HomeMy WebLinkAbout95-5399
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BUILDING
BUILDING PERMIT-
CITY OF ZEPHYRHILLS Permit 'IT!
/' (813) 788-6611
16 4'
p.te. /" ::J5 ~S- _
ELECTRICAL PLUMBING MECHANICAL Sewer Conn It a 7 R
M Water Conn: ~-
::~::,~:~e'~ {i.uO~~~.6I1J$0' ;~~~:,~;;~)fp:7' ~
Parcel I. D, # ....:.? '1- :;)S- -;;:)/ - -3
..
J-539~8
Date
/1- c:2 [) - 9.s-
Zoning:
Description of Work
FINAL
C.O.
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or ~ . o~
Contract Price ~ ?; 0:3 D
Permit Fee
Signat
Company
Address
Telephone#
-
City License Registration # ....:J ~ t>
State Certifi icense#
f,
BUILDING
Ftr.
Pre SLB
Lintel
II. 2-1..rt1 ') 11 (.L..
FRM. ._ _ iD
Insul. CL
WL /I-Z"..C/S S'LL
Tp. Serv.
Rough In //-).'/~> f?x>h
Meter Can jJ-d}t)..9S- h
.
Const. Pole
Pool
Pre-Meter ,.(, j- 'f '0/ t
Final
SLB
Tub Set
Water
Sewer
Final
B.LL-
11-2 i...9~ {j'L..L
Breakers ~
Ducts Insl.}.l- J,J-e,S
Compressor
Final
Driveway
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:
a.
b.
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.
)J a pI I--S~-Yh
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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 Pro?erties, Inc.
Bldg #5
JOB LOCATION 37738 Oak Run Circle
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. 4~
WORK PROPOSED:~New Construction ----Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
PROPOSED USE: ____Single Family
-LM/F
--9-.# of Units
,____M / H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE: 145' 2"x 40',
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 REOUESTED
-1L-BUILDING
$
Valuation of Total Construction
-X....-ELECTRICAL
-1L-MECHANICAL
-1L-PLUMBING
AMP Service
Florida Power Corp.
_\i.R.E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
SECTION
Company Sandy Development Co., Inc.
State Cert. or Regist. l~ CBC010923
City License Registration # 18 ,~3..S-
****************************************
Signatur
Company San Ann Electric
State Cert. or Regist. if ER5636
City License Registration if 1461
******************************************
Company Bayonet Plumbing, TnC'._
State Cert. or Regist. # CFC042QQR
City License Registration # Q1 0l...'1
******************************************
Signature
t~
Company Sonny ~ s
~ State Cert. or Regist. fft RM0018461
~~ City License Registration ~~ 2
. ****** ***********************************
dJ}h
MECHANICAL
OTHER
Company
State Cert. or Regist. if
City License Registration if
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOT1CE OF DEED RESTRICTIONS
The undersigned understands that this perlit 'lay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlplianre with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has 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 laM, both the owner and contractor lay be
cited for a lisdeleanor violation under state law. If the ONner 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, (8131
788-6611.
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 lay 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 "Florida's Construction Lien Law - HOleoNner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described doculent and prolise 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 co.pliance Nith all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit 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 perfor.ed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited 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
t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestos abatelent
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 sublitted which is prepared by a professional engineer registered in the State of
Florida prior to pertit 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 perlit prevent the Building Official frol thereafter
requ~ring 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 cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cO.lenced. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of SI5.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project Nill be considered abandoned.
WARNINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF Co"HENCE"ENT "AY 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
CoH"ENCEHENT. JOBS UNDER S2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COK"EUCEKENT .
SIG
S
STATE OF FLORIDA P
COUNTY OF A~ eO
The foregoing instrument was acknowledged
before me thisllU'fe.nb0rIl>, 19~ by
STATE OF FLORIDA
COUNTY OF P ASCD
The foregoing instrument was acknowledged
befc.re me this (\1l1oi'Y\b.tr!(P , 19~ by
-~\
who i personally known to me or who has
produced
a5 identificat~_a;,d ,WhO did/did not
take an oath. ~~
(Signature) \ \' c ,_
~ Q,W, ~ JJJO...oY'\
(Name Typed, Printed or Stamped)
NOTARY PUBLI
who i ersonally'known to me 0 who has
produced
as identification nd who did/did not
take an oath.
(Signature)
f\- Jr:di,t LV.- Scu~
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
NATALIE SWAN
Notary Public, Stat, of Floria
My Comm, Exp. Oct. 12. 1989
Comm, No, CC 501333
NATALIE SWAN
Notary Public. State of Florida
My Comm, Exp.Oct, 12, 1999
Comm, No, CC 501333
I), 'tL\>ING- I,
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Department of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTJ-ON
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL <4.15 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 A-value)
4, Log (Insulation A-value)
b. Adjacent: 1, Concrete block (Insulation R-value)
2. Wood frame (Insulation A-value)
3. Steel frame (Insulation A-value)
4, Log (Insulation A-value)
11. Ceiling type, area and insulation:
a. Under attic (Insulation A-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, nat. 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 Aecovery (HA)
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, AS-Attic radiant barrier, MZ-Multizone)
19. EPI (must not exceed 100 points)
a, Total As-Built points
b, Total Base points
EPI = Total As-Built points X 100
Total Base points
12a.
12b.
13a.
13b.
13c.
14a.
14b.
14c.
15a,
15b,
16a,
16b.
17.
18.
'19.
19a.
19b.
CLIMATE ~ D D
ZONE: 4LJS 6
JURISDICTION NO.: ~
CK
1.
2.
3.
4.
5.
6.
7.
,lj ')
~l;
~J ~\
'2--
8a.
8b.
sq. ft.
ft.
ft.
Sin~le Pane Double Pane
7 t ~ sq. ft. sq. ft.
sq, ft. sq. ft,
9a, R= C>
9b. R=
9c, R=
, I L'il", '1 I. ft,
sq, ft,
sq, ft.
'J- " ? sq. ft.
sq, ft,
sq. ft.
sq. ft.
sq. ft.
biO sq. ft.
sq. ft.
sq. ft.
q t,1, sq. ft.
sq. ft.
c.-
10a-1 R= :2
10a-2 R=
10a-3 R=
10a-4 R=
10b-1 R=
10b-2 R= II
10b-3 R=
10b-4 R=
lla, R= ~O
11 b, R=
R= ~ , vJ/ ~'<cond.luncond,)
R= Ltt ~r- , C DN t\ (cond.luncond,)
Type: a~"1 \IN ( ~/)
SEERlEERlCOP: /~. 00
Capacity: ~ ?- iD 00
Type: F fa e
HSPF/COP/AFUE: I
Capacity: /.? ~ 0 0
Type: L..- ( ..e
EF: I 9 I
")
-
9~ I
~C>o,,(
;!D)-v7
PREPARED BY:
I hereby certify that this building is in compliance with the FI
OWNER AGENT:
\ DATE:r1-~I1'J
a Energy Code,
DATE:
-1-
DATE:
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: 00270247
OFFICE: DADE CITY
CONTRACTOR #: 004046
NAME: 0EROME W PARKER
ADDR: 13050 HIGHLANDS COURT
C/ST: DADE CITY FL 33525
FOR:
CHECK # 20~:
BUILDING Z/HILLS 5399B
ACCNT
114
CONTRACTOR: 004046
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 -
'...
..::.
51. 41
AMOUNT DESCRIPTION/PERMT DATA DRICR
51.41 ****** SOLID WASTE FEE 60
RECEIVED BY _
,. ,
PASCO COUNTY, FLORIDA
Permit No,
3'3196
/J-~v-9~-
Date Permitted
Builder Name/Owner Name A ~~ 11~?~
County Parcel No, ...35"- c2..S -.2/=3 _____'________~____,
Location 3'1 '/3?' {Ja....rR.~~/h..--~--------- Subd,
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXbi,!I I
! !
Rate $
Zon" _"
Sq. Ft./U nit
Impact Fee Amount $
The above impact fee has b ablished pursuant to the Pasco County n;,portation Impact Ordinance as adopted
by the Board 0 ommissioners, 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 O,96*/Year
or $O,13l5/Day
ERU Assign No,
Assessment - (No, Units) x ($0,1315)
x (No, Days)
,51. vi
Assessment -
(GSF) x (ERU) X (0,1315) x (No, Days)
100
TOT AL FEE $
TOT AL 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 f payment for same,
d~ "vaz^-
I J 5/q~
f
Date
---------------------------------------------------------------------------------------------------------------------------------------------------
OFFICE USE ONLY
TRANSPORTATION REC, NO, DATE
RESOURCE RECOVERY REC. No,;2 70 :ILl 7 DATE
/ - 5-9CJ
BY
BY
I-
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce