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BUILDING PERMITW:; 1.-5091;J
CITY OF ZEPHYRHILLS Permit - -. .
(813) 788-6611
Date
7-IO-9~-
3oZ?~
BUILDING
--5~ ...5.0
ELECTRICAL
~:::{-:07.J
PLUMBING
do-m
MECHANICAL
:::,:,~::??-;i~ ~J~*A<~
- :J-S--J-/ - 3'
Parcell.D. #
Water Conn:
Zoning:
Description of Work
~3~ !1'1(
ys.;L3.g
~,".;l 'Y 8
~ Y'l?.2.8
NO OCCUPANCY BEFORE C.O.
Valuation or J ,.,
Contract Price <....J / ().3 CJ. ,r-t)
/
FINAL 0-
DATE
C.O. --1'; --.5-- ~S-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Pre-meter FPC (Betty) Bobbie 08/24/95 03:32 P.M.
City License Registration # J~
St.te Certified License# -i::; ~ J3~~.lePhone#
~,~.Q/l<~JM...r. U4b t'I 6r-h>)
BUILDING ELECTRICAL PLUMBING
/~:L
MECHANICAL
-
SLB
Tub Set'7-"t7-~-)
Water
Sewer
Final
J)lU....
Breakers
Ducts Insl. ~-\-~~ 8019
Compressor
Final
Tp.Serv.
Rough In 7 - 2-7-7') &~)
Meter Can 7-1 t1 -y.s-
Const. Pole
Pool
.Pre-Meter ~ ,~> Bt>~
Final
Ftr.
Pre SLB
Lintel
FRM. 1-2-1-'-)) gtl-L-
Insul. CL
WL ~ JI-qs &8
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/J ~4<.7~Ul~1 ? -/Cl--~~-
Condemned work resulting from faulty construction. J
Repairs or corrections not made when inspection called. fl < -
Work not ready for inspection when called. rl 9 ~
Permit not posted on job site. (] /' I ,/
Plans not at job site. : 7
Work not accessible.
a.
b.
Wrong Address
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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APPLICATION FOR PERNIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
Sandy Development Co., Inc.
ADDRESS 12303 U.S. Hwy 301 Dade City, FL 33525
PHONE
904-567-7992
OWNER
Oak Run Properties, Inc.
Bld~ #4
JOB LOCATION 371"15- Oak Run Circle
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION Oak Run
PARCEL I.D.#
WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
--25....M/F
~# of Units
_____M/H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE il45' 2'.' X 40 ~,
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~BUILDING
$
Valuation of Total Construction
~ELECTRICAL
AMP Service
Florida Power Corp.
_\-v.R.E.C.
~MECHANICAL
$
Valuation of Mechanical Installation
-1L-PLl~BING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
. ~.. .~..~~............................*..
( CONTRACTOR SECTION
BUIL~ ~.A.A...R...' Company Sandy Development Co., Tnc._
State Cert. or Regist. IF CR C01 Oq? 1
Signature City License Registration # 1 R
******************************************
~~ ~<-
Company Me-igC:lL1 . ~ n
State Cert. or Regist. IF ~00S48'S Ef f2..I2-/35!i:51
City License Registration # .284 3<9S""'
*********************************
Signature
Company Bavonet Plumbinii,
State Cert. or Regist. # CF
City License Registration #
********************************
Inc.
C042998
91
tl~QHANICAJ.~
S1gnature
Company Sonny's
. ~ State Cert. or Regist. #
/44-7 ?,c City License Registration ;F
p ********* ********************************
f< ,W'I (00 l q: t~ (0 I
2
Company
State Cert. or Regist. #
City License Registration IF
OTHER
Signature
~~;*:*:~*,*~*~:*********************
APPLICATION APPROVED BY ~~ .L1l~
PERMIT OFFICER.
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 assules responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ONner has hired 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 .ay be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to Hhat licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
788-6611.
Further.ore, if the owner has hired a contractor or contr~ctors, he is advised to have the contractorls) 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 aay 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 FEE~
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 doculent 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..enced prior to issuance of i per.it and that all work will be perfor.ed to leet 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 co.pliance. Such agencies include but are not li.ited to:
I Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treat.ent
I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environlental Protection AQency - Asbestos abatetent
I also certify that, if fill taterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volute" will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to pertit issuance.
A per.it issued shall be construed to be a license to proceed with the Nork 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 frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such per.it is cOI.eneed within six .onths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six lonths after the ti.e the work is co..enced. One 90 day extension of tile, lay be
alloNed 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 during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COK"ENCEKENT "AY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF
CO""ENCE"ENT. JOBS UNDER $2~500 IN VALUE DO NOT NEED TO RECORD AND A ST A "NOTICE OF COHMENCEHE
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The fDregDing instrument
befDre me this
was acknowledged
, 19____ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
befDre me this
was acknowledged
, 19_____ by
whD is persDnally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me Dr who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
.. .
-.--.~..- , . - . . ~
Department of Community Affairs - FLORIDA EN~ClY EFFICIENCY ICODE FOR BUILDING CONSTRUCTION
. FOt:1M 600A-93 Residential Whole BuliCll'tfg Perfotmance Method A 'CENTRAL 4 5 6
PROJECT NAME: . BUILDER:
AND ADDRESS: PERMITTING
OFFICE:
-.-.--...---------------..--.-------
OWNER: PERMIT NO. 3 D
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multlfalnlly.--No. Qf !.llllits co"ered by this submission
4. If Multifamily, is thH Ii worst case (yes / no)
5. Condltlohed floor area (sq. ft,)
6. Predominant eave overhang (ft.)
7. ~orch overhang lenhth (ft.)
8. Glass type and area:
a, Clear glass
b. Tint, film or solar screen
9. Floor type and InsUlation:
a, Slab on grade (R-value + perimeter)
b, Wood, raised (R-value + sq. ft.)
c, Concrete, raised (R-value)
10. Net Wall type, area and insulation:
a. Exterior: 1. Concrete block (Insulation A-value)
2. Wood frame (Insulation A-value)
3. Steel frame (Insulation A-value)
4. Log (Insulation A-value)
..,
b. Adjacent: 1. Concrete block (Insulation A-value)
2. Wood frame (Insulation A-value)
! :, 1"0 '1:111 ailq!:'q R-value)
4. Log (Insulation R-value)
11. Ceiling type, area and insulation:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
12. Air distribution system:
a. bucts (Insulation + Location) ,,.
b. Air Handler( Insulation + Location)
13. toollnlj system:
(Types: central-split. central-single pkg" room unit, PTAC" none)
14. Heating systelll"
(Types: heat pump, e:ec, strip, nat. gas, L.P, gas, room or PTAC, none)
15. Hot water system:
(types: elec;, natural gas, solar, L.P, gas, hone)
16. Hot water Credits:
a. Heat Recovery (HR)
b. Dedicated Heat Pump(DHP)
17. Infiltration practice: 1,2 or 3
18. Hv AC Credits (Type in Lett8r designalion: CF-Ceiling Fan, CV-Cross vent,
11I',V(~ ,:, 1'0:'1'::'= Iml. r::I3'Altic ra(li8\t hairier. V1Z-Multizone)
19. EPI (muR' not o<':!':d 11'(' rcir'ts)
a. lOfplll,s..13',IIH pi .;, ,I',
b, Total Base pain!!;
r---'.--'-----~
EPI = TOlal As Buill points X 100
T olal Base poIn18
cove~"d he calculation are In compliance wRh ~
'4~ ___ DATE: ) -K I
wirh't Florida Energy Code,
OWNER AGENT:
DATE:
-1-
CLIMATE r::::::r 0
lONE: 4~5 6 "
J~ JURISOICTIONNO.: ~
PIea8e Type CK
,
rr 1
~: . :0fdP,;fj/
3. __ ..:L _---'
111- '1~~:__
II ,~ I (.~_"~ _,~~
15. ___-2::__
7.
8a.
8b.
sq. ft.
ft.
ft.
Single Pane Double Pane
rr 1 ,"I sq. ft. , sq. ft.
sq. ft. sq. ft.
9a. R= (/ , /36 I. ft.
9b. R= , sq. ft.
9c. R= , sq. ft.
108-'1 R= I," )'17 sq. ft.
10a-:~ R= sq. ft.
108-:3 R= sq. ft
10a--. R= sq. ft
10b-" R= ___sq. It.
10b-~! R= I' 3 $"1.-- sq. tt.
10b-a R= sq. ft.
10b-4 R= ___sq. ft.
11a. R= ~- /ofL2 sq. fl.
11b. R= --- ____sq. fl.
Rt: b ,/.lAIC"" ( (cond.luncond,)
R= '1, J..,\, Cd~'( (cond.luncond,)
Type: ('f/tl'--t fa ,(
SEERlEEAlCOP: /().eJD
Capacity: '1 '))..() 0
Type: --!.l-!LU-l1-~~
HSPF/COP/AFUE: ~.!!.~
Capacity: '?-..'l &vi)
Type: f;. ( (' ,,-
EF: . 7 (
12a.
12b.
13a.
13b.
13c.
14a.
14b.
14c.
15a.
15b.
16a.
16b.
17.
18.
~~-
l~~__
19ft.
19b.
2-
-~~3'
,/)() '1
) ~( (,~ (
I
Review 01 plans and specfficetlons covered by this calculation indicates compll8nce with
.. ,.... ,~... ~. Ie CC!!!'PIeled. thlto bulldlngoMll be Inspected
for compliance In IIccordence ~F'S' ,.Q
BUILDING OFFl~lAl: -. ,- ~'" A . 'rI' ..,
DATE: _ -7 _ ,- ~
"~t':~~';';'<fI.vtl;:~'frJ~''i',!>I1f:_.' ,",'f\' ;~;:'...kiib" .~~'... - .
..,.....-.~.~~...-......,...-. ............--.--.."--
.-..-...-.. ..
-----.-...
CUMA lE :~ONES 4 5 6
Sll."'MER CALCULATION!:;
~BASE--l-
AREA x SUMMER =
PT. MULT.
N 'tV 82,2
NE 82.2
E__ 82,2
SL 82,2
S ,S~~LL 82,2
SW 82,2
Ijj=: ~~'r:]~ _=-82.2
NW,- _~l.---- ---------
H' 82,2
rn .-. ' .- -------
rn
j
CJ
BASE
SUMMER
POINTS
t t.(
r----------r--SiilGlE.[ '1:--.. -~,~,'---l5i5UBlj:.PANE r SUMMEP~ I AS-BUILT
G~i: x SUMMERPOIIJllf,lJ',! ..' :;W,1IAERP'JINTMULW.OVERHANG= GLASS
'-"CLEAR :c;_ -:ri~il~ - - --CLEAR - --- TINr FAC.TOR (6A-1) SUM. PTS
N ~, n 51.0 51~5-- -'47:a:-- 43,5 ,{( 'J' I h f5
NE 77.2 76.6 71,1 63,4
E 109.2 107.1 102,0 87.3
SE 112,9 11Q.3 104.1 89.4
S ~;C 100,2 98,3 90.9 78.8 ...1'1 u ~\i1U
SW .. 112.9 110,3 104,1 89,4 ..,
W Ji'V. t 109,a. 107,1 102,0. 87,3 t l'J "1 'j~ V"
NW 71.2 76,6 71,7 63.4
H' 367,7 303.3 324,6 238.1
Cf
- -----,- --- --
,,--- --
--
----.--- ---
coMPdt.t:NT
DESCRIPTION
EXTERIOR 1.0
ADJAC;~I-===- =:: -;;:..,':!:~:= ' .7
COMPONENT
DESCRIPTION
,15
::l
c
~
---.-----
-----.--. -..---..--..--.---. ------.--
f~l' t" 1
~ ...Id"
4't~
~
F: (0 <(
4.8
1,6
t
rn EXTER~
8 ADJACENT
UNDER ATTIC
OR SINGLE
}~~~f:M8l Y
,-'!'IFILTRATIQL__ _
10.9
/~-o I (D."']
,
~
I It 7 '] 1)
COOLING
SYSTEM
TOTAL COMPONENT BASE SUMMER POINTS
~ -.'
BASE COOLING TOT AL BASE a.e.SE
SYSTEM x SUMMER = COOLING
MlJU!el-lF;J:L- I---EQlNT~_... __J'Q)tn~_
,37 J J j o;G _:1, c..{
,
TOTAL COMPONENT AS-BUILT SUMMER POINTS
Y'---'
TOTAL
AS-BUILT
SUM. PTS.
7'7 (
~ I
1'/7 "(' ,
I
~~
~--LtfUMeERl BASE BASE
HO~ OF J( HOT WATER ~ HOT WATER
. :V~~E~ . _,E1~f)~~~~~ _[l-,M-lJl;~~i!fcf!._J--~c~'f;-S --
._ .___.-:.__.._ ___..:__._.J_l_:.-:~-
AS-BUILT
HOT WATER
~'t'STEM[)~SC.
AS-BUILT
=: HOT WATER
POINTS
'}1.----
1 AS-BUILT
It OM X CsM x
\ / ~6Ai~ ~ ~6~~~ \
AS-BUILT
CCM
(6A.19}
=
- -----,..-.-- . .-~-_.,. --
2FOR GLASS WITH KNOWN SHADING COCi . :'_IUII ;L[ :iIJ:l\I)N 1.1 OF APPENDIX C. TINT MULTiPliERS MAY BE
USED FOR GLASS WITH SOLAR SCREENS, f1lV, OF TINT,
'H = HORIZONTAL mASS (SK'YLlGHTS)
-2-
"',:
WiNTER CALCULATIONS
t".
BASE
WINTER
POINTS
N
1!L . .._. _.._
E
SE
S- :'f'1'~ -
sw
W )..0 .
NW
H'
~
::5
CJ
BASE
WINTER
fJ'T, MULl.
-3,4
~L__.
_~L_
__~4. _____
.---14..___ ~_.2 ()
-3.4
-3,4
-3.4
-3,4
.15
,15
~
COMPONENT
DESCRIPTioN
EXTERIOR
ADJACENT
AI~EA. '-~ASE WINTER
x POINT. MULT, =
1,1
1.8
CUMA'rE ZONES 4 5 6
GLASS I SINGLE-PANE oR DOUBLE-PANE 1 WINTER I AS-BUILT
AREA x WINTER POINT MULT. WINTER POINT MULl x OVERHANG = GLAss
CLEAR nNr CLEAR nNr ACTOR (M-l0) WIN.PTS
N 1~,l- 9.6 9.6 5,6 6,1 Ic~' _,t L.
NE 7.4 7,3 3.5 4,2
E - 2,2 - 2,0 - 5,6 - 3.6
SE -10,3 - 9,7 -13,4 -10,4 ,/
S I~t ( -10.9 -10,2 -14.0 -11.0 . ",'., _ ~~;J 'J
SW -10,3 - 9,7 -13,4 -10,4
W .1,;., ... - 2,2 , - 2,0 - 5,6 - 3,6 -*'/'-1 _9;
NW '.4 7,3 3.5 4.2
H' -32,1 -28,0 . -27,0 -21.5
.
I-
1--- ---
---- -.-
.. ,----- ---
--- ---
-- -
--
--~---- -
,-.--- ------- .---
--..- -...--- ------- ------- ---- --
COMPONENT
DESCRIPTION
~
~~l~~bJ~i:d~j ~ 3"-" ~ r' I ~ /I' [)
, .
I ~~?~L:c!,1,_::]~~~1~~:~l~~
. .
ex: SlABfp,"."" __L~"":~ - 3-'f 7 U /':l 0 ~~ ~ ). "\
~ RAISED(A~ ____ - ,2
FOR SLAB ON GRADE USE PERIMETER lENGTH AROUND CONDITIONED FlOOR. FOR RAISED FlCORS USE AREA OVER UNCONDITIONED SPACE,
I
IU7,V I
INFILTRATION
4,1
.
I 4- '-l ~-L
USE TOT AL FLOOR AFIEA OF CONDITIONED SPACE,
.. .
4.1 f I t./lf?1
lo~ 0 I
~~..
I #
"
TOTAL COMPONENT BASE YlIltlf11 'PQiNTS--r 'IJ- -) 'J- -h
.- .-..-. ....,'
BASE HEATING TOTAL BASE BASE
HEATING SYSTEM x WINTER = HEATING
SYSTEM __~ULI!E!.IPLL___POIN.TS. _ .._~Ql~JS ,
__..__.,_..~1____,L . ). ( { .> ~{3
."
. .-eA.SE------'.-
HEA TltlG 1
POINTS
-'
c
~
r TDTAl COMPONENT AS-BUilT WINTER POINTS
..- ------
TOTAL AS-BUilT I AS-BUilT I AS-BUILT
AS-BUilT x OM x HSM x HCM
_ ~~: ~~S~~ (~A;1~ L~7) -Lj~lt!!L_
_..J;_G:L.2,__~..L..t!~ -L___
.
.. ----..S:BU~BUIl~-
!lr^H'~G + HOTWATER ="
POINTS pOINT!:;
FiOm P. 2
.~. r.' I ~
2FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEI: SECTION 1,1 OF APPENDIXC, TINT MULTIPLIERS MAY BE
USED FOR GLASS WITH SOLAR SCREENS. .FILM, OR TINT. '!. . .
-4-
,;'\
-. .~.,- .-"--.- .- .-'--'-- --'--.-.---:- ---"-- -. - -. - - -
",
,.
;, .".
{~.
C E N T R ALP E R M I T TIN G
PASCO COUNTY. FLORIDA
DATE: 09/07/95
F'P,GE: 1 CJF 1
I :3:;::UE (IFF ICE: D
RECEIP1' NUMBR: 00259036
OFFICE: DADE CITY
CONTRACTOR #= 004046
NAME: JEROME W PARKER
ADDR~ 13050 HIGHLANDS COURT
C/ST: DADE CITY FL 33525
FeR:
CHECK # 2(:,6:::;:
RESOURCE FEE FOR PERMIT 5091 B
C:ITY OF Z-HILU:;
CONTRACTOR: 004046
TOTP!l.. f~MCIUNT:
COMPNY ACCOUNT CENTER
(..V::C:N T
114
E~4~5~) -., ~31~;.:3()CH) .-
:39. 00
AMOUNT DESCRIPTION/PERMT DATA DRICR
39.00 ****** SOLID WASTE FEE 60
nECE I VEL:
C::-:=--"'____" _ ('~_ .. "~- --....\
BY_-,_=~~~~::~.bS1)",=-~L:-~~, ~~ -. '
.-----~
( \ .....
'. .----
...... : -----
""""-..---.--"..' .
__ _~".'.T_~'~""'_~"""""7-_T"
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PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
Builder Name/Owner Name
County Parcel No.
Location
Subd.
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
Impact Fee Amount $
The above impact fee 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
/
Gross Sq. Ft. (GSF)
Rate/ERU - 50.00 x 0.96*/Year
or $0.1315/Day
ERU Assign No.
TOT AL FEE $
-..
u
I .~
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
Assessment - (No. Units) x ($0.1315)
x (No. Days)
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
1
I ,>
BY
BY
\ \
DATE
DATE
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO. ., ._
, l,'
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
.BUILDING PERMITW:; 1.-509113
CITY OF ZEPHYRHILLS PermIt - - -
(813) 788-6611
3oZ?~
Date
7-IO-9~--
BUILDING
~~~()
ELECTRICAL
,~::c 07.J
PLUMBING
doom
MECHANICAL
Property Owner:
Job Address:
Parcell.D. ,
Zoning:
Description of Work
Water Conn:
ft)(
~3.L :l.A ~V
Ys.;L.~ Ll
~".;l 'Y 1.1
FINAL
C.O.
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.
DATE
Inspector
Signat
Company
Address
Telephone#
Valuation or ,.,
Contract Price -3 / ().3 CJ, ,r-z)
'"
City license Registration # JR'"
State Certified license#
~tI)LJ~+~~
BUILDING
/J! rJ1 ~ 0lrI
(J
ELECTRICAL
6r-1-?)
PLUMBING
~/~ :L
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can ?-It1-yS-
Const. Pole
Pool
.Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
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 A/J ~-7'~,,-,,~1 ?-/Cl'-~~-
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.
"' ---.---..,. .~:_~
BUILDING PERMIT~.
CITY OF ZEPHYRHILLS Permit N ·
(813) 788-6611
"7~509~ 6
~.Q ~-SlJ
BUILDING
~'~~~
ELECTRICAL
Date
7-/0 '-9..s-
Property Owner: .
Job Address: <.3
Paroell.D. # d
~"'3""" d2J
PLUMBING
30- cJV
MECHANICAL
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration # / ?"
State Certified license#
Permit Fe
Signature
Company
Address
Telephone#
Valuation or J'" tJ.3 o. _~
Contract Price .;...:> / _ v U
./
J~JfI.(OJ~~gj
BUILDING
/Jl ~ 4'..M1 .;2.P(
(J
ELECTRICAL
13r-T9/
PLUMBING
J~~
MECHANICAL
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
Tp. Serv.
Rough In
Meter Can 7-/0--9'-.5-
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 V~ ~J~<..Q./ 7-/o....p.J-
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.
BUILDING PERMII-.
NO
. CITY OF ZEPHYRHILLS Permit-
(813) 788-6611
T~509313
- -
BUILDING
sp.<..!:>o
ELECTRICAL
Date
7-/o-y.s-
c3.;l.. 7.J.1J
Sewer Conn I,;L ~ <f: c:fC)
Water Conn: .,9J''l), 4-0
. ,
Property Owner: Water Meter: /6..5_ tJi)
Job Address:-3 .' T'I.F.'S:~/ ~trD r/ll7. t.f
Parcell.D. , d~ -:2.5--;)J --3
Zon;ng, ~de' /It"on Gas, ~ d.-tf. ~..........;/ .
OescdptlonofWo", ~16:A~~ g~~~';(J (/~---'- _ -' -
.~cs-: oj)
PLUMBING
do- OD
MECHANICAL
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City license Registration ,
State Certified license#
Signa
Company
Address
Telephone#
Inspector
Valuation or
Contract Price
s ~ t).3 O. 0-0
/r
L.A</~ La~+-r ~qAA>,JJlf
'-' , (/
BUILDING ELECTRICAL
&rr9i
PLUMBING
x/:~ :L-
MECHANICAL
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
WL
Tp. Serv.
Rough In
Meter Can 7~ () -?~
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 ($15.00) shall be made for each trip for each trade:
:V~~~ ;-/~-9.s-'
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
BUILDING PERMIT--
NO
,CITY Of ZEPHYRHILLS Permit.
(813) 788-6611
~~ 5094 J?
dcl~~?J
BUILDING
~-7rSlJ
Date
7-/0 -?-s
Sewer Conn / J... 7 R: t/V
,
Water Conn: J-..57J . cJl:)
Property Owner: Water Meter: ~ ': dV / ~"-
Job Address: ....$ T,I.F.'s: I ~&Z7 .......uc; ~
Parcell.D. # 39'-~-.:L/ - -3 T
Zonmg, tf-~ode' . ~RadonG.'c..{Jj A~U /'~~
Description of Work _~A ~ A~..~t7~_ / / &d.__
(
ELECTRICAL
...6:::s. -: tJZ)
PLUMBING
..3 (). t:rD
MECHANICAL
FINAL
C.O.
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.
DATE
City license Registration ,
State Certified license#
Signa
Company
Address
Telephone#
Inspector
Valuation or
Contract Price
J ~ {)Jo; tIV
Ir-
~ J.O",~
BUilDING
JJt~ ~ :2F/
ELECTRICAL
Ar4T?/
PLUMBING
_/~4 .L
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. Cl
WL
Tp. Servo
Rough In
Meter Can P -/ () --y.5-
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/J ~~~I 9'7d-?~-
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.
a.
b.
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
BUILDING PERMIT --
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
1~509~
.3~SlJ
BUILDING
Date
7-/0 -7S-
~.....;;,~--o
ELECTRICAL
J '3-:: O"D
PLUMBING
..90 . cJ--i)
MECHANICAL
Sewer Conn ~;L 7 r: c/D
Water Conn: 3l:ZJ, tJV
Water Meter: ~ 6..5-: tJi) //+
T,I.F.'s: ~~ ~B c.dL-J
PropertyOwne" ...:~~ .
Job Address: c...3 ~ .:s 'f ,
-(J-.5-:J../- ~
Parcell.D. #
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration II
State Certified License#
Permit Fe
Signa
Company
Address
Telephone#
Inspector
Valuation or
Contract Price
<315 tJ..3 () . trD
/r
~ ~/+hr 7JLffir .u:r
BUILDING ELECTRICAL
13r)uJ 9 J
PLUMBING
6~~
-
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
Rough In _
Meter Can 7 -/1) -y..!:.
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 V~~/7-/tJ-~-
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.
BUILDING PERMIT--
NO
,CITY OF ZEPHYRHILLS Permit.
(813) 788-6611
...s:s: c/l)
PLUMBING
-;-509~A
Date
;J-/ 0-7 ~<-
d~7~?J
BUILDING
-5~~'Z)
ELECTRICAL
..3lJ. d"V
MECHANICAL
Sewer Conn (,;;J...), tf:. U'V
Water Conn: 3 --..s?J . tJ'D
Job Address:
Parcel 1.0. #
Zoning:
Description of Work
T.I.F.'s:
LJ
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration II
State Certified License#
Ir
Permit Fe
Sign
Company
Address
Telephone#
Valuation or ? ? ~
Contract Price l tJ, '\ CJ~ ~
;/"'4>11 ~i~~Mr
BUILDING
)1J rn r .:LPNI .
ELECTRICAL
L3r7/
PLUMBING
~:L.
-
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL.
Tp. Servo
Rough In
Meter Can )'-/1) -Ys
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: _
'11_ -7!- /) . . -;J- ~ / ;>-/0 -- y~
a. Wrong Address A/d4--lL. ~ ~ ti1~(1l
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not rriade 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.
.1JUILDING PERMITW:; 1.-509113
CITY OF ZEPHYRHILLS Permit - -. -
(813) 788-6611
Date
7-IO-9~-
3oZ?~
BUILDING
~~~--V
ELECTRICAL
~:::c o-v
PLUMBING
doom
MECHANICAL
Property Owner:
Job Address:
Parcell.D. #
Zoning:
Description of Work
Water Conn:
.iI) (
~3... :l.A '1
Ys.;L~ II
~".;l'" ,9
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be pe.rformed in accordance with City Codes and Ordinances.
DATE
Inspector
Signat
Company
Address
Telephone#
Valuation or ,.,
Contract Price -3 / ().3 CJ. ,r-t)
/
City License Registration # JI?"
State Certified license#
/1/ d'\ ~ 0lrI
(f
ELECTRICAL
./~ .2
MECHANICAL
~r~~~~~hJl~
BUILDING
6rJ?)
PLUMBING
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Serv.
Rough In
Meter Can 7-1" -rS-
Const. Pole
Pool
,Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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:
J I -#- /fJ -/: /1 . I ? -/Cl'-~~-
a. Wrong Address h/~ ~~ ~4J~
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.