HomeMy WebLinkAbout98-8092
BUILDING PE_RMIT-
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BUILDING
CITY OF ZEPHYRHILLS
(813) 788.6611 Date /l j 10 jq r
({J,12 5D,oD ~O.OO I'
ELECTRICAL PLUMBING MECHANICAL '&ewer Conn 'I sq q.. ,5 0
J'" -m- <3l CD \ ~v- Water Conn: l.{.51, 50
Property Owner: f1)~ ~iQM A. WfJlJubf>/A. ,t- Ski 10. 1<. /k)f/-fL. Wate~ Meter: J <g-O. U 0
Job Address: U;~-rft{)IUIJ1 rIJI]/ lie.,. .r.I.F,s: :1 J 19'1.53
Parcel I. D, # O~ - ~ to -- ,;; ) - 00 I fJ - M'"tJO - O() q 0 '7 K/<J (i- fM'o fJ 111:f /e.t - (). 5)j) 0
IGMO -350-<1)
Permit
8092
Zoning:
FINAL
C.O.
1- -Q F'P rH4
fJU..~ a-y,qq FPc. ?:JJ3 /l1'n I8J3:f
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
Inspector
City License Registration #
State Certified License#
Permit Fee
v-Signature
Company
Address
/Telephone# ,/P'J.-IJ'J.l1
Valuation or
Contract Price
J &;I, of')]) .
I15'f
t+t / fuN Co/lJf.
BUILDING
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:~~t:ILBI ~ {Bl~b
~n~~I:~~I!~J~~1 f3v
Driveway 2/to/9 ~ Rob
~~; ~ "J,I(o{~g tV'
P/1r-/<:^j J//o!Q9 8J.
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) shall be made for each trip for each trade:
Atsf {jass dtL1v1l {OlzSf-.
'V~ /55
ELECTRICAL PLUMBING
Tp.Serv. t _'. SLB~
Rough In I Ii ')1c; Cj l~ Tub Set I /"E /9~ $: {(
I I"
Meter Can Water
Const. Pole \ 1(( j I q i /Jtb Sewer
Pool. Final
Pre-Meter JI1/f't /Sob
Final
~ <<Oi\J 1111" 11'1 f?o 6
skb "1' ~ hl BJ,
S' (
6/1 f1 V S"
;2Dp
MECHANICAL
Breakers
Ducts Insl. I tr /9 9 ~o l>-
Compressor
Final
a, Wrong Address
b. Condemned work resulting from faulty construction.
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, 3/6 F, \) ~ 10-, 0() ~ ,(Yl , ~ _ O!-e-.
The payment of inspection fees shall be made before any further permits will be issued to the person owning ~I~
sa me, W\J \ \'UtA\...i
W(J;S[l ~cr~
lLllQtq(
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 500 A-93 CHAPTER 5 · BUILDING DESIGN BY COMPONENT PERFORMANCE APPROACH
Non.Resldentlal Buildings ADMINISTERED BY THE DEPARTMENT OF COMMUNITY AFFAIRS
Residential Buildings over 3 stories ALL CLIMATE ZONES
PROJECT NAME:
ADDRESS:
CITY. ZIP CODE:
BUILDER:
OWNER:
ZONE:
BUILDING CLASSIFICATION S :
BUILDING PERMIT NO.: 0
PERMITTING OFFICE:
JURISDICTION NO.:
BUILDING INFORMATION
WALLS ROOF/CEILING FLOORS DOORS GLASS
TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA TYPE U AREA
Concrete ICBS) dilL Il"1U Under attic i,'j ;).\~c.:.. Slab-on-grade C) 1'l.<:7( - Wood Single, wall ,G;) ;}.J.{., ")
Wood frame , Single Assembly Raised Wood Metal I'it..' '51.\( Double, wall
Metal frame Other: Raised concrete Insulated Single. roof
Insulation R-value Insulation R-value Insulation R-value Other Double, roof
SYSTEMS INFORMATION
AIR CONDITIONER HEATING SYSTEM HOT WATER
TYPE EFFICIENCY TONS TYPE EFFICIENCY BTU/H TYPE
Unitary & Heat Pump -- Central & Heat Pump ,,-(.uW Electric ~
<65,000 Btu/h II,) ,t"sEER ------L < 65,000 Btu / h ..:1& HSPF Resistance
,,65.000 Btu/h EER IPLV ~65,000 Btu/h _COP - Dedicated Heat Pump
- - - Water cooled _COP Gas
-
Water Cooled - EER - IPLV - Evaporatively cooled _COP Natural 0
-
Evaporatively Cooled - EER - Electric resistance _COP LPG 0
-
PTAC - EER - Gas/Oillcircle one) Oil 0
Chillers COP IPLV < 225.000/300,000 Btu/h _ AFUE - HRU 0
- - -
Other: ~ 225,000/300,000 Btu/h Et Other:
UGHTING Total Lighting Wattage 1 a:.>UD = . '?( .~ Lighting Budget: -:.z..... DUCTS R-value: 0
=
Total Conditioned Floor Area J..~If~ Wattslsq,ft, (from Table 5-13)
PRESCRIPTIVE MEASURES (Must be met or exceeded by all buildings.)
COMPONENTS SECTION REQUIREMENTS CHECK
Windows 502.4 Maximum of .37 cfm per linear foot of operable sash crack. ~
Doors 502.4 Maximum of 1.25 cfm per square foot of door area. >-
Joints/Cracks 502.4 To be caulked, gasketed, weatherstripped or otherwise sealed. "'-
Reheat 503.3 Supply air restricted to set cold/hot deck temperature to meet load of worst case zone. Resistance reheat prohibited. Iv 11
Ventilation 503.4 Supplied with readily accessible switch for shut-off and/or volume reduction when ventilation is not required. '"
HV AC Efficiency 503.4 Minimum efficiencies-Heating: Tables 5-4,5-5 & 5-6. Cooling: Tables 5'7A, 5'7B, 5-8 & 5-9. "".
Transport Energy 503.5 Minimum of 8.0. -{..,
Balancing 503.6 Provide means for balancing HVAC air system & water distribution system. "-
HV AC Controls 503.7 Separate readily accessible manual or automatic thermostat for each system. 7'
HV AC Ducts 503.8 Air ducts. fittings, mechanical equipment and plenum chambers shall be mechanically attached. sealed.
503.9 insulated and installed in accordance with the criteria of sections 503.8, 503.9 and 503.10. l
503.10
Piping Insulation 503.11 In accordance with Table 5-10. ..,..
Water Heaters 504.2 Automatic electric storage water heaters s 120 gallons and gas & oil-fired storage water heaters s 75,000 BlUIh shall
meet performance minimums in Table 5-11. Electric> 120 gallons: standby loss < .30+27NT' Gas> 75,000, Oil> ),
105,000: Et .78, Standby loss 1.30 + 114NT' Gas, Oil> 155,000: E, .78, standby loss 1.30 + 95NT'
Swimming Pools 504.2 Spas & heated pools must have covers. Non'commercial pools must have pump timer. IJ~
& Spas Gas spa & pool heaters must have minimum thermal efficiency of 78%.
Hot Water Pipe 504.4 Piping heat loss is limited to 17.5 Btu/h linear foot of pipe for recirculating systems (see Table 5-12). ~~hi
Insulation
Water Fixtures 504.5 Water flow restricted to maximum of 3 gpm at 80 psig; toilets maximum 3.5 gallon flush. .)-.
Public lavatory fixture maximum flow of .5 gpm or .5 gallon if has self-closing valve.
Lig hti ng 505.1 Lighting power budgets are listed in Table 5'13. Minimum Ballast Efficacy Factors are listed in Table 5-14. . 't--.
Uo wall Allowable .-~ U 0 wa II Actual I.J.~ If complying under the provisions of S. 502.2 enter the combined Uo values for the entire envelope
Uo roof I ceiling Allowable Uo rool/ ceiling Actual in this section.
Uo floor Allowable Uo floor Actual Uo envelope Allowable Uo envelope Actual
OTTV wall Allowable II V OTTV wall Actual 1<IA.,,( 'IJ
OTTV rool/ceiling Allowable L' ()'" OTTV roof I ceiling Actual ......,' )./
Compliance with Chapter 5was demonstrated by a Prescriptive Measures methodology:
D 508.0 (a) Detached commercial buildings D 508.0 (b) Skyboxes or sports stadium buildings
less than 100 square feet. that are used only seasonally.
I hereby certify that
with the Florida Ene
PREPARED BY:
I hereby certify that this building is .
OWNER/AGENT:
D 508,O(c) Traffic safety
control towers
DATE: /U,"-.)f-tf}
Florida Energy Code.
DATE:
Review of plans and specifications covered by this calculation indicates compliance with the
Florida Energy Code. ~for nstruction is co~. ted, this building will be inspected for
Nompliance in accord. ce ~~~53.908 _ .8/
or BUILDING OFFICI : J...t:,.-j .~'-
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BUILDING COMPONENT DESCRIPTION WALL WALL WALL WALL WALL
TYPE 1 TYPE 2 TYPE 3 TYPE 4 TYPE 5
Exterior air film j ;..\
Stucco
Block I. II
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Insulation S
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Other
Other
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R TOTAL /t l{ C}
U = 1/R ;' / '3 Lj
AREA /)-70
Weight (Ib/ sq. ft) {)f:} L ')
IF FRAME: Size _ x _ Inches O,C. _
ROOF/CEILING R.VALUES
BUILDING COMPONENT DESCRIPTION ROOF ROOF ROOF ROOF ROOF
TYPE 1 TYPE 2 TYPE 3 TYPE 4 TYPE 5
Room air film , ?i I
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Truss
Insulation JO,D
Other !) I 1,)/1/.1 /~ I (,,'2-
Other 'F/ (7 , DC,
Other "5~; L;,(OJ' IOS
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R TOTAL ~~(~2
U = 1/R $ 0 ~ I
AREA (sq. ft.) ,.39'
U + TC
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED \ 0\-1- \.t \ q 1
PLANS REVIEW FEE to, \) ()
OWNER'S NAME W; I \ i A"",
+OB ADDRESS (,5 J. '1
R.10I~:h:;wc(th, ~~~i /" t::..
STADt u ~D((. .
\-\ot:"~R PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
0:;' - ;1.,- d-./ - ooIA.- 000&0' - COC)O
IOBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ~EW CONSTRUCTION
DADDITION
DALTERATION
D REPAIR
D INSTALL
D SI GN
D MOVE
D DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
0'COMMERCIAL
DMULTI-FAMILY
D INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
D MOBILE HOME
D OTHER
DESCRIPTION OF
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
WORK I S(c(t /YJ/)S'c;vj4Ky OFF/C"<!: 81d~ '
S6~ 4;;./~ /) SQUARE FOOTAGE cl3Q6
HEIGHT
'8'
BUILDING SIZE
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.
r!! BUILDING
IH" ELECTRICAL
PERMITS REQUESTED
/
$
/ 3:l"lC'c- 0
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D FLORIDA POWER
D
W,R.E.C.
[I( PLUMBING
[l(MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
D ROOFING
D SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: ~ BLOCK
FINISHED FLOOR ELEVATIONS
D FRAME
qO.OC
D STEEL
D OTHER
IS PROJECT IN FLOOD ZONE AREAD YES
IH'NO~ J2-0 14.
- \~~
ELECTRI
COMPANY
~~AA ~ ;~ STATE CERT OR REGIST #511. JI
~ ~.~ CITY PROCESSING # C__ ~ __
****************************************************************** ~.~~
COMPANY fi~ t;, -C- CiA SS" ~/e dL' ~
STATE CERT OR REGIST # ~O I/....5"" 1'7
CITY PROCESSING # J.Llt, '/ .
,f- \..-
/~
Unv7..
BUILDER
SIGNATURE
******************************************************
SIGNATURE
~
2'#g--.
~~.
COMPANY .
STATE CERT OR REGIST #
CITY PROCESSING # 155
00,
PLUMBER
./
,
SIGNATURE
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
********.***********************************
MECHANICAL
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. 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,s~ate 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 authorized 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".
q.~._.-.
OR AGENT
'-
~~~/Y?A/V
SIGNATURE: OWNER
STATE OF FLORIDA~
COUNTY OF ~
The foregoing instrument was a~wledged .c-
Before me this ~ day of (3 cd!..-- , 19..2:.0
by
(name of person acknowledged)
D who ~ peJ;:sona~ to me, or
o who ha~~d 03;)'... ~:JJ - ;)-1- .,1s'b - 0
(type of identification)
Ddid not take n oath.
Signature person taking ackn . ledgement
#/J- heY A )/ tJ 0 J y
Name 'typed, ~ or s*<lAoody
~~ Mf COMMISSION' CC534806 EXPff;;
~)} FebIuary 21. 2000
,Iif.~..., BONDED THRU TROI' FHN INSURANCl"
~. ~f:!;j'
SIGNATURE: CONTRACTOR
STATE OF FLORIDA /~)
COUNTY OF ,-~
The foregoing instrument was~~Owledge~~
Before me this ~day of , 19_
by
, ~ (name of person acknowledged)
f1ho is personally known to me, or
Owho has produced
(type of identification)
Odid not take an 0 th
ent
Name
111111111111111111111I111111111111111 1111111111111
98132019
Rcpt: 279234 Rec:
OS: 0.00 IT:
10/30/98 _..____'
10.50
0.00
Opty Clerk
JEO PITTMAN, PASCO COUNTY CLERK
10/30/98 12:04p. 1 of 2
OR BK 4032 PG 908
NOTICE OF COMMENCEMENT
....,.........::::.;.::.:....:.:.: ..: ....-.:..Fl::::::;:::::::::
WiLLl:iMA~'wiriswbiTlf ............ .....
SHEILA K. HOFFER
...................
...................
...............".. .
...........................:....,.,:...
.. ... ... ", - .
...............,.... .......
.-.:.::.::.::.::;:::::;:;:;:::;:;:;:;:.::::::.::.:::::=;=::;:;:;:::.:.-.
.... ...
WILLIAM A. WADSWORTH, A MARRIED MAN AND
SHEILA K. HOFFER, A SINGLE WOMAN
....................................... .......::;.;;;;:;::':;;;:;Ap~"6.!!i.~i()).'(:
...:H..()37....sR.'sr.Wi'ST..
ZEPHYRHILLS, FL
:..n;LIi;P~~.""qi...")'..::;;)
...... ..... .
..... .
...... ..... .
..... ...",-...
.. .. .......,'.. ... ... <<\.Q:O"Q..~~~~~~~~~~tfr <?><:<>~?:~~:~<~~r(>?r:~:::::;:::::::>::::-:-:-;.
370.j.'....SR 54....WBsT .. ...................,........-.
ZEPHYRRILLS, FL 33541
;;::n~H9~"'~Qt:: ...... :::::;;:;:::::::::::j::i:1:::;!i~:;2ii;~:i~~1'l<!t,j~l:k:: ...
33541
::,}'::"'JP!;!!m.~'QmOI<!;:::::::::)}>
.3S7-12~~.11 .
ADDRESS OF REAL PROPERTY: STADIUM DRIVE
ZEPHYRRILLS, FL 33540
Permit No.
Property Tax Folio No.
State of Florida
County of PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property:
Street address (if available):
STADIUM DRIVE
ZEPHYRRILLS, FL 33540
Legal description of property:
LOT 9, ZEPRYRRILLS E%ECUTIVB PARK, AS PER PLAT THEREOF RECORDED IN PLAT BOOK 19,
PAGE 68, PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
2. General description of improvement:
TO CONSTRUCT AN OFFICE BUILDING
!TATE OF FLORID;'\
COUNTY OF PASCO
3. Owner information:
a, Name and address: See above
THI~ I~ TO CERTIfY -H{!~T r!~L FGiit(~C~~ :~ A
mUE ANt:1 CORRECT reP"t Or T,"~~ DOGUrT5};:T ~r~ fiU:
OR OF PUBL!C RECORD :iI' T;-:"3 CTiC[. Vi: !\r:S:; '1iY
HAN' AND ''Ff-iC:Al SEAL TH;S ~D DAY OF
l~
JED PITTMAN, CLERK i)f CiRGUIT COURT .
BY~~ ..) ^~.
b, Interest in property: FEE SIMPLE
, .
.. \..'
c. Name and address of fee simple titleholder (if other than Borrower):
OR BK 4032
2 of 2
PG
909
4. Contractor:
a, Name and address HILTON CONSTROCTION COMPANY
6415 16th Street R
Zephyrhi1ls, FL 33540
b, Phone Number (813) 782-1349 .
c. Fax Number
5. Surety:
a, Name and address NIA
b. Phone Number
c, Fax Number
d. Amount of bond: $
6. Lender:
a, Name and address SunTrust Bank, Nature Coast
P.O. Box 156
Brooksv!lle, PL 34605
b. Phone Number (352) 796-5151
c. Fax Number
7. Persons within the State of Florida designated by Borrower upon whom notices or other documents may be served as provided by
Section 713.13(1) (a) 7., Florida Statutes:
a. Name and address DOT HELP - StJNTROST BANK, NATORB COAST
P.O. BO% 156
BROOKSv:rLLE, PL 34605-0156
b, Phone Number (352) 754 -5706
c. Fax Number (352) 7~9-5354
.
B. In addition to Owner, Owner designates DOT HELP - StJNTROST BANK
of P.O. BOX 156, BROOKSv:rLLB, PL 34605-0156
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a, Phone Number ( 352 ) 754 - 5 7 0 6
b. Fax Number (352) 799-5354
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is
specified):
OWNER: WILLIAM A. WADSWORTH
--" "\~
~~:t~~~TH
OWNER:
--...
HOPPER
,R
OWNER:
OWNER:
OWNER:
OWNER:
OWNER:
STATE OF FLORIDA,
COUNTY OF
Pasco
Sworn to and subscribed before me this October 19, 1998
and Sheila K. Hoffer
by William A. Wadsworth
who are personallv known to me or who have produced
.
..."h" Mary I( HenderIan ..
*W' *Mv Commllllon CC1OS0S4 ·
\"_":,1' Expires Febnlary e. 2002
as Identification.
'q,.CQgB Cl FormAtion Tec/lnologJ... Inc. (8/20/fl6) (8001 937-3799
COMMERCIAL
CHECKLIST FOR NEW CONTRUCTION PERMITTING
CITY OF ZEPHYRHILLS
~ite P1an Ileview requirements satisfied. approved -
Z date:
. Notice of COIIIDlencement certified copy~~ 6..Q.. Q Q.o L' 1
~ Application completed in its ENTIRETY.
/" ._ ~~~L +u ,<{&'{{~
~ Check if contractor , subs are currently registered. ~
~
,/ Flo~ida Energy Efficiency Form completed.
.
j- .,:
~ THREE SETS of Engineered Building Prints with Electrical, Plumbing
and Mechanical diagrams.
-\
If Business Classification is State Regu1ated, approval must be on
engineered building prints.
-A
-\-
d-
CITY R-O-W Use Permit, if applicable.
Give Elevation Certificate, if applicable.
Verify Water' Sewer Service.
_ ~ Sewer' Water Connection Fees, Transportation Impact Fees , Water
~ter Fee paid prior to or at time of permit issuance. .
- ~ol lC1tQiq K .. u-d
Annual Solid Waste Assessment Fee must be paid prior t~ i suance __ of crJ.>Y \
of Certificate of Occupancy. DA7E PAID ~
-L. Plans Review Fee ($.03/sq. ft. - $15 min.)
Amount Paid $3-0 < ~U Date
~ ""
Received by: '-. \ ~
luh--~J~Y
_....~~C"'.~~"~''''~'''-'=~,...~'''z -'-'~<<"~~h,""'-',~~,-,-,_",-,-__,,,;--,-,~-,:___c_.
SOUTHWEST FLORIDA
WATER MANAGEMENT DISTRICT
NOTICE OF
AUTHORIZATION
TO COMMENCE CONSTRUCTION
Wadsworth Insurance/Family Living Trust
PROJECT NAME
Commercial
PROJECT TYPE
Pasco
COUNTY
2/26S/21E
SEC(s)/TWP(s)/RGE(s)
William A. Wadsworth and Sheila K. Hoffer
PERMITTEE
Application No.:
4617830,00
DATE ISSUED:
May 21, 1998
. "."- ;r::::. ."-
-".~ -
,/ )
THIS NOTICE SHOULD BE CONSPICUOUSLY
DISPLAYED AT THE SITE OF WORK
(10/92)
HILTON CONSTRUCTION
6529 STADIUM DR.
SQ. FEET PRICE
MAIN OR LIVING AREA 2,219 $ 53.00
OTHER AREA UNDER ROOF 48 $ 17.00
OTHER 5,530 $ 0.85
VALUATION $ 123,123.50
FEE SHEET $ 542.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 853.00
CREDIT: $ 70.00
BUILDING LESS CREDIT: $ 783.00
ELECTRICAL: $ 97.72
PLUMBING: $ 50,00
MECHANICAL: $ 40.00
RADON: $ 22.67
TOTAL $ 993.39
SEWER $ 1,597.50
WATER: $ 437.50
TOTAL: $ 2,035.00
3/4" WATER METERI $ 180.00 I
TI F'S: $ 2,194.53 NEW OFFICE
99% $ 2,172.58
1% $ 21,95 $993/1000SQ, FT.
1" IRRIGATION METER $ 250.00
IRRIGATION METER CONNECTION FEE $ 350,00
TOTAL: $ 6,002.921
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
COMMERCIAL (Per fixture)
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
WashinQ 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 $ - $ - $ -
LAVATORIES 25 2 $ 87,50 $ 319.50 $ 407,00
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 $ - $ - $ -
IRRIGATION METER
SUB-TOTAL $ 437.50 $ 1,597,50 $ 2,035,00
3/4" WATER MATER $ 180.00
1" IRRIGATION METER $ 250.00
IRRIGATION CONNECTION FEE $ 350.00
I GRAND TOTAL $ 2,815.00
FIXTURE
G.P.D.
#
WATER
SEWER TOTAL PER FIXTURE
11/5/98