HomeMy WebLinkAbout96-5823
BUILDING PERMIT 0
CITY OF ZEPHYRHILLS perrTIitN.
(813) 788-6611
--~582~ ,6
Date
..5,-- /3 - ;9 .b
'170,iJZ)
BUILDING
t. ;l,~7J
ELECTRICAL
0J-1.~o
PLUMBING
<30- OV
MECHANICAL
Sewer Conn I.. cl- )1 g--~ 07)
Water Conn: 3-SV . trD
Water Meter: / " .!:J'-' tJV
T,I.F.'s:
propertyowne"~~ ~ --
Job Address: S L1 '
P,roell,O,' / -~ ,.;L/, o/;uJ -50'
Zoning:
Description of Work
->If:..''''
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
c.o.
~1
;$ ;;;;:Sh~'~;;;azr~2;;~ i;: OrdInances Inspector
- 4JM-~ ~Ll3-..._
. tr' ~ Permit Fee ~ ~ 0 - t!:T.V
Valuation or 'I") 9' I-) J1 _ / Ll
Contract Price " 01. J ~ 3. trD Signature ~_~r1/l .
Company
City License Registration # ;2!1 Y Address
State Certified License# Telephone#
/Jl~
?7
J/u.~ ~~~ ~b
/1~ AIL 17
---J(1/ht n '"-_ t~
BUILDING ELECTRICAL PLUMBING.
Ftr, ~ Tp. Serv, SlB ~'$<J.3
Pre SLB \.. Rough In..J'~f;i,q~/,b6 Tub Set . 'cs- ~6(b8
Lintel ~ Meter can.~~y..4 O~ater
FRM. €vd/,6(~ . Const. Pole ~ ,'" W'~~ewer ~(g gag.
Insul. CL Pool / Final
WL b-dSlfb.&e- Pre-Metert&.../l.f-9~&A
Final \
Driveway 1-3a",.t:iC,&d ~\\\,~~~ ~\\3}11. ~\-
~A~~ -lo-yt,~ff3
REINSPECTION FEES~en extra inspection trips are n~cessary due to anyone of the following reasons, a ~ #t9./.5/ k
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: ~/ \~--""/S-7' 6
a. Wrong Address J/ d.41; ~7
b. Con~emned work. resulting from faulty.constr~ction. l)IJ r' /' -r J---- /..' ?-Y-6 tf"'dJ-~-b
c. Repairs or corrections not made when Inspection called. c;t:t..'1rztJ.(...c.J''y\.. ~ -.J ,/U-L
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
MECHANICAL
Breakers
Ducts Insl. !tr-~J/tj)~
Compressor
Final
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
BUILDER: Ryman Construction
ADDRESS: 37448 Blackberry
OWNER: Betty Wray Boyce
SQ. FT. PRICE
LMNG OR MAIN AREA:I 1,644 I $ 35.00 ~
OTHER AREA UNDER ROOF:~ 493 I $ 11.00 I
OTHER AREA:~ I
SQUARE FEET UNDER ROOF: ~ 2,131 I
VALUATION:I $ 62,983.00 I
ADDRESS:f $ 20.00 I
DRIVEWAY:~ $ 20.00 I
FEES: l $ 330.00 I
BLDG. PLUMB. ELEC. MECH,
PERMIT FEES:l $ 470.00 I $ 51.50 I $ 62.50 , $30.00
3/4" 1" 1-1/2" 2"
WATER METER SIZE: I $ X 165.00 I $ 245.00 I $ 61::1 $ 840.00 I
SEWER WATER METER
CONNECTION FEES:I $ 1,278.00 I $ 350.00 I $ 165.00 r
RADON GAs:1 $
PERMIT FEES:I $
CONNECTION FEES:I $
WATER METER:I $
TRANSPORTATION IMPACT FEES:I $
99% $
1% $
21.37 ~
620.00 ~
1,628.00 I
165.00 ,
: I
CREDIT:l $
SUB-TOTAL~ $
IRRIGATION METER~ $
65.00 I
2.434.37 I
165.00 I
2.599.37 I
, .
TOTALI $
. .
APPLICATION FOR PER!'lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
~ &-v-.Z-'~~6~r~
en< ( ~ 6.&-..
J>l/1& (7
,\ P P L I CANT ~ MA-~ c.b 10 s.~V-<:....\.4 <:> ~
\D[)RESS ~-,~~ ~ ~,e. s4 Wc~-t--Zc.ph<tt'l..hiU5 PHONE ~ 52-- 08d-.-S'
()',,\ER Be ++~ ~ CLA-'i (3OiQ e
clDD LOCATION 314~t6 B/A-<-'L.~~
LEGAL DESCRIPTION: LOT(S) 35
LOT SIZE~X IOS"AREA SQ.FT, Co405"
BLOCK
SUBDIVISION
PARCEL I, D, :.=
\ 0 - z c.o . Z \ - 6 \ LO ~ 6000 D' 6 ~ SD
(,<ORF,
PFOPOSED:XNew Construction
_Addition
_Alteration
_Repair
_Install
_Sign/Temp,
_Sign
_Move
_Demolisl
PROPOSED CSE: ~single Family
_M/F
_II of Uni ts
_M/H
_Commercial
_Indust.
_Swim, Pool
Other
____Restaurant & Health Department Approval
EL'HDING SIZE: 3% xSB, 2\"'6'"l.
Square Feet.
6
o
He igll'
RESIDENTIAL:
COM.'1ERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S, ,co:
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS."'*
**COPY OF CONTRACT REQUIRED,
PERMITS REOUESTED
BlIILDING
$
C, 5J 1DO
,
;)...Ou AMP Service
~SDO
Valuation of Total Construction
Florida Power Corp.
~\~.R.E.C.
ELECTRICAL
,,'r'
~lECHANICAL
$
Valuation of Mechanical Installation
PLl~BI~G
GAS
ROOFING
.0:ame
SPECIAl.TY
THE OF CONSTRUCTION: _Block
~Cl \ISHEO FLOOR ELEV,HTONS: B~ FT.
Steel
Other
******************~***********************
CONTRACTOR SE~~N _I _
lllilLDFR r Company MA-IO, CO tVS~v...<:.
\ ~~ State Cert. or Reg,st. "C.13C-O~I~
(;lgnatl~~ - c..--. City License Registration II (J71
- - ,,,,,,,,,,, * H. *' *" ** H ** * ***" H".., * ,.,,"
v
FTFCTPTCTt,N Company ""A-<c.~'...:J E-\e~+n-JL
':::2 ~. State Cert, or Regist. l' SlL C'O\"3'-\4C\
5:."nltllre / ~ g~ City License Registration ;! ---1~"1 97
** ***************************************
-/
c; 1 g n:1 t II r e
Company t-\A-rt.-~t~ s.e.z.v I <€5
State Cert. or Regist. jt aF - OO~(O"53
City License Regis tration', 58 ~
**********************~*******************
tI
"!~ Cure
--K-
\ "''-'--
~~ cY-
Company BA-ntl..' ~ G-AS -+~c..
State Cert. or Regist, I.: BJ+l2> -64~qOrB
City License Registration:F ~t'i! J1
/-
:E.i..J..i..:.~IL\ I...
*************************************~~****
r)THFF
Signat~""~.
Company
State Cer:t.
City License
******************************************
,'If';' ~C,,\T;U~;\PPRCJVE[) BY
PER~r~T OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perJit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONS1BILITIES
If the owner has hired a contractor or contractors to undertake work, they lay 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 lay be
cited for a lisdeaeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which they will be responsible. 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 wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting 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 certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Hoaeowuer's Protection
Guide" p{epared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
.owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
"owner" prior to couenceaent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in compliance with all
applicable laws regulating construction, zoning, and land developlent,
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is
my responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
* Department of Environmental Regulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,
Water/Wastewater Treatlent
* Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* Army Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
t US Environmental Protection Agency - Asbestos abateaent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "cOlpensating volUle" will be submitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A permit issued shall 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 perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall becoae invalid
unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is couenced. One 90 day extension of tiae, JaY be
allowed for the perJit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each Sil IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COKMENCBHENT KAY RESULT IN YOUR PAYING TWICE FOR IKPROVKHEHtS TO YOUR
PROPERTY. IF YOU IH'JElffi TO OBTAIN FlHAHCING, CONSULT WITH YOUR LEHDKll OR AM ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMllEHCiIlIlIfr ER 12,500 IH VALUE 00 HOT HiED W HECORD !IlO POS! A 'HO(l" OF r~='.
~- -~---==
SIGNATURE: CONTRACTOR ---
STATE OF FLORIDA
COUNTY OF
The foregoing- instrument -was'''acknowledged
before me this !b t:tr ~ 19 ~ by
.who is personally known to ~e or who has
produced
as identification and who did/did not
ta~~~~.~~.
(Signature) ~
(Nam~ Typed, Printed or Stamped)
~".y "II,
NOTARY PUBLIC .<:> .d. (,.. BOBBIE J BURKE
* ~ * My CommInion CCS43871
.....~,... ElCpir..Mar.31.2000
";. ~~
~ OF f~\l,
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this /.0 Pli.67 ~, 19~ by
who is personally known to me or who has
produced
as identification and who did/did not
~~~ ~~d
'--1tfgnature )G
(Name Typed, pr~~( or Stamped)
NOT ARY PUB L I C .<:> ,.. BOBBIE J BURKE
*M* My~CC543811
.. ... Ellpir_ Mar. 31. 2000
~ ~
,.~ OF f~\l"
RESIDENTIAL
CHECKLIST FOR NEW CONSTRUCTION PERMITTING
~p~ication comp~eted in its ENTIRETY.
~~heck if contractors and subs are current~y registered.
_~F10rida Energy Efficienoy Form completed. ~
",' , . , \ ( .. - .\ f)~ '~
~ Pl--i77~ ~ ~- ~2?) . f"'o'/!!Jlf- S- &-7
~operty survey,Vl~ (rit) ~f}. -5--~'-f'6
',/ / ~
~TWO ~TS_?f~~ineered Bui~ding Prints with e~ectrica~, plumbing &
mechanic~agrams.
~
tIii,
uA
Homeowner, check for proper "Homeowner's Affidavit" form.
Silver Oaks Subdivision - need compliance letter.
R-O-W Use Permit, if app~icab~e.
~~ive E~evation Certificate, if app~iCab~e~ -Z; ~~....: .S-t-%-
~erifY Water' Sewer Service.
~lans Review Fee ($.03/sq. ft - $15 min) .
Amount Paid $
ctL /~? 6G~;Y- .
(,5" flR- -
~C;;~= .4,t~:~
Received by:
~t
?l.:
%
-'ll.
J"J~.i:IJ:
CITY OF ZEPHYRHILLS BUILDING DEPJ\l1.T}.lCNT
OWNER Bcdi-'1' W~...~ R,()'(e~
JOB LOCATION LOT '3 WEDGEWOOD
\O~ 2<O~21,.. Ol20- C>OCOOA D'5'50
PARCEL I.D. #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
~I
Nt u..J ~e~I'D~t\)(([
36~E=Je'
/ } I b II
Jlib/J
I
\O~
-~
UTILITY BUILDINGS
H U S l' S \\ O\~ S I 7-""\ ~,
FOUNDATION INFOR-
HATION,
FRONT PROPERTY LINE
,
lO
~l
(NOTE EXAHPLES 1 & 2)
STREET t\JAc-K bc:.a...(2..~ C-t:....
1. SETBACKS FOR R1f R2 ZONING
60'-
2, SETBACKS FOR R3 ZONING
60' -
10' T 10' IT
I~ E I II
x
0 I 1L I !
' 10' p S 10' 10' EXISTING 10' i I
0 T /1101
S I
E N -J I I
0 G PROPOSE-=---J II
20' 20'SGL FAH 30'DUPLEX 11
FRONT PROPERTY LINE FRONT PROPERTY LINE
" .~, ,',r.,. '"
.. .............,.."'.."'_.,.."" ..~ " ""~~.;,P..-.."1Io.>O.",;.;;..z,~:c:\,;.
"
~ ~.A "".~..
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..... ~~
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- ~ . .... .' ~.~~ - '...._..~---_._-
!
t
CITY OF Z E PHYRHILLS J3UI LD ING DE Pl\T"l.THE NT
Be+i-y W~I\'{. ~oye~
JOB LOCATION LOT 3'5 WEDGEWOOD
\o~ Zlc~ 21.... 0\1-0 - 00000 ~ D'5"5 c>
OWNER
PARCEL I.D. #
""".
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
&/
Nt u..J ~e~Jo~t\J(([
36'1<..~8'
'-rj
I'.
I
"0
LINE ...~
UTILITY BUILDINGS
}\\JS'l' Si\a\~ S17,\\ ~,
FOUNDATION INFOR-
HATION.
FRONT PROPERTY
STREET ~JA<-\< ~~cZ..I2.1' Ce..
(NOTE EXAHPLES 1 & 2)
1. SETBACKS FOR Rl, R2 ZONING
60'-
l,r,r',r..
~ ~, "
i
~1
2. SETBACKS FOR R3 ZONING
60 '-
10' T
P E
R X
0 I
\ 10' P S 10' 110'
0 T
S I
E N
D G
20'
FRONT PROPERTY LINE
10'
EXISTING
PROPOSED
20'SGL FAH
\O~
IT
I I
10' 11
!
10'
FRONT PROPERTY LINE
30'DUPLEX
~ p................ fll.-....,.'" ~ ,);>,...
-R"l'Vl~1ii:-l,;;rn;~,-".,,_.;..;::::~;\,-.
~'f..:
~~~ ~.. r C~9_ ..-.__._,....,...". .1..... ~___.."'fF;..~,,_-,...-
; ~'.. , ' , '
,,~ ')'- ~ :..,,,'~
'" .:'.' ...~..-\~f;i~
'. . Department 'of Communi tYArfair,s ..' . .... .~\~~:,~::1lS~.;';..~,
FLORIDA ENERGY EFFICIENCY COPE FO~BUILD:tNG,CONSTRUCT,~C?W":')':'i';'iitJii
FORM 600A-93 Residential. Wh6leBuil~ing Performarice..Methog:;('>i'~' "ENT .
'PRc>JEC'r'NAME : .~e Ol'j ....'..' BUILDER :'RYMAN'C()ltS~UC?:,IO ,"';:'
iI4;'J~:;~~M~~~1~r~!1I!J~~!;~~~~:'4~1'
'i~J"New'constructi()n' or addition: '. .' '" . ,': ........ 1.N~w/~const~uo..,
2'-: singlef~milYdetacried, or MultifamiJ,y, at'tached 2:' slngie~FI:i1ui+y' ',(:,)t:",
3 . If' Mult;ifa:rt1il..y';"'No .of units . 3.' ,O:'i ,.,) ,<..;,;"it:
,4. ,IfMul tifamily., is this a 'worst case (yes/no) 4. ". .~,
5.. Conditioned :rloo:rarea '. (sq. ft. ) .5 ~
~ .Pr,~dominant eave'ovethang (ft. >. .~ 6"~2 00 . ."
. '~:a~~~~~:~h:~~~~~~;h (ft:.) , . '., '! :~f4t1~1.~~j{'i\'
a~':ClearGlass' ", "8a~~:'i~o~osqf1:\: '\:,k.,
, <) . b~lb~~\y~~l:n~\~~~~~tid~~" " ' ,,' llb, ~~i .8.~~7;;';J~~.~'l!
, a. Slab on grade (R-value,' perimeter) '9a.R='0..60, 195~;
IO.Net Wall type area and insulati6n:. . .,;.
a'. . Exterior: 1. Concrete (Insulation R-value),
b'o Adjacent: 2. Wood frame (Insulation R-value)
11.Ce,iling type area\andinsulation: '
a.Under attic(InsulatioQR-Valu~) (
12.Air distribution systems .'
, a. Ducts (Insulation + Location)'
13.Cooling system
r' \.-.',:
~_'~" i" ,. . .' ~
'11a.R=~2,.'()O. ,i/l,g
,. _~', '. '. '\,,::'. ., ./It;}:?r~;~'(''
12a. R 6.00. ,.;U '1'l<t~, ",''',,,,,,,
~:: .:::~ :~~fH;~~~tf~;~~:;~~J
,EleatrrC:;:d' . ');I'#':~""
~"88'o';';"
14~Heatinq System:
',15. Hot, water system:
. ,
16~Hot Water Credits: (HR-Heat-Recovery,
.", '. ..DHP-Oedidated Heat.pump).
. '17. ~Infilt~~tion. practice :~,i2or,J ......... ".' ','
/ ;1.8.HVACCredits' (CF~CeilirigFa'n\i' CV-cr\oS~'v'el1t,
;'. ) . .1!F.,.Whol.e . hotisefan; RB-Atticradiant
.' pa:rrier, MZ-Multizone),
l'Q.EPI, (must not eXceed 100 points)
a.. Total, As-Built poin;ts
'b. Total Base pdints
' "
. '. .,; .
.. :====~:::i:::::=:=:=::;::=:::::::~:==:~=:~::t::==z::~~f;jg~t.'=j~li
:, I Hereby ce;rt.ify that the plans and · Review of:the';ptans~and\
" specificCltionscovered bytilisoalcu- 'covered bY' this CCll:culatlcf'
lation are in compliance with thecompliaIlcewith the; ,Flc:>rid.
Florida Energy~. ". '.' Code~ I;3eforeconstructiQqi~~<.
. . -'. . ..... '. this?Uildi~g,will beins~~R~~~:':~
.... PRE. PA...,R.... E~.a..r.. .~~ ." . ....... . '. '. ----. COmPIJ.. ance,ln accordance",w,l, ";''''ef
DA1E...$f1_{:;: '. .... '. ..., . "":r- 953',908 F.S.
TiJ1t~~ebY~ certifrth~t this ?uiididg 1$
<:J.nf:compl~.ance WJ. tho the.. Flo:rJ.qa Energy
~t6de~,' '. ,
",.1 .
.' '.' .' I. .. '. \'<. ,,>,' .,../".,,'q:;....Jr.\~~~';
** * * * *1<* ** * * ** * * * * * * *.** *** * ** ****** * * ** *** ****** ******'***~*******-1r,***.*~**
,\. . /', ',' '. SUMM'ER CALCtJLATIO'to.TS . . ,,: . .,...,.t;i. >.' .' :".:. '>.if.;' ..... ...;'. ..i.':.l~
. ~~ I ,'".'" '. ." ",,' "'''1.
~ * * * * * * *** ** * * ** * * ** * * * * * * * * * * ** * * * * *** ****** * ** *** ** ~ **********~~, .' .~*,
==:;= BASE=== 'I =::;i=:; 'AS-Bl1ILT7=';":';:.,'/;'t.~ '::H;~$r
====:;==:::i===============~=======:===========:::::T==__==='?:;::===::=:::;===:...._=:==:====~,i":=;;;.. ...,
GLASS---...-.......----_____ I ; .. ,.,., , . .
ORIENAREA x BSPM = POINTS TYPE SC ORTEN AREA x SPM .Xf:l();F..i/..
-;----~;~;;----;;~;--~~;~;~~---;~L-:;~;;-~-----;-----;:;~~~-:;~~;S;,..s:~~--~qi~f~~i
.' SGL; TINT' N 13~0>:.. 51..5. . ,....83.:. ,it;'JS53,~E?~'"
SGL ,TINT. NE. 9..'3'..7'6. 6.\\ ~ 80 ~ ~..~:',.;5'7ft':e,q;f;::.'
;,S~L TINT ' .' 'E '18.7< 107. !:i:;', :~77.;.'.\154.5.:$4'*':.
SGL TINT S 13,0. 98. 3i).,:.'.96J:'.\~'tt::?~:1'~;~~,~~:~:
, ~~i ii~f ~. i: :;' .:~:i,.:~.~.~L,;.,:i!~~~'y" :tf~j,:.
. SGL TINT S9. 91- 98 ..~.;:i:\\,:.B~~,'~";;:.1':::f,;;~~L:;~0";,;2,
5492.6, ,SGL TINT tv.. 40.8. .107..1..... ,,' ",87"''782.,2.;,~,,,
'. ,.... '.. ' .~..: -,;-', -,,-'::.,' ,:1':"""/,,,,~ ';C":-'> ,.,:<:,..~,:"F:\t,..i'.iI..l",~':,..1!f!ff.'"
. SGL ,TINT W'.. 13.0 .107 ~1(:;>"'~" ";(),?:;~:~;tft
". ' " . " SGT,.mI' NT".. ..' '.' W.... :'1'.3' ""'0""':>':1' '0"7' :1'., ''?'''>','' .
' " '", . ". \. . ....... . """. :.1: ,. ",....;'r..,...:'..,e'". ..,........, .' .',.~i:.;'..... ".">' '""..
. '--~-~--"'-~7~"'-:-~-"'::-.l..-.-~. ...:~b:~7--5~'7.f?''';'*;7B,7-;S;t~;T~...:-:~~!~:G::-;'''d,:; ~~;
.15/x, CONDo... FLOOR /TOTAL\GLASS}~#ADJ'i."j{'1p,GLA.S$." '=":'~>iAD.f"Gl:ASS:
.;JF~2~:'~~~i-~~-i~~02~~C~_~~~t~~~0~t~~:~~.__~8~~~:~~Cit1~7:',..;...........
;.'15 1,'644.00" 172 ~84;' .1.427 ';'14,207.45 ,":.20 ~270;,"52jFi{;.;~:!::4i~
=====~===~===========-~=~===~===:::i=~=============~T==:::i=~=~=====___~=~~=~'"
NONGLASS----'-_____...._j .,:'.,1/1y
AREA x BSPM, =~OINTS' . TYPE R-VALtiE' AR~A. ..... X'.'s~l:(!:."
:~~~;;~;;~;=~:==;~~=:-::::~:---:::-::::::::::-::--~:~:-~:::;:7;6~~I~li~1.
Adj 3i8..2/'.7 222.7 AdjWood Frame 11.;b 318.2,.~'7p'.~",2i
~~Rs-~~~:~----T~-- ~~ : g ~~j ~~~~lated 'i~ :~i;::.~)~(ii~l~;a;
NE
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S
9.32. ,
18.68
60.23
82.2
82.2
82.2
.766 .1
.153'5.5
4.950.9
w
66.82
82.2
CEILINGS------___-:-___
UA- 1644.0 . .6986.4
.. J
Und~r Attic..
22.0 1.808:~4
FLOORS~-~~~---...~~-~:....-
SIb 195.5ei~31.8' -6216.9'
. INFILTAATION-----____ .....: . ..\.:,:<"~"i~,~
,1644.0 10'.9 17919.6 P'ractice#21644. 0,1:.tl~\9"
==========~============~=======~==~~-==============~==~~:....~==:4~~~~~
TOTl\I,iS~~POI,NTS 34 , W .00 I ..... ;;. ... ..... .. ... . "i; ",.;; .
. .... 7======;=A=:==========='=====:=!::_;-;==================~:=;=====;::==========~~::;:==~;-~"":"0'
i!...,':rO.,T.y;.,. :,j::.,X., '.,.,S.Y~TEM, C.OOL~NG': I TOTAL, . X.CAP:KDUCT'(~'2.:STEM.,\x"i"
t1SUM i;P'XS>i,MULT POINTS.. COMPON . ,RATIO MOLT MuLT. ,;
'1'.:..:.....P1;.,;.;..;.,:....;.....::-'---- ----- --'- ------.....---... -- ---..,- _-...;........,-_____......._ -..i.-__:..,....~2._ __l.;.:.......
:"'34)342.00 .37 12,706.54 I '27,334'.211.00 l..100., .352,
==:==~=======================~==============~~===~======-
'j
-":'''~'''Y~.........'I'
:. '.' ..:... .i. .. '. .....i{'........... .... ',i.,"'k>'"
... {...; *;....* -... -.41... _.. _. * ~ ..~ ~,;.*. *:,;,;~,;*.,;._ _._ _ ~ _ ~,.:,.:~.~,.: :~...~~j.!0,~~~;:f:i\i;8
. ". -'.' . .... ..;' . .' .,.,i, "','. ....... . ..~.tVINT:e:R cAicliLAi'~ONS . . .... ",?5::,::, ';t';:.!",,;:>;: (f['I~~
** * ,*******,* '. .1r***'N** ** ** ** **"f **********'ft****** '!t *****1r**'*.****~*~~~~~~;.., .,ft,**'R/itofr
, ~...::.. BASE .....-- r .'. .",' ~-~S..i.eUILT=-="" .:'.ii,:,:~;;',
.===="=#:::===--=::==~,.===L=======,J=,,,,=,,==~~~
g~i~--~~-;:";;;~::- t>OI~S-,.t .. Typli:,s~,. (mIEN ., J~. ,,~~::~:~~:'i;\\j
-...---";'---~-':_---.,:-..,o.l- -~""l\-.-.-_- --~-... --"'-~"'T:;-"'--- ...-..;.-...:-~..,;..t""..."'7~-+....
N ,17~7~ '-3. 4 -6~. 5 '. SGL TINT 'N '~,:8(:;,''',':,';.9~6::J
' '.' . . SGL TINT ' N 13.:'0 :,:,,', 9 ~ '6/;:', . ,'.
,', ": "-.,':_": ""-:,':"~\It:',:': :,' ,'~',<'''';~:'
SG):;. TINT NE9 . 3 < 1. 3.':).:'~'l':.r'(1
SGL TINT E 18.7.. ~2.0,,:,',-.'-2~'1t~\Ii;>
SG'L TINT S, 1.),.. 0 -10.2 . ,<',;'68;;;2'.:":< .'. ,,.~ ."10
.' " . -', ",' ',',": ,: ,:' '~~""/:::;i'::';:'-:<";'l:;."_'~li.,~",,!,,::,
SGL T~NT S 18.7 -10 .2:'Ei8':'~"',;~;,~,l;3d;.:J);,:'
. . ,- " - -;'_: ': ,r;,"-~"'::':"_ ' ~' -' ;....}'1:;'," ~,.~,:.,'
SGL TINT S 18 . 7 -10.4 .,> . . i,6 8'::.';!$,~ ',sp;,;',!.,' ;,j:-:
SGL 'T:t~T . S ,.9.9, ....10 .2'~',:;';,L'~(5~(,,' . $:'
w 66. 82-j .4 -.22'7.2 SGL . TINT . w 40..8"\;"'-:4 ~O 'li;;<;~;
. ,.SGLT;rNT ...W 13~()::""',T;;?/O'.?
" ..... , '$GL'TI'tfT'.. ,W '13'.O/>"-.?JO,
---~~--"''''-''''--'''':-~-''''l"i:---'''';''~--'''''''---';''-i'----~~';''-~--7''''-''''''__'"'7.......;:;..;....~....-;;.~~:#'?,
~15~ CON'D~,FtOOR [, TOTAL GLASS ="fAOJ. x: GtA~S ::::';',ADJG,LA$S:RM.
.' AREA . AREA FACTOR. POJ;NT$ ...POINTs'~',;!'~
.1-,- ..-......~---- - -":" - - - --.,.. - - -... -- 0:-- - -- - - ...--........ - - - ..-...- -- -....---.::.~... --... ..._....... ~-__::f,
.lf5' 1,644.00 172.'84 1.4.27 ...587.(56 ; -83a~'4.4':<
7========~==========~::::~~=~==~==~==~=====~=d=====~=~~~"':~~--:b=~1'
N~'~'~7~~~~~~~;~~~3:.~o;rN.t[;Ji,TYi>E .... .... ...... . ..R-1T~~~ii2'~;L
f'~~~Igf~~[tfSSBt~~Sg-::::j~~~3tt~~~:::::~::~-%~~~~~~~i~
'\:~dj';31ao. ~,1..S572. 8 Adj WooQ Framel,1.'0:31S
NE
,E
S
9.32 .
"18.68
60.23
-3.4
-3t4
_ -'3.4
-31.7
....63.5
-204.8
'FtO():RS--...----____,____ '
-SIb 195.5 ,-1.9 ";'371 f4
I
Ext
Adj
I .
, .0
Do6~S~--~-~---_____-_
'Ext . 20'.. 0 5 . 1
,/Adj i7~a '4.. 0
';,: ' ',. ""<:.,'"::',::,1._. ',c_",_ L . ,:
\CEI~tNGS-jo;"":'__~~__.........-';"-;;"
,UA:1644 '.0 .6
. .
i1~'d~~Atti(;:
N\;"
Slab-Qn-Grada
IN:fILT~ TIbN-J---__--'-....
1644.0 4.1
6140.4 'Practice #2
" ; \ )": ^ .
=>=:==--::;::;===;::==i===;=:;:======:!:;==~=::;:==:::;======z:;=::::!~========;=~"':'---;:=--==--9"
TOTAL. WINTER POINTS . ". I '
". ' '.. a 401. 55 I',
======::;;"'===;=::;=~=-----~--------...._---=----------_....._----===--=;l-=-~. .' ". ..... " >. ,,1>'Hicc,
TOTAI/ X $YST~ --. :--H~TIN~TT~T~ ---~-CA;-~-p. ~~;-.~s'i.ST~ ~;;. Er). '~.T..'.'~.".'.f..."=..'..",.:....r."...n.. '......i..'...".li~.)~.::i'
WIN PTS MULT' POINTS t COMPON RATIO MULT .lo;tUtT 'l-roLT'<;',~I{"':PQr
---~-"'-"i-- ---------.,.."----'-------------...------------......;~-.;..--...:...___-~--.-''''':~..;..;.r''7
Sl40+. 5? 1.10 . 9,241.70 I 12,501.06 1.00 1.100 .515, 1 ~ OOO:::,;'7)\Q."
~=~="'="==~=""""~=~~~,.====~=========~"=~========T==#"====,,=~~"'.
. ~ '. . ,
* *~***.* ** * * * * * * * * * ** *' * * *~* * * * * ** * ********"'* * * * * * *** ~*'**** ******~**.* ******:*~****,' "
- . .' . '. '. WATER HEATING . .' '. . . '.' .', ..... : ,; ,
*****'****************************.**********~******~***~***************'*****i "
. "'" ---"BASE......--. "1' .'..:.-.:::::; AS-BUILT ==:d::, . .'.,;.,' ....;.' .
, :;::=.===7~===:;===~==::::;:==~~==7::;;==.::~;:::~===;:====r===::===;:::=r=======_#:~:i:;;;:=;;7~#'~=~:f:::::9=::;:~;:~:;...:.,.'
.~uM,Ol<'...X "MULT ,~I" TO'I'AL~". ..., : 'rANK YOLt1M~ ;.' EF. .'i;. TANK,~)CMti~';I.':,"X,G$,p~a\.::;,""'i;f9T' "';"'..
BEDRMS" ,'. . ../". .... ,. 'v .' 'RATtO '.,": ~11"\' .'t"
.~~}Eili1~ji~iI:=::~E:=~E=~~~~I~~~~r~<
.,"** * * * * * * ******* * ~ * * * ~** ** * * '* **~* ****** ** * * * '* ** * * * * ~* * *' * ** '* ;'* '* ********'*******'***(:.:
. . . .'" " . ", . '. . ':SUMMARY ..' .'. . .' "'-':".' "","V:)~;"d<i:>:'(';;;'"
,* *** * **** *''tr * * *' ** * * * * * * * * ** * '* '" * *** ~ * * * * * * * * * * * * ~ ** * * ***** *** ** * ***** t* * **'** **'tN/it'.' "
: .'.. ..'," .),~=~ ijASE'" ====,'.: '. '. . 'I ' '", :;'d~~' ~s"';auiiT';;,g::::,~I~,)::-.,:, :/:tt<,.i"
=~~~,J#J=~::=~~d=~=======~~6:!::=~~=~=__r=~~~";;====~=~=~===~~-=_~==::;:=?,~=~#~#~~~~~;~~~:;',
,FOO~lN.G.. '>.':iHEAT~~G : HOT ..wATE~." '1'~T,~ I :'COOLl:NG :~aATING' HP. 11.1:,W~t;[iE. ,R<,r;:TqTALJ;:.,....
:J?OINTS~;'.,+ .'.,POn~TS -f;' POINTS;:::'. POIN'l'S IqPO!NTS + 'POINTS +PO:tNTSr~'==+POINTS'
.' ---;;:~;,;;:..;....:.....; --...;:'; --..,......;- -_...._~~~ -;,....,. ~ -- ---... -- ~_...._..,.___..J.__ -...- ..._~'-...___....... -",;~'ir...;;:'L.i.:"":'..._,:,,-,:-,~,;,~,;.
. 12706.5 ,9241 ~ 7 , ...1054 ~o " i9 ,0,02.24 I., 10Se3. 8 ' 7081. 8 7054:d>i24;'7.l~"~g:~i,;!:
===============~============:::::::::::::::::=~==~===~=it~~~~:...
* EPI'= \~5.23*
***~***~*********
,'j.
. "
. " ..'.... ""
'. For deta;iled ,informat1.on
.Of theEPI ratin<J number
or for any ITEM ;Listed,
~sk your BUilder for
DCA Fonn 600A-93
or Form pOOB-9~,
ENERGY GUlDE'
"'.
EPI= 85.2
o 10 20 30 40 50. 60 .70 SO 90 100
.1 :...----...----.,.----.....:.--'I"'".....:..--~-----~..:.--__x...---.:...- t '.. ..... .
The,m~ximum allowable ~P! is 1QO..'Thelowerthe EPI the,more~:eicrefltth,e h.Om:e
R~SIDE~TrAL ENERGY PERFO~NCE RATING saEET
III'EM
aOM:E'V^LUE
Low Efficiency
. , .'
aighEffiCiency
~" "[ '-,:' _:, -":
.Ceil;l.hg.;R....Vcilue ~ ..... . ..,2~ .~>O
SINGL CLR DBt TINT
l---~~x-~~--.~-_.-~~-,
WINDOWS. .. . . . .. . . . .. . . . . . . . .. Sing1,eTiht
rNS~TI6N ~p .>..., '~.' .... ... '.~
': '
wall
Ji'loQr .
. .
R-V.!3.1ue. . . . J . . . .
9:..0
, . ' " '... '/ ,,~
R-10 .' :' . " ~-30
J~---------~-x--~---~-l
, R-O ' " .R-~
'I--~--..;.--. . -,..----...x--~t""-r. .',
R-Q .' . .R....iQ:
Jx---,...-~--:..."":'-7....-':'"':-..:.:.._~J
, R-Vahle....... .'~'
0,0
AIR-CONDITIONER.'............
. ", ,,' \)' .\ I ' .' , '. '. .. ,'.':
~EER. ~ lo .. .. ~. . .'.. .... . ;:. .. " " . 9 . 7 '
, ,'..'. , ;.J
10.(> 'SEE~ ',<i7~O~
, X ----.:...,..-----...-___...,C:":'-:-.1
. ,.,.
Eleotric HSPF.~......'.... 6.6
6.8'HSPF' 12.0
. I X-..."'j...----------......:.....,.-../..
H~ATINGSYS':t'EM.........,;....
WAT:ER HEATER........,........
Elec~~i~ EF...,.......... 0.~8-
it
Gas ,EF. .~.:.. .'. ~.... . O.,()O
0.88 . ,0.'9,6
., ~-. -~ ...'---..... ~ _w.;._... --'......._~~.J:_...~.' ~'....... ,..:..;'........
I . .. ' ,". '_.'., ','_. "".
0.54 ";j~~:90
I ..~--r,...-----..I"""~ -.... -:',...:.;.:....~../....~....._..:~'.': "".
O. 40.... .. ~. 'C),.soil;'
,_....~...-----_._..._..._~~...-:-.I :.
,..',i
Solar. 'Ef. . . .. . . . : ~ . . .'. .
-,1,<
,. .",.,. ~. .'..,'.' ."',- ~,... ...... .,.'....., .'.
dTHE~ FEATURES. . . . u ~ . . . . . ~ .
'.. !',' :':' :,-:-'. -'.' - '. -" _: ,,".' '" '.' ,- ~
.,J; .sei;t;,ify,that:th,~$e' e~ergy .sayipg'
En,er9Ycqd~ h2lvepeen 'J.nst,al1ed.. in
' . .' """,' , :. ~ .. , . ". I
:. " ~~,'. ,;,~
. .' \; ,{;fit,J, J('..
ElorJ.da(~.'" j.... .':' ""
the
.;'
A~d~es$: ~ 1 q 4<0,
, . .
..! .
. ~Dat..:1~t'tC
.' .' .' f '......
. . '.. . I
Id ng ConstructJ.oh
Community Affairs
, FL-.EPL 'CMb~~
-
hw'--'~._____~~".",'O'.~ .,........__. ~.-..' _ .~~r;J
~.-
f ,.,
. . I. fI-
....
CONTRACTOR #: 006721
NAME: KEVIN L
ADDR: 37325 S R 54
C/ST: ZEPHYRHILLS
C E N T R ALP E R M I T TIN G DATE: 08/21/96
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
ISS;UE OFFICE: D
RYMAN RECEIPT NUMBR= 00293254
OFFICE: DADE CITY
FL :::=3541
FOF::
CHECK # ::::990
Z/I-HLLS C:ITY
CONTRACTOR: 006721
TOTAL AMOUNT:
AceNT COMPNY ACCOUNT CENTER
114 B450 - 363000 - ~
1::3.75
AMOUNT DESCRIPTION/PERMT DATA DRICR
18.75 ****** SOLID WASTE FEE 60
RECEIVED BY
,/
,,-'-" !/" ,,/ " ./
/.;' / /' ,--// ~
I'r~~ --- l ~ { I 1/ I ,/. / t' /"Y~ .,-' C.r "
~-_:::::...._'_:..',:" _..:':L'...:_ _ _ ,___ i.~_.t.d"""~_ .__ :;;;;:...:"":"_ :__~ "
I' ,
./
~--- ----- --~ '..~- ----- --- -_..~~ _.~.._~.- -~--- --.--- ---~
....,:f"~;<_h.~~\;.:.;.!"'..V"'iil,~~~~m-...,:--"".~.~.~~~.-:7.-.~-:,7~j. ,:""",~~;""'7'.;''F~-~.'~T-..t~.,r;r'" "71.- ;...... -"~. :_~~,,":~ -~~~~.~ .~..;.
'. ~,:' ;0,,:'
o
o
PASCO COUNTY, FLORIDA
Permit No.
Date Permitted
Builder Name/Owner Name
County Parcel No.
I ~
....,.',
~ -' ,~
Location
/-.-
Subd.
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Rate $
Zone No.
Sq. Ft./Unit
Impact Fee Amount $
.-........-r.~_-:-',.
Prepared By
"'.......
The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted
by the Board of County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority to utilize the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
No. Units.:.,
/
Gross Sq. Ft. (GSF)
Rate/ERU - 50.00/Year
or $0. 137/Day
ERU Assign No.
Assessment - (No. Units) x ($0.137)
x (No. Days)
Assessment -
(GSF) x (ERU) X (0.137) x (No. Days)
100
TOTAL FEE $
TOTAL 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 CALCULA TED AT THE TIME OF ISSUANCE OF THE CERTIFICATE OF
OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
Date
Received By
--------------------------------------------------------------------------------------------------------------------.-------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.J... 9- 3 J..~~ if
DATE
DATE
, I
?-/~j /9h
/ /
BY
By./1
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/A
",' -'~ ili...'
ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
AnENTION: Use o' Ihls certlfica.. does not PlOylde a waiver 01 tha lIood tnsuranca _ raqulra........ ThIa Iorm la"",,,!: onlX;\I( ;~;~
provide elevation Information necessary to ensure compliance with applicable community floodplain management ordln8l1C88;,to .Vi+"'1"" :':
determine the proper Insurance premium rate, and/or to support a request for a Letter of Map Amendment or ,Rev~~!.!SIS~'9~, ~g~f.U~~
Instructions for completing this form can be found on the fOllowing ~ge.. " , ".~, : ,TI.:,~' ::.:. . [' ,;
-!
O.M,S; NoJ067-0077
EICpiresM.y3" '993
BUILDING OWNER'S NAME
SECTION A PROPERTY INFORMATION
FOR INSURANCe COMPANY USE
;'1
POl.lCV NU~""4 ;'1
,;I l.
COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers. ete,)
I 0 - {).'b -.:l-J - OJd-.O ... 0 LJ C) c::) 0
CITY ~.d-
SECTION B
'- .r'\
- O.3~ v
~f1. STATE
FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
ZIPCOQE
33~-'/;'
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER 2, PANEL NUMBER 3, SUFFIX 4, DATE OF FIRM INDEX 5. FIRM ZONE 8. BASE FlOOD ELEVATION
(In AO ZanN, ... dIpIh)
/ d- OOL~-.S- {9 CJ 0 -S- L /;2-/?- 9'( If- E g-..s '-
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ONGVD '29 OOther(descrIbeMbtlqh,i:}
B. For ZoneR A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building slte,lndlcate
the community's BFE: L I I 18t6TU feet NGVD (or other FIRM datum-see Section B, Item 7).
~.
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level ~ .
2(a). FIRM Zones A 1-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram Is at an elevation
of I I I ISI5/. ~ feet NGVD (or other FIRM datum-see Section e, Item 7).
(b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the referenceleveJlrom
the selected diagram, is at an elevation of l I I I I I.U feet NGVD (or other FIRM datum-see SectIon 8, Item 7). ,
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram Is W.U feet above Oor'.
below 0 (check one) the highest grade adjacent to the bUilding. ....<...< _
(d). FIRM Zone AD. The floor used as the reference level from the selected diagram Is W.U feet above 0 or below 0 (check,
one) the highest grade adjacent to the bUilding. If no flood depth number Is available, Is the building's lowestll~,(refere~
level) elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown;
3. Indicate the elevation 'datum system used In determining the above reference level elevations: lY-NaVD '29 0 Oui8"(de8Cl'Ibe
under Comments on Page 2). (NOTE: If the elevation datum used In measuring the elevations Is different than thai used Of1i;.t,;,< '
the FIRM [see Section 8, Item 7), then convert the elevations to the datum system used on the FIRM and show ,the COIMItS/on..,
equation under Comments on Page 2.) < 1 ',,~' , , ,
4. Elevation reference mark used appears on FIRM: 0 Yes 0 No (See Instructlons on Page 4) '!,
5. The reference level elevation is based on: 0-aClu~1 construction 0 construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level f(oor In place, In whlch~<-
case this certificate will only be valid for the building during the course of construction. A post-constructlon< Elsvation CfHtificate
will be required once construction is complete.)
6. The alaYdon 01 tha 1--1 grada Immadlataly adjacanllo tha building Is: I I I 181 lr. [j"aet NGVD (or _ F.RM da!u'"1""
Section B, Item 7).
i-~-..~:j...
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level 'ndicated In SeQtion.C;;.;I~jli2
Is not the "lowest floor" as defined in the community's ~Ioodplaln management ordinance, the elevation of the bu!ldlpg's ~Iow...t " .
floor" as defined by the ordinance Is: I I I I I I. U feet NGVD (or other FIRM datum-see Section B: Item' 7). ""~' 'r.t 'f~,"'!' ,'.,
2. Date of the start of construction or substantial Improvement
FfMA Form 81-31, MAY 90
REPLACES All PREVIOUS EDITIONS
SEE REVERSE SIDE FOR CONTINUATION
<<
SECTION E CERTIFICATION
This c~rtificatlon Is to be signed by a land surveyor, engineer, or architect who Is authorized by state or IocaIlawtO~rtIfy'8Iev8ti9n'-1;.li(Y;!~ .
information.whenthe elevation Information for Zones A1-A30, AE, AH, A (with BFE),V1-V30,VE,landV(wlth,BfEy~req4fr.ecC'(l$;'N~~:/~;.n
Community officials who are authorized by local law or ordinance to provide floodplain managementlttfol'lTlatlonI1mayialed~the"n:,)~"'" ~.r
certification. In the case of Zones AO and A (without a FEMA or community Issued BFE), a bulldlngofflclal~ '. property owra8r~ o~ Qn'
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certifier Is unable to certify to breakaway/non~8i1kaWJY;W.JdI,;!./,:.'
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not.
Included In the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.' ..' '
, :~ L,. ..' 1 ., \," ;0
/ certify that the Information in Sections 8 and C on this certificate represents my best efforts to interpr~t thd data available. .
/ understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001:'
BILL R. BROWN, P.L.S.
CERTIFIER'S NAME
PRESIDENT
TITLE
38351 HWY. 54 E.
ADD~~ /1------
SIGNATURE
13555
LICENSE NUMBER (or Affix S6a1)
BILL R. BROWN JL~D ASSOCIATES, INC:
...;.
COMPANY NAME
ZZEPHYRHILLS,
DATE
FL. 33540
. STAT~. '...;;:';,-.::;.;~.r~
(813) 788':"6822
PHONE
CITY
... ~. ,,," ~,.... . t';
_ ~". .' ~f'll"i..;;;,,,,,jl' ",;".', ~'_ 'r~':":,d~,
Copies should be made of this Certificate for: 1) community official, 2) Insurance agen~corop~Y~""cl3)~~Udlng,9"~fT(L;. ';,'&.
,"A:f' "";'~~f"~~~ .:'" r{;'
COMMENTS:
., , '..';" '> t"J1' ~~, ..
ON
SLAB
WITH
BASEMENT
ON PILU,
PIERS, OR COlUMNS
A V
ZONES ZONES
The diagrams above illustrate the points at which the elevations should be measured In A Zones and V Zones.
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Elevations for all A Zones should be measured at the top of the reference level floor. "
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural mem~r....
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