HomeMy WebLinkAbout98-7934
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BUILDING PE.RMIT
7934 B
'I7S: J1J
'f. by
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
AFTER HOURS PHONE NUMBER
b ~~3t~-S262 3~"'< (/z)
PLUMBiN6" MECHANICAL
BUILDING
::::~,~:~:~~~
Parcell.D, # /.o-:;lb -~... tJ I:LO - 19C)O c.? - os-/ D
Zoning: Energy CJde: . : A__ ~R/:n Gan/9. tl3;/'
DescriPtionofWork~./AA/ ~rJtl ~~ ~
C-- 9-.:1<5'-- .5" 8-; ;)... <.J 11 J f\'
\*2-{'2 - '-- tl\ eM - q: 10 0.. m. - toUt I(O~ FIN
NO OCCUPANCY BE ORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Permit
Date
f"r~r-9y
Sewer Conn ~ ~ P K"~ dV,
Water Conn: .3~CJ' gO
Water Meter: I ktJ. 07.)
T_I.F.'s:
.--
DATE
Inspector
Valuation or
Contract Price
h 7; L/3 u. Ch)
<"2 t;1 Y
:~;~~:~:,,:,~~ t;::~\~~ ~
Company
Address
Telephone#
~ City License Registration #
~l/..... State Certified License#
;)'j,;).-~ f?~ a...r
BUILDING
1/1oA7v:. 9?
,4,4, h!Jtj~ 1<1:20
&k;yf /.~
Driveway
.5"~~:",~ U>!6!Q't (~:/(
~:~( p,/J fC{{ It J,.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ ~ shall be made for each trip for each trade:
~-:{J!) -J J 7f- ~~/ r:;L~-7~
Condemned work resulting from faulty construction. /V~ II I
Repairs or corrections not made when inspection called. m. , \ g\ '\8'
Work not ready for inspection when called. \
Permit not posted on job site.
Plans not at job site.
Work not accessible.
ELECTRICAL
PLUMBING
SLB 'J It, I q '8 /l, (I
Tub Set I D 115 le,.s f?flh
Water ~ .
Sewer 1 It) h y (....h
Final I), /7. Plr foi,
~:~ SL: ~ ~ 1~filt ff r\ \
,
Lintel
FRM. 1~-15. 98 ,eJ.J.fJ
Insul. CL
WL !~b lht GDL
Tp. Servo . , ,_
Rough In Ic(rr/~l gnv
Meter Can
Canst. Pole ~ /Jr!91 t&~
.
Pool
Pre-Meter ~ '2-/,/0,& tr.,L
Final
(Or~J ~/r hs lfob
a.
b.
Wrong Address
c.
d.
e.
f.
g.
MECHANICAL
Breakers
Ducts Insl. I O/If /t13 f"b
J ,
Compressor I
Final 12../71'/1 iotA
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Whole Building Performance Method A
WEDGEWOOD MANOR BUILDER: RYMAN CONSTRUCTION CO.
PERMITTJ~ _ j _ 1./11 ~ CLIMATE ./
ZEPHYRHILLS, FL 3354 OFFICE: .~~ ZONE: 41-=-1 51_1 61_1
OWNER: beec..h - PERMIT. . ?f3YB JURISDICTION NO.tllfooD
1. New ~~2~U~~~ion 1. New Construction CK
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. 1436.00
6. Predominant eave overhang (ft.) 6. 1.50
7. Porch overhang length (ft.) 7. 0.00
8. Glass area and type: Single Pane
a. Clear Glass 8a. O.Osqft
b. Tint, film or solar screen 8b.182.4sqft
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) 10a-1 R= 5.00, 898.44sqft____
b. Adjacent: 2. Wood frame (Insulation R-value) 10b-2 R=11.00, 230.40sqft____
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
..
FG:-i"\'f 600A-93
PROJECT NAME:
AND ADDRESS:
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (RR-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: 813~
CENTRAL
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 , 168.60 ft
11a.R=22.00 , 1436.00sqft____
12a. R= 6.00, uncond
13. Type: Central A/C
SEER: 9.70
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF: 0.88
16.
17.
18.
2
19.
19a.
19b.
90.31
23633.95
26168.74
-------------------------------------------------------------------------------
-----------------------------------------------------------------------------.--
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 the plans and
specifications covered by this calcu-
lation are in com' with the
Florida En~gy'-' ode/.
<:~, ./ _/
PREPA..n'C'n ..,
DATE:~\. '9
I hereby certify that this building is
in compliance w lorida Energy
Code.
BUILDING
DATE:
/
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
=== BASE === I === AS-BUILT ===
g~i~--~;~-~-;;;;-:- POINTS I
===============================================================================
TYPE
SC ORIEN AREA X SPM X SOF = POINTS
-------------------------------------------------------------------------------
N 72.58 82.2 5966.1 SGL TINT N 40.2 51.5 .93 1922.4
SGL TINT N 16.2 51. 5 .93 779.4
SGL TINT N 16.2 51.5 .91 756.0
E 16.19 82.2 1330.8 SGL TINT E 16.2 107.1 .88 1521.9
S 9.86 82.2 810.5 SGL TINT S 9.9 98.3 .81 788.6
W 83.73 82.2 6882.6 SGL TINT W 13.0 107.1 .84 1175.9
SGL TINT W 13.0 107.1 .84 1175.9
SGL TINT W 13.0 107.1 .84 1175.9
SGL TINT W 13.0 107.1 .84 1175.9
SGL TINT W 13.0 107.1 .84 1175.9
SGL TINT W 18.7 107.1 .84 1688.4
-------------------------------------------------------------------------------
.15 X CONDo FLOOR I TOTAL GLASS = ADJ. X GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
1,436.00
182.36
1.181
14,989.99
17,705.88 I
13/336.37
===============================================================================
NON GLASS---------___ I
AREA X BSPM = POINTS TYPE
-------------------------------------------------------------------------------
R-VALUE
AREA X SPM = POINTS
WALLS----------______
Ext 898.4 1.0 898.4
Adj 230'.4 .7 161. 3
Ext NormWtBlock In 5.0
Adj Wood Frame 11.0
898.4
230.4
1.00
.70
898.4
161.3
DOORS---------_______
Ext 20.0 4.8
Adj 17.6 1.6
96.0
28.2
Ext Insulated
Adj Wood
20.0
17.6
4.80
2.40
96.0
42.2
CEILINGS-------______
UA 1436.0 .6 861.6
Under Attic
22.0 1436.0
.90
1292.4
FLOORS---------______
SIb 168.6 -31.8 -5361.5
Slab-on-Grade
.0
168.6 -31.90 -5378.3
INFILTRATION-----____
1436.0 10.9 15652.4
Practice #2
1436.0 10.90 15652.4
TOTAL SUMMER POINTS I
30/042.28
===============================================================================
TOTAL X
SUM PTS
===============================================================================
26/100.79
SYSTEM =
MULT
COOLING I TOTAL
POINTS COMPON
X CAP X DUCT X SYSTEM X CREDIT = COOLING
RATIO MULT MULT MULT POINTS
-------------------------------------------------------------------------------
30,042.28
.37
11,115.64 I 26/100.79 1.00 1.100
.352
1.000 10/106.23
===============================================================================
*******************************************************************************
' . WINTER CALCUh~TIONS
*~*****************************************************************************
=== BASE === I === AS-BUILT === .
~~i~--~~~-~-;;;;-:- POINTS I
===============================================================================
-------------------------------------------------------------------------------
TYPE
SC ORrEN AREA x WPM x WaF = POINTS
N 72.58 -3.4 -246.8 SGL TINT N 40.2 9.6 1.04 400.4
SGL TINT N 16.2 9.6 1.03 160.6
SGL TINT N 16.2 9.6 1.05 163.6
E 16.19 -3.4 -55.0 SGL TINT E 16.2 -2.0 .34 -11.0
S 9.86 -3.4 -33.5 SGL TINT S 9.9 -10.2 .87 -87.4
W 83.73 -3.4 -284.7 SGL TINT W 13.0 -2.0 .16 -4.1
SGL TINT W 13.0 -2.0 .16 -4.1
SGL TINT W 13.0 -2.0 .16 -4.1
SGL TINT W 13.0 -2.0 .16 -4.1
SGL TINT W 13.0 -2.0 .16 -4.1
SGL TINT W 18.7 -2.0 .16 -5.8
-------------------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
1,436.00
182.36
1.181
-620.02
-732.36 I
600.03
==============================================================================~
NON GLASS------______ I
AREA x BWPM = POINTS TYPE
R-VALUE
AREA x WPM = POINTS
-----------------------------------------------------------------------------..-
WALLS-------_________.
Ext 898.4 1.1 988.3
Adj 230.4 1.8 414.7
DOORS-------_________
Ext 20.0 5.1 102.0
Adj 17.6 4.0 70.4
CEILINGS-----________
UA 1436.0 .6 861.6
Ext NormWtBlock In 5.0
Adj Wood Frame 11.0
898.4
230.4
2.90
1. 80
2605.5
414.7
Ext Insulated
Adj Wood
20.0
17.6
5.10
5.90
102.0
103.8
Under Attic
22.0 1436.0
.90
1292.4
FLOORS------_________
SIb 168.6 -1.9 -320.3
Slab-an-Grade
.0 168.6
2.50
421. 5
INFILTRATION--_______
1436.0 4.1 5887.6
Practice #2
1436.0
4.10
5887.6
TOTAL WINTER POINTS I
7,271. 90
===============================================================================
TOTAL x
WIN PTS
=========================================================:===:=================
SYSTEM =
MULT
11,427.57
-------------------------------------------------------------------------------
HEATING I TOTAL
POINTS COMPON
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
7,271.90 1.10
7,999.09 I 11,427.57 1.00 1.100
.515
1. 000
6,473.72
===============================================================================
*******************************************************************************
" WATER HEATING
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
NUM OF
BEDRMS
========;=======================================================================
x
MULT
=
TOTAL
I TANK VOLUME
EF
TANK
RATIO
x MULT X CREDIT
MULT
= TOTAL
-------------------------------------------------------------------------------
2
3527.0
7,054.00 I
40
.88
1.000 3527.0 1.00
7,054.00
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE ===
COOLING
POINTS +
===============================================================================
=== AS-BUILT ===
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL I COOLING
POINTS POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
-------------------------------------------------------------------------------
11115.6
7999.1
7054.0 26,168.74
10106.2
6473.7
7054.0 23,633.95
===============================================================================
*****************
* EPI = 90.31 *
*****************
.F~r' de~ailed 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== 90.3
o 10 20 30 40 50 60 70 80 90 100
1------------------------------------x--__1
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
ITEM
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS..................... Single Tint
SINGL CLR DBL TINT
I------x-------_______I
INSULATION. . . . . . . . . . . . . . . . . .
Ceiling
R-Value......... 22.0
R-I0 R-30
I------------x----____/
R-O R-7
/--------------x-----_/
R-O R-19
Ix----------__________/
Wall
R-Value......... 5.0
Floor
R-Val ue. . . . . . . . . 0 . 0
AIR CONDITIONER.............
SEER. . . . . . . . . . . . . . . . . . . . . . 9 . 7
10.0 SEER 17.0
/X------______________1
HEATING SySTEM..............
Electric HSPF............ 6.6
6.8 HSPF 12.0
Ix----------__________/
WATER HEATER..... . . . . . . . . . . .
Electric EF.............. 0.88
0.88 0.96
IX-----------------___1
0.54 0.90
1---------------------/
0.40 0.80
1---------------------1
Gas EF.............. 0.00
Solar EF..............
OTHER FEATURES..............
.................. ... .......
I certify that these energy saving
Energy Code have been installed in thi
Q.p .~ Build
Address: 5C!z6'l ~ OO"A'"KDJI_. Si
~i~~{~~p~~e<L~ BUilding Construction _ 1993
Florida Department of Community Affairs
Da te : o/-r' Z' ~
FL-EPL CARD93
OWNER -SDY\~ '\ -S~\ \..::>Q~',
JOB LOCATION 6<=\0'1 . G--~'v:L<..)\..lV~"' WLS>"cl<-L00u~
pARCEL I.D. # JO-~to.d-.\- O\.:;}O.'OCOOO" OS\O
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
~~
UTILITY BUILDINGS
~\US'l' S\\O\~ G17,\'\ ~,
FOUNDATION INFOR-
HATION.
10'
l
\~::~~~
5'0
j\i
~V,~ iiV'
fjJr!
FRONT PRO ERTY
~s~_
\ 2, SETBACKS FOR R3
60'
T I 10
I 10'
110'
\
1
(NOTE EXAHPI~ES 1 & 2)
STRE Err
1, SETBACKS FOR Rl, R2 ZONING
60'
, 10'
10'
~T~
o I
? S
o T
S I
E N
D G
10'
20'
FRONT PROPERTY LINE
"~:lJIf'"";J;~4"~~~"r,I"~'NIU.~'ll''';'\lo:.Io::.;r-..'If'..';ll.t,~;;:;~~t~;IO, "~>';"'" ,',"_~;_.'/~''':'.'' ,.
9'7
ZONING
EXISTING
PROPOSED
I
I 10'
30' DUPLEX
20'SGL FAH
FRONT PROPERTY LINE
11 C'
1-' I
I i
I
~
RYMAN CONSTRUCTION
5907 GREEN BERRY
SQ. FEET PRICE
MAIN OR LIVING AREA 1 ,436 $ 40.00
OTHER AREA UNDER ROOF 466 $ 15.00
OTHER - $ 0.85
VALUATION $ 64,430.00
FEE SHEET $ 330.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 475.00
ELECTRICAL: $ 78.68
PLUMBING: $ 60.00
MECHANICAL: $ 35_00
RADON: $ 19.02
CREDIT: $ 60.00
TOTAL $ 667.70
SEWER: $ 1,278.00
WATER: $ 350.00
TOTAL: $ 1,628.00
3/4" WATER METER:r $
180.00 I
TIF'S'I
99% $
1% $
TOTAL: $ 2,475.70
.:'4"'
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liST.
Notice of Commencement
Tax Folio No.
/1111111111111111 11111 111111111I11111111I111111111
98103464
STAiE OF
,
COiJ~TY OF PASCO
.
L -- ~
tHE'\JNDERSIGNED hereby gives notice that improvements will be made to
. c~~1"eal property, and in accordance with Chapter 713, Florida Statues, the
. foll"'"'l,g information is provided in this Notice of Commencement. ..
l'~-"eSCrlPtion of Property
(legal description of property, and street addresaif available)
5907 GREENBERRY LANE
ZEPHYRHILLS FL 33541
, This 8188 reserved for Recording Purposes only
LOT 51, WEDGEWOOD MANOR PHASE I . II, AS PER MAP OR PLAT THEREOF RECORDED IN
PLAT BOOK 27, PAGES 11 .14, INCLUSIVE, PUBUC RECORDS OF PASCO COUNTY,
FLORIDA, LESS AND EXCEPT THE NORTH 5 FEET THEREOF.
FLORIDA
Rcpt: 264216
00: 8.00
88/26/98
Rec:
IT:
6.08
0.88
Dpty Clerk
JED PITTMAN, PASCO COUNTY CLERK
08/26/98 03:29p. 1 of 1
OR BK 3995 P6 476
2. . General Description of Improvements CONSTRUCTION OF A SINGLE FAMILY DWELLING
2 BEDROOMS, 2 BATHS, ENCLOSED PORCH WITH VINYL WINDOws, COVERED ENTRY,
2 CAR GARAGE.
3. Owner Information
a. Name and address JOHN L LEECH, SR.
JANET E. LEECH
909 CULVER LANE
VIRGINIA BEACH, VA 23454
b. Interest in property FEE SIMPLE
c. Name and address of fee simple titleholder (if other than owner)
t'
4.
.}
.1
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...J
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U
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Contractor (name and address) RYMAN CONSTRUCTION, INC.
