HomeMy WebLinkAbout93-3480
"BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
tI '1...~ ~O
BUILDING
b .$ .SV
ELECTRICAL
,~7 SO
PLUMBING
Permit
N~ _ 3480,t
9-/tl-- <f 3
Date
;25..... cri>
MECHANICAL
Sewer Conn ~()"'7f? VD ,
Water Conn: ~~A~..3-!. "',01)
Water Meter: /6-5-: 4'D
T,I.F.'s: -
::~:::,~,:n'~ l:J'5L~~
ParceII.D.# -$1-;;1.' -;l/-oC)..fO - 0 ~~oo-.;)A -+-d-.-i?
Zoning: Energy Code: . Radon Gay t. 7, /"1
Description of Work '-1tJ"'-)-~~IJt \. -/;74 ~: t L--'f1/; 4;vJ
NO OCCUPANCY BEFORE C.O.
FINAL Z/Zto'4 Lf
DATE
C.O. ...:,Y -;l {, - Fc.f
DATE
Complete Plans. Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
Valuation or
Contract Price ,-f~ ~. OV
City license Registration # L? <f':L
State Certified License#
Inspector
Pe,m;' Fee~
Signature _~
Company
Address
Telephone# 9c::?y - 5 r (3 - 2'2.. ~ I
8~~~
BUILDING
IJ;~;. ~ '1/
ELECTRICAL
Ar9/
PLUMBING
.Lf~ ~
MECHANICAL
Tp. Serv,
R hi 11-03-93 Bob
oug n
Meter Can 9-10 ~ Water
Canst, Pole (l-/t/~ -1/M..,kPewer //- 2-t.t ~1. IZ
Pool Final "1-&' 9'/._ L L
Pre-M~trr /-f~
Final '1-26 --'t .~ ~
Ft," tf-M~
Pre SLB - ~
Lintel /0../- t; 3 ~
FRM, 11-04-93 Biff"'"
Insul. CL
WL 11-04-93 B'
SLB .ii-d,-q~ 8~y
Tub Set 11-03-93 Bill
Breakers
Ducts Insl. 11-03-93
Compressor
Final ~-22-fc.il.../l
Bob
PORaI SlAB 11-3(k9~ ~
Driveway 12.. -']- 3
~ \\-\-q~fu,U ~v~ -4 -
COURTYARD FOOl'ER IS 11-29-93 BILL 't..z..-Z '-1 \i:V
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,
b.
c.
d.
e,
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible,
A/~ ~J 9-/0--'1'':;>
(ll '-/ - .;}.).. - 7' Y
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
602-E-1"EC- r\
~5/L- t~~
','
VALUATlON ~ 57,000
~?fi.OD'I iJZ-3'3 Sq. f-r. LIVII\\<<>
.Jf 11/)0 X b-B3 Sq. FT. OTHt=-~
&.HLDIN C::>- 44-3, so
H..uMBlN6 - 57. 'So
sc:)
ELELT~I <J\ L - iO '3 :--
M~ANl~L- 25,ot
SU~'1OTf\L'"
CRE..D\T ,_ 50. ,~\)
7CirltL fE~IVlIT :
CONN~c..nON FI=.C-S
S~WM - )127~. c.O
c~ 3 ....,'\ C/O
WA-r~.- ~)V,
NaE-~ - IbS.C:!D
7EJlflL: 'i/93, jV
RADoN bAS - /1, I (.?
l,q Ita Sf. PI:"
'1;\t\~po~:rA77otJ I fV1pftGI FEE-
N/A
'70TltL:
APPLICATI01!il FOR PEmnT
CITY OF ZEPBYRHILLS
BUIUlIBG DEPAR'IHHM
OWNER'S NAtlE Smlri( (]J4Ttle. ~ ~(}u-e
OWNER'S ADDRESS b _~-- / I)
0~/~
LEGAL DESCRIPI'IOl!i: lDI(S) ~ f/ 1- c;l.. B
5e (.J ___.,-wI"
PARCEL LD.# L./ . Ol" S R6-e ~I E
WORK PROPOSED: ~ Construction ---..Addition _Alteration _Repair _Install
.T ,Jc.
,PHONE
7g;;2- 0rj()O
JOB ADDRESS
gb,vitVc;o()
A~e.vrW,7(}o
IJ.e I(/--G
.o,t?/ tie
BJ..OCK OIJIJ, SUBDIVISION Sf c. (/f/t. OAK.5
'I:J.~')'I - OO;)..D - ~QO- OoA I OAR~ iA~ ~./) )
_Sign
_Hove
_DeJIOlish
PROPOSED USE:
Single Faaily
~F
2-, of Units
_K/H
_~rcial
_Indust.
