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HomeMy WebLinkAbout95-5270 (pO 1i2.fL. ./ ~ !jh1' - BUILDING BUILDING PERMIT; '-52708 Permit Zoning: CITY OF ZEPHYRHILLS ~~--- (813) 788-6611 gJ2- Date 9 - :2.. 9 -,~~ hO' 7' -~~~ &V. ELECTRICAL pfUMBING MECHANICAL Sewer Conn ~ bl~~ ~ 9 - l'ater Conn: ,--;'00 ~J~= _ ~r~LWate'Met.' - - /. - / ' T.I.F.'S:S37:JJ4,1'c/ /.2-.2.7-7S ,;2 -':2 ~ - ~ 1- I)::J../O - DO 01':)0 - D07'D 0# c;lu Property Owner: Job Address: Parcel 1.0. # Description of Work -- :> NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector I P . F ~~O'5: ermlt ee - S;gnaMe . 80 ".' (li) Company Address Telephone# Valuation or 0... H ~) ~ Contract Price '-If/ S' /; ,.3 X 0 # City license Registration # r57& 7 State Certified license# C r:; ~ 00.52 fS- ElECTRICAI1'" PlUMBIN~ Tp. Servo SlB :/fD.../o-9SISJI..L Rough In /;-/Il-f-> PtJ6 Tub Set I/-J~...qS8JL.'- Meter Can q -,;lC; ~ <i,&;- Water Const. Pole Sewer 1- Z 2. - eJ,_j- &.1 ~ Pool Final 1_- J,J -)'::) _tW WL n '5 Pre-Meter '-~~'i(.> ~ Final /2.-],1 J 6'l>b Driveway v1'i,/J.{-.tpS"#lL f~~ \Q).3.-q~ 80-&. .sh~}hl~ JI-7q." fJiL.A...- hNftL- IL~2.t-~. j- gtil.. 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: I) /"1 /7 I;Q --..2!? -7S- a. Wrong Address ~ C^- ;a tf' b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. BUilDING Breakers Ducts Insl. 11-1 trr;r &8 Compressor b ~ Final /2 -2I q) r ~: The payment of inspection fees shall be made before any further permits will be issued to the person owning same. Department of Community Affairs FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Residential Component Prescriptive Method A CENTRAL SINGLE FAMILY RESIDE:BUILDER: GENERAL HOME DEVELOPMENT SORP. :PERMITTING :CLIMATE~' ZEPHYRHILLS, FL 335: OFFICE :(],11'lzo:;,N'tIlJI.lS : ZONE: 4: ~ 5: _: 6:_: BURT : PERMIT NO .d~7ol3 : JURISDICTION NO .~II4:>t)U CK FORM 600A-93 PROJECT NAME: AND ADDRESS: OWNER: 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) a. 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) 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: 6096 New Construction Single-Family o 1. 2. 3. 4. 5. 1340.00 6 . 2 .33 7 . 9 .66 Single Pane 8a.133.0sqft 8b. O.Osqft. Double Pane O.OOsqft. O.OOsqft. 9a.R= 0.00 , 159.00 ft 10a-l R= 4.20, 889.40sqft____ 10a-2 R=11.00, 280.40sqft____ lla.R=30.00 , 1466.00sqft____ 12a. R= 6.00, uncond 13. Type: Central A/C SEER: 10.00 14. Type: Heat Pump HSPF: 7.00 15. Type: Electric EF: 0.90 16. 17. 18. 2 19. 19a. 19b. 77.94 19586.39 25129.32 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- I Hereby certifv that the plans and specifications covered by this calcu- lation are in compliance with the Florida Energy Code. PREPARED BY: ~ ""'--~~'-~~ DATE: . ~-\~..s'\5 Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before const.ruction is complet.ed this building will be inspected for compliance in accordance with Section 553.908 F.S. I hereby certify that this building is in compliance with the Flo~ida Energy Code. OWNER~~i: DATE: ~~ '-\...I-^--L-,^-,,-_ ""''\- \.:l -"15 BUILDING DATE: o[p~,--4f.d~, II COMPoNENTS ** INFILTRAT~ON ~EDUCTION PRACTICE COMPLIANCE CHECKLIST ** CHECK ==~============================================================================ SECTION REQUIREMENTS FOR EACH PRACTICE =============================================================================== PRACTICE #1 Windows Exterior & Adjacent Doors Exterior Joints & Cracks. PRACTICE #2 Exterior Walls & Floors Exterior Walls & Ceilings DuctWork Fireplaces Exhaust Fans Combustion Appliances 606.1 606.1 606.1 606.1 606.1 606.1 606.1 606.1 606.1 606.1 606.1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES. Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel,insulated or glass doors only. To be caulked, gasketed, weather-stripped or other- wise sealed. COMPLY WITH PRACTICE #1 AND THE FOLLOWING: 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. Be in unconditioned space (except direct vent), draw air from unconditioned space, exhaust to outside. Cooking appliances shall be dampered and use intermittent ignition. --------------------------------------------------------------.----------------- Water Heaters ** OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) ** --------------------------------------------------------------.----------------- 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built- in heat trap required. -------------------------------------------------------------_._---------------- Swimming Pools & Spas 612.1 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. Shower Heads -------------------------~------------------------------------,~---------------- 612.1 Water flow must be restricted to no more than 3 gal- , lons per minute at 80 PSIG. --------------------------------------------------------------.----------------- HVAC Duct Construction Insulation & Installation 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, ins- ulated and installed in accordance with the criteria of Section 610.1.ABC.2 & 610.1.ABC.3. Duct in attics must be insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closet. HVAC Controls -------------------------~------------------------------------.----------------- 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation -------------------------------------------------------------------------------- or 604.1 602.1 Ceilings minimum R-19. Common Walls - Frame R CBS R-3 both sides. Common ceiling & ~loo,s ~ : OV'::::'..1. L.-O~ t'(;-J UUL.fl :::i.1.Ue:::i. L.-OIlHllOn ce~.J..~Tl9 6c T.J..OOTS K-~.J... -------------------------------------------------------------------------7---~- ******************************************************************************* SUMMER CALCULATIONS ******************************************************************************* === BASE ===: === AS-BUILT === =============================================================================== GLASS---------------- ORIEN AREA x BSPM = I I POINTS : TYPE SC ORIEN AREA x SPM x SOF = POINTS N 59.80 82.2 4915.6 SGL CLR N 19.1 51.0 .79 769.5 SGL CLR N 19.1 51.0 .79 769.5 SGL CLR N 21.6 51.0 .81 890.3 E 24.60 82.2 2022.1 SGL CLR E 21.6 109.2 .37 872.7 SGL CLR E 3.0 109.2 .26 85.2 S 43.60 82.2 3583.9 SGL CLR S 15.1 100.2 .62 931.2 SGL CLR S 15.1 100.2 .62 931.2 SGL CLR S 13.4 100.2 .57 765.3 W 5.00 82.2 411.0 SGL CLR W 5.0 109.2 .94 516.0 .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x AREA AREA FACTOR GLASS = POINTS ADJ GLASS POINTS GLASS POINTS ------------------------------------------------------------------------------- .15 1,340.00 133.00 1.511 10,932.60 16,522.20 : 6,530.96 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- NON GLASS------------ : AREA x BSPM = POINTS : TYPE R-VALUE AREA x SPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 889.4 1.0 Ad j 280 .4 .7 889.4 196.3 Ext NOrmWtBlock In Adj Wood Frame 4.2 11.0 889.4 280.4 1.16 .70 1031.7 196.3 DOORS---------------- Ext 21.6 4.8 Adj 19.0 1.6 103.7 30.4 Ext Insulated Adj Wood 21.6 4.80 103.7 19.0 2.40 45.6 30.0 706.0 .60 423.6 30.0 664.0 .60 398.4 30.0 96.0 .60 57.6 .0 159.0 -31.90 -5072.1 1340.0 10.90 14606.0 CEILINGS------------- UA 1340.0 .6 804.0 Under Attic Under Attic Under Attic FLOORS--------------- SIb 159.0 -31.8 -5056.2 Slab-an-Grade INFILTRATION--------- 1340.0 10.9 14606.0: Practice #2 =============================================================================== TOTAL SUMMER POINTS : 28,095.76 : 18,321.72 =============================================================================== TOTAL x SUM PTS SYSTEM = MULT COOLING : TOTAL POINTS : COMPON x CAP x DUCT x SYSTEM x CREDIT = COOLING RATIO MULT MULT MULT POINTS --~--~------------------------------------------------------------------------- 28,095.76 .37 10,395.43 : 18,321.72 1.00 1.100 .340 1.000 6,852.33 =======================================================:===:=::====:===:==::==:= ******************************************************************************* WINTER CALCULATIONS ******************************************************************************* === BASE === === AS-BUILT === ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- GLASS---------------- I t ORIEN AREA x BWPM = POINTS , TYPE SC ORIEN AREA x WPM x WOF = POINTS I ------------------------------------------------------------------------------- N 59.80 -3.4 -203.3 SGL CLR N 19.1 9.6 1.13 207.2 SGL CLR N 19.1 9.6 1.13 207.2 SGL CLR N 21.6 9.6 1.12 231.5 E 24.60 -3.4 -83.6 SGL CLR E 21.6 -2.2 -3.59 170.8 SGL CLR E 3.0 -2.2 -5.04 33.3 S 43.60 -3.4 -148.2 SGL CLR S 15.1 -10.9 .61 -100.8 SGL CLR S 15.1 -10.9 .61 -100.8 SGL CLR S 13.4 -10.9 .54 -78.9 W 5.00 -3.4 -17.0 SGL CLR W 5.0 -2.2 .69 -7.6 -------------------------------------------------~-----------------~------------ .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x AREA AREA FACTOR GLASS = POINTS ADJ GLASS POINTS GLASS POINTS ------------------------------------------------------------------------------- .15 1,340.00 133.00 1.511 -452.20 -683.40 : 561.78 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- NON GLASS------------ : AREA x BWPM = POINTS : TYPE R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 889.4 1.1 Adj 280.4 1.8 978.3 504.7 Ext NormWtBlock In Adj Wood Frame 4.2 11.0 889.4 280.4 3.26 1.80 2899.4 504.7 DOORS---------------- Ext 21.6 5.1 Adj 19.0 4.0 110.2 76.0 Ext Insulated Adj Wood 21.6 5.10 110.2 19.0 5.90 112.1 30.0 706.0 .60 423.6 30.0 664.0 .60 398.4 30.0 96.0 .60 57.6 .0 159.0 2.50 397.5 1340.0 4.10 5494.0 CEILINGS------------- UA 1340.0 .6 804.0 Under Attic Under Attic Under Attic FLOORS--------------- SIb 159.0 -1.9 -302.1 Slab-an-Grade INFILTRATION--------- 1340.0 4.1 5494.0 Practice #2 =============================================================:================== TOTAL WINTER POINTS I I 6,981.72 : 10,959.30 =============================================================:================== TOTAL x WIN PTS SYSTEM = MULT HEATING : TOTAL POINTS : COMPON x CAP x DUCT x SYSTEM x CREDIT = HEATING RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------- 6,981.72 1.10 7,679.89 : 10,959.30 1.00 1.100 .484 1.000 5,834.73 =============================================================:================== ******************************************************************************* WATER HEATING ******************************************************************************* === BASE ===: === AS-BUILT === ~------------------------------------------------------------------------------ ------------------------------------------------------------------------------- NUM OF BEDRMS x MULT = TOTAL TANK VOLUME EF TANK RATIO x MULT x CREDIT MULT = TOTAL ------------------------------------------------------------------------------- 2 3527.0 7,054.00 40 .90 1.000 3449.7 1.00 6,899.33 ------------------------------------------------------------------------------- -------------------------------------.