HomeMy WebLinkAbout95-5400
BUILDING
BUILDING PERMIT~.
CITY OF ZEPHYRHILLS permit]l!
(813) 788-6611
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ELECTRICAL PLUMBING MECHANICAL Sewer Conn /;:Q '7 Co
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c!J.19 ·
Date
JI--!1.v-C).~
Zoning:
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.
/J~s-
Permit Fee
Signatur
Company
Address
Telephone#
Valuation or i ' Dc:2-
Contract Price ~ 'X 0..2 1)
Ftr.
Pre SLB
Lintel
FRM. Il-l. 7,...tj)' DtU-
Insul. CL
WL II-Zi.q~ B,I...'-
Tp. Serv. /21 .... ltnb SLB
Rough In 1 - "'1 > ' Tub Set
Meter Can /1-j;?O .~~-~ Water
Const. Pole Sewer
Po~ Rn~
,Pre-Meter ./ F 5 --q (.. t3B9
Final
JJ-z~..qS BJI...L
Breakers
Ducts Insl. / 1- 2l-~'.J 6b
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. 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.
).j a ;;- / / - -S- -9-t:.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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P KI C!Z.-S
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.
Bid)! #5
JOB LOCATION 37736 Oak Run Circle
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. ~t
WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
____Move
____Demolish
PROPOSED USE: ____Single Family
-1LM/F
_.2..); of Uni ts
,____M / H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE: 145 I 2"x 40 I ,
Square Fee t ,
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
.lL..BUILDING
$
Valuation of Total Construction
-1L-ELECTRICAL
.lL..MECHANICAL
.1L-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 ELEYATIONS: FT.
******************************************
SECTION
Company Sandy Development Co., Inc.
State Cert. or Regist. # CBC010923
City License Registration # 18 ~
**************************************
Company San Ann Electric
State Cert. or Regist. IF ER5636
City License Registration # 1461
******************************************
aw.rti3>IJ4 ,,,,e.. Company Bayonet Plumhing, Tn~_
State Cert. or Regist. 4F CFC04?QQR
City License Registration # Q1 J-?
******************************************
Signature
~ Company Sonny: ~
-4/j? _ . State Cert. or Regist. II RM0018~61
~9 City License Registration l~ 2
. ******~******************************
MECHANICAL
:LtJb
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A~ NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned assules responsibility for cOlplianr.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 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 OMner and contractor lay be
cited for a lisdeleanor 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 2ephyrhills Building Departlent, 18131
788-6611.
Furtherlore, 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 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 - HOleowner'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
"oNner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all Mork will be done in cOlpliance with 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 Nill be perforled 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 Biyheads, 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
t 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 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, 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 cOllenced. One 90 day extension of tile, lay be
allowed for the perlit 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 six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COHHENCE"ENT. JOBS UNDER $2,500 N VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENC T".
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged
before me th i s r\6\fe.m ~.er ICo, 19...9.;;i. by
STATE OF FLORIDA
COUNTY OF P Pr~ (0
The foregoing instrument was acknowledged
befc.re me this (\Memb.e.,.....10 , 19 '15 by
who has
'known
,and who ~d
Crf~~
/Jaf(l){ e.. ,-~l~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
II~
who is personally
prc.duce
as identificatiol
take an oath.
who did/did not
(Signature)
(Signature)
, - '\,.
(J/IJ~
Aiob:dl €- ju..tUl
(Name Typed, Printed or Stamped)
NOTARY PUBL
NATALIE SWAN
Notary Public, State of Rorida
My Comm. Exp. O~t. 12. 1999
Comm, No. CC 501333
NATALIE 'WAf<!
Netlry Public. Stlte of f111fida
My Comm. Exp, Oct. 12, 1999 I
~ com~m, ~o~ C::~3~~
~ Ih~~{~
Department of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTJ-ON
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL <iJ5 6
PROJECT NAME:
AND ADDRESS:
OWNER:
PERMIT NO.
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 / 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. f1.)
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, 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 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, GV-Cross vent,
HF-Whole house fan, RS-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
l DATE:' 1_~f}iJ
a Energy Coda,
12a.
12b.
13a.
13b.
13c.
14a.
14b.
14c.
15a.
15b.
16a.
16b.
17.
18.
'19.
19a.
19b.
CLIMATE D D
ZONE: 4 5 6
JURISDlcnONNO.: ~
CK
1.
2.
3.
4.
5.
6.
7.
A.I~
~
~
"Z-
8a.
8b.
sq. ft.
ft.
ft.
Si~le p,a ne Double Pane
7 t ~ sq. ft. sq. ft.
sq, ft. sq. ft.
9a. R= C> , / ~ Y(, '\ I. ft.
9b. R= sq. ft,
9c, R= sq. ft.
1 Oa-1 R= c;- 'J-. " 1 sq. ft.
10a-2 R= sq. ft.
1 Oa-3 R= sq. ft.
1 Oa-4 R= sq. ft.
10b-l R= sq. ft.
10b-2 R= I I bif) sq. ft.
10b-3 R= sq. ft.
10b-4 R= sq. ft.
lla, R= ~O It t;( sq. ft.
llb, R= sq. ft.
R= (, , v ~ ~ '<cond.lunCOnd,)
R= Ltc ,)--)' , C DN t\ (oond.luncond,)
Type: a~v~( ~/)
SEERlEERlCOP: /~l 00
Capacity: ~ ~ CD. 00
Type: t?Ia c
HSPF/COP/AFUE: I
Capacity: /' '7 (!> () 0
Type: L- { .e
EF: I 9 I
.,
-
9f I
~O 0 ~ (
;J.Drv7
Review of plans and specifications covered by this calculation Indicates compliance with
the Florida Energy Code, Before construction is completed, this 001 wiN be inspected
for compliance In accordance' ion ,908. F,S, ""
OWNER AGENT:
DATE:
-1-
DATE:
PRINTER ID: El14
CONTRACTOR #: 004046
NAME: JEROME W PARKER
ADDR: 13050 HIGHLANDS COURT
C/ST: DADE CITY FL 33525
FOR:
C E N T R ALP E R M I T TIN G DATE: 01/05/96
-----R E C E I P T D I S P LAY ----- PAGE: 1 OF 1
ISSUE DATE: 01/05/96
RECEIPT NUMBR: D 00270242
ISSUE OFFICE: DADE CITY
******
CONTRACTOR # 004046
TOTAL AMOUNT: 51.41
ACCT COMPNY-ACCOUNT CENTR AMOUNT DESCRIPTION/ PERMIT DATA
114 B450 - 363000 - 2 51.41 PERMIT ****** SOLID WASTE FEE
CHECK #: 203
S"tU~~
DR/CR
60
END OF RECEIPT DATA, PRESS PF1 FOR
ADDITIONAL PRINTED COPY
FUNCTION: RD
. . .
PASCO COUNTY, FLORIDA
Permit No,
~ s/ltJtJ6
11- 02iJ -'i?5'"
Date Permitted
Builder Name/Owner Namc-:t:~ il,,,,,,,+~r
County Parcel No, '-?~ - - - ..3
Location ..3 773h (Jltl~'7?~ t.-t;.lt
Classification/Type of use~~~
Subd,
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No,
Sq. Ft./U nit
Prepared By
Impact Fee Amount $
The above impac e has been established pursuant to the Pasco Co Transportation Impact Ordinance as adopted
by the Boar of County Commissioners, This amount is payable PRIOR to lhe issuance of a Certificate of Occupancy
or authority to utilize the permitted structure,
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
RESIDENTIAL
NONRESID ENTIAL
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/. '-1/
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 ,'-I, n,t the co, ndit~mcn~ foc same.
1/5/ t!~ __, ____ / rd(L JZtiZ-r--
Date Received By
OFFICE USE ONLY
TRANSPORTATION REC. NO, DATE
RESOURCE RECOVERY REC. NO, ~'7l!) ~ 1./ d- DATE
BY
/-S-~r~ BY
I
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
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