HomeMy WebLinkAbout04-3360
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3360
Permit um er: 3360
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38510 12TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
60,000.00
9/10/2004
702.40
702.40
9/10/2004 Phone:
REBUILD HOME DUE TO FIRE DAMAGE
MARTIN ELECTRIC PLUMBING FEE
ARTHUR A. SCHLEMAN PLUMBING CO.
SOUTHERN COMFORT ENT. INC.
E
77.00 MECHANICAL FEE
65,00
I
bv~Yff
q .;../" ~ pr'
7./'7
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC,
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~1I1~~ ~.
. TAACTOR SIGNATl:IR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8D St, Zephyrhil1s, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
&/::27/61
. /
PHONE CONTACT FOR PERMITTINGC~ljjl3' J--O~ I~
OWNER'S NAME_~noJd ~ O/~ 'eA.~
JOB ADDRESS 3 ~ ~ 10 \ d.- +t--. J4veJ..1lLe...
PARCEL ID #
iD
i \- c1lP- .2\ -00' 0 -DS 21)0- 00 \0
16~~ PHONE '213) 7~3'-'9.s-,
Ze.p~{ "'" H ~ ,R 3354 >-
BLOCK 5 ~ SUBDIVISION
LEGAL DESCRIPTION: LOT(S)
(OBTAIN FROM PROPF.RTY TAX NOTICE)
WORK PROPSED: (JNEW CONSTRUCTION
(J SIGN
o ADDITION
(J MOVE
(JALTERATION
o DEMOLISH
o REPAIR
o INSTALL
PROPOSED USE: ~GL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Y'e..b\.U \cl hem t c1\A.'<. +o.Qre.. cl~ {....
BUILDING SIZE SQUARE FOOTAGE \ dro
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.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
Ei BUILDING
c;;r'ELECTRICAL
PERMITS REQUESTED
$ (s; SILCC).OU VALUATION OF TOTAL CONSTRUCTION
.. ~O
1-. ~ ,n
.~'?/
AMP SERVICE
~ FLORIDA POWER
o
W.R.E.C.
~LUMBING
~ECHANICAL
$
37<XJ .CJ)
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o GAS
o ROOFING (J SPECIALTY
TYPE OF CONSTRUCTION: ~BLOCK
o FRAME
(J STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES ~O
BUILDER ;;--
SIGNAT~~()~
C()N'rElJ\.c:~;R<$ECTIQN
COMPANY! e.Y\Br ,'("\ \1-~ .~\oJ-~s~\.(' .
STATE CERT OR REGIST # C&tC..Gl.(34 d- d-
******************************************************************
SIGNATURE
COMPANY ~ -hn f\tttr\(......~.
STATE CERT OR REGIST # 2:C, 3>ODI38"3
******************************************************************
PLUMBER
SIGNATURE ~-:: ~ ____4~ --=
COMPANYA~c..h \ ~'Pll)....Wl-b '~ ~(..
STATE CERT OR REGIST # ~re... OLl 17;;>...1
SIGNATURE
******************************************************************
COMPANY c:~~~ C!~t:~.
STATE CERT OR REGIST # CAC-l gl3 'SlCj
~~~~
MECHANICAL
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
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, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions 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, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion 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 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 "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 fora
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".
f'i4A/v{ Q ~#l .)
SIGNATURE: OW R OR AGENT
STATE OF FL~DA
COUNTY OF ~LD
The foregoing instrument was~knOWledged
Before me this day of ~...., 2Cl11:t
by c.ro.r le..ne ~r'Y\OJI
(name of person acknowledged)
~ho is personally known to me, or
Dwho has produced
(type of identification)
and whoD did &did not take an oath.
~.~~,
Sig ture of person taking ac owledgement
Name ty
~~VIuv-p~)
SIGN RE: CONT CTOR
STATE OF FLORIDA .~
COUNTY OF r~(..C
The foregoing instrument was acknowledge~L
Before me this _day of th..j~+- , 20 ~
by
(name of person acknowledged)
C1ho is personally known to me, or
Dwho has produced
(type of identification)
and who Ddid [}:iid not take an oath
Signature of person taking acknowledgment
Name typed, printed or stamped
1111111111111111I11111111111111111111111111111I1111111111111
2004156136
NOTICE OF COMMENCEMENT
~ <ltcl of _r-:-lori ~
County of
?~L0
THE trnDERSIGNBD hereby gives notice that improvement will be made to c~rtain
rek~ property, and in accordance with Chapter 713, Florida Statutes, the
f,,'l.R owing inforI:'1ation is provided in this Notice of Commencement:
Jescription of Property: Parcel No. ..-J \ - ;(~- c;tl - DOlO - b'S300-Du I t\
~S-\O \ ~tv.- f4v~~ ~ ~v ,-" U '::. 1C:C333-id--
'(Lega descr~ption of the proper and street address ~f available)
2. . y~neral Description of Improvement rp IoLU ,ot h(3)'V\e. clu....e..tc -hV-e ~~
Rcpt: 808733
OS: 0. 00
08/18/04
Rec: 10.00
IT: 0.00
Dpty Clerk
~. Owner Information: Name 'l.>~d... ~ ~ l-e.M..f b,^s.~
!\ddress 3~~ll"") \'d-:-~~ ,City Le+>~~rh~1J\.. StateK..-_~1Jt;r
Interest in Property: C\,)J '^-<<
Name of Fee Simple Titleholder:
(If other th~n owner)
JEO PITTMAN~ PASCO COUNTY CLERK
08/18/04 0~:29pm 1 of 1
OR BK 5991 PG 467
Address
City
State
R.., 4.
~ "l
Contractor: N~me '~&I'y\h.. ~ ILksoUCL-t-u --k-~.
,
Address ~80~ SR.~ City ~~~i~l;;\~
5. Surety: N~me
Sta te F1 /S'?;rt/ J
Address
City
State
~ount of Bond: $
Lender: Name
Address
City
State
7., ..
. :t. 't~
I,
Persons within the State of Florida
notices or other documents may be
713.13(1)(a)(7), Florida Statutes:
designated by Owner upon whcm
served as provided by Section
tlc:me
Address
City
State
t' In addition to himself, Owner desi9nates
" of to receive a copy of the
Lienor's Notice as provided ~n Section 713.13(1) (b), Florlda Statutes.
'J'. f"xpi.rnt..l'Jn dnt.e or Hot.ice of Commencement. (t.he expIration date is 1 year
fr~m the dute of recording unless a different date is specified.)
?i,!"atureofOwner: (l~AhAR/}.e~('~
Sworn to and subscribed before ;"e this I;).;~ day of
~,'~ .
:~::':ni :t~:~:CJ"A~ ~~
t-
PC93053048
~f-
Tenbrink & Associates
38510 - 12 Ave.
SQ. FEET PRICE
MAIN OR LIVING: 1,200 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 60,000.00
FEE SHEET $ 320.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 480.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 480.00
ELECTRICAL: $ 80.40
PLUMBING: $ 77.00
MECHANICAL: $ 65.00
SUB-TOTAL $ 702.40
RADON: $ -
TOTAL $ 702.40
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
WATER METER:I $
IRRIGATION METER $
: I
SUB-TOTAL $
702.40 I
SIF'S:I $
97.5% $
2.5% $
- I
- I
TIF'S:r
99% $
1% $
TOTAL: $
702.40 I
Florida Energy Efficiency Code For Building Construction
Residential Whole Buildi Performance
Owner
Kinsman Residence
38510 12th Ave
ills FL 33542
Donald & Charlene Kinsman
1. New construction or addition
2. Single family detached or Multifamily attached
3. if Multifamily -No. of units by this submission
4. Is this a worst case? (yes/no)
5. Conditioned floor area
6. Predominant eave overhang
7. Giass type and area
a. Clear glass
b. tint, film, or solar screen
8. Floor type and insulation
a. SI~rade
b. WocxJ, raised
c. Concrete, raised
9. Net wail type, area and insulation
a. Exterior
1. Concrete block
2. WocxJ frame
3. Steel frame
4. Log
5. other
b, Adjacent
1. Concrete block
2. WocxJ frame
3. Steel frame
4. Log
10. Ceiling type, area, and insulation
a. Under attic
b. Single assembly
c. Radiant barrier, IRCC, white roof installed
11. Air distribution system
a. Duct
b. Air handler
12. Cooling system
13. Heating system
14. Hot water system
15. Hot water credits
a. Heating recovery
b. Dedicated heat pump
c. Solar
16. HV AC Credits
17. Compliance Status
a. T ota! as-built points
b. Total Base points
I hereby certify that the plans ands specifications cover by
he calculation are in compliance wit Florida Energy Code.
5 6
6116600
-:,\
Form J1 - ALP
Project: Kinsman Date
CIty: Zephyrhils, Fl 07/21/2004 40
Form J1 For The Average Load Procedure - Manual J, Eighth Edition
1 NIIIIe of Room Entlnl HoUI.
2 Runnl"ll F.... ExPOled Wells Ind PartItIon Wlnl Groll Exp. WlH II1d PlIIt. Ala
3 Average Exposed WlU Ind PlIlIlIon HeIghts Net Expoled Well Ala 8.00 -200
4 Room D1_nl (l&W) Floor Plan Ala 1191
5 CeIH"lI Slope Groll Ind Net Exp. CelHng Ala
Component Hut Loll II1d Glln Con_n Pinel HTM HTM Net Ala Stuh Bluh Bluh
Number FICeI Hut Los. Hut Glln or Length HellIng S-Cooft"ll L-eooHng
61 lMndows Ind I 6A N Double 17.8 47.8 853
Gin. Doors b 1A N Double 17.8 97.0 1729
c 1A S 24.3 4.9 120
TotaISqFt 160 d 1A Double Double Double Double
Total K-Btuh J64 . 1A South 24.3 26.4 10.1 245 266
Total C-Btuh 2848 f
9
h
I
J
k
I
6b Skylghts I
TotaISqFt b
Total H-Btuh c
Total C-Btuh d
7 Wood Ind IIeteI Doors I K N 20.0
TotaISqFt oW b J E 20.0
TotaIK-Btuh c
Total C-Btuh d
I Abov. GnIde Wills Ind I
PlItItIonl b
c
Gross SqFt d
Net SqFt .
Total K-Btuh f
Total C-Btuh 9
h
I
J Part.
k Part.
I Part.
9 IleIow Grade WlUI I
Gross SqFt 2 b
Total K-Btuh c 2
d
10 Cellnlll I
Gross SqFt b
Net SqFt c
Total K-Btuh d
Total C-Btuh .
f
111 Pnllve Floors I
Gross SqFt b
Total K-Btuh c
Total C-Btuh d Part.
. Part.
11b RllCIInt Floors I
Gross SqFt b
Total K-Btuh c
Total C-Btuh d Part.
e Part.
Page1of2
Form J1 - ALP
12 Inflltrdon Hell Lon ACH #OIV JO! B1uh WAR
SensIble GIIIn ACH #OIVIO! Btuh 1.00
Latent GIIIn ACH #DIV JO! Btuh
13 1....1 GIIIna . OcCIIpI_ It 230 IIId 2lIO B1uh 6 1380 1200
TotaI5C-Btuh 17391.0675 b AppI_c.ScenMlo 0pti0n2 3400
Total LC-Bluh 2101.45 c AppI_ce ScenIrio AdJu__ 2400
d Indlvldu.1 Appllncn 10211 901
. PII_
14 Sub ToIIlI Sum Un.. 6 Through llA + In. 12 + Un. 13 364 20239 2101
15 Duct Loll or Glin ELF.Lon .nd ELF-Glln I I
Latent Glln
16 Ven1IlIlIon Lon or G.ln Vent CFII - Exh CFII-
17 lMnter HumIdIII_ Lola GIiIDIy -
I' Hot W..... PIping Loll
19 BIoww Hell GlIII
20 ToIIl Lon or GaIn For ALP Sum U...llb+ Unes 14 Througll19 364 20239 2101
ItlIergae Load Procecbe
Supply db . Room db (HeIIIng)- -70 Hell Glin SIll- 0.91 Approxim118 Supply CFII-I -5 I 1082 I
Supply db . Room db (Coonng)- 17 Floor AntI (SqFt)- ToIII TOIlS - 1.86 SqFtlTon.
HF- CF- SuppIJ CFII For ___ To Be IntQIed -, I ,
Fonn J1 For The Average Load Procedure - Manual J, EIghth Edition
Page 2 of 2
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