------------------------------------------ ******************************************************************************* SUMMARY ******************************************************************************* === BASE === : === AS-BUILT === ---~--------------------------------------------------------------------------- ------------------------------------------------------------------------------- COOLING POINTS + HEATING POINTS HOT WATER + POINTS = TOTAL POINTS COOLING POINTS + HEATING POINTS HOT WATER + POINTS = TOTAL POINTS ------------------------------------------------------------------------------- 10395.4 7679.9 7054.0 25,129.32 6852.3 5834.7 6899.3 19,586.39 ----------------------~-------------------------------------------------------- ------------------------------------------------------------------------------- ***************** * EPI = 77.94 * ***************** '{N ,. I \ ~- \0 151 I I i I I I ! G--oro~e i r--- , '1:J r , '{ of .... /V\ rv _L_ "i4.0 , l\ 3,:)'-0" . -:Y~rd,'< . ' ~)<\.J.,q'd \::' '.!-: o LEGAL DESCRIPTION: Lot 7, Driftwood Subdivision Phase IV, Pasco County, Florida. I" 5:.a /\ ? ~ General Home Development Corporation September 29, 1995 City of Zephyrhills Building Department 5335 8th Street Zephyrhills, FL 33540 RE: Contractor ID # 22 State # CGC005695 Permit for Burt Lot 7 Driftwood Phase IV A To Whom It May Concern: Please allow this letter to act as our written request to change the Plumbing Subcontractor from Bayonet Plumbing, Zephyrhills ID # 91,to Rusty's Plumbing, on the above referenced Permit application. If you have any questions, please don't hesitate to give us a call. S;;:Z~' r- ~ ~-~ o~ ~ Kevin T. Roberts GENERAL HOME DEVELOPMENT CORP. KTR/jkb Sworn to and subscribed before me this ~ day of September, 19 22- ~~~ ary .-' -K- Personally known to me Identification Notary Public, State of florlda IANET DlACKWE.LL MV Co",m, Exp, 9.18-96 Co","" No. CC 228545 Main Office: 13924 7th Street Dade City, FL 33525 Phone: (904) 567-6581 Fax: (904) 567-6742 eu'Lb'N& Et-i2L17l. \L..- itu~ 1l\~.L).\tWll(\L- SvB1.O "R\- L- Ci{ Ji.j) l T 701A-L- .slUv~ WAT~~ M~ lbTn L 1-101-0 .s" - -...-~~-_..__."; GrlU 0(P~'5 pLS1itdho ,;:. Vf\L.UrrntyJ :: :)~,31>D:~ ' --. .t.J 0 "7. "JC I .;tS r:)O- 5Z,~Q 3 't) ;" tJ - t.oOlC~ LCNJU~cN f'~& JIZ.J~ [,0 3'30.<.:>0 ,..s/t". I 102_ cl. CU ~ t. !}, ~A-~W ~ JJ 2..0 ~ 1--0 7~6Poa.rm1tyJ tmH1LT rru--S . Clef/X: s: S3;, 7~ I ~& "::;- 5, ~1 53Q. i 3 ." ....-...... -. ""'t" ~~ -' ., ':"" ..... :...... -- 35/,0 ;( 1,3'-10 . 6),rr: ~.~v'IN6- /~O{) )(. to 8D ~. F~ oTI.tlUL .. .-.. ....... .. -~ .... --, ..... .... . ~ . ... . .... .. .-.,. - -.. -..........-........ ~. . t __ h .. .. .. ,. '" ._.._....._...... _....., . ... "'~ <.-... ." ..... ".....-. ........- - ,.. I' , e_._..._ ...... . _. .............._.......... .. '. o. .. .. _0. _, ....... . _...._. .. ._.........___._, . . ....-..-............-........ "--- -. . . ... -. .... .. ---... ..-................-....,....,. .., .. ".- -, ..,. ..-...........u........_. '.. ... .. ......... .-. ....- -.-. -."''''-'' ... , .., ............ ".. .---.-. ... APPLICATIOlNl FOR PERHIT CI'IY OF ZEPlIYRllTLLS nUfU..DIEG DRPARU1Em" . . (i7(2f IJJfl60'; , / 9//~ OWNER'S ADDRESS John and Mi 1 dred Burt PllONE. (517)753-6486 525 Morley Dr., Saqinaw, MI 48601 .. OWNER' S NAME JOB ADDRESS Lot 7 Driftwood Subdivision Phase IV, Pasco County, Florida 6(,15 'P/5â„¢HIO LEGAL DESCRIPTION: LOT(S) 7 B~SunDIVISIOlNl Driftwood PhflC;P TV PARCEL I.D.I ?-?fi-?1-0?10-00000- 0070 h'URK PROPOSED:-Lrmew Construction ---..Addition _Alteration _Repair I _Install _Sign _Hove _Deaolish PROPOSED USE: X Single Fanily _H/F _' of Units . ---1:f/H _CoamIercial _Indust. _Swia. Pool . Other _Restaurant & lIealt:h: Depa;:-t:lIIen.t Approval . BUILDING SIZE: x ?O?O Square Feet, Height RESIDENTIAL : COMMERCIAL : AlTACH (2) PLOT PUUlS &: (2) SEIS OF BUILDING PLADiS &: (1) SET ENERGY FORMS. ** ATrACU (3) SETS OFBUllDlBG PLANS &: (1) SET ENERGY FORtIS. ** uCOFY OF CONI'kA(''T RRQIITRED. PERHITS REOUE.ciTRD ...L-.-BUILDING $ 48,000.00 Valuation of Total ConstIVction ...L-.-ELEGTRICAL AHP Service Florjda Power Corp. W.R.E.C. ..LJIEClIANICAL $ Valuation of Mechanical Installation LYLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: -X-Block. _Frase _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN PIOo.n ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUILDER Kevin T. Roberts COHPANYr,A~A~al ~omp Opvplopmpnt r.orp~ :-'\ . State Cert. or Regist. 4# CGC005695 Signaturee~ J<v8Q.d.~ City License Registration , 22 B-(;; 7 ***************x***~********~************* ./ rian DUPtl.is/~7 COIHPANY Martin Electric ^. '... ~W. S"~"".~ Cpr.... ()- l1ap...,.t -II' C'Dnn1~ -...c::..,-_ ..... .... ... _.._~__ .. 't'1"~~" . .. - ...,~ City License Registration ~ '1 ******.***2******************************* v'/ Signature cmt.PANY te Cert. or Regist~ Ie City License Registration I ~ ****************************************** /' MECHANICAL z:.Od ey S. Carter COHPANYSouthern Comfort Enterprises '.-~ d State Cert. or Regist..' ri in C)t:J 1S""(j /_L- Signature .. J~ City License Registration I. 110 S$ ***********~****************.************* v Signature OTHER Rick Gavin ~/~ COnP~~ Gavin Roofinq State Cert. or Regist. jRC0046~41 Ci~ License Registration , *************.*******.~**************.**** APPLICATION APPROVED BY PEmfiT OFFICER. . CDI'I]) 1 T I OJ\j~> OF F'ER!'i 1 T (')FF I D{'')'v IT, A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this p;I~.it-Alay bE! -;'ubjl!d to "deed restrictions" which flay be iIlore restrictive than Ci ty regulations. The undersigned assuae5 re.ponsibility for cOMpliance Kith anv applicable deed restrirtio~5. B. UNLICENSED CONTRACTC~S AND CONTRACTOR RESPONSI8ILITIE~ If the owner has hired a contractor or r~ntractors to undertak~ Nork, they may be required to be licen~ed in accordance with state and local regulations. If the "contractor is not I icensed as required b'{ Jaw, both the owner and contractor aay ilE: cited for a lisde.eanor violation under state l?w. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended :lork1 they are ~~vised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contr~ctDrs, he is advised te have the ~ontractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign 3S the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contract~r wishes you to sign . as contractor that Day be an indication that he is not pr~perly 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 Kith a copy of "Florida's Construction Lien Law - He.ee"ner's Protection 6uide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is !iOleone other than the "owner", I certify that I have obtained a copy of the aboye described document and promise in good faith to deliver it to the 'owner" prior to cOllencelent. E. CONTRACTOR'S/OWNER'e AFFIDAVIT I certify that all the inforlation in this applicaticn is accurate ~nd that all work will be done in cOlpliance with all applicable laws regulating constructivn, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work Dr installation has co..enced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulatior.s, and land d~veIQPle~t regulations in the jurisdiction. I also certify that I understand that th~ regulations of vther governmental agencies lay ap~ly to the intended work, and that it is .y responsibility to identify what actions I lust take to be in cr~pliance. Su~h agencies include but ~re not li.ited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entaIly Sensitive Lands, Water/Wastewater Treataent f Southwest Florida Water ManaQeaent District ,- Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Do~~s, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells. Wastewater Treatlent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abatelent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc,", it is understood that a drainage plan addressing a "coDpensating volume" Hill be submitted which is prepared by a professional engineer registered in the state of Florida prior ~o perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, ncr shall issuance of aperlit prevent the Building Official frol thereafter requiring a correction of errors in plan~, construction, or violations of any code. Every periit issued shall becole invalid unless the Nork authorized by such permit is cOlee need within six lonths of issuance, Dr if work authorized by the per.it is suspended or abandoned for a period of SIX lonths after the tile the Hork is cOlIJenced,' One 90 :lay extension of tile, lay be allowed for the per.it with fee charge of 115.0C. The extension shall be requested in writing to the Building Official, An approved inspection lust be logged durin) each si~ lIonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTIr.E OF CO~MENCEHENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIHAII,;JIl6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COllIIENCEl\ENT. JOBS UNDER $2,500 IN VALUI: DO NOT HEED TO RECORD AND POST f:l "NOTICE OF C0l1t1EIKEtlENT". ~ K. AOt1.vl,~c 51 URE: O~NER OR AGFN.T . , , STATE OF FLORIDA ~ COUNTY OF LetS C-o' _ The foregc.ing i~st.Trument Iolas acknowledged befcl\-e me this .d.!::f..r-l.~. di , 19-1..,L by ...)t'l v.... 1- a 16..LKuJ~ J I ~ho is personally known to me or who has produced as identification and who did/did not take an o_a~~ .r:l. ~ (SignatUl-e f STATE OF FlORIDA~ COUIITY OF y () S c.o The foregOingJ;t'nstrument was acknowledged before me th i I J.... t:l\. , il} ~ by , ~) a,Y\f'T G IG-Lk \u L. L L who is personally known to m~ or who has produced ~ as identification and Iolhc, did/did not take;?~ JL ~~ (Signature) BARBARA A. ALLISON Notary Public, State 0' Florida My Comm. Exp. 03.26.98 Comm. No. CC 358940 (N~me Typ~d, Printed or Stamped) NOTARY_PUBLI BARBARA A. ALLISON Notary PUblic, State of Florfda My Comm. Exp. 03.26.98 Comm. No. CC 358~40 . (Name Typed, Printed 01- Stamped) NOTARY PUBLIC . 3~qjf PASCO COUNTY, FLORIDA Permit No. S~7013 9-b<9-9r Date Permitted Builder Name/Owner Name~""LJ ,~ flJ4h'~~ County Parcel No. ~ -;Lb -,;)./ - t!J,;u tJ -.. t) 0 [) CJ U.. 0 l) 7' 0 Location "6 if.s ---~~ Subd. Classification/Type of Use c-;? W ~ t1 .. ...._____ TRANSPORTATION IMPACT FEE CALCULATION EXEl\fFf Rate $ Z011\..; , Sq. Ft./U nit Impact Fee Amount $ The above impact fee een established pursuant to the Pas ounty Transportation Impact Ordinance as adopted by the Board of nty Commissioners. This amount is payable PR 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 $ .~7 TOTAL FEE $ *Discounted for Prepayment The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197, as commended. THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and the conditions of payment for same. t ~- J- I -15 0YltkM L --=h/l A.4Y Date Received ~ --------------------------------------------------------------------------------------------------------------------.------------------------------- OFFICE USE ONLY TRANSPORTATION REC. NO. DATE BY RESOURCE RECOVERY REC. N~0 Cj& 0 q DATE I~- BY 7- White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce