HomeMy WebLinkAbout94-3828
BUILDING PERMIT
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Permit
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GI H~TQICA?
CITY OF ZEPHYRHILLS
(813) 788-6611
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Date
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Sewer Conn t ~ 7R
Water Conn: ' 450
Water MEller: J 10:;-
),),4
T.I.F.'s:
~:::,~~~~,;nec/o~f!! ~~~!4ooo-
Energy Code: Radon Gas
Description of Work
Zoning:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
~y -~----7 k
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
Valuation or :fA 1K:. <;? oJ;L
Contract Price ' O'!2 I
Inspector
Perma Fee'1 ~~~' -
Signature / . ~ n ~.1 )( fJI A,KY ./
/
Company
Address
60 B
Ftr. ,-3-~- Cf4 ~ iV
Pre SLB 3-/"-t1t-f~
Lintel
FRM. ~Jd~Ge\t~
Insul. CL
.., WL 5'~...ql.\~
t.o,r vi- ~
3H~INl,- -1.1.t;t.J .
Driveway -Ji-GJ./..j ~
City License Registration # 4 :if .L,l)c;., .
~tifi~ce, nse' ~ ~
U7)-T)!ii; ~. ?]t7YJ141!lJ>f?/~ ~tJa..
ELECTRICAt:fF ~O~
Tp. Servo SLB 3-Jf!1;.~1LL-
Rough In5"'d-~Q4~ Tub Set " , ""\ 8-J...l
Meter Can ./}- -1' 7~ B5 Water
Const. Pole 02/10/94 BJB Sewer
Pool Final
Pre-Meter '} -~ - q 4 f>~
Final
r~~~
-;...-~-q lot -:603
Telephone#
BUILDING
OJ1"~T
PLUMBI G~/~
7{r1t!:~
HANICAL~7/
Breakers
Ducts InsI.5~- q4 ,B,),Y-
Compressor
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:
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.
)j-fJ.... _ 3 -3/ -7' Y
J -3/-71/P
The payment of inspection fees shall be made before any further permits will be issued to the person o\"v"ling
same.
VALUATION:
SQ. FT. LIVING:
W.A. NEUMANN
5741 YORKSHIRE
$48,028.00
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
1,211
COST/FT:
$35.00
SQ. FT. OTHER:
513
COST/FT:
$11 .00
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
VALUATION
DRIVEWAY
$48,028.00
$20.00
ADDRESS
$20.00
FEE SHEET
$260.00
SQ. FT. UNDER ROOF
1,724
RADON GAS
$17.24
TRAFFIC IMPACT FEES
99%
1%
$0.00
$0.00
$0.00
430.00
55.00
63.75
30.00
$578.75
50.00
$528.75
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $2,338.99
. .
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APPLICATION FOR PERMIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTMENT
Owml'S --1!1.Il./lJAJ(YJ4jNl'-' PBOIlE(p!)??Z--fOfo
OIiIfER'S ADDRESS f () t50>!:::...5Y (, 01'1 /kA .-/~
JOB ADDRESS 5 ./ f/ / X)ttl.sA,/t.t- D^-. 2. '" ~,(,. lis
LEGAL DBSCRIPTIOII: LOT (S) P3 BLOCK SUBDIVISION ~ (y c!y {<-'^-' ~ V d ~._
PARCEL LD.# JO--l&-lJ- O/Zu-OOuVJ... Of-3D
WORK PROPOSED:~Construction Addition _Alteration _Repair Install
-
_Sign Move Demolish
PROPOSED USE: ~le Family _M/F _# of Units _M/H
Co_ercial Indust. _Swim. Pool Other
- -
_Restaurant & Health Department Approval
BUILDING SIZE:
x_,
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. **
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. **
**COPY OF CONTRACT REQUIRED.
PERMITS REQUESTED
_BUILDING
_ELECTRICAL
MECHANICAL
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
_W.R.E.C.
$
Valuation of Mechanical Installation
PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION:
Block Frame Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
CONTRACTOR SECTION
BUILDER ) ~ CI>>lPANY u), ,4, tVE-Vhl4"''"''
~ State Cert. or Regist. #
Signature ~ ~t:I '" City License Registration #
. ******************************************
00 'Z-O~ z., '-j
CJ'i
PLUMBER
COMPANY C&n",(,-"C " to- J Ji.....^ v.'" , -
State Cert. or Regist'. # 00 Ct, 'f'lr
City License Registration # ,~Qb
******************************************
Signature
COMPANY C~&JM~,d .fJJ..,~ (;.,t
State Cert. or Reg st. #
Ci ty License Registration # )' '] \
******************************************
OTHER
ct~
~~' COMPANY K;....~~~ (,.,..JJ(..A" /
( State Cert. or Re ist. # 00 f.-'/ )"'L
1_ ---'-~ City License Registration #7 I
**************************************
COMPANY (}I/Yi,J t'OO",,;'; ~
State Cert. or Regist.' no ~ t.t-( /
.- Ci ty License Registration # "lIe) ,
******************************************
MECHANICAL
Signature
Signature
t-
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'fbe undersigned understands that this pel'lit Jay be subject to 'deed restrictions I wbich lilY be lOre restrictive than City
regulations. 'fbe undersigned asSUle& responsibility for ~liance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake wort, they JaY 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 lilY be
cited for a lisdl!leaJlor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelellts JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
'Contractor Sections' of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
you are indicating that JOu, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that JaY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - lkIIeoImer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUll!I' Affairs. If the applicant is 8OIBOIle other than the
lownerl, I certify that I bave obtained a copy of the above described dOCUlent and prOllise in good faith to deliver it to the
"owner' prior to Co.eDCBIBllt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developlellt.
