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HomeMy WebLinkAbout02-1174 -D , --,., ~ d). b o-L-' BUILDING BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 (813) 780-0020 5~ 5"0 ,$0 - PLUMBING MECHANICAL 1174 b /. ~C Date J/-/9-D1P ELECTRICAL Sewer Conn / ~ 7P Water Conn: ~?O W.t., Mete, ~~ T.I.F'~s~0~ /,~ Property Owner: Job Address: Parcell.D. /I 8 ,2~J 1?9t:..' 9s- , Zoning: Descriotion of Work ;=: ? j{)-/e- () 2. r:. ,{?/ "-:27,4 ~~/~~tUPANCY BEFORE cf~P-> FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price elECTRICAL Company Address ~ c! CJIt1phon~ ~.m~ t)~/,~~ PLUMBING 19:zo City License Registration # State Certified License# ~ :36- ~~:!iGJ~ BU ING 1sT al'~~ The payment of inspection fees shall be made before any further permits will be issued to the person owning same. CITY QF! ZEPHYRHILLS "NOTICE" OF ADD.ITION OR CORRECTION BUILDINO DEPARTMENT ///00 I ADDRESS DATE PERMIT.,. I 3'\'53\ ~n~~\.J~ )D-34-tJL )J7'-f THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job , will be accepted. DO NOT REMOVE ~~~~t~~~CM~ ~E~~t..-kor.-.~,~ ~r~'-~ ~ OfFICE HOURS 8 - 5 MON.-FRI. . AFTER CORRECTIONS ARE MADE CAlL 788-6611 FOR RE-INSPECTION 0~r=--'.. 11 II unlawful tar any Carpenter, Cantractar, Builder, ar ather perlOnl, ta cover or caUM 10 be cavered, ony part of the work with flooring, lalh, earth or other material. until the proper Inlpeclor hOI had ample lime 10 approve the Inllallallon. INSPECTOR CITY OF ZEPHYRHILLS . "NOTICE" OF ADDITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE ADDRESS ~o DATE / I/O b PERMIT .,. /173 - 7 THIS JOB HAS NOT BEEN COMPLETED The following itiqns or corrections shall be made before the job , . will be accepted, /,,_ \\1)3: ~~W~~ \'/'t'i ~ Jl~~~ ~f ~ c~",A.u~)~.ih:1 Q{ C- , '1t-'t)~ "-- LJ l!!t:i: ~~"/'t"06 ~ ~ -11-15: ~:~JGY4~ ~ au IIN'" FTER COR IONS ARE MADE CAlL 788-6611 ~SPECTION INSPECTOR It il unlawful for any Carpenter, Cantractor, Builder, or other perlOnl, to caver or caUM 10 be covered, any part of the work with flooring, loth, earlh or other material. until the proper Inlpeclor hal hod ample lime 10 approve the Inltallallon. OfFICE HOURS 8 . 5 MON.-FRI. CITY OF 'ZEPHYRHI.LLS it . - V "NOTICE" OF ADD.ITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE ADDRESS 7n~ ( ~_.~ oI1L i G:;TE/()L PeRMJil7Y I THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job will be accepted. . (fJ StilL AJ~fiJ cLAtd Fl u4-fl ON O'J L(..]U)) gf~N& Si~-€-_ It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. AFTER CORRECTIONS ARE MADE CALL 780-0020 FOR RE-INSPECTION INSPECTOR {hV4fifiJ:; CITY OF ZEPHYRHILLS IINOTICE" OF ADDITION OR CORRECTION BUILDING DEPARTMENT ~}- DO NOT REMOVE I ADDRESS Ji.TE PERMIT.,. I 37::;)4- M1iA~~ 6'A 1z -) ~T OL ~ 111t{ THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job will be accepted. (J> F~V\'l)..- ~\itU ~ ~or i~ ~1"ALLh.J) r ex+(a( tU J 1(.,\)7 S G.J~1.t\lTihJL @ \tbJ<s$ 6~)~& ljJ~itlL S'.211. 00' ?~FH!J) 1\1$) t..uJi,b gM<..l~b- ~\J; e~"h. i)lltbUlJM- ~QI\)lr 10 Iirn:tfuL &r"f""~ b"n. -r~ (~i) ~"-~ ~lb~ ~~ rnOV\ ~~lt\ilJ hffU-T_ ~.. .5\\\,1) M~s NO\ 4~~~~ ~ ~ " ]2;oCl ~ LuV\,u~~ l~ ~"~B II II unlawful tor any Carpenter, Cantraclor, Builder, or olher perlOnl, to caver ar CaUM to be covered, any part of the work with flaorlng, lath, earth or other material, untlllhe proper Inlpector hal hod ample lime to approve Ihe Inltallallan. . AFTER CORRECTIONS ARE MADE CAlL 788-6611 FOR RE-INSPECTION ...., INSPECTOR rJLJ~) OfFICE HOURS 8 - 5 MON.