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Home My WebLink About01-0300 k BUILDING PERMIT~~ 0300 I ogJ.'~ ~ CITY OF ZEPHYRHILLS (813) 788~6611 55 ~ q'7. JCJ CE~ foS - ~ \l Property Owner: Job Address: Parcell.D, # Zoning: Descriotion of Work (.JA.lfI t/;J".. ;::To,jH 1=:1'. rlJ)A/.. IP~~-V11:f"l/" NO OCCUPANCY BEFORE C.O. ~J ,'illOIl Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. ~~~t~~i~tnp~~ce~ /7~ /40' ~.. Perr!l~ ~~atur~ ompany City License Registration # State Certified License# 01.d::.- (lflJliu c...o~ . BUILDING ~9~~ ~ Address ~one# ~ ~ 31{- (p '-//7 c= ~ I 1F'-~ <f??>~8'/2lJ ,---JLtahd ~'" ~$ciu5.d:a... ELECTRICAL.10 PLUMBING glA MECHANICA~yJ~~ Tp. Servo SLB tP - /~ 01 5 ~ Breakers Rough In i/ 9 -5=-/J/5L Tub Set 1/9- 5"-01 5.e. Ducts Insl. I./'9 --S=-V/~,e Meter can?; Water . Compressor Const.PoleV~-f-DI5~ Sewer '7-/~-()/J.e Final Pool Final //-:J..7'-OI/2/..'1 Pre-Meter 10..:f2.a -o/1!tj Final_ ~tJ,(.I)7i..J1Ti./15,.Jf~ -u'vll&f 6;1#"~III/.6 9- '!:J---o1 ~R- Permit Date 5-9-01 Water Conn: Water Meter: /1 T.I.F.'s: ,. uJ. evLJJJ;T; t'It . /7;;- . FINAL C.O. (? cJ- C?. Ftr. VI.: - /-51 S:"K. Pre SLB "I, i 0 I ~ ~ Lintel ?-,2~ -01 .5e.. FRM. t/ 9- 5'-0 I .t;R.. Insul. CL 9 - '7-0/51( WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/1 00 Dollars ($25.00) shall be made for each trip for each trade: ~ ' r D. LJ/lJ/fC'JJI1.J. a. Wrong Address /1-.3 D -0 I 9 I b. Condemned work resulting from faulty construction. eJ. 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. /fi>?~/)v/lL The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ZEPHYRHILLS FIRE DEPARTMENT 38410 SIXTH AVE PH. 813-780-0035 ZEPHYRHILLS, FL. 33540 FAX 813-780-0036 ... -..., Business Name Ll!f''''Vvr / NX r L./ ::J I / -a f.). <;-r- Address .,:)"7 .) ...., L - / Bus. Phone -:r A/ l/ Owner/Mgr Occupancy Load Date Posted Emergency Phone Contact Person Alarm Company Phone # Type of Inspection Conducted J Quarterly _ Final Jt!' Commercial Check _ APPROVED ~ NOT APPROVED_ Annual_ Reinspect _ Other _ OK/NOT OK -lL/ _Exit Signs .JL' _ Emergency Lights Heat Detectors / Sprinkler System _ _Exits Window Size -- _ _ Control Valves _ Water Supply Duct Detectors _ _ Exposures OK .;NOT OK ~/ _ Fire Extinguishers ~ _ Smoke Detectors _ _ Alarm Systems --/ _ Hood System L _ Storage Pressure Test _ Fire Dampers Fire Walls -- _ L- Address posted ~ =- Hydrants OK A<iOT OK .2 ~ HV AC Shutdown 7 Smoke Doors _ _ Elevators _ _ Electrical _ _ Tamper Switch _ _ Inspectors Test _ _ Smoke Separation _ _Extension Cords _ _ Tenant Separation Smoke Evac. Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code. Comments: 1ft" I .j J~ ,;. 5 0 Ie., r; y" c~ C/. Inspection Date Inspectors Name /~ 00 Re-Inspection Date Fire Department 1. D.# SS ~ Title This building has been assessed by the ZephyrhiUs Fire Department. Utilizing the Codes and Standards of, NFPA Minimum Standards, the State Fire Marshals Uniform Fire Safety Rules and other local fire safety codes. Revised 08-12-99 White Copy - File Yellow Copy - Business cZ fJ!jr u~? ,.j~ f//3L1"-7lP $-6, d 7 t '(. COMMERCIAL CHECKLIST FOR NEW CONTROCTION CITY OF ZEPHYRHILLS 7f'~-3{[;S c;11:::~~:-" rf!~ 7f1J --6077 ~L 1---ICf~OI PERMITTING ~te Plan Review requireaents satisfied. approved _ date: 1- ~~-(JI ~ Notice of call1llenc~nt certified coPY*V ~ Applioation oompleted in its ENTIRETY. ~ Cheok if contraotor & subs are ourrently registered. Y Florida Energy Effioiency Form oompleted. ~HREE SETS of Engineered Building Prints with Eleotrioal, Plumbing and Meohanioal diagrams. !, . ~ :If Business Classifioation is State Regulated, approval must be on engineered building prints. ~<C:ITY R-O-W Use Pe~t, if applioable. Give Elevation Certifioate, if applioable. V Verify Water & Sewer Servioe. Sewer & Water Conneotion Fees, Transportation :Impaot Fees & Water Meter Fee paid prior to or at time of pe~t issuanoe. Annual. Solid Waste Assesllllllent Fee must be paid prior to issuanoe of Certifioate of Occupanoy. DArE PAlD tIii Plans Review Fee ($.03/sq. ft. - $15 min.) Amount Paid $ Date Reoei ved by: April 20, 2001 12WA Construction, Inc. Riva Roofing Systems City of Zephyrhills 5335 8th" Street Zephyrhills, FL RE: Notice of Authorization To Whom It May Concern: I Granbyme G. Trupp, Florida license number CBC043213, give authorization to Donald T. Quinn to act on my behalf for any construction permitting needs in the City of Zephyrhills. If I could be of further assistance please feel free to reach me, at the office of Riva Construction, Inc., during normal business hours. Respectfully Submitting, ~ ~ ~ Gary Trupp, President ~""Y"fI#, . ~~'<t. FRANK JAMES ALVAREZ .,. 9. '" MY COMMISSION" CC SOOO92 "'J'~ Of 11.f:>~ EXPIRES: Olt24/2003 1-800-3-NOTARY ary Services" Bondifta Co 1 3 1 5 W. Cass St. Tampa, FL :: 3606-1205 (813) 254-4540 (813) 254-464 I Fax (813) 251-2420 Email: riva1315@aol.com State No. CBC0432 I 3 CCC044023 HaR BLOCIt THE INCOME TAX PEOPLE 38329 5th Avenue Zephyrhills FL 33541 April 24, 2001 TO WHOM IT MAY CONCERN: I, Donna J McLeod, President of Zephyr Tax, Inc., located at the above address, give Donald T Quinn complete Power of Attorney! to act on my behalf on any action needed in regards to our new building at 5434 7th Street, Zephyrhills, FL 33540. Zephyr Tax, Inc. ~~J:-~~i=~ State of Florida County of Pasco Signed this date: notary public: 77J~ ~ - Sign No/V,o( ~A.Je Sprint State of Florida at Large My Commission expires: 1 1 - - ~ - MONteAJONES NotOry flubllC. $tete ofRedli:l My ComrrJ55iOn &lpiresMCl' 15.'- COmmis$lcn 4; CC 12_1 NOTICE OF COMMENCEMENT 1111111111I11111I 1111111111 1111I1111111111111111111111111111 2001052684 Permit # ~ Folio # Rcpt: 492041 DS: 0.00 04/23/01 Rec: 6.00 IT: 0.00 __ Dpty Clerk The undersigned hereby gives notice that improvements will be made to certain real property and in accordance with Chapter 713. Florida Statues, the following information is provided. ~192~~nM'4 : flS;O fOUNToY' C'iERt< OR Bt< 4590 PG 1503 Legal description: Lot 7, Less the N 15.00 ft thereof, and all the lots 8 through 16 , inclusive, Block 100, City of Zeohyrhills. as recorded In Plat Book 1, Page 54, Public Records of Pasco County, FL Street address: General description of improvements: New Construction R Name and address of the owner of said real property: Donna J. McLeod. _ Fc 3f3..2.'1' [?-t:-n I'jve- 2-H I~S 33 ~YI Contractor: Riva Construction. Inc., 1315 W. Cass Street, Tampa, FL 33606 Name and address of the surety of the on the payment bond under Section 713. Florida Statues is: N/ A Amount of such bond: N/ A Lender name and address: N/ A Name and address of the person designated in addition to the undersigned, to receive a copy of the lienor's notice as provided in Section 713.13( 1) (a) (7) Florida Statues, is: N/ A Expiration date of Notice of Commencement (The expiration date is one year from the date of recording unless different date is specified.) Dated this 20th day of April 2001. TATE OF FLORIDA STATE OF FLORIDA, COUNTY OF HILLSBOROUGH COUNTY OF PASCO . . THIS IS TO CERTIFY THAT THE FOREGOING is A Sworn and subscri before me, thiS 20th day of Apnl200hilUEANDCORRECTCOPYOFTHEDOCUMENTONFILE Seal: _ ~~.o:_ ~ OR OF PUL~IC REGORD IN THIS OFFICE. WiTNESS MY ..u~ ~.r--- HAND AND OFFiCIAL SEAL THI8~ DAY OF #'~ft, FRA:';K JAMES ALVAREZ /l.:;J~ ~ ~~"..r MYCOM~lISSrON"CC800092 JED8 N,CLERKOF.CIRCUITCOURT ~ Of ,~o" EXPIRES.OI'24I!OOJ By.... DEPUTY CLERK ~~me ~or Owner's Sig ature Agent's S : ,(.jJ'~OT."RY F1.o ~o,ary SmIC.. '" Bond,n! Co ~~ E3 F'ERFORMANCE BUSINESS PRODUCTS. INC. 813-719-aOO8 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA o I.. 5gC DATE S-&>-ol - C!eH"t& ~'~~.r" \~_ Z?~iLk.1I ~UNG tr:~ ~~3S~i SERVICE ADDRESS S 4.3 .If - 7 7:ti ~_ WATER ACCT. NO. OWN-U REN -" ~/I~.lII'" SHUT OFF SERVICE 0 TURN ON SERVICE rX INSTALL METER 9( READ METER 0 CHECK METER 0 OTHER 0 )if WATER o SEWER o GARBAGE ~ IN CITY o OUT CITY ~ No. OF UNITS _ DEPOSIT AMOUNT 3r/1 +- du .. 71 ~CU-/JA.--1'J1 _ AMOUNT LAST BILL _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service Oept. Water Service Dept. to sign yellow form & return to office. v ~ PERFORMANCE BUSINESS PROOUCTS. INC. 813-719-8008 FAX 813-719.7919 ~, :i"~ ; CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA O/-S~7 WATER ACCT. NO. DATE ,S- f? -0 I OWNER/ ~ ~ /J, t1 1 RENTER 1- i.<f 7t...c ~. J..-.!. e?1.':50) l.Jl.....1w ... MAIUNG ~ WATER o SEWER SERVICE ADDRESS SHUT OFF SERVICE 0 TURN ON SERVICE <<' INSTALl METER ~ READ METER 0 CHECK METER 0 OTHER 0 o GARBAGE ~ IN crrv o OUT CITY ---.L. No. OF UNITS _ DEPOSIT AMOUNT ,*/1 ~ :;;-~ C -- _ AMOUNT LAST BILL ~ _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER lAKEN BY 5- Retain white form in office at all times. Send pink & yellow forms to Water Service Oept. Water Service Oept. to sign yellow form & return to office. ~ Additional Land Information Tax Area II 30ZH II Fema Code 101 Comm CQde I C17ST10 Building Information Unimproved Parcel 00 Extra Features No Extra Features Sales History BOAN JULIO DANIEL & LINDA D Book I Page Type Amount 4443 /1694 WD 3106/1408 W 3100/1963 QC . Parcel Information for: 11 2621 0010 100000130 Card: 001 Welcome: Record Search : Parcel Search Search i\gain ~Q.c:>w MEQ Building Schematic Unavailable CaJculate Taxe~ See 1ax CgllectQrJnfc:>rma!iQI"L-_Current/Qelinquent Taxeji Parcel 10 Classification Mailing Address ZEPHYR TAX INC 6046 ELLERBEE RD ZEPHYRHILLS, FL 335444206 Physical Address 11 26 21 001 0 1 0000 01 30 (Card: 1 of 1 ) 10 - VACANT COMMERCIAL Assessment (totals) Ag Land Land Building Extra Features L.Qg~I[)Q$~riptiQI1 (First 4 Lines) CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 13-161NCL BLOCK 100 OR 4443 PG 1694 Total Assessment Save Our Homes Taxable Value Land Detail (Card: 1 of 1) Description I Zo its Ty COMMERCIAL I 0 7,000,00 SF COMMERCIAL I 00C2 7,000.00 I SF Use 1000 1000 Acres I 0.32 Previous Owner Year Month 2000 09 1993 01 1992 12 Search Again ShowMap Building Schematic Unavailable Calculate Taxes See Tax Collector Information - Current/Delinquent Taxes Page 1 of 1 $40,950 $0 $0 $40,950 $0 $40,950 Value $30,170 I $10,7801 http://appraiser. pascogov .comlsearch/parcel.asp?Sec= 11 &Twn=26&Rng=21 &Sbb=OO 1 DeS... 04/19/2001 . Parcel Information for: 11 2621 0010 100000080 Card: 001 Welcome: Record Search : Parcel Search Search Again Show MClQ Building Schematic Unavailable 9alculate Taxes See Tax Collector Il]formati9B_- Current/Delinquent Ta~~ ParcellD Classification Mailing Address ZEPHYR TAX INC 6046 ELLERBEE RD ZEPHYRHILLS, FL 335444206 Physical Address 11 26 21 0010 10000 0080 (Card: 1 of 1) 10 - VACANT COMMERCIAL Assessment (totals) Ag Land Land Building Extra Features l..~g~ID~$criptiQI'1 (First 4 Lines) CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 8-12 INCL & LOT 7 LESS N 15 FT BLOCK 100 OR 4443 PG 1694 Total Assessment Save Our Homes Taxable Value Line 01 02 Land Detail (Card: 1 of 1 ) I Zoning II Units II Type C2 7,000.00 I SF 00C2 11,750.001 SF Price 1.85 .65 II Cond II 1.00 II 1.00 Use 1000 1000 Description COMMERCIAL COMMERCIAL Acres Additional Land Information Tax Area 30ZH I Fema Code I Building Infonnation Unimproved Parcel 00 Extra Features No Extra Features Sales History BOAN JULIO DANIEL & LINDA D Book I Page " Type II Amount 4443 / 1694 WD 3106/1408 WD 3100/1963 Q Previous Owner Year II Month 2000 09 1993 01 1992 12 Search .Again SholN Map Building Schematic Unavailable Calculate Taxes See Tax Collector Information - Current/Delinquent Taxes Page 1 of 1 , . $20,588 $0 $0 $20,588 $0 $20,588 C18ST10 http://appraiser. pascogov.comlsearch/parcel.asp ?Sec= 11 &Twn=26&Rng=21 &Sbb=OO 1 Oct.. 04/19/2001 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 Office Building ADDRESS: = 5.1///1- /"f!JI ~+-. OWNER: AGENT: D?Jla J. McLeod - I v A ~O J) n- -::r J.-X!- · BUILDING TYPE: _Service Establishments CONSTRUCTION CONDITION: New construction DESIGN COMPLETION: _Finished Building CONDITIONED FLOOR AREA: _2600 MAX. TONNAGE OF EQUIPMENT PER SYSTEM: PERMITTING OFFICE: _T 1"'" elT~ or ~)'#f~lIl,u.s CLIMATE ZONE: 4 PERMIT NO: - i')~oo}3 JURISDICTION NO :_.3111 if. . ~/16W NUMBER OF ZONES: 1 COMPLIANCE CALCULATION: METHOD A A. WHOLE BUILDING PRESCRIPTIVE REQUIREMENTS: LIGHTING EXTERIOR LIGHTING LIGHTING CONTROL REQUIREMENTS HVAC EQUIPMENT COOLING EQUIPMENT 1. EER IPLV HEATING EQUIPMENT 1. Et AIR DISTRIBUTION SYSTEM 1. Ventilated REHEAT SYSTEM TYPES USED NO REHEAT SYSTEM is USED WATER HEATING EQUIPMENT 1. SL PIPING INSULATION REQUIREMENTS 1. Non-Circulating 8 DESIGN CRITERIA RESULT 66.52 100.00 PASSES 160.00 195.00 PASSES PASSES 9.20 9.20 8.90 8.30 PASSES PASSES 0.98 INSULATION REQUIREMENTS 6.00 6.00 N/A PASSES 0.01 0.01 PASSES 1.00 0.76 PASSES COMPLIANCE CERTIFICATION: ---------------------------------------------------------------------------- I hereby certify that the plans and specifications covered by this calcu- lation are in compliance with the Florida Energy Efficiency ode. PREPARED ~Y: DATE: , Z'S I~' I hereby certify that this building is in compliance with the Florida Energy Efficiency Code. Review of the plans and specifica- tions covered by this calculation indicates compliance with the Florida Energy Efficiency Code. Before construction is completed. this building will be inspected for compliance in accordance with Section 5 3.908, rida atutes. BUILDING OF ICIAL DATE: I b COMPLIANCE CHECK 401.------GLAZING--ZONE 1--------------------------------________________v_ Elevation Type U SC VLT Shading Area(Sqft)I -------------- ----------, 1 1.31 .87 .9 None 601 1.31 .87 .9 None 61 Total Glass Area in Zone 1 = 66) Total Glass Area = 661 ~ 402.------WALLS--ZONE 1---------_______________________________________1___ Elevation Type U Insul R Gross(Sqft)I ----- ------- --------___1 I 24 "oC/5/8 "Gyp 0.151 4 520) 24"oC/5/8"Gyp 0.151 4 5201 24"oc/5/8"Gyp 0.151 4 3201 24 "oC/5/8 "Gyp 0.151 4 320) Total Wall Area in Zone 1 = 1680) Total Gross Wall Area = 1680) ,......... 