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Home My WebLink About95-4795 BUILDING PERMIT Permit N~ . . 4795L1 CITY OF ZEPHYRHILLS (813) 788-6611 ::~:::'~':~3~Yf'fJ;;;..6*;;r Parcell.D. # ;l-;L6 <;)..J- ~.;l./ -CJtJ~o ,- all/ Zoning: Energy Code: Radon Gas: /tl... " -S b Description of work'-ll-~ 7/ d~ / / ~.Ao : :t;) /' ( d fi5: Jl) BUILDING ItJ. ~- ELECTRICAL .......... ~h.... ..-.5::S. Ol./ PLUMBING Date ~ -d'l-?S- 3CJ- c/Z) MECHANICAL Sewer Conn ~,;1-.7 ~ tJV. Water Conn: 3S{), tri) Water Meter: - TI.F.'s: $I b 6. tJ J...... NO OCCUPANCY BEFORE C.O. FINAL J.-( '-~ DATE_ C.O. )7 -.;l cr-7'~ DATE Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. Ca1stl.pole FFC (Renitta)Nancy 03/29/95 11 :03 A.Me Pre-lOOter FFC (Renitta) Nancy 07/10/95 10:18 A.Me Valuation or Contract Price 1/:2. ty96,17V ., City License Registration # State Certified License# ;1..2- J~A/ljJ ~4~) p.'mitF..~cS~~ Signature ~ o.,i..J UJl1?f Company " Address Telephone# L3rvT PLUMBING r / -4~~~ MECHANICAL 110 )1:l4:;;Z~ ELECTRICAL ..27/ BUILDING f'.' rv ~ f)..- L/)-q> 3'1/...1.- Ft< ~ Pre SLB 4-hJj'f lLt.- Lintel .I.f-j6J, 'IS 8 FRM. ~'zz -Cf '5 t3J.1 Insul. CL WL ,<;"-24 -9') ~ Tp. Servo Rough In 5_ 2."2. -<15~ Meter Can. ? rlY -~ . Const. Pole B -~q.C15 ~ Pool Pre-Meter 7-I04r ~ Final ,/ '7 . 11 - 't' $' Bot.. SLB ij-t{,-tjr Be/, Tub Set 5- "Z2-<j5Br..P.J Water Sewer 06/08/95 BIIL Final /7,..t7"9f~~1.l- Breakers Ducts Insl. 5"-22 -'1..5 ~d Compressor Final~7';'J 9- 9S 808 Driveway ~ S-3~",~B* a ~'/\;-f:\V.~II~'\5~JJ \LA-iw40~ ~-?-~-q~ rQ REINSPECTION FEES: When extra inspection trips are necessary due to any on 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. V~~td-JY-9.5- ----. rJ. Q-- 11"7 s 9 The payment of inspection fees shall be made before any further permits will be issued to the person owning same. VALUATION: SQ. FT. LIVING: COST/FT: General Home Development "Acclaim" 38454 Cottonwood Place $42,496.00 1,195 $35.00 SQ. FT. OTHER: 61 COST/FT: $11.00 VALUATION DRIVEWAY $42,496.00 $20.00 ADDRESS $20.00 FEE SHEET $230.00 SQ. FT. UNDER ROOF RADON GAS 1,256 $12.56 TRAFFIC IMPACT FEES 99% 1% $466.02 $461.36 $4.66 PERMIT FEES BUILDING: PLUMBING: ELECTRICAL: MECHANI CAL :. SUB-TOTAL: CREDIT: TOTAL: CONNECTION FEES SEWER: WATER: METER: TOTAL: 385.00 55.00 60.25 30.00 $530.25 0.00 $530.25 1,278.00 350.00 0.00 $1,628.00 GRAND TOTAL: $2,636.83 \ \ \ \ ' br-\~\:P~~ Q,epartment of Communi t'y Affai is FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FC'RM 600A-93 Resident i a 1 Component Pi escr i pt i ve t-1ethod A CENTRAL PROJECT NAME: DRIFTWOOD QUAD :BUILDER: GENERAL HOME DEVELOPMENT CORP. AND ADDRESS:cl~-~ COTTONWOOD PLA:PERMITT~ING :CLIMATE ZEPHYRHILLS, FL 335: OFFICE: : ZONE: 4: ~ 5: _: 6:_: mmER: -~h.l", ?:vr""t :PERt-lIT ~ . 7;;5(3 :JURISDICTION ~~o.(,f/~c)D CK L~+ New construction or addition Single family detached Oi Multifamily attached '. If Multifamily-No. of units If Multifamily, is this a WOiSt case (yes/no) '. Conditioned floor area (sq.ft.) '. Predominant eave oveihang (ft.) Porch overhang length (ft.) >. Glass aiea and type: a. clear Glass b. Tint, film or solar SCieen '. Floor type and insulation: a. Slab on, giade (R-value, peiimeter) O.Net Wall ~ype area and insulation: a. Exterioi: 1. Conciete (Insulation R-value) a. Exterior: 2. Wood frame (Insulation R-value) 1.Ceiling type area and insulation: a. Undei attic (Insulation R-value) a. Under attic (Insulation R-value) 2.Aii distiibution systems a. Ducts (Insulation + Location) 3.Cooling system 4.Heating System: 5.Hot water system: 6.Hot Water Credits: (HR-Heat Recovery, DHP-Dedicated Heat Pump) 7.Infiltration practice: 1, 2 or 3 8.HVAC Credits (CF-Ceiling Fan, CV-CiOSS vent, HF-Whole house fan, RB-Attic radiant barriei, MZ-Multizone) g.EPI (must not exceed 100 points) a. Total As_Built points b. Total Base points Hereby certify that the plans and ;pecifications coveied by this calcu- at ion aie in compliance with the "lorida Energy Code. . , .' \ ~.t--1~ "::-,.- (.0 -95 SN: 6096 New Construction t-1ul ti -Fami 1 y 4 1 . 2. 3. 4. No 5. 1195.00 6. 2.30 7. 0.00 Single Pane 8a.349.0sqft 8b. O.Osqft Double Pane O.OOsqft. O.OOsqft. 9a.R= 0.00 , 108.00 ft. 10a-l R= 4.20, 666.20sqft.____ 10,:3 --2 R= 11 .00 , 40. :30sqft.____ lla.R=22.00, 98.00sqft.____ l1a.R=30.00 , 1200.00sqft._ 12a. R= 6.00, uncond 13. Type: Cent.ral 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. 91.50 21079.52 23037.09 Review of t.he plans and specifications coveied by this calculation indicat.es compliance with the Florida Energy Code. Befoie constiuction is complet.ed this building will be inspected for compliance in accordance with Section 553.908 F.S. T,EPARED BY: ~ATE ; hereby certify that this building is n compliance with the Florida Eneigy .ode. )l.JNER~EN~ ~~~~'t"~~ )f-1TF::: -- ,3-~) -<=tS BUILDING DATE: O~IAL~~-T~_ _ . . ..a.~~ COl"1PONENTS ** .INFIl TF~ATION R-EDUCT.ION PR{~CTICt: COt1PlIAN(~E CHECKLIST ** ~=======7~=========================================:============================ SEf;TION REOUIREMENTS FOR EACH PRACTICE CHECK ~============================================================================== PRACTICE #1 606.1 COMPLY WITH All INFILTRATION PRESCRIPTIVES. ------------------------------------------------------------------------------- l.J i ndo(oJs 606.1 Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). Exterior & ,,"~djacent 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 #2 606.1 COMPLY WITH PRAOTICE #1 AND THE FOllOWING: ----------------------------------------------------.---------------------.--------- Exterior IrJalls 3, Floors 606.1 Top plate penetrations sealed. Infiltration barrier installed. Sole plate/floor Joint caulked or sealed. ------------------------------------------------------------------------------- ::-:xter iOl" Walls ~< Ce i lings 606.1 Penetrations, joints and cracks on interior surface caulked, sealed or gasketed. ------------------------------------------------------------------------------- )uctWork 606.1 Ductwork in unconditioned space must be sealed. ------------------------------------------------------------------------------- ::Cireplaces 606.1 Equipped with outside combustion air, doors and flue dampers. -------------------------------------------------------------------------------- :xhaust Fans 606.1 Equipped with dampers. Combustion devices see 606.1.A.2. -------------_._----------------------_._-----------~-----------.-------------------- ::ombustion ~ppliances 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. ------------------------------------------------------------------------------- '* OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) ** ------------------------------------------------------------------------------- Jater Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built- in heat trap required. .---------------------------------------------------------------------------------- .1.Jimmi ng 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. hOv.Jer Heads ------------------------------------------------------------------------------ Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG. 612.1 ------------------------------------------------------------------------------ \lAC Duct onstnlction nsulation & nstallation 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, ins- ulated and installed i~ 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. --------------------------------------------------------------------------------- VAC Contl"ols 607.1 Separate readily accessible manual or automatic thermostat for each system. --------------------------------------------------.---------------------------.- nsulation 604.1 60-2.1 Ceilings minimum R-19. Common Walls - Frame R-11 or CBS R-3 both sides. Common ceiling & floors R-11. ~******~***********~******~*************************************************** SUMMER CALCULATIONS t*****~***************~******************************************************* === BASE ===: === AS-BUILT === ============================================================================== _ASS---------------- ~IEN AREA x BSPM = I I POHHS : TYPE SC OR I E ~~ AREA x SPt1 :.: SOF = POINTS -------------------------.-..----------------------------------------------.--------------- ::- 45.30 82.2 3723.7 SGL CLR E 23.7 109.2 .77 1981.0 -- SGL CLR E 21.6 109.2 .74 1736.9 S 56.90 82.2 4677.2 SGL. CLR S 23.7 100.2 .91 2161.0 SGL CLR c 16.6 100.2 .93 1551.0 .j SGL CLR S 16.6 100.2 .90 1502.5 IJ 72.30 8'') "') 5943.1 SGL CLR ~J 21.6 109.2 .87 2059.9 "-- . 4- SGL CLR (..J 3.0 109.2 .68 222.2 SGL CLR W 12.0 109.2 .77 1003.1 SGL CLR ~~ 12.0 109.2 .77 1003.1 SGL CLR l.J 23.7 109.2 .77 1981. 0 -------------------------------------------------------------------------------- 15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS = AREA AREA FACTOR POINTS ADJ C,LASS POINTS GLASS POINTS 15 1,195.00 174.50 1.027 14,343.90 14,734.3'5 : 15,201.75 ------------------------------------------------------------------------------ ----------------------------.-------------------------------------------------- ON GLASS------------ AREA x BSPM = POINTS: TYPE F~'-VALUE AREA x SPM = POINTS ALLS---------------- xt 706.5 1 .0 706.5 Ext NormWtBlock In 4.2: 666.2 1 .16 Ext I"Jood Frame 11 .0 40.:3 1 .90 OORS---------------- xt 43.2 4.8 207.4 Ext Insulated 21 .6 4.80 Ext I nsu 1 a t,.:;d 21 .6 4.80 772.8 76.6 103.7 103.7 EILINGS------------- A 1195.0 .6 717.0 under Attic Unde)' Attic Under Attic 30.0 30.0 22.0 460.0 740.0 98.0 .60 .60 .90 276.0 444.0 88.2 LOORS--------------- Ib 108.0 -31.8 -3434.4 Slab-on-Grade .0 108.0-31.90 -3445.2 NFILTRATION--------- 1195.0 10.9 13025.5 f.:'r8ctice #2 1195.0 10.90 13025.5 ============================================================================== OTAL SUMMER POINTS I I 25,956.31 : 26,646.97 ============================================================================== OTAL x SYSTEM = COOLING : TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING UM PTS MULT POINTS: COMPON RATIO MULT MULT MULT POINTS 25,956.31 .37 9,603.83 : 26,646.97 1.00 1.100 .340 1.000 9,965.97 =============================================================================== ':4' * *"* * i * * * * * * * * * ~r"* "*i:,"* * ~ * * * *"* *"*"*"*"*"*"*"* * *"* *"* * * * * * * * * * * * *"*"* * * * * * *"* * * * * * * * * * *"* * "**.'--t:** - WINTER CALCULATIONS :***i**~ii*************************"*****"*************************************** === BASE ===: === AS-BUILT === ================================================================:=============== ~LASS---------------- lRIEN AR~A x BWPM = POINTS : TYPE SC ORIEN AREA x WPM x WOF = POINTS E 45.30 -3.4 -154.0 SGL CLR E 23.7 -2.2 -.28 14.7 SGL. CLR E 21.6 '-2.2 -.45 21.2 S 56.90 -3.4 -193.5 SGL CLR c 23.7 -10.9 .95- -245.4 -. SGL CLR c 16.6 -10.9 .96 -174.2 ::) SGL CLR c 16.6 -10.9 .94 -171.0 -. ~.J 72.30 -3.4 -245.8 SGL CLR W 21.6 -2.2 .32 -15.0 SGL CLR l,.J 3.0 2 ~. -.80 5.3 - .L SGL CLR ~J 12.0 -2.2 -.28 7.4 SGL CLR l,.J 12.0 -2~2 -.28 7.4 SGL CLR l,.J 23.7 -2.2 -- .28 14.7 .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS = ARE~ AREA FACTOR POINTS ADJ GLASS POHHS .15 174.50 1.027 -609.45 : -------------------------------------------------------------------------------- ------------------------------------------------------_._----------------------- -534.92 -593.30 1,195.00 ~ON GLASS------------ AREA x BWPM = POINTS : TYPE R-VALUE AREA x WPM = POINTS JALLS---------------- xt 706.5 1.1 777.2 Ext NormWtBlock In Ext Wood Frame 4.2 11.0 666.2 40.3 3.26 2.00 )OORS---------------- ~xt 43.2 5.1 220.3 Ext Insulated E;<t Insulated 21.6 21.6 5.10 5.10 :EILINGS------------- JA 1195.0 .6 717.0 Under Attic Under Attic Under Attic 30.0 460.0 .60 30.0 740.0 .60 22.0 98.0 .90 .0 108.0 2.50 :LOORS--------------- ;lb 108.0 -1.9 -205.2 Slab-on-Grade [NFILTRATION--------- 1195.0 4.1 4899.5 Practice #2 1195.0 4.10 ~============================================================================== 4899.5 [OTAL WINTER POINTS I I 5,799.32 : GLASS POINTS 2171.8 80.6 110.2 110.2 276.0 444.0 88.2 270.0 =============================================================================== 7,915.51 [OTAL x JI N PTS = HEATING : TOTAL POINTS : CDr-iPON x CAP x DUCT x SYSTEM x CREDIT = HEATING RATIO MULT MULT MULT POINTS SYSTEI'1 MULT 5,799.:32 1.10 6,379.25 : 1.000 ~~~============================================================================ 4,214.22 7,915.511.00 1.100 .484 k***************************************************************************<<** . .'~. WATER HEATING . k*;t:****,"************************************************************************ === BASE ===": === AS-BUILT === ~===============================================================:=============== ~Ut1 OF 3EDRt'1S x ~1UL T = TOTAL TANK VOLU/'-1E EF TANK RATIO x t1UL_ T x CRED I T I'1UL T = TOTAL ----------------------------------------------------------------.--------------- 2 3527.0 7,054.00 : 40 .90 1.000 3449.7 1.00 6,899.33 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- (****************************************************************************** SUI'1t"1AR.Y '****************************************************************************** === BASE === : === AS-BUILT === ~----------_._------------------------------------------------------------------ ------------------------------------------------------------------------------- :OOLING )OINTS + HEATING POINTS HOT \,..JA TER + POINT~, = TOTAL : COOLING POINTS : POINTS + HEAT INCl POINTS HOT WATER + POINTS = TOTAL POH-nS ------------------------------------------------------------------------------.--- 9603.8 6379.3 7054.0 23,037.09 : 9966.0 4214.2 6899.3 21,079.52 ----------------------------------------------------------------------------------.- ------------------------------------------------------------------------------- ***************** * EPI = 91.50 * ***************** E~~EF\(;Y (;U L DE =or detailed informJti6n of the EPI rating number or for any ITEM listed; ask your Builder for )CA Fo'rm 600A-9:3 :n- Form 600B-93 EPI:= 91.;:) 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 I T Et-1 HOi"1E VALUE LOI..} Efficiency High Efficiency JINDOWS.................... .Single Clear SINGL CLR DSL TINT :X--------------------: INSULATION................. . R-10 R-30 Ceiling R-Value......... 29.4 :-------------------x-: R-O R-7 :-------------X-------: R-O R-19 :X--------------------: wall R-Value......... 4.6 Floor R-Value......... 0.0 ~IR CONDITIONER. . . . . . . . . . . . . SEER/EER . . . . . . . . . . . . . . . . .. 10.:3 10.0 :~EER 17.0 : X - - -----~ ~_.. -- -., ~ --,------- - -. ......-- 9.7 EER 16.0 {EATING SySTEM.............. Electric COP/HSPF........ 7.0 6.8 HSPF 12.0 :X--------------------: 0.78 AFUE 0.10 Gas AFUE............ 0.00 lATER HEATER................ Electric EF.............. 0.90 0.88 0.96 :----X----------------: 0.54 0.90 Gas EF . . . . . . . . . . . . .. 0 .00 0.40 0.80 So 1 a ,- EF.. . ... ...... . . )THER FEATURES.............. .. ~ ~ - .. .. " .. .. .. .. " " .. .. .. .. " .. .. .. ~ .. .. " .. " certify that these energy saving features reqllired for the Florida nergy Code have been installed in this house. ;(kh-es:3 : ~ - \ Ph Builder . . n.^~V..x::l C[' S i 9 na tu no; : "'-- .rE-. '7 ~ ',~~---I.. '--^-' .fllL__ _Date: ?)~(0-:l-2. i ty/Zip 1-ef;h,^I~: \ l!'. ~L 339-t\J lor ida Enegy0Code (or Sui ldi n9 Construction - 199:3 lorida Department of Community Affairs FL '-EPL. CARD93 La-\- \\\ Dr-'\++JJt)(J cO ~ ~ ,--.... ~ -, n - D C r\ 7 3 - . (' , "? 1 3"(f)~ ()t..9 ~ ~\J 0 .J "') r L ~ \..." '3 ...J ~ \..I 0 I J- + ..t .: ..........L__ '. - - 3'-8" JJ i . l --'} -- l ' I ~ \ 3'-10 .. ; ~ I lJ $l VI r---" I r .J ~ IJ I I I Q- i ; .J: ~ . . ~ ".....- - ~ - 3'-()" l f , , ri ~ : L..- i d r , . is'~ t- .-~ o - € r ~, ~) J (J\ .-l- I ~ 3~IO' - ., t t:7 I.J '. _ , ..l , - , .J I .r. \J\ ot "'\" 9 t.?,. L 3'-8" 3'."," ,:--~ , - :,.., (' - lJ \..r> ..) 0 t" g vt +- ...) ... ..... I - J .c ...,. .: \J ~"8" U) .:1.------ -~ L " 0_ t) f () () D- o C. 9 .ll- 1 9 ~ ~ ;<. o APPLICATIOlNl FOR PKRiilT (.'TIY OF' ZEPIIYRIITLLS BIllLDIRG DEPARIHRm." ,OWNER'S NAME John R. Burt Trust PllONE . (517)753-6486 OWNER'S ADDRES~g-~1-~or~I*~ 48601 JOB ADDRESS Lot 111 Driftwood Subdivision Phase III LEGAL DESCRIPTION: LOT(S) 111 BI..OC:IL-SUBDIVISIOlNl Dri ftwood Phase T T T PARCEL I.D.' 2-26-21-021-00000- 0111 ItORK PROPOSED:--1Lrmew Construction --.-.Addition _Alteration _Repair _Install I _Sign _I!fove _Deaolish PROPOSED USE: X Single Faaily _KIF _, of Units _H/H _eo..ercia1 _Indust. _SliU. Pool ' Other _Restaurant & Health Depart:llent Approval BUILDING SIZE: x "Acclaim" 1232 Square Feet, Height RESIDENTIAL : COHtfERCIAL : AT'fACH (2) PLOf PLANS & (2) SETS OF BUILDING PLMlS & (I) SET ENERGY FORHS.u AlTAClI (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. u t:t:COPY OF COlNlTkAGT RlrQUTIRIID. PERKlTS REQUESTED --1LBUILDING $ 37.400.00 Valuation of Tota1 Constqtction --1LELECTRICAL MIl' Service Florida Power Corp. W.R.E.C. -LJiEClIAlUCAL $ Valuation of Mechanical Installation -LPLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: --1..Block _F'raIIe _Steel Other FIRISHED FLOOR EL.EVATIOlNlS: Fr. IS PROJECT IN FLOOD ZONE AREA? YES NO t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:.t:* COlfilTRACJUR SECTION BUILDER COMPANY r,pnpr~l Hom~ Development Corp. State Cert. or Regist. . CGC005695 City License Registration' 22 t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:xt:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t: Signature COlfPANY Martin Elpctric State Cert. or Regist. I ERnnl~44q City License Registration t 27] t:t:t:t:t:t:t:t:**zt:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t: I ( PLOKBER RObM2r a "'Z' s~'P cmlPANY Bayonet Plumbing ~ State Cert. or Regist~ j CFC042998 Signature ' , .' City License Registration' 91 ~ _ t:t:t:t:t:t:.t:t:t:t:t:t:t:t:t:t:t:t:t:.t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t: KEmANICAL ~,ne . c~, C01tPAHY Southern Comfort Enterpri ses State Cert. or Regist.' f RM0015022 Signature ,. A. City License Registration' ,110 t:.t:t:t:t:t:t:t:t:t:t:.t:t:t:t:t:.t:t:t:t:t:.t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t:t: 0T1IER Rick;K3av' COID'ANY Gavin Roofing . ~,~ ~? State Cert. or Regist. . RC0046241 Signature ' . /~ (/\... _ City License Registration I t:t:t:t:*t:t:*t:t:**t:t:t:t:*t:*********t:t:************* APPLlCAnOH APPROVED BY J1 /lAc" '0, lJ1,Ht-t ~ PERKIT OFFICER. , COt'l!) I T I ONSOF PERI''ll T (~FF I DAo"ll T \ A. NOTICE OF DEED RESTGICTION~ The undersigned understands that this per.it ~ay be subject to "deed restrictions" which lay be lore restrictive than ei(y' regulations. The undersigned aSSUle5 re5po~sibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACT(~S AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor Dr c~ntractors to undertake Nork, they may be required to be licensed in accordance Nith state and local regulations. If the 'contractor is not licensed as required by laN, both the owner and contractor uy be cited for a .isde.eanor violation under state la~. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended :Iork, they are advised to contact the City of'Zephyrhills Building Depart.ent, (8131 788-6611. Further.ore, if the OHner has hired a COD tractor 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 ONner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Nork. If the contractor Nishes you to sign , as contractor that lay 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 laN - Ho.eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the "oNner", I certify that I have obtained a copy of the above described docu.ent and prollse in good faith to deliver it to the 'oNner' prior to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all Hork Hill be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. Application is hereby .ade to obtain a perlit to do work and installation as indicated. I certify that no Nork or installation has co..enced prior to issuJnce of a per.it and that all work Nill be perfor.ed to .eet standards of all laNs regulating construction, City codes, zoning regulations, and land develop.ent regulations in th~ jurisdiction. I also certify that I und~rstand that th~ regulations of Dth~r gDv~rnl~ntal agencies lay apply to the intend~d work, and that it is .y responsibility to identify what actiD:iS I lust take to be in cOlplianre. Such agencies include but are not li.ited to: I D~part.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entaIly Sensitive lands, Water/Wastewater Treat.ent I Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areasl Altering Watercourses f ArtY Corps of EnQineers - Seawalls, DDCls, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, WasteHater Treataent, Septic Tanks f US Environ.ental Protection AQency - A=bestos abatelent [ also certify thatl if fill .aterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a "colpensating volule" Kill 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 Nith the Hork and not as authority to violate, cancel alter, Dr set aside any provisions of the technical rodesl nor shall issuance of a perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, constructionl or violations of any code. Every per.it issued shall beco.e invalid unless the Nork authorized by such permit is co..enced within six Donths of issuance, or if Hork authorized by the perlit is suspended Dr abandoned for a period of SIX lonths after the'ti.e the Nork is co..eored. . One 90 day extension of ti.e, .ay be allowed for the per.it with fee charge of $15.00. 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 RECOR!! A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINAI1::WG, CONSULT IIlTH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEHENT. JOBS UNDER $2,500 IN VALU:: DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEHENT". ~~~~ I ATURE: CONTRACTOR ~~~ SIGN E: OWNER OR AGENT was acknowledged , 1(/_ by STATE OF FLORIDA COUNTY OF The foregDing instrument befcl\-e me th i s STATE OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by ~ho is personally known to me or who has produced as identification and who did/did not take an~.6tu...t '>? ~lIL " ( SignatUl-l}) Qt;t ,..-t;t:R./(J... A. 6i.. c (( So1..- (Name Typed, Printed or Stamped) NOTARY PUBLIC who is personally known to me or who has produced as identification and whD did/did not take an~~ q ~ (Signa~r~ / J::;a. ~r'1 ~ A:, ~I (/..sdl.-- ,<Name Typed, Pr i nted (11- Stamped) NOTARY PUBLIC . BARBARA A. ALLISON Notary Public. State of flOrida My Comm. Exp. 03.26-98 Comm. No. CC 31181140 BARBARA A. ALLISON Notary Public, State o~ Florlda My Comm, ExP. 03.26.98 Celli"'. Ne. gg 368940 ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name Classification Address Owner/Marnager Business Phone Emergency Contact ~hone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDIlJCTED o QUARTERLY ORE-INSPECTION o APPROVED o FINAL 0 ANNUAL o OTHER o NOT APPROVED OBI-ANNUAL o COMMERCIAl. CHECK , Listed below are items which must be complied with before this occupancy ean be approved by the Fire Department. ! ; o CODE VIOLATIONS This inspection report specifies code violation(s) which if not corrected cQuld cau~e a fire, contribute to the spread of fire, or prevent safe egress during a fire. Your immediate atte?tion to ~e correction of these violations shall be required, as failure to do so is a violation of the city pf Zephyrhills Fire Prevention Code. 1 /' Inspect. Date Re-Inspect. Date Owner/Manager Signature Inspect. Time Fire Dept. I D # Inspectors Name Title This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes. White Copy - File Yellow Copy - Bid. Depl. Pink Copy . Business -,- - - - - - - - .- - - -- -.'-- -,-. '.'..- 'y CONTRACTOR #: 003495 NAME: KEVIN T ROBERTS ADDR: 612 SEVENTH STREET C,j:::.T: [l{:;j)E c:ny LEN T R ALP E R M I T 1 I N G PASCO COUN1Y, FLORIDA f: l~ :~;:::::5:;2::~5()~,4 I)A-rE:= ():3/17/'~f~i Pl~GE~ 1 OF 1 I::;SUE OFFICE: D RECEIPT NUMBR: 00256804 OFFICE: DADE CITY FOR: CHECK # 15.05 CONTRACTOR: 003495 TOTAL (-iMOIJNT: AceNT COMPNY ACCOUNT CENTER 114 8450 - 363000- ~ 38454 COTTONWOOD DR 1::::.64 AMOUNT DESCRIPTIONiPERMT DATA DRieR 18.64 ****** SOLID WASTE FEE 60 F:ECEIVCD By'- /" ,/ ,/ , ,.- , ' - [.- ;" /? J , /' / J"":;' /' /" ,- / / / i /-, i .- (?-{ I I' / i. L--t r / .__:""-, ...::.-..L,_ ...:;..;;.'-1-_.(..1.. --- -_..:- _. .:.- ..-- :""- ~ '__ _ __ __ _ -..,.i- __.." ( / I I -----= ------- 1\ ".~-!d"l-~' , ~ ~..... t... :;-~~~~~fr;::~:;:\1;,~~~~~;_-~~:t::j'~~ ";J~i-~f;';,-':i-:~\ .."...}~.~:-:;~~"7.Tc--~T- '.~~-- .-- . ,~ ; ,-,~ o 0 PASCO COUNTY, FLORIDA Permit No. ,,' Date Permitted Builder Name/Owner Name " County Parcel No. " I i I Location / '''--- Subd. Classification/Type of Use TRANSPORT A TION IMP ACT FEE CALCULATION EXEMPT D Rate $ Zone No. Sq. FLlU nit Prepared By Impact Fee Am.ount $ ,;:""-~ ...."_. .......- The above impact fee ha~ been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of CquntfCommissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utiiize the permitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT D RESIDENTIAL NONRESIDENTIAL No. Units / Gross Sq. Ft. (GSF) Rate/ERU - 50.00 x 0.96*/Year or $0. 1315/Day ERU Assign No. Assessment - (No. Units) x ($0.1315) x (No. Days) Assessment - (GSF) x (ERU) X (0.1315) x (No. Days) 100 TOTAL FEE $ 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 mE 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