HomeMy WebLinkAbout95-5060
BUILDING PERMit ~
CITY OF ZEPHYRHILLS Permit N ·
(813) 788-6611
~~50QQ(15
Date' t? -:J- F-- 7J-
J/1,?,j '0
BUILDING
J7~. /'--5-
ELECTRICAL
~ ()~ crv
PLUMBING
3-!;.-:tffV
MECHANICAL
Sewer Conn ~ :L / ~ 01J
Water Conn: 3.l'l), trv -, 7,
/ b.!a" p-p ~~..
Water Meter: 1/2 t,'.{/7/
T,I.F.'s:
~operty Owne' ~~trlfta:-n
Job Address: 6 A
Parcell.D. # .3 -db ~:;V-o/~'tJ-- tJ CJOZJ CJ - 6//0
Zon;ng' Ene7e' Rj1n Ga., ;l ~V <;
Description of Work~#-J A1 1ft. \~~"1 ~.
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
/-
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall b~erfOrmed in accordance with City Codes and Ordinances.
lID . ____ ILrf L _ _, I. I _ J~_ JI ,# Inspector
City License Registration #
State Certified License#
Pe,mit Fee ~ b 6S ..L5 ~
s;gnatu;;r,. , rzA f,(j l ·
Company
Address
Valuation or
Contract Price ~'-? ..3.SV. trD
ELECTRICAL
Telephone# re OJ 7&',)-'- l'fyq
L4f ~~" J~ /{j~ ~;/~ ~,/(IL
PLUMBING MECHANICAL J'Y'
k &d~ /MYI1l"--
BUILDING
YJ1~~ y/
,
-
SLB 7.~'-7'~/') ~
TubSett -~-~
Water ~~Cfs:51lS
Sewer
Final /J -fii--(.)b Frh
Ftr. fl-\G\-qs BoB Tp.Serv.
Pre SLB ~...\-qS 80.8 Rough In lo-zo.9S-806
Lintel "'8-21~~ BoB Meter Can~c2f.-~
FRM. If)..2tJ-_&f3 Const. Pole ?"'S"-9S..8~
Insul. CL Pool
!':' WL IO-~~ Pre-MeY'r L/J"5-~fo ~
r'fJtI\L.- "J-'f Be, \3 FinalL
Driveway 12-,,-q~ ~ \="~~ '1-\q-'L$ 50e
~ q..~C'\,q~ 50B
Breakers
Ducts Insl. /D..2.0 J'f$8?J3
Compressor
Final./' / - C;'1t.. &:h
.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong AddressA!d ~ ~/ tf-~./9-.S-
b. Condemned work resulting from faulty construction. II ~ /
c. Repairs or corrections not made when inspection called. IL<<.. / - 7 - 9,.to
d. Work not ready for inspection when called. I
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
~iU'>IN&
EuiL11l. \(...,
H..u.~
K,f-rJ bJ/.J~~s ~ it.
w725 1Jort11\~ l)~.
, .
~. ~-......." ..~ .,'~.":"",'-.."7""'"
VAi-UI\-rtt'N: 5'Q ,35'0". c-0
/.{17.50
1d.,'75
1_,....., ~,..j
c.J,;1..-J c'
,~ 2-5.0'>)C Z124 6-(, ft: ~.H/lNlr
/0:>:" ~ td.-~~. F-j-; oTItlUL
tv\~ANlU\t..- 3~ cO
5\JB1C> "fr'r l-
(f{Ji.i)lT _ ~ 0.0(-
7o'lltl-
.s&J~
Wl\-Lr-:~
Mri:lIA
1b-rn L
~NllQlw t~6
1,2.-1"6 '( CO
~'5'D. C' ..~
i~). ~ Q
1/713< ;:; C>
~fr~W 6tt5
2\1~ 8JL 27.~~
f __
1~6jJDa:rm7t>tJ tmma fiLF-s
I'. N/A
. .
APPLICAnON FOR PEBKlT
CITY OP ZEPIIYRIIILLS
BUILDIRG DEPARTKERT
OWNER'S lWtE KtNtJt.'fH- M. ~ VlCKl BU~(i(SS :::ft<. PHON" gl'~ ') 7 S>d-. -lq~~
OWHER'S ADDRESS (p1;lS J\)t:>RX1\ tA-trc..~. ZE.~\W{t~,U,S. ~L-, "33S't{c
JOB ADDRESS ($ Pl~ ')
Sll~fI~
LEGAL DBSCRIP'llOR: LOT(S)-' l B~SUBDIVISION S\uJ~ ~ ~ 0101-
PARCEL LD.' 03 -~~-~{-6{.50-~- olio (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:x.ew Coostruction ~ddition ---1J.teration ~pair _Install
_Sign.
---1k>ve
_Deaolish
PROPOSED USE: X-siogle Faaily
----lt/F _' of Units ----lt/H
_ec-ercial
_Indust. _Swia. Pool _Other
___..:Restaurant &: Health Depart:aent Approval
DBSCRIP'llOR OP WORK:ft-S r~s:..!\Jl\ A.L
( J "
BUI.LDIRG SIZE:~. e2'7q.q Square Feet, ~-lf Height
RESIDERTIAL: ATrACB (2) PLOT PLARS &: (2) SETS OF BUI.LDIRG PLANS &: (1) SET ENERGY FORMS.
COMMERCIAL: ATtACH (3) SETS OP BUI.LDIRG PLANS &: (1) SET ERERGY POBltS.
PROPERTY SURVEY REQUIRED FOR ALL HEW CONSTRUCTION.
PERHITS REOUESTED
~UILDIRG
LELEC1'BICAL
hCIWIICAL
~mmDlG
$ 10,000
\50
Valuation of Total Construction
AIIP Service
x
.
Plorida Power Corp.
W.R.E.C.
$....:1 I <V 0 P
Valuation of lIechanical Installation
GAS
ROOFING
SPECIALTY
TYPE 9P mBSmucrIOR: ~Bloclt _praae _Steel Other
, '/
FDIISIIED P.tOOK ELEVAnOBS:~". IS PROJECT IN FLOOD ZOBE AREA?
~
YES
..........................................
Signature
CORTRACTOR SECTION
COMPA1iY f/ oM!.. f)uJtJt.JL
State Cert. or Regist. .
City License Registration .
....................................
BIJII.DER.
Signature
RT.RCTRTCIAI]
tv/yeP
COHPA1iY
State Cert. or Regist. .
City License Registration .
..........................................
=.:n Cert.~~ ~~t.~ ~1~llf{~~{,itlfJ
City License Registration . ~ I~
. .......................................
Jl)oK(o iY
b Ie t-1t;'C-
J4 il
PLlllBER
tlECBARICAL COHPA1iY ~If ilL ~ I?tD.4A ~ L (JAJ ..(.A~ ::TN<'.
'Y ./4 A State Cert. or Regist. . CAc:.O 1J' V f1
Signature /L--..:. City License Registration, 7
p7 ..........................................
nTRRR COMPANY
State Cert. or Regist. .
Signature City License Registration .
..........................................
APPLICAfiOB APPIlOVED BY 71 tMIA"~ /lI ~ PBIlIIJ.T OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
the undersigned understands that this pecait uy be subject to .deed restrictions. which uy be lOre restrictive than City
regulations. the undersigned USUJeS responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake wort, they lilY be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the 0Im8I and contractor lilY be
cited for a lisdel8anor violation under state lal. If the owner or intended contractor are uncertain as to what licensing
reguireIeDts uy apply for the intended work, they are advised to contact the City of Zephyrhllls Building IJepartlent, (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. of this application for which they will be responsible. I{ you, as the OIIDer 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 uy be an indication that be is not properly licensed and is not entitled to pemitting privileges in the
City of zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of .Florida's Construction Lien Law - BoIeow.ner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is 8OII!OJle other than the
"01fIler", I certify that I have obtained a copy of the above described docuIent and p~ise In good faith to deliver it to the
"owner" prior to C088llCl!II8Dt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infoIliltion in this application is accurate and that all wort will be done in COIpliance with all
applicable lalll regulating construction, loning, and land developl8llt.
Application is bereby ude to obtain a perlit to do wort and installation as indicated. I certify that no wort or
installation bas CDlenced prior to issuance of a pel1Iit and that allllOrt will be perfoIled to lIeet standards of all laws
regulating construction, City codes, loning regulations, and land developl8llt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveruental agencies .y apply to the intended worl, and that it is
If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not luited to:
I Departlent of InviIOlll8Jltal Regulation - Cypress Baybeads, Wetland Areas and Invirouenta11y Sensitive Lands,
lIater /Wastewater treatJent
I Southwest Florida lIater Hanagl!ll8Dt District - lIells, Cypress Baybea4s, lIetland Areas, Altering lIatercourses
I Ally Corps of Inqineers - Seawalls, Docks, Xavigable Waterways
I Depar1:lent of Health i Rehabilitative Services, InvirODlental Health Unit - lIe11s, lIastewater treatet, Septic lants
I US InviIOJl.llelltal Protection Igency - Asbestos abatl!leDt
I also certify that, if fill uterial is to be used in Flood ZOne "A. or "I,etc.., it is understood that a drainage plan
addressing a .CDlpenSating volUll!" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A ~it issued shall be construed to be a license to proceed with the wort 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 fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. !very perait issued shall bec:me invalid
unless the IIOrt authorized by such perlit is COIIeIlCed Ifithin sillOllths of issuance, or if IIOrt authoriled by the pel1Iit is
suspended or abandoned for a period of sillOllths after the tHe the wort is co.enced. One 90 day utension of tille, .y be
allowed for the perlit with fee charge of $15.00. the utension shall be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sillODth period, or the project Ifill be considered abandoned.
"mIlfG fO (M(D: YOOR FAILURI fO RICORD A JOIICI OF aIIIDCIIIDI MAY RlSULf Ilf YOUR PAYIIC IIfICl FOR IMPROVIIIIIfS fO YOUR
PROPERlY. IF YOU I fO OBIIIlf FIJlllCIIG, COISULt IIfR YOUR LODER OR 11 AfIORDY BIPORI RICORDIJG YOUR DICK OF
COOIDCBIIDf. JOBS '2,500 IX VAtUB 00 01 IIIID fO RICORD AID POSt I 'JOIICK OF aJIIIICIIlIIII'.
0usJL \5 ~A.C-~tt......
SIGHAfURE: COITRlCTOR
StAtl OF ~A
COUIfY OF ~ t'\
The foregoing instrument was ~c~owledged
before me this JuC\~ ~ 7 , 19~ by
~fV\(~f.~ '1\\. '"B\1(1e~~ ~{".
who is personally known 0 me or who has
prod.uced
as identification and who did/did not
take an oath. ~ \A. ~
~U'.I~
(Sitature) ,\ '
Q H.e e. '(\ S -\-1"0 ~
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
StAfE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19_ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
OSlVlI 00 'ON 'WWOO ....-If.:~~...
9661 'oz 'uer ..4Tj;fi..l.\
S8Jldx3 UOISslwWOO ,{w ! ,
J.10~lS N331100 \ I
nV3S 1VI:>I.:J.:IO ..~ A/
..".....*
r
PERMIT'rING APPROVAlJ f.'ORM FOR SILVER OAKS
CITY OF ZEPHYlUIILLS BUILDING DEPARTMENT
To Whom it May Concern:
Please be advised that the full set of Construction Plans
including site or plot plan has been submitted and approved
by the D.R.C. committee for:
BUR (JESS
BUILDER
"7ed - f9cf1'
PHONE
STREET ADDRESS
Z ifb-LL5
CITY
F~.
STATE
33sf/
ZIP
FOR:
~
YbeI
PHASE .s . (J-.
~~ss
OWNER
&-02~-q6
DATE SUBMI'rrED
(, /"7-6/tS-
DATE'APPR VED
APPROVED By:i
~
~y~
7025 Fort King Rd. Zephyrhills, Florida 33541 (813) 788-0aks 782-6900
,-
,,'..,~-
I'
, __ --4.~~" .,"
i II!
. lu
;i 1.1
at !~.~
j! I~h
,i )11:
I ~ ,t
'. ~! ~ili
. '" .5g~
~. .
I' .
" ~
-
~~h ..1
~-, ~
4 r- '~I -
-~'-'----n::=r" -1it
~ ~ ~li
,
I..
~
~'~
!~
,~
~
~.~ ~ '~
t ',1 t
I I'
I
I,
~
't/
~
~@ ~
'S... 0 ~
l~ _ !~ . Sfi fJ ~
l~ I: i~w~ij~~ ii
.-- r"" - i~ ~~~ tf1~ -~:
''''~ 1 ~;:t h~l! ~"
J~ la~ ~~
/ \ /
'z>- --. .__.\...L:. _
r[l . ,.1 ~'3rr:~::~:~
I 19 g I
. --i -- ja.~_ -
~ ~!!II !,~
) ) l '
// , \ ~,
I \ ~I
tb~
--'~
~j
~...
..ill'
6~
fj'j
,
g$
~I
~H
,--~---+-----~_. -
II
II, '1lIi'<I
l)f"' .-
_________ I ""'"
~
8
~
!~:.
jJt
~d~
I I'
111111
!iil Iii
--. Ili.-
J II III
1:11
d'jJ
II
Ul. dJ11[]~' '1'::';11] tkll.JtU ,')jdClT' IJIJd.:::J r:::-:Sl St:,t,I-CC'~_'ll
~
'~tm,0 .~ 0
o 0
t 0
~
~
...J . _n
...
... --.-...-,...- ,.-.- "- .-~-
'/-
,
iDE'
I~ ~
~ n-vI
d .. :'I$~.:l
i
~!
i. ~
~~ h~
'"
; ~U .~ ~ N
~t:~ !i 2" 6
!i !:!
l ~
s ~ i
~.." ~i ,.
"~; ~
r'J I
g
'~
~~ ;~,~~ " ~
js '"
,-, Cl
'~~ I " ,j
~~i '~-~
....0 \"
... ~ ~ ~
--.
"-
"
/1
I'
"J
~.--..
V>~
~~
~~
.cr
"u
:;;-l.')
i~
~~
tIlZ ~-j
~~ ~I
~~ i~ ~~
h~ ,,~ ~~
~cr~;~ e ; ;l g ~ -J ~ ~
.. ~z odo :ii::J ~a:
, ~:':"'i3~ 0
"~tCl .z 0'\:1 3:3<fl
c..8Qo~ ;i! "'~fi! j~,.,Ul~
~;Jt ~~ ~ ~crw.. .'r~.Q
'C"l~~1Il~ U U,.)l< ~o~~,y.
W....fli9. 0 ~ !:JQ:g -e\I='>lQ
v.:V\~~ ~'Q Z~<.l w"- 0(...8
:;.~.Jo>t, ;I'. ~o~ ~Ul~'>O
~~~~.... ~ ~ ~ 0/; ~ ~.~ :~~;;,'~
..Ql.....i ..~ (,.l ~ .....~g~w
oxt-. ~.....l::l ~9a- -;-~ ;fer;
g1:lt::1i o~ 0", -~ j~
~~~ ..!::'.\i:' l
"
).~
~ '.
l · ~ ~
r~-=-~, .:-' ~
N ~~ a~~~ ~:~ f
(' :s~b~ !r'J~~ '" Cl:S"-~
'!' ei~~b~ l:B~ ~ ~.1j~";~
s~ ~~!;j~~ ~I~g ~ ~it5~~~
l-,~d~~~ .",~,,,;;; ~ ~i1i~a~~
~w .;;,.. '" ~~ ~ ~
~"':!"il ~~"'~
~...."... ?li~ I ~~~_
~ i ~;::.$ .!.is III
~g~~~ ~El~g
vI~'S~
~~~i~
....o;'l''S
.;~~!t
L L- ~ L~
Lb-_,I==!
!~o-)~ isQOO - ::~:~~:~-~
~
~
>
'&
'<1'
C1>
~ ,i iiJd
I ~ ~~
e'" ~ Y3
r 4 :1g j
L ~'''~
o.
0
~ ~"
~ E;f'J
5 ~~
2~ g~
~9 Q '" ~
I; "-
n
r-..
C/) i!
~
w
0 ~5
0
~ ~~
~~
'f
~
111~
d
~111
~i
UO:
~~
......111
~
....
",-""
Qu.
~Q
~t:;
~~
~~
:1:-
J:;
9'0
....1
,:::U . d
S'Jrt':=::~:L.
'b
b'
l~
Q-
~o
...
~
; I~
~ ~I
~;~
~ ~
~
~
I:.
:l
E~!a
~~=
'"'is
~~
~..o
:;,':'i:!
b~~
~9V1
~5~
~ClI...
Il!"'W
~~i
~tIl~
"'su.
a-~
~8
z~w
"'f""
t'i",,,,-
Q!,O
... 0
':~".I,)
~ '0
r"....-
000
2:...~n
QCi5:::J
>-wo::
~B@~
\;2,""<':2
u.Q
a~~~
U Vl..(
~u.:o.w
~vi<cC>
C2a:,...,0
... -HU
., 0
ONIeoZ
~ -HOc
I-S~~
;:) >-lD
~~~@
.<.; 6 :(
a::(Ji 0
Ow :;
oc~~
u j?,VI
If)3 u.J
i'l<J"'l:r:
...(1).-..-
*
''If
..
~
.
'"
tj'
S~
~~
!~
I=~
~E
~~
,I<>
~~~
Vi ~!
~~:
WI""I~
cr <;j ~x
~ ~ i
~~ g ~
~g ~ ~
of5 .:$
;~ 0
::.\3 '"
'---
---U--1 "I' T -"'\
I ~ i~ :1
I .~l I
I. ~ g" ('. i
~ n'" ~ ,
1 S 'i.... -:: I'
~ ,.,
W b ,,<'. ..
a ~,~: '
<!~~
l t,,~
~ ... <0 ~
. "'- 0 ~
~ ro .
S L~--
a . ~ I
~..... VI
~ ,... I
v)
t.
~
:i ~
to
, ~
9w 't!
<..~I.1 ~
i:7. ~
:t'1I) ...J
0"" i
~~ ,.
"'_ "d
~~ ~
~; ~
'.. '"
~~ E
w :J
s~ ~
"'::: 2
-0( ~
I
\ /,4
I :
~ ~iJ I I
,:, 'I I
- - ,"
. ,. i:
~ ..it. ~~,
! i ~.,
~ 't P
~~ I] It
... ~ ::: 'tl
~~81'fl
~50 ~ht,
'it::'.? a !i'l
~l/l~ H;
5t;;... ~l ~
g)~~j .\
~~~ :
~ ~,. ~ t!,
o....'i ~ HI
0;;;0 <:ih,
>. 11\ !
- :
U :
&'I ;J i
a. g I
a a: I
== mC1
-~~
II~ gl
o:l u'i
..i
t~ j
II!
~~~
",.3
~::::::'"
~);.~
v~w
~e;:2
...",w
"'",'"
;.,tz~
3'" =<
UfCl va
..... <~
zl?'O t5...~ ,
jQ.~~~~
w"'r_ w
3.... .....
~~"i~~~~
~~~ ~d~~
~~~~
t;.38 ~
:.o=<d '"
~"li'l '" j
8~.... '.:>
..,~",," I<
~=1Ilr-
.~:~ ~
...I..to...._ ...
vi
01
It
~ ~
[
~
~
~
d
III
N
ljO~~ ~~l~~
~i'jl\ ~~3~
~-:~ SCIl<<<lIZ
~ ~... l^><8....-
t;8,~ "~9~O
~~:'& ~^8",~
Ij
-.,
lil d.:.JliU.' 'L,I'1 fjdllUl )):k:JiJTI l,ICk:U C:t':~l :':::,t:,r~,I"CC-'.Ulj
~
.
'", ~
..
S lTK i'LAN
(RESIDENTIAL USE ONLY)
PARCEL 1.D. 03 -J,6-JI-oI5o-oooDv -0\\0
03
SEe
dh.
T'w l'
S ll...V r..R..
Q~
SUllU
~~p~
p-/...~~
llLOCK
dL
RNG
PROI'EHTY MEASUREME.NT
8 Ji'/-.. (( 0 '
1JL9510 SQ. f1:
8\j~ss
lWrE
CURRENT OWNLmS XCI\)Nf:(H ,Itt, ! LA CKI l-.
All drawings shall be drawn to scale for all parcels or lots five acres or less.
J./O/lT II 1. A I<E 'DR.I V,;
lL
LOT
--84' -b"
:0
,
.~
-
J ---"
:0 !
>
. , ~
to
Il J:l
,
I
17:'q" 11~q" ~
I'
~
0
- ,
~
I" ~q'-o"
c.
,
0,:-
QS70
r I'
Jf. 't-r.
,
Depi::\!,.t.mF:ont of C::ommul'lit',/ ('1'f'fait-s
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Component. Prescriptive Method A
: EIU I LDER: O\lH"H::'I"
6725 North Lake Dr. IPERMITTING
Zephyrhills, Fl. 33510FFICE: Zephyrhills
I<en BUl'"'gE~~"s :PEI=WIIT NO",-.S'"z?6LlL3
FORt1 6(10?\.,-J~3
F'r:;:oa Eel' t'.H'~ft?1E:
{-'IN!) {mDRES\;:
Ol~JNER :
1.. New construction or addition
:'2. birH;}lf:! family dE't.::lc:hed 01" Mult.ifamily i:iltt.::ICI"if":!d
:::.. . l.f 1"lu 1 t if ami I 'y'."..t..lo. of un i t~;
4. If t'lultifamily, is t.his a "'JOt"'st cr~!":,e (Yf?s/nu)
5. [~nditioned floor area (sq.ft.)
6. Predominant eave overhang (ft.)
/. F'ur'el, oVE~t-h<.'In~.:j lenqth (,ft.)
8. Glass area and type:
i::t. Cl ear- GI <.'ISS
b. Tint, film or solar screen
9.. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
10.Net Wall type area and insulation~
a. Exterior: 1. Concrete (Insulation R-value)
a. Adjacent: 2. Wood frame (Insulation R-value)
li.Ceiling type area and insulation:
a. Under attic: (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
14.Heating Systemn
15..Hot water system:
16.Hot Water Credits: (HR-Heat. Recovery,
DHP-Dedicated Heat. Pump)
17. Infiltr'ation pr"act.ice: 1, 2 or :::;;
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
SNn
618~::;
CEI',,!TP{-)L
I CL.llv!f.yrE
: Z UNE : 4: 0 ~:.;: "..,: 6:
:JURISDICTION NO.611600
Cf:::
1. New Construction
2. Single-Family
(I
"_:' rr
4.
~j. 212".j.. 00
t:) . 1 . ~y~;
7.. B.67
Single PcI!''',E'.:'
Bc.~,. 4!::.;O. O!sqf t
8b. (l.(lsqft
Poub J. e F' ;:~rH?
O. OOs;q+ t.
(l. OOsq 'f.t
9a.R= 0.00 , 277.30 ft
10a-1 R= 5.80, 1578.70sqft____
1(la"'-:'.~: R:::1 :!... 00 ~ 270.70!:;qft.......__....,'
l1a.R=26.00 , 2124.00sqft____
12a. R= 6.00, uncond
13. Type: Central A/e
FER: 10.20
14. Type: Heat Pump
HE;PF: 8. P':;
1!,:i. Type: ElectTic
EF: 0.89
i '
J. <:.;. .
17.
lB.
r'l
..:~
CF
19.
19a.
1 ~';;b.
T:~ . 06
2824~:::i. 96
~:;86~:.9. 2~7
Review of the plans and specifications
covered by this calculation indicat.es
compliance with the Florida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
~.:J5~:::. l.:l()El f::- rt S.
I Hf.':-l-eb'y' CE'I'''ti f'y' that the pI i:HH" arHi
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
f".f-'f."f....'f"E".I.) T''', , Q~' """'~~
.. ' ... , .. .[,(. .<:3
\ '". (.'1'" "..., b" i . -, "". "" . . -..' ..... ..,,, -" ..... ,,- "... "." "". ..... "... ......-. .....
'j') :'1TF a ' - ~O_Q c::-
_f _..______~~_~~______________________
I hereby certify that this building is
in compliance with the Florida Energy
Cc)df-:? .
CH.AJt."II:::r;: / {..'1(3ENT:
D(',TE:
~~-;~~~~~~~~~~~~~=
***-**********************************************************************~****
SUMMER CALCULATIONS
*******************************************************************************
:::=:::=:::= B(.iE;E :::==:::::::
:=::::::::::: (i~:;""'BU I L. 'f ::::::=::::=
____.__M________._.________..__.___.___.___..____.____.--.-------.----------.-.--..---.---..---.-.-----.-.---------------------.-.--.--.
__.__._.___.______..._______~___.____._____.___________.___.___._.____._.___.__.___.___..__...__....__.______.___________.____...___._.M___.___...._
GLASS----------------
ORIEN AREA x BSPM = POINTS :
TYPE
SC ORIEN AREA x SPM x sor = POINTS
.,ow ..._ "M' 'U_ .._ ___ ..... .... "N' ._.. "'M .__ __ _.._ .M_ ..... ..... ,'... ..... _..."_ __ ..... __ ..._ _. ,,'M ..... __. ..... .,... ._. 0-- __ "M' ..... .'M' ___ .__ _H' ._. ..._ ..... ..._ .._. .__ _._ ..... .__ .__ .__ 'M" --. .-- .-- -... ..... .~~ ..... .... .~.. .~~ ...~ ..~. .-- .._.,.~. ..~. -- .~- .-- ~.., ..... ..... ...-..- ...~ ..-
N 1 6 :~:() 8:;;:: ::: 1 :I f~\ bFiL. CLH N 1 t) n r"j ;:,:.; 1 ( } I':?()
. . -. - . ..1-'. . .
F: 9::!:.. ~;~() \:32 ....~ 7'{'J.b :I. 0 \:,;OL. eL.F;: r' :+ 1 0 1. ()ei ."i 8El
.. .t:. . . . ,.- .
~3bL eLF( E 1 1 :: 1 ()c,;r . . . 54
. .J::' .
SOL. cu~ F :+ 1 {' } lOS) /"'1 ElB
. - . .0::. .
('~ 44 40 8:;;: ~~ :::;649 ~7 SGL [:LH ,-, 1 ~. (l :I 00. :2 ~;l:.\
,:;) . . . ;;:\ ..c:'" .
BGL CU~ ,..... 16 :"2 100. ,-, 85
\."J . ,0::. .
SE~L. c:: L. n r' 1 l:,\ . 100. ~':'~ f$~i
,::.\ .I:.. .
l"j .. 1 20 B2 '-' ~; ~~ ~.);~ 6 SOL CL.H !"j :~',-:r :~~ :109 2 90
. . ....:. . .r::. ,~:' .. .. .
BGL CU~: tAl 1 r"i ( } 1 oe? . ~':~ ~(:?
..::. . .
SOL eLF: !J.J 24 0 lOlji ,-, 1::;"''''
.. .. ..::. . ,~, .r::"
~3bL eLF: w :l. r) 0 1 (}fj) . :;:~ ~i:;:
...... . .
..-..."._..__.~~_......._..-..._---------_.__..._-~..__._-..._.._..._...._---........_._.._.._...~-_._-_.._---_..._~._.----,--,'--'-"--'--'---'---'--'~"~'--'---'-_._~'-"
If l ~~::.; h
CONDo FLOOR I TOTAL GLASS = ADJ.
AREA AREA FACTOR
Fil,,,nss
POII\HS
{'ID,] EiLJi!:;S
P (J I I\rn;
744. ~::i
::=;:9'lA.. 9
417.'}'
Tl44. r:;
6'70. :I
1 :::::76. 1.
1:~::7'6. 1
:';':'291.4
bEll. 4
1 ::::l:!~2 . B
bBl.4
C;L.(IFiS
F'OINTS
. 1 ~:i
2,/124.00
~2~?~i II ()()
1.. .1,16
18,49~5.00
26, 1 BEl. 9~.2
.. .... ..... ..~. ..... _m ..... ~... "N' ..... ..... ..... ..... ~... ....... . ..... ..... .... _H. ..~. ..... .,." ..._. ..... .._. .._. ..... ..... ..... ..... _h. ..... ..... ..~. ..... ,,_ ._.. ..... ..... ..... ..... _._ ..... ..... ,,_. ~... ..... ..~. ..... _'~ _m..... ..~. ..... _u. ..... ..... - . ..... ..... ..... _.. ~." ..... "... '.-.. ..... "... -... ..... ......
17,47:1..~5It
H_..,I,,'(H.,.UE
(~n F:r~1 :>:
==:===========~==~==========================:========:=~=========~=====~::=====~~:===::=:=
EW'1'1 ::= PDIN'lb
NON OLASS------------
AREA x BSPM = POINTS l
TYPE
L,\1 PI L.\.... H ",.. ...., ,... ..... ...., ...., .-. -... _... ...., ..... ._" ..... -... ..... .....
Ext 1578.7 1.0
(.)cjj 270.. '7 . '7
1 ~.~i'?E]. 7
. Ci2
" '7()
In
~.;. 8
E:::>:t. Ncn-ml.oJtBlock
(')d j 1.\Iood Fl'- r::\I11t:"?
1~,:,i7B. '7
189. ~;
11. (>
2'7(). '7
DOoRS----------------
Ext 29.0 4.8
1L6
4.BO
4.BO
4.80
l..bO
1~~;C;.2
E:>:t In!:'i.ul i:.itr~d
I::.:>: t Insul <-"ted
E:>:t. In5.uJ.ated
f~d j I n suI a t E~d
11..6
17.8
~~. 8
{.)cj j
~;~8. 5
1'7. B
l.,6
CEIL.INGS-------------
UA 2124.0 .6 1274.4
:26.0 2124.0
.'70
Unclel~ f4t.tic:
FLooRS---------------
SIb 277.3 -31.8 -8818.1
:1, 4. ~~,i~? 4
11:N.. ~:;
~:.i ~.i. ~7
27.Ei
5~:.i. '7
~2Ei . !5
1486.8
.0
277.3 -31.90 -8845.9
81 ab'-"on-"'GI"' ade
INFIL.TRATION---------
:? 124. 0
2124.0
lO. ltO :;;:::::::I;:'i:\.. 6
10.9 T:;;1~7.;1.h
P t'" <:1 c: t. i c f=:' :1l2
::::=~:=:====:==:===:====~=:==::====:===:=============:=::===::::===:==:::==:::=========:=========:==:=======
TOTAL SUMMER POINTS
4::'~, '?:3~~. 6~-:; ;
::::=====:==:====~=======:==:==============~======:==========================::=====::======
:~; ~",i , 0 ':.r.:::. 6.1.1
BYSTEI"1
1'1UL T
COOL I NE:l : T (If {~IL
PO I NTB : CClI"lF'ON
x CAP x DUCT x BYBTEM x CREDIT = CooL.ING
RATIO MULT MULT MULT POINTS
'T()T til...
HLWI PTS
,.',
4:~; , '?~3~2 It (J~;
It ::\ :~: :2
..B60
================================================================================
1 1 ,02:l . 9:~::
.3'7
l(::!, lBl.. (IE! : ~.::;5, OCl:~::. f-,'+ 1.00 1.100
***i**************************************************************************~
WINTER CALCULATIONS
*~*****************************************************************************
:::::::-::::-.:: BrlSE :::::"::::::::
:::::::,":::" P,8-..BUILT ":"::::::,,"
--.--.-.---..----.--.-------.-.--.--.-..-----------------------.---..-----.---.--.--"-.--------------..-----------..------.-.----
.-..--.-.---.---.--.-.....-.--------.-.....-.----------..---------.----.--..---.......--..---.-.---.--....-.---.--------.-.--......-.--.----.-..---.....---.-.-.--.---.---..-.--
GLASS----------------
ORIEN AREA x BWPM::::: POINTS:
TYPE
SC ORIEN AREA x WPM x WOF ::::: POINTS
164. '_.'
I""
I...,
..
J.c).20
-.- .~~. 4
0:::'''''' 1
... '--("'..C 11 .
---.....---.------.---..-.---------..-------..-----.--_._..__._-_._~-_._--------_._---_.__..._--.-_._.__.__.----.--.--.---..-.-.----.--..-..-.----------.-.-.---...-_....-
...-::!-,. 4
-"'::::'16. q
<;) :'=!: ., ;.;~ ()
r'
t':::~
44.40
--'_;'. 4
--':I.~):I..0
{J.,I
'71.20
._..:::;" 4.
...:?4:'?.. 1
"~I""l
\:,:l .::t ._
t3l3L
l:3GL
BGL
HGL.
E;(3L
eLF
CLP
CLn
CLP
CLf=::
CL.P
CL,P
CLP
CLF~
CLF<
[:L.P
, ~~(3l...
~:3F,L_
BEiL
f:)GL
BGL.
.15 x CONDo FLOOR / TOTAL GLASS = ADJ.
AREA AREA FACTOR
GL.PIf.;B
PO I NTt3
,. 1. ~.i
2,:1.24.00
:;2:2 !::;.. () ()
==::========:==================:===========================~=====================:==
1.66
NON GLASS------------
AREA x BWPM = POINT8 :
WALLS----------------
Lxt 1578.7 1.1
Adj 270.7 1.8
1-:-r~)6. 6
4B7 . ~::.
DOORS----------------
Ext 29.0 5.1
147.9
(:)d j
17.B
4.0
71.2
CEILINGS-------------
UA 2124.0 .6 :1.274.4
FLOOR8---------------
SIb 277.3 -:1..9 -526.9
INFILTRATION---------
2124.0 4.:1. 8708.4
1. 'H6
._,] 6~). 00
N
E-::
roo
E
16.2
L~1.0
l1.2
41.0
l2.0
c,i.6
N'. ~~~ . :~~
:-', :....
.... ..l:. . J._
._..~~ q 2
.....l().c.~
,-,10.9
..... 1 () ~ (.~)
.N.. ;.:~ II ~2
--~~ft ~:.
r,
..... .l:. u ..::.
-.. ~~' . ~:~
r,D~J E-H_fiSt3
PO I tHE:
"-1 ,OB3. 24 :
1.Ol)
. ~~;6
--:3" f:t2
. :::S6
. ~,',i l
" ~:~()
.90
.49
.,-:2 . () ~~:;
--:2 It ()~5
-_.~.? . () :~:.
::~~2 or i.
96.7
-- ::~ ~;2 . ,~
,...66.4
,...1~m.9
-..,1 ;.:iB. 9
'-'24..B
~i~~" I.:~
10'7.2
~.:.~ :2::" l~
LiLPI!:;::;
PO I NTE;
AREA x WPM::::: POINTS
1 ~.'.i"18. 7
270.7
2.66
1 ,,80
4 l 99 . :~~
4B7 . :~:.
1 1 t~ ~:.:; " 1. 0 ~:jf:1 q
. . .t':.
1;:' B !.:i It 10 2ft l,
....< . ..
1 l 6 ~:j . 10 ~5(? II :"'1
. .t:'
1 7' 8 4 ( - H) 7 1 ,-,
. .. - . .0::.
:::::6. 0 ....l :I. 24 0 70 1 4 f:l t;) B
J_. . . ..
0 277 .."'. :;~ II ::'.iO .t., f:( :~
. . .~:' .. ....'
:~.~ 1. 24 . (> 4. 1 ( -) B70B. 4
-
1. 0 , 81 ::,i. (',2 1 . 10
11,897.18 : 15,795.8l 1..00 1.100
TYPE
E:>:t Nor'ml.>Jt.Block
{~d j l.>Jc)C)d Fr' i:\mE~
E;,:-:t In~:.ulatl,~c1
E;.( t I nsul ~"..I.:.ed
E).:t Insul E.ltt:~d
Acjj I nsul ated
UnclE-f"' {'It.tic
HI C'lb-"'on"-Gf" acje
PI" ~"c: tic: f~ :tt.2
TfJT(iL.
~'JIN PH3
.'.'
.',
SYE;TEI"1
I"'LlLT
~-IEr-) T I NG : TOTAL.
POINTS : CCll'1PON
x CAP x DUCT x SYSTEM x CREDIT ::::: HEATING
RATIO MULT MULT MULT POINTS
~;
;::>
1 l,. :',2
r~
:!. 6. ::.:
TOTAL WINTER POINTS
::::=:============:==:=======:=~:=======:==========:======:===========~:=:=================:=
10 , E< l 5. 62 :
~'J
N
III
\.Il
.'M.,"" rj
.,:....:'11 .,::.
:===:=====~:==========================================:===::===:=====================
1 ~j, 79~i. 81
l2.0
~,~ 4. . 0
12.0
F:< -... '.j (-) L.. U E
In
~). 8
. ::'8'-1
1 . 000
===============================================================================
(::> , '7~:.;Cl., ()~:;
11.0
'~'r:'~,}\- 'lli' -j(- 'If*' *~. 'l<C -!li'.j(~ 'Jr:. ,*' * * -!I:- '!II"* ,!Ii. * 'lJ:,.1f ,*' *!<" .j(. 'l'i- 'lJ:' 'l~ ,y., '*, .lJ:, .j(, ,~, 'K' ,*, ,~, 'II:' '!<'~ ,~~ .l<t' 'j(, ,j(~ .j(' ,*' 'l~ ,;:~ * -li' ,If.l(~.* * * ,11:..11:- .~:. ,*' -1<" 'l<C 'II:- 'li:' 'II:- 'II:- ,11:,,* * *..1(- ,~: .~- *',11:, 'l~ 'lI:'~' ,~:.
t,\J(.~TFn HE{'"~T INE)
*******************************************************************************
::::::::::: Bf."%BF :::::::::::::
::::::::::: {'~B-'" FlU I L.l' :::::,::;:
-.----.---.-------.-----.-----.-.---.----.-.--------------..--..----..------------.----.--------.-.----.--.-,.---..--",..--.-.-.--.
--....----.----.--..-.----.--...---.-.....--..-...-.-------------.---.-...---....--.----....--.--.-----------.--.-.----.----.----.---..--.----.---.-.-....-----.-.---.".
NUl"l UF
BEDI::;:t.1E;
>{
t'IUL. T
TCITPIL.
''1'' PIN~::: 'VUL.UI'1E
Fr::'
T m.n=::
F;:f:~l' I D
H MUL.l' )or CHEDI'r
MUL.T
::::: 'rUTPIL
.~:\
::~; ~::.; :2j'r . ()
1 (I ~ ~5B 1 . 00
L~(>
.B7
1.. 000
:':::488. 3
1 . 00
10 , 46~).. (H)
--------.--------------------.----------------------------..-------------------.---..-.------------.-.--.------_.-.
...".....-.....-----..-..-..-.-.-.,---------.-.---.--.---.---------.-------.-----.----.---.----.-------..-..-.-.--.----.--.-------.---..--.-..-.--.--..--...--.----.--.-.---..--
*******************************************************************************
SUt'11"1f."~IPY
*******************************************************************************
::::::::::::::: BASE ==::::: ==::::: AS-BUILT :::::==
--.-.------.-..--------.--------------------.--.-.--.----.--.------.-.------.--.---.-----.--.---.--.---------------.------
--..------.----...-------.-.---.---..----------.--.-...-.---..---.------.--..-.---.----.----.------.-.--...--.-.-...---.------.---.--------..-----------..--.---.---
COOLING
PO I trn~; +-
HE(~T I NO
PDINTB
HOT ~\J(.~TEH
+- PDINT\; -.
TOT(;L
POINTS
COOLING
POINTS +
HE{-'~ T I NO
POINTS
HCIT vJ(%TEr;:
+ ~':'OINn3 ..-
'TOTPIL
POINTS
161B1.1
:1.1897.2
10581.0
:2;t~ If ~:~~:i(';r n :27
11021,,(';;
6'75"'1 II ()
1 04c',~.:i. (>
~~8 , :24~.)" "i6
=:==:=========:=======:=============================================:====================
*****************
,jl;. FPl :::::
T5.06
.Jl:.
*****************
El\IEf~:i3Y DU J DE
~or detailed information
clf tl.'Jr.-i' EFT t.'i:\tinq numbE:I'''
or for any ITEM listed,
ask your Builder for
net, FOI"m 600f".lt.,.'-j:3
en- FUI'''m 600B'.'9:::'~
EF' I ::::: 7:~:;. 1
o 10 :;::0 :::;0 40 ~"j0 60 " I) BO 90 100
l ..- --.... ........ ..., ... ..'. ..... ..'. .... ..,.. .... .... .., ,... ...., ,.. ....... ,................--... ..... ,... ,.. ..... X .- ,.. ....,.- ... .,. .., '... .... .... -" I
The maximum allowable EFI is 100. The loweI" the EPT the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
I TEI'1
HOME V{-iLUE
L.olo'J Efficj,f-i'nc:y
H:i.gr-., Ef.fic:if.?rlcy
S I NGL. CLJ=<
OBL TINT
WINDOWS.....................8ingle Clear
:X--------------------l
lNSULATION..................
F<....10
R.<:;O
Cei.ling
R--Value..au"...n. 26wO
:--.---...----..--------------x---.----:
R.....O
p..."./
1,'Jr21 1. 1
R-Value......... 6.6
:------------------X--:
R-'-O
R--'19
F I (j Cif"
R-Value......... 0.0
~x--_._._._-----------------.--------.-:
AIR CONDITIONER.............
10.0
~3EER
17.0
E.\E:[-::f~~./ E:EJ:;~ rf a u au. PI " . n U aJ " tf . n "n 1. (>" (\
:.-x..---.----.--.-.----...-----.----------;
9.7
FER
11.:,.0
HEATING SySTEM..............
Electric: COP/HSPF....n... 8.8
6. B HSPF 12.0
I-------X-------------l
0.78 AFUE 0.90
Gas AFUEuna"nanftucua 0u()O
:------_.__._-_._-_._-_._._------~
WATER HEATER................
O.BS
0.91:.;
Electric EF..n.......n... 0.89
~----.x-._--_.._.__.._._-.-.----.---.--.---_..-:
0. ~:A
0.90
Ga~::.
EF: . a II II II . If II' . II n :r . ,. () II ()()
:--_._-------_._----_.._-------_.._~
0.40
O.BO
Be)l ar'
I:::F' Ir . a a " . . " nil. n " II
:.----.--.-----.------.-.---------:
UTIICH FEfYlUr:;:Et3..............
J certify that the~e energy saving features required for the Florida
ErF.:',,'.qy COdE? have bt:=::'f.?r1 in~;ti:"lled in thi!:;. house.
Bui 1 del"
Address:_______________________Signature:_______________________Date:__________
City/Zip_______________________
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs
Fl...,--FT.L. C{.'IHD9:::~
EI\IFFO"{ (;\.J J DF
~or detailed information
c::.f the FF'J 1"i:ltineJ numbE'1
Dr -(' 0'" ;::\['1'/ I TI:]"\ 1 i ~:::,t >::?d ,
0sk your Builder for
net', Fol" rn 600{.)....9~~;
(,::or FUI'''m 600B-.(:?:::::
EF' I::::: ~r:!;. 1
o 10 20 30 40 50 60 70 80 90 100
: ..._ .",. _.. ..... ..." ..... .~". ..... "n, ..'~ _,.. ..... ..... ..._ _,." ,". ,'.' "._ ... ...~ ..... ..... ..... ,.." ..... ..m .... ,__ .... )~ ..... ._.. ..._. _H' 'M_ _._ _... ..... "'M ,_M_ _.. :
'Thp ifIr:',::d,IiIUffl i~i:t.:l.o~'JC':iblE~ EF'I ie=". :1.00. 'rhe .l.D~'J>::?I' tIn:::! FPI t.hE' mDI'''e efficipnt thF! !"',omE?
r::E~3 I DaTI' I nL.. l:;:.!\.IEr;:GY PE::HFOHIYlr~NCE FaYf I NC, BHEET
JrFt~1
HCWIE ',-'P,LUE
L...c'\>'J E:fficienc::y
I...!i (jh F.f.f i c :i. f.:'nc: y
~::; J 1',jOI., CLJ;:
OBI.. TINT
~'..I I NDCH.A)B.. " . " . " .. . . . . " .. . . " . " . . "Si nq 1 E-) Cl (~)t7l1"
:x..--.--..................,.--...--....---...........-----.--_..:
J.1...~btJL(~T I (IN. . . . . . . . . . . . . . . . . .
F<....lO
r;:.-:::!;O
Cpi 1 :i I'll]
R-Value......... 26.0
: ..... ._. .._ .... '''M _~. .... ~_ __. .'.. .... ._~.._ ._. ...~ _.. >: '''M M'" __ .... :
p....o
p-...]
1/)i:7l11
f~~"_"v' €:11 \Jf.:? II " " II . n =' ll' I: (:; GO \'7.'J.
: ...., __ ._. ..'M 'M.. .._ .M,. _... __ ..... _n.... . ___ .'h. ,... __ ..... ..... ); . ... ..... :
R....O
R..l'i
r:l Clew
R-Valuen.."wnw"v ()"()
: )'~ "._ .._ _.,. ,.... ..._ ..... ..... ,n_ _H' ..... _.. ..... _.~ ..... "M' '.._ _... ..'.. ..... .... :
p, J R C::UND IT lONER. . . . . . . . . . . . .
JO.O
BEE:P
1/.0
'....j...r...'... """f-'I""
;:".' :: t:: f\ l C:, ..:. "'l tI " fI ,. n II It II fI' U U U lI' " It 1'1 n If
lO.()
:..-.x.-...-.--....--.-...-...-...-.~.----.._-_..-...-.....----.;
9.7
EER
:1.6.0
IIE(~T I l\jG :-3Y~:;TEI'1.... v " . " . v u " . .
I C'
c..~ " t:~
HEPF
l?O
Electric COP/HSPF...""... 8,,8
~ .....-......--....-. ......... X .......-............-.......-............. .............. :
Gas AFUE...."."..... 0,,00
0.78 AFUE 0.90
;_____._____.___.___._._..___...___..M.._.__._:
wnTER HEATER................
O.EiB
() " c.,'1 {;~
E I E'c-tx :i. c FF' u . " . " " . " . . " . . u (>.. B9
: --.., X ..- ..- ........ ......-. ...-..... '-"'- ... .... .... ..-..... ... _.. .... :
0.54 0.90
Gas EFu""uu..v."n~.'1 OuOO
~ .__ __. __ 0.. __ ... .__ _ _.. '._ u_, ._.. "'N ._~ .... _. "'N ... ... _.. ..... :
0.40
O.uo
E;{)12U'-
I:::f:'" n " . II II II " . II II' fI n &I
:.-.-------------.--.---.-.-----..----.:
UfllFR FEJYfUnEH..............
I cert.ify that. the~e energy saving features required for the Florida
EnE),,'c1Y Cod>::? h,,~VE? bE'E.~n insti:71lled in thi~:; hou~:.e.
Plc:ldl"I:~!:;s :
Bul 1 del'-
Bi gni:itut"'t?:
Di:71te:
City/Zip_______________________
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs
FL h'''EF'L. Cl\IR.D9:::~
DATE: 01/09196
PAGE: 1 OF 1
ISSUE OFFICE: D
RECEIPT NUMBR: 00270622
OFFICE: DADE CITY
C E N T R ALP E R M I T TIN G
PASCO COUNTY. FLORIDA
CONTRACTOR #: 999999
NAME: KENNETH BURGESS
ADDR: 6725 NORTHLAKE DR
C/ST: Z/HILLS. FL
FOR:
RESOURCE 5060 B
CONTRACTOR: 999999
ACCNT
U4
TOTAL AMOUNT:
COMPNY ACCOUNT CENTER
B450 - 363000 - 2
RECEIVED BY
CHECK # 169
50.70
AMOUNT DESCRIPTION/PERMT DATA DRICR
50.70 ****** SOLID WASTE FEE 60
~"r"""-~ .,-~- """",,","~"~
....~.~.."V'-..-".. ,;:-;-""-,:~~~~.~';1{~~tf(~,:::-::~~",~C~~:~i~::;-~-'r::-.""-
, )j.,:,.,.:;~;':;';.i,.,~..;;.;.-,!iP,'''''-
fl . '.... ~,
~
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. FUU nit
Prepared By
Impact Fee Amount $
The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted
by the Board of CountyCornmissioners. 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
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)
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,
DATE
DATE
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce