HomeMy WebLinkAbout98-8131
BUILDING PE,RMIT
ELECTRICAL
PLUMBING
3D. au
MECHANICAL
8131
Date II J~() /qg
I I
Sewer Conn I ( :r1-[?c)o
Water Conn: ::S:,5'a.00
Water Meter: I ~o. 00
3 ~J,5 0
( _"J..~ZJl))
bAP ~1.So
BUILDING
1J9z.
CITY OF ZEPHYRHILLS
(813) 788.6611
5 Z. 5"0
Permit
::::,~:~.'G~ ~f?t#1J/<1~1!:~
Parcell.D. # 0 3-.26 -.i 1- c) dol () - ouiJO CJ -- 0 tP3 0
Zoning: Energy Code: Radon Gas: 9-- 1-0
Descriotion of Work IV-RMJ &~ 'Fa ~f c.U..IJf -e 1P:f
~CXAf ~.A_ ~..~-~q \ ..z.5? A~,
T,I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans. Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
;;ld1'd-.
Permit Fee ~g-lo
~nature V:. ~
Company
Address
~phone#
Valuation or
Contract Price
41, QUD
.
BUILDING
Ftr, p../J /9 r & :1/
Pre SLB II, cd '1 <1 6 d I
,
Lintel
FRM. S-/,/qq I, .//
,
Insul. CL
WL
:;-~ 1~39t3
t:'.AA4{ ~ (tkw /hAil S,Qu tJL~
It/I." / t, /1 0
ELECTRiCAL PLU~BING MECHANICAL
Tp, S."" Sla 1). 12 ~~ Jk~4J,,'.'k.'S
Rough In 5- 3.. q if 12t.. ~ Tub Se~ . S /, '7 q t; Ducts Insl. S - 3- q 9 12l..f:6
Meter Can Water Compressor
Const. Pole Sewer Final
Pool Final
Pre-Mete~-h""Cf9 12"=f1
Final
foo-w l.;J P../J./91 (i(
~:T.I)I~
Driveway
'..If 5~:1t) ~jl!1/9t ~
~ r~~,,^,,~"'j ~!ro~ ~/ll
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25,001 shall be made for each trip for each trade:
a, Wrong Address ~ oJa;;Jj ~
b. Con~emned work. resulting from faulty. constr~ction. I :- /I . ~ nd , II h /lfq r/
c. Repairs or corrections not made when Inspection called. ~ {c.-v d
d. Work not ready for inspection when called. "
e. Permit not posted on job site. ~. a I
f. Plans not at job site. .v... Ij - 7
g. Work not accessible. " a If
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
W.F.C. Engineering, Inc.
14918 Knotty Pine Place. Tampa, Florida 33625 . (813) 264-7650 . Fax: (813) 908-3396
April 26, 1999
Mr. Bill Burgess
Building Official
City of Zephyrhills
5335 Eighth Street
Zephyrhills, Fla. 33540
Re: Silver Oaks Villages Cottages A & B
Dear Mr. Burgess:
Please let this letter serve as an addendum to my approval of the residential house
plans for the above referenced location.
I have met with Mr. Pete Richter, contractor for the tmits which are under
construction, to resolve a field problem with the wall studs.
The roof tnlsses are spaced 24" O. C. and the 2x4 wall studs are at 16" O. C.
Each roof truss is attached to the top plate with a hurricane anchor.
I am requesting approval for the wall studs to be attached to both the top plate and
bottom plate with a SEMCO RT 12 Hurricane anchor at 4.0 feet O. C.
I have verified that this "'\\rill provide sufficient uplift connection along with the wall
sheathing which is atached to the studs.
Please accept this signed and sealed letter as evidence of my review and request to
change this part of the house plans.
Thank you for your assistence in this matter.
J~4 (Vit
William F. Carter, P. E.
President
WALK IN
INSPECTION REQUEST
TODAY'S DATE:
PERMIT # :
TYPE OF
INSPECTION:
DA TE OF
INSPECTION:
71/3/
fLu. Jf/t h, ~j) bReI lit s/~c-
I3LJ4 Ft/lleJ
SIGNATURE: ~~ M.
J ,,~ \}\ Iff ~~
,~~
~ _' \\\ 0\ '\X . .
\~\}\))-
RESIDENTIAL
C?CKLIST FOR NEW CONSTRUCTION PE~TT,ING ~
~ Application completed in its ENTIRETY. _J fJ()J1JJ/'- S tkf
Notice of Commencement certified copy - ~d.. fllL~ -t-o ~
/
Check if contractors and subs are currently registered.
~Florida Energy Efficiency Form completed.
\/ Plot Plan.
~
Property
Su~y, - IiWNfuJ h~cM ~ 91 Q f O/A {;ll
~ TWO SETS of Engineered Building Prints with electrical, plumbing &
mechanical diagrams.
Home~ check for proper "Homeowner's Affidavit" form.
~SubdiViSion Design Review Compliance Letter
--L'R-O-W Use Permit ,-- ~~ lfu~ CJQ.~'Jli1iJ. Uz^-
Giv~tion Certificate, if applicable.
Verify Water & Sewer Service.
-U1~
, ,
CbL+ irt LhW
L
Plans Review Fee ($.03/sq. ft - $15
Amount Paid $
&S.oD
"~
Date
min) .
~
Received by:
Department o~ Community Affairs SN: 6096
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential com/onent Prescriptive Method A CENTRAL
PROJECT N~ME: Camp Cottage BUILDER: Owner /
AND ADD~ESS: PERMITTING CLIMATE VI
OFFICE: Pasco ZONE: 41_1 51_1 61_1
OWNER: Camp Cottage PERMIT NO. JURISDICTION NO.
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: 2. Wood frame (Insulation R-value)
II.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
l2.Air distribution syst~s
a. Ducts (Insulation + Location)
IJ.Cooling system
14.Heating System:
IS.Hot water system:
I6.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-Wh6le house fan, RB-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As_Built points
b. Total Base points
1.
2.
3.
4.
5. 795.00
6. 1. 00
7. 6.00
Single Pane
8a.143.0sqft
8b. O. Osqft
JK
--T
()
TrT
~/
New Construction
Single-Family
o
V'
Double Pane /
O.OOsqft v
O.OOsqft c.7
L
9a.R= 0.00 , 148.00 ft
"
10a-2 R=11.00, 1016.00sqft~
11a.R=30.00 , 939.00sqft ~
12a. R= 6.00 , uncond *
13. Type: Central AIC
SEER: 10.00 ~
14. Type: Natural Gas -V-
AFUE: 0.80 7/
15. Type: Natural G ~/
EF: 0.66
16. -1L-
17. 1 tI
18. CV V-
19. 88.39 /
19a. 15438.70 j.. .-
19b. 17466.99 -:T-
----------------------~-----------~----------~---------------------------------
---------------------------------------~----------------~---~~~----------------
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 a~cordance 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 Energy C9
.
PREPARED BY:
DATE:
I hereb~ certify that this building is
in compliance with the Florida Energy
Code. ~~ ~ ;!~
~ ~~~~--
'~
BUILDING OFFICIAL:
DATE:
.
*~ ,INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST **
__~__~m_=__=_____=_______________________=____===~=Z==~=___=____=_aa_=_========
COMPONENTS
SECTION
========~=:====================================================================
PRACTICE #1 606.1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES.
REQUIREMENTS FOR EACa PRACTICE
CHECK
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 be 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 minimqm thermal
efficiency of 78 percent.
------------------------------~---~--------------------------------------------
Shower Heads
612.1
Water flow must be restricted to no more than 3 gal-
lons per minute at 80 PSIG.
-------------------------------------------------------------------------------
610.1 All ducts, fittings, mechanical equipmertt 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 Duct
Construction
Insulation &
Installation
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-l1 or
CBS R-3 both sides. Common ceiling & floors R-11.
-----------------~-------------------------------------------------.-----------
*******~***********************************************************************
SUMMER CALCULATIONS
*******************************************************************************
. === BASE ===
=== AS-BUILT ===
========~====-=====================================~==-=====-~-==========~.====
g~~~--~;~-~-~~;~-:- POINTS I
TYPE
SC ORIEN AREA x SPM x SOF = POINTS
-~-----------------------------------------------------------------------------
N 45.00 82.2 3699.0 SGL CLR N 15.0 51.0 .70 533.0
SGL CLR N 15.0 51.0 .70 533.0
SGL CLR N 15.0 51.0 .70 533.0
E 30.00 82.2 2466.0 SGL CLR E 15.0 109.2 .93 1526.4
SGL CLR E 15.0 109.2 .93 1526.4
S 30.00 82.2 2466.0 SGL CLR S 15.0 100.2 1.00 1503.0
SGL CLR' S 15.0 100.2 1.00 1503.0
W 38.00 82.2 3123.6 SGL CLR W 15.0 109.2 .93 1526.4
SGL CLR W 15.0 109.2 .93 1526.4
SGL CLR W 8.0 109.2 1.00 873.6
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
795.00
143.00
.834
11,754.60
9,802.35 I
11,584.25
===============================================================================
NON GLASS------------ , I
AREA x BSPM = POINTS TYPE
R-VALUE
AREA x SPM = POINTS
--~----------------------------------------------------------------------------
WALLS----------------
Ext 1016.0 1.0 1016.0 Ext Wood Frame 11.0 1016.0 1.90 1930.4
DOORS----------------
Ext 25.0 4.8 120.0 Ext Insulated 5.0 4.80 24.0
Ext Insulated 20.0 4.80 96.0
CEILINGS-------------
UA 795.0 .6 477.0 Under Attic 30.0 939.0 .60 563.4
FLOORS---------------
SIb 148.0 -31. 8 -4706.4 Slab-on-Grade .0 148.0 -31.90 -4721.2
INFILTRATION---------
795.0 10.9 8665.5 Practice #1 795.0 13.80 10971. 0
======================================-========================~===============
TOTAL SUMMER POINTS I
15,374.45
20,447.85
===============================================================================
TOTAL x
SUM PTS
SYSTEM =
MULT
COOLING I TOTAL
POINTS COMPON
x CAP x DUCT x SrSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
--------------------------------------------------------------------------~----
15,374.45
.37
5,688.55 I 20,447.85 1.00 1.070
.340
.950
7,066.98
===============================================================================
*******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
.
. === BASE ===
=== AS-BUILT =a=
=====================================================~=======a_================
~~::--~;~-~~;;~;-:- POINTS I
TYPE
SC ORIEN AREA X WPM x WOF = POINTS
-------~-----------------------------------------------------------------------
N 45.00 -3.4 -153.0 SGL CLR N 15.0 9.6 1.20 172.2
SGL CLR N 15.0 9.6 1.20 172.2
SGL CLR N 15.0 9.6 1.20 172.2
E 30.00 -3.4 -102.0 SGL CLR E 15.0 -2.2 .63 -20.6
SGL CLR E 15.0 -2.2 .63 -20.6
S 30.00 -3.4 -102.0 SGL CLR S 15.0 -10.9 1.00 -163.5
SGL CLR S 15.0 -10.9 1.00 -163.5
W 38.00 . -3.4 -129.2 SGL CLR W 15.0 -2.2 .63 -20.6
SGL CLR W 15.0 -2.2 .63 -20.6
SGL CLR W 8.0 -2.2 1.00 -17.6
------------------------------------------------------------------~------------
.15 x COND. FLOOR / TOTAL GLASS - ADJ. x GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
'795.00
143.00
.834
-486.20
-405.45 I
89.31
==========~================z====~~==========================.~=================
NON GLASS------------ I
AREA x BWPM = POINTS TYPE
R-VALUE
AREA x WPM = POINTS
-------------------------------------------------------------------------------
WALLS----------------
Ext 1016.0 1.1 1117.6 Ext Wood Frame 11.0 1016.0 2.00 2032.0
DOORS----------------
Ext 25.0 5.1 127.5 Ext Insulated 5.0 5.10 25.5
Ext Insulated 20.0 5.10 102.0
CEILINGS-------------
UA 795.0 .6 477.0 Under Attic 30.0 939.0 .60 563.4
FLOORS---------------
SIb 148.0 ;..1.9 -281.2 Slab-on-Grade .0 148.0 2.50 370.0
INFILTRATION---------
795.0 4.1 3259.5 Practice #1 795.0 6.20 4929.0
===============================================================================
TOTAL WINTER POINTS I .
