HomeMy WebLinkAbout95-5206
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BUILDING
BUILDING PERMIT ,'.
CITY OF ZEPHYRHILLS Permit ]I!
(813) 788-6611
!J --7,,5-Z;
PLUMBING
.. .
:~52(j~ (j
Date J'~ ~ i-9 -..S -
63 'so
311- en)
MECHANICAL
Sewer Conn 1,:2... 7 g-: 0-0
Water Conn: ,-?6?J" Ot)
Water Meter: I ~-: tJ7J
T,I.F.'s:
'To be/, c( ..;:f- L. CJ
-:T7#Io~$'-~
ELECTRICAL
P<opertyOwne, '~ " ~
JObAdd'es"~)'P: '-. ' "" ~ A.
Parcell.D. # ;2-:.2 6 -.;;L - .
Zoning: Energy Code: Radon ",s: ~I b
Description of Work L/7/..,AA,'r J~~~ ~~dw..Je ~
FINAL
-1t}.C1b
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Canst.pole FPC (Mimi) Nancy 09/15/95 02:38 P.M. Inspector
~~1h~//-?-9~- /1,'.2.;2.~H~~P'F /7/l~
. ermlt ee {if/? .../ U ~
Valuation or Z "SvG ~ .
Contract Price "-.5 ~. o-iJ Signature,~ V't.:fU.. rs4-a ~ 'I
Company
Address
Telephone# -.!l ~ ~ - I ~-.!::l'3
c.o.
.12-
DATE
City License Registration #
State Certified License#
';30
,x!LJIdLrJ-
---Ncf~ ,;)3/
ELECTRICAL
a1' ~r- /&j'~
PLUMBING
tl-+..&.fi~
/ (/j'
MECHANICAL
BUILDING
-
Ftr. 11.')'-4) ~L.L
Pre SLBt1.., -q;- ,IJ..-
Lintel
FRM. 9-d.9-QS5cB
Insul. CL Pool
WL 1()":l-qS~5 Pre-Meter 11- }'i~ .j511,l,..
/' Final (-I '1-tj b ~...b
Driveway i/?O-lq..9S$,LLfi>D~Nj) '5.ZIi..t\) i3llL-
-Sl1iAr'11l,( b- 9. p.> 7')" 6iL'-
Tp. Servo
Rough In 9,,~9- ~~
Meter Can ~ t1 ~-XS-
Const. Pole <f, jS:..QS" tBa8
SLB d-~BJ.Jff-. ~ Breakers
Tub Set".. 8 Ducts Insl. 9- ~Cj-'t5&8
Water Compressor
S.ewer 1:J,2/J..15-$-LLFinal /-/7 -'Jfo .i~1
Final f
l-i1-c,' ~~b
c.
d.
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:
7/~ ~J;~/ ~--02Y~-
tptWt ~-/-9t
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
a.
b.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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VllWI\T"tc.'N: .57 uOO"
I
471. ~D
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57,50
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,.l~6jJDa..rm7t>f\J tmmLT $S
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~ L/"IP ~~D
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Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A
PROJECT NAME: O~KCRES1~TATES :BUILDER: GEBHART CONSTRUCTIO~)
AND ADDRESS: <3 ~'las: & ~ : PERMITTING : CLIMAT~
ZEPHYRHILL , FLORIDA: OFFICE: ZEPHYRHILLS : ZONE: 7:_: 8:_: 9:_:
OWNER: :PERMIT NO.S-~Ob /3 :JURISDICTION NO. f:,fl!c{) 0
CK
j--2d/r;:
L. New construction or addition
~. Single family detached or Multifamily attached
l. If MUltifamily-No. of units
b. If Multifamily, is this a worst case (yes/no)
I. Conditioned floor area (sq.ft.)
). Predominant eave overhang (ft.)
, Porch overhang length (ft.)
I. Glass area and type:
a. Clear Glass
b. Tint, film or solar screen
I. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
.0.Net Wall type area and insulation:
a. Exterior: 1. Concrete (Insulation R-value)
b. Adjacent: 2. Wood frame (Insulation R-value)
,l.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
2.Air distribution systems
a. Ducts (Insulation + Location)
3.Cooling system
4.Heating System:
5.Hot water system:
6.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
7.Infiltration practice: 1, 2 or 3
8.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, MZ-Multizone)
9.EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
SN: 7355
SOUTH
1.
2.
3.
4.
5. 1429.00
6. 1. 00
7. 13.40
Single Pane
8a.190.6sqft
8b. O.Osqft
New Construction
Single-Family
o
Double Pane
O.OOsqft
O.OOsqft
9a.R= 6.00 , 199.00 ft
10a-1 R= 7.00, 1094.35sqft____
10b-2 R=13.00, 237.00sqft____
11a.R=22.00 , 1429.00sqft____
12a. R= 6.00, uncond
13. Type: Central A/C
SEER: 10.00
14. Type: Strip Heat
COP: 1.00
15. Type: Electric
EF: 0.95
16.
17.
18.
2
RB
19.
19a.
19b.
93.28
26333.72
28230.71
------------------------------------------------------------------------------
------------------------------------------------------------------------------
Hereby certify that the plans and
pecifications covered by this calcu-
ation are in compliance with the
lorida Ene~ !lt5.. -'.
REPARED BY. c ~
t\.TE: - 6-q)
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this bUilding will be inspected for
compliance in accordance with Section
553.908 F.S.
hereby certify that this building is
1 compliance with the Florida Energy
)de.
mER/AGENT:
~TE :
BUILDING OFFICIAL~~A H..q ~f)~
DATE: 8-cJ----
. . .
******************************************************************************
SUMMER CALCULATIONS
******************************************************************************
=== BASE ===
=== AS-BUILT ===
------------------------------------------------------------------------------
------------------------------------------------------------------------------
LASS----------------
RIEN AREA x BSPM =
I
I
POINTS :
TYPE
SC
ORIEN
AREA
x SPM
x SOF
= POINTS
------------------------------------------------------------------------------
N
30.00
109.7 3291. 0
SGL CLR N 15.0 64.5 .94 907.0
SGL CLR N 15.0 64.5 .94 907.0
SGL CLR E 10.0 136.3 .95 1292.6
SGL CLR E 10.0 136.3 .95 1292.6
SGL CLR S 6.0 135.6 .48 390.5
SGL CLR S 40.8 135.6 .94 5186.7
SGL CLR S 12.3 135.6 .94 1557.3
SGL CLR S 40.8 135.6 .94 5186.7
SGL CLR W 40.8 136.3 .42 2308.3
E
20.00
109.7 2194.0
S
99.85
109.7 10953.5
VI
40.80
109.7 4475.8
------------------------------------------------------------------------------
15 X CONDo FLOOR / TOTAL GLASS = ADJ. X GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
------------------------------------------------------------------------------
15
1,429.00
190.65
1.124
20,914.30
23,514.20 :
19,028.78
------------------------------------------------------------------------------
------------------------------------------------------------------------------
ON GLASS------------ :
AREA X BSPM = POINTS: TYPE
R-VALUE
AREA X SPM = POINTS
------------------------------------------------------------------------------
~LLS----------------
xt 1094.3 1.6 1751.0 Ext NormWtBlock In 7.0 1094.3 1. 60 1751.0
dj 237.0 1.0 237.0 Adj Wood Frame 13.0 237.0 .90 213.3
30RS----------------
xt 20.4 6.4 130.6 Ext Insulated 20.4 6.40 130.6
dj 19.0 2.6 49.5 Adj Insulated 19.0 2.60 49.5
~ILINGS-------------
~ 1429.0 .8 1143.2 Under Attic 22.0 1429.0 1.30 1857.7
LOORS---------------
lb 199.0 -20.0 -3980.0 Slab-on-Grade 6.0 199.0 -16.30 -3243.7
~FILTRATION---------
1429.0 14.7 21006.3 Practice #2 1429.0 14.70 21006.3
==============================================================================
)TAL SUMMER POINTS :
43,851.72 :
40,793.40
==============================================================================
)TAL X SYSTEM = COOLING: TOTAL X CAP X DUCT x SYSTEM x CREDIT = COOLING
JM PTS MULT POINTS: COMPON RATIO MULT MULT MULT POINTS
------------------------------------------------------------------------------
13,851. 72
.37
16,225.14 : 40,793.40 1.00 1.100
.340
.950 14,493.89
:=============================================================================
. . .
******************************************************************************
WINTER CALCULATIONS
******************************************************************************
=== BASE ===
=== AS-BUILT ===
------------------------------------------------------------------------------
------------------------------------------------------------------------------
:LASS----------------
~IEN AREA x BWPM =
I
I
POINTS :
TYPE
SC
ORIEN
AREA
x WPM
x WOF
= POINTS
------------------------------------------------------------------------------
N
30.00
-.4
-12.0
S
20.00
99.85
-.4
-8.0
SGL CLR N 15.0 3.7 1. 03 57.2
SGL CLR N 15.0 3.7 1. 03 57.2
SGL CLR E 10.0 . 1 2.09 2.1
SGL CLR E 10.0 .1 2.09 2.1
SGL CLR S 6.0 -2.0 -.34 4.1
SGL CLR S 40.8 -2.0 .94 -76.5
SGL CLR S 12.3 -2.0 .94 -23.0
SGL CLR S 40.8 -2.0 .94 -76.5
SGL CLR W 40.8 .1 17.74 72.4
E
-.4
-39.9
W
40.80
-.4
-16.3
------------------------------------------------------------------------------
15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
------------------------------------------------------------------------------
15
1,429.00
190.65
1.124
-76.26
-85.74 :
19.10
------------------------------------------------------------------------------
------------------------------------------------------------------------------
ON GLASS------------ :
AREA x BWPM = POINTS: TYPE
R-VALUE
AREA x WPM = POINTS
------------------------------------------------------------------------------
ALLS----------------
xt 1094.3 .3 328.3 Ext NormWtBlock In 7.0 1094.3 .70 766.0
dj 237.0 . 5 118.5 Adj Wood Frame 13.0 237.0 .50 118.5
OORS----------------
xt 20.4 1.8 36.7 Ext Insulated 20.4 1. 80 36.7
dj 19.0 1.3 24.8 Adj Insulated 19.0 1.30 24.8
EILINGS-------------
A. 1429.0 . 1 142.9 Under Attic 22.0 1429.0 .20 285.8
LOORS---------------
Ib 199.0 -2.1 -417.9 Slab-on-Grade 6.0 199.0 -2.70 -537.3
~FILTRATION---------
1429.0 1.2 1714.8 Practice #2 1429.0 1. 20 1714.8
==============================================================================
JTAL WINTER POINTS
I
I
1,862.34 :
2,428.41
==============================================================================
JTAL x SYSTEM = HEATING: TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING
rN PTS MULT POINTS: COMPON RATIO MULT MULT MULT POINTS
------------------------------------------------------------------------------
1,862.34 1.10
2,048.57: 2,428.41 1.00 1.100
1. 000
.980
2,617.83
==============================================================================
. .
******************************************************************************
WATER HEATING
******************************************************************************
=== BASE === === AS-BUILT ===
------------------------------------------------------------------------------
------------------------------------------------------------------------------
UM OF
EDRMS
x
MULT
=
TOTAL
: TANK VOLUME
I
I
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL
------------------------------------------------------------------------------
3
3319.0
9,957.00 :
50
.95
1.000 3074.0 1.00
9,222.00
------------------------------------------------------------------------------
------------------------------------------------------------------------------
******************************************************************************
SUMMARY
******************************************************************************
=== BASE ===
=== AS-BUILT ===
------------------------------------------------------------------------------
------------------------------------------------------------------------------
OOLING
DINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL : COOLING
POINTS : POINTS
+
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
------------------------------------------------------------------------------
16225.1
2048.6
9957.0 28,230.71: 14493.9
2617.8
9222.0 26,333.72
------------------------------------------------------------------------------
------------------------------------------------------------------------------
*****************
* EPI = 93.28 *
*****************
ENERGY GUIDE
or detailed information
f the EPI rating number
r for any ITEM listed,
sk your Builder for
CA Form 600A-93
r Form 600B-93
EPI= 93.3
o 10 20 30 40 50 60 70 80 90 100
:-------------------------------------x---:
he maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOME VALUE
Low Efficiency
High Efficiency
'INDOWS. . . . . . . . . . . . . . . . . . . . . Single Clear
SINGL CLR DBL TINT
:X--------------------:
NSULATION. . . . . . . . . . . . . . . . . .
Ceiling
R-Value......... 22.0
R-l0 R-30
:------------X--------:
R-O R-7
:--------------------x:
R-O R-19
:------x--------------:
Wall
R-Value......... 7.0
Floor
R-Value. . . . . . . .. 6.0
,IR CONDITIONER.............
SEER. . . . . . . . . . . . . . . . . . . . .. 10. 0
10.0 SEER 17.0
:x--------------------:
EATING SySTEM..............
Electric COP............. 1.0
2.50 COP 4.19
:x--------------------:
'A TER HEATER. . . . . . . . . . . . . . . .
0.88
0.96
Electric EF.............. 0.95
Gas EF.............. 0.00
:-----------------x---:
0.54 0.90
,---------------------
,
0.40 0.80
Solar
EF. . . . . . . . . . . . . .
THER FEATURES..............
certify that these energy saving features required for the Florida
nergy Code have been installed in this house.
ddress:
Builder
Signature:
Date:
ity/Zip
lorida Energy Code for Building Construction - 1993
lorida Department of Community Affairs
FL-EPL CARD93
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUlLDIRG DEPARTMENT
19rpl~D;,Jf~
~ ;).} - '7 (J 2-
OWNER'S NAKE G,.e.~ t:ftt Itr G A)S~T" ON -I;tc. PHONE 7 g ;).. - J 7 Lj 3
OWNER'S ADDRESS-1!35.3 ~f5t StW!.t:Ct J)~ C.~, S3-.s'2-S'
JQB ADDIlIlSS 3 '6-10 Sf<:" e.I:;N k A t'/ t:. Ler~ f ~1I;-
LEGAL DESCRIPl'ION: LOT(S) :J 9 BLOCIL.-SUBDIVISION V~S) C s4-a..f-e.s
PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Construction ---Itddition ----.J\1teration ~epair _Install
_Sign
----'love
->>eIIOlish
nOPOSED~E: ~s~eF_ilY
--.Jt/F _' of Units _K/H
_ec-ercial
_Indust. _Swia. Pool _Other
---..Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK:
BUILDING SIZE: ~. ~f/ID Square FeeJ,B
Height
RESIDEIITIAL: ArlACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
GOtIKERCIAL: ArlACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~UlLDIRG
$ f40, f)~O
Valuation of Total Construction
_ELEC'1"RICAL
AIIP Service
Florida Power Gorp.
W.R.E.C.
---"EGlWlICAL
$
Valuation of Mechanical Installation
_PLUMBIRG
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUcnON: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVAnONS:
F1' .
IS PROJEC1' IN FLOOD ZONE AREA?
..........................................
YES NO
CONTRACTOR SECTION
COHPABY (;t.~Wci(lr C$A)~,,eu(T; bN .:tL,-~
State Gert. or Regist.' fl.- ~ ~ :l , S'B':3
Signature City License Registration , 0
:=-~. 11- .................:::.~.~;;;..;;;~.
, State Cert. or Regist.' € /tu Q '2 ? 2 'i
-,- ~ ... City License Registration' Z. s (
-. - --..........................................
t#- ~ COMPANY ~ '5
/ / / State Cert. or egist.'
Signature ~ ~ City License Registration'
~. .......................................
~ 1
IlECHANICAL~ GOHPABY J) SC2t\.,.-v\'tP
) State Cert. or Regist. .
Signature' ~--7 City License Registration'
. - ..........................................
BIJTT.DRR
PLUMBER
OTRRR COMPANY
State Gert. or Regist. ,
Signature City License Registration ,
..........................................
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this peIlit laY be subject to "deed restrictions" .bich laY be lOre restrictive than City
regulations. ~be undersigned.assDleS responsibility for COIpliance .ith any applicable deed restrictions.
B. UNLICE:NSED COlfTRACTORS AND CONTRACTOR RESPONSliuLITIES
If the CMler bilil bired a contractor or contractors to Undertake IIOrt, they lay be required to be licetised in accordance .ith
state and local regulations. If tJle contractor is not licensed as required by la., both the owner and contractor laY be
cited for a lisdeJeanor violation under state la.. If the mmer or intended contractor are uncertain as to wbat licensing
requirelellts laY apply for the i~tended work, they are advised to contact the City of Zepbyrbills- Building 1lepartlent, (813)
. 788-6611. .
Furtheriore, if the Oiner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections' of this application for .bich they .ill be responsible. If you, as the OIIIler sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the wort. If the contractor wisbes you to sign
as contractor that laY be an indication that be is not properly licensed and is not entitled to perlitting 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 - HOIeOIIJler's Protection
Guide' prepared by the Florida DepartJent of Agriculture and COnsUIeI Affairs. If the applicant is sOlH!One other than the
'ownerR, I certify that I bave obtained a copy of the above described docuJent and prOlise in good faith to deliver it to the
Rowner" prior to COlleDCeleDt.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all IIOrk will be done in cQlPliance with all
applicable laws regulating construction, loning, and land developllent.
Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no IIOrt or
installation bas C31enced prior to issuance of a perlit and that all wort .ill be perfoIled to leet standards of all laws
regulating construction, City codes, loning regulations, and land developlellt regulations in the jurisdiction. I also
certify that I understand that the rkgulations of other goverIlllental agencies laY apply to the intended wort, and that it is
IY responsibility to identify what actions I lUst tate to be in COIpliance. Such agencies include but are not luited to:
t Departlent of EnvirolllleDtal Regulation - Cypress Bayheads, Wetland Areas and Envirolllelltally Sensitive Lands,
Water/Wastewater Treatlent . '.'
t Southwest Florida Vater Hanagelent District - VeIls, Cypress Baybeads, Wetland Areas, Altering Watercourses
t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health i Rebabilitative Services, EnvirOllll!Jltal Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US Envirouental Protection Agency - Asbestos abatl!lellt
I also certify that, if fill laterial is to be used in Flood Zone "AI or "A, etc. I, it is understood that a drainage plan
addressing a RCD.IpeJlSating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to peIlit issuance.
A perlit issued sball be construed to be a license to proceed with the IIOrt and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becme invalid
unless the IIOrt authoriled by such peIlit is cOllllllced within sillOnths of issuance, or if IIOrk authoriled by the perlit is
suspended or abandoned for a period of sillODtbs after the tile the work is ~ced. One 90 day utension of tile, laY be
allowed for the perlit with fee charge of $15.00. !he utension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during each sil IODth period, or the project will be considered abandoned.
~ARMING TO omR: YOUR FAl~,URB TO RECORD A NOtICE DF-coMHDCEHm HAY RESUL! IN YOUR PAYING filCE FOR IHPROVEMDIS TO YOUR
PROPERTY. IF YOUIII!IIID TO OBtAIN FIIIDCING, CONSULT WITH YOUR LBJIDER OR All AnomY BEFORE RECORDING YOUR DICE OF
~;:~]L~nnmm~~~',
S : OIlIER SI : RAC!OR
1:)I~1l/~1:f F. ~e6t+~T
who is personally known to me or who has
produced Ft-.~ I.-tC,.-Ft g f~3- lfdp-~- &-0
as identification and who didjdid not
take an oath~~
(Signature) ~ 7'
, I I 0/ -d - /-h::r-JJ S-oJ-J
(Name Typed, Printed or Stamped)
NOTARY PUB
STATE OF FLORIDA /J
coum OF r~.v
The foregoing instrument was acknowledged
before me this~us-r /'7, 19 ~<:;; by
'O,e-r-tetCbf 'F. e ~(
who is personally known to me or who has
produced I="L "bl<.. LL e..:#;.(.1 LIP 1- ~--H.:,- 45ZJ-o
as identification and who did/did not
take an oa~~$-B--
(Signature)
~~ :r. ~~U
(Name.Typed, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA P
coum OF ~
The foregoing instrument was acknowledged
before me this~ 17 , 19~ by
:o.',t\UU", S N
$~~l:.'!.Y ~~~t. BEITY J. RAN 0
g.; :*~ MY COMMISSION II CC15393S
~~" ..'jj EXPIRES: October21,1995
~"Z,~r:t~~~"~ Bonded Thru NoI8ry Pubk UnderwdIIn
f$.~~!"~~~\ BElTY J. RANSON
;;i '..= MY COMMISSlON II CC 153935
~;;:. EXPIRES: October 21 1995
~,t, ,,'to BondedThniNotaryPubk~
'. .
ern' OP ZEl'IIDBJ:u.s BmLDDG DBPAa2'JIEJr.r
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PASCO COUNTY, FLORIDA
Permit No.
Date Permitted,
Builder NamelOwner Name
..c
County Parcel No.
/
;--
Location
Subd.
Classification/Type of Use
I
/
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./Unit
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 CouDtyCommissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority to utilize the permitted structure.
RESOURCE RECOVERY ASSESSMENT
..l,
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
No. Units
J
I
.
Gross Sq. Ft. (GSF)
RatelERU - 50.00 x 0.96*IYear
or $0. 13151Day
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 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
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
DATE
BY
BY
...
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
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