HomeMy WebLinkAbout01-0292
BUILDING PERMIT~~
0292
cJ
:J6hf.O-
CITY OF ZEPHYRHILLS
(813) i'1&-lJll 7So.oozo
Permit
BUILDING
:J32.~
ELECTRICAL
105. ~
PLUMBING
'9~. ~
MECHANICAL
Date S-/3 /0 I
,
Sewer Conn
7 ,gg. '7ff
J 9b~' ~.
Property Owner: ~ h Y r h: r \ s l)6JtJ 1-eeI lAl...~
Job Address: l/?~ 0 ;;l~ 5+ .
Water Conn:
Water Meter:
T.I.F.'s: 7& 1"-1, 9
Parcel 1.0. #
Zoning:
DescriPtion of Work
Energy Code:
E~f~'" s , Co"
o-f.
Radon Gas:
Ote'L~ Cl"eec
7g,'~
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
P~rmjt Fee ~I~~
4' SIgnature -Md:k__
Company
Address
.:;yTelephone# 8/3. 7e3. ,JJUi0
Valuation or 5
Contract Price 5'" ( , 0 l/ D .
City License Registration #
State Certified License#
~~Ql' LQM(-
e;-..r. L t2.e.
~rfhr
14~vfJe.-
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr. Tp. Servo
Pre SLB Rough In
Lintel Meter Can
FRM. D.. Canst. Pole
Insul. CL Pool
WL ~ - ,:l ;:l. ~o I S it- Pre-Meter
.-; - 2- '-G i 15.13 Final y -7- 9-0) ;PL'f
Driveway . "/I/lTII1L c~ ';-:2.1-01 ~I<.
-rnP!I1IL F2A"'l'J.(;. t ';J/~,,/se E"QeTJ!/L ~ -jl,,'.o/5-e. .
~,.,...l u~\;,.., 11~,(cl Sf. Pt.>e1t1l Le:t.\"I ,{r,o/.I H<
REINSPECTION FEES: When ext inspecfion trips \ire iecessary due to anyone of the following reasons, a
charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
SLB L/ ~ - :UL -0 I 5 R..
Tub Set
Water
Sewer
Final ~ -:27 -01 ~L'1
Breakers
Ducts Insl.
Compressor
Final tf - ~ ~ - 0 /t> i...t.r
WI9LI< - 17I~ ~-~'I-OI 5 R..
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called,
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION I'OR PBRYIT
CITY 01' ZBPBYRHILLS
BUILDING DEPARTMENT
DA.TE RECEIVED
PLANS RBVIE1f I'D
PHONE 7~ A ,q Sl
OWNER'S NAME ~ .
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICEI
WORK PROPSED: ONEW CONSTRUCTION
DSIGN
~ADDITION
o MOVE
OALTERATION
o REPAIR
o INSTALL
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
d COMMERCIAL
OMULTI - FAMILY
J(INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK /:.-""ol}(),j)tJ!l
I
BUILDING SIZE 92 Jrc!!11 ;t
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
of IJt!lce areCc-
SQUARE FOOTAGE
7872.
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ BUILDING
gf ELECTRICAL
l3' PLUMBING
S MECHANICAL
$ eooK
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
D STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
SIGNATURE
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
(.0""'("
BUILDER
******************************************************************
ELECTRICIAN ~ COMPANY ~. r L~
STATE CERT OR REGIST #
SIGNATU~ CITY PROCESSING # J~ 70
****************************************~~**:***************
PLUHBBR COMPAN~ .) f.L. pu
~ I? 4 /'1 STATE CERT OR~EGIST #
SIGNATURE t.~ ~ c... ~.4'~.J./ ~~ __ CITY PROCESSING #
* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * *
MECHANICAL
SIGNATURE ~ ~0
**********
*****************************************************************
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. . NOTH::E OF DEED RESTRICTIONS
The undersigned understands that this pE!l:mit may be subject to "deed restrictions" which
'I!'.ay be more restrictive than Ci ty rl~gulat:ions. The undersigned assumes responsibility for
compliance with any applicable deed L"l~strictions.
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 s"tate and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor Imay be cited for a misdemeanor
violation under state law. If the owneJC or intended contractor are uncertain as to what
licensing requirements may apply for thl~ 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 rE!sponsible for the work. If the contractor wishes
you to sign as contractor that may be aln indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTII,ITY 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 descJ:ibed 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 l:his 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 de-~elopment regulations in the jurisdiction. I also
certify that ! 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
*AImy 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, cor 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 aut:horized 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 extensio~shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
nth period, or the project will be considered abandoned.
W G TO YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING ICE FO OVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y L R OR ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
2,500 V UE NOT NEEO TO RECORD ANO POST ^;"lP ~.
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORID~
COUNTY OF -=-m~(!,o
The foregoing instrument was acknowledged
Before me this ,,~ day oft;o~It\~ ' ~
by
~ (name of person acknowledged)
~who is personally known to me, or
o who has produced
(type of identification)
and wh~did Odid not Ili~e an oath.
~-:r~ ~ X ddL
Sign'ature of person taking acknowledgement
..~'{I
P!'ifJ\1"il1 . sfllfXltiamp ed
'j'~~! April 13, 2004
'!i ;;f,,~~..,. BONDfO'lHRlI TROV FAIN INSURANCf, INC.
STATE OF FLORIDA ~
COUNTY OF .C{'I1)
The foregoing ins~ument was acknowledged
Before me this ~day of FebN1()'f ' ;l4JOf
by
(name of person acknowledged)
~hO is personally known to me, or
o who has produced
(type of identification)
and WhO~d DUd n~e. an oath
~/J(. 'd1
Signature of person .taking acknowledgment
Haskell Company
4330 - 20th St.
Office Addition
SQ. FEET PRICE
MAIN OR LIVING AREA 7,872 $ 70.00
OTHER AREA UNDER ROOF $ -
OTHER
VALUATION $ 551,040.00
FEE SHEET $ 1,774.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 2,661.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 2,661.00
ELECTRICAL: $ 232.14
PLUMBING: $ 105.00
MECHANICAL: $ 195.00
RADON: $ 78.72
TOTAL $ 3,271.86
SEWER: $ 7,188.75
WATER: $ 1,968.75
IRRIGATION: $ -
TOTAL: $ 9,157.50
I
I
WATER METER:I $
IRRIGATION METER $
~ I
SUB-TOTAL $ 12,429.36 ,
T IF'S: $ 7,814.91
99% $ 7,736.76
1% $ 78.15
TOTAL: $ 20,244.27 ,
TOWS-aN-ROGERS-
ENGINEERING INC.
ENGINEERING, PLANNING, ENVIRONMENTAL PERMITTING
5514 7th Street, Zephyrhills, Florida 33540
(813) 788-0400
FAX: (813) 782-4978
LETTER OF TRANSMITTAL
TO: Mr. Keith Dean
The Haskell Company
39042 Alston Road
Zephyrhills, FL 33540
We are sending you:
D Shop Drawings
D Copy of Letter
Date: February 6, 2001
Job #: 99150
RE: Permit Issue
I Plans
D Change Order
D Specifications
D Permits
Copies Description
3 Permit Issue Drawings: Site Plans for Administration Building
These are transmitted as checked below:
D For Approval
o For Signature
D For Review and Comment
D For Your Use
D Revise and Resubmit
D For Bids due by:
I As Requested
Remarks: Attached are three sets of si ed and sealed
buildin . Call me with an uestions. Thanks!
Copy to: File
HASKELL COMPANY
Transmittal
FACILITY SOLUTIONS
TO:
Mr. Keith Dean
The Haskell Company
c/o Zephyrhills Spring Water
4330 20th Street
Zephyrhills, Florida 33540
DATE:
February 01, 2001
SUBJECT:
the following documents on this project.
NUMBER
COPIES
TITLE OR DESCRIPTION
PREPARED BY
2 Sets
Permit Issue Specifications
(Signed & Sealed)
THC
3 Sets
Permit Issue Drawings
(Signed & Sealed)
THC
2
Engineering Calculations
CASI dc
These documents are being submitted to you:
D For your use.
D For estimating purposes.
D Approved.
D Approved as noted.
D For
REMARKS:
D Please sign and return both copies; one executed copy will be returned to you
D For your approval. Please return ( ) copies "APPROVED" or, "APPROVED AS NOTED".
D Due to revisions. Please acknowledge receipt, advising if these revisions will affect the
contract price.
COPIES TO:
Very truly yours,
THE HASKELL COMPANY
tt~ 1/ ~a~Fc!--
Craig . Sommers, AlA, Projee Architect
HASKELL BUILDING. JACKSONVILLE, FLORIDA 32231-.4100. 904/791-4500 FAX 904/791-4699
W~ole Building Performance Method for Commercial Buildings
Form 400A-97
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLA/COM-97 Version 2.2
PROJECT NAME Zephyrhills Admin Office
ADDRESS: _Zephyrhills
OWNER:
AGENT:
Zephyrhill Water
BUILDING TYPE: Business (Office)
CONSTRUCTION CONDITION: New construction
DESIGN COMPLETION: Finished Building
CONDITIONED FLOOR AREA: 7375
MAX. TONNAGE OF EQUIPMENT PER SYSTEM:
PERMITTING OFFICE:
_Zephyrhills
CLIMATE ZONE: 4
PERMIT NO:
JURISDICTION NO: 611600
COMPLIANCE CALCULATION:
METHOD A
-----------------
A. WHOLE BUILDING
PRESCRIPTIVE REQUIREMENTS:
LIGHTING
EXTERIOR LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. EER
IPLV
2. EER
IPLV
HEATING EQUIPMENT
1. Et
2. Et
AIR DISTRIBUTION SYSTEM INSULATION
1. With Insulated Roof
2. With Insulated Roof
REHEAT SYSTEM TYPES USED
NO REHEAT SYSTEM is USED
WATER HEATING EQUIPMENT
1. EF
PIPING INSULATION REQUIREMENTS
1. Non-Circulating
NUMBER OF ZONES: 2
13
DESIGN
CRITERIA
RESULT
82.38
100.00
PASSES
270.00
300.00
PASSES
PASSES
11.30
11.50
11.50
11. 30
8.50
7.50
8.50
7.50
PASSES
PASSES
PASSES
PASSES
20.00
20.00
REQUIREMENTS
8.00
8.00
N/A
N/A
6.00
6.00
PASSES
PASSES
0.89
0.88
PASSES
1. 00
1. 00
PASSES
COMPLIANCE CERTIFICATION:
----------------------------------------------------------------------------
I hereby certify that the plans and
specifications covered by this calcu-
lation are in comPlia~c .with the
Florida Energy~fici ~' Code.
PREPARED/BY:~ /J/z, _~
DATE: j/ z?(c
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
I hereby certify that this building is
in compliance with the Florida Energy
Efficiency Code.
OWNER/AGENT:
DATE:
for compliance in accordance with
Section 553.908, Florida Statutes.
BUILDING OFFICIAL:
DATE:
I hereby certify(*) that the system design is in compliance with the Florida
Energy Efficiency Code.
SY EM D
,
ARCHITECT :
MECHANICAL:
PLUMBING
ELECTRICAL:
LIGHTING
(*) Signature
by registered
be used where
----------------------------------------------------------------------------
----------------------------------------------------------------------------
Whole Building Performance Method for Commercial Buildings
Form 400A-97
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLA/COM-97 Version 2.2
PROJECT NAME Zephyrhills Admin Office
ADDRESS: _Zephyrhills
OWNER:
AGENT:
Zephyrhill Water
BUILDING TYPE: Business (Office)
CONSTRUCTION CONDITION: New construction
DESIGN COMPLETION: Finished Building
CONDITIONED FLOOR AREA: 7375
MAX. TONNAGE OF EQUIPMENT PER SYSTEM:
PERMITTING OFFICE:
_Zephyrhills
CLIMATE ZONE: 4
PERMIT NO:
JURISDICTION NO: 611600
COMPLIANCE CALCULATION:
METHOD A
-----------------
A. WHOLE BUILDING
PRESCRIPTIVE REQUIREMENTS:
LIGHTING
EXTERIOR LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. EER
IPLV
2. EER
IPLV
HEATING EQUIPMENT
1. Et
2. Et
AIR DISTRIBUTION SYSTEM INSULATION
1. With Insulated Roof
2. With Insulated Roof
REHEAT SYSTEM TYPES USED
NO REHEAT SYSTEM lS USED
WATER HEATING EQUIPMENT
1. EF
PIPING INSULATION REQUIREMENTS
1. Non-Circulating
NUMBER OF ZONES: 2
13
DESIGN
CRITERIA
RESULT
82.38
100.00
PASSES
270.00
300.00
PASSES
PASSES
11.30
11.50
11.50
11. 30
8.50
7.50
8.50
7.50
PASSES
PASSES
PASSES
PASSES
20.00
20.00
REQUIREMENTS
8.00
8.00
N/A
N/A
6.00
6.00
PASSES
PASSES
0.89
0.88
PASSES
1. 00
1. 00
PASSES
COMPLIANCE CERTIFICATION:
-----------------------------------------------------------------------
I hereby certify that the plans and
specifications covered by this calcu-
lation are in CO.ffi PliatIic ,with the
Florida Energy~fici ~. ode.
PREPARED /BY ~ /l't .~
DATE: j/Zz(c
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
~ hereby certify that this building is
in compliance with the Florida Energy
Efficiency Code.
OWNER/AGENT:
DATE:
for compliance in accordance with
Section 553.908, Florida Statutes.
BUILDING OFFICIAL:
DATE:
I hereby certify(*) that the system design is in compliance with the Florida
Energy Efficiency Code.
SY EM D
(
ARCHITECT :
MECHANICAL:
PLUMBING
ELECTRICAL:
LIGHTING
(*) Signature
by registered
be used where
----------------------------------------------------------------------------
----------------------------------------------------------------------------
HARPER
since 1911
5401 benchmark lane
sanford.jlorida 32773-6433
phone (407) 321-8100
fax (407) 323-7007
April 17, 2001
City of Zephryhills
Building Department
Re: Russell E. Moore - Harper Qualifier
Plumbing License #CF-C033860
Mechanical License #CM-C042548
Subject: Administration Offices - City of Zephryhills Water Plant
Gentlemen:
Please accept this letter as my authorization for Edward Sealander to sign for the
Mechanical and Plumbing portion on the Building Permit for the above-referenced
Project, in my absence, as I am the undersigned state certified holder for Harper
Mechanical Corporation.
7J;;;;c~
Russell E. Moore
Manager, Design/Build Services
HARPER
1911
RM:hd
STATE OF FLORIDA
COUNTY OF SEMINOLE
The foregoing instrument was acknowledged before me this 17th day of April, 2001 by
Russell E. Moore, who is personally known to me and who did not take an oath.
(J; My commission expires:
Ja~~I?~
Notary Public, State Of Florida
~a\. JanetMF>ocIca
. ~ . My Commission CC996886
l;: 0'';'-; Expires January 28, 2005