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BUILDING PERMIT
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ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
/.5'0
PLUMBING
Permit
00001
/:;- / 9-?Jl)
1~/~qJ.
BUILDING
-
Date
~<;D
MECHANICAL
, 2 7S'"
Sewer Conn .g)9 921 ,
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T,I.F. s. 6.s:
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~Dperty own.'~~~~So~ I~);S--
Job Address: '
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.:.
Parcel 1.0. #
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R ""~ \ Cc.. u': \'
UPANCY BEFORE C.O.
Zoning:
1
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Complete Plans, Specifications and Fee Must Accompany Application.
J A/II work shall be performed in accordance with City Codes and Ordinances.
1\.5 ~ {o i (P. hrr? PlA'Vlf SOul/ice Jo~k ') ::;0('1'1 'j)O Inspector
~~~t~~i~;p~~ce 3;/::W,/J'1-1- ~ ~:~ ~~.;'l.
Company
~869 -"
~lePh.~~)
c.o.
1-01
DATE
~ 4iI' ;29- 0
DATE
NOD
~ 7(P!
~ ~ City License Registration #
\r;. _ State Certified License#
~~~
~~ " ~~(?;y. E.Fh~~~
t\t) ~ BUILDING ELECTRICAL
t,-,?:-/ 5't:..- / l-l"2,-O{ ')R...~ I...Zt;l,rJl ~
Ftr. J./'~AC);;;J4~ I J /L. Tp. Servo SLB
re SLB /-/9- (jl SIre Rough In Tub Set l.( - II ~ t>/ 5Jc.
Lintel Meter Can Water
~ FRM..If -ltJ-IJl ~ Const. Pole Sewer
.... Insul. CL Pool Final
~ WL Pre-Meter , J - / /... 0' ,,~ \
~ Final ~~ e;1'\ wi 'itEfJt
:t Driveway I, S-~ I ~ It- 5'~r........ D~; "-
'i-2..f> l 5'R- woJ.t \ II II 101 Sf.-
1- 2..2-~ 5' 12 2.Ijl-DI 5"1l.- ~Vc... ~
2-9-A01 S'~ :z.I~.ol7're \~'l'Z._ol 'S'rz::: \"'cfV\- ~
~ 5-2.-' -01 ~ rc:.. ;Zdh-~l 5JL. I ~ 2- Cf---t>/ S /!.... 'Z -' (... ~ ( '5' t=-
C REINSPECTION FEES: When ext a ectlo trips are necessar e following reasons, a
~ charge of Fifteen and OO/1~O'p~'als (~Ol shall be made for each trip fO~ each trade:
~ a. Wrong Address ~-if2-0' 'S ~ EL$C. neo'lC- 2.- b- CJ( <9 e..
b. Condemned work resulting from faulty construction. LJ:=' ;-r~\ c.. r?
c. Repairs or corrections not made when inspection called. () - ~ G.E 4-' &'-0' 5 'lL
d. Work not ready for inspection when called. II --
e. Permit not p~ste~ on job site. ~ ,_ \- ) '^l'.A'/'v . E.JAJ~C" Il-(IJJ/5
f. Plans not at Job site. wall. ~ ~ -r,
g. Work not accessible. 2-.- '?-.1-ll \ j (2..
,~JJe4.~-C: Yl ~#.
0nd::-
PLUMBING
~~~t:7Jt4
ME€HANICAL
Breakers
Ducts Insl.
Compressor
Final
~5-/CJ-D' ~J<
~c/J./16- ~..O()~t.. OP 5- 2-7-01 S~
FIRE ])COP~ Is:, - dll-o ISIC..
The payment of inspection fees shall be made before any further permits will be ~o the person owning
same. h' ~ e.... Iv WI p ~ seJ,I h:_tE... S- - '1_6J ( ~
l- ):sil lrifonnation
~~ .To Build On
\ Engineering. Consulting. Testing
REPORT OF CONCRETE COMPRESSION TEST
'ESTED FOR:
BOBBY L. BAKER
THE HASKELL COMPANY
P.O. BOX 44100
JACKSONVILLE, FL 32231-4100
PROJECT:
ZEPHYRHILLS WATER BOTTLING
PLANT EXPANSION
)ATE:
April 26, 2001
REVISION #2
OUR REPORT NO.: 779-00236-176
'lELD DATA:
..DCATION OF PLACEMENT CLIENT MADE - NO INFORMATION PROVIDED
)ATE PLACED
:"IME
;LUMP, IN.
tURCONTENT,%
tUR TEMPERATURE, .F
~ONCRETB TEMPERATURE.
DATE RECEIVED IN LAB
=IBLD DATA SUBMlTI'ED BY
.me DATA SUBMlTI'ED BY
April 26, 2001
SUPPLIER
DELIVERY TICKET NO.ffRUCK NO.
