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HomeMy WebLinkAbout99-9031 BUILDING PERMIT ./ ~(Lr / If:; 'i!~ '1S.~D ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 1clJ- PLUMBING Permit 09031 :3J MECHANICAL Property Owner: Job Address: Parcell.D. # Zoning: NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE City License Registration # State Certified License# 55 Inspector _ S e ~~ 'l'tO\) l' . ( ~. (}/VVVA..~ Company Valuation or oJ- - I 2 --, Contract Price ~ I} .!J..f) Driveway ~ ELECTRICAL80 Ct~~ Tp. Servo SLB JZ-2Z-~ Rough In z.. 7..-00 jR.. Tub Set 2-7~o(').$.t<. Meter Can Water . Const. Pole 12~ 3d.rpq&J sewer5-?;f<K)@ Pool Final Pre-Meter :6-71'" ot> ~ ~ Final ~~ B~L2.-~-9'1~ F" 12.-9 .~~ ~ Pr~ SLB 12. =? - 4l Lintel FRM. 2.,-1<9 ~<JjO ..8 fl Insul. CL WL Breakers Ducts Insl. 7-?- (J)CJ,g f( Compressor Final , REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a /; charge of Fifteen and 00/1 00 Dollars ($ 25.00 I shall be made for each trip for each tr~ ~ a. Wrong Address WU~ U~~~o/~L5J, b. Condemned work resulting from faulty construction. jJ C. Repairs or corrections not made when inspection called. ) 'J . /' / d. Work not ready for inspection when called. I c.... {A Lf b 00 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. VARI CONSTRUCTION 6345 ASHVILLE DR. SILVER OAKS VILLAGE SQ. FEET PRICE MAIN OR LIVING AREA 1,186 $ 40.00 OTHER AREA UNDER ROOF 301 $ 15.00 OTHER VALUATION $ 51,955.00 FEE SHEET $ 278.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 457.00 CREDIT: $ 45.00 BUILDING LESS CREDIT: $ 412.00 ELECTRICAL: $ 75.60 PLUMBING: $ 60,00 MECHANICAL: $ 35.00 RADON: $ 14.87 TOTAL $ 597.47 SEWER: $ 1 ,278.00 WATER: $ 350.00 TOTAL: $ 1,628.00 3/4" WATER METER:~ $ 180.00 I TIF'S'r 99% $ "10/0 $ TOTAL: $ 2,405.47 I 980058 --- ~ EJ I PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA 7; ~ (It I -.. i i f i I , WATER ACCT. NO. DATE //--029 -99 ~~~iER~ V{;M' ~~6 4 U2.6 MAILING e2.$ //0 ..:5 Ji2 --5- 1ft :# /0 b ~~ FL 33~ SERVlCEADDRESS 3/fS 05/lJ '-11. -<D717 ~ o ~ ~ o SEWER SHUT OFF SERVICE TURN ON SERVICE INSTALL METER o GARBAGE } I , f 1 ! READ METER o o o ~ CHECK METER o OUT CITY ! _ No. OF UNITS OTHER _ DEPOSIT AMOUNT +/' kJ. -4??..dv" _ AMOUNT lAST BILL _ DATE _ MISe. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY Retain white form in offICe at all times. Send pink & yellow forms to Water Service Dept. Water Service Dept, to sign yellow form & return to offICe. r 980058 . ~--...... ~ E] ~ PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS q q '/ / ") ZEPHYRHILLS, FLORIDA / / - 1#1 t.I' ~, ---t \ r I ~ WATER ACCT. NO. DATE IIc29- fJ ~~~iER~ ~ Of177lftJ ~ LP~ MAILING :2~ )IV S R ~-/I ,# /lJ b c51'~ F.L 33S-.f/2 SERII1CEADDRESS ,'4S- a)h;t1!.J~2- ~TER SHUT OFF SERVICE 0 ~ ~ o SEWER TURN ON SERVICE READ METER o o o o GARBAGE ~ INSTAll METER CHECK METER o OUT CITY I _ No. OF UNITS OTHER _ DEPOSIT AMOUNT 4/~~/YY1:Ji _ AMOUNT LAST Bill _ DATE _ MISe. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY v { Retain white form in office at all times. Send pink & yellow fonns to Water Service Dept. Water Service Dept. to sign yellow form & return to office, r;E-i"UF1N Te.: ,t\LrONf:JO, &. , P.O, 130)., ,1, '('>0" C\T'r, i::L08\Di\ 33!526-D',,\"" ST;\Tl~ OF FLORIDA COUNTY OF PASCO PJ'\, ! ili!!t i !u;,dl~ :!j :'1' I' i ~:; il: jll~ -':,19 3it ".:~-nL l""JO'Iff:E t~:~~ 'Ct/lr~/!i\'IEi\;(:fj]V1Ei","r B~};t, 3b~:;() 10/2,=/9':: 'rlr~~. \3nder~;igncd.. as '~)"vncr~ noHncs an pal-ii1.:.s that in~pre\"{~:~ :"~":ts 'viH be rnadc to ~crtahl ~'cal pr.opcrtJ'~ ;llId in ;lcconi:1\E:'~ wHh Section 713.13, Fkrida SlalHlcs, the following infnrmalion is stated ,:n the NDtice of C:O!.nolcn-:.:crnel:l {; J)ESC"~~~p"r!()j\i {)F PHJ)PElrr\': Lot 16, ~ 7., lS~ SH"/e~' ()~~ks \ril~age - Ph~~.s.(~ Onc~ a~;; rC{:Grde~.i in P~~1t Benl{ 35.. 63 67,Pt~hiic. H..ct'ords llr ~;ja;-,;c~J Fi(,rI(\;:. GENERAL DESCRH'TION OF 1;V1PROVi'~ME]\:TS: CJ B I-~GlnC ()\~~.I"r\lEil "\.~~ 1) c.~:'?1rj~J J.l=~H" ~ S f\.Dlj H..r~SS: "/ A.:i{J (~enstru{'tioE Ser";'!!2es~ J He. 1311G S:l54 tr~~}6 I~,~: t ?,~ F~0r!da 3354~) ().';:'\l/r'd~:'~',:~:~,; A~l'['!~!rES'r :1\ 'r[-i~( P!~f)?E~r\'\' ~)~<:.~'~ 'rtr L i\.>:: ;-:() r.:-rH.,.\ {~~r~,"() H.~; /\r~~) (:() Nrl'J{/~ ("'1 '~)1;Z' ~") ..\~'?, ;.~ 1::', ;:~:<'r~: .';//\.:{r .:'."(;lls:ru~.iiDI; S{~~-\'irc~;~ )':~":,.' 23E \0 Sh 5<1, Nu, 1~6 ~"a..!l~E'r\,r Of an:~i) ~~~ul Sln1..E'rY /\Dr.n{ESS: T~f.,.:;",- L!!f:~:~ }'Ii;r~da 335.19 Ai'll', /\h'l () U ['.F ~' (: F I~() ]\:D ~ $ T'U ll}. L: l\I}i)FtESS ()F l~ll::.Nl)E!:C fF .."\r~(~:/~ ;\'L.\I<Cr?~(~/' ,()AT\11\"O!~ (1()NsrrIZlJcrr2c'..,."~ (~)=~' 'r~-iE f i\'~ Fll {) 'JE}/IE.f-~;'T~S: C:onununity I,an(Hl;~i 1kn\k ~,>f Fa,\:.:'o p{}S~ Offil:e Box 639 ZcphyrhiHs, Finrid~i 3?539 1~;;\[\TZ (J;F }~'rCI~:S{')l"J \\'rrlJ~]t;~ '[FEE s'r:\rr;~ (Jr.:' F~"...(j3{tl)j\.~).~!jS;f;f~~t..I\I~D I!"\' O\VI~El~. UPtDN" \"vrEf)T\"1 t.!(}I'l{~r(s ()f{, ~)'r1-II~.R, I)()(:lnVl]~~{rS h'Si\.'"l/ ::rE SI~11'FE~)~ (~ornhnH1aty N a ~,ion~l B~Ptk'.~r ra~;(~o Post (lfflce I~::;x 639 ~J';{)rj(~;} 33539 [L\[ l\r)~)rrr{)l\;~ ()'Y\'T<El{ ~rESl(~N/~/rE,>: 'f.'r!Y~ Ft}~,Jt..(}\,\/!t'J<"; PI':.f~:.sc~r"" 'rtJ I~jtCi~;,\!'i.!: A. r~ ':.~:? l'J 1:..~r:,."7'.r""'n,lC l""l,r'::.";!~i['l1." .i, c\:;':r)'{),""~/-i":~::T;;l~ 1:":..: ~"L"r1'l'if"!,;""..i '7! 1. j'l "F7: ('~'~):r)/... (";:'J;,-\'rilI"Tfi'S,~. " -1'- " , '...I"J " APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED /1- Qi.- 9 ~ - D PLANS REVIEW FEE ~5~- LEGAL DESCRIPTION: LOT(S) SUBDIVISION PARCEL ID # (OBTAIN WORK PROPSED: o ADDITION DALTERATION o REPAIR o INSTALL PROPOSED o MOVE o DEMOLISH DWELLING DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER 8 -[1M1 BUILDING SIZE c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL g II"'')) Il f=t4YY'J 0- lZeSJ t:;l(C>",~ SQUARE FOOTAGE CU/4 ~l HEIGHT DESCRIPTION OF WORK /' RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ "5LJ 000 Loo VALUATION O~TOTAL CONSTRUCTION AMP SERVICE ~ FLORIDA POWER 0 W.R.E.C, o ELECTRICAL o PLUMBING o MECHANICAL $ :2500 , VALUATION OF MECHANCIAL ~THER ~RAME INSTALLATION " o GAS o ROOFING o SPECIALTY /ZODt/~- o STEEL o OTHER TYPE OF CONSTRUCTION: 0 BLOCK FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES ~NO COMPANY \/ Mi. C ~~h\lGi: (D.,.) S~fL- STATE CERT OR REGIST # C c:, - c. 05" 4Z CITY PROCESSING # .s S~ ELECTRICIANa ~ SIGNATURE ~5' - COMPANY C ~ f'_ ~ )f::-C+<a L STATE CERT OR REGIST # t;'R Do J 60 ~3 CITY PROCESSING # ~ So t"./ ************************************~;i********:~*******;~~ PLUMBER COMPANY (I/J12R-r( .\ VjC.~ yfll. I/f/ STATE CERT OR REGIST #,~' . SIGNATURE CITY PROCESSING # J8fr:l _ MECHANI~********~***'***********************~~~;:~**/J*;~~***;h~*~~,:t~r , STATE CERT OR REGI ST # CA-t:::. 05- 7 / / c:? SIGNATUR ~ CITY PROCESSING # ~~- /1; l. ~ f It-'" ***************************************************************** "R COMPANY \l ~t Cu~() \--e.UC.JI W - // ~,.. /J /STATE CERT OR REGIST # G:. - C. 0'5'1. J 72- ~/~ITY PROCESSING # / *********************************************************** ,./' '-'vJ.'u......1....l.. .J..VHtJ U~ .t: !.:J.C\.i"LL.l r\l.: 1.: ..1. l..Jrt V .L.l -A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 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 signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the ~owner" prior to commencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet 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 governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is understood that a drainage plan addressing a ~compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2.500 IN VAL E DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEM~n~ ~G ~.AJ ~~ (~,u (J) STATE OF FLORIDA rt__ rI , [ y ~ (!,b- COUNTY OF L&v UfJ-- The foregoing instrument wasfi')a~owledged c Before me this~da~ of ~~~ 'n11~ by 'F~'-IS ~~QHI..:nr ~ _(P""<~ (name of person acknowledged) UMIU is personally known to me, or Dwho has produced (type of identification) and who[9-dJ:C1 Ddid not ~ke an, oath. OA-~ rJ. ~ Signature of person taking acknowledgement Dwho has produced (type of identification) and who~d ~id not take an oath ~ f) fJ~ Signature of person taking acknowledgment Name Name typed, pri~ fi!rM~ItClN'CC812727 EXPIRES ~;:".....;.1f March 27, 2003 0' lX,"~ BONDED THRIJ TROY FAIN 1NStJRANCf. INC. stfuct\OA serJ\ceS, \nC. fa1l (8\3) 99\-5\28 VARI Construction Services, Inc. 23110 State Road 54 #106 Lutz. Florida 33549 (813) 973-2657 Fax (813) 991-5128 November 30, 1999 City of Zephyrhills Buildin~ Department 5335 8 Street Zephyrhills, Florida Re: Silver Oaks Village City of Zephyrhills Building Department; This letter is to inform you we have changed to Dennis L. Williams Plumbing (License # RF05260 City Processing # 1920) for the following projects: Permit # Address 9029 9030 9031 9032 Lot 16 6341 Ashville Lot 18 6349 Ashville Lot 17 6345 Ashville Lot 26 6425 Ashville Should you need additional information please do not hesitate to call me at 973-2657. Thank you for your assistance with this matter. ~v Franci J Vari III President CG-C059192 '. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB ADDRESS 'J~ ul DATE RECEIVED PLANS REVIEW FEE ~'3) (ipUSt-iklc.-+,o-' ~_ PHONE-.913 :lbS7 'h311 thhV)-~ VfL Jb OWNER'S NAME LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION S ,I vf;LOA/.-S PARCEL ID # WORK PROPSED: ~W CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION DALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C, o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ********************************************************'k********* ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE PLUMBER UO^~j t.uLf2 Q ~ COMPANY STATE CERT OR REGIST CITY PROCESSING # ****************************************************************** SIGNATURE **********~******************************************************* MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** ,-,VJ,-.JJ.J...J...J..VJ,'lI,...} Vi.: L.L.JJ.\J..!.J....L r-\..J.:L.J..Ll.c-'\.V.J...i -A. NGTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 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 signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the ~owner" prior to commencement, E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet 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 governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is understood that a drainage plan addressing a ~compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid Odid not take an oath Dwho has produced (type and whoD did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped I' / / ~, . , ,," i' " '.' L' .~ :1' ,., I ~ , ! j' j " .n .'._,"., J~:: ; ! SllverOm Villa e PERMITTING APPROVAL FORM FOR SILVER OAKS VILLAGE CITY OF ZEPHYRHILLS BUILDING DEPARTMENT To Whom it May Concern: Please be advised that the full set of Construction Plans including the site plan has been submitted and approved by the Architectural Review Committee for: J~~, ~~. ,f/3- 973-~~-s- 7 BUILDER NAME ) PHONE d31/0 Sre8,j~/Dfo 9, ~. 3'3sy9 BUILDER ADDRESS . , /7 LOT # . ~.' , ~)t, ADDRESSOFPROPERT 1/-j'r99 DATE SUBMITTED I(-g-~r DATE APPROVED ~'-~ APPROVED : P.O, Box 1536 Zephyrhills, Fl 33539 Tel: 813-788-6257 Fax: 813-782-3321 E-mail: silvoaks@tingley.net SITe: 0 rLA~ LOI '1, ElI:>eH"-Nr ~ 6.~ I 5' I' ,5 " House Foo-r ~, AJ7' 10' " vII I... I 'T'I 1?1'\~ M t" I'J T W I '0 - Ser4. rJ~~ I o $c.A l- ~ \ ". 2.0' 10 - FORM 600A-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A SilverOaks Village Lot 17 Plan B t,31/5 f7.91J1~der: Vari Homes~ Lot: 17, Sub: SOV Ph I, Plat: PB 1 Page 55 Permitting Office: c!/Tl( OF ZE?1I'IL/lILU' Zephyrhills, FI Permit Number: (jt),g/~ Vari Construction Services Jurisdiction Number: ~ / / ~ 0 0 Central Project Name: Address: City, State: Owner: Climate Zone: I. New construction or existing 2, Single family or multi-family 3. Number of units, if multi-family 4, Number of Bedrooms 5, Is this a worst case? 6. Conditioned floor area (ft>) 7, Glass area & type a. Clear - single pane b, Clear - double pane c, Tint/other SC/SHGC - single pane d, Tint/other SC/SHGC - double pane 8, Floor types a, Slab-On-Grade Edge Insulation b, N/A c. N/A 9, Wall types a. Frame, Wood, Exterior b, Frame, Wood, Adjacent c. N/A d, N/A e, N/A 10. Ceiling types a. Under Attic b, N/A c. N/A I I. Ducts a. Sup: Vnc. Ret: Unc, AH: Attic b, N/A New Single family I 3 Yes II 86 ft2 563.1 ft2 0.0 ft2 0,0 ft2 0.0 ft2 R=O.O, 175.2(p) ft R=II.O, 1450.0 ft2 R=I 1.0,287,0 ft2 R=30.0, 1186.0 ft2 Sup, R=6,0, 125,0 ft , --_._-~ 12, Cooling systems a. Central Unit Cap: 24,0 kBtu/hr SEER: JO.OO, Vnducted b. N/A c, N/A 13, Heating systems a, Electric Heat Pump Cap: 24.0 kBtu/hr HSPF: 7,00, Vnducted b, N/A c, N/A 14, Hot water systems a. Electric Resistance Cap: 40.0 gallons EF: 0,90 b. N/A c, Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15, HVAC credits (CF-Ceiling fan, CV-Cross ventilation, HF-Whole house fan, PT -Programmable Thermostat, RB-Attic radiant barrier, MZ-C-Multizone cooling, MZ-H-Multizone heating) CF, l__~,_,______. ___.___'__,____ ____, ___ [_GI_aSS_-~_lo_o_r Ar_ea:. 0_.47_ __ T_ota_l_a_S-'built points: 42568.00- " _ _~otal base points: 54266.00 - ---------------------. --_.._-_..~--- I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code, i PREPARED~: DATE: I~ s/49 , Francis J Vari I __J PASS 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 with Section 553.908 Florida Statutes. I hereby certify that this building, as designed, is in .comPlian~ I OWNERI T" -Jo lD~~~:_________ __________ EnergyGauge@ (Version: FLRCNA-200) FORM 600A-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot: 17, Sub: SOV Ph I, Plat: PB 1 Page 55, Zephyrhills, FI, PERMIT #: BASE AS-BUlL T GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 1186.0 42.08 8982.7 Single, Clear E 5,0 8.3 391.3 59,31 0.67 15636.8 Single, Clear E 1,5 7.3 32.4 59.31 0,95 1815.8 Single, Clear S 1.5 7.3 46,5 44,66 0.91 1888,2 Single, Clear S 1.5 5,3 7,1 44.66 0,84 263.9 Single, Clear W 1.5 7.3 16,2 53.47 0,94 818,0 Single, Clear N 1.5 5.3 14.1 27,96 0.92 364.9 Single, Clear N 1.5 7,3 32.4 27.96 0.96 867.9 Single, Clear N 1.5 7,3 23.2 27.96 0.96 623.1 As-Built Total: 563.1 22278.4 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adajcent 287.0 0.7 200,9 Frame, Wood, Exterior 11.0 1450.0 1.90 2755.0 Exterior 1450.0 1.90 2755.0 Frame, Wood, Adjacent 11.0 287,0 0,70 200.9 Base Total: 1737.0 2955.9 As-Built Total: 1737.0 2955.9 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 2560,0 1.60 4096.0 Exterior Insulated 2880,0 4,80 13824.0 Exterior 2880.0 4.80 13824,0 Adjacent Insulated 2560,0 1,60 4096.0 Base Total: 5440.0 17920.0 As-Built Total: 5440.0 17920.0 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Under Attic 1186.0 0.60 711,6 Under Attic 30.0 1186.0 0,60 711.6 Base Total: 1186.0 711.6 As-Built Total: 1186.0 711.6 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 175.2(p) -31.8 -5570.3 Slab-On-Grade Edge Insulation 0,0 175,2{p) -31 .90 -5587.8 Raised 0,0 0,00 0,0 Base Total: -5570.3 As-Built Total: -5587.8 INFILTRATION Area X BSPM = Points Area X SPM = Points 1186.0 14.31 16971.7 1186,0 14,31 16971,7 EnergyGauge@ DCA Form 600A-97 EnergyGauge@/FlaRES'97 FLRCNA-200 FORM 600A-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot: 17, Sub: SOY Ph I, Plat: PB 1 Page 55, Zephyrhills, FI, PERMIT #: BASE AS-BUlL T Summer Base Points: 41971.6 Summer As-Built Points: 55249.8 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 55249.8 1,000 1,000 0.341 0.950 17898,2 41971.6 0.3577 15013.2 55249.8 1.00 1.000 0.341 0.950 17898.2 EnergyGauge ™ DCA Form 600A-97 EnergyGauge@/FlaRES'97 FLRCNA-200 FORM 600A-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot: 17, Sub: SOV Ph I, Plat: PB 1 Page 55, Zephyrhills, FI, PERMIT #: BASE AS-BUlL T GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Points .18 1186.0 4.79 1022.5 Single, Clear E 5,0 8.3 391.3 9.96 1.08 4223.2 Single, Clear E 1.5 7.3 32.4 9,96 1.01 326,7 Single, Clear S 1.5 7,3 46,5 7,73 1.03 368.8 Single, Clear S 1.5 5,3 7,1 7.73 1,08 58.7 Single, Clear W 1,5 7.3 16.2 10.74 1.01 175.0 Single, Clear N 1.5 5.3 14.1 12.32 1.00 173.4 Single, Clear N 1.5 7.3 32.4 12.32 1,00 397.8 Single, Clear N 1.5 7.3 23,2 12.32 1.00 285,6 As-Built Total: 563.1 6009.2 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 287.0 1,8 516,6 Frame, Wood, Exterior 11,0 1450,0 2,00 2900.0 Exterior 1450.0 2,00 2900,0 Frame, Wood, Adjacent 11,0 287,0 1,80 516.6 Base Total: 1737.0 3416.6 As-Built Total: 1737.0 3416.6 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 2560.0 4.00 10240.0 Exterior Insulated 2880,0 5,10 14688.0 Exterior 2880,0 5,10 14688.0 Adjacent Insulated 2560.0 4,00 10240,0 Base Total: 5440.0 24928.0 As-Built Total: 5440.0 24928.0 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Under Attic 1186.0 0.60 711.6 Under Attic 30,0 1186,0 0,60 711,6 Base Total: 1186.0 711.6 As-Built Total: 1186.0 711.6 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 175.2(p) -1,9 -332.8 Slab-On-Grade Edge Insulation 0.0 175,2(p) 2.50 437.9 Raised 0.0 0.00 0,0 Base Total: -332.8 As-Built Total: 437.9 INFILTRATION Area X BWPM = Points Area X WPM = Points 1186,0 -0.28 -332.1 1186,0 -0.28 -332.1 EnergyGauge@ DCA Form 600A-97 EnergyGauge@/FlaRES'97 FLRCNA-200 FORM 600A-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot: 17, Sub: SOV Ph I, Plat: PB 1 Page 55, Zephyrhills, FI, PERMIT #: BASE AS-BUlL T Winter Base Points: 29413.8 Winter As-Built Points: 35171.2 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 35171.2 1.000 1.000 0,488 1. 000 17148.5 29413.8 1.0730 31561.0 35171.2 1.00 1.000 0.488 1.000 17148.5 EnergyGauge TM DCA Form 600A-97 EnergyGauge@/FlaRES'97 FLRCNA-200 FORM 600A-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: Lot: 17, Sub: SOV Ph I, Plat: PB 1 Page 55, Zephyrhills, FI, PERMIT #: BASE AS-BUlL T WATER HEATING . Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 3 2564.00 7692.0 40.0 0,90 3 1.00 2507,02 1.00 7521,1 As-Built Total: 7521.1 CODE COMPLIANCE STATUS BASE AS-BUlL T Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 15013.2 31561.0 7692.0 54266.2 17898.2 17148.5 7521.1 42567.7 I PASS I EnergyGauge™ DCA Form 600A-97 EnergyGauge@/FlaRES'97 FLRCNA-200 FORM 600A-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: Lot: 17, Sub: SOV Ph I, Plat: PB 1 Page 55, Zephyrhills, FI, 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST PERMIT #: COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE n ~'H CHECK Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm/sq.ft. window area; .5 cfm/sqJt. door area. ---------- Exterior & Adjacent Walls 606.1.ABC,1 ,2,1 Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall; I foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility I penetrations; between wall panels & top/bottom plates; between walls and floor. , EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends -------._, ._- from, and is sealed to, the foundation to the top plate. ~._.__._._~.__.- --- Floors Penetrations/openings >1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and seams. ."----.-------- - --- -------- -"-'- Ceilings 606,1 ,ABC.1 ,2,3 Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate; , I I attic access, EXCEPTION: Frame ceilings where a continuous infiltration barrier is i installed that i_~ sealed at the perimeter, at penetrations and seams. 1------------- ----- e---- -.------ ---------,--- ------- Recessed Lighting Fixtures 606, 1.ABC, 1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non-IC rated, installed inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2,0 cfm from - conditioned space tested, - 0'_____----------- _._..__________.._~________ _ Multi-storv Houses 606.1 ABC.,.2.5-1r ,,,rio'," "",;mete"ffloo, ",,;ty be!wee" ~oo""_____ _ __ __ _ _ . Additional Infiltration reqts 606.1.ABC.1.3, " Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, _ _m. J , _ ,have combustion air. _ ___ " _ _, _ " 6A-22 OTHER PRESCRIPTIVE MEASURES must be met or exceeded b all residences. COMPONENTS SECTION Water Heaters 612.1 Swimming Pools & Spas 612.1 Shower heads Air Distribution Systems .2.Rt_ 1610,1 I HVAC Controls Insulation - - -- ri: --- -- 607.1 604,1, 602,1 EnergyGauge™ DCA Form 600A-97 REQUIREMENTS lCHECK - - -- - - - --- -- - - - - -- -- Comply with efficiency requirements in Table 6-12, Switch or clearly marked circuit breaker electric or cutoff as must be rovided, External or built-in heat trap required, _ Spas & heated pools must have covers (except solar heated), Non-commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78"1<>.. _ _u_ -'N.~er flQ.'iV rTlust be J!l~dcted tClI1<LrTlor.e thl!fl.. 2~Lons per r:!linute atll.Q..pSJ.<L All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min. insulation. _ ___ r:separate readily accessible manual or automatic thermostat for each system, Ceilings-Min, R-19. Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling & floors R-11. EnergyGauge@/FlaRES'97 FLRCNA-200 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 60.7 The higher the score, the more efficient the home. Vari Construction Services, Lot: 17, Sub: SOY Ph I, Plat: PB 1 Page 55, Zephyrhills, FI, I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant tures. I, New construction or existing 2. Single family or multi-family 3. Number of units, if multi-family 4, Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (fF) 7, Glass area & type a. Clear - single pane b, Clear - double pane c, Tint/other SC/SHGC - single pane d. Tint/other SC/SHGC - double pane 8. Floor types a, Slab-On-Grade Edge Insulation b. N/A c. N/A 9. Wall types a. Frame, Wood, Exterior b, Frame, Wood, Adjacent c. N/A d, N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A II, Ducts a. Sup: Unc, Ret: Unc, AH: Attic b, N/A Builder Signa Address of New Home: New Single family I 3 Yes 1186 IF 563.1 fF 0,0 IF 0,0 ft2 0,0 ft2 R=O.O, 175.2(p) ft R=I LO, 1450.0 ft2 R=I LO, 287,0 ft2 R=30.0, 1186.0 ft2 Sup, R=6.0, 125.0 ft 12, Cooling systems a. Central Unit Cap: 24,0 kBtu/hr SEER: 10,00, Unducted b, N/A c. N/A 13. Heating systems a, Electric Heat Pump Cap: 24,0 kBtu/hr HSPF: 7.00, Unducted b, N/A c. N/A 14. Hot water systems a. Electric Resistance Cap: 40.0 gallons EF: 0.90 b. N/A c, Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15. HVAC credits (CF-Ceiling fan, CV-Cross ventilation, HF-Whole house fan, PT-Programmable Thermostat, RB-Attic radiant barrier, MZ-C-Multizone cooling, MZ-H-Multizone heating) CF, Date: /1 rf /. City/FL Zip: *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating If your score is 80 or greater (or 86for a US EPA/DOE EnergyStar™designationj, your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating Contact the Energy Gauge Hotline at 407/638-1492 or see the Energy Gauge web site at www.ftec.ucfedufor information and a list of certified Raters, For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824, EnergyGauge@ (Version: FLRCNA-200) BUILDING INPUT SUMMARY REPORT Title: SilverOaks Village Lot 17 Plan B Family Type: Single Address Type: ~ Owner: Vari Construction Services New/Existi ng: New Lot#: 0 # of Units: 1 Bedrooms: 3 Subdivision: W .., Builder Name: Vari Homes Conditioned Area: 1186 Platbook: 0 Climate: Central Total Stories: 1 Street: 0:::: Q" Permit Office: (blank) Worst Case: Yes County: Jurisdiction #: (blank) Rotate Angle: 0 City, St, Zip: CI) # 0::::1 o o ...J U. ~ z :J ~ CI) 3: o o z i o ~ :E Floor Type ------ ------ --- ~---_._-,- Slab-an-Grade Edge Insulation 0.0 R-Val Area/Perimeter Units 175.2(p) ft # Ceiling Type _._----"-------- 1 Under Allic R-Val Area Base Area Units --------,- ,----- ,----- ----- 30.0 1186.0 ft. 1186.0 ft2 1 # Wall Type CI) 1 Frame - Wood ...J 2 Frame - Wood ...J ~ # Panes Tint 1 Single Clear 2 Single Clear 3 Single Clear 4 Single Clear 5 Single Clear 6 Single Clear 7 Single Clear 8 Single Clear Location R-Val Area Units Exterior Adjacent 11.0 1450.0 ft. 1 11.0 287,0 ft. 1 Ornt Area OH Length OH Hght Uni N 195.6 ft2 5.0 ft O,Oft 2 N 16.2 ft. 0.0 ft 0.0 ft 2 E 23.2 ft. 0.0 ft 0,0 ft 2 E 7.1 ft2 O.Oft O,Oft 1 S 16.2 ft. O.Oft O.Oft 1 W 7.1 ft2 O.Oft 0.0 ft 2 W 16,2 ft. 0.0 ft 0,0 ft 2 W 23.2 ft. 0.0 ft O.Oft 1 Rater Name: Rater Certification #: Area Under Fluorescent: Area Under Incandescent: Joe Rater 000000 0.0 0,0 Class #: 3 Duct Leakage Type: N/A Visible Duct Disconnects: N/A Leak Free Duct System Proposed: No HRVlERV System Present?: --- CI) l~_ 0:::: ' 1 o 2 o C Door Type Orientation Area 'InsulatE!Ci---- ,- -Exterior-------28S00 ft.- Insulated Adjacent 2560.0 ft2 Units ----- 1 1 Lot Information 17 SOY Ph I PB 1 Page 55 N/A Pasco Zephyrhills, FI, ,n # System Type Efficiency Capacity - -------------- '-~-----,-- Z 1 Central Unit, Unducted SEER: 10.00 24,0 kBtu/hr ...J o o o -- ---- Credit Multipliers: Ceil Fn # System Type ~ 1 Electric Heat Pump, Unducted i= ct W :I: r- - ---- - Credit Multipliers: None CI) # ~ ,- 01 :J' 0' Supply Return Location Location ----"-..---.,-.----- Uncond. Uncond. Air Handler Location Allic Efficiency COP: 7,00 Capacity 24.0 kBtu/hr - ---- Supply R-\7al 6.0 Supply Length 125,0 ft - 0:::: # System Type EF Cap. Conservation Type Con. EF --~-'----~--------~----- W 1 Electric Resistance 0.90 40.0 None 0.00 ~ ~ # ~1 u. w 0:::: Use Default? N/A Annual Operating Cost Electric Rate ---- -- - ---- ,- N/A Yes EnergyGauge@ (Version: FLRCNA-200) Pool Size: 0 Pump Size: 0.00 hp Dryer Type: Electric Stove Type: Electric Avg Ceil Hgt: Summary Energy Code Results Residential Whole Building Performance Method A Vari Construction Services Project Title: SilverOaks Village Lot 17 Plan B Class 3 Rating Registration No, 0 Climate: Central Zephyrhills, FI Building Loads Base As-Built Summer: 41972 points Summer: 55250 points Winter: 29414 poi nts Winter: 35171 points Hot Water: 6769 poi nts Hot Water: 6769 points Total: 78154 points Total: 97190 points 11/5/99 Energy Use Base As-Built Cooling: 15013 points Cooling: 17898 points Heating: 31561 points Heating: 17148 points Hot Water: 7692 points Hot Water: 7521 points Total: 54266 points Total: 42568 points PASS e-Ratio: 0.78 EnergyGauge@(Version: FLRCNA-200) ~\. \f) BTL ENGINEERING SERVICES, INC. Post Office Box 15718 Tampa, Florida 33684 Hillsborough 813-884-0755 Pinellas 727-733-9347 Pasco 727-846-1703 Density Tests for House Pads Report No.: 4639-99-4245 Perfonned by: H. Prescott Project Name: 6345 Ashville Drive, Lot 17 Date Tested: 12/23/99 Zephyrhills, FI Contractor: Client: Vari Construction Report Date: 12/28/99 Area Tested: House Pad Test Field Max. % % Max % Pass/ No. Location Depth Soil Type Density Density Moist. Density Req'd Fail (13) (15) (4) 1 Approximate Center Final Br Or CI FS 105.4 110.8 12.2 95.1 95 Pass 2 20' N of South Corner Final BrOrCI FS 105.7 110,8 11.1 95.4 95 Pass 3 10' E of West end Final Br Or CI FS 104,8 110,8 11.6 94.6 95 Pass Respectfully Submitted, BTL Engineering Services,lnc. , /' \ I ,~ c:'------.. ~_ ~j l.-'-~ co,.. -J=- ~---.., Lance Hungerford I Florida Registration No. 54162 Notes: 1. SG = Subgrade (base level upon which fill or structure will be placed) 2, Positive Number = Depth of fill in feet 3, Negative Number = Depth of cut in feet 4. Density values from 94.5 to 94.9% are rounded upward to 95.0%. 5, Gr = Gray 6. Br = Brown 7. Gn = Green 8. Or = Orange 9. Blk = Black 10, Si = Silt 11. S = Sand 12, C = Clay 13. Compaction testing by nuclear methods for density and moisture in conformance with ASTM 02922 & ASTM 03017 14, Compaction testing by drive cylinder method for density and "Speedy" moisture meter in conformance with ASTM 02937 & ASTM 04944 15. Maximum density determined in accordance with ASTM 01557, CC: Vari Construction (2) " CENTRAL PERMITTING PASCO COUNTY, FLORIDA DATE: 04/06/00 TIME: 11:01 PAGE: 1 OF 1 ISSUE OFFICE: L RECEIPT NUMBR: 00444831 OFFICE: LAND 0 LAKES CONTRACTOR #: 010313 NAME: FRANCIS J ADDR: 25209 BUNTING C/ST: LAND O~LAKES VAR I, I I I CIRCLE FL 34639 FOR: RESOURCE FEE CHECK # 3616 PERMIT 9031 FOR CYT OF ZEPHERHILLS .)1-1- CONTRACTOR: 010313 03-26-21-0200-00000-01~0 TOTAL AMOUNT: 39.96 ACCNT COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/PERMT DATA DRICR 114 B450 - 363000 - 2 39.96 ****** SOLID WASTE FEE 60 RECEIVED By~_____=_hL~~ ..... PASCO COUNTY, FLORIDA - ~\L\ @ , ~ -+\ ~~. . X fmot No .;7 ~~)~_,~~' Date p"~';tled. Builder Name/Owner Name t~../ a ~?-'j~, c!i(LK?.>S County Parcel No. 0,2"':L6 - 2/-0c2~- C;!JOCi:Y Z)/7lJ , Address/Location 6.3 ?' S /J ClassificationfTypeofUse 0< 90('31 //r~9-99 I How Determined Subd. . TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Rate $ ~~--- Zone No, Sq, Ft/Unit Prepared By Impact Fee Amount $ Checked By The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of Pasco County Commissioners. This amount is payable PRIOR to the issuance of a Celtificate of Occupancy or utilization of the permitted structure. RESOURCE RECOVERY ASSESSMENT EXEMPT 0 No. Units I I NONRESIDENTIAL RESIDENTIAL Gross Sq. Ft. (GSF) RdlC ERt' 52 OO/Yedr nr SO.I.+2IDd\ ERU Assign No. ASSL'ssTllCnl- (!\<o Units) x ($0.1'+2) \ (No. Dd}s) Assessment - (GSF) x (ERU) x (0.1'+2) x (No. Days) 100 TOTAL FEE $ TOT AL FEE $ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY, Acknowiedgement below does not imply acceptance of concurrence. hut simply receipt of a copy of this form. placing the huildmg permit owner on notice of this assessment and the conditions of payment for same. Date Received B) OFFICE L'SE ONLY TRANSPORTATION REC. NO. RESOURCE RECOVERY REC. NO, DATE DATE BY BY White Applicant Canary Trans/Finance Canary RR/Flnance Pink Office Green Bldg/lnsp teecal'ce PC93113094/D