HomeMy WebLinkAbout95-4630
BUILDING PERMIT
Permit ~
CITY OF ZEPHYRHILLS
(813) 788-6611
_ 46308
/ - /7 --9-.J-
l{3o ' tFD
BUILDING
Date
6.3 ' 7~-
ELECTRICAL
~o - o-D
PLUMBING
3 lJ - t..hJ
MECHANICAL Sewer Conn (ol.? J-. tfl)
Water Conn: 3--St? cJV
Water Meter: /'65'. O?)
&4. (J"J TIF '; 1;/:;: ';jta25~:;-J.
, / /
Rado Gas: I '
Zoning:
~ . 9tJ~~ 9-27-9~
NO OCCUPANCY BEFORE cff -
FINAL
7- ; '1-
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordarce with City Codes and Ordinances.
~11f~r~l~~~!e~.~._~".l':('>'
pe'mit.Eee~\ ~ ~
Signature ___
Company
c.o.
Inspector
~ DATE
Valuation or
Contract Price~ CJ6{). tJL)
City License Registration #
State Certified License#
02Yf
Address
Telephone' 9()~ ~~ ( 3/49
&-A H:/lAl;:.;1t~tl ~/J'YI--;bA-
MECHANICAL~7
erA A><-d 44 1.zb-4<2
BUILDING
Ftr. I-Z7-'7S- BLL
Pre SLB ::1-:5 ~'isfl~Rf
Lintel ~1~-6f$ iLe Q
FRM. 1-21--0/'[ .61U-
Insu!. CL
WL tf.~'l-4j 5' i3ttt...
i11\ff\L. 7'ib~'l~ t?~~ .
Driveway I If)tt~ &;b
SI-\f1t1lt\Ob- '3. ZC-e(O;- BILL-
ELECTRICAL /6/ PLUMBING ~ b
1V~~ 1" 1-1-'1> 8u,l-
Tp. Servo lIS~
Rough In {'-22 ~~ at.'3 ~~t:J -~ .G;St3d!Jl
Meter Can L-/'7 -~- Water
Const. Pole 3-20.1(;- ~ Sewer ~, (j
Pool Final 71 (." Ilf~ ,(k
Pre-Meter 74:J - 9~8lJ9 f
Final
Breakers
Ducts Ins!. 9-2A-tj'-e.Jg
compressJ/
Final 7 I b}yt \3i.'-"
k,c.J-eIL- .
~D 1-2. 7'-1f f3:.J;
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.
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.
AJ~ ~~/-17-9~-
jJ-J '9 - d-2 -7~
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
J
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25
.11' 0-
LIVING Af~EA
GAF~AGE
ENrrF~Y
l' 0 rr A L
, ,\
1200
401
26
.1 627
I HEREBY CERTIFY THAT I H,WE REVIEVEO
nE ATTAOfEO DESIGN AH) P"CU-V IT TO BE
IN co.-.A..1ANCC: '11TH SECllCN 121&5 a: THE
STNG\RD WILDING Cl'U.
_,....~ _'.:.., _..... v~"'_.___.~ _. .~r..",._~_..... ....r .;;.,;,L.,.... .__'~ '--'..,-.,--f"....'...'... ~..~, ,..',_
is1
fg
;{j
.
ro
/
~
- ----------.------..-----.....-------...
ORA \IN FOR: J'\R a ^RS RENDFLE I seH
=: ::~;;9~' -0 _sr.- .'- J::: -:-~~~'~
EHRMAN SYSTE/'\S ENTERPR I SES I nCl
~-~~-- _m _ 'm~_'_'m"_ u. mJ _=~~~~~
rJ4 CuJ-Jtt-? 4i: lJ43D
. '. .,
~~"''' ."........,..1' v-,._....l.-.i.,;.,/~__".A-4--........
~,..~:c ---"...-~':~_~...:.-.-~~:'~._ '_~' "-"\" "t;:'-.'" '~!~".
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6
Ehrman Systems
Lot #9
Oak Crest Subdivision
VALUATION: $48,060.00
SQ. FT. LIVING: 1 ,194
COST/FT: $35.00
SQ. FT. OTHER: 570
COST/FT: $11.00
VALUATION $48,060.00
DRIVEWAY $20.00
ADDRESS $20.00
FEE SHEET $260.00
SQ. FT. UNDER ROOF 1,764
RADON GAS $17.64
TRAFFIC IMPACT FEES
99%
1%
$1,480.00
$1,465.20
$14.80
PERMIT FEES
BUILDING:
PLYMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
430.00
60.00
63.75
30.00
$583.75
0.00
$583.75
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $3,874.39
ENE~:GY GU I DE
F Q I' de t .a i 1 e din f Q r- ma t ion
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA. Form 600A.-9:3
Qt" Form 6008-9:3
EPI= 87.8
o
1 0
20
:30
40
50
60
70
80
90
100
:-----------------------------------x-----~
The maximum allowable EPI is 100. The lower the EPI the more effic'ent the nome
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
I TEI"l
HOHE VALUE
LOI~1 Efficien,=v
High Efficiency
S I NGL CL~:
D8L TIi'H
wINDOi^,S. . . .
...:3ing1e
Clear
:x--------------------;
I t'~SULA T I ON.
R-10
R-:30
Ceiling
R-V,alue.
2f..O
:----------------x----:
R-O
~:- 7
1,../.3 I 1
R-V,a1ue.
6.0
l-----------------X---:
~:- I]
R-19
Fl(jor
~:-V,31ue.
0.0
:x--------------------~
AI~: CONDITIONER.
10.0
SEE~:
1 7.1]
SEEf" . . . . . . . . .
I I] . 2
:x--------------------:
HEATING 3YSTEH.
Electr-ic
6.8
H:3PF
12. I]
HSPF.
7.3
l-X-------------______!
. .. .
\,/A,TEF': HEATER...
0.88
0.95
E1ectr'i,=
EF.
0.88
:X--------------------l
0.54
0.90
Gas
EF.
0.00
;---------------------:
0.40
0.80
S'J1,ar
EF. . . .
:---------------------:
OTHE~: FEA TURE3 .
. ~ . . . . . . . . . . . . .
I cert,fv that these energy saving features required for the Florida
Energy Code have been installed in this house.
Builder '----;--r, Q /1'" '.",)
Add, e s s : ~c-L<:L~::.':l~~_'\!'g_~~'J:I\I.tS>_s i 9 n a t u ,. : ~~__I t~~~_~__D at. : _L:!.L'!X,,"-__
City/ZiP_~~f3j~~~~l~__[~_5~~~~1
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs FL-EPL CAR09:3
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR 8UILDING CONSTRUCTION
FORM 600A-93 Residential whole 8uilding Performance Method A
PROJECT NAME: OAKCREST ESTATES LOT:8UILDER: EHRMAN SYTEMS ENTERPRISES
AND ADDRESS: E'/C' ,n I 1:>..'.[ iC ...f:t1 : PEF<:t'l\I TT~I NG . : CL H-1A.TE
,,?~/tJa..4W; ZEPHYF<:HILLS. FL :OFFICE: :ZONE: I: :c::;
OI..JNEF<: :')J~Et'4TERt"1ARVE CORPORA T : PERt'-1 I T ~ . b00 t3 : .JUR I SO I CT I ON
2 "
New construction or addition
Single family detached or MultifamilY
If Multifamily-No. of units
.-,
.~ "
att.3.cned .-,
4, If Multifamily, 1S this a worst case (Yes/no)
5. Condit10ned floor area (sq,ft.
6. Predominant eave overhang (ft.
7, Porch overhang length (ft,)
y, Glass area and type:
ca. Cle,3.r Gl.3.sS
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: l. Concrete (Insulation R-value)
b. Adjacent: ~ Wood frame (Insulation R-value)
11 ,Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution sYstems
3.. Ducts (Insulation
13.Cooling sYstem
+ LOC,3.tlon)
14.Heating SYstem:
l5.Hot water sYstem:
l6.Hot water Credits: (HR-Heat Recovery,
DHP-Ded1cated Heat Pump)
17.Infiltl"atlon pr,3.ctice: 1,2 or_
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-whole house fan, R8-Attic radiant
bar r i er, t''1Z-Hu 1 t i zone)
19.EPI (must not exceed 100 points)
,3.. Tot.3.1 A,s-8ullt points
b. Total Base points
SN: 5512
NOf':TH
:3: :~~'
NO. 6// , trO
C!<:
1. New Construction
.:.
0_' "
Single-F,3.mi 1)1
o
4.
co
.J.
1200.00
2.00
6 "
7" 0" 00
Single P,3.ne
8,3.125.6sqft
8b. O.Osgft
DO!...lble P.3ne
O.OOsqft
O.OOsqft
'3,3,R= 0.00
148.00 ft
10,3.-1
10b-2
R= 6.00,
R=12.00,
89:3. OOsqf t____
125. OOsq f t____,
11a.F:=26.00
1276.00sqft____
12,3.. F:=
1:=:. Type:
6.00 l...ln.:ond
Centr,3.1 A./C
SEER: 10.20
He,at Pump
HSF'F: 7.:30
14. Type:
1 co TYpe : El ect t. i c
'- .
EF : 0 88
1 6 HR
1 7 <::
1 8 CF
1 '3 .
19,:;1 .
87.76
185:35.89
1 9b .
21121.::::2
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
I HerebY certify that the plans and
specifications covered bY this calcu-
lation are in compliance with the
:~::~::D E:;~C.~:;'.(r,\')
--------~~~~-----
DATE:____~~~Q~3~_____________________
I hereby certify that this building is
:::::::~~::~~~~~~::-
DATE:__l~lQ~~~---____________________
Review of the plans and specifications
covered bY this calculation indicates
compliance with the Florida Energy
Code. 8efore construction is completed
this bu,ildlng will be inspecte,j for
compliance in accordance wlth Section
553.908 F.:=;.
BUILDING. OFFI~.d~-,-",--,-Q.
OATE:_~=L~~~_______________________
*******************************************************************************
SUMMER CALCULATIONS
=== BA.SE ===
*******************************************************************************
=== AS-BUILT ===
OFT: I EN
POINTS
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
ORIEN
GLASS----------------
AREA ;.: BSPt'-1 =
T{PE
sc
AREA
;.:: SPt'-1
~< SOF
= POIt'HS
-------------------------------------------------------------------------------
E 49 . ao 65 8 :3276 . 8 SGL CLR E 49 8 84 9 86 :36:36 1
S '-. 00 ,- I: 8 1 97 4 SGL CLR 0 ' .-, 77 1 69 i
,;:, tj..J . '..J .;:, I .~ ~ .
w .., ,.., 80 65 8 4790 '':> S{3L CLR W '-' 6 84 9 86 262 9
I '"' . . '- '..1 . .
SGL CLFT: W 40 0 84 9 0'" 2965 C.
'..11 . '.J
S{3L CLFT: W 1 0 1 84 . 9 86 7:37 4
,SGL CUT: W 1 9 1 84 9 86 , :394 6
I
. 1 5
". COt'm. FLOOR
AREA
-------------------------------------------------------------------------------
=
/ TOTAL GLASS = AD~.
A.REA FACTOR
GLASS
POHHS
AD,J GLA,SS
POINTS
GLASS
POINTS
- c::
. 1...1
125.60
-------------------------------------------------------------------------------
9,165.89
1,200.00
1.4:3:3
8,264,,48
11,844.00
===============================================================================
NON GLASS------------
AREA ^ BSPM = POINTS
TYPE
FT~- VALUE
AREA.
SPt'-1 = PO I NTS
.9
80:3.7
-------------------------------------------------------------------------------
In
759.1
81 .:3
WALLS----------------
E;,:: t
.6.. d j
89:=:.0
125.0
..,
. I
87.5
DOORS----------------
E ;< t '2 1 . 6 6 . 1
"131..8
A,d j
1 9.0
2.4
45.6
CEILINGS-------------
UA 1200.0 .6
720..0
FLOORS---------------
S1b 148.0 -:37.0 -5476.0
INFILTRATION---------
1200.0
B.O
9600.0
===============================================================================
TOTAL SUMMER POINTS
17.756.56
E:< t
Adj
N'JrmWtB1>Jck
W>J>Jd Frame
6.0
12.0
893.0
125.0
..85
.65
E:-:: t
Adj
Insu1.3ted
'wood
21 " 6
4.10
;'2.40
88..6
1 9 . 0
45.6
Under Attic
Under A,ttic
26.0
26..0
694.0
582.0
.80
.80
555.2
465.6
S 1.;ab->Jn-Gr .3de
. 0
148.0 -41.20
-6097.6
Pr,3ct ice #2:
1200.0
8.00
9600.0
14,66:3.55
Ten A.L
SU1'-1 PTS
COOLING
PO I i'HS
===============================================================================
TOTAL
CO!'-1PON
v CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
SYSTEM
t'I!UL T
-------------------------------------------------------------------------------
17.756.56
~. ..,
..:, I
6.569.9:3
===============================================================================
14,66:3.55 1.00 1.070
.. :3 :=:2
.860
4,479.:31
-******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
=== BASE
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
AS-BUILT ===
GLASS----------------
OF: I EN
AREA ;< BWF't'l\ =
F'OINTS
-------------------------------------------------------------------------------
T'( F' E
sc
ORIEN
A.R E A,
" wF'H
;< wOF
= F'OINTS
E 49 :30 - 1 I) 6 -5 .,. 9 SGL CLR E 49 8 - :3 8 1 6 -:::0 :3
.c. I
S 00 - 1 D 6 - 1 c' SGL CLR S :> r' -24 0 84 - 60 5
.:.. .:.. '..I '..1 .J .
\tJ -r "' 80 - 1 0 6 - i 7 , .,. SGL CLF: w .:> 6 8 1 6 - 2 ,-,
I ~ , I - - . .c.
SGL CLF' W 40 0 - 3 p 24 ,,'" p
..I - "j,J -'
Sf3L CLR '.tJ 1 0 1 - ):,' 1 6 -6 1
- -' .
:::::GL C:LF: 'It<! 1 9 , ,-, 1 6 - 1 1 6
. . - CI
. 1 5
,/ TOTAL GLASS
,4fT: E A
-------------------------------------------------------------------------------
=
CONDo FLOOR
,4Ft: E A
= AD,].
FA,CTOF:
(3LASS
AD.] GLASS
F'O I i'H:::::
GLASS
POINTS
F'OINTS
. 1 5
125.60
-------------------------------------------------------------------------------
-146.51
1,200.00
1 . 4:;:::3
-1., :3:::;1 ~:36
-1,908.00
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
NON GLASS------------
AREA
BwPt',1 = POINT:3
TYPE
wPt"1 = PO I NT:3
R-VA.LUE
AR E A
2.2
-------------------------------------------------------------------------------
wALLS----------------
E;.:: t
Adj
89:;::.0
125.0
:.:.: II b
1964.6
450.0
DOORS----------------
E :< t 2 1 . 6 1 2 . :3
265.7
218.5
A.j j
1 9.0
1 1 . 5
CEILINGS-------------
UA 1200.0 1 ~ 1440.0
FLOORS---------------
S1b 148.0 8.9
1 :3 1
..., ~
I . L
INFILTRATION---------
1200.0 7.4
8880.0
===============================================================================
TOTAL wINTER POINTS
12~627.98
E;,:: t
Ad ,i
N.J r mw t B 1.J c k
w.JO,j FI".3.me
In
6.0
1 2.0
89:3.0
125.0
5.15
:3.45
4598.9
4:3 1. 2
E:.::t Insu1,3.ted
Adj 1t..I'Jod
21 . 6 8. 40 1 ):,'1 4
..I.
1 9 0 1 1 50 21 c. 5
'..I .
26 .0 694 . 0 40 971 6
Lt- .0 582 0 40 81 4 II 8
.0 1 48 .0 1 8 .80 2782 4
1 200 .0 .,. 40 8880 0
I
Under Attic
Undel" Attic
S1-3.b-on-Gr,3.de
Practice
#.-.
.c.
18,732.4:3
TOT A,L
\^iIN F'TS
HEATING
PO I NT:::;
===============================================================================
CAP
F':ATIO
SYSTEt'l1
t"1UL T
TOTAL
COt',1PON
DUCT x SYSTEM x CREDIT = HEATING
MULT MULT HULT POINTS
-------------------------------------------------------------------------------
12,627.9f:
"''''
. .J ,_I
6,945.:;::9
===============================================================================
18,7:32.4:;:: 1.00 1.070
.466
1 .000
9,:;::40.:37
*******************************************************************************
WA.TER HEATING
*******************************************************************************
BA.8E
AS-BUILT
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
NUi"1 OF
BEDRt"lS
j';.
t"lUL T
=
TOT A.L
TANf::
VOLUI'I1E
EF
TANiO:
l'l1UL T
~<
CREDIT
HULT
TOTAL
RATIO
-------------------------------------------------------------------------------
:380:3.0
7,606.00
50
.88
1 .000
3803.0
..bL
4,,715.72
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
*******************************************************************************
SUt'l1HARY
*******************************************************************************
BASE
AS-BUILT
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
COOLING
POINTS +
HEATING
POINTS +
HOT \..JATER
POINTS =
TOTAL
POINTS
COOLING
POINTS +
HEA.T I NG
PO I t'~TS +
HOT WA.TEf':
POINTS
TOT A.L
POINTS
-------------------------------------------------------------------------------
6569.9
6945.4
7606.0
21,121.::::2
4479. ::;:
9:340.4
4715.7
18,5:35.89
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
*****************
.!(. EPI =
87.76
.:q.
*****************
APPLlCAnOll fOR PERlUT
CITY OF Zfl;ruIKHILI.S
BUII.D1JIG DEPARIIIEIn'
OWNER'S fWIE c..EN\'l!:.E..- fY\A~~ ~~'i>. moRE C;ocl - $1::. 7 - /.3l/9
OWNER'S ADDRESS /Oa.OlI J.Ju.1Y =1() I UA"bt 0.'7"7 Ft- ..53S~S
JOB ADDRESS I'" -,....." ~l AT DA-LJ<:;' tlTR.! DAt<. QiaEST ~tsbllllS.I{)A.J (g::~~bJ
LEGAL DESCIUPI'IOII: wr(S) c; ~SUBDIVISIOB OA~
PARCEL I.D.'
-
NORK PROPOSflD:-X.llev Construction -Jddition _Alt:eration __epair _Install
_Sign
_lIove
_De.olish
PROPOSED USE:
Single F_ily
_"'F
_' of Un:its
_"/B
_~rcial
_Indust. _Swill. Pool
Other
__estaurant & Health De(Jlarblent Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: AlTACH (2) PIJJI' PLAIIS 6: (2) SEIS OF BUlI.DIIIC PLAIIS & (I) SEI' ElIERGY FORIIS...
COPIIIERClAL: ATtACH (3) SEIS OF BUlI.D1IIC PLAlIS 6: (I) SEI' ElIEIlGY FOIUIS...
..mPr OF OOlIl'BAcr .RIIQUllUI:D.
PIlJII(llS JlEOIJR.-;1EQ
_BUILDING
$.
Valuation of Total Coost:ruction
_ELBcrRlCAL
AIIP Service
Florida Power Corp.
W.R.E.C.
---1IECIIAIf1CAL
$.
Valuation of "echan.icaJ. Installauon
_PLUPtBING
GAS
ROOFIIIC
SPECIALTY
TYPE OF CONSTRUCI'lOR: ---..Block --J~ _St:eel
Other
FlBISRED FLOOR ELlWAnOllS:
n.
IS PROJEcr IB FlOOD 7.OIIE AREA?
..........................................
YES NO
aJlID'RACIUR SECI'ION
BunDER ~ OOfIPABY
~ State Cert.
Signature ~~ --- City License Registrat:ion I
..........................................
=:ClAII~W,
s~~
State Cert. or Regis . ,
City License Registration .
..........................................
OOIIPABY
PUllBER ~~ OOIIPABY ~UI~II/Jt1E.J07l1~~~70e_~
Stat:e Cert. or Regist. I Q 03"/71
Signat:ure ~ _ City License Regist:ration I 7h
..........................................
-"CAL~
Signature City License Registration I
..........................................
OOPIPAIIY G.I<.J V I ~ d1
Stat:e Cert. or Regist:. I
Signature
OOfIPABY CD.t{ V r IJ Mi!{ 6
State Cert. or Regist. ,
City License Registration ,
..........................................
0TIIIlR
APPLICATION APPROVED BY
11 ~ If! ~jl~
PERIIIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to 8deed restrictions8 which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor Dr 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 owner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are ad~ised to contact the City of Zephyrhills Building Departlent, IBI3)
7BB-66Jl.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
"Contractor Sections8 of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to 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 - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner8, I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
8owner8 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 construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled 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 cO'Pliance. Such agencies include but are not lilited to:
I Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Nater/Wastewater Treat.ent
I Southwest Florida Nater "anaqelent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Natercourses
I ArlY Corps of Enqineers - Seawalls, Docks, Navigable Naterways
f Departlent of Health & Rehabilitative Services. Environlental Health Unit - NeIls, Wastewater Treatlent, Septic Tanks
f US Environlental Protection Aqency - Asbestos abate.ent
I also certify that, if fill laterial is to be used in Flood lone "A" or "A,etc.", it is understood that a drainage plan
addressing a 8colpensating volule8 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 the work and not as authority to violate, cancel alter, Dr
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 work authorized by such perlit is cO'lenced within six lonths of issuance, Dr if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOllented. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO,RECORD A NOTICE OF COnftEMCEnEMT nAY RESULT IN YOUR PAYING TWICE FOR InPROYEnENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CDnnENCEnENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COftftENCEnENT8,
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this _..~_.___,__' 19_....__ by
was acknowledged
", jq_ 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 oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
..... _. --- ---.- _..--..-..- -"'-.- -.'-.:~;"-c:.~."'_...........--.<I:;.-.-'~';"_:,~,_._;,_,,_~'_.'
-:-,;-.~ -'I
~
CONTRACTOR #:
NAME: CENTRE MARK CORP
ADDR: OAK CREST SUB
C/ST: Z/HILLS
C E N T R ALP E R M I T TIN G DATE: 07/22/96
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR: 00290187
OFFICE: DADE CITY
FOR:
CHECK # 02877
CITY Z/HILL
ACCNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
8450 - 363000 - 2
23.01
AMOUNT DESCRIPTION/PERMT DATA DR/CR
23.01 ****** SOLID WASTE FEE 60
RECEIVED BY
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--:-" {,~., ~-.( ,\," - ~"' -- ;';;J.,,~~':';f~i'~>-. ',~; /';'~~"'::"M~~:-~;:~-- :"),:~~; ~~"li'",':',:\-~~~',lf;',:~~.'~-;', ~-:~;:::"~"-~.~"-;'i'~;""~'~"""~'......-.;'1
PASCO COUNTY, FLORIDA
Permit No.
":'../fi"
/" --.-.
Date Permitted
/
/7
./ --,j
Builder Name/Owner Name
1"....
County Parcel No.
Location
Subd.
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./U nit
~"
~--ptepared By
-=----
.--'
Impact Fee Amount $
~r(".
-'
The above impact fee has been establj.sheOp~rsuant to the Pasco'Collflty Transportation Impact Ordinance as adopted
by the Board of County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority to utilize the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
I
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 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
Bldg/lnsp
feecal:ce