HomeMy WebLinkAbout97-6712
BUILDING PERMIT N!
Permit
<pR'F '1 (). ()7J
CITY OF ZEPHYRHILLS
(813) 788-6611
0>7/' ~O
BUILDING
7d2. tJ7)
ELECTRICAL
t t). CJ1)
PLUMBING
3~-= CZ;
MECHANICAL
Job Address:
~--L- ,--t., -- cJ... : I G,
NO OCCUPANCY BEFORE c~~-/f!e-n:r<. 9 -:l9-9'7/J_
~?i? ~tJtlI.J~ ,~:/f'f'/1'I ~
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
FINAL
C.O.
Inspector
Valuation or
Contract Price
Permit Fee.
j ~ 0-00 .'. t:riJ
Signature
Company
Address
City License Registration #
State Certified License#
Ii 7
~f~T:;~JA-Y~
671aB
Date
S-?-f7
t
ry\o~,!\
~
Water Conn:
Jh~7"
tJ
I
DATE
/L~Att~
BUILDING
F,,- dq~l 8: I L
Pre SLB $J j,fql f.' 'f
Lintel S-30-q~ SJLt-
FRM. 7/'1/"1"1 _c~
Insul. CL
WL 71ft. (q1 '1'11_
Driveway ? IJ9/ q 7 &of)
ELECTRICAL
Tp. Servo I
Rough In./ 7/ '"' /1 7 ~~
. ) ,
Meter Can
Const. Pole 5-/9/91 5d(
.
Pool
Pre-Meter~/J-'/97 &6
Final
SLB
Tub Set
Water
Sewer
Final
4~~~
MECHANICAL --.5--.3
Breakers . ,
Ducts Insl. 7/'7/1 7 t>j;
Compressor
Final
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:
-+ I J1 "j --~-1'7
a. Wrong Address AI~ ~../~d/
b, Condemned work resulting from faulty construction, . & ~
c. Repairs or corrections not made when inspection called, '" J / ( _~, - { /
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.
To: Zephyrhills Building Dept.
From: Dietrich F. Gebhart, Gebhart Construction Inc.
9/16/97
Please be advised that as of today, Martin Electric
will be replacing Roger's Electric on Permit #6712
Lot 21, 6944 Oak Crest Way, and Permit #6700 Lot 8,
:J~12~
~trich ~. Gebhart
Lie. #RB0021583
~^'
*11*
~"I\'
7
A08ERT D KREITZER
My 1'_. .
:--......Ieft CC33138a
E..... N.\" 18. 1007
BonllledlJlfANB
800''''8878
...) Y.l \ lli .
.
BY
i
D,c'
.X..... .
ublic
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93. Reside nt.l.'al Com ronent Prescriptive Method A
PROJECT NAME:. ~a}~ /' J.- BUILDER: Gebhart
AND ADDRESS:...)j.dJ..It-AJ.t~, PERMITTING CLIMATE /' ~
b 7'f..4~tJa.A t;;,;;/;J~ OFFICE: Zephyrhills ZONE: 41~ 5T~ 6/_/
OWNER: :Bali \J PERMIT NO.6 7/:i... /!J JURISDICTION NO.
~II bOD C~
New Construction ~
Single-Family ~
o 0
~
1:/
~
Double Pane /
O.OOsqft ~
O.OOsqft ~
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units
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 area and type:
a. Clear Glass
b. Tint, film or solar screen
9. Floor type and insulation:
a. Slab on grade' (R-value, perimeter)
10.Net Wall type area and insulation:
a. Exterior: 1. Concrete (Insulation R-value)
a. Adjacent: 2. Wood frame (Insulation R-value)
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
17.Infiltration practice: 1, 2 or 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As Built points
b. Total Base points
SN: 6096
CENTRAL
1.
2.
3.
4.
5. 1858.00
6. 1. 00
7. 0.00
Single Pane
8a.166.0sqft
8b. O. Osqft
9a.R= 0.00 , 190.00 ft ~
10a-1 R= 5.00, 1124.00sqft ~
10a-2 R=11.00, 180.00sqft ~/
11a.R=30.00 , 1858.00sqft ~
12a. R= 6.00, uncond
13. Type: Central A/C
SEER: 10.00
14. Type: Heat Pump
HSPF: 7.00
15. Type: Electric
EF: 0.90
'1......-//
-=..,.L-
~
-V-
~
---y;;r-
-i;::::r
~
/'
~
16.
17.
18.
1
19.
19a.
19b.
/
-V
~
90.07
31881.45
35394.41
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energ~.
