)t1J
who is personally known to me or who has
produced
as identif.cation
take an 0 h.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(S. natLlr~ f !h C /1
_ u IUJ D Um
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(?~.. OFFICIAL SEAL
~\ SUSAN A. McCOLLUM
\ ! My Commission Expires
I April 16. 1991
~c,~... Comm. No. CC 268679
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PASCO COUNTY, FLORIDA
Pennit #
Date
Name/Owner
COlUlty Parcel #
Location
Classification / Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft. / Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco County Transportation 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 pennitted
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 =
(QSfl 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.
TIIE 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 fonn, placing the building permit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
------------------------------------------------------------------------------------------------------------------------------------------------------------------
OFFICE USE ONLY
TRANSPORTATIONREC. #
RESOURCE RECOVERY REC. #
DATE
DATE
BY
BY
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg /Insp