HomeMy WebLinkAbout91-1953
STATE OF FLORIDA
City of Zephyrhills
Jj L./ 7. 3lJ. &..5. ..so
G.~
BUILDI~G ELECTRI '
Legal Description:
Sub.Div.
ZoningCI: //-~- d/~~_ iJ"&6 - tlo/ (/
Description of Work f<<Y - ,. --, ". -'4>.~1 ~/~_~
Lot
-~-~--. \~/;/v:i. (.",(f;5-:tJ/;_ ,
Energy Code Readout: 7 h. \5 --;l? ~ vt.&, c2~. cf1f.41
~ lD-\'s~q~
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: ---5d, tT?7J. 117)
OCCUPATIONAL LICENSE #
Fee: b CJ 0 .SO .AJ. ",2.5:'PY A? .//
SIGNATURE ~i!L,.1-', .tf~hn_./
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
~~~i~fl,a'~f
Water
Sewer If- ~3-()().. ~
Final
Tp.Serv. BoB
Rough In l-l'1/... . Breakers .
Meter Can Ducts Insl.'2-}J4L ~ AJ
Const. Pole /'2..-111-9/ Compressor
Pool Final
Pre-Meter Lf- Z?- VJt- 1bB
Final
~
Relnspectlons: When extra inspection trips are necessary due 10 anyone of the following reasons. a charge of ten (SIO.OO)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction 2/ a 6 - I if - Y d-.
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
APPLICATION FOR PERMIT
CITY OFZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
PHONE
??d-~RI1c9
\.
OWNER
JOB LOCATION ",' /9'2;[ LOT' SIZE t.>D X ! Lfa AREA SQ. FT. cg If >>P
LEGAL DESCRIPTION: LOT(S) ! Q' g;. BLOCK I r rr'SUBDIVISION c6 ~~1~1?u..
PARCEL I.D.il //_j{,-:JI-DD/O-I'fgoO-OQLO ~~ (i~z p. /.
WORK PROPOSED: ~New Constru~tion ____Addition ----Alteration ____He ir ____Install
_Sign/Temp.
PROPOSED USE: ~Single Family
_Sign
_~love
____Demolish
____M/F
_t~ of Units
.____~l/ H
____Commercial
~Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Fee t,
Height
RESIDENTIAL:
Cmfr1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORl-IS. **
**COPY Of CONTRACT REQUIRED.
PERMITS REOUESTED
_BUILDING
$ sS; oC 0,
. Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_H.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBIN'G
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
Signature
******************************************
n IJ /) a tI CONTRACTOR SECTION
L~~~l'~<1~ ;fj ~..(?J.O/Y1.j Company
r, /J () ) ^ State Cert. or Regist, if
((.j!1~X{}AJ/. ~/<;.R..Jo,ryt./ City License Registration iF
******************************************
ntJTLDER
ELECTRICIAN ~ _ '~'~W~\~L~ Company '"2--~,,--"-5.:' € \....~c.:.^~, ~~~~':
~ State Cerr. or Regist. II OOu:;LI~~
Si!!nat t..J . City License Registration il tr-~
. ******************************************
/I.')' 1) ~
Company C !<.fS KA HI( TAl J1 ,
State Cert. or Regist, ~,!-----1.'( rt)6~(: ?(
Ci ty License Regis tra t ion il C; 7
******************************************
(
---==::.
/0"6
Signature
Signature
(ll' f
Company 5 tt."",t '/./7 '/ /J ,. <;; (' c: C! /1-
State Cert. or Regis t. i,! (\rV\ 60 f'lrLftC I
Ul:yLicense Registration # 2
Company
Sta~e Cert. or Regist. 0
Ci~" License Registration 0
OTHER
Signature
APPLICATION APPROVED BY
~~~**~*~**&*******~. 6&~*.c*~~~~~i'~~~~~~~~~
/1 "'- ;~t' ;;r, ~4~A.;-' ..".:" H' 'H
PEmur OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A.', NOT I CE: OF DEED RESTR I CT IONS:. .
