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Home My WebLink About99-8914 Property Owner: L~ +- w~ l 5 +/'" ,"'\ Job Address: 5 ~ ol Ie. s k: ,. ~ Df ~ Parcell.Do # 10- Jb-" 1,- 012..0" {)OOvo.- o?1o Zoning: Energy Code: Radon Gas: DescriPtion of Work ~. ''''5 /" ~~' / Y Dwell," /'\~ Jre'~.r IllbltJo Le4 ""e.~St::i~~ ~'" St...~("If? BUILDING PERMIT 8914 CITY OF ZEPHYRHILLS Permit (813) 788-6611 DOl, 7/s(Jln 60. ~(c. ~ ..> ./ J 2 ..., ? <;!it-, PLUMBING MECHANICAL Sewer Conn t ( 7 r:1"') I O.JO!. Water Conn: ~ ~, Water Meter: I 8 D. 0-9 TI.F.'s: E'XE",t?? 1>( 47,.09 BUILDING '8D.~ ELECTRICAL 16,'!l Mot!JN!. ~ c..orrlv- 2: 30 'fo NO OCCUPANCY BEFORE C.O. FINAL 2-11-- 0 Inspector Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances, P~'m;l Fee~j "!.1 Signature' t Ot Company Address Telephone# fk)~.~;J Valuation or ~ '"' 02 Contract Price _ ) f J I.' 0 , City License Registration # J 7 Y State Certified License# '7?J--rtrOt 5' (? G ~/)- 6-.q 5 A(c MECHANICAL 17 ((tj ~U't -1 0,... S~ , BUILDING JV)Cd),' '" E (~<- ELECTRICAL 17 [)e-.'),., ; S W." if,' 4.... j PLUMBING (~ 20 SLB It:) -1L(- '19 ~ Tub Set :..-11- JI~ ~ If ~ Il..L.. :::Z~hL Breakers Ducts Inslodl4h ~ 9'1 ~) Compressor Final Tpo Servo ~ Rough In ,-~J'-9 ) Meter Can Const. Pole Pool Pre-Meter /#Zh -~.J' ,e., Final F~8~IO..I,qq ~ Lintel FRM 0 (/1 Z ,2 -q q .13, '-'- Insul. CL WL 1/"Z5./1'9'~ l.L.- Final Driveway /..J!-(})G.$ f ~{L REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 250001 shall be made for each trip for each trade: a, Wrong Address bo Condemned work resulting from faulty construction. II\...! \ n ^ .. C';<J'\{ .,..,t co Repairs or corrections not made when inspection called. V)""t H'">) (J do Work not ready for inspection when called, '1'" of -Z C( dO eo Permit not posted on job site. ..> ".>S \II.. e I 70 f. Plans not at job site. ~, _ . jJ .:fl ./1 /' C ") g. Work not accessible. / J./ ~ ( / The payment of inspection fees shall be made before any further permits will be issue~~ the person owning same. ~~ \ I " o '~.) PERFORMANCE BUSINESS PRODUCTSo INC. 813.710-8008 FAX 813-710,71110 CITY OF ZEPHYRHlllS ZEPHYRHlllS, FLORIDA WATER ACCl. NO. _. OWNER I ~ RENTER V J-1.a l.;", LonsJ- ?7-3Y?? DATE~ol'1 MAILING 37:5 2 5" 5R. 5'-/ k.J Z~kv/t,.~U> t::'(. ?J~ '1/ f -v- '(/ J L' 1\ SERVICE ADDRESS 5' 0 ~ > I D/' f<.. 5 ' ~ e u/ . ~ATER SHUT OFF SERVICE 0 TURN ON SERVICE ~ INSTALL METER ~ READ METER 0 CHECK METER 0 OTHER 0 1i (f ~+~ (VI ~W WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY o SEWER o GARBAGE ~CITY o OUT CITY L Noo OF UNITS - DEPOSIT AMOUNT - AMOUNT LAST BILJ. _ DATE _ MISC. CHARGE Retain white lorm in office at all times. Send pink & yellow forms to Water Service Dept. Waler Service Dept. to sign yellow lorm & return to office, '~ R-1~ (0)S7)'[ u:4" 3q wri-~ "s~ ,.<f',.;t:",(.,t"""'.~I!'-. SQ. FEET PRICE MAIN OR LIVING AREA /olcq ~o ""po OTHER AREA UNDER ROOF ~3Lf 6~ OTHER ~ t./ 1>/0 ~~ J~ I BUILDING: "/75. 00 ELECTRICAL: ~), pC> PLUMBING: ~j':\ '0)'0 (), MECHANICAL: 35,~ I ' <.('7 f-t RADON: /fo'-f~ It; :) 7.). . I j/}/1 CREDIT: puu'-\ T'Gr pL.- ro (0 to, l.f 3 SEWER: St'Mi>tkLb WATER: ) TOTAL: + (P~...'