HomeMy WebLinkAbout94-4425
BUILDING PERMIT
BUILDING
7 f-. }?s-
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
70 , lf7J
Permit N.~
4425 If
Date / i:J -3/- 9' Y
6 J tj,S-O
PLUMBING
3-S"':nJ
MECHANICAL
Sewer Conn /;1... 7 tf-. t:Tl;)
? ",--,. _ .:1->___
Water Conn: <.J-:) U - V""
Water l'y1~jer: //.,,6', t:!/V
Pmp'rty Ow"," ~.
Job Add,,,,, ,6 7:. . - n .- H:J; ..j-
Parcell.D. # J -;;1.6 -~I . tl9
Zon;n9 'n':2:' ~don a" dLh ff
Description of workLfl..LA.A r ' jb ,\~i![~ A.. JAH'/k.<!
T.I.F.'s:
-
NO OCCUPANCY BEFORE C.O.
FINAL ;)--d.rt- QS
DA TE.--
C.O. ~ -c2!' -70.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarce with City Codes and Ordinances.
Inspector
Permit Fee ~ /3 , c2~ _.
Signature~~~ _
Company
Address
Telephone#
Valuation or
Contract Price
R-/ 6 frQ. OD
"
City License Registration # J?;;t
State Certified License#
~1J~ ~
BUILDING
1J1~ I!/du:. I3r~
y!
ELECTRICAL PLUMBING ? /
Tp. Servo SLB Al - C}4 6tU-
Rough In /)...L1:,.qtj &b Tub Set /);-l-'iJ' 'it{ &lL
Meter Can/o dl-~'I . Water
Const. Pole a..-/<Yi'l ~sewer 1'2C:r-7'~ fl...L--
Pool Final 2.. 2-1J-J1'::> lU:-
Pre-Meter ~-l~-G(5 ~
Final
/~/LL ~
MECHANICAL
Ftr. ?J
Pre SLB ./l-8~91 ;J, ,tf...,-
Lintel ~i-7..2 . iiI.{. . U-
FRM. __- 21. 4'" 6lL
Insul. CL ~
WL /2 - U1-tJ'1 tl-V
D ri vew ay / -l(p-'jS t;iJ..J..--
6~Uj lL-IF)-1{ 811.(/
Breakers
Ducts Insl. ~Z.i 'Lj~ &
Compressor
Final 2--bt-C:z'> fSll...L-
1m 12:L--l.} It f\.l L <:...t~ <'-.LC$ \Z. J
/2r2-f4V &d
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. 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.
/J,a. /{)~2J-7Y
fL4 ;1-.1 <j- r-r
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
VALUATION:
SQ. FT. LIVING:
COST/FT:
Bozetech Inc.
6732 Stephens Pass
$81,692.00
2,082
$35.00
SQ. FT. OTHER:
802
COST/FT:
$11 .00
VALUATION
DRIVEWAY
$81,692.00
$20.00
ADDRESS
$20.00
FEE SHEET
$393.00
SQ. FT. UNDER ROOF
2,884
RADON GAS
$28.84
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:
629.50
70.00
78.75
35.00
$813.25
90.00
$723.25
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $2,545.09
'1~:?14.!\. ~ 4
. r:{jy l\t 1~/2 ~_
. IJ ~;i~ f"
1~'1L
LJ PY ,
OWNER'S NAKE : J(}Jpfl-i
OWNER'S ADDRESS 37 ;L'I'i'
JOB ADDRESS /0 TO;; ~1'
LEGAL DESCRIPTION: LOT(S)
APPLICATION FOR PERKlT
CITY OF ZEPHYRIIILLS
BUILDING DEPARTMENT
?i:.r .Au-u ~
'If 9D' ;;-1- 'if
f: i--6~e()eG--/A/!/AJ gj)(!,/(/!/ PHONE Cj27~'-5;;Z/-US-)-/
E/lJM>fJ J9{.er- ~AA/'f/ -!:h4e- ~>J s3:5.2!>
S) -{/ /I.r! /ciS /-L-P /vjl/ t: '7a~ 6# ~~ ~.~6
11 ~ 9 BLOCK SUBDIVISION S/(u~: O/.?/::s
PARCEL I.D.' (OBTAIN FRON PROPERTY TAX NOTICE)
WORK PROPOSBD:~W Construction ----"ddition ----"Iteration ~epair _Install
_Sign
PROPOSED USE: ~:gle F_ily
-----Kove
_Deaolish
-----KIF _' of Units __J:t/H
_ec-ercial
_Indust. _Swill. Pool _Other
~estaurant . Health Depar~ent Approval
DESCRIPTION OF WORK:
.!;.';.V?L. e... fj(! //7 Ie ~ tf.P \/ iJe,v..se
,/
. 'I /
313A? d- /2- LJ/111/5
BUILDING SIZE: L) 'if X
. ;2 fl8 <j Square Feet.
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS. (2) SETS OF BUILDING PLANS. (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS. (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
,.,/"
~UILDING
$
Valuation of Total Construction
V' Florida Power Corp.
~ELECTRICAL
~GHARICAL
2- 0 () AlII' Service
t :2 coo
$ :;;>000
.
W.R.E.C.
~
Valuation of Mechanical Installation
t../ PLutlBING
GAS
~loclt
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION:
_Fr_e _Steel
Other
YES
~
NO
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
..........................................
BUIWER
JL
((otrrR4G10R SECTION'
COMPANY <yJZP7Pr/l JA/c.
~ . . State Cert.. or Regist. . Or) .5-6 3~ (;
( '/~ City License Registration . 3~ 2-
..........................................
;.
Sisnature
..-,f , COMPANY /Jl{J,.{' ro..J LI-fC7 ~:'/ C
f) f ,,, h A/-. State Cert. or Regist. . .
"'{ TL ( City License Registration' --:;;T. ~
.......................................... ~ - I (
PLIDtBER COMPANY fYLtt /J1 ~ / ~ 6
~./ / / ~ State Cert. or Regist. ,
Signature ~/C/Tdv~ City License Registration'
..........................................
"
V"/
ELECTRICIAN
IIECIIAII\~ COIIPARY SOA/Yp::i
_ State Cert. or Regist. .
Signature City License Registration .
. ~~~..............................
~2
Signature
/c' COMPANY A;2erec# ,7;~ c
~. ~ State Cert. or Reaiot,' OO'i/i. iii: 6
. /fAA- c-....-"'-~_ City License Regidltation' 311L
, ..........................................
OTRRR
APPLlCATlOll APPIIOVJlD BY '11 ~0 .m /rtf ,~
PERH1T OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to Ideed restrictionsl wbieb lap be lOre restrictive than Citp
regulations. The undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OlDer has hired a contractor or 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 O1IIler and contractor lilY be
cited for a lisdeleanor violation under state law. If the olDer or intended contractor are uncertain as to wbat licensing
reguirelents laY apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611. ·
FurtberlOre, if the OlDer has hired a contractor or contractors, be is advised to baye the contractor(s) sign portions of the
IContractor Sectionsl of this application for which they will be responsible. If you, as the OlDer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for tbe work. If the contractor wisbes you to sign
as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlltting privileges in the
City of Zephyrhills. '
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. ~ONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of IFlorida's Construction Lien Law - HoIeoIDer'a Protection
Guide" prepared by the Florida Deparuent of Agriculture and ConsUler Affairs. If the applicant is SOIBOne other than the
lower", I certify that I bave obtained a copy of the above described docUIIeDt and prOlise in good faith to deliver it to the
lowner" prior to COlleDcuent.
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 COIPliance with all
applicable laws regulating construction, loning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. 1 certify that no IOrk or
installation has COIIenced prior to issuance of a perlit and that all work will be perforaed to Ieet 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 goveIDIeDtal agencies laY apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in COIpliance. Sucb agencies include but are not lalted to:
. Deparuent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Nater/Nastewater Treablent .
