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BUILDING
BUILDING PERMIT N!
CITY OF ZEPHYRHILLS Permit
(813) 788-6611
- 68S5t5
- f, -2>"
6'-/
ELECTRICAL
Date
7-/0- 97
-
~()--
MECHANICAL
Sewer Conn ;,,<...:2 '7?
Water Conn: :2 "tJ-D
Water Meter: If{ D
T.I.F.'s: / j;lD 'I t.R}:-P//
-5-
5.
PLUMBING
:::::,~,:~e'~:i~~t,
Parcell.D. # 3Lt... &~ - d. \ - OC>f/t;...... ~ D~C)Otf> _~O fS-O
Zoning: Energy fode: .. . /~don ~as: ~. ~?~
Description of Work c------.... ~~ ML~ ~~~~JJ~ r{)1-<-'t:
.::Y.t-;;/~ 9- '-/ - C;-:J ,PY~'----~ ~(f / CJ : / b )1 n,
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O. f ~ ~
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
Signatur
Company
Address
Telephone#
Valuation or
Contract Price
1) &;;.-
i Ie; lit/:, 0'
City License Registration # r2 ~5-
State Certified License#
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BUILDING
~a.L f(~
ELECTRICAL I R 57
~\~P-~J,.
PLUMBING (.s-'II
$~~
MECHANICAL ~D ~
Ftr.
Pre SLB
Lintel
Tp. Servo
Rough In 7 f~OI!) 1 ~f.
Meter Can
Const. Pole
Pool
Pre-Meter ~cn Kct
Final
SLB
Tub Set 7/J~/~7 ~:II
Water
Sewer
Final
Breakers
Ducts Insl. '7 b~ /17 i..~()l
Compressor
Final
(Aile, '7 f5; II
7/?"~7 K6i3
FRM.
Insul. CL
WL
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: J _
I J .On 9-/1 9~
a. Wrong Address Jv (.Z .e
b. Condemned work resulting from faulty construction. rr
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.
Department of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Component Prescriptive Method A CENTRAL 4 5 6
PROJECT NAME:
AND ADDRESS:
OWNER: tJ,I1!-( l?tl.iJ~~OPFt<nl3 --::j::',v." .
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 area and type:
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 (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel (Insulation R-value)
4. Log (Insulation R-value)
b. Adjacent: 1. Concrete (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel (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 systems
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 Cr4!dits (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
Please Print
1. NeW
2. mu.l-hfO.m,l,/
3. d..
4. 'I f.s
5. 073
6. d.
7.
Single Pane Double Pane
8a. 77,1 sq. ft. sq. ft.
8b. sq. ft. sq. ft.
9a. R= <5 , I~~ ,S" I. ft.
9b. R= , sq. ft.
9c. R= , sq. ft.
1 Oa-1 R= 5 vo9 sq. ft.
10a-2 R= sq. ft.
10a-3 R= sq. ft.
1 Oa-4 R= sq. ft.
10b-1 R= sq. ft.
10b-2 R= II -3:.J..O sq. ft.
10b-3 R= sq. ft.
10b-4 R= sq. ft.
11a. R= .:30 <=t70 sq. ft.
11b. R= sq. ft.
12a. R= /.p , U.n{Oro(COnd.luncond.)
12b. R= L-J.JS" , lond (cond.luncond.)
13. Type: Ccntv 0... \
SEERlEERlCOP: ID .CO
14. Type: +\ t'O.:L Pl..l rn ?
HSPF/COP/AFUE: -1.0
15. Type: CI€G
EF: \C( \
16a.
16a.
17. ~
18.
'19. CfO.4 I
19a. 1l.C ~ I a-...
19b. ~O~,l
OWNER AGENT:
------_._---,-~- ---..---- _._------~--_._-------.,--_.- ------'---.---
DATE:
-1-
Review of plans and specifications covered by this calculation Indicates compliance with
the Florida Energy Code. re constructl . completed, this building will be Inspected
for compliance in acco with Section .908, F.S.
~
DATE:
BUILDER: SANDY DEVELOPMENT
ADDRESS: 37777 OAK RUN CIRCLE
OWNER:
so. FT. PRICE
LMNG OR MAIN AREA:J 973 I $ 20.00 I
OTHER AREA UNDER ROOF:' 0 I $ 11.00 ,
OTHER' 0 t $ 45.00 ~
SQUARE FEET UNDER ROOF:t 973 ~
VALUATION:t $ 19,460.00 I
ADDRESS:I $ 20.00 I
DRIVEWAY:~ $ 20.00 I
FEES:I $ 115.00 1
BLOG. PLUMB. ELEC. MECH.
PERMIT FEES:' $ 172.50 1 $ 55.00 I $ 55.25 ~ $30.00
314- 1- 2"
WATER METER SlZE:1 $ X 180.00 I $ 250.00 I $ 650.00 I $ 875.00 I
SEWER WATER METER
CONNECTION FEES:I $ 1.278.00 I $ 350.00 I $ 180.00 1
RADON GAS:l $
PERMIT FEES:' $
CONNECTION FEES:I $
WATER METER:1 $
9.731
312.751
1.628.00 ~
180.00 I
TRANSPORTATION IMPACT FEES.
99%
1%
$ 1,204.00
$ 1.191.96
$ 12.04
CREDIT
CREDIT:' $
40.00 t
2,130.48 ,
180.00 I
2,310.48 I
SUB-TOTAL' $
IRRIGATION METERI $
TOTAL I $
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APPLICATION FOR PE~lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
INTERIOR COMPLETION
APPLICANT Sandy Develop~en~ Company, Inc.
ADDRESS 12303 u.S. Hwy 301, Dade City, FL 33525
PHONE (352) 567-7992
r'
OWNER Oak Run Properties, Inc. 7335-2 Gall Blvd., Zephyrhills, FL. 33541
JOB LOCATION 37777 Oak Run Cir (BLD 9)
LOT SIZE
x
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. #
34-25-21-0000-00300-0080
. 7 WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
_Move
____Demolish
\,
PROPOSED USE: ____Single Family
____M/F
____# of Units
.~/H
_Commercial
_Indust.
____Swim. Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE: 27.33 IX 40 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
-LBUILDING
$
Valuation of Total Construction
..lL.ELECTRICAL
-LMECHANICAL
-LPLUMBING
AMP Service
Florida Power Corp.
_W.R.E.C.
$
Valuation of Mechanicarrnstallation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block ____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
Company Sandy Development Com~any, Inc.
State Cert. or Regist. 4~ CBC010 23
ity License Regi~tration # 235
******************************************
Signat
EI.ECTRICT AN Jerrv Cavender
Company Lake Region Electric Co.
State Cert. or Regist. 4~ ER0003755
~n~~~ City License Registration 4~ 1837
******************************************
Si!mature ?,-y"..,y r
Signature
Company RlI!'lty'!'l Pl11mh;n~
State Cert. or Regist. # C C056789
License Registration # 1541
***************************
MECHANICAL
M~'~ CompanySonn~'s .
St~te Cert. or Regist. # RM0018461
.. ~ City License Registration ~~ 206
******************************************
Signature
OTHER
Company
State Cert. or Regist. #
City License Registration #
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS G~ PERMIT AFFIDAVIT
Pi.. NOT I CE: OF DEED RESTR I C'- IONS
The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City
regulations. The undersigned allUles responsibility for co.pliance Nith any applica,'~e deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor Dr contractors to undertake Nork, 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 ONner and contractor lay be
cited for a lisdeleanor violation under state laN:. If the owner or intended contractor are uncertain as to IIhat licensing
requirelents lay apply for the intended Mork, the~ are advised to contact the City of Zephyrhills Building Departae~t, (813)
788-6611. ' '.
Furtberlore, if the owner has bired a contractor or contractors, he is advised to hav~ the contractor(s) sign portions of the
"Contractor Sections" of this application for wbich 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 Nor:; If the contractor Nishes 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
. 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 - HOleoNner's Protection
&U~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 docu.ent 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 1I0rk will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade tQ obtain a perlit to do Nork 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 regula'lons 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 Envirr~lentally Sensitive Lands,
Water/Wastewater Treatlent
f Southwest Florida Water "anaQeaent District - Wells, Cypress Bayheads, Wetland Are;s, ,Altering Watercourses
f ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services. 'Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environ.ental Protection AGency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,", i. is understood that a drainage plan
addressing a "colpensating volule" will be sublit~ed which is prepared by a professiv.lal engineer registered in the State of
Florida prior to perli t issuante. .
A perlit issued shall be construed to be a license to proceed with the Nork 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 perait issued shall becole invalid
unless the work authorized by such perlit is cOlleneed 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 CO.lence~. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested ill writing to the Building Official. An
approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
WARNIN& TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO"KENCEKENT KAY RESULT IN YOL~ PAYING TWICE FOR IKPROVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNE" BEFORE RECORDING YO NOTICE OF
COK"ENCE"ENT. JOBS UNDER $2,50 E DO NOT NEED TO RECORD A D POST A "NOTICE O~ COMMENCE"
STATE OF flORIDA
COUNTY OF D A ~c.D
The foregoing instrument was acknowledged
before me this "Ju.N..- 23 , 19 C)'7 by
,Je/o~ w. PCLr\Ux~
who is personall y ~mown to me or uhf) h3~
produced
ao i~eQ'ifi.~" and who ~did no'
take an oath_ _~~_
(Signature)
STATE OF FLORIDA
COUNTY OF PAs~o
The foregc,ing i.lstrument
befol-e me this t"Lu-1'Ll1 2.-3
~las ac know I edged
, 19~ by
Jex~ ~ . Pa.xlev
who is personally known to me or.wh~ ha~
prGd~ced _
.. i~.A'ifi<'~~d who~did no'
take an oath.~~ ~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
NATALIE SWAN
Notaif' Pu blic, State of Florida
My Comm, Exp. Oct. 12, 1999
Comm. No, CC 501333
NATALIE SWAN
Notary Public, State of Florida
My Comm. Exp, Oct, 12, 1999
comm, No. CC 501333
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