HomeMy WebLinkAbout97-6475
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BUILDING PERMIT
Permit N!
- - 6475 6
'I / J..--5 '1)
BUILDING
CITY OF ZEPHYRHILLS
(813) 788-6611
Date rJ - J Y - 7 7
/..j J., ~..s-
ELECTRICAL
~-'ifi)
PLUMBING
..3 [J. (]""V
MECHANICAL
Sewer Conn /. ':> -- 9.'2.-!:J7!
Water Conn: .y<"'~ ~,...s /J
Pmperty Owne, \~ a3 ~
Job Add",s", J 'l 1. . :- .. . - (L.j-
Parcell.D. # ....)11'- ~---;).j - 0 [) 8- (),- (,9 tJ CJ 0 0 -- (::) 03 I
Water Meter:
T,I.F.'s: 3, b if /. f'Y'
,
Radon Gas: / 3. ~ 0
Zoning: -t:l.$e:
Description of Work a /J . ~'-
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.
DATE
Inspector
:~~~~: Feel ~~ 7- _ ~' -
comp~
Address
Telephone#
Valuation or "- '
Contract Price 3 ~ ~(J?J. tr-z)
City License Registration # d.3-'s-
State Certified License#
T~~ ~ /'/61 -----2f~A~r ~Yb
ELECTRICAL PLUMBING
~L;.~ /~7
I]
MECHANICAL
Driveway
~"1\'lt ~/"-h 1 g)II
Tp. Servo
Rough In J.j.2J. '17 t<:~
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl..I-J...~J,q'1 R~
compress%
Final b r- /<i) t. . II
SLB
Tub Set
Water f
Sewer 3 {~ ~7 fat
Final {" 1.:-/(, 1 (1 .11
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
ORD. #395IRESOlUTIONS 3121372 WATER $1.75 GAL. SEWER $6.391GAL
RESIDENTIAL (Each lot or Unit)
Residence $ 350.00 $ 1,278.00
Travel Trailer Park $ 131.25 $ 479.25
COMERCIAl (Per fixtire)
Sinks $ 87.50 $ 319.50
Water Closet $ 131.25 $ 479.25
Urinal $ 87.50 $ 319.50
Lavatorv $ 43.75 $ 159.75
Tub/Shower $ 87.50 $ 319.50
Washina Machine-Commercial Size $ 350.00 $ 1 278.00
Washina Machine-Domestic Size $ 87.50 $ 319.50
Dishwasher-Limited Use $ 87.50 $ 319.50
Food Service-Dishwasher $ 700.00 $ 2 556.00
Sinks (3-Compartment) $ 175.00 $ 639.00
Car Wash (Per Stall) $ 1 000.00 $ 6,390.00
SINKS 50 2 $ 175.00 $ 639.00 $ 814.00
WATER CLOSETS 75 1 $ 131.25 $ 479.25 $ 610.50
URINALS 50 $ - $ - $ -
LAVATORIES 25 1 $ 43.75 $ 159.75 $ 203.50
TUB/SHOWERS 50 1 $ 87.50 $ 319.50 $ 407.00
WASH. MACH. COMM. 200 $ - $ - $ -
WASH. MACH DOM. 560 $ - $ - $ -
DISHWASHER COMM. 400 $ - $ - $ -
DISHWASHER LIMITED USE 60 $ - $ - $ -
SINKS-3 COMPARTMENT 100 $ - $ - $ -
CAR WASH PERlST ALL 1000 $ - $ - $ -
SUB-TOTAL $ 437.50 $ 1,597.50 $ 2,035.00
WATER METER
-
GRAND TOTAL $ 2,035.00
FIXTURE
G.P.D.
#
WATER
SEWER TOTAL PER FIXTURE
2/1 0/97
APPLICATION FOR PERl-lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
,....- ..
/lJ'R._~ UV
~ ~J
APPLICANT
, ~)d\~h?~-;7jq?
r'
ADDRESS
OWNER
JOB LOCATION IZE_____X AREA SQ. FT.
, Ilt "
LEGAL DESCRIPTION: LOT(S) ~ BLOCK SUBDIVISION~~] ~
PARCEL I.D.~F 3J.! -- :2 5-:2.-) -- (O() ~o - oc>~ -- () O~ }
r f
7 WORK PROPOSED:~ Construction ~dition ____Alteration ____Repair ____Install
~ILDING
~LECTRICAL
b'ECHANICAL
~LUMBING
$ "I 05; f:()i0
PERMITS REOUESTED
AMP Service
Valuation of Total Construction
~rida Power Corp.
_\~.R.E.C.
$
Valuation of MechanicaI Installation
GAS
r/ ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~ock ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
Company ~ ANN 6L~' L
State Cert. or Regist. # .
City License Registration # /4h I
******************************************
" '- I Company ~'I r):} Ql~
o .rfI~ State ce~ist. #
Signature 'fj-l \..JM.OW City License Registration iF j:J 'Ih
****** ** ********************************
MECHANICAl Company -1..1~.s A-Ie. ~~
~ _ State Cert. or Regist. ~,! ~':tlDl.~
Signature~/ (~ City License Registration .1 IV
******************************************
.~.............................*....... L
I~ I) CQ~lRACTOR SE~ ~ ~ ~ ~
· rJ-C. Q.V-- Company.A -- .
c_ State Cert. or Reg s . # ~BC- /6
. City License Registration # 0..3E
*~** ************************************
I .
/
~
BUILDER ",-~-eV'om~
Signature
1L.f\"-1
1/.'
/
v
Company
State Cert. or Regist. #
City License Registration #
OTHER
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
~. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit .ay be subject to "deed restrictions" which lay. be lore. restrictive than City
regulations. The undersigned assu..s responsibility for cOlpliance 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 confractor is not licensed as required by law, both the owner and contractor lay be
cited for a lisde.eanor violation under state law.. If the owner or intended contractor are uncertain as to Khat licensing
requirelents lay apply for the intended work, the~ are advised to contact the City of Zephyrhills Building Departle~t, (B131
7BB-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 - HOleowner's Protection
6~,de. 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.plianc. 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 will 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 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 Departlent of Health & Rehabilitative Services,. Environlental Health Unit - Wells, Wastewater Treat.ent, 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 sublit~ed which is prepared by a professional engineer registered in the State of
Florida prior to perli t 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
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall bee ole invalid
unless the work authorized by such perlit is cO.lenced 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 cot.enced. 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.
WARNINS TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO""ENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COK"ENCE"ENT. JOBS UNDER $2,500 U DO NOT NEED TO RECORD AND POST A "NOTICE OF COK"ENCEKEN .
STATE OF FLORIDA
COUNTY OF OA'.:::>c.o
The foregoing instrument was acknowledged
before me this Ja.n ,;:n, 19 Off) by
STATE OF FLORIDA
COUNTY OF P A::, co
The foregoing instrument
befcll-e me th i s jeu. ~.I
\l'Jas acknc1wledged
, 19.3.2- by
(Signature)
J E'/26 M~
who is personally
p.f"osuC:l!d
a.fi iSl!!IItific:atiol.
take an oath.
J . (J4'elLf:iL
known to me or win... Ild"S
cJ efLo M,E; v). (J A12--<<- u:...
who is personally known to me or who h.s
prDelU'::c-J
. . icatio cti1:t/did not
take an oath.
and who a+a/did not
: ~.'--
?(;iQ}j L ~th-.- -
(Signa tw-e)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(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
Notal'}' Public, State of F10rldl
My Comm. Exp, Oct. 12, 1999
Comm. No. CC 501333
BUILDER: Sandy Development
ADDRESS: 37840 Medical Arts Ct.
OWNER:
so. FT. PRICE
LIVING OR MAIN AREA: I 1,320 I $ 45.00 I
OTHER AREA UNDER ROOF: r 0 1 $ 11.00 1
o rHER:! 0 I $ 11.00 t
SQUARE FEET UNDER ROOF:! 1,320 ~
VALUATION:L $ 59.400.00 I
ADDRESS: !
DRIVEWAY:!
FEES:f $ 305.00 ~
BLDG. PLUMB. ELEC. MECH.
PERMIT FEESf $ 412.50 I $ 45.00 I $ 42.251 $30.00
3/4" 1" 2"
WATER METER SIZE: I $ 165.00 I $ 245.00 I $ 610.00 I $ 840.00 I
SEWER WATER METER
CONNECTION FEES:! $ 1,597.50 I $ 437.50 I ---1
RADON GAS: I $
PERMIT FEES:! $
CONNECTION FEES:! $
WATER METERI $
13.20 l
529.75 l
2,035.00 !
- l
TRANSPORTATION IMPACT FEES:
99%
1%
$ 3,641.88
$ 3.605.46
$ 36.42
CREDITl $ 45.00 l
SUB- TOT ALl $ 6,219.83
IRRIGATION METERI
TOT ALl $ 6,219.83
Whole Building Performance Method for Commercial Buildings
Form 400f~-94
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLA/COM-94 Version 2.1A
PROJECT NAME_TOWNVIEW MEDICAL ART; ADDIctT .
ADDRESS: _UNKNOWN <3 ?tr'lo ff1d.t1J;
_ZEPHYRHILLS,FL.
OWNER: _PASCO SURGICAL ASS.
AGENT:
BUILDING TYPE: _Institutional (Health)_____
CONSTRUCTION CONDITION: Existing Building
DESIGN COMPLETION: _Addition
CONDITIONED FLOOR AREA: _1311
MAX. TONNAGE OF EQUIPMENT PER SYSTEM:
PERMITTING OFFICE:
_Zephyr hills. ~
CLIMATE ZONE: '-.4~
PERMIT NO: 6 YZ5.8..UNKhloWN__
JURISDICTION NO: _611600____
NUMBER OF ZONES: 1
COMPLIANCE CALCULATION:
METHOD A
A. WHOLE BUILDING
PRESCRIPTIVE REQUIREMENTS:
LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPl1ENT
COOLING EQUIPMENT
1. SEER
HEATING EQUIPMENT
1. Et
AIR DISTRIBUTION SYSTEM
1. Ventilated
WATER HEATING EQUIPMENT
1. EF
PIPING INSULATION REQUIREMENTS
1. Non-Circulating
1.00
INSULATION LEVEL
6.00
COMPLIANCE CERTIFICATION:
I hereby certify that the plans and
specifications coveted by this calcu-
~ati?n are in co li~nce withh~
rlorlda Energy ci~cy~od .
PREPARED Y: ~__
DATE: ~% - ~
I hereby certify that this building is
in compliance with the Florida Energy
Efficiency Code.
OWNER/AGENT:
DATE:
4
DESIGN
CRITERIA
RESULT
59.10
100.00
PASSES
PASSES
10.20
10.00
PASSES
N/I~
6.00
PASSES
0.91
0.89
PASSES
1.00
1.00
PASSES
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
for compliance in accordance with
Section 553.908, F101)ida _ atutes.
BUILDING OFF CIAL: 0.-, ( 'V-
DATE: t.-
I hereby certify(*) that the system design is in compliance with the Florida
Energy Efficiency Code.
SYSTEM DESIGNER
REGISTRATION/STATE
ARCHITECT :
MECHANICAL:
PLUMBING
ELECTRICAL:
LIGHTING
(*) Signature is required where Florida law requires design to be performed
by registered design professionals. Typed names and registration numbers may
be used where all relevant information is contained on signed/sealed plans.
-------------------------------------------------------------------------~----
------------------------------------------------------------------------.----
401.------GLAZING--ZONE
Elevation Type
North
West
West
Commercial
Commercial
Commercial
402.------WALLS--ZONE
Elevation Type
North
South
West
BUILDING INFORMATION COMPLIANCE
CHECK
1------------------------------------------------v-
U SC VLT Shading Area(Sqft):
-------------- ----------:
.64 .62 .72 Cont i nuous Ove 96 :
.64 .62 .72 Cont i nuous Ove 32 :
L 04 .95 .95 Continuous Ove 32:
Total Glass Area in Zone 1 = 160:
Total Glass Area = 160'
1------------------------------------------------
U Added R Gross(Sqft)
.149 0 278
.149 0 278
.149 0 463,
Total Wall Area in Zone 1 = 1018:
Total Gross Wall Area = 1018:
403.------DOORS--ZONE 1------------------------------------------------:---
Elevation Type U Area(Sqft):
,
,
1-3/4 Steel Door-Paper Honeycomb core 0.56 21:
Total Door Area in Zone 1 = 21:
Total Door Area = 21:
404.------ROOFS--ZONE 1------------------------------------------------:---
Type Color U Added R Area(Sqft):
BRICK,BLK. ,R-4,D.W.
BRICK,BLK.,R-4,D.W.
BRICK,BLK.,R-4,D.W.
South
SINGLES,P.W.,R-30,D.W.
405.------FLOORS-ZONE
Type
Slab on Grade/Uninsulated
------- ----------,
,
Medium .030 0 1500:
Total Roof Area in Zone 1 = 1500:
Total Roof Area = 1500
1------------------------------------------------
R Area (Sq ft )
o 1500
Total Floor Area in Zone 1 = 1500
Total Floor Area = 1500,
406.------INFILTRATION--------------------------------------------------:---
:CHECK:
Infiltration Criteria in 406.LABC.1 have been met. : t,;/:
407.------COOLING SySTEMS-----------------------------------------------:---
Type No Efficiency IPLV Tons:
,
,
1. Split System 1 10.2 10.2 3.50:
408.------HEATING SySTEMS-----------------------------------------------:---
Type No Efficiency BTU/hr:
,
,
1. Electric Resistance 1 1 34100:
409_::::::~::::L::::::::-::-:::::::::::-::::-::::-::::------------!~~~-
410.-----AIR DISTRIBUTION SySTEM----------------------------------------:---
AHU Type Duct Location R-value:
,
,
1. Split 1 PTAC Air Conditioner Ventilated 6.0:
411.-----PUMPS AND PIPING-ZONE 1---------------------------------------:---
Type R-value/in Diameter Thickness:
1. Non-Circulating 4 .75 1:
412.-----WATER HEATING SYSTEMS-ZONE 1----------------------------------:---
Type Efficiency StandbyLoss InputRate Gallons
1. <=12 kW .91 .01 4.5 30:
413.-----ELECTRICAL POWER DISTRIBUTION----------------------------------:---
:CHECK:
Metering criteria in 413.1.ABC.l have been met. ::
Transformer criteria in 413.1.ABC.2 have been met. : ~:
414.-----MOTORS---------------------------------------------------:----~:---
Motor efficiencies in 414.1.ABC.1 have been met. : ~ :
415.-----LIGHTING SYSTEMS-ZONE 1---------------------------------------:---
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft):
------ ----------,
,
410:
262:
55:
446:
201:
2316 :
1374:
2316'
1374
: CH.;y<
,
---------------------------------------------------.---------------,-----
: ...../
,
______________________________________________________------______1____-
17. Duct sizing and design hal,le been performed. (410.1.ABC.1.2) :./ i
1 ,
------------------------------------------------------------------, ----I
18. Testing and balancing will be performed. (410.1.ABC.4) : ./:
--------------------------------------------------------------- --:-----:---
19. Operation/maintenance manual will be provided to owner. (102.1): ,/ :
Conference
Card F ilin
Toilet and
Reading, T
Con idor
Continuous
On/Off
On/Off
On/Off
On/Off
2 On/Off
4 None
2 None
6 None
2 None
Total Watts
Total Area
2
o
o
o
o
for Zone 1 =
for Zone 1::::
Total Watts -
Total Area
Dim
816
576
60
576
288
1
1
1
1
1
::::
Lighting criteria in 415.1.ABC have been met.
16. HVAC load sizing has been performed. (407.1.ABC.1)