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Home My WebLink About98-7851 iff}- ~ BUILDING PERMIT\~~\q , 7851,6 · ~ CITY OF ZEPHYRHILLS Permit (813) 788.6611 Date 7- 9 -9{) ~ .~~ &D () .:3~ PLUMBING MECHANICAL ~() ~~ ELECTRICAL Sewer Conn "'0 tf~(t"~ If. ~ 1f~5"" BUILDING Water Meter: L"O /;~7R . $~ /go -- . Property Owner: "-jt( ~ ~. Q,,~ Job Add,s.., S' J?5~ .~~ --:g;;;./>) {~,};t;- ParceII.D.# /o-,,:2~-;lI.- O/,tJO- &001)0- 059C? Water Conn: T.I.F.'s: Zoning: Description of Work FINAL C.O. IOh.-l \C\& - c.lJ ~ ~ 'int, ~ ~ ~ ~ hi G'... <is:,')". C\~\ NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector ~ Ftr. f'J, =fO-~8 fiLL. Tp. Servo 1 Z Pre SLB aI, ~ l'lL- Rough In <1 '-I q r l D~ Lintel Meter Can FRM. l:/ h h g l, II Const. Pole Insul. CL Pool 1i: WL {;"II-~hJ!!J.ft Pre-Meter Ja' /'fl {lIh J ., Final Driveway /10/6/1 f 6J{ ~?- 3()-98'(2J..~ s k~h.', tiC;; -g /,>5 I ~ j II Qb Permit Fee Signature.' Company Address o:e'd~;;~ PLUMBING 19 ~D MECHANICAL /7 ~~: sa! /~~ ''1~ :r/' Water Sewer ID/ { ~ /9 ~ Cob Final Valuation or ~ II> Contract Price ... 5'" ~ <;(1 ~ {) . - City License Registration # c:l74 ~?l;:e~ss. ~~.::, BUILDING ELECTRICAL 97 Breakers Ducts Insl. Compressor Final 9 A /51 l'tl REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ Hr.e61 shall be made for each trip for each trade: . ~. _ _ ~ Wrong Address ~--,tTf) U ~6 i- aty5. ~ t~ Y5~ ~ond.emned work, resulting from faulty. constr~ction. 7-y' - 7~ Ifl f / "'pairs or corrections not made when Inspection called. U. '- I"k not ready for inspection when called. .. it not posted on job site. ot at job site. k~~ ,t accessible. J -.> . I; j; . l~/~q. SpK +u 6JbW- .AQ. .Ale.. 01'( M+u......O..,..,r - /O:jS of inspection fees shall be made before any further permits will be issued to the person owning ~J"';'~_~'~,M.j' ,;-~l~';'-'f4-;,::...o~j;..;":';"~~'rv"'"".,";;hu.'\I-o...''''~~..:i-'''''._ ~.'..Jt,:~.~~~...l~,.__:. :'-~-::'-~~ .,...... ".~ ", ....... -~;'<:;:;-;- ~:...,;~, ,...).~;.~~: ,';"~:. ..:'X,~r A'''*t"~. , ; ';>,..:~i~ ,r,,,,,.,, ". ..-/. .... ~ PASCO COUNTY, FLORIDA (,'!"',cn , Permit No. Date Permitted Builder Name/Owner Name ~ , . . . County Parcel No. Location Subd. Classification/Type of Use TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Rate $ Zone No. Sq. Ft.lU nit 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 0 RESIDENTIAL NONRESIDENTIAL No. Units Gross Sq. Ft. (GSF) Rate/ERU - 52.00/Year or $0. I 42/Day ERU Assign No. Assessment - (No. Units) x ($0.142) x (No. Days) TOTAL FEE $ <:~.: tl Assessment - (GSF) x (ERU) x (0.142) x (No. Days) 100 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 HA VE 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 TRANSPORT A nON REC. NO. RESOURCE RECOVERY REC. NO. '1<:, DATE DATE BY BY White Applicant Canary T rans/Fi nance Canary RR/Finance Pink Office Green Bldg/lnsp feecal:ce PC931130941 Department of Community Affairs FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-93 Residential Whole Building Performance Method A CENTRAL PROJECT NAME: Model 1643 - I BUILDER: Ryman Construction Inc. . AND ADDRESS: ~~)~::>O G-1U2JL..y\ ~\"\.A__'- PERMITTINGc?lTf OF CLIMATE / . - OFFICE:ZEP#r,e)lI~S ZONE: 41~ 51_1 61_1 OWNER: I<.u.,~ r,~~ PERMIT NO. 7l?.5718 JURISDICTION NO. 6 //~ au \.l CK 1. New construction or addition 1. New Construction 2. Single family detached or Multifamily attached 2. Single-Family 3. If Multifamily-No. of units 3. 0 4. If Multifamily, is this a worst case (yes/no) 4. 5. Conditioned floor area (sq.ft.) 5. 1090.00 6. Predominant eave overhang (ft.) 6. 2.00 7. Porch overhang length (ft.) 7. 4.75 8. Glass area and type: Single Pane a. Clear Glass 8a. O.Osqft b. Tint, film or solar screen 8b. O.Osqft - 9. Floor type and insulation: a. Slab on grade (R-value, perimeter) 10.Net Wall type area and insulation: a. Exterior: 2. Wood frame (Insulation R-value) 10a-2 R:11.00, 843.70sqft____ b. Adjacent: 2. Wood frame (Insulation R-value) lOb-2 R~ll.OO, 2ll.40sqft____ lI.Ceiling type area and insulation: a. Under attic (Insulation R-value) 12.Air distribution systems a. Ducts (Insulation + Location) 13.Cooling system SN: 8132 Double Pane O.OOsqft 166.30sqft 9a.R= 0.00 , 155.00 ft l1a.R:22.00 , 1090.00sqft____ 14.Heating System: 12a. R= 6.00, uncond 13. Type: Central A/C EER: 9.30 14. Type: Heat Pump HSPF: 6.60 15. Type: Electric EF: 0.88 15.Hot water system: I6.Hot Water Credits: (HR-Heat Recovery, DHP-Dedicated Heat Pump) 17.Infiltration practice: 1, 2 or 3 I8.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 16. 17. 18. 2 19. 19a. 19b. 89.00 19213.48 21587.71 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- I Hereby certify that the plans and specifications Covered by this calcu- lation are in compliance with the Florida Energy Code. PREPARED B~.. ~ ~_. DATE: --hJ~?:. '-i 2{ ~ 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 compliance in accordance with Section 553.908 F.S. I hereby certify that this building is in compliance with the Florida Energy Code. OWNER/A~E~. ,,,' ~_. DA TE: tol?'o ~ , BUILDING o~c1,AL1$~~r DATE: /1 tq ******************************************************************************* SUMMER CALCULATIONS ****************************************************************************-*** === BASE === === AS-BUILT === g~~i~--~~;~-;-;;;~-:- POINTS I =============================================================================== ------------------------------------------------------------------------------- TYPE SC ORIEN AREA X SPM X SOF = POINTS N 77.40 82.2 6362.3 DBL TINT N 13.0 43.5 .83 467.3 DBL TINT N 13.0 43.5 .83 467.3 DBL TINT N 13.0 43.5 .83 467.3 DBL TINT N 13.0 43.5 .83 467.3 DBL TINT N 18.7 43.5 .83 672.2 DBL TINT N 6.7 43.5 .69 201.1 DBL TINT E 9.9 87.3 .78 674.1 DBL TINT S 13.0 78.8 .66 677.0 DBL TINT W 40.0 87.3 .77 2698.4 DBL TINT W 13.0 87.3 .77 877.0 DBL TINT W 13.0 87.3 .80 911.7 E S W 9.90 13.00 66.00 82.2 82.2 82.2 813.8 1068.6 5425.2 ------------------------------------------------------------------------------- .15 X CONDo FLOOR / TOTAL GLASS = ADJ. X GLASS = AREA AREA FACTOR POINTS NON GLASS----________ I AREA x BSPM = POINTS TYPE =============================================================================== ------------------------------------------------------------------------------- .15 1,090.00 ADJ GLASS POINTS GLASS POINTS 166.30 .983 13,669.86 13,439.70 I 8,580.74 ------------------------------------------------------------------------------- R-VALUE AREA X SPM = POINTS WALLS-----___________ Ext 843.7 1.0 843.7 Ext Wood Frame 11.0 843.7 1. 90 1603.0 Adj 211. 4 .7 148.0 Adj Wood Frame 11. 0 211. 4 .70 148.0 DOORS----____________ Ext 20.0 4.8 96.0 Ext Insulated 20.0 4.80 96.0 Adj 18.6 1.6 29.8 Adj Insulated 18.6 1. 60 29.8 CEILINGS--___________ UA 1090.0 . 6 654.0 Under Attic 22.0 1090.0 .90 981. 0 FLOORS---____________ SIb 155.0 -31.8 -4929.0 Slab-an-Grade .0 155.0 -31. 90 -4944.5 INFILTRATION_________ 1090.0 10.9 11881.0 Practice #2 1090.0 10.90 11881.0 =============================================================================== TOTAL SUMMER POINTS I 22,163.14 18,375.01 =============================================================================== TOTAL x SYSTEM = COOLING I TOTAL SUM PTS MULT POINTS COMPON x CAP x DUCT x SYSTEM X CREDIT = COOLING RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------- 22,163.14 .37 8,200.36 I 18,375.01 1.00 1.100 .367 1.000 7,411.25 =============================================================================== ******************************************************************************* WINTER CALCULATIONS ............................................................................... === BASE === === AS-BUILT === g~~~~--~;~-~-~;;~-:- POINTS I =============================================================================== ------------------------------------------------------------------------------- TYPE SC ORIEN AREA x WPM X WOF = POINTS N 77.40 -3.4 -263.2 DBL TINT N 13.0 6.1 1.14 90.7 DBL TINT N 13.0 6.1 1.14 90.7 DBL TINT N 13.0 6.1 1.14 90.7 DBL TINT N 13.0 6.1 1.14 90.7 DBL TINT N 18.7 6.1 1.14 130.5 DBL TINT N 6.7 6.1 1. 28 52.3 DBL TINT E 9.9 -3.6 .50 -17.8 DBL TINT S 13.0 -11. 0 .77 -109.8 DBL TINT W 40.0 -3.6 .48 -69.5 DBL TINT W 13.0 -3.6 .48 -22.6 DBL TINT W 13.0 -3.6 .55 -25.9 E S W 9.90 13.00 66.00 -3.4 -3.4 -3.4 -33.7 -44.2 -224.4 ------------------------------------------------------------------------------- .15 X CONDo FLOOR / TOTAL GLASS = ADJ. X GLASS = AREA AREA FACTOR POINTS ------------------------------------------------------------------------------- .15 1,090.00 ADJ GLASS POINTS GLASS POINTS NON GLASS----________ I AREA X BWPM = POINTS TYPE ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- 166.30 .983 -565.42 -555.90 I 299.86 ------------------------------------------------------------------------------- R-VALUE AREA X WPM = POINTS WALLS-----___________ Ext 843.7 1.1 928.1 Ext Wood Frame 11.0 843.7 2.00 1687.4 Adj 211.4 1.8 380.5 Adj Wood Frame 11. 0 211. 4 1. 80 380.5 DOORS----____________ Ext 20.0 5.1 102.0 Ext Insulated 20.0 5.10 102.0 Adj 18.6 4.0 74.4 Adj Insulated 18.6 4.00 74.4 CEILINGS---__________ UA 1090.0 .6 654.0 Under Attic 22.0 1090.0 .90 981. 0 FLOORS---____________ SIb 155.0 -1. 