HomeMy WebLinkAbout95-4796
BtJILDING PERMIT
,
.
.'
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit ~
4796~
-.3 ~--. (JZ)
BUILDING
Date J-cQ Y - 9:.5-
b().'~-
ELECTRICAL
6':.5:.--' 02J
PLUMBING
.3 c) - c.ri)
MECHANICAL
Sewer Conn 1.;t 7 i: P'7J
Water Conn: ,? .s:'tJ - t7D
PmpertyOwne' d1AU~J~:~~
Job Address: ..3 ~ b
Parcell.D. # ;2 -;;J..6 -;;l/ - ();J../ - C) () CJ cJ 0 - & // d2..
.......
Radon Gas: / 2., ~ ~
Water Meter:
T.I.F.'s: 'rbl>. tJ ~
Zoning: Energy Code:
Description of Work i./'~r?&- (/./ -" A. J )
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Pre-neter FPC (Renitta) Nancy 07/10/95 10:18 A.Me
Valuation or
Contract Price ?I,J" '7 y ", /J7J
'"
City License Registration # d :J....
State Certified License#
Telephone#
.~~/}~~l1o.
!l(~
I
ELECTRICAL c1 '? I
v1~
PLUMBING 9/
~J~~
MECHANICAL 110
BUILDING
~HJPrL f)-l')..95 6\ t.L-
Ftr. zt -g
Pre SLB -t,..q) ll,t...
Lintel 11-/9-95' 808-
FRM. S..2Z -Q5' Set}
Insul. CL
WL ,<;z'S'..q)" ho\b-
Tp. Serv.
Rough In s>.22-45$d-
Meter Can- ~~,J 1f-9~
Const. Pole
Pool
Pre-Me!9r l-ti>.-t{) ~
Final~7..../q-qS Co8
SLB ~-4;} ~IL.Lr
Tub Set ~...L ,~'Y PI V
Water
Sewer A.:J3. <is 13t1L
Final 6/1---1'1/ Iff ?i l-,L
Breakers
Ducts Insl. (~ 22-1-5"fl~
Compressor
Final(A....Jq-qS 8l:JB
Driveway
~ S"3..~5ecl. @
~. f.\P~S.JI.q~ BLll ~- ,~ ~ ---2Y-tfJ'; pp
REINSPECTION FEES: When extra ~~n trips are J~ssary due to any 0 e following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for eac 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.
7J~~~r d~V-9r
-
- /J ~'/I/{- <] ~
i9~
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"
38456 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
""'" . r- I ,~:4-ll .., . _ .
,.,,:,\-'-'"'l.:~~< "'-;":' ..Depa,tment of CommunJ.t.y Af1al,s SN: E~096
FLORIDA ENERGY EFFICIENC'( CODE FOR BUILDING CONSTRUCTION
FORM 60CA-93 Residential Component P,escriptive Method A CENTRAL
PROjECT NAME: ATTACHED PATIO HOME :8UILDER: GENERAL HOME DEVELOPMENT CORP.
AND ADDRESS: .3f"'/..s"l, COTTONWOOD PLA: PERl'-lITT~ING , : CLH1ATE
_ ZEPHYRHILLS, FL 335: OFF ICE: : ZONE: 4: ~ 5: _: 6:_:
mmER:: :J,-2:lhr'\ "0-, r+ : PEFl'-lI TO. if? 76 /1 : JURISDICTION t~O. t II b iJ 0
CK
1. New construction or addition
2. Single family detached or Multifamily attached 2,
3. If Multifamily-No. of units
4. If Multifamily, is this a worst case (yes/no)
S. Conditioned floor area (sq.ft.)
6. Predominant eave overhang (ft.)
7. Porch overhang length (ft.)
d. Glass area and type:
a. Clear Glass
b. Tint, film or solar sc,een
't. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
jO.~~et Wall ,type area and insulation:
a. Exterior: 1. Concrete (Insulation R-value)
a. Exterior: 2. Wood frame (Insulation R-value)
II.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
l3.Cooling system
14.Heating System:
J'S.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. New Construction
1'-1ulti-"Family
4
3.
