HomeMy WebLinkAbout96-6084
~~,vvBUILDING PERMI'T
~F CITY OF ZEPHYRHILLS Permit
(813) 788.6611
N!
608413
Date
9 - 9- Yh
\...:; ') :1t-So
BUILDING
,-S-g.1'..5-
ELECTRICAL
SS'-, ov
PLUMBING
30, trz>
MECHANICAL
Sewer Conn !;;L '7 g: Ji)
. 'J L -........ .. t7D
WatElr Conn: J~ v
Water Meter: I bS"': iTO
Pmperty owne,;:}t~~
Job Address: <..3~___
Parcell.D. # / () -d6 -2/- tJl:2 0 - (J,cJ?JO ()- 0 ~."- 0
Zoning: Energy Coje: ~/on Crr l..I:z-:-..B
Description of Work ~/A.t.~ *A1 jh \':;/0-~ i:lL'f.~~(f
Jfl<~A ~'--P.r& ~ ?-/t/ -?6 .Ju.url~ n nt
}J?6Ar~.Jv~1/ . 1/-02/-71:..II.Uft{J 11rl1 /.)..:/~- FINAL
NO OCCUPANCY BEFORE .0.
Complete Plans, Specifications and Fee Must Accompany Application. C.O. -i
All work shall be performed in accordance with City Codes and Ordinances.
T.I.F.'s:
--
J- 2~-9
Inspector
Permit Fee ~ 6.. c2-..S. - _
Signature _ &.&../z ....:p(. - J.c....--
Company
Address
Telephone#
Valuation or
Contract Price 11" t!J ~ 9. t/7)
City License Registration # c::J '7 Y
State Certified License#
~ Xret.A ~
BUILDING
lJ1~ ~71
-Jl~",
(j,:J!u ~. I 7
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.Q-Il-6IILJ &5 Tp.Serv. SLB 9~/J-'1(Pr3~
PreSLB 9/1'1/CJb R ll1i)e~ Roughln/~~JB.tu ~t7~ TubSetl&--/'tr-!lc, ~
Lintel Meter Can f-Y- 9(, Water I ~ 0
FRM. I P "/~"'CjJv~~ Canst. Pole (j" ;(!)...Cf6&:f3 Sewer /0/" / 6 /ik""
Insul. CL Pool Final
WL IO-2.1.....QIr; 6.l..L- Pre-Meter /)-Z/,Q6 &6
./' Final
Driveway 0/-I'J"'96t"".Lf~ q..../,.... 9b(}t>f3
Ci-)~ 10 ..Jj,/j"~45
Breakers
Ducts Insl. /c>-18-4ui~a'B
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address 'Va,;j; ~,,-T~/ 9~9-?-6
b. Condemned work resulting from faulty construction. /I J ') ,-.3 -.9-6
c. Repairs or corrections not made when inspection called. P- ..r ()I....
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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
BUILDER: Ryman Constlllclloll ,_
ADDRESS: ~I;j gr8611~riar.;3. 7<//:J.. (~~hrll
OWNER: William Gall ell
SQ. FT. PRICE
I.IVING OR MAIN AREA:I 1,209 ~ I $ 35.0~ I
OTHER AREA UNDER ROOF:I 434 I $ 11.00 I
OTHER AREA:I - J :J
SQUARE FEET UNDER ROOF: I ~,643 -:J
VALUATION:L $ 47,089.~O J
ADDRESS:( $ - - 20.00 I
LJI~IVEWAy:LL 20.00 I
FEES:[ $ 255.00 I
BLDG. PLUMB. ELEC. MECH.
PERMIT FEES:I $ 372.50 1 ~ 55.~~ I $ 58.75 , $30.00
3/4" 1" 1-112" 2"
WA TER ME fER SIZE=(- $ X 165.00 , $ 245.00 J $ 610.00 , $ 840.00 ,
SEWER WA TER METER
CONNECTION FEES:I $ 1,278.00 I $ 350.00 I $ 165.00 I
RADON GAS: I $
PERMIT FEES:I $
CONNECTION FEES:I $
WATER METER:I $
16.43 I
516.25 I
1,628.00 I
165.00 ]
/'
TRANSPORTATION IMPACT FEES:I $
99% $
1% $
: I
CREDIT:I $
SUB-TOTAL! $
IRRIGATION METERI $
50.00 (
2,325.68 I
165.00 I
TOTAL[ $
2,490.68J
. . Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Foror 600A-93 Residential Whole Building Performance Method A
. PROJ-ECT 'NAME: - \..0.c.C<:,.(1.0ou. BUILDER:' R'( N'\A-1\) ~~" :S:AJ<L
-' AND' ADDRESS : ~ 1- ~ ~ - PERMITTING CLIMATE
. sl1'll2. ~d2JL 'WtUl.e OFFICE: ZONE: 41_1 51-I 61-1
OWNER:-~'YMI\;N PERMIT NO. JURISDICTION NO.
'1. New construction or add'i"tlon 1. New Construction
~.~2. Single family detached or Multifamily attached 2. Single-Family
'if). If MUltifamily-No. of units 3. '!::_
itiA. If Multifamily, is this a worst case (yes/no) 4. .... .
tS. Conditioned floor area (sq. ft. ) 5. 1090.00
Y.>6. Predominant eave overhang-( ft. ) 6. 2.00
fI;;." ,
S7. Porch overhang length (ft.) 7. 4.75
g'8. Glass area and type: Single Pane
G a. Clear Glass 8a. O.Osqft
b. Tint, film or solar screen 8b.166.3sqft
;0 9. Floor type and insulation:
" a. Slab on grade (R-value, perimeter)
Y'10.Net Wall type area and insulation:
. a. Exterior: 2. Wood frame (Insulation R-value) lOa-2 R=ll.OO, 843.70sqft_
IC: b. Adjacent: 2. Wood frame (Insulation R-value) 10b-2 R=ll.OO, 2l1.40sqft_
'1~':;/ll. Ceiling type area and insulation:
~~:i.:}'... a. Under attic ( Insul at fon R-val ue ) 11 a . R=2 2 . 00 , 1090. OOsqft_
~~2.Air distribution. systems
J!%i a. Ducts jInsulation + Location) l2a. R= 6.00, uncond _
~f~.Cooling system 13. Type: Central AIC
itf:;f;r:\" '\.:.- ' EER : 9 . 30
~(~4.Heating System: 14. Type: Heat Pump
M. HSPF: 6.60
."lS.Hot water system: 15. Type: Electric
EF: 0.88
SN: ,8132
CENTRAL.
CK
Double Pane
O.OOsqft
O.OOsqft
9a.R= 0.00 , 155.00 ft .
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)
9.EPI (must not exceed 100 points)
a. Total AS-Built points
b. Total Base points
16.
17.
18.
2
~:" .
~::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
If Hereby certify that the plans and Review of the plans and specifications
~~pecifications COvered by this calcu- covered by this calculation indicates
~lati~n are in compliance with the compliance with the Fl~rid~ Energy
~~orlda Energy Code. Code. Before constructIon IS co~leted
V -L-- Q this building will be inspected for
PREPARED ~v~)~ ~ compliance in accordance with Section
DATE~~~ _ 553.908 F.S.
I hereby certify that this building is
in compliance with the Florida Energy
Code. ~
OWNER~rifN~ ~-::
DATE:~("~_
19.
19a.
19b.
93.79
20246.73
21587.71
BUILDING OFFICIAL:____
DATE:
~...
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. _.~"" ;. .w.,~....yrl..........T..__
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~0~****~*~***********************************************************************
~;\:.~;{;,:., SUMMER CALCULATIONS
~~*~**.*.*************************'********************************************,
":t,' === BASE === ,I === AS-BUILT ===
. ,
;7~==========================1==================================================
EASS-----___________
~~.~1l,' AREA" BSPM = POINTS TYPE SC ORIEN AREA "SPM "SOF = POINTS
~~---;;~;~----;;~;---~;~;~~--;~~-;;;;-------;----;;~~----~;~~iI-~;;----~~;~;
SGL TINT N.' 13.0 51..5 .83 553.3
SGL TINT N 13.0 51..5.1 .83 553.3
SGL TINT N 13.0 51.5 .83 553.3
SGL TINT N 18.7 51.5 .83 795.8
SGL TINT N 6.7 51.5 .69 238.1
9.90 82.2 813.8 SGL TINT E 9.9 '107.1 .78 827.0
13.00 82.2 1068.6 SGL TINT S 13.0 ,98.3 .66 844.E
66.00 82.2 5425.2 SGL TI~ W 40.0 107.1 .77 3310.4
' S~ TINT W 13.0 107.1 .77 1075.9
,~'" SGL TINT - W 13.0 107.1 . 80 pIa. 5
~'i----------------___________________________-"'----______________________~_______"'
'1:-.15 " CONDo FLOOR / TOTAL GLASS =, ADJ. "GLASS = ADJ GLASS I ...G;~ss>,
~\ AREA A!lEA -- FACTOR POINTS POINTS'::IlP;J:i'lTS,
I~;~---;~~;~~~~-----~-~;~~~;~-------~;;;----;;~~~;~;~----;;~;;;~;~-i---I~;~~;?;;
I~,i~=~~~::;~~;~::=::::::=r::::========::::::=:~:=::::::::
~--~---_______________________________________________________~______________~_
~.f . .
1'i!),iWALLS----_______ __ _ __
ti~E"t 843.7 1. 0 843.7 E"t Wood Frame
:~fiAdj 211.4 .7 148.0 Adj Wood Frame
\l~::..'
{;",...,.
~DOORS-------_________
;~rExt 2 0 . 0 4 . 8
t:!rAd ' 18 6 1 6
~t~" J . .
~2EILINGS-____________
,~1;tUA 1090.0 .6
~;\ .
eYLOORS----___________
~1;~lb 155.0 ' -31. 8 -4929.0
~1NFILTRATION-----____
~?'''.
ill;.", 1090.0 10.9 11881. 0 Practice #2 1090.0 10.9011881.0
~~~=======================================--=========---========
:.'..'9...... TAL SUMMER POINTS I .
.,: 22,163.14 20,232,~}8
!.,====================================-==========================-.,.
0:TOTAL x SYSTEM = COOLING I TOTAL x CAP x DUCT x SYSTEM x CREDIT = COotING"
:LSUM PTS MOLT POINTS COMPON RATIO MOLT MOLT MOLT ' P<lIll'.l'fl'"
.- ."
" .'
..~------------------------------------------------------------------------~~~~
11. 0
11.0
843.7
211. 4
1.90
.70
1603.0
148.0
96.0
29.8
Ext Insulated
Adj Wood
20.0
18.6
4.80
2.40
96.0
44.6
654.0
Under Attic
22.0
1090.0
.90
981.0
Slab-on-Grade
.0
155.0 -31.90
-4944.5
;,.22,163.14
.37
8,200.36 I 20,232.38 1.00 1.100
.367
1.000
8~160.39
=======================================================--====================
';.~r~'
t' .-
.:~/:\:
i~"""""""""""""""_""""""""",,,"..0....................
. WINTER CALCULATIONS
.~-*..........................................................................--.
~~ ,
~'t' . --- BASE --- I ___ AS-BUILT ___ ,
~t~~=====:::======:::=~=======================:::==========:::===========~.
',,~~~--;;~-~-;;~-:- POINTS I TYPE SC ORIEN AREA X WPM X WOF = POINTS'
k----;;~;~----=;~;---=;~;0;~--;~~-;~~;-------~----;;~~----~~~;-ir;:;~----;;;:~
1\ . SGL TINT N' 13.0 9.6 1.10 137.6
I SGL TINT N 13.0 9.6 '1.10 137.6
SGL TINT N 13.0 9.6 1.10 137.6
SGL TINT N 18.7 9.6 1.10 198"0
SGL TINT N 6.79.6 1.20 77.2
SGL TINT E 9.9 -2.0 -.20 4.0
SGL TINT S 13.0. -10.2 .69 -90.9
SGL TINT W 40.0 -2.0 -.24 19.3
SGL TINT Wn.o -2.0 -.24 6.3
. ). SGL TINT .' W 13.01 -2.0 -.07 . 1.8
. . "-------------------------------------------------------------------------------
: . ~J?....,.15 X COND. FLOOR I TOTAL GLASS = ADJ. "GLASS = ADJ GLASS I . . GLASS
'iJ'\" . AREA !)REA - - FACTOR POINTS POI~TS POINTS
~"-"--------------------~~------------------------------------------------------
>f;15 1,090.00. 166.30 .983 -565.42 -555.90 I 766.05
"=======================================================================~
~NON ~~~--~--;;~-: POINTS I TYPE R-VALUE AREA X WPM = POIN~S
r---____________________________________________________________________________
,
i!\WALLS---- _ _ _ __ _ _ _ _ _ __
.'ti".,
~r.Ext 843.7 1.1
~:Adj 211. 4 1. 8
'A"h.'
,~{;,:
~/bOORS---------__ _ __ __
~(:Ext 20.0 5.1 102.0
'th'. .
Imd j 18 . 6 4 . 0 74 . 4
ffiCEILINGS--- _ ~--- _ _ _ --
~UA 1090.0' .6 654.0
~rLOORS-------________
WSlb 155.0 -1.9
...(: ~,' :
r:
~iINFILTRATION ______ ___
;; 1090.0 . 4.1 4469.0 Practice #2 1090.0 4 .10 .~~~'9..0
::============================================="'"'F'''
..~.':~OTAL WINTER .POINTS I .
· 5,757.59 8.883.21
:============~~========~-==============---==========-..
::TOTAL x SYSTEM = HEATING I TOTAL X CAP X DUCT X SYSTEM X CREDIT.. HE,ATJ;il'G
:,WIN PTS MOLT POINTS COMPON RATIO MOLT MOLT MOLT po;tNw./l"
~ M_
h_
...-/1.. ..~ ."" ..
~~"'" -"<..m.........""'<;,,'.~.:~^". "..' ;....
\......
9.90
13.00
66.00
-3.4
-3.4
-3.4
-33.7
-44.2
-224.4
928.1
380.5
Ext Wood Frame
Adj Wood Frame
11. 0
11. 0
843.7
211. 4
2.00
1.80
1687.4
380.5
Ext Insulated
Adj Wood
20.0
18.6
5.10
5.90
102.0
109.7
Under Attic
22.0
1090.0
.90
981.0
-294.5
Slab-on-Grade
.0
155~0
2.50
387.5
.~-----------------------------------------------------------------------"~.,,,,.,,,,
5,757.59 1.10
6,333.35 I 8,883.21 1.00 1.100
.515
1.000
5 , 0~~.~'.~4i.
===============================================================================
.'
"'~-'---~~'-""'-~'--~"""""""'~\IIl-_~
lw1";;""'"
;"'...J.~;;;'~"~;':;~~;~~~~.....c........':t',,':.t'..,.~.1.~':'~"~ ~.
_,.'i/h * '~_,
. "
.t'-_ '!:.t....,t.-.."..'.,i,.-......,..~
....,~~~. :. .
. ,i',*******.. * * * ** * * * * * * * * * * * * * * * * * ** ** * * * * * * * * * * * * * * * * * * * * ** ** * * ** * * * * * * * ******...
' WATER HEATING
' .. .
.~***********************************************.******.****.******..**..***.*.,
,If.-.f,''
jl'J;:" === BASE === I . === AS-BUILT === ,
~"" . .
." '. ..-. ..------------------------------------------------------------------------ -.- -'. -. ...- .-.....
.....,,-------------------------------------------------------------------
i.~;':NuM OF X MULT =: T9TAL I TANK VOLUME EF TANK l( MULT l( CREDIT = TOTAL,.. f
~!mEDRMS RATIO MOLT
--------------------------------------------------------------------------~--~-
; 2 3527.0 7,054.lJ'0-1 80 .88 1.000 3527;~Aoo 7,054.00
\...._..,
, ,~i
~:,
(~**********************************************************************.*******
I'~ . ,
'ii.,. SUMMARy
~"** ** * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * ** * * * *
Ii,; --- BASE --- I --- AS-BUILT ___
1~_______:::______:::~_______________________________:::__~_______:~_______
'.~' ...-.. --------------------- ---------------------------- ---. -----. ---------------------
'(!>..., . .
~(~OOLING HEATING HOT WATER TOTAL I COOLI~G HEATING HOT WATER TOTAL
'\i~OINTS + POINTS + POINTS = POINTS POINTS. +. POINTS + POINTS = POINTS
~~------------------------------------------------------------------------------
~. 8200.4 6333.3 7054.0 21,587.71 I. "8160.4 5032.3 7054.0 .20,~46.73
~===============================================================================
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*****************
* EPI = 93.79 *
*****************
~
".._......~~..........I-'-:~"~WIO;::-~"d.~'"'~:.'...;".'-.~.~'.~.'ll"n+'<.......'I4Ho~_.._'I!~J'_...~_JI>.J':;f.::.::".:{.t'~;:U~k.:',.~~JiM..:iL~~~t~1Il
u-.;*..
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.'d',!,................. .i-"''''' ._'. -.1..... .."....
'r;; For detailed i~formation
,~
Uf-Of ,the ~PI rating number
r{!/'Olf .rot any ITEM listed,
I~ask your Builder for .
~DCA Form 600A-93
" or Form 600B-93
ENERGY GUIDE
EPI= 93.8
o 10 20 30 40 50 60 70 80 90 100
I------t..--:..-------------_______________x---.,
~e maximum allowable EPr is 100. The lower the'EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHE~.
ITEM
HOME VALUE
Low Efficiency
liigh Efficiency
WINDOWS.......,............. Single Tint
SINGL CLR DBL TINT
I------x-------_______I
INSULATION, . . . . . . . . . . , . . . . . .
Ceiling R-Value... ...... 22.0
Wall R-Value......... 11. 0
Floor R-Value... .,..... 0.0
R-10 R-30'
.I~-----------x------__I
. R-O R-7
I-------------------~xl
R-O R-19
Ix-----------_________1
AIR CONDITIONER.............
EER~.'.. . . . . . . . . . . . . . . . . . . . . 9 . 3
9.7 EER 16.0
/X-------_____________1
HEATING SySTEM..............
Electric HSPF.. .......... 6.6
6.8 HSPF 12.0
IX------------________1
/WATER HEATER.... . . . . . . . . . . . .
Electric EF......... ..... 0.88
0.88 0.96
IX------------________/
0.54 0,90
1---------------------1
0.40 0.80
1---------------------1
Gas EF..............o.oo
Solar EF. . . . . . . . . . . . . .
OTHER FEATURES..............
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
I certify that these energy saving features required for the Florida
> Energy Code have been installed in this house.
\ \!;Y A--~r' Builder (" \ ~
Address: \<Jot- <II' "T::::' Signatur~ .i::>....- ~
CitY/Zip 7~ fa\)~ ((IIi lis ;lEl 33Sdr1
Florida Ene gy Code fo BUilding Construction _ 1993
Florida Department of Community Affairs
Date :.~1:.~~J.l (,
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S ~€.0 i...J~YM4->0
OWNER'S ADDRESS 6(S~S ~ .R.. S4- w -
JOB ADDREss..3] 4 \ ~ C ~ w.sLQ \:) a... 'i v-e.. _
45
PHONE ,92-oel.. 5
Zcy> L., y (zJ1 ~ lls I (J _ S ~ s 4-L
I ~
z-~.tls - ssS~1
WORK PROPOSED:~New Construction _Addition ---..Alteration _Repair _Install
_Sign ----1Iove _De.olish
PROPOSED USE: hingle Faaily ----111 F _, of Units _M/H
_eo..ercial _Indust. _Swim. Pool _Other
---..Restaurant & Health DepartJllent Approval
DESCRIPTION OF WORK: ~ ~~
BUILDING SIZE: ~~ X'=>'-I ,G 'C//:3SQuare Feet, 8 ( Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COKHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
--BUILDING
PERMITS REOUESTED
$ 5 y(jOO Valuation of Total Construction
ZOc:YJAHP Service Florida Power Corp.
~R.E.C.
_ELEC1'R.ICAL
---..KECHAlilCAL
$ 2000
Valuation of Mechanical Installation
~UHBING GAS ROOFING SPECIALTY
TYPE OF CONSTRUCTION: _Block ~aae _Steel
FlRISHED FLOOR ELEVATIONS: <i ~ FT. IS PROJECT IN FLOOD ZONE AREA?
Other
L
..........................................
~HTRACTOJl SE<;IION
BUILDER ~ COKPAIIY 1\'1'''''I\-,:) CCNskv.d-fo"'!
~ State Cert. or Regist. # e/De.-O~5 13 +
Signat" V"'- --- City Liceose Registration' Q1. '7''5''
. ........................................*.
YES NO
=t~~
ELECTRIC~~ --~ COMPANY ~A1L{.rD 5kc.,+-ru~ ~__
r:-.,-A A .1 ..~ State Cert. or Regist. . e.RODI~q.'f'1
Si_tur~ \~ F~ City Liceose Registration' :}..\
y . ........ ......................*.*****..
PLUMBER COMPANY ~r~ ~utetfS
~ ~ State Cert. or Regist. , K:F-OCl (g~~5.3
Signature 0...... ~ .. City License Registration #I Be t.-
- ---.......:* .......****~****.........*.*.*.*.
KEGHANICAL COMPANY BAr--h It \ ~ ~ ...J- /Jr (L-
..i-- ~ /- State Cert. or Regist. 41 BA-&.- Cl"l 3'\4 ~
Signature~O J,....., ,/ City License Registration t I. ~
*******~***************************
~ 'COMP~l(~ ~S.J-~#4,.,J
State Cert. or Regist. , \<<:- OO(.,J~4e;
- City License Registration' ~~j
******.*************.*******************
APPLICATION APPROVED BY
.
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peI1lH 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. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
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
requireJents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
Furtherlore, 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 your 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 - Hoaeowoer's Protection
Guide" ptepared by the Florida Department 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 fai th to deliver it to the
"owner" prior to couenceJent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance 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 cOIIenced prior to issuance of a perlit and that all work will be perforled to .eet 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 govefDIental agencies lay apply to the intended work, and that it is
.y responSibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
A Department of Envirolllental Regulation - Cypress Bayheads, Wetland Areas and EnvironJentally Sensitive Lands,
Water/Wastewater Treatlent
A Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
A ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
A DepartJent of Health & Rehabilitative Services, EnvironJental Health Unit - wells, wastewater TreatJent, Septic Tanks
A US EnviroDlental Protection Agency - Asbestos abateaent
I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan
addressing a "cOlpensating voluie" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed 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 froJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall becOle invalid
unless the Ifork authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of six IOnths after the tile the work is coaenced. One 90 day l!ltension of tile, JaY be
allowed for the perait with fee charge of $15.00. The extension shall b&,~requested in writing to the Building Official. An
approved inspection lust be logged during each six IOnth period, or the ~iect will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOrICE OF COHKENCEMENT HAY RBmlu IN YOUR PAYING TWICE FOR IHPROVEHmS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUU WITH YOUR LENDER OR AN ATTORNEY BBFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A " CKKENT".
SIGNATURE: OVKER OR A
~.~
SIGNATURE: CONTRACTOR
~
STATE OF FLORIDA
COUK'lY OF
The foregoing inst~t was acknowledged
before me this '" ~ '0119..1.fL by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acqn~wledged
before me this:tltl. t'lud ,19 . by
~o-i; personally kQ~~~~ or who has
produced
as identification and who did/did not
take 1)~~ .~~~~ -
(Signature)
who is personally known to~or who has
produce ...._-
as identification and who did/did not
take an~~.~~ _
(Signature)
(Nam~ Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
~1.tlI'P~
.^ DONNA M SINCLAIR
* * My Commission CC3826UI
rA' Expir_ Jun. 14, 1998
"'~ n. ~ o"^~'"
<I',~y Pile.
ilIn~ DONNAM SINCLAIR
* . . * My ~...""'1uo1 0C382e19
... ".. Expwea Jun. 14, 1QgS
?f.... "" ,.&'"
'''Off\.II'''.
PARCEL I. D, #
RTY OF ZEPHYRHILLS BUILDING DE P^RTHE~1~
\~YMI1-N
31 ~ l'Z- C "t2tVwA-l\ ~{2.l..x-
l b -ZLD -2 I - D l'2..0 - CoooO ... 0450
OWNER ~Ui~
JOB LOCATION
SHOW ALL EXISTING & PROPQSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
I 4e
l~43
W~O~WOO.Q
('(\QQ..Q(
~
Q
{Y)
<::J"
~'
UTILITY BUILDINGS
~\ 'J S l' S \\ m~ S 1 7, VI ~\
FOUNDATION INFOR-
MATION.
ZOC
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
e
CO~~ WI\'-c....
era., ~
1. SETBACKS FOR R 1 f R2 ZONING
60 '-
10'
p E
R X
0 I
, 10' p S 10'
0 T 1 0'
S I
E N
D G
20' 1
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
Department of Community Affairs
FLOR~DA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A
PROJECT NAME: Model 1643 Face Nort BUILDER: Ryman Construction Inc.
AND ADDRESS: 37412 Cornwall Drive PERMITT~ING. _ CLIMATE ./
OFFICE: - ZONE: 41_1 5/_1 61_1
OWNER: Kevin I. Ryman PERMIT . '" o:J>"/ ,JURISDICTION NO. 0
/' ~I/bo CK
1. New Construction
Gttached 2. Single-Family
3. 0
case (yes/no) 4.
5. 1090.00
6. 2.00
7. 4.75
Single Pane
613.. O.Osqft
3b, O.Osqft
1. New construction or addition
2. Single family detached or Multifamily
3. If MUltifamily-No. of units
4. If Multifamily, is this a worst
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: 2. Wood frame (Insulation
b. Adjacent: 2. Wood frame (Insulati.on
II.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
SN: 8132
CENTRAL
Double Pane
O.OOsqft
166.30sqft
9a.R= 0.00 , 155.00 ft
R-value) 10a-2 R=11.00, 843.70sqft____
R-value) IOb-2 R=11.00, 211.40sqft____
lla.R=22.00 , 1090.00sqft____
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
12a. R= 6.00, uncond
13. Type: Central A/C
EER: 9.30
14. Type: Heat Pump
HSPF: 6.60
15. Type: Electric
EF: 0.88
16.
17.
18.
2
19.
19a.
19b.
89.00
19213.48
21587.71
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in complian with the
Florida Energ COde~
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
553.908 F.S.
I hereby certify
in compliance .
Code.
BUILDING
DATE:
~;J 6
OFFICIAL: ./m<..
Department of Community Affairs
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Whole Building Performance Method A
Model 1643 Face Nort BUILDER: Ryman Construction Inc.
PERMITTING CLIMATE
OFFICE: ZONE: 41_1 5/_1 61_1
PERMIT NO. JURISDICTION NO.
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: 2. Wood frame (Insulation R-value) 10a-2 R=11.00, 843.70sqft____
b. Adjacent: 2. Wood frame (Insulation R-value) 10b-2 R=11.00, 211.40sqft____
11.Ceiling type area and insulation:
a. Under attic (Insulation R-value)
12.Air distribution systems
a. Ducts (Insulation + Location)
13.Cooling system
"
FORM 600A-93
PROJECT NAME:
AND ADDRESS:
OWNER:
14.Heating System:
15.Hot water system:
16.Hot Water Credits: (RR-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: 8132
CENTRAL
1.
2.
3.
4.
5. 1090.00
6. 2.00
7. 4.75
Single Pane
8a. O.Osqft
8b. O. Osqft
CK
New Construction
Single-Family
o
Double Pane
O.OOsqft
166.30sqft
9a.R= 0.00 I 155.00 ft
11a.R=22.00 , 1090.00sqft____
12a. R= 6.00, uncond
13. Type: Central A/C
EER : 9 . 30
14. Type: Heat Pump
HSPF : 6 . 60
15. Type: Electric
EF : 0 . 88
16.
17.
18.
2
19.
19a.
19b.
89.00
19213.48
21587.71
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
Review of the plans and specifications
covered by this calculation indicates
compliance with the Florida Energy
Code. Before construction is completed
this building will be inspected for
compliance in accordance with Section
553.908 F.S.
I Hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Code.
PREPARED BY:
DATE:
I hereby certify that this building is
in compliance with the Florida Energy
Code.
OWNER/AGENT:
DATE:
BUILDING OFFICIAL:
DATE:
*******************************************************************************
SUMMER CALCULATIONS
*******************************************************************************
~== BASE === I === AS-BUILT =:=
g~~i:--~~~-~-;;;;-:- POINTS I
===============================================================================
-------------------------------------------------------------------------------
TYPE
SC ORIEN AREA x SPM x SOF = POINTS
N 77.40 82.2 6362.3 DBL TINT N 13.0 43.5 .83 467.3
DBL TINT N 13.0 43.5 .83 467.3
DBL TINT N 13.0 43.5 .83 467.3
DBL TINT N 13.0 43.5 .83 467.3
DBL TINT N 18.7 43.5 .83 672.2
DBL TINT N 6.7 43.5 .69 201.1
E 9.90 82.2 813.8 DBL TINT E 9.9 87.3 .78 674.1
S 13.00 82.2 1068.6 DBL TINT S 13.0 78.8 .66 677.0
W 66.00 82.2 5425.2 DBL TINT W 40.0 87.3 .77 2698.4
DBL TINT W 13.0 87.3 .77 877.0
DBL TINT W 13.0 87.3 .80 911.7
-------------------------------------------------------------------------------
.15 X CONDo FLOOR / TOTAL GLASS = ADJ. X GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
1,090.00
166.30
.983
13,669.86
13,439.70 I
8,580.74
===============================================================================
NON GLASS--------____ I
AREA X BSPM = POINTS TYPE
R-VALUE
AREA X SPM = POINTS
-------------------------------------------------------------------------------
WALLS--------________
Ext 843.7 1.0 843.7 Ext Wood Frame 11.0 843.7 1.90 1603.0
Adj 211.4 .7 148.0 Adj Wood Frame 11.0 211. 4 .70 148.0
DOORS-------_________
Ext 20.0 4.8 96.0 Ext Insulated 20.0 4.80 96.0
Adj 18.6 1.6 29.8 Adj Insulated 18.6 1.60 29.8
CEILINGS------_______
UA 1090.0 .6 654.0 Under Attic 22.0 1090.0 .90 981.0
FLOORS-------________
SIb 155.0 -31.8 -4929.0 Slab-on-Grade .0 155.0 -31.90 -4944.5
INFILTRATION----_____
1090.0 10.9 11881.0 Practice #2 1090.0 10.90 11881.0
TOTAL SUMMER POINTS I
22,163.14
===============================================================================
TOTAL X
SUM PTS
===============================================================================
SYSTEM =
MOLT
18,375.01
-------------------------------------------------------------------------------
COOLING I TOTAL
POINTS COMPON
X CAP X DUCT X SYSTEM x CREDIT = COOLING
RATIO MOLT MOLT MOLT POINTS
22,163.14
.37
8,200.36 I 18,375.01 1.00 1.100
.367
1.000
7,411.25
===============================================================================
,
*******************************************************************************
WINTER CALCULATIONS
*******************************************************************************
=== BASE === === AS-BUILT ===
g~i~--~~~-~-~;~;-:- POINTS I
===============================================================================
-------------------------------------------------------------------------------
TYPE
SC ORIEN AREA x WPM X WOF = POINTS
N
77.40
-3.4
-263.2
OBI. TINT N 13.0 6.1 1.14 90.7
OBI. TINT N 13.0 6.1 1.14 90.7
OBI. 'rINT N 13.0 6.1 1.14 90.7
OBI. TINT N 13.0 6.1 1.14 90.7
OBI. TINT N 18.7 6.1 1.14 130.5
OBI. TINT N 6.7 6.1 1.28 52.3
OBI. TINT E 9.9 -3.6 .50 -17.8
OBI. TINT S 13.0 -11. 0 .77 -109.8
OBI. TINT W 40.0 -3.6 .48 -69.5
OBI. TINT W 13.0 -3.6 .48 -22.6
OBI. TINT W 13.0 -3.6 .55 -25.9
E
S
W
9.90
13.00
66.00
-3.4
-3.4
-3.4
-33.7
-44.2
-224.4
-------------------------------------------------------------------------------
.15 X CONo. FLOOR / TOTAL GLASS = ADJ. X GLASS =
AREA AREA FACTOR POINTS
ADJ GLASS
POINTS
GLASS
POINTS
-------------------------------------------------------------------------------
.15
1,090.00
166.30
.983
-565.42
-555.90 I
299.86
===============================================================================
NON GLASS--------____ I
AREA X BWPM = POINTS TYPE
R-VALUE
AREA X WPM = POINTS
-------------------------------------------------------------------------------
WALLS-------_________
Ext 843.7 1.1 928.1 Ext Wood Frame 11.0 843.7 2.00 1687.4
Adj 211.4 1.8 380.5 Adj Wood Frame 11.0 211.4 1.80 380.5
oOORS--------________
Ext 20.0 5.1 102.0 Ext Insulated 20.0 5.10 102.0
Adj 18.6 4.0 74.4 Adj Insulated 18.6 4.00 74.4
CEILINGS-----________
UA 1090.0 .6 654.0 Under Attic 22.0 1090.0 .90 981.0
FLOORS------_________
SIb 155.0 -1.9 -294.5 Slab-on-Grade .0 155.0 2.50 387.5
INFILTRATION---______
1090.0 4.1 4469.0 Practice #2 1090.0 4.10 4469.0
TOTAL WINTER POINTS I
5,757.59
===============================================================================
'l'OT AI. X
WIN PTS
=============================================================~=================
SYSTEM
MOLT
8,381.68
=
HEATING I TOTAL
POINTS COMPON
X CAP X DUCT X SYSTEM X CREDIT = HEATING
RATIO MUloT MOLT MULT POINTS
-------------------------------------------------------------------------------
5,757.59 1.10
6,333.35 I 8,381.68 1.00 1.100
.515
1.000
4,748.22
===============================================================================
".~.
*******************************************************************************
WATER HEATING
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
NUM OF
BEDRMS
===============================================================================
x
MULT
=
TOTAL
I TANK VOLUME
EF
TANK
RATIO
x MULT X CREDIT
MULT
= TOTAL
-------------------------------------------------------------------------------
2
3527.0
7,054.00 I
80
.88
1.000 3527.0 1.00
7,054.00
===============================================================================
*******************************************************************************
SUMMARY
*******************************************************************************
=== BASE ===
=== AS-BUILT ===
COOLING
POINTS +
===============================================================================
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL I COOLING
POINTS POINTS +
HEATING
POINTS
HOT WATER
+ POINTS =
TOTAL
POINTS
----------------------------------------------~--------------------------------
8200.4
6333.3
7054.0 21,587.71 I
7411.3
4748.2
7054.0 19,213.48
===============================================================================
*****************
* EPI = 89.00 *
*****************
\
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 600B-93
ENERGY GUIDE
EPI= 89.0
o 10 20 30 40 50 60 70 80 90 100
I-----------------------------------x-----I
The maximum allowable EPI is 100. The lower the EPI the more efficient the home
RESIDENTIAL ENERGY PERFORMANCE RATING SHEET
ITEM
HOME VALUE
Low Efficiency
High Efficiency
WINDOWS..................... Double Tint
SINGL CLR DBL TINT
I--------------------x/
INSULATION. . . . . . . . . . . . . . . . . .
Ceiling
R-Value. . . . . . . .. 22.0
R-10 R-30
I------------x--------I
R-O R-7
j--------------------x/
R-O R-19
/x--------------______I
Wall
R-Value......... 11.0
Floor
R-Value......... 0.0
AIR CONDITIONER.............
EER. . . . . . . . . . . . . . . . . . . . . . . 9 . 3
9.7 EER 16.0
Ix-------------------_I
HEATING SySTEM..............
Electric HSPF............ 6.6
6.8 HSPF 12.0
Ix--------------------I
WATER HEATER....... . . . . . . . . .
Electric EF.............. 0.88
0.88 0.96
lx--------------------I
0.54 0.90
1---------------------1
0.40 0.80
1---------------------1
Gas EF.............. 0.00
Solar EF..............
OTHER FEATURES..............
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
I certify that these energy saving features required for the Florida
Energy Code have been installed in this house.
Address: .~ 141~ C-ulMW..Q.Q _ ~~~~~~;.,~~ ----::. Date:cl-(..'- '7G
CitY/Zip Z-p~~ L. - DOl. '5 5 S~,
Florida Energ;~o~r Building Construction _ 1993
Florida Department of Community Affairs FL-EPL CARD93
~
I~criaL Tcstino Laboraloric6
3905 KIDRON ROAD. LAKELAND, FLORIDA 33811 . TELEPHONE: (941) 647-2877
FAX: (941) 647-1770
MOISTURE-DENSITY RELATIONS OF SOIL
Laboratory Compaction Test
MOISTURE (%)
DATE SAMPLED: 9/16/96 SAMPLED BY: Al McGhin
LOCATION SAMPLED: Building pad area: composite
VISUAL CLASSIFICATION: Brown. light brown. and tan slightly silty
fine sand. some clay lenses
TESTED BY: Al McGhin
~/~~~
Al McGhin, Laboratory Manager
ASTM
D698
CLIENT:
Ryman Constructi~n
PROJECT: 37412 Cornwall Drive
PERMIT: 6084-B
-
J
J
II
I
9
10
11
12
13
14
15
Report Distribution:
Client
City of Zephyrhills
CHECKED BY:
File
METHOD
A
DATE:
9/18/96
PROJECT NO: 6307
LAB NO: 1P
107
(DRY DENSITY-Ibs./cu.ft.)
106
Max.Dry Density 107.0 pcf
105
Optimum Moisture
12.2
%
104
103
Environmental Consultants, Soil, Concrete and Materials Quality Control Testing
-ct~ 0 ~/
. ~
~
I~F)(:riaL Testino Labo(aloriec)
3905 KIDRON ROAD. LAKELAND, FLORIDA 33811 . TELEPHONE: (941) 647-2877
FAX: (941) 647-1770
SOIL TESTING - FIELD DENSITY - PERCENTAGE OF COMPACTION REPORT
PROJECT:
37412 Cornwall Drive
LAB NO: 1D
CLIENT:
Ryman Construction
TECHNICIAN: A. McGhin
JOB NO:
6307
CONTRACTOR: Client
DATE:
9/17/96
WEATHER:
Partly Cloudy
PERMIT #:
6084-B
Pa e 1 of 1
IN PLACE FIELD DENSITIES - DATE MADE
. . ....................... . .......-... ........... .......
.--. ....................-..... ...._-..-...................
. ..........-............... .......-.............-.....---.
............"..-.-.... . ..............................
......-..-..........-. ,. . ........-...................--.
,", ..-..............................,...............", ,......'........-....................-:....,............-,"
... .tN:;is1t1tt ..;m@Pth.C$
.......MQ7:$~~. .. ...........ipgx\
pggO~>....p$n$$'-tt>
........................)....................)..l>,e.~.....\>
09/17/96
..............._-. ... .......,............ ..- ..,...-....
.. ..'-.-........---....,..........,....,
.'.-,....,....--.-..-......-...." .
.. ......."....,__..... d........"..... .,.....
..'.......,....-..,-..........-,
.. .....,.,._,.._---......_--..~,.,'-. . -'.
...................-......-....."........ ,..
.....0. .t)Mp;.........:ACTI...........QN......P..ERCENT...... ..
... . .., . ..
..... .... """. .
::::::..:-'-:'.: :.' .'::-'::'::: :..:'. ::::::::-: -_.'.,<: . .:.:::--.
.......---.............-....,.........-..-- ...-...
.. ........-....".. ..... .......--....
..............-............. . ........." ".....
.--.............. .......-..
........"..-.......... . ....-...... .
......."....--.....,........
........"..--...". "-..'
^l~~~!.i:Jj ...~r:;QUI:RSP. ..
1 Bedroom #1; grade level 5.9 103.4 107.0 96.6 90
2 Bedroom #1; l' below grade 6.4 102.3 107.0 95.6 90
level
3 Bedroom #1; 2' below grade 6.3 100.5 107.0 93.9 90
level
4 Living room; grade level 4.4 109.5 107.0 100+ 90
5 Living room; l' below grade 5.1 103.6 107,.0 96.8 90
level
6 Garage; grade level 4.4 102.3 107.0 95.6 90
T e percentage 0 compact1on or t e 1n-p ens1ty tests are a oratory M01sture
Density Relations Tests D698A
REPORT DISTRIBUTION:
Client
City of Zephyrhills
File Ic:\work\qc\Oensity.1fd)
By:
...-/1.--i GJ;~
Al McShin, Laboratory Manager
Environmental Consultants, Soil, Concrete and Materials Quality Control Testing
- - - - -- - - - - -~- ---' - - __ _ __-_ _ _"l----~__J__'___ __ '_______
CONTRACTOR #= 00109u
NAME: KEVIN L
ADDR: 37325 S.R. 54
C / ::::T: ::: [F'~r(F.(!111....L. <::;
- E N T R ALP E R M I T TIN G DATE: 12/03/96
PASCO COUNTY, FLORIDA PAGE: 1 OF 1
I :~;'::;UE OFF, CE : D
RYMAN RECEIPT NUM8R: 00304661
OFFICE: DADE CITY
;:L ~::4 24::::0000
f~. (H;~ =
CHD:::i< 11 '?~;~:;7
RESC. FEE CI1V OF Z-HILLS
PERri I T 60::::4
CONTRACTOR: 00169Q
TUTAL. PiMOUNT:
ACCNf ~OMPNY ACCOUNT CENTER
'~::; u 1~;'7
1 t i}.
B(~:::;O .... .::::(,.::::000 --
.""f
('~MOUNT DE:::;C:FUPTICIN/FEf~I"IT Dfnr) [in/Cl~
.::::.. 97 ~H.il.*IH:l ::;:.OL.. I D 1.-.i(.(::;TE FEE 60
h: F. C. E I \..If::: D El Y._ . ...(~'_~~>:'kJ:::.1.~.,: .."l(.!.:.:/;~:.:L_ ... ._. .__ ._. ..... ..''''_ .._ _ _. _. __.
~~~~;.:t~il~~~"\~:t~,.'<" ;.(;~,.:~ ,.;;.,:--:_,,:..:r'~:~t-~', ; ,,:~~1f.":"'.. .'i'(~~1-~-;;'_";' '~,~ ,-';'\f" ~~~',~-.'~~'c.':::.;"'t:-i'; \ ;!'::-' .;,",.rJf 7~",
..,...:...~-,"~ If'!,,,,..~',]:' ',< "'-~"'i:~?!,. ,:,~","'~5:.~>f;:,~~~' !';~',~
PASCO COUNTY, FLORIDA
0'\ -
2 +\~~~) .
Permit No. _jQj'2!' Y
K\ Date Pccmittcd
Builder NamelOwner Name .~ ~ ~ ,-< V''i~~
County Parcel No. \ 0 - ""-\.0- ~~' ~ -: 6150 .
Location n_:' _ JJ:& ~Ubd D~\; ~
s -,:=. IL
Classification/Type of Use
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT D
Rate $
.',
/
Zone No.
Sq. Ft./Unit
Prepared By
The above impact fe as been established pursuant to the Pasco County Transportation Impact Ordinance as adopted
by the Board of C nty Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy
or authority to uti I ze the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
No. Units _
\
Gross Sq. Ft. (GSF)
Rate/ERU - 52.00/Year
or $0.142/Day
ERU Assign No.
Assessment - (No. Units) x ($0.142)
x (No. Days)
7:;.C17
Assessment -
(GSF) x (ERU) x (0.142) 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
TRANSPORT A nON REC. NO.
RESOURCE RECOVERY REC. NO. _.? .)~//.(/
DATE
BY
BY ~~
DA TE /...?/~ ~>f'
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/A