HomeMy WebLinkAbout95-5001
BUILDING PERMIT 0-
CITY OF ZEPHYRHILLS Permit N.
(813) 788-6611
-;-5001 /1
Date 6' -6 - 7..J-
BUilDING
ELECTRICAL
PLUMBING
-- ~",--""'"
~HANICAl ~~wer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
~ 13~.
''?Yrol ~-''7 E
Water Meter:
T,I.F.'s:
Zoning: Energy Code:
Description of Work ~b~ A-~
Radon Gas:
02 ZYL - ()'~,'o
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspecto
City license Registration #
State Certified license#
g'g---
~?Z
Permit Fee .' "
~~~::::;; - -r~y
Addre6
Telephone# ?/-? 7A~ 3,52;,3
Valuation or
Contract Price
/ b {/7J ~ dl;>
-"
BUilDING
ELECTRICAL
PLUMBING
-J~A1 ~~
MECHANICAL
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
WL
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
,Pre-Meter
Final
SlB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
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.
APPLICAnON FOR PDKIT
CITY OF ZEPIIYRIIILLS
BUILDING DEPARl'HENT
OWNER'S twm ~ ~,..., ,7-
OWNER'S ADDRESS _ "? ~ .4 c,_ (
JOB ADDRESS 3,8 4~ (
/3d~ndj /?,/
,-\"4-
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/~ c.v Y-
o /
/~'7
I
.t::c.. J /
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PHONE 7118-S-f~ f
z- #,(1)
2- ~1i.J
.~ 3 S''fo
.5 :~ F<f6
LEGAL DESClUPlION: LOT(S) BLOCK SUBDIVISION
PARCEL I.D.' :; - ;< ~ - Z I - <::1 0 /() - 0 S.J<j(J -00/ L- (OBTAllI FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Construction ----...Addition --...Alteration -.Jlepair _Install
_Sign
---Hove
--Peaolish
PROPOSED USE: ~iDg1e Faaily
~ec-ercial
---.Jt/F _' of Units ----"'/B
_Indust. _Swia. Pool _Other
Restaurant & Health Departaent Approval
DESClUPlION OF WORK:
/A/SMLL
2 IoN .fO,v S)lS/c::'1l1
BUILDING SIZE:
x
.
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PI..ANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
COHHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
~UILDING
$
Valuation of Total Construction
RT.RCTRICAL
AIIP Service
Florida Power Corp.
N.R.E.C.
X-.tmCIIAUCAL
$
/600 ---
Valuation of Hechanica1 Installation
-PLUHBDiG GAS ROOFING
TYPE OF CORSTRUCTION: ~loclt _Fraae LSteel
SPECIALTY .
Other
FIlIISHED FLOOR. ELEVAnORS:
F'l'.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
COHTRACTOR SECTION
RUTT .Dn COMPANY
State Cert. or Regist. I
Signature City License Registration ,
..........................................
,'.
RT.RC'l'RTCIAII COMPANY
State Cert. or Regist. ,
SignAture City License Registration ,
..........................................
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
..........................................
COMPANY ~17'~ T /,1/'~.:>y
State Cert. or Regist. I Z/:tfC'060;{ Zu
S1goature City License Registration . ~.f
................................. .
OTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
..........................................
APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS"
'fbe undersigned understands that this penit Jay be subject to 'deed restrictions' wbich Jay be lOre restrictive than City
regulations. !be undersigned asBUles responsibility for capliance with any applicable deed restrictions.
B. UNLICENSED, CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OIOler bas bired a contractor or contractors to undertake work, they lay 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 laY be
cited for a liscl8l8anor violation under state law. If the mmer or intended contractor are uncertain as to IIbat licensing
requirl!l8llts Jay apply for the intendedlOrk, they are advised to contact the City of Zepbyrbil1s Building Departlent, (813)
788-6611.
FurtherlOre, if the OIner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
'Contractor Sections' of this application for wbich they will. be responsible. If JOU, as the mmer sign as the contractor,
you are indicating that fOU, rather than the contractor, are responsible for the IOrk. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to peraitUng privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILI'rY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of 'Plorida's COnstruction Lien Law - BoIeoImer's Protection
Guide" prepared by the Plorida Departlent of Agriculture and ConsUI8I Affairs. If the applicant is 8OIeOIl8 other than the
'OIOler", I certify that I bave obtained a copy of the above described c10cUIent and prOlise in good faith to deliver it to the
'owner' prior to COll8J1Cl!l8llt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIlition in this application is accurate and that all IOrk will be done in capliance with all
applicable lills regulating construction, loning, and land deve1opl8l1t.
Application is bereby lade to obtain a perut to do work and installation as indicated. I certify that DO IOrk or
installation baa ~ced prior to issuance of a penit and that all IOrk will be perfotl8d to I18t ltanc1ards of all lilIl
regulating construction, City coc1es, loning regulations, and land developl8llt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveruental agencies laY apply to tI!e intended IIOrk, and that it il
If responsibility to identify what actions I lust take to be in COIPliance. Such agencies include but are not lilited to:
t Departlent of Bnvirollll8l1tal Regulation - Cypress BaybeacJs, Wetland Areas and Bnvirollll8l1tally Sensitive Lands,
Water/Wastewater !reatlent
t Southwest Florida Water Hanagl!l8llt District - lIells, Cypress Baybea4s, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Ifavigable lIaterways
t Departlent of Health' Rehabilitative Services, BnvirOlll8l1tal Health Unit - Wells, Wastewater !reatlent, Septic tanks
t US BnvirODlental Protection Agency - Asbestos abat8l8llt
I also certify that, if fill Jaterial is to be used in Plood ZOne 'A' or 'A,etc.', it is understood that a drainage plan
addressing a 'co.pensating volUl8' will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance. '
A perlit issued shall be construed to be a license to proceed lith the IOrk and not al authority to violate, cancel alter, or
set aside any provisions of the technical coc1es, nor shall issuance of a penit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any coc1e. Ivery peIlit i88Ued shall bec3e invalid
unless the IIOrk authorized by such peIlit is co.enced within slllODtbs of issuance, or if IIOrk autboriled by tile penit is
suspended or abandoned for a period of ail IODths after the tile the 110ft II ~ced. ODe 90 clay atension of tile, laY be
allowed for the pmit lith fee charge of '15.00. 'fbe atension ahall be requested in lriting to the Building Official. An
approved inspection lUSt be logged during each lillODth period, or the project lIi11 be considered abandoned.
WARlUIfG fO omR: YOUR PAILORB fO RECORD I IO'I'ICE OF aIIMDCIIIBIft MlY RESULf II YOUR PIYIIG !VICE FOR DIPROVIIIDIS !O YOUR
. ... . ..
PROPBR'lY. IF YOU IIIDID !O OUAlHPIlIAHCIIG, COISUL! WIm YOOft LDDIR OR D AnoRDY BBFORB RICORDIIG YOOft IIO'I'ICE OF
mumlCBHBH!. JOBS URDU '2,500 II VALUE DO 10'1' mD !O RECORD AID POSI A 'IO'I'ICBOl CIMBIl1".
-~~~
/IGIA OR A
wbo is persona1Mc known Ito me or wbo bas
produced :])12, eRs> \r ~L:. et\Jse .
as identification and wbo did/did not
tak '0
SIAIB OF PLORIDA ~ .
coum OF ~~ ()
The foregoing instrument was ackn9Wledged
before me tbis 4>) I " 19 ~ by
~:~~~~-~~r wbo has
produced
as identification and wbo did/did not
ta~\ .
(Signature --
SlATE OF FLORIDA ()
COUIt'Y OF (. ~t\)
The foregoing ins~~ent was ac~owledged
before me this , 19~ by
(Rue Typed, Pri
ROTARY PUBLIC
t. LOCK
y Comm Exp. 2--27-96
o~ded?r "S,e:rvice Ins, C!
Form 400C-94
Limited and Special Use Buildings
Project Name:
Address:
City, Zip Code:
Builder:
Owner:
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
CHAPTER 4 - Commercial Bui/ding Compliance Methods
Administered by the Department of Community Affairs
ALL CLIMATE ZONES
.335"~C7
Zone:
Building Classification:
Building Permit No,:
Permitting Office:
Jurisdiction No.:
~
~S
BUILDING INFORMATION
WALLS ROOF/CEILING FLOORS DOORS GLASS
TYPE U AREA TYPE ~U I AREA TYPE U AREA TYPE U AREA TYPE U AREA
Concrete (CBS) Under Attic ..~I 7.z.z.. Slab-an-grade C! ~f#5" Wood Single, wall
Wood frame Single Assembly I I Raised Wood Metal Double, wall . '8/ 15
Metal frame .13~ RIO Other: I I Raised Concrete Insulated ,II'} #'t. Single, roof
Insulation R-value II Insulation R-value I/VI Insulation R-value Other Double roof
SYSTEMS INFORMATION
AIR CONDITIONER HEATING SYSTEM HOT WATER
TYPE EFFICIENCY TONS TYPE EFFICIENCY BTUlH 'TYPE
Unitary & Heat Pump Central & Heat Pump '::Iectric
<65,000 Btu/h SEER - <65,000 Btu/h - HSPF - Resistance 0
~65.000 Btu/h 1~..rEER - IPLV - ~65,000 Btu/h - COP - Dedicated Heat Pump 0
Water cooled - EER - IPLV - Water cooled - COP - Gas
Evaporatively cooled - EER - Evaporatively cooled - COP - Natural 0
PTAC - EER -- Electric Resistance - COP - LPG 0
Chiller - COP - IPLV - Gas/Oil (cirlce one) HRU 0
Other: - - - <225.000/300,000 Btu/h - AFUE - Other: 0
~225,000/300.000 Btu/h E.
LIGHTING Total Lighting Wattage 1"00 2.1/1 I SIZING CALCULATION El I DUCTS R-value
= = ~.O
Total Conditioned Floor Area ~ (,5'" Watts/sq.ft. Attached
PRESCRIPTIVE MEASURES (Must be met or exceeded bv all buildinas.)
Components Section Requirements Check
Windows 406,1 Maximum of .37 cfm per linear foot of operable sash crack, v
Doors 406,1 Maximum of 1,25 cfm per square foot of door area, or
Joints/Cracks 406,1 To be caulked, gasketed. weatherstripped or otherwise sealed. ,/
Reheat 407.1 Electric resistance reheat prohibited, ....-
Ventilation 409,1 Supplied with readily accessible switch for shut-off and/or volume reduction when ventilation is not required. .......
HVAC Efficiency 407,1.408,1 Minimum efficiencies - Heatinq: Tables 4-7,4-8.4-9. Coolinq: Tables 4-3,4-4,4-5,4-6, y
Transport Enerqy 410.1 Minimum of 8.0. ,/
Balancinq 410.1 HVAC distribution system(~ tested and balanced. ...
HVAC Controls 407.1 Separate readily accessible manual or automatic thermostat for each system. or
HVAC Ducts 410,1 Air ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attachecl. sealed. insulated
and installed in accordance with the criteria of section 410,1, v
Operations Manual 102.1 Operations manual will be provided to owner. v
Pipinq insulation 411.1 In accordance with Table 4-11, ,/
Water heaters 412,1 Automatic electric storage water heaters <;120 gallons and gas & oil fired storage water heaters $75.000 Btu/h shall
meet performance requirements in Table 4-12. Electric >120 gallons: standby loss $.30+27NT Gas> 75,000, ./
Oil >105,000: Et ,78. Standby loss <; 1.30+114NT Gas, Oil >155,000: Et .78. Standby loss $ 1:30+95NT'
Swimming Pools 412,1 Spas & heated pools must have covers, Non-commercial pools must have pump timer. Gas spa & pool heaters must
& Spas have a minimum thermal efficiency of 78%,
Hot Water Pipe 412,1 Piping heat loss is limited to the levels in Table 4-11 for circulating systems and the first 8' of pipe from a storage
Insulation tank,
Water Fixtures 412.1 Shower head water flow restricted to maximum of 2,5 gpm at 80 psi, Toilets maximum 3.5 gallon/flush, Public lavatory
fixture maximum flow of .5 gpm; or if self-closing valve, .25 gallon circulating, ,5 gallon non-circulating.
Liqhtinq 415,1 Ballast Efficacy Factors (BEF) shall meet the levels in Table 4-15, V'
If required by Florida law. I hereby certify that the system design is in compliance with the Florida Energy Code.
ARCHITECT:
ELECTRICAL SYSTEM DESIGNER:
LIGHTING SYSTEM DESIGNER:
MECHANICAL SYSTEM DESIGNER:
PLUMBING SYSTEM DESIGNER:
Registration No.
"---------- -._-- --.. ---._---
~--._- ---- -.-.--------
Y.#e:lOhOd1~
~om Ii nce with Chapter 4 was demonstratedoa Prescriptive Measures methodology:
Detached commencal buildings Skyboxes or sports stadium buildings
less than 100 square feet that are used seasonally
D TraffiC safety
control towers
D Supermarkets
I hereby certify that the plan
compliance with the Flor'
PREPARED BY:
I hereby certify that this
OWNER AGENT:
red by the calculation are in Review of plans and specifications covered by this calculation indicates compliance
. _with the Florida Energy Code
DATE: C, -3-~ inspected for compliance
Florida Energy Code BUILDING OlIC~
DATE: DATE:... __
PRESCRIPTIVE REQUIREMENTS LIST*
-'>
-
METHOD C CRECK
Detached Commercial Buildings Less than 100 sq.ft.
Glass Area: No limit. ./
Overhang: Minimum 1 foot if not under another structure; or y
No overhang with a glazing Shading Coefficient of 0,55 or less. >"
Walls: Minimum insulation level
Frame walls - R-11. V
Masonry walls - R-5, V"
Roofs/Ceilings: Minimum insulation level- R-19. r/'
Floors: Minimum insulation level - None. /"
Cooling System: Code minimums as per section 407.1.ABC,3. /
Heating System: Code minimums as per section 408.1.ABC.3. ,/
Skyboxes or Sports Stadiums
Glass: No limit with glazing Shading Coefficient of 0,55 or less. ./
Overhang: None required, '"
Walls: Minimum insulation level
Frame walls - R-11, V'
Masonry walls - R-5.
Roofs/Ceilings: Minimum insulation level- R-19. V'
Floors: Minimum insulation level
Frame floor- R-19, --
Concrete floor - None, ,/
Cooling System: Minimum equipment efficiency requirements ,/
Air cooled - 10,0 EER or 10,5 SEER.
Water cooled - 11.0 EER.
Heating System: Code minimums as per section 408,1,ABC.3,
Air Distribution A programmable setback shall be installed for in-season use;
System: At least one humidistat control per zone shall be installed for off-season use.
EXCEPTION: Installation of a central energy management system,
Lighting: Total connected wattage shall not exceed .4 watts per square foot of conditioned space. -
Traffic Safety Control Towers
Glass: No limit.
Overhang: Minimum 1 foot if not under another structure; or
No overhang with a glazing Shading Coefficient of 0.55 or less,
Walls: Minimum insulation level
Frame walls - R-11,
Masonry walls - R-5, y'"
Roofs/Ceilings: Minimum insulation level- R-19, ,/
Floors: Minimum insulation level - None, p
Cooling System: Code minimums as per section 407,1,ABC.3. ./
Heating System: Code minimums as per section 408,1,ABC,3,
Lighting: Total connected wattage shall not exceed 2,1 watts per square foot of conditioned space.
Supermarkets
Glass: No limit.
Overhang: None required,
Walls: Minimum insulation level - R-5.
Roofs/Ceilings: Minimum insulation level- R-10,
Floors: Minimum insulation level
Raised floors - R-3,
Slab-on-grade floors - None,
Cooling System: Air cooled - 10,0 EER
Water cooled - 11,0 EER,
Heating System: Code minimums as per section 408.1 ,ABC,3,
Lighting: Total connected wattage shall not exceed 2.3 watts per square foot of conditioned space,
FORM 400C 94
*AII Basic Prescriptive Requirements, designated in the Code by ".l.ABC" and
summarized on the front of this form, must also be met.