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Home My WebLink About95-5268 ~-I-!::.-JO BUILDING PERMIT-. CITY OF ZEPHYRHILLS Permit )1!. (813) 788-6611 ..$- f?,..j7J 1'-5268 fi Date f-a cy- r..::,- BUILDING (, ;) .~ c) ELECTRICAL PLUMBING ...s 0.. cJv MECHANICAL Sewer Conn ) :l. 7 <f: IIll . Water Conn: d~~- cJz' ~~ Property Owner: ~~ .. '. Job Address: 3 ~ Parcel 1.0. # /0 u1-J b -,2/-. 0 /:J..O ~ 0 l7bo o.~ 0 X3 () Zon;ng, Ene,:ze, 4d01'" 2,7 Description of Work "7!.JlAJ} r AV.b \/~~ A.J-1":. ~ Water Meter: T.I.F.'s: / b ~-. c7'v - NO OCCUPANCY BEFORE C.O. FINAL /:;J-~ r;- DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. ~I. .1Imv m ~~r' . Jil -, ,....._ ..~ M Inspector .6- ILL &n4f?tr&. . ~ JJR EA- / 0 -J35-<: 9. lOA- n D V I ' p.rm;tFee~?5'~: a uatlon or- '.1 . Contract Price 63,. ~. t/{) Signa~n;- . ,. . -> ... Company City license Registration # .;2 7 Y State Certified license# c.o. DATE Address Telephone# -ftifMdA1 tht.d BUilDING /J! ,M ~Jyt ~02 #<LAA~4 ~A R~ oF 15aiw ~ 17 ELECTRICAL PLUMBING - MECHANICAL Ftr. }o..;J.-c;s SoB Tp. Servo SLB Pre SlB Ii)-Pi) ~lu....- Rough In ,kg ~1) i?J!:L Tub 5e lintel Meter Can ?-;;jf'- y.s Water FRM. 1J!-1.1-1J 6ft\.- Const. Pole _~Zb"'~Sewer Insul. Cl Pool Final WL /1-IS,.'j)S &ILL.. ,Pre-Meter J2-20~;- deb , -' ,,2 Final :i Driveway I) '7"4':1 Vlt-V fc:xrrc;: 2. JSa."o ~6Iltl+~"& 1I..;t..qsBl>B \o...~-q'S &B Breakers ucts Insl~.J,.~)pil"~' Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: '// --;!- //) ~ II ' d f'~ Iy-y~- a. Wrong Address #ti..l..& ~'~ -{>L. b. Condemned work resulting from faulty construction. j. d ? _ c - c. Repairs or corrections not made when inspection called.d /;;;l - . y~ d. Work not ready for inspection when called. r e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. \3u,Li)I~& ELiiCT1l. \G fh,.~ n'~o\rwlll\L-- b\JBTo 17\.e- (({ 11..0 l T "tc:> 7A-L- .5lUJ Ii~ WilT '::f, tMli:ITA -[(; Tn L 2,,?, 7 -5/l l~iM(\N Lc.(~yr .. -~ :. ....:.-..~..-. . . f;~~J1c:efV W t9-'l-L. - ._..-:..-.-........_~..... -. . Vf\UJ"ralN:: <03;000... ::>1 S:.-J 0 ~.;;). 30 -,- 57,~;O '1' r,C ~)L', ,. '--GU t ~.' ' LOUN[.qlW F~6 I /_l~. 0;) . () "-1 '':--.. ,~ i;1"..Jv IL6 . tJ(> I .-',;}.2. . ,".J ;/'/:? J\A-~W 6\5 2 L '37 .~t~6PC>a.rm7tvJ Immer fiu:.-s 'N/A ,"- 36", "'~~ )c I;i>'-Itf. l.r.- 6f,f1: ~,~V",J(T , (, ".. .lC. If; 3 &t. f~ 011'1 IUL .. .... ...-... ..__ '0... _. ...... _. '" ... ..... .-..._-...~.........._...._..... . . . """ "-'"'' ................ f __ . ..', . '. - - .....' ....- <., " .. '" .. .. ., .....-..-.....-...... -....,'. . ....,. ..... ... "0 ......._.........__... , . .. I...... ."- ..... ,_. .............4_........ .. .... .. ....- -.. ......... -..........--.-.. . .......-..-.........--....... .---.. . .... '. .-. .. ......... .'.... ......... ......... ..... . .. R .._ _. ..._. .._._'................_. '.. .., .- ......4.. . ._. ...._ _._. _..,......... . ........ .- . ..'. ....-.-. .., ---~."" ~....~. ~ --Ll~;~.It~ \. ;1,. ~; ;r .....~~~~'~~.~ Department of Community Affairs FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-93 Residential Whole Building Performance Method A PROJECT NAME:~~~c~ BUILDER: AND ADDRESS: 'Q~ ~&Q ~~~~~I'!f.,L./lI, ~~~~T~I.j' 51-1 61-1 OWNER: (~, PERMIT Ng-~~~~ JURISDICTION NO. tllboo 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: 2. Wood frame (Insulation R-value) 10a-2 R=11.00, 923.50sqft____ b. Adjacent: 2. Wood frame (Insulation R-value) 10b-2 R=11.00, 266.20sqft____ 11.Ceiling type area and insulation: a. Under attic (Insulation R-value) 12.Air distribution systems a. Ducts (Insulation + Location) 13.Cooling system 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 SN: 2165 CENTRAL 1. 2. 3. 4. 5. 1585.00 6. 2.00 7. 5.00 Single Pane 8a. O.Osqft 8b.210.9sqft New Const:ruction Single-Family o Double Pane O.OOsqft O.OOsqft 9a.R= 0.00 , 179.80 ft 11a.R=22.00 , 1585.00sqft____ 12a. R= 6.00, uncond 13. Type: Central A/C EER: 9.70 14. Type: Heat Pump HSPF: 6.60 15. Type: Electric EF : 0 . 88 16. 17. 18. 2 CV 19. 19a. 19b. 86.41 24311.07 28134.79 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- I Hereby certify that the plans and specifications covered by this calcu- lation are in compliance with the Florida Energy Code. PREPARE!?, BY:~. ~_ -:c,-,=- DATE: Cf(2..ojn ' I I I hereby certify that this building is in compliance with the Florida Energy Code. OWNER/AGE~~ --~-" ~ DATE: 4/ Zc.J0 ~ . I / 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. BUILDIN<ttFFICIAL~ ~ ' 4,," ~. P DATE: - .5-9.-<2 Department of Community Affairs FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Residential Whole Building Performance Method A BUILDER: PERMITTING OFFICE: PERMIT NO. 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: 2. Wood frame (Insulation R-value) 10a-2 R=11.00, 923.50sqft____ b. Adjacent: 2. Wood frame (Insulation R-value) 10b-2 R=II.00, 266.20sqft____ II.Ceiling type area and insulation: a. Under attic (Insulation R-value) 12.Air distribution systems a. Ducts (Insulation + Location) 13.Cooling system _...~_..---........'_'_~~_.lIl. oW ""r"'~ ........,.............._..~~~''o)~.:..:':iI.W-~..:;!:4''_'Y.1'~~li.:iA.,'i!!lI;'r:lUl>t'_.....'V~~.__1VY......,.''......_...L a- \.. . . .,.;;t:;. '~/ I FORM 600A-93 PROJECT NAME: AND ADDRESS: OWNER: 14.Heating System: 15.Hot water system: 16.Hot Water Credits: (HR-Heat Recovery, DHP-Dedicated Heat Pump) 17.Infiltration practice: I, 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 '11'0,-.;:-1. ,/., SN: 2165 CENTRAL CLIMATE ZONE: 41_1 51_1 61_1 JURISDICTION NO. CK 1. 2. 3. 4. 5. 1585.00 6. 2.00 7. 5.00 Single Pane 8a. O.Osqft 8b. 210. 9sqft New Construction Single-Family o Double Pane O.OOsqft O.OOsqft 9a.R= 0.00 , 179.80 ft 11a.R=22.00 , 1585.00sqft____ 12a. R= 6.00, uncond 13. Type: Central A/C EER: 9.70 14. Type: Heat Pump HSPF: 6.60 15. Type: Electric EF : 0 . 88 16. 17. 18. 2 CV 19. 19a. 19b. 86.41 24311.07 28134.79 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- I Hereby certify that the plans and specifications covered by this calcu- lation are in compliance with the Florida Energy ~ode. ~~~:~r? ,,~ I hereby certify that this building is in compliance with the Florida Energy Code. ~.~ _.-/ -= g::/A~ f" : ~ 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. BUILDINYFFICIAL~~' A_~~ (Q.... DATE:- L? ,,9' - '-'I..~"';3'-<...::"~,:>~~ ..:f '":-' . ~Jt4%l.~~ h 1i1 ~,. "'~AA~""~ --'~"-~'~;:,3-""""'~:Y~-"_"~;~ ., ~v_., ~,~ ~.' '""",_",, ....". .,,: .., A~ V *************************************************************~r***************** SUMMER CALCULATIONS ******************************************************************************* === BASE === ================================================================================ === AS-BUILT ==== ;~i;--~;~-~-;~;;-:- POINTS I TYPE SC ORIEN AREA X SPM X SOF = POINTS N 6576.0 -------------------------------------------------------------------------------- 80.00 82.2 E 72.60 82.2 5967.7 S 21.00 82.2 1726.2 SW 9.30 82.2 764.5 W 18.70 82.2 1537.1 NW 9.30 82.2 764.5 SGL TINT N 13.0 51. 5 .83 553.3 SGL TINT N 13.0 51. 5 .83 553.3 SGL TINT N 13.0 51. 5 .83 553.3 SGL TINT N 13.0 51. 5 .83 553.3 SGL TINT N 18.7 51. 5 .83 795.8 SGL TINT N 9.3 51.5 .69 330.5 SGL TINT E 40.2 107.1 .82 3525.7 SGL TINT E 16.2 107.1 .82 1420.8 SGL TINT E 16.2 107.1 .82 1420.8 SGL TINT S 16.2 98.3 .73 1155.4 SGL TINT S 4.8 98.3 .49 230.5 SGL TINT SW 9.3 110.3 .71 729.2 SGL TINT W 18.7 107.1 .77 1547.6 SGL TINT NW 9.3 76.6 .78 558.2 ------------------------------------------------------------------------------- .15 x COND. FLOOR / TOTAL GLASS = ADJ. X GLASS = AREA AREA FACTOR POINTS ADJ GLASS POINTS GLASS POINTS .15 210.90 ------------------------------------------------------------------------------- 13,927.52 1,585.00 1.127 19,543.05 I 17,335.98 =============================================================================== NON GLASS------------ I AREA X BSPM = POINTS TYPE R-VALUE AREA X SPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 923.5 1.0 923.5 Ext Wood Frame 11.0 923.5 1.90 1754.7 Adj 266.2 .7 186.3 Adj Wood Frame 11.0 266.2 .70 186.3 DOORS---------------- Ext 20.0 4.8 96.0 Ext Insulated 20.0 4.80 96.0 Adj 17.8 1.6 28.5 Adj Wood 17.8 2.40 42.7 CEILINGS------------- UA 1585.0 .6 951.0 Under Attic 22.0 1585.0 .90 1426.5 FLOORS--------------- SIb 179.8 -31.8 -5717.6 Slab-on-Grade .0 179.8 -31.90 -5735.6 INFILTRATION--------- 1585.0 10.9 17276.5 Practice #2 1585.0 10.90 17276.5 TOTAL SUMMER POINTS I 33,287.23 =============================================================================== TOTAL X SUM PTS = =============================================================================== 28,974.61 SYSTEM MULT COOLING I TOTAL POINTS COMPON X CAP X DUCT x SYSTEM X CREDIT = COOLING RATIO MULT MULT MULT POINTS 33,287.23 .37 ------------------------------------------------------------------------------- .950 10,658.02 12,316.28 I 28,974.61 1.00 1.100 .352 =============================================================================== -- '~ ~~~~~"""~o..";";'---"'""W'P\._):,,~",;-,..!(-:.:~~J~'.l'f~~_~~~~~..,. ;". ,-.zo-.", to. ... " , ******************************************************************************* WINTER CALCULATIONS ******************************************************************************* === BASE === ================================================================================ === AS-BUILT ==== ~~~;--~;~-~-;;~;-:- POINTS I TYPE SC. ORIEN AREA X WPM X WOF = POINTS N -272.0 -------------------------------------------------------------------------------- 80.00 -3.4 E 72.60 -3.4 -246.8 S 21.00 -3.4 -71.4 SW 9.30 -3.4 -31. 6 W 18.70 -3.4 -63.6 NW 9.30 -3.4 -31.6 SGL TINT N 13.0 9..6 1.10 137.6 SGL TINT N 13.0 9..6 1.10 137.6 SGL TINT N 13.0 9..6 1.10 137.6 SGL TINT N 13.0 9..6 1.10 137.6 SGL TINT N 18.7 9..6 1.10 198.0 SGL TINT N 9.3 9.6 1.20 107.1 SGL TINT E 40.2 -2.0 .02 -1.3 SGL TINT E 16.2 -2.0 .02 -.5 SGL TINT E 16.2 -2.0 .02 -.5 SGL TINT S 16.2 -10.2 .77 -127.6 SGL TINT S 4.8 -10.2 .31 -15.0 SGL TINT SW 9.3 -9.7 .67 -60.2 SGL TINT W 18.7 -2.0 -.24 9.0 SGL TINT NW 9.3 7.3 1.20 81.8 ------------------------------------------------------------------------------- .15 X CONDo FLOOR / TOTAL GLASS = ADJ. X GLASS = AREA AREA FACTOR POINTS ADJ GLASS POINTS GLASS POINTS .15 210.90 ------------------------------------------------------------------------------- 741.12 1,585.00 1.127 -808.35 I -717.06 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- NON GLASS------------ I AREA X BWPM = POINTS TYPE R-VALUE AREA X WPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 923.5 1.1 1015.9 Ext Wood Frame 11.0 923.5 2.00 1847.0 Adj 266.2 1.8 479.2 Adj Wood Frame 11.0 266.2 1.80 479.2 DOORS---------------- Ext 20.0 5.1 102.0 Ext Insulated 20.0 5.10 102.0 Adj 17.8 4.0 71.2 Adj Wood 17.8 5.90 105.0 CEILINGS------------- UA 1585.0 .6 951.0 Under Attic 22.0 1585.0 .90 1426.5 FLOORS--------------- SIb 179.8 -1.9 -341.6 Slab-on-Grade .0 179.8 2.50 449.5 INFILTRATION--------- 1585.0 4.1 6498.5 Practice #2 1585.0 4.10 6498.5 TOTAL WINTER POINTS I 7,967.74 =============================================================================== TOTAL X WIN PTS = =============================================================================== 11,648.80 SYSTEM MULT HEATING I TOTAL POINTS COMPON x CAP x DUCT X SYSTEM x CREDIT = HEATING RATIO MULT MULT MULT POINTS 7,967.74 1.10 ------------------------------------------------------------------------------- 6,599.05 8,764.51 I 11,648.80 1.00 1.100 .515 1. 000 =============================================================================== - h._~__...__...~.,_, ~_" _........."_... ,_~.~,~~_ ."'-4.,:;.........~ _,_,,"_:."" _'__~_~".: .'~ .-.,....<>-'-,'.~>--....~..~.,_._..(...~...........,.,...~-...-:,""__;t".,~_..-Lh.~..~.~..l!"....~~~fi,~. .... ' .'> ... ~. **~**************************************************************************** WATER HEATING ******************************************************************************* === BASE === === AS-BUILT ==== ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- NUM OF BEDRMS x MULT = TOTAL I TANK VOLUME EF TANK RATIO x MULT x CREDIT MULT = TOTAL ------------------------------------------------------------------------------- 2 3527.0 7,054.00 I 40 .88 1.000 3527.0 1.00 7,054.00 =============================================================================== ******************************************************************************* SUMMARY ******************************************************************************* === BASE === === AS-BUILT === =============================================================================== COOLING POINTS + HEATING POINTS HOT WATER + POINTS = TOTAL I COOLING POINTS POINTS + HEATING POINTS HOT WATER + POINTS = TOTAL POINTS ---------------.---------------------------------------------------------------- 12316.3 8764.5 7054.0 28,134.79 I 10658.0 6599.0 7054.0 24,311.07 =============================================================================== ***************** * EPI = 86.41 * ***************** , .' -'~"'-~"'--'''''''-''''''-'-'-''-~-''---.',- . - ~~, --....~.__.$>..H.._.a.....~......_.._.....j....._".......:.,"""."'.""'=.."...,=....__...."._....""""'-'_""._'____________~... -:. , ., , . ,.. 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= 86.4 o 10 20 30 40 50 60 70 80 90 100 I----------------------------------x------I 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 Tint SINGL CLR DBL TINT I------x--------------I INSULATION. . . . . . . . . . . . . . . . . . Ceiling R-Value......... 22.0 R-10 R-30 I------------x--------I R-O R-7 I--------------------xl R-O R-19 Ix--------------------I Wall R-Value......... 11.0 Floor R-Value......... 0.0 AIR CONDITIONER............. EER. . . . . . . . . .. . . . . . . . . . . . . . 9 . 7 9.7 EER 16.0 Ix--------------------I HEATING SySTEM.............. Electric HSPF............ 6.6 6.8 HSPF 12.0 Ix--------------------I WATER HEATER................ Electric EF.............. 0.88 0.88 0.96 Ix--------------------I 0.54 0.90 1---------------------1 0.40 0.80 1---------------------1 Gas EF.............. 0.00 Solar EF.............. OTHER FEATURES.............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . I certify that these energy saving features required for the Florida Energy Code have been installed in this house. ..... (l......... Builder ~~ Address: 3l'-\\}1 V:5~"'\ \ Signature:J-' _~ CitY/Zip Zo~hll~ It l . Florida ~y de for Building Construction - 1993 Florida Department of Community Affairs Date: 9/2o! 77--\"-- FL-EPL CARD93 ,.,-~-.,.~ ~-'.~"-_.'''"'''''''---''','''",> ~~".>."""':"""""."'~lIal""'~-,"eV.I--'"':,'="'''''~'''':''^'''''_~_''''''''''''-'"",,,,,,,,~,,,,~ ,'" ..;--' ".'r~ -.tt_ 4 ENERGY GUIDE 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 EPI= 86.4 o 10 20 30 40 50 60 70 80 90 100 I----------------------------------x------I 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 Tint SINGL CLR DBL TINT I------x--------------I INSULATION. . . . . . . . . . . . . . . . . . Ceiling R-Value......... 22.0 R-10 R-30 I------------x--------I R-O R-7 I--------------------xl R-O R-19 Ix--------------------I Wall R-Value......... 11.0 Floor R-Value......... 0.0 AIR CONDITIONER............. EER. . . . . . . . . . . . . . . . . . . . . . . 9 . 7 9.7 EER 16.0 Ix--------------------~ HEATING SySTEM.............. Electric HSPF............ 6.6 6.8 HSPF 12.0 Ix--------------------I WATER HEATER......... . . . . . . . Electric EF.............. 0.88 0.88 0.96 Ix--------------------I 0.54 0.90 1---------------------1 0.40 0.80 1---------------------1 Gas EF . . . . . . . . . . . . . . 0 . 00 Solar EF.............. OTHER FEATURES.............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . I certify that these energy saving features required for the Florida Energy Code have been installed in this house. , Builder f\.~ Address:,3\~~1 COIZl':>""A\\ SignatureM~~- City/Zip Zt:ph~r6h '//s ,F(, Florida Energy Code f~r Building Construction - 1993 Florida Department of Community Affairs Date: ~ j20!(!C( I FL-EPL CARD93 APPLICATION FOR PERl'IIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ~rnA-N CaI\.)S~u--L-\..'IO~ J -:I:'NQ. ADDRESS 3-'3:} 'S ~.i2. EA- \N - Z~l'hYQ..h,(ls OWNER Rym~ CONsk(",,-c...{.'()/~,) d:NQ... JOB LOCATION ....~ !? ~ ~;).. COrl.N Wf\.-\ \ LEGAL DESCRIPTION: LOT(S) 43 PHONE J r3 2 -08;1.5 BLOCK LOT SIZE5B x87.9tAREA SQ.FT. SIO+- SUBDIVISION WC()(y.e WOO'O PARCEL I. D . " \O'~Z~'~~~O\~O '00000- 0430' WORK PROPOSED:~New Cons truc tion _Addition _Alteration _Repair _InstaLl V:ign/Temp. _Sign _Move _Demolisl: PROPOSED USE: Single Family _M/F _IF of Units _M/H _Commercial _Indust. _Swim. Pool Other ~. r _Restaurant & Health Department Approval BU1LDING SIZE: 3B X 55 , 2 t.>~ I Square Fee t , <8' Heigll r RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR..'1S.'. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORr-IS. H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ 7DIOOO ., Valuation of Total Construction ELECTRICAL 2 C() AMP Service $ ~SOO Florida Power Corp. . _\{.R.E.C. ,,1- _MECHANICAL Valuation of Mechanical Installation _PLl~BING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ~Frame _Steel Other FINISHED FLOOR ELEVATIONS:8 c:; FT. ********************************~********* BUILDER Signatu~ CONTRACTOR SECT~N Company ~ State Cert. or Regist. ii c.e,Q-O:S - City License Registration 41 y****************************************** IL --p ()~/ EI ECTRTCIAN Company J"\D(L-\o~ E \e.~k\~ t--:i / 0, /\.A'~ State Cert. or Regist. 11 Si!:'nature -(-f.L/" If -(l. ( City License Regl.stratlOn il ~ .******~********************************w .l.:J-).., / Signature Company ~ Sceve-u\cC ~- State Cert. or Regist.;! ~(-=. OOCc<...c:"5~ /" City License Registration :t ~l \ WCo **********************ft******************* Signature c~ Company 'BAhtLS GA.S ~~ State Cert. or Regist. I.! B (?)~Ot..r3q4-PJ City License Registration 'F I 7 / MECH.\NIC.-\I ********************************~********* Company ~1;1/l'\ ~~ CO N:s-\-t-l.. ,-,"Co \-'\ () N State Cert. l' Regist. iF ~<.:.. 00<.01<:0416 City License Registration IF 5PJ ~ ~ OTHER Signature ..- ..1 7!:J ****************************************** APPLICATION APPROVED BY PERmT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit aay be subject to 'deed restrictions" which lay be lOre restrictive than City regulations. the undersigned asSUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they aay 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 aay be cited for a .isdeaeanor 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, (613) 766-6611. Furtherlore, if the owner has hired a contractor or contractors, 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 aay 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 uFlorida's Construction Lien Law - Hoaeowuer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is so.eone other than the lowner", I certify that I have obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the "owner' prior to cOlleDceJent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in compliance 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 .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies aay apply to the intended work, and that it is ,y responsibility to identify what actions I lust take to be in co.pliance. Such agencies include but are not li.ited to: t DepartJent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rehabilitative Services, Environaental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US Environaental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood ZOne "AI or "A, etc. ", it is understood that a drainage plan addressing a uCOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it 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 per.it prevent the Building Official frOJ 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 cOlleDced within six IOnths of issuance, or if work authorized by the perait is suspended or abandoned for a period of sillOnths after the tile the work is cOllenced. One 90 day 81tension of tile, laY be allowed for the perait 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 sil JOnth period, or the project will be considered abandoned. WARNING TO OVHER: YOUR FAILURE TO RECORD A NOTICE OF COOIEICEMBK'l' MAY RESULT IN YOUR PAYING !VICE FOR IHPROVEKBIl'l'S TO YOUR PROPERlY. IF YOU IIIl'EHD !O OBTAIN FlHAKCIHG, COlISULT WITH YOUR LINDER OR !JI AnORHEY BEFORE RECORDIHG YOUR JfOTlCE OF _. JOIlS 1IHDIIl12,500 IN VALIJ1lDO NO'IIIEED to RECllIID 1IID..1'RlUCIl OF COIlIlIIICIlIIE'. ~ ~if- ~R OR AGEH'l' '" :COH'l'RAC'l'OR --- who is personally produce as identification and who did/did not take~ ~_ '-/v1 . (Signa ure) STArE OF FLORIDA Pc.. COUH'l'Y OF ~ The foregoing i~~t was aCknowledged before me this ~ ;;;, 19 ~ by _ ~~JJJnj j(~~ (who is ~ersonally known to me' or who has produced as identification and who did/did not take ~Yh1.~~- (Signature) (Name Typed, Printed NOTARY PUBLIC ~A' *M'* '\~OFP.lfft-<1" or Stamped) (Nam~ Typed, Printed or Stamped) NOTARY PUBLIC .fo....' ~t- .^ DONNA M SINCLAIR * *' M) CornmissionCC_ ..... F.xpires Jun. 14, 19Q8 ~fJfp.' DONNA M SINCLAIR My Commission CC382018 Expires Jun. 14.19Q8 OWNE R -.l:S.~().J~ K Y ';]A-l"-J - Jo'B.LOCATION LOT +3 K'1YY\AN (~o NS-r ~v..C~\ () ,'...) WEDGEvvOOD PARCEL I. D. ij \C)-.?-<O -d-\~ O\~O -00000 ~0430 SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. 55 UTILITY BUILDINGS HU S'l' Si\G\~ S 17) 1'1 ~, FOUNDATION INFOR- MATION. I I q.9B' I 5/ / I I 15 I I -! 1 I I I ~~ i 2..0' FRONT PROPERTY LINE I 81'~.6 (NOTE EXAMPLES 1 &. 2) STREET 1. SETBACKS FOR R I, R2 ZONING 601_ 101 P E R X 0 I , 10' P S 10' 0 T S I E N 0 G 20' FRONT PROPERTY LINE S'B Co ((' ~v...JA.-l \ " 2. SETBACKS FOR RJ ZONING 60' 10' 10' EXISTElG 10' 1 0' .., l,," I , ..... 'f \...' PROPOSSD 20'SGL FAH JO'DUPLEX --L- FRONT PROPERTY LINE '~aa "-~.Il"""-:~"""'r"'''-"'-'~",,,,,,,~ "'~~"'+"'.'",,,,.....-_., .,......-r;.',. .~.............I"t;~~.r.,r.","-:=:;;,..,..-]... '-,:-r ~~ -.,/ .... ~ "'.;':__~__ _,:",:",._ _,_, .-._'v _' ......,.,........__. P.02 ~~J,.' ':'1/ l :-~:' -.-- -.--- :J.. ~.~.d.-). .. " 1_. :- ~-:',:::'~~' I ~~'- 7E':::T I(.L; I_:':'E: ~ 6.~F: ~::) '1 ~ I~criat TCSUOA Labo(aloriccD -_-' I 3905 KIDRON ROAD, LAKELANC>. ~LOAIOA33e11 . TELEPHONE: (941) 6.7-28"t7 MOlSTUU-DUSITY JUU.A.TIONS ,0" BOIL FAX (941) ~7.1~O Laboratory Compaction Teat ! I ASTM D698 METHOD ----..A..__~_ CLIXNT: Ryman Construction PROJECT: 37422 Cornwell D~iva DATE: 10/11/95. PROJECT NO: 6139 PERMIT; 5268-8 LAB NO: lP , I I TTpTT i I. ! ! ' I I I , I l : I +t" - .{ !. --t-LI i : i ! -l-- i I ! H-J ! i , . 1: .! I I . ! .' I I ' , ~ I -1"" + ~ , ,-r + ! - I I I - .- : , I I I , ! i I I ~ ..., _. !'.. I .- j , I , ; , <- I .J , d 1 ! i i I 1 . t I I ,',. "," I 1 I -t- ! 1 I I .L - .'t -J I 109 (DRY OENSITY-lbs./cu.ft.) 108 Max.Dry Density 107,5 pef 107 Optimum MoistUrEi 12.6 i \1 106 105 . 9 10 11 12 13 14 15 MOISTURE (\) DA.TE SAMPLED: ~__~Qi1.Q/95 SAMPLED. BYj Al HcGhltl LOCATION SAMPLED: BuildinQ pad area; c9mpo~it~ VISUAL CLASSIFICATION: ___._A.llJl sliQ'htly silt.y fine sand C1ty 01 l.ph,r~~ll, Hh Cl130 CHECKED BY: Al McGhin //j7-- l ___/{-f (L?'.1.---~~-~-- , Al !1sGhin I Labo.ratoJ:Y Nanage.r ..~ Oi.~'1~t1on: Clhtrt TESTED BY: I __ _!.__4_~_hU__-:;:,~ _'_i. ...:".:. -. : _ i I C' H':F"t:F.'I~~ ""=::3,}r'K; LA!:: ~ ;=t.GE J2 -I 1~c:.riaL TcsUnr; Labo(atDricq5 3905 KIORON ROAD. LAKELAND. FlORIDA33811 . TELEPHONE: (941) 6047'28~ FAX {941) ~7-1~70 PROJECT: 37422 CQrn~ll Drive SOIL TESTING - FIELD D&JBITY - PERCEkTAO~ OY COHPACTIOW RlPORT CLIENT: JOB NO: DATE: Ay~ao Cor,&truction 613g 10/11i9~. PERWIT ~: 5288.8 D2937 J T.eST 1... fIf9.... IN PLACE FIELD DENSITIES . DArE MADE ., .: ....:',:.:. :... ... :.:.,......,.::,. :.....,.:': l~.SlTU :~JN ~PLACE:LAa~Jh\X., ~IR~~V "%~g~~'Il~~~I ..:. 8aQl(f:Ul :..,., LOCAnONOF~ST ",: :.., :.;...:. . P~e lOTI 1 10/10/95 I. ;~~PAl,:dplj:.....'R...::,.:,t:......:~,,,,.'.,.R:u....::,.'c..r.:'.'~...',...N'.".:."],..~...,i.:,'.:,, I,. "ATriI'NEO:. ~~ n~U 90 I I I I I I 90 ' ' , I 90 I 1 a;ii! I I : ! 90~1 90 i ~ 90 I 1 I r 90 I I i I OH'Q based on la.boratory M01sture 103.~ 106.,7 t06.4 .. , 102.0 ! 111 .4 99.3 112. .1 Building pad area; southW'i! I oorntir . 3' Delow grade 1 n" percentage or cO!':lpactlon Tor tne In - pT:tc~ denSity tests Density Relations Tt.8t8 Q998A as follows: 2 Building pad area;aouthWG,t Corner ,'. \;1r.d~ le\lQl Buildino pad arQa; oenter - grad. ley~l Building p~d ir~<<;northe.at corner oracv level 10.5 ! 10.8 11 .3 3 4 Building pid areajaouthw~at corner - l' bl)low grade Building pad ar~~jC9nt~r - l' INlow grllde 8u1lding pad 1rQa;.outhw~et oorner _- 2' b~low gr~~Q__ Aul1dino pac araa; o~ntvr . 2' below .Jira.d~ 11 , 1 12.3 o 12.6 6 12.4 7 8 11.5 103.6 LAB NO:. 10 TECHNICIAN: A. UoGhln CONTRACTOR: CliQot Wf.ATHU'l: Clo:.ldy 107.6 '96.0 107.5 99.3 107.5 1~9.0 107.5 ~14.9 107.5 100+ 107.5 H2.4 107.6 100+ 103.6 ~'6.4 REPORT DISTRIBUTION: Cl1~t Clty 01 Z.phyrh111b ~ile {~'\.':'nqq(\t'~v.ltd, ..... .1:r.:'A:-.. :-:<.;...c::.....:~::::. ~o. By: ~ ~~ Af M~Ghi~,~'.:~~to~y UQnag~r Envi'"C'nm.ntal Co/1$ultMllJ. Soil. <4:,cre1e and M..terial6 Quality Controi leGtir'lIj . ~ I~criaL TcstinO Labo(aloricc) 3905 KIDRON ROAD. LAKELAND, FLORIDA33811 . TELEPHONE: (941) 647-2877 MOISTURE-DENSITY RELATIONS OF SOIL FAX: (941) 647-1770 Laboratory Compaction Test ASTM D698 METHOD A CLIENT: Ryman Construction PROJECT: 37422 Cornwell Drive DATE: 10/11/95 PROJECT NO: 6139 PERMIT: 5268-B LAB NO: IF .... I;' " "'" 1\ , IJ 109 (DRY DENSITY-Ibs./cu.ft.) 108 Max.Dry Density 107.5 pcf 107 Optimum Moisture 12.6 % 106 105 9 10 11 12 13 14 15 MOISTURE (%) DATE SAMPLED: 10/10/95 SAMPLED BY: Al McGhin LOCATION SAMPLED: Building pad area: composite VISUAL CLASSIFICATION: Tan slightly silty fine sand Report Distribution: Client City of Zephyrhills File 6139 TESTED BY: CHECKED BY: Al McGhin ~ ~ .::. Al McG ~n, Laboratory Manager Environmental Consultants, Soil, Concrete and Materials Quality Control Testing ~ I~eriaL Testino Laboralorie6 3905 KIDRON ROAD. LAKELAND, FLORIDA 33811 . TELEPHONE: (941) 647-2877 FAX: (941) 647-1770 SOIL TESTING - FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT PROJECT: 37422 Cornwell Drive LAB NO: 10 CLl ENT : Ryman Construction TECHNICIAN: A. McGhin JOB NO: 6139 CONTRACTOR: Client DATE: 10/11/95 WEATHER: Cloudy PERMIT #: 5268-B Pa e 1 of 1 pad area~southwest 10.8 103.2 107.5 96.0 rade level 2 area; center - 11.3 106.7 107.5 99.3 3 Building pad area;northeast 10.5 106.4 107.5 99.0 corner - rade level 4 Building pad area;southwest 12.3 102.0 107.5 94.9 corner - 1 ' below rade 5 Building pad area;center - 12.6 111.4 107.5 100+ l' below rade 6 Building pad area;southwest 12.4 99.3 107.5 92.4 corner - 2' below rade 7 Building pad area; center - 11.1 112.1 107.5 100+ 2' below rade 8 11.5 103.6 103.6 96.4 FIELD DENSITIES - DATE MADE 10/10/95 .........................-..... -.............................. ........................... . ................................................................ ::;:;";,":;:::::;:::;:::;::::::;::::.::;:;:::::::;:::::::::::;:; :::;:;:::;:;:::;<::::::::::<:::::::::::::::::;:;:::;:::;:::; :;:::;:;'::;:;:;:::;:::;:::::::::::;:::;:::;:::::;:::; :: ::::;:;::;:::::;:::::;:::::;:::::::::::::::::::::;:;::.::::;:::::::::::::::::::::::;:::::::::::::::::::::::;::;::;:::::::;:;:." ~:::~:::::jtN~;~SITU::::::j~:~: ::i~:~I~N::f~:ptACE~~:~~: :~:~\~:~LAB:~::~~MAXjj :: ::jjjji~aQMeAe?tJON:~:::\:eeJly~Ny~i;;i:; MOt$TIJtdS(PRY'(PEN$t1tY:>... .... .................... .. .....'PERCENl?'..', ...' "'DEN$l1:Y"':"'" .,(,":""'}'POF :":.:'.(.': :.:'::..".'.'.'.:.'.'.::'.'::.:':..'...":... ..}:' .,:,."""",:,...",:",."."."."",.,.",.. '.....',/\)",.",,:....., ."PCP.,."'.":' ..i.AiiaJN.f;~., iRf;~g+~~P/ 90 90 90 90 90 90 90 90 ure 9~t.t~ti~M().t~.f6h~C~h.f~ri~' REPORT DISTRIBUTION: Client city of Zephyrhills File (e: \work\qc\6139.1fd) By: ...--f<'~' Al McGh, oratory Manager Environmental Consultants, Soil, Concrete and Materials Quality Control Testing CONTRACTOR #: 001690 NAME: I<EV I N ADDR: 37325 S.R. 54 C/ST: ZEPHYRHILLS C E N T R ALP E R M I T TIN G DATE: 12/14/95 PASCO COUNTY, FLORIDA PAGE: 1 OF 1 ISSUE OFFICE: D RYMAN RECEIPT NUMBR: 00268547 OFFICE: DADE CITY FL 342480000 FOR: CHECK # 7916 RESOURCE FOR 1026210120000000430 37422 CORNWALL CONTRACTOR: 001690 TOTAL AMOUNT: ACCNT COMPNY ACCOUNT CENTER 114 B450 - 363000 - 2 2.42 AMOUNT DESCRIPTION/PERMT DATA DRICR 2.42 ****** SOLID WASTE FEE 60 RECEIVED BY ~""1IllI"""-''''f''l<~'''~ ~ ~>'~.,;;~(,,_;'''r-~;'~"U~t::$ ?~ :f:~J'~":t,t~~.Ii';;< ,*,;~_:'."':~.' ":"';{"lJ,.;)~..,.~...- 'C;:""'~:,,:",'-- ~~:tI;-7':'-..!: ,..~_,.. _'i"_"_~1lIIP-_-..--~.." '\ "'-^-) \ i .,--/",_1 >(4\1' ,. I) f PASCO COUNTY, FLORIDA Permit No, Date Permitted Builder Name/Owner Name County Parcel No. .,.. ;..} /' Location Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 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) Rate/ERU - 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 $ 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 TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. / DATE DATE / BY BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce