HomeMy WebLinkAbout99-8924
BUILDING PERMIT
BUILDING
L{D. ~
MECHANICAL
8924
Date ItJ;,/crq
J /9. SO
Sewer Conn __
Water Conn: ~ 7, ~
19{.~
L(s . oIl
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
eo
30. -
PLUMBING
Permit
Property Owner: Flol" ;dCJ.. flt\qcl ~ ( ~ a....,fer
Job Address: S '6ID, MAr kE +- Scp .
Parcell.D, # Dl- 2b- ~ 1- co, 0 - D 3~ OO.~ 00').. 0
-
Water Meter: W
TIF.'s: 110 :r. _
Zoning:
DescriPtion of Work
Energy Code:
'100 .s~. Fif.
Radon Gas:
d.cJoI~ f-,'v"
'1. ~
FINAL
C.O.
/- .L.I-oo
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinanceso
DATE
Valuation or
Contract Price
1'),000. ~
Permit Fee
City License Registration # 7 1
State Certified License#
Company
Address
......... Telephone# 5 2../- O~~S- - 7ftJ-/'S"4o
Ct.l"I\: .'1.5 laM ~... \~
BUILDING
i=: I's.f c..ks>
ELECTRICAL '''I<.,
be,." ~ S W. l (: ~"" ~'
-
PLUMBING f7l..o
5oLJl~ r" C ~~ .to/'+
MECHANICAL 5 ~
Ftro Jt:) "'Ie ~ 99 ~
Pre SLB j(}-20-<jQ J<'-<-
Lintel Jo.?.~-qc; 12.1./{
FRMo V
Insul. CL
WL
SLB / () - 6- ~ 9 ~ Breakers
Tub Set L.///4~-fJC1.Gi(A_Ducts Insl.l"""'--
Water Compressor
Sewer I ?>-I S'"- '9'( t€~ Final
Final
Tp. Servo
Rough In /
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25000) shall be made for each trip for each trade:
ao Wrong Address
bo Condemned work resulting from faulty construction.
co Repairs or corrections not made when inspection called,
do Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessibleo
The payment of inspection fees shall be made before any further permits will be issued to the person owning
sameo
APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKB YML fvk;tr1ut- :Yttare..
OWNER'S ADDIlESS 3813:5 fYlcA. r1c.vF ~ re..
JOB ADDRESS ~)O \ H.ariLe..+ ~Ctr-e
LEGAL DESCRIPTION: LOT(S) 5i 40 l ~ I ~ LP_ BLOCK
PARCEL I.D.# O~ ~lo;)/ Dn/() () 3Cj'OO /70 J.o
WORK PROPOSED:_New Construction v{ddition
PHONE C~\3)'7oD ,.g77y
1ephjrh,- lis, PL 3J.6'-{O
~ph~ r-tlj) J J:::" R- 33-5\.jO
SUBDIVISION
(OBTAIN FROM PROPERTY TAX. NOTICE)
----^Iteration
-.Jepair _Install
_Sign
-'love
_Deaolish
pmPOSED~E: _S~leF_i~
../':
_ec-ercial
-'l/F _' of Units ---.J{/H
_Indust. _Swia. Pool _Other
_Restaurant & Hea1th Departaent Approval
DESCRIPTION OF WORK:-d d.(A'- 1 )\,N-. Of 1 tOo 'xtuCt,e -f-c.et-
BUILDING SIZE:
x
Square Feet,
Height
IlESIDEBTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
COMKERClAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~UILDING
$
Valuation of Total Construction
_ELECJ'.RICAL
AtIP Service
Florida Power Corp.
W.R.E.C.
--JlECllARICAL
$
Va1uation of Mechanical Installation
~UKBING
GAS
ROOFING
SPECIALTY
TYPE OF COllSTRUCTIOll: _Block _Fraae _Steel
Other
FDfISBED FLOOR ELEVAITONS:
FT.
IS PROJEC'l IN FLOOD ZONE AREA?
BIJI:T .nER
YES NO
/6
5'11-1-(11.5
..........................................
PLDKBER \\
Signature ~O./V'-A/": J.. U) &"'l
:-1 10 ~ "
lA) ;OQ~ p~
IX>Lrqo I ~"
f 7-0 ,
. II) -~- 11 tfi:5
IlECHANTCAL COMPANY 'SoUrl-tE:tN ~-r
- L.d "" -d J /J State Cert. or Regist. #
Si&oaturer:;X/~ " ~Yy.J4A(JL CUy License Registration f ~"l
..........................................
OTRRR (" COMPANY
~ State Cert. or Regist. .
Signature City License Registration #
~~/ ..........................................
~~
APPLICAITON APPROVED BY
PBRKIT OFFICER'.~';,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'fbe undersigned understands that this perlit lilY be subject to 'deed restrictions" 1Ibich lily be lOre restrictive than City
regulations. !be undersigned assUles responsibility for COIpliance .ith any applicable dee4 restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake lIOrt, they lay be required to be licensed in accordance .ith
state and local regulations. If the contractor is not licensed as required by lil1l, both the ower and contractor lilY be
cited for a lisdeJeanor violation under state la1l. If the mmer or intended contractor are uncertain as to wbat licensing
reguirl!lents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtheClOre, if the O1Iner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for .hich they 1Iill be responsible. If JOU, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the lIOrk. If the contractor wishes you to sign
as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrbills.
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 .ith a copy of 'Plorida's Construction Lien Law - lIoIeoImer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOJH!OIle other than the
'owner", I certify that I have obtained a copy of the above described dOCUllellt and prOlise in good faith to deliver it to the
"owner" prior to COlll!IlCl!lent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infOIlition in this application is accurate and that all work .ill be done in cQIPliance with all
applicable lil1ls regulating construction, zoning, and land develo~ent.
Application is bereby Iilde to obtain a perlit to do 1Iork and installation as indicated. I certify that no lIOrt or
installation bas ~ced prior to issuance of a perlit and that all wort 1Iill be perforJed to Met standards of allla1ls
regulating construction, City codes, zoning regulations, and land developlellt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveruental agencies lilY apply to the intended 110ft, and that it is
Ii responsibility to identify wbat actions I lUst tate to be in colpliance. Such agencies include but are not lilited to:
I Departlent of EnvirODlental Regulation - Cypress Baybeads, tletland Areas and EnviroDlentally Sensitive Lands,
tlater/tlaste.ater !reatlent
I Soutb1lest Florida tlater Managl!lent District - tlells, Cypress Bayheads, tletland Areas, Altering tlatercourses
I ArIy Corps of Engineers - Seawalls, Docks, lavigable tlatenlays
I Departlent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater freatJent, Septic !ants
I US Environaental Protection Agency - Asbestos abatl!lent
I also certify that, if fill .aterial is to be used in Flood Zone "A' or tlA,etc.', it is understood that a drainage plan
addressing a 'COJPeDsating 9OlUJe' will be sublitted .bich is prepared by a professional engineer registered in the State of
Florida prior to per.it issuance.
A pmit issued shall be construed to be a license to proceed .ith the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCClle invalid
unless the work authorized by such perlit is c~ced .ithin sillOntbs of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of sil IOntbs after the tile the 1IOrt is COMenced. One 90 day stension of tile, laY be
allOlled for the perlit .ith fee charge of $15.00. 'fbe stension shall be requested in .riting to the Building Official. An
approved inspection lUSt be logged during each six IOJ1th period, or the project .ill be considered abandoned.
tlARlIIIG !O omR: YOUR FAILURE TO RECORD A IOIICH OF COHMBHCIIIm MAY RESULT II YOUR PAYIHG FOR IMPROVBHD!S TO YOUR
PROPmY. IF YOU IJI'fBHD !O OBlAIH FI1IAIICIIG, COHSULf tll!H YOUR LlllDBR OR AnomY ORDIHG JIO'fICH OF
COMMEHCIIIm. JOBS UHDER $2,500 II VALUE 00 101 HEED '1'0 RECORD AHD "IOIICH OF "
(~~~{:URE--1 Jf oR~~ri'1te (2 ~
S'I'AfE OF FLO~
coum OF 0vDC'.A. ")
The foregoing instrum~1fts acknowledged
before me this ai1'U.\ 19~ by
S'I'Afi OF FLORIDA "j)
coum OF r A5 CD
The foregoing instrument was aCknowledged
before me this dq~~. , 19~ by
(;~ is personall V known to me Jor who has
produced
as identification and who did/did not
~; ~~L \l~r~rY'
ill.gnatur~) \ \ "\ \\ _ ^'"'
~f\fi\.()l'1- ~()OUa...~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
. Pamela Woodham
Commiaalon # oa lI:I363O
!lplns ..., "'..
