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Home My WebLink About94-4502 BUILDING PERMIT ?R FSf: tJ7) CITY OF ZEPHYRHILLS (813) 788-6611 . NO Permit ". 45028 Date / J- -/ - 7'1 'I'ff~o BUILDING 6/,~- ELECTRICAL ....D.... t/l) PLUMBING .3 tJ . ()[) MECHANICAL Sewer Conn /,. :L. 7 f; tIO Water Conn: .5--5{). ()?J Wate~ MJ!jer: t11 ;;~ T.I.F. s: Y 66, /JcJ fJ/.3-/6-9--S- fI Pmpe<ty Own.' d;/J';.i!!::::. ~~~ Job Address: {, CJ J / Parcell. D. # :l ~- JJ - 1J.2/ & - 0 OOcJ CJ- tJ 10-'/ Zon;ng Q~Od", / Description of Work t.. . ( ~) Radon Gas: / f; J7) NO OCCUPANCY BEFORE C.O. FINAL .~- J c., - crT DATE ...1/-1 b - f~- c.o. _ _ Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # ,,2.::.1- State Certified License# Pe,m;' Fe~.s-, , Signature . _ _eJ:.a.~ Company CH ~ Address Telephone# Valuation or Contract Price -.5-% ...j{) '/, t1() . ~~/ ~~Mtk# PLUMBING 9/ MECHANICAL //0 SLB /2.-12~1<-{ ~t.L... Breakers Tub Set 1,-1')-1f t L'- Ducts Insl./-I/-ff3~ Water Compressor Sewer ~/'7-tf,5"{jtJ- Final Final ~4~A?r2.A4:1 ~ "OLAJ !Y/ t1./)~ .&,.k ELECTRICAL d... 7/ BUILDING Ftr. v72-2..qt-l BI {..L Tp. Servo Pre SLB 12-~/i.{-14 J51U-- Rough In I~ 17' f~ Lintel Meter Can/~:";-PY FRM. ~-q~.rnst. Pole Insul. CL I Pool WL I . Pre-Meter 3- J - 95 &!-r- ~t.tV^'t {tJ\1\.t(L... - 2- ---1-q;; BtLL Final Driveway :2,-1-9 -r 6Lf(p Ro(,6IL ~u /2-2-9'1- 8Lo.- b{JT~-f.. ~'-~ a-o~. t5t.,;' Aff~vaiJ filL t/s.v.~ REINSPECTION FEES: v:t!:, 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. va ~ j;L-/-f"Y 1-/ c2 -/b - y-..S - The payment of inspection fees shall be made before any further permits will be issued to the person owning same. G VALUATION: SQ. FT. LIVING: COST/FT: G.H.D 6709 BASSWOOD CIRCLE $51,504.00 1,321 $35.00 SQ. FT. OTHER: 479 COST/FT: $11.00 VALUATION DRIVEWAY $51,504.00 $20.00 ADDRESS $20.00 FEE SHEET $273.00 SQ. FT. UNDER ROOF RADON GAS 1,800 $18.00 TRAFFIC IMPACT FEES 99% 1 % $466.02 $461 .36 $4.66 PERMIT FEES BUILDING: PLUMBING: ELECTRICAL: MECHANICAL: SUB-TOTAL: CREDIT: TOTAL: CONNECTION FEES SEWER: WATER: METER: TOTAL: 449.50 55.00 61.25 30.00 $595.75 55.00 $540,75 1,278.00' 350.00 0.00 $1,628.00 GRAND TOTAL: $2,652.77 ENERGY GUIDE For detailed information of the EPI rating number 0,' for any ITEM listed, ask your Builder for DCA f"::orm 600A-93 or Fonn 6008--93 EPI::::: 89.2 o 10 20 30 40 50 60 70 80 90 100 :-----------------------------------X-----: 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 Clear SINGL CLR DBL TINT :X--------------------: INSULATION. . . . . . . . . . . . . . . . . . Ceiling R-Value...... ,..30.0 R-l0 R-30 :--------------------X: R-O R-7 :-------------X-------: R-O R-19 :X--------------------: wall R-Value......... 4.8 Floor R-Value......... 0.0 AIR CONDITIONER...... ... .... SEER/EER . . . . . . . . . . . . . . . . .. 10.0 10.0 SEER 17.0 :X--------------------: 9.7 EER 16.0 HEATING SySTEM..... ......... Electric COP/HSPF. ....... 7.0 6.8 HSPF 12.0 :X--------------------: 0.78 AFUE 0.90 Gas AFUE . . . . . . . . . . .. 0 .00 WATER HEATER............. ... Electric EF.............. 0.90 0.88 0.96 :----X----------------: 0.54 0.90 I , Gas EF . . . . . . . . . . . . .. 0 .00 0.40 0.80 Solar EF.. . ........... I . , ,---------------------, OTHER FEATURES.... .... ...... I certify that these energy saving features required for the Florida Energy Code have been installed in this house. I L ,Builder '- f'x-- - .. Addt-ess: UJ~OG\ 191),~~rSilgnature:~ ~1- Ci ty/Zip 2(~{ tL-S/' ~L 33'540 Florida Energy Code for Building Construction - 1993 Florida Department of Community Affairs Date: {1-~044 FL --EPl_ CARD93 l ~ Jk.SO)'"\." Department of Community Affairs FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Residential Component Prescriptive Method A CENTRAL ATTACHED PATIO HOME :BUILDER: GENERAL HOME DEVELOPMENT CORP. 6709 BASSWOOD CIRCLE:PERMITTING :CLIMATE ZEPHYRHILLS, FL 335:0FFICE: :ZONE: 4:_: 5:_: 6:_: JOHNSON :PERMIT NO. :JURISDICTION NO. . f:-ORM 600A-93 PFWJECT NAME: AND ADDRESS: OWNER: 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: 8. Clear Glass b. Tint, film or solar screen 9. Floor type and insulation: 8. Slab on grade (R-value, perimeter) 10.Net Wall type area and insulation: a. Exterior: 1. Concrete (Insulation R-value) a. Adjacent: 2. Wood frame (Insulation R-value) 11.Ceiling type area and insulation: a. Under attic (Insulation R-value) 12.Air distribution systems a. Ducts (Insulation + Location) 13.Cooling system 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 SN: 6096 CK New ConstTuction Multi'-Family o 1 . 2. 3. 4. No 5. 1300.00 6. 1.66 7. 10.33 Single Pane 8a.388.8sqft. 8b. O.Osqft Double Pane O.OOsqft O.OOsqft 9a.R= 0.00 , 149.00 ft 10a-.l R= 4.;:?Q, 872.00sqft__ 10a--2 R=ll .00, 85.00sqft___ lla.R=30.00 , 1407.00sqft____ 12a. R= 6.00, uncond 13. Type: Central A/C SEER: 10.00 14. Type: Heat Pump HSPF: 7.00 15. Type: Electric EF: 0.90 16. 17. 18. :2 19. 19a. 19b. 89.20 21640.86 24262.32 --------------------------------------------------.----------------------------- --------------------------------~------------------------------------------------ I Hereby certify that the plans and specifications covered by this calcu- lation are in compliance with the Florida Energy Code. '~~ l\~ J..f 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, PREPARED BY: DATE: I hereby certify that this building is in compliance with the Florida Energy Code. ~~~~R9' ~.~ ~ BUILDING OFFI~AL~~~ DATE: (;L - - COMPONENTS ** INFICTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** ---------------------------------------------------------------------------~------_. ------------------------------------------------------------------------------- SECTION REQUIREMENTS FOR EACH PRACTICE CHECK =============================================================================== PRACTICE #1 606.1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES. --------------------.--------------------------------------------"------------------- Windows 606.1 Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). ------------------.----------------------------------------------------------------- Exterior & Adjacent Doors 606.1 Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel ,insulated or glass doors only. -------------------------------------------------------------'---'----------------- Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather-stripped or other- wise sealed. PRACTICE #2 --------------------_._-------~---------------------------------.--------.-------------- COMPLY WITH PRACTICE #1 AND THE FOLLOWING: 606.1 --------------------------------------------------------~----_._--------------._-------- Exterior Walls & Floors 606.1 Top plate penetrations sealed. Infiltration barrier installed. Sole plate/floor joint caulked or sealed. ---------------------------------------------------------------------------------- Exterior Walls & Ceilings 606.1 Penetrations, joints and cracks on interior surface caulked, sealed or gasketed. DuctWork ----------------------.------------------------------------------------------------------- Ductwork in unconditioned space must be sealed. 606.1 -------------------------------------------------------------------~------------------ Fireplaces 606.1 Equipped with outside combustion air, doors and flue dampers. Exhaust Fans -------------.----------------------------------------------------------.----------- 606.1 Equipped with dampers. Combustion devices see 606.1.A.2. -------~-------_._---------------------------------------------------------------- Combustion Appliances 606.1 Be in unconditioned space (except direct vent), draw air from unconditioned space, exhaust to outside. Cooking appliances shall be dampered and use intermittent ignition. -------------------------------------------------------------------------------- Water Heaters ** OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) ** -------------------------------------------------------.--------------------------- 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 Pools & Spas 612.1 Spas and heated pools must have covers (except solar heated). Non-commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 percent. Shower Heads -------------------------------------------------------------------------.--------- 612.1 Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG. --------------------______________w_______________________________w__________________________ HVAC Duct Construction Insulation & Installation 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, ins- ulated and installed in accordance with the criteria of Section 610.1.ABC.2 & 610.1.ABC.3. Duct in attics must be insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closet. HVAC Controls ---------------------------------------------------------------------------------- 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation -----------------------____________N___..__._.______________________________________.._____ 604.1 602.1 Ceilings minimum R 19. Common Walls - Frame R-11 or CBS R 3 both sides. Common ceiling & floors R-11. M~-_---------__________________y_____________________W_________.______._________________ ************i************************************************************~***** SUMMER CALCULATIONS *~***************************************************************************** === BASE ===: === AS-BUILT === GLASS---------------- ORIEN AREA x BSPM = ------------------------------------------------------------~-------------------- ----------------------------------------------------------------.----------------- I I POINTS : TYPE SC ORIEN AREA x SPiVl x SOF = POINTS N 3633.2 ------~_._-'------------------------------------------------------------------------------- 44.20 82.2 E 23.60 82.2 1939.9 S 51.60 82.2 4241.5 ~J 75.00 82.2 616.5.0 SGL CLR N 10.1 51.0 .81 418.2 SGL CLR N 10.1 51.0 .81 418.2 SGL_ CLR N 12.0 51.0 .87 529.7 SGL CLR N 12.0 51 .0 .87 529.7 SGL CLR E 21.6 109.2 .32 753.9 SGL CLR E 2.0 109.2 .26 56.8 SGL CLR S 19.1 100.2 .70 1346.1 SGL CLR S 19.1 100.2 .70 1346.1 SGL CLR S 13.4 100.2 .70 944.4 SGL CL.R ~J 21.6 109.2 .87 2059.9 SGL CLR [..J 53.4 109.2 .92 5364.8 ---------.--.---------------.----------------------------------------------------------- .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS = AREA AREA FACTOR POINTS ADJ GLASS POINTS GLASS POINTS .15 194.40 --------------------------------------------------------------------------------- 13,767.60 1,300.00 1.003 16,029.00 : 15,979.68 -------------------------------------.-------------------------------------------- ------------------------------------------------------------------------------- NON GLASS------------ : AREA x BSPM = POINTS: TYPE R-VAL.UE AREA x SPM = POINTS ______v___._______~._._____.___________________________________________'___________.___~__,_. WALLS---------------- Ext 872.0 1.0 872.0 Adj 85.0 .7 59.5 DOORS---------------- Ext 21.6 4.8 103.7 Adj 19.0 1.6 30,4 CEILINGS------------- UA 1296.0 .6 777.6 FLOORS--------------- sIb 149.0 -31.8 -4738.2 INFIL TRATION----_.___wn.... 1300.0 10.9 14170.0 Ext No,mWtBlock In 4.2 Adj Wood F,ame 11.0 872.0 85.0 1.16 .70 1011.5 59.5 Ext Insulated Adj Wood 21.6 4.80 103.7 19.0 2.40 45.6 30.0 528.0 .60 316.8 30.0 783.0 .60 469.8 30.0 96.0 .60 57.6 .0 149.0 -31.90 '-4753.1 1300.0 10.90 14170.0 Unde, Attic Under Attic Unde, Attic Slab'-on--Grade =============================~================================================= P,actice #2 TOTAL SUMMER POINTS : 27,303.98 : TOT AL_ x SUM PTS SYSTEI'-1 MULT =============================================================================== 25,249.00 COOLING : TOTAL POINTS : COMPON x CAP x DUCT x SYSTEM x CREDIT = COOLING RATIO MULT MULT MULT POINTS 27,303.98 .37 -------------------------------~---------------~---_.---'--------_._---------~---------~ 9,443.13 10,102.47 : 25,249.00 1.00 1.100 .340 1.000 ~===~=======~=================================================================== * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *;. * * * * * * * * * * * * * * * * * * * * * * * * * * * *0* ** * * WINTER CALCULATIONS *~***************************************************************************** === BASE === === AS-BUILT === "-------------------~--------------------------------------------.--.--------------- ---------------------------------------------~------~----------------------------- GLASS- -.- -.. - ..-.- - -. - - --.- _..- ORIEN AREA x BWPM = I I POINTS : TYPE SC ORIEN AREA x WPjVl x WOF = POINTS ----------------------------.--------------------------------------..------------------ N 44.20 -3.4 .-150.3 SGL CLR N 10.1 9.6 1 .11 108.0 SGL CL.R N 10.1 9.6 1 .11 108.0 SGL CLR N 12.0 9.6 1 .08 124.7 ~3GL CLR N 12.0 9.6 1 .08 124.7 E 23.60 -3.4 -80.2 SGL CLR E 21 .6 -2.2 .'4.21 199.8 SGL CLR E 2.0 --2.2 -5.04 22.2 S 51 .60 .-3.4 .-175.4 SGL CLR S 19.1 -10.9 .74 -154.8 SGL CLR c 19.1 -10.9 .74 --154.8 .-, SGL CLR c 13.4 -.10.9 .74 -108.6 ..;> W 75.00 --3.4 --255.0 SGL CLR W 21 .6 "2.2 .32 .'15.0 SGL CLR W 53.4 -2.2 .57 ".67.0 -------~------------------------~~---~-----------------_____________________,w_____________ .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x AREA AREA FACTOR GLASS POINTS ADJ GL~,sS POINTS GLASS POINTS -------------------------------------------------------------------------------------.-----. .15 1,300.00 194.40 1.003 .,660 .96 "663.00 : 187.23 ---------------'------------------------------------------------------------------- ------------------------------------------------------------------------------- NON GLASS------------ : AREA x BWPM = POINTS: TYPE R-VALUE AREA x WPM = POINTS -----------.-------------------------------------------------------.------------------ WALLS---------------- Ext 872.0 1.1 959.2 Adj 85.0 1.8 153.0 Ext NormWtBlock In 4.2 Adj Wood Frame 11.0 872.0 85.0 3.26 1.80 2842.7 153.0 DOORS---------------- Ext 21.6 5.1 110.2 Adj 19.0 4.0 76.0 Ext Insulated Adj Wood 21.6 5.10 110.2 19.0 5.90 112.1 30.0 528.0 .60 316.8 30.0 783.0 .60 469.8 30.0 96.0 .60 57.6 .0 149.0 2.50 372.5 1300.0 4.10 5330.0 CEILINGS------------- UA 1296.0 .6 777.6 under Attic Under Attic Under Attic FLOORS--------------- SIb 149.0 -1.9 -283.1 SI ab-- on.- Gr ade INFILTRATION--------- 1300.0 4.1 5330.0: Practice #2 ====~=~==~===================================================================== TOTAL WINTER POINTS I I 6,459.86 : 9,951.91 =============================================================================== TOTAL x SYSTEM = HEATING : TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING WIN PTS MULT POINTS: COMPON RATIO MULT MULT MULT POINTS -------------..