HomeMy WebLinkAbout95-5375
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zonin~: . D.. Energy Code: Radon Gas: ;L d , ~-
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BUILDING
B<UILDING PERMIT.
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
-;--5375/1
Date
11-9 -y..s-
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ELECTRICAL
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PLUMBING
30.0-0
MECHANICAL
Sewer Conn ~d. ,7 tf: IJ1)
Water conn:~~~ ~'lJ,trD
Water Meter: j ta.5 -: (T[)
T.I.F.'s:
--
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.
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DATE
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Valuation or
Contract Price
Inspector
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Permit Fee
Signature
Company
Address
Telephone#
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City License Registration #
State Certified License#
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MECHANICAL
BUILDING
I! ,,-1;/YJ 99
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PLUMBING
ELECTRICAL
Ftr. JI~ J..(;J~ r ~ Tp. Servo
Pre SLB Jj..U}tif , . Rough In 2' -7 "If? ~}fl
Lintel / J- Zq. If S () I LL- Meter Can 1/ -7-9S-
FRM_ .~~;~w~ Cons'_ Pole v11--I~'I;- D,u.. Sewer;:!' \ q~-
Insul. C _~ Pool ~ Final
WL Pre-Meter ..~<o ~:s
6,-t6.<\"THttUt.. Il:;\~; 11": III Final .
Driveway ~fcJ-a.-~D il-}.i)-e,f 6~
~~2,~?..t;y LJ~r-
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:
.]/~ ~4~J~<L/ J/-P~r~-
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Breakers
Ducts Insl. 1-'1a-~ttJ 8~
Compressor
Final
f30J
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.
a.
b.
.\
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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· 'UI :NYI ]ft 5375 t(
~. . CITY OF ZEPHYRHILLS Permit-
(813) 788-6611
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ELECTRICAL
Date
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Sewer Conn . 01. / (1 . i' (j
Water Conn:(~,1;i',( ',,{;- . :?~:(.
Water Meter: J &1 S'- (.~'u
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BUILDING
PLUMBING
MECHANICAL
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Property Owner: ,/>::..:.. if i/' .....E::. t. iLl l,
Job Address: I:~ j ..i: 3 ,,/-'). ..),_":....t;;:;~ ,.,. "..
Parcel 1.0. # ,,/---J 1-, - d /-- ()/ s"'u ... / 0 i) /-- ..:.~ -
T.I.F.'s:
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Radon Gas: 7 d ! 8'~-
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Zoning:
Description of Work
Energy Code:
.....
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FINAL
C.O.
NO OCCUPANCY BEFORE C.O.
I C
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
OJ(lGt.J)()l{~ I'P(': (nimi.) :natiJie 11/13/95 11 :05 A.n.
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Inspector
'_.) DAJE
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Ci,ty License Registration'
State Certified License#
{;'1!i"
Permit Fee
Signature
Company
Address
Telephone#
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Valuation or ..\ 17 v - "'"-
Contract Price c:;. oL! / r S ,. ( D
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ELECTRICAL PLUMBING
S SLB /'-/:>-e-" 1;1''-
Tp. erv. 71.
Rough In ~') .. 7,. Ij'(,.1:>p/5 Tub Set I,ll,. ~~, ~p
Meter Can Ii 'i-P~- Water
Const. Pole c/ IJ-l.;. ~ -) DIu.. Sewer g \ elf.,. f6QJ
Pool Final
,Pre-Meter ~l"" ~?pl>.
dIll .! Final
Driveway \1' \. J~ '}:""coJu &"'L> Ii ;()c, r 6c..1:1
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BUILDING
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MECHANICAL
-
Breakers
Ducts Insl. /-j.Y-'1fe t:/~
Compressor
Final
FRM.
Insul. Cl'
WL
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:
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/ ..;' /' 74. / / /j - 7- C <'
I ' //4..",., i.f<.. ..i '.."."114<-<.1"',1, . /...::l
/./,c.o/.(.( " A~iLL,..,-, "". ,
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.
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.
I .
FORM 600B-93
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION. . [) :,
Residential Component Prescriptive Method B CENTRAL&5 6
Department of Community Affairs
1Ik,k-
GENERAL DIRECTIONS
1. New construction including additions which incorporates any of the following features cannot comply using this method: raised wood floors without continuous stem walls,
steel stud walls, single assembly roof/ceiling construction, or skylights or other non-vertical roof glass.
2. Choose one of the component packages "A" through "F" from Table 6B-1 by which you intend to comply with the Code. Circle the column of the package you have chosen.
3. Fill in all the applicable spaces of the "To Be Installed" column on Table 6B-1 with the information requested. All "To Be Installed" values must be equal to or more efficient
than the required levels.
4. Complete page 1 based on the "To Be Installed" column information.
5. Read "Minimum Requirements for All Packages", Table 6B.2 and check each box to indicate your intent to comply with all applicable items.
6. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form.
Please Print
OWNER:
1. Compliance package chosen (A-F)
2. New construction or addition
3. Single family detached or Multifamily attached
4. If Multifamily-No. of units covered by this submission
5. If Multifamily, is this a worst case (yes I no)
6. Conditioned floor area (sq. ft.)
7. Predominant eave overhang (ft.)
8. Porch overhang length (ft.)
9. Glass area and type:
a. Clear glass
b. Tint, film or solar screen
10. Percentage of glass to floor area
11. Floor type and insulation:
a. Slab on grade (R-value)
b. Wood, raised (R-value)
c. Wood, common (R-value)
d. Concrete, raised (R-value)
e. Concrete, common (R-value)
12. Wall type and insulation:
a. Exterior:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
b. Adjacent:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
13. Ceiling type and insulation:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
14. Cooling system
(Types: central, room unit, package terminal A.C., none)
15. Heating system:
(Types: heat pump, elec. strip, nat. gas, LP. gas, room or PTAC, none)
16. Hot water system:
(Types: elec., nat. gas, LP. gas, solar, heat rec., ded. heat pump, other, none)
I hereby certify that th .
Florida Energy Code.
9a.
9b.
10.
11a.
11b.
llc.
lld.
11e.
1.
2.
3.
4.
5.
6.
7.
8.
NlW.
fr\ i/ I T I'
'-
yr'c,
/s'c.1
;)...
&
Single Pane
sq. ft.
/ Jj i '2...sq. ft.
'?1 %
R= D
R=
R=
R=
R=
12a-1 R= ~
12a-2 R=
12b-1 R= ~
12b-2 R= If
13a. R= ']t;>
13b. R=
Y""J
CLIMATE r::::r D D
ZONE: 4 U 5 6
JURISDICTION NO.: ~
1..-.
CK
Double Pane
sq. ft.
sq. ft.
/)'(.,,7 sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
67'1 sq. ft.
sq. ft.
J., 71- sq. ft.
3(:;3 sq. ft.
/ ')f; 7 sq. ft.
sq. ft.
"
DATE: /0 J...;;'7~
ergyCode. /<.>_ ~ 1_ L:!-
DATE: ~ 7.>
Review of plans and specifications covered by this calculation indicates compliance with
the Florida Energy Code. Betor onstruction is compteted, this bull will be inspected
tor compliance in accordanc S~53.908. F.S.
OWNER AGENT:
-1-
Type: e e I\A v' ~ I
SEERlEER: /" tY coo
Type: /./ Q II. 7 fLc-v?
HSPF/COP/AFUE: 'I, 0
Type: E {e -r
EF: . Cj {
14.
15.
16.
DATE:
TABL!; 6B-1'
'MINIMUM REQUIREMENTS
COMPONENTS PACKAGES FOR NEW CONSTRUCTION
A B C D E F
Max.%of glass to Floor Area 15% 15% 20% 20% 25% 25%
C/) Type Single Clear (SC) Single Tint (ST) Single Tint (ST) Single Tint (ST) Double Tint (DT) Double Tint (DT)
C/)
:s
(!) Overhang 2' 2' 2' 2' 2' 2'
Masonry EXTERIOR AND ADJACENT MASONRY WALLS R-5
C/) COMMON MASONRY WALLS R-3 EACH SIDE.
....I
....I
<(
3: Wood EXTERIOR, ADJACENT, AND COMMON WOOD FRAME
Frame WALLS R-11
CEILINGS CEILINGS UNDER ATTIC R-30. FRAME COMMON CEILINGS R-11.
(NO SINGLE ASSEMBLY CEILINGS ALLOWED)
C/) Slab-Qn.Grade R-O
a:
0 Raised Wood R-11 (ONLY STEM WALL CONSTRUCTION ALLOWED)
0
....I Raised Concrete R-5
u.
