HomeMy WebLinkAbout02-1690
BUILDING PERMIT
. NO
CITY OF ZEPHYRHILLS Permit -
(813) 780-0020
97,5"0 pls' 90
ELECTRICAL PLUMBING MECHANICAL
Pmperty Owne' JJJcQ rNJ~~ IAYN/J
Job Address: (p If () I f5 L7};UVYlJ' :r.dt..----.. 14 u.e. .
Parcell.D. #
Permit Fee t5
~;gna,",e ~ ~ --
Company
Address
)'Telephone# 78-fr6/~7
1 't'-t ' ~D
BUilDING
101.10
Zoning:
Descriotion of Work
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.
Valuation or
Contract Price
~?5'~
100
I
1690
Date
/Q. -- :J. -- 0 :J....
Sewer Conn 1;2 7tf . t9V
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Water Conn: . ~.') 0 .
Water Meter:
IS:-O
...-0
c '"
.---
FINAL
C.O.
l ~22-0:3
DATE
--22 -03
DATE
Inspector
City license Registration #
State Certified license#
lIP f
ct
:2.e..{,
fAt bl :k7:;t~
PLUMBING
....> &..b liT(
SlB I t/ /2 -;2. C, - oi' . ~ Breakers
Tub Set ;l,-f7"C!J1!L1( IlrL Ducts Insl. .;2.-/9-tY3 iLl( /JJD
Water . Compressor
j./ /..:2. -I J' -tJ? Sewer 1/9'-'1- {):3 /(l. ~ f/(.:JiJ Final
Il.L'1 Final
../'1- ~-o 3 Rtt(,J If-dO
Ftrr /:2-'1__0).. '::JD Tp. Servo
Pre SlB /1- 7 - lH 1ft '1 r Rough In .2-/7-v 3 ~LJ.u
lintel l/ /,.. d.. (- 0 3 Rl,,4~o Meter Can
I <.
FRM. c2-I?-p~.iL1( ltTe> Const. Pole
Insul. Cl j/ ').. -z. (- 0"3 Hv'p Pool
Wl Pre-Meter
Final
Driveway .../ </-18";03 Illy . _. Cj? /J_(.
SIle.,;T~ .~!\ ._ .2-5" -/!!.3 Ib-Yr IIJ 0 . I' 7 ('--c:J.
v F ~ /;l-ltf-t7~ /-/.";2 0 j!/'I"TYfY
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
~I pvd~ ~s
BUilDING
f(R..5T cje,. <:>5
#- /yt,
ElECTRICAL
SOhn, S
MECHANICAL
102;2.. <;/ li,v',~~
~
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.
~ (f) ~..~fl
rcs.-::J-. fC~. .
f;J- .J/~>>-03
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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PASCO COUNTY, FLORIDA
Permit No. J (gC( V
Date Permitted
Builder Name/Owner Name G;1cI /I1eJc;/ It;""
County Parcel No. 1J1-~tR-;;; 1- Li)-(X) -tCWtrO??o
Address/Location to t../ 0 I B / ,11ta~ k ~
ClassificationlType of Use cJ:~d!( --- F:.""1 It)
TRANSPORTATION IMPACT FEE Rate:
Control #
SubDiv: ~!.(f ~ ;;:/~JI'f!t.~
Sq Ft Unit:
Exempt DYes D No
How Determined
Impact Fee Amount $
Zone No.
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.:123) Collection Fee
Exempt U Yes D No How Determined
Amount $
PARKS AND RECREATION FEE
Land Account Land Credit
Land Total
Recreation Account
Recreation Credit Recreation Total
Zone
TOTAL AMOUNT $
Exempt DYes D No
LIBRARY FEE
Land Account
How Determined
Land Credit
Land Total
Facility Account
Facility Credit
Facility Total
Exempt DYes D No
How Determined
Total Amount
RESOURCE FEE
TOTAL AMOUNT
171 ' :)
'-? . [p C
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
RECEIPT NO. 0). ((tfd-f
, I!. ~_ RECrlVED, BY
DATE ~ BY c1.hr- ~\tl"'"
Gold Medallion
6401 Birmingham Ave.
SQ. FEET PRICE
MAIN OR LIVING: 1,636 $ 50.00
OTHER AREA UNDER ROOF: 761 $ 25.00
OTHER: - $ -
V ALUA TION $ 100,825.00
.
