HomeMy WebLinkAbout94-4371
BUILDING PERMIT
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BUILDING
Permit ~
4371,6'
CiTY OF ZEPHYRHILLS
(813) 788-6611
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ELECTRICAL
YlJ:>-o
PLUMBING
Date JIJ-J /- }/ Y
r ,
:2. ~'::,~, 01)
MECHANICAL
Sewer Conn /).;7 g-, I/D
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Watelr Conn: .3~CJ, J()
Water MilJer: / 6.5 ~r t:'7J
T.I.F.'s: /'/ ?-tJ, tTtJ
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Property Owner: k::.c.
Job Address: <3 ~
P 110#'" /O-6C)C'dD-C)
arce . .
Zon;ng' Ene,g2' ~on ~" /3,.5'3
Oe,e';pt;on of Wo" '--IfJb.> if~ cft'''/1-< ,-. Ai"" 'ejJf ~ 0
NO OCCUPANCY BEFORE C.O.
FINAL ~-cg~'l5"
DATE
C.O. ~,-~--7-"::;-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordart:'e with City Codes and Ordinances.
Valuation or l..
Contract Price 2 t .!J.......7 f, r IJtJ
City License Registration # ,-3 ~ "z,-
State Certified License#
~ 101-0 l3.u;ji1~
BUILDING
Ftr. Ii)" 31. 4f 'BIll..-
Pre SLB IJ- /5 -9'1 If.fJ!1/RL~
Lintel 12. -S". 44 {J,LL
FRM. /2-lq-C,t./ (.6II.-V
Insul. CL
WL j2r J'-b~"" -6Lc
fif'iti\L- ~.-"5. '/-) ,~lV
Driveway J- J ~ # q 5.6 L1l.
SHf)I\llli,.;&-. J LL-
/2- 2-~-1'" Dl
~i1-)7~~,
ELECTRICAt?3 ;I
Inspector
P~rmit Fee ~~--<~~~ \)
Signature _ ~ t;:~
Company
Address
Telephone#
() L ~p~O
PLUMBING c77
!1-/M 2) )./1;j ~ tJ
/IJ~
MECHANICAL
SLB JJ-)~"~ B~
Tub Set )..- .CjL/ 6.LL
Water
Sewer J-JfLl-:,i) ~
Final 2-"1>.2 iL-
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.
Tp. Serv.
Rough In /2--2,'54"" ~b
Meter Can /0 -1/-9'1/
Const. Pole //)-314'1 ~
Pool
Pre-Meter .)-(-Gs S~
Final '2-- [-if r &L<-
~ r-~
~ fb-3l-lfl ~
Breakers
Ducts Insl. i2-. 7"1.-1'1 ~~
Compressor
Final z-=--S- 1'> tltc....
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:
7J~ ~'-R~f~<L<1
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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 CALCULATING FORM HEATING & COOUING
SHORT. FORM OF MANUAL J 1967 3rd EDITION, 2nd PRINTING
,BASED UPON THE MOST COMMONLY FOUND CONSTRUCTION FACTORS
(IN THE TAMPA BAY AREA)
~USTOMER ~AM~'1?'IO(~ &.)1 Loell~ (S:;f\I2-DU&T'.r. ')
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HEATING HEATING
MULTIPLIER LOAD
BTU/HR
30. DE'SIGN TE'MPERATURE'
NOT
USED
IN
HEATING
700 INC::ln~ 71;,0 INC:ln~
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SUBTOTAL HEAT LOSS
DUCT lOSS (.05 X SUBTOTAL)
TOTAl Hi:At I nc:c:
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UNIT SHOULD NOT EXCEED
125% OF TOTAL NO~ BE lESS
THAN 100% OF TOTAL (_..)
. ITEM
SQUARE
FEET
'1.. WALL
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DO NOT INCLUDE 5% DUCT
LOSS, JUST TOTAl. COLUMN
OF BTUH.
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DATE
COOLING
MULTIPLIER
75" INSIDi: TEMPERATURE
95. DESIGN TEMPERATURE
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NONE INSIDE IOUTSIDE I
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SEN'i19lE HEAT GAIN (TOTAL COlS.) IIIn 2. '6'_li
DUCT GAIr/ (SENS:9LE HEAT GAIi'f X '" I. t"]Q /"1
T\lTo\L $Hl$/DLl H:.\i G.s:~1
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OF TOTAL NOR BE LESS THAN 95%
OF TOTAL :? 7 / 11 I. (-l
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APPLICA1ION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT R~~ gU/~..r/ _ ..:::z;;c
ADDRESS 707 I Xi/le..f ~ /' d/4C'S ~/ /4:" 7:J~A'HONE (6-'3) 'f/? z -?2V 0
OWNER A~~.4'""/~ -Zi c,
JOB LOCATION / . ~eP/'~ceJCJoJ 4/~
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.y?
LEGAL DESCRIPTION: LOT(S)
BLOCK
LOT SIZE_X AREA SQ. FT ,//'''''7~''''
SUBDIVISION . /~dt.~aJ~ N~~
PARCEL 1. D. iF / ~-- ~ -;)./.- 0/ '(1) - 00600 - Cl V70
WORK PROPOSED:~ Construction ----Addition
~Alteration
_Repair
_Ins tall
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: ~ngle Family _M/F _# of Units __M/H.
_Commercial _Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
. f/2-( x33~/,fr' /353 g(
BUILDING SIZE: 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.
_BUILDING
If'l /'
$ o-S / t() 0 D Valuation ~otal Construction
c:POO AMP Service .../ Florida Power Corp.
PERMITS REOUESTED
_ELECTRICAL
_W.R.E.C.
i
_MECHANICAL $
/ If? ()f), OA
_PLUMBING
GAS
~ck
Valuation of Mechanical Installation
~~OOFING SPECIALTY
TYPE OF CONSTRUCTION:
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECT~
,-:;- c Company /+ gi.A./~ft y;"c.
State Gert. or Regist. IF C&'C C)~R97S-
City License Registration iF 3'22-
*******************************
Company ~/? ~./,.<' $vy,
State Cert. or Regi t. 4F 6' IP 60 /0 ? 3 "2-
City License Registration 4F Ol:z.. 'I
************ .*****************************
PLl~F.R #~p~~
Signature ~V
Company ~ e e ~d~~
State Cert. or Regist. # lOll
Ci t)7 L~ r.:ense Regis tratiofi ~;~ ~~ 7
#,
******************************************
MECHANICAL
Signatur~ V~
CompaflY Eco,./tJ CIl(l~L.Itf&.~-"""1I!: /-"v r
t:1ln. - State Cert. or Regist. IF I?I9 ooto9JtJ'
~ ;, City Li.:ense Registration ~F lOG
******************************************
Company
State Cert. or Regist. IF
City License Registration IF
OTHER
Signature
APPLICATION APPROVED BY
*"11. * * * * * * * ****1" * * Z * * * * * * * * * * * ,,: * * * * * * * * * *
. dA"~ )110-, ~
PERMIT OFFICER.
CONDIirONS OF PERMIT AFFIDAVIT
A~ NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it.ay be subject to 'deed restrictions' whic~ .ay be lore restrictive t~an City
regulations. The undersigned assu.eS responsibility for co.pliance with any applicable deed restrictions,
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor Dr contractors to undertake work, they may 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 .ay be
cited for a .isde.eanor violation under state laM. If the ONner Dr intended contractor are uncertain as to Khat licensing
require.ents .ay apply for the intended Nork, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
788-6611.
Further.ore, 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 Nill be responsible. If you, as the owner sign a~ 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 .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 FEE~.
D, CONSTRUCT I ON L T EN ,!";P.Ji (CHAPTER 713, FLOR I DA STATUTES, AS At-1ENDED)
I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Ho.eowner's Protection
Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er 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
'oNner' prior to co..ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all HorK will be done in co.pliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby .ade to obtain a per.it to do Nork and installation as indicated. I certify that no worK or
installation has co..enced prior to issuance of a per.it and that all work will be perforled to .eet 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 Environmentally Sensitive Lands,
Water/Wastewater Treatment
f Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
t Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental Protection AQency - Asbestos abatelent
I also certify that, if fill laterial is to be u~e~ i~ Flood Z~~Q 'A' or 'A,etc.., it is understood that a drainage plan
addressing a 'co.pensating volu.e" Nill be sub.itted which is prepared by a professio~al 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 per.it prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code.. Every perlit issued shall becole invalid
unless the work authorized by such per.it is cO'lenced within six .onths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six .onths after the ti.e the work is cOllenced. One 90 day extension of ti.e, .ay be
allowed for the per.it with fee charge of $:5.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six .onth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR ~AILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COM"ENCEMENT. JOBS NDE~2,500 IN LUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF7COMKENCEKENT',
/
C Q oS ~t-t-e
Stamped)
STATE OF FLORIDA ~
C~m!TY OFr M 12 f PPr
. The forege.ing instl-ument ltJas ackl1~lwledged
befDl-e me th i sSef;cr-. ;;:l.~ <::::P , 19 fi.- b;
Ji r:;: fJ-fO ~(:Z ( t<..I k 6 f
who is persDnally known to me Dr who has
'fl"rOduc~d ~
"'~ ;..1- . :'.1(;:_1'.:';' J I!l Ill'll: eJid/did not
ta~lSM'~i'- ))., ~
! "'i~tJ.re)
;:> p 1-1 'r~)~ P (l. r4 ~. CD s -reI- L-I::,
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
STATE OF FLORIDA ~
COUNTY OF r-lJ A-r 1/ ll-
The~forego~p~~ru~t was ~~nOWledged
befe,re me t'hi's .:;L:::2.. - , 197' by
Jf e:-/f.O (f.2. y tJ - I< cy
whet is pel-sc,nall y known to me 0+ UhB h-es
p:Foed,-.,-~d
i&Si i~e:"tificatie.ll-and whc, did/did nnt
take~~X; ~ ?, C~
(Signatu~) r-;7
pAlLa ft "tH ~ '
(Nama Typed, Printed Dr
NOTARY PUBLIC
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OFFICIAL SEAL
Barbara R. Costello
My Commission Expires
Nov. 2, 1994
Comm. N,~. CC 054525
.............
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OFFICIAL SEAL
Barbara R. Costello
My Commission Expires
Nov. 2, 1994
Comm. No. CC 054525
C E N T R ALP E R M I T TIN _ DATE: 02/09/95
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
CONTRACTOR #: ISSUE OFFICE: D
NAME: RIDGE BLDERS RECEIPT NUMBR= 00238827
PDDR: 39677 MEADOWOOD LOOP OFFICE: DADE CITY
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C!~Mr:'!~Y AC:(:OlJN1" C~:NTER
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44" :',2
AMOUNT DESCRIPTION/PERMT DATA DRieR
44.52 ****** SOLID ~ASTE FEE 60
. , .
PASCO COUNTY, FLC)RIDA
Permit No. St3 71 13
Date Permitted / 0 - I /-7 '/
Builder Name/Owner Name ~ ~ A. A.u. M".L
County Parcel No. 13 -c:;LG -Jj.... u I $10- () CJ lJIJ C) - 0 '/7 t./
Location .....? 9 6 7 7 /71J-a/;f~..Jl~ Subd.
Classification/Type of U s~J2..J<. c:f, -4l ~
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./Unit
The above impact fee een established pursuant to sco County Transportation Impact Ordinance as adopted
by the Board of nty Commissioners. This amount is payable OR to the issuance of a Certificate of Occupancy
o utilize the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
Gross Sq. Ft. (GSF)
Rate/ERU - 50.00 x 0.96*/Year
or $0. 13 IS/Day
ERU Assign No.
Assessment - (No. Units) x ($0.1315)
x (No. Days)
4J;--5"~
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
TOT AL 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 CALCULA TED 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.~:s y f ~ 7
DATE
DA TE J - 9-
BY ~~
9;'-BY./ W_ M
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce