HomeMy WebLinkAbout95-5095
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BUILDING
BUILDING PERMIT -
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
-Y~509~
Date
7-/0 ~7.5
~.....;; ,-.S-o
ELECTRICAL
J '3-: o-v
PLUMBING
....go . t,!-V
MECHANICAL
Sewer Conn J"d..- 7 r: t/D
Water Conn:....?~ ' tJV
Water Meter: /6...5-: oj)
T.I.F.'s: (d-o y: o"Z) CtrJU
/~
j'
~ ~~ '
Property Owner: -4'L J.. .~
JobAd",...,<3~:--~-~ _tl. ~L'j1"
-d~--~/- ..:s
Parcell.D. #
Zoning:
Description of Work
~ Lj' 7 ft:;;L 13
NO OCCUPANCY BEFORE C.O.
FINAL (i -/2 ~t:('
DATE
;2
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
9
C.O. -L -
i
Inspector
DATE
Permit Fe
Valuation or 9 Z
Contract Price C> . tJ...3 0 . t.Tb Signa
Company
City License Registration # J r Address
State Certified License# Telephone#
~~ ,{J."+'fif t!::F:2ilO.f>- 13~-<r"'T 9/
BUILDING ELECTRICAL PLUMBING
~~~
-
MECHANICAL
BreakersK"
Ducts Insl. 9,2- - crs-.&(JJ5
Compressor
Finalz/'
Ftr.
Pre SLB
Lintel
FRM. 1/~l-4t) ttw......
Insul. CL /
we- ~'r( . (6 ,K,t......
Tp. Servo SLB
Rough In ,/8'--Z-95.f'oB Tub Set /t> 1 ~') 1~1t.L-
Meter Can 7 -/ tJ- 9~ Water
Const. Pole Sewer
Pool FinalL-/
,Pre-Meter 4 --:31.,.95.v1li3
Final] /
Driveway
a.
b.
c.
d.
e.
f.
g.
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:
Wrong Address JJ~~~/7-/tJ-9~-
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called. ~?WI 9 11'(.----
Work not ready for inspection when called. . 1- .- J
Permit not posted on job site. i
Plans not at job site. \
Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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,
III
APPLICATION FOR PER!'lIT
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
37723 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
-2S....M/F
~# of Units
__H/H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE :145' 21.t 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
-LBUILDING
$
Valuation of Total Construction
-LELECTRICAL
AMP Service
Florida Power Corp.
_H.R.E.C.
-LMECHANICAL
...1L-PLUMMNG
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
BUT~~
Signature
").~~............................*.**
( CONTRACTOR SECTION
^' /\.. Company Sandy Development Co., Tnc.
State Cert. or Regist. 4F CR C010Q?1
City License Registration # 1R
******************************************
~ ~ Ii' , '---
Company Me:r-gan Ell:~L.L.1.~ Cum~"
State Cert. or Regist. # 00054BS-Ee ~,?:::/~ro1
City License Registration 1F ~ '"3eS
***************************************
Signature
Company Bavonet Plumbing,
State Cert. or Regist. # CF
City License Registration #
******************************
Inc.
C042998
91
MECHANICAL
~ Company Sonny 0 s
~ State Cert. or Regist. #
, ~ ' City License Registration
~** ********************************
~ IV\. tJD 1ft( Co (
'F 2
Signature
OTHER
Signature
Company
State Cert. or Regist. #
City License Registration #
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AF~IDAVIT
'A: ' NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it.ay be subject to .deed restril:tions. which lay be lore restrictive than City
regulations, The undersigned assules responsibility for cOlpliance 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, IBI3}
7B8-6611.
Furtherlore, if the owner has hired a contractor Dr contr~cjors, 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 perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOleowner's Protection
Guide' prepared by the Florida 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 inforlation in this application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby .ade to obtain a per.it 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 perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not lilited to:
f Departlent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
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. Environlental Health Unit - Wells, Wastewater Treat_ent, Septic Tanks
f US Environlental Protection Aqency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone 'A" Dr 'A,etc.., it is understood that a drainage plan
addressing a 'colpensating volule' will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit 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 perlit prevent the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per_it issued shall becole invalid
unless the work authorized by such per.it is cOllenced within six lonths of issuance, Dr if work authorized by the per_it is
suspended or abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official, An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT ~Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDIN YOUR NOTICE OF
COK"ENCEKEMT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMEN HE
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 or 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
DJ:partment ofC&mmtJnlty Affairs," FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
, 'FORM 600A-93 ~isldentlal Whole Building Performanc,! Method A CENTRAL 4 5 6
'f ... " J " ,'.'.,' ' -" ",... ;. ......~, .. .~., ,
PROJECT NAME:
AND ADDRESS: .32.