FEE SHEET $ 483.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 784.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 784.50
ELECTRICAL: $ 109.90
PLUMBING: $ 99.50
MECHANICAL: $ 75.90
RADON: $ 23.97
TOTAL $ 1,093.77
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $ -
TOTAL: $ 1,628.00
WATER METER:I $
IRRIGATION METER $
180~00 ,
SUB-TOTAL $
2,901.77 ~
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
T IF'S 'I $
99% $
1% $
TOTAL: $ 4,595.77 I
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
, .4,UILDING DEPARTMENT
Gtc/ ttfeeld{(CY) ~(I.z:-~.
//-7 - fP :L
DATE RECEIVED -
PLANS REVIEW FEE
JOB ADDRESS
BLOCK
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S)
PARCEL 10 #
WORK PROPSED: ~NEW CONSTRUCTION
DSIGN
PROPOSED USE:~SGL FAMILY DWELLING
o COMMERCIAL
1i;3 - :J/p- ;;; 1- O.J-IJ 0 -00000- OOCJO
(OBTAIN FROM PROPERTY TAX NOTICEl
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~AJ ~
~ 1. Ey
BUILDING SIZE
SQUARE FOOTAGE 9':;7 7
.
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
~, BUILDING
'rf.. ELECT RI CAL
~ PLUMBING
'1- MECHANICAL $
o GAS 0 ROOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: ~ BLOCK
FINISHED FLOOR ELEVATfoNS
$
lou, rfl,r7
. I
}-en)
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
Y FLORIDA POWER
o W.R.E.C.
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES
'NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST # ~. I~
CITY PROCESSING # /01 ~ Io~
*********************************************************~**~~ ~.~
COMPANY 1~1-~ d.
STATE CERT OR REGIST #~C ~~-f
CITY PROCESSING # JCj. 1 "t-p;-
******************************************* **********t!..td". ;J.,,:;... tIC
f;/bv .faLl.zet ~t/"'/'i~9
COMPANY / / .
STATE CERT OR REG I ST # F -' t ~ 't t S
CITY PROCESSING # .I 19 t.
SIGNATURE
ELECTRICI
SIGNATURE
PLUMBER
SIGNATURE
MECHANICAL
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
~.
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsH 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 "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 licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerH prior to co~nencement.
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 Ineet 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
*South~est 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 "AH or "A,etc.H, 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
$2,500 IN VALUE DO NO NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATU
(?as CD
STATE OF FLORIDA '?~
COUNTY OF CD
The foregoing instrument was acknowledged
Before me this~ day of O~R, y~
by
. ~ame of person acknowledged)
~who is personally known to me, or
STATE OF
COUNTY OF
The foregoing instrument wa~ack~edged
Before me this ~day of C.TD " yt'.:2PtZ
by
.-.........../(name of person acknowledged)
~o is personally known to me, or
Owho has produced
.' (type of identification)
and!\,~~oO did--odid not take an oath.
^\3Yt\CL\N\ .~nd
Signature of person taking acknowledgement
~'''''~
e Do" M. W...
Name -: :1 ~rCfl{l~~Iy~f.VI.JQW$,,~
"~" .' ~ "")tllll zObs-'"
.. ...\i..r.I. SONIliD Tl-tRU TROY FIltH lNIU~ANC~ we.
o who has produced
(type of identification)
an~ who Ddid ~d not take an oath
)::)/)Jm /I).lf fa Dr!
Signature of person taking acknowledgment
...~"II',
~.. ~'" Dona M. Word
1.,:, :~ MY COM
Name~. ..., Drin13~14.c2l105stamped
.fIr"fII,.. ~OHllEO Tl-t1lU TIlOYFAlN MUI/ANC~ we
c;; {j (j)
j/l'0
'ent of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
oOOA-97 Residential Whole Building Performance Method A ,CENTRAL 4 5 6
....JECT NAME:
AD ADDRESS:
.
, OWNER:
BUILDER:
PERMITTING CLIMATE 0 0 0
OFFICE: ZONE: 4 5 6
PERMITNO'm JURISDICTION NO.: ~
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-an-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 (lnsulationR-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 installed (yes / no)
11. Air distribution system:
a. Ducts (Insulation + Location)
b. Air Handler (Location)
12. Cooling system:
(Types: central-split, ceniral-single pkg., room unit, PTAC., gas, none)
13. Heating system:
(Types: heat pump, elee. strip, nat gas, L.P. qas, 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. HVAC Credits
(Use: CF-Cei/ing Fan, CV-Cross vent, PT-Programmable thermostat,
HF-WhoJe 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
I hereby certify thatt
compliance with the
OWNER AGENT:
DATE: I 'd \...O~
pliance with the Florida Energy Code.
DATE:
.1.
CK
1.
2.
3.
4. Y~b
5. /G3b sq. ft.
6. I ft.
Single Pane Double Pane
7a. .t.3-0. I sq. ft. sq. ft.
7b. sq. ft. sq. ft.
8a. R= '0 ?- [{ I. ft
8b. R= sq. ft.
8c. R= sq. ft
9a-l R= 0 c; sq. ft.
9a-2 R= sq. ft
9a-3 R= sq. ft
9a-4 R= sq. ft.
9b-l R= C; ;'l '33 sq. ft.
9b-2 R= sq. ft
9b-3 R= sq. ft.
9b-4 R= sq. ft
lOa. R= )D tb3b sq. ft
lOb. R= -_ sq. ft.
10c.
lla.
llb.
12a.
12b.
12c.
13a.
13b.
13c.
14a.
14b.
15a.
15b.
15c.
R= to ,u ^'V~ (condJuncond.)
iT -b C ;- (cqndJuncond.)
Type: Ct.:> "~"'lv (L /
SEERlEERlCOP: (0, (()
Capacity: "3 4 , r, U
Type: (/ .f).
HSPF/COP/AFOE: 7 , 00
Capacity: r ~ {; 0 c:-C
Type: G: ~.-1
EF: t c.; i
16.
117.
17a.
I
(/ 17b. ') -)') {>'I/
Review of plans and specifications covered by this calculation
indicates compliance with the Florida Energy Code. Before
construction is camp ete thisb' Ing will be inspected for
compliance in ae rd c '. 08 F .
BUILDING OFF A:
DATE: 't~
Revised 1998
SUMMER CALCULATIONS
CLIMATE ZONES 4 5 6
ORIENTATION OVERHANG GLASS SINGLE-PANE OR DOUBLE-PANE ~ SUMMER ~ AS-BUILT
LENGTlf AREA UMIlER POWT Mtl.TI'LlER SUMMER POINT Mtl.TI'LlER OH FACTOR - GLASS
OH (FEET) (SQ. FT.) CLEAR nNT2 CLEAR nNT2 (from6A-1) SUMMER PTS
N ~7 OIl 22.9.' ~l;~l; ~1""
NI= 4'1~l;. ~4~ ~1l1~ ~~7R
1= I' iX Il--- lill~1 4QjN Ii?AA U~1 . (,~ l/ 1./ WI) \ ~
r~L -sF AARd 47M I;/l'll; A~'l7
S h tho 'L UAA 'l7?<l 'lllllSl 'l'l4Q l.,J Q \L~'1
H sw 1i?R? U'l1 4707 'llllili
j W / itJ,j, ') liHA UR7 47ftl; 4/l1;(l c.q q
~ NW ~774 ~~ ~41n ?A.41i
"Hi 10 2.51 8fi1i? Q'l J;n 78.m
U) -"' /- ~..(', '1. Ul >I ,jj, ,C;~~ !t,.,<?'(n
U)
:s
CI
OH LENGTH
OVERHANG RATIO = OH HEIGHT
.
m WEIGHTED GLASS
x MUL 11PLlER =
:s
CI .18 42.0n
COMPONENT AREA BASE SUMMER COMPONENT
DESCRIPTION x POINT. MUL T. = DESCRIP110N
EXTERIOR 1.9
-' ADJACENT 1 .7
-'
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4.8
1.6
T
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\
T
'~:X~
rn EXTERIOR
g ADJACENT
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