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Home My WebLink About06-5514 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 5514 Permit #:5514 Issued: 3/30/2006 Permit Type: GENERAL BUILDING PERMIT Class of Work: 103-NEW CONST DUPLEX 2-UNIT Proposed Use: DUPLEX Sq. Feet: Est. Value: Cost: 41,000.00 Total Fees: 3,368.53 Amount Paid: 3,368.53 Date Paid: 3/30/2006 Name: RYMAN CONSTRUCTION CO., INC. Addr: 36413 S.R. 54 WEST ZEPHYRHILLS, FL 33541 Phone: 813 782-0825 Lie: Work Oesc: DUPLEX 820 sa Address: 5852 8TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-01400-0210 RYMAN, EVIN 5852 8TH ST ZEPHYRHILLS, FL. 33542 Phone: 813 782-0825 BU MECHANICAL FEE WATER CONNECTION RESIDENl FIRE INSPECTION FEES PUBLIC SAFETY 5% 4 . 82.00 RADON 398.05 WATER METER RES 3/4" 3.75 FIRE IMPACT FEE 26.35 8.20 SEWER CONNECTION RESIDENl 180.00 FIRE PLAN REVIEW FEES 273.00 POLICE IMPACT FEE 1,535.20 16.78 254.00 CJP I ol~ .~ty'~ \/ 00~ VQ.Q..- .-J..L- I U H 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: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. 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." ~ ~ ~-~ ONT TORS SI ATURE -PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH at, Zephyrhi11s, FL 33542 813-780-0020 FAX: 813-780-0021 . I I. ;-614 DATE RECEIVED -Ll \'\_6b PHONE CONTACT FOR PERMITTING OWNER'S NAME Ke-vt rL ~ JOB ADDRESS~~k~-t:It- ~+. PHONE ~r:s - 7?~-Ocf>~ ....; O-r- . . LEGAL DESCRI PTION: LOT (S) O...:l.J' 'D BLOCK ((){t.f'OO PARCEL 10 # //-::L/p ~_ ~O -Ol,/Q:J~ ~f) SUBDIVISION o-c" C> (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~W CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL OSIGN o MOVE 0 DEMOLISH BMU~~~ 0# OF UNITS PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o MOBILE HOME o OTHER D RESTAURANT & HEAI.TH DEPARTMENT APPROVAL DESCRIPTION OF WORK n ~ P u...p ~ BUILDING SIZE :5D)C ft:,cf''p q SQUARE FOOTAGE /GP 79 HEIGHT ~ IIY8UILDING ~ECTRICAL ~UMBING ~CHANICAL o GAS ~FING 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. r:\ , ~J~ cYL ~ 4 /079~~~ PERMITS REQUESTED $-1.. r~c>~ VALUATION OF TOTAL CONSTRUCTION c;;<Cf) , AMP SERVICE 0 Progress Energy 0 W.R.E.C. $ &/f9($>D~OD VALUATION OF MECHANCIAL INSTALLATION o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION~LOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES B-1.'15 STATE CERT OR REGIST # ~..Js~ OsS-ls st' , ******************************************************** E:tECTRICIAN / ;, ~. ,- COM PAN y_\\,\ a." r--...; ~~ SIGNATURr.:.~L'(~ /'-7~qi/ STATE CERT OR REGIST . cc. [SO!> 1.s<P.s ****************************************************************** PLUMBER COMPAN~ W~ STATE CERT OR REGIST # c...,~ 'Jt-/.Q. S" toO ==>-- SIGNATURE MECllANICALL .. 1 r-- . COMPANY SIGNATURE, :r~~~~ STATE CERT OR OTHER -R~*;~*'**'****"~::N*~~ SIGNATURE g ,i/tb--f.." .' ~~ STATE CERT O~ REGIST' # ~ 13;;{~ S"C>~ A. NOTICE OF DEED RESTRICTIONS Tha undersigned understands that this permit may be su~ject to "deed restriction~H which may be more restrictive than city regulations. The unde~signed assumes responsibility for compliance with any applicab~e deed re'strictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES , . If the owner has hired a contractor or co~tractors to undertake work, they may be requ1red 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 uncerta1n as to what licensing requirements may apply for the intended work, they are 9dvised 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 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, ~ather than the contractor, are responsible for the wor~. If the contra~tor wishes , you'to sign as contractor that may be an indica~ion that he 1S not properly 11censed and 1S not entitled to permitting privileges in the City of Zephyrhil1s. 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 ~o~eone other that.the "pwnerH; I cerify that I have obtained a copy of the above qescribed document and promise in good faith to deliver .it to the "ownerH 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 compli.ance with all applicable laws regulating construction, zoning, and land . development. Appli~ation is hereby made to obtain a permit to do .work and installation as indicated. I certify that no work or install~tion 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 th~t th~ regulations of other governmental agencies may apply .to the intended work, and that it is my responsioility 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, CYP!ess Bayheads, Wet1ard Areas, Altering Watercourses *Army Corps of Engineers-Sea~a~ls, Dock~, Navigable ~aterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.8. Environmental Protection Agency-Asbestos abatement I also certif~ 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 vo1umeH 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 Shfll issuance of a permit prevent the Building Official from thereafter requiring a correc ion 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 la period of six months after the t~me the work is commenced. On~ 90 day extension o.f 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 consid~red abandoned. ' . WARNING TO OWNER: YOUR FAILURE TO RE~ORD 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 ~N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500.IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". "- STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY Of The foregoi~g ins~nt~cknoWledg:~_____The foregoing inst ~;f~t,~~_~re:~ ' 2~. ~;for me t is ~. of person i'lcknowledged) (na!l'e of person ac now1edged) ~o is personally known to me, or ~personally known to me, or acknowledged , 200r- O-Who has produced (type and ~d not ---- of identification) ta e an oath. OWQo 'has produced (type ot identification) ~ not ake an oath r1 ---- Name typed, person t king acknowledgement Cii Angela ~ · . My CommlHIon DD1~ print ~aa.2007 Name typed, Ryman Construction 5852 - 8th Street SQ. FEET PRICE MAIN OR LIVING: 820 $ 50.00 OTHER AREA UNDER ROOF: $ 50.00 OTHER: $ - VALUATION $ 41,000.00 FEE SHEET $ 235.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 412.50 CREDIT: $ - BUILDING LESS CREDIT: $ 412.50 ELECTRICAL: $ 80.70 PLUMBING: $ 98.00 MECHANICAL: $ 82.00 SUB-TOTAL $ 673.20 RADON: $ 8.20 TOTAL $ 681.40 SEWER: $ 1,535.20 WATER: $ 398.05 IRRIGATION: $ - TOTAL: $ 1,933.25 WATER METER:I $ IRRIGATION METER $ 180~00 I FIRE DEPARTMENT FEES PLANS TOATl: $ 16.78 INSPECTION TOTAL: $ 3.75 PERMIT TOTAL TOTAL: $ 20.53 PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 TOTAL: $ 553.35 3,368.53 I 769.561 SUB-TOTAL $ PARKIMPACTFEESI$ SIF'S: $ 1,659.00 100.0% $ 1,659.00 1.0% $ 16.59 TOTAL: $ 1,675.59 TI F'S: $ 1,588.00 99% $ 1,572.12 1% $ 15.88 7,401.68 I TOTAL: $ 65/L( rZ:'f~ ~~-.r)f . C> N \.,... .f) DvpL~ 6~~ Square Feet ~G.O .Dollar Amount s:u ~~.::> Valuation ;.f11~(;:i::J I Building LfZ.lJ "5~ Electrical q -B. D;:a Plumbing C;;Z...:~~ Mechanical 5'5, '0 .J fi.AOD~ ~, 2.;:- Connection Fees Sewer Water Meter t+b::l'o .~or ~:> T ~ --' II??";' '2-0 34''6L c~ L .go, ::>.~ School. Impact Fee . 1,6~ ~ + I b (J~ ::=- l" 7 '5 , ~-o, d.-= ~ >~. "~ ,'I =- '14 :--:z -1-,+ i./.2} I ' I ,.,. . - I~ ;> f, ~ Transportation Impact. Fee I,~,,\::.~ Park Impact'Fee 7fe~, ~lo Public Saf~ty Impact Fee 5S"-=)/~ ~- DLL ~ LJ;' X '-r- / c:2..s ......---.-.... --- o(Dr D l4 " LEf' )( -.......-........ --...-...- --._-....., / /-ZO , I'DO" ',--4 i /1, !J --j () ,r ,- I I I I I I I i ~5 s> 4f> 8f. ~ Us ';).1. 2.,?-! .2-6 d ~_ /~ " ./' ;:L. 0 Page 1 of 1 Karen Miller From: Todd Vandeberg Sent: Wednesday, February 15, 2006 8:53 AM To: Karen Miller Subject: Ryman Karen: Please be advised that City Council approved the conditional use petition for Ryman concerning property located at the SE corner of the intersection of 8th Street and 15th Avenue. Have Bill look at the lots 1# pf units that are pemissable. Thanks Todd Vande Berg Director of Development City Of Zephyrhills 813-780-0006 tvandeberg@ci.zephyrhills.f1.us . ~ 2/15/2006 MAR-03-2006 08:58 PASCO COUNTY DEU REUIEW P.01/01 727 815 7000 " ,iC'i~ "Of Ze.p h.yrh i tis ,BuUqing Department sass 8th Street' .zephyrhRls, 'Florida 33542 813:";780.:.0020 NJx'Cover Sheet ~ ~~ V SUBJ: 4UdY@ Karen $~2';06 'NLfmerlc Address Fax: 727-815-7000 Could you pl~se provide a nun,eric for the below project. If you have any questions, pl~6e contact me. ThaQks. ParcellD; Type: Lot#: Street Facing:: 11"(26-21-00t~01400-0210 Dwplex 0210 81h Street We have ,two sets of duplexes goin9 .into this one lot. We were keeping 5848 8th Street which was an existing addle$s. We were given 5846 8th Street. We will use 5846 as the front duplex and 5848 as the back of the same duplex. We will need;,2 more numerics fpr the second duplex for this lot. See our previous fax. ,Sorry for mix Up, . Thanks. 585;)J. 5<85Jf '<g~5:t- .' .' :J':,:~ i::~ Ii ,i~;. ' . :::<>1' .,,; ',' " kcvutn 1 ~ ~:ft:s ~ be- N()}df ..-.. .--.---- ---,. P.ell ~~ /~ TOTAL P. 01 '. " . ,(t 1,1 " , , , , " " ;,' ',r, ,\. , " , " ':' '~ ,', i \ ,'.. '~\~' ,'" . I,.. ". '~::(~" , 't;. .' " . ..' ., \, ': , , " 1 ',:: .', ',' .' .." ',' , .' ~ " , . ~ . '. . (' ~'. , . "" " " ," .' ,- , I~' , , " " 'J " , , ':\'.. ;: ."'~ ,":. .' .). , I,: , Fire Chief Robert Hartwig ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Bus (813) 780-0041 Fax (813) 780-0044 FIRE SERVICE USER FEES Owner: Billing Addr Occupancy No : Plan No.: 16-mo~ Business Name: /~ t"'~ BusinessAddress: - i7Y Business Phone No.: Business Fax No.: Contact: PLAN REVIEW FEES ~ Site Plan N/C Building Plans .04 sf Revision .06 sf ..~(., <rr- :>.- ~, STANDPIPE SYSTEM o Per Riser $25 SPRINKLER SYSTEMS n 0 - 25 Heads $30 026 plus Heads $60 FIRE PUMP o Per Pump $100 FIRE ALARM SYSTEM o 0 - 25 Devices $30 o 26 plus Devices $60 SUPPRESSION SYSTEMS ~ Wet $35 Dry $35 C02 $35 Other $35 GREASENENTILATION o Hood/Ducts $35 PLANS TOTAL rtzz!I- Comments: GREASENENTILATION Jj Hood/Ducts $15 . Kitchen Suppression $15 ~/) INSPECTION TOTA~ PERMIT TOTAL! INSPECTION FEES Annual N/C 1 st Re-inspection $25 2nd Re-inspection $50 3rd Re-inspection $125 4th Re-inspection $250 5th Re-Inspection $500 Construction $15 Commercial $25 SPRINKLER SYSTEMS Hydro Undergrounds $45 Hydrostatic System $45 Wet Acceptance $30 Dry Acceptance $45 Hydrant Flow $25 Hood / Booth $30 Grease Duct $15 FIRE ALARM SYSTEM B System Acceptance $50 Recall Acceptance $50 OTHER Fire Wall/Smoke Wall $15 LP Gas $25 Natural Gas $25 Fuel Tanks $25 Tent $15 /1/GRAN~TAL //f/l ~~.~ ~~ Billing Phone No.: Billing Fax No.: Contact: PERMIT FEE FALSE ALARM FEE 1 st Alarm N/C 2nd Alarm N/C 3rd Alarm N/C 4th Alarm $25 5th Alarm $50 6th Alarm $75 7th Alarm $100 8th Alarm $150 9th Alarm $200 10th Alarm $250 Non Compliance $150 "Affidavit of Service/Repair" SPRINKLER SYSTEMS o Automatic $15 FIRE PUMP o Fire Pump $15 FIRE ALARM SYSTEM o Detection $15 OTHER ~ LP Gas Natural Gas Fire Works Fuel Tanks $45 $45 $25 $45 FALSE ALARM I TOTAL Pf;:~ / . li;rY'~4~#-~ , / Date: Inspector: Map - Pasoo CGYDtyPropeny Apprai8eJ' Page 1 of 1 Pasco County, Florida Section II, Township 26, Range 21, 0.7 miles NNW of When I click on the map: Quick Info Full Info* /.' Zoom In 1.5x Choose Layers: -PitI'cetlJN!s.(t>efiiI4). ~ -- .P<m::et labels. (..~). --SlTeelf.larnes(~ 2001 1 it -C-oJor - Se!Iect.AddItiomIJ Layer -- .seted:'~ --- Image Size I Quality: ~ (Quality applies if imagery is selected) .u.~tFast 1)PeG} Links of Interest: Recent Sales in this area Search for property in Pasco Map Search t"'apID# 12950746 r' .... r.. T M SOSFeet http://maps.pasc~v.com/maps/showmap.asp?Name=Pasc(}Map=New&mdi=12950746&...1/19/2006- TO: FROM: DATE: SUBJ: City of Zephyrhills Building Department 5335 8th Street Zephyrhills, Florida 33542 813-780-0020 Fax Cover Sheet Bobbie Karen 3-3-06 Permits - Duplexes Fax: 788-6773 The attached fee sheets for the below duplexes are attached and ready for permitting. We will need NOC for them. Thank you. 5852 and 5854 8th Street 5846 and 5848 8th Street FbRM 600A-20b1 '. FLORIDA ENERGY EFFICIENCY ~ODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A r~ 'jt' . Project Name: Address: City, State: Owner: Climate Zone: Model 1678 Duplex 5'S52js<i55Y ~ St- , 2..".,~,,~:\ J ~L- R '-f"YY"~, I~ I n Central Builder. Ryman Permitting Office: ."2~ ~ Permit Number: 5"51'--t /5'5/ (,p Jurisdiction Number: &; l I (0 OU 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 (ft') 7. Glass area & type a. Clear glass, default U-factor b. Default tint c. Labeled U or SHGC 8. Floor types a. Slab-On-Grade Edge Insulation b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Exterior b. N/A c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A 1 1. Ducts a. Sup: Unc. Ret: Unc. AH: Attic b. Sup: Unc. Ret: Unc. AH: Attic Single Pane 0.0 ft2 0.0 ft2 0.0 ft2 New Single family I 2 No 1616 ft, Double Pane 152.1 ft, O.Oft' 0.0 ft2 12. Cooling systems a. Central Unit Cap: 30.0 kBtu/hr SEER: I 1.00 Cap: 30.0 kBtu/hr SEER: 11.00 b. Central Unit c. N/A 13. Heating systems a. Electric Heat Pump Cap: 30.0 kBtu/hr HSPF: 7.50 Cap: 30.0 kBtu/hr HSPF: 7.50 R=O.O, I 82.0(p) ft R=5.5, 1456.0 fP R=30.0, 1678.0 ft, Sup. R=6.0, 200.0 ft Sup. R=6.0, 200.0 ft b. Electric Heat Pump c. N/A 14. Hot water systems a. Electric Resistance Cap: 30.0 gallons EF: 0.97 Cap: 30.0 gallons EF: 0.97 b. Electric Resistance c. Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15. HVAC credits (CF-Ceiling fan, CV-Cross ventilation, HF-Whole house fan, PT-Programmable Thermostat, MZ-C-Multizone cooling, MZ-H-Multizone heating) MAR 1 1 2004 Glass/Floor Area: 0.09 Total as-built points: 21117 Total base points: 21637 PASS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Flori Energy Code. 7 ,/ PREPARED BY: ~ DATE: :3//; /0 '1 . I hereby certify that this building, as designed, is in compliance with the Flo . a Ene y Code. OWNERlAGEN . 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 compli with Section 553.908 a Statutes. BUILDING 0 DATE: I=norn"(::",,.no/ii) (\Iorc:.inn' 1=1 klr.DR \/':1 ':In\ FORM 600A-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: I I , PERMIT #: BASE AS-BUlL T GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 1616.0 25.78 7498.9 Double, Clear S 1.3 7.5 16.2 41.92 0.94 636.1 Double, Clear S 1.3 9.0 16.2 41.92 0.96 653.8 Double, Clear N 1.3 11.0 16.2 26.25 0.99 421.7 Double, Clear N 1.3 10.0 7.1 26.25 0.99 183.1 Double, Clear N 1.3 9.0 9.9 26.25 0.98 254.3 Double, Clear E 1.3 5.0 37.4 55.69 0.91 1883.2 Double, Clear W 1.3 3.5 9.9 50.22 0.82 405.5 Double, Clear W 1.3 3.0 7.1 50.22 0.77 274.6 Double, Clear W 1.3 6.0 32.4 50.22 0.93 1519.5 As-Built Total: 152.1 6231.7 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 0.0 0.00 0.0 Concrete, Int Insul, Exterior 5.5 1456.0 0.95 1383.2 Exterior 1456.0 1.90 2766.4 Base Total: 1456.0 2766.4 As-Built Total: 1456.0 1383.2 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 42.0 4.80 201.6 Exterior 42.0 4.80 201.6 Base Total: 42.0 201.6 As-Built Total: 42.0 201.6 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 1616.0 2.13 3442.1 Under Attic 30.0 1678.0 2.13X1.00 3574.1 Base Total: 1616.0 3442.1 As-Built Total: 1678.0 3574.1 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 182.0(p) -31.8 -5787.6 Slab-On-Grade Edge Insulation 0.0 182.0(p -31.90 -5805.8 Raised 0.0 0.00 0.0 Base Total: -S787.6 As-Built Total: 182.0 -S805.8 INFIL TRA TlON Area X BSPM = Points Area X SPM = Points , 1616.0 14.31 23125.0 1616.0 14.31 23125.0 J::nart'l\/~!2I'no.l1i\ nr":/! t:'nrrn ~11_?M1 J::norn\l~~llnotR\/~1::a~J::C:'?M1 t:'J J;)~DR \t'< 'Vl FORM 600A-2001 , . SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , , , PERMIT #: BASE AS-BUlL T Summer Base Points: 31246.3 Summer As-Built Points: 28709.8 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 28709.8 0.500 (1.087 x 1.150 x 1.10) 0.310 1.000 6119.0 28709.8 0.500 (1.087 x 1.150 x 1.10) 0.310 1.000 6119.0 31246.3 0.4266 13329.7 28709.8 1.00 1.375 0.310 1.000 12238.1 J::"CIlrrn/~':IllnQTM nf'.11 J::nrrn ~l1_.,rv-.1 I=nQrrn/n~II"ct1i\/I:'I~I:;JI=C::I')(V'l1 1:'1 J;lrPR \~ ~n FORM 600A-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , , , PERMIT #: BASE AS-BUlL T GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Point .18 1616.0 5.86 1704.6 Double, Clear S 1.3 7.5 16.2 6.74 1.01 110.3 Double, Clear S 1.3 9.0 16.2 6.74 1.00 109.4 Double, Clear N 1.3 11.0 16.2 11.00 1.00 In.7 Double, Clear N 1.3 10.0 7.1 11.00 1.00 77.5 Double, Clear N 1.3 9.0 9.9 11.00 1.00 108.2 Double, Clear E 1.3 5.0 37.4 8.82 1.02 336.3 Double, Clear W 1.3 3.5 9.9 9.55 1.03 96.7 Double, Clear W 1.3 3.0 7.1 9.55 1.04 69.9 Double, Clear W 1.3 6.0 32.4 9.55 1.01 311.5 As-Built Total: 152.1 1397.6 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 0.0 0.00 0.0 Concrete, Int Insul, Exterior 5.5 1456.0 2.75 4004.0 Exterior 1456.0 2.00 2912.0 Base Total: 1456.0 2912.0 As-Built Total: 1456.0 4004.0 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 42.0 5.10 214.2 Exterior 42.0 5.10 214.2 Base Total: 42.0 214.2 As-Built Total: 42.0 214.2 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 1616.0 0.64 1034.2 Under Attic 30.0 1678.0 0.64 X 1.00 1073.9 Base Total: 1616.0 1034.2 As-Built Total: 1678.0 1073.9 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 182.0(p) -1.9 -345.8 Sfab-On-Grade Edge Insulation 0.0 182.0(p 2.50 455.0 Raised 0.0 0.00 0.0 Base Total: -345.8 As-Built Total: 182.0 455.0 INFILTRATION Area X BWPM = Points Area X; WPM = Points 1616.0 -0.28 -452.5 1616.0 -0.28 -452.5 I:nil:t.r"\I~~II"ata\ nr:A ~I"\nn FUlnI1._?M1 ~nQr"\lr::.::aII,.,al1i\/I=I~QJ:'c:t~M1 1=1 ~rp~,~ ~ FORM 600A-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS:", PERMIT #: BASE AS-BUlL T Winter Base Points: 5066.7 Winter As-Built Points: 6692.2 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 6692.2 0.500 (1.078 x 1.160 x 1.11) 0.455 1.000 2113.6 6692.2 0.500 (1.078x1.160x1.11) 0.455 1.000 2113.6 5066.7 0.6274 3178.9 6692.2 1.00 1.388 0.455 1.000 4227.1 I:nQrl'l\/~':"I"ClITM nt':~ ~nrrn I=UV'lA_~1 ~narn\l~~llnai1i\/~I~PI:C:'?M1 ~. t;>>(",PR,~ ~ FORM 600A-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: , , , 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 2 2564.00 5128.0 30.0 0.97 2 0.50 2326.10 1.00 2326.1 30.0 0.97 2 0.50 2326.10 1.00 2326.1 As-Built Total: 4652.2 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 13330 3179 5128 21637 12238 4227 4652 21117 I PASS I -=nQ"",In.~llnQ TM nr:.A ~nrrn FtMIJ._ ?nn1 ~nlClt.,..n\ln:a"lncIf!Nr::J-:::Ihl'-=~1?m1 5=1 Qr'.CR,~ ":Ul FORM 600A-2001 . . Code Compliance Checklist Residential Whole Building Performance Method A - Details I ADDRESS: J J J 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST PERMIT #: COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors 606.1 .ABC.1.1 Maximum:.3 cfmlsc.ft. window area' .5 cfmlsa.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 & toplbottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from and is sealed to the foundation to the too olate. 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 to the perimeter penetrations and seams. 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 is sealed at the oerimeter at penetrations and seams. Recessed Ughting 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 conditioned soace tested. Multi-storv Houses 606.1.ABC.1.2.5 Air barrier on oerimeter of floor cavilv between floors. Additional Infiltration reqts 606.1 .ABC.1 .3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded bvall residences.) COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) or cutoff Icas) must be orovided. External or built-in heat trao reouired. 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 efficiencv of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 aallons oer minute at 80 PSIG. Air Distribution Systems 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min. insulation. HVAC Controls 607.1 Seoarate readilv accessible manual or automatic thermostat for each system. Insulation 604.1 , 602.1 Ceilings-Min. R-19. Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling & floors R-11. I ):nCt.r"\ln~IIt'lQTM n~A 1:'1'\""'" ~A_"fV'\1 r=ncr"\lr::.~II"clR\I~I~~r::c:,.,nn1 1=1 ~""PR \~ "U) ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE'" = 83.6 The higher the score, the more efficient the home. 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 (ft") 7. Glass area & type a. Clear - single pane b. Clear - double pane c. Tint/other SHGC - single pane d. Tint/other SHGC - double pane 8. Floor types a. Slab-On-Grade Edge Insulation b. N/A c. N/A 9 . Wall types a. Concrete, Int Insul, Exterior b. N/A 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. Sup: Unc. Ret: Unc. AH: Attic Single Pane 0.0 ft" 0.0 ft, 0.0 ft, New Single family I 2 No 1616 ft" Double Pane 152.1 ft, 0.0 ft" 0.0 ft, 12. Cooling systems a. Central Unit Cap: 30.0 kBtuIhr SEER: 11.00 Cap: 30.0 kBtuIhr SEER: 11.00 R=O.O, I 82.0(p) ft R=5.5, 1456.0 ft" R=30.0, 1678.0 ft, Sup. R=6.0, 200.0 ft Sup. R=6.0, 200.0 ft b. Central Unit c. N/A 13. Heating systems a. Electric Heat Pump Cap: 30.0 kBtulhr HSPF: 7.50 Cap: 30.0 kBtulhr HSPF: 7.50 b. Electric Heat Pump c. N/A 14. Hot water systems a. Electric Resistance Cap: 30.0 gallons EF: 0.97 Cap: 30.0 gallons EF: 0.97 b. Electric Resistance c. Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15. HVAC credits (CF-Ceiling fan, CV-Cross ventilation, HF-Whole house fan, PT-Programmable Thermostat, MZ-C-Multizone cooling, MZ-H-Multizone heating) 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: CitylFL Zip: . *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating If your score is 80 or greater (or 86 for a us EPAlDOE EnergySta1f designation), your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at wwwfsec.ucfedu for 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. EnergyGauge@(Version: FLRCPB v3.30) . , . Residential System Sizing Calculation Summary Project Title: Model 1678 Duplex Location for weather data: Orlando - Defaults: Latitude(28) Temp Range(M) Humidit data: Interior RH 50% Outdoor wet bulb 6 Humidit difference 44 r. Winter design temperature 38 F Summer design temperature Winter setpoint 70 F Summer setpoint Winter tern erature difference 32 F Summer tern erature difference Total heatin load calculation 21974 Btuh Total coolin load calculation Submitted heating capacity % of calc Btuh Submitted cooling capacity Total (Electric Heat Pump) 273.1 60000 Sensible (SHR= 0.5) Heat Pump + Auxiliary(O.OkW) Latent Total Electric Heat Pum Winter Heatin Load Load com onent Window total Wall total Door total Ceiling total Floor total Infiltration Subtotal Duct loss TOTAL HEAT LOSS WINTER CALCULATIONS 1 52 sqft 1456 sqft 42 sqft 1678 sqft 1 82 ft 1 08 cfrn Load 3530 6406 632 1846 4714 3800 20927 1046 21974 Code Only Professional Version Climate: Central 93 F 75 F 18 F 19394 Btuh % of calc Btuh 191.7 30000 800.8 30000 Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh ODors(3'%) SUMMER CALCULATIONS Summer Coolin Load ft Load com onent Load Window total 152 sqft 4312 Btuh latenl inI8m81(5%) Wall total 1456 sqft 2834 Btuh Door total 42 sqft 426 Btuh Ceiling total 1678 sqft 2383 Btuh Floor total 0 Btuh Infiltration 94 cfm 1870 Btuh Int. Gsin{12%) Internal gain 2400 Btuh Subtotal(sensible) 14226 Btuh Duct gain 1423 Btuh , Total sensible gain 15648 Btuh Ooor.(2%) Latent gain (infiltration) 2826 Btuh Latent gain(intemal) 920 Btuh EnergyGauge@System S' . Total latent gain 3746 Btuh PREPARED BY: TOTAL HEAT GAIN 19394 Btuh DATE: 3 EneravGauae<ll> FLRCPB v3.30 / System Sizing Calculations - Winter Residential Load - Component Details Project Title: Model 1678 Duplex Code Only Professional Version Climate: Central Reference City: Orlando (Defaults) Winter Temperature Difference: 32.0 F 3/11/04 Window Panes/SHGC/Frame/U Orientation Area X HTM= Load 1 2, Clear, Metal, DEF W 16.2 23.2 376 Btuh 2 2, Clear, Metal, DEF W 16.2 23.2 376 Btuh 3 2, Clear, Metal, DEF E 16.2 23.2 376 Btuh 4 2, Clear, Metal, DEF E 7.1 23.2 164 Btuh 5 2, Clear, Metal, DEF E 9.9 23.2 229 Btuh 6 2, Clear, Metal, DEF S 37.4 23.2 867 Btuh 7 2, Clear, Metal, DEF N 9.9 23.2 229 Btuh 8 2, Clear, Metal, DEF N 7.1 23.2 164 Btuh 9 2, Clear, Metal, DEF N 32.4 23.2 751 Btuh Window Total 152 3530 Btuh Walls Type R-Value Area X HTM= Load 1 Concrete - Exterior 5.5 1456 4.4 6406 Btuh Wall Total 1456 6406 Btuh Doors Type Area X HTM= Load 1 Insulated - Exter 42 15.0 632 Btuh Door Total 42 632Btuh Ceilings Type R-Value Area X HTM= Load 1 Under Attic 30.0 1678 1.1 1846 Btuh Ceilina Total 1678 1846Btuh Floors Type R-Value Size X HTM= Load 1 Slab-On-Grade Edge Insul 0 182.0 ft(p) 25.9 4714 Btuh Floor Total 182 4714 Btuh Infiltration Type ACHX Building Volume CFM= Load Natural 0.40 16160(sqft) 108 3800 Btuh Mechanical 0 o Btuh Infiltration Total 108 3800 Btuh Subtotal 20927 Btuh Totals for Heating Duct Loss(using duct multiplier of 0.05 1046 Btuh Total Btuh Loss 21974 Btuh Key: Window types (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint) (Frame types - metal, wood or insulated metal) (U - Window