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Home My WebLink About95-5195 ( . BUILDING PERMIT ,-.- -- permit)W ; 519W CITY OF ZEPHYRHILLS (813) 788-6611 Date f5!-/[{-95- t/ J ?~rc. /1 ~~ /, CjJ./9. ~ BUILDING ....- '7; i VD. &5' - r;-S-- ELECTRICAL PLUMBING MECHANICAL Sewer Conn ~t=f>r,c... . 9- f( '7~ ~ \ Water Conn: / PmpertyOwne" ~~~ .j::j;~ll{;3;J~A5 ~'e'Mete" /"-c1t~ Job Address: ~_q *4a---_ '- T,I.F.'s: ~ q'5~- Parcel I. D. # R '/~ 0 ~ -Jj - f1J fJ1Y CJ .- "0 I () () - t!) c> t!7' 0 f9- Zoning, ~ Ene'gv C~e' ~. ~'don G." .y 9. Oe.e,;ption of Wo", -) II l"'~ _ ..."'U~ NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Oonst.pole FPC (Jewel) Bobbie 08/24/95 09:55 A.M. Inspector Pe,mi, Fee 7':d ~ ~ Signature V ~ ) WI' Company Address Valuation or ~ . - Contract Price ~/"19 f?D Telephone# fi:Jt~r:: BUILDING PLUMBING MECHANICAct' /f9D Tp. Servo SLB ~"Zo- 9$ 6JLL- Breakers Rough In ;;t. Tub Set Ducts Insl. Meter Can' -It'-fs-glf, Water Compressor Const. Pole 0 "~+Jj; D:b Sewer !Final Ftr. /0-11'4) ~L\.r pri~~/t(T2 b.c; )- ~ D ~,~ /0- ~1~ ") J~ltL jJ- 1-'&'" ~(.. FRM. Insul. CL . WL 12-/ Lf-15" ~ L( 6J.NltI~ //-2/-",- & I w....- DrivevVay ~ ~T,;:,t tSoN,,) ~a~II,t~/~,qR'1. t().-tl-q-)' BoB ., ().#").- J ~ei- Lev t:- \k~1-Q "5'E. LL- ~{U,J& (-J2~b ~l~ \ REIN CTION 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: Pool ' Final pre-Meter~/l-l2.-tt1> ~ Final a. b. c. d. e. f. g. 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. ?J~ ~ 62-7-7~ p-J ~ -b--'l)O The payment of inspection fees shall be made before any further permits will be issued to the person owning same. .' BulLC>IN& EL.aL.17l. \(.., ~~ rn~tWlLAl.- 5\JB'IO "lit <- Ci{ Ji.i) iT 7o',1tl- se..",~ WAT~~ I JI /V\~ lb.ft L - B~~~ &: iL,D~AS "--, /YlA't=r - 7::>To,Jp- offtd. 'BU<:S. "".'-:r~- ";""T . . Vf\~"T'.DtJ: Z,1'-lt1fJD J,'2-35"eCJ -=- Jq 1/9, ~3 . ~ . ) 1 0 C>~ ln5"oo Q'5.. of) '-- DffL<:fl.. -- ;f5.~~-' )( 171 ~\ r=-r: ~VtN6 /5, <>t.)(. ,q b ~,F-f=. oTTt1iJL _/~,(.()D II , I ?fN !JjfJ- ~l 2.15~22.sr I I < . I I .85 = 1&3(2- 79( - k! LcN~~w f'~6 fJ/A " l} 1~.'1 ~ :2 L/ 5: a> 0 ;' iUt- r lAN ~A-~ ~ ~qo~ 8tl J./.1,C1 B t __ 7~6PDa:rm1W Jmih.:r fiLf-s /Hltt!' 510NC , r2c:- - ~~ sF'" r;Jen.o;-/, ( X 993,~ fer I,(!Q)~= - I 'fq 5 5: e.!2. " BOllENB4CK BUILDERS, INC. Ship: Pick Up __ Mail Other V ~ ~i:JJ .. ? Cb '6 ,. ~ I~ 3784 Tampa Road · Oldsmar, FL 34677 (813) 855-2656 · Fax (813) 855-3475 TRANSMITTAL LETTER To: C\~yaP ~~~IJ .s-~ lr r),t.t~ cr-Jv..eJ/ J. C<fk.y't/LtIL i PL .1 J.sYn Attention: ~ "'&\MI~ ,JJ ~ Date: II}~ lie MorH- o~~ Job: We are sending you: Herewith (v(" Under separate cover ( COPIES DESCRIPTION These are: () for approval. Please return prints, () returned reviewed. () returned reviewed as noted. () returned disapproved, resubmit. () for files and use on job, ((.J,. f~r C/uotation only. /. f' _ IJ t L ") t&I' '/'J"" I'Ji\Jt'e\A,) 1" R _'.fl4 ~ r-.v"", t r Q" 3 '-'/"?) C{-t; ~ 1,~I';t. <,lIP ( \ ~ J..I'(PCf-,O ,.~ Remarks Copies to: Q-e. B~f1pM.L Bollenback Builders, Inc. "~t5~ ~tLOKAS . . /111rfr ~;C)~ ~fFt4<... b4}G. TABLE A - WORKSHF.F.T CITY OF ZEPHYRHII.I-<<i 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) 17 5 . 00 639.00 Car Wash (Per Stall) 1,000.00 6,390.00 FIXTURE G.P.D. #~ WATER SEWER TOTAL PER FIXTURE Sinks 50 1 17. sv & 'Ll . Water Closets 75 3 _~q 3 .1)- jV I I Urinals 50 I ~l7. 50 Lavatories 25 to 2 ~ Zl ~D Tubs/Showers 50 , 17 :;2 Washing Machine 200 Washing Machine 50 ;)[))17 C Dishwasher 400 , Sinks-3 Comprt 100 Car Wash-p/st. 1,000 ...... q , ~ ,7 ~ J n WATER METER ~Lj5. DC: Whole" Bnilding Perfor.mance Method for Commercial Buildings F'orm 400A-94 ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs FLAjCOM-94 Version 2.1A LIGHTING EXTERIOR LIGHTING 460.00 LIGHTING CONTROL REQUIREMENTS HVAC EQUIPMENT COOLING EQUIPMENT 1. SEER 2. SEER HEATING EQUIPMENT AIR DISTRIBUTION SYSTEM INSULATION 1. With Insulated Roof 2. No Ducts 3. No Ducts 4. No Ducts 5. With Insulated Roof WATER HEATING EQUIPMENT 1. EF PIPING INSULATION REQUIREMENTS 1. Non-Circulating wjo H PROJECT NAME MATT STONE ADDRESS: =COPELANSD DR...:3 71../9 ZEPHRHILLS OWNER: MATT STONE AGENT: BUILDING TYPE: _Factory - Industrial CONSTRUCTION CONDITION: New construction DESIGN COMPLETION: _Finished Building CONDITIONED FLOOR AREA: _2810 MAX. TONNAGE OF EQUIPMENT PER SYSTEM: COMPLIANCE CALCULATION: METHOD A A. WHOLE BUILDING PRESCRIPTIVE REQUIREMENTS: PERMITTING OFFICE: eilCf _Zephyrhills CLIMATE ZONE: PERMIT NO: JURISDICTION 4 - 5/flj-A NO: 611600 NUMBER OF ZONES: 5 5 DESIGN CRITERIA RESULT 52.15 100.00 PASSES 4890.00 PASSES PASSES 10.00 10.00 10.00 9.70 LEVEL 6.00 4.20 0.00 0.00 0.00 0.00 0.00 0.00 6.00 6.00 0.90 0.86 0.00 0.00 PASSES PASSES PASSES NjA NjA NjA PASSES PASSES PASSES COMPLIANCE CERTIFICATION: -------------------------------------------------------------.