HomeMy WebLinkAbout00-9486
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
09486.
Date ~ /)5/00
5 '11. ''2
BUILDING
b'1. oS
ELECTRICAL
. S lX'
b ,-
PLUMBING
Property Owner: 6..." <1 ,6.,11. Go. .
Job Address: 5"/ 20 S l.t.....1I"'\ l"/ "-. l \
Parcell.D. # /1-2b -]/. 0' Ou . 00000 -
Or..
OJiO
Zoning: Energy Code: Radon Gas:
Descriotion of Work S','."\)/fl ~^':\'f (L,e(/,:-'))
t!-8;1~ FP. ~ - .17 -00 ~'; 08 t'f?L-
11/2/00 ffi{~ (.. '-( 7 Ef. V4i#5/JJt..)
NO OCCUPANCY BEFORE C.O. . lc 0/1.1
Permit
.. ....'
-r~,-
MECHANICAL
'27? 0(:'
Sewer Conn_' 0'-
Water Conn: l' S <.J . ~
,q () ..~
JI. I>
FINAL
C.O.
11-2-?-L?t/
DATE
(/- 17-00
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
b b. O)~ t.!='
,
City License Registration #
State Certified License#
DATE
J"/L
Inspector
Permit Fee
Signature~ J2t,.L.~
Company
Address
Telephone# '7 '2 J- ,o8:}5
t:c. "..\- ro.':.u f;(e<..
t~h(f'\f 6-c.s ; AI.
~~",', ~ W.lI:W'~1 \)
" <11-0
PLUMBING
SLB.,r-C/tvloo Sf
Tub Set ??v?i?..(!)('J.~
Water
Sewer 9- Z'il' -0 ~ 5 R..
Final
Driveway /~..46 -~'" 51(
~
J ,- /9-//& ~rC
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.00) shall be made for each trip for each trade:
~~~~'1 U
. " .A (fL- It 9/0
Qy,.v\/AoI'\, (0.,\ < + '
BUILDING ;; 71(
ELECTRICAL
Ftr.
Pre SLB 6-20.-00 ~ R
Lintel h c!j)-/(l}:!) 2> K
FRM. ?- 2R. c2r0 U
Insul. CL
WL
Tp. Servo
Rough In &~?8.ao.2.-e
Meter Can
Const. Pole v1'--Z-7~t3t:JjZ<
Pool
Pre-Meter,/'I /. '2 - CO oS'R
Final
a.
b.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
c.
d.
e.
f.
g.
MECHANICAL
Breakers
Ducts Insl. 9---18-CJ rJ .~
Compressor
Final
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
PASCO COUNTY, FLORIDA
/,~ ~ ?~
Permit NG .'
Date Pc rn~ltted _ S (; 5 ~Jo
Builder NamelOwner Name (2y"""c:\y\ {--OVl sf-.
County Parcel No. I') -2 ~- J 1- 0 I O() . 0000 (). (:) i. 80
Address/Location S- ( ) 0 S u "'" "" er ~.' l' 0/ .
ClassificationffypeofUse 5'"'-'\<,14 k-: 1'1 O<A..le/( 1'\)
How Determined
Subd.
S4,""'~H,,,.t\,'ll
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Why?
Rate $
/.-
,,-"
....'-
Zone No.
------,..
Sq. FtJUnit
Checked By
The a e impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the
B d 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
No. Units --1
NONRESIDENTIAL
Gross Sq. Ft. (GSF)
Rate ERt' - 52 ()()/Year
nr $O,I.+2/Da\
ERU ASSign No.
AsseSSfllent- ()\jo. Units) x ($0.1.+2)
\ (No. Days)
Assessment -
(GSF) x (ERU) x (0.1'+2: \ (No. Days)
100
TOTAL FEE $
9. ~ /
TOTAL FEE $
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED l!NTIL THE AMOUNTS LISTED
HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowicdgement below does not imply acceptance of concurrence. hut simply recclpt l)f a copy of this form. placing
the huildlng permit owner on notice of this assessment and the conditions of payment for same.
Date
Received B)
OFFICE L'SE ONLY
TRANSPORT A nON REC NO. :it. '
RESOURCE RECOVERY REC N . -::] 34 d l)
DATE I.
