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Home My WebLink About00-9488 BUILDING PERMIT () ~"J 5) I e't' (f..f ,- "'0. ~ BUILDING CITY OF ZEPHYRHILLS (813) 788-6611 7~.~ ELECTRICAL 6..... ~S' - PLUMBING _ .."1 S~,- MECHANICAL Property Owner: _~;, \ /VI 0 { r'- S Job Address: 6 t.t} I A s to. v. (\(;' -Or Parcell.D. # o?']{;. ~ I' 0:2 00 oOOc:Jv 09488 Date ~ /;/:,/ 00 , Permit Sewer Conn I).., i. t':!::! Water Conn: 3:5;.). ~ Water Meter: I io. ~ T,I.F.'s: 01 ~() Inspector Permit Fee 2't 7,'1. ~ ~~:~ ~b~ Address /"- Telephone#;:; 3. rJ y..:< J.:<S' 17.~ NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price ~ S ~ 315, ~ . City License Registration # State Certified License# FINAL C.O. ~ . To ICe +4y r/",...~ PLUMBING Ii] l.{ SLB 6 ,i S:-O t' ~ Tub Set :8 - /J.{-~6 2e VVater ' S.ewer ~ ~/5:~ ~ Final S'~",C)I ~_ 6,\ 'kEY (c.. d...., ~-('~ BUILDING {, t ( ~ ( E.(~( ELECTRICAL 'So. (,- /9-* 5J.(L Ftr. ~/ Pre SLB Lintel FRM. S>/ /4 -C 0 Insul. CL WL 11' ~ /SJ~ <ocY ~~ Tp. Servo Rough In>> -I l{ -(J t> $rl. Meter Can Const. Pole Pool Pre-Meter )0-2.-003(( Final M (. A> (c>4. MECHANICAL ';n J Breakers Ducts Ins!. .8-Il{~t!J &' Compressor Final 5"- '1- /j I (fiii) Driveway S kee"R, '~1 ~vc ~ ~ iJ.k..li) ?h/cc )12 ~AnObK 4f~RL REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.001 shall be made for each trip for each trade: a. b. c. d. e. f. g. 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. W#t; ~. ~ c----- The payment of inspection fees shall be made before any further permits will be issued to the person owning same. 06/16/00 FRI 06:56 FAX 813 854 2625 ~001 GALLERY CUSTOM HOMES. INC. 812 Christina Circle Oldsmart Florida 34677 Phone: (813) 854-2125 Facsimile: (813) 854-2625 Pager: (813) 304-1577 June 15,2000 ZephyThills Building Department Re: Pennit Nos: 9487 &.9488 6413 Ashville & 6421 Ashville Drive To Whom It May Concern: I am the general contractor on the above-referenced job sites. This is to notifY you that a change has been made to the above plans regllI'ding the drop from the garage into the home. The drop has been changed from 16" to 4". If you have any questions regarding this matter, please do not hesitate to contact m.e, v e1t~lY ~ours, cJ"'-- ~ John p, Schmitt, President JPS:cef GALLERY CUSTOM HOMES 6421 ASHVILLE DR. SQ. FEET PRICE MAIN OR LIVING AREA 1,374 $ 40.00 OTHER AREA UNDER ROOF 591 $ 15.00 OTHER VALUATION $ 63,825.00 FEE SHEET $ 326.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 529.00 CREDIT: $ 60,00 BUILDING LESS CREDIT: $ 469,00 ELECTRICAL: $ 78.16 PLUMBING: $ 65.00 MECHANICAL: $ 35.00 RADON: $ 19.65 TOTAL $ 666.81 SEWER: $ 1,278.00 WATER: $ 350.00 TOTAL: $ 1,628.00 F.~A, 1977 LAWS FS 7'3,'3 SEMINOLE FORM 408, NOTICE OF COMMENCEMENT ~:~~t:fo~Iorida } IPR~PAA& IN DUPLICATEl ~~~~~~~ln~1II111111111111111111111111111111111111 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes. the following information is stated in this NOTICE OF COMMENCEMENT. Description of property . .~+ JS'. ..... .&~.\~~.~r;::.. .Q~~.... L};. ,\\4.~ ~..".,...... .....,'..",.,..,...", Rept: 411781 Ree: 6.00 DS: 0.00 IT: 0.00 ...................,....,............................................................... 05/08/00 ~_~___ _~__ Dpty Clerk General description of improvements . ~~ . . . . .~. .~~. . . . . ~. ,~~~. . . . ~.\. ~ \.~, . .~.~\\~ 1. , . , ~~.l?, , , . Owner.. .~~. \\.... n ~,~~.~,~..........................,..,....,.....,."."..,."...,',....."..,......,',..,.,',.,',.,. Address ,2~~.., .~~'~ ~.~~~. . , . .~~, . . . . . . . J ~ A, . . . . . f.~. . . , , , . . ., i~~0~~~~MAr0: ~r:;o fOUNTJf CLf"RK OR BK 4362 PG 1562 Owner's interest in site of the improvement. . . . . . . .. . . . . . . . . . . . . . . . . , . . . . . . . . . , . . . , , , , , . . . , . , . , , , , , , , , . . . . . . , . , . . . . . . , , , , , ' . . , , , Fee Simple Title holder (if ether than owner) ........ .....................0...... ............. .............. ........ ................ Name ",.,..,..,....",....,...",..",.,................,........,"',....,"',.,.."..""",.",..."."..."..""",.,.." R -.~-~ Address ',.."..,.,"""',.,"',.,.,..,",.,',......,..........,........""".,..,.."...""."."".,.,."."..""",.,."" Contractor ,C:~\ \~S.\I"" .~'.~~k rY\..,.. \\.~~,~.",.. ,~~,.,"",.,.."..,........,',.,"",.,"" Address ~p~", ,~4~,\.~~... <;:~~.... .0W..~~c."",. ,f~;.",." ~~,~,~1""...".""",."" Surety (if any) ,,0,~\ ,~9 f\ ~~. ~\~. , , . . . . , . . , . . . . . , . . . . , , . , , , . , , , . , , . , , , . , . . . , , , . , . , , , , , , , . , , , , , , , . , , . , . . , , , , , , , . , , , , , , Address (~\~.., ~"~'" ,A\:\-. . \S . , ~ :. . y~ Y'J).~~,Q,C'. .. . ,t~, ~~\~~3, , , ,Amount of bond $ , . , , , . , , , , , . , , , Any person making a loan for the construction of the improvements: Name ",.".",..,..',..""".......,....,..........,.......,."',...,....""""."""""",, Address ,.,.".,""",.,",.,',..,",..,.,.,.,....,...,..".."."...,.,.",."."",."",.",."""".,...".",.,."""", Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name . ~~~.~'" ~~~'!X';.~,~",....,...,...".,.,",."..".,.,",.,.,"""",...,""",.,""",.,',.,""""" Address ~\~,...~ ~.~,~ .~~.~~,.. .~~r..... C\.~.~~,~~.,"" f~,.", ,~~~J,~,..".,."."".",., In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (hI. Florida Statutes. (Fill in at Owner's option). Name "",',"'" ........................,........-...........-..--......................................... Address ", , , THIS' S~~~~ 'F'~~'~~~~~~'E'~.~' ~~.~ ~'~~~..,.,..""""""'."""""'" , , "~'" ",' 'hll' ,," '~'" '."". ,8,~\" {. ,Y,l,~" Owner STATE OF FLORIDA COUNTY OF PASCO TRUE AJ~~d~:~~~~~~Yo~~A T THE FOREGOING IS A OR OF PUI.t.lC RECORD IN TH'SHOEFDF~'C~T ON FILE HA . TNESS MY ND AND OFF:CIAl SEAL THIS DAY OF 2 a.aLJ JEO PI K OF CIRC TCO BY URT DEPUTY CLERK Sworn to and subscribed before me this , , , , , , , , , , , , , , ~ , , , , , , , , ,~ ~~C ,.,,~.fXh, Notary Public ~,.,.y P~c9. LESLIE KIM /to.INION ~"A . ~ COMMISSION # CC 693451 ~ A ~ EXPIRES NOV 2.2001 ~ ~ BONDED THRU OF f\l ATLANTIC BONDING CO., INC, FORM 600A-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A I~. Project Name: -~1~374GCH~-----~--~-~ Builder: GALLERY CUSTOM HarES Address: Permitting Office: CITY OF ZEPHYRHILLS i City, State: ZEPHYRHILLS, FL Permit Number: I:. Owner: Jurisdiction Number: 611600 Climate Zone: Central - I New construction or existing Single family or multi-family Number of units, if multi-family Number of Bedrooms Is this a worst case? Conditioned floor area (ff) Glass area & type a, Clear - single pane b, Clear - double pane c, Tint/other SC/SHGC - single pane d, Tint/other SC/SHGC - double pane &, Floor types a, Slab-On-Grade Edge Insulation b, N/A c, N/A 9. Wall types a, Frame, Wood, Exterior b, Frame, Wood, Adjacent c, N/A d, N/A e, N/A 10, Ceiling types a, Under Artie b, N/A c, N/A II . Ducts a, Sup: Unc, Ret: Vnc. AH: Garage b, N/A 1. 2, 3, 4, 5, 6, 7, I l___ .~---_._------~---.._--_.-._._---------.- New Single family I 3 No 1374 ft2 159,1 ft2 O,OfP 0,0 ft2 0,0 ft2 R=O,O, 170,8(p) ft R~II.O, 1210,1 ft2 R=I 1,0,261,0 it> R=30,O, 1374,0112 Sup, R~6,O, 15,0 ft Glass/Floor Area: 0.12 --- -~~----~----- - --- ~ - ------__J_ Total as-built points: 19580,00 Total base points: 22693.00 ~~~re~~-~~~if~~a~~~ Pla~s a~~~~cificati~~s c~ve~;~-l by this calculation are in compliance with the Florida Energy Code. PREPARED BY: ~ .~,<::... ~ '\~ DATE: '-\ - ~o < 00 I hereby certify that this building, as designed, is in compliance with the Fro ida nerg Cod , OWNER/AGENT: DATE: $-~---~-._.-~--_=:J 12, Cooling systems a, Central Unit Cap: 30,0 kBtu/hr SEER: 10,00 b, N/A c, N/A 13, Heating systems a, Electric Heat Pump Cap: 30.0 kBtulhr HSPF: 7,00 b, N/A c, N/A 14, Hot water systems a, Electric Resistance Cap: 40,0 gallons EF: 0,90 b, N/A c, Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15, HV AC credits (CF-Ceiling fan, CV-Cross ventilation, HF-Whole house fllll. PT-Programmable Thermostat, RB-Artic radiant barrier, MZ-C-Multizone cooling, MZ-H-Multizone heating) - ---- ----~~- PASS BUILDING OFFICIAL: DATE: 5/1blot> 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 with Section 553.908 Florida Statutes. FORM 600A-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , ZEPHYRHILLS, FL, PERMIT #: BASE AS-BUlL T GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X SPM X SOF = Points .18 1374.0 42.08 10406.6 Single, Clear S 1,0 6,0 38.6 44,66 0,95 1632.4 Single, Clear S 1.0 4.0 3.0 44.66 0,87 116.4 Single, Clear W 1,0 6,0 9,9 5;1.47 0,97 511,5 Single, Clear W 1,0 6,0 7,1 53.47 0,97 366,3 Single, Clear W 1,0 6,0 38,6 53.47 0,97 2002.6 Single, Clear N 1.0 5,0 19,7 27,96 0.96 530,3 Single, Clear N 1,0 6,0 16,2 27,96 0,98 441,6 Single, Clear E 1,0 6,0 16,2 59,31 0,97 931,8 Single, Clear E 1,0 4,0 9,9 59,31 0,92 535,9 As-Built Total: 159.1 7068.7 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adajcent 261,0 0,7 182,7 Frame, Wood, Exterior 11,0 1210.1 1.00 2299,2 Exterior 1210,1 1,00 2299,2 Frame, Wood, Adjacent 11,0 261,0 0,70 182,7 Base Total: 1471.0 2481.8 As-Bullt Total: 1471.0 2481.8 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 19,0 1,00 30,5 Exterior Wood 20,0 7,20 144,3 Exterior 58,1 4,80 279.0 Exterior Wood 38,1 7,20 274,2 Adjacent Wood 19,0 2,40 45,7 Base Total: 77.2 309.4 As-Built Total: 77.2 464.2 CEILING TYPES Area X BSPM = Paints Type R-Value Area X SPM = Points Under Attic 1374,0 0.00 824.4 Under Attic 30,0 1374,0 0,00 824.4 Base Total: 1374.0 824.4 As-Built Total: 1374.0 824.4 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 170.8(p) -31,8 -5431 .4 Slab-On-Grade Edge Insulation 0,0 170,8(p) -31,00 -5448,5 Raised 0,0 0,00 0,0 Base Total: -6431.4 As-Built Total: -6448.6 INFILTRATION Area X BSPM = Points Area X SPM = Paints 1374,0 14,31 19661 ,9 1374,0 14,31 19661 ,9 FORM 600A-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS:, ZEPHYRHILLS, FL, PERMIT #: BASE AS-BUlL T Summer Base Points: 28252.8 Summer As-Built Points: 25052.5 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 25052,5 1,000 1,048 0,341 1,000 8953,0 28252.8 0.3577 10106.0 25052.5 1.00 1.048 0.341 1.000 8953.0 FORM 600A-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , ZEPHYRHILLS, FL, PERMIT #: BASE AS-BUlL T GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area TypelSC Omt Len Hgt Area X WPM X WaF = Points .18 1374.0 4.79 1184.6 Single, Clear S 1,0 6,0 38,6 7,73 1,01 300,6 Single, Clear S 1,0 4,0 3.0 7,73 1,05 24.4 Single, Clear W 1,0 6,0 9,9 10,74 1,00 1 CJ6,2 Single, Clear W 1,0 6,0 7,1 10,74 1,00 76,0 Single, Clear W 1,0 6,0 38,6 10,74 1,00 415,6 Single, Clear N 1,0 5,0 19,7 12,:32 1,00 242,3 Single, Clear N 1,0 6,0 16.2 12,:32 1,00 199,0 Single, Clear E 1,0 6,0 16,2 9,96 1.01 162,7 Single, Clear E 1,0 4,0 9,9 9,96 1.02 100,0 As-Built Total: 159.1 1626.8 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 261,0 1,8 469,7 Frame, Wood, Exterior 11,0 1210,1 2,00 2420,2 Exterior 1210,1 2,00 2420.2 Frame, Wood, Adjacent 11,0 261,0 1,80 469,7 Base Total: 1471.0 2889.9 As-Built Total: 1471,0 2889.9 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 19,0 4,00 76.2 Exterior Wood 20,0 7,00 152,3 Exterior 58,1 5,10 296.4 Exterior Wood 38,1 7,00 289.4 Adjacent Wood 19,0 5,00 112,3 Base Total: 77.2 372.6 As-Built Total: 77.2 554.0 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Under Attic 1374,0 0,00 824.4 Under Attic 30.0 1374,0 0,00 824.4 Base Total: 1374.0 824.4 As-Built Total: 1374.0 824.4 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 170,8(p) -1,9 -324,5 Slab-On-Grade Edge Insulation 0,0 170,8(p) 2,50 427,0 Raised 0,0 0,00 0,0 Base Total: -324.5 As-Built Total: 427.0 INFILTRATION Area X BWPM = Points Area X. WPM = Points 1374,0 -0,28 -384,7 1374,CI -0,28 -384,7 FORM 600A-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , ZEPHYRHILLS, FL, PERMIT #: BASE AS-BUlL T Winter Base Points: 4562.2 Winter As-Built Points: 5937.4 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 5937.4 1,000 1,073 0,488 1,000 31 Cl6,3 4562.2 1.0730 4895.2 5937.4 1.00 1.073 0.488 1.000 3106.3 FORM 600A-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS:, ZEPHYRHILLS, FL, PERMIT #: BASE AS-BUlL T WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 3 2564,00 7692,0 40.0 0,00 3 1,00 2507.02 1,00 7521 ,1 As-Built Total: 7521.1 CODE COMPLIANCE STATUS BASE AS-BUlL T Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 10106.0 4895.2 7692.0 22693.2 8953.0 3106.3 7521.1 19580.3 I PASS I FORM 600A-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details I ADDRESS:, ZEPHYRHILLS, FL, 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST PERMIT #: ~QIIJI..P9NENTS.~..__ SECTION gEQUIREMENTS FOR EACH PRACTICE -~--'--~.~._~.-- CHECK ....-.-- .-.-- Exterior Windows & DOOf\S_ f-~1,ABC,1,1 .. Maximum:,3 cfm/sq,ft, window area; ,5 cfm/sq,ft, door area, -. Exterior & Adjacent Walls 606,1,ABC,1,2,1 Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility penetrations; between wall panels & toplbottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends ~- -~ from and is sealed to, the foundation to the top plate, - Floors 606,1,ABC,1,2,2 Penetrations/openings >1/8" sealed unless backed by truss or joint members, EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed -_.~._------~.- ----~ .~--_. to the oerimeter, penetrations and seams, -_._~ Ceilings 606,1 ,ABC,1 ,2,3 Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate; attic access, EXCEPTION: Frame ceilings where a continuous infiltration barrier is " --_._~_.._-------_..~~---------+---"_.__._-- ~.._.- 1l1sta~d that is sealed at th~~imeter, at penetrations and seal'Yl~-,--,_~__________ f--._- Recessed Lighting Fixtures 606,1,ABC,1,2.4 Type IC rated with no penetrations, sealed; or Type IC or non~IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2,0 cfm from -- --- f- ... conditioned space, tested, ._____~~_.__~__________._ ~~:,~:.~~, req~-::~:~~~5- 6irJ~~rrier on perimeter of floor cavity between floors, __~__ Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, haye combustion air. _. .'. .... 6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded bv all residences,) COMPONENTS -------_.-- ~CTION REQUIREMENTS .~_.~------_._~----_..~_._---- CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12, Switch or clearly marked circuit ---_._._-----.-..,---_._._._-~_._---- I--._-~-_._-_. Jlr.e~ker. (electric:l..QI: cutoff ~l.r1'1~st be provided, External or built-in tJeat tr~~quirecL____ f------ Swimming Pools & Spas 612,1 Spas & heated pools must have covers (except solar heated), Non-commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78%, Shower heag~____ T61~~_~_,--Water flow must be restricted to no more than 2,5 gallons per minute at 80 PSIG, -==i=-- Ale D"'bul'" S}'$lom' I 61D.' All d_, 00'"" mooh..'"" """'pm"" ..d p',""m '_b,~ 'h.lI bu mOOh"'",", -- -____ _ r- __ . r:;.",::;;:~":;:'~~:~~,;";=d.." with '''' """~_Of S"':~61D. ..1__ HVAC ,Controls..________t607,.1__~_.__ ~~i:lrate readily accessible manual or automatic thermostat for each s~~.Ill..._ . Insulation 1604.1,602,1 Cellings-Mln, R-19, Common walls-Frame R-11 or CBS R-3 both sides I ' I I Common ceiling & floors R-11, ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 82.4 The higher the score, the more efficient the home. I, New construction or existing 2, Single family or multi-family 3, Number of units, if multi-family 4, Number of Bedrooms 5, Is this a worst case? 6, Conditioned floor area (ft") 7, Glass area & type a, Clear - single pane b. Clear - double pane c, Tint/other SC/SHGC - single pane d. Tint/other SC/SHGC - double pane 8, Floor types a, Slab-On-Grnde Edge Insulation b. N/A c, N/A 9, Wall types a, Frame, Wood, Exterior b. Frame, Wood, Adjacent c, N/A d, N/A e, N/A 10. Ceiling types a. Under Attic b, N/A c, N/A I I , Ducts