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Home My WebLink About00-9544 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09544 Date , I, 5/00 11'-1 g. ~ Sewer Conn , ...,. '"'0 .!?2 Water Conn: ,},'>l .:J f1(J Water Meter: 11)0. - T.I.F.'s: ''-ISO.!!;: 511. QQ BUILDING 1'4.7(. ELECTRICAL fJ:;. ~ PLUMBING ()c.- 3~.'- MECHANICAL Property Owner: b '" ,,~J Me k e\ \ Job Address: 5'-11 5 ...,B Q. Parcell.D. # 1(-1(, -JI- 0010. O~3DD- 00'-/0 Zoning: Energy Code: Radon Gas: Defcriotion ofX'ork S;'''J I() . k"",: \<( 'J:h,etl.''''5 10['1(00 ff> P,.e....t#.r "3.'03 ,JV\Qlo"Y' 'fD NO OCCUPANCY BEFORE C.O. I g . .22.. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector s Permit Fee 3C;Q "J. - - Signature ~ Ii' /11(.~.__.iI Company Address _ Telephone# (%1) J 78"'~'"J- ~,rJ J J. Valuation or Contract Price {, I J J ~ o. ()~ City License Registration # State Certified License# ~~ ~~; BUILDING J I \ De",l'\; s W: U; Cf.... 5 PLUMBING 1920 SLB ~~ ZCjLCJ L> .::JIt Tub Set ~..3EJ..p(}-- V Water Sewer 9 .;?..'?- 00 S JC... Final _ILi" Sey' ~ -h--,,- \ MECHANICAL I il... PD.- ter (( e c.. . ELECTRICAL ;'0 Ftr. Pre SLB Lintel ,/'7-1 f]-,(!)C) f1 te.. FRM.v:~...3t>~Od> ~ Insul. CL 4.12h.q.009~ WL CfJ--/---<!Y) ;;S~ Breakers Ducts Insl.$3o-~C).u... Compressor Final Tp. Servo Rough In ~-3a~~o~ Meter Can Const. Pole Pool Pre-Meter /0 - ~tJ S- R.. Final Driveway ~ ~.\I-e>Of2>/2., REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.001 shall be made for each trip for each trade: }.... ^/L ,-t/"'" a. Wrong Address t"'77 ~ b. Condemned work resulting from faulty construction. .. . )v.-7 VL ~' C. Repairs or corrections not made when inspection called. V"" J / . 0 d. Work not ready for inspection when called. /' I.\,; -I. ./. 0 e. Permit not posted on job site. ~}- t.; ~.1// /.- f. Plans not at job site. ~ /jO./ (j' g. Work not accessible. V :;...----~. L The payment of inspection fees shall be made before any further permits will be issued to the person owning 7/ same. -- ---- ,,----- ,--,- --- --'--- ---- --",-- --'- - -- - - --- ---- .'! . ~1 1 \i ',I ! ' iil'): , , I' I 0' i' f~ f :i ) 1 .. r, " 1\ \ \ " ii, ,,\.' -', I, '-:>f , ,-.-t) (,I \_cI' I: " 'jj :"'j - 'I ~ ~ ; I j ! -! , i ; i --- ------- :-----'-.---'-1 I I" ;! 1,1, ilL ~! '. \ i " q ",." ; .' "".U,'" _"..- "" '._ ,\,..l!Rl!'" .......,~I., .!';r-~,' ',.1l!l-:.~',__"'!";'" ,_~~,:~.)j~",F<;';, _'':\~f'~:J~:;''_ffl, -:"'_~""""~~~, ~-,-~~;..~\~,~..-,..,.A~-~\:", ~ '!I"""'~- -~ .,~:;"~'- ~",'''~ ~"\ ;~i ."" <'j PASCO COUNTY, FLORIDA - . ) // / I Date TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 Why? Rate $ Zone No. ,(' ,;" /,.", ". Prepar#y /"'" /6ecked By -.' Sq. Ft/Unit ,..,-,."" / ",' Impact Fee Amo.Jd1'l($ .,,,...,. The aboye1mpact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Boar.0~o'f Pasco County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or urllization of the permitted structure. .,/", RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL :1 NONRESIDENTIAL No. Units , Gross Sq. Ft. (GSF) Rate ERL: -" 2 . OOIY ear or $0_1.+2IOay ERU ASSign No. A~se"...rnenl - (No Units) x ($0_1'+2) .\ (No_ Day~) Assessment - (GSF) x (ERU) x (0_142) x (No. Days) 100 TOTAL FEE $ TOTAL FEE $ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSVED VNTlL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTl~G OFFICE OF PASCO COUNTY. AcknOWledgement below does not imply acceptance of concurrelTCe. but Simply receipt uf a copy of this form. placing the Muilding permit owner on notice of this assessment and the conditions of payment for same. Date Received By ----- -------~------------------------------------------------------------------------------------------------------------------------------------- OFfICE L'SE ONLY DATE DATE BY TRANSPORTATION REC. NO_ RESOURCE RECOVERY REC. NO,'i ; . i BY~ (,; White Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feecalce PC93113094/D APPLICATION FOR PEma CITY OF ZEPHYRHILLS BUILDING DEPAR'l'MEN'l' OWNER'S NAME fJA u ~ d Ii. m<-:/(e// JOB ADDRESS t'~' , -- f I)' ee:-'-- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # /1 .)6 .).-1 DOlO CJ<l30o ()OYO (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~NEW CONSTRUCTION DSIGN D ADDITION DALTERATION D REPAIR D INSTALL D MOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING D COMMERCIAL DMULTI-FAMILY D INDUSTRIAL D# OF UNITS D SWIMMING POOL D MOBILE HOME D OTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK he: w lit) in e. , BUILDING SIZE SQUARE FOOTAGE /.3" 9' HEIGHT 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 j --...... ~....-- .../ .fiBUILDING ~LECTRICAL ~PLUMBING -~MECHANICAL ----- $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D FLORIDA POWER D W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER SIGNATURE ~ tJ Fn';t(~-; -., - COMPANY (. el~/i7r- /fiL(e.1.,Il-''{/tYl l.J.I';y2f'; .l--J'VL STATE CERT OR REGIST # ,f1l/lC)/L3.Jff- CITY PROCESSING # ~ I / ****************************************************************** &LBC'rRJ:CrAN ~ (l /J U SIGNATURE t/' ~I..-- . ~ , COMPANY --PO~ GLh~L<....... if:. STATE CERT OR REGIST # E/2- OD11 '7 ~ CITY PROCESSING # 2.../0 PLUMBER SIGNATUR~~ J?.. \,U~ '- ****************************************************************** ~) f:;LvJ}~' ~ [., W.'{(/,+pV- STATE CERT OR REGIST # CITY PROCESSING # I g z..D SIGNATURE * * * * * * * * * * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * A * * * * * * * * * * * * * * * *1' ~ COMPANY ( /V S t? C~ rf-r . STATE CERT OR REGIST # C)O <) '1(2- CITY PROCESSING # / .s:2 , MECHANICAL ******************************************************* 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 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. o who has produced (type of identification) and who Ddid Diid not take an oath o who 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 (/) -::::;.~? _-c:::;:::- -::::::::.~-- -~~~ 4~: --~~:::::::-~ "'- ~IT""--~ if .....~~. _J1<?- "- == i! 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" i e1'1 n 'TJ ~ ;;;:: J:~ / -1 " J> r;; rl~ ~ .. , ':lj , ~ CT1 ;-: "" 0 AJ ril J> I , IJ (/J f/; ,U rt) < C: r i J rr1 ::s: , /0 ~ :-' U "7 ~ ~ rB :r> CI ~.: 7.J ::T1 ) a:: d 0 C ~ , L-d ---I -,. ~ p " c-/) 1 I tr:! , r-J /0 1 I F I - 1'" -1 2 (j, r h Cb 1 fT1 .y. (f) -1 L C"":' tD - ..... 0 'l fT1 - q c "' N t:D :::0 ~:J>r"1 Cl CD 0 CJ ~ (j'I . ;0 . X-(C ~ -_,0 - C '" 0' :% ''\ ~ C 0 ::0 . 'l 1, q ;- .,.. ~ tl 6.~ r q 8' I~ ch Ir. - ,-S:. j{J \ 8 ~ )-[ ~ tJ f' 1(' I~ v 'P 1\1\ (f\ r 1-;\ 17 -_./ Ib, ""? r 1'- f 'r r i 17 -j, ~ \! 1\ ( ~ r - p )- 17 I If t J . r7-f' tl l!J ~ J~d, (dAti:::. G/ / 1/ 1-,i.()D 0 'p- \)\, f ..., ~ 1/ ;- (1 " -:r:- '{f (I) (1' I; r 71 i_\ --:- :7r ~ 1,& 1 :~ t):l ly I . I~ o !. t; I- V' c- 10 Ir ""S I? ?> m p. 1/ 1 ~ ~^' l'\ Z- 0\ l:J 1 I I ~ \ - J> VI "" . ~ <::,,, \ /) II) fT1 . :::0 X -,j "-JM./ .