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Home My WebLink About02-1679 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ 1679 (813) 780-0020 ~(,(g.o-O BUILDING itO.l/C) ELECTRICAL cy 9,f{l PLUMBING r{1f),,/O MECHANICAL Date -it - ;) '1- q) ~ I 0") 1v IP-<-> Sewer Conn I ~ O' . '7-0'~ Water Conn: "J ~ 1 t>A . ~ Water Meter: _ {} ,"' T,I.F.'s: ~ ~. Property Owner: yY\tvt\ ~ . Job Address: ~ '. t~R /.--p. Parcell. D.' 3'('2{- 2- {- /){OO tXJOlJ('J - 0/1 () Zoning: DescriDtion of Work .crt . .' '1r ; . .......... c/4 NO OCCUPANCY BEFORE C.O. FINAL -.3 - C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector permitF~ 'I Signatur .... Company Address )Orelephone# Valuation or v e:;r:". tpD Contract Price () 0, ;/~O { '1'1V City License Registration # .,,< State Certified License# l;8o~es 134. h R 5 C~ ;-1I1e it/1 MECHANICAL Ry/J'l.-M ('~~ BUILDING 'Gt'if f{ <;[0 Free- . ELECTRICAL jl"Wll'~ Wdl(eo-~...5 #-(1.20 PLUMBING Ftr. 1/ I:J.. - /1- 0'2- Kif; I-~P. Servo SLB //2-/7 -t) .:2/ifO,KLrBreakers Pre SLB ~/i:2 -1'1 -c;< /?L--I/r Rough In /' /:.:< cj-(i3 Tub Set . /l-,:;zq -03 RL If.. Ducts Insl. t../7-;L"j -<t73Rcy . / IZ.l ~ I: 11;)' 0 '(At'?;> 2 Z <l DI-/IJO Lintel 1/ F:). - 3 ( - D'J- I 'I ' Meter Can Water ../ /- -(J? II:I'D Compressor FRM. .../j - g 1- (J 3;1:ro Const. Pole ,//2-1'7- 0.2 RtJfsewer./ /-:2.;) - () 31150 Final ,'1 - /~-O 3//..78 Insul. CL \1 ,.. 3 t - 0'3 RL'1 Pool Final _'I - / '" -t);7 /I::rz; WL Pre-Meter 1./3-'1-0J I-I\ro Final '1- /~-o 5 ).I:Tt) / l&.-:litvt1ti- &- ~ Driveway i 3-- :'$--(13 IJI-Iaf fP 3 ,-to-tO '3 %,'co y PI ,Jq,{ oFF _1-1'-~3 "fr //.- _ /7-02- If:,} 0 ~ ff REINSPECTlON 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. 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. 0, ~/0A.ed ~.~~. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. Ryman Const. Lot #11 Highland Loop SQ. FEET PRICE MAIN OR LIVING: 1,325 $ 50.00 OTHER AREA UNDER ROOF: 572 $ 25.00 OTHER: - $ - VALUATION $ 80,550.00 FEE SHEET $ 404.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 666.00 CREDIT: $ - BUILDING LESS CREDIT: $ 666.00 ELECTRICAL: $ 110.40 PLUMBING: $ 92.50 MECHANICAL: $ 68.10 RADON: $ 18.97 TOTAL $ 955.97 SEWER: $ 1,278.00 WATER: $ 350.00 IRRIGATION: $ - TOTAL: $ 1,628.00 WATER METER:I $ IRRIGATION METER $ 180~00 I SUB-TOTAL $ 2,763.971 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: $ 5,937.971 Department of Community Affairs FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING Residential Whole Building Performance Model #1 Face N. BUILDER: PERMITTING OFFICE: PERMIT NO. ,. FORM 600A-93 PROJECT NAME: AND ADDRESS: '-'OWNER: 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) 5. Conditioned floor 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) 10.Net Wall type area and insulation: a. Exterior: 1. Concrete (Insulation R-value) b. Adjacent: 2. Wood frame (Insulation R-value) 11.Ceiling type area and insulation: a. Under attic (Insulation R-value) 12.Air distribution systems a. Ducts (Insulation + Location) 13.Cooling system 14.Heating System: .Hot water system: 16.Hot Water Credits: (HR-Heat Recovery, DHP-Dedicated Heat Pump) 17. Infiltration practice: I, 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: 6251 CONSTRUCTION Method A CENTRAL CLIMATE ZONE: 41_1 51_1 61_1 JURISDICTION NO. CK 1. 2. 3. 4. 5. 1300.00 6. 1.00 7. 0.00 Single Pane 8a. 0 . Osqft 8b.116.7sqft New Construction Single-Family o Double Pane O.OOsqft O.OOsqft 9a.R= 0.00 , 187.10 ft 10a-1 R= 5.00, 1036.15sqft 10b-2 R=11.00, 306.20sqft-===- 11a.R=22.00 , 1300.00sqft____ 12a. R= 6.00, uncond 13. Type: Central A/C SEER: 10 . 00 14. Type: Heat Pump HSPF: 6.60 15. Type: Electric EF: 0.88 16. 17. 18. 2 19. 19a. 19b. 84.79 23743.20 28001.75 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- 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 Flori~a Ene~'l'~ C _ ~ _~ PREPARE ._ DATE: ( 0 I hereby certify that this building is in compliance with the Florida Energy ~:;;~/~~~ BUILDING O~I~AL' f/JIJ.~ DATE: c/' ~ Q.- , I t****.************************************************************************** SUMMER CALCULATIONS ******************************************************************************* === BASE === === AS-BUILT === \'m~~~~--~~~-~-~~~~-:- POINTS I ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- TYPE SC ORIEN AREA x SPM x SOF = POINTS ------------------------------------------------------------------------------- N 48.57 82.2 3992.5 SGL TINT N 16.2 51. 5 .92 769.1 SGL TINT N 16.2 51. 5 .92 769.1 SGL TINT N 16.2 51. 5 .92 769.1 E 4.78 82.2 392.9 SGL TINT E 4.8 107.1 .82 422.0 S 60.00 82.2 4932.0 SGL TINT S 30.0 98.3 .87 2577.6 SGL TINT S 30.0 98.3 .87 2577.6 W 3.30 82.2 271.3 SGL TINT W 3.3 107.1 .82 291.3 ------------------------------------------------------------------------------- .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS AREA AREA FACTOR POINTS ADJ GLASS POINTS GLASS POINTS ------------------------------------------------------------------------------- .15 1,300.00 116.65 1. 672 9,588.63 16,029.00 I 8,175.68 NON GL~~i~--~--~~~~-: POINTS I TYPE ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- R-VALUE AREA x SPM = POINTS ------------------------------------------------------------------------------- WALLS--------------__ Ext 1036.2 1.0 1036.2 Ext NormWtBlock In 5.0 1036.2 1. 00 1036.2 Adj 306.2 .7 214.3 Adj Wood Frame 11. 0 306.2 .70 214.3 DOORS-------------___ Ext 20.0 4.8 96.0 Ext Wood 20.0 7.20 144.0 .,. -'lj 17.8 1.6 28.5 Adj Wood 17.8 2.40 42.7 CEILINGS-----------__ UA 1300.0 .6 780.0 Under Attic 22.0 1300.0 .90 1170.0 FLOORS--------------_ SIb 187,1 -31.8 -5949.8 Slab-an-Grade . 0 187.1 -31.90 -5968.5 INFILTRATION--------_ 1300.0 10.9 14170.0 Practice #2 1300.0 10.90 14170.0 TOTAL SUMMER POINTS I 26,404.19 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- TOTAL x SUM PTS ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- 18,984.39 SYSTEM MULT COOLING I TOTAL POINTS COMPON x CAP x DUCT x SYSTEM x CREDIT = COOLING RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------- 26,404.19 .37 9,769.55 I 18,984.39 1.00 1.100 .340 1.000 7,100.16 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- WINTER CALCULATIONS ******************************************************************************* ******************************************************************************* === BASE === === AS-BUILT === aR~~~--~~~-~-~;~~-:- POINTS I ------------------------------------------------------------------------------- -------------------------------------------------------------------------------- TYPE SC ORIEN AREA x WPM x WOF = POINTS ------------------------------------------------------------------------------- N 48.57 -3.4 -165.1 SGL TINT N 16.2 9.6 1. 04 161.9 SGL TINT N 16.2 9.6 1. 04 161.9 SGL TINT N 16.2 9.6 1. 04 161.9 E 4.78 -3.4 -16.3 SGL TINT E 4.8 -2.0 .05 -.4 S 60.00 -3.4 -204.0 SGL TINT S 30.0 -10.2 .92 -282.5 SGL TINT S 30.0 -10.2 .92 -282.5 W 3.30 -3.4 -11.2 SGL TINT W 3.3 -2.0 .05 -.3 ------------------------------------------------------------------------------- .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS AREA AREA FACTOR POINTS ADJ GLASS POINTS GLASS POINTS ------------------------------------------------------------------------------- .15 1,300.00 116.65 1.672 -396.61 -663.00 I -79.92 NON GL~~~~--~--~;;~-: POINTS I TYPE ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- WALLS-------------___ Ext 1036.2 1.1 1139.8 Ext NormWtBlock In 5.0 1036.2 2.90 3004.8 Adj 306.2 1.8 551.2 Adj Wood Frame 11. 0 306.2 1. 80 551.2 DOORS--------------__ Ext 20.0 5.1 102.0 Ext Wood 20.0 7.60 152.0 - , 1 17.8 4.0 71. 2 Adj Wood 17.8 5.90 105.0 CEILINGS------------_ UA 1300.0 .6 780.0 Under Attic 22.0 1300.0 .90 1170.0 FLOORS-------------__ SIb 187.1 -1. 9 -355.5 Slab-an-Grade . 0 187.1 2.50 467.8 INFILTRATION--------- 1300.0 4.1 5330.0 Practice #2 1300.0 4.10 5330.0 TOTAL WINTER POINTS I 6,955.64 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- TOTAL x WIN PTS ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- 10,700.85 SYSTEM MULT = HEATING I TOTAL POINTS COMPON x CAP x DUCT x SYSTEM x CREDIT = HEATING RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------- 6,955.64 1.10 7,651.20 I 10,700.85 1.00 1.100 .515 1.000 6,062.03 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- t****************************************************************************** WATER HEATING ******************************************************************************* === BASE === === AS-BUILT === M OF lrEDRMS ------------------------------------------------------------------------------- .------------------------------------------------------------------------------- x MULT = TOTAL TANK VOLUME EF TANK RATIO x MULT x CREDIT MULT = TOTAL ------------------------------------------------------------------------------- 3 3527.0 10,581. 00 40 .88 1.000 3527.0 1. 00 10,581. 00 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ******************************************************************************* SUMMARY ******************************************************************************* === BASE === === AS-BUILT === COOLING POINTS + ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- HEATING POINTS HOT WATER + POINTS TOTAL POINTS COOLING POINTS + HEATING POINTS HOT WATER + POINTS TOTAL POINTS ------------------------------------------------------------------------------- 9769.5 7651.2 10581.0 28,001. 75 7100.2 6062.0 10581.0 23,743.20 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ***************** * EPI = 84.79 * ***************** For detailed information of the EPI rating number or for any ITEM listed, ~sk your Builder for 'A Form 600A-93 .or Form 600B-93 ENERGY GUIDE EPI= 84.8 o 10 20 30 40 50 60 70 80 90 100 I---------------------------------x-------I The maximum allowable EPI is 100. The lower the EPI the more efficient the home RESIDENTIAL ENERGY PERFORMANCE RATING SHEET ITEM HOME VALUE Low Efficiency High Efficiency WINDOWS..................... Single Tint SINGL CLR DBL TINT I------x--------------I INSULATION................. . Ceiling R-Value......... 22.0 R-10 R-30 I------------x--------I R-O R-7 I--------------x------I R-O R-19 Ix--------------------I Wall R-Value......... 5.0 Floor R-Value......... 0.0 AIR CONDITIONER............. SEER. . . . . . . . . . . . . . . . . . . . " 10.0 10.0 SEER 17.0 Ix--------------------I T-~A.TING SYSTEM. . . . . . . . . . . . . . Electric HSPF............ 6,6 6.8 HSPF 12.0 Ix--------------------I WATER HEATER. . . . . . . . . . . . . . . . Electric EF.............. 0.88 0.88 0.96 Ix--------------------I 0.54 0.90 1---------------------1 0.40 0.80 1---------------------1 Gas EF. . . . . . . . . . . . " 0.00 Solar EF. . . . . . . . . . . . . . )THER FEATURES. . . . .. . .... " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ certify that these energy saving features required for 'nergy Code have been installed in this ~~e. Builder"-.... ~ - ~ddress: 373~ s..t:L..$L\- Signature: '~ ~itY/Zip ~1-4~fJ"\\1-lS.> ~ 33S't\ 'lorida Energy Code for Building Construction _ 1993 'lorida Department of Community Affairs the Florida Date: \\ \ rl (fL FL-EPL CARD93 /, BUILDING DEPARTMENT OWNER JOB LO CAT I ON L<n- 1l-l:l1<DI-I-LP.1\\ t) L<x:,p. O~ 'l2.w 6."2>IlI\l l.'!<:>4 Zf:\ PARCEL I. D. H ~-2S-2..1- Q\CO- ~ _ 0\\0 SHOH ALL EXISTING & PROPOSED STRUCTURES GIVING OIHENSIONS & SETBACKS. . .~~I 541 / t3~ I 13~ MODe.l , \ ' " \, H f3..;MP+o'r-.) .35/8~ ) IS I 4e1 UTILITY BUILDINGS HUST SHOH SIZE & FOUNDATION INFOR- HATION. ' CO"H.. 1:::1((.1 V c.. 2.\ / -----"--- I...\(... .,.'"_ FRONT PRO ERTY LIN' __..n....._...._ (NOTE EXAHPLES 1 & 2) 1-l1lp)..\~ Leop STREET 1, SETBACKS FOR RI, R2 ZONING 601_ 2. SETBACKS FOR R3 ZONING 601 101 P E_ R X 0 I I 101 P S 10' 0 T S I E N D G 201 10\ 1 01 101 EXISTING 101 1 0' :,~ PROPOSED L 20lSGL FAH JO'DUPLEX FRONT PROPERTY LINE FRONT PROPERTY LINE , I , I l : ,I I :i I ,< I , I ~ , I , .. J. !, .' .. . ~ 'j J. :~ 1, f ;;. ~. f f 1 ;I, f ~, f ~i :9: ~.~ 11 l' 1; ~: t OWNER ~LTY OF ZEPHYRHILLS EUILDING DEPARTMENT Co JOB LOC A T I ON L<n-1.4-.H\<Ol-+U-\f\l D LQOP.. O~ 'l4.w ~~O I" ~,4Z J-\ II 3'+-25-2..J - O\CO- ~ _ Q\\O PARCEL I. D. H --== SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS, ,15' 54' I B~ I 13~ J 15 I 4B1 UTILITY BUILDINGS HUST SHOW SIZE & FOUNDATION INFOR- HATION, ~otJ L 't:Mt.1 u c.. 2., / - I.. \(.. "'"'"_-.,...., FRONT PRO ERTY LIN- (NOTE EXAHPLES 1 & 2 ) STREET 1. SETBACKS FOR Rl, R2 ZONING 60'_ 10' P E R X 0 I I 10' p S 10' 0 T S I E N D G 20' FRONT PROPERTY LINE 1-tl~U~ Loop --. 2. SETBACKS FOR R3 ZONING 601 10' 10' EXISTING 10' 1 01 1 01 ,1- p 110 P 0 SED I 20'SGL FAH 30lDUPLEX FRONT PROPERTY LINE ;', , , 'i j . j f .. ~ f ~ f ;(, r ~' f l Ii i! oz) Ji 99ti78(j ,~ A ~ PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008: FAX 813-719-7919 ~:~~ 6~3~ CITY OF ZEPHYRHlllS ZEPHYRHIllS, FtaRIDA WATER ACCT. NO. DATE 11- ~ 7- t1~ OWNER/ RENTER 4~ 5.eJL c;,~J (!~r- 7~~Y" /~jlMJ ~_ , C]../' WATER A:ir/r' MAIUNG ~. SERVICE ADDRESS SHUT OFF SERVICE o nJRN ON SERVICE aI r;(' o SEWER INSTAlL METER o GARBAGE READ METER o GJ'''';N CITY CHECK METER o o OUT CITY ~ No. OF UNITS OTHER o _ DEPOSIT AMOUNT '?/. h 11' - AMOUNT lAST BILL tfl,~-:JJi, ~7i _ DATE _ MI5C. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY Retain white form ,n office at all times. Send pink & yellow fOrms to Water Service Oept, Water Service Dept to sign yellow form & rettJrn to office. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT " I' !~f.L~r2 (tr;;2?-<'Z.i~ L ____.. ------ DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME ~'/ MM Co~ PHONE 7~'2- 08CS JOB ADDRESl.;2.;l'l.-0 \ ,\ , j-h~~l)_ I 0Ai-~""" ~'~iS_ \ LEGAL DESCRIPTION: LOT (S) ----LL- BLOCK SUBDIVISION ~ g'-A~ PARCEL ID # 34--25-2\-OICO-l'YY'x'(\-OllO (OBTAIN FROM :O:::-T:TAX NOTICE) WORK PROPSED: ~EW CONSTRUCTION o ADDITION o ALTERATI ON o REPAIR o INSTALL OSIGN o MOVE 0 DEMOLISH PROPOSED USE:~GL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL D INDUSTRIAL o SWIMMING POOL D OTHER ~ c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK -=:Bwl-Q ~<c~ ~~~Q S.I ~~ ~'t-Ni \{{J~~ BUILDING SIZE 4-e, >< 3S "'eft SQUARE FOOTAGE ---1737 HEIGHT I B 'N ~ IJ...S. 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. 'pJ' BUILDING ~ ELECTRICAL ~ PLUMBING ~ MECHANICAL $ 2 t (XX:) . Q:::) VALUATION OF MECHANCIAL INSTALLATION o GAS "7lROOFING 0 SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: ~ BLOCK 0 FRAME l( FINISHED FLOOR ELEVATIONS 8 ~~\l~ ~o $ PERMITS REQUESTED ~\(J()(J,CXJ VALUATION OF TOTAL CONSTRUCTION 2a::::J AMP SERVICE :K FLORIDA POWER o W.R.E.C. o STEEL o OTHER IS PROJECT IN FLOOD ZONE AREAD YES P(NO BUILDER~ SIGNATU . _ 4.- COMPANYRYHl\~J CONSTRUCTION, HIC STATE CERT OR REGIST # C'BC'-O '3 c:; 1 ~4 CITY PROCESSING # 274 ****************************************************************** ELECTRICIAN SIGNATUR:=-1~ ~~ COMPANY Ei\ST PASCO ELRCTRIC STATE CERT OR REGIST # ER-0014591 CITY PROCESSING # ****************************************************************** PLUMBER SIGNATURE~ ~ COMPANY DE~JNI S ~^ln_l. I ~MS STATE CERT OR REGIST j RF-05260 CITY PROCESSING # J "1 ~ MECBANI~, .) SIGNA;UREu, ,UL- ~ ** ** ** * * * **.**** ******* * * ******* ** ** ****** * ** * * ** ******** * ** **** * * * COMPANY 1=\ ~ H'R c: G ~ c: ~])TD ~.I C' STATE CERT OR REGIST # CAC-043498 CITY PROCESSING # ***************************************************************** OTHER ~ SIGN~~ COMPANY RYMAN r.ONSTRUr.'I'TON. TNr.. STATE CERT OR REGIST # RC-0061.648 ~~.... CITY PROCESSING # M5 *< -- ~**************************************************** .t'\.. !~V-,. ,;,,\.,.I:. VI: l.J.I:..l:.l.J !<.J:..;::>"l.K.I.\....,r.l.Ul~~ The undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the UContractor 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 uFlorida'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 UA" or ~A,etc.", it is understood that a drainage plan addressing a ucompensating 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 UNOTICE OF COMMENCEMENT". ~OR AGmIT STATE OF FLORID COUNTY OF The foregoing instrument was acknowledged Before \~. t:Q.t.s~ day of "NOll..ewP~,t ~J. by ~l n..:.=.::tiJ. ~ VYI~ (name of person acknowledged) ~who is personally known to me, or Owho has produced (type of identification) and whoO did ~id not take an oath. ~~.oO tJe-~~ Signature F~~~~~H~ing acknowledgement t~;~:~~~::I::': ~:47 Name typed, "printed or stamped Fw)/Z./ iJ.R- The foregoing instrument wa~ackn~ledged . Before me th~s ~y ~">Jew. r: 19 ~ad by }.Zpj)l() A , ~ (name of pe son acknowledged) ~hO is personally known to me, or o who has produced (type of identification) and who Odid ~d not take an oath ~-6;l r'l td~~ Signature f p~~.e~n~~~acknow1edgment -Oio ~~~MY Commission CC800247 -"" ....~ EXPires Januarv 3 :)(}n~ Name typed, printed or stamped Mar 13 03 01:4600 '<:::lman Homes 8137886773 p _ 1 -+-lc~...'-1 dl..;-~ I PASCO COUNTY, FLORIDA Permit No, /(o'7e:; Date Permitted' Builder Name/Owner Name/I)Yfl"lO r"\ ~'y"l57hJ('_Af "7, / /7( _Control # County Parcel No, ,'3L/-';;-<)--,,;? I-I'-~ J7)(, - 0 1/ a SubDiv: rrl K-. "'Ru ~j Address/Location 7-).,;><-/ Met /] //f. ,,'C;/ / 1~1', ~ c.J ;r ClassificationfType of Use ,,5 F\? TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: Exempt U Yes r ! No How Determined impact Fee Amount $ Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) Other Residential ~23) Collection Fee Exempt U Yes 0 No How Determined Amount $ PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ Exempt n Yes 0 No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt U Yes 0 No How Determined Total Amount RESOURCE FEE TOT.A.L AMOUNT 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 Aclmowledgement 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. 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