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Home My WebLink About98-8081 BUILDING PERMIT g5 ~<? ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 bJ - 5'0 Permit 8081 5<6 30~ fi-f) (~~o 5d3'OO BUILDING PLUMBING 3~DO MECHANICAL Date 1115/ q ~ , I Sewer Conn II ~1 j ,0 0 Water Conn: . 3S().<0 0 Water Meter: I gO. U 0 UF., Ilf80.00(1~) NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or -z. 9 0 '0 Contract Price ~T /J, ~" C..J City License Registration # Il 1- State Certified License# A Q> 0 OOt \ S8' .3 Address vt;;lephone# 5 ;;l J - b 1 Dd-.. ~haf\. 1- ~ ELECTRICAL ~1'S \~lp PLUMBING Scu-~~ '53 MECHANICAL Ftr. 7 Pre SLB J. 3 vl:.intel , 1.'~ i FRM. /Jh'l/f~ l.J) Insul. CL WL }J IJ~ /qt .&h Driveway 3 -s~ CfCj ~ S,,~:~ 'J/J,/~1 &."0 f2 : I\G\ \ 3/).1() 17 q t> ole Tp. Servo / Rough In J;). h~ ~ 1 ~ , Meter Can Canst. Pole II/,.~ In 801. Pool Pre-Meter ~ -S~99 .e~ Final ~ <<o~d I( I~ !c,-g Kob SLB Tub Set Water Sewer Final Breakers l' Ducts Insl. JJ. )1198 e.h compress;: Final '? 2-" /9 r M . REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.00 I shall be made for each trip for each trade: a. Wrong Address ,\\".A, (\,,_.. ",,,,{\r.,,,,\ ~'b., b. Condemned work resulting from faulty construction. \}.J~ \X~\~\~ U C. Repairs or corrections not made when inspection called. \\\S\~ 0 d. Work not ready for inspection when called. . q e. Permit not P?ste~ on job site. if'. - . J ,,/' 1 ( f. Plans not at Job s~te. '~I _~ ILl J~,. ~ () \)". ~- , ~11/' J '7 g. Work not acceSSible. ~d..$ -~ ~~ "U,!, 01- ~ ,~.st.U;VI. 0)2--0 The payment of inspection fees shall be made before shy further permit~ will be issued to the person owning same. Department of Community Affairs FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-93 Residential comlonent Prescriptive Method A PROJECT NAME: Builder BUILDER: Gebhardt AND ADDRESS: PERMITTING CLIMATE ~ OFFICE: ZONE: 41' I 51~f 61_1 OWNER: Builder PERMIT NO. JURISDIC ON NO. ~U ~OO CK New Construction ~ 'Single-Family _ o ro ~/ l7"'" -'L- Double Pane O.OOsqft ~ O.OOsqft ---0- ~ 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 ~ater 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. 1641.00 6. 1. 00 7. 0.00 Single Pane 8a.171. Osqft 8b. O.Osqft 9a.R= 0.00 , 201.00 ft 10a-1 R= 5.00, 1153.00sqft"/ 10a-2 R=11.00, 196.00sqft ~ l1a.R=30.00 , 1701.00sqft v/ 12a. R= 6.00, uncond 13. Type: Central A/C EER: 10.00 14. Type: Heat Pump HSPF: 6.80 15. Type: Electric EF: 0.90 v ("./" ~ -V l7" ~ o / ~ 16. 17. 18. 1 19. 19a. 19b. ~/ ~ 96.05 31398.32 32690.85 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- 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 complianoe in accordance with Section 553.908 F.S. I Hereby certify that the. plans and specifications covered by this calcu- lation are in compliance with the Florida EnergyC PREPARED BY: DATE: I hereby certify that this building is ~~d~~mpriance&hE_ergY g~~:~/AG~~;/~ '. BUILDING O%Ic19=r-~ ~/'- DATE: ID '1 ' ( I COMPONENTS SECTION ** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** ===============================================================~=============== REQUIREMENTS FOR EACH PRACTICE CHECK ========================================================~====================== PRACTICE #1 606.1 . COMPLY WITH ALL INFILTRATION PRESCRIPTIVES. Windows 606.1 ---------------------------~---------------------------~----------------------- Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). Exterior & Adjacent Doors 