HomeMy WebLinkAbout92-2866
BUILDING PERMIT
, J I~d:
(~__B~)
Property Owner:
Job Address:
Zoning:
Description of Work
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~~RIC~:
CITY OF ZEPHYRHILLS
(813) 788-6611 __
~:NG-:\ ~:~
FINAL
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.
.::2bl-
Permit Fee
Signature ~t)-o..t-
Company
Address
Telephone#
Valuation or i. 'i Ii!:U-
Contract Price ~, 001)'
City License Registration #
State Certified License#
(!fr:;:tli~~.
BUILDING
Ft<. ./;"-.~ ~~.
Pre SLB. 1- - ~',
Lintel (:{g,~ .
FRM.d .. /Jell
Insul. CL
WL,)..;;l/ -flS Bi.lt
Driveway
2866 A
Date /jl- t.~ - q~
. -
Permit
N~
Sewer Conn I:; 1<:1 - ,
Water Conn: ;J..6'O-
Water Meter:
. O:L
DATE
-/3c #t~..J,..... ._~ 00
c-m~' dd
ELECTRICAL I~~
~~~
. I PLUMBING q /
Tp. Servo SLB /-s- -13 ~
Rough In "l-1J-1-?? ~ Tub Set 2..-J~'<7 '[)L
Meter Can I - fJ.!2.- Water
Const. Pole Sewer ~ \ - 9 3 {3 itD
Pool Final
Pre-Meter v?3 3o-4::JSd
Final
~~JllkM ~/thC
MECHANICAL/7
Breakers
Ducts Ins!. 'z-l"3~~ ~
Compressor
Final
tv,fl. i~ ~td/J2';2;;'7?
rfqL 1-/-73
~L tLe-(n,frl L-
~lo /_1/.1'2
~~!J'6 1"(';,1
Cv~
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
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 inspection fees shall be made before any further permits will be issued to the person owning
same,
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APPLICATIOlNl FOR PERKIT
CITY OF ZEPlIYR.IIl LL'i
nUIIJHflG DEPAR1~.NJT
OWNER'S NAKE General Home Development Corp.
MIONE (904)567-6581
OWNER'S ADDRESS 817 US 98 Bypass South Dade'~ity. FL 33525
JOB ADDRESS Lots 139. 140 & 141 Driftwood Subdivic;.ion
7pphyrhi11c;, FI 11~40
LEGAL DESCRIPTION: LOf(S) 139.140.141
BLOCK
SUBDIVISION Driftwood Subdivision III
PARCEL I.D.' 02-26-21-0210-00000-1390 & 02-26-21-0210-00000-1400 & 02-26-21-0210-00000-1410
IiORK PROPOSED:~lNIev Construction ~itioQ. _Alteration, _Repair _Install
,,'
I
, ,
~De.olish
....~. .
_Sign
---"<>>ve,
PROPOSED USE:
. Single Falily
~\:, (:
_~/F",::: !~L' of Units
_Industi~" _Swa. Pool
_K/H
_~rcial
Other
_Restaurant & nea1t:h Depar~t Approva1
,,'
BUILDING SIZE:
x
3549
square Feet,
Height
RESIDENTIAL:
COHHERClAL :
ATTACII (2) PLot PI..ANS & (2) SEIS OF BUIJ..DING PLAlNIS & (1) SET ENERGY FORKS.""
ATTACH (3) SETS OF BUnDING PLADilS & (I) SET F.MHRGY .FORMS. **
.
**COVY OF COINTRACT REQUI.RIID.
. ,
PEKnl TS REOu&<<iTRD
_BUILDING
$
Valuatiori of; Total Constmction
.. "
;~. "..
AMP Service Florida Power
~'il' ~........I
',"I I
Va1ua~~~ .~~ He.chanica-I
, ':1 " .
GAS ROQf'):NG
I. ;
I'; '.
_Block. _Fume I,;L--Steel
i{
Corp .
W.R.E.C.
_ELECTRICAL
_MECHANICAL $
Installation
_PLUKBING
SPECIALTY
TYPE OF CONSTRUCTION:
Other
I
.' ;~~ Gene-ral Home rlPvplogmpnt r.orp
~~ _ 0 ~' . ~,~~~~'1?er'f;.. Qr R:gist. .' CG 05694
/J'" C1I:yI.Icep,se'RegIstratIon , 22
**..........................*.....~...~..*...~...****...**.***
ELECTRICIAN Robert Martin . .~~ M:a~t'in Electric
-yJ /) 7 / ). St:3tt! GerL or RegisL' EROOllll0
SiJroature I~ hi- I~- L. ~itW",(.i~ense Registration' 158
.*...*...~**.**...*......*...~~*........***************
!..;,;',
GOKPANY' Sa onet Plumbin
State Cert:. or Regist:. ,
City License Registration
.****......*......****.*....*....**...******************
CONI'RACI'OR SECTION
. .
BUILDER Kevi n 1. Roberts
Signature ~ F
PumBER
rt in \._.
---. ~
.-- ..~~-h1.~
Signa
Signature
T;?1;aChancdL WtPA. 'MY SOllthprn Comfa.r.t..Ente.rpri se5
, / __ ' State Cett:. or Regist:. I ..R. j'YJ () C)/.s- (;) z- .<.....
~ /. ,~~ Ci.ty I.icepse Registration' 17
****...*......*.........**.......*....********...*************
KECBANICAL
, "
OTHER
Signature
CO!fPMY
'State ~rt. or Regist. ,
City. License Registration ,
, ,
_.........*...*.*...... . *~...~******.** * **
APPLICATION APPROVED BY
!
PERKIT OFFICER.
CQt.ID I T IONS OF F'ERt'11 T (-iF: D?Yv' .I. T
A.. NOT I CE OF DEED REST f.:: I CT IONS
The undersigned understands that this perlit lay be subject to "deed restrictions. which lay be lore restrictive than,Cit~
regulations. The undersigned assules responsibility for cOlpliance with any. applicable deed restrictions.
B. UNLICENSED CONTRACTQRS AND CONTRACTOR RESPONS;BILITIES
If the owner has hired a contractor or cDntractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is npt licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131
788-6611.
.:~ ~
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
.Contractor Sections" of this application for which they will jbe 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 wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrhills.
I ~
C. TRANSPORTATION IMPACT FEES AND UrILITY CONNECTION FEE~
D. CONSTRUCTION LIEN Lr~~ (CHAPTER 713, FLORIDA STATUTES~ AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's 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 doculent and promise in good faith to deliver it to the
"owner' prior to cO.lence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor.ation in this application is accurate and that all work will be done in compliance 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 all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in'the jurisdiction. I also
certify that 1 understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actiollS 1 lust take to be in~olpliance. Such agencies include but are not lilited to:
f Departlent of Environtental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Hater/Hastewater Treattent
f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Water"aY5
I Departlent of Health l Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environtental Protection AQency - Asbestos abatelent .
I also certify that, if fill laterial is to be used in Flood Zone "A" or 'A,e1c.', it is, understood that a drainage plan
addressing a "colpensating volule" "ill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance. '
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit 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 work authorized by such per.it is cottenced within six lonths oi i~suance, or if work authorized by the perlit is
suspended or abandoned for a period of six lonths after the tile the work is cOJaenced.. One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be r~quested in writing to the Building Official. An
approved inspection lust be logged during each six tonth period, or the pro~e[t will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD H NOTICE OF COHnENCE"ENT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMHENCEMENT".
~~ F'~~?P
SIGNATURE: OWNER OR AGENT
~....
lJIi
.. ;I~i'
!. :') 'l!:t
0;
CONTRACTOR
was acknowledged
19~ by
(.~.,! ~ STATE OF FLORIDA
COUNTY OF Pasco
'Th~ foregoing instrument
before me this Dec. 8
STATE OF FLORIDA
COUNTY OF Pasco
The foregoing instrument
before me this Dec. 8
was acknowledged
~ 19R- by
Kevin To Roberts
'''lho 6 pel-=,onally knc.wn te, ~or whc. has
produced
. as identification and who did/did not
t~an oath. Il ()()
~K. ~~
<gig ture)
l..' .1;mpt K Rlilckw~ll
(Name Typed~ Printed or Stamped)
NOTARY PUBLIC
Kevin T. Roberts
who tfS'-oel-sc,nall y ~mown to mE90r whct has
produced
as identification and who did/did not
~"an;.at~.~
~e)""
Janet K, Blackwell
(Name Typed~ Printed or Stamped)
NOTARY PUBLIC
"",'" .,
Notaty Publ1c. St.te of Florida
JA:-:E'I BlACKWlll
M) Comm, Eop, 9.IB.96
Comm, No, CC 228545
~.,
Not"'Y Public, Steto of F1o,lda
JANll BlACKWlLL
M) Comm, Exp, 9.18-96
Comm. No. CC 228545
s..t
"
FORM900-B-91
FLORIDA ENERGY E.FFiCIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
Climate Zones
CENTRAL 4 5 6
OWNER:
BUILDER: ( \-\ ,-0.
PERMITTING
OFFICE:
PERMIT
NO.:
4
PROJECT NAME
AND ADDRESS:
NEW CONSTRUCTION '{2]
ADDITION 0
MULTIFAMilY ATTACHED EJ.
SINGLE-FAMilY DETACHED 0
IF MULTIFAMilY. NUMBER OF CONDITIONED
UNITS CCNERED BY [IJJ FLOOR AREA
THIS SUBMITTAL: PREDOMINANT ~
EAVE OVERHANG ?
CHECK IF THIS SUBMITTAL LENGTH . Fl
REPRESENTS A WORST CASE PORCH CNERHANG nrl n
CONDITION: lENGTH U2J. ~ FT.
GLASS AREA AND TYPE
CLEAR TINT,FllM,SOLAR SCREEN
sa SINGLE- ITIII sa
PANE U-LLJ Fl
DOUBLE-ITIII sa,
PANE U-LLJ Fl
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R = EXTERIOR FRAME R= EXTERIOR STEEL R = EXTERIOR LOG R =
~SO, rn,Q) OTIOso, rn OTIOso, rn DIDJSO rn
( . FT, FT. FT, FT,
ADJACENT MASONRY R = ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT lOG R =
DTIJJ so rn,D ITIIIJ so, rn OTIOSO' rn OJ]]] so rn
FT. FT, FT, FT,
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R- SGl ASSEMBLY R - SLAB PERIMETER R - RAISED WD 0 CON 0 I R =
~SO, BE [[[[I] sa. rn o::liiI1J Fl CIa [O]]]~~\ rn
FT. FT.
DUCTS
IN
UNCONDITIONED
SPACE R =
[E, [Q1
IN CONDITIONED
SPACE R =
rn.o
COOLING SYSTEM
o CENTRAL
o ROOM
o PACKAGE TERMINAL
AIR CONDITIONER
o NONE
SEERIEFR = m.b]
HEATING SYSfiM
o ELECTRIC STRIP ~ HEAT
o NATURAL GAS PuMP
o ROOM UNIT OR 0 OTHER
PACKAGE TERMINAL FUELS
HEAT PUMP 0 NONE
.@il'IHSPF/ Q rTl
).FUE = QI.lQJQ
HV AC CREDITS
o CEILING FANS
o CROSS VENTILATION
o WHOLE HOUSE FAN
o ATTIC RADIANT
BARRIER
o MULTI ZONE
HOT WATER SYSfiM
~ELECTRIC
o NATURAL GAS
o OTHER FUELS
o NONE
EF = . rn
HOT WATER CREDITS
SO~,R:= 0 J T
HEAT RECOVERY P<EOQ 0
DEDICATED 0 rn
HEAT PUMP:
E.F, = .
NUMBER OF IW
BEDROOMS = Lb!J
INFIL TRA TION ~ ~ Lillld. ~
PRACTICE USED X 100 =
o #1 ~ #2 0 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
1 hereby certify thallhe plans and spec"icalions covered by the calculation are In compliance with the
Florida Energy Code, l\...... ' .
PREPARED BY: ~-:-~..~U- kJ-"l.._ DATE: \.:>, - '8- "I ':L
I hereby ce~t thisf.!;'ildlng~8 In compliance with ~he Florida Energy Code,
OWNER~ ~~,J......,.-~",,- DATE: \1..-g-~2- DATE:
,. ? ;~. .
'J,;\ ),t':~~1'
. .....:;~kW;~',
'.' yWI!,t1:~I~~r:
','.:!.11;i, ;"n ~~~~J~~
.'~M~'~
.~J\:"'" 2.
, .".( ~i .
st\!.. ~~}82/
D r~ 1FT ~,J U 0 () r F< I !':_ ~~ >(
~LOnIDA ENERGY CrrICiENCY CODE
FOR BUILDING CONSTRUCflON
~:,C'ct_ion ':) C.ornplionce f"ruqrarn Residenlial r'o,lnt ,:;.ystem Method
'.J(':';'",;ior: 1.0 Janual-/, l.r)s,~:
Department Of Community Affai18
Printout 9on0rnted by EPI92 and submitted ill lieu of Form 900 A-91
THIS COMPLIM1CE FOHM is VALID IF SUBMITTED AF-TEF\ JAI'IUARY ,~, 1992
~ROJECT NAME: DRIFTWOOD TRIPLEX
~ND ADDRESS:
PERMITTING OFFICE:
GENER0.L. : lm1E [lel/ELOpr1eNT CORF'.
CLH1ATe ZONE:
s
6
Ii
GENERAL HOME DeVELOPMENT COF\P.
3UILDER.
JWNEf':;: .
~~m1PONENT .
3TRUCTURE TYPE:
~1u.ltiFamily
~REDOMINANT EVE OVERHANG
~'ORCH O\JERHf1NG
,.JINDOWS
Single ClOtH' .,
All Vertical Glass
All Skylight Glass
,~ALLS
Ext NormWtBlock Int
)OORS
Ext Insulated
Ext Insulated
:::EILINGS
[-LA T Under ('It tic
PTTrHED Under Attic
PITCHED Under Attic
-LOORS
S lab--on-G)- ado
)UCTS
Unconditioned Space
:::OOLING
Centr'al ('tiC
-lEATING
Heat Pump
lOT WATER
Electric
INFILTRATION
Conditioned Floor
AS BUILT POINTS
1') .964 .8'1
DIMENSION:
H of units
Length:
L_cngth:
T~)t,al Area.
lotal (wea
lotal Area
Area:
Area:
Ay-ea:
Area:
r"\rea:
Area:
!' e r i rn e t e r :
Lengt h ALL_
Bed1- oorns :
Area:
/
PEmlIT Ne.-
JURISDICTION NO.:
VAL_UE: Rr"\ T HIG: VAL UE: OfT Ie Ir''tL CllECf<.LIST
J ~JOF\S T
1.30
5.60
CASE REf'.
1Ill.le)
li1l_10
.00
967 .70 R'.Val:
4..20
21.60
21.60
694.00 f,"Val:
494.00 R '..,1 a 1 :
65.00 R '.}a1:
22.00
22.00
1 ') _ 00
144 .00 R ',j a 1 :
.00
R-Ijal:
c., . co
SEeR.
,LO_OO
::srr:
7.00
,-'- .
~-(' ,
_ '?O
2.00
1183.00 PrDct:
-,
"-
BASE POUlTS
cj~
100
EPI
23.076.04
86.51
GLASS TO rLOOR AREA RATIO
. 11 9~J
I He'n:~by 'c'ertify.,.that the plans and
specifications covered by this calcu-
lation are in compliance with the
-lorida Energy Code.
\
:>REPAnED BY:. '::~Q1:.:..~1..j .J_-P..:.._!L.t_._________'__
)A TE : _,_._____,__________.1:?,:- .t~_:~,:,L? __ . ...__..______._.____
I hereby certify that this building is
in compliance with the Florida Energy
:~ode .
~ /,' ,
)WNEBk0.~~.I)l.J'" \~-:c~,-. ,of ). J) I'.....
) ATE : ~~__~-=-___~:=='~I2~~__~__~-~,--~,~=:.=,._=~=_=~-=~=:
r<8\1iHJ (~f the plans and speci fications
CO"Je'j- eel" ty/ t h i ~s eEl 1 cu"l a t ion i nd i ca tes
compliance :;!it.:-I tho rlm-ida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
~.)53..')08 F-..S..
BUILDING OFFICIAL -12" :.. ~
DATE.: ,__ t:;b~t:fr2-~~--.,--..,-..,-----
,}~ * :t:.l >J: >t::y :r: '4:: ~r * :l:"~ :~y:-r ~t:::k '\ '~-:: * ~t' y ':~: 'l~~!' "J" '~.' ~r.'~ ~y. :-r. ,:f~ :f-" ~::: .-t: ,t~ ).' "~, :~ '~', :-Y ;'~'~ ..~' ~~ '~. '~' ''I' ,"-' ~-- :-!'. ~l~ - T-~" -t ',~~ '~r!., .I.. '~~ .-t' :~: i: ':~: .t'y :-~' :+' :1- ~: i~ 'f ';t': i~ ~t:1':t:
W ('l n:: r: 11 [('iT UK,
,~:* 'F **'** .,,~* * * "I<:y:r * 'f' ,y ':: '!' 'I: ':0: 'I: :~: :I':r 'Ie '~: .~: * * *:}( >1< :r:t '! :i' I' :;' 'r;lY'rr '!' ':' "I' 'I' 't '!' '.~':' ." 'I' ';' 'In:: 'I: ':':1< 'f:*:t::t: ',I: *:r 'y *' * '1~:k't::I-':r '1"* *
I
I
=:":'~. BASe "'.:""::'
':-;7'~ (is G~JIL-'7
_ _ _ _ _ _ _ .~~ _._._ _ _ __ ~.~ _~ '.,_ _~ ~ _~ ._. .__~ '_~ _ ___ "__ _~'. _. ,,'_ .,,~ ._. ___ '_~ _w w_ ,.0. ,,__ _. _' ~,_ '-" __ _~. __. ~_ __ '~_ __ _._ _ ..._ '~_ '._ __ __ __ _" __ __ ,._ _ ...._ ~_ ~m .__ _~ ,__ _ __ _ __
.__',,.''__..'_.._..._,_"'_'"._'..'~..._.__._' .,,_ ". ,,,.,,.. " "H'U,_ _, ." " . .___ ,~'~_ .__ " .' , .,___._~...._u____,__.._,__~.._,_. ..".__... ,_.-__~____
U~1 OF )( t.1Ul.. T TOT nL. TANI( VOLUME Ere- rM~I, )< ~'11,-,IL T )< CREDIT ...- TOTAL
EDRMS /::(]TIO MULT
~.~ --- ~ -' .~.'~~" ..- ,~- ,---- " . ---~ --- - -, --~. "". - __ _'4 _.. ___
..., 3527 .0 '7 ,054 _00 40 .90 .1 .000 3/}49 .7 1 .00 C. .899 .33
c_ ,
----------~----------------------------------_.__._..------.-- .------------------------------
__ _" _.~ ~.~ __ __ __, m. ._. __', _,. . _ .__. .,,__ _'" ,"'" .'~_ "".. ___. . .. ....' ___, . . ",," ..." . '_ .... _" ,_,. _, .~.. "0', '._ ..", ,~'_ .~" ,_. _.~ ..._ ___. '," -.. _ ',. __", '''" _ _,", ___ __ . _. 0 __.__ __ _. ..~ .'.. ." _., _~ '._ _ _ ,'. ... ___ ~_.. . ' '_'~ _.. .. .... _. _ _ _
:1::f::1: 'I: '" * :t::t: :~: i::t: 't'!:'Y '!, '1::1: :1: 't::t * * * )1: >1: 'I' 't: 'I':r 'to * :1' '1'* * * * *:t:r :I--t::t 't '1':"1' '1' 't '1: 'I: '\-'!' '1':'1' '\: >r:r '!':t:y:t:r 'I' '!' * ''I' :1' 'I:'rl 'y * '! of' 'I" * * *
SUMM~RY
:r >I: >1: :t::t *:k :1' >\': *** *:t: :1:1* >r ,t t:t:. '\: *- *'j :I':r :I':1<:r * *** :l::** * :f- 'l':r :1: ,', ';.: 'I' 't' 'I: 't.t' :t' 'r 't: 'f: 'I' '!:** '\' 'r 'r 'r:1-' :t: '* or :t'!:':r '~: 'I: *:r * 't ** **
=== BnSE === : ~S BUILT -
____________.__._______________w_______________._ ___.___________.____~___________________
_. A__ .._ __ .'._ __. ~_.. ,__ _... .__.. _'. _ _ " _ ,'. ...,... ~... ."" __, ,.. __ ..-, ~ _ ._.. ,'_' "'_ "u ... , _ ..'_ ..,__, ~_, _ , .._ _ _ _... _ .... _ ~ ..~ ,.._ ,.. _' '. ~ _.. '. ","''' "" ..'__ ,._ _" ." ,,,. _, ' _ _~ _, . '_ _'" _ . _ _ .,. .", " " ,._ . " .... ~.. ,.., __ . _ _ _... h" ,.", v'". __ _..
OOLING
OINTS
HEATING
F'OINTS.
HOT ~J~TER
! POINTS
TOTAL : COOLING
POINTS : POINTS
t
HEATING
P01:'ITS
HOT WATER
+ POINTS
TOTAL
rOINTS
8957.9
7065.0
7054.0 23,076.84
7~,22 .2
5':)113.3
6899.3 19,964.89
_y_____________w______________._______________________._~__________.________________________
_. "", _.., ."_ ._. _'0 ,~~ _. _~,_ ^_, ___. _._ _. ..__ ,. . ,'_ '", ,_" , _ ....' ..'~ _ ' ,," __,_ __.. __" _.. .._ ., u _'~ _'" _, .__ ~.. _ _ __ .__ ~ _'" _ ._..', ,_.' _ ., -.",..,. ~.. ..,_ __ ... ,'. u. _ . '.. ._. ... ... ~ . .... .. __".. . ,_ ,_ '~_.. .'" "'" __. .__~ ." , ' '" ___ ..__ .." _.
'I: **:t: * * i~ *:1" * * * ** >1: * 'I'
* EPI = 86.51 ~
*****************
-I' :ti'* *,* ,r)l': \!:: 't 'I: 'let *,:r *~f' ~I: *' *' * ':~ 'f: *' :1: ,\; * :Ic!~ * * :1: 'j:' 'I' :\::I::j':1::.y :i:'r 'r :le!' "':'1 ': i 'i'I': '1 "1'" ,. i:' "Ie'l' :1"1' 'I i: 'f: 't' :r-r 'r ,!. 'I' .1: *'1' * 'r
WINTER CALCUL~rIONS
""""'~, BASE .~,:-.~,
I::t**:-Icl.: '! *,1:.'1:':< *":'l<:l<* 'l::':,'t1: 'Ie:Y :rl: '!' **1:'10'* ':':\(**:.:~:< 'I' "I:l' *'1<*'1':1.... I": 'Ii ." :r;'1' :1: :t' 'I"~!' ':'1 'Y 'j' 'I':r * :r:ly:r'r '!'!' .\: '1:* :r1::l< ***
I
I
AS,.BUIU
,... ..__ ..~ _'~~_' _ ~". .'._ ~__ _ _ .__ ~ _. _._ .~_ __. _ _ .__ _ _ __. .__ .__ __, ~ ._._., __ _ .....__......_ _ _ _ _ ._~ _.~ _ _ _ 0_ _ '._~ '_
. ""', .". .,.. _ _. _"... 0'" _ _'H _.. "._ ... ,. ' , .. .... ,'_'" ,,_. _ , _. . _ . _ ".. "" , ... _". _ . _" _, ~._ ___ '-"' ._.. ... -'A" _n- ._.. . .. . ' , , ' , ' . .
- ,_" ._~ .__ __ - ._ __ "_, v__ _" ._~ ._ _ _ __
..," .""... ' -
GLASS.,... ._.. ....- _.._........ ,. ......."
ORIEN AREA X CWPM ~
I
I
r'c)J NTS :
[\1
(bO .00
::j .6
3~~{. .0
E.
28.80
5.6
lCl_3
~J
52.30
--5.6
-2'12.')
TYPE SC
."- ',-' .-- - ,."- ,,~. . _. -_.
SGL CLR
SGL CLR
SGL CLR
SGL CLR
SGL CLR
SGL CLR
SGL CLR
SGL CLR
SGL CLR
SGL Cl.R
or~ I EN (\,PE{': >< [.JPM >< WOF - POINTS
.. -----
~1 13 '\ 9 .6 1 03 132 .2
i'~ 1J .1 r:) f~, 1 _ 0,1 133 .4
N 16 _6 ,..., .6 1 .06 169 5
:; .
(' 16 .6 9 .6 1 .06 169 .5
[ 13 1\ 2 ') .62 ,18 .2
.. 1:."-
r' 1 :3 -1 '} .2 ..2 .03 59 .8
'-- L_
[ '~ n ., ') ~ CIJ 1
. v .: .. ...:...
W 19 1 -2 .. ~? .61 25 .6
l-J 16 ~6 2 ., '~0 10 .3
. <- ..".:,0
l-J 1(, -(, ,,"> ") .28 10 .3
"'- . .-
.. .". --.-----
.15 X CONDo FLOOR / TOTAL GLASS = ADJ. X GLASS
AREA AREA FACTOR POINTS
ADJ GLA<:;S
POINTS
GLASS
POINTS
.15
1,183.00
1/~1 _10
----------------.-----------------------------------.-------,--------.---------------------
... _.., __ ..___ _, ._. .._. _" ,. . .... . _ _,. ... "., _., ..... _._ ",' ._~ ,. __ _.. .... '_'. ~._ '" _ 'e., __' _ . ,. '..., ._ _'.. __ _u _.. __ ,.. '.", _. ,_.. _. .'-' _, _ . . . ._ ".. '._ .. __, n _ .,_ ,~. ".. _ _ '., . '. . ."_ .__... ~_ _,.. ._'. "_n . _~ "" ,_'_, __ 0_" _',_ _... _.. _ _ .~.. __ ~_, .___ .__
118 _16
l1i8.60 :
692.40
1.258
NON GLASS----- -- --- :
AREA X BWPM - POINTS: TYPE
l0ALL S-- _.- ,... -- - -.-,
Ext 967.7
1 .1
10CIi.5
DOORS--,.. -
Ext 43.2
5.1
220..3
CEILINGS-------------
UA 1183.0 .6 709.8
FLOORS-- --.- -- --.'- ,- -- --,- ----
SIb 144.0 -1.9 -273.6
I NF I L TRA T I ON- -0-_-- --,-----
1183.0 4.1 4850.3
F;;-\jr'lLUE
AREA X WPM ~ POINTS
Ext NormWtBlock In
4 ':>
3154.7
Ext Insulated
Ext Insulated
Under Attic
Unde,- r'lttic
Under Attic
S lab-on-C;,- ado
Practice tt2
'167.7
3.26
21.6
21.6
110.2
110.2
5.10
5.10
7-" r,
G-L .. \J
694.0
49fi.O
65.0
624.6
441.\.6
65.0
.'10
.90
1 _00
22..0
19..0
.0
144.0
2.50
360.0
1183.0
4.10
4850.3
TOTAL WINTER POINTS
==~============~=~~====~=~~~~========~======~~=~====~=======~~:~~===============
I
I
6,1122.69 :
~~;--:::= ".:':' = ~,-:-: ':7 ~::::::::-.::=-: ':::~: -::-:"':': ':"': ~:."'::..-:::::-::~ ::-::::-,",:: :-:': ':'::"'~"':':': -::::-:"::: ':7:: =: ::::-===::::::-:-::::::: ~ =~ ~ ':"::: ';;:': ;--:~~::-:-:::::::-:::-:-:=: =:::-:-:::-.::::"':;-:- -::-:::-:;; ~:::: ~ ~:::::-:::::: '":.":: ':';~ '-:- ~.~ :-:- ~~ -:-:-: -:-:: ',,,:": -:::: =:-=::: =::
10.411.92
TOTAL X S YS TEt"! .. HEAT I!'1G I TOTf'lL x C^() x DUCT x SYSTG1 x CF\EDIT HEATING
I , " .,.,
WIN PTS ~1L'~_ :- POH.lTS I COMPON RATIO ~1UL T ~1UL T MULT POINTS
I
,,~ - ~- --- ~-~ - ~ - ~,- - ~- _. _~_ 4. ~ ~._ __ ~.. '" .- - ~.. _. .._-- .. _. ~_..-..........--- -
6,422.69 1.10 7 ,06/~. 96 I 10,411 .92 1 .00 1 .100 .4811 1 .000 5,543.31
I
-~=~==~.==~~~~=~~=====~~~~~~~=~~~=======~=~=~~~~~.~=~=~=~~~~~=~~=~~~===~~~~~~.~~====
'~' :'1' '):"* ;y :t: '::'r o;~ ':., ':: . Ie 'r ::' : I: 'I":' ~: ere 'r .~, :{"y :'}:' "K ':: :Ie' :1: of' :r '* * :1' ~, :i/ 'r * ':'l' T' : 'l .: ~ .\. ,. r. ;" ~: ~.~' ,}, :'r :(0'"' .t.t 'j: .- 'r ',: :to :t :t ,t: :t: '!: t. :t: :t :y .tt :t *' :t: '*
SUMMER C~LCUL~rIONr
'''';0; ,"' Br^lSE ;': -;;-
't: * * :t: *'1: :t: 'I: :t: .,' r *' '!'~c:I: :). '" -Y 'I' :1":: ':::';:.:/: .,. :'1';' 'I'''' '!: 't:l< ':If of' :.t"!' 'l:""I: .;,:, ':' .::' I : ::i' :)1"1' r :.'y~,.t: 'i':\'; '1:.t 't *:+: * *' :t:'.... 't.....:t:t * 'r * *'*
I
I
--_._----~-_._---- -.-.-.---...----------..--
--" ~.-. .... -- --- ~ ~ ..... -.. .~... ..- ,- . - - -~. ,-'."" ..~ . .. ,_. -_. _ '_n ,_. m
Lr^lSS--- ----..
~IEN ~REr^l X BSPM::: POINTS
. - .,- .~- -. ~-, _ v_ _ ~~ .~... ._~ __ ,,~ v.. ,.. ',_. _. ~._ __ ..~. _-.
\)
60.00
tl7.8
286<:3.0
28.80
102.0
2r?~:.~7 .. (,
..J
52.30
102.0
5334.6
_5 X CONDo FLOOR /
AREA
..... .-. - -~ _. -- --- -- _ ,,---
,-. -. ,.-, .~. .-. ."~ . '- -,--, - ,. ,-..
:: '. ('IS BU I L T - c
__ '__~w,. ~ _ __.__ ~ _ ....'_.~__
..... -. ',' -. "-
TYPE
SC OfUEN r^lREr^l >< SP~1 X SOF -- POINTS
~.~. -.- _. ~-'- - .- ~ -'- -- -,.- _.- --- ~..' ....,
SGL CLR t'! 13 w 4
SGL CLR ~"~ 13 /1
SGL CLR N 16 .6
SGL CLR N 16 .. C1
SGL CLR [ 13 A
. t
SGL CLR r- 13 . Ii
(-
SC;L CLR r" 2 .0
c
SGl_ CLR [,.J 19.1
SGL CLR ~.J 16 ..e.
SGl_ CLf< [,j 16 ..6
,.,- ~-, '-- ._~"' ,,~ ~ _.~ ~-~. ~._.
TOTAL GLASS ;0; ADJ.
AREA FACTOR
r-
,0
1,183.00
141_10
~ - - -- - - - - - -- - - - - -- ~- - -- -- - - - -- - -- - - -- ~- -...- ~,,- - ,..- ~ - -- - - -- -- -~ .- -- -- ',_. - -- -- ,.- .- '-" .- -."- ,_. ~- ,,,- ,,~ .._ .~_ ~_ _. ..c,_ _ _ __ __ _._ _. ._ ~._ _ _ ~_ '''_ __
. ..- -- .... - - ..- -~ ~- ~" ~, __ - _. w.. ,_." ".. __ ..... _., __... ~_ . '. ~_ ___ '.. ... .... ....._ _" _._ '._. .~ '.'_ ,_,. _" ~~. _..... ...." ,_.. ,.~ _.'~ ,,__~ ._~ ~ .. _.. _.__ .... _.. ., __' ,'_ _ _ .., _., ._. _... ,,_. _.. .~ _.. "'~'. _ ._
'J.3fJ1.27
IN GLASS---..-,--..,
AREA X BSPM = POINTS :
,LlS-- --- --...,---- -- -..- - -------
t 967.7 1.0
967.7
o I~ S "- - .... ... -, ....,.-... -, ,-- ....--- .-- --
t 43.2 fJ.8 207.1
ILINGS-------------
1183.0 .6 709.8
OORS---------------
b 144.0 31_8 -4579.2
- I L TRA T I ON----
1183.0 10.9 1289fJ.7
X
GLASS
POH!TS
1.258
11.140_2C
Sl.0
51..C'
51.0
51.0
109.2
109.2
.1 0<) w 2
109.2
109.2
10').2
AOJ GU':SS
r~OINTS
11] .010.12
.91
.93
. ~39
.89
9")
. '-'
..52
_81
.71
.77
.77
645.8
635.6
755.4
755.4
1360.9
760.9
177.1
1475.2
1387.6
1387.6
GLASS
POINTS
AREA X SPM.. POINTS
4.2
967.7
1.16
4_80
11.130
.90
,)f\
. 7v
1 "('
...... .Lu
..0
1 'VI . 0 ... 31 . 90
rAL c,lJMMER POINTS
I
I
::>1,210.fJf) :
~=~==~==~===~~~~~===~=~~=~~~=================~~~~~:~~~~~~==~~~==~==~~=~~
1122.5
103.7
103.7
624.6
fJ1.j4.6
71.5
1593.6
1183.0 10.90 12894.7
.3-10
TOTAL
COMPON
X CAP X DUCT X SYSTEM X CREDIT
f~ A T 10M U 1._ T t1 U L T M U L T
:,' 1 .6
:.~ 1 .6
6':14 .0
t1 ';?I] _ ()
C!::, _ 0
--,-.--.---
'''"0- '''.+._
~'. -... -... ~~ ._ ~_ _ '_M _ __ ~_. .__ _'.. _. _+_ __ _ __
,:0 , 11 ? . ')6
1.00e
COOL.ING
f' 0 nn s
_~ v~ _ ___ _ _ _ _ _ _ _ _... _ __ _ __ _ _ _ __ __ .__..~ ~ _,'_ ~_ ~ _.. ___ __ _ _ __ __ ___ _. __........_ _. __~._ ~_. __ _ _ ___
',- ... .. - . un .__ ._ _ ___ __. .... ._..__...__ . _ ___. ___ __~ ..._. '... .. ".. '.. __.. .".. .... ,_, ".. ...... __. . ........ _. .... __.. ~". ... ._.. '" __.._ '..__ _ . _,. ..' .._... _ _ .___
7,~22..25
--------------------,-.------.
.".---..-,,-.....-...., -..-_._...______...M.._..~._...__.. __.. '''__A "'._
TYPE
P VALUE
-, -.', .-... .... "_,w _ _ ~_._ ~ __ _ ._... n,..
. -. ......... _- _.. ...._ .' "_ H ._. .._.. ~
rflL X
1 PTS
SYSTEM
MULT
COOLING
POINT'::;
". '- -- ~-. -., '-~ --- --, ~.. -~ - - -- -.., - .-~
r -'>1,\ /!~
I , ,,--..L.....,. .. ,'_
.37
e,957.80 : 20,112.0( 1.00 1.100
. - ., Y'- _. _._ - '... ...~ . - ... _. ... ',"_ ..._ "..
Ext NormWtBlock In
Ext Insulated
Ext Inslllated
Under Attic
Under Attic
Under Attic
22.0
22.0
1').0
Slab-on-Grade
Practice #2
- '-~ ----- - - - _ _ __ w_ __ _ '__ ... ....' "-'_ _...~... <._." ...... ..".__
'. .... --- ---- "..,--_.,_. .- .-, ,.-. .'.- -..... -.. ---... --, '. -....,. .. .
_ :l"t I NF I L TRA T I O~! REDUCTION r)r~AC n CE Cm'1r-'L Ii":I'KE CH[Cl'~L.1 S Trr
, - -
---~-~-----._-----'-'
._~ -.. ".. ".~ ~". -., .. #~. . - .,. .,..' .-. .-'" ..., .
____________~___._.___________._.__w____
,._ _"., .__ - - ___ ,,_, - ."~, .... __. _~, _._ .w.' __, _. "._ _ ....._ ,~. __ ,.... ..._ _.~ _. ,_, _ W', ...
_._ '.__ w.._ ~_ ._ ~_ _.' _"
... .-_. ---^'" ,."
.---.-.------------------
__ ... - _. _w. ...~ ___ ..
m1PONDHS
REQU I F\Et'1ENT'::'
________________.________._.._~__.M__~__________________~______________._____.______._______~____
.... ._.~. "'A ~,_. __ ...... ___,.. w. __ ,.w. _~ ,,_~ _n_ .... "~ _._ "_ _,... _.. ,'_ .., ...._.. _ .... .... .,. _w.' _ ... _, _, _., ~.. _'. __ __ __ _ .'on '. _ _ . ...' .._. . ._ ,.". ..^ ". _ _'.' A_" ".. ".' '.. ,.. _., _ __ ,." _., _,. .._ _.. ,_.. ._ _..... _.. ".- '._ _ ..__ ~ ~._ _~_
RACTICEtt2
Comply with Practice Hl and the following.
xterior Walls & rloors
Top plate penetrations sealed_ Infiltration barrier
ins tall e d. Sol e pIa t 8 / f 10'::)1" j 0 i n tea u 1 ked 01- sea 1 e d .
xterior l,~a.lls &
eil.ings
Penetrations, joints and cracks on interior surface
caulked, sealed, and gasketed_
ucU~or k
[}Uctl,.Wl k in uflconditioned space must be sealed.
ireplaces
[quipped with outside combustion air, doors, and flue
c1arnpor::; ..
xhaust rans
Equipped with dampers. Combustion devices see ?03.2
( f ) .
ombustion Appliances
Provided with outside combustion i.1l.i
. '.:J:.:t 'F;F~ESCf<I!'TI\)[ ~1E0.~..:,UP.E'::, (~1u~;t bc~ rnet or c::,'cc!c,c! by Ci.l.l re::~icJences )t't
:OMPONENTS
SECTIOI'!
, . .
~ _ _ __ _ ~-_ __ __ _.. ..." ,~_ _ __ __ -...- __ _ ~ __ ___ ...'" _ __ ..._ .~v ..," __ _ _ _. _ _ _ __ ~_ ..~, ~_ _~, ^~ _.
_ ,..... ~ _.~ _ __ ~.. ,"," ",_, _A' _." __ ...._ ~__ _.~ ^__ "Y', ..._ _. ._" .". ~'_ __ ~_ u_ ... ',". w' __. ..., n__~, _,_, ._. _~ ,,_. ,.H. .._ ,,_._ ,_.
R[(::)U I REi'1ENT~)
--- -~. "~. _. ,-, ..- .- ..-~ --. -.-, .- -- ._~ #- ~- ,-
, .... .-.".- . . .". ,'. -- - .. ,..
---.-----------------
.... _, ^ ._. ._". ^'__ '_',_, __ _.' .... _.,_, _'0 . _' _-. ,'0_ .' _ _. _~ ~__
J I NDOWS
904.1
____________._______________v_ ________..~_.____.____
__ .__ _. _ _ _ ,~n __ _ __. ~_ _.. ,_. __ .. ~ w. _. '_. _.. ._. _~ .__, __ ._ ... _. .... .'. "__ ._.. _.. _,__ .'._ .,_ _.._. v 0' __. _~ .._... .._ ... ._
----------~-_._-----
".. .... ~"_ - . - .... ,_" "0 _.. ._. ...... _.. .... __ ~_ .___
=XTERIOR &
~DJ (iCENT DOORS
904.1
:XTERIOR JOINTS 901_1
< CRACKS
J0. fER HE0.TERS
')04 _2
..WH1MING POOLS
, SPAS
90ff .3
10T WA TER
'IPES
904 .4
;HOWER 11EADS
904.5
P.JilC DUCT
;ONSTRUCTIm~
."_ ,._ ~ - ~._ .~_ ._._ .0
"", .... B.O _.....
~1axirnum of 0.34 CF!'1 per line.':}r foot of opeY'able sash
cr.:),ck.
~12. X i m urn 0 f o. '=, C F ~1 p e ,- ~~ q. f j 0 f do 01- ar- ea. I n c 1 u des
sliding glass doors. solid core. wood panel.
illsulated, 01- glass doo)-s ol"lly.
To bee a u 1 !\ ed, 9 a e:) k e t C'd. I".J .'.: a t. he \ ~'; l., rip p e d 0)- 0 t I. e r ..
wise sealed.
1'1u~::t bear 1 abe 1 i nd i e iJ L i nq COflJp 1 i a ne8 wi 0.S1IR0.E: s La nd-
ard ')0 OY' comply lIJith efficiency and :3tancJb)/ loss re-
quiY'crnents_ Switch or cleaY'ly maY'ked circuit breaker
(electric), or cut-off (gas) must be provided. iln
c;-:tC:Hnal OY' built. in hest tJap must be PY'ovided.
Spas and heated pools must have covers (except salaY'
heated). Non-commeY'cial pools must have a pump timeY'o
Gas spa & poo 1 bea to)- s mus t have ml nirnurn trior ma 1
efficiency of 78
III~')ulation lS requiY'ed only for recil'culating systems
In such cases. piping heat loss shall be limited to
17.5 BTU/H/Linear Ft. of pipe.
Water flow must be restricted to no mOY'e than 3 gal-
lons per minute at 80 PSIG.
903.2 Constructed in accordance with industry standaY'ds &
904_6 local mechanical codes_ Ducts in unconditioned space
must be insulated to minimum R 1.2 & joints must be
sealed.
IVr'IC CONTROLS
904.7
NSULATION
(-)()4 w 9
SepaY'ate readily accessible manual 01 automatic
thermostat faY' each system_
Ceilings minimum f\ J.'). Common LJal.ls Frame f\ 11 or
CBS R-3. Frame Common Ceilings & Floors R-l1_
1- -
()
o
,..
"
:
r--
--"I
I
rJl
-<r I
i\' I
J..IO'. "
rl\
1'0 :: T
- OC> llC
:r In - ,
" : - ~
- \ -
it 11
!
,-
I'
ilO
;...1.
i~
';'
QQ
O'^ I
Trt: ~.
,<' -r-
,.. Tf Ii
75-
-,
~
-U
0
()
J
L.
P ~
(Q
t"
~
(j'
cll~
If)
if
l
-
,
100'
t
~
.
y
'"
,-
'3'-Li .1
.
Q,
I
T
>
.Y
'"
3'-'1 If
.
SO
:r
----.'--.'- ~;~';~.- -',-'-',- --,,~ - -~.--'- - - - - - - -- - - - - - -,- -'I
..
..
C E N T R ALP E R M I
PASCO COUNTY. FLORIDA
CONTRACTOR #: 003495
NAME: KEVIN T ROBERTS
ADDR: 817 US 98 BY PASS SOUTH
C/ST: DADE CITY FL 33525
FOR: RESOURCE FEE
6707 HOLLY COURT
CONTRACTOR: 003495
TOTAL AMOUNT:
ACCNT COMPNY ACCOUNT CENTER
114 8450 - 363000 - ~
T r I N G DATE: 04/01/93
F'ACiE:: 1 OF 1
I :::;SUE OFF I CE: D
RECEIPT NUMBR= 00169113
OFFICE: DADE CITY
CHECK :1* 1 ~iO::::O
:37 . 54
AMOUNT
::':7" ~54
..'
(/ .'
/..-... I /' /';/
REI_":E I VE[I B\,,' ! !'''' / (( l {L . . ( /, / / / /, / ' i' /'
r _...._.....___~...;.. .....-'___..J.._~..!._.J__"-_..i___,_""-'--____
/ /
DESCRIPTION/PERMT DATA DRICR
****** 60
~".;;~\,} ~'~7i" : i '" ",,"~' l-;r:t~,\_-l .~, '. ?~P;~\~i' ,:-~::f,~, j;~C"
;t~" %;'>"'.o;;;..f., j.j-:..\ ,,'~,:'..' ~~' ,,- ~tl1lHP~ -1\.'_ o,i.\1. ':'\~~~-:,-",";;:-.~. )'~:,'1., ,::~~;r,,;-~-:"~'j'.,;;r,' '\~JA ,,~,\:f.r.
PASCO COUNTY, FLORIDA
Permit #
Date
/
Name/Owner
e..,,,,
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
/
.
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 =
!QSElx (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 Wll..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 form, 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