-------------------.-------------------.----------.-----.------.----------------.- 6,459.86 1.10 7,105.85: 9.951.91 1.00 1.100 .484 1.000 5,298.40 =============================================================================== ************f****~************************************************************i WATER HEATING *~***************************************************************************** === BASE === === AS-BUILT === ---------------------------------------------,----------------------------------- --------------------------------------------------------------.----------------- NUM OF BEDRMS x MULT TOTAL TANK VOLUME EF TANK RATIO x MULT x CREDIT MULT = TOTAL -------------~---------_._--------------------------------------------.-------------,-.----- 2 3527.0 7,054.00 : 40 .90 1.000 3449.7 1.00 6,899.33 --------.----------------------------------------------------------------------.------------- ----------------------__________________________ft___h__________~_________________ ******************************************************************************* SUMMARY ******************************************************************************* === BASE === === AS-BUILT === ----------------------------------------------------------------..----------------- ---------------------------------------------------------------.----------------- COOLING POINTS + HEATING POINTS HOT WATER + POINTS - TOTAL : COOLING POINTS : POINTS + HEATING POINTS HOT WATER + POINTS - TOTAL POINTS -----------~------------------------------------------------------------------------- 10102.5 7105"8 7054"0 24,262,32 : 9443.1 5298.4 6899.3 21,640.86 ---------------------------------------------------------------_._-----~._----------- ----------------------------------------------------_.--------.---------------------- ***************** * EPI = 89.20 * ***************** '[AJ HOWARD AND PRISCILLA JOHNsr f \ tt -:- \ 0 NORTH 9.58 FT. OF LOT 153 AND ALL OF LOT 154 DRIFTWOOD SUBDIVISION PHASE III l..\~.L.~S OJ 3;1' lLQ' ~ I 0-0. ,a..C\ e .J I . ,. - '}) r "\ \! e I I ,. ! I ! ; t ; \ r' \ '-0" '- ,. /. "" " ~\f--- I l -~ ore\--):' -: ," " (01-3" " co I I I I I ( I I r I I i 1 APPLICATION FOR PERliiIT CIn' OF ZI:.'PIIYRJJIU.s nurlI.DIEG DEPAR1'HF..NT UR. r: p;~~ -- -t 5t .~ .' c,!! Ir2- '._~_':-....-.:-,-...----...._~.- . OWNER'S NAH.E Hilrold ilnd Priscilla Johnson PHONE' (813)788-2552 OWNER'S ADDRESS fi700 Holly r:ollrt 7pphyrhills, Floridil 33540 JOB ADDRESS fi70Q Ril~~wood r:irc:lp Zpphyrhills, Floridil 33540 N. 9.581 of lot 153 & LEGAL DESCRIPI'ION: LDT(s) all of lot 154 B~SUBDIVISIOINI Driftwood PhilSP TTT PARCEL I.D.' ?-?fi-?1-0?10-00000- 01~4 h~RK PROPOSED:--X-lNIew Construction ~dition ____Alteration _____Repair ____Install I _Sign _Hove ____Deaolish PROPOSED USE: X Single Faaily _H/F _, of Units , _M/n _COIIIDIercial _Indust. _Swi... Pool' Other _Restaurant &: Health DepartDen.t Approval BUILDING SIZE: x 1795.' "1E:GEND" Square Feet, Height RESIDENTIAL: COHtmRCIAL : AlTACH (2) PLOT PLANS &: (2) SEIS OF BUlI.DING PI.ADl1S &: (1) SET ENERGY FORMS.** ATrAClI (3) SETS OF BUILDDG PLANS &: (1) SET ENERGY FORtIS. 'H' **COPr OF CONTkACT REQIBIRlID. PElMIlS RHOUE.ciTED ....L-BUILDING $ 44 ,~OO 00 Valuation of Total Constrvction ....L-ELECTRICAL AMP Service Plorida Power Corp. H.R.E.G. LJlEClIANICAL $ Valuation of Mechanical Installation ..!-PLUMBING GAS ROOFING . . SPECIALTY TYPE OF CONSTRUCTION: --X-Block _FraIRe _Steel Other FINISHED FLOOR EL.EVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ***************************************~*. OJNl'RACTOR SECT'IOil'! BUILDER COHPANYr,eneral Homp Opvplopmpnt Corp~ State Cert. or Regist. I CGC005695 22 DUP~iSd .AI COiliPANY Martin Electric ,/ 7;J State Gert. or Regist. i FROOl ~44q ~- ~ City License Registration '?71 ********~z******************************* COHPANY Bayonet Plumbing State Cert. or Regis~~ ,CFC042998 Ci~ Lic'~~e Registration # 91 ****************************************** MECHANICAL ~o n S. Carter ~ conPANYSouthern Comfort Enterprises .P ~ State Cert. or Regist.' I 12 J1..-L C(jIS-O 2..."L. Signature ~ City License Registration I, 110 V' ****************************************** OTHF.R Rick Ga~in COHP,t'\NY Gavin Roofinq /' ./' ../ State Cert. or Regist. ,RC0046241 Signature _____~ ~~ Ci~ License Registration , ****************************************** APPLlCAttON APPROVED BY... PERtUT OFFICER. CClt'IIJITIO!-.JS OF PERI'llT ('~F'FID{2\'.jlT, A. NOT I CE OF DEED RES Tf:::"l!=T I ON~ The undersigned understands that this per.it .ay b~ 5ubj!ct to 'dee~ restrictions" yhich ~ay ~e more res~rictive 'ii~n City regulations. The undersigned assules re5po~sibility for co.plianc~ with any applicabl~ deed re~trictions. ... . . . B. UNLICENSED CONTRACT[~S AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or c~.ntractors to undertake work, they ~ay be required to be licensed in accordance with state and local regulations. If the.tontractor 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 Dr intendp1 contractor are uncertain a~ to what licensing requireaents aay app 1 y for the intended :Iork I they are adv i sed to cllntact the Ci t.y of Zephyrh i 11s Bu i Id ing Deparhent I 18131 788-6611. . Furth~raore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl 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 respon5ibl~ for the work. If the contractor Nishes you to sign . as contractor that aay be an indication that he is not pr~perIy 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 - HOI~owner's Protection Guide' prepared by the Florida Departlent of Agrir.ulture and Consuler Affairs. If th~ applicant is ~o.eone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith tD 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 with all applicable laws regulating constructiDn, zoning, and land developlent. Application is hereby lade to obtain a perlit t~ do Nork and installation as indicated. I certify that no Nork Dr installation has cOllenced prior to issu3nce of a perlit and that all Nork Nill be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the re~ulatlons of other governaental agencies aay apply to the intended work, and that it is IY responsibility to identify what actioils I lust take to be in cOlpliance. Such agencies include but are not Iilited tD: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Hater/Hastewater Treataent t Southwest Florida Water ManaQelent District - Hells, Cypress Bayheads, Wetland Areas, Altering Hatercourses f ArlY Corps of EnQineers - Seawalls, Do~ks, Navigable waterNays f Depart.ent of Health ~ Rehabilitative Service~J_Environlent~1 Health Unit - Wells, Wastewater Treataent, Septic Tanks f US Environlental Protection AQency - A=bestos abateaent I also certify that, if fill ~aterial i~ to be used in Flood lone "A' Dr 'A,etc.', it 1S understood that a drainage plan addressing a "coapensating volute" will be sub~itted which is prepared by a professio"al engineer registered in the State of Florida prior ~o perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not a~ authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of 3 perlit prevent the Building Official frol thereafter requiring a correction of errors in plan~, construction, Dr violations of any code. Every per~it issued shall becole invalid unless the Nork authorized by such perAi t is cOlcenced within six months of issuance, or if work authorized by the perait is suspended or abandoned for a period of SIX Bonths ".f~er thetillC: the \lork is cOlfler,ced.' One 90 da)' extension of tile, lay be allowed for the perlit with fee charge of 115.00. The extension shall be requested in writing ~o the Building Official. An approved inspection lust be logged durili~ each six r.onth period, or the project Hill be considered abandoned. HARHING TO OWNER: YOUR FAILURE TO RECORIl A NOTICE OF C0l1i1ENCEMENT MAY RESULl IN YOUR PAYING TI/ICE FUR HI?ROVEMEHTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAItl FIHAIJ:;IllS, CONSULT \lITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINS YOUR HOTICE OF COI1HENCEHENT. JOBS UNDER $2,500 IN VALUl: DO NOT NEED TO RECORD AND POST A 'NOTICE OF C0I1t1EIlCEIIEIH'. /..~ K~ SIGNATURE: Ol/NER OR AGENT ~K~ SIGNATURE: CONTRACTOR STATE OF FLORI~. COUNTY OF TO The foregoing instrument was acknowledged L,._.r~.__ __ .&.L,;_ 11_ ')1- 100U b" IJ.... '-'I ~ .n~ 'It I.;;J ~L..:-, .... =L.:.L- f , STATE OF FLDRIDpr) _ COUNTY OF ~ CO . The foregoing instrument was acknowledged bef!:'n~ !!!'O' th'!"'. -1.J - 'd-\ - ; t 9~3.~_ by f..eV\1l KD'cer+S who is personally ~ to me or who has produced as identification and ~lho dill/djd not t~l1. ~ ~I~ rvl.J>rtjaflf- . (Name Typed, Printed or - NOTARY PUBL I C OFFICIAL SEAL PAMELA M. BRYANT . NOTARY PUBLIC, STATE OF FLORIDA MY COMM. EXPIRES SEPT. 12, 1997 NO. CC314896 _~eVI^ R.o~ ~lho i s pel-~ua.lJ y kj)J:!.kll1 produced as ,tificatio~ k al oa to me or whc. has did/difLnQJ; 'A,' .~ (SP~et~ m. 6r7-JaITt Typed, Printed or Stamped) '" 'pUBLrc OFFICIAL SEAL PAMELA M. BRYANT NOTARY PUBLIC, STATE OF FLORIDA MY COMM. EXPIRES SEPT. 12, 1997 NO. CC314896 -- ~.- --'.'-.,.- ~.- ~-- -.-~..----- ,-'- --------.__.~.~._,-.~-_.- -'----.-- _.,~ ---..--- - ---., C E N T R ALP E R M I r T PASCO COUNTY. FLORIDA \[ !\f Ci CONTRACTOR #: 003495 NAME: KEVIN T ROBERTS ADDR= 817 US 98 BY PASS SOUTH C/ST: DADE CITY FL 335255054 DATE: O::::/1~;/'~/5 PAGE: 1 OF 1 I ~;:::;UE (JFF I CE ~ U RECEIPT NUMBR= 00241928 OFFICE: DADE CITY FOF:: CHECK # 2109/':, ;:,ccr-.JT 114 CONTRACTOR: 003495 TOT(.iL. At10Ut\lT: COMPNY ACCOUNT CENTER .~:~ '~l II ~::::;:: E(4~(() -- ~:::()~-::(}()Ci - -., ..:.. AMOUNT DESCRIPTION/PERMT DATA DRICR 39.88 **~*** SOLID WASTE FEE 60 f~ECE I VET' BY / / /' ,./ ~ ,I '! i / ! ( ( / /. (' / / ,/ -' ---------_______~_L______~___ lIIlI f"';..-'''''''''''''''~~''''-_' r.'-', ,'~~..---..r~,' ';o-""~",.t~'7<:::=!ll'"~\',',_,,_,,,~:;:> v.... '<'-l'r.~:.r '.~,~ ( \ I ,/ " ....- .....:.t<~.~~:<~i.',\.~~;.': ,'; ,~~ i-~~ .'.\ . '.W}::,>, ',"" "'-:--: ~:r.lV'''" r'.:. ".~'~'~-~""'-~~ ........, ~ PASCO COUNTY, FLORIDA Permit No. ~ JcJ ~ 1.3 Date Permitted I;L- 1- r'l Builder NamelOwner Name County Parcel No. Location 6' l 0 9 ( Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT D Rate $ Zone No. Sq. Ft./U nit Prepared By "~ Impact Fee Amount $ ...........- --..... -'. ----~_. The above impact fee has beel!..~.stabiis1ied pursuant t~~ihe Pasco County Transportation Impact Ordinance as adopted by the Board of County._C-otfiillissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT D RESIDENTIAL NONRESIDENTIAL No. Units j I Gross Sq. Ft. (GSF) RatelERU - 50.00 x 0.96*/Year or $0. 13151Day 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 $ 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 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. DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce O' -------.---.--------.--.-,...------.,----~_~___~o_.______~~_~_____