HomeMy WebLinkAbout94-4427
BUILDING PERMIT
Permllt N~
CITY OF ZEPHYRHILLS
(813) 788-6611
4427,,8
Date
/a -....?/-9 'I
0-~/....s(}
BUILDING
t ,. zs-
ELECTRICAL
~-J1, -_5')
PLUMBING
~oiJ
MECHANICAL
Sewer Conn J.:L '){), tJi)
Water Conn: ' "'---~---v .Il?:>
Water Mi!ter: / 10..5~. OV
TI:J:. i~~;J#1-:;-~-
~-
~
Pcop"tv Owne, ~#~~~
Job Address: 0 ~___L~ _ ~
Parcell.D. # II-~I:, -;2./- () <sf 0 --/() '~O- oastJ
Zoning:
Description of Work
FINAL 5-/'-'-
DATE
C.O. d-/'l-9~-
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarce with City Codes and Ordinances.
Valuation or t)o
Contract Price /~ j $f-.S'. tTD
City License Registration # r:2S-1
State Certified License#
Inspector
Permit Fee r:~ ~.
Signature .c/2 ~ ~ -
Company
Address
4' r;, {J ,10
Telephone#
a&~ .
~.-- ~~
MECHANICA~t'?
r/5~ (fl-L/
~ >z(.L-e -..57)
~;9~ S?
Tp. Servo SLB I/-&J.'l i ~o.
Rough In J-/f.IjJ9'i.o &- Tub Set /~ 11f."~1 p>fJ
Meter Can In 3/-9'1 Water
FRM. Const. Pole II, 1.~-q4- V:""1}j Sewer 2. - 2..f..f -1'~ . R"u.....-
Insul. CL Pool Final 3'-It>~9) ~IL'-
WL I ~ ~~~ g. t.L-- Pre-Meter ~-.3 -q~ ~.,....
ht-ifl..-' 1rlO-9~ c.J.- a Final J-i'
Driveway 2-Z4-q)' Ui()..--
~-(,D ~a- if:c>~ Z-2A"'i5f1llJ-
BUILDING
ELECTRICAL
PLUMBING
Breakers
Ducts Ins!. I'-I'I"~~
Compressor - &h
Final.Q10-9j
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.
AJ~ ~ /0,-31-9'1
1'-5-17-7 ~----
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
VALUATION:
SQ. FT. LIVING:
COST/FT:
Back Construction Inc.
5647 17th st.
$73,145.00
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
1,785
$35.00
SQ. FT. OTHER:
970
COST/FT:
$11 .00
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
VALUATION
DRIVEWAY
$73,145.00
$20.00
ADDRESS
$20.00
FEE SHEET
$361.00
SQ. FT. UNDER ROOF
RADON GAS
2,755
$27.55
TRAFFIC IMPACT FEES
O 99%
/ tf8o, G:- 1 %
(
$0.00 .-
II: " ." I t/ (p!;J( 2..[)
$~ 14,~O
581.50
57.50
69.75
45.00
$753.75
75.00
$678.75
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $2,499.30
1f 3779, 3.0
(
-
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S HUm Mr. & Mrs. Jerry Linville
PHONE 813-782-2951
OWNER'S ADDRESS 5901 Avocado
JOB ADDRESs.s6 '17, 17th street
Zephyrhills, Florida 33540
Zephyrhills, Florida 33540
of 7
LEGAL DESCRIPTION: LOT(S)3,4,5,6 & 1/2B~SUBDIVISION N/A
PARCEL I.D.' 11~6-21-0010-10700-0030
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:-1LHew Construction ---"ddition --Alteration _Repair _Install
_Sign
----1fove
_Deaolish
PROPOSED USE: .....!...S iogle F_ily
--.lt/F _' of Units --"/H
_ec-ercial
_Indust. _Swia. Pool _Other
____estaurant Ii: Health Departaent Approval
DESCRIPTIOII OF WORK: Construction of new masonry single family residence
, .1
BUILDIIIG SIZE: 36 X 76 . 2584
Square Feet. 1 6 '
Height
RESIDEIITIAL: ATTACH (2) PI..OT PLAIIS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET EIIERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDIIIG PLANS Ii: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION.
PERMITS REOUESTED
~BUILDIIIG
x
_ELECTRICAL
$ 80,000.00
Valuation of Total Construction
150 AIIP Se .
rv1ce
x
Florida Power Corp.
W.R.E.C.
~CHAIIICAL
$ 3,450.00
N/A GAS
Valuation of Kecbanical Installation
~PLUKBIIIG
ROOFING
N/A
SPECIALTY
TYPE OF COIlSTRUcnOIl: ~Block _Fralle _Steel
Other
FIliISHED FLOOR ELEVATIOIIS:
Fr.
IS PROJEct IN FLOOD ZOIlE AREA'l ...K-
YES NO
..........................................
CONTRACTOR SECTION
:::e,/1 ) .Ot? . _ , Ii. 4. 7~-,- =~r:~:~ =~~".c~~~~41 ~~~ .
,-l~.-~ 6..~L City License Registration' 251
..........................................
,.',
RT.RCTRICIAII COMPANY Fee Electric
4./) /(// '\ ;;?/~7 State Cert. or Regist.' ER0004640
SianAture "'#/t/~if) //V L/-.A'_,~ City License Registration' 50
..........................................
PLUKBER ~ COMPANY Chris Bahr Plumbin
/1 ... -;j./J () III ~ State Cert. or Regist. .
Signature ( ~ ~ ;',V2f~ City License Registration'
~~...........................,.............. '-y
__, /If ~"~J',X'J2.{ 011 C\\Jt-l IN.. ~ tvC-.
IlECllAHICAL ,~. COMPANY Bahr I s Gas & A/C
i/j /' / State Cert. or Regist. r'a~dR
Signature /~ D.A City License Registration, ~ 1,/3
~ ..........................................
O~ R012fi g COMPANY Back Construction, Inc.
. '.' 'IIJ/!. /1 /1 JJ J State Cert. or Regist. . c\.jc04HH 1
Signature ~~ J6d- 1.5~1e.-/ City License Registration f 251
..........................................
APPL1CAnOR APP1IlIVEO BY '11 a&l.I'1; !J7 ~()-- Pl!RllIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT'
A. NOTICE OF DEED RESTRICTIONS
!be undersigned understands that this peIlit laY be subject to Ideed restrictions I wbieb laY be lOre restrictive than City
regulations. !be undersigned asSUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertate 1fOrt, they laY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor JaY be
cited for a lisdeIeaDor violation under state law. If the ower or intended contractor are uncertain as to wbat licensing
requiruents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtheIlOre, if the owner has bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
IContractor Sectionsl of this application for wbieb they will be responsible. If you, as the O1IIler sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the 1fOrk. If the contractor .isbes you to sign
as contractor that laY be an indication that be is not properly licensed and is not entitled to pertitting 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 IFlorida's Construction Lien Law - lfOIIemmer's Protection
Guidel prepared by the Plorida Deparuent of Agriculture and ConsUler Affairs. If the applicant is SOIIeOne other than the
lowerl, I certify that I bave obtained a copy of the above described docuIent and pCOlise in good faith to deliver it to the
"owner I prior to COllenC8leDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIlation in this application is accurate and that all work will be done in COIpliance with all
applicable laws regulating construction, loning, and land developlent.
Application is bereby Iilde to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas ~ced prior to issuance of a perti t and that all IIOrt will be perforted to Ret standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDlleDtal agencies laY apply to the intended IIOrk, and that it is
If responsibility to identify wbat actions I lust take to be in coapliance. Sueb agencies include but are not laited to:
t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Managuent District - NeIls, Cypress Baybeads, Wetland Areas, Altering Watercourses
t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health i Rehabilitative Services, BnvirODlental Health Unit - Wells, Wastewater treatlent, Septic 'anks
t US EnviIODlental Protection Agency - Asbestos abatuent
I also certify that, if fill Jaterial is to be used in Plood Zone IAI or IA,etc.", it is understood that a drainage plan
addressing a llC01peDsating VOlUleI will be sublitted wbieb is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A pemit issued shall be construed to be a license to proceed with the 1fOrk and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent tbe Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued &ball beCOle invalid
unless the work authorized by sueb pemit is COIIeDced within sillODths of issuance, or if work authorized by the pemit is
suspended or abandoned for a period of sillODtbs after the u.e the wort is cOlleDced. One 90 day extension of tae, lilY be
allowed for the pemit with fee cbarge of $15.00. !be 81tension sball be requested in .riting to the Building Official. An
approved inspection lUst be logged during eaeb sillODth period, or the project will be considered abandoned.
NARNING '1'0 omR: YOUR FAILURE '0 .~COJ.D A. NOTICE OF C<IDIEI!CEIIEN! MAY RESULt IN YOUR PAYING !VICE FOR IMPROVIIIEI!S TO YOUR
PROPIRfY. IF YOU IBBHD TO OB!lIlf PIWCING, CONSULT lID YOUR LBHDIR OR D AnomY BEFORE RECORDING YOUR DICE OF
COMMENC . JOBS UNDIR $2,500 IN VALUI DO NOT NEID to RECORD AND POST A INOTICE OF COMMDCIIIEN!".
fd~J ~
srATE OP FLORIDA /)
COUN!Y OF (/-(L.~
The foregoing instrument was acknowledged
before me this (JU d5, 199 V by
U~~ ~o. 4~
who is personally known to me or who has
produced
as identificati;7on~ d who did/did Dot
take an oath. LI ~
"- J
/l ' ..,
(~ature)
- VEI3/f/t ~.E. STI(E.~?3
(Hame, Typed, Printed or Stamped)
NOTARY PUBLIC
SIArE OF FLORIDA
coum OF P o..-{L~"A.'r
The foregoing instrument was acknowledged
before me this Oc-c,;{ 5 J , 19~ by
'tJ~nLJ jJ.8 a.dc..--
who is personally known to me or who has
produced
as identification and who did/did not
take an oath. I..JJ~ k -&P.f'L:-::?
(Signature)
---uE t3 /'f .4-5iL E. ;:)~77c. E E /,S
(Hame Typed, Printed or Stamped)
NOTARY PUBLIC
DEBRA SUE S':;'",;r;;:'P~
N..t.....D..L ......_il'"
aiu-' rugJiC: St;2~~ ef Fll))'1:b
-,caram'OXPlf~C Oct 29, 1905
No. CC-;Et':~'J
rtcc/s,{,..:<'lY
/ _I'M SUtiE ::r.iT;i!l~'fiS
Notary Public, St3:~Hj! f'l0:::h
My comm. GXpl:'~,: a:i 7."\ ':
No.C:
rFee/S'G.-<9P
Cf TV oP 2""N IU-,f
CII>f"I .'
BACK CONSTRUCTION INCORPORATED
GENERAL SPECIFICATION DESCRIPTION
MR.& MRS. JERRY LINVILLE
I.
Preparation:
Location- 17 th Street, Zephyrhills, Florida
Elevation- 16" maximum foundation height, two courses.
Site Clearing- limited tree, brush, and grass removal
confined to foundation area and ten (10) feet beyond wall
dimensions. Allowance included in fill & grading section
Fi 11 & Grading-site prep, .fi 11' and ro~gh finish gra.de
sha 11 be inc 1 uded in allowance -.J L L
II. Foundation:
A. Size- 8"x 16" with three (2) #5 grade 40 rebar continuous.
B. strength, material- #3000 P.S.I. redi mix concrete.
C. Elevation- Two (2) 8" steps and (one) 2" step in garage.
D. Design- 8" C.M.U. stern walls throughout.
Site
A.
B.
C.
D.
III. Slab:
A. Strength, material- 4" thick, #3000 P.S.I. redi mixed
concrete, reinforced with 6 x 6 10/10 W.W.M. on treated
fill with vapor barrier.
B. Elevation- one level house slab, 2" step into garage.
C. Additional- none
IV. Exterior Walls:
A. Type and material- 8" x 16" C.M.U. s' standard.
B. Height- 8' as per plan.
C. Finish materials- masonry stucco exterior perimeter,
all walls but front to be one coat with texture. Front
walls to be stucco brick with accents.
D. Lintel- pre/cast knock out block with one #5 rebar
continuous.
E. Insulation- 3/4" rigid foam, "Tuff-R" or equivalent
with 3/4" P.T. furring nailed 16" O.C.
V. Roof:
A. Styl e- hip
B. Pitch- 5/12.
C. Overhang Length- 24" M.O.L.
D. Ceilings- flat 8'ht. inverted hip in living room.
E. Roof Trusses- pre engineered for 33# P.S.F.
shingle load, 24" O.C.
F. Ridge vent - attic vented through aluminum ridge
vent , match roof as best as possible.
1.
VI.
VII.
F. Roof decking- 1/2" C.D.X. 4 ply sheathing.
G. Roof surface materials- #301b.asphalt felt with galvanized
flashings.
H. Roof Surface- 20 YR. 3 tab fiberglass shingle
G.A.F. or equiv., with fungus resistance feature
I. Fascias- 2 x 4 sub-fascia with 4" aluminum fascia
trim.
J. Soffits- vented aluminum "Alcan".
Interior standard features:
A. Wall finish, ,material.;.. li9.ht o'range peel texture,
1/2" standard drywall, two (2) Rpats f.~at latex paint.
B. Ceiling finish, material- spanish race knock/down, 1/2"
C.D. sag resistant drywall, one coat super-hide flat
latex paint.
C. Baseboard and door casings- finger jointed colonial
painted. Primed with two (2) finish coats of semi gloss
oil based paint. 3 1/4" painted baseboard.
D. Swinging Doors- 6-panel "masonite" pre-hung,
painted finish, 6'-8" height with 2 1/4" colonial
casings, painted same as baseboard.
E. Bifold Doors- 6-panel "masonite" painted
6'-8" height with 1/2 casings on all closets.
Pocket doors shall be matching 6-panels
Door Hardware- "Kwikset" qrecian or equivalent.
Closet Shelving- Baseline "closet maid"L~covered
wire. Total footage allowed A.P.P., or~ total.
F.
G.
H.
Insulation:
A. Flat ceilings- R-30 blown fiberglass.
B. Cathedral- R-30 blown or R-30 batts.
C. Knee Walls- R-19 batts minimum.
VIII.Windows:
A. Frame, style- aluminum, colonial grilles on front only,
single hung.
B. Glass- single pane, tinted.
C. Circle top windows - none
D. Sliding glass doors- none
E. Window Sills- 6" natural grey marble, throughout.
2.
IX. Doors:
A. Entry- metal insulated or fiberglass, an allowance of
~is established for complete unit and
hardware.
B. Garage to Living- matching style 6 panel masonite with
weather seal and threshold.
C. Garage Entry- metal insulated therma-tru #243 or
equivalent.
D. Main Garage Doors- two (2) 9' x 7', 4 section, embossed
raised panel steel #26 gauge, no top lite panel or
details. (2) 1/3 H.P. operators wI one (1) control each.
X. Electric Specifications:
A. Service- 150 AMP.
B. Switches- standard- non illuminated
C. Receptacles- standard (white).
D. Fans- prewires for fans in leisure room, all bedrooms,
E. Telephone Outlets- prewired for kitchen and all bedrooms.
F. Television Outlets- prewired for leisure room, kitchen and
master bedroom.
G. Pool- none
I. Light Fixtures- decorative
fixtures.
J. Additional- no exterior yard lighting.
XI. Mechanical H.V.A.C.:
A. Ducts- R-6 hardboard trunklines with flex duc~where
necessary. (minimum 10 drops). . ..
B. Equipment- one (1) "Rheem" air handler, #RPKA042JAS
5KW heater. Model # to be verified and sized accordingly.
One (1) "Rheem" condensing unit, heat pump
S.E.E.R. 10.
C. Zones- one () zones, one (1) temperature control, one
(1) ceiling mount air return.
D. E.C.U. Units- optional
XII. Plumbing:
A. Master bath tub- none
B. Sewer connection- 4" schedule 40 P.V.C. 50' at 1 T
c. per ft. or.... schedule 50' at~
Water connectl.on- 1" 40 P.V.C.
per ft. or 1 ~
D. Exterior kitchen-bar sink-N.A.
3.
E. Fixtures- all fixtures are based on White color, 17x20
cnina lavs, round toilets, cast iron tub, stainless
steel kitchen sink, fiberglass laundry tub, and all
single lever, chrome "Moen" OR "Delta" valves.
XIII.Cabinet Detail:
A. Kitchen-CUSTOM BUILT,mica,concealed hinges, and standard
hardware. "Mica" counter. Total allowance ~
B. Material- custom built "Mica" in bathrooms
and laundry above and below laundry si~k. Concealed
hinges, standard wire pulls or beveled edge.
C. Master Bath Counter Top- same as kitchen.
D. Range hood - range hood shall standard cabinet model.
IVX. Miscellaneous:
A. Attic stairs- One (1) standard 22 1/2" x 52" folding style
with trusses designed for storage, if possible.
B. Garage & Workshop finish- painted block hand floated.
drywall on frame walls, knock down ceiling, vinyl base
where needed.
C. Bath and shower area tile- ceramic $5.00 per Sq. ft.
allowance- installed, limit 84" height but includes drop
ceilings. Total of 220 sq. ft. allowance. no decorative
tiles included.
D. Bath Accessories- ceramic throughout, four (4) towel
bars, two (2) paper holders, two (2) soap holders.
(colors additional) white or bone included.
E. Bath Mirrors- full vanity length
F. Carpeting- total allowance of (Or ~ includes sales
tax and installation.
G. Vinyl Floor covering- total allowance of (~~-
includes sales tax and installation.
H. Appliance Package- builder to supply appliance package
(dishwasher, range, refrigerator) allowance of (L 1
I. Kitchen- N.A.
J. Outdoor kitchen- N.A.
K. Wood Fireplace- none
L. Exterior concrete-total allowance of 1420,00 Sq. ft.,
or fj ; Additional concrete at same sq.ft. price
*note* slab for rear porch is included but not aluminum
structure.
M. Pool and Spa package-N.A.
N. Wood deck- none
o . Landscaping- builder to su ply finish grade and "Bahaia"
sod only. allowance of
P. Additional - none
Q. Glass shower doors - not included.
4 .
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building perfo~anc~Method A
PROJECT NAME: BUILDER:.l)~ u").A/
AND ADDRESS;>'1, '1'7 '-1 '1 4... ff PERMITT~G . CLIMATE v(
OFFICE: ZONE: 41_1 51_1 61_1
OWNER: PERMIT O. Y'l~ 7 t1 JURISDICTION NO.6//bOO
CK
1. New construction 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)
5. Conditioned floor area (sq.ft.)
6. Predominant eave overhang (ft.)
7. Porch overhang length (ft.)
8. Glass area and type:
a. Clear Glass
b. Tint, film or solar screen
9. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
10.Net Wall type area and insulation:
a. Exterior: 1. Concrete (Insulation R-value)
b. Adjacent: 2. Wood frame (Insulation R-value)
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
17.Infiltration practice: 1, 2 or 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
SN: 2165
CENTRAL
New Construction
Single-Family
o
1.
2.
3.
4.
5. 1724.50
6. 2.00
7. 6.00
Single Pane
8a. 77.3sqft
8b.113.8sqft
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00, 195.50 ft
10a-1 R= 5.00, 994.93sqft____
10b-2 R=11.00, 340.20sqft____
11a.R=30.00 , 1810.73sqft____
12a. R= 6.00, uncond
13. Type: Central A/C
SEER: 10.00
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF : 0 . 88
16.
17.
18.
2
CF CV
19.
19a.
19b.
79.77
26797.65
33595.73
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy co;g. ~ J'
~~~~~ED %)1/:; , cd.J
I hereby certify that this building is
~~d~~mPlian~h~l~nergy
OWNER/AGENT .. .
DATE: It)
/
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 OFFICI~&..~~
DATE: /0 -5 (-
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
=== BASE === === AS-BUILT ===
===============================================================================
GLASS---------------- I
ORIEN AREA x BSPM = POINTS TYPE SC ORIEN AREA x SPM x SOF = POINTS
-------------------------------------------------------------------------------
NE 6.69 82.2 549.9 SGL CLR NE 6.7 77..2 .45 230.4
E 67.75 82.2 5569.0 SGL TINT E 13.0 107..1 .77 1076.3
SGL TINT E 13.0 107.1 .77 1076.3
SGL CLR E 18.9 109..2 .52 1070.9
SGL TINT E 13.0 107.1 .77' 1076.3
SGL CLR E 9.9 109.2 .57 613.7
SE 6.69 82.2 549.9 SGL CLR SE 6.7 112.9 .30 224.8
S 37.36 82.2 3071.0 SGL TINT S 18.7 98.3 .66 1213.0
SGL TINT S 18.7 98.3 .66 1213.0
W 72.58 82.2 5966.1 SGL CLR W 18.7 109.2 .77 1575.7
SGL CLR W 9.9 109.2 .71 765.0
SGL TINT W 18.7 107.1 .77 1545.4
SGL CLR W 6.7 109.2 .54 392.8
SGL TINT W 18.7 107.1 .77 1545.4
-------------------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
1,724.50
191.07
1.354
15,705.95
21,263.09 I
13,619.00
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
NON GLASS------------ I
AREA x BSPM = POINTS TYPE
R-VALUE
AREA x SPM = POINTS
-------------------------------------------------------------------------------
WALLS----------------
Ext 994.9 1.0 994.9 Ext NormWtBlock In 5.0 994.9 1.00 994.9
Adj 340.2 .7 238.1 Adj Wood Frame 11.0 340.2 .70 238.1
DOORS----------------
Ext 20.0 4.8 96.0 Ext Insulated 20.0 4.80 96.0
Adj 17.8 1.6 28.5 Adj Insulated 17.8 1.60 28.5
CEILINGS-------------
UA 1724.5 .6 1034.7 Under Attic 30.0 1810.7 .60 1086.4
FLOORS---------------
SIb 195.5 -31.8 -6216.9 Slab-on-Grade .0 195.5 -31.90 -6236.4
INFILTRATION---------
1724.5 10.9 18797.0 Practice #2 1724.5 10.90 18797.0
===============================================================================
TOTAL SUMMER POINTS I
36,235.48
28,623.59
===============================================================================
TOTAL x
SUM PTS
SYSTEM
MULT
COOLING I TOTAL
POINTS COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
36,235.48
.37
13,407.13 I 28,623.59 1.00 1.100
.340
.860
9,206.49
===============================================================================
*******************************************************************************.
WINTER CALCULATIONS
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
===============================================================================
GLASS---------------- I
ORIEN AREA x BWPM = POINTS TYPE SC ORIEN AREA x WPM x WOF = POINTS
-------------------------------------------------------------------------------
NE 6.69 -3.4 -22.7 SGL CLR NE 6.7 7.4 1.55 76.7
E 67.75 -3.4 -230.4 SGL TINT E 13.0 -2.0 -.24 6.3
SGL TINT E 13.0 -2.0 -.24 6.3
SGL CLR E 18.9 -2.2 -2.03 84.2
SGL TINT E. 13.0 -2.0 -.24 6.3
SGL CLR E 9.9' -2.2 -1.57 34.1
SE 6.69 -3.4 -22.7 SGL CLR SE 6.7 -10.3 -.54 36.9
S 37.36 -3.4 -127.0 SGL TINT S 18.7 -10.2 .68 -130.5
SGL TINT S 18.7 -10.2 .68 -130.5
W 72.58 -3.4 -246.8 SGL CLR W 18.7 -2.2 -.24 10.0
SGL CLR W 9.9 -2.2 -.59 12.8
SGL TINT W 18.7 -2.0 -.24 9.1
SGL CLR W 6.7 -2.2 -1.86 27.3
SGL TINT W 18.7 -2.0 -.24 9.1
-------------------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
.15
1,724.50
191.07
1.354
-649.64
-879.50 I
58.02
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
NON GLASS------------ I
AREA X BWPM = POINTS TYPE
R-VALUE
AREA X WPM = POINTS
WALLS----------------
Ext 994.9 1.1 1094.4 Ext NormWtBlock In 5.0 994.9 2.90 2885.3
Adj 340.2 1.8 612.4 Adj Wood Frame 11.0 340.2 1.80 612.4
DOORS----------------
Ext 20.0 5.1 102.0 Ext Insulated 20.0 5.10 102.0
Adj 17.8 4.0 71.2 Adj Insulated 17.8 4.00 71.2
CEILINGS-------------
UA 1724.5 .6 1034.7 Under Attic 30.0 1810.7 .60 1086.4
FLOORS---------------
SIb 195.5 -1.9 -371.4 Slab-on-Grade .0 195.5 2.50 488.8
INFILTRATION---------
1724.5 4.1 7070.4 Practice #2 1724.5 4.10 7070.4
===============================================================================
TOTAL WINTER POINTS I
8,734.19
12,374.52
===============================================================================
TOTAL X
WIN PTS
SYSTEM =
MULT
HEATING I TOTAL
POINTS COMPON
X CAP X DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
-------------------------------------------------------------------------------
8,734.19 1.10
9,607.61 I 12,374.52 1.00 1.100
.515
1.000
7,010.16
===============================================================================
*******************************************************************************
WATER HEATING
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
NUM OF
BEDRMS
x
MULT
=
TOTAL
I TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL
3
3527.0
10,581.00 I
40
.88
1.000 3527.0 1.00 10,581.00
===============================================================================
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
===============================================================================
COOLING
POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL I COOLING
POINTS POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
13407.1
9607.6 10581.0 33,595.73 I
9206.5
7010.2 10581.0 26,797.65
===============================================================================
*****************
* EPI = 79.77 *
*****************
'. .
ENERGY GUIDE
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B-93
EPI= 79.8
o 10 20 30 40 50 60 70 80 90 100
I-------------------------------x---------I
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS..................... Single Tint
SINGL CLR DBL TINT
I------x--------------I
INSULATION. . . . . . . . . . . . . . . . . .
Ceiling
R-Value......... 30.0
R-10 R-30
I--------------------xl
R-O R-7
I--------------x------I
R-O R-19
Ix--------------------I
Wall
R-Value......... 5.0
Floor
R-Value......... 0.0
AIR CONDITIONER.............
SEER. . . . . . . . . . . . . . . . . . . . .. 10. 0
10.0 SEER 17.0
Ix--------------------I
HEATING SySTEM..............
Electric HSPF............ 6.6
6.8 HSPF 12.0
Ix--------------------I
WATER HEATER................
Solar EF..............
0.88 0.96
Ix--------------------I
0.54 0.90
1---------------------1
0.40 0.80
1---------------------1
Electric EF.............. 0.88
Gas EF.............. 0.00
OTHER FEATURES..............
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
FL-EPL CARD93
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Whole Building Performance Method A
BUILDER:
PERMITTING
OFFICE:
PERMIT NO.
FORM 600A-93
PROJECT NAME:
AND ADDRESS:
OWNER:
1. New construction 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)
5. Conditioned floor area (sq.ft.)
6. Predominant eave overhang (ft.)
7. Porch overhang length (ft.)
8. Glass area and type:
a. Clear Glass
b. Tint, film or solar screen
9. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
10.Net Wall type area and insulation:
a. Exterior: 1. Concrete (Insulation R-value)
b. Adjacent: 2. Wood frame (Insulation R-value)
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
17.Infiltration practice: 1, 2 or 3
18.HVAC Credits (CF-ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
SN: 2165
CENTRAL
CLIMATE
ZONE: 41_1 51_1 61_1
JURISDICTION NO.
CK
New Construction
Single-Family
o
1.
2.
3.
4.
5. 1724.50
6. 2.00
7. 6.00
single Pane
8a. 77.3sqft
8b.113.8sqft
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 , 195.50 ft
10a-1 R= 5.00, 994.93sqft____
10b-2 R=11.00, 340.20sqft____
11a.R=30.00 , 1810.73sqft____
12a. R= 6.00, uncond
13. Type: Central A/C
SEER: 10.00
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF: 0.88
16.
17.
18.
:2
CF CV
19.
19a.
19b.
79.77
26797.65
33595.73
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
PREPARED BY: ~I U
DATE: /i
I hereby certify that this building is
in compliance with the Florida Energy
:::~/AGEN~: ~ RJ If~
DATE: 1$ ~
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
553.908 F.S.
~~ -
BUILDING OFFICIAL: .-- J .1 A. ..........J? Lb.-
DATE: ('0 - "C'/-9
-
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
--- BASE --- --- AS-BUILT ---
===============================================================================
~~~~--~~~-~-;;;;-:- POINTS I
NE
E
6.69
67.75
82.2
82.2
549.9
5569.0
SE
S
6.69
37.36
82.2
82.2
549.9
3071.0
W
72.58
82.2
5966.1
TYPE
SC ORIEN AREA x SPM x SOF = POINTS
SGL CLR
SGL TINT
SGL TINT
SGL CLR
SGL TINT
SGL CLR
SGL CLR
SGL TINT
SGL TINT
SGL CLR
SGL CLR
SGL TINT
SGL CLR
SGL TINT
NE
E
E
E
E
E
SE
S
S
W
W
W
W
W
6.7
13.0
13.0
18.9
13.0
9.9
6.7
18.7
18.7
18.7
9.9
18.7
6.7
18.7
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
.15
1,724.50
191.07
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
13,619.00
1.354
NON GLASS------------ I
AREA x BSPM = POINTS TYPE
15,705.95
R-VALUE
77,.2
107.1
107.1
109.2
107,.1
109.2
112.9
98.3
98.3
109.2
109.2
107.1
109.2
107.1
ADJ GLASS
POINTS
21,263.09 I
.45
.77
.77
.52
.77
.57
.30
.66
.66
.77
.71
.77
.54
.77
230.4
1076.3
1076.3
1070.9
1076.3
613.7
224.8
1213.0
1213.0
1575.7
765.0
1545.4
392.8
1545.4
GLASS
POINTS
AREA x SPM = POINTS
WALLS----------------
Ext 994.9 1.0 994.9 Ext NormWtBlock In 5.0 994.9 1.00 994.9
Adj 340.2 .7 238.1 Adj Wood Frame 11.0 340.2 .70 238.1
DOORS----------------
Ext 20.0 4.8 96.0 Ext Insulated 20.0 4.80 96.0
Adj 17.8 1.6 28.5 Adj Insulated 17.8 1.60 28.5
CEILINGS-------------
UA 1724.5 .6 1034.7 Under Attic 30.0 1810.7 .60 1086.4
FLOORS---------------
SIb 195.5 -31.8 -6216.9 Slab-an-Grade .0 195.5 -31.90 -6236.4
INFILTRATION---------
1724.5 10.9 18797.0 Practice #2 1724.5 10.90 18797.0
===============================================================================
TOTAL SUMMER POINTS I
36,235.48
TOTAL x
SUM PTS
SYSTEM =
MULT
===============================================================================
28,623.59
COOLING I TOTAL
POINTS COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
36,235.48
.37
-------------------------------------------------------------------------------
9,206.49
13,407.13 I 28,623.59 1.00 1.100
.340
.860
===============================================================================
*******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
--- BASE ---
--- AS-BUILT ---
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
~~~~--~;~-~-;;;;-:- POINTS I
NE
E
6.69
67.75
-3.4
-3.4
-22.7
-230.4
SE
S
6.69
37.36
-3.4
-3.4
-22.7
-127.0
W
72.58
-3.4
-246.8
TYPE
SC ORIEN AREA x WPM X WOF = POINTS
SGL CLR
SGL TINT
SGL TINT
SGL CLR
SGL TINT
SGL CLR
SGL CLR
SGL TINT
SGL TINT
SGL CLR
SGL CLR
SGL TINT
SGL CLR
SGL TINT
NE
E
E
E
E
E
SE
S
S
W
W
W
W
W
6.7
13.0
13.0
18.9
13.0
9.9
6.7
18.7
18.7
18.7
9.9
18.7
6.7
18.7
.15 X CONDo FLOOR / TOTAL GLASS = ADJ. X GLASS =
AREA AREA FACTOR POINTS
.15
1,724.50
191.07
-------------------------------------------------------------------------------
-------------------------------------------------------------.------------------
58.02
1.354
NON GLASS------------ I
AREA X BWPM = POINTS TYPE
-649.64
R-VALUE
7.4
-2.0
-2.0
-2.2
-2.0
-2.2
-10.3
-10.2
-10.2
-2.2
-2.2
-2.0
-2.2
-2.0
ADJ GLASS
POINTS
-879.50 I
1.55
-.24
-.24
-2.03
-.24
-1.57
-.54
.68
.68
-.24
-.59
-.24
-1.86
-.24
76.7
6.3
6.3
84.2
6.3
34.1
36.9
-130.5
-130.5
10.0
12.8
9.1
27.3
9.1
GLASS
POINTS
AREA X WPM = POINTS
WALLS----------------
Ext 994.9 1.1 1094.4 Ext NormWtBlock In 5.0 994.9 2.90 2885.3
Adj 340.2 1.8 612.4 Adj Wood Frame 11.0 340.2 1.80 612.4
DOORS----------------
Ext 20.0 5.1 102.0 Ext Insulated 20.0 5.10 102.0
Adj 17.8 4.0 71.2 Adj Insulated 17.8 4.00 71.2
CEILINGS-------------
UA 1724.5 .6 1034.7 Under Attic 30.0 1810.7 .60 1086.4
FLOORS---------------
SIb 195.5 -1.9 -371.4 Slab-on-Grade .0 195.5 2.50 488.8
INFILTRATION---------
1724.5 4.1 7070.4 Practice #2 1724.5 4.10 7070.4
===============================================================================
TOTAL WINTER POINTS I
8,734.19
TOTAL X
WIN PTS
SYSTEM =
MOLT
===============================================================================
12,374.52
HEATING I TOTAL
POINTS COMPON
X CAP X DUCT X SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
8,734.19 1.10
-------------------------------------------------------------------------------
7,010.16
9,607.61 I 12,374.52 1.00 1.100
.515
1.000
===============================================================================
*******************************************************************************
WATER HEATING
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
NUM OF
BEDRMS
x
MULT
=
TOTAL
I TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL
3
3527.0
10,581.00 I
40
.88
1.000 3527.0 1.00 10,581.00
-------------------------------------------------------------------------------
-------------------------------------------------------------.------------------
*******************************************************************************
. . SUMMARY
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
COOLING
POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL I COOLING
POINTS POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
13407.1
9607.6 10581.0 33,595.73 I
9206.5
7010.2 10581.0 26,797.65
===============================================================================
*****************
* EPI = 79.77 *
*****************
ENERGY GUIDE
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B-93
EPI= 79.8
o 10 20 30 40 50 60 70 80 90 100
I-------------------------------x---------I
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS..................... Single Tint
SINGL CLR DBL TINT
I------x--------------I
INSULATION. . . . . . . . . . . . . . . . . .
Ceiling
R-Value......... 30.0
R-10 R-30
I--------------------xl
R-O R-7
I--------------x------I
R-O R-19
Ix--------------------I
Wall
R-Value......... 5.0
Floor
R-Value......... 0.0
AIR CONDITIONER.............
SEER. . . . . . . . . . . . . . . . . . . . .. 10. 0
10.0 SEER 17.0
Ix--------------------I
HEATING SySTEM..............
Electric HSPF............ 6.6
6.8 HSPF 12.0
Ix--------------------I
WATER HEATER................
Electric EF.............. 0.88
0.88 0.96
Ix--------------------I
0.54 0.90
1---------------------1
0.40 0.80
1---------------------1
Gas EF.............. 0.00
Solar EF..............
OTHER FEATURES..............
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
Address:
Builder ~tJ. ~ /
Signature: '. ~
Date:-#-
City/Zip
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs
FL-EPL CARD93
::JftAJ()~^I Ie; /10/95
CITY of Z6PHYR.-I-JILLs
JJ lJ IllJ I tJ G j) MJT.
533E 8'TH STftEtT
B&c/<.' uJ/\)sr .z::NC.'.
1/ tJ. /30 X /'19 E"
ZUH1~l-lIL{S / r=t. / 53.lJ-lf3
',0 tv J-J()M II jY) ;C} f C~N cr~->> ;
..r A-1'YJ /.J/Z-IT7 N G TO IIV A?~ )17u ~ ~<5P/U2.?7Y)l GAl r oP
fi SI.Jg-Cz>Al r~49~Je CIItq,vGc ov "oc;~/r ~ Lfif.2.7.B.
rJ.H:;:- 11/~ C~)A1/J/ 1JlJN/NG ~I.i~ /S ON "€cCb,e/.J 45 f34'II-AZ J.
PR-/J(/;!ffVC 6Y}-.s A--NA /J. C, . 8M~5 /S" Alo Lv#b'G-tf' ~
Ale h1~IG.A-L Sa6.- CvN~C'WI€_
rJ/-€.- #~A/ /' CtJ~c,r .S-'.J~-a/\J7'Jf?AC/1t?1€ WILL-!:iS
.I} tj. B S b;eV I C€ S ( J+r.A9- T1A1 G if /9-1 ~ CoAl .lJ /77tJ ,..J /# G)
Llc/3..1115c -#- R./i. 05//.5. PIfoAlE--# /-~oo '-30;-3129.
~,K.. you J
vJL If) B~
flfl./ES'I ~ G:N'/, B,4cj.~ C1JAi.s.r:. ..IAlC_
.~
( j
\
J,..-z:!/l-1..-f.LC1..
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, // I"
/v /7/IS~
11/. -;~/ -~Lu
if ()-1SLA'~ ~L-'7'- t~1
, ("I
~~ut;e .
*i' ItA IN A. CAP
State of Florida
(\ M-, Comm. Exp Jan. 17, 1998
Comm. , CC 337313
- -- -,- -'- - - --- - - -,------ - - - ,-- - -,--- ---- - - - - -' -'-1
;I'
\,~.
0/1
C E N 1 R ALP E R M I r TIN G
PASCO COUNTY, FLORIDA
Lh~l f'F. ~ !~I::~ /1 ul/ ,)C:;
i>{;C+,: 1 CF 1.
C.C1Nl F:ACTOr:: tt;
NP\i'1L ~ ,Ej I LL [i(IC:<
ADDR: 5647 17TH 8T
C/:~;l: ;~-HIL..L::; FL.
[:~::::)JE (IFF I '.F: :J
RECEIF"Y r',IUrl!~~f:,~ l:)(:':j,Q2149
C;FF 1 CE ~ [1,'1[:E C r Tl
F-Of-i: :
CHEC!< :j:~
,1 1..1
COt"lF'N\'
B[j.~::fO
::::01.. I D WA:::;;TE FCIF<
(:ITY C'F Z"'HIL.L';:;
TOT AL ?iMCiUI"!T ~
ACCOUNl CENTER
PEHMIT ':;-4278
:~~ '~i . (;. f)
(iC(::!'>~ r
... 3/:.3000 -
".'
,,,"
PH10Uf\IT DESCF< 1PT I ON/I::'\:'F';;f"\T L'?~r~\
::::';:<. ,~,O lHHl'**'!~ '::;OL I D (.'{':V;'H: r r::E
UF:/CF:
60
/
HEeL I \jELI B\'
(
\
,'- / l,( ~\
\,-)O<~ ",~.~_.,__~~,_.~,~=:::~"c, .- " ;{: \. r-~: ..r--"" "
-~-~,>'-~"'''-''--_._--'__'",,*'''!':-'~__~~'''.4~~M_ ,_._ _,'
""^' .'
// ,
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'.."
, .
7;:"~....-*w'''''f.',,~''''''''~'_'''~'.-.:'__---''''''' "'''.'" .~-': --<,:'~"'7'f'~' -:-~,.~ -""'~"'1""';'",::'
".:'7-,........",-.~r..~ .
PASCO COUNTY, FLORIDA
;-'
Permit No.
/
Date Permitted
Builder Name/Owner Name
_..i
County Parcel No.
Location
!
Subd.
Classification/Type of Use
l
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./Unit
PreparOO-/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) ,"
."./
l~ '...~
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
TOTAL FEE $
"
TOTAL FEE $
*Discounted for Prepayment
The above assessment has been established pursuant to the Pasco County Ordinance No. 89-07 and Resolution No. 89-197,
as commended.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF
OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building 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.~.l-r~ I -.< '/
DATE .
DATE,":'~. J 1/7 I
/. I
.I
;
.I' .J<
BY
BY
(
t
i,'
t. I t
/;; ..~ >"I,""~""""""~
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce