HomeMy WebLinkAbout98-8028
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BUILDING PE,RMIT
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Permit Fee I.." II l/3. f iJ . ,
Signature /11~ t::>, ~ ...-. /'
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Company
Address
Telephone#
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PLUM BI NG:2'-/;;' r.;
SLB -1J Ilo/q! i1~
CITY OF ZEPHYRHILLS
(813) 788-6611
J ) r'f.~7J
/
BUILDING
79.30
ELECTRICAL
I:,() , trlJ
PLUMBING
~.V1>
MECHANICAL
P<aperty Owne, ~I:.J/~;!!; (/11;J~ j
Job Address: t,...s
Parcell.D. # -1-j;tb~ J-/ - () O},4 - CJ 0 cJ 00 - 0 CJ ~ 0
Zoning:
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
::2 'I {). "UD. (J1)
.
Permit
Date
I#'-/;!-YY
Sewer Conn ~ tJ ? 6. ~~
Waw COM' :<660 ?S-
Water Meter: / rO, dZJ
T.LF.'s: ...$- 5' 7. 9?
.)
FINAL
Inspector
City License Registration #
State Certified License#
cJ-Lfi"Y
Tp, serv,)
Rough In /1/l,J, f:J( lei,
Meter Can
Const, Pole
- Pool
1 Pre-Meter 1////'11 BJ:J
~ Final Il~l9" !'"
~ Driveway ~ ~J IIP/qj &b
f I~ I;~ roW' 1/ /,i I~i a:1\
I~ j)~'""S!:;r~o..d 3 1/ IJJ /ql ~;'l
~ p.pe REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
'OJ..J charge of Fifteen and 00/100 Dollars ($ 25.00) shall be made for each trip for each trade: ~ 9 f/
;: 7 / .-11- /,Jf 7f; /O~ /.;2-
. a. Wrong Address 71./~ ~' . v~ 11-fr...h-;
~ b. Condemned work resulting from faulty construction.. ' .. -fo Il.J!..I . C! ILVV"-tol)/UI'f .-
~ c, Repairs or corrections not made when inspection called.\\fcid ~f'- leV... f
l'" d. Work not ready for inspection when called. \ I-v1 C l). -,.'Ufth . , /11/1. a
:.t e. Permit not posted on job site. 0 111-r111J
.'" f. Plans not at job site.
~ g. Work not accessible,
l
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ft D (jd~
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ELECTRICAL
BUILDING
:i
JJhJGl
~
~
r.
r
Tub Set
Water 2
lo~':)7 -q~ ~Sewer J.
Final
-
~
V~k~
MECHANICAL ~Y.:2~-
Breakers
Ducts Insl. (lp./~19 /JriJ
compressJr
Final I 2-d /94 {5J II
, f
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
JHlj-20-1'3'3'3 1::: r:-4
~::; I L.CCI: EllCl! t JEEP I tIel
F',Ol
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!iilr.I1rX ErlghlJeJering, jJli[t~
5409 N. NEBRASKA AVE.
TAMPA. FLORIDA 33G04
MAlUNO ADDRESS
P,O. BOX $$74
TAMPA. FLORIDA 33674
PH E (813) 238.g755
X (813) 237-2141
RE: Midas Muffler
A TIN' Bill Burgess
City of Zepbyrhil1s
January 20, 1 9
Dear, Mr. Burgess
This letter is in 1'Cg;u'ds to the metal stud wall above the masonry wall separating the
from the repUr bays. The wall should have one layer 5/8" gypsum board on the side facing the
only, but on sheet 84 section B ofthe permit plans there was an enor and the plan called for
5/8" type . X' gypsum board. This wall is not required to be a fuewaU per S,B,C. section 305
704 because the occupancy of this building is group 'B' and the acc:cssory office/sales area is of the
same occupancy, Therefore the ""an separating both areas is not a firewall and only one layer 0 gypsum
board is necessary for finidling oftbe wall. Also any door in the office/sales area does not hav to be fire
rated pee the same requirements allowed in S,B.C.
A copy of this letter has aJread)' been fuxed to the fire IruU~hall.
Tbaok you for yoar cooperati<m and Speedy review of tksc plans and if any funher items com to your
attention concerning this project please fed free to call,
Sincerely yours,
tJl#
John Blake
----.-
TOTHL P.Ol
Whole Building Performance Method for Commercia_L Buildings
Form 400A-94
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLAjCOM-94 Version 2.1A
PROJECT NAME_MID~S AUTO SERVICE CENTER__
ADDRESS: 653~ U.S. HIGHWAY 301
=Z. EPl!YRHI L. LS, FL~RIDA\ ~
OWNER: _LONNIE .ORNS ~___ ~..l_ J
AGENT: ~5-:.s4 Gnli _' ~.
BUILDING TYPE: _Service Establishments
CONSTRUCTION CONDITION: New construction
DESIGN COMPLETION: _Finished Building
CONDITIONED FLOOR AREA: _565
MAX. TONNAGE OF EQUIPMENT PER SYSTEM:
COMPLIANCE CALCULATION:
METHOD A
-----------------
A. WHOLE BUILDING
PRESCRIPTIVE REQUIREMENTS:
LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. SEER
HEATING EQUIPMENT
1. Et
AIR DISTRIBUTION SYSTEM INSULATION
1. With Insulated Roof
WATER HEATING EQUIPMENT
PIPING INSULATION REQUIREMENTS
PERMITTING OFFICE:
_Zephyrhills .
CLIMATE ZONE: 4
PERMIT NO: -Y&;lY A
JURISDICTION NO: 611600
NUMBER OF ZONES: 1
3
DESIGN
CRITERIA
RESULT
84.16
100.00
PASSES
PASSES
12.00
10.00
PASSES
. .
1. 00
LEVEL
6.20
6.00
N/A
PASSES
COMPLIANCE CERTIFICATION:
----------------------------------------------------------------------------
I hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy E~~ Sode.
PREPARED BY:__ ~
DATE: ~... "1- e;r
I hereby certify that this building is
in compliance with the Florida Energy
Efficiency Code.
OWNER/AGENT:
DATE:
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. 08, Frida atutes.
~UILDING OFR CI
DATE: 7_ c
I hereby certify(*) that the system design is in compliance with the Florida
Energy Efficiency Code.
SYSTEM DESIGNER REGISTRATION/STATE
ARCHITECT
MECHANICAL:
PT..UMBING :
ELECTR1CAL:
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.
--------------------------------------------------------------~--------------
-----------------------------------------------------------------------------
. '
Adjacent
Adjacent
West
West
South
Commercial
Commercial
Commercial
Commercial
Commercial
COMPLIANCE
CHECK
I------------------------------------------------v~
U SC VLT Shading Area(Sqft)I
-------------- ----------1
1~31 .95 .95 None 401
1.31 .95 .95 None 241
0.87 .55 .82 Overhang Witho 801
0.87 .55 .82 Overhang Witho 241
0.87 .55 .82 Overhang Witho 1281
Total Glass Area in Zone 1 = 2961
Total Glass Area = 296
1------------------------------------------------
U Added R Gross(Sqft)
BUILDING INFORMATION
401.-~----GLAZING--ZONE
Elevation Type
402.------WALLS--ZONE
Elevation Type
Adjacent
Adjacent
West
South
L & Hvywt.
L & Hvywt.
L & Hvywt.
L & Hvywt.
Concrete Block: 8" Li 0.233 5.2 318
Concrete Block: 8" Li 0.233 5.2 144
Concrete Block: 8" Li 0.233 5.2 144
Concrete Block: 8" Li 0.233 5.2 318
Total Wall Area in Zone 1 = 923
Total Gross Wall Area = 923
1------------------------------------------------
U Area(Sqft)
403.------DOORS--ZONE
Elevation Type
Adjacent 1 3/4 HOLLOW METAL .4 21
Total Door Area in Zone 1 = 21
Total Door Area = 21
404.------ROOFS--ZONE 1------------------------------------------------
Type Color U Added R Area(Sqft)
------------------------------------ ------ ----- ------- ----------1
1" Wood with 1" Insulation White 0.170 19 5651
Total Roof Area in Zone 1 = _ 5651
Total Roof Area = 5651
405. ------FLOORS-ZONE 1------------------------- -----------------------1---
Type R Area(Sqft)I
------------------------------------------------ ------- ----------1
Slab on Grade/Uninsulated 0 5651
Total Floor Area in Zone 1 = 5651
Total Floor Area = 5651
406.------INFILTRATION--------------------------------------------------1---
ICHECKI
Infiltration Criteria in 406.1.ABC.l have been met. I 1
407.------COOLING SySTEMS-----------------------------------------------1---
Type No Efficiency IPLV Tons I
---------------------------- ---------- ----- --------------1
1. Split System 1 12 10 2.671
408.------HEATING SySTEMS-----------------------------------------------1---
Type No Efficiency BTU/hrl
-------------------------------- ---------- --------------1
1. Electric Resistance 1 1 312001
409.------VENTILATION---------------------------------------------------1---
I CHECK 1
Ventilation Criteria in 409.1.ABC.l have been met. I 1
410.-----AIR DISTRIBUTION SySTEM----------------------------------------I---
AHU Type Duct Location R-valuel
----------------------------------- ---------------------- -------1
1. Split 1 PTAC Air Conditioner With Insulated Roof 6.21
411.-----PUMPS AND PIPING-ZONE
Type
1--------- -----------------------------1---
R-value/in Diameter Thickness I
---------- -------- ---------1
1.' Circulating
412.-----WATER HEATING SYSTEMS-ZONE 1----------------------------------
Type Efficiency StandbyLoss InputRate Gallons
413.-----ELECTRICAL POWER DISTRIBUTION----------------------------------
I CHECK
Metering criteria in 413.1.ABC.1 have been met. 1
Transformer criteria in 413.1.ABC.2 have beE met. 1
414.-----MOTORS--------------------------------- -----------------1-----
Motor efficiencies in 414.1.ABC.1 have been et. I
415.-----LIGHTING SYSTEMS-ZONE 1---------------------------------------
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)
Type F(Ser
Toilet and
453
961
14801
5491
14801
5491
ICHECKI
Lighting criteria in 415.1.ABC have been met. I I
------------------------------------------------------------------1-----1---
16. HVAC load sizing has been performed. (407.1.ABC.1) I I
------------------------------------------------------------------1-----1---
17. Duct sizing and design have been performed. (410.1.ABC.1.2) I I
------------------------------------------------------------------1-----1---
18. Testing and balancing will be performed. (410.1.ABC.4) I 1
------------------------------------------------------------------1-----1---
19. Operation/maintenance manual will be provided to owner.(102.1) I 1
1
2
On/Off
On/Off
2
2
Total Watts
Total Area
1320
160
for Zone 1 =
for Zone 1 =
Total Watts =
Total Area
=
OWNER'S NAKE AUTb~bTi\JE. ~AL-~
OWNER'S ADDRESS I'"30'/-' Avn-'1DR'~ Dn.
.~. '"?.L~ 7- / ~ - ~,V
if R r /rlS'- Jif:,
... &J. -4'11~ ~~J/b ,J'55~
dW.uv II ,~jc{,1-~~).
PHONE('8"~ 57Z.-7'{q.O
. C~~wA~ ~Q.t'9A "3C/~"Z.-'Z-
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APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
JOB ADDRESS
~s ;0 U. s. Ifwf.( "3 tJ ,
LEGAL DESCRIPTION: LOT(S)
2
BLOCK
SUBDIVISION2.e.f""'....R..iu..s &c~v7lIlE R4-i!1(
PARCEL,I.D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED: ..:.-New Construction _Addition ----Alteration _Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE: _Single Faaily
\.
----.Jt/ F
_' of Units _M/H
"""""-ec-ercial
_Indust.
_Swia. Pool _Other
_Restaurant I( Health Departaent Approval
DESCRIPTION OF WORK: }.)~,,;, ~v~ -S71J~ ,I'I1I#t5DlJlt.'1 (S7l1L. "RU/l:b;4J6
BUILDING SIZE: ~o' X q2..', 4fpoo Square Feet, 18'-b'ueight
RESIDENTIAL: ATTACH (2) PLOT PLANS I( (2) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
-LBUlLDING
PERHITS REOUESTED
$ /SO. c) 00 ' C/O Valuation of Total Construction
,
..L..ELECTRICAL
~MECHANlCAL
-..JL.PLUKBING
AtIP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
GAS
x
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: -L,Block _Fraae ~Steel
Other
FINISHED FLOOR ELEVAnONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUILDER
COMPANY M.1:>. '8OlL1:>ER~.:::r:;uc.
/ State Cert. or Regist. ,cSe l?Yz.o.f-'
~+-'~ /:>.~ City License Registration' ::l k s;;-
, *** ** **********************************
)(..~'
Signature
~ ~. COMPANY tM~u~ !iZ"..Iy,"c-
f) . () J 1_ State Cert. or R gist. . t!:~ ~~~
e '/J~ ~J2A City License Registration' I /;rb 9
. ******** ******************************
PLUKBER _ COMPANY G,E, (2hy/,S+' 4nS?t. -PIUfJ1b,;'j
/J (' ;1J /) "-~./ State Cert. or Regist. , CF o d.-h 56/
Signature ~ (_ .~~ City License Registration' ..J..l/ :J...J..f
******************************************
~~
/hG.y
COMPANY C,Ij C <) I" I r;:Ji
00;""' "_ _ ("""") State Cert. or Regist. .
Signature '-... j1:'-"::-_\R~-- City License Registration' .:2. ~tl.:~
* ***************************************
OTRRR ~~' GOIIPANY 4k{, tz.",p~ C~l1>~ ~ '
~ <1? (t . State C&rt. or Regist. I cc q.Z -72-
Signature ~fl.-UGfl.-, ~~ City License Registration #
*** *************************************
~
MECHANICAL
!h > L H- <"') ")~...,.,~
",-l,-,+.:...ic.1" ...;7, I --l"-l.lI.~
v
APPLICATION APPROVED BY
PERMIT OFFle
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
. Tbe undersigned understands that this pemit JaY be subject to Ideed restrictions" wbieb laY be lOre restrictive than City
regulations. 'l'be undersigned assUles responsibility for COIpliance with any applicable..deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired 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 owner and contractor JaY be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requiretents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611. .
FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
"Contractor Sections" of this application for whieb they will be responsible. If you, as the OIfI1er 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 Zephyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CIlAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of IFlorida's Construction Lien Law - HOIl!OlOler's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consllller Affairs. If the applicant is sOlH!One other than the
lowner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"owner" prior to COllenCetent.
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, loning, and land develo~ent.
Application is hereby lade to obtain a pemit to do wort and installation as indicated. I certify that no wort or
installation bas cOllenced prior to issuance of a perlit and that all work will be perfoIJed to leet standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other gOYeI1lIental agencies laY apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not lilited to:
* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater 'l'reatlent
* Southwest Florida Water Hanaqetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArIf Corps of Enqineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'l'reatlent, Septic 'l'ants
* US EnvirODlental Protection Agency - Asbestos abatetent
I also certify that, if fill laterial is to be used in Flood Zone "AI or IA,etc.", it is understood that a drainage plan
addressing a .cOlpensating VOlUleI will be sublitted wbieb 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 pemit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall beCOle invalid
unless the wort authorized by such pemit is cOllenced ,dthin six IOnths of issuance, or if wort authorized by the pemit is
suspended or abandoned for a period of six IOntha after the till! the wort is cOlleDced. One 90 day extension of tile, laY be
allowed for the pemit with fee charge of $15.00. 'l'he extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during eaeb sixlOnth period, or the project will be consideredabandaned.
WARMING TO 0WIfER: YOUR FAILURE TO RECORD A NOTICE OF CCIlMEIICEIlD'I' MAY RESULT IN YOUR PAYING DICE FOR IHPROVEMEn'S TO YOUR
PROPERTY. IF YOU IIffEND TO OB'I'AIN FIIWICIXG, CONSUL'I' WI'I'H YOUR LllDER OR AX A'I"I'ORJIIY BEFORE RECORDING YOUR IfO'l'ICE OF
COHHENCEHEIff. JOBS UlmER $2,500 IN VALUE 00 NO'I' NEED TO RECORD AND POST A "NO'I'ICE OF COHMEIICEHEIff".
SIGlA'I'URI: OIfIIER OR AGEIff
~~7;).~ //~
sItO'I'URE: COIffRACTOR ((
STATE OF FLORIDA
COUIf'I'Y OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oCJth.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
CONDITIONS OF PERMIT AFFIDAVIT
~. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, 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 signs 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 may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to corrunencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is
be done in compliance with all applicable laws regulating
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has corrunenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit 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 permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is corrunenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is corrunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH 0 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,5 0 IN VALUE DO N T NEED T RECORD AND POST A "NOTICE OF COMMENCEMENT".
/I
accurate and that all work will
constru~t~on; zoning, and land
{l.jf<4?> Z> ,.g.,.~
SI~A: URE: CONTRACTOR (J 0
STATE OF FLORIDA ~ " -
COUNTY OF '-{l~
The foregoing in~t ument ~w~ ac~wledge~
Before JOO this day of- ~ 19 ~
by LL/Liz'Z.m (;0"'/ c. ~
,
(name of person acknowledged)
~o is personally known to me, or
edgement
Owho has produced
(type of identification)
and who ,D. ~idll 'Ji;ij(.i~ ?t take an oath
~,~ ~ir~
~ign tu e of pers taking acknowledgment
-..-..
and
identification)
oath.
d
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: []NEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
BUILDING SIZE
SQUARE FOOTAGE
,
~ .
. HEI GHT
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 REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
D FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIAN
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
SIGNATURE
***********~******************************************************
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
*****************************************************************
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHER
*******.~*********************************************************
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PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
Builder NamelOwner Name
County Parcel No.
Location
/
Subd.
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco 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
RESIDENTIAL
NONRESIDENTIAL
No. Units
Gross Sq. Ft. (GSF)
RatelERU - 52.00/Year
or $0.142/Day
ERU Assign No.
Assessment - (No. Units) x ($0.142)
x (No. Days)
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
100
TOT AL FEE $
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.
Acknowiedgement 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.
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/
f
M.D. BUILDERS INC.
6530 GALL BLVD.
I
SQ. FEET PRICE
MAIN OR LIVING AREA 6,010 $ 40.00
OTHER AREA UNDER ROOF $ 15.00
OTHER - $ 0.85
VALUATION $ 240,400.00
FEE SHEET $ 893.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 1,194.50
ELECTRICAL: $ 79.30
PLUMBING: $ 60.00
MECHANICAL: $ 50.00
RADON: $ 60.10
CREDIT: $ 185.00
TOTAL $ 1,443.90
SEWER: $ 2,076.75
WATER: $ 568.75
TOTAL: $ 2,645.50
t
3f4" WATER METER:' $
180.00 t
TI F'S: $ 5,967.93
99% $ 5,908.25
1% $ 59.68
TOTAL: $ 10,237.33
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LlE, CEKITFICA1E
\1t; :OF FLORlrn
..NI't OF PASOO
RiCHARD E. DIBBlE, of PASCO ABSTRACT aM'ANY, hereby certify that the owners and llDrtgagees of recc
reel Cesc..-ribed on this plat are as ShCMn on said plat, that there are no liens and/or enCUIbrances c
p~ as shov.n on said plat, and that the taxes for the year /'111 have been paid.
PASCO ABSTRACl' 00.
5.5.
CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
ORD. #395/RESOLUTIONS 312/372 WATER $1.75 GAL. SEWER $6.39/GAL
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
Lavatory $ 43.75 $ 159.75
Tub/Shower $ 87.50 $ 319.50
Washing Machine-Commercial Size $ 350.00 $ 1,278.00
Washing 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 1 $ 87.50 $ 319,50 $ 407,00
WATER CLOSETS 75 2 $ 262.50 $ 958,50 $ 1,221.00
URINALS 50 1 $ 87.50 $ 319.50 $ 407.00
LAVATORIES 25 3 $ 131,25 $ 479.25 $ 610,50
TUB/SHOWERS 50 $ - $ - $ -
WASH. MACH. COMM. 560 $ - $ - $ -
WASH. MACH DOM. 200 $ - $ - $ -
DISHWASHER COMM. 400 $ - $ - $ -
DISHWASHER LIMITED USE 60 $ - $ - $ -
SINKS-3 COMPARTMENT 100 $ - $ - $ -
CAR WASH PER/STALL 1000 $ - $ - $ -
SUB-TOTAL $ 568.75 $ 2,076.75 $ 2,645.50
3/4" WATER METER $ 180.00
GRAND TOTAL $ 2,825.50
FIXTURE
G.P.D.
#
WATER
SEWER TOTAL PER FIXTURE
7/23/98
OCT-07-98 08:59 AM M.D.BUILDER.INC.
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Anll ~Dl
P.02
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NOTiCE OF COMMENCEMENT
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$'Hmx iJEngineering, in(~
5409 N. NEBRASKA AVE.
TAMPA, FLORIDA 33604
MAIUNG ADDRESS
P.O. BOX 8574
TAMPA, FLORIDA 33674
PHONE (813) 238.9755
FAX (813) 237.2141
May 19, 1998
Bob Valdez
Florida Department of Transportation
Dade City Maintenance
36335 State Road 52
Dade City, Florida 33525
RE: Midas Muffler
Permit Number 95-A-798-0062
Permit Number 96-0-798-0015
Section 14050 SR 39
11~ "77
Dear Bob:
As per our phone conversation of May 14, 1998, please find enclosed:
Four (4) copies of the permit application Form 850-040-15
Four (4) copies of the driveway connection permit Form 850-040-18
Four (4) copies of the drainage connection permit Form 592-] 3
One (1) copy of revised site development plan.
Certified check or money order for two hundred and fifty dollars ($250.00)
payable to FOOT.
Sincerely yours,
Ernest S. Silcox, P,E,
.'
"_I~,Ji.,t.,
~
AI/ E./II.1i OI'l'Cmmllr Em,.l,w
Jame, L Allen
Chalrmon, Bushnell
Jame, E. Martin
Vice Chairman, SI. Petersburg
Sally Thompson
.;, Secretary. Tempo
Ronald C. Johnson
Treasurer. lake Wales
Ramon F, Campo
Brandon
Joe L Davis. Jr.
Wouchula
Pamela Jo 0c!vIs
largo
Rebecca M. Eger
Sorosota
John P. Harll.., IV
Bradenton
Curtis L law
land 0' lakes
Ikenda Menendez
Tampa
E. D. "Sonny" Vergara
Executive Director
Gene A, Heath
Assistant Executive Director
Edward B. Helvenston
General Counsel
!:x,.,'lklkt'
[hr;lIdr
( llltll~t\'
St'/Tit.t'
Southwest Florida
Water Management District
2379 Broad Street · Brooksville, Florida 34609-6899 . 1-800-423-1476 (Florida Only)
or (352) 796-7211 · SUN COM 628-4150. TDD. Number Only (Florida Only): 1-800-231-6103
Internet address: http://www.dep.state.fLus/swfwmd
7601 Highway JO 1 North
Tampa. Florida JJ6J7~759
l-ID836{)797 or (813) 985- 181
SUNCOM 578-2070
170 Century Boulevard
Bcrlow. FlanCa 33830- 7700
1-800-492-7862 or (941) 534-1448
SUNCOM 572~200
115 Corcoration 'Ney
'/erlce. Flondo 34292-3524
1~320-3$J or (941) 486-1212
5UNCOM 526#100
2303 rtognwey JJ ""esl
;nvemes5. Rcnoo]4.ISJ- 3809
(352) 637.1360
SUNCOM 667.327'
May 14, 1998
Lonnie Oms
Automotive Realty Associates, Inc.
13041 Automobile Boulevard
Clearwater, FL 34622
Subject:
Notice of Final Agency Action - Approval
Modification of Pennit by Letter
Project Name: Midas Muffler - Zephyrhills
Pennit No: 461 1221,0 I
County: Pa~ :0
Sec/Twp/Rge: 2/2oS/21 E
Letter Received: April 17, 1998
Expiration Date: May 9. 200 I
Reference:
Chapters 400-4 and 40. Florida Administrative Code (F.A,C.)
Dear Lonnie Oms:
Your request to modi f).- Pemlit No. 4614211.00 by letter has been approved. This modi tication
authorizes:
I, The, reduction in proposed impervious surfaces and relocation of the proposed building
and online retention area,
2. All other tenns and conditions of Pennit No, 4614221.00, dated May 9, 1996. and entitled
Midas Muffler apply,
Plans and infomlation to support this modification will be kept on tile.
The following statements describe procedures established by Florida law, should you or any other
person disagree with the District's decision regarding this pemlit. State law and District rules
provide that any person who is substantially affected by the District's Final Agcncy Action
concerning a pennit may object to the pennit by petitioning for an Administrative Hearing in
accordance with Sections 110.569 and 110,57. Florida Statutes (F,S,). and Part V of Chapter 40D-1.
F,A.C.
A request tor hearing must be riled with (received by) the Agency Clerk of the District within 14
days atter the date of receipt of this notice.
Failure to tile a request for hearing \vithin the 14-day period constitutes a waiver of the right such
person has to request a hearing under Sections 110,569 and 120.57. F.S, When the actual date of
receipt of this notice cannot be detennined. receipt is deemed to be the titlh day after 'he date on
/';;'1 11
~~::,-",~':~~
Automotive Realty Associates, Inc.
Page 2
May 14, 1998
which the letter is postmarked.
If you have questions regarding this permit modification, please contact Monte G. Ritter, P.E., at the Brooksville
Service Office, extension 4351. For assistance with environmental concerns, please ,contact Leonard F. Bartos,
extension 4352.
A. Paul Desmarais, P.E.
Director
Brooksville Regulation Department
"t
APD:MGR:tln
cc: File of Record 4614221.01
Silcox Engineeriog,~lnc., Ernest.S. Silcox,P.E. ~
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PROFESSIONAL CERTIFICA TION*
FOR THE ENGINEERING EVALUATION REI)ORT
MSSWIERP Permit Number:
4614221.0 I
Date Application Received:
April 17, 1998
Permittee's Name:
Automotive Realty Associates, Inc.
Address:
13041 Automobile Boulevard
Clearwater, FL 34622
Project Name:
Midas Muffler - Zephyrhills
Project Description:
Commercial
Project Size:
0,77 Acre
Activity:
Construction
!
'.; Section(s)/Township/Range:
2/26S/21 E
I HEREBY CERTIFY that the engineering features described in the referenced application to construct
and/or operate a surface water management system associated with the indicated project have been
evaluated regarding provision of reasonable assl rance of compliance with Part IV. Chapter 373. Florida
Statutes, and Chapters 400-4, 400-40 or 400-41 0, Florida Administrative Code (F,A.C,). as applicable.
I have not evaluated and do not make any certi t Ications as to other aspects of the proposal.
/~ .
/ .. -- , -
?~ ' ,",.,-
- :../L. -- 'J/ :3/~!'--
Monte G, Ritte , fL P.E. #388ot Date
Brooksville Regulation Depanment
Southwest Florida Water Management District
(Seal)
· When required by Section 61GI5-26.001(1), F,A.C.. a professional engineer's seal, signature and date
(Le.. "Professional Certification") means that the work indicated has been conducl :d under the responsible
supervision, direction or control ofa person licensed by the State to practice engineering. who by authority
of their license is required to ha\.e some specialized knowledge of engineering. I'rofessional Certitication
is not a guaranty or warranty of titness or suitability, either explicit or implied.
12/21/1gg8 04:35 813-372-7132
M D BUILDERS 1NC
PAGE 01
.
DEC-22-1998 16:03
SILCOX ENGINEERING
P.01
Silcox Engineering, Inc.
...... MII"MKA Aft.
TAMPA, A.ClNDA ,...
Uu.G ADD"" 1(113) 23M.,SS
1'.0. ~ .,. AX ("') 237.2141
TMlla, PLGNDA,.,..
l>efxmber 1998
BE: Mida Muftlc:r
ATTN: Jim Wilson
MD BuikWs. Inc.
14714 NE 202 Lue
ft. ~. Florida 32134
Change Order #2
The dniapipe ~ the $Outhemmost roof drain to the 8" diameter P C
drainpipe slWl he a 4" diameter PVC pipe. See roof plan sheet A4 for location
~y~
~~y
ErDest $. SDcox
12/21/1gg8 08:11 813-372-7132
r" D BUILDERS 1NC...__ ..
t
DEC-16-1998 14:48
SILCOX Etfi I NEER 1 NG
Silcox Engineering, Int.
lUlLING AD~
p.o." ..,.
l.....'. 'LOfIItDA 3317.
..... N. NllMIKA AYE.
TAMPA. FLOIhD" 33104
December 16, 1998
Jim Wilson
MD Builders, Inc.
14714 N.E. 202 Lane
Ft. McCoy, Florida 32134
RE: Midas Muffler
Zephryhills, Florida
Change Order #1
Use 2 x 6 at 24" tOr the rooffTaming of the muffler corral per Seed 0,
Sheet 83 instead of the framing plan On Sheet S2,
~
Ernest S. Silcox, P.E.
PAGE 01
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