HomeMy WebLinkAbout94-3898
B'UltDING PERMIT
rRf, I:, o. 01J
07J~-o
BUILDING
CITY OF ZEPHYRHILLS
(813) 788-6611
b 7 7--!::.-
ELECTRICAL
~-7 -.s 7J
PLUMBING
-J> tJ. e77>
MECHANICAL
Zoning:
Description of Work
NO OCCUPANCY BEFORE C.O.
Permit N ~
3898 Jj
Date -3- '/- 7~
Sewer Conn ! J 7 ~ tlO.
Water Conn: _?~V - de)
-~
FINAL
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.,
Valuation or
Contract Price
DATE
City License Registration # ft~ I
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
b tJ :7 "b. c;r-z}
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T- ~/ ~
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BUILDING
Ftr. ?rI"..tN, ~lLL.-
Pre SLB g-I'iq ~
Lintel )..j-dtJ -q)f if J1
FRM. ry- \ j-~4 6t.1..l.
Insul. CL
WL~
Driveway J4-s.<1'fM
~ffh1J1
( ;;LJ,b
ELECTRICAL
J?~/yJ -7l!;L~A
/--
PLUMBING ~~-.s
~ffd~ ~jl
III
MECHANICAL
SLB 05.. J/)' q4 &~
Tub Set7-,b-ift..{ 7:1. L-L
Tp. Servo
Rough In j~-4l{~
Meter Can '.'1-9 t( Water
Canst. Pole LI..-cz" '14Sot- Sewer 1 - 2..(.," f c.,
Pool Final
Pre-Meter <i ~2b' ?'f .fir/tJ
Final
We.fl..-~c.d..- .~
3-/~ -4'1 giL.l..-
1>. L<<--
Breakers
Ducts Insl. <'7 j... b.lt <-f
Compressor
Final
8l'-b
~Ilft~ SAq.qLf M
---..----'0 NOe. 3/ ) {!)....q 4 S~
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.
-~ / {I 1..7
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~
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;J-.;l y" 9-5'-
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS,tbat I, Tracy J. Harris Jf. (CGCOI6917)
the undersigned Principal residing at 701 Indiana A venue. Palm Harbor. FL 34688 grant a
general power of attorney to Mark S. Hierlmeier residing at 2509 Rustic Oaks Drive. Lutz. FL
~, and appoint said individual as my attorney-in-fact to act in my name, place and stead in
any way which I myself could do if I were personally present.
1. To execute, acknowledge and deliver any and all permits, contracts, deeds, leases, and
any other agreement or document affecting all property known as Summerhill
Subdivision, Zephyrhills, Florida.
2. To take any and all action necessary and proper to carry on, conduct and manage my
business affairs, and to engage in and transact any lawful business in my name and on
my behalf, relating to Summerhill Subdivision.
3. This instrument is to be construed and interpreted as a general power of attorney. The
enumeration of specific items, acts, rights, or powers herein limit the general powers
herein granted to my attorney-in-fact.
4. This power of attorney shall not be affected by my subsequent disability, incapacity or
incompetence.
5. I may revoke this power of attorney by giving written notice to the attorney-in-fact.
However, such revocation shall not be effective as to a third party who relies in good
faith upon this power of attorney unless such third party has actual or constructive
knowledge of the revocation or the revocation has been recorded in the public records
where I reside.
6. By signing this document, my attorney-in-fact accepts the appointment as my attorney-in-
fact.
'~<'../) :x!:tz::
W ess
parties sign this instrument on this /:5 C7J day of
Address
Address
ss:
personally appeared
7 f fA ( ~ ~ . \-l D J2 f\' <;, -:j ~
(name(s) of person(s) signing instrument)
personally known to me (or proved to me on the basis of satisfactory evidence) to be the
person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
WITNESS my hand and official seal.
6)lP/ )~
Signature
L C (J L1ljtjf6
p~,v ~
9 -1/-4 Y
-
STATE OF rL..o/(/{)!l- )
ss:
COUNTY OF MIJ;borDI!q~
/}IL 15, /3Vf2-t/e 1/V~l?y ~Mue.,
On 111.//1 <f before me, 1!f:1!{/< I~L~0~91DcR..
I (date) (name and title of officer taking Acknowledgement)
personally appeared Il7 fiR K
fh I?J(L fYlft eR-
(name(s) of person(s) signing instrument)
personally known to me (or proved to me on the basis of satisfactory evidence) to be the
person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
WITNESS my hand and official seal.
~0 ,0, ~~
Sig~e r
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n' , ~l~'~.'" vr ~
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. ", . -nrl rns. fr"i).
V\..u'T PL,nJ
Len If $lAl1111fl.er H-ri..l $.....I!> -D/l/I~ID~
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5045 S..""II'\E'f" /.1.11.-1.. D,...
4(/ 't. 55'(,," B'-"j PAD
PAJ €I..dlt-T'~ FE 10 7: /11",-
5d-..48'
H-lLL
5r-~ E:t.eV A-T ION
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SHEPPARD ELECTRIC COMPANY
MANUAL J LOAD CALCULATION PROGRAM Update Ver.2
AC LOAD DESIGNED l.-.JITH 20 DEGREL TEt1P. DIFT.
7-29=93
PREPARED BY
WALLS
GLASS
DOORS
CE ILING
FLOORS
APPLIANCES
PEOPLE
SKYLIGHTS
1
HEAT GAIN
2464
18603
560
2361
o
1200
1800
o
TOT AL 26988
ROUGH CFH 981
ADJUST CFH 1200
AIR EXCHANGES (ADJUSTED)
PER HOUR 5.72
THE TOTAL HEAT GAIN IS 36275.01
THE TOTAL HEAT LOSS IS 31985.42
THE COOLING TONS REQ'D IS 3.02
THE ROUGH CFH IS 981
THE CFH REQ'D IS 1200
THE TOTAL HEATING KW REQ'D IS 9.37
THE TOTAL AREA IS 1574
HEAT GAIN HEAT GAIN HEAT GAIN HEAT GAIN HEAT GAIN
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0.00 0.00 0.00 0.00 0.00
BTUH THE TOTAL SENSIBLE HEAT GAIN IS 32189.24 BTUH
BTUH THE TOTAL LATENT HEAT GAIN IS 4085.769 BTUH
THE TOTAL DUCT LOSS IS 2903.4 BTUH
THE SUMMER INFILTRATION IS 2298.04 BTUH
()l,JNEp.
!)(,'~j,3 ( Llne'l i I. U t C UrllfllU ILL t, y (lif J II
FLORIDA ENERGY EFFICIENCY CODE FOR 8lJILDING CONSTRUCTION
F?e,e;;idelll lat C.(,flIp(\nelll, r:., d::3(.'(i~,'t1\/(; r~1ethocj ,'.';
1574 sqft S/F/R :BUILDER WAYNE BLANTON
:PERMITTING :CLIMATE
:Of=-FICE' :ZON[: 4~ : :-,:
:PERMIT NO. :JURISDICTION
C,N. 60;::(1
f'C)RH {,()O~'.';::;I:)
PF~OJECT t"AME
{~I',!D (1DDf--;[~)~.;,.
CErjTRAL,
/ I
~:') ,
i'-lCJ .
C~<
1" Neli,,' cor'l~jt r uc 1.:.1 orl or aeJd 1 'liOll
':'; J II (j J e 1 a 111.1 L y d v t d C [I (. ..: 01 :'1 u 1 t 1, 1 d rn i 1. y
II Multi1amily-No ot un1ts
/1. Ii Mu Ii,.; f dnl i 1/. i ~:; L Ii i ~~ a wur ~~t Cd,::;(:; (
Condi t ioned f 1001 ar {'3d (Sq. ft"
6.. P r cj 0 mil k,' nt iC' a v e 0 \/ (:: ( I', d IF:) ( I' t .
Porch over ha nq len(:.Jth (ft.)
Ci 1 d ::0; ~.c: d red. a I I d I" Y r,)
a. Clear G1ass
b. Tirlt. filfll o( <;::;olar :::;creen
.:;. Floo'I' type and insulation'
d. Slab on q(ade (R-value, perimeter
10.Net Wall type area and insulation:
a. Exterior' 1. Corlcrete (Insulation R'-value!
a. (id,iacent ::;. Wood fram;:? ( Insulation F~""\jalue)
1.1.C,,'lil;'I1<J type: a)',':::d and irl~'SI,Jldtion,
s. U r attic (Insulat~on R value)
12,(1,)'" dist'I".ibutiorl ~3Ystemo;-3
3.. Due i; ~:: (T II s; u 1 d. t ,~ () n +- L. '.) cat J. 0 n )
. C u (;. J .l n q ~C,>i ~3 t e f) I
attach8cJ
1. New Constructlon
? _ ::)1 11' ) 1 e F~ d in j 1
~::., "
o
" e ~o; ,/ no:'
4.
c., 1 ::l7/l. ,,00
C) .. 1. .. ~::ICI
,;3
" '7..00
:3inqle Pane
821 .. .S2tj. .Osqft
db.. O.Osqft
l)c\'.Jble Pane
O..OOsq1't
O.OOsqft
')'.'l.R'" 0..00 ..
10)C, .. 00 ft
10a-1 R~ 5..00. 1574..00sqft
lOa 2 R=11..00. 213,00sqtt
Lla.R 30..00 .. 1646.00swtt
1 (5 .. Hot hid te,r
Y~3t,em ..
6,00 I,)ncond
central A/C
(';)[FCF 10 .,00
14. Type, Heat PI..JiliJ'
1"iSPF' ;' ..10
15" Type: Electric
128. f\.,c
1'< Type:
14..HeatinQ System'
EF< () ,,9lj.
16.He";, Wate', Credit~3 (HR-Heat Rucove'l /..
DHP-DediLdted Heat Pump)
1 7 . I n f i 1 t rat ion P '(' act i c v 1..::: ()! ,j
18..HVAC Credits (CF-Ceiling Fan.. CV-Cross vent
Hi:=- WI'!o1e i'lou~;;e fall.. f~B'-Attic radiant
() d.ll.I. r. i"1 Z 1"1 u l i. .c () n e )
1. ';, EP I (ilIUstllot (.;~)( c'e,.cd 100 PO 1 fl t.:s )
.., Tutal (:)s Built point2:
16..
17,
.Lr--:.
L).. r()t~:tl E;a~.:e l.)()i !'lt~;.:
19.
19a,
1;'b ..
':::;2" 70
29867.07
32211:5,16
I Hereby certify that the plans and
s~{:)e(;itications coveY'eel 1:)')/ tlli::,,; calcu--
lation are in compliance with the
Florida Enerqy Code,
PhEP{"lf<:ED
D{'ilC'
Q~
,-. 'L '--\ .-C. l ,
_...."-'..,'_..,--_."---~-,--~,._,~.-.
Review of the plans and specifications
covered by this calculation indlcates
I compliance with the Florida Energy
Code. Before onstruction is completed
this building will be inspected to)
compliance in accordance with Section
I 5':,]. 9()f:3 F.:;,.
I he)'ebv (~e)' -if tllis building is I
\,11 C(.)rIlr.-:, lid \lc e vJ i \'.["1 t :10 F' 1. 0'( i da E lie r :.::)\/
(:()cJ~:~ "
Ol.Jr"[R /A(;f,;r~ T
BUILDING OFFICIAL
i D(YTE:
i)(i TF:.'
Department ot Coolrnuflity Affai(e";
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
f(JHJ1 C,OO(i'() F\8sidential CompOflent P(e,,::;eripti'je Method A
PROJECT NAME: 1574 sq ft S/F/R :BUILDER WAYNE BLANTON
(iND ,;DDRE:~3~',' ,S() Y.J--L~ .tI -/# : PER~'1ITTINC : CL_I~1(',TE /
AA...{ :OFF-ICE:~ :ZONE. 4Y: ':,: 6:
()l"JNEr:;, ..~L ~ ~ : PERr'1IT NO "J8'Jf t3 : JURI':)DICTIOf\j f~O. ~ II t.t!? ()
~ C:K
.. f\leh) C01Lst, ucLion O( additio(! f',! e v.J Con~o:t(Uctiofl
'~~,.i n,d e f ,,"J III i .L '/ de L5'. I I i,':: (! ()f i'v1u 1 t1 fJ,(n i 1 y d I:. [:,de hed 2" S 1 nSJ 1 e-F arn i .L y
If Multifamily-No of unit2 0
/1" J I Iv1 u 11.,;!' dill i 1 y .1 Iii:;;; d VJ 0 'I' c.: t ( a ~::: e (y c ~:;/ no) 4 .
c..i" Conditi(lnec) '11001 area (sq,ft. ) e).
Pre d 0 m i n a (I t .s a v e 0 \/ e r h a n q ( f t (; "
, r"o'(ch overhdn~,) lerl<;Jth (ft. ) 7"
,,~ CiJa~;~:: d..lea dnd I,VPC.
d. C leal G1dS~)
b . Tint ,film 0 ( sol a 1- :;,:: C ( e e n
:-1" F'lo()i' typ,-) arid in~3ulatiol'I'
d.. Slab on ql (R value. pcrimetei
lO"Net Wall type area and insulation
d" [/ter lor 1" ConCy-etE) (In~;;ulation F\ "valuE,,'1 10a-l R '5..00, 1::,74,00::'.:Cif
a. Adjacent' 2" Wood frame (Insulation R-value) 10a-2 R=11,00, 213,,00sqft
Il"Ceiling type area and insulation:
d. Under attic (Insulation R-\/dlue)
12 .Air di~stribution ~3ystems
a" Duct:::: ( Insulation + i_ocatioll)
13.Cooling system
'3N: 602:4
CENTR{~L
157/1,00
1.50
7.00
:::;1 ng 1 e PC; ne
8a ,93() . Osqf t
r3b " 0.. OEcjft
Doubl,:::,' Pdlle
o ,,00~3qft
o "OO~:.:;qft,
9a" R~
0..00
195.00 ft
l1a..R:.;::30.00 .
1646 .. OO~::qf t
15"Hot
~"'atel
c-3Y~3te(f1
128" R= 6.00 uncond
13, Type: Central AIC
'3EER: 10.00
14 Type Heat Pump
;--1::,PF /' .. 10
Type Elf.:cti J.(
() ..94
EF
14.Heating
:=~, '>/ :::; 'L e rn :
15.
16 . f..,ot !iJa te 1 Cr ed it, ( HR-Hea t Reco\/e 1" y
DHP DedicateJ Heal:. Pump)
17"Irll.Lltyatioll prdct,ie,:?" 1, :2: (,'I
1~3 l~'l\/(:iC (" 1--,,:~(j,i,L~:-~: (C':FM(~t~i l.i n~.J F=-a.n -, C':\/-"C{'()SS \/(~11t.;
HF'-!iJI'lole Ilou~)e farl. RB-Plttic i"adiant
bar '( i~"" [V1Z'-~1ultizonE')
1 '> .. E P I ( In u :::: L riot e~: c ,~ e cJ 1 00 poi n t ~3 )
d. Total (~sBuilt points:
b. Total Base point
1(;) ..
Li.
'1 "..'.'
('~
1 ';1 "
l-:1a .
19t> "
92,,70
298()7 .. 07
32218,,16
---~-- -----~-"-~--,--------------_ _______ ._.~_ _v___
---------~--------------_._-------------
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
-~.
Review of the plans and specifications
overed by this calculation indicates
compliance with the Florida Energy
Code" Before constructIon is completed
thi:"3 building will be ins:pected for
compliance in accordance ~~i.t,h ';';';C'J;tlOll
~:;53 .. 908 F.. ') .
PI\F.r::)(',F~ED [3'Y'
DtlT[ ,
1 hei"eby ('ert i t,/
J. \1 COllI P .1. i a 1'1 c e
(()eie"
hat this building is
the F.Lorida Energy
u W i'~ E R / (1 (1 E NT
1)(', r I'
~~; ~DI$ _01, I (:'1L~{i~:~.:.~~__
JI\lf IL.l htil 101" h: UL..JC r IUiJ 'h:(,C Ii (
__, ~ ~w ,.'_' H'_ ..w .,,_ .___ ._.
___ .__ _,', ___ _,~ ~.__ A_ ~_~ _._
C C)~1PUI'~EN T
f)F'~(~C'rI L. HI
[.! \. n(jol,-J~;;
C><te'( 101&
(~djacent Doors
E><te, ior JO.i nt
:':y: ("'IA. d.C k:::-:
F'J~:(~)C: CE::. it>?
>< t ,,> Y 0 r I/.J ,;l .1.1 :,:::
.~;.. 1 () 0 '( :;::;
E.;<ter lor l,'~al L::,;
g, Cel 1 i n9:",
!)UC i:,WOY k
j' 1 ( ,:~p 1 dC e~c;
[xhau~3t r-::'an::>
Cornt>l!~:;t Ion
(lPP 11 a nces;
',Fe T I O~~
60,,_, " 1
bOb"l
bOb"l
606,,1
bor;, 1
bOt, .
60(:, ,,1
60b..l
("jOb.. 1
606,,1
{--, ()/-") -1
(.. C)~"lF'I.. J (iNI. (.:HL Ci<L I
::~: _-1"-:
_.~.~ --- -- --~
~,~ ."" ~,- ~.~, ~~. -~, .-~
v'" Y'_ v_ ~d ___ ','~. _,' ~'.
,_v .,"Y. ~_ __. '"_ _~, _.", ~_
F;[QUIF<F~1[::NT::, f:OR t:,(lCli PR(~CTIC[
CHEef"
~_. --- _... ~, "".. y~~
-~' .~. ~~. .-'~' .~, '."
COt1PL_ Y [~I I I fl (;L_L.. I NF I L,. TRA T T ()/': PR['SCF! I PT I \IE
Maxirnum of 0,,34 CFM pe,' LInear toot at operabIe sash
crack (Includes Sliding glass doors)..
Maximum of 0,,5 CFM per Sq.. ft. at door area' solid
core. wood panel,lnsulated or gIass doors only"
To be caulked, gasketed, weather-stripped or other
IAJi~3e ::::{.3J<,ej ,.
COf'1P Y i"Jl Ili Ph~{'iCTICE: it 1. (iND Ti'IE FOLl_OI,...ITr".I(~'
fop plate penetratIons sealed. Intlltratlon barTler
instaIIed" Sole plate/tIoor JOInt caulked or seaIed"
f-'enet,'atlon~3. jOInto:-; dnd cracf<~3 on lllte'1101 :::3urt'3Ce
,;,) 1,.1 j I,eel" :;:ea J. ;2el or gas ket eel"
I)UCt.I,,-.)O(:< .Ln uncondit,loned :::;PdC8 frlU:::'; 0',,' ;:t;:'alc3ct"
1::.(:jU.l!)P,'d I,<J.Lth ()U,t,:::,:ide eOlllbu~st,lon 3.1Y, c!CJo,
clamp.::.' r:::3 ,
,~II','! t. 1. Ui'.c'
Equipped with dampers. CombustIon devlces see
::::,()(~ "t r'~l,,':':'::'.,
8e In unconditioned space xc-ept di ect vent), draw
air trom unconditioned space, exhaust to outside
Cook Lng appliances shall be darnoered and use
intermittent ignition..
["I a t(;,' Hea 1',e r :::.i
OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by aJ.l residences.
>,: :,.:
;-:;w i inlfJ j, rl~:~ p()().1 ~~;
:'y
"3hot-Je'l Head:::;,
H\I{.~C Duct
C' 0 1'"1 S t. -'( t.1 c: t. 1 () r;
1. n ';:: u J at Ion .S;
I n:~:'tdJ. tation
H',j{,C Cont'lo1s
Ins U 1. a l. 1 ,) r I
(>12" 1
, 'L ,', ,
'-;i. ",'. " j,
61~: .1
610,1
() () ~.:? h J
60':1..".
Com pI;, lIj i t II e f f i c i e n c y ," e qui I' em e n t sin Tab .1 e (, --- 12 "
Swit h learly rnarked CIrcuit breaker (electric)
or cutoff (<;Jd ) mU~3t b,:- p'(o\)ided, E:<ternaJ or bu.i.Lt~,
:l II ;--1 cat, L rap r e q u ii' .f:} d "
_>~.)r~J r:j"()(] l'^'li:.:,al__~~~(; l~)()()l~,~ fllU.:St f_....I-:t\/E:' C;()\/'.7,'I" ><c~':::r)t :::;()L "j'
heated j, ~-.jorl~'comrnerc.ial POOL3 mU~3t have a [.Jump timer..
Gas spa & P0~'1. heaters must have a minImurn thermal
(':! f f .i ( i e n C)i 0 t 7 ('i P c~ r C Eo' 'II i. ,
Water tlow must be rest,lcted to no more than _ gal
.L (J n~; p ('. r rn i II U t d tHO P ':, I G "
All ducts, fIttIngS, rnechanlcal eqUIpment and pIenum
c hambEJ s: S ha 11 1)(,; mec ha n :i, co. 11'/ a, t tac heel ,. sea 1 ed, i nee:
ulated and Installed in accordance wLth the crIteria
at Section 610.1"ABC.2 & GIO"l,ABC.3" Duct in attics
rnu:;::;t b(c' ; n:::.:I) 1 a t:c.(J !':.(J ,:'1 rilL n.Lfrlum of F .. i;L i :, il':!l
shall not be installed in attics unless in mechanical
(' J (') ~~.: f-: t
'::; e rj a '( ,a t, (:;' '( (~a c; i 1 '>/ a C': C e S~:: i r) ~~_~ rn (3 n L! Ct J () ,- r3 I.r/! t () n, d t -1 ('
t 1",,;;'1 III()::C; i:a.t tor ,,::ae f'l ~)y~~;t,Cfll"
C>:ili,nqs, 111,nIllium F: 19, COfllfilon 1.")311:'3
F:- 'I drn~~ (\
1. Ul
,'~ '-":. .;..... ~~ .---:. l,", '. i..,
-{ ,
c- 'J']
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1,1('- _" 1,_ \.,_llltlrI\N! i i
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:t~::t.~:~~*~~t:**~~***~*~~;*~~~t~!
~- ::~~ ...: '-,:, J, ,~--: :. 'f ::~. ~:k ::L _:f~ >1
. 1..1 ~'i t'1 E f. (\ L, 1..1. J L. (~,r T 0 t,,j "
**:~,*:~~~. :t ~ ~A: ~~~::t:~
r',. .~. _", ~
l:3 (:i:::l E.
[:lJlt, r
~:::~~:~:.~**~::~~:~:**:*~ ~::~**:~*~:~~:t~*'*:~~~~i;:~**:~*:t:ti
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17.1 .00
ORIE~l AREA x BSPM
;;:\2..2: 14056..:2
..70
.88
[:
4~: .00
D:~~ .00
u:...oo
II>!
POIt'IT
TYP
r ORIEN AREA x SPM x SOF = POINTS
'::'(11_ CL.F'
sm, CLR
':,CL CL.R
'5GL Cl_R
CL~F(
88..0
83..0
42..0
83.0
16..0
r~
f~
',1.0
':'-,1..0
109.2
100.2
109.2
i3;:' " 2 ';j /~. r~:~ ;~: ;< 4
(32M2 (~822M6
E
'j.":"> ,....,
.. .~) I
.Be
. el7
::::>
i32..2 1:-;1':) 2
IrJ
APF~r~
..15 i CONDo FLOOR
ADJ (iL.A:,:)
POINT:,
.12:,
1 , ,~, 7 It .00
y __ "'~ --". ',,'" .._.. ,~. ~,_. __, .." ~___... v____.
___, ___ __ _M _. ~_ _~, ~_ ,-,_ _ __ _~ ~
1'101'.1 GL{l;:'<'"
(\r~E{;
t",J~;L, r-.
r::><t 1;::~74~()
Ad 21:;,.0
DOOR':;
[)"t
20,,0
19.0
(;(Jj
CEIL_IN(3':;---- ,
U~\ 1 ':::,74..0
/ T C) ~!- (-1 L C L" {.', ::~, ::::'
1-1 R Ui
ADJ ..
FACTOR
(-i L.. rei <~, '::.
POINTS
:312.00
7F::.l?
:?~:~ !i (::;l+6 M 40
1 "~~ ~ If. 0 7 M it ;;':::
__" ___. -e" _',. "'" "_. ._
__ _".. _"" __ __ _V~, ~
r"3Pj\1
F) () I !\! T ':~~, (
'(r:)F~.
f.\ '^ VAL_IJE
AREA x SPM = POINTS
;:;161, ;'~
3720 ..~;
:39b9.U
730';), ,1
1. ',1
Ci 1m Pi ~3 :-,
POINT'~,
19 ,(,:?2 ,')":!
1 0 1 ::<74 0 E X t No f In W t E3 .1- coc k' I 1'1 :) 0 C.l '7 ,'] 0 1 00 .1 '::.) 7 ,1 0
" "
1 49 1 ('1C1 t 1 ~ __ _I F' ame, 1 .1 0 '^) 1 '" 1,,,,.1 70 ., /~ (;1
,.... ,.) V'J()()U I , ...
'Lf3
1 J:>
~) 6 .. 0 E )<t 1/\1 () () (.1
~3() .. 4 I f-"1(j.j W(~,()(:1
2.40
20 ,,/)
7"20
19.0
" c>
:;)/14.. 4
Undel' (it tie
Under (ittic
5 E:<2" M 0
"-'0 .,
.."..'.. '-'
30.0
10')4 .)
.60
..60
F L 0 0 R <;,....-.. -.. --...."
lb 195.0 31..8
6:C?01..0
Slab-on"C1rade
o
lS>C! 0 31,,90
1 ':;7/1.. 0
INFILTRATION- -------
10,,9171';,6..<
PI' act,.\cu #2'
1574.0 10,,90 17156.6
144,0
4:) ..6
-6 ",(. " /j
,-,"".., .'....
~;) ~:' ,L "L
(J220 .. f:~~~
-,. -.._' '~'--' '~,' ""~' --,~ ,,< .--,- --',". ".,. -- ,~." '--~ "~ ',,- ''''.'- ".. '-',' ',',- '~~- ,,-,' -.~ --- '~'.. _~ -~ -_ W..' '~__' wu ,,',,~ ',_ __M ,,,_ ""_ '._ _~ W_o' ~..' ....~ _, _..'~' ,,_~_ '_A _,M _".., '..~_ __'_, ._~' __'_. _~ ~_ '~_'~'~ ~ '~_~ '.y_ __ ,,_~ ~ __~ ,M 'M_ '~~ '_.~ '~" "_ ___. '._' .__. Y~__
~-------~~-----~------- ------------------------ -----~--------------------------~--
TOTAL SUMMER POINTS
,-~, '~" '...' ,_.~ .~ .~-~
MY ,",_ ,~ .-. .",' _,", ~.~
TOTtiL. >;
5UI"1 F'T:';
33 ~ lS(J .. 92
:~.3~1~~)t),,92 :
'---'-- ----------------------,------------- ~'----------~~._._~---------_.,--
----- -----------,_._---------------- ----,._-------------------------
33.. =)09 ~ 3~:)
SY;:.,;TEi"1
t-1Ul_ T
COOLlt\!Ci : TOT{:;L,
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT
RAT I 0 f-1UL r f-1UL T f>1UL T
~;~?
12.26 .00 : :33.50 .35 1.00 1.100
.340
1.000 12.532,,50
COOL. I i'ICi
POINT'::,
l. .l,.'
h .t. ,-I
'i.:_:t:.:-,..-'I
f:.. A;,':+ .;~:. .:(, ,* ,*..:4; _* A~ ~-t: _:i:.f., _:t Ii ,:t: ,:t:, :;- ): :f.--.k ~:~.
,
1,
_1< ,.f-. ):~ :;k: ':f.
WINTER CALCULATIONS
!.:k*~~)ci~~:k:~ :k~**:i~*~':k~****:i~:~I' :~**:*:1:**:.**.*,~~
:~~ . kL,,j. '-'r<-I- f-, ~
+A: ".'-;'
1:****:***,* *i::::J
E3{i S E.
AS.' au I ["T
..., ""..' ',0 ....._ ....._ ......_. '.'~' ...'_ ___, ~., .~.. w." V~~ ~'." V...__ ,,_, .___ ___ _.,,~ ~ ~ V'_ y,.'_ W'. _,~.
- -------. -- ------y--------- ----- - -- -
C~ L_ (:l ':::', --~ _,v,,,, - w_ w' --~- -- _J_ .,,- W_ .~~ ~. ,,~,
OFIE~l ARE~ x BWPM
i:-:OII'IT
TYPE
SC ORIEN ARE~ x WPM x WOF - POINTS
:12;1 "it I ::;GL~ C:L.~;:'\
SGL. Cl_F:
l/~.~~,. 8 I s'C1L C-L_R
---28~? .. 2 S(3L. CL_R
:) l~_ .. /~ I ';:~ Cl L C l_ F?
1..71..()()
.""?: .. I.~
>,1
i'-!
Of, ,. ()
.LOOC, " 7
1.1
:\!
-.1 ~ 1::)
e::~ .0
(J ,-
1 ~ ()?
8::1':; ~ 2
4:;, ,,00
83,00
16"00
42"0
" ;,2?'
:;' C" ,q.
<.~ .. .:!
-. -, j.~
L~
::;;'4
,,4
,...., J'~, ,r",
(;', ,) "U
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" .~}
-:~33f:3 .. 4
irJ
l./.J
" ,....,
.1 t.) ~ '..,)
......., .......,
~~. -l l
~,;;.../
15 ~ COND" FLOOR / TOTAL GLASS ~ ADJ. x GLASS
AREA AREA FACTOR POINTS
,',DJ GL?)~,3
POINTS
GL{,;~;3
PO I I\IT~,
.. .1 E~)
1,574.00
312"00
7t::7
.. ....)./
--1.060.80
""802.74
987 .. ':<?:
...... ~_. __. __. ,-'." '.._ _v ___ _~ ._", YM ~," "" ~~. ~._ _no' _~, .._.' ..~' ~,~~. ~^'. ~~ _~_, v~,' ~.~ ...._ ,_~, .,,_ VN_ _,'_ '__.' ___ _~._ ---.' ,
--------------------------------------------
'v' _'~ w' ".w ...
-- - -- .- ~.-
_. ~'-- -- ...... .- ~.- ,~ -,,,. '.~ -_.. ,~
_^ __~, _~ _.~ u_~ __... _A _ _, _~. .. ~
NON GLASS------------
tiF;Er^1 )' BI,.JPM
,
POINT::, :
TyPE
R \,lAL..1JE
ARE~i
:,.J P 1'1 cc. POINTS
r,
1/~r1LL
i..:><t l':i7tj ,,0
17 1. .fj t_.}('~ f-1,)'(IIIWt81oc;k Ifl :'.0 1574,,0
383.':: I (idj [,Juod Frarnb 11"0 213.0
1 " 1
1 "i3
2 ,,:)0
/} :~1 e-l /1. ,. 0..
(j C; ,) 2 1 .. ()
~l, ~80
"'-',......,"""'" "
50",) .. l_j
000R~;
:.:0.0
19"0
r::, " 1
.L02,0
76.0
Ei. i"
(\dj
" '_ I
V.J'"jUI~~
~"O ~
.::~ " I,..)
7"60
1 :,2,,0
!.:.~ )\ I,,"
f"~ cJ j
[.Juud
tl "C'
19"0
E1 .. (7)()
112" .l.
CE I l_ ING'S,-,,,----.,,,, ", _u,,"
U(:l
1 C; I~' /i, .. ()
Ullde':
U lldi:n
J'. -I,. .1,_.'
t-, l__ !~....l (.
(ittic
'~j i~_l'~ ,,/}
:30"0
1094"0
.60
()5t) .. 4
;''''',
30.0
:5::12..0
.. (SC.
.................. ..-...
,j-..5..L ,,~
FLOORS---------------
~;,.l.l) 19'~).0".1,,;) ''':370"C, I Slab'-on""Gi'ade
.. ()
195 ~()
2" ':,0
l}87 _. :J
INFILTRATION--------
1574.0 4.1 6453.4
FJ'( d.cL..L(:E.~ H2
.L::,74,,0
4.10
t) 11. 5 2: ~ /~
".. "'~. "'., '~',y .,..
~w. ,~~ ~~ ~~ .,,,"
~... _~ _._ ~~ '_. ". _. "." ~ '~-" '_ '~.e __ w_ ~,
,,_ ~.~. ~_., ,w_. u.. .__. ._.. ,,_ ~_ ~_A ,_ .'_ .__ .__ __
',-" .__ ,,___ ~.~ .~ _ ,,',w _'_ '__ _v w.. ~,~ ___ ,',~ __ __,'" ..... ~'"
---------------~._--- .-
TOTAL WINTER POINTS
..3,,517..36 :
J I 1-'8" J ....,
. <f ,. .;:, . " ,~:',
~_' ~~ ~ W~ _,..
~." ..~ ,-- .'~-- ,'~-
___~ -___ ,~ -n~"" _r. _, ._~ .,"'_ '~ _,,'~' _^. 'VA
~_ __.. __ ,_ __ __ _~_ _~ _'<0 _.. ._ __ ._
'N~ '.~, '.'___ ',_ ~.. __ ~,.~ Y~v ,_ w,.
~.~ .'~- --- . ..-. ..- ~ ~~. -.. .'~' ...,
_v ~ .,~_ _~. ~ ~__ ~._ ,_. __ _.~ '~ ._. _,,_ _.. ~
-_..._---'._---_.'-_._--~._-
TOT(,I.. ^
L,J 11',) P 13
HE(;TH-1Ci : rCJT?-iL.
PO UH:?, : COt1PON
:; YS TEi'1
r11Jl_T
x. (::I~~r.J )l~ DLJCT
RrH I 0 r'1UL T
\ SYSTEM \ CREDIT ~ HEATING
MULT MULT POINTS
-_.' ~ Wo' .~_ _.'''' ~_~' .~w ~a ,._ __ _,.,. _.~ __ '_AW .w., ~_.., _ _w ~ ~ ~_ ~w __ ,,_ _, 'w, __ ___ ._w ~~. ._~ _... ~.~ ~._ _._ __. ""_ _~ _',' ~~. v~~ ..._ ~..~ ~._ ~._ W~. ,__ '-,W' .~ _~, _'-' __ __ ~ ~_ ~ _~_ . " '~', __ ~, -hW _w ~. '~'.
'::',369"10 : 14,12~J"1::, 1.00 1.100
f3 , ':,17 .3(, 1 .10
.478
1,,000
7,428.'::,7
m. ".W ..... '_<0', ~._ ~,' V_'."_ _.~_".~
.~-. _'. _ _. n__ _. ~._ ~~_ ~_ _. ___
,,_. ~.w _.., _~~ ..~ ,._ ~._ _ ^'. ~_. _.... ___ ~.," ,.~, __
_~ ___ ~"., ~~ _. _" _~_ _"^ ~.._ ~._ A__ _... .~_ _~
.. .. .'_H ~'~_ . _, _..' ." _, ~,_~ '._' ~w Y."_ V_',' ~_ _,.__ ,___ ~ ~, ___. __ __ ._,__ ~^_. .~. '._~ .___
__ J'~'__ '__._~_~__~.._._____~_____________
~_ .'.' ',N, ._. '.'_ __,
_A' J~' __ _.. 0'" ~_
K~************************K*********
.' :;. ,-t.. A: :!.:.: ,:k ).: :*:.-f :-.f.~:;f: ;t.: A.:::-:+:: to: :-.f': :t::+ '~: A' :i: A..:_ .:t-: :.:+.:.. ):: ).::,+ :;t. :;,. ::+..: :;~: ~:k::k ..(: :;~;: A:' )~: A:~ ,:+.:
l.JATER HE?1TH~C
ic :.f: '1;;1: ::j, : t,* *' * :-t: .:1 .+,:1:: -I '*:* *,' :\:{; ):.1< :\::;f *:-1::1. :1.*:,' 't:1-: .,*:.k:* 1-:.. A: '* ':i: *:"
~.~:*:~*:**~~~~:~*%:t;k~k:*,:t*;~~..t~:*~:t~~-*;~:**~
,-~ _".. ,~ r~
U ri :_' ,-,
:;;; ;c (;3 B U I L_ T :,;
._. -''.. _w T'__ ._~, ,___ '_'_. _'_h ",_.. '"
._---~- -- -y------ ---- ---'.-
..~., "-,y- '-~, ...._~,
___ _,_ ~A_ __ "_
NU~'1 0::-
i3F: DF;1'1 '=,
~.1UL_ T
TOT I'll
T A~~K \/OL_Ut1E EF
TAN~ X MUlT X CREDIT
RATIO MUlT
-~ TOTr-1L~
=~ [:-, ~~.~;' ,,()
10, :;,[-)1.00
/t.()
" 9fl
1.000 3302.0 1.00
9 ,\.06.00
*1 [Il-:-I::**
i:'--k:~- .* ";l ::{: r.: A~ :;i<:.l; -;{< A:: :~k A..
\:***;I:************;I:**********l-********** ******
SUMt1?1RY
****************************'*************k******,******************************
B(,~SE ",
"'''''"' "Y3,.BUIl T
'--
COOL"INC
P(J I ~'l T::,
HEATING HOT WATER
POINTS + POINTS
TOT "~iL__
PO I ~'lT '=,
COOL.. H~G
POINTS
HEATINC;
PO I ~'lT'?,
HOT It-JA TER
POI ~,! T -::.
TOT r''1L.
PIJI1\IT<:;
12~~b8, 1
''''-'L 9 1
"'y..;jC). ",
105[-)1 .0
32 ,~:=:'lr~ ,.16
12:=<32,,5
7/f.2t3 ,,6
(:)906" 0
~~, """', ,"", ,,' --';' ...., -."'\'
L:1 " c)~:) i' ,,~.) i
'w .,~_ .~_ _,.. ___ _M _,,~
-~- - ....- .-- .,- ,,- ~-
;t :-.r;:;l:.:,:, ',:1<:f-,::t;:)
-!.: i:* * :ie';I:.
* EPI - 92.70 *
-?' ):: ):: ::}< ':.y. ~t: >k *: A:: ::k :~.:<:Y :~k :::k: ";1:: :i:~ ::~
E~'IERC.'( C;UIDf::
1'':' 0 'I' de t.. ail e din f 0 I' maL i 0 i I
'J t Li'lu EPr '( d t.LWI rlurnbt~1
C'I for any ITEf": li~;t(Jd,
j.::~ k 'i()l..l '( [)L! i 1 (J (0 '( f()(
DCtl FO'I"fit 600A '?:.~
U 1 r 01 III 600E: S):::~
EPI?;?.. 7
o 10 20 30 40 50 60 70 80 90 100
:-------------------------------------X---:
T1:,.:' III )<,.l:I1U1n dlluvJable EPI i:.:: 100. Th(' lol'Jer trle EPI the rnore efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITFi'1
HOI'1E ''1't^llUE
L.~ () V,.j Ef f .i (, .l e 1'"1 c~ \/
1'1 i :;) h E f fie i e r I C '>
SINGI_ ClR
DBl THH
WINDOWS..................... .Single Clear
1\1
i ,.\ .~. ~" .,.~ -,~ ~ '.~ ---~. -~
I N?,i)L (, 101'1"
::. 10
F, ':)()
C,,:ilill
F " I
-('''va u~",,,....
30.0
\! I
w' __ ... .... ...." /\ ,
R"O
--..... --=
i ...
l~d 11
R<~\/dluf~: ~ .. .
~.:.) k ...
--_.- /\
"~, ........
t\ \..)
F: w,. .1 ~,~
Flool
R " 1
" "'Vd ue...........
0.0
, "
I /",-~
AIR CONDITIONER..............
10.0
SEER
17,,0
SEER/EEF:.. . . . . . . . . .. . . . . . . .. 10.0
:x------~--------------~-.ft-:
EER
16.0
HEATING SySTEM................
6, ~ 8
i'1SPF
12.0
EI,,'cl'r 1(,
COP/HSPF......... 7.1
~-x----_.-------------
0,,78
(~FLJE
<) . ',;0
,
(,as;
FiFUE" , .. .. . .. .. . . .. ... 0 .00
l;JtITER HE(HER........"".,......
C 1 e c.. t "I~ 1 C
C'c
L-. l H ~ " " .. " " " ~ " .. .. .. "
o .;lij
o ~ ~3f3
I
I
O. (:,4
O..~_~~6
"
..\
0.90
(; d ~'~
[F H .. .. .. .. N .. " " .. " .. .... () N 00
0.40
o.eo
3() 1 (31
r::r' .
OTHER FEATURES"...............
I (,,,~(Lif)/ tl,at. t,hC:S0 ""nel:,,;> :::;avin9 fc:ut,ureslcquilud fol' the FlcJ't'ida
Energy Code ha\je been installed in tilis; house..
{;cl<J( e~3~: :
Bullde'l
ignatu1-E" '
t(3 "
C1..:, ,/ .Z i ~)
F" 1 0) .i d a E n E~ r ~.::j y Cod (~ f u, B u .i 1 d.i n:9 Co '1'1 S t '( u C l .i 0 '1'1
i' J."I;.'.Ja D,-~pul t,frIellt '-.If Curnrnunit.';, ,~tfdil:::;
199'3
FL."EPl C(',RD9:3
ENERG/ CiUIDE~
::.) i
JetaileJ inf=Ol"ITldt.i(){'j
:~.I,E; ,:.F'T I aL:l.li<.!IIUinb,2}1
to\ dllY' ITEr'1 l:L:i'.:;ted,
c
101
() :
k (jl,)"j C~:!.J.j, ldc"J l-()"f
r) C {:'j F (j 1 In 6 0 () (~ 9,~~
EPT 92:.7
')1 F '-'1111 600E;
o
10
20
"~" ro.
,)'...)
40
50
60
7()
80
90
100
________________v___I
.~ \ I
T : i" III d )>:, .lill U III d 11 u ~~ db 1 e E P lis 1 00. T tho' 1 0 VJ.21 t he E P I Lt'1 e I fI 0 r e e f f i c i e n t t he horn (::'
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITn1
Hor'1E 1!{1LUE
Low Efficiency
Hiuh E f f i c ierlcy
SINGL CLR
DBL TINT
WINDOWS..............."""", .Single Clear
:x--~-----------.-
INSUL{lTINj" . , . . . , . " . . . . . . . , .
R 10
1=\ 30
C ice: i 1 i nq
R-I!alue.""...."" 30.0
"I
I-------------------w---Al
F: 0
R 7
l"Jd 11
R \/allJc",,~"",.
r"- -.,
'.) M /
;7 Lo())
R-I!alue......... O.U
R ()
1 '. ~
, ",\'''' '" w. w, "., ", _" __ ,,,. "" '"
" I
~.- ~-- /\ ~." ~-.. ._~ I
Co "
I'" 1.
AIR CONDITIONER.......",,,.,,,,
10.0
SEER
17,,0
':,E:.ER/EER . . . . . . . . , " . , , . . " ." 1 () .0
:x-. ----..~_. ----~--
Sl "'7
./ " /
EER
16.0
HEATING SySTEM..", ".."".....
,. .-......
,~..:) .. tJ
I--ISPF
1 --, ,~
..;.. .. \)
Electric COP/HSPF........ 7.1
:-x---- -------------'
0.78
AFUE
0.. ~}O
Ga2:;
AFUE. . . . . . . . . . ." 0 . 00
WATER HEATER...."
Elect,'I'lC
EF" . , .
0.94
() ,,88
I
I
() .. ~jE)
,~ ~~_ __ V~ _,~~. >~ _._ _,_ __~ w, :
o . r:;:,Lj
0.')0
I
I
Ga",;
EF . . . . . " , .. .. .. " , .. 0 .00
0..40
0.80
5ular
EF" . .. .. . .. .. .. .. . . . .. .. .
OTHER FEATURES..............
I c,..~rt.if>i tilac t:le~,e eflt:I(JY sd\jinS'J f'c'aLu(,-;;:::; recluj,led fOI 1",1\(; f=-lorida
Ener<;f/ Code have been instalLed ,(,11 Ll,i~c I,oust:.
APPLICATION FOR PERMIT
CITY OF ZEPBYRHILLS
BUILDING DEPARTMENT
OWNER'S NAME
~MA1er ~t.t.
OWNER'S ADDRESS
). 5""'0 r
5045
PHONE fty'f- 3 </-76
Dy/tI~ L4T2- / FcondA 5354-'7
.
S\..lMMe.r ~-L'-L JJ rI \Ie 2 ep "-11' h, (/5 I PLdr(J It 33~q)
/1 BLOCK SUBDIVISION:S;; MM.e r II'L <..
8uI !rk<J
1{ u 5 TI c.. CJ A- 1::--5
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
PARCEL 1.D.# :s'ee-.nOJJ 1"L TvVf 2.10 ~.7l't R<vV~ 2-(~"- P6 3 ( .pq,oe ~'1
WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
_Sign
PROPOSED USE: ~ Fam~
____Co-ercial
Move
Demolish
____M/F ____' of Units
____Indust. ____Swim. Pool
____M/H
Other
".<11
','BUILDING SIZE:
____Restaurant & Health Department Approval
10'X 5~:
~//O
Square Feet,
Height
RESIDENTIAL:
I
t COMMERCIAL :
/ 57#K.V
/
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.
~UILDING
./ELECTRICAL
~ECHANICAL
$
PERMITS REQUESTED
6'- 800 . - Valuation of Total Construction
.
Joo AMP Service VFlorida Power Corp. _W.R.E.C.
elJ 00, d Valuation of Mechanical Installation
$
GAS
4y~-r ROOFING
____Frame ____Steel
SPECIALTY
:/ PLUMBING
TYPE OF CONSTRUCTION: V"'Slock
Other
IS PROJECT IN FLOOD ZONE AREA? ~
YES NO
FINISHED FLOOR ELEVATIONS: 101 FT.
******************************************
BUILDER
CONTRACTOR SECTION
~ COMPANY ~AC~ T I1I1-Yl'"/s ]i..
. State Cert. or . eqist. . ~CO/f>9/7
City License Registration 4-0) CG co/697
******************************************
Signature
COMPANY :5HEflp.4l<.D ELec..TrlC
State Cert. or Regist. # E fUJooo _~I ('""'
City License Registration # ~~~
******************************************
PLUMBER . COMPANY IIAem[)/'I f TIfAt:J:.er IZk1Y16/NtY
.4!J. ' ~, State Cert. or Regist. . k'F 9:fA 3 (.. 4 (I
Signature . '/i~ ~ City License Registration # 41) -:s-
J ******************************************
Signature
COMPANY 5lfepp~ ~Le.c-rr/G
State Cert. or Regist. # CC!1L1C!..n 4\ Of (.,
City License Registration # I II
******************************************
COMPANY /tvJfle.-r 1M-- RtJO/;.N~
/2 ~_, P -+- State Cert. or Regist. , ec....<.. o'l.'l5''f?
r ~ \-{. ~ City License Registration # i.+7 (<.....<. o'a ""5"7
******************************************
MECHANICAL
OTHER
Signature
APPLICATION APPROVED BY Jla/l1~ ::xfI M"",^>-
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT ,
A. NOTICE OF DEED RESTRICTIONS
fbe undersigned understands that this perlit lilY be subject to 'deed restrictions' whieb lilY be lOre restrictive than City
regulations. !he undersigned assU1e8 responsibility for COIpliance lith any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake wort, they lilY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the OIJler and contractor lilY be
cited for a lisdl!leallOr violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJenu laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building DepartJent, (813)
788-6611.
Furthenore, if the OlDer bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for Ibieb 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 IOrk. If the contractor wisbes you to sign
as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrbills.
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 lith a copy of 'Plorida's construction Lien Law - lDeoImer's Protection
Guide' prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is 8OII!OI1e other than the
'OlDer', I certify that I bave obtained a copy of the above described docUIent and pIOlise in good faith to deliver it to the
"owner' prior to co.enCl!lent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIJation in this application is accurate and that all work will be done in cOipliance lith all
applicable laws regulating construction, loning, and land developeDt.
Application is hereby lade to obtain a penit to do work and installation as indicated. I certify that no work or
installation bas ~ced prior to issuance of a perlit and that all IOrt lill be perf01'led to leet standards of all lillS
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDJental agencies lilY apply to the intended IOrt, and that it is
If responsibility to identify wbat actions I lUSt tate to be in COIIpliance. Sueb agencies include but are not liJited to:
I Departlent of EnvirollleDtal Regulation - Cypress Baybeads, Wetland Areas and Envirolllentally Sensitive Lands,
Water/Wastelater freatlent
I Southwest Florida Water ManageElt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t AIIY COIPS of Engineers - Seawalls, Docks, lavigable Watenays
I Departlent of Health i Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater freatJent, Septic fants
t US EnvirODlll!Jltal Protection Agency - Asbestos abateElt
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 'COJpeJl8ating volUJe' will be saittedlbieb is prepared by a professional engineer registered in the State of
Florida prior to penit issuance.
A penit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official f1'Ol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCDe invalid
unless the work authorized by sueb penit is COBeJlced within sillODths of issuance, or if IOrk authorized by the perlit is
suspended or abandoned for a period of Sil IODths after the tile the IOrk is CDJencec1. One 90 day eltension of tile, laY be
allowed for the perlit with fee charge of $15.00. !be eltension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during eaeb sillODth period, or the project will be considered abandoned.
IIARRIIG fO (MIIIR: YOOR FAILURI fO RlCORD A DICE OF CCIIMIICIIIIMl' MAY RlSULf II YOUR PAYING ftlICE FOR DIPROVIIIBJIfS fO YOUR
PROPERTY. IF YOU IJI'DIID fO OBlIII FIIlICIIG, CONSULf WIm YOOR LBlDBR OR II AftORDY BlFORB RBCORDIIG YOUR IIO'I'ICE OF
_. JlIIS IIIDIR f2u:.IOI_1O IIItlIIIlIIID PlIS'II 'IlllICI OF _',
SIGlAfURI: COII!RAC!OR
SfA!1 OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this - , 19____ by
SfAfE OF FLORIDA
coum OF
Tbe foregoing instrument was aCknowledged
before me this , 19_ by
wbo is personally known to me or wbo bas
produced
as identification and wbo did/did not
take an oath.
wbo is personally known to me or who bas
produced
as identification and wbo did/did not
take an oath.
(Signature)
(Rame Typed, Printed or Stamped)
ROTARY PUBLIC
(Signature)
(Rame Typed, Printed or Stamped)
ROTARY PUBLIC
TRACY HARRIS CONSTRUCTION
5045 SUMMERHILL DR.
VALUATION: $60,766.00
SQ. FT. LIVING: 1,574
COST/FT: $35.00
SQ. FT. OTHER: 516
COST/FT: $11 .00
VALUATION $60,766.00
DRIVEWAY $20.00
ADDRESS $20.00
FEE SHEET $309.00
SQ. FT. UNDER ROOF 2,090
RADON GAS $20.90
TRAFFIC IMPACT FEES
99%
1%
$1,585.00
$1,569.15
$15.85
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
503.50
57.50
67.75
30.00
$658.75
60.00
$598.75
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $3,997.65
~~ '"
PASCO COUNTY, FLORIDA
Permit# ~ 7'y r3
Date 2 - Y -9 Y
N..../Ownc< ~?&.<u ~t;,~ A A '", ~/
County Parcel # IJ-:Jb /- <<Iy.... Yb - /'1
Location ~---..{) ~"-C:- _ ~~J//\ ,}/-.:L/
Classification/Type of Use ~<1~ J ~~ C"yJ
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
The above impact fee has been e . ed pursuant to the Pasco County Transporta . pact Ordinance as adopted by the Board of
County Commission 1S amount is payable PRIOR to the issuance of a Certificate of Occupancy or authority to utilize the permitted
structure.
Sq. Ft. / Unit
Impact Fee Amount $
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)
"'I I C)~
~ ~
Assessment =
(QSEl 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
DATE
DATE -7/;_1 Y)9~c>
I
15~~>J~A~frSl
lRANSPORTATION REC. Ii, .
RESOURCE RECOVERY REC. # :~!'=)"i.4 '0 ',).C1
White
Applicant
Canary
Trans / Finance
Canary
RR / Finance
Pink
Office
Green
Bldg / Insp