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Home My WebLink About95-4977 BUILDING PERMIT 'I37~"lJ 02 P. ~- ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 .:2>.S --. pO PLUMBING Permit r~.<<? 4977 !3 Date ~--[23-'S- BUILDING MECHANICAL Sewer Conn Pcoperty Own." ~ Job Address: a L~ _ t:l..cr-e- Parcell.D. # /;;l -;)...6- ~/ -?J~- O"c90 0 - D;;J... ;LO Zoning: 5fe~y ~e: Radon Gas: J J. (ri) Description of Work (). ~ Water Conn: Water Meter: T.I.F.'s: FINAl_Ut1l2- ~ DATE c.o. 3-/..]- .h DATE 10; Inspector 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. pe,m;tFeer$.!!-(. ~ Signature _ _~-- Company Address Telephone# { t(':j) ?SA - 750 $( Valuation or Contract Price ~b. 'Y t.h:J. tJV ,. City License Registration # J CJ '!I State Certified License# BUILDING &~f!;p/ ;.3 () PLUMBING ~ :I..::..J-~ I~-r ELECTRICAL ~.~~ (~ MllJ< 1.l.-}>J,..e,7)f~b), Tp. Servo , SLB ough In ~"7-I''1) ti.b Tub Set Meter Can Water Const. Pole Sewer Pool Final WL Pre-Meter FI'JJtt..,L... I}"-?c-(~ r nll)_ Final ~tDtt-\"'-'\ t)rJL>f l"lV~lt iblt.li-" "t . fO' , .'). L Driveway t 2.. - ')~, .,) 1::)(0 ~\i~kWf r'" g- ~\4- ~ &lL- L~~I MECHANICAL /2-/3+, Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g, Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. BuLu)lt~&:- a.ac.-11L$, ~ t)\ ~ANlt.AL..- $vBlO ntl- U}i.i) l''1 ,-.--- {olA-L- .s~ ru... WA-L~ M~ "T(;,Pi L ~T. '~~._~"""_. . '111 . I AvDl1iaJ a\0tu-\-\ ~f bD D . .6c,' 4'-+0 ~e'UL()uJ f\V, . , ~ flllJ-U (~!:.--t VI1~l'rnON: 5"(0 I ~()f) ~3ql So :).1, :J5 ?n2-~L~~I~1i-b ~/8 '...... t T 7lC.)~ i:. ',2-U()6-{',El:. .~\YI(\16- "~. E~ .. QTIt1iJL AN1W~ T or F~R"l:LS ~01 IL\i0n;tl,.. _fUi)J1L~-'t~_... ~, rf: -35: ~ c; ~~6.1:..nW F~ . cr f:,'S-, .5--0 -;) -Z 6.2 ~ -.Sv tfl.{L $~tlNti.D t7N out! r r . __t.o.rt Ap$\TIONI'lL 57 \ F+. l\~~~ 6t\-s ,1200 -5fL . lZ.}) ~ IMrJ6rDa.rftflt>tJ lmi>tk:r fiLf.-s ~.RD' )) J c) \ . \oQ - r frY:' ) Dr f71CT'ul~<; ,.~ ~~.LW..__.______..__ 9ft: /10 0/?7: 61'. / / , 9 / -1~ .-;t ~ ~ ~ ~W~~ I _~,-r'._:-'-J:::'''::::;:'- .c.._ 11))1)1'[( 0 CL-1Vvte-t\ of 0DD TABLE A - WORKSHEET "2 ' . u~ . ,\:JJLN ~ . a~~~v ~ CITY OF ZEPHYRBIIJS CONNECTION FEES ORD. #395 & RESOLUTION #312 WATER $1.75/GALLON SEWER $6. 39/GALLON RESIDENTIAL (Each Lot or Unit) "- Residence $ 350.00 $1,278.00 Travel Trailer Park 131. 25 479.25 COMMERCIAL (PER FIXTURE) Sinks 87.50 319.50 Water Closet 131. 25 479.25 Urinal 87.50 319.50 Lavatory 43.75 159.75 Tub/Shower 87.50 319.50 Washing Machines-Commercial Size 350.00 1,278.00 Washing Machines-Domestic Size 87.50 319.50 FOOD SERVICE - Dishwasher 700.00 2,556.00 Sinks (3 Compartment) 175.00 639.00 Car Wash (Per Stall) 1,000.00 6,390.00 FIXTURE G.P.D. It WATER SEWER TOTAL PER FIXTURE Sinks 50 . Water Closets 75 202-.50 15t.5D J I 2-Ll ,()O Urinals 50 Lavatories 25 I~-~ # i;~ ,f >Z At -1'1- >1 j~ r j ./;,'.?f ...-~ Tubs/Showers 50 ,,-l tL /1 of ,... A. 1. I>"A Washing Machine 200 f if <1 Washing Machine 50 Dishwasher 400 Sinks-3 Comprt 100 Car Wash-pi st. 1,000 2..bl., ~l) q~.~D L Zz. /.. be " WATER METER APPLICAnON FOR PERIIIT CITY OF ZEPIIYRIIILLS BUILDING DEPAaTHERT OWNER'S lWIB c: Hu r~h V-P (;<5 d OWNER'S ADDDSS '- ~ c::; 'I <f{J ~ II. C! 0 I'n. A V ~ . JOB ADDRESS S~nt ~ d-s 1+ b 0 \J 'E:... PHONE LEGAL DESClUP'l'ION: LOT(S) B~SUBDIVISION PAaCEL LD.# (OBTAIN FROM. PROPERTY TAX NOTICE) WORK PROPOSED:~ew CQnstruction --.-.Addition ---J\lteration --Repair _Install _Sign --.-JIove _Deaolish PROPOSED WE: _S~eF_i~ --.Jt/F _' of Units --.Jt/H _ec-ercial _Indust. _Swia. Pool _Other ---..Restaurant & Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, Height RlmIDEBTIAL: COMMERCIAL : ATtACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET DOGY FORMS. ATTAaI (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~UILDING PERMITS REQUESTED $ Valuation of Total Construction RT.RcnuCAL AIIP Service Florida Power Corp. H.R.E.C. -"ECIWIlCAL $ Valuation of llechanica1lnstallation ---.-.PLutmIllG GAS ROOPIRG SPECIALTY TYPE OF CONSTRUGnON: _______loclt _Fr_e _Steel Other PDJISBED FLOOJl ELEVAnOIlS: Fl. IS PROJECT III FLOOD ZONE AREA? YES NO .........................................* CONTRACTOR SECTION. RIITT.QER aJHPANY State Cert. or Resist. # Signature City License Resistration . *..**...........*.................*....... RT.RCTRTCIAR COMPANY State Cert. or Resist.' F SianAture City License Registration' ...............*...........~....**.**.....p /;/ <:.. 0 f'(J:!d.. ..LS( e (00 ~.. , PLUKBER COKPANY (!J eh6rd ])e(a .field eo list r() ~+l(~ "11 State Cert. or Regist. . Signature City License Registration . .............*..........*.*****.*. ItECBARICAL COMPANY State Cert. or Resist. . Signature City License Registration . ........................................*. OTRRR COMPANY State Cert. or ReSist. . Signature City License Registration . ......................................*... APPLICATION APPROVED BY PERIIIT OPFIC~. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'fbe undersigned understands that this penit IlaY be subject to 'deed restrictions' Ibich IlaY be lOre restrictive than City regulations. 'be undersigned assUIeB respcmsibility for COIpliance lith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OlDer lias lIired a contractor or contractors to undertake IOrk, tIIey lilY be required to be liceD8ed In accordance litll state and local regulations. If tile contractor is not licensed as reguired by law, both the 0IIDer and contractor liar be cited for a lisdeJeanOr violation under state lal. If the OlDer or intended contractor are uncertain as to "bat licensing requirl!lents lilY apply for the intended IOrk, they are advised to contact the City of Zepbyrbills BuilcUng DeparbleDt, (813) 788-6611. FurtberlOre, if the OIfIler bas lIired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the .Contractor Sections' of this application for IlIiell they will be responsible. If you, as the OIfIler sign as the contractor, you are inc1icating that JOU, rather than the contractor, are respcmsible for the wort. If the contractor "iaJIes fOU to sign as contractor that IlaY be an Indication that lie is not properly licensed and is not entitled to penitting privileges In the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided lith a copy of 'Florida's COnstruction Lien Law - 1kIIeoImer'. Protection Guide. prepared by the Florida DepartMnt of Agriculture and ConsDel' Affairs. If the applicant is 8OIeOI18 otller than tile .00000er", I certify that I bave obtained a copy of tile above described docUIent and prcmse in good faith to deliver it to tile 'OIfI1er' prior to co.enCl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlliltion in this application is accurate and that all IOrt lill be done in COIpliance lith all applicable lalS regulating construction, loning, and land develoJIIeDt. Application is hereby lIilde to obtain a penit to do wort and insWlation as inc1icated. I certify that no wort or installation bas CDlenced prior to iSBuance of a penit and that all IOrt lill be perfoned to _t standards of all 1_ regulating construction, City codes, loning regulations, and land develop.ent regulations in the jurisdicUCIl. I also certify that I understand that the regulations of otller gGYerDlenul agencies IlaY apply to the intended 1Ol'1, and that it is Ii responsibility to identify lbat actions I lUSt take to be In COIpliance. Such agencies include but are not luited to: · DepartJent of BnvirOllle1ltal Regulation - Cypress Baybeads, Wetland Areas and BnviroDlenWly Sensitive Lands, Water/Vastewater 'lreatlent · Southwest Florida Water ManagMeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses · Any Corps of Engineers - Seawalls, Docks, lavigable Waterways · DepartJent of Health' Rebabilitative Senites, BnvirOlllelltal Health Unit - Wells, Wastewater 'lreaUent, Septic ,ants · US BnviIOlllll!lltal Protection Agency - Asbestos abatl!ll!llt I also certify that, if filllilterial is to be used in Flood loDe 'A' or .A,etc.', it is understood that a drainage plan addressing a 'apensating volUJe' will be sw.itted IlIiell is prepared by a professional engineer registered in the State of Florida prior to peIlit iSBuaDce. A penit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall iSBuance of a penit prevent tile Building Official frm! thereafter requiring a correction of errors in plans,. construction, or violatiODB of any code. Ivery penit iSBued aball becme invalid unless the wort authoriled by such penit is co.enced lithin sil IODtbs of issuance, or if IOrt autboriled by the penit is suspended or abandoned for a period of sil IODtbs after the tiIIe the IOrt is ~ced. One 90 day utension of tile, IlaY be allGled for the penit lith fee charge of '15.00. 'lbe utension shall be requested in lriting to the Building Official. An approved inspection lUSt be logged during each sillODth period, or the project lill be considered abandoned. WARRING '10 0IfIIR: YOOR FAILURE '10 RECORD A lorICK OF aJIIIBICBIIBIf' MlY RlSULI 11 YOOR PlYING "'ICK POI lJIPROVIIIIIIS '10 YOOK PROPERlY. IF YOO IIfIJID 10 0Bf1IJl FIJIICIIG, COISUL'l WID YOOR LIIDBR 01 II IIIORIIY BI10HB RICOBDIIG YOUR DICK OF aJlMUCIIIBII'l. JOBS URDU '2,500 111 VlLUlIlO 101 ED '10 RECORD lID POSI A 'RorICK OF aIIIIDCIIIDI'. SIGlfAIURIl: OOIR OR IGDI SIGllIURIl: COIIDIC'lOJI SrA'll OF FLORIDA coum OF The foregoing inst~ent was acknowledged before me this , 19____ by S'lAR OF FLORIDA coum OF The foregoing instl'Wlent was acknowledged before me this , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oiJth. (Signature) (Name .Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Na.e Typed, Printed or Sta.ped) NOTARY PUBLIC FORM SOG .1\-93 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION CHAPTER 5 . BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS Non.Resid ~lltlal Buildings Residential Buildings over 3 stories ALL CLIMATE ZONES ZONE: BUILDING CLASSIFICATION S : BUILDING PERMIT NO.: PERMITTING OFFICE: C I JURISDICTION NO.: LL< BUILDING INFORMATION WALLS ROOF/CEILING FLOORS DOORS GLASS TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA Concrete (CBS) ~ (1, (;';q Under attic Il/tfj Slab-onijrade 0 I~ Wood ..f) ~l. l:, Single, wall 'b'l ~I Wood frame Single Assembly Raised Wood Metal Double, wall Metal frame Other: Raised conc rete Insulated Single, roof Insulation R-value Insulation R-value Insulation R-value Other Double, roof SYSTEMS INFORMATION AIR CONDITIONER HEATING SYSTEM HOT WATER TYPE EFFICIENCY TONS TYPE EFFICIENCY BTU/H TYPE Unitary & Heat Pump Central & Heat Pump Electric <65,000 Btu/h - SEER - < 65,000 Btu/h _ HSPF 3ifIJOO Resistance ~ .,65,000 Btu/h EER IPLV ~ 65,000 Btu/h -L- COP Dedicated Heat Pump 0 - - - Water cooled _COP Gas - Water Cooled - EER - IPLV - Evaporatively cooled _COP Natural 0 - Evaporatively Cooled - EER - Eleclrlc resistance _COP LPG 0 - PTAC - EER - Gas 1 Oil (circle one) Oil 0 Chillers - COP - IPLV - < 225,000/300,000 Btu/h _ AFUE - HRU 0 Other: ~ 225,000/300,000 Btu/h Et Other: UGHTING Total Lighting Wattage q{d/ = ~ Lighting Budget: :2;5 DUCTS R-value: f\f1A Total Conditioned Floor Area }J.oO Wattslsq.ft. (from Table 5-13) PRESCRIPTIVE MEASURES (Must be ":let or exceeded by all buildings.) COMPONENTS SECTION REQUIREMENTS CHECK Windows 502.4 Maximum of .37 elm per linear foot of operable sash crack. ''1. Doors 502.4 Maximum of 1.25 cfm per square foot of door area. ]., Joints/Cracks 502.4 To be caulked, gasketed, weatherstripped or otherwise sealed. 'I ffl Reheat 503.3 Supply air restricted to set cold/hot deck temperature to meet load of worst case zone. Resistance reheat prohibited. Ventilation 503.4 Supplied with readily accessible switch for shut-off and/or volume reduction when ventilation is not required. )/- it HV AC Efficiency 503.4 Minimum efficiencies-Heating: Tables 5-4, 5-5 & 5-6. Cooling: Tables 5-7A, 5-7B, 5-8 & 5-9. ) Transport Energy 503.5 Minimum of 8.0. r' . Balancing 503.6 Provide means for balancing HVAC air system & water distribution system. /l;fn HV AC Controls 503.7 Separate readily accessible manual or automatic thermostat for each system. J:I#Il HV AC Ducts 503.8 Air ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, 503.9 insulated and installed in accordance with the criteria of sections 503.8, 503.9 and 503.10. ,411), 503.10 Piping Insulation 503.11 In accordance with Table 5-10. J7t11 Water Heaters 504.2 Automatic electric storage water heaters S 120 gallons and gas & oil-fired storage water heaters S 75,000 BtuIh shall meet performance minimums in Table 5-11. Electric> 120 gallons: standby loss < .30+27NT, Gas> 75,000, Oil> i V tI:- 105,000: E .78, Standby loss 1.30 + 114NT, Gas, Oil > 155,000: E..78, standby loss 1.30+95N.. Swimming Pools 504.2 Spas & heated pools must have covers. Non-commercial pools must have pump timer. ,(I-;! & Spas Gas spa & pool heaters must have minimum thermal efficiency of 78%. Hot Water Pipe 504.4 Piping heat loss is limited to 17.5 Btu/h linear foot of pipe for recirculating systems (see Table 5-12). Insulation Water Fixtures 504.5 Water flow restricted to maximum of 3 gpm at 80 psig; toilets maximum 3.5 gallon flush. ~/ If- Public lavatory fixture maximum flow of .5 gpm or .5 gallon if has self-closing valve. Lighting 505.1 Lighting power budgets are listed in Table 5-13. Minimum Ballast Efficacy Factors are listed in Table 5-14. 'x. Uo wall Allowable . J,<.l Uo wall Actual > I.." If complying under the provisions of S. 502.2 enter the combined Uo values for the entire envelope Uo roof 1 ceiling Allowable Uo roof! ceiling Actual in this section. Uo floor Allowable Uo floor Actual Uo envelope Allowable Uo envelope Actual OTTV wall Allowable '1,G/ ~ OTTV wall Actual ?J.v OTTV roof 1 ceiling Allowable ' J " OTTV roof! ceiling Actual _ fl> <: Compliance with Chapter 5was demonstrated by a Prescriptive Measures methodology: D 508.0 (a) Detached commercial buildings D 508.0 (b) Skyboxes or sports stadium buildings less than 100 square feet. that are used only seasonally. I hereby certify that the plans and specifications covered by the calculation are in compliance with the Florida Energy Code. PREPARED BY: I hereby certify that t OWNER/AGEN . D 508.0(c) Traffic safety control towers Review of plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before constr ction is compieted, this building will be inspected for compliance in accor wi Ion 553.908, F .S. BUILDING OFF I DATE: o z !::: ~ a:: UJ a... >- .c o UJ ~ () UJ I () :I: o C/)<C z~ OQ. -Q. !C(<C ....IW ::) 0 c gz~ <C <C 2 O::tUi > a: S ,,00 a:LLg' Wa:~ ZW:; WQ.~ a:1-.2 OZ-! LL~8 1-0~ W Q. i W::tu :I: 0 = ~O~ a:>~ om.fi 3:Z-3 ,,~ It)C/)u: a:w we ~" c:(z :1:- 09 ::) m C") 0') ci: o ~ :E a: o LL ~ ...I ~ I o ::::) Z CJ US w o CJ z ~ % =8- ~~ en iii ;2 ~ II II II II x x x x ... CD CD ~ E- E~ ~ . en::::> x x x x = 8- ~~ r-NM'>t1.() = Q) Q) Q) Q) Q) Cii co Cl. Cl. Cl. Cl. Cl.'" 3: ~~~~~~<( en iii ;2 ~ I"- ...... II II II II II :D ! ~ :5;i ~ ~:) x x x x x CD :.. ~ u- ~ai'N\ JL~~ (J- r^ ..("\ ..... r-NM'>t1.() = Q) Q) Q) Q) Q) Cii co Cl. Cl. Cl. Cl. Cl.'" 3: ~~~~~t2<( " ~ :::)' ~ -- {'... r<'\ r- r- Cii ;2 II II II t ICI" CD Q ~ x ... CD 9 CD ~ . E- E~' ~ . en::::> x c:I' <:'l"I ~ ........ 3=~ CD ~ . ""'" as '- ~l!!d en<( o r- x x x x ~ N C") "- "'CD Q)Q)Q)cog 8 a. Cl. Cl. Cl.'" "C Q ~ ~~~t2 <( ~ \)' N Cii ;2 II II II :D~ --':T' .5 ~ ~:) .... x x x CD :.. ~ u- ~ai' ~ l!! . W en<( .--: ... CD 8 a. Q~ ~N(v) '- Q)Q)Q)cog Cl. Cl. Cl.'" "C ~~~t2<( ~ 9~ 9 ......... !'... N\ "" II II II II II II Cii ;2 CI) 'E ~ c.!! - U. '0- -= .c CD .... (1)0 o x x x x x x u.. (I) o 11____ x x x x x x ~ ~ =: \v-~.~ "" ~ a::I .... '-' ::II!! <{ (I) <I( N i~~ ~~ .. c - -(I) ';z CJ..... v-- ~ ~ ..t Cii ;2 ~ II ... CD'~ CD ~ :5;i-> ~:) x CD :..~ u- CD ~ " 't: CD <s- ~ l!! en<( - "" \.- .,..l II II x x .~ 01 c: - .~ ~o, t2<( Q;') ~ \,.... (i) -:...... ~ C\J '11. Q) ~ to cx:i 01 Cii Cii .: ... .... as t2 t2 CIl J: o LO Q ~ 1-+ --- .0 Q C N CD CD a. c;~ 01 c: r- C\J ('f') .- Q) Q) Q) Cii ~ Cii 3: Cl. Cl. Cl. - 01 ... 0 ~~~t2<( ~<( "- .O,J .", ". .'....." <i I.() Cii ;2 ~~ ~.1 Q) ~ Cii >. ~j '>t r- '" ..- ..... (.,) I'- ~ Q) '::r' .!: - ,...: ~ :::P co <') Q) c'-~ ~("\ ffi \J\ + ~ ~ ~ + .........~ ai I.() ~ ~ M I1l "C ~ ~ () \ 0 <(N= "3: <( o ~ 3: ~ t o + Cii ;2 II ;: ...... r- co r- c\i J, Q) :0 g ~ () \) E '0 ~ e '7 ~ u. 01 c: II Cii ;2 x o <J I'- Q) c:: x ~ ~ . 3: ;:'!: 0 ~... Q) <( c::_ == co ;2 II 3: o ~ "C I1l Q) TI .~~ <( ~<( 3: "" 3: o 0 => => oi c\i J, Q) :0 ~ E e u. II + II 3: o => WALL R.VALUES BUILDING COMPONENT DESCRIPTION WALL WALL WALL WALL WALL TYPE 1 TYPE 2 TYPE 3 TYPE 4 TYPE 5 Exterior air film '1~ Stucco , Block /, I I Stud Firring strip Insulation t;" . () Wall board , L/\' . Solid Other Other Other Interior air film . (,6 R TOTAL 7 .&./9 ,- u = 1/R · ,'; AREA I'Y1~ Weight (Ib/sq. It) ~O IF FRAME: Size _ x _ Inches a.c. _ ROOF/CEILING R.VALUES BUILDING COMPONENT DESCRIPTION ROOF ROOF ROOF ROOF ROOF TYPE 1 TYPE 2 TYPE 3 TYPE 4 TYPE 5 Room air film .91 Wall board 14\ Truss Insulation Jq Other pl,I,...-I, .~L Other 'j::el-r- ,"1 Other ..-.. t. JAh(P( ,()1,. Other "" Outside air film .- , z. ') R TOTAL 1./ . ~1... U = 1/R c DC; AREA (sq. ft.) / J..() 0 U ..;- TC IF FRAME: Size __ x _ Inches a.c. _ II) 'ii =a ~ CD (I) ~ (I) - .c .~ >. .ll: (I) II II II II ..- ";'" II) .... eTa - cru: ;. I- CD CD ~ LL o o a: I > ~ z CJ en W C CJ Z ....I o o o "'CD CD:J E- E~ :J' (I):::;) XXXX CD:' u- III ~ -Ill "'CD :J... (I)<c -CD gQ. a:~ Q) ::J ~C\JC""l"<t 0-'0 Q) Q) Q) Q)iii ~o a. a. a. a.- 0 ~ ~~~~,2<c II) 'ii ;g o ~ LL o o a: I II II II II : H\~ CiS ~:) W C XXX X CJ Z ~ ::J: CD:' u- III ~ 't: III :J ! (I)<c ~ ~ - CD g Q. a:~ Q) :J ~C\JC""l"<t io ~~~~.l!! g-e ~~~~,2<c "- C\J iii ;2 ai c._ .- U 'a .- Ill:: ,cCD (1)0 o CD:' u- III ~ -Ill "'CD :J... 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APPLICATIOII FOR PERllIT GI'IY OF ZIl:l'UIKlln.I.s BUII.DllIG DEPAKI1I1UIII i1- ( ft. ~), 'J-;-7 <,~ OWNER'S RAKE f'];:pP" cob 0 f Go d ftmWE (R11)7R1-7nR4 OWNER'S ADDRESS 39440 r.i coln Ave. Zephvrhills, Fl. 33540 JOB ADDRESS Same as above LEGAL DESCRIPl'IOlII: wr(S) PARCEL I.D.' 12-26-21-0280-00000-0220 JlI:.OCIC SUBDIYISIOR WORK PROPOSED:_lIev Construction .---J'ddit.ion L-Alterat.ion .---..Repair _Install _Sign _lIove _ne.olish PROPOSED USE: Single Faail,. _II/F _, of Unit:s --.Jt/H ~eo-ercial _Indust. _Swia. Pool Ot:her .---..Rest.aurant &: nea1t:h Depart.ent. Approval BUILDING SIZE: 30 I X 40', 1200 ~e Feet., 8 · Height RES~ERTIAL: aJIIItERCIAL : A'lTAaI (2) PIDI' PLAJIS & (2) SEI'S OF BUIlDDIG PLAIIS &: (1) SET ERERGY FURItS... ATI'AaI (3) SEI'S OF BUllDIIIG PIAIIS & (1) SKI' EIIERGY FORIIS... ..oopy OF COlITKAct BIIQ(BIRIlD. PJr.RKITS RFnIIF.."iTED L-BUILDIIIG $ 10.000.. 00 Valuation of Total Construction X F.I.RCTRICAL 200 AIIP Service x Florida Power Corp. V.R.E.C. GAS Valuat.ion of tlecbanica1 Installat.ion f,~rer Q..As~-:>h'ry/es ROOFIIC240/F.G.Sn.sPECIALTY ~CAL $ _PLUKBING TYPE OF OONSTRUCl'IOR: ll-Bloclt --Yra8e _St.eel Other FInSHED FLOOR ELEVATIOIIS: Fr. IS PROJEct IIi FLOOD ZOWE AREA? YES NO .......................................... aJII'I'lIACIOIl SECI'IOII RIITTDF.R 1f~~.1 COIIPAIIY Cor;:)1 TR1p Pnn1R/npl;::!fiplc'l . Stat.e Cert. or Regist. I 'RR0010qqO Signat:ur City License Registrat.ion' 304 - !. ....................................... COIIPAIIY First Class Electric s~t.e <<:ert. or R~gist. . ttJ ~<'/'17' 7' S. C1ty L1cense Reg1strat1on . _L~ pu_ ...--.....=:1]::;-;;. Sl:ate Cert. 0~1St. , , Signature City License Registration' /-30 .......................................... rnnRt:ruction COIIPAIIY Sl:ate Cert. or Regist. . City License Registration . .......................................... ItECllAllICAL Signature Signature 0TII1lR w-- -iV,,, ~M,!,~~~ _._ 0 I ~3.JUC." ". APPLICATIOII ]1,11 (8 ~'* q~~ CONDITIONS OF PERMIT AFFIDAVIT . A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to -deed restrictions" which .ay be .ore restrictive than City regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor .ay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to "hat licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, 1813J 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsJ 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting 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 - Ho.eowner's Protection Guide- prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is so.eone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "owner- 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 work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cO.lenced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in coapliance. Such agencies include but are not li.ited to: I Depart.ent of Environlental ReQulation - Cypress Bayheads, ~etland Areas and Environ.entally Sensitive Lands, ~ater/Wastewater Treat.ent I Southwest Florida Nater "anaQe.ent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.v Corps of Enaineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, ~astewater Treat.ent, Septic Tanks I US Environ.ental Protection Aqencv - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid unless the work authorized by such per.it is cO'lenced within six .onths of issuance, Dr if work authorized by the per.it is suspended or abandoned for a period of six .onths after the ti.e the work is co..enced. One 90 day extension of tile, lay be allowed for the per.it with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"~NCE"ENT "AY RESULT IN YOUR PAYING T~ICE FOR I"PROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ~ITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO""ENCE"EHT. JOBS UNDER S2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A -NOTICE OF CO~NCE"ENT". .. . ~;).. f""\ ~'Jr<;('i":> j,/:<JJ ~LiVAl/ SIGNATURE: O~NER OR AGENT , . ~IGNATURE: CONTRACTOR C )( STATE OF FLORIDA ~ COUNTY OF f1C~,A:JCO The foregoing instrum~nt w~s acknowledged befc,re me thisl:)I'Y1(.U74..t/19~y I XSTATE OF FlORIDl() COUNTY OF T;;" The forego' g instrument was ack~owledged befc.re me this F)I-r.IILt;J'iI19 CIS by , who is personally known to me or who has produced as identification and who did/did nnt take an oath. ./ o ~~~c,j<:\ C %'X1~-J (Signature) who is personally known to me or who has produced as identification and who did/did not take A"1 oa.t.h.' -r L 'jQ ....c~/<-,.{/Ot ~ (..f:"r-Yrlt://) (Signature) (Name Ty NOTARY P i n FL eCl ......... Oct f ._ .....'CC.,. C P(RSONMI.'~~E \'iJ-1IRODUCEO LD. . (Nam NOT : I :--. -. -._- --~-_._--_.- -.-,- '\-~3:.~----:_' :.::::r-:-;-~-:- :.~.::3:-----#'- ~ __:... :::b1ropollal ~~_---..~ OF~ l' ~~~~~~9 ~ .\ CORAL ISLE SWIM POOLS 4IlfI>> "U ~ \ I Hwy, 54 W. DEI.Al~lllLD CONSTRUCTION, II Zephyrhllls, fie. 34249 Oeneral OOl\llruc:\Ion. Ptumb~"'~ ~hone (813,,782.7608 A/CHARO OELAflElO F ^", (5/3 7/3.- '150 <! - HONE, I DAlE: H___ _( ~1ll~83-7_68_,!, ___~.__M~E.<?l1 .?}!-~9~ Joa NAME: PROPOSAL SU8MlTlFD TO, NAME, _h_~l:lU.r~!1 Qfc._QQ.9 h___ -- sum 39940 Lincoln Ave. ~ ---- -.---. ._~._._--_. - . -.-- --'.--- -------~- ---- ..-. ~--~._------- -------- STREET. Fl. 33540 ._-------- . - ._--~--..- . - .- ----- - - rwr,--' ----- ---- - h' fATE .'" ___H - ----- -- -~~[:_-~=- -==-~~:~-~~-- ---==-~ (ITY _ Z~p'hYJ:h i 11 s STAlE -------- ---- ----------- w. hereby sub....il specificltions a..,c:! eslimeles for We propnsp to b0ilct a 3'1' X 10' Rddition on the existina churcr"fi)t' a cot::;) co~.:;t of ter. thousand dollars ($10,'80.00) --- --- ~.-..._.- -- ~'e ."e.~, . ..r.... c!'~ " \t '~..'r 'Ill" j "..e'..'I!I" - CCl"I1p"f"'-)"' e~CCr~d~:t ......:Ih t~,& 6'O'te ~~s..' call":-,I. to; '''. J"M "f ~ol'er< !s_ __ _h' WIt;" ,..,'-,.'"'1 '0 be ""!I~e .~ "~.'O...i *,1 male"1 , '; " ..-'e.~ '(~ .: . . ~ 04 ,;"Zr~ ""a",,~:ko r'I'I,-"'ft a r"'.J .",.1 f- ...., ;(;;-; ,,'-jefS. d '<J "".'1 be:'::..... to .. :a ~ ,'.i :e~ ~"''1 8".~&'.on -:r de.....'a.,o'"' ,. . .. ~. . !I" --,.,'. ,.. I ~."",: l5 ;';'_ .. ';.. ~. ,:......... t , ' '- :) f1.. ..,..,... r.." ~(-cp0~al 'iJb'.c.1 .., a(... 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J I i" 1./ r (1,' /... 1/ ~ /1'1 . ;?i).) /.. / ~/' I . : I ( .1//- .' / IL ( , I +- Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION .. .' , ~ Business Name CfluJ<r:ff Address39L/l/tJ LINCOLN Business Phone CJ? f? - 8.3 -3 tp f)p COOD f}-tJe Classification Owner/Manager ~ dJ /~I D (() KT; ~. Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # .. QUARTERLY TYPE OF INSPECTION CONDUCTED ~L 0 ANNUAL 0 BI-ANNUAL o o o RE-INSPECTION 0 OTHER APPROVED 0 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. t{Jk n/2- . c. D. Inspect. Date Inspect. Time / /0 0 ire Qept. ID # :sS-~ , (..~-S Re-Inspect. Date Owner/Manager Signature Title This building has been c e~rhills Fire Dept. under the -:;o<ies & regulations of the NFPA minimum standards, the State Fire arshall's Uniform Fire Safety rules and other local fire safety codes. White Cop, - FilA Yellow Copy - BlJsiness