HomeMy WebLinkAbout95-4866
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
d~s-:.n;
(, (J. ;Z~.-
ELECTRICAL
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PLUMBING
JO. lJD
MECHANICAL
BUILDING
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Parcel LD. # d-- -eLl:, -. OL/ - 6>> () - 60 CJ CJ 0 - 0/ CJ r
Zoning: Energy Code: Radon Gas:.I;;2..:-.S~
DescriPtionofWork~Pc",:> \ci~"a-"\..--PA*, (()~ ~
Permit N~
48668
Date '1-/9-9~-
Sewer Conn ~;2. 7' -f; ?7J
Water Conn: ,3 -~V ".t/V
Water Meter:
.-
T,I.F.'s:
51' fl, G. t9 :J...
FINAL-I-II-J7-
DATE
C.O. -'J -clI-
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-meter FPC (Bettyf) Bol:i:>ie 08/18/95 10:59 A.M.
Permit Fe't\, d.3 CJ, .;L~~
Signature-F &......~
Company
Address
Telephone#
Valuation or ?i /)
Contract Price 0<..) J.f '1 t . ()t)
City License Registration # ;< :z
State Certified License#
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:
-J I --I-- /Y '/I- / . I .y~/:?-P...J-
N~ U~~-.L-k-":'--<-.-I" ~vf'
~~ 9-/7--7)
~~AkJ-'
ELECTRICAL ~ 7/ PL~MBING 9'/
Tp. Servo SLB .4-(..\, <is- go.B
Rough In 5'. '?P-er';- ecl> Tub Set S"-Z3-9'J 8t.1/J
Meter Can '1-/9-9-5.~ Water ·
Canst. Pole Sewer 06/08/95 BITL
Pool Final
Pre-Meter 8' -/~ -q r.f5118
Final
'Si. ~B 4..u" 'Y5' $G ~
....>8...J?~t .~- 1r9il/l)
}ffd/)~~
BUILDING
Ftr.
Pre SLB viJ-l.(,J-ljS~t'J Li.-
Li n tel .5"".....'1--1 r -tS1l..L-
FRM. 5.. ~O ~'7 61LL-
Insul. C);/
WL (o,l~~ 13,tL
Driveway
6HfLA11-\,,-. ~ S-/7-11
61 L l.,
a.
b.
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.
c.
d.
e.
f.
g.
<-,L. $1At &-~
MECHANICAL II tJ
Breakers
Ducts Insl. 5- 3n oCt ') ~
Compressor
Final
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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1"~ '~0'ijf:-.C(~ Department of Communi ty Affai rs
FLO~IDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Component Prescriptive Method A CENTRAL
PROJECT NAME: ATTACHED PATIO HOME :BUILDER: GENERAL HOME DEVELOPMENT CORP.
AND ADDRESS: COTTONWOOD PLA:PERMITTING :CLIMATE
.3t11'16 {.,,:tt;;::'J"'l-r:1 ZEPHYRHILLS, FL, 335: OFFICE :~.liL- : ZONE: 4: ~ 5: _: 6:_:
OWNER: - (r~er-o\ tb,Y"-t'> '~ue~I1-.eKt: PERMIT NO. Ycrh6.~ : JURISDICTION NO. t/; /, t) 2)
CArf I CK
1. New construction or addition 1. New Construction
2. Single family detached or Multifamily attached 2. Multi-Family
3. If Multifamily-No. of units 3. 4
~. If Multifamily, is this a worst case (yes/no) 4. No
~. Conditioned floor area (sq.ft.) 5. 1195.00
J. Predominant eave overhang (ft.) 6. 2.30
7 Porch overhang length (ft.) 7. 0.00
3. Glass area and type: Single Pane
a. Clear Glass 8a.239.4sqft
b. Tint, film or solar screen 8b. O.Osqft
1. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
LO.Net Wall type area and insulation:
a. Exterior: 1. Concrete (Insulation R-value) 10a-1 R= 4.20, 285.50sqft____
a. Extel-ior: 2. Wood frame (Insulation R-value) 10a-2 R=11.00, 40.30sqft_
.1.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
a. Under attic (Insulation R-value)
2.Air distribution systems
a. Ducts (Insulation + Location)
,3.Cooling system
SN: 66~6
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 ,
60.80 ft
l1a.R=22.00, 98.00sqft____
11a .R=30 .00 , 1200.00sqft__
4.Heating System:
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
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-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
9.EPI (must not exceed 100 points)
a. Total As_Built points
b. Total Base points
16.
17.
18.
2
19.
19a.
19b.
83.39
19255.47
23089.58
-------------------------------------------------------------------------------
------------------------------------------------------------------------------
Hereby certify that the plans and
pecifications covered by this calcu-
ation are in compliance with the
lorida Energy Code.
REPARED BY: '\ ~~;
ATE: ~)'- 'I -err;-
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
553.908 F.S.
hereby certify that this building is
n compliance with the Florida Energy
ode.
,.JNER~
~TE:
~>~~
~-l..q-S
BUILDING DFFC'tA~r:.o; ~:~
DATE: ~-.-2- - -
*~ IN~ILTRAT~ON. ~EDUCTION PRACTICE COMPLIANCE CHECKLIST ** ,
~=~==~====~=====================================================================
~OMPONENTS
SECTION
REQUIREMENTS FOR EACH PRACTICE
CHECK
=========================================~======================================
)RACTICE #1
606.1
COMPLY WITH ALL INFILTRATION PRESCRIPTIVES.
--------------------------~-----------------------------------------------------
J i ndows
606.1
Maximum of 0.34 CFM per linear foot of operable sash
crack (includes sliding glass doors).
~-------------------------------------------------------------------------------
~xterior &
~djacent Doors
606.1
Maximum of 0.5 CFM per sq. ft. of door area: solid
core, wood panel,insulated or glass doors only.
-------------------------------------------------------------------------------
~xter ior Joi nts
, Cracks
606.1
To be caulked, gasketed, weather-stripped or other-
wise sealed.
-------------------------------------------------------------------------------
)RACTICE #2
606.1
COMPLY WITH PRACTICE #1 AND THE FOLLOWING:
~---------------------------------------------------------------.---------------
: xter i or Walls
, Floors
606.1
Top plate penetrations sealed. Infiltration barrier
installed. Sole plate/floor Joint caulked or sealed.
.------------------------------------------------------------------------------
'xter ior Wal is
, Ce i 1 i ngs
606.1
Penetrations, joints and cracks on interior surface
caulked, sealed or gasketed.
--------------------------------------------------------------------------~-----
'uctl,..Jor k
606.1
Ductwork in unconditioned space must be sealed.
ireplaces
.------------------------------------------------------------------------------
606.1
Equipped with outside combustion air, doors and flue
dampers.
xhaust Fans
------------------------------------------------------------------------------
Equipped with dampers. Combustion devices see
606.1.A.2.
606.1
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.) **
------------------------------------------------------------------------------
ater 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.
------------------------------------------------------------------------------
,ower Heads
612.1
Water flow must be restricted to no more than 3 gal-
lons per minute at 80 PSIG.
--~---------------------------------------------------------------------------
lAC Duct
)nstruction
isulation &
lstallation
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.
------------------------------------------------------------------------------
lAC Controls
607.1
----------------------------------------------------------------.--------------
Separate readily accessible manual or automatic
thermostat for each system.
lsulation
604.1
602.1
Ceilings minimum R-19. Common Walls - Frame R-l1 or
CBS R-3 both sides. Common ceiling & floors R-11.
*****************~*~****~******************************************************
, SUMMER CALCULATIONS .
*******************************************************************************
=== BASE === === AS-BUILT ===
===============================================================:~===============
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 / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR 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
--------------------------------------.-----------------------------------------
JALLS----------------
~xt 325.8 1.0 325.8
Ext NormWtBlock In 4.2
Ext Woed Frame 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-en-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 :
-------------------------------------------------------------------------------
------------------------------------------------------------------------------
==============================================================================
22,895.13
OTAL x SYSTEM = COOLING : TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING
UM PTS MULT POINTS: COMPON 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
======================r=======================================================
**********************~********************************************************
- WINTER CALCULATIONS .
*******************************************************************************
=== BASE ===: === AS-BUILT ===
GLASS----------------
ORIEN AREA x BWPM =
I
I
POINTS :
x l-JPM
x WOF
==============================================~:================================
TYPE
SC
ORIEN
AREA
--------------------------.-----------------------------------------------------
= 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
l-J 74.40 -3.4 -253.0 SGL CLR l,J 3.0 -2.2 -.80 5.3
SGL CLR loJ 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 W 23.7 -2.2 .71 -37.0
--------------------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
.15
-406.98
-609.45 :
---------------------------------------------------------------------------------
33.67
1,195.00
119.70
1.497
------------'-------------------------------------------------------------------
--------------------------------------------------------------------------------
NON GLASS------------ :
AREA x BWPM = POINTS: TYPE
R-'v'ALUE
AREA x WPM = POINTS
--------------------------------------------------------------------------------
WALLS----------------
Ext 325.8 1.1 358.4
Ext NormWtBlock In 4.2
Ext Wood Frame 11.0
285.5
40.3
3.26
2.00
DOORS----------------
Ext 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
CEILINGS-------------
UA 1195.0. .6 717.0
Under Attic
Under Attic
Under Attic
FLOORS---------------
Slb 60.8 -1.9 -115.5
Slab-an-Grade
INFILTRATION---------
1195.0 4.1 4899.5
Practice #2
1195.0
4.10
===============================================================:================
4899.5
TOTAL WINTER POINTS
I
I
5,470.23 :
930.7
80.6
110.2
110.2
276.0
444.0
88.2
152.0
===============================================================::===============
7,125.02
TOTAL x SYSTEM = HEATING : TOTAL
~IN PTS MULT POINTS: COMPON
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
5,470.23 1.10
1.000
---------------------------------------------------------------------------------
3,793.36
6,017.25: 7,125.02 1.00 1.100
.484
===============================================================================
*******************************************************************************
. WATER HEATING
*******************************************************************************
=== BASE === === AS-BUILT ===
-.----------------.----------------------------------.---.--.-------------------------------
--_._------------------------------------._~-----_._--.----------------------.---------------
NUM OF
REDRMS
x
MULT
=
TOTAL
TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL
-
-----------------------------------------___..______v_---------_____________r___________
2
3527.0
7,054.00 :
40
.90
1.000 3449.7 1.00
6,899.33
----------------.----------------------------.-------------------------------------
-------------.-----------------.----------------------.-------------------------------
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE === === AS-BUILT ===
--------------------------------------------------------------------------------
-------------------------------------------------------------------------------
:OOLING
~OINTS +
HEATING
POINTS
HOT WATER
+ POINTS -
TOTAL
POINTS
: COOLING
: POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
-----------_._---------~---------------_._----_._----.-.---------.---------------------
10018.3
6017.3
7054.0 23,089.58
8562.8
3793.4
6:399.3 19,255.47
-.------------------------------------------------.----------------------------------
.._------------._---------------------------------~-----------------.--------------.---
*****************
* EPI = 83.39 *
*****************
- -
For de~ailed infofm~tion
of the EPI rating number
or fbr an~ ITEM listed,
ask your Builder for
DCA Form 600A-93
,:,r Form 600B-93
t:I',!Ef?CiY e;l..) J DE
[PI:::: i::3_4
o 10 20 30 40 50 60 70 80 90 100
---------------------------------X-------:
The maximum allowable EPI is 100. The lowel the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEi'1
HOi'1E VALUE
Lm~ Efficiency
High Efficiency
SH~CL CLR
DBl TINT
WINDOWS.................... .Single Clear
: ~< - - ~- -.- - ~. - - ,-,- _. _. - - ~- .-- _. -'.._-
It\!SUL_A T I Ohl . . . . . . . . . . . . . . . . . .
R-10
R<30
Ceilin~;l
R-Value......... 29.4
I "_. __ __ __._ _ __ _. ___ __ ._ __ _ .. __ __ _._ __ V I
I 1\ I
R--O
R--7
L.Ja 11
R"-Va 1 ue . . . . . . . .. 5.0
: - -. -- --.- - "-'- ..-.- -,.. '" .... >< - .. ... --.. - :
R-O
R-19
F'loOl'
R-Value......... 0.0
: X--..-...--'..--------...'---..---.-..-.-.-:
(,lR CONDITIONER.............
10.0
SEER
17.0
SE:::F::R/EER . . . . . . . . . . . . . . . . . .
10.3
I '/ ~._ _,_ _ __ _ _,,_
I"
9.?
EER
16.0
~EATING SySTEM..............
6.8
HSPF
L~:. 0
ElectriC COP/HSPF........ 7.0
Iy_______________________,
1'\ t
0.78
i-1FUE
0.90
(,(.-3.8
AFUE . . . . . . . . . . .. 0 .00
~ATER HEATER................
Electric EF.............. 0.90
0.88 0.96
I _,_ v._~. ... \/ ~._ _ _ _~ __ _ WH _ _. _....... W.'_ wv _,- __ .~_ I
I 1\ I
0.54
0.90
Gas
EF . . . . . . . . . . . . " 0.00
0.40
0.80
Sola)-
EF...... .... . ....
JTHER FEATURES..............
. ~ ~ . '" '" M .. . .. K .. .. ~ .. K .. . .. .. W M .. ~ ~ .. M ~
[ certify that these energy saving features reqllired for the Florida
:nergy Code have been installed in this house.
/~-'ul_ ... i DI~ _ ~ E3ui ider \'~ _ ..
~ddre~=;:::;:. ~~__Si9nat.U)-e:__~~ ~..~
Z' I' r--..
:ity~'Zip__ ~h.~( ~Jlsll-"--~ . .
lorlda Energ C de tOl- BUlldlnq ConstructIon -- 19')3
-lorida Department of Community Affairs
Date: ~rt-n
_. _~_~_...2.........___1.,_.n_.__.
FL_ -EPL_ CARD93
'D---~ ::tt" \ () ~
APPLICi\TIOlNl FOR PRRHIT
CIIY OF' ZEPIlYRIIIU.s
llUTILDIEG DEPARlKENT
, OWNER'S NAME GE::n~ral Home Develooment Coro.
PlIOlN1E '(904)567-6581
OWNER'S ADDRESS 13~24 ~Dade City, FL 33525
d~:Yb ~;.:~
JOB ADDRESS Lot109 Driftwood Subdivision Phase III
LEGAL DESCRIPTION: LOT(S)
109
B~StmDIVISION Driftwood Phrl~~ TIT
PARCEL LD.# 2-26-21-021-00000- OlOq
h~RK PROPOSED:--X-lNlew Construction ----Addition _Alteration _Repair _Install
I .
_Sign
_Hove
_Deaolish
PROPOSED USE: X Single Faaily
_H/F
_, of Units ,
_M/H
_Commercial
_Indust.
_Swi.-. Pool '
Other
_Restaurant & Health DepartDent Approval.
BUILDING SIZE:
x
"Acclaim" 1232
Square Feet.
Height
RESIDENTIAL :
COHKRRCIAL :
AT'fACII (2) PLOT PI..MIlS & (2) SEIS OF BUILDING PLANS & (1) SF:I' .ENERGY FORMS.**
ATrAcn (3) SETS OF BUllDlBG PlANS & (1) SET .ENERGY FORtIS. **
**COPY OF CONTkAcr RRQUlIRED.
PERKITS REQUESTED
-LBUILDING
$ 37.400.00
Val.uation of Total ConstqIction
-LELECTRICAL
-1..JfEClJAHICAL
AMP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical. Installation
---L.PLUMBING GAS ROOFING
S'pECIALTY
TYPE OF CONSTRUCTION: -Lnlock. _Fr3IIe _Steel
Other
FINISHED FLOOR ELEVATIOlNlS:
FT.
IS PRO.JF.r.T TN Ff.lV\h 7nu~ A DVA? ,
opeSSE 00 'ON 'WWOO
8ll'9Z'[O 'dX3 'WWOO ,(1'1
-"IJOf.:j ~"e~e~s 'C>Uqnd ,(Je~ON
NOS'"v 'VVIlVSIIVS ,. tJII'"
,::lIl8nd, ),HtllON
(padwe~s ~o pa~u~~d 'pad^l aweN)
--L<:>s.lJ J)t' 'Y ')v Ot}-/ l?C7I
. 01aJn~eu5~s)
"W,-WO. C5'~
" " ':~eo LIe a~e:t
~~~p o4M pue uO~+\?~~J~+uap~ 5e
pa:mpoJd
se4 o4M JO~;;~ L1Mowf ^TI\?L1'J~W04t-1,
J I >t'YOl ~ ~ ~
^q ~6't '---5l "'f?'V1Il(A 514~ am a_I'Jj.aq
Ope8llt ::10 'ON 'WIIIOO
'6'~1:'EO 'dX3 'WWOO ,(1'1
'P1JOI~ lO -~.~s 'C>ltqnd .<JeloN
NOSI"V 'VVIlVBIIVB
AHtllON
(padwl.?:tS ~o:) pa~U~.ld 'pad^l aweN) ,
1(:):;:'1117 y V..JO~7~eU5~S)
~ 1) '~~
. 4:t\?O ~ a~fl?+
~)~p 04M pue uO\:te~\J~:tuap\ SI?
pa:mpoJd
S"4 04" "~m 0' UMOU'I ^!L"UOS"a~Y04"
I -om ;>1...;::01 ~ ~'C>"'."J)
^q 51, (I r '..9l ~ S 14+ aw aJOjaq
. CONDITIONS OF PERMIT AFFIDAVIT,
A. NOTICE OF DEED RESTRICTION~
The undersigned understands that this perlit .ay be subject to .deed restrictions. which cay be lore restrictive than Citr
regulations. The undersigned assules re5ponsibility for cOlplianc~ Kith any applicable deed restrictions.
B. UNLICENSED CONTRACTQRS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or c~lntractors to undertake work, they may be required to be licensed in accordance with
state and local regulations. If the'cont'ractor i5 not licensed as required by law, both the owner and contractor lay be
cited for a aisde.eanor violation under state law. If the owner 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 contractorlsl sign portions of the
"Contractor Sections" 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 eay be an indication that he is not pr,perly licensed and is not entitled to perlitting privileges in, the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Depart.eot of Agriculture and Consu.er Affairs. If the applicant is SOleone other than the
"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
"owner" 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 compliance Mith 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 Mork or
installation has cOllenced prior to issujnce of a perlit and that all worK will be perforled to leet standards of all laMS
regulating construction, City codes, zoning regulations) 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 actions I lUSt take to be in cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatment
f Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Doc~s, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - A=bestos abatement
I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc.", it is understood that a drainage plan
addressing a "compensating volule" Kill be subaitted 'Nhich 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 with the Hork 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, Dr violations of any code. Every perlit issued shall becole invalid
unless the Mork authorized by such permit is cOAmenced within six lonths of issuance, Dr if Hork authorized by the pertit is
suspended or abandoned for a period of SIX lonths after the'tille the MorK is cOlilenced.' One 90 day extension of tile, tay 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 durin~ each six month period, or the project will be considered abandoned.
WARHING TO OWNER: YOUR FAILURE TO RECORil A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FIIlA1EIllS, COIlSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ,RECORDING YOUR NOTICE OF
COKMENCEMENT. JOBS UNDER $2,500 IN VALU,: DO NOT HEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
-W.8GA~~
S NATURE: CONTRACTOR
, \
STATE OF FLORIDA ~
COUNTY OF ~~
The foreooino instrument was acknowledqed
STATE OF FLORIDA r:::>
COUNTY OF ~ _ ~
The foregc.ing instrument \l'laS acknowledged
VALUATION:
SQ. FT. LIVING:
COST/FT:
General Home Development
"Acclaim"
38446 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
i--~----'~
~.- -....-- ,-.--- --- .--.-;-- - r- ------,-- -;::-- -"~ - ~~_~
CENrn(:I!.. F'EPMITT
~ PASCO COUNTY, FLORIDA
I N C,
C:C)NTHACTUF #:
rJr:'.\t'iE ~ KE\/ I N
ADDR: 61? SEVENTH
I,: / ::;: r: D(~DE C I TV
OO:34':;'~:';
r HOBEPr:;
:::TFi.EET
DATE: 0::3/1.7/95
F'PII:';jE: 1 (JF 1
I :::;3UE. OFF I CE: D
RECEIP'r NUMBR: 00256796
OFFICE: DADE CITY
~.-~-t." ~:::~.~5:2::;5()54
FOR: CHECK # 1505
38446 COTTONWOOD PL
CONTRACTOR: 003495
renAL. f\t1()Ui'H;
?iC:C:,NT
114
COMPNY ACCOUNT CEN'fER
B/.f~=:'O .'.., :3S:::::000- .:.
j:::::.64
AMOUNT DESCRIPTION/PERMT DATA DR/CR
18.64 ****** SOL.ID WASTE FEE 60
HEel:; J VED }J'i
//"
,/. /..
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o 0
PASCO COUNTY, FLORIDA
Permit No:::.
{IJIo~_~~
------
Date Permitted
Builder Name/Owner Name
County Parcel No.
Location
Subd.
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
.-"~
Impact Fee Amount $
........'.
..,.....
-,;,"
The above impactJee"has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted
by the Board oe-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
/
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 PERMITIING OmCE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
Date
Received By
------------------------------------------------------------------------------------------------------------------_.._--------.---------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
. ~_._~--.._._-~-_._-_._._----~._--~_.__.-_._-~~~_.., _._--~--_._--_. ----~~~~~-~--- ._._~~._-_._- .,,"--_._"----~--~--