4. No
'). 1195.00
6. 2.30
7. 0.00
Single Pane
8a.239.4sqft
8b. O.Osqft
Double Pane
O.OOsqft
O.OOsqft
9a.R"" 0.00 ,
60.80 ft
10a-.1 R::: 4.20,
10a--<~ R;:::11 .00,
285. 50::.~qft__
40.30sqft_
11 a . F-\:~22 .00, 98. OOsqft___
11a . R;:::30 .00 , L?OO. OOsqft____
12a. R= 6.00, uncond
13. Type: Central AIC
EER: 10.00
14. Type: Heat Pump
HSPF: 7.00
15. Type: Electric
EF: 0.90
16.
17.
18.
2
19.
1903.
19b.
83.39
19255.47
23089.58
--~~. - - -- -,--.-----~ ---.- -~~- ~--....--~-. .-- ---- - --- ---- ___~___w ________ ______ _ _. ___ __ __'~__ _. ____v._.._ '___ '_4 .____ _. '".~_~_ ~,_............._ _. .__~....
--------------------...----------------------------------------------------------------
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
PF:EPARED BY: '.',"~,.~ ~
DATE: . 3-"-9-S-
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this bui Idi 119 v~i 11 be inspected fOl-
compliance in accordance with Section
553.908 F.S.
r hereby certify that this building is
in compliance with the Florida Energy
:::ode.
)WNE~;~~~:~
)ATE: -.
....,~.~
:X=~I..ap::..,
BUILDIN~FF!fv: I#r~~
DA TE : -0"----
---------
ENEF;;C;'( CiU I DE
For detailed information
of the EPI rating number
or f6r an~ ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B--93
EPI::: 83.4
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
ITEt-1
HOME VALUE
Low Efficiency
High Efficiency
l.JINDOWS.................... .Single Clear
SINGL CLR DBL TINT
:X--------------------:
1 NSULA T I ON . . . . . . . . . . . . . . . . . .
Wall
R-Value......... 5.0
R-l0 R-30
:-------------------X-:
R-O R-7
:--------------X------:
R-O R-19
:X--------------------:
. Ce i ling
R-Value.........29.4
F 1 001-
R-Value......... 0.0
;IR CONDITIONER..... ........
SEER/EER . . . . . . . . . . . . . . . . " 10.3
10.0 SEER 17.0
: X ------ --_. - - -- - - - -- - -- -- -- - :
9.7
EER
16.0
~EATING SySTEM..............
Electric ~OP/HSPF........ 7.0
6.8 HSPF 12.0
:X--------------------:
Gas
0.78
AFUE
0.90
AFUE . . . . . . . . . . .. 0 .00
---------------------
JATER HEATER................
Electric EF......... ..... 0.90
0.88
0.96
:----x----------------:
Gas
EF . . . . . . . . . . . . " 0 .00
0.54
0.90
---------------------
Solar
EF............. .
0.40
0.80
---------------------
ITHER FEATURES..............
.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
certify that these energy saving features required for the Florida
nergy Code have been installed in this house.
r__ Builder
dd1-ess: '---"*~\\.N~ PI~Signature:
i ty/Zip Z.~rh; Il.s 'F-L 3~':)L../\)
lorida Energy' de' for Building Constnlction
lorida Department of Community Affairs
",,1\ '".n. .
-, ~ ~""'-'1--
Date: ~.-I-er5
- 1993
FL-EPL CARD93
l:t-N
-4t:-1 / 2.
1'h~i ~112' '"Department. of Communi ty Affai rs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM.600A~93 Residential Component Prescriptive Method A CENTRAL
PROJECT NAME: ATTACHED PATIO HOME :SUILDER: GENERAL HOME DEVELOPMENT CORP.
AND ADDRESS: COTTONWOOD PLA:PERMITTING :CLIMATE
ZEPHYRHILLS, FL 335:0FFICE: :ZONE: 4:_: 5:_: 6:_:
mmER: - ~h.Y"'\ ~rt : PERMIT NO. : JURISDICTION NO.
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units
4. If Multifamily, is t.his 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)
lO.Net Wall ~ype area and insulation:
a. Exterior: 1. Concrete (Insulation R-value)
a. Exterior: 2. Wood frame (Insulation R-value)
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
14.Heating System:
L5.Hot water system:
L6.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
L7.Infiltration practice: 1, 2 or 3
L8.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
L9.EPI (must not exceed 100 points)
a. Total As_Built points
b. Total Base points
. SN: 6096
CK
1 .
2.
3.
4. No
5. 1195.00
6. 2.30
7. 0.00
Single Pane
8a.239.4sqft
8b. O.Osqft
New Construction
Mult.i-Family
4
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00, 60.80 ft
10a--1 R= 4.20, 285.50sqft_
10a-2 R=11.00, 40.30sqft____
lla.R=22.00, 98.00sqft____
11a.R=30.00 , 1200.00sqft____
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.
83.39
19255.47
23089.58
--------------------------------------------------------------------------------
-------------------------------------------------------------------------------
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 inspect.ed for
compliance in accordance wit.h Section
553.908 F.S.
: Hereby certify that the plans and
;pecifications covered by this calcu-
ation are in compliance with the
lorida Energy Code.
'REPARED 8Y:
'ATE:
~~~
~--'I-ot5"
hereby certify that this building is
n compliance with the Florida Energy
ode.
WNER~
ATE:
",f~ '~
:') - '1-q 5
BUILDING OFFI~L' #r-d L.A.~/.7.;Q.....
DATE: ~ -..2 ..... r:
COMPONENTS'
**. INFILTRATION.REDUC~ION PRACTICE COMPLIANCE CHECKLIST **
~==============================================================================
SECTION
REQUIREMENTS FOR EACH PRACTICE
CHECK
===============================================================================
PRACTICE #1
606.1
COMPLY WITH ALL INFILTRATION PRESCRIPTIVES.
-------------------------------------------------------------------------------
Windows
606.1
Maximum of 0.34 CFM per linear foot of operable sash
crack (includes sliding glass doors).
--------------------------------------------------------------------------------
Exterior &
Adjacent Doors
606.1
Maximum of 0.5 CFM per sq. ft. of door area: solid
core, wood panel,insulated or glass doors only.
-------------------------------------------------------------------------------
Exterior Joints
& Cracks
606.1
To be caulked, gasketed, weather-stripped or other-
wise sealed.
---------------------------------------------------------------.----------------
PRACTICE #2
606.1
COMPLY WITH PRACTICE #1 AND THE FOLLOWING:
-------------------------------------------------------------------------------
Exterior Walls
~ Floors
606.1
Top plate penetrations sealed. Infiltration barrier
installed. Sole plate/floor joint caulked or sealed.
-------------------------------------------------------------------------------
~xterior Walls
1 Ceilings
606.1
Penetrations, joints and cracks on interior surface
caulked, sealed or gasketed.
-------------------------------------------------------------------------------
JuctWork
606.1
Ductwork in unconditioned space must be sealed.
..------------------------------------------------------------------------------
=ireplaces
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.
.--------------------------------------------------------------------------------
.wimming 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.
hower Heads
-------------------------------------------------------------------------------
612.1
--~---------------------------------------------------------------------------
Water flow must be restricted to no more than 3 gal-
lons per minute at 80 PSIG.
VAC Duct
onstruction
nsulation &
nstallation
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.
------------------------------------------------------------------------------
VAC Controls
607.1
--------------------------------------------------------------_._-----~--------
Separate readily accessible manual or automatic
thermostat for each system.
nsulation
604.1
602.1
Ceilings minimum P-19. Common Walls - Frame P-11 or
CBS R-3 both sides. Common ceiling & floors R-l1.
t*:~******************%*********************************************************
SUMMER CALCULATIONS
~******************************************************************************
~-- BAcE --- I --- AS-BUILT ___
--- ~ --- I --- ___
GLAss----------------
ORIEN AREA x BSPM =
~==============================================================================
I
I
POINTS :
TYPE
SC
ORIEN
AREA
x SP"'1
x SOF
= POINTS
-----------------------------------------------------------------------------------
E 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
W 74.40 82.2 6115.7 SGL CLR W 3.0 109.2 .68 222.2
SGL CLR W 12.0 109.2 .77 1003.1
SGL CLR W 12.0 109.2 .77 1003.1
SGL CLR W 23.7 109.2 .77 1981.0
SGL CLR W 23.7 109.2 .95 2458.6
--------------------------------------------------------------------------------
.15 x CONDo FLOOR I TOTAL GLASS = ADJ. x
AREA AREA FACTOR
GLASS =
POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
1,195.00
119.70
1.497
9,839.34
14,734.35 :
10,385.84
===============================================================:================
~ON GLASS------------ :
AREA x BSPM = POINTS :
TYPE
R-VALUE
AREA x SPM = POINTS
--------------------------------------------------------------------------------
~ALLS-----------------
:xt 325.8 1.0 325.8
Ext NormWtBlock In
Ext Wood Frame
4.2
11 .0
285.5
40.3
1.16
1.90
331.2
76.6
)OORS----------------
:xt 43.2 4.8 207.4
Ext Insulated
Ext Insulated
21.6 4.80
21.6 4.80
30.0 460.0 .60
30.0 740.0 .60
22.0 98.0 .90
103.7
103.7
:EILINGS-------------
JA 1195 .0 - .6 717 .0
Under Attic
Under Attic
Under Attic
276.0
444.0
88.2
'LOORS---------------
.lb 60.8 -31.8 -1933.4
Slab-on-Grade
.0
60.8 -31.90 -1939.5
NFILTRATION---------
1195.0 10.9 13025.5
Practice #2
1195.0 10.90 13025.5
OTAL SUMMER POINTS :
27,076.57 :
------------------------------------------------------------------------------
------------------------------------------------------------------------------
OTAL x
UM PTS
------------------------------------------------------------------------------
------------------------------------------------------------------------------
22,895.13
SYSTH1 =
MULT
COOLING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
27,076.57
------------------------------------------------------------------------------
.37
10,018.33 : 22,895.13 1.00 1.100
.340
1.000
8,562.78
======================~=======================================================
********************~**********************************************************
WINTER CALCULATIONS
**********~********************************************************************
~== BASE ===: === AS-BUILT ===
ORIEN
=====================================~========~================::========:==::==
3LASS----------------
JRIEN AREA x BWPM =
I
I
POINTS :
TYPE
SC
AREA
x (..JPM
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
(..J 74.40 -3.4 -253.0 SGL CLR (..J 3.0 -2.2 -.80 5.3
SGL CLR W 12.0 -2.2 -.28 7.4
SGL CLR W 12.0 -2.2 -.28 7.4
SGL CLR W 23.7 -2.2 -.28 14.7
SGL CLR (..J 23.7 -2.2 .71 -37.0
-------------------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x
AREA AREA FACTOR
GLASS =
POINTS
ADJ GLASS
POINTS
GLASS
POINTS
.15
-406.98
-609.45 :
.-------------------------------------------------------------------------------
33.67
1,195.00
119.70
1.497
================================================================================
~ON GLASS------------ :
AREA x BWPM = POINTS :
TYPE
R-VALUE
AREA x WPM = POINTS
-~-----------------------------------------------------------------------------
JALLS----------------
~xt 325.8 1.1 358.4
Ext NormWtBlock In
Ext Wood F~-ame
4.2
11.0
285.5
40.3
3.26
2.00
)OORS----------------
:xt 43.2 5.1 220.3
Ext Insulated
Ext Insulated
21.6 5.10
21.6 5.10
30.0 460.0 .60
30.0 740.0 .60
22.0 98.0 .90
.0 60.8 2.50
:EILINGS-------------
JA 1195.0 - .6 717.0
Under Attic
Under Attic
Under Attic
"LOORS---------------
,lb 60.8 -1.9 -115.5
Slab-on-Grade
NFILTRATION---------
1195.0 4.1 4899.5
Practice #2
1195.0
4.10
------------------------------------------------------------------------------
------------------------------------------------------------------------------
4899.5
OTAL WINTER POINTS
I
I
5,470.23 :
930.7
80.6
110.2
110.2
276.0
444.0
88.2
152.0
OTAL x
IN PTS
HEATING : TOTAL
POINTS : COMPON
==============================================================================
7,125.02
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
SYSTEM =
MULT
5,470.23 1.10
1.000
------------------------------------------------------------------------------
3,793.36
6,017.25 :
7,125.02 1.00 1.100
.484
==============================================================================
************************%***************************************************~**
WATER HEATING .
*******~**~********************************************************************
,. ~-- BASE --- I --- AS-BUILT ___
--- --- I --- ___
NUM OF
BEDRMS
~~-----------~-----------------------------~------------------------------------
-------------------------------------------------------------------------------
x
MULT
:::
TOTAL
TANK VOLUr.1E
EF
TANK
RATIO
x MULT x CREDIT
MULT
== TOTAL
---------------------------------------------------------------------------------
2
3527.0
7,054.00
40
.90
1.000 3449.7
1.00
6,899.33
-------------------------------------------------------------------------------
---------------------------~-----------_._--------------------------------------
*******************************************************************************
SUMMARY
*******************************************************************************
::::::::: BASE ::::::::: : ::::::::: AS-BUILT :::::::::
---------------------------------------------------------------.----------------
---------------------------------------------------------------.----------------
COOLING
POINTS
+
HEATING
POINTS
HOT WATER
+ POINTS :::
TOTAL : COOLING
POINTS : POINTS
+
HEATING
POINTS
HOT WATER
+ POINTS :::
TOTAL
POINTS
--------------------------------------------------------------------------------
10018.3
6017.3
7054.0 23,089.58 :
8562.8
3793.4
61399.3
19,255.47
-------------------------------------------------------------------------------
--------------------------------------------------------------------------------
*****************
* EPI::: 83.39 *
*****************
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APPLICATIOlNl FOR PERIiilT
(,"1:1")'" OF' ZEPlIYRIITLLS
nUflLDJ.EG DEPARl'HEm'
. OWNER'S NAME John R. Burt Trust
PHONlE ' (517 )753-6486
OWNER'S ADDRESS 525 M~rive Saginaw. MI 48601
Sf}--'{-...6b' ~.(7---p~
JOB ADDRESS Lot 112 Driftwood Subdivision Phase III
LEGAL DESCRIPTION: LDT(S) 112
n~sunDIVISION Driftwood Phas~ TIT
PARCEL LD.' 2-26-21-021-00000- 0112
hlJRK PROPOSED:-1L~ew Construction ----..Addition _Alteration _Repair _Install
I '
_Sign
_Hove
_De.olish
PROPOSED USE: X Single Faaily
_H/F
_, of Units
_M/B
_Coaaercial
_Indust.
_Swi.. Pool'
Other
_Restaurant << Health Departlllent Approval
BUILDING SIZE:
x:
IIAcclaimll 1232
Square Feet,
Height
RESIDENTIAL:
COHHRRCIAL :
AITACII (2) PLOT PLMlIS << (2) SEIS OF BUILDING P.LAOOS << (1) SRT ENERGY FORMS. **
ATrACII (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORtIS. u
uCOPY OF CONTkACT REQUIRED.
PERKI1S REOUE.,.iTED
-LBUILDING
$ 37.400.00
Valuation of Total Constrvction
-1LELECTRlCAL
AHP Service
Florida Power Corp.
W.R.E.C.
-DiECIIAlUCAL
$
Valuation of Mechanical Installation
-LPLUHBING GAS ROOFING
TYPE OF CONSTRUCI'lON: --.!.Block. _F'raIIe _Steel
SrECIALTY
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
mNI'RACTOR SECTION
BUILDER Kevin 1. Roberts COHPANY r,pnpr",1 Hom~ Developm~nt Corp
% CL State Cert. or Regist. , CGC005695
Signature ('--J;-"OJ1't<:~ City License Registration' 22
***************-**************************
PLtmBER
COliPANY Martin E1pr.trir.' '
~ State Cert. or Regist. f: ER001144Q
City License Registration # /71
*********CZ*******************************
C'OHPANY Bayonet P1IJmbin8
State Cert. or Regist~ I FC042998
City License Registration' 91
******************************************
MECHANICAL
~_::r,ter COHPANY Southern Comfort Enterprises
. ~ State Cert. or Regist.' " RM0015022
, ~ City License Registration I ,110
******************************************
Signature
0T1IER Rick ~GaViny, c?
,_./, C '
Signature 7' "-----
C:O:2fl'.t'\RY Ga v in Roofi ng
State Cert. or Regist. I RC0046241
C:i~ License Registration ,
******************************************
APPLICATION APPROVED BY
J1 "AM.~ }11"n>- Jl~
PERKIT OFFICER.
cmlD I T IONS OF F'ER!'H T (~FF I D(~'v IT,
A. NOTICE OF DEED REST~ICTION~
The undersigned understands that this perlit ~ay be subject to "deed restrictions" which lay be lore restrictive than City.
regulations. The undersigned assules re5ponsibility for cOlpliance Kith any applicable deed restrictions.
B. UNLICENSED CONTRACT[~S 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 "contdctor is not licensed as required by laH, both the owner and contractor laY be
cited for a lisdeleanor violation under state law. If the ONner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended :lorK, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the OHner has hired a contractor or contractors, he is advised to have the contractor(s) 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 work. If the contractor wishes you to sign
, as contractor that Bay be an indication that he is not prJperly 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 Hith a copy of 'Florida's Construction Lien LaN - HOleowner'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 I have obtained a copy of the above described doculent and promise in good faith to deliver it to the
"OHner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work Hill be done in cOlpliance with all
applicable laws regulating construction, .oning, 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 Hork Hill be perforled to leet standards of all laws
regulating construction, City codes, .ooing regulationsj and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actioilS I lust take to be in cOlpliance. Such agencies include but are not lilited to:
t Depart.ent of Environlental Reoulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
~ater/Wastewater Treatment
t Southwest Florida Water Manaoeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering ~atercourses
t Ar.y Corps of Enoineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US Environlental Protection Aoency - Asbestos abatelent
I also certify that, if fill laterial is to be used i.n Flood Zone "A" or 'Aletc.', it is understc.od that a drainage plan
addressing a "coBpensating volule' Mill be subaitted which is prepared by a professional engineer registered in the State of
Florida prior t~ 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 plan~, construction, or violations of any code. Every perlit issued shall becole invalid
unless the Nork authorized by such permit is cOllenced within six months of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of SIX tonths after the 'tile the Hork is cOIBenced. . One 90 day extension of ti.el .ay be
allowed for the perlit with fee charge of 115.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged durinJ each six month period, or the project will be considered abandoned.
WARNING TO OWIIER: YOUR FAILURE TO RECORll A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINAIJ,:IIl6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ,RECORDING YOUR 1I0TICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUt: DO HOT HEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT'.
~ '
,0 h ..fYLLL~
STURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befcq-e me th i s
was acknowledged
, 11/_ by
1'laS acknc'l'lledged
, 19_ by
~ho is personally known to me or who has
produced
as identification and who did/did not
take an oa t2.;Q", ,/1. ~ "<2, r;:) n 1'1 _A~'
~-?~
(SignatUl-e) &'~<<o. j/, )(((~
(Name Typed, Printed Dr Stamped)
NOTARY PUBLrC
BARBARA A
Notary Public St ALLISON
My Comm. 'Expa~3cf Florida
, OO,"In, 1'41>, OQ il!J;l964~8
BARBARA A. ALLISON
No:;ry Public, Stata of FlorIda
y Comm. Exp. 03.26.98
g..",II'I. No. gg 398949
ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
_l
"
- '
"',
Classification
";'</;wner/Manager
Address
.. ./.-./ ..
Business Phone
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY C/ FINAL 0 ANNUAL 0 BI-ANNUAL
ORE-INSPECTION 0 OTHER
o APPROVED <::;:(NOT APPROVED
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
;'
/.
/
/ c:: ./ / / ( . :'"'^-f ,/
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;' --1" /
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. X
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/ . /.' /~" C,';' 7-1>/1./ /~:;
Inspect. Date
. / /
,1" 11,/_,>'" ~
/ .'i /'/;
Inspect. Time ' . ,.>-;<>
."" //
Re-Inspect. Date
Owner/Manager Signature .,t'
" Fire Dept. 10 #
,/ ,-;
Inspectors Name ..J " ; ,.L. ".;':;('-'/\"..
/ I
,: / I ,,/ .'. _,'" -r .
1 f ..' _. II,.~ t;:7/'. /'" " ... Co', / :~ Title
..'. ,r' .,.
t: ," L L
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.
While Copy - File Yellow Copy - Bid. Depl. Pink Copy . Business
--\._-""---
"---.----'--'.- ---
- '-.. ./0,. '-I''', .:. 4 .~', .:;
,-nNTf;:At..T ur,: 'M'. '. ,,_' ..' ',.. _...,...., ", ......,
~~~!~. ~EVIN T HUd~Rlo
~~~; ~17-REVENTH STREET --.-----4
":T ~_'I;'\L~I~.-I.'~.'l'.'-'\" FL J~0~~0U0
C: / .':;; ,~ "j~1 C _
, " ~ L r:, F' 1=: M I T TIN C,
C E hI 1, F'~ "1. I.. ,,, -,~ ,
PASCO COUNTY. FLG~IDA
DATE: 08/17/9'::}
PAGE: 1 eiF 1
1 :::;~:UE OFF I CE: D
RECEIPT NUMBR: 00256801
OFFIce: DADE CITY
r:"Of=;::
CONT~~CTOR: 003495
:::.HECI< #
1'5" 05
t\CCNT
114
Tt)TtK {..)MOUNT,~
COMPNY ACCOUNT CENTER
8450 - 36300(1 _ ~
1 :..:::. (~L.4
:-iMOUNT DESCRIPTION/PEF;:MT DATf4
18.64 *<<**** SOLID WASTE FEE
DR/C::f"~
60
. ,/!
:CE i \-CD By ~ - ---:--I-<-/_LL..-.---L[iL~':';~!:f "
i
./
'i
.
.... ~t 'E --.,.J'-~-o--~;, ~l...' .. ~ Q.' " '~<-'\,;,~~;",~,,':'>~-.!.-.-'-T;;...~--'.J! ...~,~.' _-~;.( '~~'7" ,."
---- .~--_..__._---.....~
o 0
PASCO COUNTY.. FLORIDA
Permit No.
i
Date Permitted
Builder Name/Owner Name
County Parcel No.
/
..,. 'J___
Location
Subd.
Classification/Type of Use
/'
i
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
Impact Fee Amount $
:><;:
"",
The above impact f~e~has" been established pursuant to the Pasco County 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 0
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
l
!
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
.----------.--,,------- -.- __no. ..-------.~--.---~----- ..-------------------.---- - --- - .------..-~-~-~______..._______.._____~.____._ ._______,,_.___ _______-.____._..____..___ ,.__.______~._ _.~ ~_~___u