HomeMy WebLinkAbout95-5338
BUILDING PERMIT:
CITY OF ZEPHYRHILLS Permit 11.
(813) 788-6611
7-5338 !3
,..s=S3~7J
Date /0 -30.- 9~
BUILDING
~?- CJv
ELECTRICAL
b-2..S-o
PLUMBING
.50.o-V
MECHANICAL
Sewer Conn I,. J....:> <f:' trb
Water Conn: 3-f:.lJ . n~.
/ ~': oiJ -
Water Meter: / b,~'. v-o
T.I.F.'s: ~
d:~ ~
Property Owner:. . . ~
Job Add,..., h':J.. -- r . _ fl n:::J
Parcel 1.0, # J~~b ,--;)/ - (J 030 -. 0 CJO 0 0 - /;L
Zon;ng, '71 Ene,gV~, ~o1i.a" cl3.~:>
D.",,;pt;on of Wo,k h.} ~, -,;;;: -,,~ <J
City License Registration #
State Certified License#
.2~-
Permit Fee ~:,;'
Signatur~ )~~h~ ~
Company
Address
FINAL
C.O.
NO OCCUPANCY BEFORE C.O.
, . .
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Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
11
,
Valuation or
Contract Price
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Telephone#
JJ!~J--e .~
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BUILDING ELECTRICAL PLUMBING
FlL 1.6- ,. t3,,~ Tp.50". 5LB //-/b-~~L
Pre SLB I-I - 9S ILl.- Rough In J~/2-961!Sg/5 Tub Set j- /2- II:J Lt-
Lintel jJ...3a. qi,ffll.J-- Meter Can /i? ~~.?i-9.s Water
FRM. /-1/,9/P , L..L-.. Const. Pole 0/-' ~j"' gr,K Sewer
Insul. CL Pool Final
WL I"'J"~e;~f)"_L Pre-Meter 'Z....23~9"M~
~\1W'.IP(. /2-lq''t5' tSll.A..- Final
Driveway "2-1- 9"" ~'>t(! &~.uL ,I-b''i{' &6
'&'JU
-
MECHANICAL
Breakers
Ducts Insl. /-/I-q~.$7JB
Compressor
Final
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: .~ _ _
/:) . -r /d -0'0 .~
a. Wrong Address 'AJ'~ ~
b. Condemned work resulting from faulty construction. _
c. Repairs or corrections not made when inspection called. f ~ <3 _' !?- Y h.
d. Work not ready for inspection when called. ct
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.
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LOT #
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PHASE
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OWNER NAME
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DATE SUBMITTED
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DATE APPROVED
APPROVED BY:
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DESCRIPTION, Lot 12. SILVIR OAKS '"AS& lA, AS ReCORDED IN PLAT 800~ )0, PAGI8 ~1.5',
PYblLc ReCord. of Pa'CQ County, rlorl~4,
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1, No under9tOun4 in.talll,lon. or IMprovem.nt. hlV' bl.n loeated, e~elpt la not.d.
2. No lnltTumellt11 of record refl.ctlnq "14I1!\~ntl, ri9ht.-ot.IoI'y. .nd/or Ololn.rtl'lip
....re 'lit" I.", till. IUfV'IYO". IIl1e'r>t 4. ,~owr',
3, Unlt'lul otherw Ie Ihown hereon, no )\.Io8dl';tlonol wlItl.nd '~f" or other phY'4"ll
topo~r.phle f..tur.. hlv. D"" loe.tld,
Bu.d Oil Flood I~.urtnc. Rlu Mlp, Col'lllt\unity 'Inll No, 120HO.OH5C, dated 2-1'.U,
',the prQP.rty .h~i'hj"O" .,pure to 11e "'lthln Zone "e",
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
.-1)
/jIRf 70..
APPLICANT r, T. S'T'RVR r.ONS'T'RTTr'T'TON
ADDRESS
37746 GLADES LN. .
PHONE (813) 782-9447
OWNER
ZEPHYRHILLS. FLA.
33541
JOB LOCATION
6228 SILVER OAKS Dll.OT SIZE 89'X 120 'AREA SQ.FT.
LEGAL DESCRIPTION: LOT(S)
1 ?
BLOCK
SUBDIVISION STT.VF.R OAY<::
PARCEL I.D.# 3-26-71-0010-0000() 1?
WORK PROPOSED:--l-New Construction ----Addition ----Alteration ____Repair ____Install
_Sign/Temp.
_Sign
____Move
-1)e.olish
PROPOSED USE: ~Single Family
---.HI F
____~~ of Uni ts
.--Jf/H
____Commercial
____Indus t .
____Swim. Pool
Other
----Restaurant & Health Department Approval
BU.ILDING SIZE:
52' 4'* 54' .
2327'
Square Feet.
1 q ,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
-!...BUILDING
-!...ELECTRICAL
--X...MECHANICAL
$ 90 . 500 . 00
Valuation of Total Construction
200
AMP Service
x
Florida Power Corp.
_W.R.E.C.
$ 1700
Valuation of Mechanical Installation
--I-PLUMBING GAS ROOFING
TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel
SPECIALTY
Other
FINISHED FLOOR ELEVATIONS: QA h FT.
Signatur
******************************************
CONTRACTOR SECTION
Company (;.L, S-re(f:, Qo /05.-C 20cn D.0
State Cert. or Regist. ~~ Q.~-C>CB.~q9
City License Registration # J~ 05"
******************************************
./
El.F.CTRICTAN Richard Duffield Company . 'Z.-\.l\~")" ~L~'\. ~~n."".
_ ~ ~g:[) State Cert. or Regist. * <>u,,"", (,~
Si'znatu~ City License Registration j~ f4:f'
******.**.*.******.*********************
C/,i.,
/
PLlIMRER
Chris Bahr Company (1 .
~ ~ ~ State Cert. or Resist. #
C . City License Registration
**.*******....*....**~****.****.**********
~
Signature
MECHANICAl. Kevin Bahr Company gAH~ ~ ,r'M-/A.v L G'IS i. A"ft j.v~'
~ L. ~ ./ State Cert. or Regist. #~ C04LDY.,7., V8
Signature~'" : p ~ City License Registration 4~ J 7
~ ..**..*...*.*..*.*************************
v'"
OTRER e,~<
Signature . . . ~~
Company
Stat~ Cert. or Regist. #
City License Registration #
G- CY..J I J.J
R-oD~ }.)G
ao
APPLICATION
"ROVED BY ~~"'J'i'~""""""""" PERMIT OFFICER.
~UNU111UN~ U~ ~LK~!I H~~lUriVlj
A~ NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait aay be subject to "deed restrictions" which aay be aore restrictive than City
regulations. The undersigned assuees responsibility for co.pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they aay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor aay be
cited for a aisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
require.ents lay apply for the intended vork, they are advised to contact the City ~f Zephyrhills Building Departlent, (BI3J
788-6611.
Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the
.Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor Mishes you to sign
IS contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I c.rtify that I, the applicant, hav, been provided with a copy of "Florida'5 Construction Lien Law - HOleowner's Protection
Guide. prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If the applicant is 50.eone other than the
.owner., I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
..wner" prior t. cOI.ence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all Mork Mill be done in cOlpliance, Mith all
applicable laMS regulating construction, zoning, and land developaent.
Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no work Dr
installation has cOllenced prior to issuance of a perlit and that all work Mill be perforled to .eet standards of all laMS
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended Mork, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
I Departlent of Environlental Reaulation - Cypress Bayheads, Yetland Areas and Environ.entally Sensitive Lands,
Water/Wastewater Treatlent
I SouthMest Florida Water "anaqelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of Enaineers - SeaMalls, Docks, Navigable YaterMays
I Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, WasteMater Treatlent, Septic Tanks
I US Environlental Protection Aaency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" Dr "A,etc,", it is understood that a drainage plan
addressing a .colpensating volule. Mill 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 Mith the Mork 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 Dfficial frol thereaft.r
requiring a correction of errors in plans, construction, Dr violations of any rode. Every perlit issued shall berole invalid
unless the Mork authorized by such perlit is cOlleneed within six lonths of issuance, or if work authorized by the perlit is
suspended Dr abandoned for a period of six lonths after the tile the Mork is cOI.enced. Dne 90 day extension of tile, .ay be
allowed for the perlit Mith fee charge of tI5.00. The extension shall be requested in writing to the Building Dfficial. An
approved inspection lust be logged during each six .onth period, or the project Mill be considered abandoned.
WARNING TO DWNER: YOUR FAILURE TO RECORD A NOTICE OF COKKENCEKENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROYEKENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
CQftNENCE"ENT. JOBS UNDER $2,500 IN VAlUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CDKKENCEKENT".
;J~~
SIGNATURE: OiliER OR AGENT
SIGNATURE: CONTRACTOR
pru;, W
STATE OF FLORIDA
COUNTY OF
. The foregoing instrument
before me this
was acknowledged
, 19_ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
~ignature)
~CL rn.
(Name Typed, Printed or Stamped)
NOTARV PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
...~~~';~ DANA M. G1EllA
l!~' \~l MY COMMISSION * CC301855 EXPIRES
~. ~i July 14. 1997
~i:rN .~ IONIl!D THRU TROHAIN INSURANCE.INC.
"ntH'
..'
.~ ~~ ....
Department of Community Affairs SN: 8132
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL
PROJECT NAME: (~-r,A,l~ AJ ~ n BUILDER: G. L. STEVE CONSTRUCT I. ON
AND ADDRESS: tJJ.R ~O',MkMA- PERMITT~ING . CLIMATE v:
OFFICE: ZONE: 41_1 51_1 61_1
OWNER: PERMIT "S-..~?8' fi JURISDICTION NO.611"~~
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units
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 area and type:
a. Clear Glass
b. Tint, film or solar screen
9. Floor type and insulation:
a. Slab on grade (R-value, perimeter)
lO.Net Wall type area and insulation:
a. Exterior: 1. Concrete (Insulation R-value)
b. Adjacent: 2. WOod frame (Insulation R-value)
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (HR-Heat Recovery,
DHP-Dedicated Heat Pump)
17.Infiltration practice: 1, 2 or 3
18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant
barrier, ,MZ-Multizone)
19.EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
New Construction
Single-Family
o
1.
2.
3.
4.
5. 1668.00
6 . 2 . 00
7. 11.00
Single Pane
8a. O.Osqft
8b. O.Osqft
Double Pane
O.OOsqft
243.38sqft
9a.R= 0.00 , 217.00 ft
10a-l R= 5.00, 1264.62sqft____
10b-2 R=11.00, 190.40sqft____
11a.R=22.00 , 1668.00sqft~
12a. R= 6.00, uncond
13. Type: Central A/C
SEER: 9.70
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF: 0.88
16.
17.
18.
2
CF CV
19.
19a.
19b.
81.87
26712.55
32628.97
----------~----------------------------------------------------~---------~~----
-----------------~-----------~-------------------------------------------------
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
PREPARED BY: KOl\ S~~
DATE: )OIt,!Cie:;- ,
r ,
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.
I hereby certify that this building is
in compliance with the Florida Energy
Code.
OWNER/AGENT:
DATE:
BUILDING OFFICIAL: ~~~Q..~ rr.
DATE: / rJ - =>.s:.:..y ~
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
=== BASE ===
===============================================================================
=== AS-BUILT ===
~~~~~--~;;~-~-;;~;-:- POINTS I
TYPE
SC ORIEN AREA x SPM X SOF = POINTS
N
6744.5
----------------------------------------------------------------~--------------
82.05
82.2
E
109.81
82.2
9026.4
S
23.25
82.2
1911.1
W
28.27
82.2
2323.8
DBL TINT N 8.4 43.5 .85 310.2
DBL TINT N 8.4 43.5 .85 310.2
DBL TINT N 8.4 43.5 .85 310.2
DBL TINT N 8.4 43.5 .85 310.2
DBL TINT N 8.4 43.5 .85 310.2
DBL TINT N 40.2 43.5 .51 899.3
DBt.. TINT E 12.8 87.3 .71 795.2
DBL TINT E 12.8 87.3 .71 795.2
DBL TINT E 16.2 87.3 .82 1156.8
DBL TINT E 16.2 87.3 .82 1156.8
DBL TINT E 11.6 87.3 .33 337.6
DBL TINT E 40.2 87.3 .39 1365.8
DBL TINT S 7.1 78.8 .58 324.4
DBL TINT S 16.2 78.8 .72 924.9
DBL TINT W 18.4 87.3 .71 1141.9
DBL TINT W 9.9 87.3 .71 611.6
-------------------------------------------------------------------------------
.15 X CONDo FLOOR / TOTAL GLASS = ADJ. X GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
.15
243.38
----------~--------------------------------------------------------------------
11,060.27
1,668.00
1. 028
20,566.44 I
20,005.84
=======~========~====================~=======~=======~=========================
NON GLASS----.-------- I
AREA X BSPM = POINTS TYPE
R-VALUE
AREA X SPM = POINTS
--------------~---------------------~---------~-----------------------~--------
WALLS----------------
Ext 1264.6 1.0 1264.6 Ext NormWtBlock In 5.0 1264.6 1.00 1264.6
Adj 190.4 .7 133.3 Adj Wood Frame 11.0 190.4 .70 133.3
DOORS----------------
Ext 20.0 4.8 96.0 Ext Insulated 20.0 4.80 96.0
Adj 17.6 1.6 28.2 Adj Wood 17.6 2.40 42.2
CEILINGS------------~
UA 1668.0 .6 1000.8 Under Attic 22.0 1668.0 .90 1501.2
FLooRS------~-------_
SIb 217.0 -31.8 -6900.6 Slab-on-Grade .0 217.0 -31.90 -6922.3
INFILTRATION---------
1668.0 10.9 18181.2 practice #2 1668.0 10.90 18181.2
TOTAL SUMMER POINTS I
34,369.90
======================================~===================================~====
TOTAL X
SUM PTS
SYSTEM =
MULT
======~====~=======~==============================================~============
25,356.51
COOLING I TOTAL
POINTS COMPON
x CAP X DUCT X SYSTEM X CREDIT = COOLING
RATIO MULT MULT MULT POINTS
34,369.90
.37
--------------------------~---------~---------------~--------------------------
8,443.51
12,716.86 I 25,356.51 1.00 1.100
.352
.860
==============~=============================%==================~=============~=
*******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
=== BASE === === AS-BUILT ===
=======~===%========~==~=======================================================
GLASS---~------------ ~
ORIEN AREA x BWPM = POINTS TYPE SC ORIEN AREA x WPM x WOF = POINTS
------------------~--------------------------~---------~-----------------------
N 82.05 -3.4 -279.0 DBL TINT N 8.4 6.1 1.12 57.4
DBL TINT N 8.4 6.1 1.12 51.4
DBL TINT N 8.4 6.1 1.12 57.4
DBL TINT N 8.4 6.1 1.12 57.4
DBL TINT N 8.4 6.1 1.12 57.4
DBL TINT N 40.2 6.1 1.45 356.4
E 109.81 -3.4 -373.4 DBL TINT E 12.8 -3.6 .33 -15.5
DBL TINT E 12.8 -3.6 .33 -15.5
DBL TINT E 16.2 -3.6 .59 -34.3
DBL TINT E 16.2 -3.6 .59 -34.3
DBL TINT E 11.6 -3.6 -1.08 45.2
DBL TINT E 40.2 -3.6 -.81 117.3
S 23.25 -3.4 -79.1 DBL TINT S 7.1 -11. 0 .67 -51.8
DBL TINT S 16.2 -11.0 .83 -147.7
W 28.27 -3.4 -96.1 DBL TINT W 18.4 -3.6 .33 -22.2
DBL TINT W 9.9 -3.6 .3~ -11. 9
---------~-----------~------------------------------------~--------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------~----~~---------------------------------------~-------------
.15
1,668.00
243.38
1.028
-827.49
-850.68 I
472.65
==~====:==~======~~===================================~=========~===========~==
NON GLASS------------ I
AREA x BWPM = POINTS TYPE
R-VALUE
AREA x WPM = POINTS
--~------------------~----------------------~---~-------'~----~-----------------
WALLS----------------
Ext 1264.6 1.1 1391.1 Ext NormWtBlock In 5.0 1264.6 2.90 3667.4
Adj 190.4 1.8 342.7 Adj Wood Frame 11.0 190.4 1.80 342.7
DOORS----------------
Ext 20.0 5.1 102.0 Ext Insulated 20.0 5.10 102.0
Adj 17.6 4.0 70.4 Adj Wood 17.6 5.90 103.8
CEILINGS--------_----
UA 1668.0 .6 1000.8 Under Attic 22.0 1668.0 .90 1501.2
FLOORS-----~---------
SIb 217.0 -1.9 -412.3 Slab-on-Grade .0 217.0 2.50 542.5
INFILT~TION---------
1668.0 4.1 6838.8 Practice #2 1668.0 4.10 6838.8
==========~==~==============================~==================================
TOTAL WINTER POINTS I
8,482.82
13,571.11
TOTAL x
WIN PTS
======~============================================~========~==================
SYSTEM =
MULT
HEATING I TOTAL
POINTS COMPON
x CAP x DUCT x SYSTEM x CREDIT = HEATtNG
RATIO MULT MOLT MULT POINTS
---------------------------------------~----------------~-------~--------------
8,482.82 1.10
9,331.10 I 13,571.11 1.00 1.100
.515
1.000
7,688.03
============================================================================:==
*******************************************************************************
WATER HEATING
*******************************************************************************
===BASE ===
=== AS-BUILT ===
==~==========================================================~=================
NUM OF
BEDRMS
x
MULT
=
TOTAL
I TANK VOLUME
EF
TANK
RATIO
x MULT x CREDIT
MULT
= TOTAL
----------------------------~---------~---~-------------------------------~----
3
3527.0
10,581.00 I
40
.88
1.000 3527.0 1.00 10,581.00
===============================================================================
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE ===
=== AS-BUILT === .
COOLING
POINTS
====~===========================~~========================~===================
+
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL I COOLING
POINTS POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
----~----------~---------------~----------------~------------'------------------
12716.9
9331.1 10581.0 32,628.97 I
8443.5
7688.0 10581.0 26,712.55
==~=======~====================================================================
*****************
* EPI = 81.87 *
*****************
.. I.
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B-93
ENERGY GUIDE
EPI= 81.9
o 10 20 30 40 50 60 70 80 90 100
I--------------------------------x--------I
The 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
WINDOWS..................... Double Tint
SINGL CLR DBL TINT
I--------------------xl
INSULATION. . . . . . . . . . . . . . . . . .
Ceiling
R-Value......... 22.0
R-10 R-30
I------------X--------I
R-O R-7
I--------------x------I
R-O R-19
Ix--------------------I
wall
R-Value......... 5.0
Floor
R-Value......... 0.0
AIR CONDITIONER.............
SEER. . . . . . . . . . . . . . . . . . . . . . 9 . 7
10.0 SEER 17.0
Ix--------------------I
HEATING SySTEM..............
Electric HSPF............ 6.6
6.8 HSPF 12.0
Ix--------------------I
WATER HEATER................
Electric EF.............. 0.88
0.88 0.96
Ix--------------------I
0.54 0.90
1---------------------1
0.40 0.80
1---------------------1
G,as EF..............O.OO
Solar EF............!.
OTHER FEATURES..............
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
I certify that these energy saving features required for the Florida
Energy Code have been installed in th~s house.
Address:
Builder
Signature:
Date:
City/Zip
Florida Energy Code for Building Construction - 1993
Florida Department of Community Affairs
FL-EPL CARD93
"
. ,
PASCO COUNTY, FLORIDA
Permit No.
3"..33 Y ,(j
Builder Name/Owner Name .4.~ _...;tt~ ~/,
Date Permitted /0 '-,30-- 7-r
County Parcel No, ...3 -db ~ ;t/. 0 tJ....? 0 ' lJ LJ CJ 0 CJ ....
-/~, elL ~Q/\
Classification/Type of Use ~../ J.-/ :;'J~
)~
Location
h ;L :J... R
Subd,
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No,
Sq, Ft./Unit
Prepared By
Impact Fee Amount $
The above impact fee een established pursuant to the Pasco County Transportation Impact Ordinance as adopted
by the Board of nty Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority utilize the permitted structure,
RESOURCE RECOVERY ASSESSMENT
EXEMPT D
RESIDENTIAL
NONRESIDENTIAL
No. Units
J
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)
4a.~D
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 anu the conditIOns of payment for same,
Date
Received By
-------------------------------------------------------------------------------------------.--------------------------.------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO. 'd- \.~ 'I
DATE
DATE~I '1,-"
~ B~~~_
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
----~ -
,
~'~"~"_...--o_ _ _ ~~".:~_~ ~~',~~ _"__ __'~_~~~ .---,-_ _ __. _ ~'_____,,_
"
~,_. ~ . b
~t-;> ...
\- '-"-,
C E N T R ALP E R M I
PASCO COUNTY. FLORIDA
T TIN G DATE: 03/06/96
F'1"lCiE ~ 1 OF 1
I ~::;:::,UE CIFF I C:E: D
RECEIPT NUMBR: 00276337
OFFICE: DADE CITY
CONTRACTOR #: 003818
NAI"IE ~ GARY L. ';::TE'v'E
ADDR: 37746 GLADES l_N
C/ST: ZEPHYRHILLS FL 33541
r:- C)r:< :
CHECI< # 2:34::::
RESOURCE ~EE ON PERMIT 5338B
CITY OF Z"HILU::
-.
CONTf:;~(:iC. rOR: 0("381 ~::
I~~CCNT
li't
TC.l1'flL. AMOUNT:
COMPNY ACCOUNT CENTER
8450 -. 363000 - 2
42.60
AMOUNT DESCRIPTION/PERMT DATA DRieR
42.60 ****** SOLID WASTE FEE 60
,
F:ECE I VED E:\Y'-~~~:~::-.s:~~'~~::'~~;C~~~=__'t-.::.,-... _ __.____.___.._