-FRI. Sandy Development 37529 Meadow Oak Way SQ. FEET PRICE MAIN OR LIVING: 609 $ 40.00 OTHER AREA UNDER ROOF: 120 $ 15.00 PARKING: 867 $ 0.85 VALUATION $ 26,896.95 FEE SHEET $ 155.00 ADDRESS $ 20.00 DRIVEWAY BUILDING: $ 252.50 CREDIT: $ - BUILDING LESS CREDIT: $ 252.50 ELECTRICAL: $ 61.88 PLUMBING: $ 57.50 MECHANICAL: $ 30.00 RADON: $ 7.29 TOTAL $ 409.17 SEWER: $ 1,278.00 WATER: $ 350.00 IRRIGATION: $ - TOTAL: $ 1,628.00 I , WATER METER:I $ IRRIGATION METER $ 180~00 I SUB-TOTAL $ 2,217~171 SIF'S: $ 722.00 97.5% $ 703.95 2.5% $ 18.05 j .t A:UJ TI F'S: $ 1,204.00 Credit to Jim 99% $ 1,191.96 Bingham 1% $ 12.04 TOTAL: $ 2,939.17 , " ~)--.1t-c( ~ .~ PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 u O~-069/ CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA WATER ACCT. NO. DATE 1/--/1.-t? ~ OWNERI RENTER ~~~~ ~~~:Z;C. 7tQ \~ ~ a~ bkc/ MAILING SERVICE ADDRESS c37:131 SHUT OFF SERVICE 0 TURN ON SERVICE g/ INSTALL METER 0/' READ METER 0 CHECK METER 0 OTHER 0 /le1Jl~J tfl~ tJ~ Q./WATER o SEWER o GARBAGE ~N CITY o OUT CITY -L No. OF UNITS _ DEPOSIT AMOUNT % (/a/;& ~ - AMOUNT LAST Bill _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY Retain white form in office at all time . Send pink & yellow forms to Water Service pI. Water Service Depl. 10 sign yellow form & return to office. FORM 600A-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A THE LANDINGS APARTMENTS. 1 BEDROOM Builder: THE LANDING APARTMENTS - PH II Permitting Office. ZEPHYRHILLS, FL Permit Number: TOWNVIEW MEDICAL ARTS PARTNERSHIP Jurisdiction Number: Central Project Name: Address: City, State: Owner: Climate Zone: II I. New construction or existing 2. Single family or multi-family 3. Nmnber of units, ifmulti-family 4. Nmnber of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (f12) 7. Glass area & type a. Clear - single pane b. Clear - double pane c. Tint/other SC/SHGC - single pane d. Tint/other SC/SHGC - double pane 8. Floor types a. Slab-Dn-Grade Edge Insulation b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior b. Frame, Wood, Adjacent c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A I I. Ducts a. Sup: Unc. Ret: Unc. AH: Attic b. N/A New Single family I I Yes 760 ft2 92.5 ft2 0.0 ft2 0.0 ft2 0.0 ft2 R=O.O, 79.0(p) ft R=5.0, 632.0 ft2 R=11.0, 332.0 ft2 R=30.0, 760.0 ft2 Sup. R=6.0, 60.0 ft Cop, 23.0 kB_ SEER: 10.00 _ 12. Cooling systems a. Central Unit b. N/A c. N/A 13. Heating systems a. Electric Heat Pump Cap: 17.0 kBtuIhr HSPF: 7.00 b. N/A c. N/A 14. Hot water systems a. Electric Resistance Cap: 30.0 gallons EF: 0.93 b. N/A c. Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15. HVAC credits (CF-Ceiling fan, CY-Cross ventilation, HF-Whole house fan, PT -Programmable Thermostat, RB-Attic radiant barrier, MZ-C-MuItizone cooling, MZ-H-Multizone heating) PT-C, PT-H _ l.--n~ass/Floor Area: O. ;;-- Total a~-built po~nts: 9229.50 --.p AS. S-~_. I Total base pOints: 11242.00 --_.~~...~-~-_..~--~-----~ Review of the plans and specifications covered by this Iculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. EneravGauae@ {Version: FLRCNA-20m FORM 600A-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: THE LANDING APARTMENTS - PH II, ZEPHYRHILLS, FL, PERMIT #: BASE AS-BUlL T GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X SPM X SOF = Points .18 760.0 42.08 5756.2 Single, Clear SW 8.0 7.5 40.0 52.82 0.50 1062.9 Single, Clear SE 1.0 5.5 30.0 56.64 0.95 1622.1 Single, Clear NE 1.0 5.5 22.5 43.65 0.96 947.7 As-Built Total: 92.5 3632.7 