DUCTS R-6 R-6 CONDo R-6 R-6 R-6
SPACE COOLING (SEER) 11.1 10.0* 10.0* 10.5 10.0* 10.9
~ Elect. (HSPF) STRIP 6.8* 6.8* 7.3 6.8* 7.6
<(
w Gas/Oil (AFUE) MINIMUM OF .73 (Direct heating) or .78 (Central)
I
a: Electric EF .90 EF .90 EF .90 EF .90 NOT ALLOWED EF .90
w::i: Resistance ** (SEE BELOW)
!;(w Gas & Oil ** MINIMUM EF OF .54 NATURAL GAS ONLY
3:tn
~>- (SEE BELOW)
OC/)
I Other Any of the following are allowed: dedicated heat pump,
heat recovery unit or solar system.
Climate Zones 4 5 6
TO BE INSfALLErl
~ %
DC: 0 DT: 0
)-- FEET
EXT: R= Q
ADJ: R= S-
COM: R- 5"
EXT: R= II
ADJ: R= II
COM: R=
UNDER ATTIC: R = 30
COMMOM: R-
R= D
R-
R-
R= (0 CONDo 0
SEER - (O
COP= - or HSPF='''I iO
AFUE -
EF= ~ '11
EF=
DHP: ~ EF= -
HRU:
SOLAR: 0 EF= -
Single package untls minimum SEER=9.7, HSPF = 6.6.
Minimum efficiencies for gas and electric hot water systems apply to to 40 gallon water heaters. Refer to Table 6.11 for minimum Code efficiencies for oil water heaters and other sizes.
DESCRIPTION OF BUILDING COMPONENTS USTED
Percent 01 Glass to Floor Area: This percentage is calculated by dividing the total of all glass areas by the total conditioned floor area.
Overhang: The overhang is the distance the roof or soffit projects out horizontally from the face of the glass. All glass areas shall be under an overhang of at least the prescribed length with the following exceptions: 1) glass
on the gabled ends of a house and 2) the glass in the lower stories of a muiji.story house.
Wall, Ceiling and Floor Insulation Values: The R.values indicated represent the minimum acceptable insulation level added to the structural components of the wall, ceiling or floor. The R-value of the structural building
materials shall not be included in this calculation. 'Common" components are those separating condtlioned tenancies in a multifamily building. 'Adjacenf components separate conditioned space from unconditioned but
enclosed space. 'Exterior" components separate conditioned space from unconditioned and unenclosed space.
Floor: Slab-on.grade floors without edge insulation are acceptable. Raised wood floors shall have continuous stem walls with insulation placed on the stem wall or under the floor.
Ducts: 'CONDo indicates that the ducts must be installed within the conditioned space; that is, the ductwork shall be located on the conditioned side of the insulation. Ducts in conditioned space are acceptable for any
prescriptive package.
Space Cooling System: Cooling systems shall have a Seasonal Energy Efficiency Ratio (SEER) for central units or Energy Efficiency Ratio (EER) for room units or PTAC's equal to or greater than the prescribed value.
Electric Space Healing Option: Heat pump systems shall be rated with a Heating Seasonal Performance Factor (HSPF) equal to or greater than the prescribed HSPF. Heat pump systems may contain electric strip backups
meeting the criteria of section 608.1.ABC.3.2.2. No electric resistance space heat is allowed for these packages.
Electric Resistance Hot Water Option: For packages designated 'Not Allowed", an electric resistance hot water system may be installed only in conjunction with one of the 'Other Hot Water System Options"'. See below.
Other Hot Water System Options: Any dedicated heat pump, heat recovery unit, or solar hot water system with an EF of 1.5 or higher may be installed. Solar systems must be designed to provide at least 40% of the total
hot water. Electric resistance systems having an EF of .88 or greater, or natural gas systems with EF .54 or greater may be used in conjunction with these systems.
TABLE 6B-21 MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather-stripped or otherwise sealed. "f.-
Interior Joints & Cracks 606.1 All openings in interior surfaces of ceilings and exterior walls must be sealed. 1-
Sole & Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. "1-
Infiltration Barrier 606.1 Infiltration barrier must be installed in exterior walls & raised wood floors. 1-
Fireplaces 606.1 Fireplaces must have flue dampers, glass doors and outside combustion air intakes. #44
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion 'f-
devices with integral exhaust ductwork.
Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) 7'
or cutoff (gas) must be provided. External or built-in heat trap required.
Swimming 612.1 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a N11
Pools & Spas pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%.
Hot Water Pipes 612.1 Insulation is required for hot water circulating systems, (including heat recovery units) and the first 'f..
8' of piping from the water heater (or until piping enters an insulated wall or slab).
Shower Heads 612.1 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG, 'f.
HV AC Duct 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
Construction, sealed, insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be 'f...
Insulation & Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets.
HV AC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. }
-2-
: SOiL TESTING
FIELD DENSITY - PERCENTAGE
OF COMPACTION REPORT
...
PROJECT:
Silver Oaks
Brentwood Drive - Duplex
Zephyrhills, Florida
Florida Testing & Environmental, Inc.
· Zephyrhills, Florida 33539. TELEPHONE (813) 780-8767
FAX (813)780-8864
P.O. Box 937
LAB NO:
ID
CLIENT:
Bill Poe Contractors, Inc.
TECHNICIAN:
Norman Curran
CONTRACTOR: Bill Poe Contractors
JOB NO:
95-5134
WEATHER
CONDITIONS
Mostly Cloudy
DATE:
October 3, 1995
T
ASTM D 2937 IN PLACE FIELD DENSITIES - DATE MADE 10-02-95 H
I
COMPACTION C
K
IN-SITU IN-PLA LAB. PERCENT N
TEST MOISTURE DRY MAX. E
~'O. LOCATION OF TEST DENSITY DENSITY ATTAINED REQUIRED S
PERCENT ?:F PCF S
BUILDING PAD FILL
l. 15'N. of S. W. Corner in West Footing Line,
Grade 6.9 106.4 106.6 100 90
2. 15'N. of S.W. Corner in West Footing Line,
l' Below Grade 7.5 113.9 112. 7 100+ 90
3. 5'N. of S.W. Corner in West Footing Line,
Grade 7.6 106.2 106.6 100 90
4. S'N. of S.W. Corner in West Footing Line,
l' Below Grade 9.5 114.1 112. 7 100+ 90
5. S'E. of S.W. Corner in South Footing Line,
Grade 6.5 108.3 106.6 100+ 90
6. S'E. of S.W. Corner in South Footing Line,
I' Below Grade 7.2 116.9 112. 7 100+ 90
7. lS'E. of S.W. Corner in South Footing Line,
Grade 5.9 108.3 106.6 100+ 90
8. 15'E. of S.W. Corner in South Footing Line,
I' Below Grade 7.7 111.9 112. 7 99 90
LAB NO.
IP
2P
MAXIMUM DRY DENSITY 106.6 pcf
112.7 pcf
The percentage of compaction for the In-place density tests are based on laboratory Moisture Density Relations ests
REPORT DISTRIBUTION: 2: Addressee
~
Florida Testing & Environmental,. Inc.
P.O. Box 937 · Zephyrhills, Florida 33539. TELEPHONE (813) 780-8767
· FAX (813) 780-8864
geotechnical engineering/materials testing/special inspections
MOISTURE-DENSITY RELATIONS OF SOIL
Laboratory Compaction Test
ASTM D 698 METHOD ~
CUENT Bill Poe Contractors, Inc.
DATE: October 3, 1995
PROJECT: Silver Oaks
Brentwood Drive - Duplex
Zephyrhills, Florida
PROJECT NO.: 95-5134
LAB NO. IP
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Max. Dry Density
106.6
pet
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z
w
C
>-
c:
c
Optimum Moisture
14.5
%
Norman Curran
REPORT DISTRIBUTION:
2: Addressee
TESTED BY:
CHECKED BY:
SO
Princ'
Arlcraft Prtnters' (813)665-9153
~
Florida Testing & Environmental, Inc.
P.O. Box 937 · Zephyrhills, Florida 33539.
TELEPHONE (813) 780-8767
· FAX (813) 780-8864
geotechnical engineering/materials testing/special inspections
MOISTURE-DENSITY RELATIONS OF SOIL
Laboratory Compaction Test
ASTM D 698 METHOD ~
CLIENT Bill Poe Contractors, Inc. DATE: October 3, 1995
PROJECT: Sil"'"re:=- Oaks PROJECT NO.: 95-5134
Brentwood Drive - Duplex
Zephyrhills, Florida LAB NO. 2P
113
-
.t::
::i 112
u
....... -:
en 07; Max. Dry Density ----.JJ: 2 . 7 pet
:e
>- 111
I- Optimum Moisture 13.8 %
CI)
Z
w
0 110
>-
a:
0
109
11
12
13
14
15
16
17
MOISTURE (%)
DATE SAMPLED
10-02-95
SAMPLED BY:
Norman Curran
LOCATION SAMPLED Building Pad
VISUAL CLASSIFICATION Brown, Fine Sand
CHECKED BY:
REPORT DISTRIBUTION: TESTED BY:
2: Addressee
Altaafi Printers. (813) 665-9153
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PERMITTING APPROVAL FORM FOR SILVER OAKS
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
To Whom it May Concern:
Please be advised that the full set of Construction Plans
including site or plot plan has been submitted and approved
by the D.R.C. committee for:
a/I /6e
BUILDER
(p 535" ;[3rer,ThJOO lJ ]);f I /IE
STREET ADDRESS
2l?DhAArklls FL
CITY ~ STATE
S63-t/9Q 2-
PHONE
3354/
ZIP
FOR:
LOT #
Pbe L
PHASE
SI!) /M (lll/e ~ c:q,t<fL
OWNER NAME
/0.- /8- 96
DATE SUBMITTED
/0 - It, -9':)
DATE APPROVED
APPROVED BY: ~y~~
c:b7C~. e~~L ~~
#~
., ~~
~~
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
rpT!.F'rL-ff j.1J.<1f
~.--gl:<
OWNER · S NAKE
Sn-i.K, C~~.fI..... (tJ C-ov,<-
7 f) 2- s- ~-r J- ~Ii..j J(J, 24'J"~~L,t () I FI" :1 3 ~Lf,
B{e....~I'~ Ot/~ 2t'~t..1t{, tllJ / (&/I-I 13 fl.( I
SUBDIVISION S'/l vut, 04- It 1
PHONE
'1 to 9J - , 2 ~I
OWNER · S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL LD.#
(OBTAIN FROH PROPERTY TAX NOTICE)
WORK PROPOSED:X-New Construction _Addition _Alteration _Repair _Install
_Sign ----"ove _Deaolish
PROPOSED USE: _Single Faaily ~/F z.. I of Uni ts _H/H
_<=<-ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
BUILDING SIZE: h 1
" L S'. U-<-'- s". .L-
X 7 ..2 9. Square Feet.
}f'
P/-4--< Ll.-
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
KBUILDING
XELEGTRICAL
~GHAlUCAL
-LPLUMBING .
PERKITS REOUESTED
D 0 0 - L! ~ .1-"'
$ -, 0; 0 .(,,~ Valuation of Total Construction
.
bOD AKP Service X Florida Power Corp.
~ Z'.. .- ..v-t"'-1..L
$ (p/)O Valuation of Mechanical Installation
W.R.E.C.
GAS
-X. ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: -k;.Bloclt _Fraae _Steel Other
FIRISHED FLOOR ELEVATIONS: <'b I f FT. IS PROJEC'l' IN FLOOD ZONE AREA? X
YES NO
******************************************
BIITlDER kc- COMPANY
State Cert. or Regist. #
Signature. City License Registration #
~ ******************************************
GONTRAC'l'OR SECTION
g,ll /le, 6...~~ :r~.
fl c.. 0
2..
/
ELECTRICIAN
Si.....t,yre)< R ~<...
COMPANY ~..... E/~d'~,L
o .~ State Cert. or Regist. , E
L ~ City License Registration'
******************************************
Signature
~T;:>~ 1'// IJ i I2p COMPANY B~ II~J ~t~
~-f ~~e l./V' /.. State Cert. or Regist. # C
City License Registration ,
***** ***********************************
COMPANY 5tJjltH..',} /AS(J)vJw/
State Cert. or Regist. #
City License Registration ,
*********************************
~
PLUMBER
Signature
>L
~.
MECHANICAL
OTHRR COMPANY A- - J /ZwA
State Cert. or Regist.' Il. ~ 01) b i ~ ~
Signature City License Registration' 8a
******************************************
APPLICATION APPROVED BY PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT:
A.- NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands tbat this perlit lay be subject to Ideed restrictions" wbieb lay be lOre restrictive than City
regulations. 'be undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they laY 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 tay be
cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departtent, (813)
788-6611.
FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
"Contractor Sections I of this application for whieb 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 IIOrk. If the contractor lIishes you to sign
as contractor that laY be an indication that be is not properly licensed and is not entitled to pertitting privileges in the
City of Zepbyrhills.
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 with a copy of IFlorida's Construction Lien Law - Hoteowner's Protection
Guidel prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is soteone other than the
"owner", I certify that I have obtained a copy of the above described docutent and prOtise in good faith to deliver it to the
"owner" prior to cOlleDceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develoPftllt.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no 1I0rk or
installation bas C08eDced prior to issuance of a pertit and that all work will be perfoI'led to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developteDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agencies laY apply to the intended work, and that it is
IJ responsibility to identify what actions I lUst take to be in colpliance. Sueb agencies include but are not litited to:
* Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnvironteDtally Sensitive Lands,
Water/Wastewater 'reatlent
t Southwest Florida Water Managetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'reattent, Septic Tanks
t US Environtental Protection Agency - Asbestos abateaent
I also certify that, if fill laterial is to be used in Flood ZODe IAI or MA,etc.l, it is understood that a drainage plan
addressing a "cQlPeDSating volute" will be subtitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frOt 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 sucb perlit is cOlleDced lIithin six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOlltbs after the till! the work is co.enced. One 90 day extension of tile, lay be
allowed for the perlit with fee ebarge of $15.00. Tbe extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during eaeb sixlOnth period, or the project will be considered abandoned.
WARNING TO OIflfER: YOUR FAILURE '0 RECORD A NOYICE OF COMMEICBIIEIft' MAY RESULT IN YOUR PAYING DICE FOR IMPROVEMEIft'S TO YOUR
PROPERTY. IF YOU IIft'EIfD fa OB'l'AIlf FlIIAICING, COlfSUL' WIR YOUR LENDER OR 1M AftORIEY BEFORE RBCORDIlfG YOUR lfOYICE OF
llIIIIEIICIIlm. _ IR $2,500 II VILUIlIlO 110I HIRD 10 IIIIOlIlIlIRD ~ _'.
SI /'SI 'fORE: COIft'RAC'rOR
STATE OF FLORIDA ^"
coum OF Hf5&J
The foregoing instrument was acknowledged
before me this 3\ Ocr, 19-9.5::'" by
lLh:/Linm Po~
who is p~TAnnally knq~ to me or who has
prod ced
as 'd tification
ta oath.
STATE OF FLORIDA P
COlJIft'Y OF 'f/ 8to
The foregoing instrument was acknowle.dged
before me this .3/ OCtT, 19 q~ by
lJULt'llm Jb0
who is p'ersonallv kn~ to me or who has
produced
as id ification
take ath.
(8
:'$\':f..~:r;;~. DANA M. G1ElLA
~./'Ql*~ MY COMMISSION" CC301855 EXPIRES
~.~~~ July 14, 1997
"'~P.f.;r...", SONDeD THRU TROY fAIN INSUllANCf, INC.
'fS.':f..~'r;;"'" DANA M. G1ELLA
f~."~~;~ MY COMMISSION /I CC301855 EXPIRES
~~.~:Q'~ July 14. 1997
";jJ:;,'{f."i:'t-~" saNDED THRU TROY fAIN INSURANCE, INC.
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ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
Classification
Address
OwnerlManager
Business Phone
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
Q) FINAL 0 ANNUAL
o OTHER
o NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
/ '
,.
,.'r
Inspect. Date
Re-Inspect. Date
Inspect. Time
Inspectors Name
Fire Dept. ID #
Owner/Manager Signature
Title
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy - File Yellow Copy - Business
--.----. _'-.~----'''''--,.-..-.--.-:---,.--:,- -'-'--'-"_-'-"---.-~,.---.,-- -< - - - -
'"
~~-----~
CONTRACTOR #: 008194
NAME: WILLIAM R POE
ADDR: 21125 TRILBY CEMETARY RD
C/ST: TRILBY FL 33525
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
DATE: 05/0:3/96
PAGE: 1 OF 1
ISSUE OFFICE: I)
RECEIPT NUMBR: 00282368
OFFICE: DADE CITY
FOR:
CHECI< # 1944
03-26-21-0150-00000
CONTRACTOR: 008194 6533 BRENTWOOD
TOTAL AMOUNT: 34.36
ACCNT COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/PERMT DATA DRICR
114 8450 - 363000 - 2 34.36 ****** SOLID WASTE FEE 60
RECEIVED BY
. // 1/ .
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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 0
Rate $
Zone No.
Sq. Ft./U nit
".",~""':~'~'N
Prepared By
Impact Fee Amount $
......
/'
The above impact fee has been e~tab1rshed 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
I
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)
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 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
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Gre~n
Bldg/lnsp
feecal:ce