HomeMy WebLinkAbout95-4720
B'UILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
~7.ffV
4720E
Date ;2 -:2 <j-fS-
'/ A.5 -: rZJ
61.~
ELECTRICAL
PLUMBING
BUILDING
PmpertyOwnec ~ ~JI!:
Job Address: ,,~ ~
Parcell.D. # L3 -:;Lb-J/-OldO - 0 uCJCJO-- rJ d- ~ 0
Permit ~
...3 O. o-v
MECHANICAL
/:lPR:uo
. .
Sewer Conn
Water Conn:
J:{.'O . (ro
Water Meter:
/ 6};,-. t/V
T.I.F.'s:
~
Zoning: Energy Code:
Description of Work '-I/. ~ V J~
Radon Ga~:..r
~ ,~~.A..-'
NO OCCUPANCY BEFORE C.O.
- -
- "-
..--- -- ~ ---
~
FINAL _
DATE
C.O. ~?-J.1-9S-
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
'Pre-meter FPC (Betty) Nancy 08/28/95 10: 55 A.M.
Valuation or
Contract Price '17. 0ZJ7J - iJ()
City License Registration # '/:;l [/
State Certified License#
~d /hY~
BUILDING
_ JJ.J ~ !;1;-L;
ELECTRICAL.2 KS-
Ftr. ~.-7-1) ~LL
Pre SLB 1-}- )" &U-
Lintel $.Zf)-~l) 6 L4.-
FRM. ~-\~-q5 ~~
Insul. CL
WL - B~
(IN 1rl-~/l'.Q 'j2t
Driveway 6:-17-tf')
0t6utm4- 4L/~15
j5,L'-
Tp. Serv.
Rough In 4,12 -c;s:.&rI-
Meter Can.;z....;2~5!S
Const. Pole
Pool
Pre-Meter ~ ~2g:...qS U
Final V"
....
t~~ 3.~--~'5 ~
Inspector
Pe,m;l F~~bt.P~ ~
Slgnature~. _' ~_
Company
Address
Telephone#
~.:d~,
PLUMBING /J:,':S-
a'Ke, ~ c;7.
MECHANICAL / ~~I
SLB 3-3-Gf5 ~
Tub Set 4-/245
Water~
Sewer'
Finall/~ 3J,IjS 6JS
Breakers
Ducts Insl. ~-7-~)' 8tb
Compressor
Final V~... 3/ ~ 1J5 $QB
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.
:d::tf-9.J -
~~-
r-J
~- - I - 9~-
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
2;~N'
/IeAIIlp'~
!O,rS 5' cl(
AY
VILLAGE
BUILDERS
<0 C";,pyright 1995 Bay
1iill: c[jsroXi.
DOOR & Wlf\JDOvV
SCHEDlJLE
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per unit
LEGEND:
LIVING
GARAGE
COv. PATIO
ENTRY
TOTAL
DATE: 1 23
1195
,28,2
149
25
1651
95
LtJT ? 7
SIL\/ER (JAKS
PHASE ONE
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C 1 78= 137,2~'
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BAY
VILLAG E
BUILDERS
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LAURELVVOOD DRIVE
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----- EDGE OF ROAD
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J Ul'\JlT V LLLA~
Vf\Wt\"fat'N: q7/ tJo 0
3~o 46. cl b
bJ~
6'7.50
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, . "7CJ 0'0
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'550/)::>
165".00'
- D
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Department of Community Affairs SN: 5235
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL
PROJECT NAME: SILVER OAKS CONDO'S :BUILDER: BAY VILLAGE BUILDERS
AND ADDRESS: SILVER OAKS :PERMITTING :CLIMATE
ZEF:;JuIYPI"'1 I i_LS, Fi.uCJFU Dr-I: OFF I CE: C I TV' OF ZEPH: ZO'\~E: 4:.~ 5: .._: c,: ___:
m,!NEP: t:~.?5-~M...~.P : PEPi"'lIT I\J[). Y9:lo..t3 : ,JURHlDICTION NO. 51 lEOO
CI<
1. New construction or addition
~. Single family detached or Multifamily attached 2.
If Multifamily-No. of units
If Multifamily, is this a worst case (yes/no)
5. Conditioned floor area (sq. ft.)
b. Predominant eave overhang (ft.)
i. Pcqrcl"'1 oVE;?Y'hang length (ft.)
8. Glass area and type:
"_':.. II
.:l.
~\ .. c:: 1 E' ct Y' Ci 1 ~;':\ ':::. ';::~
b. 'fil"'it;, film c,'I" :::;(;:.lay' '::;C1'-een
9. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
10.Net Wall type area and insulation:
a.. E;..-;t er' :i. CI1": 1.. Conc r' et e (I ns~ul colt i on r~:
b.. Ad~)acent: 2u Wl:il:ld
r Y' ci. in i:':'~'
::: Ir'I:::;ulat iorl
11.Ceiling type area and insulation:
{':':\ u tJ ri c:: t::.::., Y' c':'\ t: t i (: (I 1"", ~:::. Li 1 {;;\ t i () n F: ''''''v'' {'::t 1 L.l (-':~i )
12.Air distribution systems
a.. Du.;: t ~::; (I n ~:::.ul .~::\t .i. '.:'1''', +. Lac dt i ()n )
13.Cooling system
14.Heating System:
15ui"'lot wate):' syste'n~
.... \/ ":t 1 u. 0:: )
R.....\/al l.if:::)
1 C:,.. 1"'lot ~J<::d.: (,?i" Cy ed i t ~::;: (1...IR....I...IE;?at Rec C1\/f2Y' >/,
DHP-Dedicated Heat Pump)
:I. -:;'.. I i J f .i. I t r' at :i. () j, p Y e:\ c tic 0:: ~ 1, 2 ()'( 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
i:::'dl--Y' iE0'(, ivIZ.....I"lul t i;;;()r'ie)
19.EPI (must not exceed 100 points)
d. Total As-Built points
b. Total Base points
:~.. t\II=,'J~ C:;;)i"'1s:.t: j" U.i... .t. :i. (::Ij""j
"",
..::; a
S:i.n<:'lJe' Fdrnily
.:l
,.:1. .
C:'
...)"
:i. :L '3~:.j . 00
1.00
C..
'I. O..UU
:::; i ng 1 E' F'di"Ii'2
8,:t. :!. CEl. Osq ft
Elb. 0.. o~:::.q f t
DoulJ 1 e F'ar'Je
(). OO'::;q ft
O.OO:::;qft
'j i':\ " l~:: :::"
(i.. Ci() 1/
l:1.C,..GO rt
10i::,
.... .I. F: ::::: '::1.". ~~':~ (} ,
..... F~ ::::: :!. ::. II (I () f
'7.::1. ().. ():::) ~::. q f t "__"_""'_"
'7 (;] . 0 0 :::; q f t .._......_._...._.
:I. ()b
:I. :i. i::.... 1::::::":1. '~1.. 00 , :I. 1 '::j~:.j.. ()Usq -r- t ____.._.
12i::\.. F:=:o:
1:3" T)/pt-:::::;
5. 00, uI"'j1.:.ol'''ic:1
Cer'J t Y' <::<1 (:,./ C:
~:;ET::F: ::
.1 .... .-. ....
.i. I..) u ~.)I....1
14. Type: Heat Pump
HSPF': '7.. ()O
:L ~:5 "
T,:/p E~: E 1 Eo'';:: t: (' 1 C
EF': 1,_,'., ':::.l()
.I.u.
:L '7.
1
.1.
1 EL.
:I. .::) ..
1'ja.
:I. ';:;Jb..
'34. 4'3
21000. 5~.;
2::~072. ~::::I.
.................-......................--...-..----....-.-...-.--.....-..-...-...--.....----...... -.............-........--.---.-..........-..."...............................-.--.
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Fl,:::l('ida EI")21"gy C:o{:!e"
F.r-.....'...rr..!'-I.. ...../ b ~L h ~C'
......:'1... ..../..:1..:.... ) [..('...
. ._, . ....... ... I .. .... ...__~ '.._ .____ ...... ._..__............._.
D (i T E: :: c_--... \ \ ';.1' c:-
.___._.-..L..-..~~... ~...._..__._..........._...._.__.....__......__.._.__._
I hereby certify that this building is
in compli~nce with the Florida Energy
:,..: '.:' cI (7:: .
UlrJI\IEF: / N3ENT :
D(:iTE:~
--.---......---------.------........
---.---..--......................-...............-.-...-........--.................-.-...--....-...-...-....----
Review of the plans and specifications
covered by this calculation indicates
(:()mpl idnce '..;ith tl"'le Fl()y'ic:le:i El'iEo"rgj'
C: c:II:::1 ,~:2 .. E.: e f () 'r" E::' C Cl i'''i ::~. t Y iJ C t: i (:1 f'l :;, '::;~ (: () rn p 1 f:::,'L E.: c:l
this bui.lc:lj.ng w:i.ll bE.: :i.n.:::.p(::~ctE:c:i .'..."
compliance in acco(clance with Section
~:5 ~;.:.:) ~:~: II ,] () ~::; F'..~)..
/'"'.
BUJLDH~G OFFICIAL~~" A __~ Q.,
DA TE : _d -_2L~._.7~-=...._ _.._.___~_.__............_.........,..__.___
...****************************************************************************
SUMMER CALCULATIONS
******************************************************************************~
:::: :::: :::: E: PI S E :::: :;;:: :::;;
:::: :::C, :::: (\ r:::;.., 13 U I i..., T :::
..... .._. ..... ..... ..... ..u, ._... ..... .n_ .u" ..... m" .__ ._.. .__ ..... .._. ..... ..... ..... ..... ..... ..... "'M no....... ..... ..... .__ ..... ......... ...., ..... .__ ..... "m ..... ..... .... .... om. ..... ..... ..... ..... ...,. ..... ..... "m ..... ........_ ._. ..... ..... ..... ..... ...'. .,. ",., ,._.. ..... ..... ...., ..... ..._..... ..... ... ..... ..... ..... .......... ,'_',
---...---.....---.............-......-.---.-....-.--..--..-......--.--....-.......----.--.......-.........,....-......----.-........................-...".,....-..............".....--.--...................-.....---......-.....-..."......".---...-.... .
GLASS----------------
ORIEN AREA X BSPM = POINTS :
TYPE
SC ORIEN AREA X SPM X SOF - POINTS
I'..J
:I. OB . ()()
8:;;~ 1t:2
f~E~?7 . t;, S(::iL CLF:
4'~J32. 0 : SI3L CLF~
1\1
l()t;;..()
:.;j,,, ()
n ('.:.< ':;}
:.:~; E; () () .. ~5
r-,
~:.J
c;().. ()(}
E~:2" :2
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~j
GO..O
100.2
II ~:-::: ':::.1
2 ~J ,::1. ,::1... -7
j ,"-
.. ..:;)
." COND. Fl....UUF: ./ TOT(~I.... Cii.J1S~:3 ::: (iDJ n )~
AREA AREA FACTOR
Cjl._i~t3~3
PCJ I NT~7;
ADJ CjU.\SS
PD I 1\1 T r:3
CiLriSE;
F' () J t.rr r:3
.. :I. ~:j
:L y l';;j~:~.. ()()
:t EJE3 II +:)()
:I. . <::.iC,)'
:I. 3, 80'::1.. (,()
:l. ,::1. I) ':7:-::;,::;'.. :':;~:5
t.:) 'I 1 ,::\- ~.~ " ::~ ()
'"'................___.....__.,._........._...............___.n..........
..............."..--..---.......-......--.--................--..
..............................
.......".....................
.... .... ......... ......................... ......... ...-.. "...........
.."..."............................-..,-,.,..-..................--..........
." ,... ...... "..... .................-.........
....... .... ,.. ..... ..... ..~. ..... ...~ ..... .... ,". ..... ..... ...... .
NON GLASS------------
AREA ~ BSPM = POINTS
'r"/FE:
F:. . \...' t\t_ t..Jr:=
AREA ~ SPM = POINTS
("JAL.I_~:;
E::'i, t )'40.. :J
{~dj /U.. U
1. .. 0 '740 . 0
~54 n (;
Ext NormWtBlock In 4..~
Adj Wood Frame 11.0
'7 l:~. () n ()
1... :1.4
E~ 1::1. :3. (~,
'7~3 u (j
--r..-\
II i "..}
~:.:.:;'::I... f;
DO (J F:;'3 h. .... ..... hn .... .n
I:::. :.;;t
PI cI .j
1. ~3.. n
4.8
l.C
']fj a ()
E>.;t Wc,()d
Adj lrJood
:.::~ () u ()
~7 n ~~()
:I. 4.::j... ()
'::1.3.. :?
:.:::().. ()
.'.:ro (j
":"'WuW
:l. t3" ()
2..40
CE:: I L". I NC~=;
t.J ,:'2'j :L ~. ':) 5 II ()
.. b
7:1.7..0
Unch,,'i" (it tic
l ':::J " () j, 1 'J~; II ..
:l. .. :l. (I
1. :j 1 '.:1. . ~::.;
F!....ODr.::~3
!~ 1 bh 'L '1 'h ,h,
~;:) . . .. t:J II '...J
:::1... 8
-3GElf3.. (]
51 abh"'orlhh.(:i'(' dell:::
" .:)
:I. 1. C. ()-3 1. . '30
....;]700.. ,::j.
INFILTRATION--....---
:1.:1.95.0 :1.0..9 :1.3025.5
F"I'act iCf2 :J:l:1.
:1.:1.95.0 13..80 :1.549:1..0
.--.....--.-.-.-.-.-----.-.-.-.------..-........---......--..--.-.-......-.-...--..........-..-.-...........-.....--.-...-..-.-.................-..-.-.............-...-..-.-..-...
------.---..-----.-.-.-.-...-..-.-------..-.--...-.-.........-...-----.-.....,---......-.-...---.-........-..-.......-.-...-.-......-....--........-..-.-....--.-...,....--......-
..... ................--.......... ..... .....
........................
TOTAL SUMMER POINTS
25 'I ~7().? II 4.5 :
:?:l y ::~:';~5" '7()
..--.-..-......-..-...---.-........-.......-......-......--.....--.-..---..------........------.-.-.-.....--.-...........-...--...............-.....-.-----.....-...................
...........-,.-............--..-.....-...-.----....-..-.--.-.-..-..----.-..--.....--..--..------.---.-..---......-.......---__~........._.._..____....._.....~M..M...
...............................M..._._...................
,... .. .-... ..... ..... ..- ..... ..... .... ..... ......... .....
TOTPIL
'::;LJI"1 F'T~:;
~) \/ ~:j .r E: lvl
1'"1l..JLT
COOL I NC : TOT PI!....
F'O I NT':3 : COMPON
>; C{.iF' ;.; DUCT :'1;
F":i~ T I 0 I'/IUL_'r
SYSTE/v1 >;
I"'IUL.T
CPED IT.... ceo:.... I :"':C
MUL... T F'O I 1'.JT':3
25, '),' ()'7 . ,::1. ~:.~j
" ,.J ....
9,511.76 : 21,335..70 1.0() 1.1(:)(:)
. :3,:1-(::
:1..noo
'7 'I '3 i"':;' . 5~::.:.;
.. ..... ..... . ..... .-. ..... __. .... ... ... . .. ..... ...~ ..... ._n .. .. ._... .".......... ... ...... .
.......---...........--.-...-------.-.....-....-...-...--.---.....---...--....-.-.-..-..-.-...-..-.......
> ..... ......._...... .._...... ..... .... "..... .._._ ..._..... .......... _n" .......... ..... ..... .................
...........-.....-..-.---......--.,-..........-..--..--.-...-.............
*******************************************************************************
WINTER CALCULATIONS
*****************************************************************x*************
;:::: :::-.: ::::: E: {.;~) E: :::: ::::::::::
._~--......-._-,......_._,--_.._._,_...__.._.._-_.....----..---.-------... "'.....----..--.-.. .,........-....----.-...-..-...--.-..-..---.......--...-..--..-..,
---.......---......-.----.-..-.-.---.........-..-..---..-.------......--....--....--.......-.-.---.,.--...--..........--..---......------..-.-...---.-.....------..-..........-.--.---....---...---......-........ '.-
c::: :::::::::: {.:; E: ...- BL.J I L T ::::: :::: ::::
CiI....P,E:S........
ORIEN AREA ~ BWPM = POINTS
N
:l. ()~J.. ()()
(;() II ()()
.... ~:::: *' :::1-
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;.; cm\w. FL_OOF /
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TYPE::
bL ORIEN AREA x WPM ~ WOF
PDII\ITb
.....:::.:C 7.2 ; ~)GL elP
N
10B" (::
:..20
...... 1::;
1244..2
':J" (:.)
.....1 U. '3
::~: c: ,:::. .. (; : ~::J !J L. C: 1_ F~
60.0
b
~3551 ()
TOTAL CiLASb = ADJ.
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(3LPISb
PO I 1\IT~3
PIDJ Cil._(iS[:
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Ei'..jEF:Ci\/ CI....! I DE
For detailed infol mation
of the EPI rating number
or for any ITEM listed~
a~:;k YOU( Euild0~r' f()y'
i:~P I: ':vl.;5
[) C: PI I=- () Y' (1) G () () (:'1 '.h. ':) ::~.::
,._i" F" Cl r';n ~~~ 0 (j E.: ..... ':;.;:~
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RESIDENTIAL ENERCiY PERFORMANCE RATING SHEE~
ITElvl
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LO'.J Effici021""',CY
l"ligl'; C'f f ic i(:21""',<:::/
~:; I 1\,) (3 t_ C: L~ i~:
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HEATING SYSTEM".""".."".."."
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OTHeR FEATUPES.." .". ..""."."
I ~ertify that these energy saving features required for the Florida
Er', E''r'' g j' COcl0:~ h a \i~:.,! b C::' c::' I", :i. n s tEl 11 E.d :i, i"i t /..., i.:;:.. h ()U ':5e.
Elu:i.l del'
S :i s.~ n at u..' e ~
Date~
f7id d)" f2S~S::
::::::L t y' / Zip ."_,,,____________________
Florida Energy Code for Building Construction - :1.993
F::, '..>'j" :L d d :;:) ,,2 P ,:;\ I" ;:, lil02i"'I t 0:. f :::::,:::,mmul'''; it Y i; f f c:\ i 1" S
r:- L.. -". I:: F' L_ C: ri F: rj ';J :::
. .....'., re -7~-.
'f.KP<t:fD'~~{, . .
BUILDIBG DEPARTHBRT "
" 'f ~
a's _13~. V:C~~Il-~~~~ ~~~~;:~;~~.
R'S ADDBBSSI96~1 'Bill ~ {) /. 3~
ADDRESS Len- 21 .fJ-n-.'.B2 O\k:s plAS~ L.; fdl3~e:) tAu~0a01)hVb' '
Z -; BLOCK - SUBD:lVIS:lO&~:.e L),4J::S PflAs6 We:)
APPLICAnON FOR PElU[[T
CITY OF ZEPIIDIULLS
L DBSCRIPrI.ON: wr(s)
. '. '0\. . f' ~',~ ,'. ....'
BL I.D.' 03- 2~-:U -0/20 -nCnOQ -o7J1n (OBTAIN FROM PROPERTY TAX NonClU
PROPOSBD:~ew Construction ----Addition -J\!teratioD. ---Repair T~.tall
_Sip
--IIove
--Peaolish
_ec-ercial
~/<<:~~~ -JUB
_Iodust. _Swia. Pool ,_Other
tJSED USE: -BiD&1e Feally
Restaurant & Jlea1th Departaent Approval
lUPT1.0N OF WOK: ~ r....JA../.J-.--r WU-A c:;
0\HC!At..L. j efC# uN rr . / J:,G.s-e- , . , ' ';, ';'
I)IBG SIZE: 3~, / to c::: I Square Feet, 6 Reiaht
/b 'fflfoVf.~a:..". .'. '
~EIITIAL: ATrACII\(2) PLOT PLANS &'-<2) SETS OF BUILDIBG PLANS & \.(1) SET BDRGl' POlUIS.
DlCIAL: ArlACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FOBltS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
IUILDIBG
PERMITS REQUESTED
$. ~. LY?O €:A. utJ rrValuatioll of Total Construction '
{ s-o AMP Service \... F10rida Power Corp.
$. 'J ~ (1D (;.~ - uJJ II Valuation of lIecbanica1 InstallatioD.
.r;::,' '
. '
, ~' j 1, "'. f
a.scrJUCAL
W.R.B.C.
lBCIL\lIJ.CAL
'LUKBUG
GAS
ROOFING
SPECIALTY
OF coRsmucnoR: .-K' Block -Jraae _Steel
'.
Other. '
YES
'~
BED FLOOR. ELBVATIOBS:
Fl.
. IS PROJECT U FLOOD ZORB AREA! .
..........................................
ture
CONTRACTOR SECTION'
/ MY "'BA\j tk~,,~ R( )l1-.Dfi.2S ; r>J 'c-
State Cert. 'or !legist. . (' (.;.c o~'^ z.:e (9 .
City License Registration . ~
. ...................................
BB
~CIMi COHPANY 5' ~.5 I? / t!! c.- r ~ '.
r:-7 .~ State Cert. or Regist. . ~/(~ 2/fu..,',$-
ture l/.o~~ ~ ~ City License RegistratioD.'. 7- Y ~-
~ . ....................................... ' "
KI.. ~ . ~ /. ,-/~_ .' ~1onc!!=:.,.V;~ /f3;~i1,
tur~~T~1"'~_ ~i.ty License Registration' /..s--..s- .
..........................................
~~ COIIPANY .R.c'. Ale., '&,: lPG.
State Cert. or Regist. .
'" · #. . ., .'~ Cit;y Liceuse Ilqiatration .
..........................................
COtIPANY
State. Cert. or !legist.'
City Lie... llegistration .
..........................................
, ,
~ure
:Ano. APPBOVBD BY
PBRHIT OPfiCER.
:., ::l}
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
rbe underaJgned UDderataDds that this penit lay be subject to 'deed restrictions" which laY be lOre restrictive than City
regulations. rhe UDderligued asSUles responsibility for co.pllance with anJ applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR 'RESPOHSIB.IL.ITIES \ ;"\' ';
If the ower' has 'hired a contractor or contractors to undertale wort, they laY be required to be liceuecJ In accordance with
state and local regulations. If the contractor is not licensed ,as required by law, both the ... and cmtractor .J be
cited for 'a 1i8deleanor vlolaUon under Itate law. . If ~e Owner or Intended contractor are uncertain as to what licensing
requirelents IiIJ apply for theintended work, they are advised ~ contact, the City of ,Zepbyrhilll Building DepartleDt, (813)
788-6611. ' " \ . " ' \.
FurtherlOre, if the GlIDer has hired a contractor or contractors, be is advised to' ha,e' the conUactor(l) Ilgn portions of the
"Contractor Secti~" of this application for which .theJ wUI be responeible: ,~f fPU, as: the JllDer 81gn 88 the c:oatractor,
you are indicating that you, rather than the contractor, are responsible . for the wort. It'the contractor lllhes you to sign
as contractor that IaJ be an indication that he is not properly licensed and is not entitled to perlitt.Jn9. privileges in the'
City of Zephyrhllls. . . I ' ...
C. TRANSPORTAT.ION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certifJ that I, the applicant, have been provided with a COPJ of 'Plorida's Construction Lien Law - lkIIeoImer's Protection
Guide" prepared by the Florida DepartJent of Igriculture and COnsUler Affairs. If the applicant is 8OI8ODI other than the
"owner", I certify that I have obtained a copJ of the above described docUJent and pr~ise In good faith to deliver it to the
"owner" prior to COII8Dcetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the iDfor.tion in this application is accurate and that all work will be done In COIpliance 11th all
appllcable laws regulating construction, loning, and land develo.-nt.
Application is hereby .de to obtain a perlit ~o do wort and installation as indi~ted. I cerWy ~tno IOrt or.,
lnsWlaUon lias ~cec1 prior to issuence of a perlit and that 111 wort IUI be perf ODed to _t ..ltaDI1arda of I1llal
regulating construction, City codes, loning regulations, and land cle,elopleDt regulaUonsin 'tile judsdicUoo. I also
certifJ that I underatand that the regulations of other goveruental agencies .y applJ to the Intencled IOlt, and that It ia
I' responsibillty to identify what actions I lust tale to be in COIpliance. Such agencies include but are not lilitec1 to:
t Departlent of IDvirouental Regulation - Cypress Bayheads, lIetland Areas and IDviroDJeDWly Sensitive Landa,
lIater/llastewater freatleDt
t Southwest Florida later Jlanageaent District - lIells, Cypress Baybeada, lIetlanclAreas, Altering lIatercourses
t ArJ)' COlliS of lDoineera - Sealalls, Docks, lavigable lIaterways
t DepartJent of Health' Rehabilitative Services, InvirOllleDtal Health Unit - Vella, lIastewater freallent, Septic ranb
t us EnvlroDJeDtal Protection Igency - Asbestos abatl!leDt
I also certify that, if fill laterial is to be used in Flood Zone "I' or "A,etc.", it is understood that a drainage plan
addressing a "COIpensating volute" will be sublitted wbich is prepared bJ a professional engineer registered in the State of
F~orlda prior to perllt issuance.
I perlit issuec1 shall be construed to be a license to proceed lith the IOrt and not as authority to dolate, cancel alter, or
. set aside anJ provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans,. construction, or violatiOll8 of any code. Ivery peuit iaauec1 shall beCClle in,alid
unless the IOrl' authorbed by such pertit is coaenced within sillODtbs of issuance, or if IOrt authorilecl by tile pmit is
suspended or abandonec1 for a periOd of sil IODtbs after the tile the IOrk is ~ced. ODe 90 day atenaion of tile, .y be
allowec1 for the perlit with fee charge of '15~00. Ibe atenaion shall be requested in ,dUng to the Builc1ing Official. An
appro,ec1 inspection IUIt be loggec1 during each sillODth period, or the profect 1111 be conslderec1 abandonec1.
lIAIUIIIG ro 0IfIIB: YOOR FAILURI 'f0 RlCORD A IOTICE OF CCIIIIDCIIIIU lilY RlSULr II fOOl PIIIIG DIeI FOR IJtPmi1111118 fO fOUl
PROPUfI. IF IOU umo ro OBTIII FIJIUCIIG, COISUL' VIIH fOOl LBIIDII OIl1lnot1UY BI10JII ,RICOIDIIG fOUl IOfleI OF
llIIEICIIIlII. lIIIS _12,500 II YILUIl DO 101 DID III _lID I'OI'lI 'IOIICE Cll CCIIIIDCIIIIU'." ~
L6.i >>f.~/ u"~%4
STlfl OF FLORIDA
coum OF
The foregoing instl'Ullent was acknowledged
before 119 this ' , 19_ by .
STIR OF FLORIDA
coum OF
The foregoing instrwaent'was acknowledged
before IDe this ' '.,- - "', " 19 .: by', \
who is personally knOND tOile or who has
produced
as identification and who did/did not
take an oath.
who is personally kn01fD to .. or who haa
produced .
as identification and who did/didnot
take an Oif,th.
(Signature)
(R_ Typed, Printed or Stuped)
ROTARY PUBLIC .
(Signature)
(Rue 'J:yped, Printed or Stuped)
ROTARY PUBLIC
FEB-10-'gS FRI 0g:04 ID:
TEL NO:
t:l217 P01
,....... Fax Note 7672
:"',0~ 2/.JI.. r
1:i.'; No. 01 ,. I TOCIlyS DaII .,
W QoI.-/O
From Q L.-... i_ . .~
CampIllY orr
Time 71.' CJ-S. - A f1
lOOIliOn
1.000tlor
!')apl r.nl'9'
,., '1 f / - 73 f'()
c:am.a
~
1'11I'
Origil\tll
OilpOlllOn:
"'.-en .
ODHlrOy
o 11III""
DClJtor~
CDEPARTMINTALCDRRE.PO~DINC~
TO Bay Village Builders
FROM Bill Burqess
OEP'T
_ O!P'T _
!U~!CT Additional items r8Qu~sted for review
DAT~~! ;9 i95
Items ne.ded for completion of plan review are as follows:
I
1
f1 )
t;(l ucf'l< 2)
,.13 )
!llilAc~
Show location of vertical dowels on foundationplan.
Engineered post and beam detail for back porch.
Will n.ed separate Energy calculations for each unit of
Villa (not a copy of or1qinal).
I J ?/J- 9'11- '?3t c
Jo~
J(LAI.1 ()~~
9'1- 7.l?cJ
TOPS 9 FORM 33.
dTlo4O IN ",.8.A.
,._.,......-._.........--.......~... ..0
COVERED
PATIO
18' X 8'
MASTER
BEDROOM
1 3' 4" X 1 2' 4"
8' ceil.
MASTER
BATH
LIVING/DINING
1 7' X 25' 4"
vaulted ceiling
FOYER KITCHEN
BEDROOM #2 12' X 10'8" 01
1 l' X 1 2' 4" drop ceil. to 0\
8' ceil. accommodate
dome lighting
~
~
ENTRY
(5J
~#*' jiUTT <lOw""
a~i~ acce~
'Q'v-- ,& ~ ~~
~vP-{-" fII-(o COURTYARD
~r!f'\ GARAGE
~ 11'8" X 21'
$7 ~
~.J< .
l.,
R'J'~A
lural
BV
I.,"i! T! :(\1,. TriFl H: 002qO',:::
i.!{',;IF' r';:li]i[::rn (WE:! ,L.!
(){li,";' "/.,'/ BEI.,L()I m:: ell;'
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