HomeMy WebLinkAbout92-2735
BUILDING PERMIT
-'"
(p:J.
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
~O-
PLUMBING
Permit
N<l
2735 !J
'p;JJ'~
BUilDING
Date
/ (J ':3c;,- 9';L
$1-
MECHANICAL
PmpertyOwne, ~ r!::t~::~~ Q-
Job Address: 6'....5-.s V ~ ./I
Parcell.D. # ~ -:l~ -~/- t) /.aO - 0000'0 - IJ /90
~ 0
Water Meter:
T,I.F.'s:
4 :l7f' ~
_~50'
Ih~'
-
Sewer Conn
Water Conn:
Description of Work
Zoning:
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Signatur
Company
Address
Telephone#
Valuation or ....:J ~ ' . ~
Contract Price t, a/)?
City License Registration # ...~ / q
S Certified license# e.l2.tOI070
.
MECHANICA[1fL I)
SlB /1.... 2-D ",q Z. ~i /J- Breakers
Tub Set ~ -)J~q3 LI.L. Ducts Insl. },ZCJ -93 BtJr
Water //.... ZD4z... SiJ/-- Compressor
Sewer Final
Final
BUilDING ElECTRICA~ '0
Ftr. JJ-~-qd. (31Jl. Tp. Servo
Pre SLB I~ ~ b - f~ Rough In ~ -.:! -q 3 &ll:
lintel /2.r - q 2. - Meter Can 10 - -go .-9 f1- 15~
FRM. 2- - J <j-, ~ ~iL Const. Pole
Insul. CL Pool
Wl Z-'-/7~3 ~ Pre-Meter S-'2..Vi3 5~
/' 1/ /1L1 Final
Driveway V3-:2I('Jj 3.Kc> ~ 11"It:> /f 2- .9 ~
r; ~~~'t if---
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: . ~
a. Wrong Address uJ I 11. t~ us, ..c j-
b. Condemned work resulting from faulty construction. / ()- 30' 7
c. Repairs or corrections not made when inspection called.
d. Wor~ not ready for in~pec~ion when called. /J .., / '1- 9Y'
e. Permit not posted on Job site. ,{J or c;:>(-
f. Plans not at job site. /-
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
FORM 900-A-91
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
Climate Zones
CENTRAL.@ 5 6
OWNER\2-
NEW CONSTRUCTION B
ADDITION D
MULTIFAMILY ATTACHED D
SINGLE-FAMILY DETACHED k3
U~~'E.~~
IF MULTIFAMILY, NUMBER OF CONDITIONED ~ SQ,
UNITS COJERED BY [[[] FLOOR AREA ~ FT
THIS SUBMITTAL PREDOMINANT [TI] rn
EAVE OVERHANG \
CHECK IF THIS SUBMITTAL LENGTH . FT
REPRESENTS A WO~ASE PORCH OJERHANG IR W
CONDITION r:s- LENGTH L12I. Lill FT
CLIMATE r;--'l~D D
ZONE: 4~5 6
JUR.ISDICTION ~I t 6 b
NO.. ~
PROJECT NAME
AND ADDRESS:
GLASS AREA AND TYPE
CLEAR TINT,FllM,SOLAR SCREEN
SINGLE- ~ SQ, SINGLE- [[IJJ SQ,
PANE ~ FT. PANE FT
DOUBLE- [[IJJ SQ DOUBLE- [[IJJ SQ,
PANE FT PANE FT
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R - EXTERIOR FRAME R = EXTERIOR STEEL R = EXTERIOR LOG R -
~W rn.[a [[[[[] SO, rn [[[[[] SO rn [[[[[] SO, rn
FT FT FT
ADJACENT MASONRY R - ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R =
[[[[[] SO, rn.o ~SO [ffi] [[[[[] SO rn [[[[[] SO, rn
Fl FT FT FT
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R= SINGLE ASSEMBLY R =:A. SLAB PERIMETER R =d RAISED WD D CON D R=
~~~ Lalli [[[[[]SQ, rn CJIEill] FT [ill [[[[[]SQ, rn
FT FT.
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS
IN [2}CENTRAL o ELECTRIC STRIP ~EAT '0 CEILING FANS ~ ELECTRIC SOLAR: o.rn
UNCONDITIONED
SPACE R = o ROOM o NATURAL GAS PUMP o CROSS VENTILATION o NATURAL GAS SJ, =
HEAT RECOVERY (CHECK( D
DQ.0 o PACKAGE TERMINAL o ROOM UNIT OR o OTHER o WHOLE HOUSE FAN o OTHER FUELS
FUELS DEDICATED 0
IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL o NONE o ATTIC RADIANT o NONE HEAT PUMP: .rn
o NONE HEAT PUMP
SPACE R = BARRIER E,F. =
rn.D SEER/EER = rn.0 COP/HSPFI [3].50 o MULTIZONE EF= .~ NUMBER OF ~
AFUE = BEDROOMS =
INFIL TRA TION ~ ~ Lffi.~
PRACTICE USED X 100 =
D #1 D #2 D #3 TOTAL AS.BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
PREPARED BY:
n are in compliance with the
DATE:tCJ-~1-'1 .
Review of plans and specifications covered by this calculation indicates compliance with
the Florida Energy Code, Before constructi is completed, this building will be inspected
for compliance in accordance ect' 3,908, F.S,
I hereby certify that
OWNER AGENT:
DATE:
BUILDING OFFICIAL:
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)
or cutoff (cas) must be orovided, External or built-in heat trap required, V-
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 gallons per minute at 80 PSIG, ...-
HVAC DUCT 904,6 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
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
HVAC CONTROLS 904,7 Separate readily accessible manual or automatic thermostat for each system, V-
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 ~, 5 -6
t-= I BASE I BASE t-= I SINGLE-PANE I DOUBLE-PANE I SUMMER ! AS.BUI~ 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. PTs..
N 3~ 47,8 '\'Z{l? N 3'6 51,0 51,5 47,8 43,5 I 1~:S ~
NE 71,7 NE 77.2 76,6 71,7 63.4
E 3..-, 102,0 3'1'lU rL- .3::L 109,2 107,1 102,0 87,3 t LiC'llJ2'\
SE 104,1 SE 112,9 110,3 104,1 89.4
S \~ 90,9 I":O! I. 'llo. S \> 100,2 98,3 90,9 78,8 , I ~ C') :3>
SW 104,1 SW 112,9 110,3 104,1 89.4
W ~\.9 102,0 L\l,.,q~ W 41... 109,2 107,1 102,0 87,3 I C; C)d.~
NW 71,7 NW 77.2 76,6 71,7 63.4
H' 90,9 H' 367,7 303,3 324.6 238,1
~ '7<\J \~C\, (\) X J (,., 'b e. 04 \C\<>t,"l- .t..\~ 3~~~
CIl
CIl
ct
...J
C)
, ,
I CONDo I TOTAL I BASE I BASE I ADJUSTED AS-BUlL T
.15 x FLOOR '1 GLASS I ADJUST. x GLASS = GLASS GLASS
I AREA AREA FACTOR I SUBTOTAL I BASE SP SUBTOTAL
,15 1 Hn";{C'\ 1 ~~~ I, ILl ~ () on::s 1 -;;13/ C'~ Ih~5 1
,
COMPONENT ~ BASE SUMMER ~ BASE COMPONENT I SUMMER I AS-BUILT
AREA SUMMER AREA x POINT MULT. = SUMMER
DESCRIPTION POINT MULT. POINTS DESCRIPTION (9C THRU 9G) POINTS
EXTERIOR \L\l'\'\~ 1,0 \L\\'\~ c~, ~ ~ \'{~~ , I \.\- C'l "t
...J ADJACENT \ '1 II"} '~0 .. '" ~ wt:> \ '\.6 . '1 \;;l..,~
...J ,7
ct
;: -.
rn EXTERIOR
g ADJACENT
Q
4,8
1.6
,
~l
LI
IIE.~' ,sT
. 1\ t\v 3.-.
~\
,
~l
:L\
~ ' }'
" to
,
I ~o~
,
C) UNDER ATTIC \u"'h.~ ,6 \ ('l) t'I 1S' CL ~ \\..-- II.~ t:) . L I 1'fJ I""
z OR SINGLE ,6
:::i I I
iii ASSEMBLY ,6
<.J BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS.BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE,
,
SLAB (PERIMETER) \\,,\ X -31,8 C.::t C1 \.0 ~ ( l'\ "'!. ? , Il4: ~ -31."1 -(<':)~l(,....,
a: RAISED (AREA)
0 - 3.43
0
...J
IL FOR SLAB-ON-GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR, FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE,
,
,
INFILTRATION
10,9
SLf:\~
USE TOTAL FLOOR AREA OF CONDITIONED SPACE,
TOTAL COMPONENT BASE SUMMER POINTS
l--
TOTAL BASE
x SUMMER
POINTS
sol8~
I ~<::l '-\~ s:- I I
TOTAL COMPONENT AS.BUIL T SUMMER POINTS
,
TOTAL
AS.BUIL T x x x
SUM. PTS.
3focxo/
,
~(t"lD(", '7
NUMBER I BASE I BASE
HOT OF x HOT WATER = HOT WATER
WATER BEDROOMS MULTIPLIER POINTS
SYSTEM O~ 3527 \ \:C> lS I
AS.BUIL T
HOT WATER
SYSTEM DESC.
~Lt:c:.. 0
COOLING
SYSTEM
BASE COOLING
SYSTEM
MULTIPLIER
,42
.37
BASE
= COOLING
POINTS
I~ lr;~ I
1991
1992
I
'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 POINT MULTIPLIERS (WPM)
98 WINTER OVERHANG FACTORS (WOF)
CLIMATE ZONES 45.6
~ OH RATIO 1.0-,11 ,12-,17 ,18-.26 I ,27-,35 ,36-.46 .47 -,57 .58- .70 I .71-,83 1,84-1,18 1,19-1.72 1,73-2.73 2.74+
1 SINGLE PANE GLASS
I N 1.0 1,03 1,05 .1,08 1,10 113 1.15 118 1.20 1,24 1.29 1.34
1
1 NE/NW 1,0 1,07 1,10 115 1.20 1.25 1.30 1,35 1.39 1,50 1.59 1.67
I
I E/W 1,0 .71 ,57 ,19 -,20 -,65 -1,05 -1.48 -203 -3.01 -4,06 -5,04
1
>-1 SElSW 1,0 ,93 ,90 ,80 ,68 ,54 ,39 ,22 ,05 -,33 -.71 -1.01
CDI S 1,0 ,95 ,92 ,83 .70 ,54 .36 ,13 -,13 -,70 -,98 -109
1-0::
:J:lo DOUBLE PANE GLASS
uJl
enl N 1,0 1.05 1,07 1,11 1,14 1,18 1,21 1,24 1.28 1,34 1.40 1.47
1
1 NE/NW 1,0 1,11 1,16 1,24 1.32 1.41 1.48 1,56 1,63 1,80 1,94 2,08
1 E/W 1,0 ,88 ,82 ,66 ,50 .31 ,15 -,03 -.26 -,66 -1.10 -1.50
1
1 SE/SW 1.0 ,95 ,92 ,85 .76 ,65 ,54 .41 .28 -,01 -,30 -,52
1
1 S 1.0 ,96 ,94 ,87 .78 ,65 ,51 ,33 ,13 -.30 -,51 -,60
~ OH LENGTH' o It. 1 It. 11f21t. 2 It. 3 It. 3Y2 It. 41f2 It 51f2 It. 6Y2 It. 9Y2 It. 14 ft. 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 6,8 5,3 9.4 67
7.10,9 2,5 21 4.4 33
11 ,12,9 2,0 1.8 3,3 2,6
13 -18,9 1,8 1.6 3,0 24
19 - 25,9 1.1 1,0 2,6 2,2
26 & U .7 7 1,4 1.2
90 DOOR WINTER POINT MULTIPLIERS (WPM)
DOOR TYPE EXTERIOR ADJACENT
WOOD 7,6 5,9
INSULATED 5,1 40
9F FLOOR WINTER POINT MULTIPLIERS (WPM)
01
CONCRETE BLOCKl
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 2,0
2,3 1.5 1,5
1.5 1.1 ,8
,8 7
55
FACE BRICK
R.YALUE WOOD FR
O. 6,9 7,0
7,10,9 21
11 ,18,9 1.7
19 ' 25,9 1.0
26 & Up ,6
R~ALUE BLOCK
o . 2,9 3.7
3 . 6,9 2,6
7,9,9 1.8
10 & Up 13
LOG
6 INCH
R.YALUE
0.2,9
3 - 6,9
7 & Up
8 INCH
R.YALUE
0,2,9
3,6,9
7 & Up
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 1,8
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 INSULATION CONCRETE POST OR PIER 1 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 O. 6,9 7,9 5,3
3 - 4,9 1.7 3 - 4,9 1.8 7 - 10,9 21 I .7 I 21
5 - 6,9 - 2.4 5 - 6,9 1.1 11 .18,9 1.5 I ,5 I 1,8
7 & Un - 2.7 7 R. Un .8 19 & Up ,9 I ,3 I 1.0
9G INFILTRATION WINTER POINT MULTIPLIERS (WPM)
INFILTRATION PRACTICl: 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 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,
.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+
I N 1.0 ,94 ,91 ,87 ,83 ,79 ,75 .72 ,69 ,62 ,56 ,50
>-1
001 NElNW 1,0 ,94 ,91 ,85 .79 .72 ,68 ,63 ,58 .50 .40 ,36
~~ ElW 1,0 ,95 ,92 ,85 .78 ,70 ,64 ,58 ,52 .42 .33 ,26
uJI SElSW 1,0 ,93 ,90 ,81 ,72 ,62 ,55 .49 .42 .33 ,27 ,22
"'I
I S 1.0 ,91 ,87 ,77 ,67 ,57 ,50 .45 .39 ,32 ,28 ,25
~ OH LENGTH' o It, 1 It, 1Y2 It. 2 It. 3 It. 3112 It. 4112 It. 5Y2 It. 6112 It. 9Y2 It. 14 It, 20 It. +
* To select by Overhang Len9th, no part 01 glass shall be more than 8 It. below the overhang.
OVERHANG RATIO = OH LENGTH
OH HEIGHT
r~L
H
j
9C WALL SUMMER POINT MULTIPLIERS (SPM)
01
FRAME CONCRETE BLOCK' FACE BRICK
WOOD STEEL INT. INSULATION EXT. INSUL. R.VALU E WOOD FR LOG
R.YALUE EXT ADJ EXT ADJ NORMAL WT. NOR. WT. O. 6,9 2,9 6 INCH
O. 6,9 6,4 2,2 8,9 2,9 R.VALUE EXT ADJ EXT 7.10,9 ,6 R.VALUE EXT
7 - 10,9 2,3 ,8 4,1 1.3 0, 2,9 2,5 ,9 2,5 11.18,9 .4 O. 2,9 1.7
11.12.9 1.9 ,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 0,9 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.VALUE BLOCK 8 INCH
26 & Uo ,6 ,2 1,3 0.4 11 .18,9 .4 ,3 ,0 O. 2,9 10 R.VALUE EXT
19.25.9 .2 .2 _ 3 - 6,9 ,6 0-2,9 1,0
26 & Up ,1 ,1 )' :',:"" "J 7 - 9,9 .4 3.6,9 ,8
~fi&ti~..i$.~~~i;~~:i=~MJ:t~1 :mtWJlj:~t~i{J ~tt%1MI .~;::. ';>> x:t@fD@: 10 & Up ,2 7 & UP .7
9D DOOR SUMMER POINT MULTIPLIERS (SPM)
DOOR TYPE EXTERIOR ADJACENT
WOOD 7,2 2.4
INSULATED 4,8 16
9F FLOOR 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 2 &U 1,1
CONCRETE DECK ROOF
CEILING TYPE
DROPPED EXPOSED
3,0 3,3
2,0 2,1
1,4 1,3
SLAB.ON-GRADE RAISED RAISED WOOD~
EDGE INSULATION CONCRETE POST OR PIER STEM WALL WI UNDER I
R.VALUE SPM R.VALUE SPM CONSTRUCTION FLOOR INSULATION ADJACENT
R.VALUE 5PM 5PM I Spy
0.2.9 31.9 0.2,9 1,0 O. 6,9 ,9 5,3
3.4,9 -31,8 3.4,9 -1.7 7.10,9 -11 -2,8 I 2,1
5.6,9 -31,7 5.6,9 -1,7 11.18,9 10 -22 I 18
7 & Uo ,31.6 7 & Uo 1,7 19 & Up - ,9 -18 I 10
9G INFILTRATION SUMMER POINT MULTIPLIERS (SPM)
INFIL TRA TION PRACTICE SPM
(See Table 9P)
PRACTICE # 1 13,8
PRACTICE # 2 10,9
PRACTICE # 3 7,6
9H DUCT MULTIPLIERS (DM)
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
, 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.
WINTER CALCuLATIONS
CLIMATE ZONES 4 5 6
.~ . GLASS leASE WINTERI BASE 1-', I SINGLE-PANE OR DOUBLE-PANE I WINTER I AS. BUlL T
z GLASS )( WINTER POINT MULl WINTER POINT MULT. )( OVERHANG = GLASS
w )( POINT = WINTER w
'cr AREA MULTIPLIER cr AREA TINT' CLEAR TINT' FACTOR (9B) WIN. PTS.
0 POINTS 0 CLEAR
N 3Y 5,6 a\"?' N 3'l!' 9,6 9,6 5,6 6,1 , "2.JloS'
NE 3,5 NE 7.4 7,3 3,5 4.2
E 3~ 7 - 5,6 -~~'l. E 3~ 2,2 2.0 5,6 - 3,6 , -k I
SE -13.4 SE 10,3 - 9,7 -13.4 -10.4
S , '<: -14.0 -a \(0') S ,~ 10,9 10,2 -14,0 -11,0 I - Ito::'>,
SW -13.4 SW 10,3 9,7 13.4 -10.4
W 4<0 - 5,6 -"dS''X W 4/,,", 2,2 2,0 5.6 - 3,6 I ~ 10\ I
NW 3.5 NW 7.4 7,3 3,5 4,2
H' -14,0 H' 32,1 28,0 -27,0 -21,5
en IF "'i'1....\ -.:; .1.. -l-l'10 E ~4 'd.'~ -3,C!>1 SSb
en
c(
-I
CJ
,
.15 ~ CONDo I TOTAL I BASE I BASE I ADJUSTED AS.BUIL T
FLOOR GLASS = ADJUST )( GLASS = GLASS GLASS
I AREA I AREA I FACTOR I SUBTOTAL I BASE WP SUBTOTAL
,15 I \toj. ~ I "rl.~ f''' I, ILl -'13 :l-- I ... \ (\(A ~ -S.3L-,
. ,
~ BASE WINTER ~ BASE COMPONENT I WINTER I AS-BUILT
COMPONENT AREA WINTER AREA )( POINT MULT, = WINTER
DESCRIPTION POINT MULl POINTS DESCRIPTION (9C THRU 9G) POINTS
EXTERIOR \\.\~'t 1,1 I S~ '-'I I ~ ~'<.- , C' ';~ \ ~ ,,",,( a,q ~~ "( ~
-I ADJACENT \'1 to 1,8 3~~ i'Y;;0; w t" "1 b (tV 3\TJ
-I
c(
~
~ERIOR
g ADJACENT
c
5,1
4,0
11~t:~
.s,
J:'i.,\",
~\
';>..., ,
it. I
,0.)
,
I i~'1
,
d-,'
.:1...1
CJ
z
:::i
W
o
UNDER ATTIC ,6
OR SINGLE ,6
,ASSEMBLY ,6
BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS-BUilT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE,
, / ,
a:: SLAB (PERIMETER) ''1'7S' - 1,9 ~"""I- ';L P \ "'\ l, ~,S L.f q s:-
O RAISED (AREA) - ,2
0
-I
IL
FOR SLAB-aN-GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE,
INFILTRATION
4,1
I I
TOTAL COMPONENT AS.BUILT WINTER POINTS
,
TOTAL
AS.BUIL T)( )( )(
WIN. PTS.
\(Q\
,
\\o\~~
AS-BUILT
= HEATING
POINTS
<O\j)~
TOTAL COMPONENT BASE WINTER POINT:
BASE HEATING TOTAL BASE
HEATING SYSTEM)( WINTER
SYSTEM MULTIPLIER POINTS
BASE
= HEATING
POINTS
3lo 0
~rj5~
'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 B,9. 9,39 9.4 . 9,B9
Pump Units HSM ,53 ,50 ,49 .46 ,43 .41 ,3B ,36
HSPF 9,9 - 10,39 10,4.10,B9 10,9.11,39 11.4.11,B9 11,9 -12,39 12,4 & Up
HSM ,34 ,33 ,31 ,30 ,29 ,2B
PTHP COP 2,6. 2,69 2,7, 2,B9 2,9.3,09 3,10.3,29 3,30 - 3.49 3,50 ' 3,69 3,70.3,B9 3,90.4,19
HSM ,3B ,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,B HSPF, Water Source 3,B COP, Ground Water Source 3.4 COP, PTHP 2,7 COP,
HSPF means Heatino Seasonal Performance Factor, COP means Coefficient of Performance,
9J HEATING CREDIT MULTIPLIERS IHCMI
SYSTEM TYPE HEATING CREDIT MULTIPLIERS
Attic Radiant Barrier HCM ,98
Multizone HCM ,90
Natu ral Gas AFUE ,68 ' .72 ,73 - .77 .7B ' ,82 83, ,B7 ,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, 8,0, B,5 - B9. 9,5, 10,0. 10.5 ' 110 - 115. 12,0 -
CENTRAL UNITS 7,9 8.4 B,B 9.4 9,9 10.4 10.9 11.4 119 12.4
(SEER) CSM .45 .43 .40 ,3B .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 8,9 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 Enerav Efficiencv Ratio, SEER means Seasonal Energy Efficiency Ratio,
9L COOLING CREDIT MULTIPLIERS ICCM)
SYSTEM TYPE COOLING CREDIT MULTIPLIERS ICCM)
CeilinQ Fans ,B6
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 naae 2,
9M HOT WATER MULTIPLIERS HWM)
SYSTEM TYPE HOT WATER MULTIPLIERS
Electric EF ,80. ,B1 I ,B2. ,B3 I ,B4 - ,B5 I ,B6. ,87 I ,BB. ,90 I ,91, ,93 I ,94. ,96 I ,97 & UP
Resistance HWM 3B79 I 37B5 T 3695 I 3609 I 3527 I 3411 I 3302 T 3200
EF .43 . .47 .48 - .49 ,50 - ,51 ,52. ,53 ,54. ,55 ,56 - ,57 ,5B -59 ,60 - ,61 ,62 - ,63 ,64, ,65 ,66 & Ua
Natural Gas HWM 2664 2386 2291 2203 2121 2045 1975 1909 1B47 1790 1735
Other Fuels HWM 1B45 2059 2145 2231 2317 2234 2157 2085 2018 1955 1895
Water heaters must comply with minimum efficiences in Table 9-7A of the Florida Energy Code, EF means Energy Factor,
9N HOT WATER CREDIT MULTIPLIERS HWCMI
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 1 10
HWCM ,9 I ,8 I .7 I ,6 I ,5 .4 I ,3 I 2 I ,1 T ,0
Heat Recovery Unit With Air-conditioner Heat Pump
HWCM ,62 ,58
Dedicated Heat Pump EF 2,0 . 2.49 T 2,5 - 2,99 3,0 . 3.49 I 3,5 & UP
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 ISee Secllon 903.21fl1
COMPONENTS REQUIREMENTS FOR EACH PRACTICE CHECK
PRACTICE #1 COMPLY WITH ALL INFilTRATION PRESCRIPT/VES ON TABLE 9A,
PRACTICE #2 COMPLY WITH PRACTICE #1 AND THE FOLLOWING:
Exterior Walls and Floors Top plate penetrations sealed, Infiltration barrier installed, Sole olateJfloor ioint caulked or sealed,
Exterior Walls & CeilinQs Penetrations, ioints and cracks on interior surface caulked, sealed or oasketed,
Ductwork Ductwork in unconditioned soace must be sealed,
Fireplaces Equipped with outside combustion air, doors, and flue damoers,
Exhaust Fans Equipped with dampers, Combustion devices see 903.2(f),
PRACTICE #3 COMPLY WITH PRACTICES #1 AND #2 AND THE FOllOWING:
Ceilinas Infiltration barrier installed,
Interior Walls Top plate penetrations sealed or ioints & cracks on interior walls caulked, sealed or Qasketed,
Recessed Liohts Sealed from conditioned soace & 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,
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APPI..yrATI05 roil: PERm'T
CITY C!!' 'ZP~' lf~:'
!:"-r~'~',i,: ~ iltiJ:".AR'I1!IDiT
OWNER · S
NAKE (~ ~ <::- ,
B\)R~_~ \: '\t PHONE ~~~ - \0 ~ C\'1J
'"2:- - ~ \~
<3', t) ?'
OWNER'S ADDRESS Sq, ~-D
JOB ADDRESS~\ to ~S ~ ~ \ \.....'0 'f:. \C
LEGAL DESCRIPTION: UJI'(S) Vi is
PARCEL I. D. # "3 -~ Co. - cl.. ,
BL.OCK
6 ~ \.~~~ \:), ~
StmDIVISI05 5 \LU'E ~ ~ ~ ~ ~
C>~E)O~ .-~\ C\.l)
C)\~D
WORK PROPOSED~!8fev Construction ~tiOllL _Alt.eration' _Repair _Install
_Sign
_lIIove
_DeIIolish
PROPOSED USE: ~sing1e Faaily
_H/F
_, of Units
_K/H
_~rcial
_Indust.
_Swi..a. Pool
Other
_Restaurant & Healt:h Depart:aen.t Approval
q
\
BUILDING SIZE: 5 c) xS6. t l/6 G ~\ \. )
Square Feet.
Height
RESIDENTIAL:
COI!tKER.CIAL :
ATTACH (2) PLOI' PLARS & (2) SETS OF BUILDUiG PLUS & (1) SET ENERGY FORKS. u
ATTACH (3) SETS OF BUILDUG PLARS & (1) SET ElMERGY FORKS.........
....*COFY OF CONI'RACT ~lJlIRED.
/BUILDING
~ELECTRICAL
I/'"
_KECllAlUCAL
/
V PLUMBING
PEKKITS REQUESTED
$ S S ~ ~ ~ ~ ~ 0'0 Valuation of Total Construct.ion
, S <:J AKP Service V' Florida Power Corp.
W.R.E.C.
$ otS~\:)
Valuation of Mechanical Installation
GAS
V"Block
ROOFniG
.
SPECIALTY
TYPE OF CONSTRUCTION:
_~ _Steel
Other
v--
FILnSBED FLOOR ELEVATIONS: FT .
IS PROJECT IN FLOOD ZONE AREA?
YES NO
*....*******************************....*******....
COJ/iI'I'RACIOR SECTION
BUIIDER ~ WllPANY l> \:)..:; " ~
~ State Cert. or Regist. #
Signat.ure - C..> Cit:y License Regist.ration
**** **********************....*************....
o~.
ELECTRICIAN F ~ E. COlIPANY t E..-E.. 'E.. L..t:. ~ L \ ~
..\l4-.1l '.1 -~ State Cert:. or Regist:. t'.I:; ~ C'\ ~C'I l.\.\c. ~~
Sism::lltur~~'~ City License Registration t 'b' C\
******************************************
p
CO!IPARY Q, t\ ~ ~ ~<:;,. i:- ~ 9 '-~ ce..-
State Cert. or Regist. j
City License Regist.ration '. \d-.~
***************************************....**
., CO!IP~~ L() ~ ~ S ~. \ us::. y
r. . "~ State Cert. or Regist. .
(r' ~ City License Regist.ration I /CJ 7
-r ** * ***********ii:-:i:**************....*******.... "
Si
KEaIAlUCAL
Signat:ure~:~j ~
CO'IIPMiIY
State Cert. or Regist. t
Ci~ License Registrat.ion ,
*********....~*~.***~ *************............*........*....
~!1&~
.
01'1IER
Sign::Jt.-ure _
APPLICATION APIROVED BY
)'ERKIY {1f'FTCK::~.
CONDITIONS OF PERMIT AFFIDAVI~
A. NOTICE OF DEED RESTRICTIONS
'ihe undersigned understands that this perlitlay be -subjed t~ "diC' ?'leSt: i.r.tiens" which IIilY be lore restrictiv:I'than'Ci.;l;v
regulations. The undersigned assules re5por.~i!:;~iity for cOlplii.mce liit~,ny appiic:ille d.!ed restrictions. ,', .'
B. UNLICENSED COI~TRACTORS AND CONTRP~TOR RESPONS~DILITIES
If the Ollller has hired il contractor Dr contracbrs to undertakc- "r,r~: i they- may be ~~-Qt,', reTt';;'b-;iicensed in aCCl'rdance wi ih
state and local regulations. If the contracto' :5 not licensl!.i a~ required by lall, beet the own~r and contractor lay be
cited for a lisdeleanor violation under state ~aN. If the owner or intended contrQc~or are uncertain as to what licensing
requirements lay apply for the intended work, they are ad~ised to contact the City of Zephyrhills Building Department, (813)
788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have 'the contractor Is) sign portions of the
"Contractor Sections" of this application for which they Mill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. ,If the contractor IIi shes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in'the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE2,
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 - Homeollner's Protection
Guide" prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"oMner", I certify that I have obtained a copy of the above described document and piolise in good faith to deliver it to the
"owner" prior to cOllencement.
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 compliance with all
applicable laMS regulating construction, zoning, and land developlent.
Application is hereby made to obtain a permit to do 1I0rk and installation as indicated. I. certify that no 1I0rk or
installation has comlenced prior to issuance ~f a permit and that all work will be perfor.ed to teet standards of all laws
regulating construction, City codes, zoning reJulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I must take to be in cOlpliance. Such agencies include but are not lilited to:
I Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetlafid Areas and Environlentally Sensitive Lands,
Water/WasteMater Treat.ent
t SouthMest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Army Corps of EnQineers - Seawalls, Docks, Navigable Waterllays
t Departlent of Health & Rehabilitative Services, Environlent"l Health Unit - Wells, Wastewater Treatment, Septic Tanks
I US Environmental Protection AQency - Asbestos abate.ent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is' understood that a drainage plan
addressing a "colpensating volu.e" lIill be submitted whic~ is prepared by a professional engineer registered in the State of
Florida prior to permit 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,perlit issued shall becole invalid
unless the 1I0rk authorized by such permit is cOlmenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six eonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be
alloMed for the perlit Hith fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each six lonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CoKKENCEKENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMKENCEKEHT".
~-
SIGNATURE:
was acknowledged
, 19 ~ by
STATE OF FLORIDA
COUNTY Of Pasco
The foregoing instrument
before me this 10-27-
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument
before me this 10-27-
was acknowledged
, 1 9 --92...- by
R.C. Burnette
who is personally known to me or who has
produced Drivers License
as ijEdetification and who did/did nc,.t
take ath.. /f)' J
a--e-R_ \Z.~ t..l/-d ~~4..
(Signature)
Gracie Owens
R.C. Burnette
who is personally ~nown to me or who has
produced Drivers LiCPTIRP
as iden fication and who did/did not
take a ath.
c
-e '
-~--
...../2..--
(Signatw-e)
Gracie Owens
(Name Typed, Pririted or Stamped)
NOTARY PUBL It;lO'<'A;:' ._, ~",:; "'-""':\
MY ELL-uS; r ;GV~4:'1994.
IOlW.IW UlRl.I NOrAIU' l'UIJUC UNDERWlUTEB.io
(Name Typed, Printed or Stamped)
NOT A~:Y PUBL Ie
NOT_Af~~/ ~~U01,l:{,:, Sl'/"""~_-::-~', :'''~~:7._ ii'Ln~~;A.
MY COiV'IMISSION EX_?_:F~':~~~: ! :c-Y. 4, ~ ~F9,~,"
lJON!:>"!) TlUlIJ NOTAl'''' PI"'FC UNDERWRllERS.
MAP SHOWING SURVEY OF
1 parcel of l.nd bein9 the Morth 25 f..t of Lot 19 .nd the South to f..t of Lot 20, ..
shown on the pl.t of .ilver Oak. 'ha.. OD., .. r.corded in 'lat Book 2', 'a9.. t, through
49 inclu.iv., of the 'ub1ic a.cord. of 'a.co County, Florida,
Containing .,t50 .quar. f..t, aor. or 1....
Subject to . 15 foot l.nd.c.pe and utility ......nt ov.r .nd acro.. the last.rly 15 f..t
of the above de.cribed parcel of land.
......L ..,..
\.01'
'?o
~ Z:-
LOT 16
t.DT '21
. .
~:"."':\ \.,,,,"
11 "arl.,. ."on IIeraOll ar. 1lII... ..
tile lecord Plat, .~.recor'" l~)fl.t
IeH 'lIP , ,....ljl# thr..... 44 '
leelnl".l, of N14 ....Uc ..cec'
21 Ia....nta .hon MnOll .n for
dr. 1...., .tI11tl.. ... ....r.,
onlo.. otllervlN noted ~....
31 IlOTICI: Ther. NY IlII acWltloul
rutr IcUona tllllt .n lICIt recec'"
oa t..l. plat tllat ..)' IlII f~ la
tile '.bUc aecorlS. of NI' CnIlt,
(Florida 'tatat.. 177..tll.
_' ( 5\~\JE.c;2
~ 3!? I
41 TIlle ..rft, w.. .... wltlloat be_flt
of .. abltr.ct or tltl.. Ther.for.,
there c..ld be acWltlOAll ......nta,
covenant. aad r..trlctlo.. or otller
uttore of pabllc record that .., or
.. not dfect thl. reel.
I HEREBY CERTIFY THAT THE lANDS SHOWN HEREON L.IE WITHIN ZONE _.__ AS SHOWN ON F,I,A, FL.OOO HAZARD BOUNDARY MAP
COMMUNITY NO. DATED
NOT VAL.ID UNL.ESS E/..eoSSEO WITH A SURVEYOR'S SEAL.
II1EfIE8Y CERTIFY THAT THE ABOVE LANDS WEllE SUflVEYED UNDER
MY IlIllf'OHaIILE SUPER\/I$ION AND DIRECTION, THAT THEREAAE NO
ENCIlOACHMEHTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN
HEIlEON MEETS THE MINIMUM TECHNICAL STANOARDS SET FORTH BY
THE FLORIDA ICARD OF LAND SUIlVEYOIlS, PUIlSUANT TO SECTION
472.1:117, FLORIDA STATUTES
SIGNED JlD\l 7..2- 19 f?'r
SCALE ( Ir .. ..30'
GBe AS'Uoc:iat..'7.' ,0,
8320 L.unsr Drive, Suite 108
Tampa, Ro\'lda 33119
'81 ~l. 6?,1-O061
ot;)~..~~ ~ ~~ ;,j ..
~1S e.' 't..s~(a: I P.L.S. CERT. NO, ~
LEGEND
. CONCRETE MONUMENT
II-II FENCE
o IRON PIPE SET
. IRON PIPE FOUND
II CROSS CUT
JOB No.
CHK. By
F.B,
P,G.
PASCO COUNTY, FLORIDA
Permit #
d /j'3.S-~
It} - ';10 --9~.>
Date
N..../Owne< C? ~A-t;- C. ~,J./}J.i&
CountyParcel# a -:2.,l, -!:LI- 0/':;0 - (JO~I/D - o/9()
Location tP36-,J.j V~ 6~ Q)A~
Classification /Type of Use ~ .b6 /ai~~12-
TRANSPORTATION IMPACT FEE CALCULATION
Sq. Ft./ Unit
R~
Impact Fee Amount $
The above impact fi established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of
ssioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
/
Gross Sq. FL (GSp)
Rate I 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 $
Lj 3~ f'l
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.
THE 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 RECEIPI'ED 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
TRANSPORTATION REC. #
RESOURCE RECOVERY REC. # ~ 03 'Y/ ()
DATE
DATE ~ -/~-Yj/
:~ .AJ
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp
C':.C;i'< 'rF~~f':1C:-rC)F,: ;,ft ~
i.., ,':::1" ~ Z I-I I L.l..'::
~AME: ROBERT C BURNETTE
~L:I_i~~: ~)354 :~~Ij_\~CR OA~(S :!R
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/-\C:C:j\lT
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PA~;(:O C.:::iL!NT~' FLOF~ID~
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f. (~
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t :.:~,;'.::;1JE: =:;;::.~::. I (:1::.:: ~
RE('EIF"'~' r~~JMBf~ ~)(~:'[:).~:41(:'
;=:Fj~Ij::[:~ [:jAI)E~ -ITY
~:[E~~;(~F~J:~~I I!:lt~!I~ERM1.' ClATA [~R!ICP