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Home My WebLink About91-1879 STATE OF FLORIDA City of Zephyrhills ." /110 fype of Permit ./ PASCO COUNTY BUILDING DEPARTMENT ./ 1-813-788-661 ~.'_' - f:J vU (PLUMBING) (~ECHANICAL' '---.,_.._~ ,-.....-......... Permit X~ 1879-/ 10 -dl-C/J , Legal Description: /00 ~~~~!~!gM. Date Property Owners Name: Job Address: 6.7 /.. -~~ ..J- ~ ~ .. .2 Gc) fdi:t . t- / O;Jp. 71 ~UI~QI~ Blk. Zoning CI: D Energy Code Readout: ~3 Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ?6. (}7J7), crv ~ Fee: 0 {J oZ..s"o -- 23,3'( h'~ SIGNATURE ~'lI2' {2er;~.1J. " COMPANY ADDRESS TELEPHONE # ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~ rl ~ \ ~ (;.h () O~6 9~- OCCUPATIONAL LICENSE # 2:1 .0 ~ ~ ~ 10. Pre SL v Lintel F R M l:--"'J Insu)..qL ~L \1'\l,..~ \ Tp.Serv. Rough In 1Il5-il-~{ Meter Can Const. Pole 11- (, ,rill Compressor Pool ,.e / Final Pre-Meter 1-L-I"'f~V4r Final :j ~ 1 ~ ..c.. Ala {.-31 ~:7d- APPLICATION FOR PER!'lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION Driftwood Subdivision. lot 155 & 156 LOT SIZE~Xl04 AREA SQ. FT. 6795.36 General Home Development Corp 817 U.S. 98 Bypass South General Home Develooment Corp_ PHONE (904)567-6581 APPLICANT ADDRESS LEGAL DESCRIPTION: LOT(S) 155 & 156 BLOCK SUBDIVISION Driftwood Phase III. PB 27 PG 15 PARCEL I.D.t~ 02-26-21-0210-00000-w550 & O?_?h_?1_0~lo-oonon-1560 WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install ____sign/Temp. PROPOSED USE: ~Single Family ____Sign ____Move ____Demolish _M/F _t~ of Units ,__M/H ____Commercial _Indust. _Swim. Pool Other ____Restaurant & Health Department Approval approx. BUILDING SIZE: 5? X 1:\4 2808 Square Feet, 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 FO~lS.** **COPY OF CONTRACT REQUIRED. pF.RMTTS REOUF.STED ~BUILDING ~ELECTRICAL ~MECHANICAL X . _PLUMBING $ Valuation of Total Construction AMP Service Florida Power Corp. _W.R.E.C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY .... . TYPE OF CONSTRUCTION: --X-Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature 1J{~ CONTRACTOR SF.CTION Develooment Corp Company Kevin T. Robprt~ /fnf...Yld- State Cert. or Regist, ;; CGC0056Q' City License Registration 1/ c2J.. ****************************************** BUILDER General Home Signature ~7J. II, M '^ r +i... I Sf". Company [VI '" f" t-,,,, t; "-,, f r .. '- State Cert. or Regist, 1/ eteaO /l1I() ~ 1 City License Registration 1/ /5--P *****~************************************ F.LECTR1 CT AN R 0 b"rr Company . 7~Yo/Ve T /;'''(//n:~~~ State Cert. or Regist. 1.! ./(?~J/L;7~7 City License Registration ff 9/ ****************************************** Signature M~CHANICAL -f/J . P / s~gnature J~ ~ Company 50 t; TH €,.p...tI\... State Cert. or Regist. # City License Registration # ****************************************** (Lo-v\... ~O'L'T Il.. W1 60) S- OZ- L /7 I Signature Company State Cert. or Regist. # City License Registration # OTHER ~94o R5I. APPLICATION APPROVED BY ~~..~.;~::;:;.....:**.***.****** PERMIT OFFICER. =~- .. ~':r::r_~~~,.q;n.....~""-_.----- '-- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS . The.undersigned understands that this per.it lay be subject to "deed restrictions" which may be more restr.ictive than.City regulations. The undersigned assules responsibility~for, cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with stlt, and local regulltions. If the contractor il not licensed as required by law, both the owner and contractor nay be cited for a lisdeleanor violation under state law, If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-bbll. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the wory.. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per&itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION 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 - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consuler Affairs. If the applicant is so.e6ne other than the "owner", 1 certify that 1 have obtained a. copy of the above described docu.ent and proffiise in good faith to deliver it to the "owner' prior to cOlmencelent. I "1-":: E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all wory. will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develop.ent. . Application is hereby .ade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has COllenced prior to issuance of a per.it and that all work will be performed to leet standards of all laws regulating construction, City codes, zoning regulations, and land development regulatio~s in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies ~ay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include blll ~le no~ lillited to: ... . ,. I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.y Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks I US Environlental Protection AQenc~ - Asbestos abatement 1 also certify that, if fill.atedal is to be used in Hood Zone "A" or "A,etc,', it is underste,e,d tl.~l a drainage plan addressing a 'colpensating volu.e" will be sub.itted which is prepared by a professional engineer regist~ied in the State of Florida prior to perlit issuance. A perlit 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 per~it prevent the Building Official frol thereafter requiring a correction of errors in plans; construction, or violations of any code, Every permit issued ;hall beco.e invalid unless the work authDrized by such per.it is co.menced within six months of issuance, or if wOI.k authol lIed by the per.it is suspended or abandoned for a period of six .onths after the tiJe the wory. is commenced, One 90 day e:tension of tiie, aay be allowed for the permit with fee charge of $15,00. The extension shall be requested in writing to the Building Official. An approved inspectit.n must be lc.gged during each six lonth period, or the prt.ject will be cc,nsidered ilb.;lIdt.ned. 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", SIGNATURE_____~~-~~-------- OWNER OR AGENT SIGNATURE____~-~~----- CONTRACTOR DATE __________\..fr-LO..::.31-----.------.------- .... DATE_________LO:-L(!~-~l--------------- ~g~~~~c~~R~~___~~~l~~~~- NOTARY AS TO ,,''''''r-.. ~ \ AIIr\ OWNER OR AGENT__~-~J!.l~-~- MY COMMISSION EXPIRES Notary Publlc. St:1t~ (If F10ridi -MV"eumm'O~(W1:1r'.t~s""T'T'j'J.- :-.,..,,,,~- Bonded b:/ Pc.:::co 1:-<;. f\;(';,:Cj, Li':. MY COMMISSION EXPIRE!JlbbN IVk:, 0"", .,c:- E M~.7'0"~~~:~~:-'"7:--:------- , ' ,'.,. " .. 1/ I. , ~ f)I!'1 .'~{ v,:.)'c' t) (hvp Li::< G-H\')) i...C">I~ IS?; d- J5fc 351JJ 1,7 ~ Ft. ~J X 17D 6tj Ft. L JIJ PL\)t-'\ I Nt;.. fLEtttl Ct>t \ L'h~ (,. J SIN "LE- arne'l UrJIT N 4300e 'as-. 00 42,6'0 So, 2. S XL 170.00 ?is: DO I of), ~O SD. 0 0 I ODS; ~D - St110D . * 9~J. ,0 zs. () f> 5'02.75 -... ._-'.' '. ~.- -~~.....~ -'.~_.- ~ '. ~ .... ...... . . - 42# 0 0 Pi: W T1i~L. JfbD.75' 5cwt tl.. W Pl"-f:-~ 3} 117'D,OD 2/s-~6; 00 7Du. DO rN7~'~e~ .:3"():"~~' \ t.L, 7 23. '3Lf Ii 2-L./c;. St1 _ 2./6. b 0 *" 31. ttLf -/Q7111.- $} If )03.1<3 FORM 900-B-91 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 - Residential Point System Method Department of Community Affairs Climate ~es CENTRAU) 5 6 PROJECT NAME AND ADDRESS: OWNER: NEW CONSTRUCTION ADDITION MULTIFAMILY ATIACHED 1;(1 CHECK IF THIS SUBMITIAL REPRESENTS A WORST CASE SINGLE-FAMILY DETACHED 0 CONDITION: 0 DlJ. [3] FT .~ FT GLASS AREA AND TYPE CLEAR TINT,FILM,SOLAR SCREEN sa SINGLE- DTIJ sa. PANE FT DOUBLE- DTIJ sa PANE FT NET WAll AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R = I I '^ I. I.-I so. rn.~ [[[[[] so. OJ [[[[[] so. OJ [[[[[] so. OJ M liD! II IT FT. IT FT. ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R = [[[[[] so OJ.D [[[[[] so OJ [[[[[] so. OJ [[[[[] so. OJ IT IT IT IT UNDER ATTIC ~sa. L1.1JlJU.:lI FT CEiliNG AREA AND INSULATION R - SGl ASSEMBLY rn [[[[[]sa :~ FT R- OJ DUCTS IN UNCONDITIONED SPACE R = rnJIJ IN CONDITIONED SPACE R = OJ.O COOLING SYSTEM CENmAL D ROOM D PACKAGE TERMINAL AIR CONDITIONER D NONE SEERlEER = c=w liJ HEATING SYSTEM D ELECTRIC STRIP D NATURAL GAS D ROOM UNIT OR PACKAGE TERMINAL D HEAT PUMP NONE COP/@/ Q ~ AFUE = L-1J.~ HEAT PUMP D OTHER FUELS FLOOR TYPE AND INSULATION R - RAISED WD 0 CON 0 oa [[[[[]W R = OJ FT HVAC CREDITS D CEILING FANS D CROSS VENTILATION D WHOLE HOUSE FAN D AntC RADIANT BARRIER D MULTIZONE HOT WATER SYSTEM \] ELECTRIC L1 NATURAL GAS D OTHER FUELS D NONE . HOT WATER CREDITS SOLAR: 0 OJ S.F. = . HEAT RECOVERY tcHEOQ D DEDICATED 0 HEAT PUMP: E.F. = NUMBER OF BEDROOMS = EF = . INFIL TRA TION ~ ~ ~.~ PRACTICE USED X 100 = o #1 ~ #2 0 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.1. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. I hereby cenify that the plans and spec~ications covered .llY the calculation are in compliance with the Florida Energy Code. \ ~. PREPARED BY; ~\.. ~ ~ ili.AAr-J DATE: ,Q-B-Ct I I hereby certi thiSbu~S l'I,compllance llh lhe Florida Energy Code. L OWNE ~GENT: ~ ~.JtN DATE: ,o-e....~ . Review 01 plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before co ion is com leted, this building will be inspected for compliance in accordance w. . 553, .S. DATE: BUilDING OFFICIAL: FORM 900-B-91 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 - Residential Point System Method Department of Community Affairs Climate _~e.res CENTRAV' 5 6 PROJECT NAME AND ADDRESS: OWNER: .. NEW CONSTRUCTION m ADDITION 0 MULTIFAMilY ATTACHED {ZJ SINGLE-FAMilY DETACHED 0 c IF MULTIFAMILY. NUMBER OF CONDI' ONED ~ sa. UNITS COVERED BY [[]] FLOOR AREA ~ Ft THIS SUBMITIAl: PREDOMINANT [ill EJ EAVE OVERHANG :l. CHECK IF THIS SUBMITIAl LENGTH . J Ft REPRESENTS A WORST CASE PORCH OVERHANG ID n CONDITION 0 LENGTH LJ.:i!.~ Ft GLASS AREA AND TYPE CLEAR TINT.FILM.SOLAR SCREEN SINGLE- ~I sa SINGLE- [[]]] sa. M~~Ft M~ Ft DOUBLE- [[]]] sa DOUBLE- [[]]] sa. PANE n PANE n c CUMAn ~ 0 0 ZONE: 4~ 5 6 ~~~lSOtCTlOH ~ NET WAll AREA AND INSULATION EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R = ITflk5] so rn.~ DllIJ so OJ DllIJ so. OJ DllIJ so OJ Fl Fl Fl Fl ADJACENT MASONRY R= ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R = DllIJSO. OJ.D DllIJ so OJ DllIJSO' OJ DllIJ so. OJ Fl FT. FT. Fl CEILING AREA AND INSULATION R = SGl ASSEMBLY ~ DllIJso. ~ FT R = OJ DUCTS IN UNCONDITIONED SPACE R '" rn.~ IN CONDITIONED SPACE R '" OJ.D COOLING SYSTEM CENTRAL ROOM D PACKAGE TERMINAL AIR CONDITIONER D NONE SEERlEER '" [ill.~ HEATING SYSTEM D ELEcmlC STRIP [)I HEAT D NATURAL GAS PUMP D ROOM UNIT OR D OTHER PACKAGE TERMINAL FUELS HEAT PUMP D NONE COP/@/ D ~ AFUE = ~.~ SLAB PERIMETER Ft FLOOR TYPE AND INSULATION R = RAISED WD 0 CON 0 n::J nITIIso. ~ LLLLUn R = OJ HVAC CREDITS D CEILING FANS D CROSS VENTILATION D WHOLE HOUSE FAN D ATTIC RADIANT BARRIER D MULTIZONE HOT WATER SYSTEM ELECTRIC D NATURAL GAS D OTHER FUELS D NONE EF '" .W2J HOT WATER CREDITS SOLAR: D OJ S.F. = . HEAT RECOVERY iCHWC) D DEDICATED D OJ HEAT PUMP: E.F. = . NUMBER OF I1=J BEDROOMS = LM INFILTRATION ~ ~ ~.[3J PRACTICE USED X 100 = o #1 ~ #2 0 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E,P.I. CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS. DATE: \ (}-'e..q J . Review 01 plans and speenicalions covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed. this building will be inspected tor compliance in accordance with Section 553.~S/ BUI GOFFI L: -~ f.. 7 3N:.- 1594 DRIFTWOOD DUPLEX -- SIDE 2 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 Compliance Program -- Residential Point System Method Version 1.0 January, 1991 Department Of Community Affairs Printout generated by EPI91 and submitted in lieu of Form 900--A-91 THIS COMPLIANCE FORM IS VALID IF SUBMITTED AFTER JANUARY 1, 1991 .-----------------------------.--------------------------------------------------- )ROJECT NAME: DRIFTWOOD DUPLEX - SIDE 2 PERMITTING OFFICE: ~ND ADDRESS: -, -- -- -,- ---- - - ---- -- - - - -- -.- :z::\-- -- -- -- -- -- ---- CLIMATE ZONE: ~___~_____~_.____ PERMIT NO.: 3UILDER: GENERAL HOME DEVELOPMENT CORP. )WNER: GENERAL HOME DEVELOPMENT CORP. JURISDICTION NO.:: ------------------------------------------------------------------------------- :OMPONENT: DIMENSION: VALUE: RATING: VALUE: OFFICIAL CHECKLIST >TRUCTURE TYPE: Multi-Family >REDOMINANT EVE >ORCH OVERHANG JINDOWS Single Clear All Vertical Glass All Skylight Glass JALLS Ext NormWtBlock Int lOORS Ext Insulated Ext Insulated :EILINGS FLAT Under Attic PITCHED Under Attic PITCHED Under Attic LOORS Slab-on--Grade 'UCTS Unconditioned Space OOLING Central A/C EATING Heat Pump OT WATER Electric # of units OVERHANG I_ength: l_ength: 2 not worst case 1.30 5.60 Total Area Total Area Total Area 141.10 141_10 .00 Area: 967.70 R-Val: 4.20 Area: Area: 21.60 21.60 Area: Area: Area: 694.00 R-'Val: 494.00 R-Val: 65.00 R-Val: 22.00 22.00 19.00 Perimeter: 144.00 R-Val: .00 Length ALL R-Val: 4.20 SEER: 9.20 HSPF: 7.00 EF: .90 Bedrooms: 2.00 NFILTRATION Conditioned Floor Area: 1183.00 Pract: 2.00 AS BUILT POINTS / BASE POINTS * 100 =. EPI 21,474.13 24,026.43 89.38 GLASS TO FLOOR AREA RATIO =. .1193 '. -'-~---------------------------------------------------------------------------- ------------------------------------------------------------------------------- In Accordance with Sec. 553.907 F.S., I Hereby certify that the plans and specifications covered by this calcu- lation are in compliance with the ~lorida Energy Code. , )WNER/~: ~ )ATE :- ~~\JJ~ \CJ~ 8-9 I 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. BUILDING OFFICIAL: DATE: '. ** PRESCRIPTIVE MEASURES (Must be met or exeeded by all residences) ** :OMPONENTS SECTION =====~=========================================================:================ REQUIREMENTS NINDOWS 904"1 ~==============================================================~================ Maximum of 0"34 CFM per linear foot of operable sash crack" ~XTERIOR & ~DJACENT DOORS 904"1 ------------------------------------------------------------------------------- Maximum of 0"5 CFM per sq" ft" of door area" Includes sliding glass doors, solid core, wood panel, insulated, or glass doors only" ------------------------------------------------------------------------------- ~XTERIOR JOINTS 904"1 ~ CRACKS To be caulked, gasketed, weather stripped or other- wise sealed" ~ATER HEATERS 904"2 -----------------------------------------------________________w________________ Must bear label indicating compliance w/ASHRAE stand- ard 90 or comply with efficiency and standby loss re- quirements" Switch or clearly marked circuit breaker (electric), or cut-off (gas) must be provided" An external or built in heat trap must be provided" 3WIMMING POOLS k SPAS 904"3 ------------------------------------------------------------------------------- Spas and heated pools must have covers (except solar heated)" Non-commercial pools must have a pump timer" Gas spa & pool heaters must have minimum thermal efficiency of 78 ~OT WATER )IPES 904"4 -------------------------------------------------------------~------------------ Insulation is required only for recirculating systems In such cases, piping heat loss shall be limited to 17"5 BTU/H/Linear Ft" of pipe" ;HOWER HEADS 904"5 __M_____________________________________________________________________________ Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG, iVAC DUCT :ONSTRUCTION 903"2 904"6 ----------------------------------------------------------------y--------------- Constructed in accordance with industry standards & local mechanical codes" Ducts in unconditioned space must be insulated to minimum R-4"2 & Joints must be sealed" iVAC CONTROLS 904"7 .---------------------------------------------------------------.--------------- Separate readily accessible manual or automatic thermostat for each system" NSULATION 904"9 y---------------------------------------------------------------.--------------.- Ceilings minimum R-19" Common Walls - Frame R-11 or CBS R-3" Frame Common Ceilings & Floors R-11" ** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** ----------~-------------------------------------------------------------------- -----------~-------~------------------------------------------------------------ COMPONENTS REQUIREMENTS ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- PRACTICE #2 Comply with Practice #1 and the following. ------------------------------------------------------------------------------- Exterior Walls & Floors Top plate penetrations sealed. Infiltration barrier installed. Sole plate/floor joint caulked or sealed. [:xterior Walls & Ceilings Penetrations, joints and cracks on interior surface caulked, sealed, and gasketed. DuctWork Ductwork in unconditioned space must be sealed. Fireplaces Equipped with outside combustion air, doors, and flue dampers. Exhaust Fans Equipped with dampers. Combustion devices see 903.2 ( f ) . :ombustion Appliances Provided with outside combustion all. ". ~****************************************************************************** SUMMER CALCULATIONS :****************************************************************************** === BASE === === AS-BUILT === :==========::=======:==============:========:==:=======================~======= iLAss---------------- )RIEN AREA x BSPM = I I POINTS : TYPE SC ORIEN AREA x SPM x SOF = POINTS ------------------------------------------------------------------------------- E 28.80 102.0 2937.6 SGL CLR E 13.4 109.2 .93 1360_9 SGL CLR E 13.4 109.2 .52 760.9 SGL CLR E 2.0 109.2 .81 177.1 S 60.00 90.9 5454.0 SGL CLR S 13.4 100.2 .92 1231.9 SGL CLR S 13.4 100.2 .90 1203.9 SGL CLR S 16.6 100.2 .83 1373.2 SGL CLR S 16.6 100.2 .83 1373.2 W 52.30 102.0 5334.6 SGL CLR W 19.1 109.2 .71 1475.2 SGL CLR W 16.6 109.2 .77 1387.6 SGL CLR W 16.6 109.2 .77 1387.6 ON____________________________________________________-------------------------- .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS = AREA AREA FACTOR POINTS ADJ GLASS POINTS Gl..ASS POINTS ---------------------------------------------------------------.---------------- .15 1,183.00 141.10 1.258 13,726.20 17,262.32 : 11,731_36 ------------------------------------------------------------------------------- -----------------------------------------------------------------.-------------- ~ON GLASS------------ AREA x BSPM = POINTS: TYPE R-VALUE AREA x SPM = POINTS -----------------------------------.----------------------------.---------------- ~ALLS---------------- :xt 967.7 1.0 967.7 Ext NOimWtBlock In 4.2 967.7 1_16 1122.5 )OORS---------------- :xt 43,2 4.8 207.4 =LOORS--------------- Slb 144.0 -31.8 -4579.2 Slab.-on-Gi ade 21.6 4,80 103.7 21.6 4.80 103.7 22.0 694.0 .90 624.6 22.0 494.0 .90 444.6 19.0 65.0 1,10 71.5 .0 144.0 -31.90 -4593.6 1183.0 10.90 12894.7 E.xt Insulated Ext Insulated :EILINGS------------- JA 1183.0 .6 709.8 Undei Attic Undei Attic Undei Attic INFILTRATION--------- 1183.0 10,9 12894.7 Piactice #2 =============~=================================================:================ TOTAL SUMMER POINTS : 27,462.68 : 22,503.05 ------------------------------~------------------------------------------------ ------.---------------------------.------------------------------------------------ TOTAL x SUM PTS SYSTEM = COOLING : TOTAL MULT POINTS: COMPON x CAP x DUCT x SYSTEM x CREDIT = COOLING RATIO MULT MULT MULT POINTS 27,462.68 .42 11,534.33 : 22,503.05 1.00 1.140 .370 1.000 9,491.79 :=============================================================================== :*~**************************************************************************** WINTER CALCULATIONS :****************************************************************************** === BASE === === AS-BUILT === M_____________________________________________________------------------------- R_____________________________________________________------------------------- iLASS---------------- )RIEN AREA x BWPM = I I POINTS : TYPE SC ORIEN AREA x WPM x WOF = POINTS -----------------------------------------------.--------------------------------- E 28.80 -5.6 -161.3 SGL CLR E 13.4 -2.2 .62 -18.2 SGL CLR E 13.4 -2.2 -2.03 59.8 SGL CLR E 2.0 -2.2 -. .03 .1 S 60.00 -14_0 -840.0 SGL CLR S 13.4 -10.9 .95 -139.4 SGL, CLR S 13.4 --10.9 .94 -137.3 SGL CLR S 16.6 -10.9 .88 -159.2 SGL CLR S 16.6 -10.9 .88 -159.2 W 52.30 -5.6 -292.9 SGL CLR W 19.1 -2.2 -.61 25.6 SGL, CLR W 16.6 -2.2 -.28 10.3 SGL CLR W 16.6 -2.2 -.28 10.3 ...------------------------------------------------------------------------------ .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS = AREA AREA FACTOR POINTS ADJ GLAS:3 POINTS GLASS POINTS ----------------------------------------------------------------~---------------- .15 1,183.00 141.10 1.258 -1,294.16 -1,627.56 : -507.16 ============================================~==================:================ ~ON GLASS------------ : AREA x BWPM = POINTS: TYPE R-VALUE AREA x WPM = POINTS ----------------------------------------------------------------~---------------- ~ALLS---------------- ~xt 967.7 1.1 1064.5 Ext NormWtBlock In 4.2 967.7 3.26 3154.7 )OORS---------------- ~xt 43.2 5.1 220.3 INFILTRATION--------- 1183.0 4_1 4850.3 Practice #2 21.6 5.10 110.2 21.6 5.10 110.2 22.0 694.0 .90 624.6 22.0 494.0 .90 444.6 19.0 65.0 1.00 65.0 .0 144.0 2.50 360.0 1183.0 4.10 4850.3 Ext, Insulated Ext Insulated :EILINGS------------- JA 1183.0 .6 709.8 Under Attic Under Attic Under Attic =LOORS--------------- SIb 144.0 -1.9 -273.6 Slab-on-Grade ======:~~==~=:===================================================:================ TOTAL WINTER POINTS I I 4,943.73 : 9,212.37 =~========~===================================================================~ TOTAL x ...JIN PTS SYSTEM MULT HEATING : TOTAL POINTS : COMPON x CAP x DUCT x SYSTEM x CREDIT = HEATING RATIO MULT MULT MULT POINTS 4,943.73 1.10 5,438.10: 9,212.37 1.00 1.140 .484 1.000 5,083.02 =============================================================================== . . ****************************************************************************** WATER HEATING ****************************************************************************** === BASE ===: === AS-BUILT === ------------------------------------------------------------------------------ ---------------------.--------------------------------------------------------- IUM OF :EDRMS x MULT TOTAL : TANK VOLUME I I EF TANK RATIO x MULT x CREDIT MULT = TOTAL .----------------------------------------------------------------.--------------- 2 3527.0 7,054.00 : 40 .90 1.000 3449.7 1.00 6,899.33 .---------------------------------------------------------------.--------------- ------------------------------------------------------------------------------- :****************************************************************************** SUMMARY =****************************************************************************** === BASE === === AS-BUILT === ~------------------------------------------------------------------------------ ~---------------------------------------------------------------.--------------- :OOL I NG >OINTS + HEATING POINTS HOT WATER + POINTS = TOTAL : COOLING POINTS : POINTS + HEATING POINTS HOT WATER + POINTS = TOTAL. POINTS -------------------------------------------------------------------------------- 11534.3 5438.1 7054.0 24,026.43 : 9491.8 5083.0 6899,3 21,474.13 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ***************** * EPI = 89.38 * ***************** ;N:. 15'94 DRIFTWOOD DUPLEX - SIDE 1 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 9 Compliance Program - Residential Point System Method Version 1.0 January, 1991 Department Of Community Affairs Printout generated by EPI91 and submitted in lieu of Form 900-A-91 THIS COMPLIANCE FORM IS VALID IF SUBMITTED AFTER JANUARY 1, 1991 .------------------------------------------------------------------------------ 'ROJECT NAME: DRIFTWOOD DUPLEX - SIDE 1 PERMITTING OFFICE: ._-~---------------------------- IND ADDRESS: CLIMATE ZONE: 4 5 6 ------------------------------ ~UILDER: GENERAL HOME DEVELOPMENT CORP. PERMIT NO.: 'WNER: GENERAL HOME DEVELOPMENT CORP. JURISDICTION NO.: ------------------------------ ._--------------~-------------------------------------------------------------- OMPONENT: DIMENSION: VALUE: RATING: VALUE: OFFICIAL CHECKLIST ,TRUCTURE TYPE: Multi-Family 'REDOMINANT EVE 'ORCH OVERHANG INDOWS Single Clear All Vertical Glass All Skylight Glass ALLS Ext NormWtBlock Int OORS Ext Insulated Ext Insulated EILINGS FLAT Under Attic PITCHED Under Attic PITCHED Under Attic LOORS Slab-on-Grade UCTS Unconditioned Space OOLING Central AIC EATING Heat Pump OT WATER Electric # of units OVERHANG Length: Length: 2 not worst case 1.30 5.60 Total Area Total Area Total Area 141.10 141.10 .00 Area: 967.70 R-Val: 4.20 Area: Area: 21.60 21.60 Area: Area: Area: 694.00 R-Val: 494.00 R-Val: 65.00 R-Val: 22.00 22.00 19.00 Perimeter: 144.00 R-Val: .00 L.ength ALL R-Val: 4.20 SEER: 9.20 HSPF: 7.00 EF: .90 Bedrooms: 2.00 NFIL_ TRATION Conditioned Floor Area: 1183.00 Pract,: 2.00 AS BUILT POINTS I BASE POINTS * 100 = EPI 21,127.86 24,287.36 :36.99 GLASS TO FLOOR AREA RATIO = .1193 ------------------------------------------------------------------------------- -~----------------------------------------------------------------------------- :n Accordance with Sec. 553.907 F.S., : Her~by certify that the plans and specifications covered by this calcu- .ation are in compliance with the :lorida Energy Code. )WNER~: ~~~ lATE: 10- f4L 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. BUILDING OFFICIAL: DATE: ** PRESCRIPTIVE MEASURES (Must be met or exeeded by all residences) ** OMPONENTS SECTION ============================================================================== REQUIREMENTS INDOWS 904.1 ============================================================================== Maximum of 0.34 CFM per linear foot of operable sash crack. XTERIOR & DJACENT DOORS 904.1 ------------------------------------------------------------------------------- Maximum of 0.5 CFM per sq. ft. of door area. Includes sliding glass doors, solid core, wood panel, insulated, or glass doors only. ------------------------------------------------------------------------------ XTERIOR JOINTS 904.1 CRACKS To be caulked, gasketed, weather stripped or other- wise sealed. ATER HEATERS 904.2 -----------------------------------------------------~------------------------ Must bear label indicating compliance wlASHRAE stand- ard 90 or comply with efficiency and standby loss re- quirements. Switch or clearly marked circuit breaker (electric), or cut-off (gas) must be provided. An external or built in heat trap must be provided. WIMMING POOLS SPAS 904.3 ---------------------------------------_.~--------------------~---------------- Spas and heated pools must have covers (except solar heated). Non-commercial pools must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78 OT WATER IPES 904.4 ------------------------------------------------------------------------------ Insulation is required only for recirculating systems In such cases, piping heat loss shall be limited to 17.5 BTUIHILinear Ft. of pipe. HOWER HEADS 904.5 ------------------------------------------------------------------------------ Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG. VAC DUCT ONSTRUCTION ------------------------------------------------------------------------------- 903.2 904.6 Constructed in accordance with industry standards & local mechanical codes. Ducts in unconditioned space must be insulated to minimum R-4.2 & joints must be sealed. VAC CONTROLS 904.7 ------------------------------------------------------------------------------ Separate readily accessible manual or automatic thermostat for each system. NSULATION 904.9 --------------------~---------------------------------------------------------- Ceilings minimum R-19. Common Walls - Frame R-l1 or CBS R-3. Frame Common Ceilings & Floors R-11. ** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** COMPONENTS ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- REQUIREMENTS PRACTICE #2 -------~----------------------------------------------------------------------- ------------.------------------------------------------------------------------- Exterior Walls & Floors -------------------------------------------------------------------------------- Comply with Practice #1 and the following. Top plate penetrations sealed. Infiltration barrier installed. Sole platelfloor joint caulked or sealed. Exterior Walls & Ceilings Penetrations, joints and cracks on interior surface caulked, sealed, and gasketed. DuctWork Ductwork in unconditioned space must ~e sealed. ;::-il-eplaces Equipped with outside combustion air, doors, and flue dampel- s . ::xhaust Fans Equipped with dampers. Combustion devices see 903.2 ( f ) . :ombustion Appliances Provided with outside combustion air. :*~************************************************************~:*************** SUMMER CALCULATIONS :*********~******************************************************************** === BASE === === AS-BUILT === M____________________________________________________.-----------.--------------- ft_____________________________________________________----------.--------------- iLASS---------------- )RIEN AREA x BSPM = I I POINTS : TYPE SC ORIEN AREA x SPM x SOF ::: POINTS ------------------------------------------------------------------------------- N 60.00 47.8 2868.0 SGL CLR N 13.4 51.0 .94 645.8 SGL CLR N 13.4 51.0 .93 635.6 SGL CLR N 16.6 51.0 .89 755.4 SGL CLR N 16.6 51.0 .89 755.4 E 28.80 102.0 2937.6 SGL CLR E 13.4 109.2 .93 1360.9 SGL CLR E 13.4 109.2 ""? 760.9 .o~ SGL CLR E 2.0 109.2 .81 177.1 W 52.30 102.0 5334.6 SGL CLR W 19.1 109.2 .71 1475.2 SGL CL_R W 16.6 109.2 .77 1387.6 SGL CLR W 16.6 109.2 .77 1387.6 __________________________________________________________________N_______________ .15 x CONDo FLOOR I TOTAL GLASS::: ADJ. x GLASS = AREA AREA FACTOR POINTS ADJ GLAS~3 POINTS GLASS POINTS ---------------------------------------------------------------~---------------- .15 1,183.00 141.10 1.258 11,140.20 14,010.12 : 9,341.27 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ~ON GLASS------------ AREA x BSPM = POINTS: TYPE R-VALUE AREA x SPM = POINTS ------------------------------------------------------------------------------- ~ALLS---------------- ~xt 967.7 1.0 967.7 Ext NormWtBlock In 4.2 967.7 1.16 1122.5 )OORS---------------- ~xt 43.2 4.8 207.4 Ext Insulated Ext Insulated INFILTRATION--------- 1183.0 10.9 12894.7 Practice #2 21.6 4.80 103.7 21.6 4.80 103.7 22.0 694.0 .90 624.6 22.0 494.0 .90 444.6 19.0 65.0 1.10 71.5 .0 144.0 -31.90 -4593.6 1183.0 10.90 12894.7 :EILINGS------------- JA 1183.0 .6 709.8 Under Attic Under Attic Under Attic =LOORS--------------- 3lb 144.0 -31.8 -4579.2 Slab-on-Grade =============================================================================== TOTAL SUMMER POINTS : 24,210.48 : 20,112.96 =============================================================================== TOTAL x SUM PTS SYSTEM = COOLING : TOTAL MULT POINTS: COMPON x CAP x DUCT x SYSTEM x CREDIT = COOLING RATIO MULT MULT MULT POINTS 24,210.48 .42 10,168.40 : 20,112.96 1.00 1.140 .370 1.000 8,483.65 =============================================================================== *~**************************************************************************** WINTER CALCULATIONS **********~******************************************************************* === BASE === === AS-BUILT === .---------------------------------------------------------------,---------------- ----------------------------------------------------------------.--------------- iLASS---------------- lRIEN AREA x BWPM = POINTS : TYPE SC ORIEN AREA x WPM x WOF = POINTS ------------------------------------------------------------------------------- N 60.00 5.6 336.0 SGL CLR N 13.4 9.6 1.03 132.2 SGL CLR N 13.4 9.6 1.04 133.4 SGL CLR N 16.6 9.6 1.06 169.5 SGL CLR N 16.6 9.6 1.06 169.5 E 28.80 -5.6 -161.3 SGL CLR E 13.4 -2.2 .62 -18.2 SGL CLR E 13.4 -2.2 -2.03 59.8 SGL CLR E 2.0 -2.2 -.03 .1 W 52.30 -5.6 -292.9 SGL CLR W 19.1 -2.2 -.61 25.6 SGL CLR W 16.6 --2.2 -.28 10.3 SGL CLR W 16.6 -2.2 -.28 10.3 ..------------------------------------------------------------------------------ .15 x CONDo FLOOR I TOTAL GLASS = ADJ. x GLASS = AREA AREA FACTOR POINTS ADJ GLAS~) POINTS GLASS POINTS -------------------------------------------------------------------------------- .15 1,183.00 141.10 1.258 -118.16 -148.60 : 692.40 -------------------------------------------------------------------------------- --------------------------------------------------------------------------~---- ~ON GLASS------------ : AREA x BWPM = POINTS: TYPE R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- ~ALLS---------------- :xt 967.7 1.1 1064.5 Ext NormWtBlock In 4.2 967.7 3.26 3154.7 )OORS---------------- :xt 43.2 5.1 220.3 INFILTRATION--------- 1183.0 4.1 4850.3 Practice #2 21.6 5.10 110.2 21.6 5.10 110.2 22.0 694.0 .90 624.6 22.0 494.0 .90 444.6 19.0 65.0 1.00 65.0 .0 144.0 2.50 360.0 1183.0 4.10 4850.3 Ext Insulated Ext Insulated :EILINGS------------- JA 1183.0 .6 709.8 Under Attic Under Attic Under Attic =LOORS--------------- 3lb 144.0 -1.9 -273.6 Slab-on-Grade ===============================================================:================ TOTAL WINTER POINTS I I 6,422.69 : 10,411.92 =============================================================================== TOTAL x vJIN PTS SYSTEM MULT HEATING : TOTAL POINTS : COMPON x CAP x DUCT x SYSTEM x CREDIT = HEATING RATIO MULT MULT MULT POINTS -------------------------------------------------------------------------------- 6,422.69 1.10 7,064.96 : 10,411.92 1.00 1.140 .484 1.000 5,744.88 =============================================================================== ****************************************************************************** WATER HEATING ****************************************************************************** === BASE === === AS-BUILT === ------------------------------------------------------------------------------ -------------------------------.-------------------_.-_._------------------------- UM OF EDRMS x MULT = TOTAL : TANK VOLUME EF TANK RATIO x MULT x CREDIT MULT = TOTAL 2 3527.0 7,054.00 : 40 .90 1.000 3449.7 1.00 6,899.33 --------------------------------.---------------------------------------------- --.---------------------------------------------------------------------------- ****************************************************************************** SUMMARY ****************************************************************************** === BASE === === AS-BUILT === -------------------------------------------------------------------------.------ ---.-------------------------------------------------------------~------------- OOLING OINTS + HEATING POINTS HOT WATER + POINTS = TOTAL : COOLING POINTS : POINTS + HEATING POINTS HOT WATER + POINTS = TOTAL POINTS 10168.4 7065.0 7054.0 24,287.36 : 8483.6 5744.9 6899.3 21,127.86 ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ ***************** * EPI = 86.99 * ***************** I STATE OF FLORIDA City of Zephyrhills PASCO COUNTY 5335 Eighth Street Zephyrhills. Florida 34248 (813) 782-1525 MAYOR Robert H. Johnson CITY COUNCIl. Carlton C. Geister President October 31, 1988 Jo Ellen Farnham Vice President James A. Baney Tom Smith General Home Development 817 S. Hwy 98 By-Pass Dade City, FL 33525 Clyde C. Bracknell Gloria Brown Sub: Traffic Impact Fees, Driftwood Nick NIchols City Manager Dear Tom: Thomes P. McAlvenah City Attorney The traffic counts taken for the existing Driftwood development support using a trip generation ra~e of 3.37/dwelling unit. When this rate is applied in the City of Zephyrhills formula, we calculate the current impact fee to be $124.77!d~elling unit. Joenne Good City Clerk 3.37 2 = 7500 ~0002246 x $315,753 x 5.8 x .91 = $124.77 3 You previously paid an impact fee of $2,712 for 12 units. The adjusted fee based on your traffic count is $1,497.24. Please bring this letter when you apply for your next set of building permits and we will credit the excess payment of $1,214.76 toward future transportation impact fees. Sincerely! '~J- Nick Nichols City Manager NN/lb cc: Mayor and City Council Building Official Accountant Department of Building Regulation . July 2, 1990 Tom Smith General Home Development 817 S. Hwy 98 By Pass Dade City, Fl. 33525 Re: Traffic Impact Fees Driftwood Dear Mr. Smith: This is a follow up letter in response to a telephone call from Toni of your office regarding Traffic Impact Fees for a fourplex unit in Driftwood sub- division. On October 31, 1988 a letter was sent to you by Nick Nichols (City Manager) calculat~ng the Traffic Impact Fee due by you on each dwelling unit at permitting time. The Traffic Impact Fee ordinance was passed and implemented into a three (3) year period with constructior. permits issued on October 1, 1988 thru September 30, 1989 will be 1/3 of calculated fee, October 1, 1989 thru September 30, 1990 will be 2/3, October 1, 1990 thru September 30, 1991 will be the full calculated fee. We are presently into the second year of the ordinance, therefore the following fee or credit will b~ due. Proposed fourplex unit $374.31 less 1/3 = $249.54 X 4 = $998.16,less credit of $1,214.76 per letter from City Manager on October 31, 1988. Balance due developer on future Traffic Impact fees will be $216.60. Any questions please call .788-6611 City of Zephyrhills Building Department. Sincerely, ..~<--~ Bruce M. Bahr Director of Codes & Licensing BMB/ng cc. File City Manager UBuildin~ Safety Is No Accident" ..9 ;A ..9 DRIFTWOOD DUPLEX Lots 155 & 156 of Driftwood Subdivision III, as per plat thereof recorded in Plat Book 27, Page 15, of the public records of Pasco County, Florida. ---_...~--_._--- 5.il.Q _ Ln +Ol_~" Co ..! e- II cO -' C- '\ I' '" SJ.;Q \\' I :: \0 ~ T 0--0 - so -' ~ , o .~ t p;' Ie- 1.9 I) Irt' Y.t" ~ ~ ? 'jO 3'-"" " ~ ~ ----.-jC'"" l~ Ii) I , jJ ~~ ITATE 0,. "LO"IOA. City of Zephyrhills PASCO COUNTY DIS8URSEMENT REQUEST. REFUNDS & MISCELLANEOUS PAYM ENTS 10-29-91 DATE TO: ACCOUNTING FROM: BUILDING (Department) AMOUNT~ $330.00 PAYABLE TO: GENERAT, HOMF m',n<'TQPMENT CORP. 817 S 98 BYPASS DADE CITY, FL. 33525 .. VENDOR .: REASON FOR PAYMENT: REFUND FOR PAYMENT OF TWO WATER METERS-f) . ;J ~ \'. ()..v.-O.JL 0 \ ~~ ~. CHARGE TO ACCOUNT' ~ 41-343-301 . REQUESTED BY~~" A.~" ~ f2.._ (Slonature) APPROVED BY: (Slonature) ACCOUNTING USE ONLY: PaId Date: check" <:;'f'~", >~. .,f, ",' 1"\..,~_ ~.__.~ -"....- .----.. NOTICE OF RESOURCE RECOVERY ASSESSMENT FORM ~:]I () I .. APPLICANT/OWNER _":Y.~/I /'.11 :./lA j Y.IdYxi?, /~ v , PERMIT /I / ~f' // 9' DATE ---.Li -. -3 / - }1;Z /.,L- /.A.A'=" . ',Z.,///.". A .{ '1/ \. /(..A' __ f-"'~ 7; t..e- "0~..t r' PARCEL II ! .. '~/ ()' / " '1',-. COUNTY If r-'. - ex:. (., - 0< - QO' (/ - t> ,,' (J ; 'f' -, / . - 7 (, I LOCATION {/' /~ - /;~, .~. / 7 ,,0( CI-<L.j",,'-/' 1"1 USE/CODE DESCRIPTION 1)),,-,,: ,( 'r ;~4(J.Z_,< .i~ ., 0 - ./.5 ::,)~ ../ .:;\ ... f:'. (/ J ,. c' .l~ ,", d',' ., ~.. {/ , . ,'.'.t" ..j-. -' '(.y~:- / RESIDENTIAL NON-RESIDENTIAL Ii UNITS .~ GROSS SQ. FT. (GSF) RATE/ERU=$SO.OO X 0.96*/YEAR OR $0.1315/DAY ERU ASSIGN /I ASSESSMENT = (II UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.1315)X(NO DAYS) 100 TOTAL FEE $ L/:/ .:)~ TOTAL FEE = $ "'.......- l\ } PREPARED BY * DISCOUNTED FOR PREPAYMENT -------------------------------------------------------------------------------------- The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197 as commended. THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE C/O. NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE ASSESSMENT HAS BEEN PAID. APPLICANT HEREBY ACKNOWLEDGES RECEIPT OF THIS NOTICE AND THE REQUIREMENT OF ASSESSMENT FEE PAYMENT PRIOR TO C/O OR FINp~ RELEASE. DATE RECEIVED BY --------------------------------------------------------------------------------------- FOR OFFICE USE ONLY RECEIPT II ,/ , /'I / ;,}-.'" t 1/ ... ,../ ("t ~-::'" DATE , I I ;.~. .I . .> / r::. I ') BY