403.------DOORS--ZONE 1---------_______________________________________1___ Elevation Type U Area(Sqft)) --------- ------------------------------------------ ----- ----------) West 1-3/4 Steel Door-Fiberglass/Mineral woo 0.60 21) East 1-3/4 Steel Door-Fiberglass/Mineral woo 0.60 21) Total Door Area in Zone 1 = 42) Total Door Area = 42) ~ f04.------ROOFS--ZONE 1--------________________________________________)___ type Color U Insul R Area(Sqft)) ------ ----- ------- ----------, , Medium 0.027 30 26001 Total Roof Area in Zone 1 = 26001 Total Roof Area = 2600 I V 05.------FLOORS-ZONE 1--------________________________________________)___ 'ype Insul R Area(Sqft) ) ------- -------___' , o 2600) Total Floor Area in Zone 1 = 2600) Total Floor Area = 2600: ~ D6.------INFILTRATION__________________________________________________1___ ~CHECKI 1 1 I 1 BUILDING ENVELOPE SYSTEMS --------- --------------- West North Commercial Commercial --------- -------------------------------- West East North South 8 "CMU/3/4 "ISO 8"CMU/3/4"ISO 8 "CMU/3/4 II ISO 8 "CMU/3/4 "ISO Btwn Btwn Btwn Btwn ------------------------------------ ihngl/l/2 "WD Deck/WD TruSS/9" B lab on Grade/Uninsulated ----------------------------------------------- Infiltration Criteria in 406.1.ABCD have been met. MECHANICAL SYSTEMS '----------------------------------------------------------------'-____1___ I I HVAC load siZing has been performed. (407.l.ABCD) : I v' 17.------COOLING SYSTEMS-----__________________________________________)___ Type No Efficiency IPLV Tons I ---------------------------- ---------- ----- --------------, I . Air Cooled ( >= 65.000 Btu/h 1 9.2 9.2 7.501 v' 8.------HEATING SYSTEMS-----__________________________________________1___ Type No Efficiency BTU/hrl -------------------------------- ---------- ------------__1 , Electric Resistance 1 .98 54000: v' 3.------VENTILATION-__________________________________----------------)--- ) CHECK) Ventilation Criteria In 409.l.ABCD have been met. :: v' ).-----AIR DISTRIBUTION SYSTEM-----___________________________________1___ CHECK . . CHECK: 1 ------------------------------------------------------------------1-----1--- . Duct sizing and design have been performed. (410.1.ABCD) : : ABU Type Duct Location R-valuel ______________________ -______1 I 6: CHECK: V ------------------------------------------------------------------1-----1--- Testing and balancing will be performed. (410.1.ABCD) I: \I 411.-----PUMPS AND PIPING-ZONE -----------------------------------------1--- Basic prescriptive requirements in 411.1.ABCD have been met.: I 1. Air Conditioners Ventilated PLUMBING SYSTEMS 411.-----PUMPS AND PIPING-ZONE Type 1---------------------------------------1--- R-value/in Diameter Thickness: __________ ________ ---______1 1 1. Non-Circulating 5 .625 1: ../ 412.-----WATER HEATING SYSTEMS-ZONE 1----------------------------------1--- Type Efficiency StandbyLoss InputRate Gallons 1 -_______________________ __________ __________ __________ ----______1 I 301 1. > 12 kW .94 .01 15354 ELECTRICAL SYSTEMS CHECK 413.-----ELECTRICAL POWER DISTRIBUTION----------------------------l----- Metering criteria in 413.1.ABCD have been met. I ~ 414.-----MOTORS---------------------------------------------------1----- Motor efficiencies in 414.1.ABCD have been met. I ~ 415.-----LIGHTING SYSTEMS-ZONE 1--------------------------------------- Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft) Toilet and Accounting Accounting 147 646 1720 5025 2513 5025 2513 .:CHECKI Lighting criteria in 415.1.ABCD have been met. I I ~ ------------------------------------------____________------______1_____1__- I I 16. Operation/maintenance manual will be provided to owner.(102.1)1 : ~ 3 1 1 On/Off Stepped-3 Leve Stepped-3 Leve 3 2 4 Total Watts Total Area 225 960 3840 for Zone 1 = for Zone 1 = Total Watts = Total Area = ---------------------------------------------------------------------------- DA TE: CI'IY OF ZEPlfYRIULLS - BUILDING DEPARTMENT RIGHT-OF-WAY USEPERMlT PERMJT## No eon.truetlon under arolU1d or .hon ground of any f.elllty .hall he .eeompll.hed on any City Rlpt. of W.ywlChout written .pprovallrom .... City Building Department. Any .pplle.tlon for approval of con.trudlon oper.tlon. on .ny City awned Rlpt. .fW.y....1I IUmIsh. detailed draw.......wtna the eomplete .eope of the propo.ed work In trlplle.te '0 .he alike of the Bulldlnl Olllelal far .pprov.1 prior to the ftIIImeneement ., any w.rk. A CO".,... perml' I. to be kept re.dlly .v.llable .t the .lte of the work .t .11 time.. PARCEL I.D." CITY ROAD DATE LOCATION (Legal De.erlptlon) : . ..\-'v\llx f . ~1t~~l(&-ap~~~~.~f~ (1J:t~~~, :tl~~JQ~~~'Px>l~ I, Perml..lon I. herehy Innted to for the con.truetlon and m.lntenanee of of .ubjHt to the followln. condition.: 1. The eonstruetlon .nd m.lntenanee of .ueh utility .hall not Interfere with the property and ......t. .f. prior _pant. 2. Allwork .h~1I be done In keeplnlwlth the .tand.rd. of the City Street. Dep.rtment and under the .upel'\'lslon of the City BuUdInI 0....1, w. will be notlOed .t Ie..t one d.y prior to eommeneement of eon.truetlon. 3. All m.terlal. and equipment .hall be .ubJeet to bupeetlon by the City Bulldln. OIlleIaL 4. Durlnl con.truetlon .1I..fety repl.tlon. of the Dep.rtment of Tran.port.tlon .hall be ob.el'\'ed and the City .haD be relined .,.U re.pon.lblllty lrom d.ma.e 01 any nature .rI.1n1 from thl. permit. SubJeet to the ..me term. and condition., the permit holder may take .ueh .arelJ m_um, lneludlnll plaeln. and dl.pl.y 01 e.utlon .Ign., ..It m.y deem neee...ry In eonduet 01 eonstruetlon and maintenance work hereuader. It II the m.....UIIJ or the permittee to plaee, maintain, .nd .upel'\'lse all trallle control and device.. s. All private and .11 City properly .h.1I be re.tored to It. orllln.1 eondltlon .. f.r.. praetlealln the opinion .1 the CIIJ BuIhIIaa 0fI1c:1aL 6. All underaround ero..InIIn.t.lI.tlon. .hilll be 1.ld .t .ueh depth.. m.y be .peelOed by the City Bulldlnl 01lk1aL 7. The .ke'eh eoverlng .he detail. of .hl.ln.tallatlon .hall be made. p.rt of thl. permit. Thl. permit Is lranted with the undentandlnl that the .pplleant has notll1ed .11 other utility u.en In the .re. eovered by the permit and take. lUll ftlIpon.lblllty lor any damapJneurred .y prior ............ .. a rault .f hi. operation. In order that they m.y ..fe p.rd their Intere.t.. 8. It Is ellprellly .tlpul.ted that thl. permit I. . lleen.e for permllllve u.e only and that the plaelnl or rulllt," upon pu.1Ie property panUMt to ..... permit ....11 not operate to ere.te or to nit any property right In ..Id holder. 9. Whenever the City deeldes to IUrther nplolt the City RI..... of Way, any or .1I.ald po,", wlm, plpel, e..,", or ofher lulUtle. and .ppurtenanees authorized hereunder, .h.1I be Immedl.tely removed from laid Rlpt. or W.y,.r met or reloeated then... --.ulred .y the Cltj Bddlna Olllel.lat the npense 01 the holder 01 this permit. . 10. The holder .hall.ave and keep the City harm Ie.. from any and all d.ma.., elalm., .r injuries that IDaY oecur .y ..-.- .,.... --fnIctIoa, maintenance, and operation of ..Id fulllty. II. The holder .h.1I eomplete the reque.ted work within day. or thl. permit .haD bec:ome naB and void. .. the event the w.rk req..... Is not eompleted upon the nplratlen d.te of this permit, the City .h.1I have the rlpt t. eomplete .ueh w.rk and to ellarp .... helder ., the penn" 'or aU _lI Incurred .. ftIIIpletln..aId work. 12. The holder .h.1I p..t a ea.h or .urety bond with the City MansKer In the .um of S dollan t. parantee perf.1'IIUUIee ., the o.Up...... herein, and to guarantee malntenanee of the rlaht-of.way de.erl,," herein lor a perlotl of one (I) year followln, ftlllpletlon ., the ....... ...taIa...... In .... even. a IUrety bond I. pOlted, the .urety bond .hallhe made payahle to the CIf, anti .hall.hUgate the IUrety to hoW the CIIJ hanaleu Ia the ri_t the hoIder.r .hls permit .houId fa" to meet any of It. ohllKAtlon. hereunder. The ....d .hall all. indemniFy the City 'or all nurt _.. .. ......... .tto..,'.. Ia .... event legal utlon Is required to eolled ... .ald ....d. 13. The permittee .hall have a 14 hour emergeney contad name .nd number lI.ted below. (Permittee) ) SUBMIITED BY: J) 0/7'1 If T CL I/VAJ APPROVED BY: CITY OF ZEPHYRHILLS Slpature &: Title I Addre.. .J 0 I 2- '2. 1{611 J1 ~ L 11 . LAJt?S Joel, Phone 9? '3 - Y/2 0 - / '3"3 ~, - & Lf'? Bulldln, Olllelal Date: Utlll.le. Supel'\'lsor Date: Pu.11e W.rks Date: , I City MansKer D.te: , , . ., . PASCO COUNTY, FLORIDA Date Permitted. () :5- 00<73.. ~- ~ - 0 I Permit Nu. Builder Name/Owner Name ~ ~a..- O.1nt30.'. O~. County Parcel No, I/-.!l.t:. - 12. /- 0 [) I tJ - / ()[)OO - fY) fo of D /.8 D AddresslLocation ..,:;- ~ 34 - 7 rI!- ,.~-T. Subd ClassificationffypeofUse O.w1r1.4nellc!bLP ()--il(<?~ ~,' . How Determined ~ r:;;r> TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Zone No. Rate $ Sq. Ft/Unit Impact Fee Amount $ The above impact fee has n established pursuant to the Pasco C y Transportation Impact Ordinance as adopted by the Board of Pasco Co Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or ermitted structure. RES EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units Gross Sq. Ft. (GSF) c:1, 600 Ratl? ERl:. 52.00/Year or $0.1~2!Oay ERU Assign No, Assl?ssml?nt - (No Units) x ($0.142) '\ (No. Days) Assessment - (GSF). x (ERU) x (0.142) x (No. Days) 100 TOTAL FEE $ TOTAL FEE $ NO CERTIFlCA TE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED l!NTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. Acknowkdgement below does not imply acceptance of concurrence. hut simply rCl'I:ipt ()f 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 TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Ftnance Pink Office Green Bldg/lnsp feecalce PC93113094/D . . r ... APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS IUWIBW FBI:--=::::' OWNER'S NAME Bo IJ tJ 0. ljPHYI? 11+'1- :r:(uc. JOB ADDRESS S -1 gJ/- 7!ff .5T. PHONE ?/3.. '7 F:l- ;30.2~ LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # 1/-2,,-;2I-VO/V-/OOOO--O/30<::f-QOf?[) (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: ~W CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL SUBDIVISION OSIGN o MOVE o DEMOLISH PROPOSED USE: ~ FAMILY DWELLING COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK o RESTAURANT & HEALTH C;,~Rt--61- ~OX6S DEPARTMENT APPROVAL u€JW BUILDING SIZE SQUARE FOOTAGE 2-&010 HEIGHT /t:' ./ RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~UILDING $ (2.. S; 060 VALUATION OF TOTAL CONSTRUCTI~ON JELECTRICAL U~ 10 ~~ (9"'E 4- AMP SERVICE ~. FLORIDA POWER . W.R.E.C. ~LOM8ING ~ w!"ECIlANICAL $ ~ So iO E2 VALUA'nON OF MECIlANCIAL INSTALLATION ":,,tb. 'lit ~ o GAS ar;;'OOFING 0 SPECIALTY 0 OTHER V~ TYPE OF CONSTRUCTION: . BLOCK 0 FRAME 0 STEEL 0 OTHER '12 I 3f{ FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO BUILoza ~ SIGNATURE % .... . COMPANY STATE CERT OR REGIST CITY PROCESSING # ~9 ,.:?(/ **********************************************************.*..*... BLBCTIUC~ SIGNATURE . ~~ COMPANY C J{; .{; I~ c . STATE CERT OR REGIST # CITY PROCESSING # }o **************************************************.*******........ =RE~~~~-I-< COMPANY crv'&r=- p./v"'{;i'<:'O fff.e- S1-ATE CERT OR RE~ST # I C &,:(17 ::1~ CITY PROCESSING # "'3 It.. ~. . () , * * * * * * * * * * *,* * * * *. * * * * ** * * **. * * * * * * * * * * * * ** * ~j:.:It ** * t.. *..*t.. *.. *.. MECHANICAL COMPAN~ 1Se.s. T SerlJ, e...e S :r'.-J G . ,~ A' ( A t:J STATE CERT OR REGIST # C Ace::> S:1 0 L( I SIGNATUREy- I.. L-.. 1......._ _ (~~J CITY PROCESSING # r.2/?.-4tp t,/. ******************************************************.****.*..** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # , , ******************************************************.*......*.. 'It o who has produced (type and whoO did Odid not ~~.t~ Signature 6f pers Mo,IV/ C fL " Name typed, CONDITIONS OF PERMIT ^FFIDAVIT A.' ".NOTICE OF DEED RES'l'RICTIONS 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. 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, FLORID^ 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 conunencement. 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 perrnit to do work and installation as inqicated. I certify that no work or installation has conunenced 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 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 conunenced. 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 UO Nar NEED TO RECORD AND FaST A "NOTICE OF C~T.. . SI~.l~; ~ SI,G~CONLif ' STATE OF FLORIDA STATE OF FLORIDA M COUNTY OF PASt!() COUNTY OF ,-/~.i..s 1"30~1J cJ 6 H The foregoing instrwnent was~cknowledged The foregoing instr~ent was acknowledged Before me this -"!L day of c., +g~1 Before me this z.D7 -day of AP~u. ~Z/.:!:lc9 I by ---... , SQ_ by ~ (name of person acknowledged) rW (name of person acknowledged) ~ho is personally known to me, or ~ho is personally known to me, or Owho has produced (type of identification) DUd not take an oath . ,I I of identification) take an oath. Signature of , -=---...~ MONICA JONES d 0 0 - tote of FlorJdo My Comr--'ssiO'i Expires Mar 15, 2002 Cor-w:ss:on ,,'CC 724551 t II Name typed, Fla K otary Services It: Bondin. Co f Office Building Donna J. McLeod 7th St. & 8th Ave. SQ. FEET PRICE MAIN OR LIVING AREA 2,600 $ 65.00 OTHER AREA UNDER ROOF $ 15.00 PAVING: 6,048 $ 0.85 VALUATION $ 174,140.80 FEE SHEET $ 695.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 1,082.50 CREDIT: $ - BUILDING LESS CREDIT: $ 1,082.50 ELECTRICAL: $ 97.88 PLUMBING: $ 55.00 MECHANICAL: $ 65.00 RADON: $ 26.00 TOTAL $ 1,326.38 /' SEWER: $ 2,236.50 WATER: $ 612.50 IRRIGATION: $ 175.00 TOTAL: $ 3,024.00 v WATER METER: $ 180.00 IRRIGATION METER $ 180.00 l I SUB-TOTAL $ 4,710.381 SIF'S:I $ 97,5% $ 2.5% ,$ - I T IF'S: $ 2,581.00 99% $ 2,555.19 1% $ 25.81 t/' TOTAL: $ 7,291.38 ~