HomeMy WebLinkAbout95-5094
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BUILDING PERMIT-
lfO
CITY OF ZEPHYRHILLS Permit.
(813) 788-6611
...
~~509tL?
Date
!7-/0 -?S-
J;2 ?J;.O
BUILDING
Sewer Conn J J... :; .f: tlV
"
d Water Conn: ...:?5CJ. JD
"'operty Owne" ~ L" ~ Wate, Mete" / 6 ~ '; dV
JObAddress:S) ~---~ . 1L T_I.F.'S:~~'/.tnJ~L:I
Paroell.D.' JY- ~- .)-I-~
Zon;ng, ~ Energy Code: .~ Radon G~' ~j 1;) ~ ~
-;7 .,4-/2 '/'/- /- / . /
Description of Work ~;Af--ArLPA-J/ /.-1.LhVd... /
( .
~-~.SZJ
ELECTRICAL
~~-:av
PLUMBING
30. trD
MECHANICAL
4idI 'I!lb~ (]
NO OCCUPANCY BEFORE C.O.
FINAL
DATE ___
C.O. ~r;- :;) - 7-S
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
~ J.O~A!
BUILDING
fj;;;:; t:Y--
ELECTRICAL
Signa
Company
Address
Telephone#
Valuation or
Contract Price
J::: tJ...s 0, cIV
jg---
City License Registration #
State Certified License#
Ar:e7/
PLUMBING
_/~4 .L
-
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM. ~~l( '(1<)"
Insul. CL /'
WLV 1? (0 t, ,.:;
rS.L~
~ll-L
Tp. Servo :$
Rough In~2-q r)
Meter Can P -I () --f'S-
Const. Pole
Pool
Pre-Meter ~?//~tfJ{lf3
Final L/
{;1(..1..
V--"
Breakers
Ducts Insl. (f,.c..~9K.{;a f)
Compressor
Final,/"
SLB: .
Tub Set L~ 7 ~l ,~
Water
Sewer
Final 1/
Driveway
a.
b.
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:
vJ ~-~~/7-/cJ'-9'--5~
----
9,;1 1/7/9S
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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.- J - UNIT -
VI\wt\rat)\):: 3, 03(J. cO
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2~
327/~O
5'9.50
S-o:. c)O
3cl . iJ I:>
'-/72.. i) 0
/JIlt
q.7~ .110
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III
APPLICATION FOR PER~IT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
Sandy Development Co., Inc.
ADDRESS 12303 u.s. Hwv 301 Dade City, FL 33525
PHONE
904-567-7992
OWNER
Oak Run Properties, Inc.
Bldg #4
JOB LOCATION 37721 Oak Run Circle
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION Oak Run
PARCEL 1. D. #
WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
-2LM/F
----&..# of Units
_____M / H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE :145' 2 I.' X 40~,
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
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
-LPLUMaNG
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
. b \212**********.****************************
I ~ CONTRACTOR SECTION
BUIT~ ~l ^ ), ~ Company Sandy Development Co., Tnc._
State Cert. or Regist. IF CB C010Q21
Signature City License Registration # 1 R
******************************************
Company M~&h'i~
State Cert. or Regist. # OOOS~~~E~~/3Q:J(
City License Registration # -284__
************************************
Signature
Company Bayonet Plumbing,
State Cert. or Regist. # CF
City License Registration #
****************************
Inc.
C042998
91
MECHANICAL
~
,.., ,
Company .::>onny s
State Cert. or Regist. #
~ 0;':/&.: City License Registration #
*** ***** ********************************
f( IYl f9 {) I CC u Co I
2
Signature
OTHER
Company
State Cert. or Regist. #
City License Registration #
Signature
APPLICATION APPROVED BY
?1............~~....................
t17A11' (} )11
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit .Iay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlplianc! with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
788-6611.
Furtherlore, if the owner has hired a contractor or contr~ctors, he is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for which they will be responsible. If you, as the 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 lay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the
City of ZephyrhilIs.
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 - Hoteowner's Protection
Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
'owner', I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
'owner' prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infortation in this application is accurate and that all work will be done in cotpliance with 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 work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforted to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agencies lay apply to the intended work, and that it is
ty responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environtentally Sensitive Lands,
Water/Wastewater Treattent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protertion AQenry - Asbestos abate.ent
I also certify that, if fill laterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood that a drainage plan
addressing a 'cotpensating volute' will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, rancel alter, or
set aside any provisions of the technical codes, nor shall issuanre of a pertit prevent the Building Official fro. 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 perlit is cottenced within six tonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six tonths after the tile the Mork is cot.enced. One 90 day extension of tile, lay be
allowed for the pertit 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 tonth period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY 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 OUR NOTICE OF
COKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD A POST A 'NOTICE OF COMMENC ENT".
SIGNATURE: OWNER OR AGENT
was acknowledged
, 19____ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 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 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 or Stamped)
NOTARY PUBLIC
'DeparJment CJf COrblTlunlty Affairs - FLORIDA ENERGV EFFICIENCY CODE FOri BUILDING CONSTRUCTION
\ "FoAM 600A-g3 Reildthtlal Whole Building Performanc,e Method A CENTRAL 4 5 6
.' , , '",,\,',.,.. ,.,' ," .
PROJt:CT NAME:
ANo AOOF1ESS:
BUILOEF1:
PERMlmNG
OFFICE:
PERMIT NO.
OWNER:
1. New construction or addition
2. Single family detached or MUltIfamily attached'" .
3. If Multifamily-No. of units covered by this submission
4. If MUltifamily, Is this a worst case (yes I no)
5. Conditioned floor area (sq. ft.)
6. Predominant eave overhang (ft.)
7. Porch overhari@ length (ft.)
8. Glass type and Irea:
~ {:~I':!r"" ':r'Pc~".
b. I tilt, Him or solar scteen
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 R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
4. Log (Insulation R-value)
b. Adjal:ent: 1. Concrete block (Insulation R-valuEl)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
4. Log (Insulation A-value)
i 1. Ceiling type, area and InsulatIon:
a. Under attic (Insulation R-value)
b. Single 'assembly (Insulation A-value)
12. Air distribution system:
a Olret!; (In':'ll1tinn .,. I.neati')n)
b. Air H::,,'(Hr"II":uln~lon + Locafion)
1:t Coolillfl sysbm:
(Types: ennt!",I. ;plil. c. l'TT lI:Tqll~ pkg.. room unit, PT AC.. none)
14. Heating system:
(Types: heat pump, elec. strip, nat gas, L.P. gas, room or PTAC, none)
15. Hot water system:
(Types: elec., natural gas, solar, L.P. gas, none)
16. Hot Water Credits:
a. Heat Aecovery (HR)
b. Dedicated Heat Purnp(DHP)
17. Infiltration practIce: 1, 2 or 3
18. HV AC Credits (Type in Leiter designation: CF-Ceiling Fan, CV-Cross vent,
HF-W/lOle house fan, RS-Attic radiant barrier, Ml-Multizone)
19. EPI (must not exceed too points)
H. Total/\,,:-Bl:ilt point~"
b. Total Base points
E-.------~
EPI :: :r?!~IJI~.~~"!..e'~~ x 100
'(It]1 Buse points
---------.-..-
-
I hereby certify that the pi s snd ~pAcil;oations covered by Ihe c Iculetlon are In complisn<:e with Ihe
Florida Energy Code.
, Please Type. CK
1'. II_,.J
2. /it II JiI/'".
3./
4. Y'(~
5. 1(9 'tz) sq. ft.
6. 'r ft.
7. ft.
Single Pane Double Pane
8a. 1(,,;0 sq. ft. ,sq. ft. __
I ft
8b. sq. . .sq. ft.
9a. R= D , 130 I. ft.
9b. R= __, ___sq. ft.
9c. R= __, ___sq. ft.
10a-1 R= !r ;J,h 1- sq. ft.
108-2 R= sq. ft.
1081-3 R= sq. ft.
10a-4 R= sq. ft.
10b-1 R= --'- ___sq. ft.
10b-2 R= --LL- ~~sq. ft.
10b-3 R= __sq. ft.
10b-4 R= __sq. ft.
11a. R= ~D ( () r-Osq. ft.
11b. R= sq. ft.
R= __1,__, _vI.) c~ (cond./uflcond.)
R= ~~. ~ " ,.C6,{. r1 ~ (condJuncond.)
Type: Co2 J\-.i I/c:.\ f
SEERlEERlCOP: fD . U I~
CapacIty: a... ~ '-&' t)
Type: _ ,-:::; l c. l,-f
HSPFVCOP/AFUE: (( 0 t>
CapacIty: . '1 600
Type: G {t' cr
EF: . C;L
12a.
.t2b. ·
13a.
13b.
13.c,
14a.
14.b.
14.c.
15;a.
15ib.
1 Eia.
1Eib.
11'.
iEI.
G', -:~-I
19#'1. 15--,7 ~
~.:.:~~:_..~~ )(9- b >)
?-
.......--..-.. e-
"Re",e.. 01 plan. and specifica:I'Jns covered by this calculallon IndlcalllB compliance with
. lhe Florida Energy Code. Bek~e slrucllon Is compIeled. this building wtI be Inspected
DATE: 7 - "-7".)' lor compliance In accordance . F.8.
he FI da~rgy Coda.
DATE:.
OWNER AGENT:
-1-
~"'~"S-l;""'~""",Jt""'lWl"'." - " ,.. .......'1 .14 t......,- ..~~........ .,............. -. ..
. SUMMER CALCULATIONS
~LASS I BASE
AREA x SUMMER =
PT. MUL T.
82.2
.2
82.2
82.2
82.2
82.2
___ 82.2
..-- ---~~- -.-.----.--
1 \:1
U)
:5
CJ
N
NE
E
SE
S
SW
W
..&I
I
')' :
.15
COMPbN~NT
DESCRIPT10N
] EXTERIOR
J _.__u-,.n.
:J ADJAGEIIT
~~ =====. = =.....:~~
rOo .. -...---.---.----.
....~".,... ~. .......,.-.........~_._----
...\.
tuMATE ZONES 4 5 6
"'l-" .
GLASS
AREA
N I~(v
NE
E
SE ..
S ~P1, ,
SW
W ·
NW
~I'
.. ----
SINGLE.PANE I DOUBLE.PANE
SUMMER POINT MULl. OR SUMMER POINT MULT.
CLEAR T1Nf2 CLEAR T1Nf2
51.0 51.5 47.8 43.5
n.2 76.6 71.7 63.4
109.2 107.1 102.0 87.3
112.9 110.3 104.1 89.4
100.2 98.3 90.9 78.8
112.9 110.3 104.1 89.4
109.2 107.1 102.0 87.3
71.2 76.6 71.7 63.4
367.7 303.3 324.6 238.1
I $U~MER I AS-BUILT
x OVERHANG = GLASS
FACT()lR (6A.l) SUM. PTJ
d~" Ib~,\
.... :
,"'7
/'
( J LM
---
--- --- ---
--
--
-----
---- .--.--- ..... .----
--- -.--
-----
-----
----
.
T
AS-BUILT
GLASS
SUBTOTAL
- .,
COMPONENT
DESCRlPT10H
T
to 'I
U)
a:
o
8
,
.-.----,- ..........r..'...."T..-.. --r-~~ r~-----~
~~~;~~f---.==~.::~=':==:.t:=JI=--=r--~'~~ ~=====1
y
~..g' ~
?-f, f,
T
... ./
i UNDER ATTIC ~_!..<,/ .6 (" 'f. b . j,f)~ ,h It' <.( Ii
OR SINGLE .6 .
:J ---.
iii ASSEMBLY
(.) BASE 2.EILlNG AREA EQUAlS FLOOR AREA DIRECTlY UNDER CEILING. AS-BUILT CEILING AREA EQUAlS ACTUAL CEILING SQUARE FOOTAGE.
l' ,
~ ~~.;:=,--;r-I~'=J~~:~ =_1-4131' U ~ I3D ~ ..~
FOR SLAB OIl GRADE USE PERIMETER LENG rH AROUND CONDITIONED FLOOR. FOR RAISED F.ooRS USE AREA OVER UNCONDITIONED SPACE.
T
1___ INF!IJ!!!.lJ91L._._LE::L'~ __.___J_...J.lli..___-'_ 11'1 L'LL.l
[ .__.._.____. USETOtAL FLOOR AREA OF CONDITIONED SPACE.
..
. ~~"k~~]
r
TOTAL cOMPQ.~mE!K$"r.>~!lM.MER POINTS
T-
BASE COOLING I TOTAL BASE i
SYSTEM x SUMMER =
MULTIPLIER POINTS
.37 ~. ~ (j ~
COOLING
SYSTEM
HOT
WATER
SYSTEM
NUMBER
OF
BEDnOOMS
::r---
.-
10 .~
I
T
I .I'" <7.s vi =1 If 7 J v
'H = HORIZONTAL GLASS (SKYLIGHTS)
,
2FOR GLASS WITH KNOWN SHADING COEFFICIENT, BEE SECTION 1.1 OF APPENDIX C. TINT ~UL TIPLlERS MAYBE
USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT.
.2.
WiNTER.cAlCULATioNS
, ! BASE '-T'
- BASE
GLASS
AREA WINTER = WINTER
PT. MULT. POINTS
3K;:!- .-----.-.-- =~ J.~:fL __
N ..3.4
~- ~ - .-..-.......-
-3.4
rE -_.__.- -.--.---..- -.---.--
f-':'~-' .. -----,-.._--- 14 n"_ __.___n_____.
~ 14
_L ~~'Ul= ';).'1 ;.:}=~~1--==
.----.-- - --.--
.2'!L. --- __<tL__ -~--._.
W .3.4
.------ --.
~ -3.4
~ HI -3.4
CJ
--.-.. -..
--- _.__..
.------ __. _u_ ....---.- --_. .-.---
r---n. -- -------.- --.-----.,---- r------
------- - .--.,-----.--.- n___....__ --.....-- _n_.__.
----. -..---- -~- .--.--.---- ------------
e-- ----
L_.__._____ L- .___..
CUMATE ZONES 4 5 6
-- r-~'ZAss r SINGLE.PANE OR DOUBLE,PANE I WINTER 1 AS-BUILT
AREA x WINTER POINT MULT. WINTER POINT MUL T. x OVERHANG = GLASS
CLEAR Tltfr CLEAR TlNf2 FACTOR (M-l0) WlN.PTS
- N ),I(/v 9.6 9.6 5.6 6.1 JI,~i :-'44 It;
NE '. 7.4 7.3 3.5 4.2 -
._f--. e--' -
E ..2.2 ___- 2.0 - 5.6 .3.6 -
.--- --.-.-- .------.-------
..~~.T.-:'-.--t _IQ3 . 9.7 -13.4 f---=1.M..-_ f----
-- -.-.-- c:~'>
~_._~r:L!- 10'1 , 111) -11:0___ _--.:.!1.Q..__ ~;q
SW_ ____ ... JQ.l... i " .. -1}.!___ -10.4
W .. ..2.2 _.n__:_~L_ .5.6 _. .3.6
--- .---.-
NW '7.4 7.3 3" 4.2
.0
HI -32.1 -28.0 .27.0 -21.5
.
.15 i
.
AS-BUILT
GLASS
SUBTOTAL
ADJUSTED
.,.
COMPONENT ARE:'-T BASE WINTER l BASE
DESCRIPTION . x POINT MUL T. - WINTER
---+-~--+----. POINTS
EXTERIOR --~'~"T::- .... 1.1 } 'fj:i
::f I-_ADJACENT _un; (;-7.- __.-L~__ -'TJ1;I-
; _-.J_n.-- -- -- .-
----- -- .
~ERIOR I" ;.-l. ~ 1-
~~E!!L t
5.1
4.0
COMPONENT
DESCRIPTIOtll
=
t
.
I(i.)
>-c, -6
.
ItO
II
~
I: 6Jf
t
~
::J
Iii
(,J
. . . .
~~~~-~-~~'~: t-~~J---~~-~
BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS-BUIL T CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE. ~
. .
8 SLAB (PERIMETER rJ,U .1.9 - J.. \f7 {'j U ..., ~ :} ;l.~
RAISED (AREA) . . .2
Ii
FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE.
. ' . '
CJ~f!.!:m~!'p...!-I.....]. ""--.'./ ~~'J.~:':""..., .L...-.._:1:L-.._.,..J..._.:Y~..2.:LLI 119 <f. D II i { r tl4 "'Jf
C:=__.__.__.......... ..... .. .. ... .. . ..... ......_.._________.~?~..!.sJlAI. Fl9.9~~RE^-~: CONDITIONE~~)PACE " _ _
. .
[==~- lQIA.~t!~WE!.~iI:f.i]jiii;~Y.i:rH!f.iei~M~---=r!;:::r.~:~ y ~ [=~LM:~~~~!E.~~!LTWlNTERPOINTS-~~'rl. ~f
---'--"-'---BASi 'i:IE)i'ii~iGT"rOTAL BASE TOTAL -, AS-BUILT AS-BUILT AS-BUILT AS-BUILT
HEATING S(~"HA x WINTER = AS-BUILT x DM x HSM HCM HEATING
SYSTEM MULTIPLIER POINTS WIN. PTS. 6A-16 6A-1 6A-18 POINTS
-1~1 r::c. :( '5 ";).." (;)
T .
BASE BASE AS-BUILT ~ AS-BUILT I AS.BUILT I
COOLING + HEATING + HOT WATER = BASE COOLING J + HEATING + HOT WATER .
;~~N~~2 --J bP~'.~.T~Fl.j;.r~~N~~2J71.. .J~f1~~~I:;~.J __ (~~~N~d POINTS I Jr. ~~~~2) I
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'H = HORIZONTAL GLASS (SKYLIGHTS) 2FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1.1 OF APPENDIX C. TINT MUL TIPUERS MAY BE
USED FOR GLASS WITH SOLAR SCREENS. FILM, OR TINT.
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C E N T R ALP E R M I T
PASCO COUNTY. FLORIDA
TIN G DATE: 09/07/95
r:'ACiE: 1 OF 1
I :3:~,UE OFF I CE ~ D
RECEIPT NUMBR: 00259033
OFFICE: DADE CITY
CONTRACTOR #= 004046
NAME: ~EROME W PARKER
{~DDh:: 1 :3050 II I OliLAND::.-, COURT
C/ST: DADE CITY FL 33525
F ()r;: :
C:HECK ft 266:3
RESOURCE FOR PERMIT 5094 8
CI TY OF Z'-H 11-:.:::;
CONTRACTOR: 004046
TOT f~L AMOUNT:
AceNT COMPNY ACCOUNT CENTER
114 8450 - 363000 - _
:::'1" 00
AMOUNT DESCRIPTION/PERMT DATA DRieR
39.00 ****** SOLID WASTE FEE 60
RETE I \/EJ)
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PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
Builder NamelOwner 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 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 D
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
Gross Sq. Ft. (GSF)
RatelERU - 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 $
It.::
TOTAL FEE $
*Discounted for Prepayment
The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197,
as commended.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF
OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
Date
Received By
-------------------------------------------------------------------------------------------------------------------..-------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
i.
I
DATE
) DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
BUILDING PERMIT--
. CITY OF ZEPHYRHILLS Permit W!
(813) 788-6611
i- 5091 j]
- - -
Date
}7-/0 -?S-
J;2?~c>
BUILDING
~- ~rSZJ
ELECTRICAL
~~-:tJV
PLUMBING
..30. o-D
MECHANICAL
Sewer Conn J J...:; .f: tIV
,
Water Conn: J..jCJ . JD
Wate' Meti];6 ~ '; dV ~ ..-J.
T.I.F.'s: I '/. tnJ ~~
,
PmpertyOwne" ~
Job Address: --S) . ,,~
Pa,celI.D.' JY-~-")'-I-~
Zon;ng' tf ~":""' . /7 ~ Redon ~a" ~ 1 J)
Description of Work dA ~ Ah, Pd.- / / .-LA
(
d,.u ~
/
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
Permit Fe
Signa
Company
Address
Telephone#
Inspector
Valuation or
Contract Price
City License Registration II
State Certified License#
J ~ 0.30, crv
Ir-
JJ1~ rt m
ELECTRICAL
_/~4 .L
MECHANICAL
,~ ~O.P:V
BUILDING
Ar"r7/
PLUMBING
-
Breakers
Ducts Insl.
Compressor
final
SLB
Tub Set
Water
Sewer
Final
Tp. Serv.
Rough In
Meter Can P -I () --f'~--
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:
AJJ ~~..I 7-/rJ-9'~-
c.
d.
e.
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corl'1ections 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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.