I Southwest Florida Water Manag8lent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Natercourses
I ArlY Corps of Engineers - Seawalls, Docls, Navigable Naterways
t Deparuent of Health i Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater Treatlen!, Septic 'anks
I US EnyiroDlental Protection Agency - Asbestos abatel8nt
I also certify that, if fill laterial is to be used in Flood Zone IAI or IA,etc.l, it is understood that a drainage plan
addressing a ICOlpensating VOlUleI will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
Bet 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, or violations of any code. Every per.it issued &ball bBCOll invalid
unless the work autboriled by such perlit is cOllBDced within sil IOnths of issuance, or if wort authorized by the perlit is
suspended or abandoned for a period of sil IOnths after the tille the work is c08eDced. One 90 day extension of tile, IilJ be
allowed for the perlit with fee charge of $15.QO. Tbe 81tension sball be requested in writing to the Building Official. An
approved inspection lust be logged during eacb sillOlltb period, or the project will be considered abandoned.
NARIlING TO OWNIR: YOUR FAILURE TO RECORD A NOTiCE OF aIlIfIlICEMKNI MAY RESULT IN YOUR PAYING !IIICE FOR IMPROVIIIKNl'S TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCIIG, CONSULT NITH YOUR LINDER OR AN AnOmy BEFORE RECORDING YOUR 1I00ICE OF
COHHINCEHENI. JOBS UNDER $2,500 IN VALUE DO NOI NEED TO RECORD AND POST A INOTICE OF WfMDCEIIBIII'.
J?i:~ 4r-
SIGNATURE: COlT OR
----------
)
SIGNATURI: OIIIIER OR AGENT
STATE OF FLORIDA
COUNty OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oct.tb.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name 1"yped, Printed or Stamped)
NOTARY PUBLIC
, "
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FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600B-93 Residential Component Prescriptive Method B CENTRAL 4 5 6
Department of Community Affairs
OWNER:
CLIMATE rJ:J..- D D
ZONE: 4~ 5 6
JURISDIGTIONNO.: ~
GENERAL DIRECTIONS
1. New construction including additions which incorporates any of the following features cannot comply using this method: raised wooel floors without continuous stem walls,
steel stud walls, single assembly roof/ceiling construction, or skylights or other non-vertical roof glass.
2. Choose one of the component packages "A" through "F" from Table 6B-1 by which you iniend to comply with the Code. Circle the column of the package you have chosen.
3. Fill in all the applicable spaces of the "To Be Installed" column on Table 6B-1 with the information requested. All "To Be Installed" values must be equal to or more efficient
than the required levels.
4. Complete page 1 based on the "To Be Installed" column information.
5. Read "Minimum Requirements for All Packages", Table 6B-2 and check each box to indicate your intent to comply with all applicable items.
6. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form.
Please Print CK
1. Compliance package chosen (A-F)
2. New construction or addition
3. Single family detached or Multifamily attached
4. If Multifamily-No. of units covered by this submission
5. If Multifamily, is this a worst case (yes / no)
6. Conditioned floor area (sq. ft.)
7. Predominant eave overhang (ft.)
8. Porch overhang length (ft.)
9. Glass area and type:
a. Clear glass
b. Tint, film or solar screen
10. Percentage of glass to floor area
11. Floor type and insulation:
a. Slab on grade (R-value)
b. Wood, raised (R-value)
c. Wood, common (R-value)
d. Concrete, raised (R-value)
e. Concrete, common (R-value)
12. Wall type and insulation:
a. Exterior:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
b. Adjacent:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
13. Ceiling type and insulation:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
14. Cooling system
(Types: central, room unit, package terminal A.C., none)
15. Heating system:
(Types: heat pump, elee. strip, nat. gas, L.P. gas, room or PTAC, none)
16. Hot water system:
(Types: elec., nat. gas, L.P. gas, solar, heat ree., ded. heat pump, other, none)
I hereby certify that the p
Florida Energy Code.
OWNER AGENT:
DATE:
-1-
1.
2.
3.
4.
5.
6.
7.
8.
A/~
5 ~ 'A/ '- ( '( I
:l (!) r 1.-
:1-
y,?
Single Pane
sq. ft.
)-)/~I )sq. ft.
''( %
Double Pane
sq. ft.
sq. ft.
9a.
9b.
10.
11a. R= 0 ;tcfv sq. ft.
11b. R= sq. ft.
11c. R= sq. ft.
11d. R= sq. ft.
11e. R= sq. ft.
Review of plans and specifications covered by this calculation indicates compliance with
the Florida Energy Code. Bela nstruction is completed. this building will be inspected
lor compliance in accordan w. Sectio . .906. F.S. (}
BUILDING OFFICIAL: ~
DATE: ("
-TABLE 6B-1
MINIMUM REQUIREMENTS
COMPONENTS PACKAGES FOR NEW CONSTRUCTION
A B C 0 E F
Max. %01 glass to Floor Area 15% 15% 20% 20% 25% 25%
C/) Type Single Clear (SC) Single Tint (ST) Single Tint (ST)
C/) Single Tint (ST) Double Tint (DT) Double Tint (DT)
:5
(!) Overhang 2' 2' 2' 2' 2' 2'
Masonry EXTERIOR AND ADJACENT MASONRY WALLS R-5
C/) COMMON MASONRY WALLS R-3 EACH SIDE.
...J
...J
~ Wood EXTERIOR, ADJACENT, AND COMMON WOOD FRAME
Frame WALLS R-11
CEILINGS CEILINGS UNDER ATTIC R-30. FRAME COMMON CEILINGS R-11.
(NO SINGLE ASSEMBLY CEILINGS ALLOWED)
C/) Slab-On-Grade R-O
II:
0 Raised Wood R-11 (ONLY STEM WALL CONSTRUCTION ALLOWED)
0
...J Raised Concrete R-5
u..
DUCTS R-6 R-6 CONDo R-6 R-6 R-6
SPACE COOLING (SEER) 11.1 10,0* 10.0* 10.5 10.0* 10.9
!;( Elect. (HSPF) STRIP 6.8* 6.8* 7.3 6.8* 7.6
w Gas/Oil (AFUE) MINIMUM OF .73 (Direct heating) or .78 (Central)
:c
II: Electric EF .90 EF .90 EF .90 EF .90 NOT ALLOWED EF .90
w::!: Resistance** (SEE BELOW)
~w
<(~ Gas & Oil ** MINIMUM EF OF .54 NATURAL GAS ONLY
~C/) (SEE BELOW)
~>-
OC/)
:c Other Any of the following are allowed: dedicated heat pump,
heat recovery unit or solar system.
Clim~te Zones 4 '5 6
TO BE INST ~LlED
%
DC: D DT: D
2.- FEET
EXT: R= )
ADJ: R=
COM: R=
EXT: R=
ADJ: R=
COM: R=
UNDER ATTIC: R = :1
COMMOM: R-
R= ~
R-
R=
R=
SEER -
COP=
AFUE =
EF= f ~
EF=
DHP: EF=
HRU: 0
SOLAR: 0 EF=
Single package units minimum SEER=9.7. HSPF = 6.6.
Minimum efficiencies for gas and electric hot water systems apply to to 40 gallon water heaters. Refer to Table 6-11 for minimum Code efficiencies for oil water heaters and other sizes.
DESCRIPTION OF BUILDING COMPONENTS LISTED
Percent of Glass to Roor Area: This percentage is calculated by dividing the total of all glass areas by the total conditioned floor area.
Overhang: The overhang is the distance the roof or soff~ projects out horizontally from the face of the glass. All glass areas shall be under an overhang of at least the prescribed length with the following exceptions: 1) glass
on the gabled ends of a house and 2} the glass in the lower stories of a mu~i-story house.
Wall, Ceiling and Floor Insulation Values: The R-values indicated represent the minimum acceptable insulation level added to the structural components of the wall, ceiling or floor. The R-value of the structural building
materials shall not be included in this calculation. 'Common' components are those separating conditioned tenancies in a multifamily building. 'Adjacenf components separate conditioned space from unconditioned but
enclosed space. 'Exterior" components separate conditioned space from unconditioned and unenclosed space.
Floor: Slab-on-grade floors without edge insulation are acceptable. Raised wood floors shall have continuous stem walls with insulation placed on the stem wall or under the floor.
Ducts: 'COND' indicates that the ducts must be installed within the conditioned space; that is. the ductwork shall be located on the conditioned side of the insulation. Ducts in conditioned space are acceptable for any
prescriptive package.
Space Cooling System: Cooling systems shall have a Seasonal Energy Efficiency Ratio (SEER) for central units or Energy Efficiency Ratio (EER) for room units or PTAC's equal to or greater than the prescribed value.
Electric Space Heating Option: Heat pump systems shall be rated with a Heating Seasonal Performance Factor (HSPF) equal to or greater than the prescribed HSPF. Heat pump systems may contain electric strip backups
meeting the criteria of section 608.1.ABC.3.2.2. No electric resistance space heat is allowed for these packages.
Electric Resistance Hot Water Option: For packages designated 'Not Allowed', an electric resistance hot water system may be installed only in conjunction w~h one of the 'Other Hot Water System Options'. See below.
Other Hot Water System Options: Any dedicated heat pump. heat recovery unit, or solar hot water system with an EF of 1.5 or higher may be installed. Solar systems must be designed to provide at least 40% of the total
hot water. Electric resistance systems having an EF of .88 or greater, or natural gas systems with EF .54 or greater may be used in conjunction with these systems.
TABLE 6B-21 MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather-stripped or otherwise sealed. )<
Interior Joints & Cracks 606.1 All openings in interior surfaces of ceilings and exterior walls must be sealed. 1-
Sole & Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. )c
Infiltration Barrier 606.1 Infiltration barrier must be installed in exterior walls & raised wood floors. ,..
Fireplaces 606.1 Fireplaces must have flue dampers, glass doors and outside combustion air intakes. ~
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion "
devices with integral exhaust ductwork.
Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) "
or cutoff (gas) must be provided. External or built-in heat trap required.
Swimming 612.1 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a J/I1
Pools & Spas pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%.
Hot Water Pipes 612.1 Insulation is required for hot water circulating systems, (including heat recovery units) and the first V
8' of piping from the water heater (or until piping enters an insulated wall or slab).
Shower Heads 612.1 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. V
HV AC Duct 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, V
Construction, sealed, insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be
Insulation & Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets.
HV AC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. 1/'
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PERMITTING APPROVAL FORM FOR SILVER OAKS
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
To Whom it May Concern:
Please be advised that the full set of Construction Plans
including site or plot plan has been submitted and approved
by the D.R.C. committee for:
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BUILDER
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STREET ADDRESS
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CITY STATE
PHONE
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FOR:
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OWNER NAME
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DATE SUBMIT ED
DATE AP~l~~i
APPROVED BY:
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7025 Fort King Rd. Zephyrhills, Florida 33541 (813) 788-0aks 782-6900
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ARKAY ENGINEERING, INc.
structural engineers
November 22, 1994
Bozetech Inc.
4575 Darby Road
San Antonio, FL 33576
Attention: Steve Bozeman
Re: Field modifications to Baeton Residence
Our job number - 744
Dear Steve:
This letter is a written confirmation of a couple of changes that have
been made in the field on the above stated project.
On the left side wall of the garage, a window has been added. This is
structurally acceptable as long as the 8' -8" shearwall is still
provided.
Also, at the interior load bearing garage wall, the 1/2" J-bolts were
left out. This can be corrected by anchoring the wall to the concrete
slab with 1/2" X 4" RED HEAD Trubolt Wedge anchors spaced at 24" o/c.
Please call me if you have any questions.
Sincerely,
?121{tfl :~::
A~sldent
1514 Morning Dove Loop South - Lakeland, Florida 33809
Phone: 813-853-2711
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PASCO COUNTY, FLORIDA
-13. 7 0 --
Builder Name/Owner Name ~..( k "
County Parcel No. d -.:It - d- / ~ ;L 9
Location b 7-32.. --Lf~41A< _ '?~
Classification/Type of Use ~ ~-4J ~ ~__
Permit No. ~y ~- L3
Date Permitted /0 -.....$/ - 9 '7
Subd
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT [J
Rate $
Zone ;-':u.
Sq. Ft./Unit
reVdled By
Impact Fee Amount $
The above impact fj as been established pursuan e Pasco County Transportation Impact Ordinance as adopted
by the Board of ounty Commissioners. This amount is pay RIOR to the issuance of a Certificate of Occupancy
or authority to 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. 1315/Day
ERU Assign No.
Assessment - (No. Units) x ($0. 1315)
x (No. Days)
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
TOTAL FEE $
. 1-j "3 -7'0
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
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