606.1 ------------------------------------------~------------------------------------ Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel,insulated or glass doors only. Exterior. Joints & Cracks 606.1 ------------------------------------------------------------------------------- To be caulked, gasketed, weather-stripped or other- wise sealed. ------------------------------------------------------------------------------- Water Heaters 612.1 ** OTHER PRESCRIPTIVE MEASURES (must b~ met or exceeded by all residences.) ** ------------------------------------------------------------------------------- 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. Swimming Pools & Spas 612.1 ------------------------------------------------------------------------------- Spas and heated pools must have covers (except solar heated). Non-commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 percent. -----~-------------------~----------------------------------------------------- Shower Heads 612.1 Water flow must be restrict~d to no more than 3 gal- lons per minute at 80 PSIG. ------------.~--------.~---~---------------------------------~-~--.------------ HVAC Duct Construction Insulation & Installation 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 607.1 ------------------------------------------------------------------------------- Separate readily accessible': manual or automatic thermostat for each system. Insulation 604.1 602.1 ------------------------------------------------------------------------------- Ceilings minimum R-19. Common Walls - Frame R-11 or CBS R-3 both sides. Common ceiling & floors R-11. -----------------------------------------------------~------------------------- *************************************************************************~***** SUMMER CALCULATIONS ******************************************************************************* --- BASE --- I --- AS-BUILT --- g~~~~--~~~-~-~~;;-:- POINTS I ======================================~======================================== TYPE SC ORIEN AREA x SPM x SOF = POINTS N 26.00 ------------------------------------------------------------------------------- 82.2 82.2 2137.2 5425.2 NE 66.00 SE SW 24.00 30.00 10.00 15.00 .62.2 82.2 82.2 82.2 1972.8 2466.0 822.0 1233.0 W NW SGL CLR SGL CLR SGL CLR SGL CLR SGL CLR SGL CLR SGL CLR SGL CLR SGL CLR SGL CLR SG1. CLR N N NE NE NE NE SE SW SW W NW 16.0 10.0 10.0 16.0 16.0 24.0 2~.0 15.0 15.0 10.0 15.0 51.0 51.0 77.2 77.2 77.2 77.2 112.9 112.9 112.9 109.2 77.2 .93 .92 .88 .93 .93 .90 .89 .91 .91 .93 .92 758.9 469.2 676.8 1148.7 1148.7 1673.7 2411.5 1541.1 1541. 1 1015.6 1065.4 -------------------------------~----------------------------------------------- .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS AREA AREA FACTOR POINTS : POINTS GLASS POINTS .15 171. 00 ------------------------------------------------------------------------------- 13,450.67 =================================================================~============= , ----------------------------------~-------------------------------------------- 1,,641.00 NON GLASS------------ I AREA x BSPM = POINTS WALLS---------------- Ext 1153.0 1.0 1153.0 Adj 196.0 .7 137.2 DOORS---------------- Ext 68.0 4.8 326.4 Adj 20.0 1.6 32.0 CEILINGS------------- UA 164 1. 0 ". 6 9 8 4 . 