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adajcent 332.0 0.7 232.4 Concrete, Int Insul, Exterior 5.0 632.0 1.00 632.0 Exterior 632.0 1.90 1200.8 Frame, Wood, Adjacent 11.0 332.0 0.70 232.4 Base Total: 964.0 1433.2 As-Built Total: 964.0 864.4 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 21.0 4.80 100.8 Exterior 21.0 4.80 100.8 Base Total: 21.0 100.8 As-Built Total: 21.0 100.8 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Under Attic 760.0 0.60 456.0 Under Attic 30.0 760.0 0.60 456.0 Base Total: 760.0 456.0 As-Built Total: 760.0 456.0 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 79.0(p) -31.8 -2512.2 Slab-On-Grade Edge Insulation 0.0 79.0(p) -31.90 -2520.1 Raised 0.0 0.00 0.0 Base Total: -2512.2 As-Built Total: -2520.1 INFILTRATION Area X BSPM = Points Area X SPM = Points 760.0 14.31 10875.6 760.0 14.31 10875.6 Summer Base Points: 16109.6 Summer As-Built Points: 13409.4 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier PQints 13409.4 1.000 1.090 0.341 0.950 4734.6 16109.6 0.3577 5762.4 13409.4 1.00 1.090 0.341 0.950 4734.6 EnerovGauoe"lll DCA Form 600A-97 FORM 600A-97 .. " WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: THE LANDING APARTMENTS - PH II, ZEPHYRHILLS, FL, PERMIT #: BASE AS-BUlL T GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Points .18 760.0 4.79 655.2 Single, Clear SW 8.0 7.5 40.0 9.22 1.35 497.5 Single, Clear SE 1.0 5.5 30.0 8.34 1.03 256.5 Single, Clear NE 1.0 5.5 22.5 12.00 1.00 270.1 As-Built Total: 92.5 1024.1 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 332.0 1.8 597.6 Concrete, Int Insul, Exterior 5.0 632.0 2.90 1832.8 Exterior 632.0 2.00 1264.0 Frame, Wood, Adjacent 11.0 332.0 1.80 597.6 Base Total: 964.0 1861.6 As-Built Total: 964.0 2430.4 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 21.0 5.10 107.1 Exterior 21.0 5.10 107.1 Base Total: 21.0 107.1 As-Built Total: 21.0 107.1 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Under Attic 760.0 0.60 456.0 Under Attic 30.0 760.0 0.60 456.0 Base Total: 760.0 456.0 As-Built Total: 760.0 456.0 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 79.0(p) -1.9 -150.1 Slab-On-Grade Edge Insulation 0.0 79.0(p) 2.50 197.5 Raised 0.0 0.00 0.0 Base Total: -150.1 As-Built Total: 197.5 INFILTRATION Area X BWPM = Points Area X WPM = Points 760.0 -0.28 -212.8 760.0 -0.28 -212.8 Winter Base Points: 2717.0 Winter As-Built Points: 4002.3 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 4002.3 1.000 1.116 0.488 0.950 2068.8 2717.0 1.0730 2915.4 4002.3 1.00 1.116 0.488 0.950 2068.8 EneravGauoe TM DCA Form 600A-97 t::NERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 83.3 The higher the score, the more efficient the home. TOWNVIEW MEDICAL ARTS PARTNERSHIP, THE LANDING APARTMENTS - PH II, ZEPHYRHILLS, FL, L New construction or existing 2. Single family or multi-family 3. Nwnberofunits, if multi-family 4. Nwnber of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (it>) 7. Glass area & type a. Clear - single pane b. Clear - double pane c. Tint/other SC/SHGC - single pane d. Tint/other SC/SHGC - double pane 8. Floor types a. SIab-On-Grade Edge Insulation b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior b. Frame, Wood, Adjacent c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A 11. Ducts a. Sup: Unc. Ret: Unc. AH: Attic b. N/A New Single family 1 1 Yes 760 it> 92.5 it> 0.0 ft2 0.0 ft2 0.0 ft2 R=O.O, 79.0(p) ft R=5.0, 632.0 ft2 R= 11.0, 332.0 ft2 R=30.0, 760.0 ft2 Sup. R=6.0, 60.0 ft 12. Cooling systems a. Central Unit Cap: 23.0 kBtu/hr SEER: 10.00 b. N/A c. N/A 13. Heating systems a. Electric Heat Pump Cap: 17.0 kBtu/hr HSPF: 7.00 b. N/A c. N/A 14. Hot water systems a. Electric Resistance Cap: 30.0 gallons EF: 0.93 b. N/A c. Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pwnp) 15. HV AC credits (CF-Ceiling fan, CV-Cross ventilation, HF-Whole house fan, PT -Programmable Thermostat, RB-Attic radiant barrier, MZ-C-Multizone cooling, MZ-H-Multizone heating) PT-C, PT-H I certifY that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Address of New Home: Date: CitylFL Zip: *NOTE: The home's estimated energy performance score is only available through the FLAlRES computer program. This is nOJ a Building Energy Rating. If your score is 80 or greater (or 86 for a us EP A/DOE EnergyStar1Mdesignation), your home may qualifY for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 407/638-1492 or see the Energy Gauge web site at www.fsec.ucfedufor information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction. contact the Department of Community Affairs at 850/487-1824. Enerl!VGauQe@ (Version: FLRCNA-200) EvUfJ ~~4 at, <;-:t- ~ . L/ 1..,-'...:v'\ OWNER'S NAME l.-~ fld ,'fl'l APPLICATXON FOR PERMIT CXTY OF ZEPHYRHXLLS BUXLDING DEPAaT.MENT ;z -~ -l!>~.-/ DATE RECEIVED -- PLANS REVl:EW FEE : a , ,t} (Xl M)'\tle rrf-5 T(v I PHONE 5/0 7 - :/ ~9 ")_ JO(:AD~~S.~ ~l.tl?~",~Ott./J. ~ k ., LEGAL DESCRIPTION: LOT IS) BLOCK S~~SION PARc:EL io" ?,LI'" ~5""" - ? /-CJO:.JO-t:b3DO' c.cfo (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: ~ CONSTRUCTION ...-1 DSIGN PROPOSED USE: [JSGL FAMILY DWELLING o COMMERCIAL .1, o Avon'ION OALTERATION o REPAIR [J INSTALL o MOVE 0 DEMOLISH ~TI-FAMILY [JII OF UNITS [J MOBILE HOME o INDUS'l'RIAL o SWIMMING POOL o OTHER . 0 RESTAURANT & HEALTH DEPAR'fMEN'f APPROVAL DESCRI PTION OF WO~K B c( " I" Un t' +- jq.;'AA .Nmen+ f3u \ \dW~ . . . JQI 11:\ ~ "'/ ' BU~~~ING SIZE ,y --6 1\ ,C)(J SQUARE FOOTAGE.' HEIGHT ~_ RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING P & (1) SET ENER~Y FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING. PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED F'OR ALL NEW CONSTRuc'nON. '.' 19~ILDING ~{LECTRlCAL ~LUMBING . ~CJlANIC1\L $ [] GAS '~FING [J SPECIALTY Ty~~,t~~:~~~~;RUCTION: ~OCK PERMITS REQUESTED $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE ~FLORIDA POWER o . W,R.E.C. VALUA'l'ION OF MECIIJ\NCIAL INSTALLATION o O'fHER o FRAME o STEEL o O'fHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES ~ , !.. ... '. .!Il COMPANY Sa n.oll/ De. v~ I ~lY)e.,,"t STA'l'E CERT OR REGI'ST 1# (1 t3 c. .. C> 'I",;) l' CITY PROCESSIN~ 1# ..................................................... ,',\ , COMPANY F,'I S +- C lcos f: (~d ~. STATE CERT OR REGIST 1# t::cc> ~'5"? 0 CITY PROCESSING 1# I 'I It:' ELBCmZC SIGNATURE \ : '1,/1 .......................................:............K, f) A . j'1JcYl~ 1~.J~~ ~. . (' J " r. COMPANY 1# ?!k7C F) nn STATE CERT OR REGIST ~__~_ .. (j.J ~J_><JO.._ ~ CITY PROCESSING II J / . . . .............................................:::!... .;...... ... AA. r+- COMPANY 1" ,",;y... I 4!O ..., . STATE CERT OR REGIST 1# I J "'^"'" ...J CI CITY PROCESSING 1# . ~11 S-O f7t:j&; ~ PLUMBBR SIGNATURE .... "!,';. .:' NBCJlARICAL -. . t.f; t I: ,.1: .J.:"~ !': ..,. . ..................................................... SIGNATURE OTIIBR.l ',:,; qnj~..~..r" J't't.,.:", COMPANY STATE CERT OR REGIST 1# CITY PROCESSING # SIGNATURE ................................................................. ....._..............~.,-..~';~.... ". l.'n "\:"H': ; ", " .." .'~' '"... " ',I,,', \:..: ...":'U,'<})), '}.',',I...J1,1,!;j 'J,t' tl,I..'~,r,.:rv'1,},')' J\,~.',I_"l,l)j\V_,l~'_I.' A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may b~ IalIY be.lIl9J:;e . ~estrict.i ve . than cn y regula tions . The . . c.pmpliance. with. any applicable deed restrictions. B......UNLICENSED. CONTRACTORS AND CON'rn1\CTOR RESPONSIBILI1'IES 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 licen.ed....required by law, both the owner and contractor may be cit~d.for a misd~anor viol.tion'under st.te law. If the owner or intended contractor are uncertain as to what ",. licen.ing 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 .co~~~a~~or(8) 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,; r.ther. than the contractor, are responsible for the work. If the contractor wishes you to .ign as contractor that may be an indication that he is not properly li~.ensed and is not entitled to.' permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D~;;.. .CON~'l'.RUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certffy that I, the applicant, have been provided with a.copy of "Florida's Construction lien ~w.:-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 convnencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I 'ce,:tify 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 perlnit to do work and installation as in41cated. . I certify that no work or installation has commenced prior to iss.uance of a permit and that all work will be performed to meet standards of all laws regulating construction, City code., zoning" regul:~tions, and land development regulations in the jurisdiction. I also. certify th.t I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what ~ctions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental RegUlation-Cypress Dayheads, Wetland Areas and Environmentally Sensitive L.nd., Water/Wastewater Treatment *Southwe.t Florid. Water Management District-Wells, Cypress Bayheads, Wetland Axeas, . .Altering Watercourses.. *Axmy Corp. 'of Engineers-Seawalls, Docks, Navigable Waterways *Dep.rtment of lIealth & Rehabilitative Services, Environmental Health Unit-WeltS, W..tew.ter Treatment, Septic Tanks *U.S. Environmental Protection Agency-.1\sbestos abatement I also certify that, if fill mat~rial is to be used in Flood Zone "A" or "A,etc.N, it is understood that a drainage plan addressing a "compensating volume" will be submitted which i. prep. red by a profession.l engineer registered in the State of Florida prior to permit. i..uance. . A pe~t i.sued shall be construed to be a license to proceed with the work and not .. authority to' violate, cancel, alter, or set aside any provisions of the technical codes, nor .h.ll i.suance of a permit prevent the Building Official from thereafter requiring a c~rr~ct10n .of errors in plans, construction, or violations of .ny code. Everypermit .i..ued'.hall. become invalid unless the work authorized by such permit is commenced within six month. of issuance, or if work authorized by the permit is suspended or abandoned. for a period of .ix months after the time the work is commenced. One 90 day extension of time may be .llowed 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 '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITIl YOUR LENDER OR AN J\'l'TORNEY BEFORE RECORDING YOUR NO'rICE OF COMMENC ENT. JOBS UNDER $2,500. IN VALUE DO NO'r NEED '1'0 RECORD AND pos'r 1\ \ NO'l'lCE OF COMMEN E subject 1:0 "deed restrictions" which undersigned assumes respqnsibility for .. ~ ~ ~~!~i~~~~~'" i -:" , SI.G.NATUREI OWNER OR AGENT ~~:'. '~i.f-\."--~~.:Jr~~_:::~'~;~f"',:' - ., .., ~. "'..: . ::.~~~.~,~.."..... ':';i;',.,;:,.' The""'foregoing instrument w.s .. acknowledged Before methi,~ day of , 19_ by. .. ... . .' . ...~.,;*(~- ot'per.on acknowledged) o who':'1a'peJ:.on.lly known to me, or .....'. '; -" , .....,t'.':"\.......,.,-.r".~"....:...::.r-. _. o wh~ h.~.p;~uced . <,. (type of identification) .nd whoClclidCld1d not t.ke an oath. o~~;'~1!~~ ( (name of person acknowledged) is personally known to me, or' o who has produced (type of identification) Oiid not take. an .0athlli"~'~.';; ~ .,.,.......~z,;.~.I":.....~..,...'':''-~...~... ~ .'. "=1 ;L..i,;-:;"~:' ." ""('~ ~~Yl;-"''' ..' # ._-- .._,...~ . Signature of per.on taking acknowledgement .................~ 1 - IJ.~_ '.............'-'..."~.. -~ " .. . \\;'-';arJ...,""'~"" . ~- ,..'.4-""":'lir . ..-~' , .C~....... . . COMMISSION . DD04685A ElCPIIES A1JG 01 2005 amp~~ N~~~tJP.8d! p~1nted or st.mped .;,.~s:-- . , ;~"t--J-~":;:E~;~~~;~"~~iiil?~ .4 "1' '. . . PASCO COUNTY, FLORIDA It J4. , Permit Nu. Date Permitted .... Builder Name/Owner Name County Parcel No. Address/Location .':' .'..... / .r Subd. Classificationffype of Use How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Rate $ Zone No. Sq. FtlUnit Prepared By ---~ \ \_j Impact Fee Amount $ .,..... Checked By The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of Pasco County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or utilization of the permitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units / Gross Sq. Ft. (GSF) Rate ERU - 54.00/Year or $0. I 48/Day ERU Assign No. Assessment - (No. Units) x ($0.148) x (No. Days) Assessment - (GSF) x (ERU) x (0.148) x (No. Days) 100 TOTAL FEE $ l / ') .;) ,....:...,"', TOTAL FEE $ r--., \ r .'-/ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY, Acknowiedgement below does not imply acceptance of concurrence, but simply receipt uf a copy of this form, placing the huilding permit Owner on notke of this 'assessment and the conditions of payment for same. Date Received By ~~ -----.--------------------------------------------------------------------------------------------------------------------------------------------- V OFfICE USE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO. "liT / DATE / ,( DATE .,.1' BY ./'/ . BY White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldgllnsp feecal:ce PC93113094/E PASCO COUNTY, FLORIDA Permit No. _ /17-1 Date Permitted /f - / 9- 0 -z.... C ~der N~wner Name t) tJ-11~ %. Control # County Parcel No. 1.."I~-.26-- ;2./- 00 DO-o03o[)--OcJ SubDiv: Address/Location .3'1':;-:''1/. '/77/#../1)<,) 04~ I<)~ Classificatlon/Type of Use Lfn-t,! L.IJIJ t:- TRANSPORTATION IMPACT FEE:J R Sq Ft Unit: / ilL Exempt 'g1' Ves 0 No ermine ~. Impact Fee Amount $ e . TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ Exempt tJs~~r::~~~:t~~~~q51 ~ PARKS AND RECREATION FEE Land Account Land Credit Land Total '7~~ - Recreation Account Recrea . Recreation Total TOTAL AMOUNT $ DNa How Determined LIBRARY FEE L:and Account ------ Land Credit - -- Fa Qili.ty-er8d it --- .-- Exempt 0 Y~-EJ1::f; How Determined .------- -.REset1RCE FEE TOTAL AMOUNT L.J3..ndTotaL Facility Account Facility Total Total Amount 9, 3~.&d--t. & . 10- 50-6,-- ERU Prepared By Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY