HomeMy WebLinkAbout94-4148
'.
BUILDING PERMIT
Perm it N.<<!
CITY OF ZEPHYRHILLS
(813) 788-6611
414 BJj
'7-?-JY
'?l{F '10. di)
'Io/. ..so
BUILDING
Date
~7 /-5-
ELECTRICAL
-5'3-: tTV
PLUMBING
00- CTi)
MECHANICAL
Sewer Conn ~a. 7 d': #'"0.
Water Conn: .3!>1!J. trV
Water Meter: /6S-- #V
~ ~~
Property Owner: ~ il. ' ;;
Job Address:V7 / ~
Poccell.O. # /0 -;Lb- ; -0/ ~ 06' Q - 07 :J...o
Zon;ng Ene,g2' ~n G] ~"";J. 3
De",;pt;on of wo,,"f1~ ",-I', ~_... -"" /~ ~
TI.F.'s:
-
NO OCCUPANCY BEFORE C.O.
FINAL ~ -- '/ ~ c;:
DATE
C.O. 1/-7-9Y
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordar~e with City Codes and Ordinances.
Inspector
Permit Fee --.5'--S;2, ~S
Signatur~,-r ~
Company
Address
Telephone#
Valuation or
Contract Price
'1..s- 7 b7, 07J
, .
g:':J-
City License Registration #
State Certified License#
IJ!pAt~ ~ {~9TA-
ELECTRICAL<X?/ PLUMBING /~S-
Ftr. 7-~~?!!i~ ~ Tp. Servo SLB ('1-~~-q4-&1J
Pre SLB .-' LL Rough In ]-/~q t.j BILL Tub Set if -/1>.'7t.1 ~LL
Lintel Meter Can _-R--1Jt Water <g'2b.~'" ~
FRM. -::g /11r~'1 BILL- Const. Pole 1-H-Q't 8~ Sewer <f>-lb -yq thb
Insul. CL Pool Final
WL ~-2J../.C,,,, ElL{..- Pre-Meter If. ?J.Ljt./ /!JJ)
.sHW"th~'" ~.-n4tf BeLL-. Final '
Driveway 9-2.,7... qf..{ BILL \f)~~""\~''\4 6~
~lfrdA1 ~
BUILDING
13~~~.u-R4'-
MECHANICAL 7JY'
Breakers
Ducts Insl. i -1<6 .-~ V t.5tLL
Compressor
F;inal
Noc..1"2~.-l1j
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.
MC( 7- J7- ~~ y
D lYY
;a-a 7-JtJ -, . _
~ I P -_11 - yo Y ~ ) /Y7J1.../ ,Y(t
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
... .J'" "'....... I ,... ,. I I I I I '-1.).. I "
~I~' UL:..'.L
. . FLORIDA ENER. E ICIENCY CODE FOR BUlLe G JNSTRUCTION
. FO~M' 600()-.93 _... f3..(3si~e~I;lrtj^fAl C:o.p\ponent Prescr iptive Method A
PROJI::CT NAME: WeQ~o-vcV'-tHC\...t,'-0 ';-8uILDEr~: QLfVV'(\'10 t~
AND A[)DRESS:~L ~ '7" :PERMITT~NG :CLIM{:\TE
\.... '--- t1 J: -'.' 7 Y 1 ZONE' 4 1 l.A' c:; I I 61 I
. JJYD/ U.x. .J~ OFF ICE. 1 - . 1:-1 '- 1 _I I_I
Ol~I\IE .~.... ~>!- : PERM 1 T 0 'VI 'trrJ3 : JURI SDrc r raN NO. 6/ J ~~ 0
1. New cOllstr'uction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units
4. If Multifamily, is this a worst case (yes/no)
':'. Conditioned floor area (sq.ft.)
(;.. Pr edorni na nt eave over ha ng (ft. )
7. I) 0 r c h 0 V 8 r h a II g 1 e n g t h (f t . )
R c; 1 ElSe:: area and type:
i:J, Clear Glass
b. rint. film or solar screen
9_ r'lonr type and insulation:
8. Slab on grade (R-value. perimeter)
lO.Net Wall type area and insulation:
a. Exler-ior: 2. Wood frame (Insulation R..value) 10a-2 R=11.00, 843.70sqft_
a. Ad j ace n t: 2. Woo d f ,- am e (I n s u 1 a t ion R - val u e) 1 0 a - 2 R == 11 . 00, 211. 40 s q f t __.
11 .C8ilin9 type area and insulation:
a. Under att.ic (Insulation F~-value)
1. ? . (1 i r di s t )- i but ion s y s t ems
a. Ducts (I nsulation + Location)
lJ_I:ooling system
14 .I~eati ng System:
1S.Hot water system:
l6.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat PUIn[J)
17.Infiltration practice: 1,2 or 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As_Built points
b. Total Base points
CENTRAL
New Construction
Single-Family
o
1 .
2.
3.
4.
5. 1090.00
6. 2.00
7. 4.75
Single Pane
8a. O.Osqft
8b .166. 3sqft
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 , 155.00 ft
11 a . R=22 .00 , 1090. OOsqft_____
12a. R= 6.00 , uncond
13. Type: Central A/C
EER: 9.30
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF: 0 .88
16.
17.
18.
2
19.
19a.
19b.
93.77
20243.52
21587.71
.-y , ~ ..y -- '~, __ _ ._ _~ A'_ .._ '"_ _ _ _ _ _ _ _ _ _ _ __ ~ _ ,_, _ '.. _ __ _. ._ ... __ _~ _ _ _~ _ __ __ '.y _ _. _ _~ _ _~ _ _ _ __ _ _ _~ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .,~ ".
---.----.--------------------------------------------------------------------------
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
553.908 F.S.
BUILDING o:ro/!gg4.~;fl
DA TE : 1- -
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
PF~~~rARFr~ IlY ~ ~~________
DArE:
I
I hereby certify that this building is
in compliance with the Florida Energy
Code. '-\~~
OWNER/AGENT~ ~
DATE:
I
I, \..,. .t. 1. .t...t--,t,,'''~I', .f"f,~t--,t"t. 0'. ,T"'''~t--,t...-f.,""",,~'f..,",,~r~;t-..~'f-;1(,.:t.;t.;:f..:t.:t:-**;t(
SUMMER CALCULATIONS
*****~*****************~*******************************************************
=== BASE ~==: === AS-BUILT ===
GLAS5----------------
ORIEN AREA x BSPM =
=======~~====================~=~====~===~=============:=======:===============~~
I
I
POINTS :
TYPE
SC
ORIEN
AREA
x SPM
x SOF
::: POINTS
N
6363.1
-------..----.-----------------------------------------------------------------------------
77.41
82.2
E
9.86
13.01
66.02
82.2
82.2
82.2
810.5
1069.4
5426.8
S
w
SGL_ TINT N 13.0 51.5 .83 553.6
SGL TINT N 13.0 51 .5 .83 553.6
SGL TINT N 13.0 51.5 .83 553.6
SGL TINT N 13.0 51 .5 .83 553.6
SGL TINT N 18.7 51.5 .83 794.8
SGL TINT N 6.7 51.5 .69 237.7
SGl_ TINT E 9.9 107.1 .78 820.9
St3L TINT S 13.0 98.3 .66 844.8
SGL TH'H W 40.0 107.1 .77 3309.2
SGL TINT W 13.0 107.1 .77 1076.3
'?,(iL THH W 13.0 107.1 .80 1115.7
. - ~.- ... ~ .. - - - - - - _. ~ -- .- - -- -. - - -- -- _. ~- ..- -..- -- -- -. -. _. -~ -- .. -. -. -. -- -~ ..- -.. - -~ - -- - -. -- - - - -- - - - - - - - - - -- - - - - - - --.
.1:) x (OND. FLOOR / TOTAL GLASS -= AD]. x
AREA AREA FACTOR
GLASS
POINTS
AD] GU'1SS
POINTS
c
GLASS
POINTS
.15
166.30
- -- _.. -- .. .- --- ,... --.- .-. ,-- - - - --.- -- .~. -- -- - - -- - - -- - - - - -- - - -- - - --- - -- - - -- ----- --- -----_. --- -- ------------
10,413.87
1,090.00
. '183
13,669.86
13,439.70 :
--------------------------------------------------------------------------------
- .- -_. ... . - .. _. .- .- - -. ... .... - ..- .-. .- -- -- .~- ~.. - -. ... - .-- -.. -- _.~ -~ - ..- ... -- -.- .- - - -. -- - - - -- - - .- - - - _. - -- _. - -- - - - - - -. - - -- - -~ -- - - - - - - - -- ..- ".. _..
NON GLASS------------ :
AREA x 8SPM ~ POINTS :
TYPE
R-VALUE
AREA x SPM = POINTS
.--.---------.--_________M___._.____~._______._.__._._____________________________________________
WAI.L '::, - -- - - -- - --- - -- - - - - - -
Ext 843.7 1 .0 843.7 [xl Wood Frame
Adj 211 .4 .7 148.0 Adj Wood Frame
DOORS-- .... -- -- -- - -- - - - - - - - - -
ExL 20.0 4.8 96.0 Ext Insulated
I1dj 18.6 1 .6 29.8 Adj Wood
C [ I l. I NG S -- -- -. - - ,- -- - - - -- ----
UI1 1090.0 .6 654.0
rLOORS --. --.- -- - - - -. - - -- --
Slb 155.0 -31.8 -4929.0
INFILTRATION---------
1090.0 10.9 11881.0
Under Attic
Slab-on-Grade
Practice tt2
11.0 843.7 1.90 1603.0
11.0 211 .4 .70 148.0
20.0 4.80 96.0
18.6 2.40 44.6
22.0 1090.0 .90 981.0
.0 155.0 -31.90 -4944.5
1090.0 10.90 11881.0
TOTAL SUMMER POINTS
22,163.14 :
-~~~~~~=~=====~========~~=========~=~=====~============~=======================
TOTAL x
SU~1 PTS
SYSTEM
MULT
~~=~~~~~~===~====~~=~=~==~====~~==============================================~
20,223.02
COOL I f\IG : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
22,163.14
.37
.-. - -- ,_. ,_. -- ~- ~- - - - -- -- - -- - - -- -- - -- -- ..-. ,.- --- -- -- - - - -- _. - ~- - - - _.. - - -- - - - - - -- - -- - - _. - - - - -- _... - - - - - - - - - -. --
8,156.62
8,200.36 : 20,223.02 1.00 1.100
.367
1 .000
~~~=~~~~~~==~~===~=====~~=~==~==~===~==~~~~===~================================
, , t I ! , " I I _~ '_f ,_ ."." ,f _t._ _,. t:, ,t-.t:_ .t- ;t- _.
. .* ... '" tt. t .t t .t. .t. ;let.t * * or. *' or. t:to :to * **" .... *., . * * * .o!c * * * * * * * * * * * * * * * * *
WINTER CALCULATIONS
tttttttttt***********************t*********************************************
=== BASE === === AS-BUILT ===
~ =~~~=~~~==========~===========~~======~====================~================~
.
G LAS S- .- .- -- -- .- - -- -- - -- - - - - --
ORTEN AREA x BWPM::: POINTS :
TYPE
SC ORIEN AREA x WPM x WOF ::: POINTS
N
-. 263 . 2
- -- - -- .- .- --- - - - -- - -- - - - - - - -- -. - -- ..- - - ,. - -~ - - -- - - - -- - - - - .- - -. - - - - - - .- - - - - - -. - -~ - - - - - - - - - .- - .- - - - - --
77.41
-3.4
[
'1.86
13.01
66.02
-3.4
-,3.4
'-3.4
-33.5
-44.2
-224.5
c
J
W
SGL TINT N 13.0 9..6 1.10 137.7
SGL TINT N 13.0 9..6 1.10 137.7
SGL TINT N 13.0 9..6 1 .10 137.7
SGL TINT N 13.0 9..6 1.10 137.7
SGL TINT N 18.7 9,.6 1.10 197.8
SGL TINT N 6.7 9..6 1.20 77.1
SGL TINT E 9.9 -2..0 -.21 4.2
SGL TINT S 13.0 -10..2 .68 -90.9
SGL. TINT W 40.0 -2..0 -.24 19.4
SGL TINT W 13.0 -2..0 -.24 6.3
SGL TINT W 13.0 -2..0 -.08 2.2
-------~---------_._------._------_._-----------------.--------------------------------
.15 x CONDo FLOOR / TOTAL GLASS::: ADJ. x
AREA AREA FACTOR
GLASS
POINTS
AD] GU\SS
POINcTS
GLASS
POINTS
.15
166.30
... ... --.- -" - - -.- ..- - -- - -. ..-.- -...- -.. -. .- --, --- - -- -- - - -.-- --.- -- - _.- - - - --..- --..- --- - --- - - .--.-- - --------------
767.04
1,090.00
.983
-,565.42
-555.90 :
--------------------------------------------------------------------------------
-- -. . . - .. .. - ...- .~. .., ".. -.. .... .... -- -- -- .- - - -- - - .~~ ~- .... - -- --. ~.. -~ ~~ .... ~.. ~~ - .-- .~ - -.. -- - - _. -- _. - -.. ... -.. - ..- -- -. ~.- - - - - -, ~- - - -. .- -- -~ -- - ~- - - -- -~ - - - - - .--.
NON GlASS------------ :
AREA x BWPM::: POINTS :
TYPE
R--VALUE
AREA x WPM = POINTS
_..~----~---------_._-----------,------~---_.__._-------------.---------------------------------
WALLS----------------
Ext 843.7 1 . 1 928.1 Ext Wood Frame 11 .0 843..7 2.00 1687.4
Adj 211 .4 1 .8 380.5 Adj Wood Frame 11 .0 211.4 1.80 380.5
DOOf<S -- .,~ - - - ._~ - -- - -~ -~ -- --
Ext 20.0 5.1 102.0 Ext Insulated 20.0 5.10 102.0
r1dj H3.6 4.0 74.4 Adj Wood 18.6 5.90 109.7
C [ I L IN G S-- -- -.- ..- -- -- -- -- - - - -
UA 1090.0 .6 654.0 Under Altic 22.0 1090.0 .90 981.0
FLOORS--- - - -- - - - .- - - - -~
SIb 155.0 --1 .9 -294 .:, S 1 ab-o n--Gr ade .0 155.0 2.50 387.5
INFILTRATION---------
1090.0 4.1 4469.0 Practice tt2 1090.0 4.10 4469.0
TOTAL WINTER POINTS
I
I
5,757.59 :
~~~~~=~=~====================================================='=================
TOTAL x
WIN PTS
SYSTEM
MULT
~=======~=~=======~=======~====================================================
8,884.20
HEATING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
5,757.59 1.10
6,333.35 :
..----------------------.-------..---------------------------------------------
5,032.90
8,884.20 1.00 1.100
.515
1.000
=~====~=~================~===~======~~=========================================
I. 1- -t--.t--t.+f' _,~ _" ;,~ ..f.,..-f~ ;r, -'~'T, -1_ -1,
W(1TER HE:r^lTING
1~~1~i***************~*******************************~*************************
::;::;::; BASE" ::;'=::;
=== AS-BUILT ===
----------~---------------------------------------------------------------------
- .... ..- -.. .., ..- _n -.. -.. ... .- - - .- .-. _. __ _ _ _ _ _ ._ _ _ __ _ _. .u __ ._ _.. . _ __ .... _ _. _.. ~ __ _ _. __ _. _ _ _ _ _ _ __ _. _w _.~ _.. _ _ _ _ _ _ _. ._ __ __ _ _ _ _ _.._ _ _ _ _ _._ ___
N U M OF
BEDRMS
x
MULT
=
TOTAL
TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL
---.--------------------------______..___.___w_____________________________________________
2
3527.0
7,054.00
80
.88
1.000 3527.0
1.00
7,054.00
-------------------------------------------------------------------------------
.....-.-.~--.-...--..-..--.---------------------..---._______..._.____w_...____.__._________._..___________._____________________
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE =="=
=== AS-BUILT =====
-------------------------------------------------------------------------------
- -- - .-. .'~ -- .~. - _. - - - -- - -- - - - - - - _ -- _ -- ~-- _ _ -. _. - -- -- -- - - - - - ..- - - ~'. -_. _.- .. .... _.. -- _.. -- - - - - -- - -- - - - - - - - - - - - - - - - - -.- _.._-
COOL_ING
POINTS
+
HEATING
POINTS
HOT WATER
+ POINTS --
TOTAL
POINTS
COOLING
POINTS +
HEATING
POINTS
HOT WATER
+ POINTS .-
TOTAL
POINTS
-- -- -.......-...-------------------------------------------------------------------------
8200.4
6333.3
7054.0
21,587.71
8156.6
5032.9
7054.0 20,243.52
--------------------------------------------------------------.-----------------
.- .- .... ._- .- ... .... ... ,- -- - -- -- -.... -- .- - .- -- -- ..- - - - - - - -- -- - - - -. - -- -- - - - - - - -- -- - - - - - - .- - - -- - - - - - - - - .- - -- - - - - - - - - - -- - - .- .-
*****************
* EPI == 93.77 *
*****************
LI'lLt\U 1
UVl.LlL
For detailed information
of the. EPI rati ng, numbeT:'
or for any ITEM liited,
ask your-Builder for
DCA Form 600A-93
or Form 600B-93
EPI::: 93.8
o 10 20 30 40 50 60 70 80 90 100
:-------------------------------------x---:
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOME VALUE
Low Efficiency
High Efficiency
WINDOl.JS..................... Single Tint
SINGL CLR DBL TINT
:------X--------------:
I I\ISUL AT ION. . . . . . . . . . . . . . . . . .
Wall
R.-Value.........11.0
1(-10 1(-30
:------------X--------:
R-O R-7
:----------~---------X:
R-O R-19
:X--------------------:
Ceiling
R-Value......... 22.0
Floor
R-Value......... 0.0
A I R COI\ID I T lONER. . . . . . . . . . . . .
10.0
SEER
17.0
S[ER/EER. . . . . . . . . . . . . . . . .. 9 .6
:X--------------------:
9.7
EER
16.0
I I [ A I r N c, (-, Y S T [r1 . . . . . . . . . . . . . .
flcl:tl lC COP/HSPF........ 6.()
6.8 HSPF 12.0
:x--------------------:
0.78 AFUE 0.90
G:)S AFUE. . . . . . . . . . .. 0 .00
WiTEr< IIEATER................
0.88
0.96
[lpetrie EF.............. 0.88
: X -- ..- -- -- - - - - - - -. -. -. .. - - - - - - :
0.54 0.90
, ,
,---------------------,
I,ClS [F.............. 0.00
0.40
0.80
Sular
EF. . . . . . . . . . . . . _
, ,
1---------------------1
OHIEf~ FEATURES..............
~ - - - . - . - - - - - . .. . .. .. .. .. .. .. .. .. .. - .. - -
I certify that these energy saving features required for the Florida
[ne,gy Code have been insLalledB~~l:::s ,hO\U~~-:J
Address' 0" Sigrtat~'_~~- - Date'
City/Zip .
Florida E-ner'gy eode fo'1- Building Construction" 1993
Florida Department of Community Affairs
.-
FL-EPL CARD93
VALUATION:
SQ. FT. LIVING:
COST/FT:
Ryman Construction
37401 Wedgewood Dr.
$45,769.00
1,209
$35.00
SQ. FT. OTHER:
314
COST/FT:
$11 .00
VALUATION
DRIVEWAY
$45,769.00
$20.00
ADDRESS
$20.00
FEE SHEET
$245.00
SQ. FT. UNDER ROOF
RADON GAS
1,523
$15.23
TRAFFIC IMPACT FEES
99%
1 %
$0.00
$0.00
$0.00
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
407.50
55.00
59.75
30.00
$552.25
40.00
$512.25
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $2,320.48
. APPLICATION FOR PERl-lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLl CANT ,!\y ~&II.) CoItlS. b.c~Q lI.l) 'XI\.) Q...
ADDRESS ~.13-2.5 s.e. 5<\- \;UL'S -t: -zJ'\llls. PHONE 73/3 - -78'2 -082...5
OWNER ThDf-..J\AS 4 $. AJIYNCr) /V\cAluANN~
JOB LOCATION ~31~ \ W e'0C:re. ~ ~LOT SIZE_X
-t;r-
LEGAL DESCRIPTION: LOT(S) 0-12..0 BLOC~UBDIVISION 01 LD
PARCEL I.D.i,' :m. \O'-2(~ 'd-\- Ol2...D-- ~-OI2..0
AREA SQ.FT.
WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp,
PROPOSED USE: ~Single Family
____Sign
_Move
____Demo 1 i-,I
____M/F
____IF of Uni ts
_1'1/H
$
_Commercial
_Indust.
____Swim. Pool
Other
t
____Restaurant & Health Department Approval
BUtLDING SIZE': '?::x/
x64.bl
15~3
Square Feet,
~~}
Heigll!
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET' ENERGY FOR.'1S.'.q
COM.'1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORr-IS. H
**COPY OF CONTRACT REQUIRED,
PERMITS REOUESTED
XBUILDING
/ ELECTRICAL
~ME~HANICAL
X-PLl~BING .
TYPE OF CONSTRUCTION:
$
Valuation of Total Construction
~
AMP Service
Florida Power Corp,
2L-H,R,E.C.
$
Valuation of Mechanical Installation
GAS
ROOFING
LFrame
SPECIALTY
____Block
____Steel
Other
FINISHED FLOOR ELEVATIONS; , . FT, . - ~ cfYz f~~
******************************************
~ '. GtT:.: OF ZEPHYRHILLS J3UILDING DEP1\l',T~lCNT
OWNER \\"\()MA..~ ~ N~CI N\~AI U~N j\jf\h
JOB LOCATION ~L
PARCEL 1. D. It
\ D - 2 \- La -"6 \?D .- 00000. 0\2..0
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
lO; L5
~e.,-~ eCS
~xS~.b'l
1 51.6t::>
t
/
,
\2 1. 2. 5"
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
LO'
FRONT PROPERTY LINE
36.S
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR R1, R2 ZONING
60'-
2, SETBACKS FOR R3 ZONING
60'-
101
P E-
R X
0 I
\ 10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 101
PROPOSED
20'SGL fAt-! JO'DUPLEX
1 0'
FRONT PROPERTY LINE
fRONT PROPERTY LINE
""'""'"
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PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
Builder Name/Owner Name
County Parcel No.
Location
Subd.
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. FLlU nit
Prepared By
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco"County Transportation Impact Ordinance as adopted
by the Board of County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority to utilize the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
Gross Sq. Ft. (GSF)
Rate/ERU - 50.00 x 0.96*/Year
or $0. 1315/Day
ERU Assign No.
Assessment - (No. Units) x ($0.1315)
x (No. Days)
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
TOTAL FEE $
I
'I
TOTAL FEE $
*Discounted for Prepayment
The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197,
as commended.
THE ASSESSMENT WILL BE CALCULA TED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF
OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
Date
Received By
--------------------------------------------------------------------------------------------------------------------.-------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
CONTRACTOR #: 001690
NAME: KEVIN
ADDR: 37325 S.R. 54
C/ST: ZEPHYRHILLS
C E N T R ALP E R M I T TIN G DATE: 09/30/94
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
ISSUE OFFICE: D
RYMAN RECEIPT NUMBR: 00225752
OFFICE: DADE CITY
FL 342480000
FOR: RESOURCE
414::::8
CHECK # 6002
10-26-21-0120-00000-0720
CONTRACTOR: 001690 37401 WEDGEWOOD
TOTAL AMOUNT: 12.61
ACCNT COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/PERMT DATA DRICR
114 8450 - 363000 - 2 12.61 ****** SOLID WASTE FEE 60
RECEIVED BY __
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ELEVATION CERTIFICATE ~~~~~s~fiJ~oJ1.'?g~J
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
determine the proper Insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA o. i .OMR).
Instructions for completing this form can be found on the following pages. '
SECTION A PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
POLICY NUMBER
COMPANY NAIC NUMBER
Provide the following from the proper FIRM (See Instructions):
t.J 0" t!JO- Old-.O Lur. 72 I<I~~~ ~~r
"" #~ATE
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
PIIIJ~I'Sz_ e7T'
ZIP CODE
<-.3 3~s~Y iL-
1. COMMUNITY NUMBER
2. PANEL NUMBER
"3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVA!~O-;-r
(in AO Zones. use de, (~) !
JY.f': .1
I:J. ()J3};;-
t.:J 0 0 ....s-
c.
/~ -/7-7/
A-E
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): D NGVo '29 D Other (des ribe on :),
8. For Zones A or V, where nO BF~rovided on the FIRM, and the community has established a BFE for this building site, ir';ai'3
the community's BFE: I I I I .U feet NGVD (or other FIRM datum-see Section B, Item 7),
SECTION C BUilDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that besl
describes the subject building's reference level ......1.- .
2(a). FIRM Zones A 1-A30, AE, AH, and A (with 8FE). The top of the reference level floor from the selected diagram is at an r,!: .. ion
of I I I I~I'I. L~~ feet NGVo (or other FIRM datum-see Section 8, Item 7).
(b). FIRM Zones V1-V30, VE, and V (with 8FE). The bottom of the lowest horizontal structural member of the reference leve:
the selected diagram, is at an elevation of I I I I I I.U feet NGVo (or other FIRM datum-see Section 8, Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W .LJ feet above D or
below D (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is W. U feet above 0 or below 0 (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? DYes 0 No 0 Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: B' NGVo '29 0 Other (describe
under Comments 'on Page 2). (NOTE: If the elevation datum used in measuring the elevations .i$'fiifferent than that used on
the FIRM [see Section B. Item 7J, then convert the elevations to the datum system used on thti FIRM and show the conversion
equation under Comments on Page 2.) "
4. Elevation reference mark used appears on FIRM: 0 Yes G-No (See Instructions on F;'age 4)
5. The reference level elevation is based on: [a-actual construction 0 construction df~~ingS
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place. in which
case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate
will be required once construction is complete.) .
6. The elevation of the lowest grade immediately adjacent to the building is: I 1 I Idl41. ~ feet NGVo (or other FIRM datum-see
Section 8, Item 7).
r
SECTION 0 COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
Is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I I I 1 I I.U feet NGVo (or other FIRM datum-see Section S, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31) MAY 90
REPLACES ALL PREVIOUS EDITIONS
SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones A1-A30, AE, AH, A (with BFE),V1-V30,VE. and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 . Distinguishing Features-If the certifier is unable to certify to breakaway/non.breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s). then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.' .
I certify that the information in Sections Band C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
..~ ;
CERTIFIER'S NAME
D~VID ~. nFM~TRnN~
LICENSE NUMBER (or Affix Seal)
4970
TITLE
P.L.S.
ADDRESS
SIGNATURE
COMPANY NAME
C FRRn nRTTRT. R, A!=:!=:Ol:TA'1'R!=:, TNC.
CITY STATE
ZIP
PHONE
COMMENTS:
or: 1) community official, 2) Insurance agent/company, and ,3) b':!lIdlng owner.
" I; t ;' ~.
, '-. ; '~.
ON
SLAB
A
ZONES
V
ZONES
WITH
BASEMENT
ON PILES,
PIERS, OR COLUMNS
A
ZONES
V
ZONES
IlASE
FLOOD
~
ri;~t(til~J~~l
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2