HomeMy WebLinkAbout92-2789
BUILDING PERMIT
. tjb/,0() SClJO
~C?rnCT~
CITY OF ZEPHYRHILLS
(813) 788-6611
"'!:'7l.~7) .2$~ tTD
C'PLUM~CMECHANI~
Permit
N<!
2789A
Date / / - / ,,- 9 ~
Sewer Conn ~:J. '/tf"; b'V.
Water Conn: 3..50. on
Property Owner:
Job Address:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL ~.-
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
~
DATE
Inspector
Permit Fee ~-o
Signature J M. R~
Company
Address
Telephone#
Valuation or
Contract Price
~s~~60.tJD
,.
City License Registration # 2113
State Certified License#
r~I?~/J!/1/ufW'n r.Jiu~.J~LI )j/~tG~U JIMh~11 ~ i!N~J~#/IgMWVt
/ .._-.
BUILDING ELECTRICAL /6r PLUMBING ./ tJ '/ MECHANICAL;/ 7
~
Tp. Servo
ough In\L.~.ctL ~.t,.-
Meter Can .;
Const. Pole
Pool D Final
Pre-Meter~ A ta-q3 B~
Final
Water
Sewer
Breakers
Ducts InsI.IZ-$ -1/1-Jj~
Compressor
Final
l'
Driveway
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.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
.g. Work not accessible.
The payment of inspectian fees shall be made before any further permits will be issued to the person owning
same.
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GJLTY O:F ZEH'JIn'nnnlJLS
TIJRJ[IHJj)JLl'~G nUTJI"ARnn!mT
Oh~17.R 'S NAME Cf).. U 5 ~ ~L L m , g FZo Lv "t
mfNER'S ADDRESS 75 40JJ J'1 N G:. Et-.14 COU:l.T
I+-,Oq SJLvEfl... r I f2" zEP~'Yrz4\LLS
t"!\ 0'0 E L )<1.BSD 1-0 T )::::.
LEGAL DESCRIPTION: Hl1r(S) ..:# 3 I BUX:'X .srmnI\'ISTm{
P1iO~m,
1 80 I 5~q._
FL :s ~5q...t
.lOB ADDRP.sS
Z 6 PH 'ff2\{'LL~
FL '3.s~4l
PARCEl. I.D.~
<KEc..OfZD
PLH-T
Reok: 'Z-Ci
CHI4 LFoNT
\J \4&6 g '"3:,
V I LLI4G:6"
liDRK PROPOSED: V 'N.'cw Gmlst:x:wc~:ioJ[l _AtrJlditiou _Alteration _Repair _Install
_Sign
_Hove
_Demolish
PROPOSED USE: VSinglc P'armily
__~_:.3:H p
_!II 0 r Vni 1:s
_!'III!
_C01Tl1li1crci.a1
_Indus t.
c'
_"WIQ.
Po.nl
Other
_Rcst;:mran~: &. Uealt:b Dep.alrltlC!lClllt ,i\pprova.l
"3'( (, f I(
BUILDING SIZE: rr: 8 X 3qq
1'103
Square Peet:,
~ ' 0 (, 14. .EY-lVCS Height
RESIDENTIAL:
COMl1'iERCIAL :
ATTACH (2) PI.OT PLl\NS ;& (2) SEJrS OF mrrI.DH:G l'LAUCS &: 0) SET ENERGY FORNS. **
ATTACH (3) SETS OI?' mrrJUIHrrilG l":rA~S (;: CO SET EW:::t~GY FOlnIS. ~",
Heop), OF CmHRACT nlEQRIT1LRI!1:Jl).
t:P
J'EJRJlflTS RF"QlITEST~'n
V BTJILDING
$ .3 0 ('XX)
'lalmltion of Total GmlsU'ucLion
~ELECTRTCAl,
V'UECllANI CAL
V PLUMBING
100
"\Hi.> Service
1./ Flori ~la PO'''T if C{) rp.
_W.R.E.C.
.$
\ l (X:)
ValtJL3ltion of flech,Hl1 c;,1 T ns tall a t: ion
GAS
ROOPHjJG
SPE:CIAT.TY
TYPE OF CONSTRUCTIm~: 010ck
FIl'ITSHED FLOOR ELE'!J'i.TIm~s: I J
_FJC:J\mJe _5 teeJ.
Other
FT.
1:S PIUU!EGT IN FLeOD zo~n'. f\I\LY::
~
YES NO
~~~*~~~~~~*~~~*~~**~~~*~~~*~*~*~*~*~~~~~**
RUn,DY.R
~01,G~
iCOmnrR!\CTO~~ SlF.c:n m1.
Q()$$6LL
OOOU' J\IT\iiC
Smite GerL or He~i~;L :{'
Cilt},.- I..iccn,se Rc~istr:ation ~.l::
M . 13ROwN
C- G::C 03 \ b It
~4-3
Signature
~~~~~*~~~~~~.~~~*~~~~~~~~~~~~~*~~~~~.~'~~~~~~
ET.ECTRICIAN
~ 0'\. 'bVDu--
OlJiH[iP'A~Y
Cf< u <:;;, (.= LL
Wi< ~rfI~~~
Ib~
Si~wtnTe
State CcrL OJ.' Rcgist. ifi
Ci~:,y Li.cense RcgistJ~;,ltion .'
~**~~~*~~~~~~~~~~~~~~~~~~~~~~*~~*~~~'~*~~*~
PLUMBER
~ (}Y\ D~
CONP"\11'iJ1i' 9 OSSELL
StaLe C:crL or I{c~ist. if'
Cit)"J" IlJicC'lr15C l1cf~j s t.ration f~~
hI1, ~ROL.u N.
