HomeMy WebLinkAbout94-4201
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u9 thO~
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 788-6611
Date
(o2t{,50
~L~I~0
Sewer connJ;..'7B, ()C
'7 --D C C
Water Conn: '::>J'
o \1. L --r1, \ T Water Meter.. / b~( 0 't..
Property Owner: ~r)€.iL ;-Af\-\lLy l I'(v) .
Job Address: rofn___ ~~ ~f- l)~, T.I.F.'s: ~
""!2 /\ / "/ D /v?, ~"., 1/. L';~P~J
Parcel J.D, # c>:I - ,-,./{Q - r,.L - OU(..J- 60/'0'0 - ~ . 1/. {--lI24L ~
22 /7 ~ '-'7 icg ~
Zoning: Energy Code: Radon Gas: 17) 51 r' ~. t
Description of Work~ ~ ~l~(li~ fAMI~ ~...uii.LL\~&
,... .
~]., ::)0
@ECT~IC~
57.50
~MBIN:V
~ tot:;
3::> .
~-~
ECHANICAL.J
_ 4201 5
<g ~ 2-q4-
NO OCCUPANCY BEFORE C.O.
FINAL /- ;j-
DATE
C.O. -L - - 9..s.-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarr-e with City Codes and Ordinances,
Inspector
Permit Fee * ~O4-," 0
Signature ~ \......"._. y10....t.LL--
Company
Address
Telephone#
Valuation or cQ.2- 0 U
Contract Price 0 j 0
I.~I
City License Registration #
State Certified License#
&L. ::fT"EX'iL U?AS T:
-:It /~ I
BUILDING
2fp~I4/LLs ti rr1-
::FIt 0
ELECTRICAL
ql-!us t'f.q\\lL- rL;l'-<6.
41-5(
PLUMBING
BAH rlS rllo pf/\)[ GAs/ii L
-#76
MECHANICAL
Ftr. 1~ 4-'11 0tLL Tp. Servo fJ
Pre SLB q-.:\,q 4 BJJ Rough In ID-{tj-9'1 ob
Lintel Meter Can (J-- ::)-91 /!J.s
FRM. In. 2-1-44- g( L(., Const. Pole '1 ~tj-q ~ Bt Ll
Insul. CL Pool
WL /{)~2-/~ f:tlJ....- Pre-Meter /2-12-4<1 &b
~~S~tf/~ b-'?:tl!. lll...finalV"
'Onveway /2 -I.J.,~,,- '-f J11[i,. FvoTfi/L~ ~~q-ti''f Blc.LJ-
J.aiL 1;-0~q1 6lLL
Breakers
Ducts Insl. / D-{y-t:Jo.f &b
Compressor
Fina~/
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 eac~rafde: 9-;L .-11
a. Wrong Address W / I fYV/1A-
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called. 4 i I - 'l- y...s-
d. Work not ready for inspection when called. I
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.
CONNECTION FEES
SEWER: 1,278.00
WATER: 350.00
METER: 165.00
TOTAL: $1,793.QO
:;:-lz!Z{G- I ~ 5' ell
<'- ()i'"
!; 95?'~
G.L. Steve
6651 North Lake Dr.
VALUATION:
$81,354.00
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
SQ. FT. LIVING:
2,067
COST/FT:
$35.00
SQ. FT. OTHER:
819
COST/FT:
$11.00
VALUATION
$81,354.00
DRIVEWAY
$20.00
ADDRESS
$20.00
FEE SHEET
$393.00
SQ. FT. UNDER ROOF
2,718
RADON GAS
-;) (
~ovr
$27.18
TRAFFIC IMPACT FEES
99%
1 %
$0.00
$0.00
$0.00
GRAND TOTAL: r
1I~709. ~
629.50
57.50
82.50
35.00
$804.50
80.00
$724.50
d.-1,lft
City of Zephyrhills
Building Department
Attention:
Roy Burnside
Silver Oaks Development
Smith Cattle & Grove Corp .
Date Submitted '1-c1.7-9!
RE: D.R.C. Approval for Permitting
Please be advised that the Construction Plans and Site Plan
submitted by:
Builder/Owner:
Name
G,L-
STM'2-.-
Phone
street
City State Zip
For Lot # '6 of Phase # .--rr-___
in Silver Oaks meets the minimum reqUi'~ as outlines 1n
Phase I of the D.R.C. Check List and has been approved for
permitting by the Developement Review Committee.
Date Approved:
Signature,: ~ - ~ /
~24 /- ~ \\,.~~
~~~) /
.,~..~ .
1. New construction or addition
2. Single family detached or Multifamily
3. If MUltifamily-No. of units
4. If Multifamily, is this a worst
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
b. Adjacent: 2. Wood frame (Insulation
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A
PROJECT NAME: ... ~ <jJ BUILDER: g. I. steve construct1:?;' on .
AND ADDRESS: (.,&>5'1 yvp/2.r1l1../!I<E .vI? PERMITTING ~LIMATE
OFFICE:e/lt( Dr:ZrPH'tR!Ii ONE: 41_ 51_1 61_1
OWNER: baker PERMIT NO.I(:;;O/~ JURISDICTION No.t::./I~oo
CK
1. New Construction
attached 2. single-Family
3. 0
case (yes/no) 4.
5. 2067.00
6. 2.00
7. 0.00
Single Pane
8a. 16.4sqft
8b.215.4sqft
SN: 2165
CENTRAL
Double Pane
O.OOsqft
O.Oosqft
9a.R= 0.00 .' 191.50 ft
R-value) 10a-2 R= 9.00, 992.70sqft____
R-value) 10b-2 R=11.00, 245.60sqft____
11a.R=22.00 , 2067.00sqft____
14.Heating System:
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 . 88
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
16.
17.
18.
2
CV
19.
19a.
19b.
84.22
32253.82
38297.21
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
PREPARED BY:~ S'TGV.EN/S
DATE: 7 /2ij~ty -
I hereby certify that this building is
in compliance with the Florida Energy
Code.
OWNER/AGEN'J': 6.L~ S'175JE-
DATE: 7 IU Ic,y
I I '
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.
BUILDING ~ICIAL~.6~ ~- ~
DATE: ~2-~
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Whole Building Performance Method A
BUILDER: g.l. steve construction
PERMITTING CLIMATE
OFFICE: ZONE: 41_1 51_1 61_1
PERMIT NO. JURISDICTION 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= 9.00, 992.70sqft____
b. Adjacent: 2. Wood frame (Insulation R-value) 10b-2 R=11.00, 245.60sqft____
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:
baker
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
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
PREPARED BY: JZ..oN S T'(jJE'f...L <;
DATE: 7/26jtly
I hereby certify that this building is
in compliance with the Florida Energy
Code.
OWNER/AGENT: 0, L~ S175.; <Y'
DATE: 7/2G/cty
SN: 2165
CENTRAL
CK
New Construction
Single-Family
o
1.
2.
3.
4.
5. 2067.00
6 . 2 .00
7 . 0 . 00
Single Pane
8a. 16.4sqft
8b.215.4sqft
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 .' 191.50 ft
11a.R=22.00 , 2067.00sqft____
12a. R= 6.00, uncond
13. Type: Central A/C
SEER: 9.70
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF: 0.88
16.
17.
18.
2
CV
19.
19a.
19b.
84.22
32253.82
38297.21
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.
~Id -
BUILDIN<gOFFICI~: ~ ' '-"-'-" ...,~
DATE: -;;+--9
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
--- BASE ---
--- AS-BUILT ---
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
~~~i;--~;;~-~-;~;;-:- POINTS I
N
78.80
82.2
6477.4
E
41.70
82.2
3427.7
SE
S
11.60
48.60
82.2
82.2
953.5
3994.9
SW
W
11.60
39.50
82.2
82.2
953.5
3246.9
TYPE
SC ORIEN AREA x SPM x SOF = POINTS
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL CLR
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL CLR
N
N
N
N
E
E
E
SE
S
S
S
SW
W
W
W
16.2
16.2
23.2
23.2
9.3
16.2
16.2
11.6
16.2
16.2
16.2
11.6
16.2
16.2
7.1
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
.15
2,067.00
231.80
===============================================================================
15,911.41
1.338
NON GLASS------------ I
AREA x BSPM = POINTS TYPE
19,053.96
R-VALUE
51.5
51.5
51.5
51.5
109.2
107.1
107.1
110..3
98..3
98.3
98..3
110..3
107.1
107.1
109..2
ADJ GLASS
POINTS
25,486.11 I
.85
.85
.85
.85
.77
.82
.82
.77
.73
.73
.73
.77
.82
.82
.71
711.0
711. 0
1018.2
1018.2
784.8
1420.8
1420.8
985.2
1155.4
1155.4
1155.4
985.2
1420.8
1420.8
548.4
GLASS
POINTS
AREA x SPM = POINTS
-------------------------------------------------------------------------------
WALLS----------------
Ext 992.7 1.0 992.7
Adj 245.6 .7 171.9
DOORS----------------
Ext 55.6 4.8
266.9
Adj
17.8
1.6
28.5
CEILINGS-------------
UA 2067.0 .6 1240.2
FLOORS---------------
SIb 191.5 -31.8 -6089.7
INFILTRATION---------
2067.0 10.9 22530.3
Ext Wood Frame
Adj Wood Frame
Ext Wood
Ext Wood
Ext Wood
Adj Wood
Under Attic
Slab-on-Grade
Practice #2
9.0 992..7 2.10 2084.7
11.0 245.6 .70 171.9
17.8 7.20 128.2
17.8 7.20 128.2
20.0 7.20 144.0
17.8 2.40 42.7
22.0 2067.0 .90 1860.3
.0 191.5 -31.90 -6108.9
2067.0 10.90 22530.3
===============================================================================
TOTAL SUMMER POINTS I
44,626.89
TOTAL x
SUM PTS
SYSTEM
MULT
===============================================================================
36,892.79
COOLING I TOTAL
POINTS COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
44,626.89
.37
-------------------------------------------------------------------------------
16,511.95 I 36,892.79 1.00 1.100
.352
.950 13,570.64
===============================================================================
*******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
--- BASE --- I --- AS-BUILT ---
===============================================================================
~~i~--~;~-~-;;;;-:- POINTS I
TYPE
SC ORIEN AREA x WPM X WOF = POINTS
N
78.80
-267.9
-------------------------------------------------------------------------------
-3.4
E
41.70
-141.8
-3.4
SE
S
-3.4
-3.4
-39.4
-165.2
11.60
48.60
SW
W
11.60
39.50
-3.4
-3.4
-39.4
-134.3
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL CLR
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL CLR
N
N
N
N
E
E
E
SE
S
S
S
SW
W
W
W
16.2
16.2
23.2
23.2
9.3
16.2
16.2
11.6
16.2
16.2
16.2
11.6
16.2
16.2
7.1
9.6
9.6
9.6
9.6
-2.2
-2.0
-2.0
-9..7
-10..2
-10..2
-10..2
-9..7
-2..0
-2..0
-2..2
1.09
1.09
1.09
1.09
-.24
.02
.02
.75
.77
.77
.77
.75
.02
.02
-.61
169.3
169.3
242.5
242.5
4.9
-.5
-.5
-84.0
-127.6
-127.6
-127.6
-84.0
-.5
-.5
9.5
-------------------------------------------------------------------------------
.15 X CONDo FLOOR / TOTAL GLASS = ADJ. X GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
.15
231.80
-------------------------------------------------------------------------------
285.17
2,067.00
1.338
-788.12
-1,054.17 I
===============================================================================
NON GLASS------------ I
AREA X BWPM = POINTS TYPE
R-VALUE
AREA X WPM = POINTS
-------------------------------------------------------------------------------
WALLS----------------
Ext 992.7 1.1 1092.0 Ext Wood Frame 9.0 992.7 2.25 2233.6
Adj 245.6 1.8 442.1 Adj Wood Frame 11.0 245.6 1.80 442.1
DOORS----------------
Ext 55.6 5.1 283.6 Ext Wood 17.8 7.60 135.3
Ext Wood 17.8 7.60 135.3
Ext Wood 20.0 7.60 152.0
Adj 17.8 4.0 71.2 Adj Wood 17.8 5.90 105.0
CEILINGS-------------
UA 2067.0 .6 1240.2 Under Attic 22.0 2067.0 .90 1860.3
FLOORS---------------
SIb 191.5 -1.9 -363.9 Slab-on-Grade .0 191.5 2.50 478.8
INFILTRATION---------
2067.0 4.1 8474.7 Practice #2 2067.0 4.10 8474.7
===============================================================================
TOTAL WINTER POINTS I
10,185.69
===============================================================================
14,302.16
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
10,185.69 1.10
11,204.26 I 14,302.16 1.00 1.100
.515
1.000
===============================================================================
8,102.17
*******************************************************************************
WATER HEATING
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
===============================================================================
NUM OF
BEDRMS
x
MULT
=
TOTAL
I TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL
3
3527.0
10,581.00 I
40
.88
1.000 3527.0 1.00 10,581.00
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
COOLING
POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL I COOLING
POINTS POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
16511.9
11204.3 10581.0 38,297.21 I
13570.6
8102.2 10581.0 32,253.82
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
*****************
* EPI = 84.22 *
*****************
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= 84.2
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 Tint
SINGL CLR DBL TINT
I------x--------------I
INSULATION. . . . . . . . . . . . . . . . . .
Floor
R-Value......... 0.0
R-10 R-30
I------------x--------I
R-O R-7
I--------------------xl
R-O R-19
Ix--------------------I
Ceiling
R-Value......... 22.0
Wall
R-Value......... 9.0
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................
Electric EF.............. 0.88
0.88 0.96
Ix--------------------I
0.54 0.90
1---------------------1
0.40 0.80
1---------------------1
Gas EF.............. 0.00
Solar EF..............
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= 84.2
o 10 20 30 40 50 60 70 80 90 100
I---------------------------------x-------j
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 Tint
SINGL CLR DBL TINT
I------x--------------I
INSULATION. . . . . . . . . . . . . . . . . .
Ceiling
R-Value......... 22.0
R-10 R-30
I------------x--------I
R-O R-7
I--------------------xl
R-O R-19
Ix--------------------I
Wall
R-Value......... 9.0
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... . . . . . . . . . . . . .
Electric EF.............. 0.88
0.88 0.96
Ix--------------------I
0.54 0.90
1---------------------1
0.40 0.80
1---------------------1
Gas EF.............. 0.00
Solar EF..............
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
___, 7' S l/;";: .~ .
\. \--, '. c. U
+r \
/)--. '
_' .1/.
I".tr
,\
APPLICANT be. {L 5~~ (D,...JS ~./n_ ()~
ADDRESS 3;:17 l f 6 ~1.\:.J?t:TS LAJ
BM6'2. ,~\~ \iL-L~'-r
JOB LOCATION~' IJO~LE-_ (t::Fe)_ LOT SIZE76 x/2.D AREA SQ.FT.
LEGAL DESCRIPTION: LOT(S)~ 5 BLOCK SUBDIVISION~J+.:E7~<> (";LU~U
~1Lv'&L. O~ ')
PARCEL I.D.~t
WORK PROPOSED:~New Construction ----Addition ----Alteration ----Repair ___Install
PHONE
OWNER
___Sign/Temp.
PROPOSED USE: ~Single Family
___Sign
~ove
---Delio li sh
~/F
___~t of Units
.-M/H
___Commercial
___Indust.
_Swim. Pool
Other
BqILDING SIZE: ~x=>f3 ,
~estaurant & Health Department Approval
27/S
Square Feet,
~~
IS
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.
PFRMITS REOUESTED
K BUILDING
X ELECTRICAL
(C- MECHANICAL
-x'-PLUMBING
C~l ~SC().. 00
,
AMP Service
Valuation of Total Construction
~ Florida Power Corp.
_W.R.E.C.
$3709.
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ___Block ~Frame _Steel
FINISHED FLOOR ELEVATIONS:81-6 FT. tn/r-Je
Other
******************************************
CONTRACTOR SECTION
Company G, ,C. .sTelE' CJ:>J.JS~-.
_ State Cert. or Regist. #
(.......,-(2 City License Registration # /fJ J
******************************************
Signature
F.T.ECTRTCT AN
Si~natur~~
Company . 'Z.-\..l\.U-<O:L ~L~". ~c2n.v.
~<:r:[J State Cert. or Regist. II """"-' loll>
City License Registration # to
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Signature
Company CJ. .
1 j _~ j,/ () d / State Cert. or Regist. 4t
Vl/'7~ ..,ZJ. ~ City License Registration #
*********************~********************
PLUMBER
MECHANICAL Company gAIIJ( ~ /~~A~ (.. 6'"".5 l"'fl J";vt:.
")/ J ~ ./ State Cert. or Regist. ~t (""'D"..79 V8
Signature N ~~ p ~ City License Registration ft
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Company
-) V n / State. Cert. or Regist. ~~
Signature\ i ck -~______~~VI;;" City License Registration ~t
******************************************
APPLICATION
TlROVED BY
PERMIT OFFICER.
. ,-----
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The und~rsigned understa~ds that this pertittay be subject to "deed restrictions. which tay be lore restrictive thin City.
regulatIons. The undersIgned 'SSUltS responsibility for cOlpliance with any applicable deed restrictions. ' ,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner h.s hired a contractor or contr.ctors to undertake work, they tay 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 tisdeteanor violation under .state law. If the ONner or intended contractor are uncertain as to what licensing
requirelents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, (813)
788-111111 .
Furtherlore, 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 lay be an indication that he is not properly licensed and is not entitled to pertitting 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 - HOleoNner's Protection
6uide" 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 cOltencetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infortation in this application is accurate and that all work Mill be done in cotpliance with all
.pplicable laws regulating construction, zoning, and land developtent.
Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or
installation has cottenced prior to issuance of a pertit and that all Nork will be perforted to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I tust take to be in cOlpliance. Such agencies include but are not litited to:
I Deoart.ent of Environeental Regulation - Cypress Bayhe.ds, Metland Areas and Environlentally Sensitive Lands,
Water/Wastew.ter Treatlent
I Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Metland Areas, Altering Watercourses
I Arty Corps of Engineers - Se.walls, Docts, N.vigable Waterways
I Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environaental Protection Agency - Asbestos .batelent
I also certify th.t, 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 subtitted which is prepared by a professional engineer registered in the State of
Florid. prior to per.it issuance.
A perlit issued shall be construed to be . license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sh.ll issuance of a pertit prevent the Building Official frol thereaft,r
requirinq 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 perlit is cot.enced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tite the work is cO.lenced. One 90 day extension of tile, lay be
.llowed 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 e.ch six lonth period, or the project will be considered abandoned.
WARNIN6 TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCE"ENT "AY RESULT IN YOUR PAYING TWICE FOR I"PROVE"ENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN fINANCIN6, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO~E"ENT. JOBS UNDEU::2'500 IN VAlUE DO NOT NEED TO RECORD AN.D POST A "NOTICE O.F CO""E. NCE"ENT..
x'J~~d. .
~a'1,;j tZ r/J O-lVa ~J- ;J'l-u~
SI6NATURE: OWNER OR AGENT SI6NATURE: CONTRACTOR
STATE Of FLORID~
COUNTY Of t' A. S (., b
The foregoing instrument was acknowledged
before me this ::::u\y I ~, 19''1~ by
~~r\~ <C- A(Lt\ol ~ '"B~~r )t'LlS'~~S
who is personallY known to me or who has
produced
as identification and'who did/did not
ta~hf1. fYl (~~
A'S~nature) "'^ C 1'//
~l.cr,.,J ~ 'I' U UWl
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
STATE Of FLORIDA A
COUNTY OF ~.5 C. ()
. The foregc.ing insifument
befc.re me this - ~ 'jj
was aC~~Wledged
, 19 by
D t{jllft oJ. 0-rt J E
who is personally known to me or whO has
produced DR' lJ ti!..S J....-J (!a~JJ6 C-
as identification and who did/did not
take~o~th.1 n. ~i..J-I--
!/jIB # ~ -+. '/fA.-
(Sig Irf?)
, AJ /J II-- ;T 0 -r,-
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
....~.~..\ OFFICIAL SEAL
I ~ SUSAN A, McCOLLUM
: ! My Commission Expires
\ I April 16. 1997
.~'tQoF\.d'-~... Comm. No. CC 268679
........
LINDA J. QTT
Notary Public. State of Florida
My Comm. Exp, June 5. 1998
Comm. No. CC 378684
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):>0 LE-
CITY OF ZEPHYRHILLS
Building Department
603 8th Street
(813) 788-6611
TO: ELorida Power Corporatio[l>.or W.R.E.C.
Zephyrhills, Florida
NAME G, '-..~n.v6- CDNlS-r:
ADDRESS Co 0 S-I NDrtrtt LA-\'-€... b~.
'1>- q-qq
DATE
Electrical work at above address has been inspected.
This is your. authority to proceed.
, I ~.. '.,..
c:CPnst. P~ : - '
Temporary Service
Completion
CONTRACTOR #:
NAME: GL STEVE CONST
ADDR: 6651 NORTHLAKE
C/ST: Z-HILLS
C E N T R ALP E R M I T TIN G DATE: 01/04/95
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR= 00234931
OFFICE: DADE CITY
FOR:
CHECK # 2147
PERMIT 42018
CITY OF Z-HILLS
ACCNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - ~
49.4~5
AMOUNT DESCRIPTION/PERMT DATA DR/CR
49.45 ****** SOLID WASTE FEE 60
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PASCO COUNTY, FLORIDA
"-
Permit No,
Date Permitted
/f'
/
/
Builder Name/Owner Name
J
County Parcel No,
Location
-/
Subd,
Classification/Type of Use
'.TRANSPORTATION IMPACT FEE CALCULATION
\
EXEMPT 0
Rate $
Zone No.
"Sq. Ft./Unit
Prevared 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 permitted structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
EXEMPT 0
No. Units
/
/
NONRESIDENTIAL
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)
it.. .! t..
TOTAL FEE $ "{' /. ~...,;;$
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
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. I
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 OmCE 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." ,.)4.../ I') I
.
....-
BY
,,,~,-
DATE
,< I
DATE / -/
-
/ "
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce