HomeMy WebLinkAbout96-5858
!J3-;)"'!:'()
BUILDING
BUILDING PERMIT 0 -- . ': .
CITY OF ZEPHYRHILLS Permit N · 5856. 13_
(813) 788-6611 Date ~--.:L3 ~7~ ~
,,;).~
ELECTRICAL
c~-:ov
PLUMBING
3.5>-: v....:v
MECHANICAL
Sewer Conn /.L fJ ~ o-u
Water Conn: 3-.5.),. L~ . '7-
/ b~ '.. t:)z:J ~~..
Water Meter: /,a.~'. 00
T.I.F.'s: --
P..pe~Owne" ~ fi#~
~:~c:~d:,:'j ~,{ __ - n _ :: _;:: __ _ j,~ ()
Zon;ng, Ene,gy Code, RadO Ga" =tt:.~ &--'
Oe",,;..;on of WO'k~ . .I g .L, <lf~::~ .( '"" H - --
~P...&.01~ !I(......: ,{.'/77>Aj-f J1 "'1
~ hJ-e.L n; MI ~" /~.'0--"3 g"'-u'-96 }] h-\
NO OCCUPANCY BE ORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Pe'm;' Feeff 'f, 7~ .
Signature t:::)11 ~ /
Company{/
Address
Telephone#
Valuation or ..,
Contract Price /...s - 3 ~l). trD
.J
City License Registration # I j13
State Certified License#
(!xa 7/Jkr
BUILDING
IhH,h, t,1nl
Ftr.~
lI're SLB tt+-
Lintel ~~ UJu\lA.......
FRM. 7-cJ."b ...i(t; t5d 6
Insul. CL
WL 7-30-q~ 808
Driveway vi-J3-'1(,'&?~
,. ./ -.f ../ J If?)
'~~ ;j~~d-tj3!1 t2'/(C:L93
.
ELECTRICAL
PLUMBING MECHANICAL
-
Tp. Servo
Rough In "1~"- 96 Be
Meter Can 6-:~""Y.-t.
Const. pOle~LC,fZb kg
Pool Final
Pre-Meter ~.r7kJ - Qh...&/3
Final -r\ n
~V) b\\\ \9A- Lv~
SLBs'Mt 6o~
Tub Set' b I s .(, \l..\..
Water
Sewer 1-;J- ~b &8
Breakers
Ducts Insl. 7!n) Ij '- 13lvL
Compressor
Final
a.
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:
)j~ ~ ~t1.s'-d-3-9 b
~ct- .J-~-1(,
~
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.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
I
. '.
BUILDER: Bay Village
ADDRESS: 6921 Stephens Path
OWNER: DiMartino
RADON GAS: I $
PERMIT FEES:! $
CONNECTION FEES: I $
WATER METER:! $
TRANSPORTATION IMPACT FEES:I $
99% $
1% $
26.68 I
724.751
1,628.00 1
165.00 I
: I
CREDIT: l $
SUB-TOTALL $
IRRIGATION METERI $
BO.OO!
2,544.43 I
165.00 I
TOTAL I $
l .
2,709.43
APPLICATION fOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
i. i);j> '.
Oil ~(Ori-go /9(;
\J \ 5/~
PHONE 9'91-?366
OWNER' S RAKE ~V
OWNER'S ADDRESS
(///~e
(/
JOB ADDRESS LeT' 5;)"
sre,oh elt/S
~~~ .
LEGAL DESCRIPTION: LOT{S) sC;; BLOCK ~ S IVISION. _<;/L v'&,e OAeS
PARCEL I.D.' :r-~t. -~/ _. 0/60 - ~~S:;2.() (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:)( New Construction ~ddition -...Alteration _Repair _Install
_Sign
---Kove
_Deaolish
PROPOSED USE: .xSingle Fallily
---KIF _' of Units ---K/H
_<=<-ercial
_Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
F./JnJ ~''-y Res
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$ 1?S ooC7
Valuation of Total Construction
_ELECTRICAL
~ AMP Service X Florida Power Corp.
$ .:560 (j Valuation of Mechanical Installation
W.R.E.C.
--1IEGllARICAL
_PLUtlBING
GAS
tiLe
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block _Fralle _Steel
Other
FINISHED FLOOR ELEVAnORS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
.............*********.*******************
CONTRACTOR SECTION
Run.nER COMPANY /L
:L) # If# State Cert. or Regis . , C ~C
Signature ~1 LA. City License Registration ,
* **************************************
RT.RGTRICIAN COMPANY S-f".s ELecrR/G
n . d ~ / State Cert. or Regist. f O~2......
SionAture L(/(1,I.ft'!' ~ City License Registration' 30CJ
***************************..*************
PLUMBER \. COMPANY #AR/YJo"'! "TARe 1!et/2
'. Ill/) )..~ State Cert. or Regist. , O/a..6.:S:..
Si~ture lLIf:ttllW\1} ,.1 ~ City License Registration' /:i/)
V ** *************************************** '
ME~IGAL COMPANY A...~.. C. All? CO/JIJlvo#/#q
. r-J. n () S} J State Cert. or Regist. , CC ("'C>5~07gal::::> v
Signature --bfb..lWI J"" ~ ~ / City License Registration' ~ '/3'
*********.**************..**.*************
4::::~~
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration f
......~........._..................... .. -;:,;;.;.;;.;:;':'- I
~ D~RI' 9ifFI8BR.
Signature
APPLICATION APPROVED BY
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this perait lay be subject to .deed restrictions. 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 bired 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 laY be
cited for a lisdeeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireJIents JaY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepartJent, (813)
788-6611.
FurtberJOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
.Contractor Sections I! of this application for wbich 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 wisbes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to peraitting 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 tbat I, the applicant, bave been provided with a copy of IIFlorida's Construction Lien Law - HOII!OImer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJK!One other than the
lIowner", I certify that I have obtained a copy of the above described docUJent and prOlise in good faith to deliver it to the
"owner" prior to COJJenCeJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforJation in this application is accurate and that all work will be done in cOJpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is bereby lade to obtain a perait 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 perforaed to Jeet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other governJeDtal agenCies JaY apply to the intended work, and that it is
IY responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to:
· DepartJent of Bnvirolllental Regulation - Cypress Baybeads, Wetland Areas and Bnvirolllentally Sensitive Lands,
Water/lfastewater TreatJent
· Southwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic fants
· US BnvirODJeDtal Protection Agency - Asbestos abateJent .
I also certify that, if fill Jaterial is to be used in Flood Zone "All or "A, etc. ", it is understood that a drainage plan
addressing a .cOJpeDsating vollllel! will be subJitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perait 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 sball issuance of a perait prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball becoJe invalid
unless the 1Iork authorized by such perait is COIIenCed within sillOnths of issuance, or if work authorized by the perait is
suspended or abandoned for a period of sil IOntbs after the tile the work is coaenced. One 90 day eltension of tile, lilY be
allowed for the perlit with fee cbarge of $15.00. Tbe eltension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each sillODth period, or the project will be considered abandoned.
WARNIlfG TO 0IfHBR: YOUR FAILURE TO RECORD A NOflCE OF C(JtMDCIIIDf MAY RESULf IN YOUR PAYING niCE FOR IHPROVIIImS TO YOUR
PROPERfY. IF YOU IJlfBlfD fO OBfAIN FlIfAHCING, COIISULT wlm YOUR LllDIR OR 111 AftORDY BEFORE RICORDING YOUR IfOflCE OF
COMMBNCEMm. JOBS UlfDBR $2,500 IN VALUE DO 1101 NBBD fO RECORD 1IfD POST A "NOfICE OF COMIlDCEm'l".
~^t~
SIGlA'fURE: -
STATB OF FLORIDA
coum OF fAsc 0
The foregoing instrument was acknowledged
before me this __t AA-Al) , 19!1...L by
~~ ~. Kfl;~
who is personall ~own to me or lmg has
produced
as identification and who~/did n~t
tan;;! ~(t -
~iiure) / -.......,
fRaJJ.//1) EoIJM
ame Typed, Printed or Stamped)
NOT Y PUB IC.
i' DAVID RONDA
i ., ... "A1& OF Fla.IDA
CllIiIIDCJIIIIla: MMcH 27, 3llOlI
CllIiI-=c 101I2
Sf ATE OF FLORI9J
coum OF ~ <;0.::>
The foregoing i9strument was acknowledged
before me this..-k M~ ' 19~ by
;~feJLl~~ to _ Dr ~_ h~
p:roj:>.__11
as identification and who BiV/did not
ta,.0"tW'2t !pel..
~uJ.,E!) ( ~
~ a:f:) "t:-01...)J::JA
Name Typed, Printed or Stamped)
NOTARY PUBLIC
~
DAVID RONDA
STA1& OF FlORIOA
CCM IillPIRE8: MARcH 27 ~
COM lIICC 54343:z . ~~"
~UVflr 081k~
PERMITTING APPROVAL FORM FOR SILVER OAKS
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
To Whom it May Concern:
Please be advised that the full set of Construction Plans
including site or plot plan has been submitted and approved
by the D.R.C. committee for:
m-c'{5 )5.
STREET ADDRESS
-rtfArl/-
CITY
BUILDEt9v
FOR:
5;)-
LOT .
./
Ii.L--"l. Lnr)l~
PHONE
fuvpS
g?( rlJ f
\-
r-L
STATE
ZIP
?/f7~ ff
~.>-{ G't.~
P SE
/~,qRr~
OWNER NAME
DAti sj~~~ED DATE ~~6
~)~L
~<t'- ~0
APPROVED BY:
7025 Fort King Rd. Zephyrhills, Florida 33541 (813) 788-0aks 782-6900
Department of CommunIty Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Whole Building Performance Method A
1918 :BUILDER: BAY VILLAGE BUILDERS
LOT 52 SILVER OAKS IPERMITTING :CLIMATE
ZEPHYRHILLS, FLORIDA:OFFICE: CITY OF ZEPH:ZONE~ 4: : 5:
D i iVlAFH I NO : PEFWII T NO. : J Uf:: 1;3.0.1. i'::: rI OI""..J
FDFWI 600A-'33
PF.:OJECr NAME:
AND ADDF.:ESS:
OWNER:
1. New construction or addition
~. Single family detached or Multifamily attached 2.
,::,. I f Mu I t i f am i 1 y"'-No. 0 f un its
4. If 1'1ultifamily, i.s this a worst case (yes/no)
5. Conditioned tloor area (sq.tt.)
6. Predominant eave overhang (ft.)
7. Porch overhang length (ft.)
8. Glass area and type:
a. C:l ear G1 ass
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)
a. Exterior: 2. Wood frame (Insulation R-valueJ
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
Sy.:::;t em:
15.Hot
',Ja tel"
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
SN: 2345
C:ENTF.:AL
, ."- i
, b,
NO.611600
C:/":::
1. New Construction
Single-Family
'--I
.::..
u
4.
5. 1'318.00
b. 1 . 00
I . 8. 00
Single Pane
8a. 385. 1 sq ft
8b. O.Osqtt
Double Pane
O.OOsqft
O.OOsqft
'3a. F.:=
0.00 ,
214.00 ft
10a-l F.:= 4.30,
10a-2 F::=11.00,
10b-2 P==II.00,
1180.00sqft_
87. OOsq t t __..
142.00sqft__
11a.P=30.00 ,
1'318. OOsq ft__
12a. R= 6.00, uncond
13. Type: Central A/C
SEEP: 10.00
14. i ypei Heat Pump
HSPF: 7.00
Type: Electric
EF': O. '30
15.
16.
17.
18.
1
1'3.
1'3a.
1'3b.
'3'3. 21
35'332. '35
:36:21'3.8'3
---.----.---------------------------------------------------------------------------
----------------------'------------------------------------------------.----------
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
PF.:EPAPED BY: J\. . ~ .~ - A \ L
DATE: .s /2. 2.. ( 9 ~
Peview 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. 90\~3 F'. S.
I hereby certify that thIS bUlldlnq IS
in compliance with the ~lOYlda Energy
C:c.de.
OWNER/ ?"iGENT':
DfHE:
BUILDING OFFICIAL:
DATE:
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
----------------------------------------------------------------..---------------------
----------------------.------------------------------------------.-------------------
GLASS----------------
ORIEN AREA x BSPM = POINTS :
TYPE
SC oRI~N AREA x SPM x SoF = POINTS
-------------------------------------------------.-.-----------------------------
N 31 00 82. ~ 2548. ~ SGL CLR N 31 0 51 0 69 1090. 9
. ~ ~ . . .
E 74 00 8? 6082. 8 SGL CLR E 74. 109. ~~ C~ 4202. 0
. ~. ~ - U ~ . ~L
SE 10. 30 8~ 846. 7 SGL CLR SE 10. 3 1 1 ~ 9 42 488. 4
~. L 4u .
S 81 88 8~ ~ 6730. 5 SGL CLR S 33. 0 100. 39 1289. 6
. L ~ .
SGL CLR S 48. 9 100. ~ ~~ 1224. 4
L . 4~
SW 32. 30 8? .'~ 2655. 1 SGL CLR SW 32. r~ 1 12. 9 42 1531 6
~. L W . .
W 1~~ 58 8~ 2 12788. 7 SGL CLR W 1 10. 9 109. ~ 25 31 48. 1
..~~ . ~. ~ .
SGL CLR W 44 7 109. ."~ 52 2538. ~
. I L . L
--.-----.-.-----------------------------------------------.-.--------------------...-----
.15 x CONDo FLOOR / TOTAL GLASS = ADJ. x
AREA AREA FACTOR
GLASS
POINTS
ADJ GLASS
POINTS
GLASS
POINTS
--.-.-----------.-------------------.-----.---------------------------.------------------
.15
1,918.00
385.06
.747
31,651.93
23,648.94 :
15,513.28
-.--------------------------------.----------.-----------------.-------------.----------.-.-.--
-------------------------------------------------------------------------------
NON GLASS------------
AREA A BSPM = POINTS :
TYPE
R-VALUE
AREA x SPM = POINTS
--------------------------------------------------------------.-----------------
WALLS----------------
Ext 1267.0 1.0 1267.0
Adj
142.0
. I
99.4
Ext NormWtBl ock In 4. ~ 1 180. 0 1 14 1345. -)
~ . ~
Ext Wood Frame 1 1 0 87. 0 1 90 165. ..~
. . w
~;d.j Wood Frame 1 1 . 0 142. 0 . 70 99. 4
DOORS----------------
Ext 60.0 4.8
288.0
28.8
Ext Wood
Ext Wood
Adj Wood
40.0
20.0
18.0
7.20
288.0
144.0
Adj
18.0
1.6
7.20
2.40
43.2
CEILINGS-------------
UA 1918.0 .6 1150.8
Under Attic
30.0 1918.0
.60
1150.8
FLOoRS---------------
SIb 214.0 -31.8 -6805.2
Slab-on-Grade
.0
214.0 -31.90 -6826.6
INFILTRATIoN---------
1918.0 10.9 20906.2
Practice #1
1918.0 13.80 26468.4
================================================================================
TOTAL SUMMER POINTS
40,583.94 :
38,390.98
TOTAL x
SUM PTS
=======================================:=======================:=================
SYSTEM
MULT
COOLING : TOTAL
POINTS : COMPoN
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
-------.---------.-----------------------------------------------------.-...-------------
40,583.94
.37
15,016.06 : 38,390.98 1.00 1.100
.340
1.000 14,358.23
===============================================================================
*******************************************************************************
WATEF.: HEATING
*******************************************************************************
:::::=::::: BASE :::::::::::::::
:::::=:=: AS-BUILT =:=::=
.-----------------------------------.--------.----------------------------------------
-------------------------------------------------------------------------------
NUM OF
BEDF.:MS
:/~
MULT
=:
TOTAL
TANK VOLUME
EF
Tf-)NK
F;;:~H I 0
~/; MUL T ~/; C:F.:ED I T
MULl'
=: TOTAL
--------------------------------------------------------------.----.---------------------
3
3527.0
10,581.00
40
. '30
1.000
344':'1.7
1.00
10,34':~.00
-------------------------------------------------------.------------.------------
-----.---------------------------------------------------------------------------
*******************************************************************************
SUI"IMAI:;('{
*******************************************************************************
=::::::=: BASE :.::::::":::"
::::::::::::::: I~'IS'-'BLJ I LT
----------.----.--.-----.----.....-..----.-...----.--.------------------.-.----......--......--..---.....-.-..----.----.-..----........-....---------.-.-.---
----------.--.----.----..-.--------------.-------.------------~_....__.__.._.__.._._.._._._--_._--_._---_..------------
C:lJOL I NI3
POINTS
+
HEAr I NI3
POINTS
HOT WATH,:
+ PU I I'-.JTS .....
TOTAL
PO I I;JT~3
C:OOL I !\IU
POINTS
+-
HEATING
FOINTS
HOT WATEF.:
+. F'OINTS .-
TOH-iL
FCJINTS
---------..--.--..--.-..-.--..---.---------------.--..-------------------.--------------------------
1501 5. 1
10522.8
10581.0
35, ~21'3. 8'3
143~58.2
11225.7
1034'3.0
35, '332. '35
====================================================:===========================
*****************
* EPI::::: 99.21 *
*****************
ENEh:l3Y' I3U I Di::
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DC:{.i For m 600A-':33
01" Form 600R..-'33
EPI== '3'3.2
o 10 20 30 40 50 60 70 80 90 100
:-------.--------.-..--..--....-.--.--.--..,.----.----.--.---.----X-l
The maximum allowable EPI 15 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERI3Y' PERFORMANCE RATINI3 SHEET
ITE!"I
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS.....................Single Clear
S I NI3L CLF.:
DEL TINT
:x-.--.---------..--.----..-.--:
INSULATION..................
C::eiling
F<:--10
R-30
R-Value......... 30.0
:--------------------x:
F:-nO
R-"7
Wall
R-Value..... ....
4.3
:-----.-..--------.-x--.----.-.---..-.:
FloOl"
I?O
f:;:-'nl 'J
I;,:-'value........ .
() a C)
I....'
I r,
AIR CONDITIONER.............
SEEI;,:. . . . . . . . . . . . . . . . . . . . .. 10. 0
10.0
SE E F.:
1-:' (..,
/ .. -"
IY_____________________i
I h i
HEATING SySTEM..............
Electric HSPF............
b.8
HSPF
12.0
'7" (J
:x-----.--..-............-..-...-------:
WATER HEATER................
E 1 ec t r i c EF... . . . . . . . . . . .
0.88
o. '36
0.90
:----x----------------:
Gas
0.54
o. '30
EF-" " " " . " " " " " " " " "
0.00
I I
.------------------_._---.
Sol <':Ii"
0.40
() . 80
EF " .. " .. .. ., .. n .. " .. " .. ..
:---------------------:
OTHER FEATURES..............
............."" ...................
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
Builder'
Si~mature:
Date:
Address:
C::ity/Zip
Florida Energy Code for Building ConstructIon - 1993
Florida Department of Community Affairs
FL -EF'L C::AF.:D'33
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Whole Buildinq Performance Method A
l'~~)'1 Ci r;9.2.ISL.Ei'flEiul5 'H'JTI PFP~' B~i\f (JTI I ,:'f:'F HtJTl nFP(:;
. ..... ~J 1'/7 Th ' - \. . .... _.'.... '.. .. I, .,.. .._ .._1 ; ..J._ .... ......' .._ '.'__
I iT"!"" "::i.~;' 0::::'"1"' iJFF' r"{'I.:"q 'PFP~'1TTTJI\Jf:J 'r:t TI'1l4TF /'
':';'E~::'l:"'I.J:";F":::L' ~'I~L""""i"'" .... ..1.-1.... ..~F~:'I...[. '-'. : :-)1::::":: I :~'l"" .. :.... :[.. T"'( (.-.11:" "'/"-F"'l..j; '~:(")"I:'IE-" 4'" ,v. ,::., {".'.:.,,'
i.. .::.r" " 'f ":.rI.. ~ MM':::>" N ...,LJ .:. . _}H I l. .. .. ..1.... :::.: t_,.. 1 l..:::' r. i L. ~. '::': I '_'M J ...J I ..
MIM DiMARTINO :PERMIT NO. :JURISDICTION NOn611600
(:::1:::
F'ORi"1 600i::)""":1~:1
F'RO,JE:C:T f"-..!{ilvIE:
PII\iD (:iDDRESh ~
m\INEF: ~
1.. t...I<~~ '",! c () n '::~ t r' 1...\1::: t :1. 0 "", C1"i'- .::.<' d d i "1.:: ion
~. Single family detached or Multifamily attached
'..:'.. If 1'1ultif<::tmiIy''''''hlo.. ()f units
4 .. I i: ~'1 u I t :i. f am :1. 1 :Y' ~1 :1. ~,~ t.: h :1. ';-;:. a",! 0 Y' ~::. t .: c':i S",. F::' ( y., E: ~:;:. ....' no)
5. Conditioned floor area (sq. ft.)
G. Predominant eave overhang ft.)
7. Porch overhang length (ft.)
~. Glass area and type:
.:::t. CI F"c~'r Cil a<:;~::,.
D.. 'Tint~ film OY' so;()1.3Y' '::;C'''-E':E'n
9. Floor type and insulation:
~. Slab on grade (R-value~ perimeter)
10..Net Wall type area anO insulation:
d. E:>.;tE?Y'i()"1"~ 1. COnCY'E!tf=: (In:-sul<::\tion 1:;~:"'v<c~luE')
dn Exterior~ 2. Wood frame (Insulation R-value)
b. Ad.iac0nt: L. Wood frame (Insulation R-value)
11.Ceiling type area and insulation:
ii:i. Under' att.: ic (Insul E\t :1.01"""1 1?"'''\/<::\1 UE:)
12..Air distribution systems
d. Ducts (Insulation + Location)
13..Cooling system
14..Heating tern:
15.Hot water system:
1 t:.:o.. !+::d~ tria t (;-;i'j" Cy' E'(j i t ~:;:.: (HF:-....HE0<:i t !?f:?C OVf2'( Y y
DHP-Dedicated Heat Pump)
1 '/ " In f i 1. t Y' ,"::l t: i cln p"f'" .;'~C t: ice ~ 1 ~ ~~: ()r- ::::
lB.HVAC Credits (CF-Ceiling Fan~ CV-Cross vent,
HF-Whole house tan~ RB-Attic radiant
b E~ r' 'r' :1. E':Y' ~ Ivli .....1"1 u 1 t i z ()n E~)
19.EPI (must not exceed 100 points)
d. Total As-Built points
tJu -r"otal Base ~)clir.}.ts
--..----.------...---.--...-----..-.--.--.-...-----..-..---.-..-------
:::;1""-..1 :
::;:-:],:+::'.:.i
C F: i\~'r F;~: At...
1. New ConstructIon
.,:.. .. h i r'r 9 1 (7" ..... F" i:~. rn :i. 1 y
:::-::: r: ()
4..
::::i. 1 ':1 18.. ()o
c:o. 1 . 00
./ " E{ .. ()()
bi.I""I~~l E? Fane
~:3 .:':~ u ::3"7 t3 u () ':::. q f t:
8t.. O..O':~qft
D()ublE-' PanE:
O.OOsqft
G. ()O~,;q f t
'~~ a" r-;:~ ::::: {'1 ('1 {'!
1'+:).00 ft
1 ()<::\_... 1 F:= .:+.. 30 f
10,:;\"....2 F::::::: 11 . (.0.
1 ()b .....::::: p= 11 . (I(),
1 (l 1,:+ . ()Osq f t: ......_...............
88 . 00 s q f t _..........._.._....
2 1 ,::j. .. () 0 s q f t ................_......
:i. 1 Et" r.~:::<)0. 00 , I';} 18.. (lOS:>q f t ........................
1~d. ~= b..UU uncond
13. Type: Central AIC
f.::;E:EP:: 10. 00
14. Type~ Heat Pump
H:3F'F': '7. 00
1'.5 .
Typ f? ~ E 1 f2C tr- 1 (:
Er' : (). ':Ki
1 t.:.'..
17.
1
1 i:).,
1':L
1:1 (;3 II ::~ :~~
:I. <)a.
1 ':j b .
:~: ~:j (; '3 E) . '::1'7
~:~: t:.~, ~:::: () ~5 tI :;;:::2
...--.---------.-------......----.-.
-.-..-.-...--..-........-..-...-.-....-.-..--.--..--...-..---
.----.-..-..-...-------.............----.--,..-........--....--..--.--
.-.-..-..-........--..---.....-...--..--.--.----.....-.-...-....--.--....----.---..-.....-.----..--
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
Peview 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
~.::i ~:,):::3 n ':::} () f~ F- n ~3 ..
F'P E: F' Pr r;:: F D B Y ~ .....LJ.....~...tf..:.........~_...:........._..................._............................................................
D {."i "j" E ~ ....................S.:::...1..7:.......9...l~...-_......_........... .......................__.__..._...._._..........................._._._............_
I hE':r"(::~by cE".,.-tify that tl",i,,:;. bl...tllclinCI 1::::.
in compliance with the Florida Energy
Cocl(.":? """' ;J t "
~~~~.~~~~~.::====::::=::::
BUILDING OFFICIAL:
l)f.'rTE::
....-...............-..................--..--........--....-.............--....-.---..........--
.....-........-............--.-...............................-..........-.......-.......-............................-..................-.........-....--.-.........-.............
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
=== BASE === === AS-BUILT ===
GLASS----------------
ORIEN AREA x BSPM = POINTS :
...------.-------------..-..-..---------------.-.--------------.----.----------.--------...---.--..---.-.---......'"---.----.-...--
.-.------.-.-.-------.----..-..--------------..-.----------------.--------------.----..----.-..--.-.-.-.---.--......------.--.--
T\'F'c:::
SC ORIEN AREA x SPM x SOF = POINTS
d :.:: . .,:.. :::.:: ~~:: D H. 0
.---------.-.--..-.-.----------...------.-...-....--------------.---..------.-.--------------------------.-------
51:r ()
1\1
i....
...
40. UCi
C'=J.OU
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w
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----.----.-.-.-...----.-..-.......-...--.---..-.-.---...----..-.-..--..--.--
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i 9'.:.:53. :'1
:::::.::1.41. ./
t.,';). ::)
:,:::4.0
:I. 0'3. n...
100. .,:..
100" :,.~
:1.0':::),..;::.
:I. O'::J :;:~
300';3. ('.:.'
t1 :::.;I::~
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.--...-.----.-..---------.-..-..-..........-......---...--...------------.---..-.-.-----..-.---
.:1.5 x CONDo FLOOR / TOTAL GLASS = ADJ. ~ GLASS
AREA AREA FACTOR POINTS
(:IDJ Cil....Ab~3
PD I I\IT~;:.;
CiL.r-ib~~)
POINTS
. 1:.";
~:~7~:3 II (j(j
--.-..----...-.-...------..----.-------.-----------------...-..--.---.----.---.-----.-.--.-.....-......-..-.---.--------.---
14, 47,::j.. 70
--.--.-----..----.--.-------.-.--.----.--------.---..-.----........--.-----.-----.--..-.----.---.-.--.----.--.--.-..----------.-......-.----.----.-
--------------.--------.-----.-.-..--.-----...----.----..-------.----.------.---...-.-..----.---...-.----.-....------------..-.-..-.------
:I. , ';:.J 1 f:3. 00
NON ULASS------------
AREA x BSPM = POINTS
l"J n l... L. ~3 ............ .... ..... .... ..... ..... ..... ...
lxt :1.:1.02.0 1.0
.761
:::::1,07:1.. \:,0
:::::3, 64e. '34 :
f\'PE:
I:;;: ..... V (-:IL. UE
AREA x SPM = POINTS
.-.-.----.--.---...-..-.---.---.----.---.-----------------.-..-----..---.-----------.---.-..-
214.0
1 1 02 () F:,-;t r\1 0 I" m~,Jt Bl ()C k I n 4 ,.:) :[ U :1.4 0 '1 1 4 1 1 ::='jC ()
. . . J. . ..
E:.,.;t l-Jood r- 1 1 DH - , 1 '30 :I. b7
- j""' c:l m f2 . () . ( .. , .. . .loR
1 4';3 /""", Ad.) l-JOC)rJ F"r amE? 1 1 () .-:, 1 4 () ~7() 1 4':1.. f::)
.. c:> . 01:". . .
rlel.j
,-
II ..'
DOORS----------------
Ext 40.0 4.f:3
1 ':3:::::.0
(.;dj
1. E~" ::)
1" C:
:;~: f3 II ~3
C E: I t... I N Ci~:3 ..... '.0 ..... ..
l...I(,:\ :i. ():l.U.. 0
II ()
1 :[ ~50 . D
FLOORS---------------
bIb :1.90.0 -3:1..H -C042.0
INFILTRATION---------
:I. 9:1. e. 0 :1.0.9 2090C.2
F>.;f.; l-Jooc:l
~::'d.j Wood
40.0
:I. (:"3.0
"7 " ~:~()
::;:: E~ E~ II ()
,::1.:3. :;:::
2..40
l...1 r', cl E:' Y' f~H: t; i c
~:)o. 0 19:[ B.. ()
'I C:I()
:I :1.;50.. D
f::;::' "".b"'on .....Ciy ade.
., ()
:1.90.0 -31.90 -60C:I..O
F'y' ",f.e t :i. c e. :1*:1
; ... ..... ..
.I. ':j ]. <:) .. I)
13.. HC) :?t.7AE,fj.. 4
TOTAL SUMMER POINTS
4:1.? 1:3(:,,, ~::j4 :
=============================:==============:::======:=====================
... ..... .._ _N. .._ mN ..... ..._ _.. ..._ ..._
........_R..._..........._........_........_
TO'f{~Il...
~3Ui'1 pr~3
~:::;YH'fFr'1
l"IULr
===========================================================================::=====
~:.:.;~? 'I t3:3'7 II () f.:;
C:lJDI.... I i'..ICi : TUT(.:il...
PO I "'.ITS : C::CWlPO"'J
x CAP x DUCT x SYSTEM x CREDIT = COOLING
RATIO MULT MULT MULT POINTS
.:.1-1 , 1.36. ~.:i'::I.
II' \.-;".1
.-......---...-------.--.----_.._____N______________________.__._.______.__________.____....._._..____.___...__.._.______.___......_____.....__
1 " 000 14,:1 ~:5:1. .06
15,220.52 : 37,f:337.06 1.00 :1..100
.340
;::::::==::::=:;:===:~======:=:::==:====::::=:=:=:===:=======:=====:==============:========:=:==~====:==
*******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
:::;;:."::::: EJASE ::::::::::::::
::::::::::::::: P,S--.BLJ I I.....r ::::::::::::::
-..-.--------..------------------...----.---.---.--...-..--...---...----..----.--.....---.--...--.-------------..---.----..--......------.-.--.-.------..-.----
-.--------.----------------...--------.-.-.-...-.---.--.....---.-----..-.-----....-----------.-----..-..-------..-.--..--.--.----....------
CiL_f:~f3S-- ----.
ORIEN AREA x BWPM::::: POINTS :
"T \(F'E
SC ORIEN AREA x WPM x WOF ::::: POINTS
--...----------..---.---..--.---.--..-......---.....-......--.---...--.--.-....-......------.--.....---.....---.......--.---..--..
.. ...- ..... ..... ".- ...- .. ... "'- -... .... --. ..... _.. ..... ..... no_. _m ..... .... ..... .._. .._ .__ .....
i\1 '::1.0 .' - J( .. , /"~ .i ..... l ;.:.;t:.) ( .. ) ~::;Cil... C:L.P N 40 0 (:~ (:, l :~::(j
" . "'r " .. " " "
r'" (..:,':;;J 00 ."j 4 -.2::.::4 f.; E;13L CL_P r'- C,') () .... ..... ... ():3
. .......:J . . c. ..- .,... ..- .
...... 1 ():~:: 00 /.... .::1. ,,,,346 E3 f::;CiL Cl...F;: r". ~::4 0 "M. l 0 9 -- 1.
;:J " " . .:::) " " " \.:'
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.::1 " " "
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c:) " \..; " " .,:.. C:;. " .. I " .1. "
4CO.8
~:J () f3.. :;;::
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:::)4.,0
(}::?r::,,, 7
1'3:2" 0
1 17~:5. ::::
l U:=j. l
,,15 x CONDo FLOOR I TOTAL GLASS ~ ADJ. ~
AREA APEA FACTOR
(:i l... (i ::::; f3
PO I 1'..jT~=;
(HU" CJl...(:I::J:::;
PO I NT::3
CJ L. (:1 ~:3 :::;
F'O I f-..IT~3
.............---...----....-...-.-.-...-..................----..-...-
. 1 ;::.i
1 , ':j 1 8" 00
~::7B. 00
...... . .... ..... ...... . ..... ..... ..... '''''''-..- ..... ..... _... _......... "n. ..,.. ...,. ..... ....... '" _... .._....._..__.._....,_.._.._ ..... ..... ..... ..._.._......_......___....._.._.....
.761.
'-,1, 2B5" 20
-- ':::J '7 fj.. 1~:3 i
~3, 28:::::. :I. (:1
NON GLASS------------
AREA x BWPM = POINTS
..- ..... ..... ..... .-.. ..... .......... .-.. ..... ..... ..,.. ..... "'M ..... ..... .-.. ..... ..... -... .".. ..." ..... ..". ..m .".. .._ ......." m.. . ._.. ..... _........ ......._..... ..... ._.. ..... ..._ _... ..... ',m ..... _... '_m ._.. .,.... ..... ..... .__... _._._ ,.." ..... .._ ..... ..._ .._. ..... ......_ .......... _._ ..... ._. ..... _.. ..._ _ .....
.....--."..-..."'........-....,..........-...-.......-....,..,....".-..----................-,.....,........-.--.-...-.........-.........-......-----..--..-.-........-..-.-................,-'....--...--...----..-------...--..--.-.-..---.....-.--.--.---
'r\r'F'E::
1?--lv'AL..UE
AREA x WPM = POINTS
l~'J (.~ t.. L.. t3 ... .". ..... -.... ,,- -. ,.... ..... ..... ...~ ,'m ..... .._ "'" ..... ."..
.'.._...H..._...__..._..........._..............._._..._..._____......._..._....._._.____.._._..__..
F t :[ :/. 02 0 1 1 :l. 1 :;;;~ ... F: t 1\101'- m~'Jt B 1. I 4 1 0 1 ,::1. () ....): ,"', 1 32LO 0
..', ()C I. r', ...:j
.. . .1... .. .1... ". . . ~::'I " ~. .
E~,.; t Wood Fr ,::\me 1 l 0 r;::iC, () .,:- 00 1 ~'''EI ()
. \...I\.J . . .
Ad .} ..:.. :I. 4 . () 1 . Ei :::: E~ ~5 . :;;;: rld.j l-JO()c:I Ft. d ffif:? 1 l () .'-;, 1 0:1- u :[ E:~() ~:~ :::~ ~:~:j
. .,;.. . . . ...:..
DOORf3-------------___
Ext 40,,0 5.1 204.0
j:':id.j 1 ~;3.. () .::J. II () 'l:~? .. (:
E:,.; t l-Jo()d
40,,:)
lD.:)
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~'::O'::f.. 0
1 Of:,. ::2
i::; d .j ~\II::I () c.1
5. ':JO
CE I L I NO::::;....... ...... ...............--.....-......_...
UA 19:1.B,,0 .b 1150,,8
1...1 Ii c:1 I':? r' I::) t t :1. C
:.:; CI II ::) :I. '=) :l [~ " ()
.. CO()
11:::jU. B
FLOOPS------------___
SIb 190,,0 -:/.,,9 -3L1.0
f:) 1. ab .....011 ""C1" <:~cl E!
If ()
1'30..0
:2.. 5C)
:::J. ~7:5" ()
INFILTPATION---------
1918,,0 4..:/. 7B63.8
F"r- ac t i r: c=..' tt 1
l':~lB.O
('::.' " ~:::()
118() 1 " c.;
TOTAL WINTER POINTS
==:====:===:==:====:==:==========:=:=:===:=~:====:====~===:::=======::::::::=~==:====::::====:::=:::=~.....=:::::::::~:..._.=::=:=
':~ 'J :5 ,::J. f::~ If ~::~:2 :
T(J'r p,l....
~::; \,. :::~; T E 1"1
t.H...II....T
......--.---.--.-.-------..--...-.....----.--....-.-.....-..-..-.-.---.--
..............'.......--...-...----..---..-----,..----------.,,-----.....-
:21. 'J ()~:~ 1" ()()
-..--.-.....-..------.-.--...,.-...--...------...,..........
---..---...---.-..---..-.,........----.----.,
L.J I r'..l F' T' ::3
I.IEAT I NCi : TfJT(.41....
r:'(J I NTS CO/'lF'ON
..-.-.-------------..--...-...-..-.-.---.-..---..
..--.---------------.................-...--..----.---..-...
um ..... u". .._. .......... ..... ............... ..... "0.. ..." ..... no" ......._ __. ..... .._. ..... ..... ..... ..... ..... ..... ..._ ..... ."". ..._
:.,.; C:;:":; F' :,.: D L.I c::-r
FUyr I D l'lUL T
x SYSTEM x CREDIT = HEATING
MULT MUl...T POINTS
,:), ~:54(J.. El2
_m ".., 'O_. ..._ ..... ...., ..... ..... ..... ..._ ..... ..._ ..... ..... ,,_ ."....._ "._ ........_.....
...........-------------.....-----.---.--...-.--.-.-.--..-..-
:l" 10
10,503.70 : 21,031.00 1.00 1.:/.00
.4B4
1 . 000 11 , 1. 'j(:.:).. (j 1
..... ....... . ':: ::::::::::::~ :::::::::: ::::::::::::::: ::::: :::: ::::: :::;:::::: ::::::::::::::: ::::; ::;:: :::: ::::; ::::::.-::.: :::::::::; :;:;; ::::: :;::: ::::: ::=.::::;:::.: ::::: :::::::~;: :'.:- ::.. .:::..- _:::: :. -:. ::-:::: :.;: .:: .:::.: : -=::::. ::::::=:::.::::.:::::::::::;:::;::::-:::::::....... :::;::::....::::::::::::: .:==:::::::::.-: -::::.-:::::::::.-:::::::::::::.;::
*************************************************************~*****************
~.JA TEk HEf.i T I N[i
*******************************************************************************
=::::::::= BASE :::::::::::::::
::::::::::= r'I~3--' E:l.J I L T ==:::::
I\Il..Il'1 UF'
BEDF:t-iE.;
---______.M__________.__._____..______.____...__...____.___.______....._.._.._.__.._......__.._.....___..........__....._.__......__.._____.........__..._.._____..____
--------.-.--..-..--.---------------...--------...........------------.-.-.----.............--.--..-...........-.-.---.--..........----.....--.......--...----..--
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1'1l..JL.. "T'
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TANK
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1 . 000 34'~V). .7
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10y~.:34-:),,00
_._..__M__.....____..___.._______.____._____._.____________..___________________________.._____._____________....__.__
...........--.-.........---.....-----.-----------------------.------------.---------------.-.-----...-..-.....--...---.----------....-.--.......---
*******************************************************************************
!:.=; U t"11"1 (.'1 P 'y'
*******************************************************************************
:=':::::: ::::: E?{")~3E :=-0:::::::::: ==:::::::: (if.::; ..... BtJ I L. T '" ..... .....
C: (J D :.... I I"~ CJ
F'U I 1\1 "T' f3 +
-... ,,- - "'M -.- "'M ..... ...- '''~ ..... ... .. "'_..no ..". '_m ..... ..... "", .m...... ..... m,. M... .......... m.. ..... .._ ..... ..... ..... ..... ..... M',' __ ..... .om,.. ..... M". ..... "M' ..... ..... "". "'M '_.M..... ..... .......... ..... ..... ..... _0"' ..... ..... ..... ..._ ..... ..... ..... ..... ",m ..... .......... "". ..... ..... ..... ... ..,.. ,,,.. p_" ..,,,..
-- ...- -,- '''M ...- "'M ........-...-.... ." m.. ..... on.. ..... "... ..." "... 'h" ..... ..... .......... ..... ..... ..... ''';' m_ ,.-. ..... ..... ..... ..,.., ..,,, ..... . ..." ..... ..... ..,.. _." ..... ..". ..... .... ._,,_ ......... ,.._...... ,.... ,.... ..... ..._. ..... ..... .._.. ,.... ..... ,.... "......" ,.... ........"..., ,m. ..,,, ........ _. .. . ..... ..... ..... .....
II E: (i T I r'..l Ci
PCJ I t\I'r~3
/..1[1 T (...J{'HEI?
-+ PC):r NT::)
TD'r {.\L.
F'D I NTS
(:UDI.... I NC:i
PDII'.jTS +
I...IEAT I NI::i
PO I NH:;
HD'f (...JATEF.:
-+ FDINH3 .-
TDTPIl....
PI] I NT'S
..-...-.--'..--.-..--...--...-..----..----...------..,---..........-----....'.-----..-...--.,....
1 ~s :;2 :;;;: () I. ~5
:I. ()5()~3 II 7'
10581D() 36,305D22
14151.1
11 :I. ';::!('.:,. ';::!
10349.0 35,696.97
*****************
* EPI = 9(3,,32 *
*****************
ENEF<:CJY C~lJ I DE
For detailed information
of the EPI rating number
or for any ITEM listed,
~.:";t.sk >lC,l.\'j" E{Llil de'j'" f()'j"
DCP\ F'ol"" m fjOOri.....':1:;)
0"(' FOl"" m (:,00B--9~J
[~F' I::::: '::.1 (J u ;:;
o 10 20 30 40 50 GO 70 80 90 100
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
m"'... ......... ..... .... ..... n.. w.. .. hm .......... ._~ .,... __ ,_,., ;:( .__ :
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
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PASCO COUNTY, FLORIDA
Permit No.
~'-
_S (f.s 25-
,'2
I..;
Date Permitted ~
;/3 ? C-
/) ..,.;/
Builder Name/Owner Name l'J (1-<,,'f / Jj'(X- . i(::)
<: I d
County Parcel No. ...3. d 6 . ;J ?.. ,,:1/'" 0 - J C (..1 <:) .0 D - 0.5.' d D
Location I J :2 'dY~/1I.~~ "-'J~..;:v: Subd.
ClassificationlType of Use '--R a4A k'J-Lf ~;/
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
". '_._'-'~ ~- ---
._._._-_._~
~ --.-.
///
Zone No.
Sq. Ft./U nit
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 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 D
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
Gross Sq. Ft. (GSF)
RatelERU - 50.00/Year
or $0. 137/Day
ERU Assign No.
Assessment - (No. Units) x ($0.137)
x (No. Days)
TOTAL FEE $ / /:....-- '-u
Assessment -
(GSF) x (ERU) X (0.137) x (No. Days)
100
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 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 and the conditions of payment for same.
Date
Received By
---------------------------------------------------------------------------------------------------------------------------------------------------
OFFICE USE ONLY
TRANSPORTATION REC. NO. DATE
RESOURCE RECOVERY REC. No-.V ./;/,"5 i :.3 DATE
'I
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BY
BY,,'-->...! ,.....~.// .'
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldgllnsp
feecal:ce
PC93113094/ A
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