_Swi.. Pool
Other
_Restaurant &: Health Depart:Jleo.t Approval.
- ( ,
Square Feet. Si~t.{,(.., 57J/<1 - '8 '!l I Height
1
BUILDING SIZE:
x
RESIDENTIAL :
COHftERClAL :
ATTACH (2) PLOT PLAlIS &: (2) SEI'S OF BUlLDIliG PLUS &: (1) SET EBERGY FORKS. U
AITACH (3) SEI'S OF BUD.DDIG PLUS &: (1) SET EHRRGY FORKS. "'*
"'oJ:COPY' OF CONTRAct RIlQUIRIlD. I ,
PERKITS REQUESTED
_BUILDING
$
_ELECTRICAL
150
..j J/t}tJo ' 0 i)
Valuation of Total Construction
AKP Service ~lorida Power Corp.
W.R.E.C.
----1IECIIAIlICAL
$
Valuation of HechanicaI Installation
_PLUMBING
GAS
~OCk
ROOFIliG
SPEGlALIT
TYPE OF CONSTRUCTION:
_FraIIe _Steel
Other
FIIIISBED FLOOR ELEVAITONS: fIT .
IS PROJECT IN FLOOD ZONE AREA?
/
YES NO
toJ:oJ:oJ:*oJ:oJ:oJ:oJ:******oJ:***-I:oJ:oJ:oJ:oJ:oJ:*oJ:oJ:ttoJ:*oJ:*******.*
cmrJ'RACIOR SECTION
"
' f) , COI!fPANY &zer~r...ll' ';:;NC,
flL 4~~f......... State Cert. or Regist.' Rf.- ao.c6 3Ak
Signature ~..1 ~ J:..:. -2 City License Registration' 38'<"
oJ:oJ: oJ:*oJ:*oJ:oJ:oJ:"'oJ:oJ:oJ:oJ:*oJ:*oJ:oJ:******oJ:oJ:**oJ:***oJ:~~oJ:*~'_
~~,
::::GIAH~ . COIIPARY
A ~~f2 State Cert. or Regist. ,
. Si ture V /'4n'/Yl City License Registration
. ----... ......................................
BUTTnER
-1.----
PLUKBER
OO!IPAn 6/lWM2r7e- k~/1f&.J0
te Cert./ or Reg is 1:. ,.
ity License Regis~ra~iont
oJ:oJ:oJ:oJ:oJ:oJ:oJ:**oJ:**oJ:*oJ:*******oJ:****
~I
.
Signature
ltECIIANICAL
(
fi4. .., .. WllPMIY 5'ON/"V.5-
, State Cer1:. or Reg is 1:. t
.. . #1 City License Registration t
I -. ....Z~._..._._.__uu..._.
~.L
Signature
OTHER
COlfPAliY
State Cer1:. or Regist. I
City License Registra~ion ,
oJ:oJ:oJ:*oJ:oJ:oJ:oJ:*oJ:oJ:oJ:oJ:oJ:oJ:oJ:oJ:oJ:**oJ:oJ:**oJ:*oJ:*oJ:oJ:*oJ:oJ:*********
.)i,hV~ ~JA4hL
.
Signature
^PPLICAtl.o~"APPROv,m ,QY: '
, ~ . . I . I -, '.
PERKIT OFFICER.
,',
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understand~ that this perlit may be subject to 'deed restrictions' which lay be lore restrictive th~n City
regulations, The undersigned assules responsibility for cOlpliance Mith any applica~le deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OMner has hired a contractor or contractors to undertake Mork, they lay 'b;- r~quired to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the OMner 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, (813)
7BB-bb 11.
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 be responsible. If you,' as the OMner 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 perlitting privileges in the
City of 2ephyrhills.
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 Mith 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 docueent and'prolisf 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 Hork will be done in cOlpliance 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~egulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay 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:
, Departlent of Environlental ReQulation - Cypress Bayheads, ~etland Areas and Environ.entally Sensitive Lands,
Yater/Wastewater Treateent
, Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, ~etland Areas, Altering Watercourses
f ArlY Corps of EnQineers - Seawalls, DOCks, Navigable ~aterways '
f Departlent of Health & Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - Asbestos abatelent "
I also certify that, if fill laterial is to be used in Flood Zone "A' or 'A,etc,', it' is understood that a drainage plan
addressing a "cotpensating volule' will 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 Mork and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a pertit preve~'t the Building Official frol thereafter
requiring a correction of errors in plans, construction, Dr violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is co.tenced within six Bonths of issuance, or if work authorized by the periit is
suspended or abandoned for a period of six lonths after the tile the work is cOllenced. One 90 day extension of tile, lay be
allowed for 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 lonth period, or the project will be considered abandoned.
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 FINANCINS, 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 COMMENCEMENT'.
,~~:1ZC-~ ~~~k)
STATE OF FLnRIDA ~
COUNTY OF " t"'"D..~~
The fDregoing in?t~umen\hwa5 acknowledged
befc.re me this f\v"", ~'l , 19~3 by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument~was
befclre me this p.,\.)~. ~~1 ~
--Po.. c:.C- 0
ac kncll'lI edged
19~ by
n'Co... + \-e S('()~ -\- h ..
who i personally known t me or who has
produce
as identification and who did/did not
take an o~th. CL _ ~,__ _
~~~
(Signature)
M Ckt' c..- " "'l\-t.. \) -\ i rno.x'\ ~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
or who has
whc, is
produced
as identification and who did/did
take an oa,th. ~ _' .-\-'
\Y\~ ~~
(~ature) . . ·
Q( C \ t\ e. \) 0-\ \ \"'C\. 0.... \"\ Y"\.
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
nCtt
MARCl REUTIMANN
My Comrn [xp, 2-23-96
Bonded By Service ins. Co,
No CC182355
MARCI RWrlMANN
My Comm flcp, 2-23-96
Bonded By Service Ins. Co,
No, CC182355
. I;)epartment of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FO~M 600A-93 Residential Component Prescriptive Method A CENTRAL 4 5 6
PROJECT NAME: BUILDER:
AND AbDRESS: PERMITTING CLIMATE 405060
OFFICE: ZONE:
OWNER: PERMIT NO.CIILLD:Il JURISDICTION NO,: c::L[IIIJ
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units covered by this submission
4. If Multifamily, is this a worst case (yes / no)
5. Conditioned floor area (sq, ft.)
6. Predominant eave overhang (ft,)
7. Porch overhang length (ft,)
8. Glass area and type:
a, Clear glass
b, Tint, film or solar screen .
9. Floor type and insulation:
a, Slab on grade (R-value + perimeter)
b, Wood, raised (R-value + sq, ft,)
c, Concrete, raised (R-value)
10. Net Wall type area and insulation:
a. Exterior: 1, Concrete (Insulation R-value)
2, Wood frame (Insulation R-value)
3. Steel (Insulation R-value)
4, Log (Insulation R-value)
b. Adjacent: 1, Concrete (Insulation R-value)
2, Wood frame (Insulation R-value)
3. Steel (Insulation R-value)
4, Log (Insulation R-value)
11. Ceiling type area and insulation:
a, Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
12. Air distribution systems
a. Ducts (Insulation + Location)
b, Air Handler( Insulation + Location)
13. Cooling system
(Types: central-split, central-single pkg" room unit, PTAC" none)
14. Heating system:
(Types: heat pump, elec, strip, nat. gas, L.P, gas, room or PTAC, none)
15. Hot water system:
(Types: elec" natural gas, solar, L.P, gas, none)
16. Hot Water Credits:
a, Heat Recovery (HR)
b. Dedicated Heat Pump(DHP)
17. Infiltration practice: 1, 2 or 3
18. HV AC Credits (Type in Letter designation: CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RS-Attic radiant barrier, MZ-Multizone)
19. EPI (must not exceed 100 points)
a, Total As-Built points
b. To se points
DATE: fl -)- b1J
nergy Code,
OWNER AGENT:
DATE:
-1-
Please Print
CK
1. {/ l-vU
2. mull t r ~h1-/ f
3. '--
4. V,.5
5. /,s-f'
6. /, ~
7. ~
Single Pane Double Pane
8a, sq. ft. sq, ft,
l8H. sq, ft, sq. ft,
9a. R= 0 , /~'1 I. ft,
9b, R= , sq. ft.
9c, R= , sq, ft,
10a-1 R= 5 r 'P \.{ sq. ft,
10a-2 R= sq, ft,
1 Oa-3 R= sq. ft,
10a-4 R= sq, ft.
1 Ob-1 R= -4- ~ 5' v sq, ft,
10b-2 R= sq, ft.
10b-3 R= sq, ft,
10b-4 R= sq, ft.
11a. R= 70 t '-'~. ft.
11b. R= sq. ft.
12a. R= ~ ,~~ (cond.luncond,)
12b, R= , __ (cond.luncond,)
13. Type: C e ~1 vcl (
~ERlCOP: Ie \. 01)
14. Type:H e vr /J If W'\/~ I
HSPF/COP/AFUE: /vo-
15. Type: IE ( e-t-
EF: . 9 /
16a.
16a.
17. ::J-
18.
119. <;>D\ I I
19a. / / "(7
19b. 2'{ If 77
Review of plans and specificetions covered by this calculation Indicates compliance with
the Florida Energy Code, Belore construction is completed, this building wm be inspected
lor compliance In accordance with Section 553,908. F.S.
BUILDING OFFICIAL:
DATE:
SUMMER CALCULATIONS
GLASS
AREA
I/)
I/)
:5
CI
BASE
= SUMMER
POINTS
CLIMATE ZONES 4 S' 6
GLASS ! SINGLE-PANE _1- DOUBLE-PANE 1 SUM~R lAS-BUILT
SUMMER-POINT MULT, OR SUMMER POINT MULT, x OVER NG = GLASS
AREA CLEAR TINT" CLEAR T1NJ'l FACTOR (6A-1) J)UM. PTS
N 1..L4 51.0 51.5 47,8 43,5 "QA ~ 11.1.
NE 77.2 76.6 71,7 63,4
E ,/ q tl 109,2 107,1 102,0 87,3 ~ 7 v 10,1l.
SE -1 112.9 110.3 104.1 89,4
S 100,2 98,3 90,9 78,8
SW 112,9 110,3 104,1 89,4 ,...
W ~O 109,2 107,1 102,0 87,3 2"lA ~Q'l..Y
NW 77.2 76,6 71.7 63,4
H' 367.7 303,3 324,6 238,1
U 2,L~ JIJ? ( .Cf') ~ 'J.7b
~
~ -.
...
.15
COMPONENT
DESCRIPTION
EXTERIOR
~ ADJACENT
3=
[]] EXTERIOR
g ADJACENT
c
CI
z
:J
iii
u
UNDER ATTIC
OR SINGLE
ASSEMBLY
a:
o
o
....
u.
INFILTRATION
COOLING
SYSTEM
HOT
WATER
SYSTEM
BASE COMPONENT
AREA SUMMER DESCRIPTION
POINTS
1.0 b
.7
T T
;}.. { '" (p 4.8 /6> r I I ";).. I. I- 1-{l~ /1')1
1.6
.6
,6
,6
BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING. AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE,
T
-31.8
-3,43
~
FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE.
T
I~
USE TOTAL FLOOR AREA OF CONDITIONED SPACE,
T .
I .J.b ~::5 Y I
NUMBER
OF
BEDROOMS
~
10.9
T
=
TOTAL COMPONENT BASE SUMMER POINTS
...
TOTAL
AS-BUILT x
SUM. PTS.
TOTAL COMPONENT BASE SUMMER POINT~
BASE COOLING TOTAL BASE
SYSTEM x SUMMER
MULTIPLIER POINTS
,37 ~r.e ;; 3 -
AS-BUILT
= HOT WATER
POINTS
'2---?-
'H = HORIZONTAL GLASS (SKYLIGHTS)
2FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1,1 OF APPENDIX C. TINT MULTIPLIERS MAYBE
USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT,
-2-
WINTER"CALCULATIONS
U)
U)
:3
CJ
GWS
AREA
,15
COMPONENT
DESCRIPTION
EXTERIOR
:i1 ADJACENT
~
[1 EXTERIOR
g ADJACENT
c
~ I, G,.
CJ
z
::J
iii
u
UNDER ATTIC
OR SINGLE
ASSEMBLY
,6
.6
,6
BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS.BUIL T CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
.
CUMATE ZONES 4 5 6
GLASS ~ SINGLE-PANE OR DOUBLE-PANE I WINTER I AS-BUILT
WINTER-POINT MUL T. WINTER POINT MULT, x OVERHANG = GLASS
AREA CLEAR TlNf2 CLEAR TlNf2 ACTOR (6A-10
~UM.t' I~/.
N t:,c" Lf 9.6 9,6 5,6 6,1 1.0 <" b~ 7
NE I 7,4 7.3 3,5 4,2
E 19. { - 2,2 - 2.0 - 5,6 -3,6 . ,C\7 _ ';2.'.)....
SE -10.3 - 9,7 -13,4 ,10.4
S -10,9 -10,2 -14.0 -11.0
SW -10,3 .9.7 -13,4 -10.4
W 1;0 - 2.2 - 2,0 - 5,6 - 3,6 .-116 OV _ ~Oh
NW 7.4 7,3 3,5 4.2 I
H' -32.1 -28,0 -27.0 -21.5 t:7 -~~
0 ~~,2- -a- ~rJ .-cJrI v
COMPONENT
DESCRIPTION
1.1
1,8
5.1
4,0
.
/10
a.- ( , I:>
II
tS', (
.
/
SLAB (PERIMETER I r..{ '1 -1,9 - ;)..7Q 1'17 ~,< ~ t, r
II: RAISED (AREAl , - ,2
0
0
-'
u..
FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE,
INFILTRATION
4,1
I I TOTAL COMPONENT BASE WINTER POINTS
...
TOTAL
AS-BUILT x x x
SUM. PTS.
<t r L--
.
i'"\\, k'" ~'
TOTAL COMPONENT BASE WINTER POINT~
BASE HEATING TOTAL BASE
HEATING SYSTEM x WINTER =
SYSTEM MULTIPLIER POINTS
1,1 h f~O
-'
cc
13
I-
BASE
HEATING
POINTS
2FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1,1 OF APPENDIX C, TINT MULTIPLIERS MAY BE
USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT,
-4-
ENERGY
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=I~.\ I
o
I
10
I
30
I
40
I
excellent
50 60
I I
20
I
good
70 80
I I
GUIDE
) ~\
/
/
r
\ acceptable
90 100
I ---l
The maximum allowable EPI is 100. The lower the EPI the more efficient the home.
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOME VALUE
57
WINDOWS ...... ......... ....... ................ .......
INSULATION .... ......... ................ ............
Ceiling R-Value ..........................
Wall R-Value ..........................
Floor R-Value ..........................
.30
S-
O
AIR CONDITIONER ...............................
SEER lEER .......................................
/~. 6 D
,
HEATING SYSTEM ...............................
Electric COP I HSPF ...................
Gas AFUE .............................
70e;)
WATER HEATER ..................................
Electric EF ..................................
Gas EF ..................................
Solar EF ..................................
OTHER FEATURES ..............................
Address:
CitylZip
Florida Energy Code for Building Construction-1993
Low Efficiency
SINGL CLA
I I
A-l0
I
A-o
I
A-O
I
High Efficiency
DBL TINT
I
A-30
I
A-7
I
A-19
I
10.0 SEEA 17,0
I I I
9,7 EEA 16,0
6,8 HSPF 12.0
I I I
.78 AFUE .90
I I I
Date:
91 ,88 .96
. I I
,54 ,90
I I
,40 ,80
I I
I certify that these energy saving features required for the Florida Energy Gode have been installed in this house.
Builder
Signature:
Florida Department of Communi~ Affairs FL-EPL CARD 93
MAP OF BOUNDARY SURVEY
It 2, le88 the 80uth 37.50 feet, BRENTWOOD FIRST ADDITION, as pE!:- 'r<l;
48 lle.::6rded in Plat Book 30, Page 56, of the 'Public Records of f'c, ',ror.,
.
nd in8tallation. or improvement8 have been located, except as no' r,r~ ,
\ts of record reflectin9 easements, r i9hts-of-way, and/or u"r,(:;'
ed this surveyor, except as shown.
wise shown hereon, no juriSdictional wetland, areas or other pri'j;;, '",.
features have been located.
hown are per Plat I Pield verified, unless otherwise'shown.
:nsurance Rate Maps COIIUQunity Panel No. 120230 455 C, dated 2-17-,:~,
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PASCO COUNTY, FLORIDA
Permit # J '/<fV A
Date 9-/0 - ~?
N..../Owner /;~1i;:L ~
Comly Parcel # If - ;26 - J-/ - 0 ~.3 0 - 0 b-LJ.tJ 0 - .,2 A -+;;L 8
Location 66"/ {J ~A ~
Classiftcation/Type of Use .fJ~x /.~ r
TRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft./Unit
Prepared by
Impact Fee Amount $
The above impact fee has been established t to the Pasco Comty 'on Impact Ordinance as adopted by the Board of
County Commissioners. This amo 'payable PRIOR to the issuance of a Certificate upancy or authority to utilize the permitted
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
# Units J
NONRESIDENTIAL
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 =
!USfl 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.
TIlE ASSESSMENT WILL BE CALCULATED AT TIlE TIME OF ISSUANCE OF TIlE 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
TRANSPORTATIONREC.# --
RESOURCE RECOVERY REC. # ~ I 0 ~'::l,.<.
DATE .
DATE 4) 4:::LJ9y
BY ~
B~PL.0'^ to.. .
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg /Insp
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