HomeMy WebLinkAbout02-1352
CITY OF ZEPHYRHILLS
(813) 780-0020
)~J . 50 11/' g-8' 5?5r:? 50 I (p;O
BUilDING ELECTRICAL PLUMBING MECHANICAL
P",perty Owne. ~ tfl.
Job Add'..., 37 - . ~"'- - '(l.Je / ~"r
Parcel 1.0. "
Zoning: l?E~eflj_C,o~~
OescriDtion of Work ~O~
BUILDING PERMIT
Permit N~
1352
. Radon Gas:
4ptlfdl ~
Date ?~/R - 0 ::L
,..0
Sewer Conn ~:2 7r'"
Water Conn: :g~5" cr ~
Water Meter: / j-tJ .~
~' '? ;;IllY
_OJ
NO OCCUPANCY BEFORE C.O.
FINAL. -' ~o3
. DATE
C.O. 3.- QL{, tJ3
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
City license Registration #
State Certified license#
2?S
XSignatur
Company
Address
xTelephone# 3s.2 -S-t 7 ..J) 9 CJ .:2
fisT ('As 'i ~penl1i<; tJ,'1lt~~
~ 11./6 ""# /9;2tJ
ELECTRICAL PLUMBING
Inspector
RL (,1 rf IITD
Valuation or
Contract Price
l2&/3tlt.75
54 dv-.
BUilDING
SostltWI1 ~
MECHANICAL #53
Ftr. j 7 - 2 lj - () J1- /.fT~ /U'/rP. Serv. SlB ./ ~, 1.-tJ '2 fI'Jo Breakers
Pre SlB ./ tff-/S- 0-;). /3B Rough In 1.//:2 -;J 3-t7,2 Tub Set v1a. -30 .-0.2 /1"Jt'Ducts Insl. v1:<-.:23'c';; Rt.y,.l1l.Jc,
l'lntel Meter Can iRL'1.t f./,"J"I) W C
ater . ompressor
FRM. ,/1' -3~ r;3 f/:J() Const. Pole Sewer./,f-;)?-O.2 fltLf, tlfo Final ,/ 3-./~~G'3 ?('1~IIJo
Insul. Cl Pool Final ,/'?,..... If - 03 Rt '1 rJ HSo
Wl Pre-Meter 1/ 5- ~- 0 3 R. <. 'f
Final /3..lf-P3 RL'1tfllfO
Driveway Y -I)--
FP 3--3-03 t~/""" 'f.3S M
1f./1 ,F f)- /7-CI z-py//lfo
p~ /ttUo' I UA1I:fVr~/"W1.~jJ Bee.- fi-13-oiZ- 8~ 1I::rt;
REI.NSPECTlON FEE. S: When extra i~;;tio~ tri~s 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:
sA<e~fn.1I1 V - il-tj-o;Z Rt 1. !/J'e> .
a. Wrong Address I O,...fa .
b. Condemned work resulting from faulty construction. If)IfU' f-f......
c. Repairs or corrections not made when inspection called. '("--T ~
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.
. ........ J~;f"" ~~ ..
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18
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'I:~ t:::AMlYDEVELOPNENHANPINGS' .... '1
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I 30.4-6 I JS.;T.{l 40.s.o I i
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4-11.0
2lJ.4..0
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...=
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w=
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9-8-5
35-r-o
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OE'FL In lla:) 1/ll6f1 PLATU GRIP
Ven(lll O~ ,. :>!It! MillO ~.t.I'Ieo
l!er1(TL) -1.01 ,1-" >Wi' IIIIJ:ItIH' 1tT"..ti -1
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,lit LC U. __hi 1IdefI. =-0 W.lal*- 2ill .. '. . .
= =~---=~~,,~_. -~- ... .
WIllIS 1 Rowiltrnllllpt 1I.1., $015.1_ I
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'.. :f.~'.~'. i'8...5.~s7.a,.';7="I.'TI,. 7""T18.~.,J77'. ,.'11=-317&.10-11_141
.. 1;1;....,P'fttI=-:1+:1.~'~.1"~telI. .12....100511. ""1.-.7\ '. .
.:.,.............. &-11"Z:i_, '~""",\ "0; '701 400-11.., 7i.(~f..l\.'~o3tl6. 'W-1P,2ll1, 10-12=101, "'5Q42,. ~_
. '~i!~lMl4Id~~. ..... . . .
-.. .....WIlld.~:..""....bItl.1W 1Z11!n1!!l""'~ 8t1IU'l.... graund.lIr.oel, "'1rlq5.0 psttnp .morel..., Ir;IluI
'.. :. .~ l.'I1lW8~\~dri#'~~QIl'n ~lII::y ~., eoMttlClit 1.1IdcI. W1d1llg. wllh. ~"'* It
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.,.. ".llivcillotiin)lif"'lr;~'~"P!!l>Ie"f"'llll!lli.nd"Ill' hl ",,11ft _1oiiii 1 a(ld SllIlIll ""lIllltl"lntl1.
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FORM 600A-97
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
-.---..--------- . ---- --- - -..---.---. - .- -------_._---~------ - --. -----.-------..- ---~---_.-
Project Name: THE LANDINGS APARTMENTS - 1 BEDROOM Builder:
Address: THE LANDING APARTMENTS - PH 1/ Permitting Office:
City, State: ZEPHYRHlllS, Fl Permit Number:
Owner: TOWNVIEW MEDICAL ARTS PARTNERSHIP Jurisdiction Number:
Climate Zone: Central
I. New construction or existing
2. Single family or multi-family
3. Number of units, if multi-family
4. Number of Bedrooms
5. Is this a worst case?
6. Conditioned floor area (1l2)
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-On-Grade Edge Insulation
b. N/A
c. N/A
9. Wall types
a. Concretc, Inl 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
1___ u_ -. .. ...
L Glass/Floor Area: 0.12
--~-~~-------~- --------
Ncw
Single family
I
I
Ycs
760 IP
92.5 tp
0.0 tl'
O.OIP
O.OIP
R=O.O, 79.0(p) II
R=5.0, 632.0 tl'
R=II.O, 332.0 IF
R=30.0, 760.0 fl2
Sup. R=6.0, 60.0 n
12. Cooling systems
a. Ccntral Unit
b. N/A
Cap: 23.0 kBtu/hr
SEER: 10.00
c. N/A
13. Hcating systems
a. Elcctric Hcat Pump
Cap: 17.0 kBtu/hr
HSPF: 7.00
b. N/A
c. N/A
14. Hot water systcms
a. Elcctric Rcsistance
Cap: 30.0 gallons
EF: 0.93
b. N/A
c. Conservation credits
(HR-Heal recovery, Solar
DHP-Dedicated heat pump)
15. HVAC credits
(C/o-Cciling fim, CY-Cross ventilation,
IIF-Wholc house fan,
PT-Programmable Thermostat,
RB-Attic radiant barrier,
MZ-C-Multizone cooling,
MZ-H-Multizone heating)
PT-C, PT-H
_~O~~t:~~~~:~~;~::_~7;~i5~O___ PASS-. - -.. -I
I hereby certify that the plans and specifications covered
by this calculation are inmi nce ith th: r'ori~ J1
Energy Code. J ~
PREPARED BY: HATH ENGINEERING
DATE: J I J' ft:)11.
.. .
I hereby certify that this building, as designed, is in
compliance with the Florida Energy Code.
OWNER/AGENT:
DATE:
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 with Section 553.908
Florida Statutes.
BUILDING OFFICIAL:
DATE:
EneravGauae@ {Version: FLRCNA-20m
-._~-----"-~'~--~~
FORM 600A-97
SUMMER CALCULATIONS
Res,idential 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 = Paints 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
INFIL TRA TION 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 Points
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
EneravGauae™ 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-BUILT
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 = Paints 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
EneravGauae TM DCA Form 600A-97
FORM 600A-97
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
ADDRESS: THE LANDING APARTMENTS - PH II, ZEPHYRHILLS, FL,
PERMIT #:
BASE AS-BUlL T
WATER HEATING
Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total
Bedrooms Volume Bedrooms Ratio Multiplier
1 2564.00 2564.0 30.0 0.93 1 1.00 2426.15 1.00 2426.2
As-Built Total: 2426.2
CODE COMPLIANCE STATUS
BASE AS-BUlL T
Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total
Points Points Points Points Points Points Points Points
5762.4 2915.4 2564.0 11241.8 4734.6 2068.8 2426.2 9229.5
I
PASS
I
EneravGauoe 1M DCA Form 600A-97
FORM 600A-97
Code Compliance Checklist
Residential Whole Building Performance Method A - Details.
ADDRESS: THE LANDING APARTMENTS - PH II. ZEPHYRHILLS, FL.
6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST
PERMIT #:
COMPONENIL_____._ SECTION .13~g\JIB~MEN!S_f()~I:ACI-I_I'~C:rI~_E __._~______ CHECK
-----------~- -----
Exterior Windows & Doors 606.1.ABC.1.1 --- .1\,1~!Il1.~_rTl: ..3. c:fl11/S..9JLwil'ldo'!VarEl13;:s.~frJ)/sq.ft. door area.
Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall;
foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility
penetrations; between wall panels & top/bottom plates; between walls and floor.
EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends
from, and is.se'!led to,Jhe fO~!1dation to the top plate.
Floors 606.1.ABC.1.2.2 Penetrations/openings >1/8" sealed unless backed by truss or joint members.
EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed
I-~-------~------ -~-~.- !()JI1~J)l'lr!.metElr, .P~flEl.!@tig n.s _a n.Q._~e~.rTl~'.__
Ceilings 606.1.ABC.1.2.3 Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, chases,
soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate;
attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is
installed that~~ealed atthEl_Q.EWmet~enetrations and seams.
Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non-IC rated, Installed inside a
sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from
. conditiClrle(:LsR9.~Lte~ted_. --~_._---~.
Multi-story Houses 606. '.ABC. i'i~ ba";"o"_peom.",offio", ,"vUy b......" floo",.. _ __ _._
Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fansvented to outdoors, dampers; combustion space heaters comply with NFPA,
have coml:l!lstion air. ._ . ._. .
6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded bv all residences.)
COMPONENTS -- ~CTION REQI,!IRE-""II:~T~___ _u__. _u___. ..___~__~__~____~~_. CHECK
Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit
breaker (!llectric) or cutoff {g~ll1.u~!>5!J)rovided. External or built-in heat trao reauired.
Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non-commercial pools
must have a pump timer. Gas spa & pool heaters must have a minimum thermal
effiCiency oE~'&_ __._______ ------- --~--._--
Shower heads 612.1 Water flow must be restrict<<;,d to no more than 2.5 Qallons per minute at 80 PSIG.
Air Distribution Systems 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically
---i attached, sealed, insulated, and installed in accordance with the criteria of Section 610.
D~s in unconditioned attics: _R-tl..rnin. insulation.
HVAC Controls 607.1 ~~"te_""jIY ,--"".';b,"-_m""_"'.9,-,-"o_"",b' ".""a,tat (0, .,... ,..!em.
Insulation 1604.1,602.1 Ceilings-Min. R-19. Common walls-Frame R-11 or CBS R-3 both sides.
Common ceiling & floors R-11.
EneravGauae™ DCA Form 600A-97
EneravGauae@/FlaRES'97 FLRCNA-200
ENERGY PERFORMANCE LEVEL (EPL)
DISPLA Y 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,
1. New construction or existing
2. Single family or multi-family
3. Number of units, if multi-family
4. Number 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. Slab-On-Grade Edge Insulation
b. N/A
c. N/A
9. Wall types
a. Concretc, Int Insul, Extcrior
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
II. Ducts
a. Sup: Unc. Ret: Unc. AH: Attic
b. N/A
Ncw
Single family
I
I
Yes
760 It>
92.5 ft2
0.0 IF
0.0 It>
0.0 ll'
R=O.O, 79.0(p) ft
R=5.0, 632.0 IF
R=11.0, 332.0 ll'
R=30.0, 760.0 tF
Sup. R=6.0, 60.0 II
12. Cooling systems
a. Central Unit
Cap: 23.0 kBtu/hr
SEER: 10.00
b. N/A
c. N/A
13. Hcating systcms
a. Elcctric Ilcat Pump
Cap: 17.0 kBtu/hr
HSPF: 7.00
b. N/A
c. N/A
14. Hot water systems
a. Elcctric Resistance
Cap: 30.0 gallons
EF: 0.93
b. N/A
c. Conservation credits
(HR-Heat recovery, Solar
DHP-Dedicated heat pump)
15. HVAC crcdits
(CF-CeiJing 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:
City/FL Zip:
*NOTE: The homes estimated energy performance score Is only available through the FLAlRES computer program.
This is_not a Building Energy Rating. If your score is 80 or greater (or 86for a US EPA/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 wwwftec.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.
EnemvGauQe@ (Version: FLRCNA-20m
Sandy Development
37532 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
r
180~00 I
WATER METER:I $
IRRIGATION METER $
SUB-TOTAL $
2,217.17l
SIF'S: $ 722.00
97.5% $ 703.95
2.5% $ . 18.05
T IF'S: $ 1,204.00 Credit to Jim
99% $ 1,191.96 Bingham
1% $ 12.04
TOTAL: $ 2,939.17 I
1. '....t-
U(lA..A
~
6,.k\\ ~'1* '7
UAI'+ d
APPLICATXON FOR PERMXT
CXTY OF ZEPHYRHXLLS
BUXLDXNG DEPAkT.HENT
DATE RECEIVED :2 - ~ - 0 L
PLANS REVJ:EW FEE
. ," ~'l" :~"'" '. '~.~. ~ .
JO,B'rAD~~S~
.'\;
O~H.~R' S H~E . 2-a, nd " 11'1 P+ {YJ. MfV1e m-5 r tV I
PHONE 5"&:) 7 -'" '79'9 ")-
,..
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
..PAR~EL iri '11 .: ?5LI' ~5""" - ? 1-OCX:JO-(Y.J?po" C(,)g'O (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~ CONSTRUCTION
.....';
o ADOn'ION
OALTERATION
o REPAIR
o XNSTALL
OSIGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
o MOVE 0 DEMOLISH
lltetiiLTI-FAMILY On OF UNITS
.1 ;
o INDUS'l'RIAL
o SWIMMING POOL
o MOBILE HOME
o OTHER
. D RESTAURANT & HEAL'1'1l DEPAR'fMEN'f APPROVAL
DESCRIPTION OF WO~K . B<A " t J Un (' 1- 4pti t4ml..fl+ & .l~
BU~9):ING SIZE 1~.:. D II X 5D SQUARE FOOTAGE 960 ~ -/;L HEIGHT C) / '
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS.
ATTACIl (3) SETS OF BUILDING. PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED E'OR ALL NEW CONSTRUC'fION.
'.'
~ILDIHG
~LECTRICAL
~LUMBIHG .
~CIIANIC1\L $
o GAS' , ~FING o SPECIALTY
Ty~~t'~~~':~~~~;~UCTION: ~OCK
PERMITS REQUESTED
.$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
~FLORIDA POWER
o . W.R.E.C.
V1\LUA'l'ION OF MECII1\NCIAL INSTALLATION
"
o O'fIlER
o FRAME
o STEEL
o O'fHER
FINISHED FLOOR ELEVATIONS
IS PRO\JECT IN FLOOD ZONE AREA.O YES ~
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STA'l'E CERT OR REGI'ST 1# (1 tic... C> '1~ ?
CITY PROCESSIN~ " :1.. :3 ~
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STATE CERT OR REGIST 1# ~ ~'5'"? 0
SIGNATURE CITY PROCESSING" I '-I tt:J
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STATE CERT OR REGIST #
CITY PROCESSING 1#
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SIGNATURE
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COMPANY
STATE CERT OR REGIST 1#
CITY PROCESSING #
SIGNATURE
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A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit Jnay b.e sub'ject to "deed restrictionsn which
~ybe,.JIK.)~eJ;es~rict,ive ,than City regulations. 'The und~rsigned assumes responsibility for
compliance., with. any applicable deed restriclt:ions.
B......UNLICENSED 'CONTRACTORS AND CON'rHACTOR RESPONSIBILI'l'lES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and loc"l regulations. If the contractor is not
licensed as' required by law, both the owner and contractor may be cit~d'for a misdemeanor
violation'under sta~e 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
co~tra~~or(s) sign portions of the "Contractor SectionsH 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 li~.ensed and is
not entitled to'permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D~-;'..~ON~T~UCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certlfy that I, the applicant, have been provided with a'copy of "Florida's Construction
lie~ ~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 dellver
it to the "owner" prior to commencement,
E. CONTRACTOR'S/OWNER'S AFFIUAVIT
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 inqicated. ,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" regu.1,ations, 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 ~ctions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental RegUlation-Cypress Bayheads, Wetland Areas and En~ironmentally Sensitive
Lands, Water/Wastewater Treatment
.Southwest Florida Wkter Management District-Wells, Cypress Bayheads, Wetland Areas,
. .Altering Waterc~urses:-
*Army Corps 'of Engineers-Seawalls, Docks, Navigable Waterways
*Department of lIealth & Rehabilitative Services, Environmental Health Unit-weltS,
Wastewater Treatment, Sep~ic Tanks
*U.S. Environmental Protection Agency-J\sbestos abatement
I also certify that, if fill mat~rial is to be used in Flood Zone "An or "A,etc.H, it is
understood that a drainage plan addressing a "compensating volumen 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 licensp. 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
c~rr~ctionof errors in plans, construction, or violations of any code. Every permit
issued'shall, become invalid unless the work authorized by such permit is conunenced 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
WITIl YOUR LENDER OR J\N J\'rTORNEY BEFORE RECORDING YOUR NO'rICE OF COMM E JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST "NOTICE OF COMMENC
.
S:t~TURE: OWNER OR AGENT
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"STATB 'OI'FLoRIDA
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,"COUIft'Y-JOp:':;J.- '"~. ,.," .
Th.~"fore90ing instrumentw~s" acknowledged
Before me this day of , 1~
b '~'" ,
,', Y~';;'*(n..- of- person acknowledged)
[J who''''!. personally known to, me, or
., ...,..... ''!''j':';''~ ," ~.
o wh~ ha~'p~~duced
, , (type of identification)
and whoOdidOdid not take an oath.
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~~~;~YO~FFLORID~~\( a
The foregoing ins~~ent w
Before me this ~~a of
by
~ (name of person acknowledged)
~.hO is personally known to me, or'
" 0 who has produced '
(type of identification)
O:l1d not take. an 'oathfli"t'~'~;
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S19natureot person taking acknowledgement
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N~...ttyp~! printed 01: stamped
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PASCO COUNTY~ FLORIDA
Permit No.
~
IX
..................
Date Permitted
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Builder Name/Owner Name
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County Parcel No.
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Address/Location/':1s :5 (..1 ,/I 11 ~ // rt.-u :,~k'
Classificationffype ofUse '1)<^1i>'~ ' ! f I:J
How Determined
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,
Subd.
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Why?
Rate $
Zone No.
QSq. Ft/Unit
Impact Fee Amount $
Prepared By
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 $0. I 48/Day
ERU Assign No.
Assessment -
./1,/1
(No. Units) x ($O.~
x (No. Days) ,;< i:;';' )
Assessment -
(GSF) x (ERU) x (0.148) x (No. Days)
100
TOTAL FEE $
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.~> ~! ./
TOTAL FEE $
o
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
.HA V~ B~EN ~AID ANp RECEIPTED FOR. BY A CENTRAL Pj:RMITTlN(,~.OFFICt: OF PASCOCOUNTY~ l
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.
g
Date
Received By
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
" ;~-) ~-~ DATE
L? /75"- I .'-
Canary
RR/Finance
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BY
BY cA-;:":::'-?7/1.----
White
Applicant
Canary
Trans/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/E