HomeMy WebLinkAbout01-0383
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BUILDING PERMITN! \~
CITY OF ZEPHYRHILLS
(813) 788-6611
Date
~
Zoning:
DescriPtion of Work ~ :
eOlJfT V"JZJif" ,,~~~-V I {; 't8 ",
" ()I
II ,,#'JO~R FiqJL-~tfI~p({I-:i,()f)
NO OCCUPANCY BEFORE C.O. "8'1 #/lR,R1fi/9"f5'/lji-)
Complete Plans, Specifications and Fee Must Accompany AP;~
All work shall be performed in accordance with City Codes and Ordinances.
X.'~
Permit
b b 7. ~
BUILDING
i11~
ELECTRICAL
7S.~C
PLUMBING
"!~. ~
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: I-le/) (' V .p (J.V. ~+ ~ "e D oC-(.~ l~S'
Job Address: S", 11 '22"'et S+.
Parcell.D. # 12- 2b' 11- 0000 . oY'-4oo . 0070
Water Meter:
T.I.F.'s:
c.o.
Valuation or
Contract Price
& ~ I 7oc) . ~
City License Registration #
State Certified License#
'Te,.,tf,.:... k .p. AsSac 2tf"rr~:\\S fke ~.
BUILDING :3 6 t ELECTRICAL 9(,
~JJY
Ftr.V' 6- ~() ~ oj 6~ Tp. Servo SLB /1- /2-0/ 1(1-',
Pre SLB '7- 9-0 I 5~ Rough In 11'-/'1- D / 5/C. Tub Set y- 1,/:'0 / ~R..
Lintel Meter Can 2 Water <;1- ;J.. 7-7) I ~~
FRM. Q - 11/-0 I r~ IZ. Const. Pole v'~ - 2..2'o/~R- Sewer t? - P.. 7-0 I <) e.
Insul. CL Pool./ Final 11- /9- f) I I<J.. V
WL J1-:;1.D -0 I 5 R..- Pre-Meter V
Final
MECHANICAL
r~
Breakers
Ducts Insl. p -/4 -Olsl!
Compressor
Final 11- /9 - () I /(L'I
Driveway
r/REP/...~ g-~D -OISe...
A)/I/I., -oFF Ci.-t -616l2.
REINSPECTION FEES: When extra inspection trips are necessary 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:
()~
~S{) <.J (Cf2.
?~vV0~Y
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.
,
..,
(jY
APPLICATION FOR PEIOfiT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
/' r
DATE RECEIVED {~.- <;'-0 (
PLANS REVIEW FEE -
OWNER' S NAME_I-\e.V\r~ i- c..hl\~+\V\~ ~C~ \CA.S
JOB ADDRESS S 1'3 J - ~~ nd S-t--Y-e...e_+
PHONE (~s6) ~q 4- - (0 4Y q
LEGAL DESCRIPTION: LOT(S) ~ BLOCK
PARCEL ID # I ~ ;;\ lo ~\ O<:::cX:? b4tl-OO
.;.<
COlD
SUBDIVISION i~in e eXes. t-
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~NEW CONSTRUCTION
o SIGN
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: ~SGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Ccns+.--lA...c....+ CL S'r:51e .+:'GVY"\i ~+r-o...rne.. hOVYIG
BUILDING SIZE SQUARE FOOTAGE ~ l..o(o ~ 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
IE BUILDING $-1 i q I -, crt> . DO VALUATION OF TOTAL CONSTRUCTION
181 ELECTRICAL
.....700
AMP SERVICE
~ FLORIDA POWER
o W.R.E.C.
IS5I PLUMBING
TYPE OF CONSTRUCTION: 0 BLOCK
~ FRAME
VALUATION OF MEClIANCIAL INSTALLATIO~ 1<d
o OTHER IgJ. 0
o STEEL 0 OTHER /1
IS PROJECT IN FLOOD Z .. ~D YES 181 NO
KJ MECHANICAL
$
33~O . C()
o GAS
o ROOFING
o SPECIALTY
FINISHED FLOOR ELEVATIONS
SIGNATURE
/J-L "2 ;' ?d
COMPANY Ten B,-i nk...~: ~q...ss'oC\'<AJ-e s
STATE CERT OR REGI ST # C-G:tQ, 04- 3Y :.J. J-
CITY PROCESSING # 3~'
BUILDER
******************************************************************
BLBC'I'lUCIAR ~
SIGNATURE~ ~. .
COMPANY 2- e..p h d (' h I II'S, E: I ec t ~.l c.... S "C-
STATE CERT OR REG ST # <X::oal (p ~'
CITY PROCESSING # Cj~
********************************************************.**********
PLUHBER
~~~~/
'Ph.A.xnbe.rs cf SlvLt>~CLn-e.V)cn+.
COMPANY ") <-._ _
STATE CERT OR REGIST # Q,F~ 00 SOt.}
CITY PROCESSING # l 'l~(J
SIGNATURE
* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *(011.* * * * * * * * * * *"}{ * * * * -;-.* * * *
MECHANICAL COMPANY ~ou:.+~ev V\ '-~~ +
~ e-/ / STATE CERT OR REGIST # Rm 00 I SO ~ d-.
SIGNATURE ~~ ~~ CITY PROCESSING # 5:2,
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be
may be more restrictive than City regulations. The
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, 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, 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 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".
SIGNATURE~G~ ~:~
STATE OF FLORJD~ STATE OF FLORIDA <:. ..1./ . /)
COUNTY OF~C' D COUNTY OF LJ&:6GG/
The foregoing inst~ument was acknowledaed The foregoing instrument wa__~"zfff?ledged
Before me this 2- day of ~W'\(., ,f:.9.0.001 Before me this ~ 7~day of -- ,tirJ11i)/
by H: {" 11 v ~ \\c-z ~ \o..,S by ..:::I7I JY/ I ~ /Y} q P/lIf
(name f per n acknowledged) \ct (name of person acknowledged)
~ho is personally known to me, or ~.hO is personally known to me, or
'. C-'
Dwho has produced
(type of identification)
~id t take an oath
subject to ~deed restrictions" which
undersigned assumes responsibil~tv for
o who has produced
(type of identification)
and whoD did Qidid not take an oath.
~~~~gement
O+~
Name t
<-
, II'
1111111111111111I1111111111 1111111111111111111I1111111111111
2001074802
State of
Flay,dO-
NOTICE OF COMMENCEMENT
County of Pd.S <!.-D
TUB lrnnERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Descr iption of Property: Parcel No. I~ - ;)& -,~ I . ODCO - Ol..f-4.tO- COlC)
(Legal description of the property and street address if available)
2.
General Description of Improvement
Q..o Y\ '3;-\ r u..ch Ol^ V) e \A) -P-. 0vVY") e-
,
.
S\ ~ ~ \ -e.. - f'O-YY)', 'j d LUe 1\\ ~
Rcpt: 502885
OS: 0. 00
06/05/01
Rec: 6.00
IT : 0 . 00
Dpty Clerk
3. O\vner Information: Name HeVlrj ~ ChY'lst,ne lJcUj \CU
l\ddress \;)SI She.rn I I ~+. CityT<A...IIG\..huss:ee.- State PL 3;;)..3/;),
Interest in Property:
O~Vl e. ..
Name of Fee Simple Titleholder:
(If other th~n owner)
JEO PITTMAN~ PASCO COUNTY CLERK
06/05/01 0~:2;tm 1 of 1
OR BK 463~ PG 1917
City
Stilte
Address
~:,.,.:~,
t~ 4.
Contractor: Name Ten tSr\Y\L >: ~S,Soc... i ct.+e S
Address 35"51 ~ C~e,~+-~r bv-. City 2e..0~ v h, II ~
5. Surety: Name
State Fe $3s-11
City
State
Address
Amount of Bond: $
6. Lender: Name COmrY\\..L.nl+~J t-JO,--t\onoJ ..~CU'lI{.. O+PQS~oCou-ntj
Address (c.c( ~O 6(\" ~ \\Jd City2ep~'( It\d Is State .f=L33S4 ,
7 .
