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Home My WebLink About93-3034 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 3?7SO ~g-, cr-o ~ . tr-o {; C) e c7V ~~) c;ECT~~ C;u::~) C:ECHAN~ Sew", Cooo .:z.~':!.6. IJ'v 6; Water Conn: 7tl7'J. tJ7J P,"perty Owne" ;4I:.It;, ~" p .. ~ 2l-4] Wale, Mele" .? "" - c)>) Job Address: ~R~J/7 9- ~ &3!7a (Lv.tL <1 T,lF.'s: ~ I](). trb b -3--CZ3 Parcell.D. # / r -;26 ';;l! 'ft'f5 1'''';/0- /' U Zoning: Energy I~ode: ~I Radon Gas: /1, 7::l. Description of Work~.L.-W /\.Y:.. A.A. LJh~ / Permit N ~ 30348 Date ~-;2:2 -K3 NO OCCUPANCY BEFORE C.O. FINAL to~ \- DATE C.O. ~ ..3- ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit Fee~.--5'U Signature Company City License Registration # c2..0 Address State Certified License#~ /":( t'JlJ /CJ 0 ? 6 Telephone# ~J...- J31f9 hT{l~AJ M~- :ij~J /..!>-<j ~ ELECTRICAL PLUMBING Tp.Serv. ~ SLB~"db-~ ~ Rough In &f -tl.c;3.. ., Tub Set "I~/Z.' J. .. Meter Can Water Const. Pole Sewer Pool Final Pre-Meter 5e 2- ~ -1-.3 liB Final Valuation or Contract Price c?frl; ~. tJi) Ftr. ~-~q,~ 8~ Pre S~ - to \3 ' ~~n~~1 :?:;~-:~ f WB Insul. CL WL Breakers Ducts Insl. t./ fl. C:;.J ~. Compressor Final Driveway &Hti,qlh...tcr 3 -/~,3; ~ld.i f2e,:0f 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. ))CC .:2-:J;;~93 r-'{ t -3 -7.3 The payment of inspection fees shall be made before any further permits will be issued to the person owning same. .f~~:';:~~~..;"~,,;.~,"s!:l't:~.}J~F~,_~,~.~'''\~':"' :~~'1'I"~~ L jIR---'-'.-"'. b0pL~tl .(JG\~:-.)'l . f-.~'t VJi~\T\=-) r\- i l- To,J (~5.1-...._., " YAL0AT\"ON. '3"5)000 " ....".,.... lit ' ,___.._----'~~J.~~~~~f:r ~~7.:)'0 ' __..__-~ pL~,~,~.~~:(,-- ,?>O..::'C _wcri3-'~~' L:- b ~ · 00 ~ ,fY\fO\r).~.10L (00, ,,0 S\)i?jQ.r~k 5'15.50 ~~VD - 30. D'-~ ~-cA.~ 565,50 ,---,.... tf ...... ,---..- . .. -. -- ,. -- .'_______. ..2i:':'h...J04Q ~1' F+. _f.::.:\,~~-,-- t __.......__........'1f>IL..Y:.,.., l32.-.. ~'-B-!-_,R.~,c;,..\\__... __._~__u.,....,_.. ........._.. ....1..... ..'. .. _.._---_.~-_... .------.... . . __._._A" _..__'.--'---" ., .....-.---..------.-. - ...--- ------.. - ----.---... CD~~~(\J Q~ _f~~> Sf:-_v1_~_~6(55"to, v (/ , W.6,::G:-le.. (oo " D D 33C. ,.1:) D '" ~ ~r:E-.1'2- I 7P_fh~ 3i5ifJ. 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FORM 600B-93 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION fl Residential CompoJ)ent Prescriptive Method B CENTRAL (Y 5 6 Department of Community Affairs GENERAL DIR liONS 1, New construction including additions which incorporates any of the following features cannot comply using this method: raised wood floors without continuous stem walls, steel stud walls, single assembly roof/ceiling construction, or skylights or other non-vertical roof glass, 2, Choose one of the component packages "A" through "P' from Table 6B-1 by which you intend to comply with the Code, Circle the column of the package you have chosen, 3, Fill in all the applicable spaces of the "To Be Installed" column on Table 6B-1 with the information requested, All "To Be Installed" values must be equal to or more efficient than the required levels. 4, Complete page 1 based on the "To Be Installed" column information, 5, Read "Minimum Requirements for All Packages", Table 6B-2 and check each box to indicate your intent to comply with all applicable items, 6, Read, sign and date the "Prepared By" certification statement at the bottom of page 1, The owner or owner's agent must also sign and date the form, Please Print to C'r ~w taR /flU /11-'- f ~n" ;''Y' ~ 4e:;. 6" d..-C t Compliance package chosen (A-F) New construction or addition Single family detached or Multifamily attached If Multifamily-No. of units covered by this submission If Multifamily, is this a worst case (yes / no) Conditioned floor area (sq. ft.) Predominant eave overhang (ft.) Porch overhang length (ft.) Glass area and type: a. Clear glass b. Tint, film or solar screen 10. Percentage of glass to floor area 11. Floor type and insulation: a. Slab on grade (R-value) b. Wood, raised (R-value) c. Wood, common (R-value) d. Concrete, raised (R-value) e. Concrete, common (R-value) 12. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) b. Adjacent: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) 13. Ceiling type and insulation: a. Under attic (Insulation R-value) b. Single assembly (Insulation R-value) 14. Cooling system (Types: central, room unit, package terminal A.C., none) 1. 2. 3. 4. 5. 6. 7. 8. 9. 15. Heating system: (Types: heat pump, elec, strip, nat. gas, L.P, gas, room or PTAC, none) 16. Hot water system: (Types: elec., nat. gas, L.P. gas, solar, heat rec" ded, heat pump, other, none) OWNER AGENT: -1- CLIMATE ~ D D ZONE: 4LJ 5 6 JURISDICTION NO.: ~ 1. 2. 3. 4. 5. 6. 7. 8. CK Single Pane Double Pane 9a. sq. ft. sq. ft. 9b. S'i' ,1-sq. ft. sq. ft. 10. % 11a. R= C) 5 ;-6 sq. ft. 11b. R= sq. ft. 11c. R= sq. ft. 11d. R= sq. ft. 11e. R= sq. ft. 12a-1 R= ~ -J,.(J.6 ,"sq. ft. 12a-2 R= ' sq. ft. 12b-1 R= 5 :~o1J sq. ft. 12b-2 R= sq. ft. 13a. R= 30 ,5~ sq. ft. 13b. R= sq. ft. 14. Type: Ce-A,,1!;ftJ SEERlEER: ~ I () 1) , 15. Type: Ii e ~ "t (JU/TtP HSPF/COP/AFUE: 7 l C 16. Type: c-(@ -r . EF: .G) l TABLE 6B-1 MINIMUM REQUIREMENTS COMPONENTS PACKAGES FOR tfEW CON~TRUCTION A B C 0 E F Max, %of glass to Floor Area 15% 15% 20% 20% 25% 25% en Type Single Clear (SC) Single Tint (ST) Single Tint (ST) Single Tint (ST) Double Tint (DT) Double Tint (DT) en :5 <!l Overhang 2' 2' 2' 2' 2' 2' Masonry EXTERIOR AND ADJACENT MASONRY WALLS R-5 en COMMON MASONRY WALLS R-3 EACH SIDE. ...J ...J <( 3: Wood EXTERIOR, ADJACENT, AND COMMON WOOD FRAME Frame WALLS R-11 CEILINGS CEILINGS UNDER ATTIC R-30, FRAME COMMON CEILINGS R-11. (NO SINGLE ASSEMBLY CEILINGS ALLOWED) en Slab-On-Grade R-O II: 0 Raised Wood R-11 (ONLY STEM WALL CONSTRUCTION ALLOWED) 0 ...J Raised Concrete R-5 u. DUCTS R-6 R-6 COND, R-6 R-6 R-6 SPACE COOLING (SEER) 11.1 10.0* 10.0* 10.5 10,0* 10.9 ~ Elect. (HSPF) STRIP 6.8* 6,8* 7,3 6.8* 7,6 W Gas/Oil (AFUE) MINIMUM OF .73 (Direct heating) or .78 (Central) I II: Electric EF .90 EF ,90 EF .90 EF .90 NOT ALLOWED EF ,90 w::a!: Resistance** (SEE BELOW) ~W Gas & Oil ** MINIMUM EF OF .54 NATURAL GAS ONLY 3:~ 1->- (SEE BELOW) Oen I Other Any of the following are allowed: dedicated heat pump, heat recovery unit or solar system. Climate Zones 4 5 6 TO BE INSTALLED I' % DC: 0 DT: 0 1- FEET EXT: R= f ADJ: R= COM: R- EXT: R= - ADJ: R= - - COM: R- UNDER ATTIC: R = COM MOM: R- R= t') R= R- R= t.. COND, 0 SEER = I~.() c COP= _or HSPF= ~ AFUE - EF- , 'i I EF- DHP: tj EF= - HRU: SOLAR: 0 EF= - Single package units minimum SEER=9,7, HSPF = 6,6, Minimum efficiencies for gas and electric hot water systems apply to to 40 gallon water heaters, Refer to Table 6- t 1 for minimum Code efficiencies for oil water heaters and other sizes, DESCRIPTION OF BUILDING COMPONENTS LISTED Percent of Glass to Floor Area: This percentage is calculated by dividing the total of all glass areas by the total conditioned floor area, Overhang: The overhang is the distance the roof or soff~ projects out horizontally from the face of the glass, All glass areas shall be under an overhang of at least the prescribed iength with the following exceptions: 1) glass on the gabled ends of a house and 2) the glass in the lower stories of a mu~i'story house, Wall, Ceiling and Floor Insulation Values: The R-values indicated represent the minimum acceptable insulation level added to the structural components of the wall, ceiling or floor, The R-value of the structural building materials shall not be included in this calculation, 'Common' components are those separating conditioned tenancies in a multifamily building, 'Adjacenf components separate cond~ioned space from unconditioned but enclosed space, 'Exterior" components separate conditioned space from uncond~ioned and unenclosed space, Roor: Slab-on-grade floors without edge insulation are acceptable, Raised wood floors shall have continuous stem walls with insulation placed on the stem wall or under the floor. Ducts: "COND' indicates that the ducts must be installed w~hin the conditioned space: that is, the ductwork shall be located on the conditioned side of the insulation, Ducts in conditioned space are acceptable for any prescriptive package, Space Cooling System: Cooling systems shall have a Seasonal Energy Efficiency Ratio (SEER) for central units or Energy Efficiency Ratio (EER) for room units or PT AC's equal to or greater than the prescribed value, Electric Space Heating Option: Heat pump systems shall be rated w~h a Heating Seasonal Performance Factor (HSPF) equal to or greater than the prescribed HSPF, Heat pump systems may contain electric strip backups meeting the criteria of section 608,1,ABC,3,2,2, No electric resistance space heat is allowed for these packages, Electric Resistance Hot Water Option: For packages designated "Not Allowed', an electric resistance hot water system may be installed only in conjunction with one of the "Other Hot Water System Options', See below, Other Hot Water System Options: Any dedicated heat pump, heat recovery unit, or solar hot water system with an EF of 1,5 or higher may be installed, Solar systems must be designed to provide at least 40% of the total hot water, Electric resistance systems having an EF of ,88 or greater, or natural gas systems w~h EF ,54 or greater may be used in conjunction with these systems, TABLE 6B-21 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather-stripped or otherwise sealed. ~ Interior Joints & Cracks 606,1 All openings in interior surfaces of ceilings and exterior walls must be sealed. )< Sole & Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. X Infiltration Barrier 606.1 Infiltration barrier must be installed in exterior walls & raised wood floors. ~ Fireplaces 606.1 Fireplaces must have flue dampers, glass doors and outside combustion air intakes. AHT Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion )JIJ devices with integral exhaust ductwork, Water Heaters 612.1 Comply with efficiency requirements in Table 6-12, Switch or clearly marked circuit breaker (electric) ~ or cutoff (gas) must be provided. External or built-in heat trap required. Swimming 612.1 Spas & heated pools must have covers (except solar heated), Non-commercial pools must have a JJ11 Pools & Spas pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%. Hot Water Pipes 612,1 Insulation is required for hot water circulating systems, (including heat recovery units) and the first "I- 8' of piping from the water heater (or until piping enters an insulated wall or slab). Shower Heads 612.1 Water flow must be restricted to no more than 3 gallons per minute at 80 PSIG. 7- HV AC Duct 610,1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, "'A Construction, sealed, insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be Insulation & Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets, HV AC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. "} -2- A?PI:i.,'j'.TIONi YlrIR P;':RiH1.T CITY OF 2R'Piiff':! ',,1. L.LS Bi.JJll.DTOOG j[)lH:P~'~'1/iF:.m' OWNER'S NAKE \ToiuJ.My hYlJ'I wA,'T.~ OWNER'S ADDRESS jJo, dot f"CS"..-_-H1S" .i>OYJ JOB ADDRESS LEGAL DESCRIPTION: WJ'(S).EA6r5 9~ /0 In.oCK_~SrmDIVLSION HOJO;-F,r A'r.)T Add,'r;'<.II,J ~ f' t PARCEL I.,D.f /y-;26 -,d-/ E ~/-./.(f2._g /0 mONE q/~- 7S"'j- I:) 66f G A, JLZ.!fY- WORK PROPOSED: /JSlev CotlStruction _Addition _Alteration _Repair _Install _Sign __!!love _Deaolish PROPOSED USE: Single Faaily /K/F ...:2.-, of Units _KID _~rcia1 _Indust_ _SwiB. Pool Other _Res1taurant & i!~a1t:h ,:lepartJAen1: A[)pl. oval BUILDING SIZE: ,. b X~_, /0 )/0 __S<r'.;an~ Feet, Height RESIDENTIAL: COHKERCIAL : ATTACH (2) PLOT PI.J\.NS &: (2) S~'~ v":' :!lJJILDIINfG PI,OS ~~ (1) SEf ENERGY FORMS. u ATTACff (3) SETS \;,F RUI.Ul!.NG Pi.bi;~.:ir (1) SET RItfflR..;Y }i11ltliS.~-.l\- **COPY OF COINJTBACl' RlrQmIlJID" .r..~~'r,;~_~J1JJEST$Tr, _BUILDING :$ .V::JIlil.,.} .!.:m,\'C'f "If~'t:al Con.s!:nlCtion _ELECTRICAL AKP Service ,,____...~"I,H:-ida Power C'-':,:p, W.~.E.C. _KECllMUCAL $ Va1w,d:iOI: ,c,f Mechanical Installatioll _PLUKBTNG _._GAS ____RC' .)'[r'ITHlC ___ ._____SPECI~.TY TYPE OF CONSTRUCTION: _Block _Fr3lli!e _Steel Ot...her FINISmID FLOOR F.:LEVATIOINfS: ,.~ ""fl -:.::rj i'!h'~:CT Ir~ VLOOD Zm~E AR!"/'? YES NO *********j ~************~**+'~~~*******-.l\-**** CO~!Jtl\C1L~Rf..F.C1:JOIN' BUILDER~' i c.oofP:~K.T! /1,);rD/Y COII/OT., ~-/lu '/ Sl:ate Cert:. or Regist:. , ~t1 OC?J.D CJIG Signature ' _ ,~A _ City I.:ic'CT.i.se ..{egist'i"3tiofi 1# 7d. . ***itt,e, jUt*"''''. ,......'It***-4\: .fritill:i,'.!...".:e:*x:i;::f::f:il:itil-it**itil:frit ELECTRICIAN aJMPM['Cj~~f!I~..:- Sta1:e 'ecL. ,'lr Rcgist. :/# Siim:<iture Cl.t:y i, Ceil.lS'~ R.~gip~r:":tion I I r9 . **~*~-ft>.ildh.' ih,,:ir:i;::i;:****itit:'bHl:" >.:* JI::t-* , PLDKBER " 001iPdoi!'~q___ --.!:t:Jdp AI _ ~ A/6r St:at'e:CC""~, pr Regis!:. #/: F cJo 37000 ~ - Signature Cit:y 1." ~ K~gistr2t:ion.' -- . ....$ '7 -4xitititit**ir*""**.,,,.Il:***,",.. '.He ,.. :..,,"" l:-i\-*'i\-'.' "",':!!::f:* MEClJANICALA" . ~.tht ~~ A/ /Vcr'S ~ d ,,;it~t:l:: i~~~:~:::'~-'~Regist:. f fl jrJ, (!)D J8 Signature - - _ __ __ _ ~ . _ ____'-'-' _ L . ,'. . egistration # ~ ,~-!L.'~it~-5:ofX:i:~~ 1.;., '''~~c....'~,'J.~*:* .:'. '.: ""..~",,<r..:~ ',:''fi''~ ......: :!:.~~*':!:*~~~'*% t.&/ OTHER. . ";~fP~j **1l:1t,,:it-f:'.'H<.~' ~'il'1i>:',:::: ~ ~: ~a .:- :'~ -::..:.z l.. _ C:i[ .:: egis~:. ',:'i__,_ .. ity J.:::;.....":1-::ie Regist:rat:iOIl! I ,.. .!-:i<' .-;; :l:**:lII:"'~**.'"'*'-""'''''':lII:*** Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlitlay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (BI3) 7BB -66 11. Furtherlore, if the owner has hired a contractor or contractors, he is advised to hav~ the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of 2ephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~, D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Suide" 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 cOllencelent. 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 cOlpliance with all applicable laws regulating construction, zoning, arid 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 I understand that the regulations of other govern.ental agencies .ay apply to the intended worK, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: f Denartlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/Wastewater Trpahent f Southwest Florida Water "anaQelent District - Wells, Cy~ress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Denartaent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Tre.atlent, Septic Tanks f US Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood lone "A" Dr "A,etc.", it is understood that a drainage plan addressing a "coapensating volule" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a pertit 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 COI.enced within six lonths of issuance, Dr if worK authorized by the permit is suspended Dr abandoned for a period of six lonths after the tile the work is cOI.enced. One 90 day extension of tile, lay be allowed f~r the perlit with 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 .onth period, or the project will be considered abandoned. WARNING TO OWNER: Y~UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINS, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COK"ENCE"ENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SISNATURE: OWNER OR AGENT I was acknowledged , 19 _ by vias aC43clvll edged , 19 bv , . STATE OF FLORIDA ~ COUNTY OF The foregoing instrument before me this me or who has who is personally known to me or who has produced as identification and who did/did not take an oath. (SignatLll-e) (Name Typed, Printed or Stamped) NOTARY PUBLIC (N N - -- -- - 'rnposul BOBBY ~. HILTON ......, CMtract... 113/ 1].1349 1501 ........ M bst Zepbpllllls, fIN.. 335M . IS' .luel.. Ot'OlioAl SUBMln[D TO rcUl Melanie White PHONE (912) 759-2669 JOB NAME DATE 12/22/92 JOe LOCATION DATe OF PLANS JOI PHONE I h",,,by ~ubmlt specifications and estimates 10'; a duplex apartment buildinq (one-bedroom lln;t'R_) Th is hui 1diWl-nll be".co.nstruc..t...eq_~.Qrgj,ng,,_tQ.....P.lans_~~~__.___ _____, specifications and will include the following: 1. Carpet and.....Yinyl flooring (S15,_.per yd. allowance.) 2_ Ranges and refrigerators (name brands.) 3. Central heat and air. 4~ Insulated ceiling and exterior walls. --,5.--n Ceramic- baths... ..,.----.- 6 _ Formica.. cabinets. _...___ Constract price JLncludes ,R~rmits and impact fees. j 'rupus, hereby to furnish material and labor - complete in accordance with above specifications. for the sum of: Fnrt'~-t'hr~p thouRand four hundred and no/lOO......... Payment t be made a, follows: accordinq to bank schedule. dollars ($ 4 3 . 400 . 00 ) , All .....1.,...1 " 1I"..,..nt_ to be ..s ....clll.d, All _,k 10 b. compl.led In . workm..nllk. m..nner ACcordlna to .t..nd..rd pr..ctlc." An, ..1I.rallon or d.v,al,on Irom ..bov. .peclllca, ..on. involv.na eatra co.t. w.1I be e.ac"led ani, "pon writt.n ord..., and WIll baeom. an ..1'.. ch..ra. _, ancl above tile .SllInat., All aa'Mm.nts conllna.nt upon .trok... accidenl. or c1eW1" beroncl ou, control, Owne, to carry I..., tornado and OIller nec....ry in.uranee. Our _..... a.. lu'" c_red br Work.....n.. eorn...nsation In.ur..nc.. Authorized Sianature Note: proposal may be withdrawn by us ,f not accepted within 30 days. Atttpta&1tt IIf 'rllplIsal-:- The above prices, specilicatlons and conditions are satisfactory and are hereby accepted. You are authollzed to do the work al specified. Payment will be made as outlined above. S fl.J.___... 0 'AI ,/~ ianalure ~v I vrv,O /AI< a ~ < Oilte of Acceptance: Silnature ,; CONTRACTOR ..: NAME: HILTON CONST ADDR: 6415 16TH 51' C/ST: ZHILLS C E N l' R A L: PER M I l' T IN 13 DATE: 06/03/93 PASCO COUNTY7 FLORIDA PAGE: 1 OF 1 ISSUE OFFICE: D RECEIPT NUMBR: 00177482 OFFICE: DADE CITY FOR: B 3034 CHECK .. 14754 14826821 ACCNT 114 TOTAL AMOUNT: COMPNY ACCOUNT CENTER B450 - 363000 - 2 20.80 AMOUNT 20.80 DESCRIPTION/PERMT DATA DR/CR ****** 60 RECEIVED BY ____~-~--------_ PASCO COUNTY, FLORIDA Permit # , /i (), ~ Lj /3 ~ Date Name/Owner 1I.fion ~/: \\. ~ &.~ CoontyPan:el. Jt;-2t:> -2/- I? /(20 ic r y~ C) ...;- F k / Q . Location fJ ~ J L-- . CIassifiootion/TypeofUse IGt ~ ~ lRANSPORTATlON 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 a(,lopted 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. .' RESIDENTIAL NONRESIDENTIAL ~.fl1 RESOURCE RECOVERY ASSESSMENT # Units Gross Sq. Ft (GSF) Rate / ERU = 50.00 x 0.96* / Year or$0.1315/Day ERU Assign # Assessment = (# Units) x ($0.1315) x (# Days) TOTAL FEE $ 20. fl) Assessment = !QSfl x (ERU) x (0.1315) x (# Days) 100 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 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 ------------------------------------------------------------...--------...-----------------------------------------------~-----------------------..------..._------- lRANSPORTATlON REC. # RESOURCE RECOVERY REC.II I 7 7 V ~ 2- DATE DATE t;. ~.5-r3 BY BY ,dV White Applicant Canary Trans / Finance Canary RR / Finance Pink Office G~n Bldg /Insp