HomeMy WebLinkAbout97-6851
BUILDING PERMIT
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Permit ,.
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BUILDING
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ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
tJ/Y
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PLUMBING
.. 685116
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10.
MECHANICAL
Date 7- /:5'-9"7
Sewer Conn I,} 7 i, f/IJ .
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Water Conn:
Property Owner: 0 Q.\z.
Job Address: )11 b~
Parcell.D. # J '-f -'1.~ '
n '1 . ~
~ \4. '" ~ ('0 per .L 't' ) I ..1.- AX!-
Q...k fl\.~ L;',.J f
11-0000- oo'?OO - OO~O
Water Meter:
I~o.~
J:ZO)(~
T.I.F.'s:
Zoning: Energy Code: Radon Gas:
Description of Work rt'l-k.~; (,r i'lA: \J - D...J
8-.:)/. -91 p; P. ~ VU L~.. /9.A1 - 71t~
q " ~-o A ft'-' ~.s-
NO OCCUPANCY BEFORE C.O.
9 '72;
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
JJS
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
j ~ I ~ btJ. 0,$\
,
City License Registration #
State Certified License#
~11 1k'J.
L' ,-
0, ~^<..
BUILDING
Lc.. ~~ (2{lj 5: c ""
r: tQC c.. c.--..~.
ELECTRICAL / ~3 '7
i.4 \ry 's
PLUMBING/S'/ I
5'(\ 1'\1'", Y I;,
MECHANICAL ..;;l1)~
Tp. Servo . ,
Rough In '7/J..(f9. 7Kol
Meter Can
Const. Pole
Pool
Pre-Meter ~/)lorr., ~l-
Final
SLB
Tub Set 7- 1'1- 9'1 8 I LL
Water
Sewer
Final
Breakers
Ducts Insl. 1- I '7, q '7 (C,~
Compressor
Final
Ftr.
Pre SLB
Lintel
FRM. f}J,,,-q'7 B,l..l..
Insul. CL
WL1!:l <1/q 7 ~g
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: "d
a. Wrong Address 0a.-;7.;; af;.::::t Y5 '7-1.5"-17'
b. Condemned work resulting from faulty construction. i/J.../ 9-// -7?
c. Repairs or corrections not made when inspection called. r /
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
PASCO COUNTY, FLORIDA
Permit No.
~.$~/6
7-/S-97
Location ... q 7'7 t, 9
Date Permitted
(k, (;J Q .
OOgOO-;OPD
V~ q~ a~~~
R wf-.'S /dAlh d "-R
Subd.
Builder Name/Owner Name ~_ ~-:: ~
County Parcel No. S .(j - .5' f) 0
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
/-
"..--
.....--
~.
~..--
Prepared By...........//
Sq. Ft.lU nit
Impact Fee Amount $
The above i ct fee has been established pursuant to the Pas ounty Transportation Impact Ordinance as adopted
by th ard 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
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
Gross Sq. Ft. (GSF)
34'. 00
Rate/ER U - ~/Y ear
or $0. 1 42/Day
o.ID1
Assessment - (No. Units) x ($0.142)
x (No. Days)
ERU Assign No. _
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
100
TOTAL FEE $
tD, ,'7
TOTAL 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. DATE
RESOURCE RECOVERY REC. No.33 J.f 9 !J9 DATE
c; - //
rt7
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/A
./11 ~c.L~
Department of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL 4 5 6
PROJECT NAME:
AND ADDRESS:
OWNER:OI1A' ~LIJJ 7/&JrgT/~, ~~
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 (R-value + perimeter)
b. Wood, raised (R-value + sq. ft.)
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, 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-Built points X 100
Total Base points
I hereby certify thatth ans and sp . ;cations covered by the calculation are In compliance with the
Florida Energy Code.
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OWNER AGENT:
DATE:
-1-
12a.
12b.
13a.
13b.
13c.
14a.
14b.
14c.
15a.
15b.
16a.
16b.
17.
18.
'19.
19a.
19b.
DATE:
1.
2.
3.
4.
5.
6.
7.
Please T
Ajew
11 'ff'f', f
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8a.
8b.
Single Pane
71~') sq. ft.
. sq. ft.
sq. ft.
ft.
ft.
Double Pane
sq. ft.
sq. ft.
9a. R= 0 I~ I. ft.
9b. R= , __sq. ft.
9c. R= , __sq. ft.
...-
1 Oa-1 R= ,,' '?Jo) sq. ft.
10a-2 R= __sq. ft.
10a-3 R= sq. ft.
10a-4 R= __sq. ft,
10b-1 R= , J9dJ sq. ft.
10b-2 R= l( '.3 ':1.0 sq. ft.
1 Ob-3 R= __sq. ft.
10b-4 R= sq. ft.
lla. R= 3Q q73 sq. ft.
llb. R= sq. ft.
R= {:>, V~~, (cond./uncond.)
R= LId- \ ,C cP,.c..~' (cond./uncond.)
Type: 0 p-j..,'1v 'Q.. (
SEERlEERlCOP: to . c{)
Capacity: ~;}. Q 0
Type: i:= ((/ L+ :
HSPF/COP/AFUE: I
Capacity: /7 0 cP t)
Type: F I (! c:...--f
EF: I 7 I
~
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19 gIrt
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BUILDER: SANDY DEVELOPMENT
ADDRESS: 3n69 OAK RUN CIRClE
OWNER:
SQ. FT. PRICE
LMNG OR MAIN AREA:t 973 I $ 20.00 ~
OTHER AREA UNDER ROOF:t 0 I $ 11.00 I
OTHER I 0 I $ 45.00 I
SQUARE FEET UNDER ROOF:J 973 1
VAlUATION:J $ 19,460,00 1
ADDRESS:' $ 20.00 f
DRIVEWAY:~ $ 20.00 f
FEES:I $ 115.00 ~
BLDG. PLUMB. ELEC. MECH.
PERMIT FEES:I $ 172.50 I $ 55.00 1 $ 55.25 , $30.00 ~
314- 1- Z"
WATER METER SIZEl $ X 180.00 I $ 250.00 I $ 650.00 I $ 875.00 I
SEWER WATER METER
CONNECTION FEES:~ $ 1,278.00 ~ $ 350.00 t $ 180.00 ,
RADON GAS:l $
PERMIT FEES:~ $
CONNECTION FEES:l $
WATER METER:' $
9.7~ ~
312.751
1,628.00 I
180.00 ~
TRANSPORTATION IMPACT FEES:
99%
1%
$ 1,204.00
$ 1,191.96
$ 12.04
CREDIT
CREDIT:I $
40.00 J
2,130.48 ,
180.00 f
2,310.481
SUB-TOTAL I $
IRRIGATION METER~ $
TOTAL' $
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
INTERIOR COMPLETION
APPLICANT Sandy Development.~ Company, rne.
ADDRESS 12303 u.S. Hwy 301; Dade City, FL 33525
PHONE (3 I) 2) 56 7 - 7 q q 2
"
OWNER Oak Run Properties, Ine. 7335-2 Gall Blvd., Zephyrhills, FL 33541
JOB LOCATION37769 Oak Run Cir (BLD 9)
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.#
34-25-21-0000-00300-0080
. 7 WORK PROPOSED:-1l-New Construction ____Addition ____Alteration ____Repair ____Install
_Sign/Temp.
____Sign
_Move
____Demolish
\
PROPOSED USE: ____Single Family
____M/F
____# of Units
.____M /H
____Commercial
____Indust.
____Swim, Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE: 27 . 33 IX 40 I I
973
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
-1L-BUILDING
$
Valuation of Total Construction
-1L-ELECTRICAL
-1L-MECHANICAL
-1L-PLUMBING
AMP Service
Florida Power Corp.
_W.R'.E.C.
$
Valuation of MechanicaItristallation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signatu
CONTRACTOR SECTION
Company Sandy DeveloDment com~any, Ine.
State Cert. or Regist. 4t CBC010 23
ity License Regi~tration # 235
******************************************
F.T.F.CTRTCTAN Jerrv Cavender Company Lake Re~ion Elee trie Co_
State Cert. or Regist. 4t ER0003755
Siflnature'l4/"LY ~jhA~ City License Registration # 1837
******************************************
Company Rll!=: tyl!=: Pll1mhi n~
ate Cert. or Regist. # C C056789
City License Registration # 1541
*************************
MECHANICAl.
~ ()~<companY Sonol"
~, ,-:._ S~ate Cert. or Regist. ,II RM0018461
Clty Llcense Reglstratlon # 206
******************************************
Signature
OTHF.R
Company
State Cert. or Regist. #
City License Registration #
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITiONS OF PERMIT AFFIDA~:T
A. NOTICE OF DEED RESTRICTIONS
The und~rsigned understa~s that this penit.ay be subject to 'deed restrictions" 11,\ :.ch laY be lore restrictive than Ci ty
regulations. The undersigned alsuael responsibility fOT cotpliance with any applicaJle deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
If the owner has hired a contractor Dr contractors to undertake work, they .ay be required to be licensed in accordance with
state and local regulations. If the con(ractor i~notlicensed as required by law, both the ONner and contractor .ay 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, the~ are advised to contact the City rf Zephyrhills Building Depart.ent, (813)
788-6611." if
Furtherlore, if the ONner 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 Mill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the wor~, If the contractor wishes you to sign
as contractor that .ay be an indication that he is not properly licensed and is not 0.!titled to per.itting privileges in the
City of Zephyrhills. .
_C~ TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
7
D~ CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I tertify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho.eoMner's Protection
G~\de" prepared by the Florida Departlent of Agriculture and Consuler Affairs.' If the applicant is so.eone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and pr~lise in good faith to deliver it to the
"owner" prior to cOlaenceaent.
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 cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby aade tQ obtain a perait to do work and installation as indicated. I certify that no Mork or
installation has coaaenced prior to issuance of a per.it and that all work Mill be perforled to leet standards of all laNS
regulating construction, City codes, zoning regulations) and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental agencies aay ap~ly to the intended work, and that it is
ay responsibility to identify what actions I aust take to be in coapliance. Such a~encies include but are not lilited to:
f Depart.ent of Environaental Reoulation - Cypress Bayheads, Wetland Areas and Enviro~.entaIly Sensitive Lands,
Water/Wastewater Treataent
f Southwest Florida Water Kanaoeaent District - Wells, Cypress Bayheads, Wetland Are~s, ,Altering Watercourses
f Ar.v CorDS of Enoineers - Seawalls, Docks, Navigable Waterways
f DeDartlent of Health & Rehabilitative Services. 'Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental Protection AGency - Asbestos abate.ent
I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,ete.", it is understood that a drainage plan
addressing a "colpensating volule- will be subait~ed which is prepared by a profess.~~al engineer registered in the State of
Florida prior to penH issuance.'
A perlit issued shall be construed to be a license to proceed with the Nork and not, ~5 authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a per.it preV~'1t the Building Official fro. thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becole invalid
unless the work authorized by such perlit is coa.enced within six aonths of issuance, or if Nork authorized by the perlit is
suspended or abandoned for a period of six aonths after the tile the work is coalenc~6. One 90 day extension of tile, lay be
allowed for the perait with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection aust be logged during each six .onth period, or the project will Le considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CO"" CEKENT. JOBS UNDER $2,500 LU DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMEN ·
STATE OF FLORIDA
COUNTY OF _P Pi Sc..a.
The foregoing instrument was acknowledged
before me th i s tJl..V1.U Z. 3 ; 19.-:i1. by
Jel"b~ W. Po....rlUX
who is personally known to me or who Ra~
pf'odaced
as identification
take an oath. J
STATE OF FLORIDA
COUNTY OF P AS co
The foregoing instrument was acknowledged
befc.rs me th i,; .,J~ 2.:3 , 19.5.1...- by
a~ai;;Z::
___Jexu ~ u,). {JCA.-rUf
who is personal:y known to me or ~h~ ha~
fJlre.duced
as idE:l"\tificatic~l and who -~/did not
take an oath. '(o:r-OLld ~
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLI C
',.....'-v.~.;i>.....-
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
NATALIE SWAN
Notary Public. Stale of Florida
My Comm. Exp. Oct. 12. 1999
Comm. No. CC 501333