Persons within the State of Florida
notices or o~her documents may be
713.13(1){a)(7), Florida Statutes:
designated by Owner upon whcm
served as provided by Section
tJi'me
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(11(b),Florlda Statutes.
<J. ['xp..i.rn1.l'ln dl'!te of UCJt.lce of Commencement. (the explration date i5 1 year
, f'c:J.n ~~1e date of r~cording i:nlz:;3 a ci.!:ere::t c!ate '.:..a. .sf>sc~~i..z~". j
Signature of Owner: ~~ ~~
Sworn to and subscribed befor~"me thiS;!' ~'--. ~ay of
~1-e....
1-9 .;}CO\.
~~ MY COMMISSION' CC 799573
. ! EXPIRES; April 27, 2003
.. Banded ThRl Notary Public Undefwril8ls
Notilry Publ ic:
MyCa~missionExpires:
PC93053048
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Whole Building Performance Method A
BUILDER: \~,,' 1': ,J. J. ASSoc.
PERMITTING . CLIMATE
OFFICE: "Zt(~I'h."S ZONE: 41'/5'-1 61_1
PERMIT NO. Olf~ JURISDIC!iION NO. b "'00
CK
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units
4. If Multifamily, is this a worst case (yes/no)
S. Conditioned flcor area (sq.ft.)
6. predominant eave overhang (ft.)
7. Porch overhang length (ft.)
8. Glass area and type:
a. Clear Glass
b. Tint, film or solar screen
9. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
lO.Net Wall type area and insulation:
a. Exterior: 2. Wood frame (Insulation R-value) lOa-2 R=ll.OO, 1063.76sqft____
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
, \
FPp1 600A-93
PROJECT NAME:
AND ADDRESS: C; '3 ,
&to
ll~
OWNER:
14.Heating System:
IS.Hot water system:
16.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
17. Infiltration practice: 1, 2 or 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
SN; 802,1
CENTRAL
1.
2.
3.
4.
5. 1673.00
6. 1. 00
7. 0.00
Single Pane
8a. O.Osqft
eb . 2 65 . 0 sq f t
New Construction
Single-Family
o
Double Pane-
O.OOsqft
O.OOsqft
9a.R- 0.00 , 222.80 ft
lla.R-22.00 , 1673.00sqft____
12a. R- 6.00, uncond
13. Type: Central Ale
SEER: 10.00
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF: 0.88
15.
17.
18 .
2
CF CV
19.
19a.
19b.
90.91
28976.35
31873.07
--------------------------------------------------------------.-----------------
-------------------------------------------------------------------------------
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 in accordance with Section
553.908 F.S.
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
PREPARED BY:
DATE:
I hereby certify that this building is
in compliance wich the Florida Energy
Code.
OWNER/A~'f AU~ ~
DATE; -
BUILDING ,FFtC1AL:
DATE: b. If 0 t
~~
**..*..*****************************************************************~~*****
' SUMMER CALCULATIONS '
*******************************************************************************
~ ' I
' D== BASE === =a= AS-BUILT ta=
, ,
~~~~--~~-~-~~~~-:- POINTS I
=================--_.__====a_5._======~_====_======.=====_======_==============
TYPE
se ORIEN AREA X SPM X SOF = POINTS
N
3242.0
-------------------------------------------------------------------------------
39.44
82.2
E
80.95
82.2
6654.1
S
62.66
82.2
5152.3
w
48.57
82.2
3992.5
NW
33.40
82.2
2745.5
SGL TIN'I'
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
SGr. TINT
SGL TINT
SGL TINT
SOL TINT
SGL TINT
SGL TINT
SGr.. TINT
SGL TINT
SGL TINT
SGL TINT
SGL TINT
N
N
N
B
E
E
E
E
S
S
S
S
W
W
W
NW
NW
7.1
16.2
16.2
16.2
16.2
16.2
16.2
16.2
16.2
16.2
7.1
23.2
16.2
16.2
16.2
16.7
16.7
51.5
51. 5
51.5
107.1
107.1
107.1
107.1
107.1
98.3
96,3
98.3
98.3
107.1
107.1
107.1
76.6
76.6
.89
.92
.92
.93
.93
.93
.93
.93
.89
.89
.82
.89
.93
.93
.93
.94
.94
323.1
769.1
769.1
1616.7
1616.7
1616.7
1616.7
1616.7
1410.8
1410.8
566.9
2025.2
1616.7
1616.7
1616.7
1199.3
1199.3
-------------------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. X
AREA AREA FACTOR
GLASS
POINTS
=
ADJ G!...ASS
POINTS
GLASS
POINTS
.15
265.04
-------------------------------------------------------------------------------
22,606.81
1,673.00
.947
21,786.29
20,628.09 I
====================~~~~====-===----_caa=__=.._=a_===.-~======a;===~===========
NON GL~~~--~--~~~~-: POINTS j TYPE
R-VALUE
AREA x SPM = POINTS
---------------------------.----------------------------------------------------
WALLS----------------
Bxt 1063.8 1.0 1063.8 Ext Wood Frame 11. 0 1063.8 1. 90 2021.1
DOORS----------------
Ext 20.0 4.8 96.0 Ext Wood 20.0 7.20 144.0
Adj 17.8 1.6 28.S Adj Wood 17.8 2.40 42.7
CEILINGS-------------
VA 1673.0 ,6 1003.8 Under Attic 22.0 1673.0 .90 1505.7
FLOORS---------------
Slb 222.8 -31.8 -7085.0 Slab-on-Grade .0 222.8 -31.90 -7107.3
INFILTRATION---------
1673.0 10.9 18235.7 Practice #2 1673.0 10.90 18235.7
TOTAL SUMMER POINTS I
33,970.79
===============~~-====z==--.__~__a__.__=a_____.====;==_.======~===========~====
TOTAL x
SUM PTS
=
:================~~~~=z==-=_a-_____=_==___.=_====a_.__=======__;===============
37,448.76
COOLING " TOTAL
POINTS COMPON
SYSTEM
MULT
X CAP X DUCT X SYSTEM x CREDIT - COOLING
RATIO MOLT MULT MULT POINTS
33,970.79
.37
-------------------------------------------------------------------------------
12,569.~9 I 37,448.76 ~.OO 1.100
.340
.860 12,045.02
;;:=-;;-=--~==;-======================.==-===========.=========================
********************************************************************~****~*****
, ,
WINTER CALCULATIONS
*******************************************************************************
, I BASE I AS-BUILT
.... =-== ..= ==-:::
=====~==~=========as_====~e=__~c_.___~__._====_;===_~===============-=======z==
GLASS - - - - - - - - - - - - - -. - - J
ORIEN AR.EA x BWPM .. POINTS TYPE SC ORIEN AREA x WPM x WOF = POINTS
-------------------------------------------------------------------------------
N 39.44 -3.4 -134.1 SGL TINT N 7.1 9.6 1. 07 72.2
SGL TINT N 16.2 9.6 1. 04 161.9
SGL TINT N 16.2 9.6 1. 04 161.9
E 80.95 -3.4 -275.2 SGL TINT E 16.2 -2.0 .63 -20.3
SGL TINT E 16.2 -2.0 .63 -20.3
SGL TINT E 16.2 -2.0 .63 -20.3
SGL TINT E 16.2 -:2.0 .63 -20.3
SaL TINT E 16.2 -2.0 .63 -20.3
S 62.68 -3.4 -213.1 SGL TINT S 16.2 -10.2 .93 -154.0
SGL TINT S 16.2 -10.2 .93 -154.0
SGL TINT S 7.1 -10.2 .87 -62.8
SGL TINT S 23.2 -10.2 .93 -221.0
W 48.57 -3.4 -165.1 SGL TINT W 16.2 -2.0 .63 -20.3
SGL TINT W 16.2 -2.0 .63 -20.3
SOL TINT W 16.2 -2.0 .63 -20.3
NW 33.40 -3.4 -113.6 SGL TINT NW 16.7 7.3 1. 07 130.7
SG:- TINT NW 16.7 7.3 1. 07 130.7
-------------------------------------------------------------------------------
.15 X CONDo FLOOR / TOTAL GLASS = ADJ. X
AREA AREA FACTOR
GLASS
POINTS
ADJ GLASs
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
1,673.00
:265.04
.947
- 901.14
-653.23 I
-96.78
NON GL~~--~--~~;~-: POINTS I TYPE
=.===..=c==========~=..======...======.======_===========__.===._=====.=======~
R-VALUE
AREA x WPM = POINTS
--------------------------------------------------------------------------------
WALLS----------------
Ext 1063.8 1.1 1170.1 Ext Wood Frame 11. 0 1063.8 2.00 2127.5
DOORS----------------
Ext 20.0 5.1 102.0 Ext Wood 20.0 7.60 152.C
Adj 17.8 4.0 71.2 Adj Wood 17. E: 5.90 105.0
CEILINGS-------------
UA 1673.0 .6 1003.8 Under Attic 22.0 1673 . C .90 1505.7
FLOORS---------------
SIb 222.8 -1. 9 -423.3 Slab-on-Grade .0 222.8 2.50 557.0
INFILTRATION---------
1673.0 4.1 6859.3 Practice #2 1673.0 4.10 6859.3
TOTAL WINTER POINTS I
7,929.89
======R=...=a========_._===~=~_.._=====.__=_==_.__=_=~..===~._====_=;==_=======
TOTAL X
WIN PTS
=========a._=-=======--_=====_s_.z===s_____=_____====___~===__=====~;=========:
11,209.76
SYSTEM
MULT
=
HEATING I TOTAL
POINTS COMPON
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MOLT POINTS
-----------------------------------------------------------------.--------------
7,929.89 1.10
8,722.88 j 11,209.76 1.00 1.100
.515
1.000
6,350.33
====~========~------z=-=-==-----__=_=_z____~=======a_==========================
*******************************************************~****************t******
WATER HEATING '
*******************************************************************************
I __= BASE === =_'" AS-BUILT "''''=
NUM OF
BEDRMS
=================a=====~.&===__===_____a__===~_====_==.=======================~
x
MOLT
=
TOTAL
TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOT.Zl.L
-----------.--------------------------------------------------.-----------------
3
3527.0
lC,581.00
40
.88
1.000
3527.0
1. 00
10,581.00
=-.__._m__====D._==========~=_===..====..========.====.===~====_==~_~==_===~===
*******.***************.*.***.****************************************.******.*
SUMMARY
*************.**********************************************..************.****
=== BASE === I =-- AS-BUILT ===
COOLING
POINTS
-.=_3======-===--====:======..5==========..==============._===~====._===__=====
+
HEATING
POINTS
HOT WATER
-+ POINTS ...
TOTAL
POINTS
COOLING
POINTS
+
HEATING
POINTS
HOT WATER
+ POINTS =
TCTAL
POINTS
-----------.--------------------------------------------------------------------
12569.2
8722.9
10581.0
31,873.07
12045.0
6350.3
10581.0
28/976.35
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· EPI - 90.91 *
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PROPOSAL\CONTRACT
TEN BRINK & ASSOC.
35512 Chester Dr.
Zephyrhills, FL 33541
Lic. CGC 043422
PH. (813) 782-0678 or (813) 782-9138
FAX (813) 715-9119
Submitted To: Henry & Christine Douglas
Phone: (850) 894-6449
Date: May 31, 2001
Street:
Job Name: Douglas Residence
City, state, and Zip: Tallahassee, FL
Job Location: 22nd St., Zephyrhills
Architect: Ten Brink & Assoc., Inc.
Date of Plans: 05/11/01 #2001-014 Job Phone:
We hereby submit specifications and estimates for: Build Home Complete as per plans & codes. See attached
specifications and allowances sheet .
We propose to furnish labor & material complete in accordance with specifications,
For the sum of: **One hundred Nineteen thousand Seven hundred Ninty and no/1 00 Collars"
**$119,790.00**
Payment to be Made as follows: As Job Progresses or as per Bank draw schedule.
ALL material is guaranteed to be as specified. All work to be competed in a workman like manner according to
standard practices. ANY ALTERATION OR DEVIATION FROM ABOVE SPECIFICATIONS, AND/OR PLANS,
INVOLVING EXTRA COSTS WILL BE EXECUTED ONLY UPON WRITTEN ORDERS, ANY WILL BECOME AN
EXTRA CHARGE OVER AND ABOVE THE ESTIMATE. All agreements contingent upon strikes, accidents or delays
beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by
Workman's Compensation Insurance. A~thorized .4- / L 2~ '.17
Signature: '_L,_ ~ /"X(
NOTE: This proposal may be withdrawn by us if
not accepted within 15 days.
After acceptance by all parties (by signature), this document shall be considered a binding
contract. In the event that it shall become necessary to employ an attorney to collect any amount
due under this contract, then Customer will be liable for attorney's fees and cost incurred in such
collection. Acceptance of Proposal- The above prices, specification and conditions are satisfactory
and are hereby accepted. You are authorized to do this work as specified. Payment will be made
as outlined above. All payments later than 10 days after the due date shall bear interest at 18%
per annum.
Date of Acceptance:
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Signature:
Date of Acceptance:
Signature:
page 1 of 2
Douglas Specifications & Allowances
(attachment to Proposal/Contract)
Construction Specifications:
2662 sq. (t. frame home (including opt. screen room)
Permit(s), Impact fee, Survey
block/slab pre-treated foundation
Ty-Vek
Hardy-plank Siding
White Aluminum Fascia
20' X 20' Driveway slab
White Frame/Aluminum Insulated Windows
Insulation per code
AlC: 31/2 Ton Tempstar(heatstrip K.W. 10, Seer 10 cooling capacity);
2 bath fans; vent range hood; vent dryer; white alum. registers.
Plumbing: elongated water closets w/ seats; Moen faucets & shower
valves; m/ba oval soaker tub; steel w/ white porcelain tub; stainless steel kitchen
sink; garbage disposal; dishwasher hook-up; ice-maker line & hook-up; 40 gallon
tall water heater; laundry tub; washer box; 3 hose bibs; up to 50' sewer line; up
to 50' water line; all PVC lines.
Electrical: 5 fan/light boxes; 2 fan boxes; 4 pot lights; 14 interior light
boxes; 2 flood light boxes; all switches, outlets and wiring as per plans & codes.
Fixtures to be supplies by Owner.
Paint: Interior - all Dover white; exterior - one color (per owner).
Allowances:
$6,400.00 - floor covering
$4,500.00 - vanities & cabinets
$2,000.00 - appliances (Le. dishwasher, garbage disposal, refrig., stove)
$250.00 - front entry door
Signatures below indicate acceptance of specifications & allowances to be
included in proposal/contract. Where changes or omissions are made they must
be indicate by initials & date of all parties.:
Owner(s): ~C1---
~ ?,;;;,~S, B
Christine Douglas
,../ L /".J ~) ~
Contractor: /.:/C-"~ "'----- ~
" Authorized Signer
G ~ .J--~ ftJ!
Date
IP- 0-tJ/
Date
e.r- ...?J~
Date
DJ
page 2 of 2
Parcel Information for: 122621 0000044000070 Card: 001
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Page 1 of 1
Welcome : Record Search: Parcel Search
Search Aaain Show Map Building Schematic Unavailable Calculate Taxes
See Tax Collector Information - Current/Delinquent Taxes
Parcel 10 122621 0000044000070 (Card: 1 of 1)
Classification 00 - Vacant Residential
Mailing Address Assessment (totals)
DOUGLAS H C JR & CHRISTINE K Ag Land -
PO BOX 577 Land $26,114
ZEPHYRHILLS, FL 335390577 Building $0
Physical Address Extra Features $0
Legal Description (First 4 Lines) Total Assessment $26,114
COM AT SW COR OF LOT 5 BLOCK 2 Save Our Homes $0
PINECREST SUB PB 5 PG 55 TH Taxable Value $26,114
EAST 135 FT FOR POB TH EAST
195 FT TO EAST BOY OF FORMER
i Line Land Detail (Card: 1 of 1)
Use Description Zoning Units Type Price Cond Value
01 0100 SFR 00R1 10,000.00 SF 1.10 1.00 I $11,000
02 0100 SFR 00R1 38,755.00 SF .39 1.00 $15,114
Additional Land Information
Acres I 1.12 U Tax Area R 30ZH I Fema Code I X Res Code IZHLGLP1
Building Information
Unimproved Parcel 00
Extra Features
No Extra Features
Sales History
Previous Owner -
Year Month Book I Page T Amount
- - -1- - -
- - -1- - -
- - -1- - -
Search Aaain Show Map Building Schematic Unavailable Calculate Taxes
See Tax Collector Information - Current/DelinQuent Taxes
http://www.appraiser.pascogov.comlsearch/parcel.asp?Sec= 12&Twn=26&Rng=21&Sbb=0000... 6/5/01
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Tenbrink & Associares
5131 - 22nd St.
SQ. FEET PRICE
MAIN OR LIVING: 1,673 $ 40.00
OTHER AREA UNDER ROOF: 989 $ 20.00
OTHER: $ 20.00
V ALUA TION $ 86,700.00
FEE SHEET $ 418.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 667.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 667.00
ELECTRICAL: $ 89.60
PLUMBING: $ 75.00
MECHANICAL: $ 35.00
RADON: $ 26.62
TOTAL $ 893.22
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $
TOTAL: $ 1,803.0Q
WATER METER:
IRRIGATION METER
SUB-TOTAL
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
TI F'S: $ 1,480.00
99% $ 1,465.20
1% $ 14.80
TOTAL: $ 6,230.22 f
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PERFORMANCE 8USIIJESS PRODUCTS. INC. 813-7111-8008 FAX 813-719-7919 .
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CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
DATE /1-.:<. 7-DI
MAIUNG
OWNER
RENTER
SERVICE ADDRESS
1l~/~1 - ~2 ~d1 cJ2/-; I
o ~. WATER
o SEWER
SHUT OFF SERVICE
TURN ON SERVICE
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INSTAlL METER
READ METER
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INC/TY
o
CHECK METER
o
o OUT CITY
OTHER
o
- No. OF UNITS
- DEPOSIT AMOUNT
(1-tM~~~-=-
C-
- 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 Dept.
IMiter Service Dept. to sign yellow form & ffitum to office.
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PASCO COUNTY, FLORIDA
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Permit No. .-.b1I" I fJ '
Date Permilled 0:\ \ ~
Builder Name/Owner Name'"l ."" ,,, IT, < r' l
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County Parcel No.
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Classificationffype of Use "J' ,,"' I,..
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O"...p. I (,' ." S
How Determined
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Why?
Rate $
Zone No.
Impact Fee Amount $
.-'
.-
Prepare<J.,ffy
,,/
..-
_.sRi~ked By
Sq. FtlUnit
The above impact,tee has been established pursuant to the Pasco CountyTransportation Impact Ordinance as adopted by the
Board of Pa~ti'County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or
utilizatiop'-Of the permilled structure.
RES.OURCE RECOVERY ASSESSMENT
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
No. Units
Gross Sq. Ft. (GSF)
Rate ERL: 52.00/Year
or SO.I.+2!Oay
ERU Assign No.
A~se"ment (!\io. Units) x ($01.+2)
x (No. Day~)
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
100
TOTAL FEE $
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TOTAL FEE $
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSlJED VNTlL 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 ONL Y
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
DATE
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BY
BY
White
Applicant
Canary
Trans/Finance
Canary
~R/Flnance
Pink
Office
Green
Bldgllnsp
feecal'ce
PC93113094/D