U-Factor or 'DEF' for default) (HTM - ManualJ Heat Transfer Multiplier) Key: Floor size (perimeter(p) for slab-on-grade or area for all other floor types) EneravGauae<l\l FLRCPB v3.30 System Sizing Calculations - Summer Residential Load - Component Details Project Title: Model 1678 Duplex Code Only Professional Version Climate: Central Reference City: Orlando (Defaults) Summer Temperature Difference: 18.0 F 3/11/04 Type Overhang Window Area(sqft) HTM Load Window PaneslSHGC/UllnShlExSh Omt Len Hat Gross Shaded Unshaded Shaded Unshaded 1 2, Clear, DEF, B, N W 1.33 7.5 16.2 0.0 16.2 15 46 745 Btuh 2 2, Clear, DEF, B, N W 1.33 9 16.2 0.0 16.2 15 46 745 Btuh 3 2, Clear, DEF, B, N E 1.33 11 16.2 0.0 16.2 15 46 745 Btuh 4 2, Clear, DEF, B, N E 1.33 10 7.1 0.0 7.1 15 46 325 Btuh 5 2, Clear, DEF, S, N E 1.33 9 9.9 0.0 9.9 15 46 454 Btuh 6 2, Clear, DEF, B, N S 1.33 5 37.4 37.4 0.0 15 24 560 Btuh 7 2, Clear, DEF, B, N N 1.33 3.5 9.9 0.0 9.9 15 15 148 Btuh 8 2, Clear, DEF, B, N N 1.33 3 7.1 0.0 7.1 15 15 106 Btuh 9 2, Clear, DEF, B, N N 1.33 6 32.4 0.0 32.4 15 15 486 Btuh Window Total 152 4312 Btuh Walls Type R-Value Area HTM Load 1 Concrete - Exterior 5.5 1456.0 1.9 2834 Btuh Wall Total 1456.0 2834 Btuh Doors Type Area HTM Load 1 Insulated - Exter 42.0 10.1 426 Btuh Door Total 42.0 426 Btuh Ceilings Type/Color R-Value Area HTM Load 1 Under Attic/Dar1<: 30.0 1678.0 1.4 2383 Btuh Ceilina Total 1678.0 2383 Btuh Floors Type R-Value Size HTM Load 1 Slab-On-Grade Edge Insulation 0.0 182.0 ft(p) 0.0 0 Btuh Floor Total 182.0 0 Btuh Infiltration Type ACH Volume CFM= Load Natural 0.35 16160 94.5 1870 Btuh Mechanical 0 0 Btuh Infiltration Total 94 1870 Btuh Occupants 4 Btuh/occupant X 300 + Appliance 1200 Load 2400 Btuh Subtotal 14226 Btuh Duct gain(using duct multiplier of 0.10) 1423 Btuh Total sensible gain 15648 Btuh Totals for Cooling Latent infiltration gain (for 44 gr. humidity difference) 2826 Btuh Latent occupant gain (4 people @ 230 Btuh per person) 920 Btuh Latent other gain 0 Btuh TOTAL GAIN 19394 Btuh EneravGauce<l\l FLRCPB v3.30 .... Manual J Summer Calculations Residential Load - Component Details (continued) Project Title: Code Only Model 1678 Duplex Professional Version Climate: Central 3/11/04 Key: Window tY~es (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint) U - Window U-Factor or 'DEF' for default) 'nSh - Interior shading device: none(N), Blinds/Daperies(B) or Roller Shades(R)) ExSh - Exterior shading device: none(N) or numerical value) Omt - compass orientation) EneravGauce<l\l FLRCPB v3.30 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF PASCO THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. 11-26-21-0010-01400-0210 5852 8th Street, Zephyrhills, FL 5854 8th Street, Zephyrhills, FL 2. General Description of Improvement: New Duplex 111111111111 1111I11I11111I11111I111111111I11I111111111111111 2006070066 3. Owner Information: Address: Interest in Property: Name of Fee Simple Titleholder: If other than owner: Address: City Name: Kevin L. and Tammy L. Ryman 5612 Beech Street Rcpt: 986250 Rec: 10. 00 Zephyrhills, FL 33540 D054/: 006./0006 IT: 0.00 Dpt.y Clerk ~~90~~T0T"A1N~.3P1A5CO COUNTY CLERK 6 ~. am 1 of 1 OR BK 6924 PG 900 State Zip Code PI Contractor: Address: Ryman Construction, Inc. 36413 S.R. 54 West Zephyrhills, FL 33541 5. Surety: Name Address City Amount of Bond: $ State Zip Code 6. Lender: Name Address City n/a State Zip Code 7. Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name Address City State Zip Code 8. In addition to himself, Owner designates: of to receive a copy of the Lienor's Notice as provided in section 713.13(1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified.) Signalure of Own .." Printed Name: Kevin L. Ryman Notary Public: ~ My Commission Expires: 1- c:~"'"u". Notary Public Stale of I'I0rida I: .~ ~f" ~ ';()QOI8 ~ KnlQr.t i! ~ '. J- ',I'! ':ofllmlss/IJn DD416222 L ~?i. 1-':-::- __~."':":''.': "0'_ E ,pires 03/31/2008 .. '("'l a C' PERFORMANCE BUSINESS PRqoUCTS. INC. 813-71U008 FAX 813-719-7919 .~ -== ~ ("I (') CITY OF ZEPHYRHILLS ZEPHYR HILLS, FLORIDA WATER ACCT. NO. OWNER/ RENTER Ry mcvY) {' CI'Y"'l~+rod-t (f'n MAILING o o ("I (') ~- 05 ~$ DATE '-\-l.o-Ol..o ~- SERVICE ADDRESS 5~Sa ~ s-h-.e.d- SHUT OFF SERVICE 0 .......