HomeMy WebLinkAbout93-3253
BUILDING PERMIT
.,..
CITY OF ZEPHYRHILLS
(813) 788.6611
...
I..o~ ..55 - .3 D - . ,JV
ELECTRICAL PLUMBING MECHANICAL Sewer Conn 1/:2. 'if?' ~
fs-f1i:;!fj' <t-~ 0?(L~::t:,::.~, ~~~~
- J:2I T,J.E.'s: b"'rSn J'L/ /0 -/...i-=PJ
I/-ra~-;zl- 0010 -/!l/7IJO-OO~O ' I
. . . Radon Gas' ~ .oi?
Permit
N~ _ 3253c$
5-tZo-93
1-/ /5
BUILDING
Date
Property Owner:
Job Address:
Zoning:
'~~
NO OCCUPANCY BEFORE C.O.
FINAL-1' {) -
C.O. -L1t:)-/.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
~
~
,
6uJn~)
Valuation or t ~ ' ~
Contract Price 1; 0 Ot)
({)~~
;;ha~/& _ ~:~1t%1f:::
BUILDING
ELECTRICAL
PLUMBIN
MECHANICA~
Driveway /0- h- 93 ~
. ~ t}..\\t..'l3 ~
F". b-~ Tp. Sa,y. SLB '" - \ " - "I 3 e;~r' B,a.k."
PreSLB '3~Roughln ~~II-lI\~e~ TubSet~-\\-q~ ~""oo [)uctslnsl.~-II-qA8#
Lintel Meter Can ~-:J.O'7~f?~Water q-3c),~3 /b4-. Compressor
FRM. 'l--\ \-G\5 w.o Const. Pole ~-.g-13 ~ewer f=inal
Insul. CL ~ / fj..f3 ~{- Pool Final --93
WL _'KiJ Pre-Meter 10-/1;43 BI5 -- /51 u i=t> 10 -r>
Il/)(Vd _.
Final ,AL r JE: f17 - _
WnO) r /IO-/J - 73
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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APPLIa;..I01'1l Ji"Oj:, PPRNIT
CITY OFI'.E.'l"'JJIYInUI.I..s
nlllI.DUilG Dll:,::'AR'IUr.:IIiIT
OWNER'S HAME .;WtLL--J(-\M' t'b~~Of2-~).\",w~Jf-SS
OWNER'S ADDRESS 02.00 q -1-",- st. Z€.p k 'l-rh.ll (<;,
JOB ADDRESS ,5""''-13"3 1/ -ff" "5i-.
PIlO!N1E 7~o -7310
LEGAL DESCRIPTION: I.OT(S) .[ d- D
PARCEL LD.' Ij -2~-21 60{O
h~RK PROPOSED:~ Construction
nr.ocx\ 3"l SUBDI\"ISIO!N1 L' +.r of z.c-p~'l (hrt b
13700 007'0
----.,Addition _Alteration
_Repair
_Install
_Sign
_Hove
_Demolish
PROPOSED USE:
\~gle Fanily
_KIF
_~ of Units
_HIll
_Coauercial
_Indust.
_Swim. Pool
Other
_Restaurant & Health DepartJment Approval
BUILDING SIZE:
6?,{x 00,
2:2 -J 0
Square Feet,
~Ft.
Height
RESIDENTIAL:
COHHERCIAL :
ATTACH (2) PLOT PLANS. & (2) SETS OF n~ING PLA~S & (1) SF~ ENERGY FORHS.**
AITACJI (3) SE.TS OF BUTI.DDilG PLANS & (1) SET ENERGY romls. ~;:,
~~COPY OF CONTRACT RI!:QIURIID.
f~ING
4ECTRICAL
~au\NICAL
_PUJHBING
J'fmmTS RF.,QUK<iTED
s
Valuation of-Total Constnlction
AMP Service
Florida Pmi'Cr Cbrp.
W.R.E.C.
.$
Valuation of Mechanical Installation
GAS
_~OOFING
~FraJme _Steel
SPECL\LTY
TYPE OF CONSTRUCTION:
_Block
Other
/
FINISlIED FLOOR RLEVATIm~S:
IT.
IS PROJECT IN FLOOD ZONE ARF_",,?
YES
NO
~~~~~~~~~~~~~~*********~*~***~*~*~*~~~~~~~
COlln"Ri\CTOR SECTION
Signature
OOHPAlNIY Oc.U~ pYL
. r 4/1 ..4 State Ccrt. or Regi~;L #I
W~'7 1!5~ CiLy I.icense HegisLI-atiO[l iF
*~*e;***************~******~******~*******
, RVII.DY.R
F.T.F.CTRICTAN
Si~atllre W.z....e
C07iPANY Ol-U^')~VL-
.b' . Sl:at.c C~xX. or Rcgist. iF
A rJ.A~~ CiLy License Hegistration *
~* ****************~***.*********~**~*~~*
PUmBER
'\ IlL , ^ OOHPANY CO re- \ , Cil P t \Ilfr- b fV~
1i! L0ltlU- ~~;\~~:~~e o;e~~:~:~~i=n .
~********************~***~***~****~~~~~***
s'""P->
Signature
PiE'G1TANICAL ~.
Signature ~
~
OOHPANY ,t$',,,./-R:S h~/'-?;v<, bAS fL-~
.p /' State Cert. or Regist.. # CIElCo '7'.?T ~"
~ /<----.--- Ci ty License Regis tra tion ~ 7' l?
*.~*~****~*x~***x~~~********************~*
LA;/C.~
OTJTY.R
COHPANY
State Cert. or Regist. #.
C~~$ License Registration ~
*********A~~***e******~.*********.*******~
Signature
APPLICATION APPRO\~D BY
PERMIT OFFICER.
CONDI"'.:C~,\IS OF F'C~;:i'i:rT AFr=I~.'(l'';JT
A". NOTICE OF DEED F:ESTRICTI ]~~,::;.
The undersigned understands that this per.it ~ay be suLJect t[ 'd~Md restrictions' which ~ay be ~ore reslrictive than Cit~
regulations. The unQersigned aSSURes responsibility for compl"knce with uny applicable de~d restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESF'QNql8ILITIEB.
If the owner has hired a contractor or contracto~s to undertake Mork, they ~ay be required to be licensed in accordance with
state and local regulations. If tl,';' coTit'ra!:toT is not' ., ;censed as required by law, both the c,wner and contractor lIay be
cited for a lisdeleanor violation under state law. If the o~r"r or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they :-~ tidvised to contact the City nf ZephyrhiIls Building Department, (813)
788-6611.
Furtherlore, if the owner has hired a contr1~tur or contractors. o~ is advised to have the contractor(s) sign portions of the
'Contractor "Sections' of this application jor which they Hill 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 may be an indication that tie is not properly licensed and is not entitled to per~itting privil~ges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~
D. CONSTRUCTION LIEN LAW (CHAPTER 712, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a co~y of 'Florida's Construction Lien Law - HOleowner's Protection
Guide' prepared by the Florida Departaent of ~griculture tird ronsu.er Affairs. if the applicant is so.~one other than the
'oNner', I certify that I have obtained a ropy of the above described document and promise in good faith to deliver it te, the
'owner' prior to cOI.encelent~
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application isa,cclJraJe_,and that all work will be done in cOlpliance with ,all
applicable laws regulating construction, zoning,'aild land deve.opllenL
Application is hereby lade to obtain a perl it to do Mork and installation as indicated. r certify that no work or
installation has cOllenced prior to issuance of" a perlit and that all Hork will be performed to Je~t standards of all laws
regulating construction, City codes, zoning regulations, and ,l~nd developlent r~gulations in the jurisdiction. r also
certify that I understand that the regulaticns or other governmental agencies may apply to the intended Hork, and that it is
IY responsibility to identify what actions I must take to be in cODpliance. Such agencies include but are not Ii.ited to:
, Depart_ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ~entaIly SensitiVE! Lands,
"Water/Wastewater Treatment
, Southwest Florida Water ManaQeaent District - Wells! Cypress Fayheads, Hetland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
, Departeent of Health ~ Rehabilitative Services, Environmental Health Unit - ~ells, Hast~water Treataent, Septic Tanks
f US Environ_ental Protection AQency - Asbestos abatement
I also certify that, if fill laterial is to b~ used in Flood Zone 'A' or 'A,etc,', it is understood that a drainage plan
addressing a 'compensating volume' Mill be subBit.~d whicb_is pr~~ared by a professional engineer registered in the State of
Florida prior to pereit issuance.
A perlit issued shall be construed to be a jicense to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical code. nor shall iS5~ance of a perlit prevent the Building Official froD thereafter
requiring a correction of errors in plans, cDDst-uction, Dr violations of any code, Every per~it issued shall becole invalid
unless the work authorized by such permit is c~~~enced within six months of issuance, or if work authDrized by the permit is
suspended or abandoned fDr a period of six ~ont~s after the tise the work is com~enced. One 90 day extension of tiQe, lay be
allowed for the perait with fee charge of fl5.00: The extension shall be requested in writing to the Building Official. An
approved ~nspection Qust be logged during each six ~orth perio~, 0r the project Hill be considered abandoned.
~ARHING TO OWNER: ytlUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR rAVING TWICE FOR IMPROYEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT HITH YO::" LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKKENCEKEHT. JOBS UNDER $2,500 IN VALUE DO HOT NEED TO RE~ORD AND POST A "NOTICE OF COMMENCEMENT'.
tJ~&'--J~
SIGNATURE: OWNER OR AGENT
_ d~~~~
SIGNATURE: CONTRACT R
STATE OF ~LORlr/~ '
COUNTY OF. _.' /a...d.--' {!AJ
The fCoregc,ing ~';5tl-Llment \.'12\'- acknc.wledged
befc,re me thisffl!.~t:?v, 19!C1 by
Y:!2~~m~~~
-prodlU:-;d__ prCoduced
as identifieati,.n and "ho Idid d .~~ntif~on and'- did/~not
~__:n 0 ~,~n [oLaz;G~-L~
(3ign l~rE) / ~ (Signc\~e) H ~
../11!lzfy Ll/?77-fE-6AlE r/l/?J/L{2.-.dl.IJ~'/ tJllrHe:?C/A:.JE /h7;;/~O
(Name Typed; Printed or Stamped) (Name T;ped, Printed Cor Stamped!
NO'TARY PUBUC {'c-~;fI6.s7~ t~OTARY PUfJ""L~ (l C c/9 /6.577
-- ...,..... State of FIorhIlI
., (~~.... bpins..ch 14, 1"1
.......... hill.......... ...
has
, Notary Public, State of Florida
My (i)mmisliion Expires March 14, 199.
ilwMW Uw9lNf hili. ___........
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
vJ / L-LI Pr J1/\ fl. R()(2a,r::~~
~t-/-~3 IIi-A JI
/!~2"-21 ()oio /3760 0070
PARCEL LD. # ,
. OWNER
JOB LOCATION
-'-"
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
(NOTE EXAMPLES 1 & 2 ) STREET
1. SETBACKS FOR R1f R2 ZONING
60'
10'
P E
R X
0 I
10' P S 10'
0 T 1 0'
S I
E N
D G
20'
FRONT PROPERTY LINE
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
Q:' t
()
.~
/0 F-+,
I' lOR -
~l
FRONT PROPERTY LINE ~ \!/
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS
Before me this day personally appeared
The undersigned states and affirms that he or she is desirous of constructing his
or her own domicile, that he or she actually occupy, or will occupy said domicile,
and that he or she shall comply with the following conditions:
:Y
1. That the owner and he or she alone shall act as the builder for all phases
of construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be
made, the owner will assume full responsibility to insure they are made, and
upon completion will call for a reinspection before proceeding with the
building.
5. That the owner shall assume full responsibility for the construction and
will not expect supervision of his work from the City of Zephyrhills
Building Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard
to social security, workman's compensation, lien laws, etc., where
applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You
have applied for a permit under an exemption to that law. The exemption
allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction
yourself. You may build or improve a one-family or two-family residence or
a farm outbuilding. You may also build or improve a commercial building at
a cost of $25,000 or less. The building must be for your own use and
occupancy. It may not be built for sale or lease. If you sell or lease
more than one building you have built yourself within 1 year after the
construction is complete, the law will presume that you built it for sale or
lease, which is a violation of this exemption. You may not hire an
unlicensed person as your contractor. Your construction must be done
-----,.....~..:_-,...
Tt- "; '" your
:::IN: 61 \:3'::;
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Component Prescriptive Method A
; BUILDER: Owni21~:V~ (j~l~:,-4-
r.::iil.?;:'~; 111- t- I.:"~t ' !;;'E.7f"'!1 rr-f' 'I ",'-., , -'~l T '1 r..T";
,_ 1 .. _, , _ 1 ,.. .. ,,"\ ,. I ~b , L __.. H l._
..'. It' 1 J FJ -"....,.c.. I nF'F"IC"[" C' t J: .'. t' "'l"II,IE ~' , r:;:', I . I ,
1.. ep -J":r'F' -J 1 . ~::., .'." ..).':;1...) I..~ . ..'.::.;; .1 -. ~l CI-," Le~:l -I I .l_ _ "01: . ..... I __I I ..... 1 t.:.' I ..... ~
,.,.' 11 ' ~\ E':li I -, -::,<:: <::: ' !::'Ef"'''1 I -f' ""..- -'!) A r-0'7 L2 , :T UIF;' I q' I r~l- I (1"\1 ",'-I i~ 'l16on
~.l lam 11. ._,rqL..~_. ,_,.\l I~U...:;)C14,J.:JP ,_ ,,~L,~ _I I~L.\,_. ...'_
Ct:::
FOF:l"! 600r::~--'(i:':;;
F)I:;:O,JEC'f NA!'1E:~
?'~ND M.iDRESS:
OWNER:
1. New construction or addition
2. Single family detached or Multifamily attached
.,.... If Mul t if I:.\mi 1 y'..No. of un i t ~:.
4. If Multifamily, is this a worst case (yes/no)
5. Conditioned floor area (sq.ft.)
b. Predominant eave overhang (ft.)
7. Porch overhang length (ft.)
8. Glass area and type~
€i. C1 f?al'- 131 ass
b. Tint, film or solar screen
9. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
10.Net Wall type area and insulation:
a. Exterior: 2. Wood frame (Insulation R-value)
a. Adjacent: 2. Wood frame (Insulation R-value)
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
17. Infilt.r-at.ion J::)r';::\cticf!~': 1,2 Ot..:.:;;
18.HVAC Credits CCF-Ceiling Fan, CV-Cross vent.,
HF-Whole house fan, RB-At.t.ic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As_Built points
b. Tot.al Base points
I Hereby certify t.hat the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
CENTHAL
1. New Construction
2~ Single-F'amily
.~, .
o
4.
~,:i. 1 <:"):38.00
6. 1.::::;:~~;
'7. 7 . 00
f3inqlf::~ P;::tne
8a.17A.9c,:,.qft
E5b a (). ()s.qf t
Doubl E' F'i.':lnf~
0.. OOs;;qft
O.OOsqft
9a.R= 0.00 , 167.00 ft
10a-2 R=11.00, 1218.70sqft____
10a-2 R=11.00, 180.00sqft____
11a.R=30.00 , 1990.30sqft____
12a. R= 6.00 uncond
13. Type: Central AIC
EER: 10.00
14. Type: Heat Pump
Ht-3PF ~ ? . ~:;~;
15. Type: Electric
EF: 0.B8
16.
17.
18..
:~
CF
19.
19a.
19b.
~lr:). ~1:2
:2(:J:2:()'7 . ()~:i
328-7:~~. 1 ::.;
Review of the plans and specifications
covered by t.his calculation indicat.es
compliance wit.h the Florida Energy
Code. Before construction is complet.ed
this building will be inspected for
compliance in accordance with Section
:='=:!:=j:::~;. 90:3 F. i~:;'
PPFF'?'F'FD R,...f) ~ ) ll"l-\l~,..,m^
~ ... 1 \ .... _. r Il \.:JS..:...__._..~...~tMt'_~.1._....~__l.'::q"...__..._..._..._.............__.....
D p, T E : ...,..._ .5.:,::,l..e.>..:: ,_~,.3.... ........, ...., ,... ..._ ,_.. ,_.. .... .... ...... .... ._. ..... ...., "_' ..._ '.._ _,_ __,_
I hereby cert.ify that. this building is
in compliance with the Florida Energy
COI..'"jE? .
(ll.J!\lER I j-~C5='E N T3: __~ -51 .....-... ,_~_ _.. .!,.. V!. ...... ,_... ,__ .... ... _.. ..,....._
n{~'rF' I ~ ~f-~
... ,I __. ..... ..... .... ..... ..... ..... .... ... ..... .... ..... ..._ .... _.. _,.. ..... .._, ..... ..... ..... _._ __ _... ._, .__ _... ..... ,__ _ __ _
BUILDING OFFICI~..:~_6~..
DATE: -2f::/ - ".?
_.. ,.... ..... ,..., ,5.,_.. .......... ,.._ ,_.. _... _., ..... ._.. ... ,__..... ..... ..... ...., _... ..... ,.... ..._..... _,....... ..,.. ..... .....
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Component Prescriptive Method A
, Rll J'I I'iE"'-". (') - j::: ,'/ j" .'/ " /J
I '"' .... ,"' ., .:, r.. . , \-JlI _:1'" N~ (),"<A--~44-
:=:5't~S:~; 1 1 t h (;~t ' PEHM T TT I NF.. · ("":1 Tt.f((4 TF
Zephyt'~I~"'i-ll~;:RF1. ~::.~~;~:,i;OF;F:IC;E: City of zePi"'I;iol~E;'~l;,~ 5:
I J' '\ J ' ." ,-. q I""" "~<. <- I F-'E"R't'1 I "I" t,'"- 3 ,- -0 13 "llll~' I O:::{)]' {"'"f']' fJt.'
A 1 ,_ ,1 <""'1m H. ,c Lr \;1 t:: ~.:. I ". , ~U. J,.,.{ -J . \" _."\ ~" . "_' ." 'I
FClHI'1 600f~\--9:~;
PPO.JECT NPII"IE:
(.~IND f~DDFE:SS:
OlJ.JNER:
1. New construction or addition
L. Single family detached or Multifamily attached
'.:'. If l'1ultif,:",mily--'No, cd: units:,
4. If Multifamily, is this a worst case (yes/no)
5. Conditioned floor area (sq.ft.)
w. Predominant eave overhang (ft.)
7. Porch overhang length (ft.)
8n Glass area anej type~
E:' . C I (":'-.1i:U'- G I i:l s~:;
b. Tint, film or solar screen
9. Floor type and insulation:
B. Slab on grade (R-value, perimeter)
10.Net Wall type area and insulation:
a. Exterior: 2. Wood frame (Insulation R-value)
3. Adjacent: 2. Wood frame (Insulation R-value)
lI.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
14.Heating System:
i5.Hot water system:
i6.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
17.Infiltration practice: 1, 2 or 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As_Built points
b. Total Base points
~31\\: 61 B~=!
CENTHi:iL
: t, i
NO.611600
u<
1. New Construction
2n Sir1g1e'-Family
.~) n
o
4.
~.5 r. 16:~;13 . 00
6. 1 . ~j:~;
7.00
Si nql (;.? PanE':
13a. 34<7>" Bsqf t.
:~Jb. O.Os:.qft
} .
Doub Ie Pi:'!ne
(I. OOsq'f t
O.OOsqft.
9a.P= 0.00 , 167.00 ft
10a-2 R=11.00, 1218.70sqft____
10a-2 R=11.00, 180.00sqft____
11a.R=30.00 , 1990.30sqft____
12a. R= 6.00 uncond
13. Type: Central A/C
EEr.:;:: 10.00
14. Type: Heat Pump
Hfj[':'F:
T'y'p€-?: Electric:
EF:
~';'- ..,. t=:.
.I " ''')'_!-
15.
(J" t3:3
16.
17.
18.
-.
.:::.
CF
19.
19i:'" .
19b.
";Ci. T:::
:26:2()'7 .. ()~:3
~~;~~rl:;?" 1. 5
___R______..______.__.___..__._.._.___._.._.______.__.________.____.____._.__.__._____.___._____..______..._____.___....._._.___________.___
_..__________________._______..___._.R_________._.__._..________._____._______________.._____....___.._______._.._.___.____._.____..____
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in complianc:e with the
Florida Eneroy Code.
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is complet.ed
this building will be inspected for
compliance in accordance with Section
5~."j::::.. 90\3 F'. \3.
PREP?"',RED BY:
D(4TE:
I hereby certify that this building is
in compliance with the Florida Energy
Cod t2.
CJI.~JNER / ('~GI:~NT:
I)tHT: :
BU I LD I NG t~~F I CD~ I P"""i:?i#t~... _..". ._~~,.."
D?"iTE: ..5 - -f_
..... ..", ...., ".., "... ..... _2: ..." ...., ".., ..... ... ._, ,__ _.., ...., "... .".. .._, _.. ,..., _.. ..... ..," ..... ..... ..... _..' ..... "..' ..... "...
**~****************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
=== BASE === === AS-BUILT ===
_M._._____._._________._____._._________.__.___._.___.-----------------------------.---.--------.---------------------------
-------...----------..-.--.----.-.-.-.-------.-----.-----------------.-------.---.------------.----.-------.-------.-------.---.-
GLASS----------------
ORIEN AREA x BSPM = POINTS :
..---....-----.----.----..-.-.-.----------.-.----.---.--.-----..--....---------.---.---.-----.--..-.---.----.-..-----.---.-----------.---.---
TYPE
SC ORIEN AREA x SPM x SOF = POINTS
N -:r";s' 1 0 t3~':: ro', 2720 B
'..).":1 . . ..:.. .
F ::'~ 1 ~:~;O B:;;:: . , 1 T::.O 9
. . ,,::. .
("., :35 60 ~3:;:: :2 :2l.-';:2(::>
\-:,.') . . . -
W 64 BO \:12 ,,-... 5 :::.:; :~~ t:.1 6
. . .:. .
1',I\J.J
20. 10
(32. 2
:l t', ~.;:~ . ~~~
---.--.--.--------.-------.---------..------------------.---...-.-------.--.-.--.-------------.------------.--.-.---..-------
f:;GL C L. r~~ N rj-:r .-'! ~51 0 90 :I. Oi)6. r:r
.::..._" If oZ... . . 01:_
f~f:3t._ CL.F: N 9 . 9 ~5:1. . 0 . El7 i+Tl. 0
SOL. CLF: F 21 -.,. :1.09 ::'~ 'iO ~2()fj~j . 6
. '-) . .
sm. eLF;: c 14. B 100. r) tN :I. :2L~() II '7
.. ..:- .
BGL eLF: ~3 20. B :1.00. k . Et5 1 766. 9
f:3GL CLF: l.>J :I. b. 2 liY-i . :"2 . q:" 1 l::- :~~.:S . <1-
SGL CLF~ l'J 1 t::.. r, :1.09. 94 :1 I~:' ~71 /
.:... ~. . .
,~ ."1 eLl=< ~'J :1.6. "'-, 10C? :~ e16 1695. ~~;
;:)b... .l::. .
f:;r-:.iL. CLF~ W it:.. .' 109. .-, or.::' :I. 68B. 0
..:.. . .'d
SGL CLF< Nl") 2(ln 1 '77' n :2 . ~iE{ (:lOO. 0
.15 X CONDo FLOOR / TOTAL GLASS = ADJ.
AREA AREA FACTOR
GLPIS';;,
PO I NT f.;
~':\D':'\ GLAf.)~3
POINTf.;
13L'~1t;;S
PDINTS
. 1 ~:.j
1 ~ 6:38.00
:1.74.90
----.---.-.--.-.--.-...----...-..--..-..-.--..-------.-.---.-.--...------......-....---.-.-...-.-------------...-.....---------------.------.-----------------.-.-
:I.. <1-0:::,i
14, ::::;-:76. 7B
:?0~196.~,:i4 :
14 , 1 EP . 86
=====:::======================================================:=====================
NON GLASB------------
Plm:.r, " Bt3Pt'l ::::: PO I N'fS :
AREA X SPM = POINTS
--.-.-.---------.-..---.-----..-.----.------------------.-------.--------..--.----------------.--------------.--------------
'fYF'E
F~"ml..jf_'"1LUE
WALLS----------------
Ext 121B.7 1.0 1218.7
f~~dj lBO.O . .' 1:26.0
DOoRS----------------
Ext 26.5 4.8
1 r,2"7 . 2
f", cI j
17.8
:;?B. ;5
1.6
CEILINGS-------------
UA :1.638.0 .6 982.8
FLOoF:S---------------
SIb 167.0 -31.8 -5310.6
INFILTRATIoN---------
163B.0 10.9 17854.2
E::-: t vJooc:! F'r- ame
?~d j l.,IDOd Ft- am~?
1 1 0 L?18. ? 1 90 2:315. r.::'
. . ,J
1 1 . 0 lBO. i) . 70 126. 0
20. (> 4. 80 96. (>
6. ~5 'l.. 8Cl ::::: :I. "'J
. .1;-
17 B .-'~ 40 4'" l
. 01__ .. . .'
E>:t In<::.uIE\t.f?d
E>; t I nsul at.E'cj
f::,d j WODd
Undet-' Attic:
:'::;0. (> 19(;>0. :j
.60
l1Cjl4.2
Sl2:!l::i-'on,-Gt-2:!dE'
167.0 -31.90 -5327.3
.0
TOTAL SUMMER POINTS
================================================================================
PYUi:".iCt.ice :l-t2
1638.0 10.90 :1.7854.2
3~; '1 223. ~:;:~~ ;
===========:============:===:=========:=======:~=================================::======
~.::; (> , ~5 ::'~ () . ~~:; i:t
T[)Tr~1L >;
f~UI"1 PTS
MULT
COOL I NG : TOTAL_
PO I NT:-3 : CDr-1F'ON
X CAP X DUCT X SYSTEM X CREDIT = COOLING
RATIO MULT MULT MULT POINTS
f.;YSTEM
:~; ~:; ; :2~? ~~:. n ~~:;:2
II '_"
13,032.63 : 30,520.39 1.00 :1..100
. :~;4(>
II f.3f:.1()
(:} , :3 1 t:) # ~:.i ~:3
=================~================================================:===============
*******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
:::::::: :~:: BPI S E: '.::: ::: ,,:
--.---.--------.--....---.-.----..-----.-----------------..----.---.-.-.-.---.---.-.--.-----.-..-.----.------,---,-'--'---'--'---
--..----------.--------.-----.-----------------..----.-----.--.-.---.--.--.--.---.--------..---.-.-.--..----------.--.--------
,-'" :~-:: ::::: j:71 t;; --. El U I L 'T :::::::.-:: :=
GLASS----------------
ORIEN AREA x BWPM = POINTS :
TYPE
SC ORIEN AREA x WPM x WOF ::::: POINTS
.--.----.-..----..-.....--.-----..----------.-.----...----.---.--------.-.--.-----.--...--.--------.-.-----------.-.--.-----.-----------.--.-..-.--.--..-
N l (> 4 ..... l 1 ...:. !:::"
-, - . .. . J_ . cJ
F ::~ 1 . ::::;0 .. . 4 ."7:'::: . 4
S ~3~5 . (:'J() '- "~' . 11- -- l :2 1 . 0
W 6..1- . f:3(> .,. ~:' . 4 ..... :~~ ~~~ () . ,,;1
NlJoJ
:20. 10
....,::~;. 4
..... t~ fJ II :::;
--------.------------.---.--..---.-----.--.-----..----.-..-.-------...----------.----------.--.---------.-----------------
I~~D~J GLf-'iSS
PO I ",.ITS
GLJ~SS
PDINTS
E:GL CLF< N ::~~~ II q 9. 6 1. 06 ::2 ~~:; ~:5 it
". . .'
::"3 G L eLF< N 9 . 9 9 . 6 1- . 08 102 . f;i
SGL. CLR F 2:1. . . , ,- :2~ . ::'~ . 44 -"'L~() II t3
SGL CLF< ,--, 1 4 B .- 10 9 89 ..- 1 "')"'::';1 6
.::> .. . ..
SGL. CLI::;: f3 2() . B ... l O. 9 . 90 "'-20.<1- . 0
SOL el.F [1.,1 1. b :2 ._too) '") ~.:.i(;) ,,-,21 l
. ,,:.. .. ..1:- . .
SGL CLF [..J 1. t:> ff r', .... . ~) 69 -,,24 ~:.~
..::: ~. . ..1:- .. .
"'Gl CL.R \J.,l l6. ""':2 II 76 '--:27' II 0
'::J :'J 'M ,~ ,.:- ..
SC:;L eLF ~'J 1 6 :2 ._,'-:4 2 ....I..... M." :~ tJ :00)
. 4. .. . " ,,) . .r:..
~;GL CU;: !\l(,1J 20 .. 1 / . 4 :I. .. ~~;(;) ~~()6;f }'
.15 x CONDo FLOOR I TOTAL GLASS = ADJ.
AREA AFEA FACTOR
GU)SS
POINTS
. :J. ~5
1. ? ,::):::;;8 . 00
174.90
.-..--...-..-......-.---.-----...........--.------.------.------.-----..---.--.-.-.--..--.-.-.-....---.-..-.----.--.--.-.-.-.---.----.------------.---------
.'.:':.;94. 66
.,. E.l::::; 5. ~m :
~i -, II ~? ~::
l.40;.:.;
====================:===========:====:=======:======:==================:=====:=========
NDN GLASS------------
AREA ^ BWPM::::: POINTS :
TYPE
H.""''';{'~LUE
f71RE(~,
WPI"1 ::'-: PO I NTS
_..___.._.._..._.______________..____.____________.____.___..___._R_.__.___.__..____.____._R_.._._._._.__.__----.------..------.....---------
WALLS----------------
Ext 1218.7 1.l
Adj 1BO..0 1..8
1~::AO.6
~::: :::.<.1- II ()
DOORS----------------
Ext 26.5 5.1
l :~:;~:i. 1
(.id j
j .', C;)
. .' ,. \....
L~. (I
}'1 f: :2
CEILINGS-------------
l.J{-i 16:.:m. 0 . 6
9B:;;~. B
FLOORS---------------
SIb l67..0 -1.9
...~;; 17 . :~,
INFILTRATION---------
1 ():S8. (I 4. :I.
6~71~:iuE{
============~:===========:===:===:=:================:====:=============================
11,406.7B
TOTAL WINTER POINTS
B,416.B4 :
E>: t LAJoc,cj Ff i:'~me
{'~d j L'-Jood Fr. ame
E::.(t In<:;:,ul att.::>d
E::.; 'l: I nsul i::"\ted
Ad j (.1Jood
tJnclf:~r" (-~tt.ic:
E;l ab-'or',"-'(31r' ",l,dE'
Pri:-:tc:tice :tI::;;~
:I. l 0 1 ...) l 8 -7 ....) 00 24Tl 4
. J:_ . J;.. . .
1 1 . 0 l F~O . 0 1 . BO ::~~:;~4. . 0
20 . (> ~:.i.. l (i l ()2 . 0
6 1:::"- 5. 1 0 -.r..... 1
.. d ..:I..~I II
1 7 . B ~5 . 90 1 ()~.i II 0
::::;0 ( .. ) l '7>':iO. -.,. 60 l l ~/4. :;'~
. .. . , .
0 l l. -. (j ...... ::,iO 11- l c:;'
. l-J.I " . ~.. . . ,_.'
1 6:38. 0 4 . lO e.1 ~? 1 ~:5 . B
======:==:::===========================:======:::==========:=:=================:==========:==
TOTriL
l...J I N Fn~.;
bYSTb~1'1
!"IULT
HE:{',T I NG \ TiTTPIL
PO I NT':; \ COI'1F'DN
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RriTIO MUL.T MULT MULT POINTS
..',
E\, 1.1-16.. B4
1. 10
_____.__________...__...______..._._._.___....__._._________._.___R._______________._______________________.--.----..--------..------
# ",.<S:~;;
1.000
~:; '/ B09 .. 4B
9,258.52 : li,406.7B 1.00 l.100
===============::======:================:==============================:==================
***********~.****.*.~*****.*.******.*************~.~.**************~.***********.~****~..~.~.
~\J(::l'TEP HEP,T I j'-.li3
*******************************************************************************
;::: ::::: ::::: B f~ ~:.i E ::.:: '.::::::'~
;::::::-~ ::::: p, S -.. Ei U I L, T ::0:::::::::;
====:============:==:::======:====:===:==============================::================:======
NUt"1 OF
BEDI~I't3
MUL.T
TUT{~IL
TP,I\II< "iOLUt'1E
EF
T PJl'-.l~::: '.. !'1 tJ I-. T >: CF~:ED I T
RATIO MULT
:::; TOTP,L
-...-----.---..-.--.-.---.---------------------------.---------.-----.----..-----.----------.---------..----.--.--..-----.-.--.
~~;~3:27' II ()
10 ; !:.iB 1 . 00
40
.Em
1.000
3~:,:':2'7 :: ()
:t .00
:t (; ? ~'5f.31 . 00
-..---.---------.---------.-----------------.--.------.-.-.-------------------..-----.---.-------.--.------.----------.---.-.-
..-------.-.-----..----.-.------------.-------------.--..-------.-----------..-...---------..-.-.------..--.--..-.----.--.--..-..-..-----
*******************************************************************************
EUI'1!'1(.-")f~Y
*******************************************************************************
=== BASE === === AS-BUILT ===
-----..---.-------.---.--.-.-.---..------.--.--..-----------------.----------------------.----.-------.--.-----------
--.------..-------....--.--.-.--.--.-----..---.--------.----------.---....----.----------.--..--.--------------------.----.----.-..-.-----
COOL_I NU
POINTS +
HEP,TINFi
POINTS
H crr v.JP, T E f~
+ PO I NTS '--
TDTf;L.
POINTS
CODLING
PCI I NTS
+
HEt-~T I NEt
POINTS
HUT ~AU; TEP
+ POINTS --
TOTAL.
PO I NT~::l
-----.--------.-.---.-.-.-------------.------------.-----------------------.-------.----------.--.---------.-.-------
:l :~;O:)~2. t:'
r:-:y ~,2 5 t=J II ~:5
1 (I:.i81 . (I
::=';:2 '1 t3~7:'2. 1. ~:l
(:.i::3 :l ,-s .. 1.:-
~i807 . ~)
1 o~:m:t . (;
~~(::. '! :::?()'?.. ()5
===========:=================~========:========:================:==============:========
*****************
.~, EPI
~i'C;' . 7::?
iE'
*****************
ENEFC3Y GU I DE
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DC(.'i Fc)r-m ,~:,OOA--r:y:~!;
Cll'" Fot"'I'fI 600B-'''9~~;
EP I::::
~';:C:} -,
.' .I. I
o 10 20 30 40 50 60 70 80 90 100
~.__._-----------------_._------------_._-x--_._---_.--:
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
I T Et'1
HOME 'yIf-)L.,UE
LOIrJ Efficiency
High EfficiE.ncy
SINGL CLR
DBL TINT
WINDOWS.....................Single Clear
~X-______M_.._._.__M_.-___-----t
I NSULAr I ON. . . . . . . . . . . . . . . . . .
R-'.10
R.....:::;:O
Ceiling
R-Value......... 30.0
:.-.-----.--.-.---.-------------x~
F;:--'O
F~--7
w.:::I1 I
R-Value......... 11.0
;--------------------Xl
P--i'"l
R-'19
F 1 oer-
R-Value......... 0.0
;x-----.-.-.--.-..------.-----------:
AIR CONDITIONER.............
10.0
SEER
17.0
SEER/EER.................. 10.3
I X ,--,-,.---..-,.-.-,---.----...--...----..,-..---.--.- :
9.7 EER 16.0
HEATING SySTEM..............
6. E{
HSF'F
12.0
Electric COP/HSPF........
7. :::;.
~--x--------_._------------._--:
() u ~78
AFUE
0.90
Gi:\S
f~FUE" . . . . . . . . . . .
c). (}()
I I
,-----.---------.----------------,
WATER HEATER................
O.BB
0.96
E I ~",c t r- i c EF........."....
() . f38
~x--------_._---_._.._-----------:
O.~A
0.90
8a:5
EF.............. 0.00
:____.M_________.__._____._________:
0.40
O.BO
~3ola~-
EJ- . . . . . . . . . . . . . .
I I
!.--..---.--------..----.---.-----1
OTHER FEATURES..............
IInun"".""""",,,,,,,.,, ...". a"" aUCD
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
(-1ddl~e,=,:::, :
Builder
Signature:_______________________Date:__________
City/Zip_______________________
Florida Energy Cede for Building Construction - 1993
Florida Department of Community Affairs
FL-'-EPL C?~PDr.)~::
ENEf.:;;t-3'i GU I DE
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DC{~ FOI'''1\1 600f7i--"'9:~:.
Dr' F'or'm 60013---9::::;
EPI::::: 79."7
o 10 20 30 40 50 60 70 80 90 100
;.--.---.-.--.-...-..--..-.-..----..-.-------.---------.-----X----.--------.-:
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
I TEl'"l
HrJME 'v(:iLtJE
LOlt'J Efficiency
Hiqh Ef.ficie.ncy
SINGL eLR
DBL TINT
WINDOWS.....................Single Clear
;x--.---.-..--..---..-------.--.-.---.-:
I NSULt:7i T I m'-.I. . . . . . . . . . . . . . . . . "
H-"j, 0
R---,;=:'O
Cei,ling
R--.',jal u~~.. . . .. . . ..... ~~;O. 0
~--------------_..--------.-..x:
p....o
R--]
W"jll
R-Value............ 11.0
:--------------------X:
R---O
R-'-19
FIOGI'-'
R-Value.......... 0.0
IX--------------------l
{i I R COND I T lONER. . . . . . . . . . . . .
10.0
C'E'" [-R"
,::> ::'l::. .
17.0
SEER/FER.................... 10.3
IX--------------------l
9.7
EER
16.0
l--'IEAT I NG SYSTEI'-1...........>>...
6 Q t:~
Hr-3I::'F
12.0
Electric COP/HSPF.........
"7 . :~::.
l--X------------------l
0.7El
{iFUE
O. '::;;0
Gas
I:;FUf"::>> . . . >> . " .. . . . .
0.00
~---_._---_._-_._._-------_.__._-:
WATER HEATER................
0.88
0.96
Electr-ic EF.~..n"..Rn...u On88
:x-.-.....----.---.-------.-.----:
().54
0.90
E:. d ~;
Lf- . . .. . . . .. . . . . . . . 0.. 00
:-----_._--_._-------------~
0.40
(l.BO
SoloW
EF . . .. . . . .. . . . . . . .
;--.-.------------------.--------;
OTHER FEATURES....... .... ...
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
f.kli 1 df?r
Address:_______________________Signature:_______________________Date:__________
City/Zip_______________________
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs
FL.. .-,EPL CAf-~:DCf~~:;
CONTRACTOR #:
NAME: WM A. BURGESS
ADDR: 5433 11TH ST
C/ST: ZHILLS
C E N T R ALP E R M I T TIN G DATE: 10/15/93
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
ISSUE OFFICE~ D
RECEIPT NUMBR: 00191423
OFFICE: DADE CITY
FOR: RESOURCE
83253B
CHECK # 131
11-26-21-0010-13700-0070
ACCNT
114
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - 1
10.55
AMOUNT DESCRIPTION/PERMT DATA DRICR
10.55 ****** SOLID WASTE FEE 60
RECEIVED BY ___
---- --~~~~-------
PASCO COUNTY, FLORIDA
Name/Owner
Permit# ~2.5g g
.
Date j{)-IS - 9~
, .
u.)~. /2. 4- G-,~ &?,(~ -<-.,.
11- ::J.t. -~J-rJI?)O - / :3/"!Ob - DD'7f)
.
711-
Comly Parcel #
7
Location
ClassiflCation / Type of Use
lRANSPORTATION IMPACT FEE CALCULATION
./'
Rate $
Zone #
Sq. Ft./ Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of
County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
/
Gross Sq. Ft (GSF)
Rate/ERU=
50.00 x 0.96'" / Year
or $0.1315 / Day
ERU Assign #
Assessment =
(# Units) x ($0.1315)
x (# Days)
Assessment =
rom x (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
10,55
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 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. #
RESOURCERECOVERYREC.# 19/ ~L-J
DATE
DATE
/() -/~-73-
BY
BY
/J
.AO
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg /Insp