6 FLOORS--------------- SIb 201.0 -31.8 -6391.8 INFILTRETION--------- 1641.0 10.9 17886.9 1.439 TYPE 14,056.20 R-VALUE 20,233.53 I AREA x SPM = POINTS Ext NormWtBlock In 5.0 1153.0 Adj Wood Frame 11.0 196.0 Under Attic Under Attic Slab-on-Grade Practice #1 1.00 .70 1153.0 137.2 20.0 4.80 96.0 16.0 4.80 76.8 16.0 4.80 76.8 16.0 4.80 76.8 20.0 2.40 48.0 30.0 1361. 0 .60 816.6 30.0 340.0 .60 204.0 .0 201. 0 -31.90 -6411.9 1641.0 13.80 22645.8 12,713.88 I 32,369.77 1.00 1.100 Ext Insulated Ext Insulated Ext Insulated Ext Insulated Adj Wood COOLING I TOTAL POINTS COMPON TOTAL SUMMER POINTS I 34,361. 83 =============================================================================== TOTAL x SUM PTS SYSTEM = MULT =============================================================================== 32,369.77 x CAP x DUCT x SYSTEM x CREDIT = COOLING RATIO MULT MULT MULT POINTS 34,361. 83 .37 -----------------------------------------------------~------------------------- 1.000 12,106.29 .340 =============================================================================== ******************************************************************************* WINTER CALCULATIONS ******************************************************************************* === BASE --- === AS-BUILT === ======================~======================================================== g~i~--~;~-~-;;;~-:- POINTS I TYPE SC ORIEN AREA x WPM x WOF = POINTS N 26.00 -3.4 -------------------------------------------------~-----------------~----------- NE 66.00 -3.4 SE SW 24.00 30.00 -3.4 -3.4 -3.4 -3.4 W NW 10.00 15.00 -88.4 -224.4 -81. 6 -102.0 -34.0 -51.0 SGL CLR SGL CLR, SGL CLR SGL CLR SGL CLR SGL CLR SGL CLR SGL CLR SGL CLR SGL CLR SGL CLR N N NE NE NE NE SE SW SW W NW 16.0 10.0 10.0 16.0 16.0 24.0 24.0 15.0 15.0 10.0 15.0 9.6 9.6 7.4 7.4 7.4 7.4 -10.3 -10.3 -10.3 -2.2 7.4 1.04 1.04 1.13 1.08 1.08 1.11 .89 .91 .91 .62 1.09 159.2 100.2 83.5 127.9 127.9 196.3 -219.7 -140.6 -140.6 -13.6 121. 0 ------------------------------------------------------------------------------- .15 x COND. FLOOR / TOTAL' GLASS = ADJ. x GLASS = AREA AREA FACTOR POINTS ADJ GLASS POINTS GLASS POINTS .15 1,641.00 ---~----------~~-----------------~--------~~~---------------------------------- 401.44 171. 00 1.439 -581.40 -836.91 I =======================================~======================================= NON GLASS------------ I AREA x BWPM = POINTS TYPE R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- WALLS - - -, - - - -,------- -- Ext 1153.0 1.1 1268.3 Adj 196.0 1.8 352.8 DOORS---------------- Ext 68.0 5.1 Adj 20.0 4.0 346.8 80.0 CEILINGS------------- UA 1641.0 .6 984.6 FLOORS--------------- SIb 201.0 .~1.9 -381.9 INFILTRATION--------- 1641.0 4.1 6728.1 Ext NormWtBlock In 5.0 1153.0 Adj Wood Frame 11.0 196.0 Ext Insulated Ext Insulated Ext Insulated Ext Insulated Adj Wood UnQer Attic Under Attic Slab-on--Grade Practice #1 2.90 1.80 3343.7 352.8 20.0 5.10 102.0 16.0 5.10 81.6 16.0 5.10 81.6 16.0 5.10 81.6 20.0 5.90 118.0 30.0 1361. 0 .60 816.6 30.0 340.0 .60 204.0 ..0 201.0 2.50 502.5 1641.0 6.20 10174.2 ======================~===============~================~=======~=============== TOTAL WINTER POINTS I ,. 8,541.79 16,260.04 ================================~============================================== TOTAL x WIN PTS SYSTEM = MULT HEATING I TOTAL POINTS COMPON x CAP x DUCT x SYSTEM x CREQIT = HEATING RATIO MULT MULT MULT POINTS 8,541.79 1.10 ------------------------------------------------------------------------------- 8,943.02 9,395.97 I 16,260.04 1.00 1.100 .500 1. 000 ===========================================~=================================== ENERGY GUIDE For detailed information of the EPI rating number or for any ITEM listed, ask you:r: Bui.lder for DCA Form 600A-93 or Form 600B-93 EPI= 96.0 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. . . . . . . . . . . . . . . ~ . . Ceiling R-Vplue......... 30.0 R-10 R-30 I--------------------xl R-O R-7 I----------------x----I R-O R-19 Ix--------------------I Wall R-Value......... 5.9 Floor R-Value......... 0.0 AIR CONDITIONER............. SEER/EER.................. 10.3 10.0 SEER .17.0 Ix--------------------I 9.7 EER 16.0 HEATING SySTEM............... Electric COP/HSPF........ 6.8 6.8 HSPF 12.0 Ix--------------------I 0.78 AFUE 0.90 1---------------------1 Gas AFUE............ 0.00 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 ******************************************************************************* WATER HEATING ******************************************************************************* === BASE === I === AS-BUILT === ========================================~============~c============~=========== NUM OF BEDRMS x MULT = TOTAL I TANK VOLUME EF T1\NK RATIO x MUL~ x CREDI*I' MULT = TOTAL ---------------------------------------------~--------~~-~---~----------------~ 3 3527.0 10,581. 00 40 .90 1.000 3449.7 1.00 10,349.00 =============================================================================== ******************************************************************************* SUMMARY ******************************************************************************* === BASE === === AS-BUILT === COOLING POINTS =============================================================================== + HEATING POINTS HO*I' WATER + POINTS = TOTAL I COOLING POINTS POINTS + HEATING POINTS HOT WATER + POINTS = TOTAL POINTS ---------------------------------------------~--------------------------------- 12713.9 9396.0 10581.0 32,690.85 12106.3 8943.0 10349.0 31,398.32 =============================================================================== ***************** * EPI = 96.05 * ***************** GEBHART CONSTRUCTION 6951 OAKCREST WAY SQ. FEET PRICE MAIN OR LIVING AREA 1,582 $ 40.00 OTHER AREA UNDER ROOF 644 $ 15.00 OTHER VALUATION $ 72,940.00 FEE SHEET $ 362.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 583.00 CREDIT: $ 60.00 BUILDING LESS CREDIT: $ 523.00 ELECTRICAL: $ 85.68 PLUMBING: $ 62.50 MECHANICAL: $ 35.00 RADON: $ 22.26 TOTAL $ 728.44 SEWER: $ 1,278.00 WATER: $ 350.00 TOTAL: $ 1,628.00 3/4" WATER METER: I $ 180.00 I TI F'S: $ 1,480.00 99% $ 1,465.20 1% $ 14.80 TOTAL: $ 4,016.44 I RESIDENTIAL CHECKLIST FOR NEW CONSTRUCTION PERMITTING _V' ~ Application completed in its ENTIRETY. Notice of Commencement certified copy - J~ ~ Check if contractors and subs are currently reqistered. )(, ~FlOrida Energy Efficiency Form completed. Plot Plan. ", ~ Su-&~ . * 4- I '") Property Survey. r' ;I TWO SETS of Enqineered Buildinq Prints with electrical, plumbinq & ~ mechanical diaqrams. Homeowner, check for proper "Homeowner's Affidavit" form. -t- !L + ~ Verify Water & Sewer Service. ~Plans Review Fee ($.03/sq. ft - $15 min). Subdivision Desiqn Review Compliance Letter R-O-W Use Permit, if applicable. Give Elevation Certificate, if applicable. Received by: IO(R Date IJ/~) I~~ Amount Paid $ -- ~ -- - -'--- -- -- -- - -~ - ~.---- ~ ~ - --- . !' il!' 1'1 I ',T' fil: 'I 'I C'of:, !"fHJt'~-f'-i -' C'!. !"'F 'f I';, .. 1"t i IT i' i' I I (d ' i I. 'II ,I C F r~ j.! 'd' I cn;I, 'r , i I"'" j'. /,' ,Ie', I C, " fl' r :, 'I II I: ; i -r j :"'1", I I: ~ " [',' !Ii !, I,; iT! I :ll ,:ilf'.,! :j'j li'i i ! r! I- d' I' 'I {\ I ( III) liT i I li'n I' III '. ';':;P' "'!l"l',j I' .\ j ~i//;lj l ....Jt'.'.) "7'~"~ '~ / ':r I i r f' 1," :' I ,. " ,-, : I 'C' i' ; If!..i '; (.-" l~''', i j' '; ( ; {\ ! '! /: {" "j! I(i r : 1. I ::'. ! ""ll' i ., (', i 'r i:! 'j I i'l ,)'; ,!; , I. I! i"i! III I f: 1:"( rOo Fl"" r 1-'1 J(it::;" I'll ,'.',. i"" III 1 f ! '(.1'1 r: il ll':~!,:::;(t~ ! ! , ,. i r' '; j ['I I I i ,,", i j. ,. , I I 'l' i! '1-', PI , ,"I Li j I F ,. " 'I'll' ~,~~''''l'I; 4~'~JIiJi'~~, '~P':.~.~:.I~!t.~,.;,. :r,-,....,'~:(;_, .~'~r~.;~..7 ,.:,;',--A, .~t' J$fi ~.1it.' :. ,~J,c}r""'-.. r. ~ KJS:'l; ~. ~ .1:.~~. PASCO COUNTY.. FLORIDA ,. Permit No. Date Permitted _ Builder Name/Owner Name County Parcel No. Address/Location Subd. Classificationffype of Use How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Rate $ Zone No. Sq. FtlUnit Prepared By Impact Fee Amount $ Checked By The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of Pasco County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or utilization of the permitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units Gross Sq. Ft. (GSF) RateERl' - 52.00/Year or SO.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 TOTAL FEE $ t. l' ~ i i ~"" J l <. TOTAL FEE $ The ahovc assessment has been established pursuant to the Pasco (ounty 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 HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI"G OFFICE OF PASCO COUNTY. Acknowiedgement below does not imply acceptance of concurrence. but simply receipt of a copy of this form, placing the huilding permit owner on notice of this assessment and the conditions of payment for same. Date Received By OFFICE l'SE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. ': . J DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Flnance Pink Office Green Bldg/lnsp feecal:ce PC93113094/C APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED /I.J -;is -/'. r PLANS REVIEW FEE '!J. OD PARCEL ID # LEGAL DESCRIPTION: LOT(S) ~a-~ , OWNER'S NAME c8."'-'2-~ h.. ~ 1 ~ S'd1L ~ ~l~ 0 W~ PHONE rt<:'l_ Ie' ,~ '\ ~.~~ JOB ADDRESS ~45' J ~ A..L~ tC)j )q -o~?>C) - ocOOD'~C J1D 1 ~ 0 -00 3 7 BLOCK s WORK PROPSED: CJNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL Os I GN PROPOSED USE: ~SGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL BUILDING SIZE DESCRIPTION OF WORK s< l' ~s SQUARE FOOTAGE ;:~ 0 0 <), (!. HEIGHT ))( I 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 0 BUILDING $ '1.:s 000 ro VALUATION OF TOTAL CONSTRUCTION ) 0 ELECTRICAL ?-~() AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. 0 PLUMBING ~r1) o MECHANICAL $ '~$b(j VALUATION OF MECHANCIAL INSTALLATION o GAS o(ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: ~BLOCK o FRAME o STEEL o OTHER / /." FINISHED FLOOR ELEVATIONS _~ IS PROJECT IN FLOOD ZONE AREAD YES [Q-'1fo ~ ~ ::::: .. .;jf-;f; . · R fsr'.' COMPANY STATE CERT OR REGIST # CITY PROCESSING # ,1'1 ,,........, ~/ ****************************************************************** COMPANY M.q filM E-Le. dr-, ~ ,.Jj-,c STATE CERT OR REGI ST # E-I? {JO /3'1<1 '1 CITY PROCESSING # CJ 7 ,-/ : ********************************************************** SIGNATURE COMPANy?-U~N.S V I UvY\ 10,::] STATE CERT OR REGIST # CITY PROCESSING # _15 4 <t PLUMBER SIGNATURE ~ ~ ******~~~;;;~****9~*~:::***(t~~ ~.- ~ ~A~__ STATE CERT OR REGIST # ~~~~~ CITY PROCESSING # ~~ It/- MECHANICAL OTHER ***************************************************************** \_/ ***************************************************************** COMPANY ~ blutt+ ~ ~~ STATE CERT OR REGIST # r!...-f:> dO ~ I ~D CITY PROCESSING # (I /1 t/ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The ~ndersigned 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 commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced 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 commenced within six months of issuance, or if work quthorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~A:~\~ SIGNATURE: OWNER OR AGENT ~~ VQcL\... lb..e b~ * SIGNATURE: CONTRACTOR STATE OF FLORI~ COUNTY OF ~ The foregoing'instrument wa~~OWledge~,~ Before me this llia- day of , 19E by (name of person o who is personal y . p ~ - ~o h~uced JS.... bl- ~ ~ /.,;v- 0 (type of identification) and Ddid not take an oath. STATE OE' FLORIDA CH I ~ A'" ..... COUNTY OF -~ The foregoing instrument was aCknowledge~ C/' Before me this ;J ~ :day of tld" , 19 LQ. by _ ~name of person acknowledged) ~ho is personally known to me, or o who has produced (type of identification) ~id not take an oath wledgement gment printed d ~~<- Nancy A. Moody i*:~:~ ~ COMMISSION # CC534806 EXPIRES ~ . : February)1,2OOO 'Wf(~. :~. BOIIDED THRU TIlOV FAIN INSURANCE. ING Name State of NOTICE 111111111111111111111I1111111111 1111111111111I II" 98135065 Rcpt: 280748 Rec: DS: 0.00 IT: 11/05/98 OF COMMENCEMENT 6.00 0.00 Dpt Y Clerk R~(e, ;>~ County of ~sco THE UNDERSIGNBD hereby gives notice that improvement will- be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of CommenccmeIlt: 1. 2 . 3. R 5. 6. Description of Property: Parcel No. 6a - ~ ~ J..., ,.+ I 'J fl.\~.!)e.I:. O~k <:Ju 5T ~ \-etb~ (Legal descrlptlon of the property and street address lf avallable) General Description of Improvement Ne LU ~5'1 L.e ,ue- ~ Owner Information: Name Z. yelox- k... <::'I);.s~ ~ Kell~ LJtl~ ~J); SC~ Address loqr;- I ~2t '1J~ City ~ Jlj State PI. 61 Jj;~Bt), Interest in Property: ~IC., S JED PITTMAN, PASCO COUNTY CLERK ~ 11/05/98 01:16p. 1 of 1 OR BK 4036 PG 1300 Name of Fee Simple Titleholder: (If other thgn owner) Address City State Contractor: Name ~\2-~t ~~t/M'~ -U.-lt Address .Jj;~-:?> txts+ ~l' City ~ C:rtt:; S urct y: Name -1~L:lR'E>kA_At-- ~--t1f City - State t:- \ . ~5~3 Address STi\TE OF HORiD;\ C:t1t:I\;T\' OF :)i\~~CO State l;.-;;S !~~(O CT. ,-JC"/ 'T';,;.~.: TFL: FOREGO~~G IS A Amount of Bond: $ oooc) 1'f.:L1c. ;_)1:\ (',(.;-1i~,;-~<.~T ,~>:\.,y C{~ ~.~ :~: DC{\,:~/E:Nr {)r~ FllE Lender: Name ~ f)hY CF Address City 7. Persons within the State of Florida de~tgna . .___ . wner uporn.~horn notices or other documents may be served as provlded by Section 713.13(1)(a)(7), Florida Statutes: Name Address City State 8. In addition to himself, Owner designates ~~6\'-\a<<{- C~Gk~~~ C1A.I~ (". of JV3 (3 Lienor's to receiye a copy of the 3.13(1)(b), Florida Statutes. 9. Exp~ratlon date ot NotIce ot Commencement (the expIratIon date is 1 year fr0m the date of recording unless a different date is specified.) Signature of Owner: Notary Public:- . 1 :.> _ J - LL-t ...24~ ~ . ~lIo1- ~.../_ _ .1-_ thlS \.J' day of . ~~~~ WCk,-'" ~ ~,;,'rLsl~1-1~:;.j4 /4'<.'4.J ...J fu ~. cL \ ~..' ~... ' ." ~. Brenda l Buchanan ~ * * My Commission CC616554 't:-/~/I.t~ 'plres anuary 27, 2001 ~ \..,..7.. ., Sworn to a~ subscribed before me "(j f'-v.;...., 4-v,)f. a..-....L KLL (J 19 ~ J . 1 , My Commission Expires: