Loading...
HomeMy WebLinkAbout95-5206 Jf 7r. J?J 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. &>lLbI~& Eu2L 11l. \(..., ~~ ll\ ~\-\tWll(\ t..- 6\JB~ 'fit l- (f{lLDlT ~{c:::>TA-L- SIUJ~ WAT Ii"'- M~ lbTf\ L ... -"-"'~--...-., Gc.~;t.\ (c,,05'T 3'87{)~) w/iJ..>ftJ LN. ." .......... ... ,.....,.. ~....~. "-:",,'r", " . VllWI\T"tc.'N: .57 uOO" I 471. ~D "3~ 57,50 3D. c (> _ 30. V(:; LcNtJ[Qlw F~& 112.1'6. u () 3 5D :"~ I tors.. ~ f) 1,1t{ 3, .)<) ~A-DW 6.\~ ~Olb 8il 20,i~ ,.l~6jJDa..rm7t>f\J tmmLT $S -qq% ~ ~"'s.2-o , 0/ //~ 'S0 I tdl · '~ ...,. ~ L/"IP ~~D ........... 35..JV J(, 1'-I2.q ,lSt' ,p-r: ~,~VltJlr /' .;I" LS7~' F~ OTI.tlUL IL x:.o / " .... .,..... ..-. .... -. ...... ...- '. - ... . ... - .-... - -.. ............-...-..,.... . . . ..... ~_.~.. '................ f __ ....... . ". h ... .. ... .." ."_'" " .. .. .. .. ".. ,. .-..-.....-...... -....,' . . ..... ..... ".. .... .......-.........--.... . ' "' .......-...- ...... ,_. .......-.....-.....-... ,. "" . . .... - -- . ......... --.........--..-. . . ....-.............u.._.......... .___ _. . . ". .. .... .. -....... .. .......,................. ....... .. .. ..-.. ..... ..-..'...................... -..... . .. .......... ._. "'-- -.-. .................. . .. .-.-.....-. .... .---.-. ... 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 OWNER - G.e..BI-'~~-r-. CO,.JsTnv~"rH))J J IAJC.. JOB LOCATION ./-o1",;t 0, tI,qKCJ~I:Sr ~srj..)lt.s PARCEL 1..0. #~ \V 't VI, '. , 3 ~70$" ~ WJs SIIOII ALL BDftnJc; 6 PROI'OSIm S'J'IrDCnJRBs GZV:DfG DDfBNS:lOll8 & BS'r.BACKS. ~ 75' l...er ~q I I.j~ . lie ~ iJ ;11,13 ., . I ~QlVL,'HO .. ; po(U... . IIII*, . - ... . .... _r,..j I ~8 ALLEYWAY ACCESS gOR GARAGE OR ~PORT .. 15 FOOT SB"rBACX REQUIRED. t .' 10 h . " , 10,....,. I '0 I 5'"11 r. .:2.b U~ILIn BUILDDlGS HUB'!' SHOW S:rZB & FOUNDATION INFoR- MATION. FRONT PROPBR'l' (NOTE EXAMPLES 1 & 2) STREET ~.r' ~\JkL'r'~ t...IQNI. 1. SBTaACKS I"OR Rl, R2 ZONING 60' 10' p os R X 0 I 10' p S 10' 0 I T S :r B N D G 20' 2. SETBACKS FOR R3 ZONING 60' 1 O' 10' . . 101 EXISTING 10' PROPOSED ~OISCL PAM 301 DUPLEX 1 0' n.c.r PIIOPBRn LDIB J!'RORr PROPBRft LDIB " I,' "~',:v. ':'#;:7', r~r_~~.:~~~-;o}1'.::,,;_~.-.;;_ ,;~'~ .~~-. ~ _,_ 'lllIWl\''''''~;c... ,_ "'_ _ "-__'..~_....-_ _........ 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 BJdgllnsp feecal:ce