HomeMy WebLinkAbout95-5420
BUILDING PERMIT m
CITY OF ZEPHYRHILLS Permit If!
(813) 788-6611
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Zoning' Ene,gyz ~on~a':f7cM-
oesedptlon of Wo<. '--It J'~' J A I;#,; " .A..J!/ ~
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NO occlJ ANCY BEFORE C.O. . ~ D E
C.O. -1.10 - ;L 8--
DATE
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6..5-; OV
ELECTRICAL
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PLUMBING
00.0--0
MECHANICAL
BUILDING
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
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Date II -(;29- y"!'- ..
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Water Conn: S--S~~ cJl.J
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Valuation or
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City License Registration #
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Ducts Insl. '-f/ ~{ ~ 1 fJr/)
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Finalv'
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 Address 7/J ~~/ //-.;2-')Y_-:'~
b. Condemned work resulting from faulty construction. _ 1-;)(7' / /
c. Repairs or corrections not made when inspection called. /J "I I () -;:t: --j '7 '
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.
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APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
Of'-(!f~-ro'Y / 1-/3' 7~
"
JltntM.e, ;J"t. T3~1 /do.R.-s PHONE 78? -27[J
OWNER'S ADDRESS 29:><7 ~ltS.T1 c.. OA-KS /)rllW L4(2-. k 33\119
J I '\
JOB ADDRESS 512. 8 Slot II\.{ M.-{ r t"h ~ \.. l)L I Uf' '-ch P t. v,.l j II j,
LEGAL DESCRIPTION: LOT(S) f) 1 BLOCK - SUBDIVIS~ON SIN! "'toRr J+. II
IJ.-a-t--d-I-lf-</-l./b - ;)-7
OWNER'S NAKE
PARCEL 1. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PRoPOSED:LNew Construction _Addition -..Alteration _Repair _Install
_Sign ~ove _DeJIOlish
PROPOSED USE: LSingle Faaily _KIF _' of Units _M/H
_eo..ercial _Indust. _Swia. Pool _Other
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK: Altc.J htM~ f'lodsrrt< c r/~
'BUILDING SIZE: #' X tt. It?- ro Sq~re Feet. .s/;l~/,-. Hright
RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
V;UILDING
V ELECTRICAL
\,/"" MECIIAHlCAL
$
Valuation of Total Construction
AtIP Service
Florida Power Corp.
W.R.E.C.
$
Valuation of Mechanical Installation
-
~ PLUMBING . GAS .,./"ROOFING
TYPE OF CONSTRUcnON: ~Bloclt _Fraae _Steel
SPECIALTY
Other
FINISHED FLOOR ELEVATIONS: /03 FT.
IS PROJEC'l' IN FLOOD ZONE AREA? ~
YES NO
..................................~~~~)l-J,~
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0> '/11
~
COMPANY
State Cert. or Regist. ,
City License Registration ,
..........................................
::::~ ," ~" } COMPANY U ftn-II N CZ:- (~L-~ '-
.,\. - .,_.~ ' State Cert. or Regist. #
',- c,/ City License Registration , 'f7
...................................*******
~~" T~
PLUMBER
COMPANY
10 () ..-L\ _. State Cert. or Regist. ,
Signature ~ ~ City License Registration' 13'1
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MECHANICAL ~~ f) ,u.J.-- ~ COMPANY, ~ 4-. - C, - 'f"p' <--
:, _~_. State Cert.or -Re ist. , . .
Signature. City License Registration . '~...5 ~3
..**.*..*....*.***...**.......************
0TRl<Il (;) ~ _ j COIlPANY q::? ~ [-<!J 'i?"" -{~
~~ V ~ State Cert. or Regist. #
Signature t\ - ~- City License Registration # =? J J
*.**.***....**.***.*****.**.**..**********
APPLICATION APPROVED BY ll~A<-C[j fJ1~.~
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS .
The undersigned understands that this perJit laY be subject to "deed restrictionsP wbich lay be lOre restrictive than City
regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they JaY 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 JaY be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirl!ll!Dts lilY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
IIContractor Sections" of this application for wbich they will be responsible. If you, as the owner -sign as the contractor,
you are indicating that you, ratber than the contractor, are responsible for the work. 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 perJitting 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 - HoIeowner's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsWler Affairs. If the applicant is sOleOne other than the
Pownerll, I certify that I have obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"owner" prior to cOllellcelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in tbis application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developaent.
Application is bereby lade to obtain a perJit to do work and installation as indicated. I certify that no work or
installation bas cOlleDced prior to issuance of a perJit and that all work will be perfoIled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDleDtal agenCies lily apply to the intended work, and that it is
IY responsibility to identify wbat actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to:
· Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
· Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
· ArJY Corps of Engineers - Seawalls, Docks, Xavigable Waterways
· Departlent of Health & Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks
· US EnvirODleDtal Protection Agency - Asbestos abateleDt
I also certify that, if fill .aterial is to be used in Flood ZODe "A" or "A,etc.lI, it is understood that a drainage plan
addressing a uCD,lpeDsating volUleu will be subJlitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perJit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall becOle invalid
unless the work autborized by such perJit is COllenced within six IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of six IOJltbs after the tile the work is cOBenced. One 90 day l!Itension of tile, lay be
allowed for the perJit with fee charge of $15.00. Tbe l!Itension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during each sil IOJlth period, or the project will be considered abandoned.
WARHIllG TO OWNER: YOUR FAILURE TO RECORD A XOIICE OF C(JfMBIfCEllllff MAY RESULT III YOUR PAYIIfG TWICE FOR IHPROVIIIDfS TO YOUR
PROPERTY. IF YOU IIDIfD TO OBTAIIf FIIfAIICIIfG, COIfSULT WITH YOUR LlllDIR OR All AffORIfEY BEFORE RlCORDIIfG YOUR DICE OF
COMHEHCEMEfft' . JOBS UHDIR $2,500 IX ALUI 00 HOI HEED TO RECORD AIfD POST A "HOIICI OF COHNEIICEHDfIl
;' / ,.
U-c/ t--
S IE OF FLORIDA
COUtlTY OF
The foregoing instrument was acknowledged
before me this __.___.__, 19_ by
ST I OF FLORIDA
COUNTY 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.
who is personally known to me or who has
produced
as identification and who did/did not
take an o~th.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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SUBJECT:
..
DANSCO
ENGINEERING, P.A.
ISLAND
De.fgned by
date
-:SUMMER'HIBL '.--BUILDERS-
I '
DESIGN
CALes
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...-
,
,SBCCI....1991-
'INCLUDING" SECT,ION'-1'20S'"
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_f-wi.th__'..t.h~St.a.?dard,"B4i_lding..:CQ4e .L_s.e_ctliQJ;l ...12..0.5
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.. NO. 34 45'
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P.O. Box 3916
Apollo Beach, Florida 33572
(813) 645-0166
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Apollo Beach, Florida 33572
(813) 645-0166
DANSCO ENGINEERING, P.A.
P.O. BOX 3916 APOLLO BEACH, FL 33572 (813)645-0166
Copyright 1993 by Tondelli Engineering, P.A. Tampa, Florida
CUSTOMER : SUMMER HILL BUILDERS
JOB NUMBER : 950897 DATE : 05-09-199~
DESCRIPTION : ISLAND
*** DESIGN WIND LOADS - 1991/1992 STANDARD BUILDING CODE ***
*** COMPONENTS AND CLADDING ***
ENCLOSED BUILDING
WIND VELOCITY
MEAN ROOF HEIGHT
VELOCITY PRESSURE
USE FACTOR
= 100 MPH
15.0 FT
21. 00 PSF
1. 00
ROOF SLOPE
TRIBUTARY AREA
6 . 00 : 12 ( 2 6 . 56 DEG)
240.0 FT2
WALL WIND LOADS
WALL AREA
w e
GCp (+) 1.056 1.056
GCp ( - ) -1.138 -1.175
PRESSURE 22.2 22.2
(PSF)
SUCTION -23.9 -24.7
(PSF)
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BUILDING WIDTH 48.0 FT
e CORNER DISTANCE, Z = 4.8 FT
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DANS CO
ENGINEERING, P.A.
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P.O. Box 3916
Apollo' Beach, Florida 33572
(813) 6115-016G
SUBJECT:
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ENGINEERING, P.A.
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.P.O. Box 3916
Apollo Beach, F=lorida 33572
(813) 645-0166
-Department of Community Affairs SN: '542$.
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL
PROJECT NAME: ISLAND, 1220 :BUILDER: SUMMER HILL BUILDERS
AND ADDRESS: :PERMITT~ING. :CLIMATE
-51..2,p;~A,.JJdP~"'L :OFFICE:' :ZONE: 4:X: 5:_: 6:_:
OWNER: :PERMIT O. /)~V;lZJ e :JURISDICTION NO.&//6tJD
CK
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)
10.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. 1220.00
6. 1.50
7. 8.50
Single Pane
8a.178.0sqft
8b. O.Osqft
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 , 155.00 ft
10a-1 R= 4.20, 866.00sqft____
10b-2 R=11.00, 158.00sqft____
l1a.R=19.00 , 1220.00sqft____
12a. R= 6.00, uncond
13. Type: Central A/C
SEER: 10.00
14. Type: Heat Pump
HSPF: 7.00
15. Type: Electric
EF: 0.89
16.
17.
18.
2
19.
19a.
19b.
95.63
22229.60
23245.78
-------------------------------------------------------------------------------
--------------------------'-----------------------------------------------------
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
=lorida Energy Code. n
DREPARED BYX~ \vu.~~
)ATE: 1; ~7{
I hereby certify that this building is
in compliance with the Florida Energy
:;ode.
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.
)WNER/AGENT:
)ATE:
i
BUILDING OFFICIAL~~
DATE: rr-(7
***********~*********~********************************************************~.
SUMMER CALCULATIONS
*******************************************************************************
=== BASE === === AS-BUILT ===
===============================================================================
GLASS----------------
ORIEN AREA x BSPM = POINTS :
TYPE
SC ORIEN AREA x SPM x SOF = POINTS
--------------------------------------------------------------------------------
E 36.00 82.2 2959.2 SGL CLR E 6.0 109.2 .42 272.5
SGL CLR E 4.0 109.2 .30 130.9
SGL CLR E 26.0 109.2 .89 2536.4
S 28.50 82.2 2342.7 SGL CLR S 28.5 100.2 .79 2262.3
W 113.50 82.2 9329.7 SGL CLR W 49.5 109.2 .87 4678.7
SGL CLR W 54.0 109.2 .89 5267.8
SGL CLR W 10.0 109.2 .77 839.8
--------------------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x
AREA AREA FACTOR
GLASS
POINTS
=
ADJ GLASS
POINTS
GLASS
POINTS
---------------------------------------------------------------.----------------
.15
1,220.00
178.00
1.028
14,631.60
15,042..60 :
15,988.49
===============================================================================
~ON GLASS------------ :
AREA x BSPM = POINTS :
TYPE
R-VALUE
AREA x SPM = POINTS
--------------------------------------------------------------------------------
~ALLS----------------
~xt 866.0 1.0
~dj 158.0 .7
866.0
110.6
Ext NormWtBlock In
Adj Wood Frame
4.2
11.0
866.0
158.0
1.16
.70
1004.6
110.6
)OORS----------------
~xt 20.0 4.8
~dj 18.0 1.6
96.0
28.8
Ext Wood
Adj Wood
20.0
18.0
7.20
2.40
144.0
43.2
:EILINGS-------------
JA 1220.0 .6 732.0
Under Attic
19.0 1220.0
1.10
1342.0
:LOORS---------------
>lb 155.0 -31.8 -4929.0
Slab-on-Grade
.0
155.0 -31.90 -4944.5
CNFILTRATION---------
1220.0 10.9 13298.0
Practice #2
1220.0 10.90 13298.0
rOTAL SUMMER POINTS :
25,245.00 :
===============================================================:================
'OTAL x
;UM PTS
:==============================================================================
26,986.35
SYSTEM
MULT
= COOLING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
~------------------------------------------------------------------------------
25,245.00
.37
9,340.65 : 26,986.35 1.00 1.100
.340
1.000 10,092.89
===============================================================================
**~********t*****~~***~**************************************************i*****
WINTER CALCULATIONS
*******************************************************************************
=== BASE === === AS-BUILT ===
==============================================================:=================
GLASS----------------
ORIEN AREA x BWPM =
I
I
POINTS :
TYPE
SC
ORIEN
AREA
x WPM
x WOF
= POINTS
-------------------------------------------------------------------------------
E 36.00 -3.4 -122.4 SGL CLR E 6.0 -2.2 -3.06 40.4
SGL CLR E 4.0 -2.2 -4.48 39.5
SGL CLR E 26.0 -2.2 .43 -24.3
S 28.50 -3.4 -96.9 SGL CLR S 28.5 -10.9 .85 -264.1
W 113.50 -3.4 -385.9 SGL CLR W 49.5 -2.2 .27 -29.9
SGL CLR W 54.0 -2.2 .43 -50.5
SGL CLR W 10.0 -2. ~? -.26 5.7
--------------------------------------------------------------------------------
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x
AREA AREA FACTOR
GLASS =
POINTS
ADJ GLASS
POINTS
GLASS
POINTS
---------------------------------------------------------------~----------------
.15
1,220.00
178.00
1.028
-605.20
-622..20 :
-283.22
---------------------------------------------------------------.----------------
---------------------------------------------------------------.----------------
NON GLASS------------ :
AREA x BWPM = POINTS :
TYPE
R-VALUE
AREA x WPM = POINTS
---------------------------------------------------------------.----------------
WALLS----------------
~xt 866.0 1.1
~dj 158.0 1.8
952.6
284.4
Ext NormWtBlock In
Adj Wood Frame
4.2
11.0
866.0
158.0
3.26
1.80
2823.2
284.4
)OORS----------------
:.xt 20.0 5.1
~dj 18.0 4.0
102.0
72.0
Ext Wood
Adj Wood
20.0
18.0
7.60
5.90
152.0
106.2
:EILINGS-------------
JA 1220.0 .6 732.0
Under Attic
19.0 1220.0
1.00
1220.0
=LOORS---------------
3lb 155.0 -1.9 -294.5
Slab-on-Grade
.0 155.0
2.50
387.5
[NFILTRATION---------
1220.0 4.1 5002.0: Practice #2
1220.0
4.10
5002.0
rOTAL WINTER POINTS
===============================================================================
I
I
6,228.30 :
9,692.04
:OTAL x
HN PTS
===============================================================~================
SYSTEM
MULT
= HEATING : TOTAL
POINTS : COMPON
x CAP x DUCT x SYSTEM x CREDIT = HEATING
RATIO MULT MULT MULT POINTS
---------------------------------------------------------------.----------------
6,228.30 1.10
6,851.13 :
9,692.04 1.00 1.100
.484
1.000
5,160.04
===============================================================================
***********f*********~***~****************************************************~
. WATER HEATING
*******************************************************************************
=== BASE ===: === AS-BUILT ===
===============================================================================
NUM OF
BEDRMS
)(
MULT
=
TOTAL
TANK VOLUME
EF
TANK
RATIO
)( MULT )( CREDIT
MULT
= TOTAL
------------------------------------~-------------------------,-----------------
2
3527.0
7,054.00
40
.89
1.000
3488.3
1.00
6,976.67
==============================================================:=================
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE === === AS-BUILT ===
--------------------------------------------------------------~-----------------
--------------------------------------------------------------------------------
COOLING
POINTS
+
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
COOLING
POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
--------------------------------------------------------------.-----------------
9340.7
6851.1
7054.0
23,245.78
10092.9
5160.0
6976.7
22,229.60
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
*****************
* EPI = 95.63 *
*****************
ENERGY GUIDE
For deta{~ed inform~tion
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B-93
EPI= 95.6
o 10 20 30 40 50 60 70 80 90 100
:--------------------------------------X--:
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............. ... .... .Single Clear
SINGL CLR DBL TINT
:x--------------------:
INSULA T I ON . . . . . . . . . . . . . . . . . .
Ceiling
R-Value......... 19.0
R-l0 R-30
:---------X-----------:
R-O R-7
:-----------X---------:
R-O R-19
:X--------------------:
Wall
R-Value......... 4.2
Floor
R-Value......... 0.0
AIR CONDITIONER.............
SEER. . . . . . . . . . . . . . . . . . . . .. 10.0
10.0 SEER 17.0
:X--------------------:
HEATING SySTEM..............
Electric HSPF... ......... 7.0
6.8 HSPF 12.0
:X--------------------:
WATER HEATER................
Electric EF.............. 0.89
0.88 0.96
:--X------------------:
0.54
0.90
Gas
EF . . . . . . . . . . . . .. 0 . 00
,---------------______1
I I
0.40
0.80
Solar
EF............. .
I ,
,---------------------,
OTHER FEATURES.......... ....
~ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
Address:
Builder
Signature:
Date:
City/Zip
=lorida Energy Code for Building Construction - 1993
=lorida Department of Community Affairs
FL-EPL CARD93
..
,~""
(J - .,
.."....
;~'......~~ ..... :i< --:~"':-:~~:,-::-,-::-:.,.-.~.. :.:" -
..'~':li""'''''~J7t1J"
,';~~r"" ..; "'"'' -., '. . _ ',-
..-iI,y-...."';". 0.. 'r
~~~'f'~....""
'"
. '"
PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
Builder Name/Owner Name
County Parcel No.
Location .._~_.
Subd.
Classi fication/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
Zone No.
Sq. Ft./Unit
--"",,-..
Prepared By
-"
Impact Fee Amount $
The "bove impact tee has beeii established pursuant to the Pasco County Transportation Impact Ordinance as adopted
by the Board of County Commissioners. This amollnt 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 _
f
I
Gross Sq. Ft. (GSF)
Ratc/ERU - 52.00/Year
or $0. I 42/Day
ERU Assign No.
Assessment ~ (No. Units) x ($0.142)
x (No. Days)
'II f.
.....-
TOTAL FEE $ ,-,......,....:,...-.
Assessment ~
(GSF) x (ERU) x (0.142) x (No. Days)
100
TOT AL FEE $
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.
AcknO\viedgement below docs 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. ~-..q
-....".-~".... DATE
I ,
1-_........ DATE ,!
1,-
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/.4