HomeMy WebLinkAbout94-4017
BUILDING PERMIT
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CiTY OF ZEPHYRHILLS
(813) 788-6611
P , NO
errrllt '.
_ 40178
Date -6- - 6 -77"
? <f: 0-0
)'0. o-v
PLUMBING
,J-S." t:Ti)
MECHANICAL
Sewer Conn / 01. ~ y; o-v
,... ,
Water Conn: 3!;~. ~
Water Milter: 16.!>'. uc;J
BUILDING
ELECTRICAL
::~:::,~,:~e'671- v;,- ~~ c,t.
Parcel I. D. # ..5 -;U -;). / - tJ tJ 0 O. 0 C) / (!J 0.- if
Zoning, Ene'gy Code, i~ ~ ' R'd[ G.. ..3 J ~'/
Description of Work ~~4.~ ~?t J ~ 1 A 1k~
T,I.F.'s:
-
~A.:J'IL~ /J(..z.~1 ..1-1- f'y
/~ ' ,!1-0
NO OCCUPANCY BEFORE C.O.
FINAL ~J .. cJ(~ -
DATE
C.O. ~/-;Lfj-7'1
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordart:'e with City Codes and Ordinances.
Inspector
Permit Fee
Signature
Company
Address
Telephone#
6$1 a,~--o
~Ju.L \...Jf-. '4rLLU.e.-.
Valuation or CV
Contract Price-a ~ / (.4 6, cr-o
City License Registration # /~/
State Certified License#
vJ;~./L-e-~
BUILDING
Ftr. (tJ-{ D' t:; t../ BE:-
Pre SLB 7-,)~C,'-I ~ LL
Lintel
FRM. q-2.~-q4 Slq
Insul. CL
WL ~",2..ca-.q~ ~'U-
~kuJL..'j -t.. '}2.-1'-1 ~lLL-
Driveway 10-1/)-'14 B dl
PLUMBING
xf.J:Y:o/~A/c
MECHANICAL .7c::r-
Jn4tli ~I
ELECTRICAL / {)
O{,"<t Jd/r - .;~7
Tp. Serv.
Rough In Q-2c:a--"4 .805
Meter Can';--~ -7<-;
Canst. Pole 'l-1I-Q4 &cJr
Pool
Pre-Meter /1-+1" f;t:b
Final
tonk(L Y.xNV fa -Ie 4t/ 16:LL
SLB b- 30-91-/ fj J.L Breakers
Tub Set q...2-~-q4.5\LL Ducts InSl.q-~-'Y'4.s~
Water t3 Compressor
Sewer q ~ 2 24f _~t"VFinal
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/1 00 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.
hla.0--,c.-9'/
1/- ;) y- 'c;-y
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
5335 8th Street
Zephyrhills, Florida 33540
1-813-788-6611
Date 3 -/ '"-9V
:::.:~t:~dzr &
Legal Description
Building Perm. /I
Fee
Plumbing Perm. /I
Fee
Electrical Perm. /I
Fee
Mechn!. Perm. /I
Fee
No. of Sewer Conn.
No. of Water Conn.
J <:U: "" _ ~ " I -;, J-.
No. of Water Meters -;zt.. ~
/~-, dlJ
Transportation Impact Fee
Zone
+1%
Misc.
Total /6,,--6-; tJ?J
Memo:
~v.~
Signatur
WHITE: Bldg. Dept.
YELLOW: Utilities Dept.
PINK: Customer
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 . R~~~; Whole Building Performan2e Method A
PROJECT NAME: 6b(7 /I. BUILDER: ~c.. S..,-euc;
AND ADDRESS: Lor 4- PERMITTING _
::5T'"CVE1JS ~c...b-JAJ OFFICE :2-H/LU
OWNER: ~A-n1oNEi<::: PERMIT NO. 9'a/7 t3
1. New construction or addition
2. Single family detached or Multifamily attached
3. If MUltifamily-No. of units
4. If Multifamily, is this a worst case (yes/no)
5. Conditioned floor area (sq.ft.)
6. Predominant eave overhang (ft.)
7. Porch overhang length (ft.)
8. Glass area and type:
a. Clear Glass
b. Tint, film or solar screen
9. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
10.Net Wall type area and insulation:
a. Exterior: 2. Wood frame (Insulation R-value) 10a-2 R=19.00, 1083.90sqft____
b. Adjacent: 2. Wood frame (Insulation R-value) 10b-2 R=11.00, 372.00sqft____
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
17.Infiltration practice: 1, 2 or 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
SN: 2165
CENTRAL
CLIMATE ~
ZONE: 41_1 5~+ 61_1
JURISDICTION NO. 611' tJ iJ
CK
New Construction
Single-Family
o
1.
2.
3.
4.
5.2163.00
6. 2.00
7. 12.00
single Pane
8a.328.1sqft
8b. O.Osqft
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 j' 228.00 ft
11a.R=22.00 , 2163.00sqft____
12a. R= 6.00, uncond
13. Type: Central A/C
SEER: 9.70
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF: 0.87
16.
17.
18.
2
19.
19a.
19b.
85.24
30455.90
35728.52
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida E~ . e~
PREPARED. .~~
DATE: ~ - -
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
553.908 F.S.
I hereby certify that this building is
in compliance with the Florida Energy
Code.
OWNER/AGENT:
DATE:
BUILDING OFF, ICIM-~'''''~.A>>~
DATE: ~ - ;::L2S -
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Whole Building Performance Method A
BUILDER:
PERMITTING
OFFICE:
PERMIT NO.
1. New construction or addition
2. Single family detached or Multifamily attached
3. If MUltifamily-No. of units
4. If Multifamily, is this a worst case (yes/no)
5. Conditioned floor area (sq.ft.)
6. Predominant eave overhang (ft.)
7. Porch overhang length (ft.)
8. Glass area and type:
a. Clear Glass
b. Tint, film or solar screen
9. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
10.Net Wall type area and insulation:
a. Exterior: 2. Wood frame (Insulation R-value) 10a-2 R=19.00, 1083.90sqft____
b. Adjacent: 2. Wood frame (Insulation'R-value) 10b-2 R=11.00, 372.00sqft____
11.ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
FORM 600A-93
PROJECT NAME:
AND ADDRESS:
OWNER:
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
17.Infiltration practice: 1, 2 or 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
SN: 2165
CENTRAL
CLIMATE
ZONE: 41_1 51_1 61_1
JURISDICTION NO.
CK
New Construction
Single-Family
o
1.
2.
3.
4.
5.2163.00
6. 2.00
7. 12.00
single Pane
8a.328.1sqft
8b. O.Osqft
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 , 228.00 ft
11a.R=22.00 , 2163.00sqft____
12a. R= 6.00, uncond
13. Type: Central A/C
SEER: 9.70
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF: 0.87
16.
17.
18.
2
19.
19a.
19b.
85.24
30455.90
35728.52
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida E~.
PREPARED. ~
DATE: 2- '"L -q\(
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with section
553.908 F.S.
I hereby certify that this building is
in compliance with the Florida Energy
Code.
OWNER/AGENT:
DATE:
BUILDING OFFCljr~ · A - - :..Q..
DATE:.;l-~ -
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
--- BASE --- --- AS-BUILT ---
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
GLASS---------------- I
ORIEN AREA x BSPM = POINTS TYPE SC ORIEN AREA x SPM x SOF = POINTS
-------------------------------------------------------------------------------
N 32.40 82.2 2663.3 SGL CLR N 16.2 51..0 .85 703.9
SGL CLR N 16.2 51.0 .85 703.9
E 66.70 82.2 5482.7 SGL CLR E 48.0 109.2 .82 4290.0
SGL CLR E 18.7 109.2 .77 1581.4
SE 11. 60 82.2 953.5 SGL CLR SE 11.6 112.9 .23 304.7
S 113.20 82.2 9305.0 SGL CLR S 40.5 100.2 .39 1582.7
SGL CLR S 54.0 100.2 .31 1674.0
SGL CLR S 18.7 100..2 .66 1242.4
SW 11. 60 82.2 953.5 SGL CLR SW 11.6 112..9 .53 695.4
W 92.60 82.2 7611.7 SGL CLR W 11.6 109.2 .82 1036.8
SGL CLR W 40.5 109..2 .27 1172.4
SGL CLR W 40.5 109..2 .89 3923.6
------------~------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
2,163.00
328.10
.989
26,969.82
26,669.79 I
18,911. 09
===============================================================================
NON GLASS------------ I
AREA x BSPM = POINTS TYPE
R-VALUE
AREA x SPM = POINTS
-------------------------------------------------------------------------------
WALLS----------------
Ext 1083.9 1.0 1083.9 Ext Wood Frame 19.0 1083.9 1.00 1083.9
Adj 372.0 .7 260.4 Adj Wood Frame 11.0 372,.0 .70 260.4
DOORS----------------
Ext 20.0 4.8 96.0 Ext Wood 20.0 7.20 144.0
Adj 20.0 1.6 32.0 Adj Wood 20.0 2.40 48.0
CEILINGS-------------
UA 2163.0 .6 1297.8 Under Attic 22.0 2163.0 .90 1946.7
FLOORS---------------
SIb 228.0 -31.8 -7250.4 Slab-on-Grade .0 228.0 -31.90 -7273.2
INFILTRATION---------
2163.0 10.9 23576.7 Practice #2 2163.0 10.90 23576.7
--------------------------------------------------------------------------------
-------------------------------------------------------------------------------
TOTAL SUMMER POINTS I
45,766.19
38,697.59
--------------------------------------------------------------------------------
-------------------------------------------------------------------------------
TOTAL x
SUM PTS
SYSTEM =
MULT
COOLING I TOTAL
POINTS COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
45,766.19
.37
16,933.49 I 38,697.59 1.00 1.100
.352
1.000 14,983.71
-------------------------------------------------------------------------------
-------------------------------------------------------------.------------------
****************.***************************************************************
WINTER CALCULATIONS
*******************************************************************************
--- BASE --- --- AS-BUILT ---
===============================================================================
GLASS---------------- I
ORIEN AREA x BWPM = POINTS TYPE SC ORIEN AREA x WPM X WOF = POINTS
-------------------------------------------------------------------------------
N 32.40 -3.4 -110.2 SGL CLR N 16.2 9.6 1.09 169.4
SGL CLR N 16.2 9.6 1.09 169.4
E 66.70 -3.4 -226.8 SGL CLR E 48.0 -2.2 .01 -1.5
SGL CLR E 18.7 -2.,2 -.23 9.5
SE 11. 60 -3.4 -39.4 SGL CLR SE 11.6 -10.3 -.93 111. 6
S 113.20 -3.4 -384.9 SGL CLR S 40.5 -10.9 -.13 57.4
SGL CLR S 54.0 -10.9 -.77 455.8
SGL CLR S 18.7 -10..9 .69 -140.4
SW 11. 60 -3.4 -39.4 SGL CLR SW 11.6 -10.3 .34 -40.2
W 92.60 -3.4 -314.8 SGL CLR W 11.6 -2..2 .01 -.4
SGL CLR W 40.5 -2..2 -4.97 442.7
SGL CLR W 40.5 -2..2 .39 -34.9
--------------------------------------------------------------------------------
.15 X CONDo FLOOR / TOTAL GLASS = ADJ. X GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
--------------------------------------------------------------------------------
.15
2,163.00
328.10
.989
-1,115.54
-1,103.13 I
1,198.37
===============================================================================
NON GLASS------------ I
AREA X BWPM = POINTS TYPE
R-VALUE
AREA X WPM = POINTS
-------------------------------------------------------------------------------
WALLS----------------
Ext 1083.9 1.1 1192.3 Ext Wood Frame 19.0 1083.9 1.10 1192.3
Adj 372.0 1.8 669.6 Adj Wood Frame 11.0 372..0 1.80 669.6
DOORS----------------
Ext 20.0 5.1 102.0 Ext Wood 20.0 7.60 152.0
Adj 20.0 4.0 80.0 Adj Wood 20..0 5.90 118.0
CEILINGS-------------
UA 2163.0 .6 1297.8 Under Attic 22.0 2163.0 .90 1946.7
FLOORS---------------
SIb 228.0 -1.9 -433.2 Slab-an-Grade .0 228,.0 2.50 570.0
INFILTRATION---------
2163.0 4.1 8868.3 Practice #2 2163.0 4.10 8868.3
===============================================================================
TOTAL WINTER POINTS I
10,673.66
14,715.26
===============================================================================
TOTAL X
WIN PTS
SYSTEM =
MULT
HEATING I TOTAL
POINTS COMPON
X CAP X DUCT X SYSTEM X CREDIT = HEATING
RATIO MULT MULT MULT POINTS
10,673.66 1.10
11,741.03 I 14,715.26 1.00 1.100
.515
1.000
8,336.19
===============================================================================
*******************************************************************************
WATER HEATING
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
NUM OF
BEDRMS
x
MULT
=
TOTAL
I TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL
2
3527.0
7,054.00 I
80
.87
1.000 3568.0 1.00
7,136.00
-------------------------------------------------------------------------------
--------------------------------------------------------------------------------
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
COOLING
POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL I COOLING
POINTS POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
16933.5
11741. 0
7054.0 35,728.52 I
14983.7
8336.2
7136.0 30,455.90
--------------------------------------------------------------------------------
-------------------------------------------------------------------------------
*****************
* EPI = 85.24 *
*****************
ENERGY GUIDE
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B-93
EPI= 85.2
o 10 20 30 40 50 60 70 80 90 100
I----------------------------------x------l
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS.....................Single Clear
SINGL CLR DBL TINT
Ix--------------------I
INSULATION. . . . . . . . . . . . . . . . . .
Wall
R-Value......... 19.0
R-10 R-30
I------------x--------I
R-O R-7
I--------------------xl
R-O R-19
Ix--------------------I
Ceiling
R-Value......... 22.0
Floor
R-Value......... 0.0
AIR CONDITIONER.............
SEER. . . . . . . . . . . . . . . . . . . . . . 9 . 7
10.0 SEER 17.0
Ix--------------------I
HEATING SySTEM..............
Electric HSPF............ 6.6
6.8 HSPF 12.0
Ix--------------------I
WATER HEATER..... . . . . . . . . . . .
Solar EF..............
0.88 0.96
Ix--------------------I
0.54 0.90
1---------------------1
0.40 0.80
1---------------------1
Electric EF.............. 0.87
Gas EF.............. 0.00
OTHER FEATURES..............
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
Address:
Builder
signature:
Date:
City/Zip
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs
FL-EPL CARD93
ENERGY GUIDE
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B-93
EPI= 85.2
o 10 20 30 40 50 60 70 80 90 100
I----------------------------------x------I
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS.....................Single Clear
SINGL CLR DBL TINT
Ix--------------------I
INSULATION. . . . . . . . . . . . . . . . . .
Wall
R-Value......... 19.0
R-10 R-30
I------------x--------I
R-O R-7
I--------------------xl
R-O R-19
Ix--------------------I
Ceiling
R-Value......... 22.0
Floor
R-Value......... 0.0
AIR CONDITIONER.............
SEER. . . . . . . . . . . . . . . . . . . . . . 9 . 7
10.0 SEER 17.0
Ix--------------------I
HEATING SySTEM..............
Electric HSPF............ 6.6
6.8 HSPF 12.0
Ix--------------------I
WATER HEATER................
Solar EF..............
0.88 0.96
Ix--------------------I
0.54 0.90
1---------------------1
0.40 0.80
1---------------------1
Electric EF.............. 0.87
Gas EF.............. 0.00
OTHER FEATURES..............
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
Address:
Builder
signature:
Date:
City/Zip
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs
FL-EPL CARD93
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT b, L, 3>r/;2JE 0..Dt0~lC.uCn 010
ADDRESS ~77 4 " Gn.. A-0 ES. W,
OWNER hA-e ~ I?- t1\.,e.s, 00W,J S1mo0Ek:
JOB LOCATION G:, 0/1 N DiCTU L:4-t.-e DR".
PHONE
78~-'1ljq.d-
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
~
BLOCK
SUBDIVISION
PARCEL I. D . ~~
WORK PROPOSED: ~ Construction ----Addition ----Alteration ____Repair ____Install
____Sign/Temp.
PROPOSED USE: ~ngle Family
_Sign
____Move
-Demolish
~/F
____~~ of Uni ts
----1'I/H
____Commercial
____Indust.
____Swim. Pool
Other
----Restaurant & Health Department Approval
B1J.ILDING SIZE:
60
x b(, ,
5U If
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS...
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~UILDING
~ECTRICAL
~E~ICAL
~UMBING
$ 10'1000.. 01>
1.aJ
AMP Service
Valuation of Total Construction
~ Florida Power Corp.
_W.R.E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ~Frame ____Steel
FINISHED FLOOR ELEVATIONS:~FT.
Other
******************************************
Signatur
CONTRACTOR SECT~N
Company ,L . STEVE. Gof.-fi)TR-uCTt 0 D
State Cert. or Regist. ~~ Q.8"COddl3Cf
City License Registration # I~I
*****************************************
ET.F.CTRTCTAN lC.lQ.~~ bl)F~Il::.L.j) Company . 'Z.-l.l\u...'ll. ~L.~'\_ Sa~I\.~'
r~ ~ State Cert. or Regist. # <>o",,-d.11o
SiI;matu City License Registration ~~ L n
****************************************
PLUMBER U4eJS(d.?./-Jt1L ';;', 6AY-r:. Company a .
~ ..2 M State Cert. or Regist. ~t
Signature C . City License Registration
******************************************
MECHANICAL k::,0J1U DAWi: Company 'cAHJ( ~ r'~~~"" t.. b~.$ l.~ft JIV~
'J/ L ~ ~ State Cert. or Regisrt. ~~ C"'ILDV-7., ~8
Signature N - p. City License Registration ~~ R'
~ ******************************************
OTHF.R R\(x GAVLl) Company CAV,A) P-DO~D G.
n_ ~ ~ State. Cert. or Regist. ~~
Signatu~j-i f,A.f..J...A- City License Registration 1t 30
*~*********~*************************
APPLlCATIDN "ROVED r -0 - ~//\..d>n'- PERMIT DFFICER.
~
CONDITIONS OF PERMIT AFFIDAVIT
A.. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which .ay be lore restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictio~s.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor Dr 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 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, (813)
788-6611 .
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 .ay be an indication that he is not properly licensed and is not entitled to per.itting 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
6uide" prepared by the Florida Departlent 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 doculent and prolise in good faith to deliver it to the
"owner" prior to co..encelent.
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 co.pliance 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 per.it and that all work will be perfor.ed to leet 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 govern.ental 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:
f Depart.ent of Environlental Requlation - 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 Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environlental Protection Aqency - Asbestos abate.ent
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 volute" will be sub.itted 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 work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol 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 cOllenced within six tonths of issuance, or if work authorized by the perlit is
suspended or abandoned fOT a period of six lonths after the tile the work is cO.lenced, One 90 day extension of tile, lay be
allowed for the pertit 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.
WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEnENT nAY RESULT IN YOUR PAYING TWICE FOR I"PROYEnENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKIENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOlICE OF CO"KENCEnENT".
rL;/~
~IURE: 0IIIlEll1IR AGEflI
i:JtJLJ4U-0~ /C.-L.-..f'TEVt;; {!o,Us:.-r
SI6NATURE: CONTRACTOR '
STATE OF FLORIDA
COUNTY OF ---:p (4 Sc.o
The foregoing instrument
before me th i s ~eb ;;J.S;
was acknowledged
, 19:1:L by
STATE OF F~~A
COUHTY OF a5>C 0
.. The foregc.ing instrument
befc:,re me this F'eb. ~~-
was acknowledged
, 19:t:L- by
Nel<:....
who is ersonally known to me or who has
produced
as identification and' who did/did not
tak~ an oath. , ~.
&!.... t:!~ a...tJ,J/\~ '
(Signature)
']). lU..clh er; tVe. MM+i oJ -It eCI 75 7 ~-'t 7
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
'J)e.i::)(- di... W. s-fe ~
who is personally known to me or who has
produced fL \).... Li~..:tt-5310"114-5.)-q~<.f
as identification and who did/did not
tak~ an oa. th. ~.-r- '
f:::)'~"l~'
(Signature)
7), K.tAf-{,e-r~.ve. Y11.,[.<1+;/IJ #=-cc.I~7~7
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
NOTARY PUJ;,U:::, STATE OJ? FLORIDA.
MY COMMISSION EXFIRES: August 26, 1995.
BONDED Tl!RU NOTARY PUBLIC UNDERWRlJERS.
NOTARY PUELlC, STATE OF FLORIDA
MY COMMISSION EXPIRES: August 26 '1995
1l0NDED THRU NOTARY PUBLIC.UNDERWRhERS. .
VALUATION:
SQ. FT. LIVING:
COST/FT:
G.L. STEVE
6617 NORTH LAKE DR.
$86,166.00
2,163
$35.00
SQ. FT. OTHER:
951
COST/FT:
$11.00
VALUATION
$86,166.00
DRIVEWAY
$20.00
ADDRESS
$20.00
FEE SHEET
$413.00
SQ. FT. UNDER ROOF
RADON GAS
3,114
$31. 1 4
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:
659.50 .
70.00 .
78.00
3 5 . 00_
$842.50
90.00
$752.50
1 ,278.,00
350.00
165.80'
$1,793.00
GRAND TOTAL: $2,576.64
t1EssAGE COHF I RMAT I OH
TERM ID :
TEL NO:
JUL-12-'94 TUE 08:44
P-9999
ST. TIME TOTAL TIME
08:44' 00000'44
ID
DEPT CODE
813
;l
J.fO~ 1+_
CITY OF ZEPHYRHILLS
Building Department
603 8th Street
(813) 788-6611
lorida Power rporation "or W.R.E.C.
ep yr I s, orida
NAME G'<t~~
ADDRESS Io~\~ \\~:~~ CJA.
DATE 1- lJ - C1!:\
Electrical work at above address has been inspected.
This is your authority to proceed.
lectrical Inspector
..', .....".:.r~ ..1;. .
....,./.... .,;.;.. ......... .....................
-, -..,'--:""-'.......,.,.,...-,..,..--....-..--... ,....---....,..--..--~-'--~';~" ..,P"'.",,~.
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
COI'HF:{:)C:TOr:: # =
NAME: G L STEVE CONST.
ADDR: 6617 NORTHLAKE DR
C:/:3T= Z/HILL~:;
FOF:~
CHECK *t 2 i :::~(:.
l~CC:NT
1:14
TOTAL r4MOUNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - ~
4.. ~::::3
D{~TE: 11/2':::"1';:.'4
PPIGE~ 1 OF 1
I :::;:;::;UE OFF'I CE: D
RECEIPT NUMBR: 00231816
OFFICE: DADE CITY
AMOUNT DESCRIPTION/PERMT DATA L~/CR
4.38 ****** SOLID WASTE FEE AO
> If f/// .fl,
l l / , , i / /,/ / _'",/ /" , I
F~ FeE:: I 'vi I::: D E: Y _.._ _L_ _ L:;.LtJ... __ _.. _...:... _ L..!..LIc... .LL..C '-.l... .L_L..._____
,.z:,: ,~,-~~,~~'~~"-: ", ~"~~: ')..,.... _ '''-' ..~, ~ -.,~ .y. ~,."~' ,'"~::~,,.~i... "~'\;'.:"~'~{;~,t:.~~~... ).C;~,'~:-.~l':::<>~~:"':" .-~- . ~.~ .' ,:,1' .,0 ..:~, . .itl;.;~:~..~".L;""7:: -:;-i A~...-. 'n', ~~: :'-- -~..:y..,~- -,::;~-;;'
PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
Builder Name/Owner Name
.i
County Parcel No.
/
'/
Location
I ,"-}
I '
/
Subd.
-....-t.
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./U nit
Prep~~~d'By
/'
,,'#
Impact Fee Amount $ ....;"~..--_.-.__" ..__,_,.^'."._'__~_.."..._~_~7...__._........._
~ ' '.""-".
./'"
The above impact fee has been established p,iUrsu~.t6 the Pasco County Transportation Impact Ordinance as adopted
by the Board of County Commissioners. Thj~ount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority to utilize the permitted struet1ffe. '
..,,,,,..J<' ........_.
RESOURCE RECOVERY AS8E~~MENT
-'~::--
...",....--
EXEMPT D
RESIDENTIAL
./"'~
NONRESIDENTIAL
/
,/
/
No. Units
,,/
I
Gross Sq. Ft. (GSF)
,/
,/
"
Rate/ERU - 50.00 x 0.96*/Year
or $0. 1315/Day
ERU Assign No.
TOTAL FEE $
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
TOTAL FEE $
Assessment - (No. Units) x ($0.1315)
x (No. Days)
*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
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
DATE.
BY
BY
,
, ,
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce