HomeMy WebLinkAbout95-4616
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 788-6611
461613
Date /-/3-5s-
~tJ9...s7J
BUILDING
.57. ? S-
ELECTRICAL
~ --. c7V
PLUMBING
do. en)
MECHANICAL
Sewer Conn ~d.-7 81 dV
Water Conn: 3.521 -/ro
.,~ \
Water Meter: I t......s, (IV
T.I.F.'s:
Jf. ~
Property Owner: ~~ "~
Job Address: 3 f:L r A '.A ~
Parcell.D, # / 0 ~cQb-~ 1- 0/ 0 '. EJ 00()"0- OJ-tO
Zoning: Energ.>> Code: R~on Gas: IS. ~
Description of Work ~../A) ~;..~ \7CA.~ &-&{.Jeff~<!
' (]
NO OCCUPANCY BEFORE C.O.
FINAL~'
DATE
C.O. ~'-/L/- y..s~
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordarce with City Codes and Ordinances,
Inspector
City License Registration #
State Certified License#
~
Pe,mit Fee 3~ ~ -----
Signatur~~~
Company
Address
Telephone#
Valuation or
Contract Price
I;f -5-- 769. 0-0
-
-- f(r~ (;ry,J
BUILDING
1l1~
ELECTRICAL.;L 7/
~~~-
PLUMBING /s:!:..
JXLt~ ~~0-/C
MECHANICAL? .f/
Ftr. I-I ~~t? BllL-
Pre SLB J-Z.3..fj<) &V-
Lintel
FRM. ,j3~i~ 6c.Lf--=- Canst. Pole v1-.:Ib'~ewer
Insul. CL_ - \~_ "5" ~ Pool Final
WL pre-Meter-:3-:- ~-:::a-.b
~bti - ~1-1f 'jlU-- 2 Final
Driveway v'l--l.2-f~ pJtL. t;oo1i((\-- f-/?,-'jt)' gub
Ww.L~I"~\-~~>>~ '
Tp. Servo SLB /- Z,;.C?~ BiLJ-
Rough In~""J~-'1?'~ Tub Set ~- J6-~ If3Ltl
Meter Can L -/3 -B Water
j-~4) ~L(...-
Breakers
Ducts 'nSI.~-IS.;CKfGct.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons~ ~ ? _ _
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: r- -~ - ~
)/~ ~-/':7".t?~---T /-/J-Y-J - _
-~;I;; r .I (<.y.s- ,:.? ...../6---9~
Yl
c.
d.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
e.
f.
g.
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:
$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
r.
~~M
\; ,
\.
,
\
'\
PERMIT FEES
BUILDING: 407.50
PLUMBING: 55.00
ELECTRICAL: 59.75
MECHANICAL: 30.00
SUB-TOTAL: $552.25
CREDIT:~
TOTAL: $512.25
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $2,320.48
APPLICATION FOR PER!>IIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
A "-
, ~ Ktp (}L d:I~- i':?-_
/ --
/-1;2 /lti
APPLICANT ~ tv\. A..u e.Ot'\,)S+~V-C..'~-\.6 ~ } S~ ~..
ADDRESS ~-'~'d-'S '5.,(2.. S4 'V\\-Z-\--', \ \~
OWNER ~u,,,.J ~ Yn N
\ ..L >F-., \.\ \ ,,_ J'7lf[) (
JOB LOCATION ~ 0 {" 8 \c:). V\J c..D6<"'..JOCH~
LEGAL DESCRIPTION: LOT(S) ~lo
PHONE (fO '2- ' O~) l- ~
- .::sOh t().. ~ C/t..:) _' (;"lJ
ZE~XqO AREA SQ.FT.4S"\O
BLOCK
SUBDIVISION ~ (.oc."( WOo ~ -
PARCEL 1. D,!~
\0 ~ :')..<0- ~\.- O\"d--O - 00000-0 B~O
WORK PROPOSED: )( New Construction _Addition _Alteration _Repair _Install
_Sign/Temp. _Sign _Move _Demolish
PROPOSED USE: ')( Single Family _M/F _IF of Units __M/H
_Commercial _Indust. _Swim, Pool Other
~~ _Restaurant & Health Department Approval
BU1LDING SIZE: 30 xa. \~~3 Square Feet, ~' Heiglll
RESIDENTIAL:
COMJ1ERCIAL :
A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S,"-'
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS.H
**COPY OF CONTRACT REQUIRED,
_BUILDING
PERMITS REOUESTED
$ 45) '00 Valuation of Total Construction
~CXJ AMP Service Florida Power Corp.
L\~.R,E.C,
_ELECTRICAL
>if
_MECHANICAL
$
0.....
~OOO '-
Valuation of Mechanical Installation
_PU::1BING
GAS
ROOFING
SPECIAl.TY
TYPE OF CONSTRUCTION: _Block ~Frame _Steel
FINISHED FLOOR ELEVATIONS: FT. - BFE i-
Other
******************************************
\ /' -::::> CONTRACTOR SECTI~ { . _
BUILDER r".eu I ~ 1''( N\A;::; Company ~ 'tvv\~ . CoNS'+-~-\-l~ ~.
.. \~~ State Cert, or Regist, 41 eg"e.-O~s\~
Signatu~,- ~ - City License Registration 11 $3 S-
*********************************K********
Company ~/~ JlJ/I1t'J trv".,..)i? ,5
s~ate ~ert. or R~gist, ,;.' . RI- f~f'7'hJ
City License Registration ~
******************~*******************
Signature
MECHANI C~~ O. ~ \6,..-\-, a... ' Company '&AI:1a.\. G ... So 4- Ai <iL
L ' t State CerL or RegisL I! e...llC2"~'l.'te:,
Signature ~ ~ City License Registration 1/ ~ 7t;'
~ ******************************************
OTHER
Company
State Cert. or Regist. 0
City License Registration #
Signature
APPLICATION APPROVED BY
********************
PER!'IIT OFFICER.
CONDITIONS-OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this peClit aay be subject to 'deed restrictions" wbich lay be lOre restrictive than City
regulations, Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions,
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, they aay 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 lay be
cited for a lisdeieanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing
requirements lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (BI3)
788-6611.
Furtheraore, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
.Contractor Sections. of this application for wbieb 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 tbe work, If the contractor wishes you to sign
as contractor that aay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrhills,
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - Hoaeowcer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
.owner", I certify that I bave obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
I'owner" prior to couencl!.lent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in co.pliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perfoCled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction, I also
certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
t Department of Bnvironaental Regulation - Cypress Baybeads, Wetland Areas and Bnvironaentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Managl!.lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US Environaental Protection Agency - Asbestos abatl!.lent
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 uCOlpensating volUle. will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance,
A perlit issued sball 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 shall issuance of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code, Every per.ait issued sball becOle invalid
unless tbe work authorized by such peClit is couenced within Sil IOnths of issuance, or if work authorized by the perait is
suspended or abandoned for a period of sillOnths after the tiAe the work is cOllenced, One 90 day extension of tiAe, laY be
allowed for the peClit with fee charge of $15,00, The extension shall be requested in writing to the Building Official, An
approved inspection lust be logged during each Sil aonth period, or the project will be considered abandoned,
WARNING TO OiHER: YOUR FAILURE TO RECORD A NOTICE OF COHMENCEHENT MAY RESULT IN YOUR PAYING rwlCE FOR IMPROVEHEHfS TO YOUR
PROPERTY, IF YOU IH'J'EHD TO OB1'AIH FlHAlICING, CONSULT IIITH YOUR LENDER OR AN AnORHEY BEFORE RECORDING YOUR MOTlCE OF
COMHEHCEHEH'l, JOBS UNDER $2,500 1M VALUE 00 NOT HEED TO RECORD AND POST A 'NOTICE OF COKMEHCEHEH'lN,
~~ .~
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this :!(\w \ 0 19 q S by
STATE OF FLORIDA
COUNTY OF
The foregoing instrumeqt was ackn~wledged
before me thi!OP'lV 16.:;tA. , 1932- by
who i personally or who has
produce
as identification and who did/did not
take I~ oath., /J /I .
~ ~~"^
(Signature)
(Nam~ Typed, Printed or Stamped)
NOTARY PUBLIC
who is personally to me or who has
produce
as identification and who did/did not
take ~ ~~
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~,
*JW.,.--,c.
'..' --""
.,
'\~Qf~
DONNA M SINCLAIR
My Commission CC382618
Expiroa Jun. 14. 1&Q8
;A'
*,~*
-.~Qfp..~'I)'<
DONNA M SINCLAIR
My CunlhliNlon CC382819
FxpwesJun, 14.1998
....;1'1. UL.- ._J ~l
"" ., -" ,. / 11" 1..1. ~ I ,
FL..OPIDA ENEP, E
F () ~~ M (,00 i"l -' 9 3 F3_e sid en t i a 1
f=.!~U H:"~~ [ NAME: W~ c~cgz....v_n,;-'OcP- _
{~N [) A[)[)R E S S~' - . d+ _ 'Z'- lo I S-z ~
c3 7'1:1{ fJ . -' ,'no ~
Dl.Jf'IE R :
ICIENCY CODE FOR BUIll G JNSTRUCTION
Component Prescriptive Method A
: BU.ILDE[~: QLfVV'(\.~ c.~
:PERMITTING,. :CLIM(\TE
:OFFICE:~~ :ZONE: 4:~5:_: 6:_:
: PERMIT % :di;6Ib t3 : JURISDICTION NO .bl/fooD
CK
1." New construction 01- addition
;.:. Single family detached or Multifamily attached
3. If Multifamily-No. of units
4. If Multifamily, is this a worst case (yes/no)
c, (:onditioned floor area (Sq "ft.)
{:>. P 1 e dOl n i n ant e a v e 0 v e r h a n g (f t . )
l. I'()r(~h overhang length (ft.)
r, (;J(1':''.';' area and type:
~1. (:1.ear Gla':'3s
h. lint, film or solar screen
? ["Lool type and insulation:
(1. Slab on grade (R-value, perimeter)
lO.Net Wall type area and insulation:
a. Exter'ior: 2" Wood frame (Insulation R-'value) 10a-2 R=11.00, 843.70sqft._
a. Adjacent: 2. Wood fl-ame (Insulation R--value) 10a-2 R=11.00, 211.40sqft_
11.Ceiling type area and insulation:
d. Under attic (Insulation R-value)
l;? . i"l i. r d i. s t 1" i but ion s l' s t ems
a. Ducts (Insulation + Location)
13.Cooling system
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Purnp)
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
11a .R=22 ,,00 , 1090,00sqft_____
12a. R= 6.00 , uncond
13, Type: Central AIC
EER: 9.30
14, Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF : 0 .88
16.
17.
18.
~.
.::;,
19,
19a,
19b,
93.77
20243.52
21587.71
- ..- -- -.. ..'~ - - ..- -- .- -- - -- _.. -- 0.- -'- .- - - - - - _ _ _ _ _ _ _ ,_ __ __ _ _. __ ~ ... _.. _.. _ __ _w _ __ _. ..4 _ _.. _ _~ _ _.. _ _ _ _ _ _ _w __ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _.._ _ ..~ ....
___M_____.___.______________________~___~______________________________________________
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.
I Hereby certify that the plans and
specifications covered by this calcu-
lation al"e in compliance with the
Florida Energy Code"
P F< [Pi"l RF r, 8 Y ~ ~Y'\ c--=::...______.____
Di"l H:: :
I
I hereby cel"tify that this building is
in compliance with the Florida Energy
(: 0 de. _________~
OWNER/AGENT~ ~
DATE:
BUILDING OFFICIAL :/!'&~ ~ 0...
DATE: /- r~-9_S-
, 1. \. 1'\- t- ,-",.-t++,t--+-,,~,- '-I,+~t--,t--"""'''''--1'-",-+-~t"",+~l';r-.;r-....;",...;f'',,-*,;t:.
.. . SUMMER CALCULATIONS
;****~************************************************************************
=== BASE ===: === AS-BUILT ===
GLASS----------------
ORrEN AREA x BSPM =
=~:==~==~===========~=========~==~=============================:===============~=
I
I
POINTS :
TYPE
SC
ORIEN
AREA
x SPi"1
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
SGL TINT S 13.0 98.3 .66 844.8
SGL TINT W 40.0 107.1 .77 3309,2
SGL TINT W 13.0 107.1 .77 1076.3
SGL TINT W 13,0 107.1 .80 1115.7
,.. ~.- .- ... .- - - - - - '- - - - -- - -- - - - - - - .- -- -- -- -- ._- - .... - -- -. -- -- -- -- -- - ... -- - -. -- -- - - - -- - -- - - - - - -. - - - - - - - - - - - - - - - ---
,,15 x COND" FLOOR / TOTAL GLASS = ADJ, x
AREA AREA FACTOR
GLASS =
POINTS
GLASS
POINTS
ADJ GU~\SS
POINTS
c
.15
166,30
-------------.-----.---------------------------------------------------------------
10,413.87
1,090,00
.983
13,669.86
13,439.70 :
--------------------------------------------------------------.-----------------
----..--..--.---.-.------------..-----..--------------._---------------------------------------_._._.~
NON GLASS------------ :
AREA x BSPM = POINTS :
TYPE
R-VALUE
AREA x SPM = POINTS
----------------------------------------.-----------------------------------------------
WALLS----------------
Exl 843.7 1.0
Adj 211,,4 ,7
843,7
148.0
DOORS-.
[xL
('\dj
20.0 4,8
18.6 1.6
96.0
29.8
C [ 11_ I NC,S .. - --- -- -. ______H
1)('\ 1090.0 .6 654.0
r 1_ 00 r< S d... . - - - - .--. .- .- - - -- -
Slb 15~).0 -31.8 '-4929.0
I N r H. T r< A T ION - - - -. - - - - _.
1090.0 10,,9 11881,,0
[xt Wood Frame
Adj Wood Frame
Ext Insulated
Adj Wood
Under Attic
Slab-on-Grade
r>ractice 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
2::-:,163.14 :
-~~~~:~~==~===~~~~=~==~=~==~==~~~==~=~==~==~====================================
TOTAL SUMMER POINTS
.~~~~~~~~~==~~=~=~~~~~=~=~~~=~~=~====~~=~~=~====================================
20,223,02
TOTAl_ x
SW1 r'TS
SYSTEM
MULT
COOLING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
22,163,,14
.37
~.- ..- - - - -. -- - ~- - - ~- -- - ..- -- .... ,-- -._ __ ~_ __ _.,_ _ _ _n __ ._. _ _ __ __. _ _ __ _ _ _ _ _ __ _ _ _ _ _. _ _. _ __ __ ___ _ _ _ _ _ _ _ _ _ _.. __
8 , 156 .62
8,200,36 : 20,223.02 1.00 1.100
.367
1.000
~=:~=~~~~~====~==========~====~==~===~====~~===~================================
t f. .1'.1 I. .f.. -f~ ,f. ,,- ,t..+ .,., ,t-.+.+ ,"" ""'.t-- '... '*' -*';t- *' -* *.
~~ '**********************"~*' "*********************
WINTER CALCULATIoNS
~****~~************************************************************************
=== BASE ===: === AS-BUILT ===
GLASS----------------
ORIEN 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 COND" FLOOR / TOTAL GLASS = ADJ. x
AREA AREA FACTOR
GLASS
POINTS
AD] GU~SS
POINJS
GLASS
POINTS
. 1 :,
166.30
- -_. -- _. -....- - -- - -- _. .- -. -- -" ---- -,- ... -- - - -- -- -- - -- -. -- -- -- - - -- - - - - - -- - - -'. -- - - - - - - - -- -- - - - - --- - - - -------
767.04
--------------------------------------------------------------------------------
.. ~_. . , .'" ._-, . '. -.. uu .',. -~ -- _. ~- -- -- -- _ _ '__ ~_ .... __ __ ._. ___ __ __ __. __. ~_. _. ___ __ _.. _.. ___ _ _ _ __ _. _ vu ... _.. _ ~_ __ __ .._ _ _ _ _ _. __ _ _ __ __._ _. _ _ ._ _ __ __ _~ _ _ _ _ _'__'
1,090.00
NON GLASS------------
~REA x BWPM ~ POINTS :
. '183
-" 5 6 5 , 4 2
-55~).90 :
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
~dj 211 .4 1 .8 380.5 Adj Wood Frame 11 .0 211 .4 1.80 380,5
DOOf<S -- ..- -~ - - __ _~ __ ._~ -v __ _. __
Ext 20.0 5.1 102.0 Ext Insulated 20.0 5.10 102,0
~dj H3.C 4.0 74.4 ~dj Wood 18.6 5.90 109.7
CCIL_INGS- u_ .._ ___ __ __ __ _ _ _ _ _
U~ 1090.0 .6 654,0 Under Attic 22,0 1090,0 .90 981,0
rLOORS---------------
SIb 155,,0 --1 ,,9 -294" :l Slab-on--Grade ,0 155,0 2.50 387.5
INFILTRATION---------
1090,,0 4.1 4469,0 Practice 112 1090.0 4,10 4469.0
TOTAL WINTER POINTS
I
I
5,757.59 :
~~~~~=~=~===~===========~=========================~~===========================
~==~====~=~===============~~===================================================
8,884.20
TOTAL x
WIN PTS
SYSTEM
MULT
HEATING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
5,757.59 1.10
f-, ,333 .35 :
-----------------------.~---------_._----------------------------------------------
5,032.90
=~====~~~===========~====~===~======~~=========================================
8,884.20 1,00 1.100
.515
1.000
Ll;l_1 \u r UU J... UL
ror detailed iOlfol'mation
of th6,EPI rating number
o {. f 0 1- any I T E M lis t ed,
ask your Builder for
DCA Form 600A-93
or Form 600B--93
Ef'I== 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
WI NDOl.JS " . . . . " . . . . " . . . . . . . . .. Sing leT i nt
SINGL CLR DBL TINT
:------X--------------:
I f\ISUL.A T I ON . . " . . . . . . " " . . . . . . "
R--10
R-30
Ceiling
R-Value.........22.0
:------------x--------:
R-O
R-7
Wall
R- Val u e . . . . . . . .. 1 1 . 0
:----------~---------x:
R'-O
R-19
Floor
R-Value......... 0.0
: X - - .. .. - - - - - - - .- - - - - - - - - :
AIR CONDITIONER.."".......".
Sf::ElUEEr< . . . . . . " . . . . . . . " . .. 9.6
10.0 SEER 17.0
:X--------------------:
9.7 EER 16.0
IIEATINC ::,YSTEr1..............
Electl.LC COP/HSPF......". 6.6
6.8 HSPF 12.0
:X--------------------:
0.78 AFUE 0.90
, ,
1---------------------,
Gas AFUE............ 0.00
WATEr< II EAT E R . . . . . . . . " . . . . . . .
Electric EF..."""........ 0.88
0.88 0.96
:X--------------------:
0.54 0.90
1 1
1---------------------1
Gas EF . . . . . . . . . . . . .. 0 .00
0.40
0.80
Solar
EF. " . . . . . . . . . . . .
1 1
1---------------------1
OTIIEf~ FEATURES..........".".
I certify that these energy saving features required for the Florida
[nergy Code have been installed in this house.
Builder ,\ r ~~
Signat~"l.'-~G
Addl-ess:
-
Date:
-
c -
City/Zip ,
r lor i d a E~ e r' 9 y e 0 d e f 01- E3-~- i i din 9 Con s t l' U c t ion -- 1 99 J
Florida Department of Community Affairs
FL-EPL CARD93
L .,_ .1, 'T' t" -I- 'f -1 1- 'f'- . t- --1' ,""' -to ~f' ,'"' ,r... 'f-. ~f~ ...,.....{.. ~,,, "~ ,.T~ ,1~ ,1,
~, ' W (1 T [ R HE r^I T I NG .
"r ,', ct'~ icJ;..t * * *- * ** * * * * * ** * * ** * ** *- ** * ** *- ** * ** ** ** ** ** ****** "'*** ***** *****************
~=~ BASE ~==: === AS-BUILT ===
~~~=~========================~==~=~============================================
NUM OF
BEDRMS
x
MULT
=
TOTAL
TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL
2
3527.0
7,054,00
80
,88
1 .000
3527,0
1.00
7,054.00
--------------------------------------------------------------,-----------------
.. - ..- - . ,,~ '.- ... .,- .,- .... ..~ _~ _ __ .._ ,~_ _.. ._ __ ... _~ ._ .__ ,__ .._ ..~ .... ._ ... ..~ ._ _. u~ ._ _. u_ ~. ... _'4 __ ._ h_ __ ._. _.~ __ .__ .__ .._ .._ __ ~_ _~ __ _ _ _ ._ ..~ _ _ _, _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ __
ct****-*************************-***************-**********************************
SUt1MARY
*******************************************************************************
=== BASE =""=
=== AS-BUILT ===
--------------------------------------------------------------.-----------------
- .- -~ ,-. ...- .~. - -. -- - - -- - -- - - - - - - -- -- - -- -- - - -. -. - -- -'. -- - -- - - -- .... -. - .-.. -- .-- -- -.. _.. -- -.. -- - - - - -- _. -- -. - - _. - - - - - - - - - - - - - .- -..- -
COOL_ I NG
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
--------------------------------------------------------------.-----------------
.... ..- ,.. -- ,.- .-, . . .,. ,- ... .- -- -~ .- --.. _ _ _ ~_ __ .._ _ _ _ _ ._ _ __ __ _ _ _ _4 _ __ _~ _ _ _ _ _ _ ._ __ _ _ _ _ _ _ ._ _ __ __ _ _ _ _ _ _ _ _. _ _ __ _ _ __ _ _ _ _ _ _ ._ _ _ __~_
*****************
* EPI = 93.77 *
*****************
OWNER
~~~
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
~.oN.s~,J . , ,
'De. <2. '0'1 ~ ~I n.-~ ~ W ~ Q&e. \..000~ /V\ IYN~. ~O~ ~B(o
\O-~~- ':)..\, 0\(;).0 "'00000"" OB\J20
JOB LOCATION
PARCEL I.D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES ~~VING DIHENSIONS & SETBACKS.
'5 \ 1
\
l \O"~3
N~~ 1(("$.,
S-\-a..v- L\--V\. a. e...
\0.6
~o~ S4.61
10.S
qo
UTILITY BUILDINGS
HUST SHOW SIZE &
FOUNDATION INFOR-
HATION.
5
(NOTE EXAMPLES 1 & 2)
STREET
5'
PC R. R"..s ~.\ IZE..
FRONT PROPERTY LINE
1. SETBACKS FOR Rl, R2 ZONING
601_
10'
P E
R X
0 I
\ 101 P S 10'
0 T 1 0'
s I
E N
0 G
20' 1
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60 I.
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
'."",-",+"
ELEVATION CERTIFICATE ~M~,~/tia~oJr?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 or LOMR).
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
STATE
ZIP CODE
~~YI
c
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1, COMMUNITY NUMBER 2. PANEL NUMBER 3, SUFFIX 4, DATE OF FIRM INDEX 5, FIRM ZONE e, BASE FLOOD ELEVATION
/;2 - /1- 91 A ~ (In AO Zones, use depth)
/ ;2..0 ~3..i- 6 ~o --.S -- C r C-s-
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 0 NGVD '29 o Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: I I I 1X15T: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 best
describes the subject building's reference level _ .
2(a). FIRM Zones A1-A30, AE, AH, and A (with BFE), The top of the reference level floor from the selected diagram is at an elevation
of I 1 1 18171, ~ feet NGVD (or other FIRM datum-see Section B, Item 7),
(b), FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of I I I I I I,U feet NGVD (or other FIRM datum-see Section B, Item 7),
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is W, LJ feet above 0 or
below 0 (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 [J 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? 0 Yes 0 No [J Unknown
3, Indicate the elevation datum system used in determining the above reference level elevations: 01IlGVD '29 0 Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM [see Section B, Item 7J, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2,)
4. Elevation reference mark used appears on FIRM: 0 Yes G}r:Jo (See Instructions on Page 4)
5. The reference level elevation is based on: G}actual construction 0 construction drawings
(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 I I 18I51.~ feet NGVD (or other FIRM datum,see
Section B, Item 7).
SECTION D 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 I I I.U' feet NGVD (or other FIRM datum-see Section B, 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
DAVID G. ARMSTRONG
LICENSE NUMBER (or Affix Seal)
4970
COMPANY NAME
C.-FRED DEUEL &ASSOCIATES,-~INC~.
CITY STATE
11t:;Ll1
TITLE
P.L.S.
ADDRESS
I
ZIP
PHONE
813-7
flcate for: 1) community official, 2) Insurance agent/company, and 3) building owner,
COMMENTS:
ON
SLAB
WITH
BASEMENT
A
ZONES
V
ZONES
ON PILES,
PIERS, OR COLUMNS
A
ZONES
v
ZONES
BASE
Fl.00D
~
~~~lll~~t~1
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
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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. Ft./Unit
Prepared By
'....t'
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
J
i
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)
~-~
TOTAL FEE $ "~::1.0.-: '
Assessment -
(GSF) x (ERU) X (0.. 1315) x (No. Days)
100
\
'.-"'~-'''''1
" J
..-
......~ -~j t
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 CERTIFlCATE 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
.~------
.--;,._.,-"---....-
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO. ~
l ,...: i A'
IP-i I"
I i
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce