HomeMy WebLinkAbout95-4848
Issued flood,elevation certificate (4/5/95) 7?~jl ..f:.~-p- 9~-
, BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N.~
4848 !3
BUILDING
7/.0()
ELECTRICAL
Date
ij-/3-;7-!;'-
-.5/ S,-..5,c)
j-j', -5 '()
PLUMBING
30 o:v
MECHANICAL
Sewer Conn J. cJ... ? g-. t./i)
Water Conn: ,3 ..s.---Z;, V'7)
Water Meter: / b.!:;........ crJ
T.I.F.'s:
Property Owner:
/
? 'I:'::>
Job Address: ....:> ....)
Parcel 1.0. # tJ-c2 .;U~ CJ/;]O-OOfJCJ -t)3..3o
Zon;ng' Enee.:;l'de' ~don Q" :2/. tJ 7
Oes,,;pt;on of woek'-ll.u... )- ,h ft.llr '--;#' ~ , LAAH' g~-rJ
FINAL
DATS-.--
c.o. 2'-/0- 0
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Permit Fee ~17)
SignatureUJ.O /~1A~
Company
Address
Telephone#
. Valuation or
Contract Price
6;) /17. t1IJ
,
City License Registration # If
State Certified License#
]) ([ ,l/{/LU/NRM/k
BUILDING
~c1R-p
ELECTRICAL 6 7
(), C ~L~i-:'{j
PLUMBING J)?
Ftr. Tp. Servo ~ SLB 4- \ q - q ~ M,....
Pre SLB 4- '~-C4 s .Bat.. Rough In /(P-'4~ W .'3 Tub Set /-v-,3i-~\ BiLL
Lintel Meter Can 1/-8 ~ Water
FRM. z,LtO-J-q)" ~'LL Const. Pole t.I-'14~&t- Sewer ~-Z~-'i) ~l.u.
Insul. CL Pool Final "-l.iS45"" tLL
WL Pre-Meter ~
~ S~z..~f1 S" ~~ Final
Driveway to -1"4-- tj) r>llL-
Constuction Pole 02:54 P.M. W R E C Sherrie(machine) Nancy
Pre-meter FPC (Sher.rie) Nancy 07/06/95 11 :05 A.Me
~~~':1 t,~
MECHA(NICAL )/
,/'
Breakers
Ducts Insl.5- ?'l-c;r &b
Compressor
Final
a.
b.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
7/4 ~~~7~<R/~/?-.}2j--
fLJ 0--Y-YS-
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
.'
~ o'l. neUmaHH eOHJtzuctloH, 9HC.
P.O. BOX 596 - ZEPHYRHILLS, FLORIDA 34283-0596 - (813) 782-9080
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0( - Douo - D33
APPLICATION FOR PERKlT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
1M ~J; \
OWNER'S BAtIE 'lie. t_ d \.A."/';~ (~L ~ ~._A /1( ~ IJ IV"1
OWNER'S ADDRESS 3r//'?< L>a /r - f},/v .
JOB ADDRESS 3 /' ~$I1 g /l}cL)..~fl-^'1 C.J.
LEGAL DESCRIPTION: LOT(S) 3 .J BLOCK
PARCEL I.D.' /O-,~ 1,:' '. .:~ 1- 01..; I, .-on II f 'I, ~', c)
PHONE
I
2~/1A 4;./1'c
7,' ,-
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rl.' 33,)'11
SUBDIVISION LJe-J 7 '-.uc.c1 J /lJ/JIvdll...
(OBTAIN FROM PRQPERTY TAX. NOTICE)
WORK PROPOSED:~ew Construction ---^ddition ---^lteration ---..Repair _Install
_Sign ---.JIove _Deaolish
PROPOSED USE: ....:;i.s ingle Faaily _H/F _, of Units ---.Jt/H
_~ercial _lndust. _Swia. Pool _Other
DESCRIPTION OF WORK:
~estaurant & Health Depar~ent Approval
IV!. .'. t lL.
.
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATlACB (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SBT ENERGY FORtIS.
ATlACB (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOBltS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKITS REOUESTED
_BUILDING
$
7Q~, C'(,','
h'.~, .> '"
.
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
~W.R.E.C.
-.JIEClWIICAL
$
Valuation of Mechanical Installation
---"pLUHBING GAS ROOFING
TYPE OF CONSTRUCTION: --Block ....:t-Fraae _Steel
SPECIALTY
Other
FlBlSHED FI.OOR ELEVATIONS:
FT.
IS PROJECl IN FLOOD ZONE AREA?
..........................................
YES NO
BUlI.DER
GPtJ1'R4c:.rOR SECTION'
· COMPANY '{, t il .' } /.,.-\ ';'l v'v
J I ': C" . \. State Cert.. or Regist. ,
fA} I... ~ \ L "'\..1.' >h'\. City License Registration'
..........................................
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~r
.
Si8Jlature
ELECTRICIf' .--1 . COMPANY 01::'!\) "V.~. 'r~' z: 1-,)1 d i- J "7 "" ( .
I ! I State Cert. or Regist. ,
SignAture ..JJ)./\/I~ 0 -......;.~ ~ " ..e-~ City License Registration , b r]
~ ...~...................................
PLlIIBIB - - COIlPAIIY II. C' ~.
// A ./J State Cert. or Regist. ,
Signature {/t.!.. . L rC~ City License Registration' 027
..........................................
IlECllANICAL
COMPANY
~
( ,r .,../," . \. .',
State Cert. or Re st.'
-C--'~-::'_- City License Registration'
! ..........................................
'2.'/) - /,
OTRRR J/// /~ COKPANY (~-/l j, ''-./ /....-..,' ~ (-t'...."
" " (.' ./ StateCert. or Regist. , (.;~'f(-/V/
Signature \. .' : ./ .' City License Registration' ~;; O'
..........................................
Signature
" ';.-,. J / 1
'I
.
APPLICATlOB APPBOYBD BY '11 a~0 /11 ".,}l d
PERfl1T OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peDlit lay be subject to "deed restrictions I wbieb lilY be lOre restrictive than City
regulations. The undersigned assOles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OIner bas hired a contractor or contractors to undertake work, tbey lilY be required to be licensed in accordance witb
state and local regulations. If the contractor is not licensed as required by law, both the OlDer and contractor IliY be
cited for a lisdeleanor violation under state lal. If the owner or intended contractor are uncertain as to wbat licensing
reguirelents lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611. \
FurtherlOre, if the OlDer bas hired a contractor or contractors, he is advised to bave the cootractor(s) sign portions of the
"Con tractor Sections" of this a~plication for whicb they will be responsible. If you, as the OlDer Sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that lilY be an indication that he is not properly licensed and is not entitled to peraitting privileges in the
City of Zepbyrhills. .
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
1 certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Lal - HOIeOIDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUJeI Affairs. If the applicant is 8OI8ODe other than the
"owner", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"Olner" prior to COll8DCel8Dt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforliltion in this application is accurate and that all lork will be done in cQIPliance lith all
applicable lals regulating construction, loning, and land developlent.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas COIIenced prior to issuance of a perlit and that all lork will be perfoIJed to leet ltandards of all 1B11
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of otber goveIDIental agencies laY apply to the intended work, and that it is
IY responsibility to identify Ibat actions I lust take to be in colpliance. Sucb agencies include but are not Iilited to:
t Departlent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroRlentally Sensitive Lands,
water/Wastewater TreatleDt .
t Southwest Florida Water Hanagel8Dt District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable WateIlays
t Departlent of Health , Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treallent, Septic Tanks
t US Envirooaental Protection Agency - Asbestos abate;ent
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 "cOlpensating VOlUle" lill be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit 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 frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perllt issued shall beCOle invalid
unless the work autboriled by sueb perlit is co.enced lithin sillOnths of issuance, or if work autboriled by the peDlit is
suspended or abandoned for a period of sillOnths after the tile the work is cOMeDced. One 90 day ntension of tile, IliY be
a1101ed for the perlit with fee cbarge of $15.QO. Tbe extension sball be requested in .riting to the Building Official. An
approved inspection lUSt be logged during eaeb six IOntb period, or the project will be considered abandoned.
WARNING TO OVNRR: YOUR FAILURE TO RECORD A' NOTiCE OF mamNCRMBNJ MAY RESULT IN YOUR PAYING DICK FOR IMPROVIIIBI1'S TO YOUR
PROPERTY. IF YOU IIl1'DO '10 OBl'AIN FINANCING, CONSULI WITH YOUR LINDER OR III AnORIIY BEFORE RECORDING YOUR NOTICE OF
COHHENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '10 RECORD AND POST A INOl' CE OF COHMBICKKINt'".
tJ
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SIGJlATURE: (MIER OR AGBIIt'
,-,
STATE OF FLORIDA \7\
coum OF ' ~CP)
The foregoing instrumi9 was ac~9lf.ledged
before me this '/, 19~ by
cp~"o.1l~ '~flDu)Y1
who is personally known me or who has
produced
as identification and who did/did not
t~e an oath. ,
~....'.ro.r.'. ~ cK. f'rU::M~---'
(Si~ature) ,
~,\6.\.'-e L. ~O\'-'
(Name Typed, Printed or Stampe
NOTARY PUBLIC
STATE OF FLORIDA
COUNTY OF ~~~(' h
The foregoing instr~ent was ~:soWledged
before me this L) / , 19 by'
C\)el6l:) ~\() \\ Ji; KfX)( .Jf)
who is personal known to me or who has
produced
as identification and who did/did not
t(!e an oath. 'ct .
~.1~ ~YI: ~ N\~ ..I
(~gna~ur!) \ _
:.nn~~h('" L... . \'f\.o ~ \'
(Name ~yped, Printed or St ped)
NOTARY PUBLIC
f'FlC A '01' Y S
CHR.!S!1E L MAJOR
NorMY PUBUC STA'rn OF FLORIDA
COMMISSION NO. CC316103
MYCOMt.1!SSION EXP. SEI"f 15.1<:l9'1
OFFICIA NOT. y S
CHR!S11E L MA HAL
NOTARY PUBLIC STATE ~RFLO
MY ~ifAISSION NO. CC316U13
MlS5ION EXP. sm 15 199'1
VALUATION:
W.A. Neumann
37443 Blackberry ct.
$62,177.00
SQ. FT. LIVING:
COST/FT:
1,625
$35.00
SQ. FT. OTHER:
482
COST/FT:
$11.00
VALUATION
DRIVEWAY
$62,177.00
$20.00
ADDRESS
$20.00
FEE SHEET
$317.00
SQ. FT. UNDER ROOF
RADON GAS
2,107
$21.07
TRAFFIC IMPACT FEES
99%
1%
$0.00
$0.00
$0.00
PERMIT FEES
BUILDING:
PLUMBING:
ELECTRICAL:
MECHANICAL:
SUB-TOTAL:
CREDIT:
TOTAL:
CONNECTION FEES
SEWER:
WATER:
METER:
TOTAL:
515.50
57.50
71.00
30.00
$674.00
100.00
$574.00
1,278.00
350.00
165.00
$1,793.00
GRAND TOTAL: $2,388.07
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PROJECT NAME: ~f 33
AND'ADDRE_~S~ 3 7'1 it'3 Btlk/JJ~
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Cf
OWNER:
PERMIT NO.
1 . New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units covered by this submission
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 type and area:
a. Clear glass
b. Tint, film or solar screen
9. Floor type and insulati~n:
a. Slab on grade (A-value + perimeter)
b. Wood, raised (R-value + sq. ft.)
c. Concrete, raised (A-value)
10. Net Wall type, area and insulation:
a. Exterior: 1. Concrete block (Insulation A-value)
2. Wood frame (Insulation A-value)
3. Steel frame (Insulation A-value)
4. Log (Insulation A-value)
b. Adjacent: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation A-value)
3. Steel frame (Insulation R-value)
4. Log (Insulation A-value)
11. Ceiling type, area and Insulation:
a. Under attic (Insulation A-value)
b. Single assembly (Insulation R-value>.
12. Air distribution system:
a. Ducts (Insulation + Location)
b. Air Handler( Insulation + Location)
13. Cooling system:
(Types central.spill, central-Single pkg., room unit, PTAC., none)
14. Heating system:
(Types: heat pump, elec. strip, nat. gas, L.P. gas, room or PTAC, none)
15. Hot water system:
(Types: elec., natural gas, solar, L.P. gas, none)
16. Hot Water Credits:
a. Heat Aecovery (HA)
b. Dedicated Heat Pump(DHP)
17. Infiltration practice: 1, 2 or 3
18. HV AC Credits (Type In Letter designation: CF-Ceiling Fan, CV-Cross vent,
HF.Whole house lan, AB-Attic radiant barrier, MZ-Multizone)
19. EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
EPI = Talal As-BUill pOints X 100
T alai Base poonl8
I, IH':((Jby ~vnl'Y IflO,jt. the ~a os an. ~5P.. .1,,::,,*llon5 C over.a b)' Ih... calculiflllon are to comphance With lhtil
Ilu"",, b,u.yy Co<.lu' } (l
PREPAHED BY: Z_1... m'/--'. _ ~,_ _ DATE: -
I h..,..by c..n,fy .hal .h,s buddong IS on campllanctl wIlh the FIoncIII ~nergy Cocle.
OWNER AGENT: . '_._ __ ______ DATE' .__
-1-
12a.
12b.
13a.
13b.
13c.
14a.
14b.
14c.
15a.
15b.
16a.
16b.
17.
18.
J19.
19a.
19b.
,-.). oJ L.,.... ,-/
CLIMATE r:::::J 'J 1-.-
ZONE: 4 L.--.J 5 L__ 6 L
I JURISDICTION NO.: ~! ()
Please Type
c
A-In...;;
1.
2. ~j ''V) / tr-
3.
4.
5.
6.
7.
8a.
8b.
/ 1,2 _~-
J.3]
5,-1
Single Pane
.sq. ft.
sq. ft.
sq. ft.
ft.
ft.
Double Pane
sq. ft.
Z..3~1 i sq. ft.
9a. R= CJ
9b. R=
9c. R=
/ J'z.- I. ft.
sq. ft.
sq. ft.
10a-1
10a-2
10a-3
10a-4
R=
R=
R=
R=
./../--
sq. ft.
~ )'~ sq. ft.
sq. ft.
sq. ft.
1 Ob-'
10b-2
10b-3
10b-4
R=
R=
R=
R=
4--
sq. ft.
308" sq. ft.
sq. ft.
sq. ft.
I'" L..,sq. ft.
sq. ft.
11a. R= Z"\...
11b. R=
R= ~ (cond"e~ ---
R= , (condJun..
Type: --.Ct'...,f- l-"",,, I
SEERlEERlCOP: II). U '.
Capacity: _
Type: j-/r04--J Pu _It)
HSPF/COP/AFUE: 7.'--
C 't ~
apael y:
Type:
EF:
C/~L.../-
') I
L
LU C?-
/
f
11/.'
..
Z--'2-~)~
/ y~./Y"
ReView of plans and specdicabons cover8a b)' Ihls calculallon InolcaCes cornplictncll ...
Ihe Florida Ene,yy Code. ae.or onsrrucbon IS compMir8d. Ihls budCtlng wwdl bti In::'~VJlI
tor campi"""'" in accard..nc II :lt~.9Oll. F.S.
BUILDING OFFICIAL: /'S~
DATE:.___..._ ..':: ~ (-9~____ .
~ - _.~-_.. ---.---. --
PROJECT NAM~: M 3..3
~ND ADDRESS': 37'-1 '-l313/4cl.b(;llA.
u _ _ __-" y
().- (l./- ' /J '..J.lf
"li,i"""U~I.=~.....' ...._._ __'___":;'_ _...._a.____..__.
c+-
BUILDER:
PERMITTING
{'J.-J
CLIMATE D 'J [-.--
OFFICE: ZONE: 4 5 L.___ 6
PERMIT NO.c:rII[]=o=Jl JURISDICTION NO.: cr:co-I
Please Tvoe C
OWNER:
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units covered by this submission
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 type and area:
a. Clear glass
b. Tint. film or solar screen
9. Floor type and insulati~n:
a. Slab on grade (A-value + perimeter)
b. Wood, raised (A-value + sq. ft.)
c. Concrete, raised (A-value)
10. Net Wall type, area and insulation:
a. Exterior: 1. Concrete block (Insulation A-value)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation A-value)
4. Log (Insulation A-value)
b. Adjacent: 1. Concrete block (Insulation A-value)
2. Wood frame (Insulation A-value)
3. Steel frame (Insulation A-value)
4. Log (Insulation A-value)
11. Ceiling type, area and insulation:
a. Under attic (Insulation A-value)
b. Single assembly (Insulation R-value)
12. Air distribution system:
a. Ducts (Insulation + Location)
b. Air Handler( Insulation + Location)
13. Cooling system:
(Types central-spilt. central-single pkg., room unit, PTAC., none)
14. Heating system:
(Types: heat pump, elec. strip, nat. gas, L.P. gas, room or PTAC, none)
15. Hot water system:
(Types: elec., natural gas, solar, L.P. gas, none)
16. Hot Water Credits:
a. Heat Aecovery (HA)
b. Dedicated Heat Pump(DHP)
17. Infiltration practice: 1, 2 or 3
18. HV AC Credits (Type in Letter designation: CF-Ceillng 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
EPI = Total As.Bu~t po,nl8 X 100
Totalllaae poonlll
111L:lhLy (.unlfv Itl....llh~ 1a.n.~ ano&sp. "Iciihon.s C ov8180 bY. Ih". .Cilk:UlahOn are 10 compliance wllh the
I ,..""" I ""',IY Cud..' ) (1 .)
PREPAHEDBY: Zt~ _/~.. _ ~,_ ~ DATE: c:;J,--
I hereby cenify rtlal Ihls budding 16 10 compWance with the FQ1c:III-rl'*'gy COde.
OWNER AGENT:
DATE: '___.
-1-
12a.
12b.
13a.
13b.
13c.
14a.
14b.
14c.
15a.
15b.
16a.
16b.
17.
18.
'19.
19a.
19b.
;.,14""J~
A7rc::5
1.
2. ~~'u)ll-
3.
4.
5.
6.
7.
8a.
8b.
/ 1;2 .~-
J.3]
\- J
Single Pane
sq. ft.
sq. ft.
sq. ft.
ft.
ft.
Double Pane
sq. ft.
l,3~J t sq. ft.
9a. R= C) /91-- I. ft.
9b. R= sq. ft.
9c. R= sq. ft.
10a-1 R= -- sq. ft.
10a-2 R= -1-1-- ~ )'~ sq. ft.
10a-3 R= -- sq. ft.
10a-4 R= -- sq. ft.
10b-l R= -- sq. ft.
10b-2 R= 4-- 30.s- sq. ft.
10b-3 R= -- sq. ft.
10b-4 R= -- sq. ft.
11a. R= Z""L. J (0 L....-sq. ft.
11b. R= sq. ft.
R= " (CondJeondJ .' _. _
R= , (condJun.
Type: C t' "'J-f (-....." J
SEERlEERlCOP: /.J U",
Capacity:
Type: --iLr.4--J Pu '-,0
HSPF/COP/AFUE: ~.-
Capacity: ~
Type: C/'-L.~
EF: ') J
L
c...v(~
/
11 "I
.
"01-'1) l
I y~./y
ReView 0' plan~ and speclficahons covered by Ihls calculalloo Inct.Cdlu~ cunlphdfl('U .....
'he Flooda Eneryy COde 88'0'8 conslruchon is compMliI8d. .hlli buddlOg will ba '(hJVJl i
lor complNlnCll In ~ccordancll with SllCllon 553.9011. F.S.
BUILDING OFFICIAL:
DATE:
.---- - ------------ ~
! GLASS I BASE 1 BASE
SUMMER SUMMER
1__- - AREA x PT MUL T. POINTS
f-- c:-rL<; J 3
' N /(., .l..j 82.2
NE 82.2
E Zl..O 82.2 Z/.}]. l..
SE 82.2
S '?/J '1 82.2 ~ Z~':>ti .,
-SW 82.2
W Q,",'~ 82.2 I "7rtJS'. 'J
-~-- . 82.2
~ 822
<n ~~_.
<n
~
CJ
------ -
, L-_
GLASS .l SINGLE-PANE~TR-~~OUBLE.PA~ I SUMMER lAS-BUILl
AREA x SUMMER POINT MUL T. MMER POINl:. x OVERHANG =. GLASS.
CLEAR TINrz CLEAR ( TINrz) FACTOR (GA-1) SUM. PTS
N ~? ..., 51.0 51.5 47.8 '-r;3':5 Cfi 7'~W 'i
NE 77.2 76.6 71.7 63.4 7<;K~f
E ZI. L> 109.2 107.1 102.0 87.3 \C
SE 112.9 110.3 104.1 89.4
S _'=11. "I 100.2 98.3 90.9 78.8 I lit /...}$ i.. J. - ,
110.3 104.1 89,4 ..
SW 112.9
W '1c., .3 109.2 107.1 102.0 87.3 'LC 21n _~
NW 77.2 76.6 71.7 63.4
H' 367.7 303.3 324.6 238.1
.15
COMPONENT
DESCRIPTION
EXTERIOR
::l ADJACENT
<(
~
AREA
~ERIOR
g ADJACENT
o
i..)
7, r
4.8
1.6
Cl
Z
::;
W
u
UNDER A mc
OR SINGLE
ASSEMBL Y
a:
o
o
......I
LL
_INFlqRA TION
COMPONENT
DESCRIPTION
AREA
\'
I . I~.~-II
\'
~~ 7
'7J% ~
i'y
. ...,
\'
1- (.n Y.J-
.
TOTAL COMPONENT AS-BUILT SUMMER POINTS I ~ II , 7y . ' I
.---____. u__________._._________.__
COOLING
SYSTEM
BASE COOLING
SYSTEM x
MULTIPLIER
.37
HOT
WATER
SYSTEM
AS-BUILT
HOT WATER
SYSTEM DESC.
NUMBER
OF x
BEDROOMS
t.-
AS-BUlL T
= HOT WA TEf
POINTS_
t18" l.l. l
'H - HORIZONTAL GLASS (SKYLIGHTS)
'FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1.1 OF APPENDIX C. TINT MULTIPLIERS MA Y BE
USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT.
.2.
6A-1 SUMMER OVERHANG FACTORS ISOFt ~ SINGLE AND DOUBLE PANE GI. A~;S.
.>- r. "OH RATIO .00-.11 .12-.11' .1B-.26 .27-.35 .36-.46 .47-.57 .5B-.70 .71-.B3 .84-1.1B 1.19-1.72 1.73-2.73 2.74't
.N 1.00 .94 .91 .B7 .B3 .79 .75 .72 .69 .62 .56 .50
. In I NElNW 1.00 .94 .91 .B5 .79 .72 .68 .63 .5B .50 .40 .36
t)a: EIW 1.00 .95 .92 .B5 .7B .70 .64 .58 .52 .42 .33 .26
wO
511 SfJSW 1.00 .93 I .90 .Bl .72 .62 55 .49 .42 .33 .27 .22
S 1.00 .91/ .B7 .77 .67 .57 .50 .45 .39 .32 .2B .25
~ ()~ ,'j:I\lf.:TH' nil 1 III 11j,ft ')11' 111 1'/, ft 41j,ft ~ 6'1211 9'h ft 14ft 2011 t
""fo select bv Ovarl1aoo L6001h 00 ruin 01 nld~S shall bIl moralhan 6 It billow 1116 ovam..m. -
6A-2 WALL SUMMER POINT MULTIPLIERS ISPMI
FRAME .9>NCRET~~L9~~ ._._ __FAC~.!!~IC!L _ LOG
INT. INSULATION EXT. INSUL R-VALUE WOOD FR
WOOD STEEL NORMAL WT. NOR. WT. 0-6.9 2.9 6 INCH
.._.n__ ADJ EXT ADJ R.VALUE EXT ADJ EXT 7-10.9 .6 R.VALUE EXT
A-VALUE EXT
0-6.9 6.4 2.2 8.9 2.9 0-2.9 2.5 .9 2.5 11-18.9 .4 0-2.9 11
J10.~.. 23 .8 4.1 1.3 3-4.9 1.4 .7 .7 19-25.9 .2 3-6.9 lJ.
__ !l.:.1J.c9 l"""'1.9 ) -r.7 , 3.0 1.0 5-6.9 1.0 .6 .3 26 & Un .1 7& Un .8
13-189 17 '--:0' 28 0.9 7-10.9 .B .4 .1 R-VALUE BLOCK 8 INCH
_ _,_'u". ___"__ 0 0-2.9 1.0 I R.VALUE EXI
,-...19-259 1.0 3 2.4 O.B 11-18.9 .4 .3
?~~UP. .6 .2 1.3 0.4 19-25.9 .2 .2 3-6.9 .6 0-2.9 1.0
...
26 & Un .1 .1 7-9.9 .4 3-6.9 8
1nJl.lln 2 7 Jl.lln --7'
6A-3 DOOA SUMMER POINT MULTIPLIERS
DOOR TYPE EXTERIOR ADJACENT
----..----
WOOD 7.2 2.4
INSULATED 4.B 1.6
SPM)
6A-4 CEILING SUMMER POINT MULTIPLIERS (SPMI
UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF
R-VALUE SPM R.VALUE Spy CEILING TYPE
19-219 1.1 10-10.9 3.0 R-VALUE DROPPED EXPOSED
~ --(.9 )'- 11-12.9 2.7 10-13.9 3.0 3.3
26-29.9 .7 13-18.9 2.4 14-20.9 2.0 2.1
30-37.9 .6 19-25.9 1.B 21 & Uo 1.4 1.3
38 & Uo .4 26-29.9 1.1
---,n R.11;'- no
6A-5 FLOOR SUMMER POINT MULTIPLIERS (SPYI
SLAB-ON-GRADE RAISED .-- RAISED WOO02
EDGE INSULATION CONCRETE POST OR PIER STEM WALL wi UNDER ADJ~CENT
I-- on__n___. -- CONSTRUCTION FLOOR INSULATION
R-VALUE SPM R.VAlUE SPY R.VAlUE Spy Spy SPM ..
0-2.9 -31.9 0-2.9 -1.0 0-6.9 0.9 -5.B 5.3
- ._ 3-4L -318 3-4.9 -1.7 7-10.9 -1.1 -2.8 2.1
~9 -317 5-6.9 .1.7 11-18.9 -1.0 .2.2 1.8
7 JI.. lJn -11 fl 7 R. lJn -1 7 ~ .no-- .1 A 1.0
6A-6 INFIL TRA TION SUMMER POINT MULTIPLIERS (SPM)
INFIL TRA nON PRACTICE SPM
SEE TABLE 6A.21
~8ACTICE #1
PRACTICE #2
6A-7 DUCT MULTIPLIERS OM
SUPPLY DUCTS IN
UNCONDITIONED SPACE
RETURN DUCTS
IN CONDITIONED SPACE
1.10
107
1.06
1.00
1.00
SUPPLY DUCTS IN
CONDITIONED SPACE'
6A-S COOLING SYSTEM MULTIPLIERS CSM
SYSTEM TYPE ___0. _ ... _. COOJ..lNG.~~T~M MULIIP. __ CSfoi.t. . . .
Central Ulllls (SEER) ~;:g . .~_7.~~,~_~ ~'O~j~'4_1 ~-'5~~8+:~~':~~'~4' 1l'~3~.9-- .~!9'~3;(L~__~ 1'~3~ 1~4 11~~ 1'911202~:'
PTAC, Room UroO (EER) R,tin. -- 12.~12..9on 1.3. .Q~'3.4 13.5.--13.9 .14.0:14.4. .1.4.5=-..14.9. '15.0-15.4 '1~. ~.~ . .16. .0.~i6...4 16.5-16.9 '-.7~0-:-1l~.. 1?5 & l
CSM .27 .26 .25 .24 .24 .23 .22 .21 .21 .20 .19
MINIMUMS CENTRAL UNITS-AIR'COOLED SPLIi'SYSTEM iO.oSEER, SINGLE PKG. 97 SEER.GROUND WATER HEAT PUMP'11:0 EER-:-PTAC-SEE TABLE 6~2--' .
6A-9 HOT WATER MULTIPLIERS HWM
SYSTEM TYPE
Natural Gas
LP Gas
EF
.HWM.____ ___
.~F
fiWM
-.-____. _~ HOT YL~JER MUI,. TIPLIERS HWM
. '_ .. .",SO-81 .82-.SL .84-.85 J!I?-.S7.__
_38J9 _ . 3785 ~95 3609
.52-.5.~_ .5'h.~5 .56-.~7 .58'.59
2459 _23Q8 _..2284 _...2.2QL..
7 74
Electnc Reslslance
1 FOR MULTIPLIERS FOR OTHER TYPES OF CONCRETE BLOCK CONSTRUCTION SEE SECTION 2.1 OF APPENDIX C. 2 MULTIPLIERS FOR OTHER TYPES OF RAISED WOOD ASSEMBLIES SEE
SECTION 31 OF APPENDIX C 3DUCTS IN CONDITIONED SPACE NEED TO BE INSULATED ONLY TO THE R-VALUE NECESSARY TO PREVENT CONDENSATION.
-3-
I ;;:,y=1 ~~
_:i l____J / ~~.~ ~ ,.'~
BASE CEILING AREA EQUALS FLOOR AREA DIRECTL Y UNDER CEILING. AS.BUIL T CEILING AREA EQUALS ACTUAL CEILING SOUARE FOOTAGE
~
II In. ...11 ""'''''''''I.nIIV.'hl
lJ)
lJ)
:3
Cl
BASE
x WINTER =
PT. MUL T.
N -3.4
NE -3.4
E '2. "'.. 0 -3.4
SE -3.4
S .3.4
SW -34
W ~.4
NW -3.4
H' -3.4
.15
COMPONENT
DESCRIPTION
EXTERIOR
:j ADJACENT
oct
~
AREA
...
r. ..., .
rn EXTERIOR
g ADJACENT
o
;:~
UNDER ATTIC
OR SINGLE
ASSEMBL Y
Cl
z
::J
Uj
u -
a:
o
o
-'
"-
INFILTRATION
BASE
WINTER
POINTS
.-t-
1.1
1.8
5.1
4.0
/" ---- .
~~
I SINGLE-PANE OR I~OUBLE-PANE 1 WINTER lAS-BUILT
~':~ x WINTER POINT MUL T. WI TER POIN~l . x OVERHANG =' GLASS
CLEAR TIN'f CLEAH . l TINt' FACTOR (6A-l0) WIN. PTS
N 7l "J 9.6 9.6 5.6 6.1 J. u-; lI-L'~ ..,
NE 7.4 7.3 3.5 4.2
E 7L 0 - 22 - 2.0 - 5.6 - 3,6 , )X- - 5Z. ~J
SE -10.3 - 9.7 .13.4 -10.4
S <!.. r; -/ -10.9 -10.2 -14.0 -11.0 ~ - Lf'f:)
SW -10.3 .9.7 -13.4 -10.4
W ~ ,- ""\ - 2.2 - 2.0 .5.6 - 3.6 ,:1$' .~~-J
NW 7.4 7.3 3.5 4.2
HI -32.1 -28.0 -27.0 -21.5
~
AS.BUIL
GLASS
SUBTOT I
COMPONENT
DESCRIPTION
WINTER
AREA
'-}
~
~''-
.. I '\..
~
II
~~:- ~~
~
~
171.l~
7r, .
..J
~
J J 6,.\[-. ,
TOTAL COMPONENT BASE WINTER POINTS
y-
TOTAL BASE
HEATING WINTER =
SYSTEM POINT
9
-'
oct
...
o
...
2FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1.1 OF APPENDIX C. TINT MUL TlPLlEAS MA Y BI
USED FOR GLASS WITH SOLAR SCREENS, FILM, OA TINT.
-4-
~:10 WINTER OVERHANG FACTORS /WOF) "- I .84-1.18 /1.19-1.7211.73-2.73 I
.r OH RATIO I .00-.11 . 2-/17 \ .18-.26 I .27-.35 .36-.46 I .47-.57 I .58-.70 I .71-.83 2.14,
7 SINGLE PANE GLASS
, N 1.00 .03 1.05 1.08 1.10 1.13 1.15 1.18 1.20 1.24 1.29 1.34
i
NElNW 1.00 .07 1.10 1.15 1.20 1.25 1.30 1.35 1.39 150 1.59 1.67
i ....!NoI 1.00 .71 .57 .19 -.20 -.65 -1.05 -1.48 -2.03 -3.01 -4.06 -504
~I SElSW 1.00 .~ .90 .80 .68 .54 .39 .22 .05 -.33 -.71 .101
~ S 1.00 5 .92 .83 .70 .54 .36 .13 -.13 -.70 -.98 '-l'Q~
UIl: DOUBLE PANE GLASS
wo . 6;
..J, .15 '\ 1.07 1.11 1.14 1.18 1.21 1.24 1.28 1.34 1.40 1.4/
w, N 1.00
(/)1 NElNW 1.00 .11 1.16 1.24 1.32 1.41 1.48 1.56 1.63 1.80 1.94 20b
I _ENol 1.00 .88 I .82 .66 .50 .31 .15 -.03 -.26 -.66 -1.10 -l.5U
, \951 .54 .41 .28 -.01 -.30 5'
I SElSW 1.00 .92 .85 .76 .65 -. L
I S 1.00 .!eI J 94 .87 78 .65 .51 .33 .13 -.30 -.51 -6u
_._.~ 111.7 4Y, It 5Y2ft. 6Y,II. 9%11. 1411. 20 h ,
.. OH LENGTH' Oft. lY, ft. 2ft. 3ft. 3Y,ft.
-----. 'TO SELEC \BY CWERHANG LENGTH, NO PART OF GLASS SHALL BE MORE THAN 8 FT. BELOW THE OVERHANG.
V
6A-11 WALL WINTER POINT MULTIPLIERS IWPMI
FRAME ~RET~.JJ'!Q~K ~ . __..f_~~a;. B~ICK__ LOG
INT. INSULATION FXT.INSUL R.VALUE WOOD FR ~INEH-~
-- ~._------- NORMAL WT. NOR. WT. 0-6.9 7.0
WOOD STEEL --
.- -fiT 7-10.!~ 2.1 R.VALUE EXI
!!-~.l.UE ADJ EXT ADJ R-VALUE EXT ADJ EXT
0-6.9 . 6.8 5.3 9.4 6.7 0-2.9 6.0 3.1 6.0 ''''8.9 1.7 0-2.9 22
7-10.9 2.5 2.1 4.4 3.3 3-4.9 3.8 2.3 2.8 19-25.9 1.0 3-6.9 1.2
11-12.9 2.0 18 3.3 2.6 5-6.9 2.9 1.9 2.0 26 & Un .6 7 & Un .9
13-189 1~_. _JlL_ 3.0 2.4 7-10.9 2.3 1.5 1.5 .. R.VALUE BLOCK __.i~
1ii:.f~~_ 11 1.0 2.6 2.2 "-1R.Q 1.~ 1.1 .8 n-2.Q 1.7 R-VAlUF FXT
"-----
_26& Up .7 .7 1.4 1.2 19-25.9 .8 .7 3-6.9 2.6 0-2.9 1.2
26& Un .5 .5 7-9.9 1.8 3-6.9 .9
lriTII~ 1-~ 7R.lln 7
6A-12 DOOR WINTER POINT MULTIPLIERS 6A-13 CEILING WINTER POINT MULTIPLIERS /WPMI
DOOR TYPE EXTERIOR ADJACENT UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF -
R-VALUE WPM R.VALUE WPM CEILING TYP~
- - _.-._---~- -..- 1.0 10-10.9 1.8 R-VALUE DROPPED EXPOSE!
WOOD 19-21.9
7.6 5.9 22-25.9 .9 ''''2.9 1.6 10-13.9 1.2 13
-.- 26-29.9 .7 13-18.9 1.5 14-20.9 .7 .7
INSULA TED 5.1 4.0 30-37.9 .6 19-25.9 1.1 21 & Un .4 3
38 & Un .4 26-29.9 .6
111 R. Iln .4
6A-14 FLOOR WINTER POINT MULTIPLIERS IWPMI
SLAB-ON-GRADE RAISED ---.--------- RAISED WOOD2 -- -.
EDGE INSULATION CONCRETE POST OR PIER STEM WALL wi UNDER ADJACENT
--- -- CONSTRUCTION FLOOR INSULATION . -
_I!-_~~LUE WPM R-V ALUE WPM R-VALUE WPM WPM WPM
0-2.9 ,,( 2.5 ..5 0-2.9 4.0 0-6.9 7.9 1.8 5.3
3-4.9 -1.7 3-4:9 1.8 7-10.9 2.1 .7 2.1
5-69 -2.4 5-6.9 1.1 11-18.9 1.5 .5 1.8
l-II. II-;;~" _? 7 7 R. Iln A 1I1"T Iln Q ~ in'
WPM)
6A-1S INFILTRATION WINTER POINT MULTIPLIERS (WPM) 6A-16 DUCT MULTIPLIERS OM
INFILTRATION PRACTICE WPM
(SEE TABLE 6A-21 I
PRACTICE #1 6.2
PRACTICE #2 4.1
: #"1 ??
SUPPLY DUCTS IN
UNCONDITIONED SPACE
RETURN DUCTS
R.VALUE IN UNCONDITIONED SPACE
4.2-5.9
6.0-6.6
6.7 & U
4.2-5.9
6.0-6.6
RETURN DUCTS
IN CONDITIONED SPAC
1.10
1.07
1.06
1.00
1.00
SUPPLY DUCTS IN
CONDITIONED SPACE'
6A-17 HEATING SYSTEM MULTIPLIERS HSM
?:?u~,:~PE I~~~E~- - -6~79- ~6~~NG SV~;rllPUEAS iHS"l
_'_j. ___~~~F~~~~____ 9.~~0.3~_ ,~:~~.8_~_- _1Q"90~~
PTHP _c:op___~ __ 2.50-2.69 2.70~2.89 _ 2.~Q-3
- -- - ---------. HSM .40 .37 .34
EI~c:tncSlnlln______ __ 1.0 _____
GA$~_~P Gq~__n_ -- _ _ _ _ _ __ _ _________ ____.__ _LQ1S~~Tgble 6A-18 for Credit Multiplierl __~____~~_
MINIMUMS CENTRAL UNITS-AIR SOURCE SPLIT SYSTEM 6.8 HSPF. SINGLE PKG. 6.6 HSPF. WATER SOURCE 3.8 COP. GROUND WATER SOURCE 3.4 COP, PTHP SEE TABLES 6-6 TO 6-8
I t'(JH MUL T1PLIERS FOR OTHER TYPES OF CONCRETE BLOCK CONSTRUCTION SEE SECTION 2 1 OF APPENDIX C. 2 MUL TlPLlERS FOR OTHER TYPES OF RAISED WOODASSEMBUr:S Sf l
SECTION J.l OF APPENDIX C. JDUCTS IN CONDITiONED SPACE NEED TO BE INSULATED ONL Y TO THE R-VALUE NECESSARY TO PREVENT CONDENSATION.
.-- ---- . n. -- -- -~.. ,--_... .-_. -.-.---.-- --
.39 7.40-7.89 7.90-8.39 8.40-8.89 8.9-9.39 9.4.-
__.46 . - n~~ .41 .38 --
1.39.. 11.40- JHil _ 11.90:12.39 -li40-& un ---
... .30 -- .29 .28
.09 3.10-3.29 3.30-3.49 :3.50-3.69 3.70-3.89 .3.90-
.32 .30 .29 .27 .2
9.!J~
36
41'
6
.5-
AUUIIIUNAL I AI:iLt:~
6A-18 HEATING CREDIT MULTIPLIERS HCM
. SYSTEM TYPE
Attic Radiant Barrier
Mullllone
'-LIMA I C LUlU;;' "
Natural Gas
HCM
HeM
~E~
HCM
__ HEATI~G.CREDlT MULTlPUERS (HCM)
..__.__..___ ___98___.__.
.95
LP Gas
~-.ZL
.61
.77
, .
6A-19 COOLING CREDIT MULTIPLIERS CCMI
SYSTEM TYPE COOUNG CREDIT MUL TIPUERS (CCMI
C~lllngF:ans.. _. .86'
Cross Ventilation .95' ----- 'Credit may be taken for only
- -._--- --- .------
Whole House F'!I)..._~__ .95' one ollhese system types concurrently.
.. .------ ..--
Mulllzone - -....-------- .95 -'-
Attic Radiant B"rripr ..--:95---- .
SYSTEM.mE ._.. ...
He" A=wO UM f ~~..
::a1" H~"p"mp . J~
JlllI.wAI~UI'll5 (ItiVCIO) . . . . ..
--;;tj'92~~~ ~~ 25~9930'a9' L~;9 .~tr;o~~UI
----- .. ___..8.4. ~ --....42.____~._.2lL......____ _~1L
A HWM MUST BE USED IN CONJUNCTION WITH ALL HWCM SEE TABLE 6A.9. EF MEANS ENERGY FACTOR.
6A-21 INFIL TRA TION REDUCTION PRACTICE COMPUANCE CHECKLIST (SEE SECTION 6061
COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE C
. COMPLY WITH All INFilTRATION PRESCRIPTIVES. _.
PRACTICE #1 .. --~. ~~
WIlj(..I()W~ -----~ ~aximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors).
[xtellur,& Au.@..cent Do_~ MaXimum of 0.5 CFM oer SQ. ft. of door area' solid core, wood panel, insulated or glass doors only.
r x I""o[ .Jolrw;.& C.@.c~",--. - To be caulked aasketed weatherstripped or otherwise sealed.
PRACTICE #2 606.1 COMPLY WITH #1 AND THE FOllOWING:
Exteflor Walls and Floors Too olate oenetrations sealed. Infiltration barrier installed. Sole olate/lloor ioint caulked or sealed. ----
ExieflorWaiiS&CeillnQs Penetrations ioints and cracks on interior surface caulked sealed or aasketed.
Ductwork Ductwork in unconditioned soace must be sealed.
Fireplaces Eauiooed with outside combustion air doors and flue damoers.
Exhaust Fans Eauiooed with dampers. Combustion devices see 606.1.A.2
PRACTICE #3 606.1 COMPLY WITH PRACTICES #1 AND #2 AND THE FOLLOWING:
Ceillnas Infiltration barrier installed.
Intenor Walls Too oenetrations sealed or ioints & cracks on interior walls caulked sealed or aasketed.
Recessed Liahts Sealed from conditioned & insulated from ventilated attic SDaces.
Ductwork All ductwork located in conditioned space.
Combustlun Appliances Be in unconditioned space (except direct vent), draw air from unconditioned space, exhaust
by-produCls to outside. Combuslion cooking appliances see seclion 606.1,A,3
SWimming Pools & Spas
612.1
REQUIREMENTS
Comply with efficiency requirements in Table 6-11. Switch or clearly marked circuit breaker (electric)
or cutoff as must be rovided. External or built-in heat tra re uired.
Spas & heated pools must have covers (except solar heated). Non-commercial pools must have
a um timer. Gas s a & 001 heaters must have a minimum thermal efficienc of 78%.
Water flow must be restricted to no more Ihan 3 allons er minute at 80 PSIG.
All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
sealed, insulated, and installed in accordance with the criteria of Section 61 O. Ducts in unconditioned
attics must be insulated to a minimum of R-S. Air handlers shall not be installed in attics unless In
mechanical clo&at.
Se arate readily accessible manual.or automatic thermostat for each system.
Ceilin s-MIn. R-19. Common wall~-Frame R-11 or CBS A-3 both sides. Common ceilin & floors A-ll.
CI
Shower Heads
Air Dlstribuhon System
612.1
610.1
HVAC Controls
..-..--...--.------
Insulallon
607.1
604.1,602.1
.6-
... ,. ..... T -,..., ~'" "._ _ ., "_
f r""
.' ~(f~( tLzz!
PASCO COUNTY, FLORIDA
.<.1 ~ L/f..'r
Permit No. L6 I<J
Date Permitted Y - 1.3-9 ~ -
f3
Builder Name/Owner Name '7Jc:f. .JZt~ t:J--
County Parcel No. ) ~ - :26 - ;11- c> 1<:2 0 - 00 ()CJ CJ _
Location 37 YKs A~
Classification/Type of Use '3. "44 ~ rJ
Z;..130
Subd.
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Sq. Ft./U nit
Zone No.
,;.f/ J .i7
.cp H
Prepared By
Impact Fee Amount $
The above impact fee has been establis ursuant to the Pa County Transportation Impact Ordinance as adopted
by the Board of County Co .. ners. This amount is payable P to the issuance of a Certificate of Occupancy
ermitted structure.
EXEMPT D
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
Gross Sq. Ft. (GSF)
Rate/ERU - 50.00 x 0.96*/Year
or $0. 1315/Day
ERU Assign No.
Assessment - (No. Units) x ($0.1315)
x (No. Days)
Assessment -
(GSF) x (ERU) X (0.1315) x (No. Days)
100
TOTAL FEE $
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. ~ 41 t.~ ~ ~
DATE
DATE 6~'-
S7-
BY
9 ..s- BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
C r-- ,.. ",j'" J; ,i/ .
I' .\. ;.
ELEVATION CERTIFICATE f/~~~/;Ja~Oj{?3tJ
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
- Oc-S.,?O
Provide the following from the proper FIRM (See Instructions):
. l_J!~
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
STATE
ZIP CODE
,3--:;_) V I
1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SVFFIX - 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION
/:2 - P-/7-7'/ /IE (In AO Zones, use depth)
/ ~ Q .)3,S- 6J C; 0 .S- L.. r.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 Wb1.U feet NGVD (or other FIRM datum-see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, iildicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level L .
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 IB IS,.@ 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 0 or below 0 (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowast 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: 'g] NGVD '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 7], 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 RJ No (See Instructions on Page 4)
5. The reference level elevation is based on: J[l 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 18/'1-1. g teel 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 elewition 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 Form81-31, MAY 90.
REPLACES ALL PREVIOUS EDITIONS
SEE REVERSE SIDE FOR CONTINUATION
'.'.,1
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 forZones 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'f1oodplain 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 Section~ ~ 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
'l4Au.R,c..e W t3Ef\1....L
TITLE
~o~"':, ~.o,.)"''-" t ,.A~ i')
ADDRESS
o 1S.:n.::.
SIGNATURE
o.L.. DATE
--.,- ~I q<; $ (." I-Ot:'4--~
Caples should be made of this Certificate for: 1) community official, 2) Insurance agenUcompany, and 3) buildIng owner.
S ,.... 11-.. ",'10 ~
LICENSE NUMBER (or Affix Seal)
-PL-S -#'f 'Z-B I
COMPANY NAME
S\I"\>-'\C'I--.(~ ~: 't~AU-
ZIP
3,~z...<.o-I2...~
COMMENTS:
ON WITH
SLAB BASEMENT
ON PILES,
PIERS, OR COLUMNS
A V
ZONES ZONES
A
ZONES
BAse
FLOOD
~
IlA8E
FLOOD
~
r~~1i~JJNi~1~\\DUt;4i;~
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