HomeMy WebLinkAbout95-4617
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N.~
461715
y [J 7.S'l>
BUILDING
~~ 7~-
ELECTRICAL
Date ) - /3 --7-.5-
.
~-. t/z)
PLUMBING
.....? 0 - o-v
MECHANICAL
Sewer Conn ).c2 7 <f: tJ'O
,
Water Conn: 3~ V . diJ
Water l'y1~ter: / 6:>S ~ tlV
-
T.I.F.'s:
Pmperty Own., ~~e !;:
Job Address:....5 3 Y A()
P"ceII.O. # /6> ~6 -;1/- <::;1< 0 - QOOOQ - 0'170
Zoning, Ene'gy Code, ~'dOQG'" I-f, +
Description of Work ~~ ~(JcA \7f~ - '~fJ~ ..
NO OCCUPANCY BEFORE C.O.
FINAl3 -/(4 .k)~
DATE
C.O. ~l-/b-~~
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 # 6?:s -
State Certified License#
Permit Fee .\~::::S-c?~-
Signatur~~~ ~c.--
Company
Address
Telephone#
Valuation or
Contract Price
%-: '7 t, 9. d"V
.
,- ~aA1 ~
BUILDING
J1f II A7; ~
c:L7/
ELECTRICAL
~ 1/:::,-
PLUMBING ~-J
.(ja~A~~~
MECHANICAL p~
Ftr. j-13"'jtJ &tU- Tp. Servo SLB
Pre SLB l,2;3';5 BeL\. Rough In~-'S.....'i~ ~ Tub Set
Lintel Meter Can ~-~-
FRM. ~-I'1-6J~) t1~ Canst. Pole 1-;Jb~C;S6:4.
Insul. CL Pool _ Final Or.... I z:; -Cf5i Ltt
WL.:!J.-t 7.t!/J &I}- "'.-Met., ~- ~-j~
1.//' Final o/~~~ ~
Driveway v1--2..2..q~ 6'U- ~fYL.. ,? b
W-~ _ '- '1a...o I-/J--q, itx'
;)H~ {-Z,7-(h BjL
F2()Or ~ 2..-'5- 7~ .gl~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and O~/J 00 Dollars ($15.00) shall be made for each trip for each trade:
~~)-\{-f(<~~
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.
Breakers
Ducts Insl. ~...rS:-<P5"8;,t.
Compressor
Final ;"...6'-15-- '1S' 8Ar
...
~ ~ ~ ,~/-J2-7~
....2. ~~ ~---./ -
E~ t - / / 7- ))5--:J -/..s:.1~
~~ ~1>" , ,J
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
VALUATION:
$45,769.00
SQ. FT. LIVING:
1,209
PERMIT FEES
BUILDING: 407.50
PLUMBING: 55.00
ELECTRICAL: 59.75
MECHANICAL: 30.00
SUB-TOTAL: $552.25
CREDIT:f'S~~
TOTAL:~
COST/FT:
$35.00
SQ. FT. OTHER:
314
COST/FT:
$11 .00
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
1,278.00
350.00
165.00
$1,793.00
VALUATION
$45,769.00
DRIVEWAY
$20.00
ADDRESS
$20.00
FEE SHEET
$245.00
SQ. FT. UNDER ROOF
1,523
RADON GAS
$15.23
TRAFFIC IMPACT FEES
99%
1%
$0.00
$0.00
$0.00
GRAND TOTAL: $2,320.48
APPLICATION FOR PERNlT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
if?- f- r tL" .
Ah 1/, /-./ tJY:J- /} -- 5S--
(t' 78 / /j__C-/
APPLICANT --.R Y N\1\-i\J QOY\l S..\-e.V-c....~6~ ) -:r.N CL
ADDRESS ~lSd..S s.e, ~ W - Zt"phytzhl\\<;' PHONE{52-052~
OWNER _ ~ "1,0 ~.,. fYlf'''' l.::r" ""..::, \.! <:,N$,.C ,,:, . Q'15 /It/. V 4-ul; ~ (;J1
JOB LOCATION bo,,", ~q.., - ~ c..CC:r'~~ #V\A-f))OIC... LOT SIZE~X \O~ AREA SQ. FT. ~O \ 4--
LEGAL DESCRIPTION: LOT(S) q -, BLOCK SUBDIVISION ~<DQ,-.<:. Woo.Q
..
PARCEL I, D . ~.'
\ D - d&. . :9- \' 0 \d.O.- 00000 - ocr, 0
WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
PROPOSED USE: ~Single Family
____Sign
_Move
____Demolisll
____M/F
____IF of Uni ts
,____M / H
____Commercial
____Indust,
____Swim. Pool
Other
}
____Restaurant & Health Department Approval
BU1LDING SIZE: 1ID~~,
lS~3
Square Fee t ,
<O(
Heigllt
RESIDENTIAL:
CmU1ERCIAL :
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 FORNS. 1'*
**COPY OF CONTRACT REQUIRED,
~UILDING
PERMITS REOUESTED
$ 4<0,,00 Valuation of Total Construction
I
~OO AMP Service Florida Power Corp.
DO>
~o
.2s..--H.R.E.C.
____ELECTRICAL
"f
____MECHANICAL
$
Valuation of Mechanical Installation
____PLl~BING GAS
TYPE OF CONSTRUCTION: ____Block
ROOFING
~Frame ____Steel
Other
SPECIALTY
FINISHED FLOOR ELEVATIONS:
FT, BFE~
******************************************
Signature
CONTRACTOR SEC~ON
Company '-( M~ eo rvs-t-. -s: f0 . _
State Cert. or Regist. if c..~(:-O 35l~<t-
City License Registration iF ?3 5'""
*****************************************
v..J
ELECTRICIAN ~R..\~~-,:?",,~~)ts.. Company ~\.\~ ~\e(~~Q..
/,) .J\ ..-f- State Cert. or Regist. # 6.'{LoC)\~~4~
Signature 't)L~--- r- --.:~J~ City License Registration 1F 9, ,
******************************************
Signature
Company 4/h~ \) 11'111 e5
State Cert. or egist! #
City License Registration #
****************~*******************
~/J/ b'
~O~? ~J1
ICJIJ
-
Company BI\.~L'S GAS ~ A~
State Cert, or Regist. i.! ~ Be> 3'\ 4-e:>
Signature City License Registration # ./if' 713
******************************************
OTHER Company
State Cert. or Regist. if
Signature City License Registration if
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS'OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peI'lit lay be subject to 'deed restrictions" which 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 has hired a contractor or contractors to undertake work, they ~ay 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 lisdeaeanor violation under state law, If the owner or intended contractor are uncertain as to what licensing
requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Deparllent, (813)
788-6611,
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections I of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work, If the contractor wishes you to sign
as contractor that aay be an indication that he is not properly licensed and is not entitled to peI'litting privileges in the
City of Zephyrhills,
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - Hoaeowner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
'owner", I certify that I have obtained a copy of the above described docuaent and prO-ise in good faith to deliver it to the
"owner I prior to cOllenceaent,
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in compliance 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 cOJlenced prior to issuance of a peI'lit and that all work will be perfoI'led to leet standards of all laws
regulating construction, City codes, zoning requlations, and land developlent 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
tY responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include but are not li.ited to:
t Department of Environaental Regulation - Cypress Bayheads, Vetland Areas and Environaentally Sensitive Lands,
Vater/Vastewater Treallent
t Southwest Florida Vater Manageaent District - VeIls, Cypress Bayheads, Vetland Areas, Altering Watercourses
t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Vastewater TreatJent, Septic Tanks
t US EnvirODlental Protection Agency - Asbestos abate.ent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "cOlpensating volUle" will be sub.itted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance,
A pertit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor 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 shall becOle invalid
unless the work authorized by such pertit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is cOJlenced, One 90 day eItension of tiae, laY be
allowed for the peI'lit 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 six IOnth period, or the project will be considered abandoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY, IF YOU Ill'JEHD TO OBfAIH FIIWICIIlG, CONSULT VIfH YOUR LENDER OR All AnORHEY BEFORE RECORDING YOUR NOTICE OF
COKMENCEKIDI'l, JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COKKENCEMEll'J",
~~- ~~
STATE OF FLORIDA
COUNfY OF
The foregoing instrument
before me this rp.fIJ ja
was acknowledged
, 1995' by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this ::[f)rV 10 , 19 9-s- by
who is ersonally known to me or who has
produced
as identification and who did/did not
tak~^~. ~~'
(Signature)
(Nam~ Typed, Printed or Stamped)
NOTARY PUBLIC
who is personally known to me or who has
produce
as identification and who did/did not
tak~L~'
(Signature)
(Name Typed, Printed or
NOTARY PUBLIC
~,
* ~,~'J *
..~ .,..."
"'OF f\.#
Stamped)
~'\^"'<-to
.u:.
d'~1t OF p.~
DONNA M SINCLAIR
My Commission CC382619
Expires Jun, 14.1998
DONNA M SINCLAIR
My CornmiAIon CC38a018
Expn. Jun. 14.1888
OWNER
~o "'"' N
JOB LOCATION
PARCEL I.D. It
CITY OF ZEPHYRHILLS hUILDING bEPARTMENT
~.Q.JY\. Se. N ' .'
bCl'L~U $.~l CL<- "~. WC.h\G-<..\_0<:.~..;-~ M,~c;'n- '-~O*~ql-
I .
\<.:> ' ~I.c ,";:}..\- O\"LO- 00000- 6c"\lb
SHOW ALL EXISTING & PROPOSED STRUCTURES ~IVING DIMENSIONS & SETBACKS.
14~
(NOTE EXAMPLES 1 & 2 ) STREET
1, SETBACKS FOR Rl, R2 ZONING
60'-
10'
P E
R X
0 I
\ 10' P S 10'
0 T
S I
E N
D G
20'
FRONT PROPERTY LINE
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
~
! :l~:~-~ I
"
I
Nc\..0 \Ct"S"
Sk~("A-,^ (l..C
51 "30')( Si.~, 81 ,
I ,
...-
:)e; J
FRONT PROPERTY LINE
.
,
loq
4~
b("'l2..~YS\-\.\ a...~
2, SETBACKS FOR R3 ZONING
60'-
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0 I 1 0'
FRONT PROPERTY LINE
fi,\I'1 1)\)\)11 'j_l f~esidentLlJ Cdl11)Oflellt Pr'ec,cr .iptive Method A CE,'NTRAL.
PRl\JEi:r NAME: '.0 t))"'~-c::c,D'-~~&~_C : BUILDEr~: 'QL.(I'\^(\..!0 c.~
r:r'H) A[)[)PESSt;:&:,~" " 7' Q..., ~ : PERMITT~ING' i' 4 : CLH1ATE . ~
0"J3'1'1~vl ,'I,' :OFf:-ICE' :?ONE:: 4:,::": 5:_: 6:_:
Ol.Jf\IEr?: ~~ "'-l'V\0N.__Q :PEl~1'11'1 J. b/7.8 'JUR1SDICTION NO.~llb()O
CK
I'J ewe 011 S t [" U c t l 0 n or add i ~~i 0 n
,-. 5111918 family det.ached or MultifEllnily
If Multifamily-No. of units
4, If Mu,lt.ifDmily, is this a worst
c, (olldi t ionGd floor area (sq. ft. )
(:'. PI edolllinant eave overhang (ft.)
,7. I'olc-h ovr::rhallg lellgth (ft.)
n, I, 1 Fl ~:~ c: .:'\ I e a a J) d l Y f) e '
'I, !'!i-?c3r CJa,3S
I.), r j n I" f i 1 In 0:- Co> 0 1 a r S ere e n
'), rlof)1 type and insular.ion:
a. Slab on grade (R-value, perimeter
lO.Nf?t Wall type area and insulation:
a. Exterior: 2. Wood frame (Insulation
a. Adjacent: 2. Wood frame (Insulation
11"Cei.ling type area and insulation:
a" Under att.ic (Insulation I?-value)
1;:> . r^l i r d i s t )' i b u l ion s y s tern s
a. Ducts (Insulation + Location)
13.Cooling system
at.tac:hed
J
CDse (yes/no)
1 .
2.
3.
4.
5. 1090.00
6" 2 .00
7. 4.75
Single Pane
8a. O.Osqft
8b .166. 3sqft
New Con~;truction
Single-Family
o
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 , 155,00 ft
R--value) 10a-2 R=11.00, 843.70sqft_
R-value) 10a-2 R=11.00, 211.40sqft_"
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat. PUlnp)
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
- "- -- -.. -.'-. - ..~ -- .. -~ - -- -- .-- ,.- '0- - - - - - ~ _ _ _ _ __ _ _._ __ _u _ _. _, ... ..
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.
')
<.
19,
19a.
19b.
93,77
20243.52
21587.71
__ u_ _ __ __ _ __ __ .._ _. _. _ __ _ _. _. _ ~_ __ _ _ _. '_ _. ._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ._ ... ...
---"-----------------------------------------------------------------------------
I Her8by certify that the plans and
s p e c i fie a t ion s co v ere d by t It i sea 1 cu..
lation are in compliance vJith the
Florida Energy Code.
pr~[r:>r^lRFn fly :-~~Y\C___'
D A T [ :- .-------...----------
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is complet.ed
this building will be inspected for
compliance in accordance with Section
553.908 F .S.
I
-------------.----
I hPj"A!)y cert.ify r,hat. t.his bUilding LS
ill cOIJipliallce wit.h t.he FloricJa Energy
( 0 d '? ...------ ~
OWNER/AGENT~ ~~
DATE:
BUILDING OFFICIAL :e&.l ~ .-,f,l.. __.
DATE: r-I':5-?~ -
~t~~************************************~***~***~******************************
=== BASE === - ==='AS-BUILT ===
GLASS-----------_____
ORIEN AREA x BSPM = POINTS :
-------------------------------------------------------------------------------
..., .... -- - .. - .... ... -- " "" -- -- -- -- -- - -- -. ..- .... ... " " .... -- --- " .... .... -- .... ... .... .... -- .... -- -- .... -. ,.- -- -- -- -. -- .. - .. -- -- ". -- - -- -- -- -- - -. -- -- - - -- -- -- -. .... .... -- - __ ,_ __ ,.. n. ....
TYPE
SC ORIEN AREA x SPM x SOF = POINTS
-- -- - '" -- .- -- ... .... ---- - .- -- - - -- -- - - -- -. - - - -- .... -- -- - - .. -. -- -. -- -- - - -. -- - - - -" - - - - - - -. - - -- -- - - - - - - - - - - - - - - - - - - - - - - -
N 77.41 82.2 6363.1 Set_ TH.n N 13.0 51.5 .83 553.6
SGL. TINT 'N 13.0 51 .5 ,83 553.6
SGL Tun 1 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
E 9.86 82.2 810,,5 SGl_ TINT E 9.9 107.1 .78 820.9
5 13.01 82.2 1069.4 SC;L TINT S 13.0 98,3 .66 844.8
W 66.02 82.2 5426.8 5C.lL T I ~,IT ~J 40,,0 107.1 .77 3309,2
SGL TINT iAJ 13.0 107.1 .77 1076.3
:,GL TINT W 13.0 107.1 .80 1115,,7
. . . ~ "- -- -- - - - - .- - -- - -- - -~ -- - -- -- - - -~ ..- ,.. -- _.- -- - .----...------------.-----..----------------------------------
. 1 5 x C () N D. F I.. 0 0 R / TOT A L G LAS S '" AD J . x
AREA AREA FACTOR
GLASS
POINTS
-------------------------------------------------------------------------------
10,413.87
.15
1,090.00
166.30
. '783
13,669.86
-------------------------------------------------------------------------------
- -- -- -.. .. -. - - .- ... - .- .... ... '''' .-. ,- - -- ,.. ... -- -. ... -- .... ... - ... ... _ h ". .. .... _ _ __ _"_ _... _ _ ... __ ._ _ _ _ _. _ __ _ _ '" _ _ _ _ _ ._ _ __ __ __ _.._ _ _ ,,_ _ _ _ _.... __..., ...
NON GLASS----------__ :
AREA x BSPM = POINTS :
TYPE
... - ,.. - - - -- - ... -- - - - - - - -- -- - -- -. - -- ... _. - -- - -- .- - '" -. -- -. .--- _. -- -" -- - -- -- - -- _. - - - - .. .. -- - -- - - - - '- - - - - - - - - - - - - - - - - .-
WALLS----------______
Exl 843.7 1,,0
Adj 211.4 .7
843,7
148.0
[xt Wood Frarne
Adj ~Jood Frame
DOORS,,,
ExL
Adj
.... - .... - - .- - - - - - - - - -
20,0 4.8
18.6 1.6
96,0
29.8
Ext Insulated
Adj Wood
c r:: I L I N C; S ,. ... - - --... '--. ____ .. ___.
UA 1090.0 .6 654.0
Under Attic
r L 00f<5.. ". -- - -.- '''''' _.... _ _'_
Sib 15::'.0 -31,,8-4929.0
Slab-on-Grade
INFILTf<ATION-----____
1090.0 10.9 11881.0
Pract.ice tt2
--~~=~=~===================~==..=================================================
TorAL SUMMER POINTS
22,163.14 :
AD] GU~SS
POINTS
GLASS
POINTS
13,439.70 :
R-VALUE
AREA x SPM = POINTS
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... x
SU~1 r:'lS
COOLII\IG; TOTAL..
POINTS : COMPON
~-=~~~~~~==~======~===~=========~==~===========================================
20,223.02
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
SYSTEM
MUI... T
22,163.14
8,200.36 : 20,223.02 1.00 1.100
... .... .... ..- .-. .... """ - -- - .... . - -- .. -- ... -- -- -- .... -- .... .... .... -- -- -. .. ... .... -- --... -- '''' ... -- -- -- - - '- -- - -- - - - - -- -- -- -- _. -- _. - -- - - - - -- - - ... - -
8,156.62
~=~=~~-~~~===============================~=====================================
.37
.367
1 .000
GLASS-----------_____
ORrEN AREA x BWPM =
-,
-------------------------------------------------------------------------------
----..--------------------------------------------------------------------------
~*****~****~********************************~***~************************~*****
=== BASE === === AS-BUILT =::=
~" .... " '.--. , </ r\ L_ \...- \.J L_ t-i ! 1. u.' ~ .::)
I
I
POINTS :
TYPE
SC
ORIEN
AREA
x WPM
x WaF
:::: POINTS
-------------------------------------------------------------------------------
N 77.41 -3.4 '-263.2 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
[ '1.86 - 3 .4 -33.5 SGL TINT E 9.9 -~: .0 -.21 4.2
5 .1.3.01 '''3.4 --44.2 SGL TINT S 13.0 -10.2 .68 -90.9
W 66.02 "3.4 -224.5 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 / 'ro'rAL GLASS ~ ADJ, x
AREA AREA FACTOR
.1.'.:,
1,090.00
... -_..- _.. - -- .-."- ..- - -. - -'.- -- -"'- ... -. .. .--- -- - - -- ..~ -- -- -. -- -- -- ~- ... -.- - - - -- -- - - -.-.- - - ---- -.-- -----------------
GU'lSS
POIN7S
ADJ GLASS
POINJS
GLASS
POINTS
166.30
.'103
-- 565 . 4 2
-555.90 :
767.04
NON Gl_ AS 5- - .---- -- -- - -_____
AREA x BWPM = POINTS :
-------------------------------------------------------------------------------
.. -.. . . _. . -. .... .... -- -- _. -. -. -- .. - - ..... -. .... - -- -.. -. -. _. .. -., _.. _. _.. -. ... _. ... - -- -- .- -. - -.. _.. ..- -- ,,- -- -. ..- - -- - ... -- -- -- - - -- .- -. -- -- .- - -- - -- - - - - -- -- -.
TYPE
R--VALUE
AREA x WPM = POINTS
- - -- --- - ~.. -- -- -- ..- -- - ~ -. - -- - - -~ -- -- .. -- ..- -. -. -.- .... -,. .- ... .. -- -- - - -- -- -- -~ -. -. .- -. .- - -- - - - - -- - - - - - - - - - - - - - - - - - - - -..-
===--==~=======================================================:=================
TOTAL WINTER POINTS
TOTAI_ x
W Ii'J P T S
===~=~============~============================================================
5,757.59 :
8,884.20
SYSTEM
MULT
HEATING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
5,757.5'1 1.10
. .- .- .. ... .. - -- -- -- -- - -- - - - .. -- -- .. -- _. .- -- -- .. _. .. '.. '. -.. .. -- .. .. -.. .. -- - - - - - -- -- -- -- - -.. -- -- - -- - - - - - - - - - - - - - - - - - - - - --
t.> ,333 .35 :
8,884.201.00 1.100
.515
1 .000
5,032.90
====================::::====================::::========::::============================
NUM OF
BEDRMS
~~~.~=~=~~==~==================~==~=~=~====~=====================================
'I 't ~ 'T. 'T. l' '*' *:t '" * * * *' "'* '" * *;1: * * *,., ** or. *' *:r. '" * ~- * '" or. or ;.:*.* *' *' *' :1:** * ****;t. ~ ******* *************,****:t
=== BASE === - ==="AS-BUILT ===
x
MULT
=
TOTAL
TANK VOLUME
Er
TANK
RATIO
x MULT X CREDIT
MULT
= TOTAL
u_ _.. _ __ _ _ __ _. ._ _ _ _ _ ,_ __ _ _ _ _ _ __ _._ _ __ _. _ _ _ ._ ~~ __ '., ._.. ... _ _ __ _,~ __ _. ... __ __ __ _ _ _ __ _ _ __ _ _ _ __ _ _ _ __ _ _._ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ ___
2
3527.0
7,054.00
80
.88
1 .000
3527.0
1.00
7,054.00
-----------------------------------------.----------------------------------------
....... ,". '.... -. ....... ... -. ._.-w ... .. .- -. ... -- .- ,_. __ ._.. d. ".. ,_ ... ... ... _'. _ '.. _. ._. _. ... "0._ ._ _._. ...... .,... .... u. ". .'. _.._ __ ... __ _ _._ .,_ _ _ __ _ _ _._ _ _ _ _. _ _ _ _ _ _ _ __~
****1'.***************1'.**********************************************************
sur1MARY
~~~****************************************************************************
===== BASE =====
=== AS-"BUIL T ===
(~OOI_ING
POINTS
-------------------------------------------------------------------------------
_. .-. ".. -.. ... .- '.' w_ --. ~- - - -_. - -~ - - - - - - ~-.- -- -.. ~_ __ _. _. _. __ __ _.. ~_ _ _.. _ _ __ .__ _. ~. ._.. __ ._ .~ ... _.. __ _u __ _ __ _ _ __ _ __ _.. _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ .~~ _"__
+
HEATING
POINTS
HOT WATER
t ~OINTS _
TOTAL
POINTS
COOI_ I NG
POINTS
+
HEATING
POINTS
HOT WATER
+ POI NT S .-
TOTAL
POINTS
8200.<'1
-. ._~. -.. .- ~~ -~ ,-.- - -- -~ - - -- - - - - ~~ .- -- - -, - -- -. - - - - - -~ - - .- ~- - - -- - - - - -. - - - - - - - - -... - - - - - - - - - - - - - - - ---
6333.3
7054.0
21,587.71
8156.6
5032.9
7054.0 20,243.52
~~-~~~~--~----~--~--------------------------------------------.-----------------
.. . -. .- .. - ~- -- .,~ .. -~ - - -- -- ... -- - -- - ..~ - -- -~ -- -- - ... - -- -- - - - - - - '- -- - - .- - -~ -.- -- -- -- - - -- - - - - -~ - - -- - - - - - - - - -.- -...... ----
*****************
* EPI == 93.77 *
**********~*****~
oft h e f~ PI, r..-3 t i rl gnu m b e r
or' f~:) I' any I T EM 1 i s 1_ e d .
~sR your 8uilder for
DCA Form 600A-93
or Forrll 6008--93
E[")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
1
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOME VALUE
L.ow Efficiency
High Efficiency
WINDOWS..................... Single Tint
SINGL CLR DBL TINT
:------X--------------:
I I\ISULA T ION. . . . . . . . . . . . . . . . . .
Ceiling
f<-10
R-30
R-Value.........22.0
: -. -- - - - - -. - - - - -- X --" - - - - -- :
Wall
R-O
R-7
f<-Value.........l1.0
:----------~---------X:
Floor
R'-O
R-19
R-Value......... 0.0
: X - - .- .. - - - - - - - - - - - - - - - - :
AIR CONDITIONER........"....
10.0
SEER
17.0
Sf:Ef</EEf< . . . . . . . . . . . . . . . . .. 9 .6
:x--------------------:
9.7
EER
16.0
IIUilINC (jYSTU1....,...
Eleclr.Lc
COP/HSPF. .
6 J:>
6.8 HSPF 12.0
:X--------------------:
0.78 AFUE 0.90
:---------------------:
Gas
AFUE . . . . . . . . . . .. 0 .00
W n T E f< II [ n T E R . . . . . . . . . . " . " . . .
r::10ctric EF.............. 0.88
0.88
0.96
Solar
EF. . . . . . . . . . . . . .
:x--------------------:
0.54 0.90
, ,
,---------------------,
0.40 0.80
I I
1---------------------,
Gas EF..............O.OO
OTIIEf~ FEATURES.."....."""...
~ . . . . .. . .. .. . ~ . .. . .. . .. .. .. . .. .. .. .. .. .. .. .
J c e) t.. i f y t Ii () t the s (; e fl erg y s a v i n 9 f e iJ t u res r e qui red
[11('1'9Y Code have beel) insL,JJled in Lllls house.
Builder ,\' ~~
S i 9 n at ~'\..'- "\10i
for the Florida
nddrcss:
c
--
Date:
.-
Citl'lZip .
r-lorid(J Ener'gy e-;cJ-;-fO'l- 8'~-iiding COI:sUucLion
FlcHlda Departrnerlt of Cornrnunity (jffairs
19()J
FL-EPL CARD93
~q"1
;',;;;'::"i'"
'~
"',l!.'r''''~{ --\';:-~\l":"'"-:'-"""'I!"" r-~~-"'C'\";' ~~,""'-:";;'F~~~'~"!;':"Y~ "-~.
.':~' .- -~'7'."i:'
''1; '.- ;.....~
(~)
'..../
r----\
i,-~)
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 0
Rate $
Zone No.
Sq. Ft./Unit
Prepared By
Impact Fee Amount $
..: """;".
The above impact fee has been estabn~hed 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 0
RESIDENTIAL
NONRESIDENTIAL
No. Units
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)
"~L~",~",..""",,-_I
TOTAL FEE $ -~~7:\~2 i.-.l
.._.J
-
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
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 RECEIYfED FOR BY A CENTRAL PERMITTING OmCE 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
-----
.b.. -'"
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO:ctJ
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
'ecal:ce
ELEVATION CERTIFICATE ''-'
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,
O,M,8, No3067-0011
Expires May 31, 1993
SECTION A PROPERTY INFORMATION
BUilDING OWNER'S NAME(/'"
/,
STREET ADDRESS (Including Apt., R P,O, ROUTE AND BOX NUMBER
<.... ?1'-.3 c;f/ A ./L-.
OTHER DESCRIPTION (lot end Block Num , ate,), <;;> ~ .
/ t.9.- ~ 6 -:11 ~ 0/,2 0 - 0 c/ ZJ 0 6 -- LJ i" r' U
CITY ~~ . 7?)TE
r;-r-7 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
COMPANY NAIC NUMBER
FOR INSURANCE COMPANY USE
POLICY NUMBER
ZIP CODE
c..33~s---Y /
1, COMMUNITY NUMBER 2, PANEL NUMBER 3, SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION
,- j,;2 A E- (in AO Zones, use depth)
/.:J..O,], 3 S (5 8 0 -..S.~ c -/7 - 7'/ cf.s - /
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 0 NGVD '29 0 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 19-1sl.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 A 1'A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I I I 18~ 1.121 feet NGVD (or other FIRM datum-see S<;clicr: EI, Item 7),
(b). FIRM Zones Vl.V30, VE, and V (with BFE). The bottom of the lowest florizontal structu;al 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 referen~e level from the selected diagiam j~ L~J.U 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 tho 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: ~GVD '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 8, 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-J;;Io (See Instructions on Page 4)
5. The reference level elevation is based on: 0-'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 lelSl.W 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 Sect/on 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.U feet NGVD (or other FIRM datum-see Section B, Item 7).
2. Date of the start of construction or substantial Improvement
f';MA Form 81-31, MAY 90
fH,PlACES 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 wail,
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 8 and 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.
P.L.S.
ADDRESS
515
SIGNATURE
LICENSE NUMBER (or Affix Seel)
4970
COMPANY NAME
C. FRED DEUEL & ASSOCIATES, INC.
STATE
ZIP
CERTIFIER'S NAME
DAVID G. ARMSTRONG
TITLE
CITY
ZEPHYRHILLS FL 33541
for: 1) community official, 2) Insurance agent/company, and 3) building owner,
COMMENTS:
A V
ZONES ZONES
ON PILES,
PIERS. OR COLUMNS
A
ZONES
ON WITH
SLAB BASEMENT
BASE
FLOOD
ELEVATION
{1;~'1fil~l~~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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