HomeMy WebLinkAbout96-5910
BUILDING PERMITNo
. CITY OF ZEPHYRHILLS Permit.
(813) 788.6611
1/30 . <'JZ:J
BUILDING
.j~[lk'
ELECTRICAL
.sd'~()
PLUMBING
11 o. crv
MECHANICAL
p,.perty Owne" I3U ~ .
Job Address: .-.5/3 .Ji-L../' fJ./I--
Parcell.D. # 1:1 -c2 6 -;1/- 0/ tJ CJ - OCJooo.- ();Lj u
Zoning:
Description of Work
FINAL
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.
Inspector
Valuation or_ ~
Contract Price ~ t. IJ -.!J c2. OV
"
.".
~591QJi.
.
.
Date
6 -6~?~
Sewer Conn 1;;< 7 tt dV
Water Conn: ' 2..5.CJ . irD
Water Meter: J t, .>....... c.JD
T,I.F.'s: ill {if r().#z; 3----/37'/
I
',," :~
DATE
City License Registration # / /:5
State Certified License#
PLUMBING
SLB~
Tub5e. 9-z..i/t-.&S
Water 'J/I# fA
Sewer
Final S/ l/9 7 fJ op
.
J 'L-+-' 't~ /SiJ Ii ;tJ2- s:..,/~ "91
LJ4 eL~ 4 ')'1
rr ,)5P f-'t~ ~
" Il ~j)-(./
A"1J 7/:/I"-r ..J-J ,/ 3m
BUILDING ELECTRICAL
Ftr. ~ ~JL
PreSLB . ~ ~~
Lintel 6- '6,fjb o~_
FRM. ~"f.,~9b 80B .
Insul. CL ~"''7.... /fl;y13
WL &-?- 9 "$~ Pre-Meter ~"~ '$,..-1
r1.{)Or'~l~ . /1 b/'i bldjlvL- Final . ~
Driveway . ~ ~() lc \V\fk, \JJ ~
i==":^~( r/1 97 'k
JI~n+_~ 87
dRc ;)..fS
MECHANICAL
Breakers
Ducts Insl. 'J-3c -9tJ &8
Compressor
Final S /:J / r 7 (f~.l
.
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 >>;4 ~-J.-~~....e / b -6 -y.6
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called. ;;1,0 rl ,. /j g -9 &
d. Work not ready for inspection when called. 'l5 0<-
e. Permit not posted on job site. -I.;
f. Plans not at job site.
g. Work not accessible. ,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
BUILDER: Bay Village
ADDRESS: 5139 Summerhill Dr.
OWNER:
So. FT. PRICE
LIVING OR MAIN AREA: I 1,450 I $ 35.00 I
OTHER AREA UNDER ROOF:I 482 I $ 11.00 ,
OTHER AREA:I
SQUARE FEET UNDER ROOF:' 1,932
VALUATION:1 $ 56,052.00 I
ADDRESS:I $ 20.00 ,
DRIVEWAY: I $ 20.00 I
FEES: I $ 300.00 I
BLDG. PLUMB. ELEC. MECH.
PERMIT FEES: , $ 430.00 I $ 52.50 I $ 58.25 I $30.00
3/4" 1" 2"
WATER METER SIZE: I $ X 165.00 I $ 245.00 I $ 61::1 $ 840.00 I
SEWER WATER METER
CONNECTION FEES:I $ 1,278.00 I $ 350.00 I $ 16'5.Oiil
RADON GAS:I $
PERMIT FEES: , $
CONNECTION FEES:I $
WATER METER:l $
19.32 (
570.75 (
1,628.00 I
165.00 (
TRANSPORTATION IMPACT FEES:
99%
1%
$ 1,480.00
$ 1,465.20
$ 14.80
CREDIT:I $
SUB-TOTALI $
IRRIGATION METERJ $
60.00 (
3,863.07 I
165.00 I
TOTAlI $
4,028,07 I
.LJE'pc\'ir 't mE'!n t () ';' i_,OirliTl'.H'11 t y I;';' f f c\ ,:'i" h bi\~~" :':::34::..
F 1....UFd Dj';1 E:~NE:h:lj Y I::.r f .I i_, J. t:i'4C { C:UUI::, I' Ul", .t\(j 1. L,l) 1 r\~i.::i CUI'\bi i'<:l.JI..,: i .I, ur'~
;;';\ .1. oJ ~, '...i... i,';;.' fM' ."
. ;\l.~._.
ZEPHYF.:HIL.L.S,
FL.OF.:IDAiOFFICE: CITY
i PEI~::!"I I T NO.
mJNEF.: :
1. New construction or addition
2. Single family detached or Multifamily attached _.
3. If 1"1ul t i f<::H1H 1 y..,..No. of un its
4. If Multifamily, is this:, a WO'i"st case (yes/no)
5. C:onditioned flo';:)l' area C:::,q. ft.)
5. Predominant eave overhang lft.)
7. Porch overhang length (ft.)
8. Glass area and type:
a. Cl ear Gl as:.';:;
b. Tint, film 0'( 5,olii.'1'( sC'r-een
9. Floor type and lnsulation:
a. Slab on grade (F.:-value, perlmeter)
10.Net Wall type area and insulation:
a. Exterior: 1. Concrete lInsulation R-value)
a. Exterior: _. Wood frame (Insulation F.:-value)
b. Adjacent: L. WOOd frame (Insulation R-value)
lI.Ceiling type area and lnsulation~
a. Un c! (~Y' ',", t: tic (I n s,u.L ,'"\ t: I.,::.i"j j":.... v ,;; ,t U,E; -'
13.Coollng system
14.Heating System:
15.Hot water system:
1 t,:.. Hot Wat e'(' C::-(' ed its: (HF.:'-Heat F.:ec over Y',
DHP-Dedicated Heat Pump)
17.Infj,ltration practice: 1, :2 OY' 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, F.:B-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
,,:-;:;
.::~
(JF
I U_l r'1?iTE
Z EF'I"i ; Z m'~E : ,q.; 5 : (:) ;
:JURISDICTION NO.511500
CI<.
1.
New Constructlon
Single-Family
o
;")
.,;:,.
4.
~s .
b.
1450.00
1.00
0.00
Single Fane
Double Fane
O.OOsqft
O. OO-::;q f t
8a.:203.0sqft
tm. E,O. Osq ft
''::Ja. h:=
().. ()C) ,
135.00 ft
1 Oa --1 F.:= .:.].. ::::0,
10C:'1--:2 1":=11.00,
10b-":'::: h:=11.UO,
813.00sqft_
''::J5. OOsq ft_
166. OOsq ft__
'_' .s q r "'C .___.__".__
.. ..;..
-. '.1 I...... 't...
13. TYPE': C:E~nt '( al H/ I...,
bEEP:
10.00
14.
Type:
!'-lEi-:'1t F'ump
HbPF: 7.00
E: 1 ec t 'r' i c
O. '00
15.
TypE' :
EF:
16.
17.
18.
1
CF
1 ':3 .
l'0a.
1''::Jo.
'33. 76
:2E::3~;::8.. (j'3
::::::(,::22:3. 75
----.--.----.----------.---.--------.---.--------------------_._-
----.--------------.-.-----.----------------------------------------.--------.---------
1 Hereby certify that the plans and
specifications covered by thlS calcu'
lation are In compliance wIth the
Florida Energy ~Ode.
Revlew of the plans and speclflcations
covered by thlS calculation lndlcates
complIance wl~h the F!OYlda ~nergy
.. :,_'(....c. _, ., _.. rnp j, .. '.. '.... '...
,,' ." .". :A.~.~:,
Dl~iTE: ~~~o" ~ ~
~\..~,
~:15~:: .. ':::J()8 f::.. ~J JI
I hereby certify that th13 bUlldlnq IS
in compliance with the Florida Energy
Code.
OWNER~~ ~.#-
DATE: C:! ~ ~~
i::.
-' . . ,.... ",_.
\".:.' ~... i.'
BUILDING OFFICIAL:
DATE, :
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
=== BASE === === AS-BUILT ===
._..____.___.._.____....MD"..__...,.______..__.__.._.._.__._____._.__.____._.___________.__.__.____.....___-----.-.------------------
_________._._____.__.r___________._____.__________.__.-----..-------.--------------------------
GLASS----------------
ORIEN AREA x BSPM = POINTS :
N 1 50 00 8:2 -, 1 23~:)() 0 SGL C:LF:
. . "'- .
NE 8 ( .. H .. ) 82 ... .- I'm b SGL_ C:L_I~::
. .. .. . ~ c,,7) " .
E '''; 1 00 82 ' , 2~:.:!48 SGL.. CL.F:
\.7.t . . .1... . ..::.
SE (.... ()( ) ,"--,,--, .. b~.':i'7 b E;C::iL.. L:L.I~::
a . CI...:, . .,:.. .
(-, 60 00 82 ,,") 4';:,3:,::: () :-31:31_, r I N I
.;;) .. . ..:... .
"',l ", c'"'' " !.:.
N
Ni::
I::.
BE
S
~j1.0
. G':;J
SC ORIEN AREA X SPM X SoF = POINTS
C" ,--,'-7 ,') t;;'
....J..::./O.....J
T....(i::-E
----.--..-.-.------------------..-.....-....-----------------.------.------.----.-..---.----.---.-...--------.----------
1 ::'iO. 0
E~ If ()
"7'-; ,--',
f / " ..::..
,,58
10'3. :~:
112. '::7
r.::-.'-,
. ....J,,:;.
:::-;1 . 0
8" ()
t.:)()" ()
. .L:.
n ::::'::;J
-:;. i::::l n ,.:')
. 15 :'/;
COND. FUJCJF ./
('~F.:EA
PIJINT'S
rClTAI_ t3LPI'3b ::.:: P;,t",
AREA FACTOR
.,. ....i-.
FL,,_;
POINT'S
.15
:;;::b:::::.OO
.827
21,618.60
17,878.50 i
-.----------.--------------------.-----.-.----.--------------------.--.--------------------------
-----------..---------------------.----.-.----.----------------------------------.-----
10,417.28
1,450.00
NON GLASS------------
AREA X BSPM = POINTS :
3~5\73" :;2
176U.3
~:'l':3" 3
:.;:::':::(.() II :~
,.) "
" ::i ~... iou, :::>~ :::;
F'Cl I NT'S
TYPE
F::-..l,./ALUE
AREA X SPM = POINTS
WAL.LS----------------
Ext 909.0 1.0
813.0
'3G.0
16G.0
1. 14
1. '30
.70
Ext NormWtBlock In
E /; t Wood Fl'- .::lmE~
Plclj Woocl F'I" ame
'3 0 ':} . 0
,; ,-"
';-. ..::J
11.0
11.0
Adj
11b.2
1CG.0
. ...
DoORS----------------
Ext :20.0 4.8
Adj 18.0 l.G
':;JG . 0 E>~t: I....Jcl()d ~() . () , . :r:::Ci
. -.. :::.:.1 (.-idj Wo()d 1 8 0 .. 40
L\._' . W . ~ .
CEILINGS-------------
UA 1450.0 .6 870.0
1 ':;J. 0 14::'iO. 0
1. 10
Uncle'l" (.~tt ic
FLOoRS---------------
'3:2G.8
182.4
11G.2
144.0
43.2
15':;J~':';. 0
SIb
--31 . El --42'33. 0
If ()
135.0 -31.90 -4306.5
1 ~3::'i. 0
51 ab"-oli'-"!,:J'( !::ide
INFILTRATIoN---------
1 '::1,50. ()
:l. (,,,
~.~ .1. .. '-. f- i
..f'......
1 ..:" ., '...
..,...,.....- .... _. .- ... .. ,- .......
.... .... ._. -... ..- -. ,... -,~ .... ..- .- .... ....
-- -'. ..-. .... ".- ... ... .-.-.-
."......."..._........ ........... .' .... ..._ _._u._.
T i: ,:; ',_, ~:: :...' l'Ij."'i::, ." ",'i
::;1,410.50
======:========================:==================================:=========::=====
:,:::'3, 1:28. 40
TClTAL
SUM PH3
C:lJOL. I NCi : TC:H:;I_
POINTS : CoMPoN
x CAP X DUCT X SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
h
SYf:3TEM
1"1ULT
:31,410.50
.340
.860
===~~===========================================================================
':J, 36B. B6
,":,-"
. ....., .:
11,6:21.88 : 29,128..40 1.00 1.100
****~**************************************************************************
, WINTER CALCULATIONS
**********************~********************************************************
=======================================:==============:::~::;:=:=:==~=:~:=::::~::::::=~.::,::=::~:=~=:=:=:=:~:=:::;:
:::::::::::: BASE :::::::=:::::
:=::=:::::: f~S-BUILT ::c::::::::
GLASS----------------
ORIEN AREA x BWPM:=: POINTS :
TYF'E
SC ORIEN AREA x WPM x WOF ::::: POINTS
.........._.._..____..______._._M_.._.._._______.._______...._.._...._..____._.________.____._.....M_.......-.....--.---.....-.-..--.------.-.......--.-..---.---
N 1 50 00 ~', ,; --~.i 1 0 0 ;;;;GL C:L..F:: N 1 50 ( .. )
. -"\::" . "'I' . . ..
NE ~3 00 ..... ,Hi 4 '-::2'7 ...., S(;:jL, C:LF.: NE H 0
. \::.. . . .a::' .
E r;. 1 00 ,-~ '::f ,- 1. 05 4 SC:iL CLF:' E: .'.':, 1 ()
~. . --..:J . . ~} .
;:;1::. El . ()O -- ...:.1 . 4 -- .1_. .r . ..... S13L. CLR ;::)1::. 8 . U
S bO (lO .... ., t;:i. ."..~,.O.::I, ( ,; .. I
. ..' . . ,:::' i':'11__ I. ; "
v.
':::J. b
':;.:' . ,::1-
1.20
1 . ::::'::;1
""'2. 0:::::
1728.0
82..3
'l" L
.i. ".' " ".,)
" ()~::.L
1 ::~3.. 4
,-,':j... 1
.. ='.1
..... ;;;. , ~::
1 r.::;
.. '.-'
:;, C:UND.. F"LOOF:: /
AF.:E~)
TUTAL GLASS = ADJ.
?~IF.:E{"\ F'(:'IC:TUh:
bLr;SS
F'O I N TS
?H)J l.:iL.i:':i::':;b
F'U I NTh
1.::jL,f:':I::j~;:.i
FCJ I NTU
-------------.--------.-.----------.------.---.--.------_..._-_._--~-_._~_...._.._.._-".....__._.__._-_.....--.------........-------
--.----------------------------.--------.---.---.-.---------.--.-..------.--------.------------------
--------------------------------.----.--------.-.-.--.---.--.-----.----.-----.-.-------.---------
. 15
1 , 4::",i(). 00
:2f';:;;. C;()
n827
-8'34. :;:::0
-. :.73'3.. ~5() i
2,050. '37
NON GLASS------------
AREA A BWPM = POINTS :
'TYPE
I:;:: ,.... "./ f:'i L. U E
AF.:EA ~ WPM = POINTS
_._---_._-----_._.__._-_.._-_._-_.~...._._-"--_..-...-._.._.~......_--_._--_.._._.._---_..-"._~-_._._._.._--.--..-.--.-.--.--.-----.....-."---.-----.---
W ALL S..- - ._, ,-,.." ,..' ,- ,-" ,- ,." '..,.." ,"" '.. ,,,-,,,,
Ext 909.0 1.1
Adj
166.0
1.D
'3'39. '3 L;;;t; No'!'" mt.-Jt DI CIC I I \"'i 4 :-j 8 1 '.... 0 :--, -.. '. 26 13 8
. ..:;, ..:;,. ..:;, . ..;., .L .
E>,;t Woc.d FY'ame 1 1 . 0 '36 . :J ..:.. . 00 1 '::12 . 0
:~::':JB . li f~d j lrJ 0 0 d F"I" amf2 1 1 . 0 1 bb . 0 1 . E:() "-;1'=4 c.-/ 8
..:.._w.
DUORS----------------
Ext 20.0 5.1
Ad.j 18.0 4.0
'72.. ()
E::;;t ~~ood
{~c1.j W (K' d
20.0
itJ. U
7.60
~.. ':JO
15:;~:. U
106.2
102.0
CEIL.INGS-------------
UA 1450.0 . (::.. 870.0
Unde'r" Pit tic
1(3.0 14~7jO.0
1.00
14~50. 0
F'LOORS---------------
SIb 135.0 -1.9 -256.5
~:::: 1 <.:\ b ,.... 0 n ,-, CI'!" '"' d E'
.. () 1. ~:.:; :.~j fl I:)
:2. ~:!(i
:3~=.:}' rl ::.i
.1 ',.,1" .j
1.,:..;,'::,I.n." ....
- .. -+ ..
I 'i,
:.; I
.... .... .... _.- ......... ....... ,,,. .-... .... .... ......... ,-.. .-. ...., _. ..... .-.. ....
_O'_ .... _... ..... .... .... ..... _h_ ...... ......" .... .... _._ .__ ._._ ._, ..... ........ ..... -- ..... n ... -. . ....,.u
';-'C: -~-'(:.:',:.... ;...j.L r....! ! r.:.I'~' i "j'..: I i\J r~3
7, 2'31 .7U
16, 1 '31 . ~::b
=====================================:=:=~::::::=:::::::=:=:::::::::==:=:==:::::=:::::=====::::==:=:=::================
TOTAL ~/;
WH,j PTS
SYSTEJ.1
1"1UL T
HEf~TINCi : TOT{:;L.
F'D I NTS : COI'1F'ON
x CAP x DUCT ~ SYSTEM x CREDIT ::= HEATING
RATIO MUL.T MULT MULT PUINTS
----.-.-.--------......-----..-......--------.-----.--...-.---.-.-.-,-----.--------.-,-.-.--------.-------.--..---------,..'---
============:::===:===:====:==:::=::::====:======:=::=:=::====:====================================
7, :2'31 . 70
1. 10
8, ()2() It ~:3'::?
16, 1 '31 . :2b 1. 00 1. 100
.484
1 . OCO
t3 v f:,2() .. 2~3
***********************************************~*******~***********************
wp, TEF.: HEf~ T I ""lei
*******************************************************************************
:==:::::: BASE ::::::::::::
(',S-,BUILT
--------------------.-------------------------.----------..-.----.....------.----..--.--.....----.-......--.-.---.---.-.---.-
-----------------------------------------------.------.-..---..-..-..---..-.....---..--...----..-.----.--..---.-.-.-..-
NUiVl UF'
BEm?I'1S
,',
~'1UL T
TUTf~L
TANK VOLur11::::
EF'
rr~NK
PATIU
:;; 1'1UL T >; Cr.::i:TJ I T
1'1ULT
_. 'fC)"rAL.
-----..---,..--.-.-....-...-.-...-...,.---.-.....-..---.....--.........---..--.--.........--.-.--.-........-.......---.-..-......--..--.--.-.--.........--.-.-..-..------.-...-.-.--.--.----
'''1
..;:,
:;::527. 0
10,581.00
40
. '3()
1 . 000
344':;1. 7
1.00
10, 3':+'::;1.00
-------___________.._._.MM___.______.._____________._______._______._______.___._.__..___.__________..________._.
--.-------------.---------------------------.---------------------------------------
*******************************************************************************
S U i'1IVI A i'<: Y
.~ .j; .~. .~+. 'j!.~ +. .~~;. ':,;: 'j!':' ..:..- 'r.:- ..:': ':<<:. ..:. '!4;- ..;... .~; ':.'t. .:(': .t. 'f:' ..:-. 'f.:- ,."... 'f.: ::,: if '~'-:-'~ .:.. ':,' 'r ~':"~ '${; ..>: .~ .,.: +. ..:-: ';l'::' -~": 'i~- ..t,' .:!t. .~-: .;;:. 'F-: .~': .::--:~. .;.:. ,~- .~'": ~";- ':i<;' 't.: ~':" .,';,: 'i::' ':\ 'f.:- 'r' .::;:. 'f:- -""';" -?:' 'f:' '7: .s.;:. ...
- - - -- - -- .-- - -.. -.- -'-'- -- - - .M" _ _M. .-.. _._ '__ __ __ __. __ _ ..._ _ .._ _... ..... ._. _ ..._ ..._ ..... ..... ..... mH ..... '"_' ._. ..... .M" ..... ..... ,.". ....
----------------------------------------------....------..--.----
. _... .-.. -.- ..... .-,.-.. . _... ...- ....- ..... .--. ..... ...
. ..._ 'M" _... ...__..... . ..... ..._ _.. ..... .._. '"H'''
CUCJLINt3
PUINTS
+
HE;::iT I Nt)
PUINTS
1'1 C T lrJ ('iT E F.:
,+ PO I 1'-.lT~3 ,..,
TOTAL
PO 11"~Tb
C::OOL I Nb
PO I NTi3
+,
HEr~ T I Nf3
PUINTS
HOT lrJ{YTEP
-+, POI hiT i3 ..,..
TOT('IL
PU II"nS
---..'...-..-.-.-.--.---.-.-..-..-.....-.-.-.....-.-.-...-..-...---........---..-....---.--.------.---------.-.------------------.----..---------
11621 . ':3
8020. ';3
1 C)~581 . (i
3Ci, ~:2~:::. 7'::.i
'33bd. ':;I
Bb20.2
1 ()::3.:i- ';:J . ()
28, 338. ()';3
============:=============:=====:==============================================:===
*****************
* EF'I :::::
'33 _ :75
1<:-
*****************
Er',~ E1;,: 13 Y C::i U r DE:
Fo~ detailed infor~~ti~~
of the EPI rating ~umbeY
or for any ITEM listed,
ask your Builder tor
DC:A For m 600A,-'33
0'(' FOlr m E.,OOB----:33
EF'I== '33.8
o
10 20 30 40 50 GO IU 80 90
IOU
The may;imum allo'......i:d::;l8 EPI is 100. The lc''.-..I81'' thE' EF'I the rl'i0'1"f2 efficient tl"'18 1'''I(;:.m8
:-------------...--.--------.-.--..-..-..---....
\;
_n ..... _.. ..._ ._. ..... .~.. /\ ,..,
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOfYlE \HiLUE
LO....J E. f fie i enc y
Hi r;lh E f fie i ene: y
WINDOWS. . . . . . . . . . . . . . . . . . . . . ~3 i n g 1 e C 1 ea'l-
S I NGL C:LP
: X',..,.....,..,',........."..,........,
DBL TINT
INSULATION...... ............
f;,:-1 (J
F.:-;30
C:e i 1 i ng
P-Value......... 19.0
v '
---....----.---..-A'-----------I
f<-()
R-,..j'
["JaIl
R-Value........ .
4.3
:-....----------x--.----...--..-:
<" .l
;::,.::,1::.. i",
.. ' ""-'
SE E F,:. . . . . . . . . . . . . . . . . . . . .. 10. 0
I v_.__________________..__'
I .'-~ i
HEATING SySTEM..............
6.8
HSi::;'F
12.0
Electric HSPF............
'/. U
:x..-.-.-.---...-.----.-.--.-------:
WATER HEATER... ........ .....
0.8B
O. '3E..
E 1 ec t r i c EF . . . . . . " . . . . . . .
(} II '3()
I ...,' I
.--..--.-^-.----------------,
O. ~i.::t,
U. '30
Gas
EF.... .. .. .. .. .. .. .. .. .. .. .. .. ..
().. ()()
, '
1------------_._-------1
0.40
(>. BC)
Sol a'r"
EI:- . . . . " . . . . . . . . .
, '
1-------..----------.----.--.'.----.--.1
O'THEJ;:: FEATUF:ES........."..."
.......... .a........ ..... . alii
I certify that these energy saving features required foy
Energy Code have been lnstalled in this house.
the F'l 0 '(' i d 2\
Address:
Builder ~ ~
._3 i 91'1 "-'It: Ui" e: Ji1
Da,t~?: 5-Xl..'lC.
C::ity/Zip
Florida Energy Code fay BUllding Construction
Florida Department of Community Affairs
- 1'3':73
FL -,EFL C:"'~F:D'33
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
,/
1'B \/ uV
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OWNER'S NAKE ~ %,l~O ~J~ PHONE 99/'-'^;sbb
OWNER'S ADDRESS /'165/ :&nn.t:'.:L 15_ f1xA.-~
~? '
JOB ADDRESS J:;T d/ ,<)fA IvIMel( II/II Lffi~
LEGAL DESCRIPTION: I.OT(S) (9-/ BLOCK SUBDIVISION 5i1Mll1e,e #/.(/
PARCEL 1. D. f Jd --a b. C). 1- 0;06 - CJOc)cX:) - 0 a /0 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:2s:...New Construction _Addition ~teration --.Jlepair _Install
_Sign
--1Iove
_Deaolish
PROPOSED USE: 'y"Single Faaily
--1I/F
_' of Units _M/H
_~ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval
,
DESCRIPTION OF WORK: 5irJ4Lt" F/Jm/L.v
v I
.&.JJ.,
BUILDING SIZE:
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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$ Sq,QOD
Valuation of Total Construction
_ELECTRICAL
ISO AMP Service
$ #d.?O 6
Florida Power Corp.
W.R.E.C.
_HECllAlfICAL
Valuation of Mechanical Installation
_PLUMBING GAS s;:",~L~ ROOFING
TYPE OF CONSTRUC'l'ION: X Block _Fraae _Steel
SPECIALTY
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJEC'I' IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRAC'I'OR SEC'I'ION
BUTl.DER COMPANY ~ ~Ll~~ ~~
~ 'State Cert. or Regis . . . _." c'i'/,;;i!?O
Signat MJP;:[ a ~ ./ City License Registration f /'/-5
- -. ~ .........d~........................... ,
RT.F.CTRICIAR COMPANY S-tS E L.eccR IC-
State Cert. or Regist. t 051..:'57
City License Registration' ~?C)C)
******************************************
Sianature
u~ ft~
PLUMBER
COMPANY ~ -I- Lt:;./~
/,L J /n J/ /:It. State Cert. or Regist. f IC> l:5
iU t2.J ~~ City License Registration' /:$ ')
*V****************************************
Signature
tmcBAIIICAL ~ COIlPAIIY A.,e c .4:.e r~
. / State Cert. or Regist. . C f1(o~W1
Signatur~ . City License Registration f .;;.. '13
******************************************
OTHF.R
Signature
COMPANY
State Cert. or Regist. f ,-----
City License Registration t
.................................................... . .~;';'~4.
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,.......--
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APPLICATION APPROVED ,.
L,_."
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
fhe undersigned understands that this perlit lay be subject to .deed restrictions" which Jay be lOre restrictive than City
regulations. 'I'he undersigned assUJes responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake wort, they JaY 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 lay be
cited for a lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
188-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
DContractor 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 'fOrt. 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 - HoIeolmer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJeI Affairs. If the applicant is SOJeOne other than the
Downer", I certify that I have obtained a copy of the above described dOCUJellt and premise in good faith to deliver it to the
"owner" prior to cOJJenceJent.
E_ CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developJeDt.
Application is hereby lade to obtain a perlit to do wort and installation as indicated. I certify that no wort or
installation has COIIenced prior to issuance of a perlit and that all wort will be perfoI'led to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developJent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveI'DleJ1tal agencies JaY apply to the intended wort, and that it is
IY responsibility to identify what actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
* Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater 'I'reatlent
* Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* AIIY Corps of Engineers - Seawalls, Docks, Havigable Waterways
t DepartJent of Health & Rehabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater 'I'reatlent, Septic rants
* US KnvironJental Protection Agency - Asbestos abateJent .
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 subJitted 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 wort 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 fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
unless the wort authorized by such perlit is cOll8nced within sillODths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period ofsil IOnths after the tHe the wort is c.enced. One 90 day extension of tile, lilY be
allowed for the perlit with fee charge of '15.00. 'I'he extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned.
IfARHIHG '1'0 0IUfER: YOUR FAILURE '1'0 RECORD A HorlCE OF COIIMBliCEllDJ MAY RESUL'I' IH YOUR PAYIHG "'ICE FOR IMPROVEJIEIft'S 'l'0 YOUR
PROPERTY. IF YOU lJi'l'EHD 'l'O OB'l'AIX FIIWCIHG, COHSUL'l' WI'l'H YOUR LDDIR OR All AftORllY BEFORE RiCORDIXG YOUR HorICE OF
COHMEHClHEJi'l'. JOBS lJIfDER $2,500 IX VALUE DO Hor lfEED 'l'O RECORD AJID POS'l' A 'HorICE OF COMMDCEIlDJ'.
~~~
A'I'URE: 'OWNER' E
S'l'A'l'E OF FLO~
COUJi'l'Y OF S t.;.o
The foregOing instrument was ackpowledged
before me' this LI ~~(-' 19~ by
w~/li1;.OIIll ~ or who has
produced
as entification and who did/did not
ta n oa
J~\~il C~~
SIWIDBIl: Cllo;~--
S'l'A'l'E OF FLORIDA
COUJi'l'Y OF PAs ~
The foregOing instrument was aCknowledged
before me this 2.., ~~' 19~ by
who is l:ersonallY known ~ or who has
produc
as identification and who didl~
~a anlo~, b~ _~j
'-< ~ 01Dt ~
(S gnatur )' ---....
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
14"
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STATE 0:'
COM E)(;>n~
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2~
DA VIO RONDA
ST A IE GF FLORIDA
c;:; ,:~: :"';RES: MARCH 27, 2lIOO
~iV1 #CC 543432
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PASCO COUNTY, FLORIDA
Permit No,
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"
. ~ j
Date Permitted /" t-.. 7' ....~.
I 1/1
Builder Name/Owner Name / ')[-'-'1 i, i ,t-:'/l( .'--i C:
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/-,.; rJl.:;-.;JI- ('Ie' c~;-
County Parcel No.
q, /'l
to I' ~ (I
Location.) '.J /
(cc-uc)
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v;.;...11 . ,~'.....k'\J;~L / I A A.:.... . ;j
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Classification/Type of Use f) ,;'..U <1,'Ai, < i~/
>'.--'
Subd.
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./Unit
-...----
Prepared By
Impact Fee Amount $
The above impact ~l? s been established pursuant to the Pas~~"'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 D
;4,'-'
RESIDENTIAL
NONRESIDENTIAL
No. Units
I
Gross Sq. Ft. (GSF)
/
I
"
Rate/ER U - 50.00 /Y ear
or $0. 137/Day
ERU Assign No.
Assessment - (No. Units) x ($0.137)
x (No. Days)
I' .
If
Assessment -
(GSF) x (ERU) X (0.137) x (No. Days)
100
~"..'
TOT AL FEE $
TOT AL FEE $
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.
.'.0
DATE
DATE
I
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,/
BY
BY
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White
Applicant .
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feEfCal:ce
PC93113094/ A
J
\ 4
LOT 2 /1
SlJlv11v1ER HILL
(CEDARWOOD 1450) 14'-11"-
107'
I
I.
BAY
VILLAG E
BUILD ERS
99.81'
1
3.3'
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-
~
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-3
C:>-
~ EDGE OF ROAD
---- ct
SUMMER HILL DRIVE
~
CONCRETE
20' DRIVE
4S..33' 50'