HomeMy WebLinkAbout94-4190
. ,
BUilDING PERMIT
No
Permit . '.
. . o1tf~
_ J. 10 ~
/, q (1'
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-~.-~-
ILD
~
/51'
~C~L
CITY OF ZEPHYRHILLS
(813) 788-6611 .-'
~'1'~ ll!?---
CELUMBINQ ~
41906
Date 7~:; p-r/(
::~:::,~:~e' !i#t*!lf ~;O-t:::. !?~Jb
Parcell.D. # 1-,/- ~d, -..:J' ,3~..s.g
Sewer conn~5 r/.;l~
Water Conn: 1;?.3 /. ~!J-
Water Meter:
-
T.I.F.'s: 'l oRK'. 2D
Zoning:
Description of Work
FINAL '-~ - 1;-
D~ TE__
..3 - d- - y.-S
C.O,
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordal"ce with City Codes and Ordinances.
RO MECBAHICAL OR ELECTRICAL INSPECTION ABOVE
BMle CEILING IN CImTm< OF AUDITORIUM.
Permit Fee
Signature /,
Company
Address
Telephone#
Valuation or +: ., ,a-o
Contract Price ~ 70! 9 g:2.
City License Registration # Lj 10
State Certified 'cense# ~At!.O S/fqOI
.
ICALfFJ4 PLUMBINGtr/~7
T S SLB A-2t.J.-~t.(~iU
p. erv. P
Rough In Tub Set 12- 24~t.( ~
Meter Can 7 -1l{J-91/ ~<... Water
Const. Pole ~..'30..q 4i>k- Sewer Q"Q-9 ~ hliJ...--
Pool Final
Pre-Meter 2-J4-'JS~\
Final
Breakers
Ducts Insl.
Compressor
Final
BUILDING
~:~ SlB q -h/N 6df
Lintel
FRM. j). 21'-4 '" ~l u-
Insul. CL
WL k.1:::.t 1&J.(
~;Driveway U~f,L..5ut8 ~-)kCu 11~ wl\L.L.-6WUITHI,J{,' Pl\tL-.ht\L i/-/SJ,-t 6lL'-
JH6trtHIAJtr- c.oN~J.-r () h (0
f>i~I-6y..-'\ LI-I-'H pIlL Lc~':; sa.t.r~ sHuic,,\ tI-/7-~'1 BILl--
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.
~ b.
,
q-" c .
~ d.
fe.
. · f.
g.
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.
(JtW( m-'T~tO) SH-li-h-I
JJ~ ~~~j3.d-7~
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
DATE PERMIT +
~ 'if- 3 - I -1S' L/ /'1 0
THIS JOB HAS NOT BEEN COMPLETED, T~e following additions or corrections shall be made before the job
will be accepted.
J-1 AN 1)1 c...A ,) r<. ri..:~r k,CfV\ /)0 crt S Hr4 LL t~ i... 0ELf - [Li.1~ilJ&
I
J{ I T U1~,J ArtiA 5 itJI't S :s RAU- bl ~ <.. H~ I2fi- JI'1 D uttlLT IN Ie 7H E.-
. 8Uit...D'N~ iY~IIJ ,~~S,t..IV\ ~(l\1b< P0w (,~ wo~ # Rof J-# ~ol{)
OFFICE HOURS 8 - 5 MON.-FRI.
9.f# .6- c) 11. /2t1
, AFTER CORRECTIONS ARE MADE CAlL
788-6611 FOR RE-INSPECTION
INSPECTOR {-till &ATA0
f
It is unlawful for any Carpenter. Cant~actor. Builder. or otli';rpf,rso~s; to
cover or cause to be covereel. any part of the work with flooring, lath, earth
or other material. until the proper inspector has had ample time to approve
the installation.
VALUATION:
SQ. FT. ADDITION
COST/FT:
Zephyrhills Wesleyan Church
38930 "C" Ave.
$370,982.50
7,170
$51.00
SQ. FT. OTHER:
312.5
COST/FT:
$17.00
VALUATION
$370,982.50
DRIVEWAY
$0.00
ADDRESS
$0.00
FEE SHEET
SQ. FT. UNDER ROOF
RADON GAS
$1,278.00
7,482.5
$74.83
TRAFFIC IMPACT FEES
99%
1%
$7,088.20
$7,017.32.
$70.88
Traffic Impact Fees
$1,063.00 per M/Sq.Ft.
7.170 M/Sq.Ft.
7% Reduction
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL
1,917.00.
87.50
1 5 7 . 0 O.
110.00
$2,271.50
210.00
$2,061.50
5,591.25"
1,531.25.
0.00
$7,122.50
GRAND TOTAL:$16,347.03
($1063.00)x(7.170)=($7621.71)-(533.51)=$7088.20
'-, ."
TABLE A - WORKSHF.F.T
CITY OF ZEPHYRHILLS CONNECTION FEES
ORD. #395 & RESOLUTION #312 WATER $l,75/GALLON SEWER $6.39/GALLON
RESIDENTIAL (Each Lot or Unit)
Residence $ 350,00 $1, 'Z7.8, 00
~
"
Travel Trailer Park 131,25 479,25
COMMERCIAL (PER FIXTURE)
Sinks 87.50 319.50
Water Closet 131. 25 479.25
Urinal 87,50 319.50
Lavatory 43.75 159.75
Tub/Shower 87,50 319.50
Washing Machines-Commercial Size 350.00 1,278.00
Washing Machines-Domestic Size 87.50 319,50
FOOD SERVICE - Dishwasher 700,00 2,556.00
Sinks (3 Compartment) 175.00 639.00
Car Wash (Per Stall) 1,000,00 6,390.00
FIXTURE G,P,D, 4t WATER SEWER TOTAL PER FIXTURE
Sinks 50 2 $175.00 $639.00 $814.00
Water Closets 75 6 $787.50 $2,875.50 $3,663.00
Urinals 50 2 $175.00 $639.00 $814.00
Lavatories 25 5 $218.75 $798.75 $1,017.50
Tubs/Showers 50 0 $0.00 $0.00 $0.00
Washing Machine 200 0 $0.00 $0.00 $0.00
Washing Machine 50 0 $0.00 $0.00 $0.00
Dishwasher 400 0 $0.00 $0.00 $0.00
Sinks-3 Comprt 100 1 $175.00 $639.00 $814.00
Car Wash-p/st. 1,000 0 $0.00 $0.00 $0.00
$1,531.25 $5,591.25 $7,122.50
Exist-3/4
"
WATER METER
$0.00
GHANI) TOTAL
$7,122.50
.,-_.~
........,...
p"~;/-/
..../.
COOnn
Industrlesl~
Ii/I 0
,r ~/1'1f
North Lima, Ohio
May 13, 1994
City of Zephyrhills
RE: Zephyrhills Wesleyan Church
38924 Avenue "c"
Zephyrhills, Florida
...
Dear Sirs:
I wish to appoint Mr, Wesley J, Neller, Assistant Project manager
for Cogun Industries, Inc" 3118 Gulf to Bay Blvd" Suite 228,
Clearwater, FL 34619, as an authorized agent on my behalf to
obtain required permits for the above referenced project,
On the face of this letter is reproduced my current General
Contractor certificate for your records.
Thank you for your cooperation.
couch'enour-.-..-
trict Manager
/J c:_. V/7 /)
( ~:n?u Yll t / x:1( ~a 11-( /' Z
Notary Public State of Florida
Pinellas County
AC' 173':.116 ~micftk>~IKflpires 3/5/97
DEPARTMENT OF PROFESSIONAL REGULATION
BONNIE S, CARREL
MY COMMISSION , CC 2e5854
EXPlflES: MIn:h 5, 1997
IIondId lIlnI NDIIIy NlIc lMcInlIIIn
TRIES, INC,
DAT{ lIef N')[ tm !:lATCH NO
CONSTRUCTICN IIDUSTRY LICE'SI" 80AID
05~D6/92 CB C037901
~~~EDC~~I6VED 'IUlUU5 Ca.TlAnaa
UNDER THE PRO,^SIOW1iVlFilpTER 4 &9
EXPIRING AU6 31, .1994
41627
F.S., FOR THE YEAR .
CDUCHE~OUR, VILLIA" L
COGUN I.CUSTRIES INe
. 3118 &~Ll TO aAT BLYD '228
. CLEAR.llnER fL 34619-4547
--
~~
UINTON CHIlES
--
DISPLAY IN A CONSPICUOUS PLACE
~:
Florida District Office
3118 Gulf to Bay Boulevard, Suite 228 . Clearwater, Florida 34619
Phone: (813) 725-4707 . Fax: (813) 726-3840
Whole Bu~tdin9 Pe~to~mance Method to~'Comme~cidl Buitdin94
Fo.fJ!/ 400A-94
, ,
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Fto~idd Depd~tment Ot Community A'td~4
FLA/COM-94 Ve~4~on 2.1
PROJECT NAME_ZYPHERHILLS~CHURCH_________
ADDRESS: 389U .C" AVENUE ZYPHERHILL
OIlJNER:
AGENT:
jl/ESLYAN CHURCH
PERMITTING OFFICE:
_Zephy~hitt4_________________
CLIMATE ZONE: 4
PERMIT NO: =0==~3?t?=~
JURISDICTION NO:_6rI600
BUILDING TYPE: _A44embty___________________
CONSTRUCTION CONDITION: New con4~uct~on
DESIGN COMPLETION: _F~n~~hed Bu~tdin9__________ .
CONDITIONED FLOOR AREA: _6150_______________________ NUMBER OF lONES: 1
MAX. TONNAGE OF EQUIPMENT PER SYSTEM: ____ /4_____________________
COMPLIANCE CALCULATION:
HETHOD A
DESIGN
CRITERIA
RESULT
A. WHOLE BUILDING
7/,52
/00.00
PASSES
PRESCRIPTIVE REQUIREMENTS:
LIGHTING
EXTERIOR LIGHTING 400,00 450,00 PASSES
LIGHTING CONTROL REQUIREMENTS PASSES
~VAC EQUIPMENT
COOLING EQUIPMENT
I. EER 9.88 8.50 PASSES
IPLV 8.50 7. SO PASSES
HEATING EQUIPMENT
I. Et 9,50 N/A
AIR DISTRIBUTION SYSTEM INSULATION LEVEL
I. With In4utdted ROOt 6.00 6.00 PASSES
lATER HEATING EQUIPMENT
I. EF 0,90 0,88 PASSES
PIPING INSULATION REQUIREMENTS
I. C~~cutdu.n9 0.50 0.32 PASSES
'---------------------------------------------------------------------------
:OHPLIANCE CERTIFICATION:
he~eby ce~t~tY thdt th~ ptdnt dnd
.peC~t~CilUOn.fl coveud by .tf.~~ catcu.
4u.on d~e ~n comp~nce with the
to.... E"'!'~~';,~"
REPARED BY: ~_.
ATE:_______~~_~_____~=====
he~eby ce~~~'Y t t th~4 buitd~ng i4
PI compUa.nce w' he F y
"ic~ency Cod ~
~NER/AGENT: ()L __
iT':. .._.
Review Ot the pl4n4 dnd 4peC~t~Cd-
Uon4 cove~ed by th~4 cdtcutdt~on
indicdte4 complidnce with the
Fto~idd Ene~9Y E"iciency Code,
Be'o~e con4~uction i4 completed,
th~4 building w~tt be in4pected
tO~ comptiance in dcco~ddnce w~th
ecu.on 553.908, Fto~idd Stdtute~.
BUILDING OFFICIAL:
DATE:
.
, r he~eby ce~ti'yr*1 thdt the 4Y4tem de4ign i4 in comptidnce with the fto~id~
1 EA~9Y E"iciency Code. .
" AiCHITECT :_~H ~~.. _ ______~!1~~1~~ST~~~~k-----
HECHANICAL:__ __~~ _ ____________JJ~~~~___~~~-------
PLUMBING: . ~J _____________$~Z1_~___E~_________
ELECTRICAL: _____1_~_L-~_~____~~________
LIGHTING: _ _ _ ___L1Li:.E.__rb-.-_________
(*} Si9ndtu~e ~ ~e~u~ed whe~e fto~idd tdW ~e~ui~e~ de~i9n to be pe~'o~med
by ~e9i~te~ed de~i9n p~o'e~~iond~. Typed Adme~ ~nd ~e9i~tt~tion numbe~~ m~y
be ~ed whe~e dlt ~etevdnt in'o~m~tion ~ contdined on ~i9ned/~e~ted ptan~.
'.
I :
i
I.
,
,
I
BUILDING INFORMATION
i
I
-
COMPLIANCE
CHEC/(
40l,------GLAZING--ZONE I------------------------------------------------v-
Etevllt.i.on Type U SC VLT Shlldin.g AUdISQ.t}J
-------------- ----------J
I. 1 .9 .9 None 40 J
1.1 .9 .9 None 40J
1.1 .9 .9 None 96J
T atilt Gt(1.6~ A.ted in lone I = 176 J
Tout GtU-4 A-tell = 17 6 J
402,------WALLS--lONE I------------------------------------------------J---
Etevlltion Type U Added R G-t0-4~rSQ6tJJ
--------- -------------------------------- -----------J
No.tth -4tucco+btoc+in~ut+gyp 0.13 0 15'83
South -4tucco+btoc+in-4ut+gyp 0.13 0 1518J
Eut -4tucco+btoc+in4ut+gyp O. '3 0 1738 J
Wut 4tucco+btoc+in4ut+gyp 0.13 0 15183
Totdt Wdtt A-ted in Zone , = 6292J
Totat G'(o~-4 Wdtt A-ted = 6292J
403.------DOORS--ZONE ,------------------------------------------------J---
Etevlltion Type U A-ted(SQtt}J
----------J
0,39 21 J
0,39 21J
.85 42 J
.85 413
Tout Doo,( A-ted in Zone I = 126J
Totdt Doo-t A-ted = 126J
404.------ROOFS--ZONE I------------------------------------------------J---
Type Colo-t U Added R A-tel1(SQ6.tIJ
----------J
Medium 0.031 0 4550J
Light .048 0 1575J
Totdt Ro06 A-ted in Zone I = 6125J
Totdt Ro06 AUI1 = 6125J
40S,------fLOORS-lONE I-------------------------------~---~------------J---
Type R AUI1(SQ'.t}J
----------J
o 6 I 50 J
Totdt Ftoo,( A-ted in Zone I = 6150J
Tout Ftoo-t A-ted = 6150J
406,------INFILTRATION--------------------------------------------------J---
JCHECKJ
Inlit.t.(4tion C-ti.te-ti4 in 406.I.ABC.' h4ve been met. J J'
407.------COOLING SySTEMS-------------------------------------__________J---
Type No EHic.i.ency IPLV Ton-4J
---------------------------- --- ---------- ----- --------------J
I. A~ Cooted I >= 65,000 Btu/h 2 9.88 8.5 13.96J
408,------HEATING SySTEMS---------------------------------------________J---
Type No EHiciency BTU/h-tJ
-------------------------------- ---------- --------------J
I, Eteet.tic Ruuunce 2 9. 5 . 99600 J
409,------VENTILATION---------------------------------------------------J---
JCHEC/(J
J J
NO-tth
South
We4t
RMUent.i.4t
RuUent.i.4t
Ruidenti4t
.-----------------------------------------
No-tth
South
NO-tth
South
1-3/8 Wood Doo-t-Sotu co,(e ttu4h
/-3/& ~ood Doo-t-Sotid co-te ttu4h
,5 GLASS
.5 GLASS
------------------------------------
.hingle.+4he4.th+in4ut4tion
au ROOF+INSUL+METAL DECK
------------------------------------------------
St4b an Gw!e/Uniuut4.ted
Ventitdtion C-tite-tid in 409.1.ABC,1 ndve been met.
,.
~::~7
'\
410.-----AIR DISTRIBUTION SYSTEM----------------------------------------J---
AHU Type Duct Loca.Uon R-va.lueJ
----------------------------------- ---------------------- -------J
1. Pa.cuged COI\~t4l\t Volume With In~utated ROOt 6 J
4",-----PUMPS AND PIPING-ZONE l---------------------------------------J---
Type R-vatuelin Diamete~ Thic~ne~~J
------------------------ ---------- -------- ---------J
1. CucutaUng 6 . 75 , 5 J
472.-----WATER HEATING SYSTEMS-ZONE 1----------------------------------)---
Type Et'iciency St4ndbyLo~~ InputRate Gatton~J
------------------------ ---------- ---------- ---------- ----------J
1. <=12 ~W .90 ,01 15400 ~OJ
413.-----ELECTRICAL POWER DISTRIBUTION--------------------------------__J___
JCHECKJ
Hete~illg c~Lte~ia ~I\ ~13,1 .ABC.l have been met. J J
T~II~to~me~ c~ite~ia ill ~13.1,ABC.2 have been met. J J
~14.-----HOTORS---------------------------------------------------J-----J---
Hoto~ et6iciencie~ in 41~,'.ABC.l have been met. J J
415,-----LIGHTING SYSTEMS-ZONE l---------------------------------------J---
Spa.ce Type No Cont~ot Type I No Cont~ot Type 2 No Wat~ A~ea.rSq6tIJ
---------- --- -------------- --- -------------- --- ------ ----------J
Wo~~hip/Co Stepped-4 Leve 3 on/a" 10 14300 6150J
Total Watt~ tO~ Zone , = '4300J
Tot4t A~ea 'o~ Zone ,: 6150J
Total Watt~ : '4300J
Total A-tea : 6'50J
JCHECIO
Lighting c~ite~ia ill ~'5.' .ABC have been met. J J
------------------------------------------------------------------J-----J---
'6. HVAC toad ~izing ha~ been pe-t6o-tmed. 1407.' ,ABC, r} J J
------------------------------------------------------------------J-----J---
17, Duet ~izing and de~ign have been pe~6otmed. 1410,I.ABC./.2) J J
------------------------------------------------------------------J-----J---
18, Te~ting and batancLng witt be pe-tto-tmed. 1410./.ABC.4) J J
------------------------------------------------------------------J-----J---
19. Ope~ation/mdintenance mdnu.a.t witl be p~ovided to owne~.1'02.1)J J
.
----------------------------------------------------------------------------
,.
t
APPLICATION FOR PERMIT
CITY OF ZEPIIYRHILLS
BUILDING DEPARTMENT
OWNER'S NAKE ZEPHYRHILLS WESLEYAN CHURCH
PHONE 813-782-7510
OWNER'S ADDRESS
38924 Avenue "C"
P.O. Box 1209 Zephvrhills. FL 33540
JOB ADDRESS
38924 Avenue "C"
LEGAL DESCRIYl'ION: LOT(S)
PARCEL I.D.' J L/ - .J b - ~ /
BLOCK
::t,~~ .s3
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~New Construction~Addition ____Alteration ____Repair ____Install
& Renovations
____Sign ____Move ____Deaolish
PROPOSED USE: ____S ingle Family
CHUR Clbo..ercial
____M/F
____' of Units ____M/H
____Indust.
_Swim. Pool _Other
____Restaurant & Health Department Approval
DESCRIPTION OF WORK:
BUILDING SIZE:
x
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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
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 CONSTRUCfION: _Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECf IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACfOR SECTION
BUILDER COMPANY COGUN INDUSTRIES. INC.
State Cert. or Regist. . CBC037901
City License Registration' 410 CB C037901
.........................~............. ~
_C ____ COMPANY t:dk '~
::::: :/' ;:~ State Cert. or Regist. t ctn:)C5 /.2 ~A-'
_ _" ur~ _ ~ h. City License Registration' -:;:'"
, ***************************************
PLUMBER ~ COIlPANY Vdh~~d~l~
. .' //JL _ ./ State ceft. or Re st..f V ~ ~~~/57
S1gnature ~t:://1. City License Registrat10n , _ -7-
/. **********************..** ************** -
KECHANI~~
Signature
COMPANY
State Cert. or Regist. Ie:
City License Registration .
******************************************
OTRRR
COMPANY ~~uA.J T;:;~~ ~<--
State Cert. r Regist. f C-1$C-o '77'ltJ (
ty License Regi~~lia,ti.on""~~O -. ~3 C.n~ 7<10/
****************.:*****,***'*,****..:.~ .'
~ ~ -, .... -,... . ..' - .
~i-\d' ~f ...c._" -.;t . .~ . j', '~... j
; . ,l".....~,,:.. ",,'1V""'~~T OFFICER.
,~,,".'~fi:.:..... '~:~Aa..;'",,'~,:,:~ 'r;.:',">~::~~~)(...:..."!:~",;
APPLICATION APPROVED BY
_ CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'fbe undersigned understands that this pemit lilY be subject to Ddeed restrictions- wbich lily be lOre restrictive than City
regulations. tbe undersigned assUJeS responsibility for capliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OImer has hired a contractor or contractors to undertake wort, 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 lilY be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents lilY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
FurtheIlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
DContractor SectionsD of this application for wbich 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 lily be an indication that he is not properly licensed and is not entitled to pertitting privileges in the
City of Zephyrbills.
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 DFlorida's Construction Lien Law - lkIIeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUlleI' Affairs. If the applicant is so.eone other than the
Downer", I certify that I bave obtained a copy of the above described dOCUleDt and prolise in good faith to deliver it to the
Downer a prior to COIIenceaent.
E. CONTRACTOR' SlOWER'S AFFIDAVIT.,
I certify that all the infortation in this application is accurate and that all work will be done in cOllpliance with all '
applicable laws regulating construction, IOning, and land developent.
Application is hereby Iilde to obtain a perait to do work and installation as indicated. I certify that no work or
installation has CDIeIlced prior to issuance of a perlit and that all wort willbeperforaed to .et stanc1ardsef all laws
regulating construction, City codes, loning regulations, and land developent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtel1tal agencies'lIilJ apply to the intended work; and that it is
IY responsibility to identify what actions I lust take to be in COIpliance. Such agencies include but are not IWted to: .
I Departlent of EnvirOllleJltal Regulation - Cypress Bayheads, Wetland Areas and Envirouentally Sensitive Lands,
Water /Wastewater treatlent
I Soutbwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, ,Altering Watercourses
t AIIY Corps of Engineers - Seawalls, Docks, Havigable Waterways' '. :;..
I Departlent of Health i Rehabilitative Senices, EnvirODleDtal Health Unit - Wells, Wastewater treatlent, Septic tanks
I US EnvirODleDtal Protection Agency - Asbestos abatelel1t .
I also certify that, if fill taterial is to be used in Flood Zone DAa oCDA,etc. D, it is understood that a drainage plan'
addressing a DCIIIPeD8ating voluteD will be sublitted which is prepared by a ptofeSsional engineer registered in the State of
Florida prior to peIlit issuance.
A perait issued shall be construed to he a license to proceed with the wort 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 fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code: Every pertit issued. shall becoIe .invalid
unless the wort authorized by such perait is COIIllDced within sillOnths of issuance, or if work authorized by the perait .is
suspended or abandoned for a period of Sil IODtha after the tile the work is CDleDced. One 90 day eltension of tile, IilJ be
allowed for the perlit with fee charge of $15.00. the eltension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during each sil IODth period, or the profect will be considered abandoned.
WAlUfIlfG to OVIER: YOUR FAILURE TO RECORD A NOtICE OF CCIIHDCEIIDf HAY RE l' IN YOUR PAYING DICE FOR DIPROVIIIDTS to YOUR
PROPERtY. IF YOU IIl'IIND fO OBfAIJI FIWCIIG, CONSULt WID YOUR LDD 0 Ammm RE RlCORDIHG YOUR HOfICE OF
COHHENCEHBN'l. JOBS UNDER '2,500 IH VALUE DO lOt HEED 1'0 RECORD AID Sf D ICE OF CEIIDf'.
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StAn: OF FLORI~
coum OF 1- .-It''< c.o
The foregoing instrument was acknowledged
befo.:e me this J'1i~ .' 19~ by
/:. j u)~O 01tt2..cIA
who is personally known tome'or'wbobas
prollueed Pi2.~'s G"h ~ ~N""'--"'--
as identificat. .he tlidLdid not:_
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(Name Typed, Printed or Stamped)
NOTARY PUBLIC
WlBLBr 1 NEU.IR
NC1tAJ.Y PUBUC,SJ'ATI OF Fl.OIJJiA
,OONMIIION NO. .CC25Ift\
WV~~;!I!I.:1S1
StAn: OF FLORIDA
coum OF PlNELlAS
The foregoing instrument was acknowledged
before me this Mav 27 , 19~ by
William L. Couchenour
who is(p~;;;llY knO~o me or who has
produced
as identification and who did/did not
ta~k oath. ~ / /J A' ~,
_J?~ ~/}/uL.(_
( 19nature) ,
Bonnie S. Carrel
(Name Typed, Printed or St ed
NOTARY PUBL ....w... BONNIE S, CARREL
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DOOZAN & ASSOC., ARCHITECTS
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Brandon. FL 33511
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ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
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Classification
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Address ~ < <1'.2 q
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Owner/Manager
Business Phone
Emergency Contact. Phone ,
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION '
~ APPROVED
f/) FINAL 0 ANNUAL
o OTHER
o NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approvEKi by the Fire
Department.
o CODE VIOLATIONS
,.-.- . ....'.:'r.'..' ...
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to .the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire~revention Code.
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Re-Inspect. Date _ Inspectors Name ;:J;. /..,_. "-,, :i;,..-~ .,
OwnerIManager Signature ;1,:') ..../:,-1-1."" -fJ- .. TI1le,S;Agre:-';r~./ Z"J.
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of theNFPAminimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
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NAM~~: E.I~ll_!Af~r)(:1 GAf~l~IA
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PASCO COUNTY, FLORIDA
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RECEIPT NUM8R: 00240698
()FFI!:E:~ I:::AI:1E C::I'T'Y
CHEC!< # 14:~::~:
SOLID WASTE FOR PERMIT 41908
C: I T\' or: i-I-! I L..L.:;:;
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200.40 KK*~*~ SOLID WASTE FEE
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Builder Name/Owner Name ~fr:~ ~;~ ~~;rrnc -JZJ4 ~ IZ
County Parcel No. /J./ - _L !5__ _ __
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Classification/Type of Use a,z/.,/~ -z;;- ~~ eAD1J ~:l.Llt' h,.::io
TRANSPORTATION IMPACT FEE CALCULATIO. (EXEMPT D
'. . .~
PASCO COUNTY, FLORIDA
Permit No.
Location
Subd.
Rate $
Zone No.
Sq. Ft./U nit
Prepared By
The above i ct fee has been established pursuant to the Pasco County Tra ortation Impact Ordinance as adopted
by the B of County Commissioners. This amount is payable PRIOR t e issuance of a Certificate of Occupancy
or rity to utilize the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
No. Units
NONRESIDENTIAL
Gross Sq. Ft. (GSF) ~ 1'70
ERU Assign No. ~ D 1
Rate/ERU - 50.00 x 0.96*/Year
or $0.1315/Day
Assessment - (No. Units) x ($0.1315)
x (No. Days)
~
TOT AL FEE $
Assessment - 3 b Ll
(GSF) x (ERU) X (0.1315) x (No. Days)
100
TOTAL FEE $ dOG" ~
*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. ~ 40 (613
DATE
DATE~qS
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ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
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Classification
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Address ;:.
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Owner/Manager
Business Phone
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
0 QUARTERLY 1$ FINAL o ANNUAL
0 RE-INSPECTION o OTHER
<p APPROVED o NOT APPROVED
TYPE OF INSPECTION CONDUCTED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This -inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
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Owner/Manager Signature . '.._ '", '/JA~._, -d-. Title f) 1.1 pi- (',...-, '1 y.. (jI/ Ir/"J.
) .. j ..
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy - File Yellow Copy - Bid. Dept. Pink Copy - Business