OWNER:
1. New construction or addltloh
2. Single family d4!tached or MUltifamily attached.' ,
3. If Multifamily-No. of units covered by this submission
4. If Multifamily, Is this a worst case (yes 1 no)
5. Conditioned floor area (sq. ft.)
11. PrE'd('lmi'n8nt f?8VP n"erh~ng (ft)
.. Fool:.;.. i,.. ..i'II.!.lll9 .,}j,~IJI \'"..)
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)
i d. Net Wall type, aH!a 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. Adjacent: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
4. Log (Insulation R-value)
11. Ceiling type, area and Insulation:
a. Under attic Om;'.Ilation R-value)
b,Sinql:' a~~!"::!nhlv ("'!'.u;ation H.value)
12. AII' dlr..tributi(l" sv~"t,,!m:
a Duct:, (1m' JI:i1inn + Location)
b. Air H.3ndl(?r( Insulation + Location)
13. Cooling system:
(Types: central-split, central-single pkg., room unit, PTAC., none)
14. Heating system:
(Types: heat pump, elec. strip, nat. gas, L.P. gas, room or PTAC, none)
15. Hot water system:
(Types: elec., nalural gas, solar, L.P. gas, none)
16. Hot Water Credits:
a. Heat Recovery (HR)
b. Dedicated Heat Pump(DHP)
17. Infiltration practice: 1, 2 or 3
18. HVAC Credits (Type in Letter designation: CF-Ceiling Fan, CV.CroES vent.
!-IF.Whole hOlJse fan, AS-Attic radiant barrier, MZ-IJlulti70rt")
19. EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
EPI = Total As-Built points X 100
; Total.Base poIate
. ... ..~
,'" .'"
I hereby certify that the ans and specifications covered by,l calculation are In compllanCli wnh the
Florida Energy Code. '
7- ~-j-r
OWNER AGENT:
-1-
CK
1.
2.
3.
4.
5.
6.
7.
/1f,oI7. ,
/ '
\{l'Y
1(9 or l>
"}--
sq. ft.
ft.
ft.
Single Pane Double Pane
I{.~ sq. ft. .sq. ft.
_~___sq. ft. ____.sq. ft.
8a.
8b.
9a. R=
9b. R=
9c. R=
10a-1 R=
10a-2 R=
10a-3 R=
10a-4 R=
10b-1 R=
10b-2 R=
1 db-3 R=
10b-4 R=
cD
1 ~ 0 I. ft.
sq. ft.
sq. ft.
~b 1.- sq. ft.
sq. ft.
-":"'_sq. ft.
__sq. ft.
, -
R
sq. ft.
f I "ot.{ sq. ft.
sq. ft.
sq. ft.
11a. R= ~~ _~sq. ft.
11b. R= ___ __sq. ft.
12a. R= Iv ,v~ t:1.' (cond.luflcond.)
,
12b. R= 4,~f', (A,l.;..l. (cond.luncond.)
13a. Type: C~, A--- i 1/ c:.\ (
13,b. SEERlEEAlCOP: fD ,u D
13;c. Capacity: n- ~ .:l-t't/
14a. Type: _ /-::; l C (-(
14.b. HSPRCOP/AFUE: I( ot>
14.c. Capacity:' 11 ()I:Jc,
15;a. Type: G { t' ct
15ib. EF: . C, I
1 Eia.
1Eib.
17'. ?-
HI.
r.:- I
l~~' .tg.-1._
.....-......----..
1 ~Ia. -----L5- "7,~
Hlb.; )...( €f b S; ":.
"Review of plans and speclficalions covered by IhIs cflCullltlon 1ndk:ates compliance with
the Ftortda Energy Code., Before construction Is COInllIehld. this ~ be Inspected
lor compllance In acoonIance ~ F,S. Q
BUILDING OFFiCIAL: ' .J'A . . J'I . · _
DATE:
it"'''' .......iAd..~W~~H.:j\i~id1:'if'l.J,. "ii.'Jl~mU"..,.....tlIt"'''''''''''.rt..."....,..,,, ".~.........-........", ...
SUMMER CALCULATIONS CUMATEZONES 4 5 6
_____.
CONO TOTAL BASE BASE ADJUSTED
15 11 FLOOR .. GLASS = ADJUST. I GLASS = GLASS
_~____~-~ __1_ ;.-;~FI!.EI-A __-'-- ~~R 1_ ~~flli BA.S.. ESP
.15,1:, t'; .I..~ [" ' . . ~~
-- . - . ._-----,- -
COMPONENT AREA II BASE SUMMER = S~:~iR COMPONENT
DESCRIPTION f:lOINT, MUlT. POINTS DESCRIPTION
EXTERIOR 1.0
~ ADJACENT .7
3t
.. .
[l~~~~~~]~Or;~:L}L]_L~~-1 [_=~::~'f \ 10 'i~
[; ~~!irr~C;~.G~]~~.:.t:::~JJ"-T=W'EOO"~nMLCW03___MC ~ ~
. .
~ ~:E~::~'=:~~t~~~ ~.:1J
FOR SLAB ON GRADE U;;E PERIMETER LENGTH AROUND CONDITIONED fLOOR FOR RAISED F'_OORS USE AREA OVER UNCONDITIONED SPACE.
"
F INFILTRATION Lt::~_~~==]n--__!QL-----'lj~&JI~~F CONDITIONED SPACE.
,.
r TOTAL.~NENT B~$E-:~.E.~ POINTS ) ~ tp '}. < I
._------- I
c:COOLl;~----1 BA~~ :CC;OUNG 1 TOTAL BA:sEl BASE ]
SYSTEM J-----M\l,: ~!~-:~R .. .L.._.~~;l~ OJ __:=I[__J~~~J',~SGl- -
,_ .3~ \ ~- j ~ I." \ _6 ':'?LL On .__
NUMBER . BASE
OF 11 HOT WATER
8EDRooMS MULTIPLIER
3527
BASE
= SUMMER
AREA PT. MUlT. POINTS
N .~ {~t::~ ~ - 82.~ ~~:~___~ J-
..IlL .--0------- ------g~---------------
E .____ 82.2_ _________
SE 82.2
~S-- -~ 82.2
SW 82.2
W 82.2
NW 82.2
H' 82.2
~
CI
--' ._-- --.-'-'- --- .._-"--~-
-- -"--"-'-- _._._-~-_._------
----....-.-..-. -.-.-..------
HOT
WATER
SYSTEM
'H = HORIZONTAL GLASS (SKYLIGHTS)
GLASS 1 SINGLE-PANE OR DOUBLE-PANE 1 SUMMER I AS-BUILT
SUMMER POINT MULT. SUMMER POINT MUlT. II OVER~~G == GLASS
AREA ClEAR TINr ClEAR TINf2 ACTqR 6A-l) SUM. PT$-
N .).{{<< ),. 51.0 51.5 47.8 43.5 ."'., I b '1,\
NE ~ 77.2 76.6 71.7 63.4 "
E 109.2 107.1 102.0 87.3 .
SE 112.9 110.3 104.1 89.4
S t;p" , 100.2 98.3 90.9 78.8 ,~'1 1,If'.'AA
SW 112.9 110.3 104.1 89.4 " ' ,;.;,.
W . 109.2 107.1 102.0 87.3
NW 71.2 76.6 71.7 63.4
HI 367.7 303.3 324.6 238.1
1--------
.- 1----- ----.- --------
--.--- --
._._--~-
-- f------ _.-_.----
---- -"-'-~ -- -~-_._" ---- -- ---
_.----- ---..------ -------
------ _0------ -------- -' -- --
c-'
,.
AS-BUilT
GLASS
SUBTOTAL
.- .,
.
I () ,~ ~I en d -I I' 7 I V
.
T~~l~~~~I~~~~!~--~~ {.If "I I
TOTAL
ASl?lIlLT
~ur! pp;
AS-BUILT I AS-BUILT I AS-BUilT
I: OM X CSM X CCM
(6A, :11jo_=ti6A-8 _J6A-19L
, ~"3'
... ..-.. ---
2FOR GLASS WITH KNOWN SHADING COEFFICIENT, BEE SECTION 1.1 OF APPENDIX C. TINT MULTIPLIERS MAY BE
USED FOR GLASS WITH SOLAR SCREENS, FilM, OR TINT.
-2-
~ ~
":f,~ "T . '''-'''--'i\'["--'''--'''~;ASE ADJlISTED
X FLOOR + GlASS ~ ADJUST. * GLASS = GLASS
~RE~\. __.A.~~___L}ACTOR I~UBTOT~LL_ BA~E\!P
V l;.-' ..::.t-+-::I /, ,,'f/ [ -:3.'fl I.
, ~----
ARE;-r BASE WINTER = ~~~:R
POINT. MUL T. POINTS
----'l-..- 1.1 - ._~
o 1.8 -/7
i UNDER ATTIC .. 1\-,) o.~D .6 ..' ~<I~ ~ 10i ( {p ~ l.> v Y
OR SINGLE .6
a ASSEMBLY .6
(.) BASE CEIUNG AREA EQUALS FLOOR AREA DIRECTLY UNDER CEIUNG, AS-llUILT CEIUNG AREi\ EQUALS ACTUAL CEIUNG SQUARE FOOTAGE.
2i SLAB PERIMETER U -1.9 ~
:il RMSf!lIAR"I_:=::::__~~2_____1
I t )11 Sl (,:)1: (il',i.!>,; '.Ii ii, HJiil~E TER Lall.l1ll,\FIOUND CCNDITICN'OD FLOOR. FOR RAI:3ED FLOORS USE AREA OVER UNCONDITIONED SPACE.
__..__.p.._..p.R4'~'_~''''. ,,~ _.. .._ ....-.....,......",..,...__...'__...._.~....".'_.__.__________ -
~
E'-INFlL TI~;.ru)jj'--"'- I' .... ,- :. ~ .;: ::"-"I"-"-"'4~---r'jr('--) ,('! r---------
_._______. __ _....._...._ ........~.. ...... ........ ..__... ._L__L....L-L____
USE TOTAL Fl.ooR AREA OF CONDlTlotlEU !3PACE.
-----.-.-.---.-..- -.--.,.- . '" -.. ..,....,..................,.--.----------
~ ~
TOTALCOMP<ft6.liASHtINTERPOINT; __ __~J "y I r T~~~~OMPONENTAs-aUILTWlNTERPOINTS ___~__!...'L7- -,
BASE HEATING TOTAL BASE TOTAL AS-BUILT AS-BUILT AS-BUILT AS-BUILT
SYSTEM x WINTER = AS-BUILT x DM x HSM x HCM = HEATING
_ MUlJJELj~R t POINTS WIN. PI!-l 6A.16 6A.17 (6A-18) POINTS
11 r::~ :(7 ~4 d- .1-L ' 0
y ~ -
BASE-r BASE -T----rOTAL ~ AS-BUILT I AS-BUILT [
+ HEATING + HOT WATER = BASE ; + HEATING + HOTWATER :if.
--~,:KT~7~,I_=~7J~I:r.~~.1 d. ,:':,1.1 ~;~~2) I
:1__I-d...1LJ -70 If 14~~ ' ~ =+~"v , ~b 1::E:t
--- -- -
'H = HORIZONTAL GLASS (SKYLIGHTS) 2FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1.1 OF APPENDIX C, TINT MULTIPLIERS MAY BE
USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT.
, .
, WINtER CALCULATIONS'
! - I
GLASS BASE BASE
WINTEFl WINTER
AREA PT. MULL POINTS
--- -?;~;"}::~ .-.---.....- ---.. ..~~----_.-
N ____<IJ __ __ .C,. J3---fL.._-
~- ~-_.- ._.:;3.1___ . -----------
E -3.4 1---
------------
SE _-11--__ -.
S ,-r;, ~l\ -3.4 ... '~ vI
SW .3.4
W ,3.4
NW -3.4
m H' -3.4
~
:5 1---._ 1----- --
<.:J -"--' ----------- ----.------
1------ _.---- .--- ------ ._____....n._ 1--..
------- ---.--------.- -_.~---_.-._--_...- -----"--
---- ---- ----~-_..- --.
--. ._-
----- --
c--
- .--._-- ----. -----------
.15
.15
:I
;
COMPONENT
DESCRIPTION
EXTERIOR
ADJACENT
~ -~I@IQ~L'-I c--;t,:L--t.._.-I-- 5.1
8 J..QJ_~Q.~tu:.__ .___. .____.... .__. 4.0
Cl
-, .---.--
HEATING
SYSTEM
....
g
....
CLlM,~TE ZONES 4 5 6
GLASS I SINGLE-PANE I DOUBLE-PANE ~'ER I AS-BUILT
AREA L. W,INTER POINT MULT. OR WINTER POINT MULT. x OVERHANG = GLASS
_~~~LV :~~C~I~'L1- TI~:~ CLEA!1 TINf2 .._ FACTOH (6A-10) WIN. PTS
-- .--\ (1 "-'
N ___..--M. __ -~-- -f+'''~
1~== --.
7.4 1'1 _~:~l__ _.4.2
E_ ~-== '-~_~__~_~1_.__ : .. ' 5Ei _:3.6
--.-.--
-..QL -~ --...:~ n____.JE__ _~L .10.4
S l .10.9 -10.2 -14.0 .11.0 .,C~ ..,;.'~ c,
SW -10.3 - 9.7 -13.4 .10.4.
W .. - 2.2 ,2.0 - 5.6 - 3.6
NW '7.4 7.3 3.5 4.2
Hl -32.1 -28.0 -27.0 -21.5
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GLASS
SUBTOTAL
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COMPONENT
DESCRIPTIO"I
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C E N T R ALP E R M I T T
PASCO COUNTY, FLORIDA
DATE~ 09/0719~5
PAGE~ 1 OF 1
I :;:;:;::,UE. OFF ICE: [I
RECEIPT NUMBR= 00259032
OFFICE: DADE CITY
I N (i
CONTRACTOR #: 004046
NAME: JEROME WPARKER
ADDR: 13050 HIGHLANDS COURT
C/ST: DADE CITY FL33525
Fell:-;: :
CHEC:K '# 2/:,63
RESOURCE FOR PERMIT 5095 8
C:ITY IF [,-.HILLS
CONTRACTOR: 004046
TOTPiI._ AMOUNT:
COMPNY ACCOUNT CENTER
?iCCNT
114
B4.O:;O _. 36:'000-
.-,
.r:....
::;:9. 00
AMOUNT DESCRIPTION/PERMT DA1A DRICR
39.00 ****** SOLID WASTE FEE 60
r;:FCE I \/ED
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, "re'" '--"" '\/ \i , ~)
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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.lU nit
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. 13l5/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 $
,
I --
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 OmCE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
Date
Received By
-------------------------------------------------------------------------------------------------------------------,--------------------------------
OFFICE USE ONLY
BY
BY
f', ..l .$ ~~.i..
DATE
DATE
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO."'~"
"
~'- ~,,';"I
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
BUILDING PERMIT--
. CITY OF ZEPHYRHILLS Permit !N
(813) 788-6611
~~509~
Date
7-/0 ~7.s-
---5~SD
BUILDING
~.....:; ,--.StJ
ELECTRICAL
J~-: o-v
PLUMBING
....go . t,!-V
MECHANICAL
Sewer Conn I"d..- 7 r: tlV
Water Conn: ....?SCJ. tJV
Water Meter: /6..5-: tJj)
T.I.F.'s: ~d-() y: I'ZJ ~U
P",portY Owno" -:/;:--~
Job Addres$: c...3 ~ ..s' ~ ,
-~-~/- ..:s
Parcell.D. II
Zoning:
Description ,of Work
NO OCC~PANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
DATE
DATE
Permit Fe
Sign
Company
Address
Telephone#
Inspector
Valuation or
Contract Price
City Licen$e Registration #
State Certified License#
c3 ~ ~..30. trD
Jr
~lcr ~~;";r"'f
BUILplNG
/Jl A'I if .2%''1
ELECTRICAL
l3ifAhuI 9 J
PLUMBING
6~~
MECHANICAL
-
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In -
Meter Can 7 -/ tJ ~ 9~
Const. Pole
Pool
,Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are n~cessary due to anyone of the following reasons, a
charge of Firteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wron Address V~~/7-/tJ-~-
b. Cond mned work resulting from faulty construction.
c. Repai s or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Perm t not posted on job site.
f. Plans not at job site.
g. Wor not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.