37325 STATE ROAD 54 W., ZEPHYRHILLS, FL 33541
a. Phone number (813) 782-0&25 b. FAX number (optional, if service by FAX is acceptable)
Surety
a. Name and address NI A
b. Phone number
d. Amount of bond $
N/A
NIA
c. FAX number (optional, if service by FAX is acceptable)
-
.>-6. Lender Information
'"6 a. Name and address
,....,
-,
I -
b. Phone number
d., Designated contact
SUNTRUST BANK, NATURE COAST
P. O. BOX 156, BROOKSVlLLE, FLORIDA 34605-G156
(352)-796-5151 c. FAX number (optional, if service by FAX is acceptable)
BARBARA NOWLIN
1,/\ :J
-,
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7, Florida Satutes (name and address)
a. Phone number b. FAX number (optional, if service by FAX is acceptable)
8. In addition to himself, Owner designates BARBARA NOWLIN
of SUNTRUST BANK, NATURE COAST, A FLORIDA BANKING CORPORATION to receive a copy of the Uenor's Notice as provided
in Section 713.(1)(b), Florida Statutes.
a. Phone number (352) 796-5151 b. FAX number (optional, if service by FAX is acceptable)
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). Other expiration date
STATE OF FLORIDA
COUNTY OF PASCO
~cJ. ~ <~:f3-e .;- ~
Si re of Owner
J N L LEECH. SR.
Owner's Name (must be typed)
Notary Public A / .--./1/')
Signature :b~~
. SUSAN A. MORROW
Print or Type Name
~,
Sworn to and subscribed befr>m mEl, by the Owner who
ersonally known t me.::lr ~'V110 produced
. I
identification, this
19~
My Commision
Expires
[~' A -(
... : ;,.r"
. ~ LT i,
SLJ~)f.N A. MORROW
I NDtary Publoc ,.,,[ of' 'cr:da
My C'liwn. [q)l\...~,: c.; 1;, ;"!
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PASCO COUNTY, FLORIDA
Permit No.
Date Permitted _
Builder Name/Owner Name
County Parcel No.
Location
_____ Suhd.
Classification/Type of Use
I
,.
TRANSPORT A TION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. FUUnit
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
I
Gross Sq. FL (GSF)
Rate/ERU - 52.00/Year
or $0. I 42/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 $
TOT AL 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
Bldg/lnsp
feecal:ce
PC931130941
u APPLICATION FOR PERMIT
CITY OF ZEPHYRHlLLS
BUILDING DEPARTMENT
~ J
IJ fLY "4r & 'S~ /1y'
\J q/,~
,\'
OWNER'S NAME -SD ~r-:J \:-s-~~\. ~ec:...\:'
OWNER'S ADDRESSQ.OC\. ~ ~A~- lJl~il'\J~
JOB <ADDRESS ,E,9() ~ G-e.=N ~ 5
LEGAL DESCRIPTION: l.OT(S) Eo I. BLOCI\ SUBDIVISION \ J .. ~<:l..)O()~
PARCEL 1. D. # l (J - ':) ~ ' ..~, - 0 \ Q D 'bQOCO - 0 5 t 0 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED: ~ew Construction ----Addition ----"lteration ----Repair ____Install
PHONE B B --Q8,.
~- VA--2~YS4
.'.1
. ~~\11i
L
_Sign
, PROPOSED USE: X:-ingle Family
---..Hove _Demolish
---..HIF _, of Units _M/H
ComIIlercial
- "
_lndust. _Swim. Pool _Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK:~ ~~
BUILDING SIZE:?:>7 xto~, \qo~square Feet, 8 Height
RESIDENTIAL:
COMMERCIAL :
ATl'ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATl'ACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTEQ
_BUILDING
$ ry S, ODO
/
f).oo
$;)7X:>O
Valuation of Total Construction
_BLEC'l'RIGAL
_HECHAlUCAL
AMP Service
Florida Power Corp.
KW.R.E.C.
Valuation of Mechanical Installation
____PLUMBING GAS ROOFING SPECIALTY
TYPE OF CONSTRUCTION: -Block kFraae _Steel Other
FIRISHED FLOOR ELEvAnONS: <;( S- FT. IS PROJ~CT IN FLOOD ZONE AREA '1
******************************************
YES
~
NO
:;.': :'~:-
'1-:
~ONTRACTOR SECTIO<<
COMPANY RYMAN CONSTRtJCT'H)N. JNC.
