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Home My WebLink About00-9427 BUILDING PERMIT L/ 51 - rt r/i{g. CITY OF ZEPHYRHILLS (813) 788.6611 Permit 09427 Date 'I,!Lb -Vi) - - :j'V MECHANICAL Sewer Conn t ~ /l% - w"., Conn' ~- Water Meter: 1~t2- T,I.F.'s: }.fA BUILDING ELECTRICAL (q1) PLUMBING ~opertvown.'~1i '!J1i4~C}i-c2>. ~. Job Address: &:. [) ,- ~. Parcel 1.0. # o.1J-.U:1-~/-~~OO-- tJOLoo- f)OtJO Zoning: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector " Valuation or r/.;:2 il;:- - Contract Price ..J. ~ :J 7 J :\ City License Registration # J 0 9 State Certified License# (? r:;::. f7D ~ ttRn LL I'. .. Company Address ~lepho;~1:) 78~r- ~7>'" tin 1!t:mik41. . PLUMBING ~~ SLB .:)-/6 -(!JO~ Tub Set ~y.30-0()~ Water 'J -22~<!)()~ Sewer <;;-<.2-00 ~ Final 5' h. J 10 I .~ BUILDING Ftr. ,,/ '-l/'t l-J 100 S K pre~ ~ Lintel FRM. '~..?o~oo .3 e ,Insul. CL WL J~ //t --& d l?<- ELECTRICAL Tp. Serv. Rough In 7/jq;.()t1 ~IZ Meter Can Const. Pole Pool Pre-Meter /2-7__1!)1J 5/l... Final Breakers Ducts Insl. 6 ~,3tJ-()tJ~ Compressor Final S; (I.. 'l101 Sf< Driveway 9'-2.'7-0;'..5' IL (bow 6~ l/~~/(JC Sf ~ b-2t-4J ~R- REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.00) shall be made for each trip for each trade: ~ ~ I a. Wrong Address ;r~ e..- ~~.. ~ t.f'5~ b. Condemned work resulting from faulty construction. r -. c. Repairs or corrections not made when inspection called. Pcf d. Work not ready for inspection when called. , C J e. Permit not p~ste~ on job site. I!t t,Pf 0 I 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. structural Engineering ~eI A Robil8on, P .E. 921 Shadow Drive Qite 3 Lakeland, Florida 33809 Zephyrhills Building Department Zephyrhills, Florida June 1, 2000 SUBJECT: Nantucket Model for Gold Medallion 6208 Abbott Station Drive Permit #9427 Zephyrhills, Florida This letter is to certify that wall construction to consist of 2x4's @ 16" with (2)-8d toe nails to top & bottom plates. Wall sheathing to be fastened to 2x4 verticals, 2x4 blocking, & 2x4 top & bottom plates. Fastening to consist of 8d common nails @ 6" edge & 12" @ intermediate supports. This design conforms with 1997 Standard Building Code Section 1606 100 mph wind loading. If further information is required, please contact me. ~,h ~l~o , P.E. ~~~eer-Of-Record Florida Reg. No. 28317 05/19/2000 03:24 8137823321 SILVEROAKS PAGE 01 IFAX I".,. 05119/00 I Number of pege'lnoIudIng CO\IW Iheet 2 TO: Squire FROM: Lance Smith Gold Med.llion Homes, Inc. P.O.8x 1536 Zephyrhllls, FL 33539 Phone Fe Phone Phon. F.x Phon. 813.788-6257 8136782-3321 I Cc: REMARKS: o U'gent l8J For your review 0 Reply ASAP 0 PIe_. Comment Following is the compaction results for lot #1 block "l", The .Iab is set to be poured on Tuesdsy morning. Thanks, t~~ () o,v:f/ ~ 05/19/2000 03:24 8137823321 SILVEROAKS PAGE 02 ~ r~ .1'(f1CENTAGE OFrllPACTION ItEPORT n~.\-1.A~~/;na g tnVlronme~'J( m~, ....... P.O, BOX 5t03Lak.l.ncs, florlda 33801e Telephon. (863)648-1000 e hit (813)648-'799 PrOJec\. I\t)bolt Stcllion House pad Lot 6208 Date', Lab NO. ' 518,00 5D Clienl' (joltl \led21l1ion Homes PO t30x 1536 Zephvrllills FL 33539 Job No,: 00.4762 Technician, Jim COIwactC1r Gold 'VledalhQn Homes Weather' Clear /\ST:\l ' o '.!~"~~ ~/ 1:-. PLACE FJELD DENSITIES D^ TE MADE; [.. 16-00 T I H " I C In,Sifu In.PI" L,)n compaclion C ~I Mol5lure Dr) Me", Pt"rcenl K E Test I.ocation Of TeSI Percent De~ll}' DenSII} !'II S '\lo, Pad FlU PCF p(:r: ,\neine<1 Rcqulfcd E ~ S - 6208 l\hbOlt Slation Drive 1 ~w (;(')11 )l>f 32 119,8 117,2 100 9S 12 2 C~nl~1 4,1 118,4 1172 100 95 I:i! 3 S,E C,1rI1<::"J 4,0 118.8 117,2 100 95 12 n,l': p,,,,{"cnl(l~t. Of ((,lJ'f<l;:lon fur lh<.: lo,pli:lCe den,;ly te51S arc I:>n$t:<l on laOOrloltOT)/ MOISlure ()(':n'f,1111 Relcl"on~ ie~l~ '\s 1-~11~'.V~ LI"A ",'~ .. f' MAXIMUM URV O6NSITY: 117.2 pef (lP11M\lM MOIST\JHE <:ONTP-"':T: t/,7 ~ REPORT DIS1'RIRl 'TIn,,' 2 -,\cll1u.;~';("('" BY' sonny GLllatl. P E . R ~p ^ , C.FEA OWNER'S APPLICATION FOR PERMIT (:'t (J', CITY 01' ZEPRYRHILLSi/t-{OJ /, cfl"':2 yOU , BUILDING DEPARTMENT "~~ATE Rl!:CEIVED . r//l- PLANS REVIn I'D 4 , PHONE ~' . Bb --6) >--7 / LEGAL DESCRIPTION: LOT (5) ~ll..,f!liit{ l- BLOCK SUBDIVISION S~)ver" CrJc"I 'I/~,~ PARCEL ID # ()?"',%~:Jl - 0;;00 -- a{J!(V'- C;()C...y.J (OBTAIN FROM PROPERTY TAX NOTICE\ WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL OSIGN 0 MOVE 0 DEMOLISH PROPOSED USE'~GL FAMILY COMMERCIAL DWELLING OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK , c;/~.,",* /i:,-", ~/ ;It,,^< ./ to){ ~ ?i SQUARE FOOTAGE Ilou:fr -#-/ BUILDING SIZE /'-frf HEIGHT RESIDENTIAL: ATTACH (2) PLOT COMMERCIAL: ATTACH (3) SETS PROPERTY SURVEY PERMITS REQUESTED ~ BUILDING $ (/ (J I l/f)'C' VALUATION OF I ~ ELECTRICAL .;;'0 D AMP SERVICE ~ FLORIDA POWER 0 W.R.E.C. PLUMBING ~ MECHANICAL $ N/ff VALUATION OF MECHANCIAL INSTALLATION / o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO SIGNATURE _~1y dr> COMPANY Q! u/."- STATE CERT OR REGIST # 0 CITY PROCESSING # / () I- V"/ BUILDER /1 (/ ELECTRICIAN ~'A'vLL -' U < c---lV 5' z;t;/ SIGNATURE / ~ / / ****t;************************************************************ 4;/ ft#kllf SP-~v~C~ !/vL-TjOJi",", PLUMBER /,/ ~ COMPANY , ...- A' STATE CERT OR REGIST # SIGNATUR~ /' (';:'11~7 )' l: -, , CITY PROCESSING # .~ R0 1:,,/ ****************************************************************** / r. ,~ r (j) ,J c Ie- t> '(;t ,~. e- COMPANY v STATE CERT OR REGIST # C --(i ,) 8 '2.- CITY PROCESSING # ~ ,~ ~~, t~ , ' \---"'< * * * *, * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * t: * * * * * * * * * *!::'" * * * * * , COMPANY C:'/t/ /L.-- V' l~ ,Q STATE CERT OR REGIST #_trJ1 (,iliff-'ll? ' , ~1' .:;, I!", CITY PROCESSING # ;:L(> ,? "- /' MECHANICAL SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT 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 ~ay 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 Areast Altering Watercourses *Arrny 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". ~._ C<~~:-J SIGNATURE: C TRA~TOR STATE OF FLORIDA n A./' . .II' COUNTY OF r FT~ Lv The foregoing instMument wa~cknOWledged Before me this ~ day of ~JI.'lI~ ' ~.g(){)1) by 1- A-N~.G S.f ' ~ (name of person acknowledged) tfwho is personally known to me, or STATE OF FLORIDA f) COUNTY OF ~'.jf.sW The foregoing ins~~,vm ent waLJs acknowledge~ Before me this ~~~ay of ~~2AIUA.e1, ,~~ by J..-A-NC-E _In I fob (name of person acknowledged) ~o is personally known to me, or o who has produced (type of identification) a~ who Odid lB'l']d not take an oath )r1,wJ-0f} , /LurteR- Signature of person taking acknowledgment o who has produced ~ (type of identification) ~,~hOO,did M'did not take an oath. ~lla-Lnl . lJ )(l,J- Signature of person taking acknowledgement a_ Dana M. Ward ::. . .~ IftV CO~Il' CC821-419 OO!R[S Name , " .~:lpr.1.nte~~, 2UlHamped '/;'{;i( :.;-:.~o BOND€D THRU TROY FAIN INSURANCE. INC .. ,~~'fU"'" Dana M Ward Name t~ilir~B~~'~~~~~(~~~~~::~E '1'><1'-' I 111111 Iml IIIl1 11111 1111111111 1111111111111111111I1111 1111 20000!l0080 Rc:pt.: 408279 DS: 0.00 04/24/00 (100- 00-356) RECORD & RETURN TO: ALL REALTY TITLE COMPANY 19209 Highway 141, North R Lutz, Flroida 33549,~ ,Q r This instrument was prepared by ~ Kim Watterson First South Bank 1410 Piedmont Drive East Tallahassee. Florida 32312 Rec: 6.00 IT: 0.1/10 Dpty Cl.