Bonded TIIn
AtlanUc Bondfnff 00., In..
(!po is persona 11 V known to __ or wbo has
produced
as identification and who did/did not
take oath..p. "'
(Sign ure)
NN P. L..'~/ZS.
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
ANN P. AUSES
~ Notary Public, State of Florida
My Comm Expir% l\p1i119, 2002
No, CC7350B3
~
111111111111111111111111111111111111I1111111111111
99125849
Permit No.
FLo'R1DA
NOTICE OF COMMENCEMENT
County of_12ASc..o
Rcpt: 362188 Rec:
OS: 0.00 IT:
10/05/99
6.00
0.00
Opty Clerk ,
State Of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain
real property, and In accordance with Chapter 713, Florida Statutes. the following
information Is provided in this Notice of Commencement:
1.
Description of Property: Parcel No. O;l.-d(& 4;}.I - <?Ol 0 - C39~ - 002Q
fA 1.!1... ~~ p~ 1 P6 56 re(' of ~of-~
Leg I roperty and..Jstreet address If available I '
General Description of Improvement....Adc.Un~J'\ O+- YOn ~r("( ~+-
::t<J rla.r cfr Oft\ccJ dJp(~Itrr\e.(\+.
2.
3.
Owner Information:
JEO PITTMAN, PASCO COUNTY CLERK
10/05/99 02:25p. 1 of 1
OR BK 4237 PG 995
fY\(A ,1ul ~1Lt1re
Clty~\J,h;jls
State F~ 33540
Address
t1. rC
Interest In Property:
Name:> Qf Fee SImple TItleholder:
(I f other than owner) -
Address
. Contractor: Name (',UN'" Il\JliHAtn LDNSTRuc-'TIDI\J
,., Address lal5~ J:o'R-r ""l\1~ "ROAD City bADE: CATV
City
State
5. Surety: Name
Address
Amount of Bond: $
6. lender: Name
Address
State FL .
--a-35~S"
City
State
---.S Ity
State
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
Statutes:
Name
Address
C!ty
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice
as provided in Section 713.13(1)(b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date Is 1 year from
the date of recording unless a different date 15 specified.)
Signature of Owner:
CPC)
~
I
Sworn to and subscribed before me this ~ ct~ day of
19~. . () 1\ '\ ~
Notary PUbllc:'-I.~_ ~~Il./r('\ M
'Pl'\~ Woo \.\.\.rY \.
My Commission F..xplres: ~ -~_~()~_.__
. Pamela ~
Colllll'liuloll # oa 8:I3cDo
· Exp~L"
Atlanat. Boadiq a... "0.
Whole Building Performance Method for Commercial Buildings
Form 400A-97
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Comrfluni.t/ Affairs
FLA/COM-97 Version 2.2
PROJECT NAME FL. MED. CTR. EYE CLINIC AD
ADDRESS: ~ I RI LLCl. J'gJoI Mcvl'4'L%.
_ZEPHYRIHLLS, FL. 71 ('" '-f'
OWNER: JL. I1EO. cm.
AGENT:
BUILDING TYPE: _Business (Office)
CONSTRUCTION CONDITION: Existing Building
DESIGN CO~1PLETION: _Addition
CONDITIONED FLOOR AREA: _400
MAX. TONNAGE OF EQUIPMENT PER SYSTEM:
PERMITTING OFFICE:
_Zephyr hills
CLIMrHE ZONE:
PERIHT NO:
JURISDICTION
4
'572 ..,
NO: _611600
NUMBER OF ZONES: 1
COMPLIANCE CALCULATION:
rlETHOD A
-----------------
A. WHOLE BUILDING
PRESCRIPTIVE REQUIREMENTS:
LIGHTING
EXTERIOR LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. SEEF~
HEATING EQUIPMENT
1.Et
AIR DISTRIBUTION SYSTEM INSULATION
1. With Insulated Roof
REHEAT SYSTEM TYPES USED
NO REHEAT SYSTEM is USED
WATER HEATING EQUIPMENT
1. EF
PIPING INSULATION REQUIREMENTS
1. Non-Circulating
')
'-
DESIGN
CRITERIA
RESULT
73.21
100.00
P!~SSES
50.00
75.00
PPiSSES
PPISSES
10.00
10.00
PASSES
1.00
REQUIREI'1ENTS
6.00
N/A
6.00
PASSES
0.91
0.39
PASSES
1. 00
1. 00
PASSES
COMPLIANCE CERTIFICATION:
-----------------------------------------------------------------------------
I hereby certify that the plans and
specifications covered by this calcu-
lation are in compl'ance with
Florida Energy Ef 1 i ncy C d
PREPARED BY:
DATE:
I hereby certify that this building is
in compliance with the Florida Energy
Efficiency Code.
OWNER/AGENT:
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
for compliance in accordance with
Sect ion 553.' 08, F lor a J>t
BUILDING O~F CIA ~ t.-~
DATE: lJ
DATE: '
I hereby certify(*) that the system design is 1n compliance with the Florida
Energy Efficiency Code.
SYSTEM DESIGNER REGISTRATION/STATE
ARCHITECT :
MECHANICAL:
PLUMBING
ELECTRICAL:
LIGHTING
(*) Signature is required where Florida law requires design to be performed
by registered design professionals. Typed names and registration numbers may
be used where all relevant information is contained on signed/sealed plans.
------------------------------------------------------------~------------------
-----------------------------------------------------------------------------
COMPLIANCE
CHECK
401.------GLAZING--ZONE I----------------------------------------__________v_
Elevation Type U SC VLT Shading Area(Sqft):
,
-------------- ----------1
1.31 .95 .89 None 16:
Total Glass Area in Zone 1 ~ 16:
Total Glass Area ~ 16:
402.-------WALLS--ZONE 1---------------___________________________________:___
Elevation Type U Insul R Gross(Sqft):
------- -----------:
8"conc.blk,R-S,I/2"D.W. 0.132 8 180:
8"conc.blk,R-S,1/2"D.W. 0.132 8 180:
Total Wall Area in Zone 1 = 360:
Total Gross Wall Area - 360:
403.------DOORS--ZONE 1-------------___________________________________:___
Elevation Type U Area(Sqft):
-----------,
I
1--3/4 Steel Door-Solid Urethane foam co 0.40 20:
Total Door Area in Zone 1 = 20:
Total Door Area = 20:
404.-------ROOFS--ZONE 1-------------_______________________________________:___
Type Color U Insul R Area( Sqft)'
BUILDING ENVELOPE SYSTEMS
- ------ --- -- - ----
North
Commercial
--------------------------------
North
East
East
-------------------------------------------
Mtl Bldg Roof/R-19 Batt
------------------------------------- -------
------- ----------
40S.------FLOORS-ZONE
Type
Medium .051 19 400
Total Roof Area in Zone 1 = 400
Total Roof Area ~ 400
1------------_____________________________________
Insul R Area(Sqft)
------------------------------------------------
Slab on Grade/Uninsulated 0 400
Total Floor Area in Zone 1 = 400:
Total Floor Area ~ 400:
406.------INFILTRATION---_____________________________------------------:---
: CHECKY
Infiltration Criteria in 40b.1.ABeD have been met. : ~
----------------------------
--------------
--------------------------------
-------------------------- ---- -'--
.- .~- ~- ~.' _. ." _ __ 'w _, ____ _ _~ _"___ __ _ _ __ ._ _ _
PLU118ING SYSTEl"IS
411.-----PUMPS AND PIPING..ZONE 1-----------..--_________________________:___
Type R-value/in Diameter Thickness:
I
I
1. Non-Circulating 4 .75 1:
412.-----WATER HEATING SYSTEMS-ZONE 1-------------________..____________:___
Type Efficiency StandbyLoss InputRate Gallons:
I
I
3:0:
-------------------------
------------------------
1. (==12 kW
.91
.01
4.5
ELECTRICAL SYSTEMS
CHECK:
413.--"--ELECTRICAL POWER DISTRIBUTION..-..---.._____________________:_____:___
Metering cr iter ia in 413.1. ABCD have been met. : ~
414. ~~~~/~~~~~~~~~i~~-~~- 4i~:i::;~~h~:~-b~~~-;~~:um-mum! u7'
415.-----LIGHTING SYSTEMS-ZONE 1-------------_________...._______________:___
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft):
---------- -------------- -------------- ------ ----------,
I
184:
185:
115;~ :
36~1 :
1152 :
369:
: CHECiSV
Lighting criteria in 415.1.ABCD have been met. , ~!
,,- - - - - -. - - -- - .y - - -- - .~ - -- .- - -- - -- - - -- - - - - - - . - - -- - - ~ - - . - - -- - I _ _ __~
----------:--~;---
16. Operation/maintenance manual will be provided to owner.(102.1): :
Reading, T
Laboratory
1
1
On/Off
On/Off
4
r~one
None
Total Watts
Total Area
o 576
o 576
for Zone 1 "-
for Zone 1::.:
Total Watts -
Total Area -
4
-----------------------------------------------------------------------------
FLORIDA MEDICAL CENTER
(EYE CLINIC)
MARKET SQUARE
SQ. FEET PRICE
MAIN OR LIVING AREA 400 $ 55,00
OTHER AREA UNDER ROOF $ 15,00
OTHER
VALUATION $ 22,000,00
FEE SHEET $ 130,00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 195000
CREDIT:
BUILDING LESS CREDIT: $ 195,00
ELECTRICAL: $ 45088
PLUMBING: $ 30000
MECHANICAL: $ 40,00
RADON: $ 4000
TOTAL $ 314.88
SEWER: $ 319,50
WATER: $ 87,50
TOTAL: $ 407.00
3/4" WATER METERI $ _ I
TIF'S: $ 1,103,60
99% $ 1,092.56
1% $ 11,04
TOTAL: $ 1,825.48 I
CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET
ORD. #395/RESOLUTIONS 312/372 WATER $1.75 GAL. SEWER $6.39/GAL
RESIDENTIAL (Each Lot or Unit)
Residence $ 350,00 $ 1,278000
Travel Trailer Park $ 131025 $ 479025
COMMERCIAL (Per fixture)
Sinks $ 87,50 $ 319050
Water Closet $ 131.25 $ 479,25
Urinal $ 87050 $ 319050
Lavatory $ 43,75 $ 159075
Tub/Shower $ 87050 $ 319.50
Washina Machine-Commercial Size $ 350000 $ 1,278000
Washina Machine-Domestic Size $ 87050 $ 319,50
Dishwasher-Limited Use $ 87050 $ 319050
Food Service-Dishwasher $ 700000 $ 2,556,00
Sinks (3-Comoartment) $ 175.00 $ 639000
Car Wash (Per Stall) $ 1,000000 $ 6,390,00
SINKS 50 1 $ 87.50 $ 319050 $ 407,00
WATER CLOSETS 75 $ - $ - $ -
URINALS 50 $ - $ - $ -
LAVATORIES 25 $ - $ - $ -
TUB/SHOWERS 50 $ - $ - $ -
WASHo MACHo COMMo 560 $ - $ - $ -
WASH, MACH DOMo 200 $ - $ - $ -
DISHWASHER COMM, 400 $ - $ - $ -
DISHWASHER LIMITED USE 60 $ - $ - $ -
SINKS-3 COMPARTMENT 100 $ - $ - $ -
CAR WASH PER/STALL 1000 $ - $ - $ -
IRRIGATION METER
SUB-TOTAL $ 87,50 $ 319.50 $ 407,00
WATER METER
IRRIGATION METER
IRRIGATION CONNECTION FEE
GRAND TOTAL $ 407.00
FIXTURE
G.P.D.
#
WATER
SEWER TOTAL PER FIXTURE
8/10/99
fL if/I f.J). {f-N rji(L (ti'-y6- U.-fAJ' <- ) Slh k . .
'Ul/r;J:t..,- ~(".
I '
p\ f) 1) i17(~~
SQ. FEET PRICE
MAIN OR LIVING AREA /(tJ a ---'0
J :), ~
OTHER AREA UNDER ROOF
OTHER
BUILDING:
ELECTRICAL:
PLUMBING:
MECHANICAL:
. . Ff RADON:
CREDIT: .
EWER:
WATER:
TOTAL:
r · 'If; X 2.,75q :;
..'
.,.''''
~ 5: 8" c?-
''':>
3 0< U
-1.0~
~!tt
T.I.F'~J '/IJ?:J. /.,0 ]