CF c.o3qQQ to
tOf
Sign.a, ture
~*~~~~~*~~~~~~~~~~ft~~~**~~*~~~~~*~~~~~~~~*
NEcrr"~'TC.J\T.
O!Jtur,i'lilll
Q USS6LL
1'V1, ~JZOW/'(
c..)4 c...o4-/2- 54-
''11
Signature
~ M.3~
Sta!~~ Gert~~ orrt~el;l.~_;t~ <'=
Ci~:}1 Licen,~.;e ReEi!J: t'r,a Lion
~~~~~~~~~~~~~~~~~~~~~~*~~~~~~~~~~~~~~~~~~~
OTIrF.:R
OOft1UP .t\~{Y
State Cert. or ite~isi~~ *
C:;ifC)VJLiccnse Jtcr;j1";C1Ca[~iorl ~~
Signature
~~~~*~~*~~~~~~~~*~~~*~~~**~*~*~~~~~~~~~~*~
APPI.ICAT;tON,'PI'HO\'EP fir ~l2M-"~ ~~A ~r
PE1UUTOFFTCF:H.
CONDITIONS O~ PERMIT AF~IDA T
p, . I'JOT I CE OF DEED F:~TI~l!=T I OI\I~~~
The undersigned understands that this permit may be subject to Oded festlidicn:' ,,!'!ich ~"Y be roore restrictive than eit}
regulations. The undersigned assules responsibility for compliance "ith Jny "pplicatle ~['ed restrictions.
B. LLt:1L I CEJ~0~]LJ~g,l'::LIJ3.ACI.~1.I3!l_!?d::-lp <::::~OI\ITF;:r)Cn'lr\ PEf"]PU!\I:::; I D H,I T I [::~;
If the owner has hired a contrachr or c()ntradors~t;; lI~d;;'~t.;k~~;;~~~I~; -tJ;;~~;-~~';):b~~~q;~i~';dt'~,--l;~li'censp.d in accc,rdi1nr~ with
state and local regulations. If the contractor is not licensed as required by law, both the o"ner and contractor may be
cited for a Gisdeoeanor violation under state law. If the Dwner Dr intended contractor ~re uncertain as to "hat licensing
require!ents aay apply for the intended work, they are advised to contact the City of Z~nhyrhills Building Department, (8131
788-6611.
Furthersore, if the owner has hired a contractor or contractors, he is Jrlvised to hJve the contractor(s) sign portions of the
'Contractor Sections' of this application for which they Mill be responsible. If you, as the onner sign 2S the contractor,
you are indicating that you, rather than the contractor, are responsible for the Hork. If the contractor wishes you to sign
as contractor that may be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TF:ANSF'ORT(~Tlm'l H1PACT FEES AND UTII=-..:.ITL..Gm'li'il~T':I.IJ;:II\! FFE~3
D. CONSTRUCTION LIEN LA~ (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copi of 'Florida's Construc~ion Lien La" - HO~eD"ner'S Protection
Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If t~e, applicant is so~eone other than the
'owner', I certify that I have obtained a copy of the above described docUDent and promise in good faith to deliver it to the
'owner' prior to co~mencement.
E, CmHF:riCTOF-:' S/mH\j.El~: 1 S P,FFIDAVL:C
I certify that all the information in this application is accurate and that all Hork "ill be done In co~pliance with all
applicable laws regulating construction, zoning, and land development.
Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work Dr
installation has co~~enced prior to issuance of a permit and that all HorK will be perfor~ed Ie' meet standards Df all laws
regulating construction, City codes, zoning regulations, and land development re~ulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to the intended norK, and that it is
flY r1rsponsibility to identify what actions I r.lUSt take to be in cOf.pliance. Suc,h agl'ncies include but are not liflited te,:
f Depart~ent of Enyiron~ental Requlation - Cypress Bayheads, Hetland Areas and [nyirDn~entally Sensitive Lands,
Hater/Wastewater Treatment
f Southwest Florida Hater Manaqe~ent District - Hells, Cypress Boyhoads, Hetland Areas, Altering WatercourSES
f Ar~y CorDs of Enqineers - Seawalls, DOCKS, Navigable Haternays
f Department of Heal~h L Rehabilitative Services, Environmental Health Uni~ - ~ells, ~aste"aler Treatment, Septic Tanks
f US Enyiron~ental Protection AQencv - Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "n,etc,', it is understood that a drainage plan
addressing a "compensating volume" "ill be submitted nhich is prepared by a professional enolneer registered in the State of
Florida prior to permit issuance.
A per~it issued shall be construed to be a license to proceed Kith the Horl and not 35 authority tD violate, cancel alter, Dr
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction, or violations of any code, Every perlit issued shall becole invalid
unless the MorK authorized by such permit is com~enced within six months of issuance, Dr if "or~ authorized by the permit is
suspended Dr abandoned for a period of six months after the tiae the HorK is [on~enced. One go day extension of tile, Qay be
allowed for the permit "ith fee charge of SI5.00. The extension shall be requDsted in wriling to tho Building Official. An
approved inspection must be logged during each six ~onth period, or the project "ill be considered abandoned,
HARNING TO OWNER: YOUR FAILURE TO RECORD n NOTICE OF COMMENCEMENT MAY RESULT III YOUR rAYING THICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CDHSULT HITH YOUR LENDER OR AN ATTORNEY, BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER 12,500 IN VALUE DO NOT NEED TO RECORD AND POST n "NOTICE OF COMMENCEMENT',
~b.W\:b~
SIGNATURE: OWNER OR AGENT
___.,"~, ,~..~_.B,~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF
QA~e...o
P,,~ (' .A)
The foregoing instrument was acknowledqed
b~ me this Not.! I ~, 19 9 r-bY" -
, K\..LS'::>~\l (h ~ra\.DtJ
who is personally
produced ~ \ \0 \
as identification and
known to me or who has
<..,So1~~SQ.31 ('n
l'lho didrdid not
The foreqc,ir,C] inst',-urnt:'nt VIC:'S acl;Tlo,'Jledged
befc,n:' m~ this tU()\(" \Q . 1QC:;;;'-- by
~~'tO?- \1.____(!\~rot.,;:),...J
~'Jh(r i~. P Cl- '::::'_~I net. 11 y k nCI \'In t [i me [i;- '.4Jho h 3 5
pl-oduced . F\ U), ~~ 0 '13 3S' ).:~] '()
as identiflCi:ltie,n ic;.ncl ,klc, did/d...,id not
takr1 oath. lLD ~(^-~
(Sig;;a~llo . {h'L. { 1.(
C' !1 PI tU-iJTT b --.llL1-11- (L - I~
(Name Typed,.Printed or Stamped)
NOT AF:Y PU8LI C
.........
l"':jP'<< ~..\ OFFICIAL SEAL
: I'l i Charlotte Mlhalakls
t : My Commission Expires
...~ IP'" 4..... Nov. 16, 1996
.....~~... Comm. No. CC 235863
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\~OF~.
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OFFICIAL SEAL
Char lotte Mlhalakls
My Commission Expires
NOli, 16, 1996
Comrn. No. CC 235863
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~t(()~'D PL4T. THE ~\ Ai\ij) LUES"T AS ~()LL()W~
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FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
~at\ nt of Community Affairs
Qu.s
1-Cff3 \,
PROJECT NAME
AND ADDRESS:
OWNER: Y<u 55 G LL
Climate Zones
CENTRAL 4 5 6
4
W\. 'BRO
CLIMATE
ZONE:
JURISDICTION
NO.:
NEW CONSTRUCTION [W IF MULTIFAMILY, NUMBER OF CONDITIONED ~ sa. GLASS AREA AND TYPE
UNITS CCNERED BY DIJ FLOOR AREA FT. CLEAR TlNT,FILM,SOLAR SCREEN
ADDITION 0 THIS SUBMITTAL: PREDOMINANT []L] ~
EAVE OVERHANG FT SINGLE- CI2Jill sa SINGLE- [[ill sa.
MULTIFAMILY ATTACHED 0 CHECK IF THIS SUBMITTAL LENGTH .. PANE FT. PANE FT.
SINGLE-FAMILY DETACHED [9-- REPRESENTS A WORST CASE PORCH CNERHANG rn ra DOUBLE- [[ill sa. DOUBLE- [[ill sa.
CONDITION: 0 LENGTH . FT. PANE FT. PANE FT.
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R= EXTERIOR FRAME R = EXTERIOR STEEL R= EXTERIOR LOG R =
CI:E:MQ so. rn.~ [ill]] so. DJ [ill]] so. DJ [ill]] so. DJ
Ft Ft FT. Ft
ADJACENT MASONRY R= ADJACENT FRAME R= ADJACENT STEEL R = ADJACENT LOG R=
[ill]] so. DJ.D ITliLWJ ~. rn [ill]] so. DJ [ill]] so, DJ
Ft Ft Ft
CElLI NO AREA AND INSULATION FLOOR TYPE AND INSULAnON
UNDER ATTIC R= SGL ASSEMBLY R= SLAB PERIMETER R = RAISED WD 0 CON 0 R=
~sa. ~ [ill]] sa. DJ ~FT. rn [ill]] sa DJ
Ft Ft Ft
DUCTS
IN
UNCONDITIONED
SPACE R =
rn.~
IN CONDITIONED
SPACE R =
DJ.D
COOLING SYSTEM
0-CENTRAL
o ROOM
o PACKAGE TERMINAL
AIR CONDITIONER
o NONE
SEERIEER = [ill.~
HEATING SYSTEM
UJ1LECTRIC STRIP [Q1:;EAT
o NATURAL GAS PUMP
o ROOM UNIT OR 0 OTHER
PACKAGE TERMINAL FUELS
HEAT PUMP 0 NONE
COP IHSPF I hl r:TI
AFUE = LiJ.~
HVAC CREDITS
[!;}tElLING FANS
o CROSS VENTILATION
[il..wAOLE HOUSE FAN
o ATTIC RADIANT
BARRIER
o MUlTllONE
HOT WATER SYSTEM HOT WATER CREDITS
~mlc SOS~.R~ D. DJ
o NATURAL GAS 0
HEAT RECOVERY pECIC)
o OTHER FUELS DEDICATED
o NONE H~V~MP: D . DJ
r.;r::J NUMBER OF IC:l
EF = . ~ BEDROOMS = LQJ
INFILTRATION DiliIililiJ CEIiliIiliJ lliliJ. [J]
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.
I hereby certify that the plans and specWlcatlons covered by the calculetlon are In compliance wllh the
Florida Energy Cod~
~REPARED BY: /~ 1Yl. J3~ DATE: 11- ( 2 - q
I hereby certify that t~ulldlng Is In compliance with t~F1orlda Energy Code,
OWNER AGENT: ~ 111.::t!>~ DATE: I ( -(2-q
Review 01 plans and spedlcatlons covered by this calculatfon Indicates compliance wlth
the Florida Energy Code, Bel nstrucllon Is completed, this bulldt wfll be Inspected
lor compliance In accorda SectI ,908, F.S.
DATE:
PROJECT NAME
AND ADDRESS:
OWNER:
NEW CONSTRUCTION
ADDITION
MULTIFAMILY ATTACHED
SINGLE-FAMILY DETACHED
EXTERIOR MASONRY
~SO,
~FT
ADJACENT MASONRY
ITIIDSO.
FT
UNDER ATTIC
~sa.
~Ft
DUCTS
IN
UNCONDITIONED
SPACE R =
rn.~
IN CONDITIONED
SPACE R =
m.D
INFIL TRA TION
PRACTICE USED
o #1 [B"#2 0 #3
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
IQn 9 - Residential Point System Method
a ent of Community Affairs
>'1
Climate Zones
CENTRAL 4 5 6
BUILDER: I US c3Lc
PERMITTING
, ,OFFICE: Z6PH yrzHfLLS
PERMIT ~
8 R.O(.v/....{ NO.: ~
tv\.
IF MULTIFAMILY, NUMBER OF CONDITIONED ~2 sa.
UNITS CCNERED BY [OJ FLOOR AREA ~ Ft
THIS SUBMITTAL: PREDOMINANT WJ ~
EAVE OVERHANG
CHECK IF THIS SUBMITTAL LENGTH I. FT
REPRESENTS A WORST CASE PORCH CNERHANG n-:l 0
CONDITION: D LENGTH u2J. eJ Ft
R =
rn.~
R =
m.o
ClIMA T1!
ZONE:
JUAISbICTION
NO.:
GLASS AReA AND TYPE
CLEAR TINT,FILM,SOLAR SCREEN
SINGLE- ~{ / / sa. SINGLE- rTTl1 sa,
PANE ~ IT PANE LLLU IT
DOUBLE- r-n-Tl sa DOUBlE- r-n-Tl sa.
PANE LLLU Ft PANE LLLU IT
NET WALL AREA AND INSULATION
EXTERIOR FRAME R = EXTERIOR STEEL
ITIIDso m ITIIDso,
FT FT
ADJACENT FRAME R = ADJACENT STEEL
~SO. ~ ITIIDso.
L..LJ.:::.l=.1! FT ~ FT
CEILING AREA AND INSULATION
R = SINGLE ASSEMBLY
CTl ITIIDsa,
~ Ft
COOLING SYSTEM
[f1'CENTRAL
o ROOM
o PACKAGE TERMINAL
AIR CONDITIONER
o NONE
SEERIEER = rn.1;T
R=
m
HEATING SYSTEM
(1JfLECTRIC STRIP ~AT
o NATURAL GAS PUMP
o ROOM UNIT OR 0 OTHER
PACKAGE TERMINAL FUELS
HEAT PUMP 0 NONE
COP I HSPF I [:;17 r,:n
AFUE = w.~
SLAB PERIMETER
~Ft
HVAC CREDITS
~IUNG FANS
o CROSS VENTILATION
[i}1fHOLE HOUSE FAN
o ATTIC RADIANT
BARRIER
o MULTIZONE
R =
m
R =
[ IJ.__
EXTERIOR LOG
ITIIDSO.
FT
ADJACENT LOG R =
ITIID so,' CD
Ft.
R =
CD
OWNER AGENT:
FLOOR TYPE AND INSULATION
R = RAISED: we 0 CON 0
rn ITIID~~
R=
CD
/( - f2-q
11-12-Q'L
DATE:
DATE:
HOT WATER SYSTEM
[M1LECTRIC
o NATURAL GAS
o OTHER FUELS
o NONE
EF = . rn
HOT WATER CREDITS
SOLAR: D m
SF = .
HEAT RECOVERY ICHECKI D
DEDICATED
HE:'V~MP: 0 . CD
NUMBER OF Ibl
BEDROOMS = LJ:::J
CliJiliJiliJ ~)( 100 = [IiliJ.[J]
TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCUl.AttD l!.P.I.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
- 1 -
Revle.... 01 plans end speclflcations covered by thlt calctJlallon Indicates compilance with
the Florida Energy Codll. B9Iorll 'strucllorlls leled, this butldlt10 ~ blllnspllcled
lor compliance In IIccordencf Secllon 8. F.S.
DATE:
. .
9A I PRESCAIPTIVE MEASURES (mullt be met or exceeded by 11I11 resldeheeS.)
COMPONENTS SECTION REQUIREMENTS CHECK
WINDOWS 904,1 Maximum of 0.34 CFM per linear foot of oDerable sash crack (Includes slldina ahiss doors!. 1/
EXTERIOR & 904.1 Maximum of 0.5 CFM per sq, ft. of door area: solid core, wood panel, Insulated or glass doors only. (.../'
AOJACENT OOORS
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 (aas) must be orovlded. External or built-In heat trap reqUired.
SWIMMING POOLS 904.3 Spas & heated pools must have covers (except solat heated). Non-commercial pools must have a
& SPAS pump timer. Gas spa & pool heaters must have minimum thermal efflclencv of 78%.
SHOWER HEAOS 904.5 Water flow must be restricted to no more than 3 callons Der minute at 80 PSIG. ~
HV AC 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), f.,/"'
& INSTALLATION
HV AC CONTROLS 904,7 Separate readily accessible manual or automatic thermostat for each system, t../'
INSULATION 904.9 Ceilings-Min, R-19, Common Walls-Frame R-11 or CBS R-3. Common Ceilings & Floors R-11. ~
SUMMER CALCULATIONS
CLIMAtE ZONES 4 5 8
t-= I BASE I BASE t-= GLASS ~ SINGLE-PANE DOUBLE-PANE I SUMMER I AS.BUILT
z SUMMER POINT MULT. OR lC OVERHANG = GLASS
z GLASS lC SUMMER SUMMER w SUMMER POINT MULl
w =
ii: AREA PT. MULT. ii: AREA CLEAR TINT' CLEAR TINT' FACTOR (9Bl SUM. PTS,
0 POINTS 0
N I YJ'I:::> 47.8 'Xc..(f, N I'lFIS 51.0 51,5 47.8 43,5 - ~'-{ '-5"'\
NE 71,7 NE 77.2 76.6 71.7 63.4
E 7~ 102.0 , 4- 4-fo E -/ J, 109,2 107.1 102.0 87.3 .Q,5 {~ 12.
SE 104.1 SE 112.9 110.3 104.1 89,4
S 1t;J 90.9 b7f17 S 75 100.2 98.3 90.9 78.8 -Si re,5:!.~
SW 104.1 SW 112.9 110.3 104.1 89.4
W 102.0 W 109.2 107.1 102.0 87.3
NW 71.7 NW 77.2 76.6 71.7 63.4
H' 90.9 H' 367,7 303.3 324.6 238,1
Ul
Ul
:3
Cl
, ,
I CONDo I TOTAL I BASE I BASE I ADJUSTED AS.BUIL T
.15 )( FLOOR GLASS ADJUST. lC GLASS = GLASS GLASS
I' AREA 1 AREA I FACTOR I SUBtOTAL I BASE SP SUBtOTAL
.15 I I ZC!-'i, I Ibb '-(2. I 15J5Cf I I 70 Of q.. 114-1/0
,
COMPONENT ~ aASE SUMMER ~ BASE COMPON~NT I SUMMER I AS.RUll t
AR~A SUMM~R ARU II POINt MULl = SUMMEA
DESCRIPTION POINT MULT. POINTS D~SCRIPTION (9C tHRU 9G) POINTS
~TERlOR I qC; 1.0 7q~ c?f (c(5 .~ "~b
-' '< ;U Z.Z4 }q.D ~7_' -I ?? . q..
-' ADJACENT .7
-oct
3: 1---
, ,
[I EXTERIOR
8 ADJACENT
c
~
4.8
1.6
it
i:t I.)~ I
INFIL TRA TlON
UNDER ATTIC
OR SINGLE
ASSEMBLY
BASE CEILING AREA E UALS F
,6
.6
,6
R AREA DIRECTLY UNDER CEILING, AS-BUILT CEILING AREA EOUALS ACTUAL CEI N
,
CJ
Z
::;
iiJ
o
a::
o
o
Ii
FOR RAISED flOORS USE AREA Ov'ER UNCONDITIONED SPACE,
COOLING ~ II . l!
SYSTEM
1991 'Z13.Qb
1992
BASE
HOT )( HOT WATER ::
WATER MULTIPLIER
SYSTEM .3 3527
'H = Horizontal Glass (Skylights)
2For glass with known Shading Coefficie.nt. see sectlon 903.2(a). Tint Multipliers may M used for glass with solar screens, film, or ttnt.
-2-
SUMMER POINT MULnPLlERS (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+
1 N 1.0 .94 .91 .87 .83 .79 .75 .72 ,69 ,62 ,56 .50
>-1
all NElNW 1.0 .94 .91 .85 .79 .72 .68 .63 .58 .50 .40 ,36
t>gs EIW 1.0 .95 .92 .85 .78 .70 ,64 .58 .52 .42 ,33 ,26
w,
ml SElSW 1.0 .93 .90 .81 .72 .62 .55 .49 .42 .33 ,27 .22
(1')1
, S 1.0 .91 ,87 .77 .67 .57 .50 .45 .39 ,32 .28 .25
~ OH LENGTH . o It. 1ft. 1\-2 ft. 2 It. 3 It. 3~1t. 4~ It. 5~ It, 6~1t, 9~ It, 14 It, 20 It. +
. 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 (SPMl
FRAME
CONCRETE BLOCKf
INT. INSULATION' EXT.INSUL
NORMALWT, NOR.WT.
EXT ADJ EXT
2.5 .9 2.5
L4 ] J
1,0 .6 .3
.8 ,4 ,1
.4 .3 .0
.2 .2
.1 .1
WOOD STEEL
R.YALUE EXT ADJ EXT ADJ
0- 6.9 6.4 2.2 8.9 2.9
7 -10.9 2.3 .8 4.1 1.3
11 - 12.9 1.9 ,7 3.0 1.0
13 -18.9 1.7 .6 2.8 0.9
19,25.9 1.0 .... .3 2.4 0.8
26 & u ,6 .2. 1.3 0.4
9D DOOR SUMMER POINT MULTIPLIERS (SPM)
9E CEILING SUMMER POINT MUL TIPLlI:RS (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 J 13 - 18.9 2.4
30 - 37.9 ,6 19 - 25.9 1.8
&.4 1
CON RETE DE K ROOF
CI:ILIN TYPE
DROPPED I:XPOSED
3. 3.3
2.0 2.1
1.4 1.3
DOOR TYPE EXTERIOR ADJACENT
WOOD 7.2 2.4
INSULATED 48 1.6
9F FLOOR SUMMER POINT MULTIPLIERS (SPM)
SLAB-ON.GRADE RAISED
EDGE INSULATION CONCRETE
R.VALUE PM R.VAlUE SPM
0.2.9 31.9 0 - 2,9 1.0
3 - 4.9 31.8 3 - 4.9 1.7
5-6.9 31,7 5-6,9 1.7
RAISED WOOD
POST OR PIER STEM W.
CONSTRUCTION FLOOR
-1.1
-LO
.. .
LOG
8 INCH
R.VAWE EXT
o - 2.9 1.7
3 - 6,9 1.1
7 & U ,8
8 INCH
R.VAWE EXT
0-2,9 LO
3.6.9 .8
7&U J
INFILTRATION PRACTICE SPM
(See Table 9P)
PRACTICE # 1 13,8
PRACTICE # 2 10.9
PRACTICE # 3 7.6
."...., ,..,....- ~
n-Value Return Ducts Heturn Ducts
In UntOndlt16ned Spacll 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)
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,
- 3-
WINTER CALCULATIONS
CLIMATE ZONES 4 5 6
I--' GLASS IBASE WINTERI BASE I--' I SINGLE-PANE OR DOUBLE-PANE I WINTER I AS-BUILT
z z GLASS II WINTER POINT MULT. WINTER POINT MULT. II OVERHANG = GLASS
w II POINT = WINTER w
cr AREA MULTIPLIER cr AREA CLEAR TINT' CLEAR TINT' FACTOR (9Bl WIN. PTS.
0 POINTS 0
N 12?75 5.6 10:::' N ,g.7S 9.6 9.6 5,6 6,1 , . 'Z- -z.c,l"
NE 3,5 NE 7.4 7,3 3.5 4.2
E 7"3> - 5.6 -4o~ E 77. - 2.2 2.0 5.6 - 3.6 .'7/ -l\C-f-
SE -13.4 SE -10.3 9.7 -13.4 10.4
S 7~ 14.0 -{oS.b S 7~ 10.9 10.2 -14.0 --11.0 ,q'5 -i 7 (..
SW -13.4 SW 10.3 9.7 13.4 -10.4
W - 5.6 W 2.2 2.0 5.6 - 3.6
NW 3.5 NW 7.4 7.3 3.5 4,2
H' -14.0 H' -32,1 -28.0 -27,0 -21.5
II)
II)
:5
Cl
,
15 I CONDo I TOTAL I BASE I BASE I ADJUSTED AS-BUilT
FLOOR + GLASS = ADJUST II GLASS = GLASS GLASS
. ~ AREA I AREA I FACTOft I SURTOT AL I BASE WP $UDtnTAl
.15 I I Z-7:j:~ I I b?"; I ", L I - 13'5~ I - f52--5' -~~9
, ,
COMPONENT AREA II BASE WINTER = COMPONENT AREA =
DESCRIPTION POINT MULT. DESCRIPTION
EXTERIOR 1.1 ~~
...I ADJACENT L 1.8
...I
ocr:
:it
II) EXTERIOR ?..b- 5.1 laL-
a:
0 ADJACENT 'lA::> 4.0 510
0
Q
,
,
Cl UNDER ATTIC ( ~ rlfL .6 ' ) q'1. ~Inc..... I :< Z/L- 9 n7<Cf
z OR SINGLE .6
::; .ASSEMBL Y ,6
iii
C,) BASE CEILING AREA EOUALS FLOOR AREA DIRECTLY UNDER CEILING. AS-BUILT CEILING AREA EOUALS ACTUAL CEILING SQUARE FOOTAGE,
W T
SLAB/PERIMETER! I 6t>.5 - 1,9 ::?;'\ <. '5Cl4 (] I (.... "" ? .5 a:r L::'
a:
0 RAISED (AREA) - .2
0
...I
lL
FOR SLAB-ON-GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA CNER UNCONDITIONED SPACE,
!~
~
t::ll ~~ I
,
INFIL TRA TION
4.1
1- C
USE TOTAL FLOOR AREA OF CONDITIONED SPACE.
I r::>( 3.q-
b~7({-
TOTAL COMPONENT BASE WINTER POINT:
BASE HEATING mTAL BASE
HEATING SYSTEM II WINTER =
SYSTEM MULTIPLIER POINTS
1.1 570 ~
..J
ocr:
t-
o
t-
BASE
... HEATING
POINTS
74-b ::1
'+33'6
'H = Horizonial Glass (Skylights)
2For glass with known Shading Coeffic'lent, see section 903.2(a). Tint Multipliers may be used for glass with solar screens. film, or lint.
-4-
WINTER POINT MULTIPLIERS (WPM)
9B WINTER OVERHANG FACTORS (WOF)
CLIMATE ZONES 4 5 6
~ OH RATIO ,0 .11 1,12 ,17 I .18 .26 .27 .35 I ,36.46 I .47-.57 1.58 ,70 ,71 ,83 ,84 1.18 I 1.19- 1.72 I 1 73 -,)? I 2.74+
, SINGLE PANE GLASS
, N 1.0 1.03 1.05 ,1.08 1.10 1.13 1.15 1.18 1.20 1.24 1.29 1.34
,
, NE/NW 1.0 1.07 1.10 1.15 1.20 1.25 1.30 1.35 1.39 1.50 1.59 1.67
,
, E/W 1.0 .71 ,57 .19 -.20 -,65 -1.05 -1.48 -2.03 -3.01 -4,06 -5.04
, SElSW .93 .90 .80 .68 .54 .39 .22 .05 -.33 -.71
>-. 1.0 -1.01
CD, S 1.0 ,95 .92 .83 .70 ,54 ,36 ,13 -,13 -.70 -.I1ll -1.09
frl~ DOUBLE PANE GLASS
uJ'
(/), 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
, 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
,
, E/W 1.0 .88 ,82 .66 .50 .31 .15 -.03 -.26 -.66 -1.10 -1.50
,
, SE/SW 1.0 .95 .92 .85 .76 .65 ,54 .41 ,28 -,01 -.30 -,52
,
, S 1.0 ,96 .94 .87 .78 .65 .51 .33 .13 -.30 -.51 -,60
. OH LENGTH' Oft. 1 ft, 11h ft. 2 II. 3 II. 31h II. 41h 1\ 51h 1\, 61h II. 91h 1\. 14 It. 20 fl. +
. To select by Overhang Length, no part of glass shall be more than 8 II. below the overhang.
OIERHANG RATIO = OH LENGTH ~~~ 41T
OH HEIGHT
r k-L r
H 0-1 H
J j
T~ I
I
.~
~~
~
I
I
~
FA
9C WAll WINTER POINT MULTIPLIERS (WPM)
FRAME
CONCRETE BLOCK t
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
.5 ,5
WOOD
EXT
6.8
2.5
2.0
1.8
1.1
.7
STEEL
EXT ADJ
9.4 6.7
4.4 3.3
3.3 2.6
3.0 2.4
2.6 2.2
1.4 1.2
LOG
8 INCH
R.VALUE
0-2.9
3.6.9
7 & u
8 INCH
R.VALUE
0-2.9
3. 6.9
au
R.VALUE
0- 6.9
7 -10.9
11 -12.9
13.18.9
19 - 259
26& U
ADJ
5.3
2.1
1.8
1.6
1.0
.7
EXT
2.2
1.2
.9
EXT
1.2
,9
.7
90 DOOR WINTER POINT MULTIPLIERS (WPM)
DOOR TYPE EXTERIOR ADJACENT
WOOD 7.6 5.9
INSULATED 5.1 4.0
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.
26 - 29.9 ,7 13 - 18.9 1.5
30 - 37.9 .6 19 - 25.9 1,1
38 & U .6
CONCRETE DECK ROOF
CEILING TyPE
DROPPED EXPOSED
1.2 1.3
,7 .7
,4
.'
9F FLOOR WINTER POINT MULTIPLIERS (WPM)
9G INFILTRATION WINTER POINT MULTIPLIERS (WPM)
. Return Ducts Return Ducts
A-Value In Uncondltlon~ Space In Condltion~ 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 Space" 6,7 & up 1,06 1.00
INFll TRA TION PRACTIC'l: WPM
(See Tlblll 9P)
PRACTICE # 1 6.2
PRACTICE # 2 4.1
PRACTICE # 3 2.2
t 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) "
3 Ducts In conditioned space need to be insulated only to the R-Value necessary to prevent condensation.
-5 -
91 HEATJNl;i SYSTEM MULTIPLIERS (HSM)
CLIMATE ZONES 4 5 6
SYSTEM TYPE HEATING SYSTEM MULTIPLIERS
Central Heat HSPF 6.4 - 6.79 6.6 - 6.69 6.9 - 7.39 7.4 - 7.69 7.9 - 6.39 6.4 ' 6.69 6.9 - 9.39 9.4 - 9.69
Pump Units HSM .53 .50 .49 .46 .43 .41 .36 .36
HSPF 9.9 - 10.39 10.4 -10,69 10.9 -11.39 11.4 - 11.69 11 ,9 ' 12.39 12.4 & UD
HSM ,34 ,33 .31 .30 .29 .26
PTHP COP 2.6 ' 2.69 2.7 - 2.69 2.9 - 3.09 3.10 - 3.29 3.30 - 3.49 3.50 - 3.69 3.70 - 3.69 3.90.4,19
HSM .38 .37 ,34 .32 .30 .29 .27 .26
Electric Strip 1,0
Gas & OIher Fuels 1.0 (See Table 9J for Credit MultiDlier)
1991 Minimums: Central Units Air Sour~ 6.4 HSPF, Water Source 3.4 COP, Ground Water Source 3.2 COP, PTHP 2.6 COP.
1992 Minimums: Central Units-Air Sour~ 6.6 HSPF, Wat"r Source 3.6 COP, Ground Water Source 3.4 COP, PTHP 2.7 COP.
HSPF means Heatina Seasonal Performance Factor, COP means Coefficient of Performance.
~., v,.......', ". ,_",._ ...",' ..
IJ HEATING CREDIT MULTIPLIERS IHCM)
smEll TYPE HEATING CREDIT MULTIPLIERS
Attic Radiant Barrier HCM .96
Multilone HCM .90 .
Nalural ~s AFUE .68, .72 73 . .77 76 - .82 .63 - .67 .68 - .92 .93, Uo
HCM .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 UliIization Efficiency.
IK COOLING SYSTEMIIULTlPLlERS ICSMI
" SYSTEM TYPE .. . . COOLING SYSrEMMULTlPLlERS
RATING 7.5. 80. 65 - 69. 95- 10.0, 105. 110 - 115. 12.0 -
CENTRAL UNITS 7.9 6.4 86 94 9.9 10.4 109 114 11.9 12.4
(SEER) CSM .45 43 .40 .38 .36 .34 ,32 .31 .30 28
PTAC & ROOM UNITS RATING 12.5 - 13.0. 135. 14.0. 145. 15,0. 15.5. 160. 16.5. 17.0. 17,5
(EER) 12.9 134 13.9 14.4 149 15.4 159 16.4 169 17.4 & Uo
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-llA. EER means Energy Efficiency Ratio. SEER means Seasonal Energy Efficiency Ratio.
. .
IL COOLING CREDIT MULTIPLIERS ICCMI
SYSrEM TYPE COOLING CREDIT MULTIPLIERS ICCM)
Ceiling Fans .86
Multizone .90
Cross Ventilation or Whole House Fan (Credit for only one) .95
Altic Radiant Barrier .95
Where more thAn nne ",..tiit Is claimed. mulllolv CCM's looether. Enter oroduct on oaoe 2,
1M HOT WATER MULTIPLIERS lHWMI
SYSTEM TYPE HOT WATER MULTIPLIERS
Electric EF .60 - .81 I 82. .63 I .84. .85 I .86. .67 I .68. .90 I .91 - .93 I .94. .96 I .97 & Up
Resistance HWM 3679 I 3765 I 3695 I 3609 I 3527 I 3411 I 3302 I 3200
Natural Gas EF .43 . ,47 .46 - .49 .51)- .51 .52 - .53 .54 - .55 56 - ,57 .56. .59 60, .61 62.63 .64.65 66 & Uo
HWM 2664 2386 2291 2203 2121 2045 1975 1909 1847 1790 1735
Other Fuels HWM 1645 2059 2145 2231 2317 2234 2157 2065 2016 1955 1695
Water heaters must comply with minimum efflclences In Table 9-7A of the Florida Energy Code. EF means Energy Factor. I
8N HOT WATER CREDIT MULTIPLIERS HWCMI
SYSrEM TYPE HOT WATER CREDIT MULTIPLIERS
Solar Water Healer SF .1 I .2 I .3 I .4 I .5 6 I 7 I .8 I .9 I 10
HWCM .9 I .8 I 7 I .6 I .5 .4 I 3 I .2 I .1 I .0
Heat Recovery Unit With Ai r -{;onditioner Heal Pump
HWCM 62 .58
Dedicated Heal Pump EF 2.0, 2.49 I 2.5 . 2.99 3.0 . 3.49 I 35 & 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.
IP INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ISle Section 803.2(f))
COMPONENTS REQUIREMENTS FOR EACH PRACTICE CHECK
PRACTICE II COMPLY WITH AlL INFILTRATION PRESCRIPTIVES ON TABLE 9A.
PRACTICE 12 COMPLY WITH PRACTICE II AND THE FOLLOWING:
Exterior Walls and Floors Top plate penetrations sealed. Infiltration barrier Installed. Sole Dlate/floor ioint caulked or sealed.
Exterior Walls & Ceilinas Penetrations, joints and cracks on interior surface caulked, sealed or Qasketed.
Ductwork Ductwork In unconditioned space must be sealed.
Fireplaces Equipped with outside combustion air, doors, and flue damoers.
Exhaust Fans Equipped with dampers, Combustion deyices see 903.210.
PRACTICE 13 COMPLY WITH PRACTICES '1 AND 12 AND THE FOLLOWING:
Ceilings Infiltration barrier Installed.
Interior Walls Top olate penetrations sealed or joints & cracks on Interior walls caulked, sealed or aasketed.
Recessed Lights Sealed from conditioned seace & insulated from ventilated attic spaces.
Ductwork All ductwork located in conditioned seace.
Combustion Appliances Be In unconditioned space (except direct vent), draw air from unconditioned space, exhaust
by-products to outside Stoves see 903.2(0.
,6,
~. - ~'--~~"-"""-\, -----.-...-----;;.l.,-, .,.__,'-,,_, ~"-~." ~...-,-------;.,.~.",,~,"- ,~,"-'-"-""_'<.--"'~""---"'-"-"-~'---:-----':.'-"'- --------~
C E N T R ALP E R M I T TIN G
PASCO COUNTY, FLORIDA
CONTF':f:;C:TOF: # :
NAME: RUSSEL BROWN
ADDR: 8235 ANGELA CT
C/ST: Z-HILL:::;
...----....
...-'/;,.-.-.. '~"--...
FC)R: SOLID ~'JAsf-t 27898 )
\ -.......",...
'-~-----
CHECI< *t
?')C:CNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
AMOUNT
4(). :=~:3
B4~iO - 3b3000 .-
0")
.:,.
4t). :=~::::
('.
HECE I t"lED BY __~_~(~__'::(.:..._~_"=-~,-~~..:.~'_::_~~
----'"
r '
.....'-~., '
DATE: 0::::/0::::/9:3
PAOE~ 1 OF 1
I ::::;:3UE ()FF ICE: D
RECEIPT NUMBR: 00166253
OFFICE: DADE CITY
102
DESCRIPTION/PERMT DATA DRICR
****** 60
.-
PASCO COUNTY, FLORIDA
Pennit #
Date
Name/Owner
COlDlty 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 I
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 =
IDS.E.l 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.
THE ASSESSMENT Wil..L 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 fonn, placing the building permit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
OFFICE USE ONLY
------------------------:.._---------------------------------------------------------------------------------------------------------------------------------------
lRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
DATE
DATE
BY
BY
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg /Insp