Application is hereby lade to obtain a pel'lit to do work and installation as indicated. I certify that no work or
installation bas ~ced prior to issuance of a pemit and that all work will be perfol'led to .et staDc1arda of all 1_
regulating construction, City codes, loning regulations, and land developJellt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDJel1tBl agencies lilY apply to the intended wort, and that it is
If responsibility to identify wbat actions I lUSt take to be in ~liance. Such agencies include but are not luited to:
t DepartJent of EnvirOllJelltal Regulation - Cypress Baybeads, Wetland Areas and InviroDlelltally Sensitive Lands,
IIater /Wastewater !reatJent
t Southwest Florida IIater lIanageJellt District - lIells, Cypress Baybeads, Wetland Areas, Altering lIatercourses
t Al'IY Corps of Engineers - Seawalls, Docks, Xavigable Waterways
t DepartJent of Health & Rebabilitative Services, EnvirOlllental Health Unit - Wells, Wastewater !reatJent, Septic ,ants
t US EnvirOllleJ1tal Protection Agency - Asbestos abatelleDt
I also certify that, if fill I8terial is to be used in Flood Zone "A' or "A,etc.', it is understood that a drainage plan
addressing a 'COIpeDSating volUl8' will be sub8itted wbich is prepared by a professional engineer registered in the State of
Florida prior to pel'lit issuance.
A perlit issued shall be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a pel'lit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit issued shall beCClle invalid
unless the work authoriled by such pel'lit is co.enced within sillODtbs of issuance, or if work authoriled by the pel'lit is
suspended or abandoned for a period of sillODtbs after the tile the wort is co.enced. One 90 day utension of tile, lilY be
allowed for the pel'lit with fee charge of $15.00. !be utension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillODth period, or the project will be considered abandoned.
IlARHIXG !O <*HER: YOUR FAILURE to RECORD A DICE OF C(IIIDCIIIIIl! lilY RESUL! IX YOUR PAYING !WICE FOR DIPROVIIIII!S to YOUR
PROPIlRt'Y. IF YOU IJl'fIlJID !O OB'l'IIM FIUlCIIG, COISUL! WID YOOR LIlIDIR OR II AnoRIIlY BlFORIl RICORDIIIG YOUR DICE OF
COIlIIIMCIlIIEtft'. JOBS UlfDIR $2,500 IX VALUE 00 XOI' HIED to RECORD AID POS! A 'XOI'ICE OF C<IIIDCIIIIMt'..
SI~Lfim~ 1if2~
SUD OF FLORIDA Cih:
Coom' OF fVl [)
The foregoing instI'UDlent was a;;knowledged
before me this -1J ~) , 19$ by
I L), C\ ~\e: J., JYla 1'\ l\
who is personally known to me or who has
produced ('t)ff <:.r> /K.L.-l \ L t 'L.. I\(\l .'\ ~
as identification and w 0 did/did no
ta~ an <?ath~ . '
( ~. '" r'.., ~, 1Y\o..lLU.~
(Signature) ,
('lnr\E->+~c- L. f'f\~or
(Name Typed, Printed or St ed)
NOTARY PUBLIC
S!AD OF FLORIDA
coum OF CDn. ,c..p D
The foregoing instrument was acknowledged
before me this ~, 19.!3!:L by
L0. t::\, "-1e .l...\-.iY\C:>-" Y""'\
who is personally known to me or who has
produced c:]:k.:i:~(\cU. '-q kr'\l">\...:J f""\
as identification and who did/did not
tak~ an o~th. \, .
l' 11 ~ . 'n r-': _ ~. iYl~
(Si ature)
\ L. '\
(Name Typed, Printed or St ed)
NOTARY PUBLIC
CIAL NOTARY SEAL
CHRISTIE L MAJOR
NorARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC316103
MY COMMISSION f;;~~~I 1;,~~_,
ICIA NOTARY SEAL
cHRISTIE L MAJOR
NorARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC316103
MY COMMISSION EXP. SEPT 15,1997
~ ~. nellmaHH eOHdtellctioH, 9HC.
P.O. BOX 596 - ZEPHYRHILLS, FLORIDA 34283-0596 - (813) 782-9080
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P.O. BOX 596 - ZEPHYRHILLS, FLORIDA 34283-0596 - (813) 782-9080
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Department ()f Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILUINl:i l.,;UN~ I t1U~ ffUN
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL 4.5 6
OWNER:
BUILDER:
PERMITTI
OFFICE:
PERMIT NO. J
Ll"
PROJECT NAME:
AND ADDRESS:
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 type and area:
a. Clear glass
b, }tnt, 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 block (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
4. Log (Insulation R-value)
b. Adjacent: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (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 system:
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, RB.Attic radiant barrier, MZ.Multizone)
19. EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
EPI = Total As.Buin points X 100
Total Base points
I hereby certify thai the PI/i and specific .ona covered by Ihe caleulalion are in compliance with the,
Flonda Energy Code.
PREPARED BY:, 'DATE: / - z ;7.- 9 '"
I hereby certify that this building is in comp nee with the Florida Energy Code.
OWNER AGENT: DATEl- 2 7~ 9 r
-1-
1.
2.
3.
4.
5. I~J sq. ft.
6. 1.33 ft.
7. b ft.
Single Pane Double Pane
8a. sq. ft. sq. ft.
8b. /'13. sq. ft. sq. ft.
9a. R= 0 /rb I. ft.
9b. R= sq. ft.
9c. R= sq. ft.
10a-1 R= sq. ft.
10a-2 R= tZ-1I 84'5 sq. ft.
108-3 R= sq. ft.
10a-4 R= sq. ft.
10b-1 R= /2 - / J / <f' z., sq. ft.
10b-2 R= sq. ft.
10b-3 R= sq. ft.
10b-4 R= sq. ft.
l1a. R= J2-'tl.. J'l1) sq. ft. -'
llb. R= sq. ft.
12a.
12b.
13a.
13b.
13c.
14a.
14b.
14c.
15a.
15b.
16a.
16b.
17.
18.
'19.
19a.
19b.
@uncond.)
(cond./uncond.)
R= Co
R= ,
Type: Crv1-f-I\.e f
SEERlEERlCOP: 10 . " 0
Capacity: 3bo06
Type: J-j~,)J Pl,I'VJ.
HSPF/COP/AFUE: 'J.~
Capacity: ~fJ (JvO
Type: C /" I. t.
EF: 11
?
CF (1/
,
,'X
13sSL:J. .0..
n,~qq. Lo
DATE:
Department of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUII.DING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL 4 5 6
PROJECT NAME: BUILDER:
AND ADDRESS: PERMITTING CLIMATE 405060
OFFICE: ZONE:
OWNER: PERMIT NO.rn=IrCIJJ JURISDlcnONNO.: ~
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 1 no)
5. Conditioned floor area (sq. ft.)
6. Predominant eave overhang (ft.)
7. Porch overhang length (ft.)
8. Glass type and area:
a. Clear glass
b. lint, film or solar screen
9. Floor tu>>e 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 block (Insulation R-value)
2. Wood frame (Insulation R-value)
3, Steel frame (Insulation R-value)
4. Log (Insulation R-value)
b. Adjacent: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (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 system:
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, RB-Attic radiant barrier, MZ-Multizone)
19. EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
EPI = Total As.Bullt points X 100
Total Base points
I hereby certify that the plane and apecificationa cov.red by the calculation ar. in compliance with the
Florida Enargy Code.
PREPARED BY: _ DATE:
I hereby certify thaI this building is in compliance with the Florida Ene<gy Code,
OWNER AGENT: DATE:
-1-
Please TVDe CK
1. A./hJ
2. ~irv oft,
3. ,
4.
5. /"Z/J sq. ft.
6. /.33 ft.
7. b ft.
Single Pane Double Pane
8a. sq. ft. sq. ft.
8b. /"/3. sq. ft. sq. ft.
9a. R= 0 , In I. ft.
9b. R= , sq. ft.
9c. R= , sq. ft.
10a-1 R= sq. ft.
10a-2 R= t2~JI 8d'S sq. ft.
108-3 R= sq. ft.
10a-4 R= sq. ft.
10b-1 R= /2 -I J /4'l- sq. ft.
10b-2 R= sq. ft.
10b-3 R= sq. ft.
10b-4 R= sq. ft.
l1a. R= J2 - Z:z... l2.Jl sq. ft.
11b. R= sq. ft.
12a. R= to , @uncond.) -'~
12b. R= , (cond.luncond.) -..--.
13a. Type: Cf-AJf~e I --~
13b. SEERlEERlCOP: }o.oo -~
13c. Capacity: 3/'000
14a. Type: f-/H)J Pu~
14b. HSPF/COP/AFUE: '7.
14c. Capacity: g ~ cJ\) 0
15a. Type: C/"", .
15b. EF: fl
16a.
16b.
17. 'Z
18. CF (1/
,
119. '1~ I -~
19a. 13S'i)LJ. D.
19b. nc~qq. Lo --
DATE:
SUMMER CALCULATIONS
,I BASE l BASE
GLASS x SUMMER SUMMER
AREA PT, MULT. POINTS
N zc:.fik 82.2 'JI..J U<.J ,.,
NE 82.2
E / ,t. lair 82.2 J.~.".c::; ,~
SE 82,2
S 1(., Iq 82,2 I. ;r,,~/) X
SW 82,2
W 72. ~ 82,2 ~ In
tiW_ __ 82.2
H' 82.2
en
en
:3
CJ
./
-r
------,-
l ___.._.
CLIMATE ZONES 4 5,
GLASS ~ SINGLE-PANE .'. DOUBLE-PANE .[ SUMMER lAS-BUILT
SUMMER POIN;:~. OR SUMMER POINT MUL T, X OVERHANG = GLASS
AREA CLEAR TIN'r\ CLEAR TIN'r FACTOR (GA-l) SUM. PTS
N ~.i'j- 51.0 51.5 \ 47,8 43,5 . '1"1 FJ37. {
NE 77.2 76,6 71.7 63.4
E I Y. l-.K' 109.2 107.1 102,0 87.3 . 'is'" ,q/)() (
SE 112.9 110,3 104,1 89,4
S fL. Jff 100,2 98.3 90,9 78,8 I V I /44'1:. "
SW 112.9 110.3 104,1 89,4
W ? L..3K' 109.2 107.1 102,0 87.3 . ~'.r TV ~ i.J
NW 77.2 76.6 71.7 63.4 _.--
H' 367.7 \303.3 I 324.6 238.1
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'-"
.15 X
.15
COMPONENT
DESCRIPTION
EXTERIOR
::l ADJACENT
c(
==
AREA
1.0
.7
illEPEJ!IOR
g ADJACENT
c
J ~<5~
4.8
1.6
CJ
z
:::i
W
o
UNDER ATTIC .6
OR SINGLE ,6
ASSEMBLY
COMPONENT
DESCRIPTION
y
lif.'~ II
y
1- ~~~1 'j----
~ ~S' ~
;',~
a::
o
o
....I
~
.31.8
-3,43
BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS,BUIL T CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
Y
.L
INFIL TRA TION
y
_I_!~~_?[)p (J
COOLING
SYSTEM
HOT
WATER
SYSTEM
AS-BUILT
HOT WATER
SYSTEM DESC.
NUMBER
OF X
BEDROOMS
Z.
'H ~ HORIZONTAL GLASS (SKYLIGHTS)
-
'FOR 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,
SUMMER 'POINT MULTIPLIERS (SPM)
CUIlATEZONES 4 5 6
6M SUMMER OVERHANG FACTORS ISO 1 FOR SINGLE AND DOUBLE PANE GLASS.
~r OH RATIO ,00-,11 .12-.17 .18-.26 ,27-,35 .36-,46 ,47-,57 ,58-.70 .71-,83 ,84-1.18 1,19-1.72 1,73-2.73 2.74+
N 1.00 .94 ,91 ,87 ,83 ,79 ,75 ,72 ,69 .62 ,56 .50
NEJNW 1.00 .94 ,91 ,85 ,79 ,72 ,68 ,63 ,58 ,50 ,40 .36
I-a: E/W 1.00 .95 .92 .85 .78 ,70 ,64 ,58 ,52 ,42 ,33 .26
~o
gl SEJSW 1.00 .93 .90 ,81 .72 ,62 ,55 ,49 ,42 ,33 ,27 .22
S 1.00 .91 .87 .77 ,67 ,57 .50 ,45 .39 ,32 ,28 .25
OH LENGTH' Oft 1ft 1'12ft 2ft, 3ft 3'/2ft 4'12ft 5'12ft 6'12ft 9'12ft 14ft 20ft+
__0_" 'To select hv Overhana lBnath. no oart 01 alass shall be more than 6 ft, below lt1e overhana.
6A-2 WALL SUMMER POINT MUL TIPUERS ISPMI
FRAME
-.
R-VALUE
0-6.9
7.10.9
11-12,9
13-18.9
19-25.9
26& Uo
WOOD
EXT ADJ
64 2.2
2.3 .8
1.9 ,7
1.7 .6
1.0 .3
,,,6 .2
STEEL
EXT ADJ
8,9 2,9
4.1 1.3
3.0 1.0
2.8 0.9
2.4 0.8
1.3 0.4
./
SPM)
ReVALUE
0-2,9
3-4.9
5-6,9
7-10,9
11-18,9
19-25,9
26 & Uo
CONCRETE BLOCK'
INT. INSULATION IEXT.INSUL
NORMAL WT. NOR. WT.
EXT ADJ EXT
2.5 ,9 2,5
1.4 .7 .7
1.0 .6 .3
,8 4 .1
,4 .3 0
.2 .2
.1 .1
FACE BRICK
R-VALUE WOOD FR
0-6,9 2.9
7-10,9 .6
11-18.9 .4
19-25,9 .2
26 & Uo .1
R.VALUE BLOCK
0-2,9 1.0
3-6,9 . .6
7-9,9 ,4
10& Uo .2
LOG
6 INCH
R.VALUE EXT
0-2,9 1.7
3-6,9 1.1
7 & Uo ,8
8 INCH
R.VALUE EXT
0-2,9 1,0
3-6,9 .8
7 ~ Iln 7
6A-3 DOOR SUMMER POINT MULTIPLIERS 6A-4 CEILING SUMMER POINT MULTIPLIERS (SPMI
DOOR TYPE EXTERIOR ADJACENT UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF
R-VALUE SPM R.VALUE SPM CEILING TYPE
WOOD 7.2 24 19-21.9 1.1 10-10.9 3,0 R.VALUE DROPPED EXPOSED
22-25,9 ,9 11-12,9 2.7 10-13,9 3,0 3,3
INSULATED 4,8 1,6 26-29,9 .7 13-18,9 2,4 14-20,9 2,0 2.1
30-37,9 ,6 19-25,9 1.8 21 &Uo 14 1.3
38 & Uo 4 26-29.9 1,1
30 .\ Un 0.9
6A-5 FLOOR SUMMER POINT MULTIPLIERS ISPMl
SLAB-QN-GRADE RAISED RAISED WOO02
EDGE INSULATION CONCRETE POST OR PIER STEM WALL wI UNDER ADJ~CENT j
CONSTRUCTION FLOOR INSULATION
R-VALUE SPM R.VALUE SPM R-VAlUE SPM SPM SPM
0.2.9 .31.9 0-2,9 -to 0-6,9 0,9 -5,8 5,3
3-4.9 -31.8 3-4,9 -1,7 7-10.9 -1.1 -2,8 2,1
5-6.9 -31.7 5-6.9 -1.7 11-18,9 -1,0 -2,2 1.8
7 ~ Iln -11 f\ 7 ~ tIn -17 1!l ~ Un -0.9 -1.8 1 n
6A-6 INFilTRATION SUMMER POINT MULTIPLIERS (SPII)
INFIL TRA TION PRACTICE SPM
(SEE TABLE 6A-21 I
PRACTICE #1 13,8
PRACTiCE #2 10,9
7f\
6A-7 DUCT MULTIPLIERS IDMl
RETURN DUCTS RETURN DUCTS I
R.VALUE IN UNCONDITIONED SPACE IN CONDITIONED SPACE
SUPPLY DUCTSIN 4.2-5.9 1.14 1.10
UNCONDITIONED SPACE 6.0-6,6 1.10 1.07
6.7 & Uo 1.09 1.06
SUPPLY DUCTS IN 4,2-5.9 1.10 1.00
CONDITIONED SPACE' 6,0-6.6 1.07 1.00 --
f\ 7 ~ Un 1M 1M
6A-8 COOLING SYSTEM MULTIPLIERS CSM
SYSTEM TYPE _ __ _ CQQllN~~YSTE"'-MULTIPLlERS I(:SML. _ I
CentraIUnIls(SEER) l_~~:g 7'~~~:~i--'t~.4 _8.5~ri.L _~,-9~.L.!!,~~~.9 J_ ,34i1Q,~~0.9 11,~~1.4_ ~l'?~L~_ J~2:~~~~4'
PT~C&!~~ Um~~EE_~~Ji~:___ ~~,~~~9 13.~~~~~13,~~~3~_14~~~4.,~ 14'~;14.9 15.~;~5,4 1 5-15 16,~~6,4 16,~;~6,9, 17,~7,4 17.5i~!lP
MINIMUMS: CENTRAL UNITS-AIR COOLED SPLIT SYSTEM 10,0 SEER, SINGLE PKG, 9,7 SEER. GROUND WATER HEAT PUMP 11.0 EER. PTAC-5EE TABLE 6.2
6A-9 HOT WATER MULTIPLIERS HWM
_ S\,~T~]"YP~ __ _
Electric Resistance
EF
HWM _
EF
HWM
HWM
Natural Gas
LP Gas
_-,-89-.~J .82-.83
~}9_, 3785
~2~,~~. ,?~..55
.245~__~368
2 7
,84-,85
3695
.56-.57
2284
2794
,97 &.UJ1
3200
,66 & !.!p
1931L
2370
,94-.96
3302
.64-,65
1998
2444
1 FOR MUL TiPLlERS FOR OTHER TYPES OF CONCRETE BLOCK CONSTRUCTION SEE SECTION 2.1 OF APPENDIX C. 2 MULTIPLIERS FOR OTHER TYPES OF RAISED WOOD ASSEMBLIES SEE
SECTION 3 1 OF APPENDIX C, 3 DUCTS IN CONDITIONED SPACE NEED TO BE INSULATED ONLY TO THE R.VALUE NECESSARY TO PREVENT CONDENSATION.
.3-
WINTER CALCULATIONS
en
en
::5
C)
N
NE
E
SE
S
SW
W
NW
H'
./
--./-
.15
COMPONENT
DESCRIPTION
EXTERIOR
:::l ADJACENT
<(
==
AREA
~cr:EXTERIO~R ~~
g ~EN~, I 7. s----
Q
C)
z
::i
W
u
UNDER AITIC
OR SINGLE
ASSEMBLY
,6
,6
.6
BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS, BUlL T CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
.
cr:
o
o
-'
u.
=
CUMATE ZONES 4 5.
GLASS -\ SINGLE'PA~II'G':\ DOUBLE.PANE T WINTER r AS-BUILT
AREA x WINTER POINT T, OR WINTER POINT MUL T. x OVERHANG = GLASS
CLEAR mrr CLEAR TINf2 FACTOR (6A-l0j WIN. PTS
N ~t: .RA- 9.6 9,6 5,6 6.1 Ja~ '1. <,L/ A
NE 7.4 7.3 3,5 4,2
E --'-:F. U- - 2.2 - 2,0 .5.6 - 3.6 .--il- - .?I". ,.-
SE -10.3 - 9.7 -13,4 -10.4
S Ie.. 1'1 -10.9 .10.2 .14,0 .11.0 . Ii r -/1:::""" 'J
SW .10.3 - 9.7 -13.4 -10,4
W '72 .!y .2,2 - 2,0 J - 5,6 - 3,6 .,1 . fAJ. . ,\
NW 7,4 7,3 l 3,5 4.2
H' .32,1 -28.01 -27,0 -21,S
I
\ I
'J
--
'L
1.1
1.8
COMPONENT
DESCRIPTION
.
AS-BUILT
WINTER
POINTS
'-YEJl.
r.l6.2._0.
5,1
4,0
-1.9
. ,2
AREA
1'7tt II
.
: g~. 9;
't.~ ~ !,l
IJ. , l ~5-
INFILTRATION
FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE.
.
4,1
HEATING
SYSTEM
-'
<(
I-
o
I-
'FOR 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.
WINTER POINT MULTIPLIERS (WPM)
CLIMATE ZONES 4 S {
6A-l0 WINTER OVERHANG F.ACTORS IWOFI .36-,46 I .47-.57 I ,58-.70 T ,71-,83 I ,84-1.18 11.19-1.72 1.73-2.73 2.74+
r OH RATIO .00-.11 .12-,17 I ,18-,26 .27-.35
SINGLE PANE GLASS -
N 1.00 103 1.05 1.08 1,10 1.13 1.15 1.18 1.20 1.24 1.29 1.34
NEJNW 1.00 1.07 1.10 1.15 1.20 1.25 1.30 1.35 1.39 1.50 1.59 1.67
I Ef\N 1.00 .71 .57 .19 -.20 -,65 -1.05 -1.48 -2.03 -3.01 -4,06 .5.04
I .93 .90 .80 .68 .54 ,39 .22 .05 -,33 -,71 -1.01
>-, SEJSW 1.00
m'
1-' S 1.00 ,95 .92 .83 .70 ,54 .36 ,13 -.13 -.70 -.98 -1.09
ua: DOUBLE PANE GLASS
wo
ul! N 1.00 1.05 1,07 1.11 1.14 1.18 1,21 1.24 1.28 1,34 1.40 1.47
<n I
I NEJNW 1.00 1.11 1.16 1.24 1.32 1.41 1.48 1.56 1.63 1,80 1.94 2.08
I ENJ 1.00 .88 .82 .66 .50 .31 ,15 -,03 -,26 -,66 -1.10 .1.50
! SElSW 1.00 .95 .92 ,85 .76 .65 ,54 .41 ,28 -,01 -,30 ',52
,
.. 1.00 .96 .94 .87 ,78 .65 .51 .33 .13 -.30 -.51 -.60
I S
~ OH LENGTH' Oft, 1 ft. 1'1, ft. 2ft. 3 ft, 3'/, ft, 4'1, ft. 5'12 ft, 6'1, ft. 9'12 ft, 14ft, 20 ft.+
TO SELECT BY OVERHANG LENGTH. NO PART OF GLASS SHALL BE MORE THAN 8 FT, BELOW THE OVERHANG,
6A-l1 WALL WINTER POINT MULTIPLIERS (WPMI
~~JE BLOCK' FACE BRICK LOG
FRAME INT. INSULATION EXT.INSUL R-VALUE WOOD FR
WOOD STEEL NORMAL WT. NOR. WT. 0-6.9 7,0 Ill~ lew
R-VALUE <<XT ADJ EXT ADJ R-VALUE EXT ADJ EXT 7-10.9 2.1 R.VALUE EXT
0-6.9 6.8 5.3 9.4 6.7 0-2.9 6,0 3,1 6.0 11-18.9 1.7 0-2,9 2.2
7.10,9 2.5 2.1 4.4 3.3 3-4,9 3.8 2,3 2,8 19-25.9 1.0 3-6,9 1.2
11-12.9 2.0 1.8 3.3 2.6 5-6.9 2.9 1.9 2.0 26 & Un .6 7 & Uo .9
13.18,9 1.8 1.6 3.0 2.4 7-10.9 2.3 1.5 1.5 R-VALUE BLOCK 8 INCH
19-25.9 1,1 1,0 2.6 2.? l1-1R.!l 1.5 1.1 }l , 0-2,Q 3.7 R~V AllJF FXT
26& Un ,7 .7 1.4 1.2 19-25,9 ,8 .7 3-6,9 2.6 0-2,9 1.2
26 & Un .5 .5 7-9,9 1.8 3-6.9 .9
10 R.IJn 11 7 R.lln 7
6A-12 DOOR WINTER POINT MULTIPLIERS
DOOR TYPE EXTERIOR ADJACENT
- ,- - - --- -------
WOOD 7,6 5.9
INSULATED 5,1 4,0
WPM)
6A-13 CEILING WINTER POINT MULTIPLIERS IWPMI
UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF -.---.--
R-VALUE WPM R-VALUE WPM CEILING TYPI
19-21.9 1.0 10-10,9 1.8 R-VALUE DROPPED EXPOSED
22-25.9 .9 11-12,9 1.6 10-13,9 1.2 1.3
26-29,9 .7 13-18.9 1.5 14-20,9 .7 .7
30-37.9 .6 19-25,9 1,1 21 & Un ,4 ,3
38 & Un .4 26-29,9 ,6
'lnR.lln .d
6A-14 FLOOR WINTER POINT MULTIPLIERS IWPMI
SLAB-DN-GRADE RAISED RAISED WOO[)2
POST OR PIER STEM WALL wI UNDER
EDGE INSULATION CONCRETE CONSTRUCTION FLOOR INSULATION ADJACENT
R-VALUE WPM R-VALUE WPM R-VALUE WPM WPM WPM
0-2.9 2,5 0-2,9 4.0 0-6.9 7.9 1.8 5,3
~3-49 .1.7 3-4.9 1.8 7-10.9 2.1 ,7 2,1
5.6.9 .2.4 5-6.9 1.1 11-18,9 1.5 .5 1.8
7Ii. Iln .'7 7~ A 10R. Iln Q 1 10
6A-1S INFILTRATION WINTER POINT MULTIPLIERS (WPM)
INFILTRATION PRACTICE WPM
SEE TABLE 6A-21
PRACTICE #1 6.2
PRACTICE #2 4.1
6A-16 DUCT MULTIPLIERS IDMI
RETURN DUCTS RETURN DUCTS
R-VALUE IN UNCONDITIONED SPACE IN CONDITIONED SPACE
SUPPLY DUCTS IN 4,2-5,9 1.14 1.10
6,0-6,6 1.10 1.07
UNCONDITIONED SPACE 6,7 & Uo 1.09 1.06
SUPPLY DUCTS IN 4,2-5,9 1.10 1.00
CONDmONED SPACE' 6,0-6,6 1,07 1.00
~ 1M 1-nil
6A-17 HEATING SYSTEM MULTIPLIERS HSM
SYSTE~ TYPE
Central Heat
Pump Units
PTHP
HSPF
. HSM .__, _ _ .
HSP,=-____ ..
.. __tlSM
COP
HSM
___ ---..1iEATI,NG SYSIEM MULTIPLIERS HSM
6,40-9.79. ~@-lt~9 6.90.7.39 7.4O-7,~9
_m ,53__ .,. ,50 .49 . ." AE.!_
9,90-10,39 _, . 10,4Q-l0.81L .lQ.~Q-11.39 ,., 11.4O-11.89n
,34_~,)1 ,30
2,50-2,69 2.70-2,89 2,90.~3.09 3.10-3,29
,40 ,37 .34 ,32
7W-8,~
.43_
n.9O-12.39
..29
3.30-3.49
,30
MO-8,89 . .
____AJ.
12,40 & u
,28
3,50-3,69
,29
'n~.9-9.~~ ..~4.9.89
__, ~38 _._ .36
j;jectril!. StriQ.. _____. 1,0
(3as& LPGa_s_ '.n ______...._..__. '___ __.. _LQ~~TClble6A.18forCreditMultiplier) ___._____________
MINIMUMS CENTRAL UNITS-AIR SOURCE SPLIT SYSTEM 6.8 HSPF, SINGLE PKG, 6,6 HSPF, WATER SOURCE 3.8 COP, GROUND WATER SOURCE 3.4 COP. PTHP SEE TABLES 6.6 TO 6-8,
1 FOR MULTIPLIERS FOR OTHER TYPES OF CONCRETE BLOCK CONSTRUCTION SEE SECTION 2,' OF APPENDIX C. 2 MULTIPLIERS FOR OTHER TYPES OF RAISED WOOD ASSEMBLIES SEE
SECTION 3.1 OF APPENDIX C 3 DUCTS IN CONDITIONED SPACE NEED TO BE INSULATED ONLY TO THE R-VALUE NECESSARY TO PREVENT CONDENSATION.
.5.
3.70-3,89 3,9O-4J~
.27 .26
, AO.oITIONAL TABLES
6A-1S HEATING CREbrr MULTIPL.IERS HCM
SYSTEM TYPE
AttiC R,idlanLBarrier... ,_
t:@ltlzone____.
CUIIA TE ZONES 4 5 t
Natural Gas
LP Gas
HeM
HCM
_AfUE
HCM
H
HEATING CREDIT MULTIPLIERS (HCM)
.98
,95
_ ,68-.,R-_
,61
---".-.---
,77
,73-.7L_
___,56_
.72
.78-.82
,53
.7
6A-19 COOLING CREDIT MULTIPLIERS CCMl
SYSTEM TYPE COOUNG CREDrr MUL TIPUERS ICCMl ...
_u________
_Q.eJlll1gicll!:i.____ ,86"
..gross Ventilation______. ,95" 'Credit may be taken for only
Whole House Fan ---- ---..... ~-'~-- ,95" - ----- __ one 01 these system types concurrently,
Multizone -~_.-.~ -_.---- ,95 ._-~
AttiC Radiant Barner ~Q~-
A-
SYSTEM T't'PE . .
Heat Recovery Umt t.. Wi- ~___-h
_ _ _ -t ~._ HWCM .
/ ' 2 0-2 49 2 5-2 99
D_led Hoat P"m~ _ _ ~~~ . . _ _~_ _ . =*5 _
Solar - EE _ _ _-- -- ---- 1.9.....- _2.0:2..9... .
_ _ _ HWCM. ____ . _ __.84_____ ___ _~4L___ _28-
A HWM MUST BE USED IN CONJUNCTION WITH ALL HWCM. SEE TABLE 6A.9. EF MEANS ENERGY FACTOR.
Heat Pump
r -
:;,,- - 50ff.
6A-21 INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKUST ISEE SECTION 606l
COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK
PRACTICE '1 6061 COMPLY WITH ALL INFilTRATION PRESCRIPTIVES,
Windows ----- Maximum of 0,34 CFM oer linear foot of ooerable sash crack (includes slidina olass doorsl,
Exterlor&-Adiacent-OOors. Maximum of 0,5 CFM oer sa, ft. of daor area' solid core wood oanel insulated or alass doors onlv,
Exterior JOints & Cracks To be caulked aasketed weatherstriooed or otherwise sealed,
PRACTICE #2 606.1 COMPLY WITH #1 AND THE FOllOWING:
Exterior Walls and Floors Too nlate penetrations sealed. Infiltration barrier installed, Sole plate/floor ioint caulked or sealed,
Exterior Walls & Ceilinas Penetrations ioints and cracks on interior surface caulked sealed or aasketed,
Ductwork Ductwork in unconditioned space must be sealed,
..fireplaces Eouiooed with outside combustion air doors and flue dampers.
Exhaust Fans Eauinned with dampers. Combustion devices see 606.1.A.2
PRACTICE #3 606.1 COMPLY WITH PRACTICES #1 AND #2 AND THE FOllOWING:
Cellinas Infiltration barrier installed,
Interior Walls Too oenetrations sealed or ioints & cracks on interior walls caulked sealed or nasketed,
_Becessed LiQhts Sealed from conditioned & insulated from ventilated attic soaces,
Ductwork . _._,._-~ All ductwork located in conditioned soace.
Combustion Appliances Be in unconditioned space (except direct vent), draw air from unconditioned space, exhaust
by-products to outside, Combustion cooking appliances see section 606. 1.A,3
6A-22 OTHER PRESCRIPTIVE MEASURES /must be met or exceeded bv all residences.)
COMPONENTS SECTION REQUIREMENTS CHECK
Water Heaters 612,1 Comply with efficiency requirements in Table 6-11. Switch or clearly marked circuit breaker (electric)
or cutoff laas\ must be orovided, External or built-in heat tran reauired.
SWimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have
a pump timer. Gas spa & pool heaters must have a minimum thermal efficiencv of 78%,
Shower Heads 612.1 Water flow must be restricted to no more than 3 aallons per minute at 80 PSIG.
Air Distnbutlon System 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
sealed, insulated, and installed in accordance with the criteria of Section 610. Ducts in unconditioned
attics must be insulated to a minimum of R-6, Air handlers shall not be installed in attics unless in
----------.. - ---- mechanical closet.
HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each svstem,
Insulation 604.1,602,1 Ceilinas-Min. R-19. Common walls-Frame R-11 or CBS R-3 both sides, Common ceilina & floors R-11,
.6,
~ dE. 1teumaJtJl eUJldteuctluJt, 9Jtc.
P.O. BOX 596 - ZEPHYRHILLS, FLORIDA 34283-0596 - (813) 782-9080
. .
l-f 7. f3 S' ..
f
.
7. is '\
fl. ....)..
Nf~ /-10>>"'\.....
Z B,~ fl-.
'2.. 8~J4
-0
~
o
C
s..
-..0
.0
8
~ ....."
Lof-B3
,
1.(7,'9'7 t,
S- 7'1 J YOIt ks J, ,'ft ~ DIt
()/1Ilc.{.1 Z I). #. 10 - Z/";- 2./- 0 I"Z 0 - oOu~c). oa-,30
1U. oIl. 11ellmaJlJl eOJlJ,tzllctIOJl, 9nc.
P.O. BOX 596 - ZEPHYRHILLS. FLORIDA 34283-0596 - (813) 782-9080
. .
Lf7. as ~
f
.
7. is '\
~.....A
Nf...) 1-/.,-- &-
Z.B,~fl-,
'2.. 80,J4
-0
~
o
C
5~
-0
o#V
8
~....."
1..0:1--83
117,'9'7 "
~ 7'-/ J Yott k.s h ,'ft ~ Oil
PI1Il(I-1 I. I). #. /0 - ZI.9- Z/- 0' 'l 0 - oouvc)~ O~30
---.--."~ -....-..-- -..----',.-..-._"'_..-....--,._...-..~---- \
C E N T R ALP E R M I
PASCO COUNTY, FLORIDA
TIN G DATE: 03/31/94
F'AC:iE:: j Or.: I
:. ~~<:;UE OFF 1 CE: D
RECEIPT NUMBR: 00208264
OFFICE: DADE CITY
CONTF:ACTOf1: ~~:
NAME: W ~ NEUMANN
ADDR= 5851 GREENBRIAR
C / ::;;T:
FOf~ :
CHECK # 4519
j.;CCNT
114
TOTAL AMOUhIT.~
COMPNY ACCOUNT CENTER
8450 - 363000 ~
3'7 If (::1:::
AMOUNT DESCRIPTION;PERMT DATA DRieR
37.68 **~*** SOLID WASTE FEE 60
F;:ECE I VED BY
'/. '
,. -( ((,. / I ~' .,' / i/l ./ I /
"'---.- --"-"-' 7-- -..---..-------..-----,---------...--- - ---"
PASCO COUNTY, FLORIDA
Permit #
Date
Name/Owner
County Parcel #
:'
Location
Classif'lCation / 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 Certif1cate 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 $
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 THE 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
lRANSPORTATION REC. #
RESOURCE RECOVERY REC. #
DATE
DATE
BY
BY
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg /Insp