PREP~D BY: ~! (}d4;!&
DATE. _ _
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
553.908 F.S.
I hereby certify that this building is
in compliance with the Florida Energy
::::~/AGENT: o~ ~
DATE: _------.7.::; 7
COMPONENTS
** INFILTRA~ION REDUCTION PRACTICE COMPLIANCE CHECKLIST **
===============================================================================
SECTION
REQUIREMENTS FOR EACH PRACTICE
CHECK
===============================================================================
PRACTICE #1
606.1
COMPLY WITH ALL INFILTRATION PRESCRIPTIVES.
-------------------------------------------------------------------------------
Windows
606.1
Exterior &
Adjacent Doors
-------------------------------------------------------------------------------
Maximum of 0.34 CFM per linea~ foot of operable sash
crack (includes sliding glass doors).
606.1
Maximum of 0.5 CFM per sq. ft,. of door area: solid
core, wood panel, insulated or glass doors only.
Exterio.rr Joints
& Cracks
-------------------------------------------------------------------------------
To be caulked, gasketed, weather-stripped or other-
wise sealed.
606.1
-------------------------------------------------------------------------------
Water Heaters
** OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) **
-------------------------------------------------------------------------------
612.1
Comply with efficiency requirements in Table 6-12.
Switch or clearly marked circuit breaker (electric)
or cutoff (gas) must be provided. External or built-
in heat trap required.
Swinnning Pools
& Spas
-------------------------------------------------------------------------------
612.1
Spas and heated pools must have covers (except solar
heated). Non-connnercial pools must have a pump timer.
Gas spa & pool heaters must have a minimum thermal
efficiency of 78 percent.
Shower Heads
-------------------------------------------------------------------------------
Water flow must be restricted to no more than 3 gal-
lons per minute at 80 PSIG.
-------------------------------------------------------------------------------
HVAC Duct
Construction
Insulation &
Installation
612.1
610.1
All ducts, fittings, mechanical equipment and plenum
chambers shall be mechanically attached, sealed, ins-
ulated and installed in accordance with the criteria
of Section 610.1.ABC.2 & 610..1.ABC.3. Duct in attics
must be insulated to a minimum of R-6. Air handlers
shall not be installed in attics unless in mechanical
closet.
HVAC Controls
-------------------------------------------------------------------------------
Separate readily accessible manual or automatic
thermostat for each system.
607.1.
Insulation
-------------------------------------------------------------------------------
604.1
602.1
-------------------------------------------------------------------------------
Ceilings minimum R-19. Connnon" Walls - Frame R-11 or
CBS R-3 both sides. Connnon ceiling & floors R-11.
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
=== BASE === I === AS-BUILT ===
g~~~--~;~-~-;~;;-:- P~INTS I
===============================================================================
TYPE
SC ORIEN AREA x SPM x SOF = POINTS
-------------------------------------------------------------------------------
N 10.00 82.2 822.0 SGL CLR N 10.0 51.0 .72 367.2
NE 44.00 82.2 3616.8 SGL CLR NE 20.0' 77.2 .63 972.7
SGL CLR NE 24.0 77.2 .63 1167.3
E 10.00 82.2 822.0 SGL CLR E 10.0 109.2 .58 633.4
SE 30.00 82.2 2466.0 SGL CLR SE 15.0 112.9 1.00 1693.5
SGL CLR SE 15.0 112.9 1.00 1693.5
S 8.00 82.2 657.6 SGL CLR S 4.0 100.2 .45 180.4
SGL CLR S 4.0 100.2 .45 180.4
NW 64.00 82.2 5260.8 SGL CLR NW 10.0 77.2 .63 486.4
SGL CLR NW 12.0 77.2 .63 583.6
SGL CLR NW 12.0 77.2 .63 583.6
SGL CLR NW 15.0 77.2 .63 729.5
SGL CLR NW 15.0 77.2 .63 729.5
-------------------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
. AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
1,858.00
166.00
1. 679
13,645.20
22,909.14 I
10,000.97
NON GLASS----------__. I
AREA x BSPM = POINTS TYPE
===============================================================================
-------------------------------------------------------------------------------
R-VALUE
AREA x SPM = POINTS
===============================================================================
TOTAL SUMMER POINTS I
39,660.14
TOTAL x
SUM PTS
===============================================================================
SYSTEM =
MULT
COOLING I TOTAL
POINTS COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
32,137.17
-----------------------------------------------------------------~-------------
39,660.14
.37
14,674.25 I 32,137.17 1.00 1.100
.340
1.000 12,019.30
===============================================================================
,
..
===============================================================================
SI"(ISI6
OOO'I
vSV'
OOI'I OO'I lV'S9SILI I 9I'6(IIOI
OI"I lV'LI2':16
S~NIOd ~~nw ~~nw ~~nw OI~VH
~NI~V~H = ~Ia~H~ x W~~S^S x ~~na x dV~ x
-----------------------------~-------------------------------------------------
NOdWO~ I S~NIOd
~V~O~ ~NI~V~H =
~~nw
W~~S^S
, S~d NIM
x 'IV~O~
===============================================================================
lV'S9SILI
I lv"LIll6
S~NIOd H~~NIM ~V~O~
===============================================================================
9'6ISI1 02':'9 O"SSSI lit a:::>1:}.:::>e.:rd S"LI9L I'v O'SSSI
---------NOI~VH~~IaNI
O'SLv OS"2': 0"061 :0 . ape.:r~-uo-qeTS 0"I9(- 6'I- 0"061 qTS
---------------SHOO~a
S"VIII 09" O'SSSI O"O( :::>1:}.:}.V .:rapun S'vIII 9,' O"SSSI vn
-------------S~NI~I~~
O"SII 06.S 0"02': pOOM ~pV O"OS O"V 0"02': ~pV
O"IS OI'S O'OI pEqeTnsuI :}.x~
O"2':OI OI"S O"Ol pa:}.eTnsuI :}.x~ O'(SI I'S O'O( :}.xg
----------------SHOOa
O"v2':( OS"I O'OSI O'II aUle.:ra pooM ~PV O"vl( S'I O"OSI ~PV
9'6Sl( 06"2': O"vlII O"S UI ~:::>oTa:}.MUI.:roN :}.x~ v'9(2':I I'I O'vlII :}.x~
-------------~--S~~VM
S~NIOd = WdM x V~HV
----------------------~--------------------------------------------------------
~n'IV^-H
~d^~
I S~NIOd = WdMa x V~HV
------------SS~~ NON
===============================================================================
2':V'V06
I SS'LV6-
OV"V9S-
6L9'I
00"991
OO"SSSII
SI"
S~NIOd
SSV~~
-------------------------------------------------------------------------------
S~NIOd
SS~~ .rav
S~NIOd HO~~Va V~HV V~HV
= SS~~ x ".rav = SSV~~ 'IV~O~ / HOO~a "aNO~ x SI"
-------------------------------------------------------------------------------
6'6vI S("I V'L O'SI MN H~~ ~~S
6"6VI S("I VOL O"SI MN H~~ ~~S
6'6I1 S('I vOL O"2':I MN H~~ ~~S
6'6I1 S("I V'L O"2':I MN H~~ ~~S
6'66 S("I vOL O'OI MN H~~ ~~S 9'LI2':- v'(- 00"v9 MN
L'S- (I' 6"OI- O'V S H~~ ~~S
L"S- (I' 6'OI- O'V S H~~ ~~S 2':"L2':- V'(- OO'S S
S"VSI- OO"I ('OI- O'SI ~S H~~ ~~S
S'VSI- OO'I ("OI- O'SI ~S H~~ ~~S O'2':OI- V'(- OO"O( ~S
9'2':( SV'I- 2':'2':- O"OI ~ H~~ ~~S O'V(-" v'(- OO'OI ~
S'6(2': S('I vOL ;0' V 2': ~N H~~ ~~S
S'661 S('I VOL 0"02': ~N H~~ ~~S 9'6vI- v'(- OO'vv ~N
('(II SI'I 9'6 O"OI N H~;) 'I~S O"V(- V'(- OO"OI N
-------------------------------------------------------------------------------
S~NIOd = aOM x WdM x V~HV N~IHO ~S ~d^~ ./ S~NIOd = WdMa x V~HV N~IHO
----------------SSV~~
===============================================================================
--- ~~Ina-SV --- --- ~sva ---
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
SNOI~~n~~v~ H~~NIM
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
*******************************************************************************
WATER HEATING
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
NUM OF
BEDRMS
===============================================================================
x
MULT
=
TOTAL
I TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL
-------------------------------------------------------------------------------
3
3527.0
10,581.00 I
40
.90
1.000 3449.7 1.00 10,349.00
===============================================================================
SUMMARY
*******************************************************************************
*******************************************************************************
, === BASE ===
=== AS-BUILT ===
COOLING
POINTS
===============================================================================
+
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL I COOLING
POINTS POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
------------------------------------------------------------------~------------
14674.3
10139.2 10581.0 35,394.41 I
12019.3
9513.1 10349.0 31,881.45
===============================================================================
*****************
* EPI = 90.07 *
*****************
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B-93
ENERGY GUIDE
EPI- 90.1
o 10 20 30 40 50 60 70 80 90 100
/------------------------------------x----I
The maximum allow.ble EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS.....................Single Clear
SINGL CLR DBL TINT
Ix-----~--------------I
INSULATION. . . . . . . . . . . . . . . . . .
. ,
R-Value.........
5.8
R-10 R-30
I--------------------xl
R-O R-7
I----------------x----I
R-O R-19
Ix--------------------I
Ceiling
Wall
R-Value.........
30.0
Floor
R-Value.........
0.0
AIR CONDITIONER.............
SEER/EER.................. 10.0
10.0 SEER 17.0
Ix--------------------I
9.7 EER 16.0
HEATING SySTEM..............
Electric COP/HSPF........ 7.0
6.8 HSPF 12.0
Ix--------------------I
0.78 AFUE 0.90
1---------------------/
Gas AFUE..~.........O.OO
WATER HEATER................
Electric EF.............. 0.90
0.88 0.96
I----x----------------I
0.54 0.90
1---------------------/
0.40 0.80
1---------------------1
Gas EF~~............ 0.00
Solar EF..............
OTHER FEATURES..............
. . . . . _-It." . . . . . . . . . . . . . . . . . . . .
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
Builder
Signature:
Address:
Date:
City/Zip
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs
FL-EPL CARD93
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B-93
ENERGY GUIDE
EPI= 90.1
o 10 20 30 40 50 60 70 80 90 100
I------------------------------------x----I
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS.....................Single Clear
SINGL CLR DBL TINT
Ix-----~--------------I
INSULATION. . . . . . . . . . . . . . . . . .
Wall
R-Value.........
5.8
R-10 R-30
I--------------------xl
R-O R-7
I----------------x----I
R-O R-19
Ix-------------------_I
Ceiling
R-Value.........
30.0
Floor
R-Value.........
0.0
AIR CONDITIONER.............
SEER/EER.................. 10.0
10.0 SEER 17.0
Ix-----------------___I
9.7 EER 16.0
HEATING SySTEM..............
Electric COP/HSPF........ 7.0
6.8 HSPF 12.0
Ix-------------------_I
0.78 AFUE 0.90
1---------------------1
Ga s AFUE . . '. . . . . . . . . . 0 . 0 0
WATER HEATER................
Electric EF.............. 0.90
0.88 0.96
I----x----------------I
0.54 0.90
1---------------------1
0.40 0.80
1---------------------1
Gas EF~............. 0.00
Solar EF..............
OTHER FEATURES..............
. . . . . . . .' . . . . . . . . . . . . . . . . . . . .
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
Builder
Signature:
Date:
Address:
City/Zip
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs
FL-EPL CARD93
Gebhart Construction, /nc.
at
Oak Crest &tates
/p~,g;~$y~
May 28, 1997
This is to advise the Zephyrhills Building Department that
The Oak Crest Estates Architectural Review Committee has
reviewed the building plans submitted by Gebhart Construction
Inc. for the Brentwood to be built on lot 21, Oak Crest Estates
Phase I.
Respectfully Submitted,
\~
Kenneth M. BUrge~
38719 Evelyn Ln. . Zephyrhills, FL 33540
Phone: (813) 782-1743 . St. Lie. #RB0021583
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
(;)f rjJL vft . .
V 1() 1u/ . &/~1
!J (tj] t...
OWNER'S NAKE ''111a~' E ~O(' (>'. ~ I-+a [l
_'S ADDIUlSS {,z OJ if 'fQ. k C )?r;:st l~s ?e~y' hi D ~, ~.
JOB ADDRESs (0 OJ 'f 'f cP)6tk C ~ Set _ ~ 6e --:-Na" l-lt II OS -E J. .
eX , BLOCK. SUBDIVISION ~~, Cc:;,~ (-e> ~
"'Se ~)-e
PARCEL I.D.' C;;A -~ ~ -;?J. / _
WORK PROPOSED, V;;ew Construction --...Addition --Alteration _....ir -Install
PHONE
LEGAL DESCRIPTION: LOT(S)
_Sign
---Hove
_DeJIOlish
PROPOSED USE: ~Single Famiiy
_KIF _, of Units _M/H
_ec-ercial
_Indust. _Swia, Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: C:S., AJ:> I ~ ~ rY\ ~ l ~ ~-e 51 j) {1Ilee...
BUILDING SIZE: 5?-- ~.:J.lf';)..f:; Square Feet, c7-0 Height
RESIDERTlAL:
COMMERCIAL
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTEQ
_BUILDIRG
$
Valuation of Total Construction
_ELECTRICAL
-'fECHARlCAL
NIP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
_PLUMBIRG GAS ROOFING SPECIALTY
TYPE OF CORSTRUG'l'ION: -LBIOCIt _FrUle _Steel Other
,
FlRISHED FLOoR ELEVAnORS:~FT. IS PROJEG'l' IN FLOOD ZONE AREA?
/
******************************************
YES
NO
BUILDER
CONTRACTOR SECTIO~
COHPARY t.13 ~- C01VS-\(ttc.ti ~ j... ^"
State Cert. or Regist. ,
City License Registration ,
*******~*****~~~*****~*********;:**:*
/,2..~f. COIIPANY~7"~r e &"-- ~I'f;w ~tC/
j~ - State Cert. or Regist. # €R O'-C I.Z--u,
City License Registration # 1l~~
*****************************************
Signature
PLlJMBQ COMPANY \)
o ..nf\~ State Cert. or Regist. ,
Signature J~ City License Registration .
****** * *******************************
IfECHANI~~. . ~ COMPANY '::;;OC-/7HE:L- CO~. ~
- ~~~ State Cert. or Regist. ,
Signature / -- /~. City License Registration , -S-:S
************~*****************************
Q1lIU
COMPARY G:-8~JG+ C:.&2N'S-\('C-LC-.Ll ~'/I- ;:- AC
State Cert. or Regist. , R.6daa.J,~3 ~
City License Registration I
******************************************
WPLICATION APPROVED BY
PERKlT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which .ay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CON'I'RAC'I'OH RESPONSIBILI'I'IES
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 law, both the OMner and contractor laY be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireaents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611. .
FurtherlOre, if the owner has hired a contractor or contractors, be 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 wisbes 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
tJ-!
.
D. CONSTRUCTION LIEN ~W (ClrnPTER 713, FLOHIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOWDer'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 doeulent and prolise in good faith to deliver it to the
"owner" prior to co..encelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and tbat all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developlent.
1\
Application is hereby lade to obtain a per.it to do work and instailation 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, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber goverDlental agencies laY apply to tbe intended wort, 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:
I Departlent of EnviroDlental Regulation - Cypress Bayheads, Metland Areas and BnviroDlentally Sensitive Lands,
Mater/Mastewater Treatlent
I Southwest Florida Mater Hanagetent District - Mells, Cypress Bayheads, Metland Areas, Altering Matercourses
I ArlY Corps of Engineers - Seawalls, Docks, Navigable Materways
I Departlent of Healtb , Rehabilitative Services, EnvirODlental Healtb Unit - Mells, Mastewater Treallent, Septic Tanks
I US EnviroDlental Protection Agency - Asbestos abateaent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,ete.", it is understood tbat 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 sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official froa thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beCOle invalid
unless the work authorized by such perlit is cOllenced within Sil IOntbs of issuance, or if work autborized by the perlit is
suspended or abandoned for a periOd of Sil IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, IiJ 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 IOnth period, or tbe project will be considered abandoned.
MARNING TO ONNER: YOUR FAILURB TO RECORD A NOTICB OF COHHENCBHBNT HAY RBSULT IN YOUR PAYING 1N1CE FOR IHPROVIKBIIS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT MITH YOUR LENDER OR AN ATTORNBY BEFORE RBCORDING YOUR NOIICE OF
COMMENCBHBNT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RBCORD AND POST A "NOTICE OF COHIlENCIHBNT".
QI.eW~
SIGNATURE: OWNBR OR AGENT
SIGNATURE: CONTRACTOR
1). \ ~ l-V' \\::. \" r
who is personally
produced
as identi .
take a 0
was acknowledged
, 19.:t1 by
6~~~T
known to me or who has
STATE OF FLORIDA ~
COUNTY OF \ Q <5" GV
The foregoing instr~ent w~s ac~~ledged
before me this C5'~ , 19 i/ I by
1> I e-\-r\~ I 'P, G~hMt
who is personally known to me or who bas
produced
as identificatio
take an
STATE OF FLORIDA Q r ~
COUNTY OF ~. a s "-
The foregoing instrument
before me this 5'.... 6:
( 8 . ture \ .
\<..,~\ .
(Name Typed, Printed
NOTARY PUB~8+ ROBERT DKREITZSA
. My CotTllniMllcw1 CC3313U
* * EIlpir.. Nov, 1.. 1887
Bonded by ANa
"'?'/t Of ,..-"" 800-852-5878
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ROBERT D KREITZER
My Commit.ion CC331368
Expir.. Nov. 18. 1887
Bonded by ANB
800-802-5878