--------------- I hereby certify that the plans and specifications covered by this calcu- lation are in compli e w' h the Florida Ener ff' ~ ode. PREPARED y. DATE: I hereby certify that this building is in compliance with the Florida Energy Review of the plans and specifica- tions covered by this calculation indicates compliance with the Florida Energy Efficiency Code. Before construction is completed, this building will be inspected for compliance in acco.r dance ~th Section 553.908, ~a Stat es. BUILDING OFFICIAL: ~LA~ Q g - ? ,-'7~ Efficiency Code. , OWNER/AGENT: DATE: DATE: I hereby certify(*) that the system design is Energy Efficiency Code. SYSTEM DESIG~~R ARCHI TECT : \Jo Irf Ai e. H t4 u if", A. e.c H rrE~ r MECHANICAL: ' . PLUMBING ELECTRICAL: LIGHTING (*) Signature by registered be used where in compliance with the Florida REGISTRATION/STATE 1_1t,.::i 5740 t=L. is required where Florida law requires design t,o be performed design professionals. Typed names and registrat,ion numbers may all relevant information is contained on signed/sealed plans. ---------------------------------------------------------------------------- ---------------------------------------------------------------------------- I ltl ' l' COMPLIA.NCE CHECK 401.------GLAZING--ZONE l-----------------------------------.-------------v- Elevation Type U SC VLT Shading Area(Sqft)1 -------------- ----------1 1.15 1 .89 None 961 1.15 1 .89 Continuous Ove 241 Total Glass Area in Zone 1 = 1201 401.------GLAZING--ZONE 2-----------------------------------.-------------v_ Elevation Type U SC VLT Shading Area(Sqft)I -------------- ----------1 o 1 1 None 01 Total Glass Area in Zone 2 = 01 401.------GLAZING--ZONE 3-----------------------------------------------_v_ Elevation Type U SC VLT Shading Area(Sqft)1 -------------- ----------1 o 00.1 1 None 01 Total Glass Area in Zone 3 = 01 401.------GLAZING--ZONE 4----------------------------------------------__v_ Elevation Type U SC VLT Shading Area(Sqft)1 -------------- ----------1 1.15 1 .89 None 601 Total Glass Area in Zone 4 = 601 401.------GLAZING--ZONE 5---------------------------------------------___v_ Elevation Type U SC VLT Shading Area(Sqft)1 -------------- ----------1 1 .89 Continuous Ove 721 1 .89 Continuous Ove 181 1 .89 Continuous Ove 1501 Glass Area in Zone 5 = 2401 Total Glass Area = 4201 402.------WALLS--ZONE 1-----------------_______________________________1___ Elevation Type U Added R Gross(Sqft)1 --------- -------------------------------- ----- ------------------1 Adjacent Hvywt. Concrete Wall + 8" Concre 0.187 5 1601 East Hvywt. Concrete Wall + 8" Concre 0.187 5 2001 South Hvywt. Concrete Wall + 8" Concre 0.187 5 1601 Adjacent Hvywt. Concrete Wall + 8" Concre 0.187 5 2001 North Metal Curtain Wall: With Air Spa 0.230 19 1601 East Metal Curtain Wall: With Air Spa 0.230 19 2001 South Metal Curtain Wall: With Air Spa 0.230 19 1601 Adjacent Metal Curtain Wall: With Air Spa 0.230 11 2001 Total Wall Area in Zone 1 = 14401 402.------WALLS--ZONE 2-----------------________________________________1___ Elevation Type U Added R Gross(Sqft)I --------- -------------------------------- ----- ------- ------------1 East Hvywt. Concrete Wall + 12" Concr 0.421 0 12851 South Hvywt. Concrete Wall + 12" Concr 0.421 0 17941 West Hvywt. Concrete Wall + 12" Concr 0.421 0 13201 Total Wall Area in Zone 2 = 43991 402.------WALLS--ZONE 3-----------------_____________________.__________1___ Elevation Type U Added R Gross(Sqft)1 --------- -------------------------------- ----- ------- ------------1 North L & Hvywt. Concrete Block: 8" Li 0.294 0 1601 West L & Hvywt. Concrete Block: 8" Li 0.294 0 2401 South L & Hvywt. Concrete Block: 8" Li 0.294 0 1601 Total Wall Area in Zone 3 = 5601 BUILDING INFORMATION East Adjacent Commercial Commercial North Commercial North Commercial West Commercial Adjacent Adjacent Adjacent Commercial Commercial Commercial 1.15 1.15 1.15 Total 402. -'-----WALLS-~ZONE. 4-------------------------------------------------1,7,-:-- .~lev~~i6n Type' , U Added R Gross(Sqtt)) --------- -------------------------------- ----- ------- -----------1 East Metal Curtain Wall: With Air Spa 0.091 0 42321 South Metal Curtain Wall: With Air Spa 0.091 0 17251 W€!st Metal Curtain Wall: With Air Spa 0.091 0 16611 Total Wall Area in Zone 4 = 76181 402.------WALLS--ZONE 5-----------------------------------______________1___ Elevation Type U Added R Gross(Sqft)1 --------- -------------------------------- ----- ------- -----------1 Adjacent L & Hvywt. Concrete Block: 8" Li 0.294 0 2401 Adjacent L & Hvywt. Concrete Block: 8" Li 0.294 0 2401 Adjacent L & Hvywt. Concrete Block: 8" Li 0.294 0 721 Adjacent L & Hvywt. Concrete Block: 8" Li 0.294 0 721 Total Wall Area in Zone 5 = 6241 Total Gross Wall Area = 146411 403.------DOORS--ZONE 1-----------------------------________.___________1___ Elevation Type U Area(Sqft)1 --------- ------------------------------------------ ----- ----------1 Adjacent 1-3/4 Steel Door-Fiberglass/Mineral woo 0.60 421 Total Door Area in Zone 1 = 421 403.------DOORS--ZONE 2--------------------------______________________1___ Elevation Type U Area(Sqft)1 ----- ----------1 o 1441 Total Door Area in Zone 2 = 1441 403.------DOORS--ZONE 3--------------------------______________________1___ Elevation Type U Area(Sqft)1 --------- ------------------------------------------ ----- ----------1 Adjacent 1-3/4 Steel Door-Fiberglass/Mineral woo 0.60 211 Total Door Area in Zone 3 = 211 403.------DOORS--ZONE 4-----------------------_________________________1___ Elevation Type U Area(Sqft)1 --------- ------------------------------------------ ----- ----------1 North .1 garage door 0 1441 North 1-3/4 Steel Door-Fiberglass/Mineral woo 0.60 211 Total Door Area in Zone 4 = 1651 403.------DOORS--ZONE 5----------------------__________________________1___ Elevation Type U Area(Sqft)1 --------- ------------------------------------------ ----- ----------1 Adjacent 1-3/4 Steel Door-Fiberglass/Mineral woo 0.60 421 Total Door Area in Zone 5 = 421 Total Door Area = 4141 404.------ROOFS--ZONE 1------------------______________________________1___ Type Color U Added R Area(Sqft)1 ------ ----- ------- ----------1 Dark 0.213 19 5201 Dark 0.213 19 4801 Total Roof Area in Zone 1 = 10001 404.------ROOFS--ZONE 2------------------___________________.___________1___ Type Color U Added R Area(Sqft)1 ------ ----- ------- ----------1 Dark 0.213 0 79561 Total Roof Area in Zone 2 = 79561 404.------ROOFS--ZONE 3------------------_______________________________1___ Type Color U Added R Area(Sqft)1 ------ ----- ------- ----------1 Dark 0.213 0 6001 ------------------------------------------ East . 1 garage door ------------------------------------ Steel Sheet with 1" Insulation Steel Sheet with I" Insulation ------------------------------------ Steel Sheet with 1" Insulation ------------------------------------ Steel Sheet with 1" Insulation Total Roof Area in Zone 3 = 6001 ~04.~--~--ROOFS-~ZONE~ 4-------------------------_______________________]___ Type Color U Added R Area(Sqft)I ------------------------------------ ------ ----- ------- ----------1 Steel Sheet with I" Insulation Dark 0.213 0 245351 Total Roof Area in Zone 4 = 245351 404.------ROOFS--ZONE 5-------------------------------------------------1--- Type Color U Added R Area(Sqft)I ------------------------------------ ------ ----- ------- ----------1 Steel Sheet with I" Insulation Dark 0.213 19 2701 Total Roof Area in Zone 5 = 2701 Total Roof Area = 343611 405.------FLOORS-ZONE 1--------------------_________________.___________1___ Type R Area(Sqft)I ------------------------------------------------ ------- ----------1 Slab on GradejUninsulated 0 20001 Floor over Conditioned SpacejUninsulated 0 5001 Total Floor Area in Zone 1 = 25001 405.------FLOORS-ZONE 2------------------______________________________1___ Type R Area(Sqft)1 ------------------------------------------------ ------- ----------1 Slab on GradejUninsulated 0 79561 Total Floor Area in Zone 2 = 79561 405.------FLOORS-ZONE 3------------------______________________________1___ Type R Area(Sqft) ------------------------------------------------ Slab on GradejUninsulated o 500 Total Floor Area in Zone 3 = 500 4----------------________________________________ R Area(Sqft) 405.------FLOORS-ZONE Type ------------------------------------------------ Slab on GradejUninsulated o 24535 Total Floor Area in Zone 4 = 24535 5-----------------_______________________________ R Area(Sqft) 405.------FLOORS-ZONE Type ------------------------------------------------ Floor over Unconditioned SpacejUninsulated 0 2701 Total Floor Area in Zone 5 = 2701 Total Floor Area = 357611 406.------INFILTRATION------_____________________________________________1___ 1 CHECK I Infiltration Criteria in 406.1.ABC.l have been met. 1 I 407.------COOLING SySTEMS------------____________________________________1___ Type No Efficiency IPLV Tons 1 ---------------------------- ---------- ----- ---------------1 1. Split System 1 10 0 5.001 2. No Cooling System 0 0 0 0.001 3. No Cooling System 0 0 0 0.001 4. No Cooling System 0 0 0 0.001 5. Single Package 2 10 0 2.001 408.------HEATING SySTEMS-------------________________________.__________1___ Type No Efficiency BTUjhrl -------------------------------- ---------- --------------1 1. No Heating System 1 1 512101 2. No Heating System 0 0 01 3. No Heating System 0 0 01 4. No Heating System 0 0 01 5. No Heating System 1 0 01 409.~-----VENTILATION~----____________________________------------------I-~- . , ICHEC~I Ventilation Criteria in 409.1.ABC.1 have been met. I 1 410.-----AIR DISTRIBUTION SYSTEM--------________________________________1___ AHU Type Duct Location R-valuel ----------------------------------- ---------------------- -------1 1. Split / PTAC Air Conditioner With Insulated Roof 61 2. None (Unconditioned Zone) No Ducts 01 3. None (Unconditioned Zone) No Ducts 01 4. None (Unconditioned Zone) No Ducts 01 5. Split / PTAC Air Conditioner With Insulated Roof 61 411.-----PUMPS AND PIPING-ZONE 1-------------___________________________1___ Type R-value/in Diameter Thickness 1 ------------------------ ---------- --------. ---------1 1. Non-Circulating w/o Heat 0 .75 01 411.-----PUMPS AND PIPING-ZONE 2------------________________,___________1___ Type R-value/in Diameter Thickness 1 ------------------------ ---------- -------- ---------1 1. Circulating 0 0 01 411.