-" ~ TURN ON SERVICE g-r INSTAlL METER GV' READ METER 0 CHECK METER 0 OTHER 0 3/4 " ~...-.-. . \)J, ~ l~ ~,.\-- '55\4 WORK COMPLETED BY & DATE COMPLETED - LD\- 2\ ~ATER o SEWER o GARBAGE ~N CITY o OUT CITY ---1- No. OF UNITS _ DEPOSIT AMOUNT _ AMOUNT LAST BILL _ DATE _ MISC. CHARGE ORDER TAKEN BY ORDER GIVEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service De . Water Service Dept. to sign yellow form & return to office. PERMIT APPLICATION ~.J.m~ to r;:?Ldl r.....;l iJ -Dt,.($~~ I :J!01~ :ye<)Ylr\-- 5510 550C1 55\3 55\5 55\<0 56\1-\ DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT-Of-WAY All information must be filled-in completely City of Zephyrhills 5335 8th Street, Zephyrhills, FL 33542 Telephone 813.780.0000 Fax 813.780.0005 Date of application: DCopyto Building Department Processed By: (gray area for staff use only) Permit #: DCopy to Public Works CONTRACTOR: E-Mail: Fax: ARCHITECT/ENGINEER: rJ~ Firm Name: City: Phone: State: Cell: Zip: Fax: Name: Address: State License #: DescriDtion of Proiect ~ LENGTH OF DRIVEWAY ~WIDTH OF DRIVEWAY R.O.W. EXCAVATION ".. DEPTH _LINEAR FEET TYP OF DRIVEWAY RESIDENTIAL DRIVEWAY _COMMEROAL DRIVEWAY _PU8LIC ACCESS DRIVEWAY CONSTRUCTION MATERIAL _ASPHALT +CONCRETE HEADWALL REOUIRED? _YES LNO CURB CUT REOUIRED _YES -f.-NO CULVERTS NEEDED ( ) REINFORCED CONCRETE ( ) CORRUGATED MATERIAL ( ) BOX CULVERT ( ) OTHER (EXPLAIN) NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings will be required. UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 PERMIT APPLICATION UTILmES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. . s~~ A +\- ~ LleJ AFFIDAVIT: Application is hereby made to obtain a permitto do work and installations as indicated. I certify that all foregoing information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all approved construction documents, and issuance of this permit isveriflcatlon thatI will notify the property owner of Florida Lien Law req., F.S. 713. The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed restrictions may apply to this property. All work shall complv with the current Florida Building Code, Public Works, Design Manual and FOOT Design Standards (if applicable). (Public Works Design Manual online link: www.ci.zephyrhills.f1.us/public_works.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR NOTARY PUBLIC. NOTE: The City of Zephyrhills.is not responsible for maintenance or repairs of driveways. Driveways shall not alter 1 interfere with existing stormwater treatment and / or conveyance. By signing this application: I certify that I have read and understand the owner/builder disclosure (PleaSeln~:aht ~ ~ or 1u;(P 6 IPs ( l €-f. A Icant Signature Date L 9 - ...2. 0 - Otp (or) Notary Signature Date Applicant is ( ) personally known to me or produced as identification. (type of identification) Page 2. of 3' V"l ~ if;" - - N 0 I~~ Av~. 140 I ~ 'ao;: ~Ol " "'- ~ to V\J ~ l"J ... 0... 3 3 ~ ~ ">\ '+ ~ ,,'^'- "'" -.J - \N ~ 10 I i ...1 I ~- I t \ ..t. i' i .... }V I ~ ~ ~ ~ ( r~ r r, -. i ~ ~ i J\ f 1- '" 3- I "'t" "- -..v V\ ~ ~ I ~ oJ, 1 ~- It) f C. i......... -..J ~ I - ! - i . [ ""L ;)0 I , :-.... J ~~ i ~ , I ~ V\I .... <:3 , t::l , .. .... i ~ r-- I S' 3 ! ""i. ~ ...J, 'Ci 1- J, l ~ "'""" I I J , r ~ '1 1 i 'J 1 .... f , r I' , r;-)(ftlf" s; D,., ')0;.-;'-+ 5 b~-\- w.e...e....., $i J e.. lA.)('<.( k ~""J i)/'I'V~ 'Vcr ~ S:clew02..\ \c; L(" -+k:<..l eKc.~f+ +h....:>L(5~ DI':v'~ v.Jqy w: +~ ,'<) ,," T......'-l< j D/"v'~"'-'':'''t :", (2.ow <0" ,t..:\:J:,' Y- <:a-'li'l ,:>51: 1~_I~dlD L,'ld ,. vi v-J.n /d,,," Il ill.) PERMIT APPLICATION OFFICE USE ONLY PUBLIC WORKS USE ONLY Concrete (min. 6") y N Asphalt Base (min. 6") y N Asphalt (min. 1112'') Y N Length (min. 19') y N Width (10' min - 20' max) Y N Existing sidewalk. y N New sidewalk. Y N ADA compliant. y N Expansion material required. Y N Contiguous parking pad. y N Triangular flare (3W x 7'L) y N Visibility triangle o.k.? Y N Side set back (3' min. R.O.W.) Y N Plan Review Fee . ':.0 Date: t(,- 2 ()-{)~ c..... ....~. ---J. .,..... / u/ ~../ , . -', , . '. . '. . . ~..