DATEII-
~ - V 1J BB~~~c:7r1
Pink Gree'i<>
Office Bldg/lnsp
White
Applicant
Canary
Trans/Finance
Canary
RR/Flnance
feecal'ce
PC93113094/D
JEO PITTMANft PASCO COUNTY CLERK
05/16/00 00:48am 1 of 1
OR BK 4367 PG 184
11111111111I1111I1111I1111I1111111I111111I111I111111111I1111
2000060715 ,
Rcpt: 413688
OS: 0.00
05/16/00
Rec: 6.00
IT: 0.00
Dpty Clerk
State of ~ t=\
NOTICE OF COMMENCEMENT
County of ?A..5Q 0
THE UNDERSIGNED hereby gives notice that improvement will be made
'to cex:tain x:eal px:oPe.J:ty,. and in accox:dance with Chapte.J: 713,.
Florida Statues, the following information is provided in this
Notice of Commencement:
1.DescX:iption. of Px:opex:ty: Pax:cel No. l1.. -Zc-:,. 2..l- l> 100,- DOOOO-62-W
(Legal description of the property and street address if available)
2.General Description of Improvement_ ~ ~
3.OWner Information: Name ~ j!dQ.e~~~ .
Address 5(2..0 ~\...l OJ City ~~~ StateFL
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
R
Addx:ess City
4.eontractor: Name RYMAN CONSTRUCTION,. INC.
State
Address 37325 S.R. 54 W.
City ZEPHYRHILLS ,+ StateFL 33541
5. Surety: Name
..,'
Address
,..,: -r.-
~- -.z__
......"'--~
.;:a L.Q ~e
I.~I!..."
. i.:
'.~
'.
~..':
!{"
~~.:
~}. ~,
Amount of Bond: $
6. Lender: Name
Address
City
State
r~~'
0.'
7.Persons within the State of Florida designated by owner upon whom
notices ox: othel: documents may be sex:ved as px:ovided by Section.
713.13(1) (a) (7), Florida Statutes:
","
"."',;
Name
Address
City
,State
~~,:
;c
~,
I~f
~j:
!.'!
:,t.."
8.In. addition. to himself,. 0Wnex: designates
:~ ;
of to x:eceive a copy of:the Lienal:' s
Notice as provided in section 713.13(1) (b),. Florida:Statutes~
.'
:.i"
9.Expiration date of Notice of Commencement (the expi~ationdate. is
1 year from the date 0 recording unless a different date is .
specified. )
NataJ:y Public:
:....
SignatW:e of Own.el::
Sworn to and subs
20 {)b
J?x:in.t Name ~~ ~
day of
My Commission Expires: .
1 ~:
;1.;.~
;~:
h1.~:;i
,,~ "\. Allgefa L Helma
*lll.:1r. My
\ ~ F1 '! CommisSion CCB00247
~ Of ".." Expires January 3, 2003
';'f
.\
.:!~ .,'
CITY OF ZEPHYRHILLS BUILDING DBPARTMENT
.'OWNER' ~Gr G.eeQ,o
JOB LOCATION S\ZD -::;<.Atv\-IIA<Y\\ \\ t)e.10~'
PARCEL I. D. # [z. - .21., -2.l. 0 (OD - c>oooc3 - 0,280
SHOW ALL EXISTING & PROPOSED STRUCTURE, ~VING DIMENSIONS & SETBACKS,
(NOTE EXAHPLES 1 & 2) STREET
1. SETBACKS FOR R1, R2 ZONING
60.1-
101
P E
R X
0 I
I 10' P S 10'
0 T
S I
E N
D G
20'
FRONT PROPERTY LINE
1 ~ \ c;
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION. .
..
( \
35
1.1
I
N'( \N ~CS(~Ei)Ce;-
/I' (
.I \0
I (
r T ,
,
QO~(R~Tt::.
'PCl.1 \J~ 7!>
FRONT PR\PE ::l.TY LINE
,
, ,I
\ 'D ~
--L
5uM~~..1l --Pe.~~
2. SETBACKS FQR R3 ZONING
601-
101
101 EXISTING 10'
PROPOSED
20lSGL FAM 30'DUPLEX
1 01 1 0 I
FRONT PROPERTY LINE
Department or ~ommun~~y Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FOffi~ 600A-~~ Residential Whole Building Performance Method A
--- ---- ...~ ...- ----- '_......__ ---
:~~u~:~'_~~J;!;: uKJ;!;~U ~~. J:j~~~:'::~.:.._
Al'HJ AUUKJ;!;;:);:): 5 ~ ~ 'pJ;!;KlvaT'.l'l.~u
I (...)o ) OFFICE:
OWNER: ~~ G-n..e~ IPERi\HT NO.
1. ~ew construc~l.on 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: 1. Concrete (Insulation R-value)
b. Adjacent: 2. Wood frame (Insulation R-value)
11.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 wa~er Credits: (HR-Hea~ Kecovery,
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
CENTRAL
1 __ _.....__
I ~~::~A'.l'~ I I _ I I _ I I
1~~~~:_~l=l_~I~l bl_1
luUKl.;:)Ul.~'.l'l.U~ ~U.
CK
1. New Construction
2. Single-Family
3. 0
4.
5. 1371.90
6. 1.30
7. 0 . 00
Single Pane
8a. O.Osqft
8b.124.4sqft
Double .pane
O.OOsqft
O.OOsqft
9a.R= 0.00 ,
135.50 ft
10a-l R= 5.00, 906.20sqft_
10b-2 R=11.00, 206.40sqft_
lla.R=22.00 , 1371.90sqft_
12a. R= b.UU uncond
13. Type: Central A/C
SEER: 10.00
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF: 0.88
16.
17.
18.
:2
CF CV
19.
19a.
19b.
80.38
23711.64
29498.98
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
I Hereby certify that the plans and
specifications covered by this calcu-
:~::~:::~:~~~ ~.iLjr th~
.PKJ;!;.PAKJ;!;~ .P~
DATE: 0 6 p-
Review of the plans emd 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.
.1. nereby certify ~nat ~n~s building is
in compliance with the Florida Energy
Code.
\ ~~
.J
OWNER/AG~T: --
DATE: ZI~tJ"
~
BUILDING OFFICIAL:
DATE:
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
=== BASE === I === AS-BUILT ===
--------------------------------------------------------------------------------
-------------------------------------------------------------------------------
----- I
uL8~~---------------- I
------... - --- ---.. ---...--
UK~J:!;N 8KJ:!;8 X b~~J.Vl = ~U~NT~ I
TYPE
SC ORIEN AREA x SPM x SOF = POINTS
N
4307.3
-------------------------------------------------------------------------------
52.40
82.2
S
55.80
82.2
4586.8
W
16.20
82.2
1331. 6
-------------------------------------------------------------------------------
SGL TINT N 5.1 51.5 .86 225.0
SGL TINT N 5.1 51.5 .86 225.0
SGL TINT N 9.8 51.5 .86 432.4
SGL TINT N 16.2 51.5 .90 751.8
SGL TINT N 16.2 51.5 .90 751.8
SGL TINT S 27 .9 98.3 .85 2325.1
SGL TINT S 27 .9 98.3 .85 2325.1
SGL TINT W 16.2 107.1 .90 1569.2
.15 x CONDo FLOOR I TOTAL GLASS = ADJ. x
AREA AREA FACTOR
GLASS
POINTS
ADJ GLASS
POINTS
GLASS
POINTS
.15
124.40
-------------------------------------------------------------------------------
8,605.37
1,371.90
1.654
.... - ......... - _..... I
~b,~~:>.:>.j I
10,225.68
~============================================================:==================
...-... .......... - -- I
NUN UL~~~::------:=:::-- ___..__ I
8KJ:!;8 X b~~lVJ. = ~U~N'.L'~ I TYPE
R-VALUE
AREA X SPM = POINTS
-------------------------------------------------------------------------------
WALLS----------------
Ext 906.2 1.0 906.2
Adj 206.4 .7 144.5
DOORS----------------
Ext 53.4 4.8
256.3
Adj
17.6
1.6
28.2
CEILINGS-------------
UA 1371.9 .6 823.1
FLOORS---------------
SIb 135.5 -31.8 -4308.9
INFILTRATION---------
1371.9 10.9 14953.7
Ext NormWtBlock In 5.0
Adj Wood Frame 11.0
906.2
206.4
1.00
.70
906.2
144.5
Ext Wood
Ext Wood
Ext Wood
Adj Wood
16.7
16.7
20.0
17.6
7.20
7.20
7.20
2.40
120.2
120.2
144.0
42.2
Under Attic
22.0 1371.9 .90 1234. 7
.0 135.5 -31.90 -4322.4
1371,,9 10.90 14953. 7
Slab-on-Grade
===================~============================================================
Practice #2
--.---... ~........._- -----.....-- I
TU'.L'8L ~U1VJ.1VJ.J:!;K ~U~NT~ _ _ _ _ _ _. I
G~,/~<S.b,* I
TOTAL X
SUM PTS
SYSTEM
MULT
==============================================================;=================
21,948.74
___... _....__ I ____.--_...
~~~~:.~u I '~~:~~:'u
~U~~T~ I L;UJ.Vl~U~
X CAP X DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
29,718.64
.37
--------------------------------------------------------------------------------
7,059.59
....- .........._ ....._ I _.... ......_ _. .... __ _ ..............
~U,~~:>.~U I G~,~'*<S./'* ~.uu ~.~uu
.340
.860
=============================================================;~=================
*******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
=== BASE === I === AS-BUILT ===
----------------------------------------------------------------------------
-------------------------------------------------------------------------------
-- ... -- I
uLA~~---------------- I
----... ... --... --..--- ---...--
UKl..ta'l AK.tlA x J:)WJ:'1"l = J:'UloNT~ I
TYPE
SC ORIEN AREA x WPM x WOF = POINTS
-------------------------------------------------------------------------------
N
52.40
-3.4
-178.2
W
16.20
-3.4
-55.1
SGL TINT N 5.1 9.6 1.09 53.2
SGL TINT N 5.1 9.6 1.09 53.2
SGL TINT N 9.8 9.6 1.09 102.2
SGL TINT N 16.2 9.6 1.06 164.3
SGL TINT N 16.2 9.6 1.06 164.3
SGL TINT S 27.9 -10.2 .90 -256.1
SGL TINT S 27.9 -10.2 .90 -256.1
SGL TINT W 16.2 -2.0 .49 -15. 7
S
55.80
-3.4
-189.7
-------------------------------------------------------------------------------
.15 x CONDo FLOOR I TOTAL GLASS = ADJ. x
AREA AREA FACTOR
GLASS
POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
1,371.90
124.40
1. 654
-422.96
___ __ I
-b~~.b/ I
9.33
-------------------------------------------------------------.------------------
-------------------------------------------------------------------------------
............. ~-... -~ I
NUN uLA~~------------ I
AREA x BWPM = POINTS I TYPE
R-VALUE
AREA x WPM = POINTS
-------------------------------------------------------------.------------------
WALLS----------------
Ext 906.2 1.1 996.8 Ext NormWtBlock In 5.0 906.2 2.90 2628.0
Adj 206.4 1.8 371.5 Adj Wood Frame 11.0 206.4 1.80 371.5
DOORS----------------
Ext 53.4 5.1 272.3 Ext Wood 16. 7 7.60 126.9
Ext Wood 16. 7 7.60 126.9
Ext Wood 20.0 7.60 152.0
Adj 17.6 4.0 70.4 Adj Wood 17 .6 5.90 103.8
CEILINGS-------------
UA 1371.9 .6 823.1 Under Attic 22.0 1371.9 .90 1234. 7
FLOORS---------------
Sib 135.5 -1.9 -257.4 Slab-on-Grade .0 135.5 2.50 338.8
INFILTRATION---------
1371.9 4.1 5624.8 Practice #2 1371.9 4.10 5624.8
===============================================================================
.....--... - -..-.....--- --............- I
TUTAL WloNT.tlK J:'UloNT~ _ ___ __ I
/,Gulo.~~ I
10,716.76
TOTAL x
WIN PTS
=============================================================~=================
SYSTEM
MULT
....-... ....._....._ I _____..._
~~~:-~:.~u I '~'::-~~~u
J:'UloNT~ I CU1"lJ:'UN
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
-------------------------------------------------------------------------------
7,201.89 1.10
- --..... __ I ........ _... _ __ .. ___..... .. ..._.......
/,~GG.u~ I loU,/lob./b lo.uu lo.louu
.515
1.000
6,071.04
=============================================================~=================
"
cc-tfpql' j
511lflOil
RYMAN CONSTRUCTION
5120 SUMMERHILL DR.
SQ. FEET PRICE
MAIN OR LIVING AREA 1,372 $ 40.00
OTHER AREA UNDER ROOF 743 $ 15.00
OTHER
VALUATION $ 66,025.00
FEE SHEET $ 338.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 547.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 547.00
ELECTRICAL: $ 84.00
PLUMBING: $ 65.00
MECHANICAL: $ 35.00
RADON: $ 21.15
TOTAL $ 752.15
SEWER; $ 1,278.00
WATER: $ 350.00
TOTAL: $ 1,628.00
3/4" WATER METERI $ 180.00 ~
TI F'S: $ 1,480.00
99% $ 1,465.20
1% $ 14.80
TOTAL: $ 4,040.15 I
CITY OF ~EPHYRHILLS BUILDING DEPARTMENT
OWNER' bRe~ G-eea-O
JOE LOCATION S\ZQ '5tAI"'-""<YYI \\ t)e.1U-c.. .
12.- 2J., -2.l. 0160 - 00002:> - 0:2/30
PARCEL I; D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES qIVING DIHENSIONS & SETBACKS.
, 1 l':::>
(NOTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR R1, R2 ZONING
60,1-
10'
P E
R X
0 I
I 10' P S 101
0 T
S I
E N
0 G
20'
FRONT PROPERTY LINE
.
I ,
35
I" I
N'( \A) t<CSI~E~Ce-
\0 (
II' !" -'
( (
I 1 ,
,
QON(R~T~
'P cz.', \J ~ "6
FRONT PRC PE RTY LINE
.I
\'07
\ ~ \ S
UTILITY BUILDINGS
HUST SHOW SIZE &
FOUNDATION INFOR-
HATION. .
5u M ~~t-~\ "Pe.., ~
-L
2. SETBACKS FQR R3 ZONING
60'
1 0' 1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAN 30'DUPLEX
FRONT PROPERTY LINE
t,
j
.~
"
.
1
.,
?
'I
J
,~
.~
J
J
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED 5-'-/6-00
PLANS REVIEW FEE
OWNER'S NAME G~E'~ Geee-o
JOB ADDRESS S \Sb S<.AN\.~h\tl Da...l J ~
LEGAL DESCRIPTION: LOT(S) ~ 'ZB BLOCK SUBDIVISION ~;u.ty'\(Y\~r~.__h,U
12- 'Leo - Z-{ - B 100 - OOCOO -()2~TN FROM PROPERTY TAX NOTTCF.\
WORK PROPSED: ~CONSTRUCTION
PHONE. I 6 z - q'l-Bl
PARCEL ID #
o ADDITION
DALTERATION
o REPAIR
o INSTALL
PROPOSED
o SIGN
USE: ~AMILY
o COMMERCIAL
o MOVE
o DEMOLISH
DWELLING
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
~
BUILDING SIZE
o RESTAURAN~ & HEALTH
WORK '1\ Q.LD ~~~
54'( 47
DEPARTMENT APPROVAL
DESCRIPTION OF
SQUARE FOOTAGE
:2\ \ L{
HEIGHT
Sf
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ING
$
Co C\ 000
ZOO
PERMITS REQUESTED
o ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE ~RIDA POWER
EJ('2~
J)17~J-09:ZS-
o PLUMBING
.
o MECHANICAL
$
30)0
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o GAS
o ROOFING
o SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES ~
mnLDEa ,\ ~
SIGNATU~,- ~
COMPANYRYMA~r COm,TRUCTION, HIC
STATE CERT OR REGIST # (,BC-031';] ~4
CITY PROCESSING # 274
******************************************************************
ELECTRICIAN
SIGNATURE "l~ :i<c~)
COMPANY E~5T P~5(,O ELi(,T~IC
STATE CERT OR REGIST # ER-0014591
CITY PROCESSING #
******************************************************************
PLmmER
SIGNATURE ~~1 tJGUL~~.... \
COMPANY DENNIS WI~~IAWS
STATE CERT OR REGIST # RF-05260
CITY PROCESSING #
ldECHANICAL ..' /._....________.
--=----\. / (...>
SIGNATURE/-~'U- IS~\~ J
**********~*******************************************************
COMPANY: 'R IU--lR c: G:a S A ~Jn :a 1 ('
STATE CERT OR REGIST # CAC-043498
CITY PROCESSING #
. "! *** :__~ ~~~-~** ** * * ** :_*~: * ** * * * * * * * * * * ** * * ** * * * * * * * * * * ** * * * * 'I< ** * ** * * *
OTHER ~ _ ~"".... ---- COMPANY RYMAN r.ON~TRnCTTON. TNr..
STATE CERT OR REGIST # RC-0061.648
SIGNATURE CITY PROCESSING #
********************************************************,k********
Ii:
A. NOT~CE 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.
Further.more, 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 aocument 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
*Ar.my 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, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be s~tted 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 R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,50 IN VALUE D NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
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SIGNATURE: C
CTOR
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~o is personally
o who
Name
Name typed, printed or ~b~raLHelms
~.:My Commission CC800247
-" ."," Expires January 3. 2003