MIX NUMBER AND PROPORTIONS
CEMENT
WATER
FINE AGGREGATE
COARSE AGGREGATE
ADMIXTURE
OF ---
April 27, 2001
CLIENT
~:'lTR. APPI Jr''''R.l..A A..~ m"AlrIfn&1PNr ITNt JL~rt"l'HPRW1~ tNnlr.A-nnl! . ,!UP! r1.1.~~ AI. tn~ """'1.0'7 fP-rn tmrNlI ~ Q. "nI:U'PRRATl.11IE' Ct,,"-:lNOJ" ~lND'P.R. Mt.lMIRYM tl'lYJrU\ ~ 0 '11\, u..UJtlJNA- M'71-0'7
SPECIMEN TESI' TOTAL CYLINDER CYLINDER COMPRESSIVE
LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER AREA SJ'RENGTH
NUMBER OR SEI' NO. (DAYS) TESI' (LBS.) (IN.) (SQ. IN.) (PSI) TYPE OF BREAK
100 A 4 04/30/01 98000 6.00 28.27 3470 Cone & Shear
100 B 7 05/03/01 118000 5.99 28.18 4190 Cone & Shear
100 C 28 OS/24/01 155000 6.00 28.27 5480 Shear
100 D 28 OS/24/01 154000 6.00 28.27 5450 Cone & Shear
100 E H HOLD
SPECIFICATIONS
28 ---
COMPRESSION TEST RESULTS
ASTM CJ9.Sl6; CI23I-93
REMARKS: _ C)'IiDlIcn..... by pSl,..-a1lve.
x ~.r~"'by PSI
Toot ...wto """'" with 0fPIlc0b\D
1pOCilIcalIclaI.
X CyIlDdon..... by Arc:bho<<'. ..
_ C--'.~.
_ CyIiDdc.. cIolMmd \0 pSllaborololy.
TOII-w1l do DIll """'" with .
applicable ~.
TECHNICIAN: CLIENT
. uti, P. .
Istrict Manager
Florida Registration No. 53986
Florida Engineering Business No. 3684
cc: HASKELL - K. KETT; JOB SITE - K. DEAN;
KIMMINS CONTRACTING - R. ALLEN; CONCRETE - SUPPLIER
'IlIlSII 'I1lS1' lEIULTlAPI'IoY ONLY 10 11IB II'llaJ'lC lWoO'LIlS 'I1lI'I1lIl AND MAY NOT BB IIIIllCA'I1VIl O'11IB IllI'I1U COJ<<:Ul1l PLACBNIlHl'.
'.I!I'01lTI MAY NOT BB 1UlPIlODIJCIID. BXCBPT III P\lIJ., WlTIIOUT WII/TI1lN PI!IUoG"ON BY nOPllSllONAL IIUVICI ~ INC.
'SA-~(f)' Professional Service Industries, Inc.. 5801 Benjamin Center Drive, Suite 112. Tampa, FL 33634. Phone 813/886-1075. Fax 813/888-6514
APPLICATION I'OIl PBmaT
CITY or ZBPBYRRILLS
BUILDING DBPARDmNT
DAD RZCB:IVBD,
PLANS uvt_ I'D
OWNER'S NAME
JOB ADDRESS Jj~ gO - ~ 0 7.:t! ~
LEGAL DESCRIPTION: LOT(S)
PHONE
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: ONEW CONSTRUCTION
o SIGN
/OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERAT I ON
o REPAIR
o INSTALL
o MOVE
o DIj:MOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
BUILDING SIZE
SQUARE FOOTAGE
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.
"
~'LDING
~ECTRICAL
~ywtBING
~ECHANICAL
PERMITS REQUESTED
$
vALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
OGAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 B~OCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
!1!lmlll!!!!!illliiilll!II!~i!i!llllllilllll!!!!II!I!!il!II!II!!!i!i~lilll!!!!llllllllml!!!!!II!!III: - ~- --.-- - -;!I!!I~llm!I!lllmm~i~III~!II!lm!ffil!II!lllllllmlll~I!1illll!IIIIIII!~~!IIIIIIIIIJIIIIIJ
BUILDBR ,
SIGNATURE /'
COMPANy~l ~"'1
STATE CERT OR REGIST #
CITY PROCESSING # 11 C:. R
******************************************************************
.~CZA8 ~ ~
5r~T~RE v::; ~~
COMPANy~.€:t1LE~ atC'T. Ci##7d.,
STATE CERT OR REGIST #
CITY PROCESSING # t/""'.. ~57 0
I
******************************************************************
COMPANY ~cA-'k-(~s.+ M€d'tAtV ~'CA-I
STATE CERT OR REGIST #
CITY PROCESSING #
Cu",4
Z7~3
V'iLUMBBR
SIGNATURE
AU :u~ ~
(lQ8l.
**********~*********************************
V YBCIlAHICAL
SIGNATURE
***t****., (,
e~C-141U L c:.+
o 1,,)-+ '
************************ ****************************************
OTIIBR COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
*****************************************************************
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 requ1red
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the ~Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of ~Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it.to the ~owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypxess 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
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
. ,~..PAXI.~GTW},<;J.!:.Jo F.)>R 1;~,PIlO~TS TO YOUR PROPERTY. IF YOU INTEND TO 9BTAIN FINANCING, CONSULT
.\ ~ wt~ 'YbtJR LENDER OR AN ATTORNEY BEFORE RECORDING ;YOUR NOTIfE' O{~ CO~NCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NQTI~E:O~t~~~NT". ,
+
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
ack~owledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day or
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type of identification)
and whoD did Ddid not take an oath.
o who has produced
(type of identification)
and who Ddid Oiid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
APPLICATION I'OR PERMIT
CITY OF ZBPBYRRILLS
BUILDING DEPARTMENT
DATE RECEIVED'
PLANS REVIEW FEE
OWNER'S NAME ze,Jrf' h; Ib .5prillJ W<lM f'.atYlfA'f PHONE &t8 _ 78<i -/959
JOB ADDRESS 4380 20th (")/-,
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL ID #
{OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION
o SIGN
(2g ADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLI SH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
~ INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~~paIJ:Jlon af 8~'~~'~ -kc/tir hI' ~ alJd iJ'iflilj
BUILDING SIZE
SQUARE FOOTAGE
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.
PERMITS REQUESTED
Qia BUILDING
10 ELECTRICAL
r8I PLUMBING
a MECHANICAL
$
VALUATION OF TOTAL CONSTRUCTION
.AMP S ERVI CE
o FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME
FINISHED FLOOR ELEVATIONS ~,~O
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
SIGNATURE
COMPANY ~e ~Ak{l Cnf'f\fl1n.y
STATE CERT OR REGIST #
CITY PROCESSING #
BUILDER
******************************************************************
ELECTRICIAN
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***********~******************************************************
MBCIlABICAL
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS O~ PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pE~rmi t ma.y be
may be more restrictive than City regulcsLt:ions. The
compliance with any applicable deed rest:ricti':>n.s.
B. UNLICENSED CONTRACTORS AND CONTRACTOH RESPONSIBILITIES
If the owner has hired a contractor or contrac.tors to under1:ake 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 in1:I~nded 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.
FurtheDnore, if the owner has hired a contractOJ: 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 indica1:ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D, CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of ~Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~owner" prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be perfoDned 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
*ADnY 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
issued shall become ipvalid 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.
G TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC
PAYING ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
$2,500 I AL E DO T ED TO RECORD AND POST ;,{ICE OF
SIGNATURE:
subject 1:0 ~deed restrictions" which
undersigned assumes responsibility for
T MAY RESULT IN YOUR
OBTAIN FINANCING, CONSULT
C MMENCEMENT. JOBS UNDER
CEMENT" .
STATE OF FLORIDA !'f)
COUNTY OF --1Jl5t'D
The foregoing instrument was acknowledged
Before me thi~ ~~a'l of -r;'QJ11I'Pf->, ~
by fYJaffl 11 I{ e-i+'Jt 1> _ ~_
~. (name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification)
and who D~ Oiid n'fA t~ke an oath
j/,;;tjJ -' ~. ~.dL
,
Signature of Eerson taking acknowledgment
::f.:f.\~.~~~ IMh L GiH
-./'/j\... MY COMMISSION I CC911S97 EXPIRES
Name tYPec.f~~llnt~f~~~1NC.
STATE OF FLORIDA ~
COUNTY OF Sf! n
The foregoing instrument was acknowledged
Before me this ~ day of7Je/!~bl'jJ, H~
by -:Va IJ I'd i5-C,JO...
(name of person acknowledged)
~WhO is personally known to me, or
o who has produced
(type of identification)
and ~did D~t take an oath.
rt) ~ r/}
sig~ature of person taking acknowledgement
Name ~ t.i~~~1~~tffIMg
~~ . ./D Aprrl13, 2004
-..~~~., 80NDfD THRU TROV FAIN IIISURANCf.,INC.
Phone #
CJ Fax # p~-
Post-it@ Fax Note
To ..:JO~.4 TfI.4;U
Co./Dept
Fax #
ZEPHYRHILLS BOTTLED WATER
4330 20TH STREET
THE HASKELL COMPANY
SQ. FEET PRICE
MAIN OR LIVING AREA 150,841 $ 34.00
OTHER AREA UNDER ROOF $ 15.00
OTHER
VALUATION $ 5,128,594.00
FEE SHEET $ 10,928.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 16,392.00
CREDIT: $ Pe.rt~lT
BUILDING LESS CREDIT: $ _ 16,392.00
ELECTRICAL: $ 693.58 Flii-~
PLUMBING: $ 150.00
MECHANICAL: $ 280.00
RADON: $ 1 ,508.41
TOTAL $ 19,023.99
SEWER: $ 3,993.75
WATER: $ 1,093.75
IRRIGATION: $ -
TOTAL: $ 5,087.50
~
(J..S(>(TiiL/ ~~E.iL
( ~~'~"~..\2..c.:n.cwJ
f'i-E-"::>
WATER METER: $
IRRIGATION METER $
875.00
SUB-TOTAL $ 24,986.49
TI F'S: $
99% $
1% $
65,766.24
65,108.58
657.66
'1M ~'Dr ~.\1..'- AT,- ~Al
I ~)~'-I
f);..ti.. ~
TOTAL: $ 90,752.73 I
tIP Fax Series 900
Plain Paper F~/Copier
Fax His.tQrylt,e'pOrt for
City of Zephyrhills
(813)788-3293
Oct 242000 3:04pm
Last Fax
Date Time
~
Identification
Duration Pages Result
Oct 24 3:04pm Sent
919047914699
0:54
2
OK
Resul t:
OK - black and white fax
\)~I~^-1t1\! 1\l1fT{ tAl ot- 'lSul L.\)ir'J 6 rl~ytAYr r=.,);
,,\
6NL'1/~
~l.,,6-L, P Lv l'v'- b. M h_L \\
A- ij ~ i Ii ~r~ (\-L
+
VAL0'fil \cr"\l
$500,001 and up:,..--+
$470 for the first $100,00, plus $3 for each
additional thousand or fraction thereof, to and
including $500,000.
$1,670 for the first $500,OOOLPLu!$~Jor e~~h
additional thousand or fraction thereof.
$. O~ per square fuuL-$15 minimum (I.:I ~JiLeJ at time or
permlttm~).
One half (1/2) of Permit I:'ee + Transportation Impact Fee +
Driveway - $20,00 + Addrcss - $20.00 + Radon Fee.
d.
$100,000 to $500,000:
2. Ar:JUQRti9fl Pee:
/-==::::;-----...
'-__~..:.___Qlan Review fee"?)
4. Resitlentilll COllnectioll Fees:
i.
ii.
iii.
iv,
v,
Sewer:
Watcr:
3/4" Water Metcr:
Duplex Connection Fees:
Commercial Connection Fees:
$ 1,278
$ 350
$ 180
Double Residential Fees
Refcr to Table A Worksheet
Valuations listed below are calculations to used where a contract price was not submitted on
permit application; or where the contract value is less than that when calculated using the valuations -
listed below:
a. Single & Multifamily Residential:
Area under roof-per square foot: $ 40.00**
** Also covers habitable additions
b. Single & Multifamily Nonhabitable Additions:
Area under roof-per square foot: $ 15.00**
** Also covers habitable additions
c. Swimming Pool Fee Schedule:
i. Residential (Inground)-Minimum Fee: $ 40.00
ii. Residential (Above Ground)-Minimum Fee: .. $ 25.00
iii. Commercial-Minimum Fee: $ 60.00
iv. Spa-Minimum Fee: $ 25.00
d. Sign Installation:
1. 200 Square Feet or Less-Minimum Fee: $ 25.00
ii. 201 Square Feet or More-Minimum Fee: $ 60.00 -
e. Reroof:
i. Residential-Minimum Fee: $ 25.00
ii. Commercial-Minimum Fee: $ 40.00
f. Tents: $ 25.00
ZEPHYRHILLS BOTTLED WATER
4330 20TH STREET
THE HASKELL COMPANY
SQ. FEET PRICE
MAIN OR LIVING AREA 150,841 $ 34.00
OTHER AREA UNDER ROOF $ 15.00
OTHER
VALUATION $ 5,128,594.00
FEE SHEET $ 10,928.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 16,392.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 16,392.00
ELECTRICAL: $ 693.58
PLUMBING: $ 150.00
MECHANICAL: $ 280.00
RADON: $ 1,508.41
TOTAL $ 19,023.99
SEWER: $ 3,993.75
WATER: $ 1,093.75
IRRIGATION: $ -
TOTAL: $ 5,087.50
WATER METER:I $
IRRIGATION METER $
875~00 I
rP- "
SUB-TOTAL $ 24,986.491
TI F'g: $ 65,766.24
99% $ 65,108.58
1% $ 657.66
TOTAL: $ 90,752.731
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 $ 1,278.00
Travel Trailer Park $ 131 .25 $ 479.25
COMMERCIAL (Per fixture)
Sinks $ 87.50 $ 319.50
Water Closet $ 131.25 $ 479.25
Urinal $ 87.50 $ 319.50
Lavatory $ 43.75 $ 159.75
Tub/Shower $ 87.50 $ 319.50
Washing Machine-Commercial Size $ 350.00 $ 1,278.00
Washing Machine-Domestic Size $ 87.50 $ 319.50
Dishwasher-Limited Use $ 87.50 $ 319.50
Food Service-Dishwasher $ 700.00 $ 2,556.00
Sinks (3-Compartment) $ 175.00 $ 639.00
Car Wash (Per Stall) $ 1,000.00 $ 6,390.00
FIXTURE
G.P.D.
#
WATER
SEWER TOTAL PER FIXTURE
SINKS 50 2 $ 175.00 $ 639.00 $ 814.00
WATER CLOSETS 75 4 $ 525.00 $ 1,917.00 $ 2,442.00
URINALS 50 2 $ 175.00 $ 639.00 $ 814.00
LAVATORIES 25 5 $ 218.75 $ 798.75 $ 1,017.50
TUB/SHOWERS 50 $ - $ - $ -
WASH. MACH. COMM. 560 $ - $ - $ -
WASH. MACH DOM. 200 $ - $ - $ -
DISHWASHER COMM. 400 $ - $ - $ -
DISHWASHER LIMITED USE 60 $ - $ - $ -
SINKS-3 COMPARTMENT 100 $ - $ - $ -
CAR WASH PER/STALL 1000 $ - $ - $ -
IRRIGATION METER
SUB-TOTAL $ 1,093.75 $ 3,993.75 $ 5,087.50
2" WATER METER $ 875.00
IRRIGATION METER
IRRIGATION CONNECTION FEE
GRAND TOTAL $ 5,962.50
10/23/00
1-1'
~
THE
HASKELL
COMPANY
TOTAL FACILITY SOLUTIONS
Timothy A. Good
Vice President
September 19, 2000
Re: Zephyrhills
Spring Water Expansion
City of Zephyrhills
Permitting Department
5335 8th Street
Zephyrhills, Florida 33540
Gentlemen:
I, Timothy A. Good, do hereby authorize our employees, Keith Dean, to act as agent in securing
permits in the City of Zephyrhills for the referenced project. We understand we are responsible for
any and all work performed by our agent.
Timothy A. Good
Certified General Contractor
CGC - 003375
~~~A1
Timothy A. ood
Sworn to and subscribed before me this 19th
day of September, 2000
d;:. 73.~
Not~bliC
State of Florida
A-:r.~:""" FAYE B. MARTIN i;
t~f'J;.. ~~~ MY COMMISSION' CC 620906 !'
;").".~:O': EXPIRES: June 9. 2001 I
A -'1.;'f;"F"~;>- Bonded Thru Notary NJIic Underwrltllrs I
"ifill" I
My commission expires
HASKELL BUILDING.]ACKSONVILLE,FLORIDA 32231-.:i100.904/791-4500 FAX 79 1699
AACOO0281 !B()()()()S.!'l
Z9)HftL~tl.L~ I~~ uJ'\1nt\
IOl5/~~,-o
I SQ. FEET I
PRICE.
MAIN OR LIVING AREA /50, 1>Lf'1 $
3<-1. {)u
OTHER AREA UNDER ROOF $
OTHER
VALUA nON $
I
BUILDING: $
CREDIT: $
ELECTRICAL: $
PLUMBING: $ /5u. ~v
MECHANICAL: $ ~iO. _~tJ
/SOt ~+I RADON $ I J 5"D'8 . iof/
/50- r: 'f- i'- t.f '?J to
TIF'S: $ ~6YTiN&
t>luD
lo<5' I I ~ <c . .2-
~SL~'
.......
r1i-t0~">
4 - W/e-
2- - UiLN.
5- Lf'V"~
'2 - SIAl~S
I - 2 II ()..l ~TT~ V4':;TCIL
HP Fax Series 900
Plain Paper Fax/Copier
Fax History Report for
City of Zephyrhills
(813}788-3293
Oct 23 2000 4:07pm
Last Fax
Date Time
~
Oct 23 4:05pm Sent
Identification
Duration Pages ~
97831905
1:20
3
OK
Result:
OK - black and white fax
5335 8th st.
Phone: (813)788-6611
Fax: (813)788-3293
City of Zephyrhills
Building Department
Fax
To:
Keith Dean
From: Harold
Fax: 783-1905
Pages: 3 Including Cover
Phone:
Date: 10/23/00
Re:
cc:
o Urgent
x For Review
o Please Comment 0 Please Reply
o Please Recycle
Dee 14 00 08:20a
Cit~ of Zeph~rhills
( 8 1 3 11111111111111111111111111111111111111111111111111111111111I
2000158516
F~A. ,.,.., \.AW.
". .,'s.,~
NOTiCE OF COMMENCEMENT
SEMINOLE FORM 408
'1'lIllN"'& IN DUI'''IClATII:I
~:-:~t:fO~4tld. } /3 - ,;] tI -- d. / -0 ~ 70 -0 71/00 - 0000
The undarll;9nac:t hQrebV info"",s all eoncerned that Improvoments will b. ",ad. to oorta;n roal proporty, and in acoordllnoQ
with section 713.13 Ilf the Florida ~tatut8.. the following ~rm.ti.n is Iitated in this NOTICE OF COMMENCEMENT.
O..o,;,,"on of p~p_ .. !?c;.r:.!c"Q.O,'. . . .0 .c.</J.. . I.v. f:.s. I.. . . .:ft.. . .0.. T.. . . . .. . /j" . . . . . . .. ..
. .S~?~ 1(G.(].. /3 y...f( 9.'?jrz. ..J/efT I'.C!.S (;,'9,.. C. 9.<<'Tl.Iy. ../t(?t'i:~~...
~.~~~~: '~~~i~~I~~ ~t',~~'r~~~~~~t~""/j; ~.. . ';n;; 1~)' " .It;;- ');;J;;;; .. . . . . ... '" . . .. . ..
Own., C:..im+ ~(Ij ~..Q.tA~@, ~I' . .. .. ... ... .. .. RCP:: 462296............
Address ..!.?7.... .~f.. .fJoom. .AI((#... ... .~~l.~h. ~.. .ct.. .......... ~~~1~/~~ Rir: ::::
0/0 Dpty Clerk
Owner's interest in site of the improvemem. . lOP. . . . . . . . . . . . . , .. ........... JED PITTMAN . .
Fee Simple Title holder (If athsr than owner) 12/19/00 02: &1.5;0 fOUNToY,. CLERK
Nama ............................,...........,...........................,...,......... ~~. ~~... 4~02 PG 876
.~
,-"7't
Address ,.....,............,....................................................,.. .......................,..,........
Contractor .1he.. .~~n ..~oy)".m .'-K;v~~..J~. Ale...... :,T......,...,............................ ......
Address ..tLl .. R.i~~~~jd~..A~~)... :r~~\',~.;). F.\~.~.... p~p.P?-:..,....,..................... .... ......
S.Jrety (if any) "o!)~.. .~I!!f.eJ. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . " . . . . . . . . . . . . . . . , . . . . . . . . . . . . , . . . . . , . . . . . . . . . . . . . . . . . '
Address .....................................................................; , . . . ... . Amount of bond $ ,/:I/A... . . . . . '
Any pe,.SQn making II loan fOI th" construction of the improvement.:
Name . .Nj.A ...... , ...... . -' .... .................... ......... .... .......... ... .... ..... , , ....... .. ..... ., ... ... ."... .....,....,
Address ...............,........................' .......,.......................,.,..,.,.......,..:... ......,.............,....
:::~ ;; ~K:~; Fl~;d~ ~..I~.~:bY~~~'. u~~ ~h~~ .n..~... ~:~h.' 'OoU~~" ~y .b' .~~' .. .......
Addrellll .4~?~... . .....;)t. ..~~~~y.('..;ll~...Ft...~??........................."........"...... ...........
. !n addition to him5elf, owner d88iQl1ut:f" ~e following person to receive a ~opy of the Lienor's Notice as provided in Section
113.13 (1l (hI. Florida Statutes. (Fill in at Owner's opUon). ..
".m.~t. \I'Yf4.....__.... ................. ..................... ........... ......
Ad..... .-4~.. 2P.... ~'t .kf~'.~h;\\.-? FL.. 33S1~.......... 'lyV~/i' ....,.....................
THIS SPACE FOR ~ecORDER.S USE o~~l . . . .J>d. ./1. :/iIffl. .. , , . .' ."'. .. '" . ... .
Ow ...
Swotn to and subscribed before me this .'" . . . . . . . ' . . . .
STATE OF FLORiDA
COUNT'{ OF PASCO
H"S ru uy ,'::\,' THAT THE FOREGOING IS A
T')II.... j\i'JlJ.t;or,r;ECT CUP.' ,leTHE. OOCl..JMEN;;~iL. E
OR O! ,,'il[,' ['.! Cijiil,1:'; ,'.I, n~~ICE}R~.I~Y
"~!",~.'}AYUF
~~D~~~;;:~~: CLERK
--1.1..1::.., ot ...... /J.:Peil~~ . . . . . .. .... ."'~
............~.~. ,j/4.......... . ......
Notary Public
,.....Jt::,1,.
.~r'\. Ruth L Gill
, [*: :~ MY COMMISSION # CC911597 EXPIRES
~'" ill April 13, 2004
"'~ ;;,;!i\.... 80NDeD TH~U TIlOV fAIN INSlJI!ANCE. 1He.
Ili,,,.
Dee 14 00 08:20a
Cit~ of Zeph~rhills
(813
111111111111 1111I1111111111111111111111111111111111111111111
2000158517
HI<. It" I,Awa
"'. "'S.l:1
NOTICE OF C01V1MENCEMENT
SEMINOLE FORM 408
'''II.''AIII: IN DUPI.ICATItI
~:~~t;'O~..tld. } \ /03 -diP -OJ} -(}OlO -0 7/100 -0000
Th. undar..i9ned hor.by infonnR all concerned that Improvements will b. made to ~ortain roal property, and in acootdonce
with section 713.13 af the Florida Stetute8, the fallO~ informatien i. Iitatad in this NOTICE OF COMMENCEMENT.
Ooscription of pl'OpertyS e. C .l1.'p C. . . /.(3 y', . .1..90 /l.S ;;0. . . .:? 6..r;. .41fe. . ..J.! tf.. . . . .. ..
. .&~-.C.Q. ..C.y.~{.~.ly.. //r;,r:/;/g./... .~r;1. :~7:.. .dC.~~5...................................
~~:~~!.~::.~~~~!:/~;:~;J{~~~S ;'2;;;~;~~ i ;;;, .~/; ;~~ ;;~~,& I-e
own.,C:.imtt:.1.\5, ~"QtAtt<<!CA,~" '''''''' ,. ". """"...",,,,,.. "'...." "". .", ,~"
Add'... :'?7. " ,,<<>f, Pufuom '~'" " ,~~t", I" ,Ct. ' " " ~?l0, ~ R~;::::
Owner's interest in site of the improvement., . loP. ......... ..... .' ........ ... ......... .~~<~~~~0.. ..... Dpty CI.rk
Fee Simple Title holder (If athsr than owner)
Name .................,................................................................
i~91~~~~f1Ar2 : &15;0 fOUNT!, C1.ERK
OR BK 4502 PG 877
"':_". ,Ad cireSI! ............,......,....:.......................................... ........ ..........................,...........
Jt~~}~contrlJctor ,The.. Ha~en. '~FOY)" .,'~ ..~i~r.:5i.J.e. Ale...... :T...... ........ ........................
H \j Address ..ILl .. R.i~~f.~jd~. .Av.~)... Ja.cbt:\~).\.k. t F.\~.~...... Bc?-~?P~....................,...... ....
S..nety (if any) 1/(Jf.I~.. .~I!!~eJ. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . . . . '
Address ..................................................................... ~ . ..,. . . .. . . . Amount of bond S .#/A.... . . . . . .
Any plll'son making a loan for th" construction of the improvements:
Nama . .~A .. .... . .'. . " .: .... .... ..... .. . . ... .. .. .. ... ,... .. . . . .. . . ..... . .. .. .. .. ... . . . . . ., .. .. .... . . . .. . ... ......'......
Address ........................................,..............................................,...... ...................'
Person within the State of Florida d..ignated by owner upon whom notices or other documents may be surved:
Nem, ~.. ~\~.jj,".. '......,. 'h..".... ......,.... .,.............,..... ................. ...... ......
Addrus .4~~~... , .... .st. ..K~~Y(,. ,;11~...FI... .~?? .... .......................................'.. .........
'!n addition to him581f. owner deSiOflut:;{""j,'e following person to receive a ~oPV of the Lienor's Notice as provided in Section
713.13 (1) (hi. Florfda Statutes. (PlII in at Owner's option). ..
Name ~~rt 13roce
. . .: ....~.. ...,..~...._>.._................ ................,.................................'...'.,..
Add".. . ~~. . .a>.. .. ~, , :kf~ 'l \1; \~~. , . f. L . . 335'/9 . . .. . .. . . .. ""1'~~' ......,........... .......
THIS SPACE FOR RECORDER'S USEo~~l ... .. d?4...A ~.IV/l.... ......................
ner
~3'!~'{L\ TF ( fo." , ,';'\
COUNTy' (iF P i\' (~'r,: .
.- . f"' ~_'.~ \ J ( .J
I III'> ,-u Cf If" I' r
ni'i! \r,[) l'n'Wf 1'1 (, 'I \ ," fill~ FOn~Gf)ING IS A
r;/-i (I' I"~'; H' : II;' I,'r,j; [:~)ClJME~V I (J~ riLE
,JI "'~lt~ICE blVlY
. 1'7" J('
.~ 'I" U.A.'{IJF-
JErJ 1"~'Ldl' ", ,-. ,
" .~. I,. , .J LII.'.r:UIT CO.URl
:~. '. ~JA'.... 'J'"
. ";~"'n. I /.,'/)1 Y CLERV;
Sworn to and subscribed before me this . . . . . . . . . . . ' , . .. .,............
.._...../1J!..dav of ....... ])~ij#1kr-... .Id.......~
...............,~L. .Wdl.... ...
Notary ?ublic
.,u,~
~~~Y"l:~~ Ruth L Gill
~rli")j MY COMMISSJOt.! # CC911597 EXPIRES
~""~-!'.: April 13, 2004
....~t,~:..~~~.... BONOfO THfW T1~CY FAIN W9URANCE, K.
D~c 14 00 08:20a
Cit~ oP Zeph~rhills
(813
111111111111 1111I1111I11111 11111111111111111111 111111111 1111
2000158518 ' ,
FlA. "'IT LAW.
,. ."S.li1
NOTiCE OF COMMENCEMENT
SEMI NOLI FORM 408
IPIlIl,.ARIE IN DUI'I.ICATIEI
St..,. of l"Iotld. } 1"7 _ " / _ "l/ -00 70 -(J 7Jf
County of \ U ol-(.R 0" 0 .
The undllr,.i\ilnlld hllrebv inform. all coneorned thllt im.,rovomenta will b. mllde to Dllrtain rolll Property, and in acaordanQII 0
with sBctlon 113.13 of the Florid. St.tutsa, thll fallowing information i/tated in this NOTICE OF COMMENCEMENT. 0000
D.,.ri"'.n of pm.."y . ~e Ie, (~(de. . .. .f/V~!s.&1. ..b,yff. . . ::- .. . .. . .. .. .. .. . ... .. .. ..
. . .t.v.... .Q I d .6.Q,r.r..Clz/S" .lfa/?. . .....~.. ./q.5. Co.. '" (,9.?rOIy. . .......... .. ..... .. . . '.
G=::::~ ~'1~~~:~~ '-1; /r;:;;';{ ;;;... ~ l c;;;; f'" !J;/Jj; .50,
Dwnw. G.1m+~f\5 ~.QtA~!~, '~h" ............. ...... .... ......... ...................
Add_ .""7... .~f fvfwn "~'''''' ~1!I1t;.. t.. .ct.. ... .... ~~l0. ~ ~;::::
Owner's interest in site of the improvement.. . loP. ... . '" . . .. . .. . . .... . " . ." ........... ~~~.~~~0.~... .. .. ... .. Dpty Clerk
Fee Simple Tille holder (If other than owner'
Name .................,................................................................
JED PITT"AN~ PASCO COUNTY CLERK
12/19/00 0~: 0.!tm 1 of 1
OR BK 450~ PG 878
R
AdcireslI ...................,....:.................................................. ......................................
ContrllctorIDe.. Ha,~e~\ ..~~oy)...m ..-g;Ye~i.J? Ale...... :T....................................... ..
Addrass ..fl.' ..Ri~~~~.id~..A'I.~). ..T~\\.k..j'F.\~.~... ..?.?.:~.... ..... ....... .......... '" . ... ......
S...rety (if any) Jl.oIJ~.. .~I!~i:.eJ..... .. ....... ......... ....... . ............. ....... .. .. '" ....... .. ......... ... .......
. . .. .. ........ Amount of bond sHift. . ... ..
Address ..................................................................... ~
Any pel'son making ill loan fOI the conatrucUon of the improvements:
Name ..J:.J/A....... .'. . " . -' .... .... ....... . . .... . . . .. ... .... .. .. . .. .. ..... ... . . ,
. ....... ......... ......, ... ". .,..'. . ..........
Address ........................... :-:-. . . . . . . . . '.' , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . .. .........................
Person ~th~ ~U~te of Florida designated by owner upon whom noticH or other documents may be survad:
Na.". ......... .1\.'. '" ~. .. . .... ....... .. .. h' .. ......... . ...... ....... ....... ..... ... ...... ....... .... ........ ......,.......
Addren .4~~~... . . ... .~t... ?"~w..,;1/~ ...Ft.. .~?? ........ ...................... .......... '" ...... .....
. !n addition to him5elf. owner d8sior::f'tl,'. following person to receive a ~opy of the Uenor's Notice as provided in SectiOn.
713.13 (1) (hi. Florida Statutes. (Fill in at Owner's lIpUonl.
Nem.~A. ]lihl'9~,.~-- .......". ....,..... ......, ... . ,...,.
Address :4?e9...~... ~~.,. :l~~J.~h~ \\.-?~.. FL.. 3351.t>......:... 'j" .il".. .......................
THIS SPACE FOR ~ECORDER'S USE o~~l ^ /
.....~~...................................
ner
Sworn to and subl!cribed before me this .... . . . . . . . . . . .. ..............
:~;r l\: C 01 FI .'\
CClUf'.!Tv OF PI;;;,(~()
(iii:', ii, J(J e!f! r ," 'AT THE FOREGOING IS A
H;ll! V,;!1 U'(OliifC! I/Ii'" ":1 DDCUME~jL2~ FiLE
PH ("'!I'lii\U ': ,(JI'~iZCE,WI~~~ r~I':
, ,il~), ~... uAl' dr-
,. .--- a{J)7
, ('I 'H.:i'iC:UIT COURT
. .'ll'u-L4.~<<_ UFI'U1Y CI_ERK
--/1.!.:'!:..yof ... zi!:ueef2H1~;;. ..... ..... ..,,~
............ . .,tc4dL.... ........
Notary ?ublic
-:.~';j,~:'f;:"'_ Ruth L Gill
f~r*~~ MYCOMMISSIO~# CC911597 EXPIRES
'''i'~'~~l Aprr113. 2004
."'$, ~.::.~~~" o.,)NDED rHRU TROY FAIN lNSURANCE.INC
DEC-14-00 THU 09:43 AM THE HASKELL CO.-AlE DEPT
FAX NO, 9047914697
n "?
rl \}.....
;I~., (~
wl101e Building Performance. Aethod for Commercial EuiL tlgS
. .
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Dep<J.rtment of Community Affairs
Form 4001\-97
FLA/COM-97 Version 2.2
?RO,JECT ~JAME_?ephyrhilla <Sf1'=lN"- UI\"T'(V t..~.
ADDRESS: _z. ephyrhills 4;~o 2o~h trr _
_._?,.~\1.1LJr--" , ~L. ~O
OWNER: _Zephyrhill 'Water
AGENT:
BUILDING TYPE: Factory - Industrial
CONSTRUCTION CONDITION; New'construction
DESIGN COIvlP!,E'I'ION: Finished Building
CONDITIONED FLOOR AREA; 2560
MAX. TONNAGE OF EQUIPMENT PER SYSTEM;
~ERMITTING OFFICE:
_Zephyrhills
CLINATE ZONE:
PERMI'r NO:
JURISDICTION
4
DOOO I
NO: 611600
Nill'tBER OF ZONES: 1
COMPLrk~CE CALCUL~TrON:
METHOD A
-----~---------~-
A. WHOT-IE BUILDING
PRESCRIPTIVF. REQUIREMENTS:
LIGHTING
EXTERIOR LIGHTING
LIGHTING CONTROL REQUIREMEN'fS
}-!-;VAC EQUIPMENT
COOLING EQUIPMENT
1. EER
IPLV
BEA1' ING EQUI PMENT
1. Et
AIR DISTRIBUT10N SYSTEM INSULATION
1. With Insulated Roof
REHEAT SYSTEM TYPES USED
NO REHEAT SYSTEM is USED
WATER HEATING EQUIPMENT
1. EF
PIPING INSULATION RSQUIREMENTS
1. Non-circulating
COMPLIANCE CERTIFICATION:
8
DESIGN
CRITERIA
RESULT
80.40
100.00
PASSES
75.00
75,00
PASSES
PASSES
11. 00
11.60
8,90
8.30
PASSES
PASSES
20.00
REQUIREMENTS
8.00
N/A
6.00
PASSES
0.89
PASSES
0.89
1. 00
1. 00
PASSES
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
thie Quilding will be inspected
for compliance in corda with
I hereby certify that this building is /-$ec'c1:x:m 55 .908, rid u 'utes.
.in compliance with the Florida Energy /' ~UIL.D.ING FF 1]\1. I V-
Efficiency Code. ~A'rE:: ..::0 - 0
I hereby certify that the plans and
specifications covered by this calcu-
lation al.'e in compliance with the
Florida Ene.rgy ~fiC~~de .
PREPARED BY: C1t..~ .
DAT~: _,__lt~::-ot,1 ._____.___
DEC-14-00 THL 09:44 AM THE HASKELL CJ.-A/E uEPT
FAX NO, 9047814697
P. D3
..
6WI~1ER/ c'\GEN'l' ;
:JATE;
-.
" ,
..-,
,
. .----od...........
thereby certify(*) that the system design is in compliance with the Florida
Energy Efficiency Code.
Sy E~ E
REGISTRATION/STATE
!tv"lg, .I p{..
. S"S-O z..~ FL.-
:S:..B.1.d L ~L
?f-Ilo 7~,-
3'fIIO/rL
s e red where Florida law requires desi.gn to be performed
design professionals. Typed names and registration numbers may
all relevant information is ccntainad on signed/sealed plans.
ARCHITECT :
MECHANICAL;
PLTJMB ING
ELECTRICAL:
LrIGHTING
(*j Signature
by registered
be used where
~~~=~==~~~~~~~=========w=~_;~~~_;~~~====~~~~~~~=======~~u=y~~;.~~===~====~=:~