., 4,294.95 8,111.21
============================_==========~======================c================
TOTAL x SYSTEM = HEATING I TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING
WIN PTS MULT POINTS COMPON' RATIO MULT MULT MULT POINTS
-----------------------~-------------------------------------------------------
4,294.95 1.10
4,724.45 I 8,111.21 1.00 1.070
1. 000
.518
4,495.72
==================================================~======================~=====
.
****************************************************************************~**
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
40
.66
1. 000
1938.0
1.00
3,876.00
____===___~==__==_=____=____===___==_=_====a_=====__=====-===-_=========-======
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE === I === AS-BUILT ===
===~~==========================================================================
COOLING
POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL I COOLING
POINTS POINTS +
HEATING
POINTS
HOT WATER
+ POn~TS =
TOTAL
POINTS
-------------------------------------------------------------------------------
5688.5
4724.4
7054.0
17,466.99 I
7067.0
4495.7
3876.0
15,438.70
===============================================================================
*****************
* EPI = 88.39 *
*****************
ENERGY GUIDE
For detailed information
of the EPI rating number
or for any. ITEM listed"
ask your Builder for
DCA Form 600A-'93
or Form 60QB~93
EPI= 88.4
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. . . . . . . . . . . . . . . . . .
Wall
R-Value......... 11.0
R-10 R-30
I--------------------xl
R-O R-7
I--------------------xl
R-O R-19
Ix--------------------I
Ceiling
R-Value......... 30.0
Floor
R-Value......... 0.0
AIR CONDITIONER.............
SEER/EER.................. 10.0
10.0 SEER 17.0
Ix--------------------I
9.7 EER 16.0
HEATING SySTEM..............
Electric COP/HSPF........ 0.0
6.8 HSPF 12.0
1---------------------1
0.78 AFUE 0.90
I---x-----------------I
Gas AFUE.........~.. 0.80
WATER HEATER... ,. . . . . . . . . . . . .
Solar EF..............
0.88 0.96
1---------------------1
0.54 0.90
I------X--------------I
0.40 0.80
I--------~--~---------I
Electric EF.............. 0.00
Gas EF.............. 0.66
OTHER FEATURES..............
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
Address:
Builder
Signature:
Date:
City/Zip
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs
FL-EPL CARD93
PETE RICHTER CON ST.
6230 ABBOTT STATION DR.
SQ. FEET PRICE
MAIN OR LIVING AREA 806 $ 40.00
OTHER AREA UNDER ROOF 164 $ 15.00
OTHER
VALUATION $ 34,700.00
FEE SHEET $ 195.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 332.50
CREDIT: $ 25.00
BUILDING LESS CREDIT: $ 307.50
ELECTRICAL: $ 73.92
PLUMBING: $ 52.50
MECHANtCAL: $ 30.00
RADON: $ 9.70
TOTAL $ 473.62
SEWER: $ 1,278.00
WATER: $ 350.00
TOTAL: $ 1,628.00
3/4" WATER METER:l $
180.00 I
T IF 's r
99% $
1% $
TOTAL: $ 2,281.621
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
III ~ ~
8-S -0 Q
OWNER'S NAME S 1'Y1 IJ 4 (~~ -II/c <.:1 ?If<) V~._
JOB ADDR~~?o ~ 3~~ (Jfliue
LEGAL DESCRIPTION: LOT(S)
((7 3
o 3 - z...." -2.../ -- (; 62i" .-0 QUI.) 0
~CONSTRUCTION o ADDITION
PHONE 78 if - ;;.2 S-' 7
5/ /ve r- ()(]',Kr L/( !lct;,~
BLOCK
SUBDIVISION
bG~()
- ~ (OBTAIN FROM PROPERTY TAX NOTICE)
PARCEL 10 #
WORK PROPSED:
OALTERATION
o REPAIR
o INSTALL
Os I GN
PROPOSED USE: ~ FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLI SH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
BUILDING SIZE
Cu ffq Cj e-
/,
SQUARE FOOTAGE c; 1 0 ({.~1.j;,r;( HEIGHT / & /
?JOb L (v,~A-kEA
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLAN~ & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
/
Iv t: (.(,.)
,:2
be.r:lrccht.
/OIT/I,
-I'r'" hl c:::.. -
DESCRIPTION OF WORK
';1\ )!~ g < k i.
RESIDENTIAL:
COMMERCIAL:
PERMITS REQUESTED
u;YBUILDING
~LECTRICAL
[J'" p)uMBING
~ECHANICAL $
o GAS ~~FING
$
~( OCiU
I
/00
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
~LORIDA POWER
o
W.R.E.C.
/ l' CO -
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
~RAME
o STEEL
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
SIGNATURE
{?dO!!/~t~ -
COMPANyJ}.fcrJ R(c-~fer . ~~S: (l8rJ+,
STATE CERT OR REGI ST # Kif 0 0 L/ '-I ~ / X
CITY PROCESSING # ZOq2....-
BUILDER
ELECTlUC~ ~~ COMPANY ,r-I,..;:,f L~~1'5
STATE CERT OR REGIST #
SIGNATURE U-L~... . .. . . CITY PROCESSING # /'f?
******************************************************************
******************************************************************
CftCf
PLUMBER
(lk-;t;~ u
COMPANY LI(~/<:: 6/f-1{ ~7iitf, :u G
STATE CERT OR REGIST # Foe'!. .
CITY PROCESSING # /6,
SIGNATURE
******************************************************************
MECHANICAL' COMPANY 50 uTtllZ-J''4- Cu ",,-,+-cJl'--T ~
--.f/ .~ / STATE CERT OR REGIST # L" In 0 C' C) ('7 0 ~
SIGNATURE J~ 4.~~~ CITY PROCESSING # 110
OTRZR I?~iifid;c+'
SIGNATURE ,. , , .
*****************************************************************
') . ..' L !
COMPANY hh-t, I L- ,/~.~/} 6h-t.:t '
STATE CERT OR' REGIST # L' ~ (.) C { 't 51 J
CITY PROCESSING # ;<, u 12-
*****************************************************************
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 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, i.f fill m2terial is to be used in Flood Zo~e "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'
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~~
SIGNAT : NER OR AGENT
STATE OF FLORIDAO.4.s
COUNTY OF r. GO
The foregoing instrument was acknowledged
Be~~ me this lil:fL- day of Nou~mbill, 19$
by (\(I~ .s I'Y'\H-h
NO_ (name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type
id not
of identification)
take an oath.
Name m print~~~a!JlP~ci
:*': :... IIV COMP.ISSION , CC681123 EXPIRES
~:. ...i1i July 14. 2001
.~...~~.- BONllE01llRlITROYFAlNIHSUIIAHCE tflC,
4?fuH" ,
STATE OF FLORIDA 't:1.sw
COUNTY OF r' _
The foregoing i?:~fument wai~ack~wledge~~
Beforenme this t:!J day of Il-YUPtrl 'P, 19 ~
by r!cl€ k>. ILi c.h.J.eL
~ (name of person acknowledged)
~ho is personally known to me, or
Dwho has produced
(type of identification)
and who Ddid ~id not take an oath
f:::2.(l "'" '('<\ . ~ 0 kJ
Signature of pers taking acknowledgment
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Sll VER OAKS VILLAGE
CAWI/ LOTS 63-68
ZEPHYRHlLS, R.ORDA
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PASCO COUNTY, FLORIDA
Permit No.
,,""""" J
'" f
,I' f
Date Permitted
! I
J
;: / ' .J
Builder Name/Owner Name I ,
County Parcel No.
.:1 ,j "'''"-~o'
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AddresslLocation
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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)
Rate/ERU - 52.00/Year
or $0. I 42/Oay
ERU Assign No.
Assessment - (No. Units) x ($0.142)
x (No. Days)
Assessment -
(GSFLx (ERU) x (0.142) x (No. Days)
100
TOTAL FEE $
TOTAL FEE $
The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197,
as commended.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF
OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowiedgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the huilding 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
PC93113094/C