a. Sup:Unc, Ret:Unc. AJf:Garage b. N/A , , ZEPHYRHILLS, FL, New Single family I 3 No 1374ft" 159.1 iF 0,0 iF 0,0 iF 0.0 iF R=O,O, 170,8(p) ft R=I1.0, 1210,1 ft" R=I1.0, 261.0 ft" R=30.0, 1374.0 ft2 Sup, R=6,O, 15,0 ft 12. Cooling systems a, Central Unit Cap: 30.0 kBtu/hr SEER: 10,00 b. N/A c. N/A 13, Heating systems a, Electric Heat Pump Cap: 30.0 kBtu/hr HSPF: 7,00 b, N/A c, N/A 14, Hot water systems a. Electric Resistance Cap: 40.0 gallons EF: 0.90 b, N/A c, Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15, HVAC credits (CF-Ceiling fan, CV-CTOSS ventilation, HF-Whole house fan, PT -Programmable Thermostat, RB-Attic radiant barrier, MZ-C-Multizone cooling, MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Address of New Home: Date: CitylFL Zip: *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a us EP A/DOE EnergyStCfrM designation), your home may qualifY for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 407/638-1492 or see the Energy Gauge web site at www.fsec.ucfedufor information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. " APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT --- t?-O-O DATE RECEIVED.5 'L PLANS REVIEW I'D ~. tJ - L2 . " , OWNER'S NAME ~'r\\ M~c\~~ JOB ADDRESS 641.1 LEGAL DESCRIPTION: LOT(S) ~ PHONE <6\ ~ <;'b 1 /16f1t./IJ..t.E "J)P. . ~bOq SUBDIVISION -Si \~, C>o.les Ul} let ~ . \ BLOCK PARCEL ID # {;} 3-;Lt...~e21-0~oo -c;OOOO-O;;>S-D (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: ~NEW CONSTRUCTION o ADDITION OALTERATION o REPAIR D INSTALL D SIGN PROPOSED USE: 21SGL FAMILY DWELLING o COMMERCIAL DMOVE D DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POO:L D MOBILE HOME o OTHER DESCRIPTION OF WORK CJ RESTAURANT t0eUJ G'("\S~~\~,^ & HEALTH DEPARTMENT APPROVAL ~ ~ \~ ~""", \q \ , SQUARE FOOTAGE r" Cc,f) ~~e. BUILDING SIZE HEIGHT 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. D BUILDING $ m ICX)C) \~D PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ t...\ 1 OCX::> FINISHED FLOOR ELEVATIONS ~ VALUATION OF MECllANCIAL INSTALLAT~ON ,~*~ I~!/ o OTHER (iJ ~-I1i..{, t;;!" FRAME 0 STEEL 0 OTHER . 5' 'J.~.~f'f . IS PROJECT IN FLOOD ZONE AREAD YES )p-1J6/P o GAS o ROOFING o SPECIALTY TYPE OF CONSTRUCTION: _ BLOCK (!/IfrJ 177 SIGNA'l'URE ~ ~ 'SJ -:J:::-J>... ****************************************************************** ELECTRICIAN_Ji.'~ C COMPANY ~ ~c. 2l n STATE CERT OR REGIST # SIGNATURE ~ /Iv \ .x A U(- CITY PROCESSING # 30 BUILDER COMPANY ~\\~,~ CU.~''>~W"\' ~e." , STATE CER'l' OR RE~IST # C~ c..cl~:~5(\ L\ CITY PROCESSING # f1 \ ~.""""""'- ****************************************************************** 4 & COMPANY ~r\\t..\\j P\V'r.....b~5 . / STATE CERT OR REGIST # c: ~O~ ~ "t~ ------ ~ CITY PROCESSING # * * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ ~ * * MECHANICALdi ~~- COMPANY ~ ~~ ~,\ S n,'::..-\ \O~~.....,,\ . STATE CERT OR REGIST # ~.~Q 3;).....". '1 SIGNATURE 1l __ CITY PROCESSING t . ':t C"~ 3 V PLUMBER SIGNATURE '\ ***************************************************************** - ~. s. ~ ~ COMPANY r.... \ \e.<'~ CLQ-b"", 1'\'.....,'::, STATE CERT OR REGIS # C-I~ LO L..B3QY SIGNATURE CITY PROCESSING # f' \ ***************************************************************** .. 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, 813-788-661l. 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 sOlneone 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 compl~ance with all applicable laws regulating construction, zoning, and land development'. Application is hereby made to obtain a permit to do work and installation as in~icated. 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, 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 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 I issued shall become invalid unless the work authorized by such permit is commenced within' si~ 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". SI~TRA~ STATE OF FLORIDA I I II 11/1 - h dl M J d.... ; COUNTY OF ~ ~ The foregoin? in~l-hent wa~~, owled~id"J 1t"fn Before me th1S ay of , 'Y"" ~uu <- by _ ~ (name of person acknowledged) Ukho is personally known to me, or ~~~;~Y O~F ~~ LahtJuJ {J t2 The foregoing i~l~ument wa~ a knowledg~~ Before me this ' day of fY'(L(, ff=-' 11.JZ)ODD by (name of person acknowledged) ~o is personally known to me, or Owho has produced (type of identification) ~a~ whoOd~d Od,id not take. an oath. ~/j fir ~J }/Y1DJY) Signature of person taking acknowledgement L69-IE /Llm e0!3ltJ~()l0 Name typed(. printed or stamped ~~~T Pu<9. LESLIE KIM ROBINSON ~A ~ COMMISSION /I CC 693451 "l '"" EXPIRES NOV 2. 2001 ~..... ~ BONDED THRU '('OF """,,~ ATLANTIC BONDING CO., INC Owho has produced (type of identification) and who Odid DUd not take an oath ~ I!.nnI2..WJJn{jfy} Signature of person taking acknowledgment L.,~S L/ E 1::./ m 1208/ /VStJllI Name typed, ' printed or stamped .AtfcVf'J\ LESLIE KIM ROBINSON (6)' COMMISSION /I CC 693451 EXPIRES NOV 2, 200 1 BONDED THRU . AfW'.mc: BONDING CO., INC __,____~_...,,~_.~.,.....,.w,~. - .-.....~_._~_.._~'__~.:.~___'.J,"'_......~. _'._ ~_ ,'_Y'._ . /~J; - PASCO COUNTY. FLORIDA Date Pcrmitted " , -'1 '_I :1 7} J ' '). / .;.' ",' J .f IV\." Permit No, Builder Name/Owner Name ; ~ County Parcel No. Address/Location (:; 'I >., . ..' ,~,./ , " .,1'1 ','1.' <, /, t..~. { ? Subd. L" .('-~;~:::"'.- .:"",,,j-, ", ClassificationfType of Use i; II, " .'" How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? , ' .".IT Rate $ Zone,)(o:' Impact Fee Amount $ -' ~!"" /Prepared By Checked By Sq. Ft/Unit ...""- The above impact fec;.has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of Pasco,.,eo~nty Commissioners. This amount is payable PRIOR to the issuance of a Celtificate of Occupancy or utilization oi111e permitted structure. /' ~,.,. RES9t:rRCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units } Gross Sq. Ft. (GSF) Rate ERl' - 5200/Year or SO,l421Day ERU Assign No, A:--se:--sfllent - ([\io, Units), ($0,142) '( (No, Day:--) Assessment - (GSF)_, (ERU) , (0,142) x (No, Days) 100 TOTAL FEE $ ......... I j TOT AL FEE $ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G 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 L'SE ONLY TRANSPORT A nON REC. NO, RESOURCE RECOVERY REC. 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