HomeMy WebLinkAbout92-2698
... BUILDIN.G PERMIT
.~ CITY OF ZEPHYRHILLS P"m;' N'! 2698A
(813) 788-6611 ' , -_.
,-..5'75/..s-o b 7..--57) ~o. crt) 3'1- t17/ Date /0 -/~ -7';2...
0D1~ GECTRIC~ GU~BIN0:J GECHANIC;;) Sewe, Co", !,;z 7 J'; (7"t)
Water Conn: 3~7J. cJV
pm"ertyow".~~ ~AT Wate' Me'e" /6~~<JV
Job Address: ..5~ ~/:J.... b ". T.I.F.'s: Dei /S-/S-1/;U,A,3
Parcell.D. # 1/ - ,;l6-J./ - (')0/ 0 ~ 0 7'//J 0 ... (j/~-O I
Zoning: EnergY)Jde:, Radon Gafj ~~~-
De",,;"';O" of Wo,k <-jf h.' - 4', ~ i.-t - '-:#~ 1 "VAH'L <1
NO OCCUPANCY BEFORE C.O.
FINAL -;;~. ~ . c.; ~
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
Inspector
:~;~~:;:~~'~ ~..
-
Company
Address
Telephone#
Valuation or
Contract Price t ~ tJ7rZJ. tro
City License Registration # ,,? I 7
State Certified License#
Ftr.
Tp. Servo SLB IJ-~-9~ &~
Rough In j-JS-93 ilL(! Tub Set 1-15=-93 cJ'
Meter Can Water
Const. Pole A / -lif ~~ewer
Breakers
Ducts Insl. 1-15'-98 RiP
Compressor
Final
3-/~' tj~ (
3-J"3j7 :3
"-s, qd. fot..
tJ o. c . \ O~ , q ... q 1-
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction. JJ (;/ "
c. Repairs or corrections not made when inspection called. 'fl / ~- / b - / - qf-
d. Work not ready for inspection when called. v<- a -2..
e. Permit not posted on job site. L ~ /~ i" JI..7
f. Plans not at job site. (j) r
.g. Work not accessible. V
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
FORM 900-B-91
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
Climate Zones
CENTRA~) 6
OWNER: -
,. _'. _ 1:"'-
\.J ".J(,.... >.:-, <t:, '.
BUILDER:
PERMITTING e~
OFFICE: ;: f-="A II I~
PER.MIT ~
NO..~
NEW CONSTRUCTION ~ IF MULTIFAMILY, NUMBER OF CONDITIONED ~ SQ. GLASS AREA AND TYPE
UNITS COVERED BY ITIJ FLOOR AREA FT.
ADDITION 0 THIS SUBMITTAL CLEAR TINT,FILM,SOLAR SCREEN
PREDOMINANT m.B FT.
EAVE OVERHANG SINGLE- ~SO SINGLE- [[ill SQ.
MULTIFAMILY ATTACHED 0 CHECK IF THIS SUBMITTAL LENGTH PANE FT PANE FT.
SINGLE-FAMILY DETACHED'W REPRESENTS A ~ASE PORCH OVERHANG rn.0 FT. DOUBLE- [[ill SO DOUBLE- [[ill sa
CONDITION: LENGTH PANE FT PANE FT.
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R =
[[[Qili] ~,' rn.5J CIJIIill ~' [ill] [[[Hff] ~' [lli] ITIIIJso, OJ
FT.
ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R =
ITIIIJ SO, OJ.O ITIIIJ SO, OJ ITIIIJ SO, OJ ITIIIJ SO, OJ
FT. FT. FT. FT.
UNDER ATTIC
~sa,
~FT.
CEILING AREA AND INSULATION
R = SGL ASSEMBLY
a. rTTTTlSQ,
LLLLl..J FT.
R =
OJ
FLOOR TYPE AND INSULATION
R = RAISED WD 0 CON 0
~ [IDJJ~~
R=
OJ
FT.
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS
IN ~ENTRAL o ELECTRIC STRIP "IE HEAT o CEILING FANS t!tELECTRIC SOLAR: 0 OJ
UNCONDITIONED SJ, = . ,/
SPACE R = o ROOM o NATURAL GAS PUMP o CROSS VENTILATION o NATURAL GAS HEAT RECOVERY (CHECK) ~
rnJ. ~ o PACKAGE TERMINAL o ROOM UNIT OR o OTHER o WHOLE HOUSE FAN o OTHER FUELS
FUELS DEDICATED
IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL o NONE o ATTIC RADIANT o NONE HEAT PUMP: O.OJ
SPACE R = o NONE HEAT PUMP BARRIER E,F. =
OJ.D SEER/EER = [lIQ].~ COP/HSPFI ~.rn o MULTIZONE EF = .~~ NUMBER OF ~
AFUE = BEDROOMS =
INFILTRATION ~ ~ LrlOO. ~
PRACTICE USED X 100 .-
o #1 0 #2 0 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
PREPARED BY:
DAT~1- 3~
e FI rid Energy Code, 0_::::' _
DATE:~ ~() ~
Review of plans and specijications covered by this calculation indicates compliance w~h
the Florida Energy Code, Before construction is completed, this building will be inspected
for compliance in aCCOrdan~~.908' F,S, ~
BUILDING OFFICIAL: . .. .A _ . .A
DATE: /.0 - I' ~- (? )..-
OWNER AGENT:
FORM 900-A-91
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
Climate Zones
CENTRAt& 5 6
PROJECT NAME
AND ADDRESS:
N ,,=-
CLIMATE 4 r:J ~ 60
ZONE: ~o LJ
JU~ISDICTION ~
NO.. ~
NEW CONSTRUCTION ~
ADDITION 0
MULTIFAMILY ATTACHED 0
SINGLE-FAMILY DETACHED ~
GLASS AREA AND TYPE
CLEAR TINT,FllM,SOLAR SCREEN
SINGLE- ~ Set SINGLE- om sa,
PANE ~ Fl PANE FT.
DOUBLE- om SUo DOUBLE- om sa,
~E Fl ~E FT.
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R -
~W rn.~ lIJllilliJ ~~.' [IT] CIIEnJ SO [ill] [IIIIJ SO. m
FT FT
ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R =
[[[]]] SO m.o [[[]]] SO m [[[]]] SO m [IIIIJ w m
FT FT FT
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R= SINGLE ASSEMBLY R= SLAB PERIMETER R ~,<<\ RAISED WD D CON D R=
~SO ~ [[[]]]sa, m I Ill~~IF1 lliiJ [[[]]]sa, m
FT. FT. F1
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HDT WATER SYSTEM HDT WATER CREDITS
IN I2f.cENTRAL D ELECTRIC STRIP 1:8 HEAT D CEILING FANS ~LECTRIC SOLAR: 0 m
UNCONDITIONED
SPACE R = D ROOM D NATURAL GAS PUMP D CROSS VENTILATION D NATURAL GAS SF = . -
HEAT RECOVERY ICHECK) ~
cm.~ D PACKAGE TERMINAL D ROOM UNIT OR D OTHER D WHOLE HOUSE FAN D OTHER FUELS
FUELS DEDICATED
IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL D NONE D ATIlC RADIANT D NONE HEAT PUMP: o.m
D NONE HEAT PUMP
SPACE R = BARRIER EF. =
m.D SEER/EER = UIQ].1hJ COP I HSPF I ~.rn D MULTIZONE EF = . [XIb] NUMBER OF W
AFUE = BEDROOMS =
INFIL TRA TION ~ ~ []5ul~
PRACTICE USED X 100 =
~#1D#2D #3 TOTAL AS.BUIL T POINTS TOTAL BASE POINTS CALCULATED E.P.1.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
OWNER AGEN :
latian are in compliance with the
DATE~ -5C-1' "
~, 'BUILDING OFFICIAL:
Energy Code, 3
DATE: - O'~'9..::... -DATE: / (f:)
9A I PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.)
COMPONENTS SECTION REQUIREMENTS CHECK
WINDOWS 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). V-
EXTERIOR & 904.1 Maximum of 0.5 CFM per sq. ft of door area: solid core, wood panel, insulated or glass doors only. V'
ADJACENT DOORS
EXTERIOR JOINTS 904.1 To be caulked, gasketed, weatherstripped or otherwise sealed.
& CRACKS V-
WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A Switch or clearly marked circuit breaker (electric) V-
or cutoff (gas) must be provided. External or built-in heat trap reauired.
SWIMMING POOLS 904.3 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a
& SPAS pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%.
SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 aallons per minute at 80 PSIG. --
HVAC DUCT 904.6 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, V
CONSTRUCTION, sealed, insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned
INSULATION space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92).
& INSTAllATION
HV AC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. ,.....- ...."
INSULATION 904,9 Ceilings-Min. R-19. Common Walls-Frame R-11 or CBS R-3. Common Ceilings & Floors R-11. -
- 1 -
SUMMER CALCULATIONS
CLIMATE ZONES 4 5 6
t-' 1 BASE I BASE t-' I SINGLE-PANE I DOUBLE-PANE I SUMMER 1 AS.BUIL T
z GLASS z GLASS x SUMMER POINT MULT. OR
w x SUMMER = SUMMER w SUMMER POINT MULT. x OVERHANG = GLASS
a: AREA a: AREA
0 PT. MULT. POINTS 0 CLEAR TINT' CLEAR TINT' FACTOR (9B) SUM. PJS.
N " 47,8 \ '-, 14 e" N ~ 1 51.0 51.5 47.8 43,5 I \1''6 l
NE 71.7 NE 77.2 76,6 71.7 63.4
E ~,'~ 102,0 '"1'\.li"\ L- _::UL 109.2 107,1 102,0 87,3 , q 4...... .., ,,' ~
SE 104,1 SE 112,9 110,3 104,1 89.4
S ~'" 90,9 ~ ~5 ""' S :2.~ 100,2 98,3 90,9 78.8 I ~'1 () >-
SW 104,1 SW 112,9 110,3 104,1 89.4
W .C; '1' 102,0 ~~ \\.t) W .r; 5f" 109,2 107,1 102.0 87,3 ,~~ s-g ~t--J
NW 71,7 NW 77.2 76,6 71,7 63.4
H' 90,9 H' 367,7 303,3 324,6 238,1
E "1~ JI\);;).t\ L\ $."z: '4 I:E: ~~ l(,)~,~ .4.L- l'~ ,;;.f.n
U)
U)
c(
...I
"
,
I CONDo I TOTAL I BASE I BASE I ADJUSTED AS.BUIL T
.15 x FLOOR '1 GLASS ADJUST. x GLASS = GLASS GLASS
1 AREA AREA I FACTOR I SUBTOTAL I BASE SP SUBTOTAL
,15 1 'w .,~ I .:l3~ , \ I>>rr. ~\$;<O~ I ~3 f.> ~ Il\ <~'l
,
COMPONENT ~ BASE SUMMER ~ BASE COMPONENT I SUMMER I AS.BUIL T
AREA SUMMER AREA x POINT MULT. = SUMMER
DESCRIPTION POINT MULT. POINTS DESCRIPTION (9C THRU 9G) POINTS
EXTERIOR Un ~ 3- 1.0 It."ao <:"'B \ ~ ~.=. \. \.....-.~
...I uJ.!> \ ~ (, , \ I.It. ~5'3
...I ADJACENT ,7
c( , ~ I" l.c) \ ~ 10
3: _.
[]] EXTERIOR
g ADJACENT
o
4,8
1.6
,
;)-as:"
II
\.4'\
s..,.
c...t~
l=o.{.'If I d.3~
" UNDER ATTIC \ ~ "\.::::. .6 \~C">~ r- l.. t." K~ '"" Ill) 1.;;.. . -.. \\~~
z OR SINGLE ,6
:::; ASSEMBLY
W .6
0 BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING. AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE,
,
HOT
WATER
SYSTEM
10.9
a: SLAB (PERIMETER)
o RAISED (AREA)
o
...I
u..
NFIL TRA TION
TOTAL COMPONENT BASE SUMMER POINL
BASE COOLING TOTAL BASE
COOLING SYSTEM x SUMMER =
SYSTEM MULTIPLIER POINTS
1991 .42
1992 .37
NUMBER
OF
BEDROOMS
0:5.
AS.BUIL T
= COOLING
POINTS
~l\~
3527
Bl.1:c.
'H = Horizontal Glass (Skylights)
2For glass with known Shading Coefficient, see section 903.2(a), Tint Multipliers may be used for glass with solar screens, film, or tint.
-2-
WINTER CALCULATIONS
CLIMATE ZONES 4 5 6
I-' GLASS IBASE WINTERI BASE I-' I SINGLE-PANE OR DOUBLE-PANE I WINTER I A~.BUIL T .
.z z GLASS )( WINTER POINT MULl WINTER POINT MULl )( OVERHANG = GLASS
w )( POINT = WINTER w
a:. AREA MULTIPLIER a: AREA CLEAR TINT' CLEAR TINT' FACTOR (9B) WIN. PTS.
0 POINTS 0
N 3; 5,6 2~"" N .; ~, 9,6 9.6 5,6 6,1 I -~ t;S
NE 3,5 NE 7,4 7.3 3.5 4,2
E "1 r) - 5,6 -~<t~ E "'~ 2,2 2,0 - 5,6 - 3.6 <::7 '7 -~ lS
SE -13,4 SE 10,3 9,7 13,4 '10,4
S ..~ -14,0 -3~J(. S :a.. '1 10,9 10,2 -14,0 - '11.0 I -~<\.'-t
SW -13.4 SW 10.3 9.7 -13.4 - '10,4
W ry - 5,6 - ~.}.:;;, W S"~ 2.2 2.0 5,6 - 3,6 t '::7"7 -~~
NW 3,5 NW 7,4 7,3 3,5 4.2
H' -14,0 H' 32,1 -28.0 -27,0 -:~1.5 /
Ul I": ~~ -S.~ -a3:;.o l=. &.fL -~,~ -~ f\ I - .;;}~-lX
Ul
<(
...J
Cl
...
.15 ~ CONDo I TOTAL I BASE I BASE I ADJUSTED AS-BUILT
FLOOR GLASS ADJUST )( GLASS = GLASS GLASS
I AREA I AREA I FACTOR I SUBTOTAL I BASE WP SUBTOTAL
,15 I Un' \:> I~~'-.\ I 1..'"1. - .. ~ -~ I - \~ () ~ -3.... X'
...
COMPONENT AREA )( BASE WINTER = AREA =
DESCRIPTION POINT MULl
EXTERIOR
...J ADJACENT
...J
<( ...~.""
==
... ...
~RIOR ~'1 5,1 ~;::-C') I I S,- ~'\ r" aS~
.
4,0
g ADJACENT
Q
Cl UNDER ATTIC \taG .6 , ('J \.) "":' t-l H. T'\..:.,. I ~I \1"'\'-
z OR SINGLE .6
::; ASSEMBLY
W .6
0 BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING. AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
... ...
SLAB (PERIMETER) \~ 4 - 1.9 3(,o'i \It:.~ \",q 'Qh .:> \.n .>
II: RAISED (AREA)
0 - .2
0
...J
IL
FOR SLAB-ON-GRADE USE PERIMETER LENGTH AROUNO CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE.
,
INFILTRATION
4.1
~
USE TOTAL FLOOR AREA OF CONDITIONED SPACE.
...
I f.{ ~ ..~ I.. I I
TOTAL COMPONENT AS.BUILT WINTER POINTS
,
TOTAL
AS.BUIL T )(
WIN. PTS.
...
'l.o~l:-o.
TOTAL COMPONENT BASE WINTER POINT:
BASE HEATING TOTAL BASE
HEATING SYSTEM)( WINTER
SYSTEM MULTIPLIER POINTS
1.1 q~ 'I to
=
l Ie "~5
AS.BUIL T
= HEATING
POINTS
~S-'> 'S"
...J
<(
I-
o
I-
BASE
+ HEATING
POINTS
+
t 40 l\ ~ Co z:>S'S'"
'H = Horizontal Glass (Skylights)
2For glass with known Shading Coefficient, see section 903,2(a), Tint Multipliers may be used for glass with solar screens, film, or tint.
-4-
91 HEATING SYSTEM MULTIPLIERS (HSM)
CLIMATE ZONES 4 5 6
SYSTEM TYPE HEATING SYSTEM MULTIPLIERS
Central Heat HSPF 6.4 - 6,79 6,8 - 6,89 6,9 - 7.39 7,4 - 7.89 7.9 - 8,39 8.4 - 8.89 8,9 - 9.39 9.4 - 9.89
Pump Units HSM ,53 ,50 .49 .46 .43 ,41 .38 ,36
HSPF 9.9 - 10.39 10.4 -10,89 10,9.11.39 11.4 - 11.89 11.9 -12.39 12.4 & Up
HSM ,34 ,33 ,31 ,30 ,29 .28
PTHP COP 2,6 - 2,69 2,7 - 2,89 2.9 - 3,09 3,10-3,29 3,30 - 3.49 3.50 - 3.69 3,70 - 3,89 3,90-4,19
HSM ,38 .37 .34 .32 ,30 ,29 .27 ,26
Electric Strip 1.0
Gas & Other Fuels 1,0 (See Table 9J for Credit Multiplier)
1991 Minimums: Central Units-Air Source 6.4 HSPF, Water Source 3.4 COP, Ground Water Source 3,2 COP, PTHP 2,6 COP,
1992 Minimums: Central Units-Air Source 6,8 HSPF, Water Source 3,8 COP, Ground Water Source 3.4 COP, PTHP 2,7 COP,
HSPF means Heatina Seasonal Performance Factor. COP means Coefficient of Performance,
9J HEATING CREDIT MULTIPLIERS IHCM\
SYSTEM TYPE HEATING CREDIT MULTIPLIERS
Attic Radiant Barrier HCM .98
Multizone HCM .90
Natural Gas AFUE .68 - .72 .73 -77 .78 . .82 .83. .87 .88 - .92 .93. Up
HeM ,54 .51 .47 .44 .42 .40
Other Fuels HCM .61 ,60 .56 .52 .49 .47
Where more than one credit is claimed, multiply HCM's together. Enter product on page 4, AFUE means Annual Fuel Utilization Efficiency,
9K COOLING SYSTEM MULTIPLIERS ICSM\
SYSTEM TYPE COOLING SYSTEM MULTIPLIERS
RATING 7.5 - 80 - 8.5 - 8.9 - 9.5 - 10.0 - 10.5 - 11.0 - 11.5 - 120 -
CENTRAL UNITS 7.9 8.4 8.8 9.4 9,9 10.4 10.9 11.4 11.9 12.4
(SEER) CSM .45 .43 .40 .38 .36 ,34 .32 .31 .30 28
PTAC & ROOM UNITS RATING 12.5. 13,0 - 13.5 - 14.0 - 14.5. 15,0 - 15,5. 16.0 - 16.5 - 17.0 - 17.5
(EER) 12,9 13.4 13,9 14.4 14.9 15.4 15.9 16.4 16,9 17.4 & Up
CSM .27 .26 ,25 .24 .24 ,23 22 21 .21 .20 .19
1991 Minimums: Central Units-Air Cooled a,9 SEER. Ground Water Cooled 10,0 EER, 1992 Minimums: Central Units-Air Cooled 10,0 SEER, Ground
Water Cooled 11.0 EER, PTAC-see Table 9.11A EER means Enercy Efficiency Ratio, SEER means Seasonal Energy Efficiency Ratio,
9L COOLING CREDIT MULTIPLIERS ICCM)
SYSTEM TYPE COOLING CREDIT MULTIPLIERS (CCM)
Ceilina Fans .86
Multizone .90
Cross Ventilation or Whole House Fan (Credit for only one) .95
Attic Radiant Barrier .95
Where more than one credit is claimed multinlv CCM's toaether. Enter nreduct on nane 2,
9M HOT WATER MULTIPLIERS HWM)
SYSTEM TYPE HOT WATER MULTIPLIERS
Electric EF .80. ,81 I .82 - .83 I .84 - .85 I .86 - .87 I .88 - .90 I .91. .93 I .94. .96 I .97 & Up
Resistance HWM 3879 I 3785 I 3695 I 3609 I 3527 I 3411 I 3302 I 3200
EF .43 - .47 .48 - .49 .50 - .51 .52 - ,53 .54. .55 .56. .57 .58 . .59 .60. .61 .62 - .63 .64 - .65 ,66 & Uo
Natural Gas HWM 2664 2386 2291 2203 2121 2045 1975 1909 1847 1790 1735
Other Fuels HWM 1845 2059 2145 2231 2317 2234 2157 2085 2018 1955 1895
Water heaters must comply with minimum efficiences in Table 9-lA of the Florida Energy Code, EF means Energy Factor.
9N HOT WATER CREDIT MULTIPLIERS HWCM)
SYSTEM TYPE HOT WATER CREDIT MULTIPLIERS
Solar Water Heater SF .1 I .2 I .3 I .4 I .5 .6 I .7 I .8 I .9 I 1.0
HWCM .9 I .8 I .7 I .6 I .5 .4 I .3 I .2 I .1 I .0
Heat Recovery Unit With Air-conditioner Heat Pump
HWCM .62 .58
Dedicated Heat Pump EF 2,0 - 2.49 I 2,5 - 2,99 3,0 - 3.49 I 3.5 & Uo
HWCM .44 I .35 .29 I .25
A HWM must be used in conjunction with all HWCM, See Table 9M, SF means Solar Fraction, EF means Energy Factor,
9P INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST lSee Section 903.2/6\
COMPONENTS REQUIREMENTS FOR EACH PRACTICE CHECK
PRACTICE #1 COMPLY WITH All INFilTRATION PRESCRIPTIVES ON TABLE 9A,
PRACTICE #2 COMPLY WITH PRACTICE #1 AND THE FOllOWING:
Exterior Walls and Floors Top plate penetrations sealed, Infiltration barrier installed, Sole olatelfloor joint caulked or sealed,
Exterior Walls & Ceilings Penetrations, ioints and cracks on interior surface caulked, sealed or aasketed,
Ductwork Ductwork in unconditioned space must be sealed,
Fireolaces Eauipped with outside combustion air, doors, and flue dampers,
Exhaust Fans Eauipped with dampers, Combustion devices see 903,2{f),
PRACTICE #3 COMPLY WITH PRACTICES #1 AND #2 AND THE FOllOWING:
Ceilinas Infiltration barrier installed,
Interiof Walls Top plate penetrations sealed or ioints & cracks on interior walls cauiked, sealed or gasketed,
Recessed liahts Sealed from conditioned space & insulated from ventilated attic spaces,
Ductwork All ductwork located in conditioned space,
Combustion Appliances Be in unconditioned space (except direct vent), draw air from unconditioned space, exhaust
by-products to outside, Stoves see 903,2(f),
-6.
WINTER POINT MULTIPLIERS (WPM)
9B WINTER OVERHANG FACTORS (WOF)
CLIMATE ZONE$ 4 5 6
~ OH RATIO 1,0-,11 .12-,17 ,1B-,26 I ,27-,35 .36- ,46 ,47-,57 ,58 .70 I .71 ,B3 I,B4-1,1B 1.19 "1.72 1.73 2.73 2.74+
. SINGLE PANE GLASS
I N 1,0 1.03 1.05 ,1,OB 1,10 1,13 1.15 1.1B 1.20 124 1.29 1.34
.
. NElNW 1.0 1.07 1.10 1.15 1.20 1,25 1.30 1.35 1.39 150 1.59 1.67
.
. E/W 1.0 .71 ,57 ,19 -.20 -.65 -1.05 -1.4B -2,03 -3,01 -4,06 -5,04
.
>-1 SElSW 1,0 .93 ,90 .BO ,6B ,54 .39 .22 ,05 -.33 -.71 -1,01
rol S 1,0 ,95 ,92 ,B3 ,70 ,54 .36 ,13 -,13 -.i0 -,98 -109
1-0::
a:: 0 DOUBLE PANE GLASS
u:l.
(/). N 1.0 1.05 1.07 1.11 1.14 1.1B 1.21 1.24 1.2B U4 1.40 1.47
.
. NElNW 1.0 1.11 1.16 1.24 1.32 1,41 1,48 1.56 1.63 1.BO 1.94 2,OB
. ElW 1.0 .88 ,82 ,66 ,50 .31 .15 -,03 -,26 -.136 -1.10 -1.50
.
. SElSW 1.0 ,95 ,92 ,B5 ,76 ,65 .54 ,41 ,2B -,01 -.30 -,52
.
. S 1,0 ,96 ,94 ,B7 .78 ,65 ,51 .33 ,13 -.30 -,51 -,60
... OH LENGTH' 011. 1 It 1112 It 2 It 3 It 3Y2 It 4112 It 5Y2 It 6112 It 9112 ft 14 It 201t,+
* To select by Overhang Length, no part of glass shall be more than 8 It below the overhang
OVERHANG RATIO =
OH LENGTH
OH HEIGHT
I~L
H
J
9C WALL WINTER POINT MULTIPLIERS (WPM)
FRAME
WOOD STEEL
R.YALUE EXT ADJ EXT ADJ
0- 6.9 68 5.3 9.4 6.7
7 -10.9 2.5 2,1 4.4 3.3
11 - 12.9 2.0 1,8 3.3 2.6
13 -18,9 1.8 1.6 3,0 2.4
19 - 25.9 1.1 1.0 2.6 22
26 & U .7 .7 1.4 1.2
9D DOOR WINTER POINT MULTIPLIERS (WPM)
DOOR TYPE EXTERIOR ADJACENT
WOOD 7.6 59
INSULATED 5.1 40
9F FLOOR WINTER POINT MULTIPLIERS (WPM)
.
01
CONCRETE BLOCK1
INT. INSULATION EXT. INSUL.
NORMAL WT. NOR. WT.
EXT ADJ EXT
6.0 3.1 6.0
3.8 2.3 2.8
2.9 1.9 20
2.3 1.5 1.5
1.5 1.1 ,8
.8 .7
.5 .5
FACE BRICK
R.YALUE WOOD FR
0- 6.9 7.0
7 - 10.9 21
11 - 18.9 1.7
19 - 259 1.0
26 & Up .6
R.YALUE BLOCK
0-29 3.i'
3 - 69 2.6
7 - 9,9 lE
10 & Up U
LOG
6 INCH
R.YALUE
0-2.9
3 - 69
7 & Up
BINCH
R.YALUE
0.29
3 - 69
7&U
EXT
2.2
1.2
.9
EXT
1.2
.9
.7
9E CEILING WINTER POINT MULTIPLIERS (WPM)
UNDER ATTIC SINGLE ASSEMBLY
R.VALUE WPM R.VALUE WPM.
19-21,9 1.0 10-10,9 1,B
22-25,9 .9 11-12,9 1.6
26 - 29,9 .7 13 - 18,9 1.5
30 - 37,9 .6 19 - 25,9 1.1
38 & U .4 26 & U .6
CONCRETE DECK ROOF
CEILING TYPE
DROPPED EXPOSED
1.2 1.3
.7 .7
.4 .3
SLAB-ON.GRADE RAISED RAISED WOOD'
EDGE INSUL TION CONCRETE POST OR PIER I STEM WALL WI UNDER I
R.VALUE WPM R.VALUE WPM CONSTRUCTION FLOOR INSULATION ADJACENT
R.YALUE WPM I WPM
0-2.9 2.5 0-2,9 4.0 0- 6.9 79 5.3
3 - 4,9 1.7 3 - 4.9 1.8 7.10,9 2,1 I .7 I 2.1
5 - 6.9 2.4 5.6.9 1.1 11 -18.9 1.5 I 5 I 1.8
7 II. Iln - 2.7 7 & Uo .8 19 & Up .9 r .3 I 1.0
9G INFILTRATION WINTER POINT MULTIPLIERS (WPM)
INFIL TRA TION PRACTIC'E WPM
(See Table 9P)
PRACTICE # 1 6.2
PRACTICE # 2 4.1
PRACTICE # 3 2.2
9H DUCT MULTIPLIERS (OM)
Return Ducts Return Ducts
R-Value In Unconditioned Space In Conditioned Space
Supply 4.2-5.9 1.14 1.10
Ducts in 6.0-6.6 1.10 1.07
Unconditioned Space 6.7 & up 1.09 1,06
Supply 4.2-5.9 1.10 1.00
Ducts in 6.0-6.6 1.07 1.00
Conditioned Space3 6.7 & up 1.06 1.00
1 For multipliers lor other types of concrete block construction see section 903.2(b).
2 For multipliers for other types of raised wood assemblies see section 903.2 (e) 1.
3 Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation.
-5 -
SUMMER POINT MULTIPLIERS (SPM)
98 SUMMER OVERHANG FACTORS (SOF) For single and double pane glass.
CLIMATE ZONES 4 5 6
. OH RATIO ,0-,11 ,12-,17 ,18-,26 ,27-.35 ,36- .46 .47-,57 ,58-,70 ,71-,83 ,84 1.18 1.19 1.72 1.73 2.73 2.74+
. N 1.0 ,94 ,91 ,87 .83 ,79 ,75 .72 .69 ,62 ,56 .50
>-1
OJI NE/NW 1,0 ,94 ,91 ,85 ,79 .72 ,68 ,63 ,58 ,50 .40 .36
I-a:: E/W 1.0 ,95 ,92 .85 ,78 ,70 ,64 ,58 ,33
Edp ,52 .42 .26
cdl SE/SW 1.0 ,93 ,90 ,81 .72 .62 ,55 .49 .42 .33 .27 ,22
en.
, S 1.0 ,91 ,87 .77 ,67 ,57 ,50 .45 ,39 ,32 .28 .25
. OH LENGTH' 011. 1 It 1Y2 It 2 It 3 It 3Y2 It 4Y2 It 5Y2 It 6Y2 It 9Y2 It 14 It 2011.+
. To select by Overhang Length, no part of glass shall be more than 8 It below the overhang.
OVERHANG RATIO = OH LENGTH
OH HEIGHT
r~L
H
j
01
9C WALL SUMMER POINT MULTIPLIERS (SPMI
FRAME CONCRETE BLOCKl FACE BRICK
WOOD STEEL INT. INSULATION EXT. INSUL. R.YAWE WOOD FR LOG
R.VALUE EXT ADJ EXT ADJ NORMAL WT. NOR. WT. O. 6,9 2,9 6 INCH
0- 6,9 6,4 2,2 8,9 2,9 R.YALUE EXT ADJ EXT 7.10,9 ,6 R.YAWE EXT
7 - 10,9 2,3 ,8 4,1 1,3 0- 2.9 2.5 ,9 2.5 11 -18,9 .4 0- 2.9 1.7
11 - 12,9 1.g ,7 3,0 1.0 3 - 4.9 1.4 .7 .7 19 - 25,9 2 3. 6,9 1.1
13 - 18,9 1:7 ,6 2,8 O,g 5 - 6,9 1.0 .6 3 26 & Up ,1 7 & Up ,8
19 - 25,9 1.0 .3 2.4 0,8 7 - 10,9 ,8 .4 ,1 R.YALUE BLOCK BINCH
26 & Un ,6 ,2 1,3 0,4 11-18.9 , .3 . 0- 2,9 1.0 R.YAWE EXT
19 - 25,9 ,2 ,2' ',,; ': \" 3 - 6,9 ,6 0.2,9 1.0
26 & Up ,1 ,1 '*;*,x .'Ni,~t 7 - 9,9 .4 3 - 6.9 .8
{t%~~ti;t~r"J;:::~:~~::::~~' ::~l/~tt1~t.t1f' :if;lM1&~ ~~ ==:=X:~~ : ~~i$~~f 10 & Uo ,2 7 & Uo .7
9D DOOR SUMMER POINT MULTIPLIERS (SPM)
9E CEILING SUMMER POINT MULTIPLIERS (SPM)
UNDER ATTIC SINGLE ASSEMBLY
R-VALUE SPM R-VALUE SPM
19 - 21.9 1,1 10 -10,9 3.0
22 - 25.9 .9 11 - 12.9 2.7
26.29,9 .7 13 - 18,9 2.4
30 - 37,9 ,6 19 - 25,9 1,8
38 & U .4 26 & U 1 ,1
CONCRETE DECK ROOF
CEILING TYPE
DROPPED EXPOSED
3.0 3.3
2,0 2.1
1.4 1.3
DOOR TYPE EXTERIOR ADJACENT
WOOD 7.2 2.4
INSULATED 4,8 1.6
9F FLOOR SUMMER POINT MULTIPLIERS (SPM)
SLAB.ON.GRADE RAISED RAISED WOOD'
EDGE INSULATION CONCRETE POST OR PIER I STEM WALL WI UNDER I
R.VALUE SPM R.VALUE SPM CONSTRUCTION FLOOR INSULATION ADJACENT
R.YALUE SPM SPM I SPM
0-2,9 31.9 0.2.9 1.0 0- 6,9 .9 5,3
3 - 4.9 31.8 3 - 4.9 -1.7 7.10,9 -1.1 I -2,8 I 2.1
5 - 6.9 31.7 5 - 6.9 -1.7 11 -18,9 -1.0 I -22 I 1.8
7 R, Un -31.6 7 R, Iln -1.7 19 & Uo - .9 I -1.8 I 1.0
9H DUCT MULTIPLIERS (OM)
· For multipliers for other types of concrete block construction see section 903.2(b).
2 For multipliers for other types of raised wood assemblies see section 903.2 (e) 1.
3 Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation.
- 3-
Return Ducts Return Ducts
R-Value In Unconditioned Space In Conditioned Space
Supply 4.2-5.9 1,14 1,10
Ducts in 6.0-6.6 1,10 1.07
Unconditioned Space 6.7 & up 1.09 1.06
Supply 4.2-5.9 1.10 1.00
Ducts in 6.0-6.6 1.07 1.00
Conditioned Space3 6.7 & up 1.06 1.00
,9G INFILTRATION SUMMER POINT MULTIPLIERS (SPM)
INFILTRATION PRACTICE SPM
(See Table 9P)
PRACTICE # 1 13.8
PRACTICE # 2 10.9
PRACTICE # 3 7.6
APP!..IC.\.TION . FUR PERKIT
CITY OF ZEPIIYRIIILLS
BitITLDlliG DEPARDII!'MT
t! i<../i cL 5iJ' 0<:>
;~7-9.:L .
~
OWNER'S NAME..) ~.tv\. c 'S ~'~ ~ '"i- c 1:.
'2; ~ ~,\\J \:,)(9.C~
"
PIIoe ~ ~ d, -- 'a~ ~l
OWNER'S ADDRESS
JOB ADDRESS ~::;- i l ~ ~La--c~, ~ 'L
LEGAL DESCRIPTION: LOI'(S) \SJ \\0.) ,~ ~ 7~DIVISIONc... \\ y z:.:e~\\ Y\~\i \\.\~
PARCEL LD.' \t - ~~ - ~\ - C)<:!>\~ - ()~'-t DC) - Q) \ S (J
WRK PROPOSED: ~ev Construction _Addition _Alteration ~Repair _Install
_Sign
_!!love
_Deaolish
PROPOSED USE: ~ing1e Faaily
_KIF
_' of Units
_K/H
_~rcia1
_Indust.
_Swt.. Pool
Ot:her
_Rest:aurant &: Health Depar~t Approva1
BUILDING SIZE: lo \ X (O~
\~~S
Square Feet.
q ,_ 't \. I
Height
RESIDENTIAL: ATTACH (2) PLOI' I'I.ANS &: (2) SETS OF BUILDING PLANS &: (1) SET KNERGY FURHS.**
cottKERCIAL: ATTACH (3) SETS OF BUILDlliG PLANS &: (1) SET ENERGY FURMS. ~~
~~COPY OF CONTRACT KIl'QlHBED.
./
_BUILDING
PEIMI'IS REOUESTED
~ELECTRICAL
~KECBAHICAL
V"PLUKBING
$'\\ ~~O
tSo
"a.SOC>
Va1uation of Tot:a1 Construction
AKP Service ~ Florida Power Corp.
W.R.E.C.
s
Va1.uat:ion of Kecbanical. Ipstallation
GAS
KOOFl.lliG
.
SPECIALTY
V"
TYPE OF CONSTRUCTION: _Block _Pralle _Steel
Other
FINISHED FLOOR ELEVATIONS:
FI' .
IS PROJECT IN FLOOD Z01liE AREA?
v
YES NO
~~.~..............~.....*.........~......
COII'I'RACIOR SECTION
~ COI!tPMIIY~\)~\";)'{::.~,~ '\\~ ~">
~' State Cerl:. or Regisl:. , G R...C::: CD \ ~ ~C> ~
~ City License Registration ,
.... ....................................
ELECTRICIANI. 1 : , J . n ~ ~ CO!t?ABY t t.c ~ \....,~ c::.. ,
W ~ Stat.e Cerl:. or Regist:. #i= Eo ~ C!) '3 ~ ~t.., ~ ~
Sismature Ft=. t::., b~>~" City License Registration f ~, C)
............................*.....**....~*
BUILDER
Signature tr)<2.-;
PUDKBER
Jl COIIPAIIY C. ~ ~ 0-."- N<<. "'- '>-
(). St:ate Cerl:. or Regist:. #i=
a' " ~____ City License Registration I
....~.....................***........*..**
~~c...
\~~
,,,' )
Signature }<______
Ii
KECHAlfiCAL
Signat:ur~ ~ ~
COI!tPANY))'\..0)\.t.l~ ~ S ~\ \).~ ~
State Cert. or Regist. I
City License Registration ,
......*..*..*.*.*.....*.*.*......*.**.~**.
011IER
Signature
CO!IPABY
S~ate Cert. or Regist. #i=
City License Registration I
**...........*...........*..**..*******...
.
APPLICATION APPROVFJ) BY
/1atu'1'-~ pV)A1b,9'
PERIIlT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlitlay be subject to "deed restrictions" which ,lay be lore restrictive 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 contr~ctor or contractors to undertak~ w~rk, they ~ay be required to be licensed in accordance with
state and local regulations. If thl!'~d'\'lttactor is noLlicenSl:!1l as required by law, both the owner and contractor laY be
cited for a lisdeleanor violation under state IaN. If the owner Dr 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, 18131
7BB-bbi1.
Furtherlore, if the owner has hired a ~Qntractor or contract(\r~, he is advised to hav2 the contractor(sl sign portions of the
"Contractor Sections" of this application for which they will h: resp~nsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contr~ctDr, are respon~ilJ~ for the work. If the contractor wish2s you to sign
as contractor that lay be an indication that he is not properly l;'(en~ed and is not entitled to perlitting privileges in-the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~.
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~eownerJs Protection
Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the 'applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docuaent and promise in good faith to deliver it to the
"owner" prior to cOlaencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cop.pliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that ~11 work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land ~eveloplent regulatiQ'ns in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Denartlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environl'entally Sensitive Lands,
Water/Wastewater Treatment
f Southwest Florida Water ManaQe.ent District - Wells, Cypres~ Qayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Denarteent of Health ~ Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestrs abatp.lent
J i'l<;n r:~rtify that! if fill ~atp.rial is to ,-' lI<;ed in Flond 2t'r~ "fl" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating ,volute" Mill he sublitted whic~ is crepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A pertit 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 perlit prevent the Building Official frot thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such per.it is cO'I~nced within six lonths of issuance, Dr if work authorized by the permit is
suspehded Dr abandoned for a peri9d of six eonths ui'ter the tile the work is cOlienced. One 90 day extension of tile, lay be
allowed for the pertit with fee c;,arge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection aust be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM~NCEME~T MAY RESULT IN YOUR PAYING TWICE FOP. IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBlAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECCRD!N~ YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
5J,NATUI1E. _ OR IlGEHr-- ~~ c~
STATE OF F
COUNTY OF
The fc,r
before
was acknowledged
~ 19~ by
acknowledged
~ 19..i.d. by
)
STATE OF FLORIDA
COUNTY OF (J J.4---<:-.o
,
The foregoing instrument
befcol-e me thisjtJ-"717'z-
wh
whu has
/) /) /J~-
Ie-- ,C rj)-'A/l/Y7AD~>
who is personally known to me Dr who has
produced ~~--
as iden ification
take qoat~,~ _~..-'
(Signature) . .
G {G{l;C ,'e (C) Lue--N S
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
an~t)ICo . d_id!di~
a~-<:/<e~J'.~
.
liO t
and
. i d / did neo t
h. r
1,/l..t2.-&---0
(Si9, ~~,ure) ~O
_ _..k........ r tL t:.' e c_ Lu-e.. A/8
~Naw.e Typed, P.inted or Stamped)
tlOT AR'f PllBL 1 C
~. ....~";' n7
" r:'>:':aA.
,_..,;'!)4.
"'"' ...; . y .i~l'rERS.
CGT:,~: ;~...'-",......:~_.,
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....~, .\'.l~r.ERS.
J t'tV\l\ES ~ 0c'iL\~ ~f'\.o'r..)io\i.fL
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_____.___ CDr-!~~(-r::\ Qcl_f~s
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1.:::C'tr'CF'p,(,T(,f: '~f:
NAME: ROBERT EURNETTE
ADDR= 581 16TH ST
C: ," ::.:~ -r ~ Z 1'1 ILl.. ::~;
IU\::: t~'E~:,:uur\CE 2(:,9:::;:13
CENT F: Pi i.. F' E fi: 1~1 I
PASCO COUNTy, FLORIDA
1 1 I N G DATE: 03!29/~3
F-'(.:'iCiE: 1 OF 1
1 :;:;::3UE elF! I CEo ~ [!
RECEIPT NUMBR. 00168451
OFFICE: DADE CITY
11-26-21-0010-07400-0150
C:HECI< :# 2110
114
TCtTf4L ?~MOU!'n ':
COMPNY ACCOUNT CENTER
B450 - 363000 - 2
:::~'7 ,. t~t~i
(:IC:C:I~~T
37 . 9~.
?~!'1OUNT
F';::C:E.I '..,iE.i) E.'Y
~;~~"-._ _ L~ L :_i~ ~ i.._,__ .1~bi 2'):~~~.:.. __ .,.._ _ _. _ __
DESCRIPTION'PERMT DATA DRieR
****** 60
PASCO COUNTY, FLORIDA
Permit #
Date
Name/Owner
County Parcel #
Location
Classification / Type of Use
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft. / Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of
County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
Gross Sq. Ft. (GSF)
Rate / ERU = 50.00 x 0.96'" / Year
or$0.1315/Day
ERU Assign #
Assessment = (# Units) x ($0.1315)
x (# Days)
Assessment =
!Q.Sfl x (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
TOTAL FEE $
"'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.
TIIE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
OFFICE USE ONLY
------------------------~-----------------------------------------------~.~----------------------------.._----------------------.----------------------------------..
./~i'
lRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
'~ DATE
DATE
BY
BY
,.,.
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp
I'