State Cert. or Regist. I- CBC 035134
City License Registration' 274
*****************************************
'EIJ!CTRT~ .. ,. / -~ COMPANY f1\~-h oJ ~l
:':~73tt ~......~..m~:~~;;~::::;!:~;:i~;: .
c.---
~
~-
1>LUMBE& C1 COMPANY~IV\ if
J / ()/) \. ~ State Cert. or Regist. ,
Signature - e ~A.,lA t(/~~ City License Registration 41
******************************************
HECHANTCA~l.1 Q COMPANY B~",,,-< q:>.ieP"'ol~~ ......, fl../<Z.
. . - n , State Cert. or Regist. II ~A-g, 6q3~4B
Signatur .)--- ~~ City License Registration I 19
*********~******************************** ' .
.~: !mmR~ COMPANY RYMAN, CONSTRUCTION, INC.
;~~t . ", '- ' State Cert. or Regist. URC- 0061648
1;,~!.Signat, City License Registration 0 58
~I~;'c' ****************************** * *********
..~ I,
~fi~~t,
APPLICATION APPROVED BY PER!{[T OFFICER.
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peI'lit lay be subject to "deed restrictions II which lay be lore restrictive than City
regulations. The undersigned assUles responsibility for. compliance with any appiicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the,owner has hired 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 lay be .
cited for a lisdeleanor violation under state law. If the owner or intended contractor are .uncertain as to what licensing:
requirements lay apply for the intended work, they are adrised to contact the City of Zephyrhills Building Department, (813)
~ 788-6611.
,_';Further.llore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions'6f+the:,:. '.
. "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor, ..:
you are indicating that you, rather than the contractor r are responsible for the work. If the contracto~ wishes you'tci /sfgn
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting priVileges in the
City of Zephyrhills. .
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of IIFlorida's Construction Lien Law _ HOIeowner's Protection
Guide" p~epared by the FI2J:ida Departllent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
1I00merll, I certify that [have obtained a copy of the above described docUlent and prolise iogood faith to deliver it to the.
1I0wnerll prior to couenCl!1lent.
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 developlent.
L,1
Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work orte.' "
installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet 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 ~overnJental agencies lay apply to tbe intended work, and that it is
~y 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 nayheads, Wetland Areas and EnVironmentally Sensitive Lands,
Water/Wastewater TreatJent
~ Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
~ Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
~ DepartJent of Health & Rehabilitative Servicaq, EnvirODl~'tal Health Unit - Wells, Wastewater Yreablent, Septic Tanks
~ US Environmental Protection Agency - Asbestos abateaent
I also certify that, if fill laterial is to be used in Flood Zone "All or "A,etc.", it is understood that a drainage plan.
addressing a IIcOJpensating volute" will be subJitted 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 alterl~pr
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frOJ tbereafte~ _
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall become invalid
unless the work authorized by such permit is commenced within six lonths of issuance, or if work authorized by the permit is
suspended or abandoned for a period of six IOnths after the tile the work is cOlllenced. One 90 day extension of tile, laY 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 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 COHHENCRKBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVRHKNTS TO YOUR
PROPERTY. IF OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NptIcg OF
COMMEN T. JOBS UNDER $2, 00 IN VALUE DO NOT NEED TO RECORD AND POST" OF COMMENCEMENT".
-e-~
who s. personally
produced ...-
as identificat'
take an oath
STATE OF FLORIDA
COUlflY OF
STATE OF FLORIDA
COUNTY OF
The foregOing inst
before me this
r~
(Signature
(Nam~ Tyoed, Printed or Stamped)
P. ......I\y PfI#
NOTARY UBLIIC.6. ".-.. BOBBIE J BURKE
~~~ MYCo~~nCC~71
'" ~ Expires Mar. 31, 2000
~ ~
I-t Of f\.\)~
(Signature)
(~~~~~~~LI~r;~~ S~,'~~1
~ ~ . ~ Expires Mar. -91;'2000
""t Of f\.O~~ -
t war. acknouledged
, 19~ by
has
-
~
who is personallY-kno
produced --
as identification
take an oq,tb.