~k JED PITTnAHiII P~SCO fOUNTY CLERk 04/24/00 1 : l!lam of 1 OR Bk 4353 PG 156 No. t53 - ,;J.ro . JJ - oXO 00 LOO - ZXXX:) Permit No. Tax I.D, STATB or PLORIDA COOHTY or RILLSBOROUGR NOTICB 01' ~ THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property located in Paaco Couuty, Florida and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of property to be improved: (Legal description of property and street address if available) A Portion of Block -Ln, SILVER OAXS VILLAGB- PHASB OHB, aa recor4ed in Plat Book 35, pagea 63 through 67, of tha Public Records of Paaco County, rlorida. being further described aa follows: Bagiu at the Southwest corner of said Block -Ln, thence North 15 degrees 58'53ft Bast along the West boundary thereof, a distance of 40.00 feet, thauce South 74 degrees 01'07" Bast,a distance of 105.00 feet to the Bast Boundary of said Block "L", thence South 15 degrees 58'53" West, a distance of 42.45 feat to the Southeast corner of said Block -Ln, thence Westarly, 24.70 feet, aloug the arc of a curve concava to tha south (said curve having a radius of 124.00 feet, dalta angla of 11 degrees 24'41" and a chord baaring and distance of North 68 degrees lB'47" West 24.66 feat), thance North 74 degrees 01'07ft West a distance of BO.47 to the Point of Beginning. 2. A general description of the improvement is as follows: Single family dwelling. 3. Owner information: a, Name and Address: Gold Medallion Romes, Inc., 19909 U.S. Highway 41 North, Lut., Florida 33549 b. Interest in Property: Fee Simple c. Name and Address of Fee Simple Titleholder: (if other than owner) 4. Contractor: (Name and Address) Gold Medallion Homes, Iuc., 19909 U.S. Highway 41 North, Luts, rlorida 33549 5 . Surety: a. Name and Address: N/A b. Amount of Bond: N/A 6. Lender: (Name and Address) First South BaDk, 6250 B. State Road 70, Bradenton, Plorida 34203-9739 7. Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) , Florida Statutes: (Name and Address) Jack D. Courson, Jr., First South BaDk, 6250 Z. State Road 70, Bradenton, rlorida 34203-9739 9. In addition to himself. owner designates the following person (s) to receive a copy of Lienor'S Notice as provided in Section 713.13(1) (b), Florida Statutes: (Name and Address) Jack D. Courson, Jr., Pirst South Bank, 6250 B. State Road 70, Bradenton, Florida 34203-9739 10, Expiration date of notice of commencement: April 13, 2001. By: this 13th day of April, 2000, by Robert A,. Kelly, H~~ Inc., a Florida corporation, ~ ~\~ as identification. 1:y Comm~DaIID - NOIary POOIIc:. SIaIe 01 Roticla My Cornm. Elq:l/res 06c. 16, 2001 . No. CC 703221 Florida NcIlaIy SaMce & lIon,.n; ('AI ---......_' <cO OU -CJ) a:e:( OQ.. -' u.u. u..0 0>- WI-- I--Z e:(:::> 1--0 CJ)U :x: cr: l.U -' C,;l ~ => /80 ~"~ 2,448.94 I T /7'~ ,v. (7 _ 1..1. ~~. ~-_. ;?'11~D -- :2, ;o3.L e.b ,\ IFIE- I\lAN kJU.6..T Ir 02.-0'~ f\l3>\~"~'\'{- ":>'rf\'1\"'~ GOLD MEDALUON HOMES, INC. ABBOTT STATION DR. SQ. FEET PRICE MAIN OR LIVING AREA 1,155 $ 40.00 OTHER AREA UNDER ROOF 343 $ 15.00 OTHER VALUATION $ 51,345.00 FEE SHEEl $ 278.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 457.00 CREDIT: Al/I"r BUILDING LESS CREDIT: $ 457.00 ELECTRICAL: $ 78.96 PLUMBING: $ 60.00 MECHANICAL: $ 30.00 RADON: $ 14.98 TOTAL $ 640.94 SEWER: $ 1,278.00 WATER: $ 350.00- I-- TOTAL: $ 1,628.00 3/4" WATER METER:I $ 180.00 ~ I Ti~: : I TOTAL: $ Department of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-97 Residential Whole Building Performance Method A CENTRAL 4 5 6 PROJECT NAME: t. AND ADDRESS: OWNER:OO,Lp /JlrtJ/lJ.fi/tJJ 1. New construction or addition 2. Single family detached or Multifamily attached 3. 'If Multifamily-No. of units covered by this submission 4. Is this a worst case? (yes / no) 5. Conditioned floor area (sq. ft,) 6. Predominant eave overhang (ft.) 7. Glass type and area: a, Clear glass b. Tint, film or solar screen 8. Floor type and insulation: a, Slab-on-grade (R-value + perimeter) b, Wood, raised (R-value + sq. ft.) c, Concrete, raised (R-value) 9. Net Wall type, area and insulation: a. Exterior: 1. Concrete block (Insulation R-value) 2, Wood frame (Insulation R-value) 3, Steel frame (Insulation R-value) 4. Log (Insulation R-value) 5, Other: b. Adjacent: 1, Concrete block (Insulation R-value) 2. Wood frame (Insulation R-value) 3, Steel frame (Insulation R-value) 4. Log (Insulation R-value) 10. Ceiling type, area and insulation: a. Under attic (Insulation R-value) b. Single assembly (Insulation R-value) c. Radiant barrier installed (yes I no) 11. Air distribution system: a, Ducts (Insulation + Location) b, Air Handler (Location) 12. Cooling system: (Types: central-split, central.single pkg" room unit, PTAC., gas, none) 13. Heating system: (Types: heat pump, elec, strip, nat. gas, L.P, gas, gas h,p" room or PTAC, none) 14. Hot water system: (Types: elec" natural gas, solar, L.P, gas, none) 15. Hot Water Credits: a. Heat Recovery (HR) b, Dedicated Heat Pump(DHP) c, Solar 16. HVAC Credits (Use: CF-Ceiling Fan, CV-Cross vent, PT-Programmable thermostat, HF-Whole house fan, MZ-Multizone) 17. COMPLIANCE STATUS: (PASS if As-Built Pts, are less than Base Pts,) a. Total As-Built points b. Total Base points I hereby certify that e plans and specifications covered by the calculation are in compliance with th Florida E ergy Code, DATE: I -J ~ -)..a. liance with the Florida Ener y Code, OWNER AGENT: DATE: ,1, 16. 1. 2. 3. 4. 5. 6. ft.'vU S'.f\;(.(J' 'ie',:? UC;C;- / Single Pane 7a. J l).., \' sq, ft. 7b. ~_ sq, ft. sq, ft. ft. Double Pane sq. ft. sq. ft. 8a. R- () 8b. R- 8c. R- 9a-1 R= 9a-2 R= II 9a-3 R= 9a-4 R= 9b-1 R= 9b-2 R= If 9b-3 R= 9b-4 R= 10a. R= 30 10b. R= 10c. 110 I. ft. sq. ft. sq. ft. 101>- l( sq. ft, sq. ft. sq. ft. sq. ft. sq. ft. 3 0 ~_ sq. ft. sq. ft. sq, ft. /' Ii ~~ sq. ft. sq. ft. 11a. 11b. 12a. 12b. 12c. 13a. 13b. 13c. 14a. 14b. 15a. 15b. 15c. R 1- , v/vu' = ~ (cond.luncond,) l/ Iv t...,... ~ (cond.luncond,) Type: e eAlty ~ ( SEERlEERlCOP: I (J. t-tl Capacity: ;:l if ~'(.., L1 Type: i {..e do 1-8 f)rr<L_ . HSPF/COP/AFUE: 6l Q) Capacity: 'J- ?- J c: 0 Type: F (i (eJ I EF: l Cj ( Revised 1998 SUMMER CALCULATIONS CLIMATE ZONES 4 5 6 ORIENTATION OVERHANG GLASS SINGLE-PANE OR DOUBLE-PANE X SUMMER I AS-BUilT lENGTH AREA UMMER POINT MUL T1PLIER SUMMER POINT MUI. T1PLIER 011 FACTOR = GLASS OH (FEET) (SQ, FT.) CLEAR TIN'J2 CLEAR TINTZ ('ram6A.l) SUMMER PTS N I :) 3, '). 2796 22,93 25.65 21.22 It:.ti'Y 11/7'" NE 4~.fl-'; ~6,42 39,16 32,78 / ")..'{, 'J C;9,~1 49,89 52,66 44,33 .'tC('~ , I.>f; I r~L ,E C;flfld 47Rll c;o.~.'; 42.37 I ~q.~ 44,66 ~7 ,?!I ~9AA ~~.49 t'1 ~ IA 17.S-1t> H SW 52,82 44,~1 47.07 39,S.'; J w 5' ,i/;rh C;~ 411 4487 47,65 40.50 ~ &?lO '~/yu NW ~7.74 31.34 34,10 28,45 r~ HI 102.51 85,!Y2 93,50 78,03 en ,. J I c.;' , '7 n.~'l. .4iJ ,e:; ( L en ~ , Cl OH LENGTH OVERHANG RATIO = OH HEIGHT WEIGHTED GLASS m x MULTIPLIER = ~ Cl ,18 42,077 COMPONENT AREA BASE SUMMER COMPONENT DESCRIPTION x POINT, MUL T, = DESCRIPTION EXTERIOR -I ADJACENT -I "" := lv" " " rn EXTERIOR ~; ,.G, 4,8 10 t I I ~/. W 7.'~ {1J1' (1 1,6 3 l'j ~t.J g ADJACENT 0 - Cl UNDER ATTIC I I',:; '-, ,8 l, .)- If /1,(' ." . (... (ole, ~ z OR SINGLE I ,8 ::; W ASSEMBLY I With Radiant Barrier x .70 u BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS,BUIL T CEILING AREA EQUALS ACTUAl CEILING SQUARE FOOTAGE, " " INFIL TRA TION & INTERNAL GAINS HOT WATER SYSTEM NUMBER OF BEDROOMS ::; AS-BUILT HOT WATER SYSTEM DESC. a: o o -I u. 'H = HORIZONTAL GLASS (SKYLIGHTS) 'FOR GLASS WITH KNOWN SHGC OR SC, SEE SECTION 2,1 APPENDIX C, TINT MULTIPLIERS MAY BE USEDFrnGI.ASSW1HSl..AR~,Fft..M,OOTM, -2. WINTER CALCULATIONS ORIENTATION OVERHANG GLASS LENGTH AREA OH (FEET) (sa, FT,) ~~jT N , e:':J, " ~ E , )..<{,) SE .J ~ , 'J 4. 0 H SW n~ W f5' '1.,1 b NW HI ~ .. } , T::f, , Cl /' ~~!! ~ 01. CLIMATE ZONES 4 5 6 IL SINGLE-PANE OR DOUBLE-PANE ~ WINTER ~ AS-BUILT ',wINTER POINT MUlTFUER WINTER POINT MU..TJl\JER OH FACTOR - GLASS CLEAR TINJ2 CLEAR TINJ2 (Irom GA-l 0) WINTER PTS 1?,X' 12,!iR 6,4.1 6,fl4 . cR</ '" 'iV 12,nnl?~1 /; 17 /; .0.' Q,Qf\ 10.~ 4,5' <;,01 A,~4 Q,12 ~,17 ~,B4 7--:n A <;Q ?jii; ~ ~ Q,:n Q,FIA ~,FIA- 4.4<; 10,74 11.21 <;,11; 5.<;/; 1?,,,0,<;1 /;,~<; B!iR 11,64 12,36 4,91 5,~ I" , 1 U It Dol '~3 -771(7 , l(o~'1 ~p~ ?, l, .,., Co 'c " Jv'/ ~ Cl Cl z :J iii u UNDER ATTIC OR SINGLE ASSEMBLY " WEIGHTED GLASS AS-BUILT MULTIPLIER = GLASS SUBTOTAL 4.79 " " BASE WINTER BASE COMPONENT WINTER AS-BUILT AREA x POINT, MUL T, = WINTER DESCRIPTION AREA x POINT, MUL T. = WINTER POINTS (6A-l1THRU6A.15) POINTS 2,0 1.8 .0 " " '}-(. ~ 5,1 / ( () I I '). I. .to ~. ( {IO 4,0 7b 17 .(1 '7 t:' I ('; r I ')- ") ,6 ,6 .... .... ; rn EXTERIOR 8 ADJACENT a: o o .... u. INFILTRATION & INTERNAL GAINS SYSTEM BASE HEATING SYSTEM x MULTIPLIER 1,07 ", BASE HEATING POINTS .... j:! o ... 2FOR GLASS WITH KNOWN SHGC OR SC, SEE SECTION 2,1 APPENDIX C, TINT MULTIPLIERS MAY BE -4, WINTER POINT MULTIPLIERS (WPM) 6A-10 WINTER OYER HANG FACTORS (WOF) ~r wa: th ,11 1. 1. mO Southwest 1,00 1.002 1,013 1,038 1.071 1.118 ~l West 1.00 0,999 1.003 1,013 1.025 1.040 Northwest 1,00 0,999 0,998 0,997 0,997 0,996 OH len th 0,0' 1.0' 1.5' 2.0' 3,0' 3.5' 6A-11 WAll WINTER POINT MULTIPLIERS (WPM) CLIMATE ZONES 4 5 6 1,225 1.067 0,994 5,5' 1, 1 1,388 1.095 0,992 9,5' 1.573 1,116 0,989 2D.O' .7 ,1 1,490 1.107 0,990 14,0' FRAME CONCRETE BLOCK (NORMAL WT) FACE BRICK lOG INTERIOR EXT. R-YAlUE WOOD FR R-YAlUE BLOCK WOOD STEEL INSULATION INSUL. 0-6,9 7.0 0-2,9 3,7 6 INCH SINCH R-YAlUE EXT ADJ EXT ADJ R-YAlUE EXT ADJ EXT 7-10,9 2,1 3.6,9 2,6 R-YALUE EXT EXT 0-6,9 6,8 5,3 9,4 6.7 0,2,9 6,0 3,1 6,0 11-18.9 1.7 7-9,9 1.8 0-2,9 2,2 1.2 7-10,9 2,5 2,1 4.4 3,3 3-4,9 3,8 2,3 2,8 19,25,9 1.0 10&UP 1.3 3-6.9 1.2 .9 11-12,9 2,0 1.8 3,3 2,6 5-6.9 2,9 1,9 2,0 26& Up ,6 7&Up ,9 .7 13-18.9 1,8 1.6 3,0 2,4 7-10,9 2.3 1,5 1.5 19-25,9 1.1 1.0 2,6 2,2 11-18,9 1.5 1.1 ,8 26& Uo .7 .7 1.4 1,2 19-25.9 ,8 ,7 I NOTE:SEESECTION2,OOFAPPENDIXCFORMULTIPUERS I 26& Up ,5 ,5 OF ENVELOPE COMPONENTS NOT ON THIS FORM, 6A-12 DOOR WINTER POINT MULTIPLIERS DOOR TYPE EXTERIOR ADJACENT WOOD 7,6 5,9 INSULATED 5,1 4,0 WPM) CONCRETE DECK ROOF CEILING TYPE EXPOSED DROPPED 1.02 0,83 0.59 0.49 0,26 0,23 R-YAlUE 10-13,9 14-20,9 21 &U 6A-14 FLOOR WINTER POINT MULTIPLIERS (WPM) SlAB-ON-GRADE RAISED RAISED WOOD EDGE INSULATION CONCRETE POST OR PIER STEM WAll wI UNDER ADJACENT CONSTRUCTION FLOOR INSULATION R-YAlUE WPM i R-YALUE WPM R-YALUE WPM WPM WPM 0-2,9 2,5 ,I 0'2,9 4,0 0-6,9 2,49 1,8 5,3 3-4,9 -1.7 3,4,9 1.8 7-10,9 0,78 .7 2.1 5-6,9 -2.4 5-6,9 1.1 Ii, 11-18,9 0,47 ,5 1.8 7&Up -2.7 7& Up ,8 1/ 19& Uo 0.14 ,3 1.0 6A-16A AIR HANDLER MULTIPLIERS (WPM) Located in attic 1.04 Located in oaraoe 1.00 Located in conditioned area 0,93 Located on exterior 01 building 1.04 6A-16 DUCT MULTIPLIERS DM) SM Tlblt 6-10 for Code minimums, DUCT RETURN DUCTSln: SUPPl Y DUCTS IN: R-Yalue UNCONDITIONED SPACE A mc WITH RBS CONDITIONEO SPACE 4,2 1.099 1.091 1,086 Uncondition~d Space 6,0 1,073 1,067 1.063 8,0 1.056 1.052 1.049 4,2 1,071 1,063 1.055 Attic with Radiant Barrier (RBS) 6,0 1.053 1.047 1.040 8,0 1.042 1.037 1.033 4,2 1,008 1.005 1.0 Conditioned Space 6,0 1,006 1.004 1.0 8,0 1.005 1.003 1.0 6A-17 HEATING SYSTEM MULTIPLIERS (HSMI SYSTEM TYPE See Tables 6,610 6,8 for code minimums HE~INg ~ MU-"I~~lI!=RS jHSM),..---,-,-' Central Heat HSPF 6.40-6,79 6 80-6,89 6,90-7.39 7.40-7,89 7,90,8.39 8.40-8.89 - 8,9,9,39 9,4-9,89 Pump Units HSM ,53 t---:.5~ .49 .46 -,-- t----~- '--:~ ,43 ,41 ,38 .36 HSPF 9,90-10,39 10,40-10,89 10,90-11.39 11.40-11.89 11,90-12,_~ r-J2.40&UL HSM '- ,34 ,33 --------.1L...,,_ t--}Q- -----'-2~ I----=- ,28._ PTHP '--- r--.,---' -, COP 2,50-2,69 2.70-2,89 2,90-3,09 3,10-3,29 3,30-3.49 3,50-3,69 3,70-3,89 3,90-4.19 HSM .40 ,37 ,34 ,32 .30 ,29 .27 .26 Electric Strio 1.0 --~. Gas & LP Gas 1,0 (See Table 6A-18 lor Credit Multiplier) ,5, SUMMER POINT MULTIPLIERS (SPM) 6A-1 SUMMER OVERHANG FACTORS (SOF) FOR SINGLE AND DOUBLE PANE GLASS. CLIMATE ZONES 4 5 6 ~r Ua: ~[ 6A-2 WALL SUMMER POINT MULTIPLIERS (SPM) FRAME CONCRETE BLOCK (NORMALWT) FACE BRICK LOG INTERIOR XT. R-VALUE WOOD FR R.VALUE BLOCK WOOD STEEL INSULATION NSUL 0-6.9 2,9 0-2,9 1,0 6 INCH 8 INCH R.VALUE EXT ADJ EXT ADJ R.VALUE EXT ADJ EXT 7-10,9 ,6 3-6,9 ,6 R.VALUE EXT EXT 0-6,9 6.4 2,2 8.9 2,9 0-2,9 2,5 ,9 2,5 11-18.9 .4 7-9.9 ,4 0-2.9 1.7 1.0 7-10.9 2,3 ,8 4,1 1.3 3-4,9 1.4 .7 .7 19-25,9 ,2 10&UP ,2 3-6,9 1,1 .8 11-12,9 1.9 ,7 3,0 1,0 5-6,9 1.0 ,6 .3 26&Up ,1 7&Uo ,8 .7 13-18.9 1.7 ,6 2,8 0,9 7-10,9 ,8 ,4 ,1 19-25,9 1.0 .3 2,4 0,8 11-18,9 ,4 .3 0 26& Up ,6 ,2 1.3 0.4 19-25,9 ,2 ,2 I NOTE: SEESECTION 2,0 OF APPENDIX C FOR MULTiPliERS I 26 & UP ,1 ,1 OF ENVELOPE COMPONENTS NOT ON rnls FORM, DOOR TYPE EXTERIOR ADJACENT WOOD 7,2 2.4 INSULATED 4,8 1,6 6A-3 DOOR SUMMER POINT MULTIPLIERS (SPM)6A-4 CEILING SUMMER POINT MULTIPLIERS (SPM) SPM 1,1 ,9 ,7 POST OR PIER CONSTRUCTION SPM 4,50 2,28 1. 1.36 RAISED WOOD STEM WALL wI UNDER FLOOR INSULATION SPM -5,8 -2,8 - .2 -1.8 ADJACENT SPM 5,3 2,1 6A-5 FLOOR SUMMER POINT MULTIPLIERS SPM SLAB-oN-GRADE RAISED EDGE INSULATION CONCRETE R-VALUE SPM R-VALUE SPM 0-2,9 -31.9 0-2,9 -1.0 3-4,9 -31.8 3-4,9 -1.7 5-6,9 -31.7 5-6,9 -1.7 7 & U -31.6 7& Up -1.7 1,0 6A-7 DUCT MULTIPLIERS 10M) See Tlblo 6-10101' CocII mlnhuml. DUCT RETURN DUCTS I": SUPPLY DUCTS IN: R-Value UNCONO~NED SPACE ATTIC WITH RBS CONomONED SPACE 4,2 1.065 1.061 1,059 Unconditioned Space 6,0 1.048 1.045 1,044 6A-7A AIR HANDLER MULTIPLIERS (SPM) 8,0 1,037 1.035 1.034 42 1.046 1,043 1.040 Located in attic 1,04 Attic with Radiant Barrier (RBS) 6,0 1,034 1.032 1.030 Located in aaraoe 1,00 8,0 1.026 l,U'.o 1.024 Located in conditioned area 0,93 4,2 1,003 1.002 1.0 Located on exterior 01 building 1.04 Conditioned Space 6,0 1.002 1.001 1.0 8,0 1.001 1.001 1.0 6A-8 COOLING SYSTEM MULTIPLIERS ICSMI ~STEM TYPE See Table 6-3 for Code minimur1l~ COOLING SYSTEM MUL TIPUERS (CSM) Central Units (SEER) Rating~ 7,5-7.9 8.0-8.4 8,5-8,8 8,9-9,4 9.5-9,9 10,0-10,4 10.5-10.9 11.0-11,4 11.5-11.9 12.0-12.4 n CSM__ .45 ,43 .40 ,38 ,36 ,34 ,32 .31 .30 ,28 PTAC & Room Units (EER) Ra~I1g__.. 12,5-12,9 13,0- qA. J15.13,iL 14,0-14.4 14,5-14,9 15,0-15,4 15,5-15,9 16,0-16,4 16,5-16.9 17.0-17.4 17,5 & Up --.-- CSM ,27 ,26 ,25 .24 .24 ,23 ,22 ,21 ,21 ,20 .19 14,31 6A-9 HOT WATER MULTIPLIERS (HWMI .!.YSTEM TYPE~ Table6-J.2 ~Codeminimum5 HOT WATER MULTIPLIERS (HWM Electric Resistance ~~M ,80-,81 .82-,83 ,84-,85 .86-.87 ,88-,90 ,91-,93 .94-.96 ,97 & UP ._~- 2820 2752 2685 2624 2564 2479 - 2400 2326 Natural Gas EF .43-,47 .48, .49 ,50-,51 ,52-,53 ,54-,55 .56-,57 ,58-,59 .60-,61 ,62-,63 ,64-,65 ,66 & Up ---- -~-~,- 2162 1936 1859 1787 1721 1660 1602 1549 1499 1452 1408 LP Gas HWM 2645 2368 2274 2186 2106 2031 1960 1895 1834 1n6 1722 Oed, HP or Solar EF'-- "1~ '1:5iE9 2:0.2.49 2.5-2,99 3,0-3,49 3,5-3,99 4,0.4.49 4,5-4,99 5,O-Up System with Tank HWM~ 2256 1504 1128 902 752 645 564 501 451 -3- AO'OITIONAL TABLES CLIMATE ZONES 4 5 6 6A.18 HEATING CREDIT MULTIPLIERS (HCM) SYSTEM TYPE HEATING CREDIT MULTIPLIERS (HeM) Programmable Thermostat HCM ,95 Muttizone HCM ,95 -- ----" - I I I I I ,93 & Uo Natural Gas AFUE ,68-.72 ,73,,77 ,78-,82 ,83-,87 .88-,92 HCM --~--J~~--i- :~-'l .49 I .46 I ,44 I ,4t ---- ----~--~_.~--- -,,-- -_.._.._~ I I ,55 I LP Gas HCM ,62 ,58 .52 6A-19 COOLING CREDIT MULTIPLIERS CCM) _SYSTEM r.'!~___,___ ___~_QL!NG CR~Q1,IMUL TIP.hIERS t~~_ Ceiling Fans ,_,_,~_ Cross Ventilation ,95' _._---~------_.- Whole House Fan ,_,_,__ _, ,95. Multizone ,__, ,95 Programmable Thermostat ,95 .Credit may be taken for only one of Ihese system types concurrently, 6A-20 HOT WATER CREDIT MULTIPLIERS (HWCM) ____,_J;"ySlE.MJJPE NOTE: A HWM MUST BE USED IN CONJUNCTION WITH All HWCM, SEE TABLE 6A,9, EF MEANS ENERGY FACTOR. ::=:""" =:!~=>i__ =--=-_-t=--=-=~2A9 ^' ["- 252~. 3H49 "'T' 3'~ ~ 5;W~"H"", =~~=::=== i-=~l' =- ~~~ ==~= '~9291 '';;' : 'O:7~ A HWM MUST BE USED IN CONJUNCTION WITH All HWCM, SEE TABLE 6A,9, EF MEANS ENERGY FACTOR. 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Extenor Windows & Doors 606,1,ABC,1,1 Max: ,3 cfm/sq,ft. window area; ,5 cfm/sq.ft. door area, Exterior & Adjacent Walls 606,1,ABC,1.2,1 Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility penetrations; between wall panels & top/bottom plates; between walls & 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 606,1,ABC,1,2,2 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 Seal: Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, ch~ ses, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate; allic access, EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams, 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. Multi-story Houses 606,1,ABC,1,2,5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts 606,1,ABC.l,3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air, 6A.22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.l COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612,1 Comply with efficiency requirements in Table 6-12, Switch or clearly marked circuit breaker (electric) or cutoff (aas) must be provided, External or built-in heat traD reauired, Swimming Pools & Spas 612,1 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 efficiencv of 78%. Shower Heads 612,1 Water flow must be restricted to no more than 2,5 gallons per minute at 80 PSIG. Air Distribution Systems 610,1 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. HV AC Controls 607,1 Separate readilv accessible manual or automatic thermostat for each system. Insulation 604,1,602,1 Ceilinos-Min, R-19, Common walls-Frame R-11 or CBS R-3 both sides, Common ceilino & floors R-11. -6, " .,1" ...... .... JNORl fURl' IOil .f'lIWU,lL r lCAD ~47JON 1011 . . 1lS1DlN7JAL HlA7JNr, AND AIR (ONDI7IONJN~ ~lac-roll.~ - i.t.u. II. C! q?-;r alle.a .... - oil Ill.A 7 COOL UNI7 'it A 1 I _~OO~ ____ liLASS D90RS l{lAl1Nft JO, 17. 85 ~ ,i) ~ IJINOOIJ IiUlINg sa., 17. 50 .-:.u If-J../ g-(,. )' .tX-txY. . - IJINOOIJJ AND tjUJS iJOOl?S COOUNf; sa. 17. N. ap. ~ 1.5 s'l"" ~ 13 "3D VINiJOIJS AND ~LASS iXJJi?S C()(}UN~ JO. 17. lW ap. .lC.\:.~ 5.5 J,V.h ~ "3 r>t 2'17 - AJUllJOIVS AM ({LASS tXJOilJ COOUN({ .Hl. 17. S. 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'l~ (bfO rtOflu - NO. i]UJi?OOI1 I\' T AC70R -t.t:-t.~ ~5() -l ~t..\: /3so IIl'flUM'(lS ,t,txx,\', X,tx,t,"'t ' 'Xxxx" x,r,Y,t 1200 JUL1707AL A/J()Vl \::-tu \::~..\:u ttx.-: ffJqp /73ot( SUB707AL INW/iJIN9 iJl/C7 lOSS ANn 9A1N x rAClOR 1 j (J'j 1. , ttt~ f7~t> l'tuj y J/IIJ701AL INCUIDJN~ lA7[N7 IllA7 (((JOI.) X 'Acum \'U.~ 1. J ~.t,n: x,n:x ;)-fJ 737 707AL NEA7 liJJS ANiJ 9/UN I l q;)~ \'Jtt,~ .\:.t~u x.~.~,~ I ,~ - ~ pUJI'C"Aiy (CUtl~,H tuildC"A /CNluod..ot dt'~iqt c(yr:liJ.J.ryv, C'l.liAirk. WOI in..itlc. 75 '/ I~ I,' "'~' 1\)'0" , ff~ j1('{) , . ^" c:, ~in,J (/e.,iJu!. crn/i1i.tYM: (-'d....i~t~ ,95./ .in...itl.l.~ 75.t l'("/Hi/J1K.,rL "nld'l '''''g. ty.j \-'p '-.J ~,\ (^( [' ';' Ct (.'~ '}j ,'~(d r- \ 'I; L~(i \< '(j I I (.q: r' J"i ! I, "/ j: , i ~'-'~--"-'--~- -.--,--.- -~ -- ~'~--,--- -~'--~,---- ----- ! j'-J'! 1;'(11 i : !' f'i i. (i, ~:; j i') , n ; J f-.I f "/ ),< j",l 1/[:;:.':/' r:~'j' J r'f i',~ ! ':,! ~..' r ~',-: {"': iF, ;,' r "j ~ 'i r i i ,(:, r-;f",:i,i r:.. f',_f 'fri', ,'>j f"' I .1 f ,0,.' ',' ~,> . ,:. I ,.' i"": ''''~'-'' t F i- ' I, ,,/iI .I , ""::'~'AA_~'" ( '- r;,li',' '"'. " Ui' i, i'.J(j ! Ii ,"! '! ( " ;H' I, () ~:~ ; ! r r, IIi.! ii ";\,'i /:"1 i } ;"~.: : 1 ~! ','1. ~e, p;' ~1r' ~:'Ii I r('~ 'I'! j i'::'", " {I \ f: . !tj il " i (! !,!(, I ,'.',', t -'! J :'-~ ~':~ { : fr't or' '~"1 'f ':i ) 'j ("! I" !')!: " ,- i) r u , ; .'..(\j ~;>>"" ""--:"",';->,' ~ . -,.~._.~",,- =" ,f'''-'''\ t" ) "-~.... 'Y---.., ~ ) ..---4 , PASCO COUNTY, FLORIDA Permit No, , ,1'/ ,t ;'('", '~." 7 Date Permitted ".t' , (.. ~,,",i Builder Name/Owner Name ,,.6 .;r~ ;' ~ '/~:'b. ~..;/ ./ /' J' '.{.f .' ~;;...,,.' ".:) -- County Parcel No. .~ ,"'. / >', " /- " .. - Address/Location .i~ . ,/1 f" .l'~" ".. .' (.'_,,~ Subd. ,,'.1 -''''''''i, Classificationffype of Use ,:-4. How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Rate $ Zone No, Sq. FtlUnit 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 Certificate of Occupancy or utilization of the permitted structure. RESOURCE RECOVERY ASSESSMENT EXErv1PT 0 RESIDENTIAL NONRESIDENTIAL No, Units / Gross Sq, Ft. (GSF) RJ.te ERl' 52 ()()/YeJ.r or $O,142/Day ERU ASSign No, AssessTllent ( No Li n its) x ($() 142 ) \ (No, Days) Assessment - (GSF) x (ERU) x (O,142) x (No, Days) 100 TOTAL FEE $ - TOTAL FEE $ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSlJED l!NTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY. 1 Acknowiedgement below does not imply acceptance of concurrence. hut simply receipt of a copy of this form. placing the huildIng permit owner on notice of this assessment and the conditions of payment for same, l~~'~' Date Received By -------------------------- - - -------------------------------- OFFICE l'SE ONL Y .....-.._._--~~ ,".;-, ~~.~'.....-..~- ...<..-"~~....'-,.......,..'""'.._'~.".... TRANSPORTATION REC. NO, RESOURCE RECOVERY REC. NO, --. D~TE \. ( /DA TE ,/ ! ,I ./tJ / f BY 'J l._ . ,. " BY White Applicant Canary Trans/Finance / '/' "J.,. Canary RR/Finance Pink Office Green Bldg/lnsp feecalce PC93113094/D .09 1 .0\7 .O~ .0 ~ ,,~ 31VOS .Ov - - :> .~ J I ..D c ~ ..JIL. -,r '.J J z <( -.J a. '>I:Jo, __~'" 8 ~-- ~-- W I- - CJ) c( c r--.a: W<oO Z ...J O:C:lJ. ~ (!) -J W => - =(/)0>- c(a:.... ~::I:::I:Z 00.1-::> Q 0 -J I ~ () al <0 W 0 C(!)(/)() Zc(W(/) <..J(!)c( ..Jc(D.. <o-a.. <0> u.. -0 .. (/) 11) 1I)~C")CI) <oc( C O~a: C/) 00 I-CI:Q() OWCDW -oJ> a: ..JI- -c(() C/)..J- D....J CD ::> D.. ....... -~ -.,- --