- tD .". fT1 -', /? C0, . C N 'TI 1 05/21/2000 14:57 813-90833% WFC ENGINEERING INC PAGE 01 WF. C. Engineering, Inc. 14918 Knot!Y Pine Place Tampa, Florida 33625 (813) 264-7650 (813) 908-3396 Email: carter@iol.com FAX TRANSMISSION COVER SHEET Date: 6-21-2000 To: Mr. Bill Burgess Fax: 788-3293 Re: McKell Builders From: William F. Carter, P. E. YOUSHOUWRECEIVE Two PAGE(S), INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (813) 264-7650 Dear Mr. Burgess, Attached with this cover is a copy of the monolithic footer detail we have approved for the residential home which will be constructed by L.B. McKell Builders. This represents a requested revision to the previously approved plans. Thank you for your coorporation in this matter. ~~ C!. tVlL OS/21/2000 1<1:57 813-90833% WFC ENGINEERING INC PAGE 02 Pff(Jr1IT~ /3' /5 If J.j MASONRY - CHAPTER 2 '5 OW\.. wi 10" STD. HOOK N/k Ib" w 1'5 COHT. 3" ....N. COlIER L - J ,2" / EXTBIOR WAU. INlERIOA WAlL FIGURE 203E MONOI.Jl1iIC Sl..A&ON GRADE FOUNDA1lON 200.3 FOOllNG DOWELS. 203.3.1 Footing dOwel bars shall be provided for all required vertical wan reinforcement In the fOllowing locations: 1. At all comers, 2. At each side of each opening more tttan 6'..(J' wide. 3. At each end of each stlearwall segment, and 4. At all other required vertical wall reinforcement of buildings which are located in a 11 Q mph lone, all buildings wider than 40 teet and located in a 100 mph 20ne, and in any other location where the total area of all openings In an exterior wall exceeds 25% of the wall area. 203.3.2 Footing dowel bars at each location shall be same size and quantity as the vertical wall reinforcement above. 203.3.3 All tooting dowel bars shall have a standard 90 degree hOOk and shall be embedded 5 incheS into 8-inch footings and a minimum of 6 inches into all other footings. Dowel barS shall lap vertical wall reinforcement a minimum 01 25 inches. 18 1993 SBCCI Standard for Hurricane Resistant Residential Construction- ZEPHYR ALUMINUM WORKS, INC. 5415 - 4th ST. SQ. FEET PRICE MAIN OR LIVING AREA 1,369 $ 40.00 OTHER AREA UNDER ROOF 440 $ 15.00 OTHER V ALUA TION $ 61,360.00 FEE SHEET $ 318.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 517.00 CREDIT: $ - BUILDING LESS CREDIT: $ 517.00 ELECTRICAL: $ 74.76 PLUMBING: $ 60.00 MECHANICAL: $ 35.00 RADON: $ 18.09 TOTAL $ 704.85 SEWER: $ 1,278.00 WATER: $ 350.00 IRRIGATION: $ - TOTAL: $ 1,628.00 WATER METER:I $ IRRIGATION METER $ 180~00 I TI F'S: $ 1,480.00 99% $ 1,465.20 1% $ 14.80 TOTAL: $ 3,992.85 l Depertment of Community Affaire - FLORIDA ENERGY EFFICIENCY CODe FOR BUILDING CONSTRUCTION FORM 600A-93 R..ldentlal Component ~re.crlptlve Method A CENTRAL 4 5 6 PROJECT NAME: AND ADDRESS: BUILDER: PER".TTINGa I/Y /) ,c CLIMATE O""~E:..z&IIV,t? tI.L~ lONe: .. "I:""'T NO'IT~ JUAlSDICTJON NO.: Pl.... Print OWNER: L , {!;, . 1. New construction or addition 2. Single fIImlly c1etac:hecl or Multifamily attached 3. If Multlfamlly-No. of unltl covered by this aubmlnlon 4. If Multifamily, I, thle II worst ca.. (yes I no) 5. Condltlo~ noor .re. (sq fl.) 6. Pf1ldomlnant eave overhang (ft) 7. Porch overhang length (ft.) I. GI... area and type: a. Cisar glass b. Tint, film or solar screen 9. . Floor tw(e and Insulation: a.f Slab on grade (R-value ... perimeter) b. Wood, raised (R-value... sq. ft.) c_ Concrete, raised (A-value) 10. Net Wall type are. and !p.~I.tlon: I. Exterior: 1.,/'Concrete (Insulation R-value) . 2. WoOd frame (Insulation R-value) 3 Steel (Insulation A-value) 4. Log (Insulation A-value) b. Adjacent: '. Concrete (Insulation R-value) 2. Wood frame (Insulation R-valve) 3. Steel (Insulation R-ve/ue) 4. Log (Insulation R-value,l 11. Ceiling type .rea and Insul.tlon: a. Under attic (Insulation R.value) b, Single assembly (Insulation R-value) , 2. Air distribution sYltems a. Ducts (Insulation... Location) b. Air Handler( Insulation + Location) 13. Cooling 'Vltem (Types: eentral'5p1it, central-single pkg.. room unit, PTAC_. non.) 14. He.ting system; (Types: heat pump, elec. strip, nat. gas, L.P. gas. room or PiAC, non.) 15. Hot wate, .ystem: (Types; .l~. natural gas, solar, L.P_ g.., l1one) 16. Hot Water Credits: a, Heat Recovery (HR) b. Dedicated Heat Pump(DHP) 17. Infiltration prllCtlce: 1,2 or 3 18. HVAC Credit' (Tvpe in letter de$ign.tion: CF-c.ifino Fan, CV-Cross vent, HF'WhoIe house fan, AS.Attir; radiant barrier, MZ'Multizonel 19. EPI (must not exceed 100 points) 7OTY- AS BulL, a. Total As-Built points Err. ..v 1()6 b. Total Base points T6TA'- &5!. I her.tJy ~""'lfY "et 1"- It"", .,,<1 ..ificeHo". Clo....r.d by t~. ~I(!vltlt~(tl"l .!'It In c(!>'"npllanoe Wi'" tn. ~- Wn.'VY Coo..;;:::t:, ~ (!. -+--- I " ~ _A..... I"M"AMD8Y: _-:..JZ!. Oo-f~ DArt":.' - ~ j he.-, oertlIy I~ l'tl'57r~t!...'(;:,,~En.rgy Cod. _ tooo OWNI:IlACI'ft_ . _,~ DATE_. . 1. 2. 3. 4. 5, 6. 7. HE SF CK 13.'~ CJ ~~ Single Pane ea. sq. ft. 8b. L. B 3.'3__ sq ft. Double Pane sQ. ft. __ sq. ft. Sla. R= 9b. R= &C. A= .:1_. -'3JJ!..L__L ft. _. ___sq. ft. .. sq. ft. 10a-' R: 11- 15"3 sq. ft. 1 08-2 R= -- sq. ft. 10a-3 R= sq. ft. , 0.-4 R: sq. ft. 10b-' R: .sq. ft. 10b-2 R: --- __sq. ft. 10b.3 R= --- sq. ft. 10b.4 R= -- ___sq. fl. 11a R:: 30 l}!o l' _sq. ft. l1b. R= .__sq. ft. 12a. 12b. Re L. u...-.c........ (CQfWj.lunoond.) R: __. (eOfll1.1unc:~cI_) Type: _3 TO d. ] SEERlEERlCOP~ _ b, b Type:j-l,*~~- HSPF/C~UE: . ~. B Type: c.;rr'::~l C- EF: 41 0 ~__ 13. 14. 15. 168. lea. 17. 18. ""vt"... of ""'n. Iltl<I .poclIicellon. CCV"ed l>~ :nl. ceiculotlOrlll\dlcele< ~ompll.__ who Ill. FIO_ EnMOY 00<11_ eonot COtnj)~ed.1ll1t 1kJ11O.nf will b. 1I'I,,,,,,'ed It>< eornpllllnc~ In ecco S IIcn __. F S -1- CUIIATE ZONn . 5 fJ N NE e -sr s SW W NW ~ H' 822_ " ~ GLASS ~ SINGLE.PANE DOUBlE.PA.NE I SUMMER I ",.,ull.T SUMNEA-POINT MUL 1 OR SUMMER POINT MUl T. x OVERHANG.. GlASS ARU Tl"'- .- CLUA TINT' FACTOR (6A-l) SUM. P'!8_ C'LEAR N "".~7't 51.a ~1.S r' 47,8 <43.5 , 1"- ".LJ 7'f- NE . n' 76.6 71.7 63." . ,,~ E 11",7" 109_2 107.IL 102.0 87.3 './ , z::. I Sf 112.8 110.3 1~,' 89.4 - - 5 100_2 96.3] 8O.~ 78.8 .. 7 I ~.D~ SW . 112_9 110.3 H)4_' 69.4 .... W 1~;Tl 109,2 107_' ,/ 102,0 87_3 12 ~'1_~ ~W n.2 18.5 71.7 63.4 ~' 3M.] 300.3 324.6 2381 - ~:_- t.- .....- -- -- -- -- -t--- -- .---- -- - -- --- ---- i - I I COMPONENT I BASE SUMMER I BASE I AREA SUMMER OESCAlPTlON x POINT_ ~UlT_ · POINTS - EXTERIOR ..., ,,->.5 1.0 7~ -<. ::l ADJACENT " ~ . ~ SUMMER x POINT. MULT, . M'Z ~HAU 6'&'-6 I l), ;:r- ,15 ? [II =~ ~~i'>_~_~~~ 1'1 ~ ~ " z ~ m (,) I~ I 1 I I I I L TOTAL COMPONENT UlIIE BUII"R POIIii.i'~ .:. ? COOUNG I BASE COOLING T TOTAL BASE SYStEM SYSTEM. SUMMER . L I II!' EA PINT I 37 I 7.- 1/~g2-1 lASE COOLING L HOT WATER SYSTEM 'H % HORIZONTAL GLASS (SKYLIGHTS) 'FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1.1 Of APPENDIX c uir MlJL TII"UEFlS MA"YBEj USED FOR GlASS WITH SOLAR SCREENS, FILM, OA TINT. --...--J -l. SUMMER POINT MULTIPLIERS (SPM) CLIMATE ZONES 4 5 6 6A-1 SUMMER OVERHANG FACTORS (SO 1 FOR SIN UtE' AND DOUBLE PANE GLASS. ~r OH RATIO .00-.11 .12-.1V .lB'.26 .27'.35 .36-.46 .47-.57 .5B-.70 .71-.83 .B4-1.18 1.19-1.72 1.73-2.73 2.74+ N 1.00 .94 .91 . .87 .83 .79 .75 .72 .69 .62 .56 . .50 NElNW 1.00 .94 .91 .B5 .79 .72 .6B .63 .5B .50 .40 .36 be: EIW 1.00 .95 .92 . .B5 .78 .70 .64 .58 .52 .42 .33 . .26 wO ml SElSW 1.00 .93 .90 .81 .72 .62 .55 .49 .42 .33 .27 .22 S 1.00 .91 .B7 i .77 .67 .57 .50 .45 .39 .32 .28 .25 m~ I FNr,TI-I* Oft 1 ft 1'h ft 2ft. 3ft. "l'l,ft <Iv, It <;v, ft '6'h ft. 9,!,ft. 14ft_ 2oft.+ 'To select bv Ovemano Lenolh. no oart 01 olass shall be more than 8 ft. below the ovemana. 6A-2 WALL SUMMER POINT MULTIPLIERS (SPM) FRAM~ CONCRETE BLOCK' FACE BRICK LOG INT. INSULATION EXT. INSUL R-VALUE WOOD FA WOOD STEEL NORMAL WT. NOR. WT. 0-6.9 29 .'. 6 INCH R-VALUE EXT ADJ EXT ADJ . R-VALUE EXT ADJ EXT 7-10.9 .6 R-VALUE EXT 0-6.9 6.4 2.2 8.9 2.9 0-2.9 2.5 .9 2.5 11-18.9 .4 0-2.9 1.7 7-10.9 2.3 .8 4.1 1.3 3-4.9 1.4 .7 .7 19-25.9 .2 3.6.9 1.1 .11-12.9 . 1.9 .7 3.0 1.0 ,,8-6.9 1.0 .6 .3 26 & Up .1 .'. 7& Uo .8 13-18.9 /1.7, .6 2.8 0.9 V7'10.9 .8 .4 .1 R-VALUE BLOCK 8 INCH ..19-25.9 1.0 .3 2.4 0.8 11-18.9 .4 .3 0 0-2.9 1.0 R-V ALUE EXT 26& Uo .6 .2 1.3 0.4 19-25.9 .2 .2 3.6.9 .6 0-2.9 1.0 ) 26& Up .1 .1 7-9.9 .4 3-6.9 .B 10& Uo .2 7 & Un 7 6A-4 CEILING SUMMER POINT MULTIPLIERS (SP~) UNDER AITIC SINGLE ASSEMBL Y CONCRETE DECK ROOF R-V ALUE WM R-VALUE SPM I CEILING TYPE 19-21.9 1.1 10-10.9 I 3.0 R-VALUE I DROPPED EXPOSED 22-25.9 .9 I 11-12.9 2.7 10.13_9 I 3.0 3.3 26-29.9 ) 13.18.9 2.4 14.20.9 I 2.0 2.1 30-37.9 .6 19-25_9 l.B 21 & Uo I 1.4 1.3 38 & Up .4 26-29.9 1.1 I 30 " Un 09 6A-S FLOOR SUMMER POINT MULTIPLIERS (SPM) SLAB-GN-GRADE I RAISED RAISED WOOD' - EDGE INSULATION CONCRETE POST OR PIER STEM WALL wI UNDER I ADJ~CENT CONSTRUCTION FLOOR INSULATION R-VALUE SPM R-VALUE SPM R-VALUE SPM SPM I SPM 0-2.9 .31.9 0-2.9 -1.0 0-6.9 0.9 -5.8 I 5.3 3-4.9 -31.B 3-4.9 .1.7 7.10.9 -1.1 -2.8 I 2.1 5-6.9 -31.7 5-6.9 -1.7 11-18.9 .1.0 .2.2 I l.B 7 & Un .31.6 I 7 & Un .1.7 . I 19 " Un I -09 -1.8 I 1.0 6A.3 DOOR SUMMER POINT MULTIPLIERS SPM) DOOR TYPE EXTERIOR ADJACENT WOOD 7.2 2.4 INSULATED 4.8 1.6 6A-6 INFILTRATION SUMMER POINT MULTIPLIERS (SPM) INFILTRATION PRACTICE I SPM SEE TABLE 6A.21 PRACTICE #1 I PRACTICE #2 I PRA 6A-7 DUCT MULTIPLIERS (OM) I RETURN DUCTS i RETURN DUCTS R-VALUE IN UNCONDITIONED SPACE I IN CONDmONED SPACE t:2.5_9 1.14 , 1.10 SUPPLY DUCTS IN UNCONDITIONED SPACE V6.o'6.6 I 1.10 - I ./ 1.07 6.7 & Uo 1.09 i 1.06 SUPPLY DUCTS IN 4.2.5.9 1.10 I 1.00 CONDITIONED SPACE' 6.0-6.6 1.07 I 1.00 67" Un 1.06 I 1.00 6A-8 COOLING SYSTEM MULTIPLIERS (CSM) SYSTEM TYPE ./ I COOLING SYSTEM MULTIPLIERS (CS.Mr - Central Units (SEER) ~ Rallno ! i 7.5-7.9 I 80.8.4 j 8.5-8.B 8.9.9.4 9.5-99 10.0-104'1"10_5-10_9111.0.11.4111.5.11.9112.0.12.4 CSM I 45 I .43 I .40 .38 .36 .34 I .32 31 .30 ! _28 I PTAC & Room Units (EER) Ralino 12.5.12.9. 130-13': I 13_5.13.9 i 14_0.144 14.5-14_9 15.0.15.4 15_5.15_9: 16_0-16.4 i 16_5.16.9 ; 170.17.4 : 175 & Uo CSM I .27 26 I _25 .24 .24 .23 .22 I .21 I _21 , .20 I .19 MINIMUMS CENTRAL UNITs-'AIR COOLE!) S~V $VSTE'J \00 SEi:R. SI~GLE ~KG 9 i SEER. GROUND WATER HEA T PUMP " 0 EE;, FTAC-Sc: -;- ABLE 6-2 6A-9 HOT WATER MULTIPLIERS (HWM) SYSTEM TYPE ./ HOT WATER MULTIPLIERS (HWMl / EJecrnc ReSistance ? E~ 80..81 _82..83 .84- 85 _86-_87 88.90.,......- _91. 93 94.96 97 & Uo HWM 3879 3785 3695 3609 3527 ,/' 3.111 3302 3200 Natural Gas EF 43.47 48.49 _50.51 52..53 .54-55 .56-.57 58._59 _60._61 .62.63 .64-65 66& Uo HWM 2974 2564 2558 2459 2368 2284 2205 2132 2063 1998 1938. LP Gas HWM 3638 3259 3129 3009 2897 2794 2697 2607 2523 2444 2370 : FOR MUL T1PUERS FOR OTl-iER TYPES OF CONCRETE BLOCK CONSTRUCTION SEE SECTION 2.1 OF APPENDIX C 2 MUL TIPUERS FOR OTHER TYPES OF 'UISECl WOODASSEMBUES SEe SECTION 3 1 OF APPENDIX C_ J DUCTS IN CONDITIONED SPACE NEED TO BE INSULATED ONL Y TO THE R.VALUE NECESSARY TO PREVENT CONDENSA nON -;. . WINTER CALCULATIONS T BASE T BASE GLASS WINTER WINTER - ~!! Pl. MUll I POitilTs_ N ~<{.I4f" .3.4 ~T/~. I NE ~ _ .3,4 e 1/~I5 -3,4 -sf ___, .3_4 S 1~---z:>.1D f -3.4 SW . -3.4 W -~// .3.4 -'~If 7_ ~ -3.4 H' -3.4 III III :5 " -J'lh. I f -r rz. f ~- I I ~l,..~S. I <: -' ; ~XTEFlIO~ 8 ADJACENT i ::l iD u Q:: ~ CUMATUOHES 4 i 6 GlASS 1 SINGLE-PANE OR DOUBLE-PANE 1 WINTER ! AHUlL T AREA I WINTER-POINT t.4Ul r ; WINTER POINT MUlT. I( OVERHANG 11 GLASS CLUR TIN"" of CL!AR nNl' -ACTOR (IlA.'O lMolM. ... , ~ ""- N -z:.< -/~ 9,6 U 5.8 /l-' 7 5-5 ~I NE 7.4 7,3 3.5 4.2 E r7f.7C: .22 - 2_0 . $.. - 3:S- .71 rrsr, T y .103 -9,7 -'3_4 '10,4 -~ - S 7:;,7)1_1 :WD' -10.2 -14.0 -11.0 7'- P'-r:;T<.a sw ,- .10.3 - 9,7 .13.4 .10_4 . . w 1-4o'F,' 1/ -2.2 -2_0 .u .3_6 ~ 77 -- ~, "5- NW 7.4 7,3 35 ".2 '- HI '32.1 -28-0 -27,0 -:m- , T --- I -J----_ --- - - I -- j n...... I " y AS-BUILT GLASS T r . 'g ~ ~-Z-tf j I/tI~~ . D r~=f'D =1 . y FM SI"AIl 01'1 GRADE us. PERIW INfLTAA_ ~~1 I ., !~~~~,\.~"'" I 4. j nuALcoiFQfbT_~"".~~:"-J "Tow.~NT""W1"'8~'" TOTAl. SASE HEAnHG ~NTE~ S\'STlM IN 5. -: I<~!~~ ~ i ?1S-5D j '----- g ... ,r;OA GLASS WITH NOWN SiotADfNG COEFFICIENT, SEE SECTION 1.1 OF APPENDIX C. TINt MUlTIPlI USED fOF! GLASS WItH SOLA.R SCREENS, FILM, OR TINT. .... . 'WINTER POINT MULTIPLIERS (WPM) ClIMATE ZONES 4 5 Ii '....,0 WINl~ OViNtANO FACTORS /WOF\ r OHRATIO I ,OO',ll~7 >'8.,2$ .27',35 N__ 1,00 1,03"/ 1.05 1,08 NElNW . 1!Y1 '1,07 1.J.Q 1.15 fJW 1.00 -715718 ~SElSW 1.00_-.-.;.-..13_ ~_,90 __ _~ S 100 ',95 .92 ,83 ~I ti!j i! I N NEiNW f-~ SElSW S OH LENGTH" ,36,.46 I A7.57 I .5~1-.70 liNGLE p~'...a 1 10 113 1.15 1.20 1 ,!\ 130 .,20 -.65 -1.05 ,68 ,54 ,39 ,70 -54 ,36 DOUIIlE PANE GLASS tOO 1 ,OS 1.07 1.11 1.14 1, 1~_ _ Ul 1_24 I 1.28 134 1_00 111 I 1.18 1.24 1.3e 1.41 1.48 "m"' 1-63 ._ 1.90 100 ,88 -t- ,1\2 ,66 .5031 15 -,03 .,26 _ -,66 1_00 .95' -92 .(1.5 _7665 _54 ,41 ,2(1 -.01 1.00 _96 I _9487 ,78 -,65 .51 .33 I 13 -.30 eft 1ft, I l~lt, H. 3ft, 3'hl" 4'Mt. 5~-Ht I 6\1lft 9\u' 'TO SELECT 8v OV!!~HANG lENGTH, NO PART OF GLASS SHAll BE MORE THAN 8 F1. BELOW M OVE""1ANG. ,71'.83 _L~I.1UflH7211.73-2J'31 2.7~~__ 118 ll2 1.24 1.29 1,34 1~ 1~ 1m lW. ,~ -1,46 .2~_.:30' -4_06! -5.0.. 2205 ..33 -,71 ~~ .13 -,13 ..70___:.98 I -1og l r-' 1,4() 1.94 1.10 ,,30 '.51 14 ft. .ML 2.a1 -150 .52 -.60 20ft.. 64-11 WALL WINTER POINT MULTIPUERS WPM ""AME STEEL EXT ADJ 94 i.7 U 3.3 1,8 3.3 2.6 i~e ~l.O ~.4 1..(1 ----1- 1_4 R-VAlUE 10'13.~ 14-20,9 2; COfI/CRET! DECK ROOFING ---CeUNGTYPE D pip : EXPOSED 1.2 L~ .7 _7 ,4 ,3 tlA.12 DOOR WINTER POINT r.tIULnPLlERS WPM) :: TYPE "';:~ rJ:~= INSVLATED ),1 0\.0 6A-t4 FlOOR WINTER POlHT NUL TlPLIEFlS 'WPMl Sl.A&ON.QA"DE I:,:; IIAISEe I' " ..AlSlD WOOO' (DGE INSULA 110M CONCAET'E I,: POST OR PlEA S'reM w~u .1 UNDER I ~JACENT .::: CONSTRUCTION FLOOR INSULATION A-VALUE WP"'__ :-,i~ _!I.:Y.ALUE WPM I'.; PI.VALUE w".. WPM - WPM 0-2.9 z,~ 0-2.9 40 0-6.9 7,9 NIA 5_3 3-4.9 -l.1 '. 3-4_9 1,8 7-10.9 2_1 .7 2~_ - ,,5006.9 .24 ..- ;'<i' 5-6.9 1.1 :11, 11-189 1.5 ,5 "8 v7&lJn .')-, " 7" I I" ~s lQ&I-I,,-4' -, in 6A-15 ,,.FILTRATION WINTER INFll TlUTIOH PAACTICI __LIEI: T A8LE 91') PRACTICE " PRACTICE 112 ,. INT M\.ILTlPUERS (WPM, SA-Ie OUCTMULllPUEFlS OM WPM SUPftl Y DUCTS IN VNOONDnrnoNEDSPACE SUPPl Y DUCTS IN NDmONED SPACf3 l.H 110 1.Q9 110 1.07 1 ~~ 1,07 1.()6 1.00 1.00 6A-17 HEA TIHQ SY ~M MUL llPI.IE"S ,HSM}. '_ SYSTE~TYPE ./ .....__.__ ___,_,~!IN(l 8YSTEM MULnPL~"a (HSMI -----,--..--:-:----==1 Central Heal v' f-J!SP, ' __~...",7~ .. !ceo. M9, , , .611.9-J. 9 ' 7" 7, " " ..rgo.S3Lt '--!! tAD-8S9,,--:' 8.\),9.3\1:' 94,:~89 Pump Units ,-.J:!~. -~~---T .50 ,.......d9 ~_ .,___~;;;;+-;_;;_-41~311 _'.___36 ~__--HSPF _ ~.,90.10.39 i, 10'~:1Q.8i, 10,~-11.39 11.-4:0-11.89 1:.90-12Ji._j...1,U.2.!J!L "."_+=. ___ -- ~----'- HS'L___ , ,34 L ,33 __---'~_" .30_ _&!.. '.28_ '__, PH"" .--~~ j 2.~2_611 I 270'1~_~~3,0$---+--1J9-l:lLL3,~3.49 i-~50'3.89 I 3.7D-3,89 'j 390-41& +- HS~__ ,JIl , -~L_ .34 I -_.,1! j ,30 J_ ,211 _....17.____ _,__-'-~__ Iectri~ StriP +. _ .,---------1.0...,.._.,-__________.. 8!..l.Qlb![ Fuels , . __ "_ 1.0 (Sa! Table &A-I! ror.s;~!~_LL__ ___.__________,_ MINIMUMS: Cl!rfTAAL l.llITS-Atl\ $01)Rr;e SPliT SYHEloI U HS~F, SINGLE PKG. U HSPF, WArt~ SOU~E 36 COP, OACrvNOWA Tf~ SOURCE H cop, PTMP 2 H7 COP ~, -OR M\JL l'IPl.tt!l$ FOR on"EA ry'ESOF cmlCRHE BLOCK COIIISTRUCTION SE:F SECTION 2.1 01' APPE"OIlC C_ ~ IAUL TI~IERS FOR eTHER l"YPf S OF RAISE. Ii ~ASSEr.lIlUES SEE L~CTION 3.1 Of APl"tNf)IX C · DUCTS IN CONDITIOIIIED SPACE NHD TO 81' 'NSULATED c..lL Y TO THI' ~.V"'-UE NECESSNlY TO PREVeNT CONDE~SA liON , ~ . ADDITIONAL TABLES CLIMATE ZONES 4 5 6 6A.1S HEATING CREDIT MULTIPLIERS (HCM) HEATING CREDIT MULTIPLIERS (HCM) SYSTEM TYPE Allic Aadiant Barrier HeM .98 Multizone HCM .95 AFUE .68-.72 .73..77 .78. .82 .83..87 .88-.92 .93 & Up Natural Gas HCM .61 .56 .53 .50 .47 .44 lP Gas HCM .77 .72 .67 .63 .60 .57 6A-19 COOLING CREDIT MULTIPLIERS CCMl SYSTEM TYPE ./ COOLING CREDIT MUL TIPLlEEt5'ICCMl Ceilino Fans V .86' ./ --- Cross Ventilation .95' 'Credit may be taken for only Whole House Fan .95' one of these system types concurrently. Multizone .95 Attic Radiant Barrier .95 A HWM MUST BE USEO IN CONJUNCTION WITl-I All HWCM_ SEE TABLE 6A-9_ EF MEANS ENERGY FACTOR. Heat Recovery Unit Dedicated Heat Pump Solar 6A-21 INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST (SEE SECTION 606) COMPONENTS -- SECTION REQUIREMENTS FOR EACH PRACTICE I..r-~ PRACTICE #1 606_1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES. ./ Windows Maximum of 0.34 CFM oer linear foot of ooerable sash crack (includes slid in 0 olass doors). 1177 Exterior & Adiacent Doors Maximum of 0.5 CFM cler so. ft. of door area: solid core. wood oanel. insulated or olass doors onlv.! V / Exterior Joints & Cracks T..o be caulked. .oasketed. weatherstriooed or otherwise sealed. 117 PRACTICE #2 606.1 COMPLY WITH #1 AND THE FOLLOWING: I Exterior Walls and Floors Too alate Denetrations sea/ed_ Infiltration barrier installed. SOle olate/floor ioint caulked or sealed. I ./"' Exterior Walls & Ceilinos Penetrations. ioints and cracks on interior surface caulked. sealed or oasketed. lv7 Ductwork I Ductwork in unconditioned soace must be sealed. 17 Fireolaces Eouiooed with outside combustion air. doors. and flue damoers. I Exhaust Fans I Eauiooed with damoers. Combustion devices see 606.1.A.2 I '-;;:r- PRACTICE #3 606.1 COMPLY WITH PRACTICES #1 AND #2 AND THE FOLLOWING: Ceilinos Infiltration barrier installed. .v/' Interior Walls Too oenetrations sealed or ioints & cracks on interior walls caulked. sealed or aasketed. '/7 _ Recessed Liohts -Sealed from conditioned & insulated from ventilated attic snaces. 1./ Ductwork All ductwork located in conditioned soace_ I Comoustion Appliances , I -- Be in unconditioned space (except direct vent), draw air from unconditioned space. exhaust by-products to outside. Combustion cooking appliances see section 606.1.A.3 : ; 6A.22 OTHER PRESCRIPTIVE MEASURES must be met or exceeded b all residences.) COMPONENTS Water Heaters SECTION 612.1 SWimming Pools & Spas 612_1 REQUIREMENTS Comply with effiCiency requirements In Table 6-11. Switch or clearly marKed cirCUit breaker (eleclrIc) or cutoff as must be rovided, Extemal or built-in heat tra re uired. Spas & heated pools must have covers (except solar heated). Non-commercial pOOls must have a um timer_ Gas soa & 001 heaters must have a minimum thermal eHicienc of 78%. Water flow must be restricted to no more than 3 allons er minute at 80 PSIG. All ducts. finlngs. mechanical equipment and plenum chambers shall be mechanically anached. sealed. insulated. and installed in accordance with the Criteria of Section 610. Ducts In unconditioned attics must be Insulated to a minimum of A-6. Air handlers shall not be Installed In attics unless In mechanical closet. Seoarate readll accessible manual or aulomatlc thermostat for each svstem_ Ceilin s-Mln_ A-19_ Common walls-Frame R.11 or CBS A-3 both sldes_ Common cellino & floors R.' ~_ CHECK Shower Heads Air Distribuhon System 612.1 610.1 HVAC Controls Insulation 607_1 1604,1.602_11 111111111111 1111I1111I1111I1111I11111 1111111I1111111111I1111 2000070396 Rcpl: 418598 DS: 0.00 06/06/00 Rec: 6.00 IT: 0 :00 Dpty Clerk NOTICE OF JED PITTMAN~ PASCO COUNTY CLERK 06/06/00 0~:2!rm 1 of 1 COMMENCEMENT OR BK 438tl PG 36 County of jJlJ-~c..t) State of . Flo!?-ldp.. THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: ZH (Lega 1. Description of Property: Parcel No. 2. General Description of Improvement Ale w 1-1(..'1 '-if e i369~ C,A rfJC' i- f- I Cw-..J 'for..../-... . J.-ft~.... /60"- . 3. Owner Information: Name DJ4-V10 -/-fu.<=t11 Mclcre.iI >~ Address ~7&1[!; 1t)/~r E City P4 7nt~71D State p:: I 3't;LZ! Interest in Property: /)w,vF~ Name of Fee Simple Titleholder: (If other than owner) (' / ' .:/1 'l'"1 ~_ Address City State PI Contractor: Name Lp W,'5 E.l1lCKtJ_11 Address 3 J'~,J. 0 K f)A '.e. p Vi. City l ep k1 r h /1/) State n 33 S-'lf , 5. Surety: Name /C L I . ,;u I" ~1'7 Address City /)4/1 ~i State TeJ{ Amount of Bond: $ s: 000 . 6. Lender: Name nwner- City State Address 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)(7), Florida Statutes: Name City State Address 8. In addition to himself, Owner designates Le.w l.r 13 m~/I to receive a copy of the 7 3.13(1)(b), Florida Statutes. 9. Exp~ratlon date or Notice ot Commencement (the expiration date is 1 year fr~m the date of recording unless a different date is specified.) Signature of OWner: O~ j-~ ?}1c..x;..a/ ~. Sworn to and subscribed before me thi~~z7( day of ~/~ );:g~mO t/ Notary Public: ~~ ~~, In. ~./~/-/~ , My Commission Expires: ~,uu., "~A. 'if;;~ t6..lI...JII'Q'M. BIa'n1ii' l.:, ;:: MY COMMISSION II CC677554 EXPIRES ~~~" ~~} September 26, 2001 "'~;,9r: :r.-~., BONDED THIlU TIlOY FAIN INSU1!ANCE. INC PC93053048 986758 -== E3 PERFORMANCE BUSINESS PRODUCTS. INC. 813-71t-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILL5, FLORIDA cJ(j, JYl3 WATER ACCT. NO. DATE 10 II~/ CO ~~;:~ ~r I#u..,-, W~,"/'-5 MAIUNG 3 ~ 2 0 ~ ik Ie Avtl. . ~/ h.-II ~ I Fe. 535 'f I SERVICE ADDRESS ~ Y (5 Lfof5=. S.f. SHUT OFF SERVICE 0 TURN ON SERVICE ~ INSTALL METER ~ READ METER 0 CHECK METER 0 OTHER 0 ~TER o SEWER o GARBAGE ~CITY o OUT CITY -.L.. No. OF UNITS _ DEPOSIT AMOUNT 3/'-(" ~r fr~ _ AMOUNT LAST BILL __ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY , 1 /11~ 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.