HomeMy WebLinkAbout95-5401
BUILDING PERMII-
CITY OF ZEPHYRHILLS Permit]l!
(813) 788-6611
j-54011f
d-.I f,0:.U
BUILDING
Date 1/ -;;1.0 - ?.s-
;Lb - 7S-
ELECTRICAL
~ ': (/l)
PLUMBING
:L5-'~ 07J
MECHANICAL
Sewer Conn /:J.... 7 ~ tTlJ
,
Water Conn: ssv" tJ'l)
Water Meter: i"f; (J7;) "
T,I.F.'S:/Ju,L_J O~ ~
PmpertyOwne, ~ ~ ~.
Job Address: ...3 7 g .' --:R--.!::,-
Parcel I. D, # ..3 '/ - :1.,5 -;2/ - 3
Zoning: -::Jt:gy ~: Q Radon Gas:
De",,;p';." of Wo,k JJl.- :, ~ -< -.4H'.-AL;:.J ~
FINAL
DATE
NO OCCUPANCY BEFORE C.O.
Permit Fe
Signature
Company
Address
Telephone#
Complete Plans. Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or '
Contract Price -3? t!J 3 O. OD
City License Registration # d2 ..3..!:J-
State Certified License#
~J.A ~ ,(O~
BUlL ING
~4AI ~/n/
-
ELECTRICAL
6~ol7
PLUMBING
~~-<l PZt/.t
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM. /1'lZ-tf) 15tLv
Insul. CL
WL /1- 2 S?- 95' 13,c.L
Tp. Serv. ,
Rough In//-jl-1Jr ~~
Meter Can
Const. Pole
Pool
.Pre-Meter ,11-5-y" t5r>b
Final
SLB
Tub Set J 1~2g.qS($,t...'-
Water
Sewer
Final
Breakers
Ducts Insl. J/;?I-<;S- 15t>b
.
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 ($15.001 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.
va ;a-tf j--S--Yb
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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PKI 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.
Bldg #5
JOB LOCATION 37734 Oak Run Circle
LOT SIZE
~ 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
~# of Units
.____M / H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE: 145 I 2"x 40 I ,
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
..LBUILDING
$
Valuation of Total Construction
-X...-ELECTRICAL
..LMECHANICAL
..LPLUMBING
AMP Service
Florida Power Corp.
_\v.R.E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel
Other
FINISHED FLOOR ELEYATIONS: FT.
******************************************
Signat
CONTRACTOR SECTION
Company Sandy Development Co., Inc.
State Cert. or Regist. !~ CBC010923
City License Registration ~~ 18 :LS--.S-
***************************************
Company San Ann Electric
State Cert. or Regis t. l~ ER5636
City License Registration # 1461
******************************************
Signature ~ g.....
/'
Company Bayonet P] umh; ng, Tnt"_
State Cert. or Regist. !~ CFC04?qq~
City License Registration # q1 ...:L'1
******************************************
Signature
~ --;;;{1 Company Sonny:~
State Cert. or Regist. iF RMOO 8461
/;"t~tG City License Registration # ~ ;;lob
, ..........................................
MECHANICAL
OTHER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A-. NOT I CE OF DEED RESTR I CT IONS
The undersigned understands that this per.it '.ay be subject to "deed restrictions" Mhich .ay be lore restrictive than City
regulations. The undersigned assu.es 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 .ay be required to be licensed in accordance Mith
state and local regulations. If the contractor is not licensed as required by laM, both the OMner and contractor lay be
cited for a .isde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to "hat licensing
require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813)
788-6611.
Further.ore, if the owner,has hired a contractor or contractors, he is advised to have the contractor Is) 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of ZephyrhilIs.
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 LaM - Ho.eowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
"owner" prior to co..ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in co.pliance 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 Mork or
installation has co..enced prior to issuance of a per.it and that all work will be perfor.ed to .eet standards of all laMS
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 lay apply to the intended worK, and that it is
'Y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
f Depart.ent of Environlental Requlation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treat.ent
f Southwest Florida Water "anaqe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f Ar.y Corps of Enqineers - Seawalls, Docks, Navigable Waterways
f Depart.ent of Health & Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks
f US Environlental Protection Aqency - Asbestos abateaent
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 per.it issuance.
A perlit issued shall be construed to be a license to proceed with the Mork 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 fro. thereafter
requ~ring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beco.e invalid
unless the work authorized by such per.it is cOllenced within six .onths of issuance, Dr if worK authorized by the perlit is
suspended Dr abandoned for a period of six lonths after the tile the work is cOlleneed. 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 .onth period, Dr the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"MENCEMENT 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 RECO INB YOUR NOTICE OF
CO KENCE"ENT. JOBS UNDER $2,500 IN V LUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COKK CE
STATE OF FLORIDA n
COUNTY OF \' A sc 'D
The foregoing instrument was acknowledged
before me th i s (\uI e(Y\~f' (lp, 19 06 by
STATE OF FLORIDA n
COUNTY OF t. f\s C 0
The foregoing instrument was acknowledged
befc,re me th i s (\(JJQ()I,b-<;r- 1\0 , 19 ~ by
who i personally
produce
as identificatio
take an oath.
has
whc, did/did not
- CSuw---
who i personally
produce
as identificatio
take an oath.
and who ~id/did not
alii- d'lA/;h'''---.
(Signature)
(Signature)
flofal ( e.. ,~"t.t7ut
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
NATALIE SWAN
Notary Public, Stete of Florid.
My Comm, Exp. Oct, 12. 1999
Comm, No, CC 501333
(Name Ty,
NOTARY
^ JhJ-n II e. Sv0C<,n
Printed or Stamped)
NATALIE SWAN
Notlry Public, Stltl of Floridll
My Comm, Exp. Oct. 12. 1999
Comm. No. CO 1101333
'I )Jk~t LR..o.
Department of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCr.1..0N
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL <iJs 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 (A-value + perimeter)
b, Wood, raised (A-value + sq, ft.)
c. Concrete, raised (A-value)
10. Net Wall type, area and insulation:
a. Exterior: 1, Concrete block (Insulation A-value)
2. Wood frame (Insulation A-value)
3, Steel frame (Insulation A-value)
4. Log (Insulation A-value)
b. Adjacent: 1, Concrete block (Insulation A-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 A-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, 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,Bullt polnts X 100
Total Base points
PREPARED BY:
I hereby certify that this building is in compliance with the FI
OWNER AGENT:
\ DATE: r 1-;r;: '1 'J
a Energy Code,
DATE:
-1-
PERMIT NO. -
12a.
12b.
13a.
13b.
13c,
14a.
14b.
14c.
15a.
15b.
16a.
16b.
17.
18.
'19.
19a.
19b.
CLIMATE 0 0
ZONE: 4 5 6
JURISDICnONNO.: ~
CK
1.
2.
3.
4.
5.
6.
7.
~iJ2
7 ~-r
"1-
8a.
8b.
sq. ft.
ft.
ft.
Sin?'e Pane Double Pane
7t~ sq. ft. sq. ft.
sq. ft. sq. ft.
9a, R= C> , I L'i(ll I. ft.
9b. R= sq. ft.
9c, R= sq. ft.
1 Oa-1 R= c;- 'J- '" ? sq. ft.
10a-2 R= sq. ft.
10a-3 R= sq, ft.
10a-4 R= sq. ft.
1 Ob-1 R= sq. ft.
10b-2 R= II biO sq. ft.
10b-3 R= sq. ft.
10b-4 R= sq. ft.
l1a. R= .,0 q t;\ sq, ft.
l1b. R= sq. ft.
R= " ,v# ~'(COnd.luncond,)
R= l{tr\, Ct.>NA (cond.luncond,)
Type: a~v~( ~/I
SEERlEERlCOP: /tPt 00
Capacity: ?- ~ &100
Type: FIG C
HSPF/COP/AFUE: ~
Capacity: /'/ ~ 00
Type: L.:=- { ~
EF: I 9 I
7
-
9~ ,
J-Of!>" (
:lD}--v7
Review of plans and specifications covered by this calculation indicates compliance with
the Florida Energy Code, Balere construclion is completed. this bui' will be Inspected
'or compliance in accordance' ection ,908, F,S, ~
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: 00270239
OFFICE: DADE CITY
FOR:
CHECK # 203
BUILDING Z/HILLS 5401B
CONTRACTOR: 004046
TOTAL AMOUNT:
ACCNT COMPNY ACCOUNT CENTER
114 B450 - 363000 - 2
51. 41
AMOUNT DESCRIPTIONIPERMT DATA DRICR
51.41 ****** SOLID WASTE FEE 60
RECEIVED BY ____
:
PASCO COUNTY, FLORIDA
Permit No,
S~tJ/
/1-c20 -yS
L3
Date Permitted
Builder Name/Owuer Name _J~ J1"~~4-M ,~
County Parcel No, d'/ -,;;zS ~~_.::=__~__________________,___,__
Location 37 1).3 'I (f~~<:<:A-1 ~___,_
'~lA:~/~ __'_____
Subd
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEH"T
I
J
Rate $
ZOOI..
Sq. Ft./Unit
Prl'lJ<"-:U H)
Impact Fee Amount $
The above impact fee has b established pursuant to the Pasco Cou Transportation Impact Ordinance as adopted
by the Board of Co ommissioners, This amount is payable PRIOR to issuance of a Certificate of Occupancy
or authority to utilize the permitted structure,
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No, Units
I
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)
LJ/.L/I
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 cond" .s of payment for same.
//5jtlv ,'d~S~I~
f
Date
-
Received By
----------------------------------------------------------------------------------.-----------------------------------.------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO,
RESOURCE RECOVERY REC, NoA 1tJ;)-'3j
DATE
DATE ,/....S-~S-
BY
BY
d
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce