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Home My WebLink About95-5207 BUILDING PERMIT 0- CITY OF ZEPHYRHILLS Permit N. (813) 788-6611 .' ." 1/ b/~() BUILDING 6/.-s-v ELECTRICAL 1~520'7 4.t~ . - ~ Date JY-;L ij -9~ --.s~ -~ OU PLUMBING ~o. cJ?) MECHANICAL Sewer Conn ~Q 7 0: tl?J Water Conn: Jro. cJZ) Water Meter: / b,'s"': ou T.I.F.'s: . /0 Ia~ flcl.:rC. o. I J8~ ~76 Property Owner: Job Address: 3 Parcel 1.0. # ~ -.:2 6. ~ - ea 0 BO - 0.2 Zoning: . Energ2de:, _ Radonll:!.-Z D D.,.,,;p';oo of W",k'7'!.h. r- 'no. fl.t. '.:;1f:.A.:1J (f 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. -J I~ I _ . Ifl ~JI _ .1__",. J. l~ ULl.. Inspector City License Registration # State Certified License# r<3o permitFee~O " OD Signature \,'('l:1'U... ~ ~:;- Company Address Telephone# -.1 fS~- Valuation or -t;:: Contract Price __.s. t:r7zJ. (/{] BUILDING '---'lR(J ~ ~J ELECTRICAL J '11 '"=S ~ ~rA-/~S 0<<1 L( ~M-C~ PLUMBING MECHANICAL /';L.S - ,~P~~CJ Ftr. q... ,...~"5 80 Tp. Servo Pre SLB -/1- 5" Rough In JfJ-30-9S'~ Lintel - I -- ,t.-l-r Meter Can 8-;)'1- 9~ FRM. ,/lo-3L'j.C;~~JLl- Const. Pole 9-r5~ Insul. CL Pool WL J1....J...qS B,LL Pre-Meter J-~'2A11:, 6,u." ,__ Final Driveway /1-/3 'I" Dll.'- 8~ Q- \-'4<5 &B ~ ~"~'1-qS 6), LL SLB tfr 7-1 -r ~ lL Breakers Tub Set1ieJ-.J!,o-f(SBJLL- Ducts Insl.~.30...C;rs9A8 W..., ~ Comp,..so, s,ewe~20 LUinal Final , REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade: V4 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. ,/ P4Y-7G- r?~ <?-I:J--7~ 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. &.>1U)1~& ELiiLn \(.., ~~ rn ~"f\NIl(\l- 5\J81.O "fit l- (f{lLDlT 7077tL- .sIUJ~ WI\-T {::~ M~ lbT" L _. -....-----...-- ~ VIlWI\rlC'N:: 5Lf,ouo." 4101 J ~o ~/~, ,5: cr.) 3D,co _ 8D,0 c LcNtJlLQlw F~s ',21~. cO 35D~OO t fo~ ~ ~ L7f3,O\:> ~A-UW '6\~ It ~O ~l t1>.4-0 ~~H-Ar2.T Lu$~ \ ~L,. 3 if7 j 2... evfil-\jtJ ~ ............ . ." ...... ,_.. -. .' ...,.."' ~p~' .,-:""',....". ' 8~tr.~ ,x./131,~ ,~"f1: ~,l"W6- tlICi> '!. J1.5t.f ~. f~ on.tfUL . .l~6jJ()a..rm7tvJ tmmLT ftiJ;..s qq% ~ "'-I'Se LV , / Oft'';' /". I'/. 7J 0 , ~ i.ftJU. 0'~ .. .... '.-,... ...-. ...... -.,..... ..... .~. .., ....~. '_."~4_"'''',,,_.,,_,,,,,,,,,,,, . " ..... .._...... ................. f __ " ...... . '. - ... ... ... 4.._ ... .. ., .~ .. .. ., ,- ,". -..-.... ._....~ -....,' . . ..~ L. ..... ... .... ......._. ........_ _~.. I' "' ..........- '.... .-. '.....~~....._.....,... .. -"- " .. "~'" -- ........ ............_-_....', . ...._.._.h. ....u.. ___....~ _'___.. . . ."'... .... .. ......... .. -...................-. ....... . -. - .-.. ...-. .._.M..................... ...." .. ......... . .- . .....- -.-. -..........,.... . .. .-.........-. ..... .-.....-. ... OWQR JOB LOCA-rZOH PAllC!:L :t .D. It '~ _ ~ _ GaIr .lILL ~ " .1lIIIl'OslID 8ftDc:ruIu ~ ~ " lIB1BAc.u. 75 kaT :z.. I tt' So' ALLBYWAV ACessS Foa GARA.o2 Oil CAUOJt!1' ... I 15 FOO'!' SB'l'IAc1c f I 0 REQUIRED. , I' /~6 <<If Lf'f' . " I~" , 1/0 (.Non IXANPLKS 1 " 2 j S!'UI'l J'RON'r PROPER'!' 75' T tn'XLIft IUILDDtGa HUB'!' SHOW nIl: , rOUNDA'r.rOM IN!'oa- HA':rION. u. j () R III!.W., or , ""0 1. SB"lBACIC' PaR Rll 22 ZONING 1 _ 8Q' - -== 10' B U - R X 0 ;r 10' p S 10' 0 . '1 8 :r B N D G 201 2. SB'aAcICS FOR R3 lOWING - 60. 1 O' 10' . 10' ZXZS'l'I.NG 10. 1 0 .PROPOSED 20.SGL I'AW 30'Dl1PLEX ,-.....- I'&oIr.r P&O.BftY 1..lHE .P'aoIIr PIIOPBRft .LDIB Department of Community Affairs SN~'73.s5 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-93 Residential Whole BUilding Performance Method A SOUTH PROJECT NAME: Arkay922 :BUILDER: Gebhart Construction~j AND ADDRESS: : PERMITTING :CLIMATE ~ Zephyrhills, Florida:OFFICE: Zephyrhills :ZONE: 7:_: 8:_: 9:_: OWNER: :PERMIT NO.Mo7!E :JURISDICTION NO. 6//t () 0 CK 1. New construction or addition 2. Single family detached or Multifamily attached 3. If MUltifamily-No. of units 4. If MUltifamily, is this a worst case (yes/no) 5. Conditioned floor area (sq.ft.) 6. Predominant eave overhang (ft.) 7. Porch overhang length (ft.) 8. Glass area and type: a. Clear Glass b. Tint, film or solar screen 9. Floor type and insulation: a. Slab on grade (R-value, perimeter) 10.Net Wall type area and insulation: a. Exterior: 1. Concrete (Insulation R-value) b. Adjacent: 2. Wood frame (Insulation R-value) 11.Ceiling type area and insulation: a. Under attic (Insulation R-value) 12.Air distribution systems a. Ducts (Insulation + Location) 14.Heating System: 15.Hot water system: 16.Hot Water Credits: (HR-Heat Recovery, DHP-Dedicated Heat Pump) 17.Infiltration practice: 1, 2 or 3 18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent, HF-Whole house fan, RB-Attic radiant barrier, MZ-Multizone) 19.EPI (must not exceed 100 points) a. Total As-Built points b. Total Base points 1. 2. 3. 4. 5. 1840.00 6. 1. 00 7. 0.00 Single Pane 8a.168.6sqft 8b. O.Osqft New Construction Single-Family o Double Pane O.OOsqft O.OOsqft 9a.R= 9.00 , 173.20 ft 10a-l R= 7.00, 1385.60sqft____ 10b-2 R=13.00, 141.00sqft____ lla.R=30.00 , 1840.00sqft____ 12a. R= 6.00, uncond 14. Type: Strip Heat COP: 1. 00 15. Type: Electric EF: 97.00 16. 17. 2 18. RB 19. 19a. 19b. --------------------------------------------------------- a______________________________________________________________________________ : Hereby certify that the plans and ipecifications covered by this calcu- .ation are in compliance with the 'lorida Ener~~e. ~ _. 'REPARED BY: . ~ ~ 'ATE: '3- /7-9 Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance in accordance with Section 553.908 F.S. hereby certify that this bUilding is n compliance with the Florida Energy ode. WNER/AGENT: ATE: BUILDING OF~IAL~..G"~~..., :iJ.. DATE: g..-) ~-9'_ ***********x*****************************************************************.** SUMMER CALCULATIONS ******************************************************************************* === BASE === === AS-BUILT === GLASS---------------- ORIEN AREA x BSPM = ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- I I POINTS : TYPE SC ORIEN AREA x SPM x SOF = POINTS ------------------------------------------------------------------------------- N 70.80 109.7 7766.8 SGL CLR N 15.0 64.5 .94 907.0 SGL CLR N 15.0 64.5 .94 907.0 SGL CLR N 40.8 64.5 .94 2467.1 E 49.80 109.7 5463.1 SGL CLR E 40.8 136.3 .95 5273.7 SGL CLR E 9.0 136.3 .95 1163.3 S 40.00 109.7 4388.0 SGL CLR S 20.0 135.6 .94 2542.5 SGL CLR S 20.0 135.6 .94 2542.5 W 8.00 109.7 877.6 SGL CLR W 4.0 136.3 .95 517.0 SGL CLR W 4.0 136.3 .95 517.0 ---------------------------------------------------------------.---------------- .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS = AREA AREA FACTOR POINTS ADJ GLASS POINTS GLASS POINTS ------------------------------------------------,------------------------------- .15 1,840.00 168.60 1.637 18,495.42 30,277.20 : 16,837.29 NON GLASS------------ : AREA x BSPM = POINTS: TYPE ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- R-VALUE AREA x SPM = POINTS WALLS---------------- Ext 1385.6 1.6 2217.0 Ext NormWtBlock In 7.0 1385.6 1. 60 2217.0 A.dj 141. 0 1.0 141. 0 Adj Wood Frame 13.0 141. 0 .90 126.9 DOORS--------------__ elxt 54.4 6.4 348.2 Ext Insulated 20.4 6.40 130.6 Ext Wood 34.0 9.40 319.6 l\.dj 19.0 2.6 49.5 Adj Insulated 19.0 2.60 49.5 :EILINGS------------_ JA 1840.0 .8 1472.0 Under Attic 30.0 1840.0 .80 1472.0 ~LOORS------------___ nb 173.2 -20.0 -3464.0 Slab-on-Grade 9.0 173.2 -16.00 -2771.2 :NFILTRATION--------_ 1840.0 14.7 27048.0 Practice #2 1840.0 14.70 27048.0 :============================================================================== ~OTAL SUMMER POINTS : 58,088.82 : 45,429.61 :============================================================================== 'OTAL x SYSTEM = COOLING: TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING ,UM PTS MULT POINTS: COMPON RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------ .37 21,492.87 : 45,429.61 1.00 1.100 .450 .950 21,363.28 58,088.82 ============================================================================== ***********x*************************************************************~***** WINTER CALCULATIONS ******************************************************************************* === BASE === GLASS---------------- ORIEN AREA x BWPM = I I POINTS : ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- === AS-BUILT === TYPE SC ORIEN AREA x WPM x WOF = POINTS ------------------------------------------------------------------------------- N 70.80 -.4 -28.3 SGL CLR N 15.0 3.7 1. 03 57.2 SGL CLR N 15.0 3.7 1. 03 57.2 SGL CLR N 40.8 3.7 1. 03 155.6 E 49.80 -.4 -19.9 SGL CLR E 40.8 .1 2.09 8.5 SGL CLR E 9.0 .1 2.09 1.9 S 40.00 -.4 -16.0 SGL CLR S 20.0 -2.0 .94 -37.5 SGL CLR S 20.0 -2.0 .94 -37.5 W 8.00 -.4 -3.2 SGL CLR W 4.0 . 1 2.09 .8 SGL CLR W 4.0 . 1. 2.09 .8 ---------------------------------------------------------------.---------------- .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS = AREA AREA FACTOR POINTS ADJ GLASS POINTS GLASS POINTS .15 168.60 ---------------------------------------------------------------.---------------- 207.09 1,840.00 1. 637 -67.44 -110.40 : ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- NON GLASS------------ : AREA x BWPM = POINTS: TYPE R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 1385.6 .3 415.7 Adj 141.0 .5 70.5 DOORS---------------- Ext 54.4 1.8 97.9 l\dj 19.0 1.3 24.8 CEILINGS------------- OA 1840.0 .1 184.0 PLOORS--------------- SIb 173.2 -2.1 -363.7 [NFILTRATION--------- 1840.0 1.2 2208.0 Ext NormWtBlock In 7.0 1385.6 Adj Wood Frame 13.0 141.0 .70 .50 969.9 70.5 Ext Insulated Ext Wood Adj Insulated 20.4 34.0 19.0 1.80 2.80 1. 30 36.7 95.2 24.8 Under Attic 30.0 1840.0 .10 184.0 Slab-on-Grade 9.0 173.2 -2.70 -467.6 Practice #2 1840.0 1. 20 2208.0 ~OTAL WINTER POINTS I I 2,526.73 : =============================================================================== =============================================================================== 3,328.54 ~OTAL x SYSTEM = HEATING: TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING fIN PTS MULT POINTS: COMPON RATIO MULT MULT MULT POINTS 2,526.73 1.10 ------------------------------------------------------------------------------- 3,588.17 2,779.41: 3,328.54 1.00 1.100 :============================================================================== 1. 000 .980 *****************************************************************************~* WATER HEATING ******************************************************************************* === BASE === === AS-BUILT === NUM OF BEDRMS ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- x MULT = TOTAL : TANK VOLUME I I EF TANK RATIO x MULT x CREDIT MULT = TOTAL ------------------------------------------------------------------------------- 3 3319.0 9,957.00 : 50 97.00 1.000 3010.0 1.00 9,030.00 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ******************************************************************************* SUMMARY ******************************************************************************* === BASE === === AS-BUILT === COOLING POINTS + ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- HEATING POINTS HOT WATER + POINTS = TOTAL : COOLING POINTS : POINTS + HEATING POINTS HOT WATER + POINTS = TOTAL POINTS ------------------------------------------------------------------------------- 21492.9 2779.4 9957.0 34,229.27: 21363.3 3588.2 9030.0 33,981.44 -------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ***************** * EPI = 99.28 * ***************** For detailed information of the EPI rating number or for any ITEM listed, ask your Builder for DCA Form 600A-93 or Form 600B-93 ENERGY GUIDE EPI= 99.3 o 10 20 30 40 50 60 70 80 90 100 :---------------------------------------X-: The maximum allowable EPI is 100. The lower the EPI the more efficient the home RESIDENTIAL ENERGY PERFORMANCE RATING SHEET ITEM HOME VALUE Low Efficiency High Efficiency WINDOWS.. ...................Single Clear SINGL CLR DBL TINT :x-----------------___: INSULATION. . . . . . . . . . . . . . . . . . Ceiling R-Value.... ..... 30.0 R-10 R-30 :--------------------x: R-O R-7 :--------------------X: R-O R-19 :---------x-----------: Wall R-Value......... 7.0 Floor R-Value......... 9.0 AIR CONDITIONER............. SEER. . . . . . . . . . . . . . . . . . . . " 0 . 0 10.0 SEER 17.0 :x----------------____: HEATING SySTEM.............. Electric COP. ............ 1.0 2.50 COP 4.19 :x----------------____: ~ATER HEATER................ Gas EF. . . . . . . . . . . . " 0 . 00 0.88 0.96 :--------------------x: 0.54 0.90 Electric EF. ........ ..... 97.00 Solar EF. . . . . . . . . . . . . . ---------------______1 , 0.40 0.80 --------------------- )THER FEATURES.............. ,............. .......... .... : certify that these energy saving features required for the Florida :nergy Code have been installed in this house. ,ddress: Builder Signature: Date: ~itY/Zip 'lorida Energy Code for BUilding Construction - 1993 'lorida Department of Community Affairs FL-EPL CARD93 ~* INFtLTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** =============='================================================================ OMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK ============================================================================== RACTICE #1 606.1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES. indows ------------------------------------------------------------------------------ 606.1 Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). ------------------------------------------------------------------------------ xterior & djacent Doors 606.1 Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel,insulated or glass doors only. ------------------------------------------------------------------------------ xterior Joints Cracks 606.1 To be caulked, gasketed, weather-stripped or other- wise sealed. RACTICE #2 ------------------------------------------------------------------------------ COMPLY WITH PRACTICE #1 AND THE FOLLOWING: 606.1 ------------------------------------------------------------------------------ xterior Walls Floors xterior Walls Ceilings uctWork 'ireplaces xhaust Fans ombustion eating 606.1 606.1 606.1 606.1 606.1 606.1 Top plate penetrations sealed. Infiltration barrier installed. Sole plate/floor joint caulked or sealed. Penetrations, joints and cracks on interior surface caulked, sealed or gasketed. Ductwork in unconditioned space must be sealed. Equipped with outside combustion air, doors and flue dampers. Equipped with dampers. Combustion devices see 606.1.A.2. Combustion space and water heating systems provided with outside combustion air, except direct vent appliances. * OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) ** 'a ter Heaters wimming Pools Spas 612.1 612.1 Comply with efficiency requirements in Table 6-11. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built- in heat trap required. Spas and heated pools must have covers (except solar heated). Non-commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 percent. hower Heads ------------------------------------------------------------------------------ 612.1 Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG. ------------------------------------------------------------------------------ .ir Distribution 610.1 ystems All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, ins- ulated and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics must be insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closet. ------------------------------------------------------------------------------ VAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. ------------------------------------------------------------------------------ :risulation 604.1 602.1 Ceilings m1n1mum R-19. Common Walls - Frame R-11 or CBS R-3 both sides. Common ceiling & floors R-11. ------------------------------------------------------------------------------- CONTRACTOR #: 000780 NAME: DIETRICH F GEBHART ADDR: 14353 21ST STREET C/ST: DADE CITY C E N T R ALP E R M I T TIN G PASCO COUNTY, FLORIDA FL 335250000 DATE: 08/12/96 PAGE: 1 OF 1 ISSUE OFFICE: D RECEIPT NUMBR: 00292217 OFFICE: DADE CITY FOR: ACCNT 114 , CONTRACTOR: 000780 TOTAL AMOUNT: COMPNY ACCOUNT CENTER B450 ~ 363000 - 2 CHECK # 2426 SOLID WASTE FEE FOR CITY OF Z-HILLS PERMIT # 5207B 20.02 AMOUNT DESCRIPTIONIPERMT DATA 20.02 ****** SOLID WASTE FEE DRIeR 60 RECEIVED BY ~ ~----------- -- .. - --. -,''''/' ... ,.....-jf;;:.T-~-.~.~C.....-:~~~-'1':'!'".\I" "~'~~!:'":'.~.;r..r~ pc-.J'?""'!;J....'f::;~$".,.,"';,'~"'.'-':{._4,.. "" "-.':;,V''i'' _'.~ .'. .,...,~~" '.-_.,e"".__' .___.,_~"._.._'_, PASCO COUNTY~ FLORIDA Permit No. Date Permitted Builder NamelOwner Name County Parcel No. ,I ;'1-." Location ./ ./ , ' Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION '~ EXEMPT 0 Rate $ Zone No. Sq. FUU nit Prepared By Impact Fee Amount $ The above impact fee has been~~tablished 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) '~ RatelERU - 50.00 x 0.96*/Year or $0. 1315/Day ERU Assign No. Assessment - (No. Units) x ($0.1315) x (No. Days) ~!Nf'", , ..-',..- ...,....... Assessment - (GSF) x (ERU) X (0.1315) x (No. Days) 100 TOTAL FEE $ TOTAL FEE $ *DiSGeunted 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 ....."'>~-,.._...~ TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. No.:-';i,~,:.. ) i I " , DATE DATE - J , I I l I _; I J I , BY BY ... White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce APPLICATION FOR PERKIT CITY OF ZEPIIYRBILI.S BUILDING DEPARTHENT .' 1rvj(t g~I'1-'j'( OWNER'S c'u tia.er ~N~Ttc.e:r; en INC.. 53 ~ 5')..1- b 7 () ~ b~lto,.i '1 fI"3 - J" Y '3 C^,Tk.e~ \ . OWER'S ADDRESS JQB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK K c:,~eST f:; -\ed-e 5 PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-Hew Construction --.....Addition ---..Alteration _Repair _Install _Sign ---.JIove _Deaolish PROPOSED USE: _Single F_ily --.J{/F _' of Units _K/B _ec-ercial _Indust. _Swia. Pool _Other ---..Restaurant & Bealth Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: ~ 1hfo Square Feet.lB Height RESIDENTIAL: ATTACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ (, fJ,IOO Valuation of Total Construction _ELECTRICAL --"ECBAIIICAL AHP Service Florida Power Corp. W.R.E.C. $ Valuation of Mechanical Installation _PLUKBIRG GAS ROOFING SPECIALTY TYPE OF mIlSTRUCl'ION: _Block _Fraae _Steel Other FlBISBED FLOOR ELEVAnOIlS: F'1' . IS PROJEct IR FLOOD ZONE AREA? YRc; NO 1lIlIf.Uu;Ipun:l!lllUd ~ lUlU JIIIIIUO& .~~r1~"'11 """LY 'l~ .DIIm"",- 'cr.nn~ -t;,p,~.. *..~ ~J ~--,~ '~aQ1UA~ ~~. .~~ S(6€i133 * NOISSJWWro M'l ~:( }:~ NOSNVH 'f A.LI.3:8 '-~h; A~,''$I ~"'""\'\ ~ 3ftI'd ~ IUU pliIpIIDg ~,,\~r~~",,~ Sfi61 'IlSClOPO :smndXH lJ!'~'"" f~t:\ s(6€i133 * NOISSIWWro M'l ~:~ .=:i NOSNVH'f A.LI.3:H \~,;; A:;.~l ;""...",'\ JI'I&nd AHYJ.ON (padmelS ~O palUJ~d 'pa~ ameN) (lIc?~ :J:' I-. L/3<;L ~ (a~nlt!u6JS) /Vr;}"~6 W~qleO 1R! a](el lOU PIP/PIP oqM pue uOJle~JJJluaPJ se 0- OS;1--C)ft-CP;J-E?) I ~ -P='7J n eN.. 7:::t pa:mpo.:rd seq OqM .:ro am Ol UMO~ ~IIeuos.:rad sI OqM -L ~bL3B '::::1 -H::)1 7J- ...I-:41<:f- JJ." tlOd AHYJ.ON (padun!lS ~o paluJ~d 'pacUJ. aaR) IV OStv-Ufl ' -A h_L1218:. r-- ~ ~~- ~~~ (a.ml-IS) ~ 'qleo ue a](t!l lOU PIP/PJP oq. pue uOJle~JJJluaPJ se a-~-r7J/1-o/!:f1-rqrt7 ~ tKi..7:::I pa~npo.:rd seq OqM .:ro am Ol UMO~ neuos.:rad SI OqM ..L. -~ 'i7 . d ff ;/1 jL1..4IQ . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS .' !be undersigned understands that this pel'lit lay be subject to .deed restrictions" IIbich lilY be lOre restrictive than City regulations. !be undersigned assU1e8 responsibility for co.pliance lith any applicable deed restrictions. B. UNLICENSJm CONTRACTORS AND CONTRACJfOR RESPONSIB.ILITIES , .. If the OIIIler bas bired' a contracto~ or contractors to undertake IOrt, they lay be required to be licensed in accordance lith state and local regulationi. I,f the .contractor i~ not licensed as required by lal, both the OlDer and contractor lilY be cited for a lisdeaeanor violation under state lall. If the mmer or intended contractor are uncertain as to wbat licensing requiruents lilY apply for the intended IIOrt, they are advised to contact the City.of Zepbyrbills Building DepartJent, (813) . 788-6611. " 0 , , Furthel'lOre, if the OIIIler bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor Sections. of this application for IIbich they IIill be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the IIOrk. If the contractor wisbes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to pel'litting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided lith a copy of .Florida's Construction Lien Lall - HoIeoIIner's Protection Guide. prepared by the Florida DepartJent of Agriculture and ConsWIeI Affairs. If the applicant is semeone other than the .000er", I certify that I bave obtained a copy of the above described dOCUll!llt and premise in good faith to deliver it to the "mmer" prior to couencuent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all IIOrk IIill be done in cOlpliance lith all applicable lals regulating construction, loning, ana land develo.-ent. Application is hereby Iilde to obtain a pel'lit to do IIOrt and installation as indicated. I certify that no work or installation bas cc.lenced prior to issuance of a perlit and that allllOrk "ill be perfol'll!d to leet standards of alllals regulating construction, City codes, loning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies lilY apply to the intended IOrt, and that it is If responsibility to identify "bat actions I lUst tate to be in coapliance. Such agencies include but are not lilited to: * DepartJent of Envirolllelltal Regulation - Cypress Baybeads, Wetland Areas and Bnvirolllelltally Sensitive Lands, Water/Vastewater 'freatJent . * Southwest Florida Water Hanaguent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seallalls, Docks, lIavigable Waterways t Departlent of Health' Rebabilitative Services, EnvirODJeDtal Health Unit - WellS, Wastewater 'freatJent, Septic 'fanls * US Bnvironaental Protection Agency - Asbestos abateaent 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 uCOIpeJlSating vol_" "ill be subaitted "bich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A peIlit issued sball be construed to be a license to proceed with the IIOrk and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pel'lit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery pemit issued sball beCOJe invalid unless the IIOrk authoriled by sucb pel1Iit is cOll8llced "ithin Sil IOntbs of issuance, or if IIOrk authorized by the pel1Iit is suspended or abandoned for a period of sillODtbs after the tile the wort is ~ced. One 90 day extension of tile, lilY be allowed for the pemit with fee charge of $15.00. !be extension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during each sillODth period, or the project "ill be considered abandoned. WARIIIIIG 'fO. 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