HomeMy WebLinkAbout93-3418
BUILDING PERMIT
Permit N C?
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_341815
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Sewer Conn ~ !l-7rf -,
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Job Address:
Parcel I. 0, #
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O. /
All work shall be performed in accordance with City Codes and Ordinances,
Inspector
~
Valuation or
Contract Price
fA ~IoJ 000'
City License Registration # <;?!::
,~ Ce,,;t;ed ~)ense# r'.~~
~~e-. ----~
BUILDING ELECTRICA#
Ftr. 4-/7..'7:3 ~
Pre SLB ~"d.Io'G:9 Gt-lt
Lintel
FRM. q-/b-tt:1 1813
Insul. CL , r?l2.
WL 4-1(,.if i__
~ q..14'13 '6.\.U
Driveway
~U)o.il~,-q3~
()~dl~r
PLUMBIN /~j
~~ ~.t;ffl!-
~ .
MECHANICAL
Tp,Se"" ~ SLa 1l-l.4-Qq 8'~
Rough In q-/t.{ '1.3 ~Tub Set q -I -t) ~ (St>
Meter Can f" -I a - <j.:3 Water
Breakers ~
Ducts Insl. q-!lf, q f)
Compressor
Final
Const. Pole
Pool
Pre-Meter \O-\'....Q3 ~
Final
Sewer
Final
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:
7/ t( JtJ -c9- / - R3 p..!L
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT k€l)l~ ~~ MA-~ ~'} /vd\~ CON4QL"~~()r\J.J ~y NQ...
ADDRESS '3~TSd- ~ ::5 Q. S<\- We,s.-t -2.-"'~lL~ PHONE B\s -iBL, CB~5
OWNER '~y M.t<\; ~ CD I'.SS-.-\ ~U\.c-l( 6 ~
~~ W' cO <3 ?,/O-.S
JOB LOCATION . --l ~:; ..::. e ~(U::>OO~~Q. LOT SIZE_X AREA SQ.FT.
LEGAL DESCRIPTION: LOT(S) .. \3 BLOCKDOOCVsUBDIVISION O//)..O
PARCEL I.D.4~ \ () ,- dCo ~ \ ~ O\~O. ~0()-7Q
WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install
_Sign/Temp. _Sign - Move _Demolish
PROPOSED USE:~Single Family _M/F _fF of Units ._M/H
_Commercial _Indust. _Swim. Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE: 30 x5'1.b? \Sg.3 Square Feet, o \.j::l A ~ \ Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
LBUILDING
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block ~ Frame _Steel
.Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SEC~ fJ_ _. f _ I.
BUILDER Company' mA-N LOI\)~t.A.C...-.H6u -:Sk),
~ State Cert. r Regist. iF UC:_-03SI ~4-
Signatu ' - ~ ~ City License Registration 4F? ~S-
. ****************************************
ELECTRICIAN
Company tv\ r\.<<.. +1 A) E \ e.e:-h~~' C-
State Cert. or Regist. 4F 5rL-OOi{{tO
Ci ty License Regis tra tion iF \6 P..-:>
*******************************
Company Ch~~~~~c"
State Cert. or Regist. 4t ~F' OSc9-o0 ~
Signature \/ City License Registration i~
******************************************
MECHANICAL ~~ ~ Company Ba,n('~ Prbp4.n~ ~a.b J; A/c, :rncl
1\11 I AA AI/ILA gAL' State Cert. or Reg1st. 4t CAtOL/-3'4t.f8
Signature <:1l/UJYU{,. rJlJ.~1IV City License Registration IF 7rfY
******************************************
Company
State Cert. or Regist. ff
City License Registration 4F
OTHE;R
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit .ay be subject to "deed restrictions" which lay be more 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 lay 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 aay 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 Department, (813J
788-6611.
Furthermore, 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 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 .ay be an indication that he is not properly licensed and is not entitled to permitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
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 - Homeowner'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..encelent.
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, and land developlent.
Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
installation has comlenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlllpliance. Such agencies include but ~ie Iwt limited to:
I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
Water/Wastewater Treat.ent
I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks
I US Environ.ental Protection AQency - Asbestos abatement
1 also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood t~at a drainage plan
addressing a "colpensating volume" will be sublitted which is prepared by a professional engineer registeied in the State of
Florida prior to per.it issuance.
A permit issued shall be construed to be a license to proceed with the work and not as authority to viol~te, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building uffici~J frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pereit issued ;hall becole invalid
unless the work authorized by such perlit is co..enced within six lonths of issuance, or if work authorIzed by the per.it is
suspended or abandoned for a period of six lonths after the ti.e the work is coemenced. One 90 day e~tensioll of tile, lay be
allowed for the per.it 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 abaildoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS 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 ANP POST A "NOTICE OF COMMENCEMENT".
SIGNA~~~:::::' SIGNAT~
-------OWNE~ AGENT ----- CONTRACT
DATE_______________________________________
DATE___________________________________
NOTARY AS TO
OWNER OR AGENT_____________________________
NOTARY AS TO
CONTRACTOR_____________________________
MY COMMISSION EXPIRES
MY COMMISSION EXPIRES
.. -. ---- . D ~ 1 . /I "'. \ I - . \ ~-\-
' _.__.___.__~\.L_~~.?....., -,ON
. ..' . " 31'3tf7 WED~CJ,~to~ D'(l.
:,
V A L \J A 1\ '0.....1
410/000
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~l) 1J\ CITY OF ZEPHYR,H~LLS BUILDING", DEPJ\RTHENT
OWNE R ~. f><- t>J ('0 t.:l~ +0 u..c,l.. I Q ,\.'\
JOB LOCATION 3>l~SS 'WiD~~CIOQ ~n~u""
PARCEL I. D. # lo - 2lP ' 2\ - (;;) 1"2_0 - DOOCC> - ""\~
SHOW ALL EXISTING & PROPOSED STRUCTURES G~VING DIMENSIONS & SETBACKS.
. 5~.~
C-\1 ,~~
6'
'5~~ ,'~
N~w
\(~ i O~ ,..JCE
.s/
\ 1.. 1 '
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATI ON. '
u'
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
S';.5
W(.O~ ~ooa ~c..\\lC-
2. SETBACKS FOR R3 ZONING
601
1. SETBACKS FOR Rl, R2 ZONING
601-
10'
p E-
R X
0 I
\ 10' P S 10'
0 T
S I
E N
D G
20'
1 O'
10'
10' EXISTING 10'
PROPOSED
20lSGL FAH 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Component Prescriptive Method A
PROJECT NAME: K"c='L)',\) '\<'il'^AY.) : BUILDER: ~~VV"t\.":) ~
AND ADDRESS: 314DS' W,t..cO~ ~:'PERMITT~~~1' /j/J : CLIMATE
"2~~) fI' 3'5S41 :OFFICE:~ :ZONE: 4:~ 5:_: 6:_:
OWNER: --Keu /lvl?l.(Mr:n0 : PERMIT NO ..Jo//J" t1 : JURISDICTION NO. ~116 0 0
CK
1. New construction or addition 1. New Construction
2. Single family detached or Multifamily attached 2. Single-Family
3. If Multifamily-No. of units 3. 0
4. If Multifamily, is this a worst case (yes/no) 4.
5. Conditioned floor area (sq.ft.) 5. 1090.00
6. Predominant eave overhang (ft.) 6. 2.00
7. Porch overhang length (ft.) 7. 4.75
8. Glass area and type: Single Pane
a. Clear Glass 8a. O.Osqft
b. Tint, film or solar screen 8b.166.3sqft
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) 10a-2 R=ll.00, 843.70sqft._
a. Adjacent: 2. Wood frame (Insulation R-value) 10a-2 R=ll.00, 211.40sqft__
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
SN='6251
CENTRAL
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 , 155.00 ft
lla .R=22 .00 , 1090.00sqft___
15.Hot water system:
12a. R= 6.00 , uncond
13. Type: Central A/C
EER: 9.30
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF: 0.88
14.Heating System:
16.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
16.
17.
18.
~,
..::.
19.
19a.
19b.
93.77
20243.52
21587.71
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
PREPARED BY,~ ~c........
DATE: -3jZ'f3/9~
I /
I hereby certify that this building is
in compliance with the Florida Energy
Code. ~
OWNER/AGENT~ ~
DATE:~9~
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
553.908 F.S.
BUILDING OFFICIAL:
DATE:
.****~**************************************************************************.
SUMMER CALCULATIONS
*******************************************************************************
=== BASE ===: === AS-BUILT ===
==============================================================:=================
GLASS----------------
ORIEN AREA x BSPM =
I
I
POINTS :
TYPE
SC
ORIEN
AREA
x SPM
x SOF
== POINTS
-------------------------------------------------------------------------------
N 77.41 82.2 6363.1 SGL TINT N 13.0 51.5 .83 553.6
SGL TINT N 13.0 51.5 .83 553.6
SGL TINT N 13.0 51.5 .83 553.6
SGL TINT N 13.0 51.5 .83 553.6
SGL TINT N 18.7 51.5 .83 794.8
SGL TINT N 6.7 51.5 .69 237.7
E 9.86 82.2 810.5 SGL TINT E 9.9 107.1 .78 820.9
S 13.01 82.2 1069.4 SGL TINT S 13.0 98.3 .66 844.8
W 66.02 82.2 5426.8 SGL TINT W 40.0 107.1 .77 3309.2
SGL TINT W 13.0 107.1 .77 1076.3
SGL TINT W 13.0 107.1 .80 1115.7
-------------------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x
AREA AREA FACTOR
GLASS =
POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
1,090.00
166.30
.983
13,669.86
13,439.70 :
10,413.87
===============================================================================
NON GLASS------------ :
AREA x BSPM = POINTS :
TYPE
R-VALUE
AREA x SPM = POINTS
-------------------------------------------------------------------------------
WALLS----------------
Ext 843.7 1.0 843.7 Ext Wood Frame 11.0 843.7 1.90 1603.0
Adj 211.4 .7 148.0 Adj Wood Frame 11.0 211.4 .70 148.0
DOORS----------------
Ext 20.0 4.8 96.0 Ext Insulated 20.0 4.80 96.0
Adj 18.6 1.6 29.8 Adj Wood 18.6 2.40 44.6
CEILINGS-------------
UA 1090.0 .6 654.0 Under Attic 22.0 1090.0 .90 981.0
FLOORS---------------
Slb 155.0 -31.8 -4929.0 Slab-on-Grade .0 155.0 -31.90 -4944.5
INFILTRATION---------
1090.0 10.9 11881.0 Practice #2 1090.0 10.90 11881.0
==============================================================:=================
TOTAL SUMMER POINTS :
22,163.14 :
20,223.02
===============================================================================
TOTAL x
SUM PTS
SYSTEM
MULT
COOLING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
-------------------------------------------------------------_._---_._---------~--
22,163.14
.37
8,200.36 : 20,223.02 1.00 1.100
.367
1.000
8,156.62
====~==================~======================================~=================
.****~**************~***********************************************************
WINTER CALCULATIONS
*******************************************************************************
=== BASE ===: === AS-BUILT ===
-------------------------------------------------------------------------------
--------------------------------------------------------------------------------
GLASS----------------
ORIEN AREA x BWPM =
I
I
POINTS :
TYPE
SC
ORIEN
AREA
x WPM
x WOF
=. POINTS
------------.--------------------------------------------------.-----------------
N 77.41 -3.4 -263.2 SGL TINT N 13.0 9.6 1.10 137.7
SGL TINT N 13.0 9.6 1.10 137.7
SGL TINT N 13.0 9.6 1.10 137.7
SGL TINT N 13.0 9.6 1.10 137.7
SGL TINT N 18.7 9.6 1.10 197.8
SGL TINT N 6.7 9.6 1.20 77.1
E 9.86 -3.4 -33.5 SGL TINT E 9.9 -2.0 -.21 4.2
S 13.01 -3.4 -44.2 SGL TINT S 13.0 -10.2 .68 -90.9
W 66.02 '-3.4 -224.5 SGL TINT W 40.0 -2.0 -.24 19.4
SGL TINT W 13.0 -2.0 -.24 6.3
SGL TINT W 13.0 -2.0 -.08 2.2
-------------------------------------------------------------------------------
.15 x COND. FLOOR / TOTAL GLASS = ADJ. x
AREA AREA FACTOR
GLASS
POINTS
=
ADJ GLASS
POINTS
GLASS
POINTS
--------------------------------------------------------------------------------
.15
1,090.00
166.30
.983
-565.42
-555.90 :
767.04
====~==========================================================================
NON GLASS------------ :
AREA x BWPM = POINTS :
TYPE
R-VALUE
AREA x WPM =. POINTS
-------------------------------------------------------------------------------
WALLS----------------
Ext 843.7 1.1 928.1 Ext Wood Frame 11.0 843.7 2.00 1687.4
Adj 211.4 1.8 380.5 Adj Wood Frame 11.0 211.4 1.80 380.5
DOORS----------------
Ext 20.0 5.1 102.0 Ext Insulated 20.0 5.10 102.0
Adj 18.6 4.0 74.4 Adj Wood 18.6 5.90 109.7
CEILINGS-------------
UA 1090.0 .6 654.0 Under Attic 22.0 1090.0 .90 981.0
FLOORS---------------
sib 155.0 '-1.9 -294.5 Slab-on-Grade .0 155.0 2.50 387.5
INFILTRATION---------
1090.0 4.1 4469.0 Practice #2 1090.0 4.10 4469.0
================================================================================
TOTAL WINTER POINTS
I
I
5,757.59 :
8,884.20
================================================================================
TOTAL x
WIN PTS
SYSTEM
MULT
= HEATING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
-------------------------------------------------------------------------------
5,757.59 1.10
6,333.35 :
8,884.20 1.00 1.100
.515
1.000
5,032.90
================================================================================
****~**************************************************************************
WATER HEATING
*******************************************************************************
=== BASE ===: === AS-BUILT ===
-------------------------------------------------------------------------------
--------------------------------------------------------------------------------
NLJM OF
BEDRMS
x
MULT
=
TOTAL
TANK VOLUME
EF
TANK
RATIO
x MUL T )( CREDIT
MULT
= TOTAL
-------------------------------------------------------------------------------
--------------------------------------------------------------.-----------------
-------------------------------------------------------------------------------
2
3527.0
7,054.00
80
.88
1.000
3527.0
1.00
7,054.00
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE === : === AS-BUILT ===
===============================================================================
COOLING
POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
COOLING
POINTS
+
HEATING
POINTS
HOT WATER
+ POINTS ,-
TOTAL
POINTS
-------------------------------------------------------------------------------
8200.4
6333.3
7054.0
21,587.71
8156.6
5032.9
7054.0
20,243.52
===============================================================================
*****************
* EPI = 93.77 *
*****************
ENERGY GUIDE
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B-93
EPI= 93.8
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
ITEM
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS... ........ .......... Single Tint
SINGL CLR DBL TINT
:------X--------------:
INSULATION. . . . . . . . . . . . . . . . . .
Floor
R-Value......... 0.0
R-l0 R-30
:------------X--------:
R-O R-7
:--------------------X:
R-O R-19
:X--------------------:
Ceiling
R-Value.........22.0
Wall
R.-Value.........ll.0
AIR CONDITIONER.............
SEER/EER . . . . . . . . . . . . . . . . .. 9 .6
10.0 SEER 17.0
:X--------------------:
9.7 EER 16.0
HEATING SySTEM..............
Gas AFUE . . . . . . . . . . .. 0 .00
6.8 HSPF 12.0
:X--------------------:
0.78 AFUE 0.90
I I
1---------------------1
Electric COP/HSPF.. ...... 6.6
WATER HEATER..... .... .......
Solar
EF............. .
0.88 0.96
:X--------------------:
0.54 0.90
:---------------------:
0.40 0.80
1 I
1---------------------,
Electric EF.............. 0.88
Gas EF . . . . . . . . . . . . .. 0 .00
OTHER FEATURES..............
.. ,. .. .. .. .. .. .. .. .. .. .. .. .. II .. .. .. .. .. .. .. .. .. " .. .. ..
I certify that these energy saving features required for the Florida
Energy Code have been installed in this hou~e~.
"\ (\ Builder.... \. ~.
Address: '3 <to~ \....:)~cS)~<.Vcc2J Signat~ w
City/Zip 2~~f{, ~3.s4L
Florida Energy ode for Building Construction - 1993
Florida Department of Community Affairs
----..
Date:~
FL-EPL CARD93
ENERGY GUIDE
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B-93
EPI= 93.8
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
ITEM
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS........... .......... Single Tint
SINGL CLR DBL TINT
:------X--------------:
INSULATION. . . . . . . . . . . . . . . . . .
Floor
R-Value......... 0.0
R-l0 R-30
:------------X--------:
R-O R-7
:--------------------X:
R-O R-19
:X--------------------:
Ceiling
R-Value.... .....22.0
Wall
R-Value. . . . . . . .. 11.0
AIR CONDITIONER.............
SEER/EER . . . . . . . . . . . . . . . . .. 9 .6
10.0 SEER 17.0
:X--------------------:
9.7 EER 16.0
HEATING SySTEM..... .........
Gas AFUE.. ......,... 0.00
6.8 HSPF 12.0
:X--------------------:
0.78 AFUE 0.90
,---------------------,
I I
Electric COP/HSPF. ....... 6.6
WATER HEATER................
Gas EF . . . . . . . . . . . . .. 0 .00
0.88 0.96
:X--------------------:
0.54 0.90
:---------------------:
Electric EF.............. 0.88
0.40
0.80
Solar
EF . . . . . . . . . . . . . .
I I
,---------------------,
OTHER FEATURES...... ........
I certify that these energy saving features required for
Energy Code have been installed in ~
I \ Builder
Address: 314()S ~..{cO~~'Sign ure: ,-
City/Zip ~~if1 r ~3S<\L
Florida Ener y ode f r Building Construction - 1993
Florida Department of Community Affairs
the Florida
Date:~~t~tj
FL-EPL CARD93
CONTRACTOR #:
NAME: KEVIN RYMAN
ADDR: ZHILLS FL
C E N T R ALP E R M I T TIN G DATE: 10/22/93
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR: 00192090
OFFICE: DADE CITY
C/ST:
FOR: 13:3418
CHECK # CI<
ACCNT
114
37405 WEDGEWOOD DR
10-26-21-0120-00000-73
TOTAL AMOUNT: 9.59
COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/PERMT DATA DRICR
B450 - 363000 - 2 9.59 ****** SOLID WASTE FEE 60
RECEIVED BY ____
6JL
,~..;
PASCO COUNTY, FLORIDA
Pennit # / '
Date
Name/Owner
COWlly Pan:el #
~
Location
, ,
,'.- "-,
Classification / Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft. / Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established pursuant to the pascoCounty Tr.msportation 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 =
(QSfl x (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
/
"
TOTAL FEE $
*Discounted for Prepayment
The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197, as commended.
THE ASSESSMENT 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 pennit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
-----------------------------------------------------------------------------------------------------------------------------..------------------------------------
OFFICE USE ONLY
DATE
DATE
BY
BY
TRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg /Insp
~ .
. ,
ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LaMA or LOMR).
Instructions for completing this form can be found on the following pages.
a.M8. No 3067.0071
Expires Mdy31. 7993
SECTION A PROPERTY INFORMATION
,OOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME
G-~ A-CLC 0 t+O tJ t
~OLlCY NUMBER
STREET ADDRESS (Including Apt., Unit. SUite and/or Bldg, Number) OR P.O ROUTE AND BOX NUMBER
~\ ~DS \Nc:.C~WOO~ U~\v-c:...
OTHER DESCRIPTION (Lot and Block Numbers, otc,)
t D ' 2.\c;:> . z..t - c> \. 20 - 60C;JOO - Cl., 3 0
CITY
--='e.-p I-ty rch ~ L l s.
I
:OMPANY NAIC NUMBER
r-\ .
STATE
~ ~~~\
ZIP CODE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER 2, PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5, FIRM ZONE 6. BASE FLOOD ELEVATION
A~ (in AO Zones. use depth)
/20235 OtJOS c.... DGC. I~ /9!!J j 8..5
7, Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): NGVD '29 L_J Other (describe on back)
8, For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: !, U feet NGVD (or other FIRM datum-see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level L '
2(a), FIRM Zones A 1-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of Ll~J8IG! ,i cj feet NGVD (or other FIRM datum-see Section B, Item 7),
(b), FIRM Zones V1-V30, VE, and V (with BFE), The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of L--.LlJ~ ,U feet NGVD (or other FIRM datum-see Section B, Item 7),
(c), FIRM Zone A (without BFE), The floor used as the reference level from the selected diagram is . ~_~. ___ feet above_ or
below (check one) the highest grade adjacent to the building,
(d), FIRM Zone AO, The floor used as the reference level from the selected diagram is ,U feet a80ve '~ or below == (check
one) the highest grade adjacent to the building, If no flood depth number is available, is the buildings lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? Yes = No !J Unknown
3, Indicate the elevation datum system used in determining the above reference level elevations: ~NGVD '29 I , Other (describe
under Comments on Page 2), (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM [see Section B, Item 7J, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: 0 Yes 0-No (See Instructions on Page 4)
5, The reference level elevation is based on: G1' actual construction 0 construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place. in which
case this certificate will only be valid for the building during the course of construction, A post-construction Elevation Certificate
will be required once construction is complete.)
6, The elevation of the lowest grade immediately adjacent to the building is: I_LL_~J,sr,!?J feet NGVD (or other FIRM datum-see
Section B, Item 7),
SECTION 0 COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: L..I I I I ], U feet NGVD (or other FIRM datum-see Section B, Item 7),
2. Date of the start of construction or substantial improvement d /12/ 9 3 ,
.
FEMA Form 81-31, MAY 90
REPLACES ALL PREVIOUS EDITIONS
SEE REVERSE SIDE FOR CONTINUATION
... . " ...
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones A1-A30, AE, AH, A (with BFE),V1-V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification, In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below, The diagram number, Section C, Item 1, must still be entered,
I certify that the information in Sections Band C on this certificate represents my best efforts to interpret the data available,
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S, Code, Section 1001,
CERTIFIER'S NAME
D/l V /0
tS.
/fR;V/STRON q
LICENSE NUMBER (or AHix Seal)
4970
TITLE
P/.2{)~E5S/tJNAL L /1,,</0
ADDRESS
515/
S;t/;€VEYOE.
SIGNATURE.
COMPANY NAME
DEt./ EL. t:f t4SS0C,
C. FR€D
CITY STATE ZIP
Z€P'!/YR.4/LL S Fe., .5354/
--------
DATE /O/28/.93PHONE (8/3) 7$2-& 7/7
or: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
C o/-./STR.uCTID.A)
COMPLeTe
ON
SLAB
A
ZONES
V
ZONES
BASE
FLOOD
~
WITH
BASEMENT
ON PILES,
PIERS, OR COLUMNS
A
ZONES
~
FLOOD
ELEVATION
--r
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones,
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member,
p,.