HomeMy WebLinkAbout95-5398
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BUilDING
BUILDING PERMIT--
CITY OF ZEPHYRHILLS Permit N!
(813) 788-6611
~5
PLUMBING
i-539W
..-
tJ & '7~
Date / / - ~ Q) - 95
ELECTRICAL
c2S-
MECHANICAL
hi 0 S!Sl
Sewer Conn J ~ 7 0
Water connfl :3~~
We'" M.te'~ -i!!,6 =-
T.I.F:s:t1-xE'i)j " :J,i/J./ ~
Zoning:
Description of Work
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.
,,~
Valuation or ~
Contract Price 'IP .:S ~ O,.g () . -
Permit Fee
Signatur.
Company
Address
City license Registration # c;J 3.6-
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BUilDING ElECTRICAlf/16/
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, PLUMBING 019
-
Vb7t{jf~
MECHANICAL bl06
Ftr. Tp. Servo SlB
Pre SlB Rough In IiZJJ/5 fxJ:J Tub Set 1/-:Ji-9S &ilL
lintel, 'l Meter Can 1/- :JO-'j~-J!5 ~ Water .
FRM. 1i.7.;7-A~,< l\...V Const. Pole Sewer
Insul. Cl Pool Final I-~ --'/ ~ .$zJ E
WL //'Zf(...Cj5'$,/.;L .Pre-Meter v'1-'i~b 6-oh
Final
Breakers
Ducts Insl. Jlli~ 5- i:5eb
Compressor
Final /....~...1~.sa 8
Driveway
HNM-l-~~~b~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
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.
?Je2 ~/ /~,-5--7~
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT Sandy Development Company. Inc.
ADDRESS 12303 U.S. Hwy 301. Dade City. FL 33525
PHONE (904) 567-7992
OWNER
Oak Run Properties. Inc.
Bldg #5
JOB LOCATION 37740 Oak Run Circle
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
~
BLOCK
SUBDIVISION
PARCEL 1. D. ~F
WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
--1LM/F
~# of Units
_____M / H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE: 145' 2"x~,
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS RROUESTED
-K-BUILDING
$
Valuation of Total Construction
-X-ELECTRICAL
-K-MECHANICAL
-K-PLUMBING
AMP Service
Florida Power Corp.
_\~.R.E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signatu
CONTRACTOR SECTION
Company Sandy Development Co., Inc.
State Cert. or Regist. # CBC010923
City License Registration # 18 ~3 S-
*****************************************
Company San Ann Electric
State Cert. or Regis t. 4ft ER5636
City License Registration # 1461
******************************************
/AI<:"Company Bayonet Plumhing, TnC'._
State Cert. or Regist. 4ft CFC042Qqg
City License Registration 4F Q1 cfZy
******************************************
Signature
Company Sonny'. s
State Cert. or Regist. # RM0018461
City License Registration!F 2 ;2..CJb
***********************************
OTHER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
. CONDITIONS OF PERMIT AFFIDAVIT
~A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it '.ay be subject to "deed restrictions" which .ay be .ore restrictive than City
regulations. The undersigned assu.es responsibility for co.plianr.e with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they .ay 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 .ay be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City of 2ephyrhills Building Depart.ent, 18131
78B-b611.
Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl 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 lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of 2ephyrhills.
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 "Florida's Construction Lien Law - Ho.eowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.eone other than the
"owner", I certify that I have obtained a copy of the above described doculent and prosise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develop.ent.
Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has cOI.enced prior to issuance of a per.it and that all work will be perfor.ed 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 govern.ental agencies .ay apply to the intended work, and that it is
IY responsibility to identify what actions I .ust take to be in co.pliance, Such agencies include but are not li.ited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health L Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environlental Protection AQency - Asbestos abate.ent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volule" will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it 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 fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beco.e invalid
unless the work authorized by such per.it is co..enced within six .onths of issuance, or if work authorized by the pertit is
suspended or abandoned for a period of six .onths after the ti.e the work is cOI.enced. One 90 day extension of ti.e, .ay be
allowed for the pertit with fee charge of $15.00, The extension shall be requested in writing to the Building Official. An
approved inspection .ust be logged during each six .onth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCE"ENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUlT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COK" NCE"ENT. JOBS UNDER $2,500 IN VA UE DO NOT NEED TO RECORD A POST A "NOTICE OF COMHE EHENT",
STATE OF FLORIDA ()
COUNTY OF t:.'ft-5CO
The foregoing instrument was acknowledged
before me th i s r\lN Q..m'ou Uo, 19 C? <) by
STATE OF FLORIDA P
COUNTY OF As (..0 _
The foregoing instrument was acknowledged
befol-e me this f'\1)fGtmbu'Ik> , 19 q)" by
'whc. has
who is personally known to me .r who has
produce
as identificati
take an oath
who i personally known
produce
as identificatiD
take an oath.
,~
(Signature)
(Signature) ,
JJa wilL --.JUXU'l
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
fJo.*-oJ";.Jo-- ,SWOvr)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
NATALIE SWAN
Notary Public, State of florida
My Comm, Exp, Oct. 12, 1999
Comm, No, CC 501333
NATALIE SWAN
Notary Public. State of FlorIda
My Comm, Exp. Oct, 12, 1999
Comm, No, CC 501333
~~'"-fL7, .;L
Department of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL <4:5 6
PROJECT NAME:
AND ADDRESS:
OWNER:
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units covered by this submission
4. If Multifamily, is this a worst case (yes I no)
5. Conditioned floor area (sq. ft.)
6. Predominant eave overhang (ft.)
7. Porch overhang length (ft,)
8. Glass type and area:
a, Clear glass
b, Tint, film or solar screen
9. Floor type and insulation:
a. Slab on grade (R-value + perimeter)
b, Wood, raised (R-value + sq, ft.)
c, Concrete, raised (R-value)
10. Net Wall type, area and insulation:
a. Exterior: 1. Concrete block (Insulation R-value)
2, Wood frame (Insulation R-value)
3, Steel frame (Insulation R-value)
4, Log (Insulation R-value)
b. Adjacent: 1. Concrete block (Insulation R-value)
2, Wood frame (Insulation R-value)
3, Steel frame (Insulation R-value)
4, Log (Insulation R-value)
11. Ceiling type, area and insulation:
a, Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
12. Air distribution system:
a, Ducts (Insulation + Location)
b, Air Handler( Insulation + Location)
13. Cooling system:
(Types: central-split, central-single pkg" room unit, PTAC" none)
14. Heating system:
(Types: heat pump. elec, strip, nal. gas, L.P, gas, room or PTAC, none)
15. Hot water system:
(Types: elec,. natural gas, solar, L.P, gas, none)
16. Hot Water Credits:
a, Heat Recovery (HR)
b, Dedicated Heat PUmp(DHP)
17. Infiltration practice: 1, 2 or 3
18. HV AC Credits (Type in Letter designation: CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RS-Attic radiant barrier, MZ-Mullizone)
19. EPI (must not exceed 100 points)
a. Total As-Built points
b, Total Base points
EPI = Total As,Bullt points X 100
Total Base points
I hereby certify that th la 5 and 5 e ifications covered by the cal lation are in compliance with the
Florida Energy Code, h ..,,-
PREPARED BY: ,_~_ -.II/[,1 i" L- DATE: / I ~ I \"'] J
I hereby certify that Ihis building is in Compliance with I e Florida Ener Code,
CLIMATE r;:;r D D
ZONE: 4 L..J 5 6
JURISDICTION NO.: ~
CK
1.
2.
3.
4.
5.
6.
7.
Alt E ,
',lYWlrr
q<1.~
9~r
1-
8a,
8b.
sq. ft.
ft.
ft.
Single Pane Double Pane
rl 7,)" sq. ft. sq. ft.
sq. ft, sq. ft,
9a, R= D I~'i. \ I. ft.
9b, R= sq. ft.
9c, R= sq. ft.
10a-1 R= 6 5'" sq. ft.
10a-2 R= sq. ft.
1 Oa-3 R= sq. ft.
10a-4 R= sq. ft.
10b-1 R= sq. ft.
10b-2 R= II 3,0 sq. ft.
10b-3 R= sq. ft.
10b-4 R= sq. ft.
lla. R= 30 'jJ.r sq. ft.
llb. R= sq. ft.
12a. R= t:> , (..111I eel' (cond.luncond,)
12b. R= I.j t) )", (oJ1, i (cond.luncond,)
13a. Type: C e r" l' r ~
13b. SEERlEERlCOP: /0,('; Q
13c. Capacity: )~toCJQ
14a, Type: Erect',
14b, HSPF/COP/AFUE: It D
14c. Capacity: /7 0 ~o
15a. Type: Ell c( .
15b. EF: 191
16a.
16b.
17. "1-
18.
119. <61,Q
19a. 1
19b.
Review of plans and specifICations covered by this calculation indicates compliance with
the Florida Energy Code, Before nstruction is completed, this building will be inspecled
'or compliance In accordance ection ,908, F,S,
OWNER AGENT:
DATE:
-1-
DATE:
CONTRACTOR #: 004046
NAME: JEROME W PARKER
ADDR: 13050 HIGHLANDS COURT
C/ST: DADE CITY FL 33525
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
DATE: 01/05/96
PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR: 00270248
OFFICE: DADE CITY
FOR:
CHECK # 20::::
BUILDING Z/HILLS 5398B
CONTRACTOR: 004046
TOTAL AMOUNT:
ACCNT COMPNY ACCOUNT CENTER
114 8450 - 363000 - 2
51. 41
AMOUNT DESCRIPTION/PERMT DATA DRICR
51.41 ****** SOLID WASTE FEE 60
RECEIVED BY __
PASCO COUNTY, FLORIDA
Permit No,
SfJ; '1~,6
//-c;Jo-96
Date Permitted
Builder Name/Owner Name. xl:41f~ (Qe~l1<j
County Parcel No, ...3'7 -~ -~/- 3
(J4.~X-UA1 (]~~
Classification/Type of Use ~ 1J4 L~Ar~../
Location ,J 7 ~ YO
Subd,
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No,
Prepdred By
The above impact fee ha n established pursua e Pasco County Transportation Impact Ordinance as adopted
by the Board of C y Commissioners, This amount is pay a lOR to the issuance of a Certificate of Occupancy
or authority t utilize the permitted structure,
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
No. Units
I
Gross Sq, Ft. (GSF)
Rate/ERU - 50,00 x O,96*/Year
or $O,1315/Day
ERU Assign No,
Assessment - (No. Units) x ($0,1315)
x (No, Days)
5/. <j /
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 ~otice of this assessment anl! the conditiOi~ (~paym~nt. for s'!!1~e,_
1/;.51Jr,~ . ____'Jkdcd~~
ate Received By
-------------------------------------------------------------------------------------.--------------------------------------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO,
RESOURCE RECOVERY REC, N~ 10 del ~
DATE
DATE
BY
I - f""- i b BY
J
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
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