HomeMy WebLinkAbout94-4041
BUILDING PERMIT
Permit ~
CaTV OF ZEPHYRHILLS
(813) 788-6611
4041/S
.s--19 -7'(
Date
J,SS, ()7)
BUILDING
~'-V~ 'z>
ELECTRICAL
'/7, ..5(J
PLUMBING
r:2.!:> -. 0'7:J
MECHANICAL
Sewer Conn 1..;;' 7 Fi tlD
Water Conn: 3~'-o, tTO
Water Mllter: /65......, tJl)
TI.F.'s: / ..s-R:.!:.'""; (}"D
/
Pwp'''y owo,,~ :%_ ~
Job Address: / ~ .
Parcel I. D. # "!i - c:l. 6 .-.;lj - 0 . - CJ C) 0 (j - 6J ~ () 0
Zoning: Ene~ode: '2- '~ RadiI Gas: J3~3 b
D,,,,';pboo of wO'k/1-4u.1 if" '~1 .. ~ (f
NO OCCUPANCY BEFORE C.O,
FINAL -=~ -2Jj-q
,...,: DATE
C.O. ~f("'~S-91
DATi
A ~ I;;;r.
Inspector '
Complete Plans. Specifications and Fee Must Accompany Application,
All work shall be performed in accordar't:'e with City Codes and Ordinances.
Permit Fee iJYc2 , ~'_gfj;/)
Signature I :~ /, ~v~,,~
Company
Address
Telephone#
Valuation or
Contract Price J f'; ~ cJD
City License Registration # J:J:;)
State Certified License#
<KdJP,&,JL
BUILDING
~ttuL.J.2'1 f7L~'I?k~Jc2'1 !rfiYLn~~~/oto
ELECTRICAL PLUMBING MECHANICAL
Ftr. ~-l7-9L/ ;2.,. r.
_ ~ Tp, Serv,
PreSLB &Z2-tjif -&b ROUghln1.//V"'r'1t5"'--
~~n~~' 7~-::'-~~ t:tr ~~:;. ~:~eS t~~~ 9"1 ~
Insul. CL ' Pool
WL 7.-1~'({c{ 'RILL.- Pre-Meter ~-'b'~
tZ Final ~- L.~ '-f_
Driveway 1>~/1JjL{ Vil.i- r~UL ~() - 6"-2Iv44 t2cb
h1JAL- - cg~ 2-4 .-q 'I 6l (.1-
Breakers
Ducts InsI.1.",/ '-I ~'1 Lfjl;:?-
Compressor
Final ~. 2.'-i-ft./ i>8b
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: ,
Nfl.. ~-/9- 9'v/9d ~ '11
,J ~,~"3
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site,
Plans not at job site.
Work not accessible.
a,
b,
c,
d,
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same,
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LOAD CAlCULATIN,G FORM HEATING & COOLII~'G
SHORT FORM OF MANUAL J 1967 3rd EDITION, 2mJ PRINTING
BASED UPON THE MOST 'COMMONLY FOUND CONSTRUCTION FACTOR~
(IN THE TAMPA BAY AREA)
CUSTOMER NAME
'?/4^ [57- S.-07
DATE
I/;/Py
ITEM
"T:WALL - GROSS AREA SQ. FT.
(1f A~S OOOR~
OTI-!ER OOORe;
.1. CEIU~EA - SQ. n.
UND~R UNCONDITIONED SPACE
H~lJLATIO"
_ ~; ~~YLA fiON
f'i" I:~SULATION
-ROO-'" ::.:. c~illNa COMBINI\T10N
NO INSULATION
2" INSULATION
3" INSULATION
OTHER ROOF -- CEILING, SEE MANUAL J
5. FLOOll AREA
OVER UNCONDITIONED ROOM
OVER OPEN OR VENTED SPACE-
(SQ. n,) - HO INSULAtiON
CO/'<CRfTE SLAB - HO INSULATlO"
L OThER flOORS, SEE MAhUAl J
I VE:trru.fION (NUMBER Of BEDROOMS)
I PEOPLE (NUMBER OF BEDROOMS)
I AFPlIANCES ALLOWED
i II0fE: ON PESI:JTANT HEAr JOBS
00 NOT INCLUDE S% DUCT
LOS'\, JUST TOTAl COLUMN
Of SWH.
I ~o
,..---
/ t?/1
HEATING HEATING
MULTIPLIER LOAD
BTU/HR
:~n. n~<::Ir.N T~MPF'RATURE
NOT
USED
IN
HEATI~G
7n. INC;In~ 7,," INc:.ln~
An" Tn A'i" TO
.
-
"n "..
,n.. , ... --
.... ..60.-..:....__
'Inn '14n
Inn 1.15.--
q.. Iln
11 1'1
A ..
A A
~ ~
,a ...2.2.--
1~ lA
.. "
-.-.--
__..:l~' ~7
.~ A
, .,
1--
,., . A
A A
'11 :l -
(Sn. Ft \ fi I:-
(Sa Ft \ 1 I -1L
,,0;
Qnn IfIllA..v-
.
.. SUBTOTAL HE/\T lOSS
DUCT LOSS (,05 . SUBTOTAl)
. TOTAL HEAr LOSS
, ---
-- ---
" u~lr SHOULD fj<H EXCHD
12S% Of rorAL ~IOq BE LESS
THAN lOOO!, Of lCoT,\l (-)
-
.
COOLING OOllNG
MULTIPLIER LOAD
BTU/H?
75" IN!'IIjE HMPERATU=1E
95" DESIGN TC:MPERArl.!~C:
C;I-IAnINf:
NONE INSIDE IoUTSIDE
35 25 30 --
fila; 40 30
on 60 30 (,~ /2 0
80 50 30
50 35 30 9/1)
~ FA~TI)R fRC\t ASOVE ( I
1 ~:5 7~& ·
NOT USED IN
COOLING
,
1'1.0 -.
-- 4n -3
.;t.5
'11"
,-
...
- 95 .- ---
65
'1,5 7.; (Hf'
nARK
10.0 '.
.,c '-- 2ri-;i..-
?n
.~ n .
1------- 4n
-3.0 .. --- ---
,
3.5 --
-- ..n
.-
00 .
.- / '"1' 7_fQ
.1.d..,
1;;[1(1 / flu.o.
-- 12C....
-- ~;i~
SEN'i19LE HfAT riA;:i (T('lT.\L COlS I
OUCf GAIrI (St;.~'3lE HEAT G:";i x !I
r:'lr.\l ';(;':-I!lU. ~~~; G~;:j
'H::"'C,IY Co.'~rol iT:UI :'~"S,~'~ .1 :~ ": \ .-
, . .'
Pr5TIII. f-;!::AT r,~1 I LE--'
~~If Sh0tJliJ ih:;i t'IoUO I b~o ;:u/ t1. ~3 q
OF fOrAl "OR BE LESS THA!'l 95% ( / (
OF fOr.\t ,t-~)
.?(,.~ 9'" ~
r.s- ~rr) r..-
~
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v ~
:\) '\\
C)
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, /. ,(-'
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Q
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r
(-1\ / r(
~ l.' r /!l)
'-
,
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D I, Ob II
A"rAJG .s.rl?;E/
,( 'I'
/s -0 Q
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
/&~~ e:fll/~J' ~C
/ '
7d? ;?;4~J ~ ~ ~~ 6~ ~/7 ...?Jd"/P" PHONE(&3..)
"/"'22 ~g"L~O
ADDRESS
OWNER
JOB LOCATION$'3 J S- /;/tf J7/'et?/
LEGAL DESCRIPTION: LOT(S) ~~
BLOCK
LOT SIZELx/OCJ AREA SQ. FT. cf't)cJcJ
SUBDIVISION ~/A C~/~ ~--:.~~
PARCEL 1. D. # /7- - ;J-6 - d- J - he:> ')"R-ffnot:> 0 .- 07' OZ>
WORK PROPOSED:~W Construction ----Addition ~Alteration ____Repair ____Install
____Sign/Temp. _Sign ---- Move ____Demolish
PROPOSED USE: ~le Family _M/F _# of Units . ._M/H
"
_Commercial -2..--Indust. ____Swim. Pool Other
_Restaurant & Health Department Approval
. ~/. (/ /"
BUILDING SIZE: 17'7/l( XSD-~
/33~
,
Square Feet,
.51 /
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
_BUILDING
$ 53, ~O'D,'Vc.)
Valuation of Total Construction
_ELECTRICAL
?- 00 AMP Service
Florida Power Corp.
_W.R.E.C.
I
~ECHANICAL
$
/,-g.sD,oo
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~ock _Frame _Steel
Other
rf
0'
..,
FINISHED FLOOR ELEVATIONS: FT.
...111...
9Z9P90 00 'ON 'wwoO ."~~,/()~~'"
P66! 'z '^ON lJ/T~ 1 "'.l".
saJldx3 uOlsslwwoO ^~ I 'I \
olla~soo .~ 8J11QJIlS \ J
1\>'35 1\>'1:>1.:1.:10 \:~~ J)i'I~i'
fl.......*
9l9P90 00 'ON 'wwoo '.~";~~~"
P66! 'z '^ON .'1>>i '.
saJ!dx3 UOISlIlwwoO ^~ I :
olla~soo '~IJllqHIB \ :
.. .'
1\>'38 l\>'IJI.:I.:IO '..~~ ~~..
-.......
. :J 11l1nd AtJ'd ION
(padwp~s ~o pa~ulJd 'padAI aWPN)
-,?""?-=::w.. s....,.--.,. ... 'f.J ~ ~<;:I
--' ---- CI.-. (a_,.n~pu6~)
~U-~~~~
~ou PlPhPlP o4M pup Ol~PJlJl~uapl SF
\' C1/Jt? pa:mpo:ud
~4 04M JO aw Tl~6sJad Sl 04M
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The.undersigned understands that this perlit 'Iay be subject to "deed restrictions' Nhich 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 Nith
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)
798-6611.
Furtherlore, if the owner 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 ONner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the Nork. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES.
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
"owner' prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance Nith all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to .eet 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 .ay apply to the intended Mork, 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 Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally 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
t Departtent of Health ~ Rehabilitative Services, Environlental 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 'co.pensating .volule' will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance.
A perlit 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, Dr violations of any code., Every perlit issued shall becole invalid
unless the Mork authorized by such pertit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOltenced. One 90 day extension of tile, lay be
allowed for the per.it 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 Mill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND'TO OBTAIN F ANCIN, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y UR NOTICE OF
Co""ENCE"ENT. JOB UN DE $2,500 IN Y LUE 0 NOT NEED TO RECORD AND POST A 'NOT 0 COMMENCEMENT'.
--//1
~rument was ~OWledged
.3 ,19 by
STATE OF FLORIDA
COUNTY OF
. The foregoing in
befo\-e e th i s
"Ias acknowledged
, 19~ by
STATE OF FLORIDA
COUNTY OF
Thef-fc.regoing in
before m this
p~
Ridge Builders
Lot 40 Lincoln Heights
VALUATION: $38,888.00
SQ. FT. LIVING: 1,008
COST/FT: $35.00
SQ. FT. OTHER 328
COST/FT: $11 .00
VALUATION $38,888.00
DRIVEWAY $20.00
ADDRESS $20.00
FEE SHEET $210.00
SQ. FT. UNDER ROOF 1,336
RADON GAS $13.36
TRAFFIC IMPACT FEES $1 ,585.00
99% $1,569.15
1% $15.85
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
355.00
47.50
54.50
25.00
$482.00
40.00
$442.00
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $3,833.36
"-"'-'~_.---'-'_._--'--"-"~"'-'-"'--"-- - - -..--.-',,-, -,._'--_."-,-,
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
DATE: (1:3/23/':::>4
PAGE: 1 OF 1
l::;~=;UE OFFICE: D
RECEIPT NUMBR= 00221487
OFFICE: DADE CTTY
CONTRACTOR #: 006959
N(:jME: HEF-~:BERT ~J kEY
ADDR: 707 JONES AVENUE
C/ST: HAINES CITY
FL :::::~;:::44
F:-CI~~ :
CHECK # 260:::
RESOURCE FEE ON PERMIT 40418
~-
ZEPHYRHILLS
~~CCN'T
114
CONTRACTOR: 006959
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 -, :3,1:,:3000 -,
..-
17.Cl
AMOUNT DESCRIPTION/PERMT DATA DRieR
17.81 ****** ~OL,ID WASTE FEE 60
__>JL...:.... \, '''~ /' .) "'\
,- -- ,\" -, .' . '., "
'" . I ' .,.... 1\1 ". :.,~- -,' .-.- T-., . "', .....'.., ,,.I
-'E-'C'" VE:::[t '.."'.1 ......A, ~....... .L_, '''-'~e----l,..,_",' ..l_~ ~,.'
R :J_"...~ 1 . 1_" ----..-.-...,----- -.------....---.=.----::.: \ ------_.
1
:'f....:.>.~~e> -S'f:i".;""i.-".;,,~f0'i""r;: - .:-i\";:',,~~>";'I;.'~,~-,:r';T:---:T;'~,'1'S~-\";'~ ~.~:T;-~To'lt~;z~'J-?~~"~" ;~;-';;;
',';:'3\,:"-::;,,~~',~~ "'::~.:-;'
.-;.;-~
, .
PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
Builder Name/Owner Name
County Parcel No.
Location
Subd. _
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./U nit
Impact Fee Amount $
"",.,,>
....-
..,~
,~~--
~-
-
~~..'~"
Prepared By
':;: .....::,'~"..
The above impact fee has been J~sta6ii;hed p:';suahtte..~.Pasco County Transportation Impact Ordinance as adopted
by the Board of County Cqmmissioners. This amount is payaote'"PRlQR. to the issuance of a Certificate of Occupancy
or authority to utilize the permitted structure. '''-
RESOURCE RECOVERY ASSESSMENT
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.
Assessment - (No. Units) x ($0.1315)
x (No. Days)
I
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
TOTAL FEE $
, /
TOTAL FEE $
*Discounted for Prepayment
The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197,
as commended.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF
OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
Date
Received By
---------------------------------------------------------------------------------------------------------------------'------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO>.
\, !
DATE
DATE
BY
BY'
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce