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Home My WebLink About94-4542 'BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 ~ Date 1c2 -/~-YY , Permit m '1'1_).." -s7J 6 /. ;l.S- S 3--" (/2) PLUMBING J{). o-v MECHANICAL Sewer Conn ~'d ? ~ c/t). Water Conn: 3s;'. /T7J BUILDING ELECTRICAL Job Address: Parcell.D. # .- Water Mejer: . -- - I~=& TI.F. s: I~ h ~'kl (l .:L . y~ -&rjE d,o ,).. Zoning: NO OCCUPANCY BEFORE C.O. FINAL .1f-/CJ-q DATE C.O. - I / - 9_5 DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # c2:J State Certified License# pe'm;tFe~'~ Slgnature~ '_ Company Address Telephone# Valuation or _ Contract Price ~4 $I 7-.5, t7() ~-f10AAI~~e,. J/!2AZ-n' r~;L~ /Jar{t),u j- ELECTRICAL 02 '1/ PLU~BING 9/ Tp. Servo SLB /2-2-%-'1'1 ba... Rough In 1-27~r ~ Tub Setl-1.5r~5" /SIlL Meter Can 1.,;11-7''/ Water .1 ~ Const. Pole 1-5'-f,5I5k sew. e.' J; f/~ ~ Pool Final ~)"_ Pre-Meter ~ ~ L-4-t/..qr &, Final y~&# MECHANICAL 110 BUILDING Breakers Ducts Insl. /-2-""95"" 11th Compressor Final Driveway 3.1--1) j3IL'- r~-1-1-7) €'xi REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: a. b. c. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. 2J~ ~.~y /~-/'/-7;C I-~ Lj-:) 0 -yS The payment of inspection fees shall be made before any further permits will be issued to the person owning same. . Department of CommunIty Affairs SN:. 6096. FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-93 Residential Component Prescriptive Method A CENTRAL PROJECT NAME: ATTACHED PATIO HOME :BUILDER: GENERAL HOME DEVELOPMENT CORP. AND ADDRESS: 67/3 HOLLY COURT : PERMITTING . . it! : CLIMATE ZEPHYRHIL.LS, r:L. 335: OFFICE: v~~ : ZONE: 4:~' 5: _: 6:_: OWNER: BARCUS :PERt-lIT N6~. Ys-Y3 (3 :JURISDICTION No.t,//6()() CK 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: 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 1 . 2. 3 . 4. No 5. 1296.00 6 . 1 .00 7. 10.33 Single Pane 8a.388.8sqft 8b. O.Osqft New Construction Multi-Family o Double Pane O.OOsqft O.OOsqft 9a.R= 0.00 , 147.70 ft 10a-l R= 4.20, 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 EER: 10.00 14. Type: Heat Pump HSPF: 7.00 15. Type: Electric EF: 0.90 16. 17. 18. 2 19. 19a. 19b. 90.85 22012.42 24230.16 --------------------------------------------------------------.----------------- ---------------------------------------------------------------------------------- I Hereby certify that the plans and specifications covered by this calcu- lation are in compliance with the Florida Energy Code. PREPARED BY'~ ~ DATE: i t ~'--9' 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. I hereby certify that this building is in compliance with the Florida Energy Code. OWNER/G: DATE: ~~ \\~ 3D~L( BUILDING OFQCIAWF d~ ..'h_ DA TE : /-;2 ...-/3 --'l'__ ~* INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** COMPONENTS ======~======================================================================== CHECK SECTION REQUIREMENTS FOR EACH PRACTICE =============================================================================== PRACTICE #1 606.1 COMPLY WITH All INFILTRATION PRESCRIPTIVES. -----~------__________M_________________________________________________.________.__ Windows 606.1 Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). Exterior & Adjacent Doors --------------------~-----_________w__________________________________________________ 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 ---------------------------------------------------------------------------------- To be caulked, gasketed, weather-stripped or other- wise sealed. 606.1 PRACTICE #2 ------------------------------------------------..------------------------------------- COMPLY WITH PRACTICE #1 AND THE FOLLOWING: 606.1 ----_________w________________.__________~.___________------______w__.__~_______________ Exteliol 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 -------------------------------------------------------------------------------- Equipped with dampers. Combustion devices see 606.1.A.2. 606.1 Combustion Appliances .___________k__~._____________________.________.___________________________.____________________ 606.1 Be in unconditioned space (except direct vent), draw ail 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 bleaker (electric) 0)" cutoff (gas) must be provided. Extelnal 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 __M~_______________________________________~____________________________._________ Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG. 612.1 -y--------------_._._---------------------._-----~------------------------------------ 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 ------------.----------------------------------------------------------------------- Separate readily accessible manual or automatic thermostat for each system. 607.1 Insulation ---------.-_______~_w______~__________________________----------~------~.-----_______w________________ 604.1 602.1 ----------------------------------------------------------------------------------- Ceilings minimum R-19. Common Walls - Frame R-11 or CBS R-3 both sides. Common ceiling & floors R-11. **********************************************t****~*************************** . SUMMER CALCULATIONS ******************************************************************************* === BASE === === AS-BUILT === GLASS---------------- ORIEN AREA x BSPM = I I POINTS : --------------_______N__________________________________________________________ ------------------------------------------------------------------------------- TYPE SC ORIEN AREA x SPM x SOF' = POINTS N 3633.2 -----.________w______________________________________.______________________________ 44.20 82.2 E 23.60 82.2 1939.9 c :;) 51.60 82.2 4241.5 W 75.00 82.2 6165.0 SGL CLR N 10.1 51.0 .88 452.7 SGL CLR N 10.1 51.0 .88 452.7 SGL CLR N 12.0 51.0 .92 560.0 SGL CLR N 12.0 51.0 .92 560.0 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 .85 1622.5 SGL CLR S 19.1 100.2 .85 1622.5 SGL CLR S 13.4 100.2 .85 1138.3 SGL CLR W 21.6 109.2 .94 2205.4 SGL CLR W 53.4 109.2 .95 5564.0 ------------------------------------------------_______N____________________________ .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS = AREA AREA FACTOR POINTS ADJ GLASS POINTS GL,ASS POINTS .15 194.40 ----------------------------------------------------------------------------------- 14,988.73 1,296.00 1.000 15,979.68 15,979.68 : --------________r____________________________________________________________________ ------------------------------------------------------------------------------- NON GLASS---.m'-h'.....-.~,.". : AREA x BSPM = POINTS: TYPE R--VALUE AREA x SPM = POINTS --____w._______yOM_____________________________.___.__-------------------------------~-------_._--- 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 147.7 -31.8 -4696.9 INFILTRATION--------- 1296.0 10.9 14126.4 Ext NormWtBlock In 4.2 Adj Wood Frame 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 .0 147.7 -31.90 -4711.6 1296.0 10.90 14126.4 Under Attic Unde)' Attic Unde)' Attic S 1 ab-o n-'Gr ade TOTAL SUMMER POINTS : 27,252.40 : ----------------------------------------------------------------------------~------ -------------------------------------------------------------------------------- Practice #2 =~=================;~=================~=========================================== 26,468.00 TOTAL x SYSTEM = COOLING : TOTAL SUM PTS MULT POINTS: COMPON x CAP x DUCT x SYSTEM x CREDIT = COOLING RATIO MULT MULT MULT POINTS 27,252.40 .37 ------------------------------------~----------,----------------------------------- 9,899.03 10,083.39 : 26,468.00 1.00 1.100 ---------------------------------------------_____w_____________________________ ------------------------------------------------------------------------------- .340 1.000 *******************************************************************************, WINTER CALCULATIONS ******************************************************************************* === BASE ===: === AS-BUILT === GLASS---------------- ORIEN AREA x BWPM = I I POINTS : ==========================~=====~====================================~========= TYPE :=: POINTS SC ORIEN AREA x WPM x WOF N -150.3 --------------------------------------------------------------------.------------------- 44.20 '-3.4 E 23.60 -3.4 -80.2 S 51.60 --3.4 -175.4 W 75.00 .-3.4 .-255 .0 SGL CLR N 10.1 9.6 1.07 104.1 SGL CLR N 10.1 9.6 1.07 104.1 SGL CLR N 12.0 9.6 1.05 120.6 SGL CLR N 12.0 9.6 1.05 120.6 SGL CLR E 21.6 -2.2 -4.21 199.8 SGL CLR E 2.0 '-2.2 -5.04 22.2 SGL CLR S 19.1 -10.9 .90 -187.4 SGL CLR (' 19.1 --10.9 .90 '-187.4 :::> SGL CLR S 13.4 -10.9 .90 --131.5 SGL CLR VJ 21.6 -2.2 .64 -30.4 SGL CLR W 53.4 --2.2 .73 --86.2 ---------------------------------------------------------------------.----------.-.-----.---- .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS = AREA AREA FACTOR POINTS ADJ GLASS POINTS GLASS POINTS .15 194.40 -------------------------------------------------------------------------------- 48.46 1,296.00 1.000 --660 .96 -660.96 : -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- NON GLASS------.-------- : AREA x BWPM:=: POINTS: TYPE R--VALUE AREA x WPM = POINTS -----------------------------_____.N____________________________________________________ WALLS---------------- Ext 872.0 1.1 959.2 Adj 85.0 1.8 153.0 DOORS---------------- Ext 21.6 5.1 110.2 Adj 19.0 4.0 76.0 CEILINGS------------- UA 1296.0 .6 777.6 FLOORS---- --""- -- ,-- - - - .-- ---- SIb 147.7 -1.9 -280.6 INFILTRATION--------- 1296.0 4.1 5313.6 Ext NormWtBlock In 4.2 Adj Wood Frame 11.0 872.0 85.0 3.26 1.80 2842.7 153.0 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 .0 147.7 2.50 369.3 1296.0 4.10 5313.6 Under Attic Under Attic Unde)- Attic Slab-on-Grade 6,447.97 : =============================================================================== Practice #2 TOTAL WINTER POINTS =============================================================================== 9,793.49 TOTAL x WIN PTS SYSTEM MULT HEATING : TOTAL POINTS : COMPON x CAP x DUCT x SYSTEM x CREDIT = HEATING RATIO MULT MULT MULT POINTS 6,447.97 1.10 -----_._._--_._----_._--------~---------------------------------------~----------~------- 5,214.05 7,092.77: 9,793.49 1.00 1.100 ====~===============================~=========================================== .484 1.000 . . **************************"***************************************************** WATER HEATING ******************************************************************************* === BASE ===: === AS-BUILT === NUM OF BEDRMS -------------------------------------------------------------------------------- ------------------------------------------------------------------------------- x MULT = TOTAL TANK VOLUME EF TANK RATIO x MULT x CREDIT MULT = TOTAL -_______.c_______________________.__.______________________._~____________________.___________,__ 2 3527.0 7,054.00 40 .90 1.000 3449.7 1.00 6,899.33 -----------------------------------------~---______N______________________..._~.~__________. -------.------------------------------------------.------------------------------- ******************************************************************************* SUMMARY ******************************************************************************* === BASE === : === AS-BUILT === COOLING POINTS -------------------------------------------------------------------------------- ------------------------------------------------------------------------------- + HEATING POINTS HOT WATER + ponns = TOTAL : COOLING POINTS : POINTS + HEATING POINTS HOT WATER + POINTS = TOTAL POINTS --------------------------------.------------------------------------------------ 10083.4 7092.8 7054.0 24,230.16 : 9899.0 5214.1 6899.3 22,012.42 --------------------------------..--------------------------------------------.----- ------------------------------------------------------------------------------- ***************** * EPI = 90.85 * ***************** For detailed information of the EPI rating number or for any ITEM listed, ask your Builder for DCA F01-m 600A-93 or Form 600B--93 ENERGY GUIDE EPI::;: 90.8 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. . . . . . . . . . . . . . . . . . . . .Si ngle Clear SINGL CLR :x------------------__: DBL TINT INSULATION. . . . . . . . . . . . . . . . . . Ceiling R-Value......... 30.0 R-10 R-30 :--------------------X: R-O R-7 :-------------X-------: R-O R-19 :X-------------------_: Wall R-Value......... 4.8 F 1001- R-Value......... 0.0 AIR CONDITIONER............. SEER lEER . . . . . . . . . . . . . . . . .. 10.3 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 Gas EF . . . . . . . . . . . . " 0 .00 ------------------------- Sola1- f:F. . . . . . . . . . . . . . 0.40 I I 1---------------------, 0.80 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: it-30-!:L Ho tl'j (1-. Z (h; Itsl t=-L 335!..f0 Florida Energy Code for Building Construction Florida Department of Community Affairs City/Zip w_ 1993 FL -EPL CARD93 '- -6Q~ J SE.lS91Z$ :~v~o~ aNVH~ 00.SZ9Il$ 00.0 OO.OSE 00.BLZ1l SL.6ES$ OO.OS SL.6BS$ OO.OE SZ.l9 OO"SS OS.Evv :~'il.LO.L :H3:.L3:W :H3:.L'ilM :H3:M3:S S3:3:d NOI.L;)3:NNO;) : 'I 'il.L O.L :.LIG3:H;) :'I'il.LO.L-aDS :'I'il;)IN'ilH;)3:W : 'I'il;) I H.L;)3:'I3: :~NlaWD'Id :~NIG'IIDa S3:3:d .LIWH3:d 99.v$ %l 9E.l9v$ %66 ZO.99v$ S3:3:d .L;)'ildWI ;)Idd'ilH.L 19"Ll$ S'il~ NOG'ilH 19L1l dOOH H3:GND ..Ld .OS 00"69Z$ .L3:3:HS 3:3:d OO.OZ$ SS3:HGG'il OO.OZ$ .x'ilM3:1\IHG OO.SLvIOS$ NOI.L'ilD'I'il1\ OO.ll$ :.Ldj.LSO;) S9v :H3:H.LO ..Ld .OS OO.SE$ :.Ldj.LSO;) 96ZIl :~NI1\I'I ..Ld .OS OO.SLvIOS$ : NOI.L'ilD'I'il1\ ~.:rno;) ^TTOH -ElL9 ~uamdoTaAaG amoH TE.:raua~ APPLICATION FOR PEmiIT CITY OF' ZEPlIYRIIILLS llIDLDIRG DEPARJ'HRm" . OWNER'S NAME c.;pnpr.:ll Homp Dpvplormpnt roY'p PlIONE, 90<1) 597 65fH OWNER'S ADDRESS 13924 Seventh St. Dade City. Florida 335?S' JOB ADDRESS fi7B Holly Court Z~phyrhills, Florida 33540 S. 23' OF LOT 143 & N. 12.671 LEGAL DESCRIPTION: LOT(S).QF LOT 14? B~SUBDIVISION Driftwood Pha~p TTT PARCEL I.D.' ?-?fi-?l-O?lO-OOOOO- 0143 h"ORK PROPOSED:-L!!\lewr Construction ~dition _Alteration _Repair _Install I _Sign _I!iove _De.olish PROPOSED USE: X Single Faaily _KIF _, of Units _H/H _eo..ercial _Indust. _SW:L.. Pool ' Other _Restaurant & I1ealt:h Depart:aent Approval BUILDING SIZE: x 11="c.;I="Nn 17 fil Square Feet, Height RESIDENTIAL: COKKERCIAL : ATTACH (2) PLOT PLANS & (2) SlITS OF BUILDING PLANS & (1) SET ENERGY FORKS. ** ATl'Ac:n (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. .u. **COPr OF COIlITMGr ~lITRED. PERKlTS REQUESTED -X--BUILDING $ 44,500 00 Valuation of Total Constrvction -X--ELECTIUCAL AHP Service Florida Power Corp. W.R.E.C. ..LJfEClIAHICAL s Valuation of Mechanical Installation -L-PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ---X-Block _Pralle _Steel Other FINISHED FLOOR EL.EVATIO~S: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO COlrllTRACTOR SECTION BUILDER Kevin T. Roberts COHPANYc.;pneral ~omP Dpv~lopmpnt Corp_ ~ State Cort. or Regist. # CGCD056g5 Signature ~~ ~ALJ Q /J City License Registration' 22 *****~*********x************************** .AN u ~' COHPANY Martin Electric . " Stat.e Cert. or Regist. I I="ROOl ~44Q . City License Registration '?71 **********z******************************* PLUKBER R oaMPANY Bayonet Plumbing State Cert. or Regist~ iCFC042998 City License Registration' 91 ************************************** Signature HE.CllANICAL~Rodne S. ca~rter C01fPAlNYSouthern Comfort Enterorises State Cert. or Regist.' I'< ;n "e:> /5A2.L S1gnature ..<:? . 2-k1--1- City License Registration I. 110 ****************************************** OTHER Rick Ga~in /' /// ., oom>ANY Gavin Roofinq ,/ - /" P' State Cert. or Regist. ,RC0046241 Signature ,-~ , '~' City License Registrat:ion , ********~******************************* APPLICATION APPROVED BY J!CL+v(j )Jt ~<~ PERKlT OFFICER. cm'lu I i IOJJS OF PERI'II T (4FF I D(~'v I T A. NOTICE OF DEED RESTGICTION~ The undersigned understands that this per.it ~ay be subject to "deed restrictions" which lay be .ore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTQRS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or c~ntractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the.tontr~ctor is not licensed as required by law, both the ONner and contractor lay be cited for a lisdeleanor violation under state law, If the ONner Dr intended contractor are uncertain as to "hat licensing requirelents lay apply for the intended :Iork, they are advised to contact the City of Zephyrhills Building Departlent, 18131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the 'Contractor Sections" of this application for which they will be responsible. If you, as the ONner sign as the contractor, you are indicating that you, rath~r than the contractor, are responsible for the work. If the contractor wishes you to sign . as contractor that aay be an indication that he is not pr,perly 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 Nith a copy of "Florida's Construction lien laN - HOleoNner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'owner', I certify that 1 have obtained a copy of the above described document and promise in good faith to deliver it to the 'oNner' prior to COllencelent' E. CONTRACTOR'S/OWNER'~ AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, 20ning, and land developlent. Application is hereby lade to obtain a pertit to do work and installation as indicated. 1 certify that no work or installation has cOllenced prior to issu3nce of a pertit and that all work will be perfor.ed to leet 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 governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpIiance. Such agencies include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive lands, Water/Wastewater Treatment f Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Doc~s, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection ~Qency - A=bestos abatement I also certify that, if fill .aterial is to be used in Flood Zone 'A" or 'A,etc,', it is understood that a drainage plan addressing a 'coapensating volule" will be submitted 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 Nith the work and not as authority to violate, cancel alter, or set 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 perlit issued shall becole invalid unless the Nork authorized by such permit is cO.lenced within six months of issuance, or if work authorized by the per.it is suspended or abandoned for a period of SIX lonths after the tile the work is comlenced. . One 90 day extension of tile, lay be allowed for the perlit with fee charge of ~15,OO, The extension shall be requested in writing to the Building Official. An approved inspection lust be logged durin] each six tonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORIl A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIHA1VIIlS, CONSULT WITH YOUR lEHDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALU,: DO NOT HEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'. ~~~~ STATE OF FLORIDA ~ COUNTY OF <tS c 0 The foregoing instrument before me this [)OL- <) was acknowledged , 1 ')!i.!.t- by who ersc,na produced as identification take ~:~!lM (Signa ure) A. ll--. . (Name Typed, Pri NOTARY PUBLIC and whcl did/did not /2. tY2.e.~ -<t {"~" A. ALLISON f~~:ac' Stete of Florida , Ill, Ex". 03.26.118 (.0",,,,. No. CC 3118140 . , STATE OF FLORIDA ~ COUNTY OF lr (I.$,' (' 0 The foregoing instrument before me this ~~ ~Ias acknowledged , 19.ff- by /I who s ersonally Dr who has produced as identification and who did/did not take an ~. 2 ~;J (SignatJl-) ~'\o.. '^, f\\.~\.t.Clh.. (Name Typed NOTARY 'PUB DQ~==~A-.n&tiJObN My Co",," 'I'ti'~ of Florlde COM"', N'll, ?C ,1:164~a IAJ f \ It -::- \ 0 J 8-.. tI _ ~ S~I&+d~S g\z:rv>~UW ~'Tt'l>>t-1'"Ua.;:..s (\) GENERAL HOME DEVELOPMENT (,~ ./. SOUTH 23 FT. OF LOT 143 AND NORTH 12.67 FT. OF LOT 142 DRIFTWOOD SUBDIVISION PHASE III " ~5'-~ 31'-/...f II ~ 'I' 3'-~" .. - ! ({) In ..... ~ . . I . '" I , r '. . <rQr-c~:t" " , G-o. ro.c:; e <0 -r '-- - ~ ~ . - - - , , .- '. : ~ . , - , , - ~\K - r - , -:br'i. \j e - ,- - . , - '. - - "- j ~ -- --'....------ -----.--.~ '-"'---'-'.~.~---....~._ _ _'0_.._ ~_._. __ ..' ~- ~,l <J "-J..A.ft^ f~ L(- 9-0 ,- CONTr;'(4CTOf;: # ~ Nti/"IE ~ G H D ADDR: 02-26-21-0210-00000-0143 c/:::n: 6~117 HOLLY cr Z/HIL.U::; LEN T R ALP E R M I T r PASCO COUNTY, FLORIDA I N C 1~I~i "rt.::: !.:i4 / ::() / '~)~:i F'{.:lUE ~ 1 CJF 1 J::;:::::I.JE OFF ICE: U RECEIPT NUMBR= 00245500 OFFICE: DADE CITY FOR: C:HEC!< # .2: 141 ;:::: Plce!'.)T 114 Tefl At. {)MOUNT: COMPNY ACCOUNT CENTER EI4~i(} .... :~:~.:3(i()(; "- :34. '~)3 AMOUNT DESCRIPTION/PERMT DATA DRICR 34.93 ****** SOLID WASTE FEE 60 m:::CE I VLD BY _._._ -------__L_i_-''-L_,_____.___..l_ _._.__.____ ___:__.. ~.,.,;'-"..."r.- ~.... ----..,........-...,;~.'~ /~, \_) r\ I I '-~ PASCO COUNTY.. FLORIDA Permit No. i' .2.. Date Permitted Builder Name/Owner Mime County Parcel No. Location "/~ i . " I Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft./U nit Prepared By --~... Impact Fee Amount $ ....-... ~ The above impact fee has 9.eern~st;blished pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of CO':!,n1YCommissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted structure. . ~- RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units j 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 $ 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 -" - --.--.- ----.....-- .----.---.-- -~--_.._-_._--._-----_._._-- ..----- ---------_.--_._._---_.~-