\l RuiS /, 'io'5 ,;:,~ T.I.F',S G/LfJrJ V -V>17}t-- 2, lf7'-f . + 3 CITY OF ZE~HYRHZLLS BUZLDINO DEPARTMENT OWNER ~ ev.,..,.) \6 A 17 ~ '. ~ . JOB LOCATION SBS3 - Y(fl\::~~ ~ ... \ DecYW- 100dS) ... La - 2...~ -:J.. \. - 0 \2.0 - OC:::OQ6 - 0 5 ~ 0 PARCEL I. D, It SHOW AtL EXISTING & PROPOSED STRUCTURES 9IVING DIMENSIONS & SETBACKS, 5\ If. (NOTE EXA.HPLES 1 &. 2 ) STREET 5A~3 1, SETBACKS FOR R1, R2 ZONING 60'- 101 P E R X 0 I I 10' P S 10' 0 T 1 0' S I E ~~ D G 20' FRONT PROPERTY LINE UTILITY BUILDINGS MUST SHOW SIZE &. FOUNDATION INFOR- MATI ON. . t(-t" l ~ t\:3 ~,5 I JV\.6o.JZ --= ...... '715' . I ZOf rRONT PROPERTY LINE 8ct 'Y~l~~... ~-I.J.I@ 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX FRONT PROPERTY LINE T It , J Department of Community Affairs FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM0600A-93 Residential Whole Building Performance Method A CENTRAL PROJECT NAME: MOdel, 1643 - ~UILDER: Ryman Construction Iny AND ADDRESS~ fl:J'\- ~~'1 :\.vi " , o~~~~~'4- at a-p.'I't~~~T~ /4 5/_1 61_/ OWNER:~ ~ "~'" ~ ..-e V('. PERMIT NO. ~q/'f JURISDICTION NO. 6//6t:() ~ 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____ II.Ceiling type area and insulation: a. Under attic (InSUlation R-value) 12.Air distribution systems a. Ducts (InSUlation + Location) 13.Cooling system .' . . . -. , 14.Heating System: 15.Hot 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: 8132 Double Pane O.OOsqft 166.30sqft 9a.R= 0.00 , 155.00 ft lla.R=22.00 , 1090.00sqft____ 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 16. 17. 18. 2 19. 19a. 19b. 89.00 19213.48 21587.71 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- 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 specifications Covered by lation are in complian Florida Energ Co plans and this calcu- h the I hereby certi in complia with Code. building is Floro a Energy OWNEllL1 DATE:'-' ~": BUILDING OFFICIAL: DATE: " . *.~*'************************************************************************** SUMMER CALCULATIONS ******************************************************************************* === BASE === I === AS-BUILT === g~::--~~~-~-;;;;-:- 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 COND. FLOOR / TOTAL GLASS = ADJ. X GLASS = AREA AREA FACTOR POINTS ADJ GLASS POINTS GLASS POINTS ------------------------------------------------------------------------------- .15 1,090.00 166.30 .983 13,669.86 13,439.70 I 8,580.74 ==================---========================================================== NON GLASS-----_______ I AREA X BSPM = POINTS TYPE 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-on-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 =============================================================================== TOTAL x SUM PTS =============================================================================== SYSTEM = MOLT COOLING I TOTAL POINTS COMPeN 18,375.01 =u--=--==========---======----====================7===========================--= ------------------------------------------------------------------------------- 22,163.14 .37 8,200.36 I 18,375.01 1.00 1.100 x CAP x DUCT x SYSTEM x CREDIT = COOLING RATIO MOLT MOLT MOLT POINTS .367 1.000 7,411.25 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ee ce; vel 7/11/91 OWNER'S NAKE ROBERT W. AND GERALDINE G. WALSTROM PHONE ( 8 1 3 ) 788 - 5 41 9 OWNER'S ADDRESS 6309 LARAMIE LOOP ZEPRYRRILLS, FL JOB ADDRESS LOT 39 WEDGEWOOD MANOR ZEPRYRRILLS, FL ,_ S2>~~ ~~ ~ LEGAL DESClUPTIOII: LOT(S) ~'\ BLOCK SUBDIVISlON-Lv (1~1 V,:<""; PARCEL LD.' \b - ZG:, . ~ \ -0\2.0.~ - 0390 (OBTAIN F::~ ;:O~: T NICE) WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install ____Sign ____Move ____Demolish PROPQSED USE: L-S ingle Family ____M/F ----' of Units _M/H ____Commercial ____Indust. _Swim. Pool _Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK:~ ~ BUILDING SIZE: S l\ X SG,. \ ~43 Square Feet~ CC Height 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. ____BUILDING . ~ e&RMrTS REOUESTED 5' 8 J(J() ~ Valuation of Total Construction _ELECTRICAL $ ~ 0 6 AMP Service [)~ $ :JSOO :-- Florida Power Corp. y -.JfECHAlUCAL W.R.E.C. Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block -x-Fr9le ____Steel Other ;x: YES NO PDUSHED FLOOR ELEVATIONS: fr . IS PROJECT IN FLOOD ZONE AREA? ****************************************** CONTRACTOR SECTrO~ COMPANY RYMAN CONSTRUCTION, INC. State Cert. or Regist. * CBC-035134 City License Registration" 274 *********************************** BUILDER "',RCTRICTAIII ~ COMPANY MARTIN ELECTRIC '~:~LJ " ,_ . S~ate ~ert. or Regist. .* ER-0013449 Si ~ ,,( C1t:y L1cense Registrat10n * ****************************************** PLUMBER. COMPANY DENNIS WILLIAMS l:t:c ~~ State Cert. or Regist. # RF-05260 ~ (City License Registration * ****************************************** Signature KE~ICAI.~ COMPANY BARR I S GAS AND Alc ( ~!l :;t ./ State Cert. or Regist. I.cAC-043948 Signature .& "-- l~!2z City License Registration * _ ' ****************************************** 2IIWB COMPANY RYMAN CONSTRUCTION. INr.. State Cert. or Regist. I~C-006164R City License Registration # *******~********************************* APPLICATION PERMIT OFFICER. (;c!.,r,gz/'~~ CONDITIONS OF PERMI'l' AFFIDAVI'l' A. NOTICE OF DEED HES'l'RICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions" which .ay be lOre restrictive than City. regulations. The undersigned assUles respollsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'HAC'I'OH HESPONSIBILl'l'IES 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 lily be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing requireJJents lIay apply for the intended wurk, they are advised to contact the City of ZephyrhiUs Building Deparuent, (813) 788-6611. Furtheraore, if the ONner has J.ired 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 sign 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 lay be an indication that he is not properly licensed and is not entitled to per.Hting priVileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES l ~' D. CONSTRUC'I'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, tho applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection Guide" prepared by the Florida Departlent of ^griculture and ConSUler Affairs. If tbe applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to CODence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with aU applicable laws regulating construction, zoning, and land developlent. I Application is hereby lade to obtain a per.it to do work and instailation as indicated. I certify that no wort or installation has cOllenced prior to issuance of a perlit and that all work will be perfolled to .eet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies lay apply to the intended wort, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not li.ited to: '_. * DepartJent of Environmental Regulation - Cypress Bayheads, Wetland Areas and HnviroDlentally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * De artlent of Health << Rehabilitative Services EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tants * US EnviroDlental Protection Agenc~ - Asbestos abatBlent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "colpensating volUle" will be subllitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. , A p.rait issued sll.11 b. construed to be . lice,s. to proc.ed .ilh the NOrk and not .s .uthority to ,Iol.t., cancel ailer, 0' set aside any provisions of the technical codes, nor shall is~u~nce of a per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code, Every perlit issued shall beCOle invalid u,less tll' aork .utborl..d by such perait is co"',c.d aithi, si, ...tbs of issuance, or If ..rl aotlorlled by tbe perall II suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eztension of tile, tay be allowed for the perlit 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 F^ILURR TO RECORD A NOTICE OF COMMENCEHENT KAY RESULT IN YOUR PAYING twICE FOR IKPROVEKBIrS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RICORDIHG YOUR MOTICi OF COMMENCEMENT. VALUE DO NOT HEED TO RECORD AND POST A "NOTICE ClHln". ~~~~;yO~FFLORI~~~~ The foregOing instr before me thisJ G. ent was a~lowledged , 19--1':+ by who i produced as identification take ~~. 08 (Signature) f and who did/did not oIl:J~ (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ..'6""'" Angela L Helms *.*Mv Commission CC800247 ~....."..~' Expires January 3, 2003 ""~"" Angela L Helms ; " <, 1< ~Ay Commission CC800247 '~'~',J t.xp.res January 3. 2003 , K'7~ 7"S~ Notice of Commencement Building Permit No. Tax Folio No. 11111111111111111111111111111111111111111111111111 99119314 I 'STATE OF r, I:~ COUNTY OF PASCO /Ii'" J: , I :, THE UNDERSIGNED hereby gives notice that improvements will be made to toO', certain real property, and in accordance with Chapter 713, Florida Statues, the ' ~~ following information is provided in this Notice of Commencement. 1. Description of Property t :: .'. @(Iegal description of property, and street address if available) I;: ~.m_HIREDRWE . ~ 'ZEPHYRHILLS FL33541 tv.....-\ ' This 1iI1J. rese1V8d for Recorr:ilng Purposes only , bVLOT 38, EXCEPT THE NORTH 1 FEET THEREOF WEDGEWOOD MANOR PHASE I AND II, AS PER MAP OR PLAT THEREOF RECORDED IN PLAT BOOK 27, PAGES 11.14, INCLUSIVE, PUBLIC ..!C~R!)S Cf PASCO COU~'1"!, !=LORIDA. FLORIDA Rcpt: 359212 DS: 0.00 09/22/99 Rec: IT: 6.00 0.00 DDtv Clerk JED PITTMAN, PASCO COUNTy CLERK 09/22/99 03:29p. lp~f 1607 OR BK 4229 . d .5 _. r.;' l\'~ c.: ~" \ t., 2. ; General Description of Improvements CONSTRUCTION OF A SINGLE FAMILY DWEWNG J' '2 BEDROOMS, 2 BATHS, 2 CAR GARAGE, ENTRY, PATIO -( .' ,~"., ! '-'.-~ ;-~ (,,; ~. !- I ' 3. Owner Information '. a~ Name and address ROBERT W. WALSTROM GERALDINE WALSTROM 8308 LARAMIE LOOP ZEPHYRHILLS, FL 33S4O Interest In property FEE SIMPLE Name and address of fee simple titleholder (if other than owner) Sft,TE OF FLOR!DJ~ T~~{ ~.~~F P"',3{~() \ '~,', .~b. , U'~~';l" I .....,~.' c. -'.E{;,.. .a ." (j) 0: !~W i'~' ~'.,-) (..f':-:..../y ">~i;-! THt~ r{l~l:'EGi:~NG l~: A '!}~;J~.J~.f i'~,[t~< :>f :~,.:C :';(K~7J':;n eN Fllf. v:-' ~>: f.-'j ;;~':kE ?(:>Ai,1 ~;-:~ ~~'::\f::. \~'!:T~ES~~; ~,~'y ~~!~~'.I~',l i':d~;' I'J:i~{;:~~L ):'f~~_ : ~,/~., ,.~..?_,.... D,~Y a;: ""-," ~,----~..., '! ~L JE~' "";;t~ "3::b BY__ ~,_,_ l),C 4. Contractor (name and address) RYMAN CONSTRUCTION, INC. 37321 STATE ROAD 54 W., ZEPHYR HILLS, FL 33541 a. Phone number (813) 782-0821 b. FAX nu",b!!~ (t)pticna!, :f ;oiViC6 by f;..x Is &cceptabie) 5. Surety a. Name and address N/A b. Phone number d. Amount of bond $ N/A N/A c. FAX number (optional, if service by FAX is acceptable) . ' 6. Lender Information a, Name and address b. Phone number d. Designated contact SUNTRUST BANK, NATURE COAST P. O. BOX 118, BROOKSVlLLE, FLORIDA 3480S-01S8 (3S2).7H-S111 c. FAX number (optional, if service by FAX is acceptable) BARBARA NOWLIN ../ /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 SaMes (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 SUNTRUSY BANK, NATURE COAST, A FLORIDA BANKING CORPORAnON to receive a copy of the Uenor's Notice as provided in Section 713.(1){b), Florida Statutes. &. Phone number (3!i2) 7H-GH:1 b. FAX n.:mber (cptional, if sorvice 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 P..oo ;?ckitWI/~ Signature of Owner ROBERT W. WALSTROM Owner's Name (must be typed) Sworn to and subscribed before me, by the Owner who personally known to me or who produced ~ ~ as identification, this 20th day of SEPTEMBER 19H Notary Public Signature (~ Print or Type Name My Commlsion Expires ,l' '"c. SUSAN A, MORROW :; or. Notary PUblic" State 01 Florida Commilllion . CC23.4153 CJ) U) N<t :~~"b ~'I '. :'~ ~~ " , \- ,.. z .,; .'.4'..' "L j'Q,::..,~L,:~ ..i :.:L,.,~.~-, .,.;......~.~.,., fr.: ~. .. '')}"Z' 0" c' '{i.. . ':0", ,', ' ;;;'''''~''''' 'i; ",:' .~'"",> ~., di;';:2:~;' " (I)~ IQ.; ',0 O~ w & ~' 'W .~ ~ " "'~,.; . '. - ',( ~..... ;~ ',-"" :~.w "rn .. ! ,~~ ..,. (\J -- .' ~ IJJ "'~ i ;. ',' '.~ - . . .~.. ~ " ... . , ~ j ~ ~ ~~., (0;)' J1 ,s,-j~" ,,: " I ,.. 1,\]1 .', .j':' - .&: ~: ' ,', '~~;g~f;t~'" 3., ~ ' i ' ,>: i ill ~I~.~ I~ .1 .. ,~ .. I~ ~I "'jLLJ rt) I', ! .~ CD I I (,oj, I ,II I ,It, I ' ~' >.~ i~..;~o"..,.,oo,,,' ,,,. ,^ . ,;:) ~.. 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If 'c~<:l _' ,OflTI' ,~~o I o '00 '!',..--;-09 '60. 0' 0 A H ~ 3 8 _ ~:-. N3 ::l~-!)-1 '.L" - - -Ol.OON , I ~ - -OCJ'ZZ' 1 ]..flO,:::: , ~m_. '0 '0., " ' v'" 1 ~ c.: CD :CD, ,... ,to ----- M"n ,.~> .~ . ;71:00'1 ~8 ~ 01 ~ ~' I I I J I I i ! I I I I 1:, f};' l"~ 1 i I , r I 'f r , . J' . ~." I . rn' !; I ,..\ "I j j" ! .,.': i j I j f" (I ,'OJ Ii' I ' ~ ~ ~ ~ .j'f; (i'", ! il J 'l'.t { ~ ;'111;".1 "{"J"" I ~ ii'! ~ j j ./ :' II I r r j' (, ~! l! , ; ,.~, . i ", r; !! i I ,I) 'I ;, i 1 r'l /:'1(, ''-'11''; ( j:',;,'i(lU,I ., / ( i'" ! , 'j,' , , (j. Ii h. j l' I" ! 1;'" i 'I ! 11 I'! i, I ; I :; 11 1,1 'I (U I, . ! C7 -"'1 I (.; I ,( r'I'T I ! [" j i :j : ~. --Y>,~.~7:"":" :tIIIQII"~~"~'~:~~-~;~~'~~~f"-'-'~~_-~ '. ZIt' lL-l~ _ ~~~~-~~_...,._"" PASCO COUNTY. FLORIDA Date Permitted ~\Ctl~~ .j / ~" III Permit No. Builder Name/Owner Name k /~ ,.. L _, f ~, / . '. I .~ . C',: ;'_., County Parcel Noo I. i "1." I i -. , ..' U ( ) ,) ',j ,; .... ; ) ;- t l.:~ Address/Location ,;"s.-:; v ) ,,- t :'" Ii. '; f'\ , ( , \)r . Subdo Vi. t' ~ )Vcl Classificationffype of Use r, 1*- (~.. ,I , , /'"..~ ~. # How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Rate $ Zone Noo 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 Commissionerso 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 Noo Units Gross Sqo Ft. (GSF) Rate ERU - 5~.00/Year or SO, 14~/Day ERU Assign No. A..,..,c..,sfllent - (No. Units) .x ($0.142) .x (No. Days) Assessment - (GSF) .x (ERU) x (O.14:~) x (No. Days) 100 TOTAL FEE $ TOT AL FEE $ The ahove 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 docs not imply acceptance of concurrence. hut simply receipt of a copy of this form, placing the huildmg permit owner on notice of this assessment and the conditions of payment for same. Date Received By ----- ---------------------------------------------------------------------------------------------------------------------- OFFICE USE ONL Y TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Flnance Pink Office Green Bldg/lnsp feecalce PC93113094/C ~ I~criaL 1estino Labo(aloric6 3905 KIDRON ROAD. LAKELAND, FLORIDA33811 . TELEPHONE: (941) 647-2877 FAX: (941) 647-1770 Moisture-Density Relations of Soil Laboratory Compaction Test ASTM D1557 Method A Client: Ryman Construction V dQ;hi D' Date: Project No: Lab No: 10/14/99 6828 IP Proiect' 'iR53 () s re nve ~mit#: 8914 ') - -.,." ---= ::::::::--- t 108 107 (Dry Density - lbs./cu,ft.) 106 Max. Dry Density 107,1 pef Optimum Moisture 11.8% 105 104 9 10 11 12 13 14 15 MOISTIJRE (%) Date Sampled: 10/12/99 Sampled By: AI McGhin Location Sampled: Building pad area; composite Visual Classification: Light brownish gray and tan mottled fine sand Report Distribution: Client City of Zephyrhills File Tested By: Checked By: Proc T est.fin Environmental Consultants. Soil. Concrete and Materials Quality Control Testing ~ I~criaL 1cstinO Labo(aloricc) 3905 KIDRON ROAD. LAKELAND, FLORIDA 33811 . TELEPHONE: (941) 647-2877 FAX: (941) 647-1770 SOIL TESTING - FIELD DENSITY _ PERCENTAGE OF COMPACTION REPORT Project: Client: Job No.: Date: Permit #: 5853 Yorkshire Drive Ryman Construction 6828 10/14/99 8914 Lab No,: Technician: Contractor: Weather: ID A. McGhin Client Partly Cloudy Page 1 of 1 DATE MADE 1 Building pad area; southeast comer - ade level Building pad area; southeast comer - 1 foot below ade Building pad area; center - grade 6.8 level Building pad area; center - 1 foot 7,1 below rade Building pad area; northwest comer - rade level The percentage of compaction for the in-place density tests are based on laboratory Moisture Density Relations Tests D1557A as follows: 7.7 101.5 10701 95 95 " /. 7.1 103,0 107. 1 96 95 3 104,7 107.1 98 95 4 101.8 107,1 95 95 5 7,3 103.7 107,1 97 95 Report Distribution: Client City of Zephyrhills File Environmental Consultants, Soil, Concrete and Materials Quality Control Testing