Th~ und~rsign~d und~rstands that this p~r.lt lay be subject to "deed r~5tricti~n5' which ~ay b~ &~r~ res~rictive than City
r~gulations. Th~ unde~5ign~d assules responslbi~l\r.f~t compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hir~d a contractor or contractors to undertake work, they may b~ required to be licensed in accordance with
state and local regulations. If the contractor Is not licensed as required by law, both the ouner and contractor nay b~
cit~d for a lisdemeanor violation under state law. , If the [,wner [,r intended ce,ntracteor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Z~phyrhills Building Departeent, (B131
7BIHbll.
Further.or~, If the own~r has hired a contractor Dr contractors, he is advised to have the contractor{s) sign portions of the
'Contractor S~ctions' 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 worr.. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled t~ perlitting privil~ges 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 provid~d ~ith a copy of 'Florida's Construction Lien Law - Hoaeowner's Protection
Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is SOle~ne other than the
'oHner', I certify that I have obtained a copy of-the above described document and pr~mi5e in g~od faith to deliver it to the
'owner' prior to cOI~ence~ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work Hill be done in co~pliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby lade to obtain a per.it to do Mor\: and installation as indicated. I certify that no work or
installation has com~enced prior to issuance of a pertit and that all worr. will be performed t~ meet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other governmental agencies may apply to the intended Hork, and that it is
IY responsibility to identify l'Ihat actions I llIust take to be in ce'llIpliance. Such agencies include bllt ~le ne,t li.lited to:
I Department of Environmental ReQulation - Cypress Bayheads, Wetland nreas and Environmentally Sensi live Lands,
Water/Wastewater Treatlllent
I Southwest Florida Water ManaQement District - Wells, Cypress Bayheads, Wetland Areas, Altering Hatercourses
I Army CorDs of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health L Rehabilitative Services, Environmental Health Unit - H~lls, HastEHater Treal~en:. Septic Tanks
I US Environaental Pfotection AQency - Asbestos abatement
I also certify that, if fill aaterial is to be used in Fle,od Zone 'A' Of 'A,elc.', it is understc,e,d t:.~t a drainage plan
addressing a 'colpensating volu~e' will be subaitted which is prepared by a professional engineer reqisteied in the State of
Florida prior to permit issuftnce.
A pereit issued shall be construed to be a license to proceed with the HOfr. and not as authority to violate, cancel alter, or
set aside any provisie,ns of the technical ([',des, nor shall issuance of a perll\i t prevent the Fui lding Official ff(o~ thereafter
requiring a correction of errors in plans, (onstruction, Dr violations of any code. Every per~it issued ;haII bec~.e invalid
unless the work authorized by such permit is (ommenced Hithin six months of issuance, or if llork authorIzed by the perlit is
susp~nded or abandoned for a period of six lonths after the time the "orr. is commenced. One 90 day 0:te~5io\\ of tile, aay be
allowed for the per~it with fee charge of $15.00. The ,xtension shall be requested in "riting to the Building Official. An
approved inspecti[,n !!lust be lc,ggedduring each six 1II0nth period, e,r the pre.jeet \-Ii 11 be (C,nsidered dbaiiGe,r,ed.
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 YOU.R LEf\IDER 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".
GIGNATURE__~-~-----
OWNER OR AGENT
SIGNATURE
------------------------------
cmnRACTOR
DATE __._./f:~J..:--2L----------------------
DATE
-----------------------------------
~~~~~yO~SA~~NT~~~~~
MY COMMISSION EXPIRES______________________
NOTARY PUBLIC. ST'~.~T SF
Vy ~(lmm's"'.)' ",
:" r,,' ::JU -:-.i
NOTARY AS TO
CONTRACTOR_____________________________
MY COMMISSION EXPIRES
------------------
FORM 900-A-91
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
Climate .~nes
CENTRA'0' 5 6
OWNER:
~
BUILDER:
PERMITTING
OFFICE:
PERMIT
NO.:
4~5o sO
~
PROJECT NAME
AND ADDRESS:
NEW CONSTRUCTION Il9- IF MULTIFAMILY, NUMBER OF CONDITIONED CI1IiIill sa. GLASS AREA AND TYPE
UNITS C<NERED BY [J]] FLOOR AREA Ft
0 THIS SUBMITIAL: CLEAR TINT,FILM,SOLAR SCREEN
ADDITION PREDOMINANT rn ~ SINGLE- om sa.
