HomeMy WebLinkAbout02-1343
BUILDING PERMIT
Permit N2
() (J. 'fLl
EL~CTRIC'L
CITY OF ZEPHYRHILLS
(813) 780-0020
/ftl. BO t(O' ~
PLUMBING MECHANICAL
1343
583' ~
BUILDING
Date
'1--1/- o,:{
Parcel 1.0. ,
.:;~~;:~.{ ~;,'i!:C?~ -1>~jZ1;'
9
c::;.;J. -5 &
tiP
Sewer Conn ~:J 7 g ~.~..J...
Water Conn: f CAi~
Water Meter: I fjo' ()'O
T F. I ,I 0'0 . @'O
.1. ,s: ~ -=1-(L_
Ar~. n. - 11.~.(}I()
..,.lHV~, ~ - rTo..tX>
5,]; F 's - I/!p q 'I. (J'O
Property Owner:
Job Address:
Z,>--;(;ff ~W
,='jrg--7:U Et/.e 1N
LN.
FINAL
C,Q,
i/- 1.5- O;Z
DATE
11- I S ,- tJ.J...
NO OCCUPANCY BEFORE C,O,
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
DATE
P L-l(
IlYe)
Permit Fee
~ignature
Company
Address
)cTelephone#
'77 t. t9'D
t.....^"'-;J--/l~
Valuation or "7
Contract Price /~ V L/ 0, t9-O
City License Registration # , '1'7 ;)...
State Certified License#
9-'7.J, 5........~-u
~ fJ tJ/)"Ot4
S'OVJI1~ ' ') #. dO C.
r:IIJ~ ell ~&1d~
#-/(. , '#=/70
BUILDING ELECTRICAL PLUMBING MECHANICAL
J
F".r~ i I? -<>1- Q L ~~P' 5.",. SL8 /1- 30 - 0 ~ /J;ro. fi 'f 8,...."
Pre SLB. -. -oa.J'/~ I/- '/ Rough In ~/1-/3-(} 7 jJg Tub Set./ 1-13-C12-e~ Ducts InSI./1.--I'"~-oz..e1,g
Lintel ~ g.-I:1- o.:l. [.~ Meter Can Water /0 -10 - 0 z. t?8 Compressor
FRM. /1- H -f)'? 8 Const. Pole v3-JS-CJ:2 88sewer~-IO -0_2- EB Final "- ___ //-/5--C)'2
Insul. CL l/ q _ '3 "tJ -1-. t313 Pool Final /( - / '5 -0 L
Wl <::2re~MAfAr ,/I/-I/?- -C!;)... f!ly
Final t/ .11-15-- C"z.
Driveway IID.1..:lA~ ~~ It0
5Ae~fh/~ r~/~~z/J~ fP 5-/~.-oA II;CfO)J~ /q-
REIN;JECTlON 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:
a.
b.
c.
d.
e.
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
~.~.~.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
, : 1 v
~"""'******.*****************************~*******************
MECHANICAL COMPANY ~O /V;t-y 5
SIGNATURE ~. h . ~.. STATE CERT OR REGIST.# ~ fy1 OC)
. ~qu; C~TY PROCESSING ## J..O(;
*****************************************************************
I '(l{ ~ (
OTHER
COMPANY
STATE CERT OR REGIST ##
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMI~ AFFIDAVIT
A, NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit: may bl~ subject to "deed restrictions" which.
may be more restrictive than Ci ty regulations, Thl~ 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 intendl~d contractor are uncertain as to what
licensing requirements may apply for the intended "ark, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthenmore, if the owner has hired a contractor OJ: contractors, he is advised to have the
contractor{s) sign portions of the "Contractor Sect:ions" of this application for which they
will be responsible. If you, as the owner signs au 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 S,]~ATUTES, 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 tha~ 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' SimmER'S AFFIDAVIT
I certify that all the information in this applicat:ion 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 perfonmed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development re~,ulations 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 abat;ement
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: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 1!t-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before' me this day of
by
acknowledged
, 19-=-
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[Lho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Diid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
Butterfield
Lot #1 Evelyn Ln.
SQ. FEET PRICE
MAIN OR LIVING: 1,552 $ 40.00
OTHER AREA UNDER ROOF: 704 $ 15.00
OTHER: $ -
VALUATION $ 72,640.00
FEE SHEET $ 362.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 583.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 583.00
ELECTRICAL: $ 90.44
PLUMBING: $ 40.00
MECHANICAL: $ 40.00
RADON: $ 22.56
TOTAL $ 776.00
SEWER: $ 1,278.00
WATER: $ 350.00 -
IRRIGATION: $ -
TOTAL: $ 1,628.00
~W
WATER METERI $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
2,584.00 I
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
T IF'S: $ 1,480.00
99% $ 1,465.20
1% $ 14.80
TOTAL: $
5,758.00 I
~==="
FORM 600A-01
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Whole Building Performance Method A CENTRAL 4 5 6
PROJECT NAME: <:.>
AND ADDRESS:
OWNER: wl4
BUILDER:
PERMITTING CLIMATE 0 0 0
OFFICE: ZONE: 4 5 6
PERMIT NO,CIITIIIIJ JURISDICTION NO,: CCCC[JJ
CK
~.
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-:-No. of units covered by this submission
4. Is this a worst case? (yes / no)
5. Conditioned floor area (sq. ft.)
6, Predominant eave overhang (ft.)
7. Glass type and area:
a, Clear glass
b. Tint, film or solar screen
8. Floor type and insulation:
a. Slab-on-grade (R-value + perimeter)
b. Wood, raised (R-value + sq. ft,)
c, Concrete, raised (R-value)
9. Net Wall type, area and insulation:
} a. Exterior: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
4. Log (Insulation R-value)
5. Other:
b. Adjacent: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
4. Log (Insulation R-value)
10. Ceiling type, area and insulation:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
c. Radiant barrier, IRCC, white roof installed?
11. Air distribution system:
a, Ducts (Insulation + Location)
b, Air Handler (Location)
12. Cooling system:
(Types: central-split, central-single pkg.. room unit, PTAC., gas, none)
13. Heating system:
(Types: heat pump, elec. strip, nat. gas. L.P. gas. gas h.p., room or PTAC. none)
14. Hot water system:
(Types: elec., natural gas. solar, L.P. gas. none)
15. Hot Water Credits:
a. Heat Recovery (HR)
b, Dedicated Heat Pump(DHP)
c. Solar
16. HV AC Credits
(Use: CF-Ceiling Fan, CV-Cross vent. PT-Programmable thennostat,
HF-Whole house fan, MZ-Multizone)
17. COMPLIANCE STATUS: (PASS if As-Built Pts. are less than Base Pts.)
a. Total As-Built points b. Total Base points
117.
17a.
1.
2.
3.
4.
5.
6.
7a.
7b.
I}j
1.5-(,-'1,.- sq, ft.
/ ft.
Single Pane Double Pane
171.S- sq. ft, sq. ft.
sq, ft. sq. ft.
8a. R= C> '-4t'/ I. ft.
,--
8b. R= ,__ sq. ft.
8c. R= ,__ sq. ft,
9a-1 R= {; 1)"'17 scift,
9a-2 R= __ sq. ft.
9a-3 R= sq. ft,
9a-4 R= __ sq. ft,
9b-1 R= sq. ft.
9b-2 R= II !qp sq. ft.
T .
9b-3 R= sq. ft.
9b-4 R= sq, ft.
10a. R= 30 /')f2- sq. ft.
.
10b, R= __ sq. ft,
10c,
11a.
11b.
12a.
12b.
12c.
13a.
13b.
13c.
14a.
14b.
15a.
15b.
15c.
R= tP ,j) It- d (cond/uncond.)
U ,vc ~ ~ )onO/uncond)
Type: ~ .
SEERlEERlCOP: /0.:3
Capacity: ~ <( 0 u ()
Type: N p. .
HSPF/COP/AFUE: 7. u
Capacity: 3 '-f. 06 0
Type: ~ I t' C i
EF: . 9 I
16.
/t-
L-/-
\5
DATE: b-J Cf-OL-
with \he Florida Energy Code
Review of 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 wilh Section 553,908, F.S.
BUILDING OFRCIAL: ______.
DATE:
OWNER AGENT:
DATE.
FLORIDA BUILDING CODE - BUILDING
13.183
, )'''-. ,4 _
( :~ (~:. .I,;.:t;!"; l...., -~,
.... ~ ~;' ~,....", ....:.-~;::~ "tr,,\
~~,,;' _ ~_;-_~:\J
"fJ~ ~~__~, ;.f"' ~'\'i
.. ,\'S .. ..:~:~ !"
~(", "i"~ :':~i
\~~\:-~!:::
-"~I\1: ~~,
Jit~'"!.;..j;~
r::;:. '~k',
.i~~;~ '.~ )
:",' ::......"
;~' '$\ , '.~.:1)
',. }'4'1
"'~~:~r ::-~/,
i<'
ul:\,
"
./-;.),
"~"
fI*(.~r~~,~~.~~;~
'J
,
''''
~~I
..." '::{
~!::) fJ
~ ~S) ?):~; ~".
/' 0 -- ~f\ \<.'~.:.';.',:.""~."'.:r.;'.,'
)" l "...', C"
'''-.. V1 ";~ '1&'
, ./ . ;,"'~':\ '., I
J V\ :".."..,~..,..... I
, /' . fJ _. it',l _, ','pF, I
(YY'-""" :l-'.",.:l,t,."
O ",' ':!\,
\ l~v ':J::i:'~ "1
111/ (3 ~ ;~.:~i:~,.
:ifJ!i!.....' I
..d!~. ofl
i~.;~ '.1i, ,/
I. .
!:~ .'
tJ~"'"
.'. ,,-",
i"'",
"'" -' .,,'
'"'.....",.......
STATE OF FlORIDA
City of Zephyrhills
PASCO COUNTY
5335 Eighth Streel
Zephyrhills. Florida 33540
(813) 788-2313
MAYOR
James A. Bailey
CITY COUNCil
Alan l. Brenia
President
CERTIFICATE FOR CONNECTION FEE CREDIT
ZEPHYRHILLS MUNICIPAL WATER UTILITY
Charles "Chip' Atkins
Vice President
Clyde C, Bracknell
Elizabeth A. Geiger
Timothy J. Ippolito
Steven F. Spina
City Manager
THIS CERTIFICATE IS ISSUED AS A FORM OF REIMBURSEMENT FOR
A PORTION OF THE OFF-SITE COST OF WATER LINES CONSTRUCTED
TO SERVE TAX PARCEL 02-26-21-0010-01900-0000 OR ANY
SUBDIVISION THEREOF.
Unda 0, Boan
City Clerk
THIS CERTIFICATE MAY BE EXCHANGED BY BEARER FOR ALL OR
PART OF WATER CONNECTION FEES TO SERVE DEVELOPMENT WITHIN
TAX PARCEL 02-26-21-0010-01900-0000 OR ANY SUBDIVISION
Thomas P. McAlvanah
City Attorney
~.l
~r ;,
.r~i:;[;
THEREOF_
Wt(t\0;{,'; NSfw
txllGt,\_~L Uzl2-l1 fi
C" ,,.;1
~:M.t u"".'........ ~:i5.'......-...:::.~ l:f, ~ rh
r ,- . ":11
Df .~.?~.~,..'.;;M.,'i rr
I ''!t;.,i,
a'.;;~~i!
j~~i:;~i i
NO DUPLICATE OF THIS CERTIFICATE WILL BE ISSUED.
~/' --< ./
! , ,?-1-,~;_____"" /' ~--2_""- c~,
IDENT O~'CITY COUNCIL
~f- ~,
L /
(_,.. .-;t:;l-~/L
~ --th-c t:- 7-
CITY MANAGER
,
--.::::;-
ATTES'r =, )tL,c,..
CITY CLERK
CITY SEAL
,'J~,i~:
!.;,>~r~! ~:,
10/15/96
DATE OF ISSUE
'j:
~{;ji:~ !
OC-96-007
SERIAL NUMBER
NOT VALID UNLESS ALL
SIGNATURES ARE RED
--
PASCO COUNTY, FLORIDA
SCHOOL IMPACT FEE
Ordinance No. 01-06
Effective: February 28, 2001 at 2:08 p.m.
Builder Name/Owner Name "t3vtit e...y (, d J
Parcel 10: 0'/-;) it - ;J /- 023t> -00000-- 03/ ()
Address/Location: ~8 '7;4J ;:;veL iN L r-J'
Subdivision: O~l( ~-
Permit No. j31f -5
,
Date Permitted: 7 -I / - () ~
Classificationrrype of Use:
Exempt:
How Determined:
Yes
o Single-Family Detached House
o Mobile Home
o Other Residential
o Collection Fee
Total Fee
~No
I. & q '1. t9'O
.
(056)
(057)
(058)
(123)
$
i~~
.
Prepared By:
Checked By:
The above impact fee has been established pursuant to the Pasco County School
Impact Fee Ordinance No. 01-06 as adopted by the Pasco County Board of County
Commissioners. This amount is payable PRIOR to the issuance of a Certificate of
Occupancy or where a Certificate of Occupancy is not required PRIOR to the final
inspection.
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNT LISTED HAS BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgment below does not imply acceptance or 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.
7-/I-OJ.--
~~
Received By
Date
OFFICE USE ONLY
RECEIPT NO. /r2~(; LjiJ
DATE
7/'11- 0;2.
BY
._~
~
,
White
Customer
Canary
Finance
Pink
School Board
Gold
Inspection
PC01005114/A
Sl () :II Z -I (JJ C/) ~ :no ~
:r m (JJ c :r m )> m:E
:r m )> ~ :II C
m () 0 Z -I :n r= Zz "-l
:E' V :II ^ ~ r 0 0 < Z -lm m
000 r 0 :n f~
~ m Z "Tl m:n
O:II m -I ~ "Tl m G)
~^ ~. -I m m (JJ (JJ :n...... )>
:II -I m ()
m() m m :0 m )>
()o :0 :0 < :0 0 ()
(5 < -l
o~ ~ (5 0
~"tJ m :n
m Z
"tJfn m 0
fn;;1 C/)
;;10 C/)
o III "to
-< m
:Il
~ 0 0 0 ~\ 0 ."
~, ~
~ I"""
Z
0 0
m
~ N=t '"
c:
m< (f) ."~
z
~O m
8l
;j." "
3:N :D
0
r=m 0 .'~
c:
fI)~ 0
-=n:I: ~
r-< Z
0 o:lJ "
:0 :!!:I: C>>
0 0_ ~
m ~r- ::t
:0 r- .,
~ en G do
0
^ 0
m ~ C>>
Z 0 ~ 0 0 ~
III I I I I I I ~ ~. 0 p
-< ~ C>>
0 ~ (JJ m C;;
z . .:,
c m j
-I () :0 :E 0; "'.....
i: 1:1 )> 1:1 Z () ::; ~ m m .:,
OJ ~ i: m 9 ::; -< :II :II !I
!'> 0 ~ 0 -< m ~ \ ~ .,
c: 0
0 Z (JJ "1l ~
~ -t =4 c:
r- )> Z , cf0
::0 )> i: ~ --:
c:> fn ~
m -I 0
III c: ~ \Y
z
F -t
....
.--.:...
Sl () :II Z -I fJ) C/) ~ :nO ~
:r m fJ) c :r m )> m:E
:r m )> ~ :II C
m () 0 Z -I :n r= Zz "-l <C
Oo~ :II ^ ~ F 0 0 < Z -lm m <C
0 :n ,~ <J
~ m z "1l m:n <J
0:0 -I ~ "Tl G) L
~^ m m m fJ) m :n...... )> ,
-I -I m fJ)
m() m :II m :II m )> ()
()O ~ :0 :0 < :II 0 ()
(5 < -l
O~ (5 0 ~
~"tJ m :n
"tJr m m z
rm ~ 0
m-l C/)
-tm C/) ~
mO
o III "
-< ...... m
\).\ "
0 0 0 ~ ~D ."
~ ~
~ fi ).....
--....j Z
0 0
m
~ N=t '"
c:
m< (f)
z
3!!o m
~
~ \)\ ;j." "
---J 3:N :D
r-m 8 -,1iJt!"
E;;~ c:
'\ 0
-=n:I: ~
1;< z
0 2l:lJ "
:0 -':Z: C>> ~
0 0_ 0;
m ~'r- .:..
:II r- ;;;
~ CD do
0
^ fi:
m G ;:1...
Z ~
III I I I I I I ~ 0 ~ 0 0 0
-< ~ C>>
... ... ..
0 ~ fJ) m ?
c m .:,
-t ~ :E .,
!I:: 1:1 )> 1:1 Z () ::; m )J .:, l''"''
OJ ~ i: m 9 ::; -< :II !I
0 ~ -< Gl j .,
!'> 0 0 m ~
c: (JJ "1l ~-
0 z .J:..
~ -t ::::j c: I
.... )> z E3
::0 )> i: ~ 'i- ~ ,.
c:> (JJ
m -t 0 0()
c: t
III Z }J
F -I "'-- ~
....
l:ITY OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
2"~5
L-;J (. f 1'1,1
ADDRESS DATE PERMIT." I
)172'0 fv~~, ~ q/II/~'-L /3v3
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
DO NOT REMOVE
LL ... ~ j)
-1 f SC t4-f2J1fl~'
I
'2..~l{j3 L 0 Lk , l\l & r4iq, 01 fl.Ji-j)
f;v }) 11 f)'T,\::.~ (\) (LD ,5
D.1CJiJJ
I S'T t'\.\l: II;- T/1,U) ) _ .If #'1 !> -n,. r
(JI! rl-J K fSceY-K'-JAj ('"i..'
1~.ulJ ~ii- C U f t'Ji1 \JJ tOill ALL- ~., P2J C:f;S-l'UU
II il unlawful for ony Corpent.r. Contractor. Bulld.r. or oth.r personl. to
co....r or caUM to be co....red. any port of th. work wllh flooring, loth, .arth
or oth.r material, unlllth. proper Inlpector hal hod ampl. 11m. to appro....
,h. Inltallallon.
. AFTER CORRECTIONS ARE MADE CAlL
788-6611 FOR RE-INSPECTION
INSPECTOR f? U (2..(r-(~LS ~
OfFICE HOURS 8 - 5 MON.-FRI.