9 -294.5 Slab-on-Grade .0 155.0 2.50 387.5 INFILTRATION_________ 1090.0 4.1 4469.0 Practice #2 1090.0 4.10 4469.0 TOTAL WINTER POINTS I 5,757.59 ~=====~=~~=======~======~=========~==~=============================~=====~===== TOTAL X WIN PTS ~~~==~=========~~=~======~=============~====~================================== SYSTEM MULT = HEATING I TOTAL POINTS COMPON 8,381.68 =============================================================================== ------------------------------------------------------------------------------- 5,757.59 1.10 6,333.35 I 8,381.68 1.00 1.100 X CAP X DUCT X SYSTEM X CREDIT = HEATING RATIO MULT MULT MULT POINTS .515 1. 000 4,748.22 **'.. *'*... **.. **.*..... **. **... **......... ". ,. ........... *. * * *. ** ** ** * *. *. * **.. ** WATER HEATING ......*.**.*....****.*...**.....****..******.****.***....*****************.**.. === BASE :::::=== NUM OF BEDRMS =~==============~======~=======~==~====~========~===~======~============~====== x MULT ====== AS-BUILT ===== ::::: TOTAL I TANK VOLUME EF TANK RATIO x MULT x CREDIT MULT =:: TOTAL ------------------------------------------------------------------------------- 2 3527.0 7,054.00 80 .88 1.000 3527.0 1. 00 7,054.00 ====================~=====~===~~~~~===~~~~=~===~~~~==~~====~~===~===~~~===~==~~ *******...***...*******.*******.*****.*..*******..*..*.******************...**. SUMMARY ..*********..***.********.***********************************.***************** === BASE ====:: COOLING POINTS ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- TOTAL POINTS I COOLING POINTS + HEATING POINTS HOT WATER ,;j- POINTS = TOTAL POINTS + HEATING POINTS HOT WATER + POINTS == =::==== AS-BUILT ====== ------------------------------------------------------------------------------- 8200.4 6333.3 7054.0 21,587.71 7411.3 4748.2 7054.0 19,213.48 ==========================~==~~==~===~=======~=~====~========~==========~====== ***************** * EPI == 89.00 * ***************** For.detailed information of the EPI rating number or for any ITEM listed, ask your Builder for DCA Form 600A-93 or Form 600B-93 ENERGY GUIDE EPI= 89.0 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..................... Double Tint SINGL CLR DBL TINT I--------------------x/ INSULATION. . . . . . . . . . . . . . . . . . Ceiling R-Value.........22.0 R-10 R-30 I------------x--------I R-O R-7 I--------------------X! R-O R-19 /x----------__________/ Wall R-Value.........11.0 Floor R-Value......... 0.0 AIR CONDITIONER............. EER. . . . . . . . . . . . . . . . . . . . . . . 9 . 3 9.7 EER 16.0 I x----------__________,I HEATING SySTEM.............. Electric HSPF............ 6.6 6.8 HSPF 12.0 /x----------__________I WATER HEATER.. . . . . . . . . . . . . . . Electric EF...... ........ 0.88 0.88 0.96 Ix--------------______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 Energy Code have been installed in this house. }( . .--~8''-----~ 56. c: '\ : r., ~ ;J), Builder '- __J Address', . (,r::>c, (' ~~V):::(CU Signatu<, , ' . "'.\I~~ City/Zip ~")\~'-~~L-\:~ S~:)S~~ \ Florida Energy C de for Building Construction _ 1993 Florida Department of Community Affairs Florida Date :G- ~ .-9 2? FL-EPL CARD93 RYMAN CONSTRUCTION 5850 GREENBRIAR COURT SQ. FEET PRICE MAIN OR LIVING AREA 1,209 $ 40.00 OTHER AREA UNDER ROOF 434 $ 15.00 OTHER - $ 0.85 VALUATION $ 54,870.00 FEE SHEET $ 290.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 425.00 ELECTRICAL: $ 75.00 PLUMBING: $ 60.00 MECHANICAL: $ 35.00 RADON: $ 16.43 CREDIT: $ 50.00 TOTAL $ 611.43 SEWER $ 1,278.00 WATER: $ 350.00 TOTAL: $ 1,628.00 3/4" WATER METERI $ 180.00 I T I F99'S%:1 $$ 1-' 1%$ : ~~~ TOTAL: $ 2,419.43 I" , I : II' i: , I, , " I:: I: 1'1 i':Vf\UJ, 5c.J ~70, DD I ! I I : I; ! . :: BLDG-, Lf1J I. D~ : D vD i d Luw1 ~ , 00. i i:Mf..CH-. 35 o~ j,: ~L~C. 75.;:)'> : , o i ! ,; i!iCfZl::-QlT - SO. DO il i loCo N ,'.1 rz:.. c...~n D ~ I Ii 1127~_eD 350_ 00 '0 I i3o~o ... . 0 , i :1, .il " i )! : Ii 'j! / l>O~. DO I '!, K~rvv1N ~ ST. 5~ ~ 0 E:,~ B~^--- C,T .1.1.0, d) X J? r"'Y":; , T( . I '-"'-I ISO'=> X ~ 3'-1 F6:-E. ~ ':: RA(bt'J &AS 16.4-3 I ::: IbLf?J S1'. l~'-; I, I I I ; I -rR:I1N S POr1-1A l( () N ;! i' I to J: i: /J/A Ii " ;; I . 'il Ii, :ii 01 ji: I j ~ ~ ' I . ,0 l/!llt fACI ,- - rG:rz.s 'Set. F+ ~q. F-+. __...........l. "'-""'.: ~~..';'~J,l'\.rl...i..""-.J.w;::' };;;0.li....G~N'~j ;...,'~~,'i\;<.~' S~,'~' OWNER~t,J L. K'1'YlA-.J JOB LOCATION SSSo bvc.eN D.Ja.iAfL Q;,t - L0~&,-l00~ PAR C ELI . D, It \ () ,- :).(0 ' D \ - 0 \ Q.. 0 '-0000 - 0 .~~ c-,\ 0 SHOW ALL EXIST:NG & PROPqSED STRUCTURES GIVING DIHENSIONS & SETBACKS. 4~, 13.~ \ ~ L\ ~ - 0'\tlGe \ t:~O h\.\::.- ") '\ \ t"r1\)',:> 0 ~ \=~~ 8e,~() L 5' UTILITY BUILDINGS ~\'JS'1' SI\O\~ S1711\ f, ?OUNDATION INFOR- I-~ A T ION , , ~O FRONT PROPERTY ,INE -L- (NOTE EXAMPLES 1 & 2) 4G. STREET f':'a..t.'ct0 p~ . , SETBACKS FOR R 1, R2 ZONING 60'- 10' P E R ~I 0 I 10' p S 10' 0 T 1 0' S I E N D G 20' ---"-- FRONT PROPERTY LINE 2 . SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED ': 20'SGL FAH 30'DUPLEX 1 0' FRONT PROPERTY LINE 'i. :i APPLICATION FOR PERlfiT' CITY OF ZEPIlYRHILLS BUILDING DEPARTMENT _Sign --..Move _Demolish PROPOSED USE :~le Fwnily --..MI F "'!~ -' of Units _M/H ~;1' , _Indust. _Swim. Pool _Other .;;-:,'"..; , ;~!.;" 1, ~estaurant & HeaJ,th Department Approval t~Z=~::::;i:':;:~f I~Feet. e{ .;: .. 'RESIDEIiTIAI.: ATTACH (2) FlOT PLANs & (2) SETS OF BlIILDrNG FLANs & (1) SET ENERGy FORMs. COMMERCIAl:;. ;;.ATTACH (3) SETS OF BlIILDrNG PLANS & (1) SET ENERGY FORMs. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. , 'e' "",,' Height ~BUILDING .-ELECTRICAL . -MECHANICAL $ 5~ DC>u ~DD $ ~ StYl PERMTTS RP.OUESTJ:;Q AMP Service Valuation of Total Construction Florida Power Corp. ~.' _W.R~E.c. Ji.~,", ;. GAs VaJ.uaUon of Mechanical Installation _PLUMBING TYJ?E' OF CONSTRUCTION: -Block ~HED FLooR ELEvAnONS: ~ ROOFING L0r8llle _Steel SPECIALTY FT. IS PROJECT IN FLooD ZONE AREA? Other YES ../...... .J:::::: . -":' .' . NO ****************************************** '.. . ,.'.iJl~~ S\~. 0 :'~~ert. orRR~~~~t~~MR~:~"~;~~:i:'"'' \'.}Si~tur~ L ~.o-...-- City License Registration # 274 "...:!i~." ~............................:;..~.......~ -:: . ")tt~ COMPANYLrn,,-^~ 2Q,;"~ ,. .... 'r <~ii:.. .~ . .' . ~~;~\~~;~e o;e:~:~=:~i:~ . ~"3'l~ ',>, . ......... ................................ :;::eG2..... WL.i~ / _ E!~~:~:;:~~~~~~ ~.i~2~~. . '.r .......................................... ~.llEciM~G4L~.,:. ....~ COMPANY ~ 5 ~~7~ %... h-hkk;:~ G'" .... ., . A -c- State Cert. or Regist. # _ ~. <>'-I39'f-~ ,. ,,' !~~i8Wlture . .. . .~ 'f21"--1;( City License Registration # 1'7 fui~. " .. . .... ........... .......... ........ ......... . ~1;., . ".., .., ~_.~.. .. COMPANY RYMAN, CONSTRUCTJON, IJI!9o: ". I :;. . .... '. . .... . State Cert. or Regiat. II!LC _ 0061648''''';'''''' '~;t8tlll.t ..' . .'. ". Ci.ty License Regiatration # 58T." ".'(. .., . ........................................ . t./' .,,~;;} ., .'pI:}J:CATION APPROVED BY i'"k: --;:-;<r: ~ONTRACTOR SECTIQN v- \. ~. ~ ~~" ,,".r ;.:'nl.. ~.. oJ"':' - PERMIT OFFICER. r..... I ~. . . B. WliicENSEIl CONTRACTORS AN!l CONTRACTOR RESPONSI~ILITIE~, , ' ,,'" 0' ,i(~!l Ittl'.Dimer has hired ~ contractor or rontractors to un~ertale ""rl, ~ey ..y he regulIed to ,he hC~ad:'ln,aCCOrdan~.,~ltll:l&1~ 'tale and local regnlabons. It tie contractor I, not Iteensed as re!lll",d by law, botl the owner and contractor lay:b,,,. ilt!! " ci te~ lor a li,deleanor violatl~nunder stat, law, If tie, o'ner or intended co, tractor are",!cer~ ~'.to, wbat licaiil.~ .;~,~ . requueJlents Jlay apply for the Intended work, they are ad\'lsed to contact the CIty of ZephyrhIlls BUIldIng Deparf:lent,;(813)~](';f. 788-6611 .. "')+.~t;~::''i' . 'ii,.~ '~."Further.llore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions~4f!th" " 'Contractor Seetlona" of this application for wbieb they .ill b, rasponaible, It you, .. th, owner 'ign.. the COIItr'a~!lIll you are indicating that you, rather than the contractor, are responsible for the work. If the contracto;',wishes you~~td'lln as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in.!t,he City of Zephyrhills. ~I .~ ..).....; who is~~c:>~ally ~o me or who has whoisCpersona1~j.~__'!p~o me or who has produced .~ "_ produced------- as identification and who did/did not as identification and who did/did not take an oa\ij. \.'\. ~\ \/ ,', take an oath.~ ~ ,\ V .', \~~ 1.(,{,~" ~~~,~ ~~ ~~I'('o..'''''_ ( Signature) ...." An..,,, H Ke''''''. ( Signature) ...."'.... _ H """.., , . >:i. . ~~::y T~g:~i/rlnted or St"~':;::=~~~~~~~LI~rinted or ~~,;~:'" C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION 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 _ HOIeowner's Protection Guld," pl'pared by th, UoJ'ida Deparl:lent of Agriculture and ConauleI Affairs. If tI, applicaht i, soleone other tlan!li~i( . 'owner', I certify tlat fhav, obtained a copy of the above described docUlent and prollse in,good fai th to dell vor it b1i,\b' "ownar' prior to co..encUlon!. , " , . ii,{ E. CONTRACTOR' S/OWNER I S AFFIDAVIT '.\~~; I certify that all the information in this application is accurate and that all lIork will be done in cO.llpliance'withaI1h~\. applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to ohtain a peIllit to do work and installation as indicated. I certify that no' work or \:I2.lj~~( ln,tallatian bas COIIenced prior to l,suance of a perlit and that all .orl .ill be perfoIlea to I"t 'taopard' of all I~~~, regulating construction, City codes, zoning regulations, and land developllent regulations in the jurisdiction. I also'":'" certify that I understand that the regulations of other ~oveInJlental agencieR lay apply to the intended work, and that it'!s IIY responsibility to identify what actions I lust take to be incolpliance. Such agencies include but are not lilited to:'.' * Deparl:llent of EnviroDllental Regulation - Cypress fiayheads, Wetland Areas and EnviroOlentally Sensitive Lands/": . Water/Wastewater Treatlent * Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses.~ * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * De artJent of Health & Rehabilitative Services LnvirDnll~1tal Health Unit - Wells, Wastewater ~reatJent, Septic Tanks * US Envirolllental Protection Agency - Asbestos abatl!!lent( I also certify that, if filllaterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainagepl&F.K~.. addr..'ing a 'cUlpensating voIUl'" .ill be subllitted .bich is prepared by a profesaional ..gineer registered in th, Sta~o~ Florida prior to peIlU iasuanca. '~:)~J A POIllt iasuod shall h, construed to b, a license to proceed with th, .orl and oat as authority to vinlat",cancel alt. set aside any provisions of the technical codes, nor shall issuance of a peIllit prevent the Building OffiCial frOJ therea(te't-. reguiring a correction of error, in plans, construction, or violatioos of any cod" Every perait issued ahall bec",'ielalla unless the work authorized by such perait is cOllllenced within six lonths of issuance, or if work authorized by the periitils: suspended or abandoned for a period of six IIOnths after the tile the work is cor.menced. One 90 day extension of,~tiJe,~f' allow,d for tI, p,"it with fee charge of 115.00. Ibe extension shall b, requested in .riting to the BuildiDg;O~ficia~, approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. ><;. ~;; WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHKENCEHENT KAY RESULT IN YOUR PAYING TWICE FOR IMPR.oV~STOy' PROPERTY. IF YOU IHTEND TOOBrAIN FINANCING, CONSULT IiIrH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOuRiN01ICBOF',' COMHENCRHENT. JOBS UNDER' $2,500 III VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMHRNCIDfENT". . . . ,",.... _"'. ~ ~~- 4;~~ STATE OF FLORIDA. COUNTY OF '\? ':'\...~ ~ The foregoing instrument was acknowledged before me this 1- \ , 19_~ by STATE OF FLORIDA COUNTY OF ~~~.,,~ ... ...,. The fcregoing instrument war, aCknouledged:"j.(l!:::. before me this -,- \ , 19~ by J U L - '3 "3 -- "3 '::' () 3 : 4 '3 F' t'l P.G2 1111I111111111111111111111111111111111111111111111 9B081883 Rcpt. 252018 Rec; ~.OO os. 0.00 IT. 0.00 07/08/96 _._., ,.___ Dpty Clerl JED PlTTMAN, PASCO COUNTY CLERI 07/08/98 02:40p. 1 of 1 OR 8K 396b PG 555 St,lte or ~B_: NOTICE OF COMH.ENCl~r-1Lrl'l' COtlnty u~~W .-. .---.,. 'J'UE UNDERSIGNED hereby give~1 notico th<1t ilnInv!c~ment "'Jill. b,~ I\\dde tq c:n-t,lin n:'!.:ll property, and in acc()rd<1nce \.;ith Chwpter 713, rloridu SLllute:..;, th.:~ fQlle,.....ing infol'l:liltion is prv/LckJ ill thi~) N(!licc~ of Cornm';_~IF,:('II:C'III,: J. De ~->cr \.1] t iOIl of l' t-(:P('! r t y; riJrc(~ I tJo. _.LQ_.- Z~'?(:..Q/Z().~' 9a:>9~~'f!l9 ---SM_<?-~~'-~-'-~~~'_'~_:__'___l'___ >, _ , ( Le(J ,J 1 ci I? S CT J pt 1 (J n n t t Ii e p; ,)P(~ rt Y d fl( s', (.-; ',1--i\(i~-:i:(?--;-.~:;'l(--'~I~:Cl1.1 ~ h1 c )- Gene']l ;":E'~I ii" .I')rl c,t lnl~[",I.'r:-.CI" .=_~&~A)..__ ~~.~~ ..___ ._-.~__u " ~ . --.----.........---.............--.......---.. ..---.....------ - -~ .........--..- .-- .. ._-.-. --- '.-................ .__._-~.._......_- -- --_.~--..,-_._----- ---.-----. -----... ".""""--..-- ,)'"-~:-';,, ~:~;:~ L ,::,,-;, ,~q" ~.R~p_~~~~f~~~ ;_~ _~'-=_-. --==-~~= \ r~'\ ~ -j'~ ,; ,. c.; 0 -"~ 13.. 25 -.. 'L€ _;;, '! ~ ',' 1 t Y Z-Y'_k,~__. S t " I. C' .F----'..3:!,s'-\ I Inte~'e~-;t .~n Pn:j?E'll.y: ,_O}..A..ry~___________ .__._u_. .._~_______. __.__ tJarne <,[ Fcc :~i!l'p] e 'l'illcll.:il..:kr: (J: L (:)th,~l: lh,?n ()\'.'11f)1) ---------.~ .......----. . .----. -..--.---- -"-,...._--_.._~ Address City SLnte ~--_.,._._~-----_........._--.....-.--- ......-. -------.---- -..-. .....-- ._--.....-.~ If . C':ln~. r d '.~ tor: U':HiiC' B y l'L~.iLLilr~ SJ.'rilLC.TJ.JJ t ~.,L._UJ.[:_ . .. .. _________._. ~, . AdJr.e~.,s '''-L''C "11 C I .'1,'(" City MET';''"--'' ll' C Ct--t- ' '-~._..l._";;;'_..ll._----l.'i__....~".:l.~_ -oL~..~!ft.L!.:JL--'-'!.~tr~_._~,,_ ~, _<1 _I.: _FL Surety: N Llltl c? AdclreG~:; __._____~__,_.____.__,._ Ci ty ~______ _._-_._-~.. ..._---_.~. . --------- ..-....-. ..........-....... lilll D I,J I : t u [ U C) n d : .----..---- '._- S t ':1 t...~ (' " --....---.. --...--... ---. --"-.-- 6. Lende l: U<1mc .~ ----". -,,--- . Addre~Js ---', -'-- .--- ---- 0--__........ ____._ City 7. ---...---.---.--.... ---.,.._-- State P8t-son~; vJithin the SLt~.u of Florid,: 11 (J t .i c (' ~; 0 r '=' t II e r doc U Ii 10_' n L $ . III ,J Y b c, 7 1 3 . 1 J ( I ) ( d ) ( '7 ), F lor j ,J, J S:_ a t tit (':3 : d ,'.. :-~ ! rj Il c:i t: l~ d by 0'.)111':1' P l'(JV.1 dc'(! up () n \-lll\.;Hi !:Jy Suction St..'.' !- \1 t"~ \.] a 3 tJ{llP(~ --------.-- ---......--------.-. ~. ..... .-----,.... -,_. --- .-., ."-- .-.. ,. .,. -- ---_. ---, .'. ---_.- .."'"""----.----. Address C i L" . . t; t ;l t'> -..........-----...""""'"-- 1 --------__. _'.'_ ----._~::..- ..... .. _' t:. _ 8. In addition Lo him~el[, O....'nc1' de-:.=;i.gna!..cs o~ ~--~~__~"_.____..---___,---_ t.o receive <.t copy of the Llenor'~ Not~ce as provIded 1n Sectlon 7]3.13(1) (b), Flo~Jd~ St~tlltcS. ~~ ,. 9. L~ x P 1. r n i. i , 11l...9-u f.t. '.JIn ltlGJ~ t c (,) f / / lotlr;e of Conlnl~nCeln(~nt (th~~ explclltl':d; d.::.te 1:3 1 ye,u' l unless a di[[c~cnt date- i~ specified.) ~. Sworn to and subscribed befon' ,- Lhis ~__ d,,\, of "'\~tk: 19_.q~. \ ~ '-..~ Ilot",-1' Public, --'~'~'~\~n..~, r'ji' Conl,[lj 5S i ('n r:q)ir-es: ",,'I:,.~'''' AnJlt:lIe H Kanner '.,p..' ._-~},'iJ~ ~~.~m~15Sion CC,~O~1.2~-' ..----~~---~--._--