EAVE OVERHANG 2 Ft SINGLE- llimsa.
MULTIFAMILY ATTACHED 0 CHECK IF THIS SUBMITIAL ~NmH .. PANE Ft PANE Ft
SINGLE-FAMILY DETACHED ~ REPRESENTS A WORST CASE PORCH <NERHANG DJ 0 DOUBLE- om sa DOUBLE-om sa.
CONDITION: 0 ~NmH . Ft PANE Ft PANE Ft
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R =
~SO. rn.~ ~sa. [ill] D:IIJ]so. DJ D:IIJ]so. DJ
I I I Ft Ft Fl Ft
ADJACENT MASONRY R = ADJAGENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R =
lliJJJ SO DJ.O ~so W1J [[III] SO. DJ ITIIIJsa. DJ
Fl Oft FT FT
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R= SINGLE ASSEMBLY R= SLAB PERIMETER R= RAISED: WD 0 CON 0 R=
~sa. ~ ITJJJJsa. DJ ~Ft CIa DJJJJsa DJ
Ft Ft Ft
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS
IN 00 CENTRAL D ELECTRIC STRIP !;8l HEAT D CEILING FANS IX! ELECTRIC SOLAR: O.DJ
UNCONDITIONED
SPACE R = D ROOM D NATURAL GAS PUMP D CROSS VENTILATION D NATURAL GAS S.F. =
~.~ D PACKAGE TERMINAL D ROOM UNIT OR D OTHER D WHOLE HOUSE FAN o OTHER FUELS HEAT RECOVERY (CHECK) 0
FUELS DEDICATED 0 DJ
IN CO DITIONED AIR CONDITIONER PACKAGE TERMINAL D NONE D ATTIC RADIANT D NONE HEAT PUMP:
D NONE HEAT PUMP
SPACE R = BARRIER E.F. = .
m.D SEERiEER =rn.W COP/HSPFI ~ ~ o MULTIZONE EF = . rn NUMBER OF rn
AFUE = . / D BEDROOMS =
INFIL TRA liON ~ ~ LIiliJ. ~
PRACTICE USED X 100 =
o #1 [EJ #2 0 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.1.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT ExceED 100 POINTS.
PREPARED BY:
In compliance with the
/1-1/- 91
Review of plans and Specifications covered by this calculation indicates compliance with
the Florida Energy Code. Before st n is completed,thlsbuildin 11/ be Inspected
for compliance in accordance 553.908, F.S.
BUILDING OFFICIAL:
DATE:__--LL - -'-1-9' /
OWNER AGENT:
DATE:
SN: 1502
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
------------------------------------.---------------------------------.-------------
PROJECT NAME:
PERMITTING OFFICE:
ZEPHYRHILLS
AND ADDRESS:
ZEPHYRHILLS
CLIMATE ZONE:
4
5
6
BUILDER:
OWNER
PERMIT NO.:
OWNER:
GOEDEN
JURISDICTION NO.:
----------------------.------------------------.----------------------------------
COMPONENT:
DIMENSION:
VALUE: RATING:
VALUE: OFFICIAL CHECKLIST
STRUCTURE TYPE:
Single-Family
PREDOMINANT EVE OVERHANG Length:
PORCH OVERHANG Length:
WINDOWS
Single Clear
All Vertical Glass
All Skylight Glass
WALLS
Ext
Ext
Adj
DOORS
Ext Insulated
~xt Insulated
Adj Wood
Adj Wood
Ext Insulated
CEILINGS
FLAT Under Attic
FLOORS
Slab-on-Grade
DUCTS
Unconditioned
COOLING
Central AIC
HEA~ING
Heat Pump
HOT WATER
Electric
2.00
15.00
Total Area
Total Area
Total Area
174.00
174.00
.00
NormWtBlock
Wood Frame
Wood Frame
Int
Area:
Area:
Area:
1115.80 R-Val:
32.00 R-Val:
250.00 R-Val:
5.00
11.00
11.00
Area:
21.60
21.60
19.00
19.00
19.00
Area:
Area:
Area:
Area:
Area:
1734.00 R-Val:
26.00
Perimeter:
209.00 R-Val:
.00
Space
Length ALL
R-Val:
4.30
SEER:
9.10
COP:
3.10
EF:
.90
Bedrooms:
3.00
INFILTRATION
Conditioned Floor
Area:
1734.00 Pract:
2.00
AS BUILT POINTS
I
BASE POINTS
*
100
EPI
26,754.40
34,959.56
76.53
GLASS TO FLOOR AREA RATIO
.1003
__M___________________________________.____________.______._________________________
----.-----------------------------------------------.-----------------------------
In Accordance with Sec. 553.907 F.S.,
I Hereb~ certif~ that the plans and
specifications covered b~ this calcu-
lation are in compliance with the
Florida Energ~ Code.
Review of the plans and specifications
covered b~ this calculation indicates
compliance with the Florida Energ~
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
553.908 F. S.. b ..--
:BU I LD I NG OFF I C I AL: -----o.e' _.
DATE: -----./j!.~2L;::__/_I_---.----.----------
*******************************************************************************
SUMMER CALCULATIONS
:::::::::::: BASE ::::::::::::
*******************************************************************************
:::::::::::: AS-BUILT :::::::::::;
===============================================================================
GLASS----------------
ORIEN AREA x BSPM:::: POINTS
TYPE
BC
ORIEN
AREA
:< SPM
:< SOF
---------------------------------------------------------------------------.-----
:::: POINTS
N 4(2). ::;::(2) 47.8 1921.6 SGL CLR N 13.4 51..0 .71 481.8
SGL CLR N 26.8 51.(2) .87 1 189. 1
NE 7.(2)(2) 71.7 5(2)1.9 SGL CLR NE 7.(2) 77.2 .39 2L;:~.6
E 38.2(2) 1(2)2.(2) 3896.4 SGL CLR E 38.2 109.2 .95 3952.4
S 81 . 6(2) 9(2).9 7417.4 SGL CLR S 81. 6 10(2). ::;:: .77 6295.8
NW 7.0(2) 71.7 501.9 SGL CLR NW 7.(2) 77.2 .39 212.6
------------------------------.-------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS:::: ADJ. x
AREA AREA FACTOR
GLASS
POINTS
ADJ GLl-\SS
POINTS
GLASS
POINTS
. 15
174.(2)0
--------.-----------------------.----.--------------------------------------.------
12,344.23
1,734.0(2)
::::
1 . '~95
14,239.2(2)
21 , 28~5. 15
===============================================================================
NON GLASS------------
AREA ^ BSPM:::: POINTS
TYPE
R-VALUE
AREI:I,
~<
SPM ~"" POINTS
WALLS----------------
Ext 1147.8 1.0
1147.8
-----.-----------------------------------------------------------______.___H______
Adj
2~:i(2). (2)
.7
175.0
DOORS----------------
Ext 62.2 4.8
298.6
Adj
38.0
1.6
60.8
CEILINGS-------------
UA 1734.0 .6 1(2)40.4
FLOORS---------------
SIb 209.(2) -31.8 -6646.2
INFILTRATION---------
1734.0 1(2).9 189(2)0.6
E:<t NormWtp'lock
E:< t Wood Frame
Adj W':::>od Frame
In
5.(2)
11.(2)
11.0
1115..8
32..0
250..\{'
1. 00
1. 9(2)
.70
4.80
,~ . 80
4.8(2)
2.4(2)
2.40
.7(2)
Slab-an-Grade
.0
2(2)9.0 -31.90
1ll5.8
6(2).8
175.(2)
1(2)3.7
1(2)3.7
91..2
45.6
45.6
1213.8
--6667. 1
TOTAL SUMMER POINTS
36,262..11
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
18900.6
E:.(t
E:<t
E:<t
Adj
Adj
I nSLII a ted
Insulated
Insulated
Wood
Wood
21..6
21.6
19.. (2)
19.0
19.(2)
1.(2).90
TOTAL
SUM PTS
COOLING
POINTS
--------------------------------------------------------------.------.-----------
-------------------------------------------------------------------------------
27,532.89
SYSTEM
MULT
Under Attic
26.0
1734.0
TOTAL
COMPON
x CAP x DUCT x SYSTEM x CREDIT :::: COOLING
RATIO MULT MULT MULT POINTS
27,532.89 1.00 1.138
.373
Practice #2
1734.(2)
-------------------------------.-------------------------------.--------.----------.-
36,262.11
4.-;.
. ....
15,230.09
--------------------------------.------------------------------------------------
----------------------------------------------.---------.------------------.--.----.-
1 . lZl(2)(2)
11 , r.:~95. 16
*******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
:=:== BASE =":=:=
:::::=:= AS- BU I L T :=:=:=
--------------------------------------------------------------------------.-----
-----------------------------------------------------.--------------------------
GLASS----------------
ORIEN AREA x BWPM:= POINTS
TYPE
SC
ORIEN
AREA
:< Wpr1
:< WOF
:= POINTS
-------------------------------------------------------------------------.-------
N 40.20 5.6 225. 1 SGL CLR N 13.4 9..6 1. 19 153. 1
SGL CLR N 26.8 9.6 1. 08 277.9
NE 7.00 3.5 24.5 SGL CLR NE 7.0 7.,4 1. 60 83.1
E 38.20 -5.6 -'-213.9 SGL CLR E 38.2 -2.2 .70 --58.7
S 81 . 60 -14.121 -1142.4 SGL CLR S 81.6 --10.,9 .83 -7.38. :0:::
NW 7.0121 3.5 24.5 SGL CLR NW 7.0 7.4 1.60 83.1
---------------------------~----------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS := ADJ.
AREA AREA FACTOR
GL.ASS
POINTS
:=
ADJ GLf\SS
POINTS
GLASS
POINTS
---------------.---------------.---------------------------------------.-----------
.15
1,734.00
174.1210
1 . 495
-1,12182.20
,,-,1 , 617. 7121
-199.87
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
NON GLASS------------
AREA ^ BWPM:= POINTS
TYPE
R-VALUE
AREf\
}{
WPM := POINTS
--------------------.--.------------..-------------------------------.------------.--
WALLS----------------
E:<t 11.47.8 1. 1 1262.6 E:.:t NormWtBloc:k In 5.121 1115.8 2.9121 3235.8
E:.:t Wood Frame 11.0 32.0 :2.00 64.0
Adj :::50. !2l 1.8 450.0 Adj Wood Frame 11.121 250.121 1. 8121 Lt50.!2l
DOORS----------------
E:-:t 62.2 5. 1 317.2 E:-:t InsLllated 21. 6 ~j .. 10 110.2
E:<t Insulated 21.6 5. 10 110.:2
E:.:t Insulated 19.0 5. 10 96.9
Adj 38.0 4.121 152.0 Adj Wood 19.121 5.90 112.1
Adj Wood 19.121 5.90 112. 1
CEILINGS-------------
UA 1734.!2l .6 1 !2l40. it Under Attic: 26.0 1734.121 .70 1213.8
FLOORS---------------
SIb :209.0 -1.9 -397. 1 S lab'-on-Grade .0 209.!2l 2.5121 5:22.5
INFILTRATION---------
1734.0 4. 1 7109.4 Practice #.-, 1734.121 4. 10 711219.4
=~============================================================:================~
TOTAL WINTER POINTS
8,316.B0
12, '737. !2l7
===============================================================================
TOTAL
WII\I PTS
SYSTEM
MULT
HEATING
POINTS
TOTAL
COMPON
x CAP x DUCT x SYSTEM x CREDIT :::: HEATING
RATIO MULT MULT MULT POINTS
-------------------------------------------------------------------------------
8,316.8121
1. 1 121
9,148.48
12,937.07 1.00 1.138
. 32121
1 . 1210121
4,710.24
===============================================================================
*******************************************************************************
WATER HEATING
*******************************************************************************
BASE ===
=== AS-BUILT ===
-------------------------------------------------------------------------------
--------------------------------------------------------------------------.-----
NUM OF
BEDRMS
MULT
TOTAL
TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL
--------------------------------------------------------------.-----------------
3
3527.0
10,581.00
40
.90
1.000
3449.7
1.00
10.349.00
--------------------------------------------------.------------------.-----------
----------------------------------------------------------------------.-------------
*******************************************************************************
SUMMARY
*******************************************************************************
BASE ===
=== AS-BUILT
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
COOLING
POINTS +
HEATING
POINTS +
HOT WATER
POINTS -
TOTAL
POINTS
COOLING
POINTS +
HEATING
POINTS +
HOT WATER
POINTS =
TOTAL
POINTS
----.----------------.------.----.-------------------------------.-.----.-.-----.--------
15230.1
9148.5
10581.0
34,959.56
11695.2
4710.2
10349.0
26.754.40
=============================================================:==================
*****************
* EPI
76.53
*
*****************
Residential Energy Calculation
For GOEDEN
11-09-1991
Conditioned Area
Total Glass At"e.3
:1734.0 SqFt
176.0 SqFt
Perimeter Length
Gross Wall Area
209.0 Ft
:1672.0 SqFt
AREA IN HEATING LOAD COOLING LOAD
ITEM SQ. FT. BTU/HR BTU/HR
1=====================================1=========1==============1==============1
GLASS AREA DIRECTION
N
NE .3nd NW
E .3nd W
S
41 .0
14.0
39.0
82.0
1025.0
560.0
2145.0
2460.0
GLASS AREA
TYPE
SINGLE HUNG
OTHER DOORS
176.0
100.0
10560.0
9500.0
1:300.0
NET WALL AREA
TYPE
FRA~-1E, R= 13
MSNRY BLK,FURRING,S/R,INSUL R=5to7
282.0
1114.0
564.0
5570.0
846.0
5013.0
CEILING AREA
TYPE
ATTIC SPACE - INSULATION R=22
17:34.0
3121.2
2601.0
FLOOR AREA
TYPE
CONCRETE SLAB--NO INSULATION
1734.0
8360.0
0.0
VENTILATION(Number of Bedrooms = 3
PEOPLE(Number of Bedrooms = 3 )
APPLIANCES ALLOWED
2700.0
1:320.0
1800.0
1200.0
----------
----------
----------
----------
SUBTOTALS
DUCT LOSS(.05 x subtotal)
DUCT GAIN(.l :<: subtot.31)
40:375.2
2018.8
20270.0
2027.0
----------
----------
SUB-TOTAL - HEAT GAIN
HUMIDITY CNT(total sens ht x .3)
22297.0
6689.1
----------
----------
----------
----------
TOTALS
HEAT LOSS/HEAT GAIN
42394.0
28986.1
GORDEN RESIDENCE
5225 19th ST.
1734 Sq.Ft. Living x $ 25.00
670 Sq.Ft. Other x $ 10.00
VALUATION: '$ 52,000.00
Building: $ '~49. 50
Plumbing: 52.59
Elec. 63.50
Mech. 35.00
SUBTOTAL: '$ 600.00
BUILDING PLANS REVEIW CREDIT: N/A
TOTAL: '$ 600.00
CONNECTION FEES:
Sewer $ 1278.00
Water 350.00
3/4" Meter 165.00
TOTAL . $ 1793.00
.
RADON GAS: $
25.84
Sq.Ft.
2584
TRANSPORTATION FEES: .
1585.00
x 99%
x 01%
$
$
II 569. 15
15.85
GRAND TOTAL
: '$
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STATEMENT OF FACT
BY OWNER DESIRING TO CONSTRUCT
HIS OWN RESIDENCE
STATE OF FLORIDA
CITY OF ZEPHYRHILLS
Before me this day personally appeared (! J,f/l/f L /?S
who, being duly sworn, deposes and says as follows: "I
and fully understand the provisions of this instrument."
(] 0 cD c,u
have read
The undersigned states and affirms that he or she is desirous of
constructing his or her own domicile, that he or she actually occupy,
or will occupy said domicile, and that he or she shall comply with
the following conditions:
1. That the owner and he alone shall act as the builder for all
phases of construction.
2. That the owner will comply with all provisions of the C:lty
of Zephyrhills ordinances and codes pertinent to the build-
_ ing.
3. That in the event various phases of construction are sub-
contracted, he will eng~ge only properly licensed subcon-
tractors and will personally supervise such work.
4. That in the event the Building Inspector shall require
corrections to be made, the owner will assume full re-
sponsibility to insure they are made, and upon completion
will call for a reinspection before proceeding with the
building.
5. That the owner shall assume full responsibility for the
construction and will not expect supervision of his work
from the City of Zephyrhills Building Department.
6. That prior to final inspection any additional fees, in-
cluding reinspection fees, must be paid in full. A written
request from this office shall constitute an official notice
to pay additional fees.
7. That the owner shall comply with all City, State and Federal
laws in regard to social security, workman's compensation,
lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued
by the Florida Industrial Commission.
The undersigned further agrees that he shall, should he be unable to
comply with the above requirements, hire a licensed building contractor
to take over and complete the job in strict compliance with the City
of Zephyrhills' Building Codes.
SWORN T0 fu~0 S~BSCRIBED BEFORE
HE THIS c5J(~ DAY OF Lhu. ,
19 gL.
i2P~AT. ~'~'N
PUBLIC
STATE OF FLORIDA AT LARGE
(SEAL)
{y~~ H~
Owner .' Signature
31lt> k~~. ~o1J.~-,. (J~tl~ 1J2
Address ~~~~-
BUILDING PERMIT NUMBER
NOTARY PUBLIC, ST.I\ TE OF~ ~lO~I~~!\
Mycomm'ccion r.v,'.'cs ."". '. }--'_.')
i30ndtrj t::r.. P t~ "-
OWNER
~ J CITY ~! ZE~HYRHILLS BUILDING
(AAALA<1 ds!l~~
.5 -().. oi- ,5'- - I Y -d. ~-L
JOB LOCATION - -4:-
DEPARTMENT
PARCEL I.D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
I) ~/~~-: th) ~
~n'~
~Vo1'tU~
Approved By
CITY OF ZEPHYRHILLS
This _Day of 197_
.-<;'
:::->
.-:i'
Ci~~
-f-
(
(, .X;
I -'1J
-~
)-g]
Building Inspect
Utilities Supervi
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT
15 FOOT SETBACK
REQUIRED.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
.10 '
P E-
R X
0 I
10' P S 10'
O' T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
'.
DATE: 06/12/92
PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR: 00141781
OFFICE: DADE CITY
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
CONTRACTOR #:
NAME: CHARLES GOEDEN
ADDR: 11-26-21-0010-19800-0010
C/ST: 5225 19TH ST Z/HILLS
FOR: RESOUCE FEE FOR CITY OF Z/HILLS
CHECK # 1663
ACCNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - 2
2t.. 56
AMOUNT
26.56
RECEIVED
BY ~!~____!2~ti~~J< ------
DESCRIPTION/PERMT DATA DR/CR
****** 60
NoTICE
OF
RESOURCE RECOVERY ASSESSMENT FORM
APPLICANT /OWNER iJ.A Ah -4. .$ o-f> ~ .
COUNTY PARCEL II. / /, C2 b -
LOCATION S-;) d.-..s- - / 9.d ~
USE/CODE DESCRIPTIO~d~\~ ~~;t;~p
PERMIT tl /9. ~-.s
DATE h -/ J. --7;L
/j
d-/ -- 0 0 I 0 - / 9' ?' 0 U - CJ 0 / 0
"'
't
RESIDENTIAL
NON-RESIDENTIAL
/
GROSS SQ. FT. (GSF)
Ii UNITS
RATE/ERU=$SO.OO X 0.96*/YEAR OR $O.131S/DAY ERU ASSIGN II
ASSESSMENT = (II UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.131S)X(NO DAYS)
100
TOTAL FEE = $
TOTAL FEE $
PREP ARED BY
* DISCOUNTED
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 tJ /4/7 ~ /
DATE.>!:itt Il~
BY &, -- I d - 9 d
...