-----PUMPS AND PIPING-ZONE 3-------------__________________________1___ Type R-value/in Diameter Thickness I ------------------------ ---------- -------- ---------1 1. Circulating 0 0 01 411.-----PUMPS AND PIPING-ZONE 4------------___________________________1___ Type R-value/in Diameter Thickness 1 ------------------------ ---------- -------- ---------1 1. Circulating 0 0 01 411.-----PUMPS AND PIPING-ZONE 5-------------__________________________1___ Type R-value/in Diameter Thickness 1 ------------------------ ---------- -------- ---------1 412.-----WATER HEATING SYSTEMS-ZONE 1------------___________,___________1___ Type Efficiency StandbyLosS InputRate Gallons 1 ------------------------ ---------- ---------- ---------- ----------1 1. <=12 kW .9 0 4.5 501 412.-----WATER HEATING SYSTEMS-ZONE 2------------_______________________1___ Type Efficiency StandbyLoss InputRate Gallons 1 ------------------------ ---------- ---------- ---------- ----------1 412.-----WATER HEATING SYSTEMS-ZONE 3------------_______________________1___ Type Efficiency StandbyLoss InputRate Gallons 1 ------------------------ ---------- ---------- ---------- ----------1 412.-----WATER HEATING SYSTEMS-ZONE 4-----------________________________1___ Type Efficiency StandbyLoss InputRate Gallons 1 ------------------------ ---------- ---------- ---------- ----------1 412.-----WATER HEATING SYSTEMS-ZONE 5------------____________.__________1___ Type Efficiency StandbyLoss InputRate Gallonsl ------------------------ ---------- ---------- ---------- ----------1 413.-----ELECTRICAL POWER DISTRIBUTION-----_____________________________1___ ICHECKI Metering criteria in 413.1.ABC.l have been met. 1 1 Transformer criteria in 413.1.ABC.2 have been met. 1 I 414.-----MOTORS------_____________________________________________1_____1___ Motor efficiencies in 414.1.ABC.1 have been met. 1 1 415.-----LIGHTING SYSTEMS-ZONE 1-----------____________________________1___ Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)1 ---------- -------------- -------------- ------ ----------1 Recreation lOn/Off 2 None 2 880 5001 Reading, T lOn/Off 2 None 0 1000 5001 Total Watts for Zone 1 = 18801 Total Area for Zone 1 = 10001 2---------------------------------------1--- ' No Control Type 2 No Watts Area(Sqft)1 -------------- --- ------ ----------1 2 None 0 0 79561 Total Watts for Zone 2 = 01 Total Area for Zone 2 = 79561 3------------------------------__________1___ No Control Type 2 No Watts Area(Sqft)1 -------------- --- ------ ----------1 2 None 0 0 6001 Total Watts for Zone 3 = 01 Total Area for Zone 3 = 6001 4--------------------------_____________1___ No Control Type 2 No Watts Area(Sqft)I -------------- --- ------ ----------1 19 On/Off 4 35000 245351 Total Watts for Zone 4 = 350001 Total Area for Zone 4 = 245351 5------------------------------__________1___ No Control Type 2 No Watts Area(Sqft)1 -------------- --- ------ ----------1 2 None 0 480 2701 Total Watts for Zone 5 = 4801 Total Area for Zone 5 = 2701 Total Watts = 373601 Total Area = 343611 ICHECKI Lighting criteria in 415.1.ABC have been met. 1 1 -------------------------------------------------------------------1-----1--- 16. HVAC load sizing has been performed. (407.1.ABC.1) 1 1 ------------------------------------------------------------------1-----1--- 17. Duct sizing and design have been performed. (410.1.ABC.1.2) 1 I ------------------------------------------------------------------1-----1--- 18. Testing and balancing will be performed. (410.1.ABC.4) 1 1 ------------------------------------------------------------------1-----1--- 19. Operation/maintenance manual will be provided to owner.(102.1)1 I 415.~~~--LIGHTING SYSTEMS-ZONE , Space Type No Control Type 1 . Unlisted S 1 On/Off 415.-----LIGHTING SYSTEMS-ZONE Space Type No Control Type 1 General 1 On/Off 415.-----LIGHTING SYSTEMS-ZONE Space Type No Control Type 1 Machinery 1 On/Off 415.-----LIGHTING SYSTEMS-ZONE Space Type No Control Type 1 Control Ro 1 On/Off ---------------------------------------------------------------------------- ~ APPLICATION POJt PIltlllT Clft 0' ZI1'IIIICIIlUS BUllDIlIG DIPARTIIDT 0IftU<<l'8 JWd JlAq-tf..r I-ol/i~ PBOHK (t/~ .r-?~- c..;e;76 OWIEIl'S AlPIM$ l/..~.r /1~f7-,A;r;. jJ, CL.etWWal-v::l cfh~~ (!O>-lJcx ~ (0 cf J c /~U.Ht ~ 618 JOB ADD1tBSS I r LBGAL DBSCllIPT10Jl LOT(S) Bt.OCIL--SUlDIV1SI0tl PARCEL 1.0.1. fOBTAI. .. rJOPIIJ'Y TAX 1I001~Kl wou. PROP08lDt~ CoasttuCtion ~ltlon -----Alteration ____.ePAir tn. tall ~i.... --'lOve ----Pu01lsh PROPOSED USI: ~iq1e P.Uy ~/p _' of Unit. ~~~ea.ereia1 __Indust. ~w:la. Pool , --:teatauraa.t Ii Health Departaent Approval DISClUPTlOI or 1IOU: McatSV't fI-1:(h ~~ BUlLDDlG SUBa Gal. X 7b, L/7J'J. Square Feet,~elaht USlDBIITlALz And (2) l'LOT rws It (2) SITS OF IUILDUO PWS I (1) SIT BlIROY PORMS. mMKBRClAL I AttACH (3) SI'1'S 0' BUlLDIIIG PLAliS It (1) S8T DEROY FOlUIS. PIOPIIlTY SuaVlf RlQUIRID FOR ALL HIM COIISftUCTIOH. ~/B _~ther / ;/ PDM.l.TS IIIUUJR5TRD / BUIlJ)UG ~cAL ---llEQIAO.cAL $. "d-.(Jq 000 Valuation of Total Oonstruction MP Service Plorida Power Corp. . W.R.B.C. s Valuation of Ileclwlical Installation ~uo GAS RDOnlG SPBCIALft'. 'l'IPB OP ooaDDCl'lOl. V-;lodt _F~ -1Jteel other FmISBBD n.ooa &LBVAnOlSI~' IS PROJECT 11 nooD ZORI AlIA! YIS ,v' - NO .......................................... -pI.I.".. WIIP~ . ~ X h. c. State Cert. or .lealat. f C-FCo I Sip,ature City Lieeaae JleaiatratiOQ . ..... .....................**............. ..TTIDO OOHPAIY &:. ~ State Cert. or _let. . Slpatw:@, wLlhI 1 Oity License aeaistr.tioo · .......................................... :::~~ a::::N L MRaWtI~ cotIPABY RO~At.-flf~t" /VJ~c~~~ l, (:f"; c.. State Vert. or Realst. . cp.CO.Jjk093 Sipature City Llceaae Reaiatration . J. __() .......................................... lI'I'IID GOtlPUl State Oert. or Ileaist. . Silnatu.re City LiceD8e lleaistratiOB . .......................................... APPL'ICAno. APPROVBD BY PBlUlIT OPPICER. DEC-06-95 WED ~0:05 AM BOLLENBACK-M.S~one/Zeph. 813 783,2728. 12-86-\995 9;d9~1 FFCJt,\ f30LLEI'~BACf< E.~LJ I LC.'EI=1~3 8 :; 9SS 847S [lEe -t;,~"l '2195 Cl8: !.5 FF<'OI'l r'lcCA~THY ~ RSSOC BOLL El./BAO< p.Ol AA MCCartt,ly and S.T..J Associates, Inc. CONSULTING. ENGINEERS De~embl".r 6. 1995 Mr. DQug Lamb Bollenback BUil\lers 3184 Tampa Road Qldsmac, FL 34671 fUj: MATT srONt: ~ ZEPHYRHlLLS OFFICE. BUlLl)ING Dur Doug: The uplift fo('~u $hown on the wood tcUS1) (;al~ulation :>heeu; art. generally 8reate.. than the ~ uplift forces. The oollnel;tiQA hardw~r:e showp on Q~t ~lructut'aJ d(awing~ are designed to the ~ forces and Me COU'ett. Whete hltE:.iferenc~ occurs. at the 11' .O~ jack b'u~~es. a Hl.Igh~ .l<TlQ18 or equivalent strap nJ3Y be 1J~ed. wilh IOd \:ootmon n~il5 to the truss plus 3 tapcon~ to the; m~Ollt, Sin.;ndy J McCarthy and A$:j.Q~iat~, Inc. E0.m~ E. MIchael McCarthy, 'P.E. Pxesld~t 22.00 Belleolr RClOd . Suite ~.50 · Cleorwoter. FL 3.:1624-2762 · (613} 536-8772 P. '1<:11 ~ P.1 01' 12-[16-1995 9:49AM FROM BOLLENBACK BUILDERS 813 855 3475 DEC-e6-1995 08:35 FROM MCCARTHY & ~ssoc. BOLLENEACK TO P.01 AA MCCartta,y and IT.J Associates. Inc. CONSULTING. ENGINEERS December 6. 1995 Mr. Doog Lamb BoJJenOaclc: BuUders 3184 Tampa RQad Oldsmar, FL 34671 f(E: MAlT STONE ... ZEPJIYRJULLS OFFICE BUILDING Dear DOUi: The. uplift forr;;u shown Qn the wood truss calculation sheets are generally greater than the ~ uplift forces. The connection hardwate shown on our stnlcturaJ drawings are designed 'to the ~ forces and are correct. Whete imelfercnce occurs at the 11'~O" jack trusses. a Hughes RT1018 or equivalent strap rn.ay be used, with lOd common nails to the uuss plus 3 tapcons to the ma-wl.lty, Sincerely, McCarthy and A$$Q(:iates, Inc. ~hJ. m~ E. Michael McCarthy, F.E. President 2240 Belleolr ROOd · Suite 250 · C1eorwofer. FL 3~624'2762 . (&13J~36--8772 .' P.l .. , ' 11'......- ~~~ ~~~. zx... Il.!I'\6d CO"'t. . h. 0 t:;.. TOP ~ r;z TT CX"1 :2)G.4. '2 ~ ~~ PiGG1E3ACK DET AIL (DET ~=D) r.z/t3~; l""'AX. ~TCAL '1'~ NOTE: ATTACH PiJRUNS TO STRUCTURAL tRUSS 'M1H 2 16d NAILS AT EACH INTERSECl1 ON. BRACE vERTICALS IN PIGGYBACK TRUSS LA. TERALL Y 'MiH 1 x,4' s AT 1/2 POINTS AND CONNECT YIlTH 2 1 ad NAIL.5 Ai E:.Aa-t \N'TER'SEC11Of".(. IF REQUIRED. 12 12~ HA:x. 5X4 ~.~ ~ - )(.t;r ., lxc :DC U \ 1'0'" ~ Of" ~~ ?1~'Y8AC:< WMS8 - TOP OiCRD 2X4 /2 S? _ V8l1CALS 2X~ ~ S? _ ;.oTTCU ~OFl.O 2x.L P s:;::l @ 2X4. j2 $P OR HF" 'M1li 2-16d CQi.t. 0 Tet' a-lORD cF EAc-l SUPPORTING 1'RUss. 2X4 aRAaNG ~ ee: ANCHORED TO iHE suppCR1lNG S7RUCTURE OR ReeF otA?-iRAGM 0 A l.CAX.. CF 20"-<1" PER SlRUCit,JRAL C(;N$iRUC1l0N DCC1JUENl"S.. 2):-4. BRACNG MA '!'Sf:: S?Wcs:D 8'( O'V81....AFPING A lollN.. CF iWO 1RUs:x:s. I~ 5- X 8. X. 20 G6.~ GeLv. ?~lt: 'M1H ~1..5- X 11 GAGe: IRUSS NAILS IN EAc-l MEM8E:3: EAC1 seE oF TRUSS cR. 13 x a x, /2- 00. COX Pl'rWOOO 'M1H 4- t:5d CON.. :N A /oCE)L. EAC..., :::iDE OF TRUss. (TTPlCAL. P1GG'T't:IAC'( ca I 10M Q1ct'U) 1'0 TCf" Q1atO r::r ~r-""""nNG TmJ= ~Nt:Ci\O"'(_) ~ SOUTHERN TRUSS COMPANIES .IoLt- ~-,,-:a ~ 5: ~::cr ~ ~ flR::M .l61M ~ ~ ... ~.".~ 6'l'1ilii!.. ~ ,;I.lt ~ art iiF're. !l"Jra I"1J5T' ~ H5T~ a( ~.. ~~ cs: ..;.:::toa1t MC ~""i!i:) ~"l"'.~.lA ~ an-a=wl!E. ~ ~'f.>>c:l~ ~ 'i"O ~ ~Qol6 ~ lCIfI.>>oc 'Tl"f. . Ma'T'E; ~ ~ :!IE ~, ::.-c...e... .>>Cl ~ IK "C""~AfoClii Qlrrl ..,......;ao ~ ~-4r!fT"lP"'. ~1"\oll:5~~~~~~~~' .Ella.!. ..au... iCll"" ~ ~!E l...;!.'iEIl.6LL.":'" ~~ UTU....~ ~1" .AoTT.,IGoE:l ,..-~ 54E.An.a<iJ .olICl ~ ~ U'n-IIeGICI ~ ~ NO!El:) en ~ :s:t::IU"tMERK nIU5S CE ~ ~JoIOO, lIC. sarTlERH iRUSS aF Fi_ JI'tEEt, ~ I'L. '%fTj f"t ~ R. Dttl1 ~ _ (..." J:a-1~ .:M)€ - {Be) ~ F#:II. - lo4ll7} .:zI-~ /X( - (llaJ ~ soc.mcERH T1a.ISS OF T~A. lHC. ~Il~ M:IE-(:!JO'J~ fJiI:-~J~- ~ - llI='I ~ ~ aJl1.lXH(: ~ IJC. "oICit;>Q~PI.~ i'lICI€ - {AJlI7J ...- rAr. - (.c'J -..sI ~- CONTRACTOR #: NAME: MATT STONE ADDR: PO BOX 8310 C/ST: CLEARWATER FL C E N T R ALP E R M I T TIN G DATE: 02/15/96 PASCO COUNTY, FLORIDA PAGE: 1 OF 1 ISSUE OFFICE: D RECEIPT NUMBR: 00274278 OFFICE: DADE CITY 34618' FOO: CHECK # 35755 ACCNT 114 SOLID WASTE FOR PERMIT 5195B CITY OF Z-HILLS TOTAL AMOUNT: 342.40 COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/PERMT DATA DRICR B450 - 363000 - 2 342.40 ****** SOLID WASTE FEE 60 RECEIVED B -~ ---~~~~~~~~ " . ~ ~ ....rtJT1I'''"' . .--=....~,,...,,,,.:ry(Ifl'""T~"'Vf.'1Ir'T'~.~""""" ---~~_..-.-.-- '.... r. <Ol ,,- ~- .i! PASCO COUNTY, FLORiD.. ~ Permit No. --' J 'f' ./:~" Date Permitted ".~:/ ""'"- ./ I ,r- 7 .. Builder NamelOwner Name , ,1" , \;1 !f./; ) ............\ ",:"',"";". ;. County Parcel No. Location /-/-1 ,~ ,.r ,.'\. .I >,'"j-i._.",4 .- Subd. Classification/Type of Use .... /l, "....,....4..",/ ,/ .~ ,'-' ",..~,,; !( TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. ,^' ,-. Sq. Ft./Unit 'Prepared By Impact 'Fee Amount $ The above impact fee has been ~stablished, 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. € ; i TOTAL FEE $ Assessment - I l 'i ~ (GSF) x (ERU) X (0.1~) x (No. Days) 100 TOT AL FEE $ --.:~.~. ...~ (\ Assessment - (No. Units) x ($0.1315) x (No. Days) *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 BY BY F.., ,- J' i DATE DATE TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce ~UL-Ub oU It-IU UOt~~ IV; ILL Ilu. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RBSTRICTIONS tbe un&IreigD14 UIIl1erttaDdl that tbl. petlit II' be subject to 'd88d re8trlCtioos' "bleb Ii' be lOr! rlltrlctlY. tbIn City regulaUOIII. fht ......Iplll ..._ r..pootlbllltf for Implillllee lith aD, applicable lleed rlltrlctlll1l. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIBS If the OIIIIer IIu 'InIl! a eontractor or 'Contracton to 1UldertUI IOrk, ther la, be regulrtc1 to he llCllllea In .ccortlllCI with ,tatl BIIl110C11 ngulatiOQl. If the contractor il not licenlecJ II reQUired by law, botll tbe _Ir ID4 lDltrllltor -, be cited for I lilC1M11DOf violation under ltate lalf. If tb, eMir or Intended contractor are uncertain II to Uat IIclIIIllI9 requlrtllDta IIf apply for the Intended IOrk, they are aavieed to CODtact !:be City of ZepIlyrblll. IuUdlDg Dtparl:llDt, (813) 788-6611. FurtbeIlOre, If the QIIIIlr baa bire4 a contractor or contractors, be 18 advised to ban the contractor(l) alp portiou of the lCOOtractor 8ecUou' of thll applicaUoo for wlcb tbe)' will be rUpcIlIible. If JOU, u the UIIIler .Ign II tbe eantractor, rou ue fn4leatlng tbat JOU, utller than tbe contractor, Irl responsible for the work. If tile c;ontractor .1.... lOll to algn u coatractor that .y be 11Io lDc1icatioo tbat be 18 Dot properly lielDllll and 18 not entltlll1 to pen.lttllll pdYllegu In the 'eitr of ZlpbJrh1118. c. TRANSPORTATION IMPACT FEES AND UTILITY CONNBCTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIOA STATUTES, AS AMENDED) I cerUfr that I, tile IppUclnt, Uti belD prOVid@4 witb a cop, of "Iodela'a COnItructlon Llu Law - a-oaert. Protection Guide- pre~ br the Florida DeparbleDt of Agriculture and ConsUll!r Affaira. If tbe appllcilllt II .0Ie0DI other thin the lower-, I certif, tbat I bave obtained a copy of the above described dOCUHDt ana prOli8e In gOOl1 faith to Oelhsr It to the 'OIIDIrl prior to ~CellDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I eertlfr that 111 tb6 inforlation In thi. application ia accurate and that all wort will be 400e iD CQlPlllDCI with all applicable 1_ regulating c:ouuuctlou, loning, aIl4 land c1".lop1811t. Application II hereby B1e to obtain a perlit to c10 wort ana InBtallltioD U indJeate4. I elrUf, that no wort or , iD8tallatiaa W ~cB4 prior to l..~ce of . penit ana tbat all vorl wIll be perfonetJ to ..et .tlDdardl of 111 liN8 regulating CODItructlon, City codu, loning regulations, and land devalopllJlt regulatJolI8 III tH jurl14lctlaa. I allO certl!r tbat I unuratm1 that tJle regulations of otber lJOYlIDIIDtal agenda ., applr to the Intended IOrll, m1 thet It I, 8}' ruponaibil1tr to i48Dtlfr what actlonl I IUlt take to be In COIpUlUlce. Such 89eneta Illcl. but are not llUte4 to: . DepartEDt of IDdroGllltll Regulation - CJPrul Barbuda, Wetland lIeu am! BndroJlllllt&Uf _lUll LaD4I, Water/Vaat...ter Irlatleftt . Soutbwut Flodc1a W.ter _IlIIDt District - WeU., efPrea8 Barhed., VaUand IrlaB, Ilterlllg latercourl. . .Any COtPI of IDalaua - lenlUlt Ducta, laYlgab18 Vatena,. . Depargut of Bldtb , Rlbabl11tIUye 8enlc8l~ IDYir~t.1 Healtb IJDlt - lieU., lutewater Ir_bent, Septic !an'. . US IDYir..-ntal ProtIctlIll AnnCl - llbeatoa abat_t I also cartifr that, if fill IItlrlal f. to be used ill Plood lone 1.1 or 'A,etc.w, it II un4erst004 tbat a drainage plan addtuling a lCOIPIDIIUng 1'01.' will be I_fttel! .bicb il pr8parll1 by a professional englnlBI registered III the State of FlorIda prior to petitt iIIUlftCl. A pe1'Ilt 1..uec1 8hall be coutruecJ to be a Hcense to proceed with tb8 IOrt and not .a authority to dollta, CIOael alter, or set adde anr prodelDIIII of tII8 technical code., Dot .hall iaauance of a perlin prevent the Building Official fa thereafter requiring I cometlllJ of error' ill plana, COftIUucUon, or vlolatlOl1l of anr COlle. .'1Il penlt II.ue4 _11 ... imalid unless the IIOrk lutboriled by IUcb pt.l'Ilt i8 ~ced ,dthla eillOnths of issuance, or If work Illtborlll4 br the plmt 18 8usptmcled or __84 for a perlolS of 811 IODthI after the U.. !:be IOrk Is ~C8d. 0118 90 Gar at_Ian C)f tlla, .y be allowe4 for t.bt penit vUlt fee cba1'ge of '15.00. the atl!DJion Iball be r8lJUl8te4 In writing to the Bull41Dg Offl~1I1. An appmld iupectlon at be logvlc1l1uriug each sillOllth period, or the project will be toIlIidere4 1buI1oItI1. 1IAR11llc; to CMID: YOOI FIILURJ YO RECORD I lorlCl or aIIMBICIIIIN! lilY RBSULt' II TOOl PIIIIG !lICK FOR IRPIJVIIIaT8 !O YOOR PIIOPIRIY. If YOO IJRID to OBIIIII 'IUlCI'~, COISOLT VlfB lOOR LIIDIR OR 11 AnoRm BlFOJII RlaJRDUG 100II JOfICl OF mDIIIfClllm. JOBS lIDO '2, SOO II ALUI 00 IOf Bllb to RICOJU) AID POS! A II1000ICE OF ~I. "~~ snll or FLORIDA -LJ I coum OF r-tn€... ( tlJ The foregoing IDRt~ent waR acknOWledged before 118 this 1tJ/ ~'1' 19 q<) by Y J<enne- t:I\ bo/fu.b()LtJ who 18 perBooelly knOWD to~~ or who he. produced ~ rS6hQ.L(~ tv/ow Yl a8 idenUf:' ation and vh did/did Dot 1:.0 b. #'~+ MARY KUlIG / My CornmiRion cenllll32 - .j Bonded .,.. HAl ~.r..;;' ~_1!i.o;r; (Rame Typed, Printed or St&.ped) ROT.b1 PUBLIC """".,.,' jOYCE D. GUTHRIE ;,~~~~jt'''!f\ MY COMMISSION 1# CC 207363 k~ Ji\ ,:g EXPIRES: July 19. 1996 ~*-i ir.;~~~~; Bonded Thill NotarY Public undelW1lt811 ","t1,1 ;::,- 14 -, 1 ~j~J53 : Ci8Pll FRal BOLLENBACK BUILDERS 813 855 3475 1='0..1 BOlLENB4CK BUILDERS, INC. ~*~~********~********k******************************************* FAX COVEn. SHEET *.**~~*~.*Ah~.******************h******.*A**.*****.************** DATE: ?/J'I i1S- ATTENTION: B~-- COMPANY: FROl'1: ______-______~~~ ReFERENCE: __~~""'~ ~;:./rY~LZ- COHl1ENl'S/CONTENl'S: !7_ NUlI\be~--:-;~ages Including Cover Sheet cc: Th~ hfocmiltion in this tr!lllsmission is confidential ilnd is inte'1ded onl:. ~o;r th~ use of th~ individual or ent;ty t,.~n1ed abov~. If the re~d'lr of this message is not the intended f'?citient, )"ou are hereby notified that any" d i ssem; nat iop, ~fi !ltr ibut ion, Of o:e-py of th i~, communi C!lt ion i ~ str i C t l~ rr~ ibi tt!'d. If you h/lve received this tf~l~smie.don III error, or if you ar~,not'th'!! individual,,~ E'ntity ",;",:~,;l Abov~1 plesse notify us by tcle~'Qnp t6ollect), Bnd return the original mcss8g~ to U~ ~t th~ beloy ud~'ess vie u.s. Postal Service_ You 'Jitl b'? r<;!)",h\Jr~ed for 1.'ny post"?'!'.,,. any oth~r expens'.." "S~odllt"d "ith \he r"teJrn of thh documcnt. lh..nl<: You. '" '" * IF YOU DO NOT RECEIVE ALL PAGES, WILL REFAX MESSAGE -*** PLEASE CALL OR FAX US ANQ WE 3784 Tampa Road. OldSlllar, FL 34677-0140 · (813) 855.2656 · FAX (813) 855.3475 [ER~ ol~ 855 3475 FPOr1 E\OLLEf\IBACf< E\U I L) ,J U _, c__ i J- I <:::'<:::153: C18~or1. . . ....COUNTY +HEAL TH I..IN 904 ~21 ~ hlON .10:52 AM PASCO AUG-i-l-9'.;> , p.2' 4 1 a~_.. 'P. 01 !" llIl~) DEp,'l)~'r'~;~'~~OF HEALTH A.'iD REHABILITATIVE SERVICES DISTRICT FIVE/PASCO COUNtr PV8LIC HEALT~ UNIT HRS Pasco County Public Health Unit Envirolllnental Health Services 37918 lvIeridian Avenue, Room 101 Dade City, FI 33525 Voice (904) 5Z1-4229 Fax (904) 521..4185 Facsimile Transmittal Sheet A. f,u: f <0 In the desk of ; I V It. r0 J2-<::c1 V1(; '-' e c.. To;1>7 fL 7)OJ f-qrYl ~ Subject: S"'-Cn?-! c p ) T /J1I/ /( . 'P 'C4 mi1-' _ Fax NumbeT:_8scY - 3 tf -1.) Number of pages including COYer sheet~ r-,'o.., · The inEO","'ion <on'Uned in ,hi, is confidential :<nd inleneed only fo~ ,he designa'ed recipie",. If you h.ve received thi, in eno" )'OU "'e hereby no,ified ,1... nviow, di "e ",im, i '0 n, dis ui b u, io n 0' copying of ,J;;, ~ ,{ormation i, forb idde n, If yo uh..ve re<<oivcd ,his infOn;",ion in 0"0<, ple..e.no,Jied ,h. ..nde< immediately by <<I'phono and """" the ongiral f;u: by mail to the address herein. Th;}J)k YOu.. flISTHICl" FIve.. '084' un". Rl"_'''' , ~E\v PO.!'l" RICHEY. Fe 3....S4.2..33 L'\ \\''t(l, ~ 'II' l." <"" I 1(', .I( " - t 1 80LLEf'J8ACf< 8U I LDE~:S 81 3 855 3475 8-1 <1- I S'JS'JS 3: C!S'JPt.1 , F~:U, AUG-14-95 HOHle:S~ AM PASCO .COUNTY .HEALTH UN 904 521 1?:.3 . 41ec~ .P.0~ /' STATE OF' I'LORIVA O!':PAn1'M~N~. OF HEJu.Tli J\tm 1~EHA61I.,I'rJ\'TIVE SERVICES ON$ITE SEWAGE DrSPOSAL SYSTEM CONSTRUCTION P~~IT AuthoritYl Chap~$r 381, FS & Chaptnr 100-6, FAC PERJiIT # DATi; PAID FEE PAW S RECEIPT , Str.et Name 95-(;~';)a-~A~'I 08/07/95 ~ 18s.00 ~ COP nAND CON $U\lJt:l' I ON PERMIT FORI (XJ New System (l Exi8~1n9 sYSteru r J Repat~ l ) Abandonment !iolo;1in9 Tank Oth"t' (Spec i!y) ( l Tempor<<rY/Expertm$ntal System J\.PPt,IC1\NT: JEFF ~1A1"IO.K Ac;ENl': DOUG LMB PROPE~TY STREET ADDRESS: Ore COPELAND DR. Zc;PHYR1HLLS tor; _<2Q..~_~__~_ BLoCK! 001 SOBDIV];SI01J: ~~~~.~~~~~~..t~~~~=~~~=~.~=_~==_~~__e~..~_..~===~_.~_~;--~===~.&2~==;~~~~=.c;~_~=~~~...~~=;~.~~w PROPE~4Y ID #:_~4~2~-21-0000-00100_0000 __ (SEC~ION/TOWNSHIPIRANGEfPARC~L NO.) {OR TAX IP ~UHBS~J SY~TEM MUST BE COllSTROCTED IN ACCOROANC~ WITH s,peCIFICATIONS ANO STANDARDS OF CHAPTER 100-6, FAC RE~AIR ~ERMITs AND HOLD1NG TANK PtRMI~s F.XPIRE 90 DAYS ~ROH THE ~^TE O~ ISSUE. ALL O~H~R PERMITS EXPIRE 18 MOllT~S FROM TH~ UATE OF ISSUE. URS A~PrtOVA~ OF SYSTEM DOES NOT GUARANTE~ SATISFACTORY ?ERFO~~Ct FOR ANY SPSCIFIC PERIOO OF TIME. ANY CHANGE IN MAT~RIAL FACTS W~ICH SERV~O AS A 3~SIS FO~ ISSUANCE OF THIS PERMIT, ~ZQUIR~ THE APPLICANT TO MODlfr THE PERM!T APPLICAtION. SVCH ~ODIFleATrONS MAY RESULT IN THIS PERMIT BEING ~.DE NULL AND VOID. ~=..k~K..~~=~M"..~=.B==~Q.~~.&~~=;;.==~.~.~=~~ur~~~..A.w_~_.~~=="~.c..~~~g..~~..~gQ.==~;a=..~=== StSTEM OrS!GN AND S~ECr~IChT10NS r A 900 o o o { GALLONS 1 SEPTIC TANK (GALLONS I GPD J __ GALLONS CREASE H1'fERCEPTOR CAPACl't'y GALLONS PER DOSE MULTI-CHAH9ER~o/IN S!RItS!(~1 CAPACITY MVLTI-CHAHe2~~D/IN SERIESI[Y) {MAXIMUM CAPACITY $INCL~ TANK. 1250 GAL~ONSJ OOSE RA7~ 10) ~LR 24 HRS NO. OF PU~PS; (OJ ,. .. x D R J'J 7 SQUI',RE; / 0) SQUA~E T'iPE SYSTEM: eONf'IGUAA'I' ION: f'EgT PR:U1ARY F€ E:T A STANOARD TRENCH ORAIN~lELD SYSTEM S'iStEH {X J FILLED {X I BE:O J10<.JND .. ~ LOCAnON 01:' BENCHMARK: ORIGINAL GRJ\Dr; IS THE CROh'N OF COPELAND RD. ELEVATION OF PRO~OSeD SYSTEM SIT~ IS ( 0.0 J INCHES BENCHMARK/REFERENCE POINT B01'r%! OF D~UrH'IELD TO BE ( 6.0 ) INCitES BELOW SENCHMARK/REFERENC~ POINT FILL REQUIRED! (15.0 J INCHEs ~XCAVATION REQUIREOt ( 0.0 1 INCHES i~~nQctioll.. Multi-cham. .1'E I$SUED:CJJ /'l{/YE TLE. ~'/' >r-H~~-/Z-I1 pe-<-J>---{y:Y-1' ~ " ~d TrTLF;~i I ~"7V? e.,I- PASCO CPH(J :S-H Form 4016 Ma['ch 1992 (Ob801QtQ~ P~evious Editions Whleh May Not 9~ V-ed1 /J;9j/ /Co.-l I- EXPIRATION 1)ATE !o.~ / I'll r?.. P~9. 1 Q( 2 c:;- I 4- I ':=.i':=.'=> ,~;: I UI-"n r I-<:ur" t:,ULLl=-''''lc;ALY~ c;u 1 LUt:.f-<:~:; /::5 I..::! /::5::,::, .::~4 I::' P.4 AiJl;;;-14-95 MOH ,10: 5-~ AM PASCO <-COUt-lTY <-HEALTH UH 904 521 4185 P.03 ..I STATE OF FLORID~ OEPARTME~T or ~EA~TH ANO REH^BILIT~TIVE SERVICES ONSITE SEWAGE DISPOSAL SYS1.I>H CONSTRUCTION PE~IT Au~ho~iey; Ch4pt~r 381, ~s & Chaptftr 100-6, FAC PERMtT I 01\1'r; PAID FEE; p<,,;ro $ El.tc!: 11-'1' # Streee Name 95-6~95-eA~ 08/07/95- 18!1.00 1189 COPELAND CONSTRUCTIOH PERMIT FORt (Xl Nww Syet~m {J Exiatinq SYB~em I } Rgpair ( ) Abandonment Holding 'rank Ot:ner(Specify) ( J Tempo~ary!Exp8rimental Syatem APPLICANT; _....i!~M.ATTOX AGf:NT: DOUG L1\.~a PROP~RTY STREET ADORESSs WHSE COP~ANO DR Z~l>lirRHILLS LOT: 0 aLOCK: 100 SUBDIVISION: METES & BOU~DS PROPE~T~ 10 #; 24-26-21-0000-00100-0000 [SJ:;CTION/TOWNSHIP/AA~GE/PARCEL NO.) {OR TAX 1.0 NUMBER} ..~~---~~~~-------====~~-~:==~~~;~~A~..&...Z=...~R~=~.e~~==~=~~=e~~====~=g..a~~===_=~...___.~~~~ SYSTEM MUS~ 9~ CONSTRtlCT~D IN ACCORDANCE ~ITH SPECIFICATIONS AND STANDARDS OF CHAPTER 100-6, FAC REPAIR PERMITS AtlD HOLrltNC TJl.NY.. PERMI'tS f:X,?IRS 90 DAYS FROM THE DAn: OF ISSUE. ALL OTHER PERMITS ~X~IRE 18 HO~~HS FROM T~E DATE or lS~UE. HAS AFPROVAL or SYSTEM DO~~ NOT GUARA~TEE SATISt~CTORY P~~f'ORMANeE FOR M'! SPEClf'.1C Pl;:RIOD Ol'" TIME. ANY CHANCE IN MATERIAl.. FACTS WHIcH ~ERVE() AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQU!RE THE APPLICANT TO HOOrry rHS PERMIT A~PLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS r~RMIT S~ING MADE ~ULL AND VOID. r.n~~=~=~~~====~=~~=~~.a===;=%~===;~~~====~2S_.....2==~;~__~m~====-;k~.=a~......aa;~===;=~=_~=~~= SYSTEM DESIGN AND SPECIFICATIONS or 1\ N K 900 o o o r GALLONS J SE~T!C TANK (GALLONS / CrO] GALLONS CREASE INTERCEPTOR CAPACITY CALLONS PER DOSE MULTI-CHAMBS~OllN SERttS:{Y) CAPACITY ~VLTI-CH~8EREO/IN SERIES:{YJ (HAX1HUM CAPACITY SINCLE TANK: 1250 GALLONS) DOgE RATE {OJ ?ER 24 HRS No. or PUMPS: (O} o R A I 1'1 p 1 E L D 307 SQUARE fEET PR1MARY t 0 J SQUARE FEET T~Pt Sr'STEH: l;OHFIGVMTION: STANDARD TRENcH DRAINrltLo SYST~K SYSTEM (X 1 FILLED IX ) 8ED HOUHO LOCATION Of' BENCUMJ\RK: ORIG:tHAL CRADe IS THE CROWN OF" COPE~l\:-.IO RD. ELeVATION OF PROPOS EO S~STEH GITE IS r 0.0 ) INCHES BE~CP~K/REF~~tNCE POINT eorroM Of' DAAINFIELT) '(0 9E I 6.0 I INCHF;S 13ELOW BttlCHHARX/R.tf'ERENCE POINT FILL REQUIRED: (lS.O ) lNCH~S EXCAVATION RtQUIRED: ( 0.0 ) INCHES o t@l@ph~n~ th~ T Tank Size h~8 H Provide wat9r aample report E ~I,(A;1'iJ l'Ol'1\8Le WELLe miST R ~TU/),.;: r} ~C Multi~Cham, site. SP~ClFICATlONS n APPROY~D B~ DATe ISSUEDs&l/IC{/9'F PASCO, Cf'Hu HRS-U ro~m 4016 March 1992 (ObGoletos Prevlou~ Sdi~lons Which H~y Not Be Ueed) 4pp(~T EXPIRATION tJA1:E;02..(IY /<f? Page 1 Of' 2 8-f7-1995 11 : 55AN . Fr;:Ot1 BOLLEr'J8ACf< E\UILDEr;:s 813 855 3475 P,l / BOllENB4CK BUILDERS, INC. August 17, 1995 zephyrhills Buildi~g Depar~ment Pasco County, Florida To Whom It May Concern: This letter shall serve as wr~tte~ GJthorization for Doug Lamb, Project Super in'Cel'ldent for Bollel1back Buildel's I Inc., to pick up plans, permits, and sign any and all Gpplica~ions for permits. If you have any questions ( please cal ~ c'~r office im,mediately. Sincerely, ~ll~~ President Before me, the undersigned aU'CDor ity, on tt.is day personally appeared Kenneth Bollenback, Known to me to be the person whose name is subscribed on the foregoing ins~rument( and acknowledged to me that he executes same for the purpose and consideration therein expressed. ublic My Commission Expires: )I"............\\...,",.,.w .,,,," :" .:,',",' S ''-, ',:" ,'.';",........ ......".........,...<~..,~ : ~~ Dor..,," A, Semidey :1 . .. ~ NcWV Public, Slate of Fklrich ' < . ~ ; Cowinisl'iQll No. CC 458579 " ( . ~Of~<)'" My Commi:uion Expire. 05/02/99 '~: ~ HlOD-3-NOTAR'>'. ' "'^, :"'1'.:.r;' :!lrt\,ioc & BolldiDl "', : : ',((((((((((((((<WN~,'~<'..,:,.,'(;.;'('dN<'(ttt((t((I<'(t(, . 3784 Tamoa Road. Oldsmar. FL 34677-0140 · (813) 855-2656 · FAX (813) 855-3475