HomeMy WebLinkAbout01-0468
BUILDING PERMITN~
./
0468
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
-2 5 c.'~
5 .
BUILDING
'8 '4. 5J;
ELECTRICAL
70 ()g
PLUMBING
'7 - ...t'
.:>~,-
MECHANICAL
Date 7 h 110/
I ]/ 'g. c~
Sewer Conn
Property Owner:
Job Address:
Parcell.D. #
Water Conn:
Zoning:
1ft)
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.
Inspector
DATE
;t/L
City License Registration #
State Certified License#
-2) ,
Permit Fee~ . -
~ Signaturel,~ ~/. ~-L~'->"'L
Company
Address
--<Telephone#') S''6'- <(;7 llL/
Valuation or
Contract Price
b 1 , J 5. 0C
.
{" '-t 1 C PG>""'~/
ELECTRICAL2o~1
L~r, S 5...1,.,. vlt.<""h
PLUMBING I b
.s c.{ tL..., I I" G.,.- 4. r}
MECHANICAL ~ J
..Du.v. ~ ~."h-~-'~+:ilf)
BUILDING 2"lSl
Ftr, t"-~o/D/~f Tp.Serv. SLB f"-,tl/-f)/~L
Pre SLB Rough In II-q-O/ Z13 Tub Set 1/1-0 I LJ-p.
Lintel 9 - J/ ~ -0 / ~< Meter Can Water 1/- -0 I t..L
FRM. I/-/'I"OJ flW Const. Po'ei/%~/"-OI5R- Sewer II-Z-O-kR.J....,/
Insul. CL Pool Final,/ 1-J.{-C2. '[.1
WL ll- /~() , 'f- ~re-Meter /1:).-2.&-0, 1?,LI.f
?1l11.??1Il- <!.Ell- /1-6:OV ~inal
Driveway
.....5~ /0 -,3-0 15~ FLfl....~ '~-3t-o( 14\:Jnf1):ct)",."" ~
REINSPE~ FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
....... of Twenty five end 0011 00 Oolla.. ($25.00) "'all be made fo. eeon t.tp to. eaon 'Mde, ~
e. Wrong Add.... "'J? ,,'["'5.~ tpj
b, Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
Breakers
Ducts Insl. 11-9-0/136
Compressor
Final .. /I-t.j-O:J-RL'I
~
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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PASCO COUNTYtt FLORIDA
Permit Nu. 01../ (, )
Date Permitted --; /S ,I (j t
Bui Ider Name/Owner Name
t)", J : '.
it...
{o .
<. ,;;.'....~., t:;' ( ~ , .'" ,
07 VU" lH)OO\J.
0170
County Parcel No. l '~,' ) b
AddressILocation f../) 0 u
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t, .."'*, _,'.(1"
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Subd. ( ......I...~ ( j
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Ct f t7
Classificationffype of Use
(
.... I
'i rl.._, _~
I
.
D-..A l~ II,' I" ,
How Determined
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Why?
.~. -
Rate $
Zone No.
,....
."
Sq. Ft/Unit
/...r
~/
Prepared By /
,/
Check~y
,.,.,t. ,~fS'
The above impact fee has bee)>eSi~blished pursuant to the Pasco County Tra~portation Impact Ordinance as adopted by the
Board of Pasco County ~missioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or
utilization of the pe~ed structure.
~'
Impact Fee Amount $
RESOURCE REtOVERY ASSESSMENT
,'"
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
No. Units
Gross Sq. Ft. (GSF)
Rate ERL' - 52,OO/Year
or $01.+2/Day
ERU Assign No.
AS:--I':--sJl1l'nt - (]\;o. Units) x ($0.1'+2)
x (No. Day:--)
~
As:--essment -
(GSF)_x <ERU) x (0.142) x (No. Days)
100 .
TOT AL FEE $
!l.,-/
TOTAL FEE $
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTIL THE AMOUNTS LISTED
HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY.
Acknowiedgement below does not imply acceptance of concurrence. but 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,
Date
Received By
OFFICE L'SE ONL Y
TRANSPORTATION REC. NO,
RESOURCE RECOVERY REC. NO.
DATE
DATE
BY
--,::"",_BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pmk
Office
Green
Bldg/lnsp
feecalce
PC93113094/D
Davis Contracting
4800 Timber Way
SQ. FEET PRICE
MAIN OR LIVING: 1,364 $ 40.00
OTHER AREA UNDER ROOF: 505 $ 15.00
OTHER: $ -
VALUATION $ 62,135.00
FEE SHEET $ 322.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 523.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 523.00
ELECTRICAL: $ 84.56
PLUMBING: $ 70,00
MECHANICAL: $ 35.00
RADON: $ 18.69
TOTAL $ 731.25
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $ -
TOTAL: $ 1,628.00
WATER METERI $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
2,539.25 I
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42,35
T IF'S: $ 1,480.00
99% $ '1,465.20
1% $ 14.80
TOTAL: $
5,713.25 I
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
2 ~ 2c:> (t PC( -
BUI~DING
DEPARTMENT
DO NOT REMOVE
ADDRESS TE PERMIT +
45D6 7/:ttI3V/L ~f! 'I C G C4-b ~
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
WIll be accepted.
LA, ,~o<:..c ("' . }) \
lU /:)IJ-"':::>- ."
+
II is unlowiul for any Carpen'.r, Cantroctor. Bulld.r, or o,h.r persons, to
cov.r or couse to be cov.red, any port of ,h. work with flooring, lo'h, earth
or o,h.r material, untllth. proper Inspec'or has hod ompl. tlm. to opprov.
th.lnslollotlon.
, AFTER CORRECTIONS ARE N\ADE CALL
788-6611 FOR RE-INSPECTION
INSPECTOR -P ulff,f;;)
OFFICE HOURS 8 - 5 MON.-FRI.
HI lEON & ASSOCIATES, iNe
cL)3~) I luney V;:-;Ia Circle
Tampa. FI 1J(,24
"'I '(8 I '" ('rg ("7'"""
r- lone I.)).IU -J I'J
Fax (8 i 3) 968-5779
Oct nbcr 02, 200 i
Building Department for City of Zephyr hills
ATTN. Bill BUlgcss
S33S 8th Streel
Zephyr hills, FL :n 541
RE. Butler Model/tl 869 Davis Contractillg, fllc.
Permit 1/ 0468
DcaI' 1\;1r. Brugess,
Plcase allow this !cUer to serve as authori.latilH1 that all Conclcle Work willlwyc Fiber Mesh
instead of the 6 x () \VWM as per the Construction Drawings on lhe i:lbov(~ Il!t/ltioncd plOjCC!
We find thatlhis does llled VI exceed alllleccssmy CUdl~~ If'lhclc MO ally QUC:1!iUIlS, pleas<:l [eel
lice to contact liS.
Sincerely,
","""~'.
.:,;,~ 8' ,
'" ~ .. '\, -.... , '
... ,.:0:' ......
989907
~
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PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919
01- 33 ~ 8'
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCl. NO.
DATE
7/3i /0/
~~~iER~ Do.. v: seem -k (h'~",'j
MAILING ~ 1'8 :2" S I< Y' Q ~ de; f' (,',- 6'-e
J)" de (.1' !.-FL 15 S ::2 5
SERVICE ADDRESS '-I goo I j',,",,\ b & wy
O L c'r I 7 " ~ WATER
SHUT OFF SERVICE
TURN ON SERVICE 'fJ~
INSTALL METER ?f"
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
~. IN CITY
o OUT CITY
-L No. OF UNITS
_ DEPOSIT AMOUNT
'"7/" (/ (1
) 'f [,JG-t+e.t'
/Vle-J-e/
_ AMOUNT LAST BILL
_ DATE
_ MISC. 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.
7/SI/{}f
f1~
P 1,v.~<) 6> rc-::-e_
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( '-. I) (10(0/
OWNER'S NAME J)frV{:) CDtJTI?Ac-TING
JOB ADDRESS If; IJ() TI r'hhe-r ~
LEGAL DESCRIPTION: LOT(S) J I BLOCK I SUBDIVISION L-oVr+ :srUQ~
PARCEL ID # /s-- ~ - rS;l.1 -Ot3-OC) -0000 C) - /o-f / 7 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION o ALTERAT I ON 0 REPAIR 0 INSTALL
o SIGN 0 MOVE 0 DEMOLISH
I 'O(sPi
~ cJtte.v fhct;te-P
APPLICATION FOR PEltMIT
CITY OF ZEPRYlUIILLS
BUILDING DEPAR'l'MEHT
DATE RECEIVED 1- :J..l) - D /
PLANS REVIEW FEE
PHONE
7 ~'f> - 'if ? l.J'I
Z~I} 'J rh, t L:s
FL
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 6t-hJfe ~nu'Ll dc.0e1[i~
BUILDING SIZE
~~ENTI~ ATTACH (2) PLOT
ERCIAL: ATTACH (3) SETS
PROPERTY SURVEY
SQUARE FOOTAGE
HEIGHT
'lc1 BUILDING
)q' ELECTRICAL
18( PLUMBING
~ MECHANICAL
o GAS 0 ROOFING
$
~51 DOO
C7Do
PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FfW' .
OF BUILDING PLANS & (1) SET ENERGY FORMS. ()
REQUIRED FOR ALL NEW CONSTRUCTION, V/ 1/-) ['fl<-- - (J ).4;..,
~~I~~
VALUATION OF TOTAL CONSTRUCTIOtr:.:.._---------,/ ___
C-----
X FLORIDA POWER 0 W.R.E.C.
PERMITS REQUESTED
AMP SERVICE
$
e2. {pOO
.
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION~ BLOCK
FINISHED FLOOR ELEVATIONS
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES ~ NO
SIGNATURE
fi("~ 0 L&J
COMPANY D4Vo (J>~+r~
STATE CERT OR REG I ST # C G- - Co Ie 'I 'i"8
CITY PROCESSING # 2'13..2
BUILDER
******************************************************************
ELECTRICIAN, n A__1-' // ~
SIGNATURE .&AGA./r7\...o'" ~
COMPANY ~ bf:- p(:)~
STATE CERT OR REGIST # &~ - OrY"> CZu<l3
CITY PROCESSING # ;;).0 h f
******************************************************************
,.
PLUMBER ~
SIGNATURE v" ~ g~
******************************************************************
' COMPANY "So vf~ ~yYJ-.fhrt
~tr- /J,., #. STATE CERT OR REGIST", R/n-- {)6/5D-;;J.~
~ CITY PROCESSING # 5" '3
*****************************************************************
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
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 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, Wet+and 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".
I ~/A,~f~
'x SIGNATURE: O~R OR AGENT
SIGNATURE:
CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLOIUDA
COUNTY OF r~s~
The foregoing instrument was acknowledged
Before me this-20- day of J~, ~.~ClII
by \)r,....J\.lI!!.- '1 LL(~ '--L-
(name of person acknowledged)
Owho is personally known to me, or
J'i!4,ho has produced ~t..J) t, Ltt$? \ "'f\5\ <0,'2... ()
(type of identification)
~did not take an oath.
acknowledged
19
(name of person acknowledged)
C1ho is personally known to me, or
and whoO did
~~~
o who has produced
(type of identification)
~id not take an oath
and who Odid
Ji-~
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Cvx 0 \ <;"" 1'1' D'-Co-F-
Name typed, printed or stamped
.".~ Carol Strack
R ~ . ..., commission CC998065
. .. "'J
'\;.01;.# Expires January 31, 2005
Name typed, printed or stamped
STATE OF FLORIDA
DE?ART~E~T OF dUSINESS AND PROFESSIONAL REGULATION
CONST DWUSTKY lICENSING SOARD
7960 ARl I !,<<;TON EXPRESSWAY
ST.:: 300
JACK$QNVILLE Fl 32211-7467
(904) 727-6530
DAVIS, OUA~f JARTTN
DAVIS C;)NT;~AC TING
34941 ~ROSPECT ~i)
DADE C Iry FL 33525
. STATE OF flORIDA AC# ~ 0 3 3 0 72
. . DEPARTMENT OF ;' BUSINESS AND
PROFESSIONAl.;REGULATION
.---.-.--. ~~-/.:'<
CG -COIt6lt~ q9"2fJJ~~O 0OO0838!
',-- '-"-; __.,.:\.
CER TIF I EDG,ElaIEAA1..,~CLWl'RACTOR
OA V IS, OUAN'EiBARJ'FJli'"
OA VIS CONTRAE.tING '
IS CERTIFIED underlheprovisionsofCh. 489 FS
Expiration Date: AUG 31, 2002
~603"3072
------------------------------------~------~-_._-----------.
DETACH HERE
,(STATE O~;FLO;Ri,9::A::,'
DE~ARTMENr OF BUS"ItESSANOPROFESSI-bMAL REGULATION
" (ONS:T INDUSrRYLrCEfj~JNG aOARn '
1/29/2000 00008385 (G.
:"~ERAl 'C2NTRACTOR
ler IIIe ~ ofr!ll;1J F~ ~ ~ FS.
..ratio. date: AU G 31, 2002
DAVIS, DUANE BARTTN
AVIS CONTRACTING
4941 PROSPECT RO
AOE CITY Fl 33525
JEB BUSH MTW AYM~'CV_~rvrn
Jun 21 01 08:18a
p~ 1
WOIkers' (;ompellHtlon end Employers Lillbirrty
IMUI'8I1C8 Policy
AmCOMP Preferred Ins. Co. Irii~I:_tJlml:?t.t:~W~.;t~mmt{f
p.o. Box 86806
North Palm Beach. Fl 33408-8806 WCV 70 1 65 62 I 0 5 / 1 1 12 0 0 1 0 5/ 1 1 /2 0 02
~.~... Ill... addIu. "'!he
::::;::::::;:::;;::;;::;:;;;;(j:/:?::::::::;::\:<:\::::::::::~;:;X:;::::i:::/:.::;.::::::::::::::::;:;;:'~::::-:'::::::::::::":~.:::\'::::-::::~:::.::::;::::::::::::;i\:::?:::~.?li'iiri_clloif:::::::>::'::::.:~:::::::;:::~:::~::;:.:;::;;::::::::::::::,~:.:;:::::::;::::::::::::;:.:.:'::::':~~::::~:/?::::::?:~::::::::;:::.::\:;:::::'::::::~::;7;\.;:::,;:::;D:.::::;:::;:;/::;;;::.:;~
RENEWAL DECLARATION
.:.:::>:.:};:::::::~:::J.:{:::...:......:.,:...:,.......:,:.....:...:.:.....:....:...:......-:........-::t:::::::>:::::/f;/;::::it:::.::?::,y:::'.::::(:::;:::::::::/ ::/::;::::t:.::::::Y::\:}::;::;};::::~::.:;::::::.~:::::::;::::::::::::::::::;;:::.:tAM;:.::;?::::.:::.:::~:/::::::::/::,:::t:.:\:::/:~:::?:::;;;:::..::::;::;:t?:~~::::::::.
DAVIS CONTRACTING INC AND crc DIBIA CICORP-USI , INC . 02 58 0 10
SOUTHERN INDUSTRIAL LUBRICANTS 4 02 S KENTUCKY AVE , STE 46 0
3 782 6 SKYRIOOE CIRCLE p 0 DRAWER 1 3 9 8
DADE CITY FL 33 525 LAKELAND . FL 3 3 8 02 - 13 9 8
Telephone: ( 8 0 0 ) 27 7 5 1 85
Customer II I Carrier # I FEIN II I Risk 10 II I Entity 0' Insu~
3 1283 5 9 2576242 0 9 5 0 54 528 CORPORATION
Additional Locations:
2. The Policy Period is from 05/11/2001 to 05/11/2002 12:01 a.m. Standard Time at the Insured's mailing address.
3. A. Workers' Compensation Insurance: Part ONE of the pofley applies to the Workers' Compensation Law of the states
listed here: Florida
B, Employers Liability Insurance: Part TWO of the policy applies to work in each state listed in Item 3A.
The limits of our liability under Part TWO are:
Bodily Injury by Accident $ 100. 000 each accident
Bodily Injury by Disease $ 50 0 , 000 policy limit
Bodily Injury by Disease $ 100, 000 each employee
C. Other States Insurance: Part THREE of the policy applies 10 the states, if any, listed here:
Aft states EXCEPT monopolistic states.
D. This policy includes these endorsements and schedules: See attached schedule.
4. The premium for this policy win be determined by our Manuals of Rules, Classifications, Rates. and Rating Plans.
All information required below is subject to verification and change by audit.
SEE EXTENSION OF INFORMATION PAGE
Minimum Premium $
750
Expense Constant $
Premium Discount $
200
-317
Assessments and Taxes $
o This is a Three Year FIXed Rate Policy
Premium Adjustment Period: !XI Annual; 0 Semiannual; 0 Quarterly; 0 Monthly
Total Estimated AnnualPremium $ $7, 820
Countersigned this Day of
Issued Date: 05/14/01
Issuing Office AmCOMP Preferred Ins. Co.
Authorized Representative
WC990629 (5/98)
INSURED
FROI1
BOUNDARY StJRVEY
PHONE t-ID.
pel,
Section 15, Twp. 26-S, Bog. 21-E
Lot No. 17 'Of COURT SQUARE, according to the plat "thereat as recorded
in Plat Book " Pages 6' and b4 of the. Publio Recorda of Pasco County
Florida .,'
Subject to easements of record. qERTI~IED TO:
~
I
SunTruet Bank ,Nature COllst
SunState Title ~8Incy, Inc.
~irst American Title Inau.rance Co.'
. Davis Contracting
r/e.nd,q P.#'t.I',,. t"'4'QO_
I'! R.m.
I 0 c.pt ,.u"'/ 'P-';U9. 74-=--'
No. /"~B ,..~.
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LEGEND
I.R.
I. P.
C.M.
P.r.
PR.M.
P.C.
I'.e.p.
I'
F
iron rod
iron pip~
cone marker
powEir pole
Perm R.t. Marker
point ot curve .
Perm Control point
plat valu6
field value
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111111111111 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllli
2001097921
Rcpt: 514150
DS: 0.00
07/19/01
Rec: 6.00
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_~_____ Dpty Clerk
~~91~~~I"Art : Gf:;O fOUNT:, C'iERt<
OR Bt< 4670 PG 806
NOTICE OF COMMENCEMENT
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.
I. Description of Property:
Street Address (if available):
Legal Description of Property: Lot 17, COURT SQUARE, as per map or plat thereof
recorded in Plat Book 33, Pages 63 - 64, Public Records of Pasco County, Florida.
2. General description of improvement: Build a new spec home
3.
Owner's Name: Davis Contracting, 1"1c.
Address: 37826 Sky Ridge Circle, Dade City, FL 33525
c::(LW>- LL ~
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Interest in Property: Fee Simple
Name and address of fee simple titleholder (if other than Borrower):
5.
Surety: a. Name and address: N/ A
b. Amount of Bond: $
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4.
Contractor Name:
Address:
.. t
a~
E
i
a:
6.
Lender: SunTrust Bank, 5435 Gall Blvd., Zephyrhills, FL 33541
7.
Persons within the State of Florida designated by Borrower upon whom notices or other
documents may be served as provided by Section 713.13(1) (a)7., Florida Statutes:
8.
In additiDn to Borrower, Borrower designates: SunTrust Bank, ATTN: Barbara
Nowlin, Mle 9202, POBox 156, Brooksville, FL 34605-0156 to receive a copy of the
Lienor's Notice as provided in Section 713.13(I)(b), Florida Statutes.
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9. Expiration date of Notice of Commencement (the expiration date is one (I) year from the
date of recording unless a different date is specified):
WITNESSES OWNER: Davis Contracting, Inc.
By: Steven A. Thomas, Vice President
STATE OF FLORIDA COUNTY OF fnsc()
The foregoing instrument was acknowledged before me this dOti day of :x;;..y ,2001-, by JurrtJf: B, DAVIS ..,.
S-ru-Il'E'N A- mll(k~ as PRE~ J vip of bM15 CbAl"fRACT/ ioU" j,Jc , who is personally known to me or has
produced Drivers Licens~ No. ~id ntificatiop. /
~~~
.....~ Mary K HenderSOn Not blic J
(NOTARY S~MY Commission CC705984 Print Name: fYlAeq -K. .JI.EJJ~6
""'" ,,'.of Expires February 6.2002 My Commission Expires:
Prepared By: Commercial Credit Services Center
SWlTrust Bank
7455 Chancellor Dr, M/C 0-9026
Orlando, FL 32809
, '-'I '-'VI VVV"-"",
, .
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
Lot17/Davis t Builder: Davis
'-1800 f;'"" ':;)lj LJ~,y Permitting Office: Pasco
Zephyrhills, FL Permit Number: 0'1' 'f
Davis Jurisdiction Number: ~ II boO
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 (tP)
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. NIA
c. NIA
9. Wall types
a. Concrete, Int Insul, Exterior
b. Frame, Wood, Adjacent
c, NIA
d. NIA
e. NIA
10. Ceiling types
a. Under Attic
b, NIA
c. NIA
II. Ducts
a. Sup: Unc. Ret: Unc. AH: Attic
b. NIA
New / 12. Cooling systems
Single family -;7 a. Central Unit
I ~
3 b. NIA
Yes
1365 iF ~ c. NIA
120.0 it> 13. Heating systems
0.0 ft2 a. Electric Heat Pump
0.0 ft2
0.0 ft2 / b. NIA
R=O.O, I 58.0(p) ft ~ c. NIA
R=5.0, 956.0 ft2
R=II.O, 172.0 ft2
~
R=19.0, 1365.0 ft2
Sup. R=6,O, 100.0 ft ~
Cap: 32,6 kBtwhr
SEER: 10.00
v:'
7'
Cap: 33.4 kBtwhr
HSPF: 6.80
~
~
i7
14. Hot water systems
a. Electric Resistance
Cap: 40.0 gallons
EF: 0.90
~
b. NIA
c. Conservation credits
(HR.-Heat recovery, Solar
DHP-Dedicated heat pump)
15. HVAC credits
(CF -Ceiling tim, CV -Cross ventilation,
HF-Whole house tim,
PT -Programmable Thermostat,
RB-Attic radiant barrier,
MZ-C-Multizone cooling,
MZ-H-Multizone heating)
Glass/Floor Area: 0.09
Total as-built points: 19584.00
Total base points: 21600.00
PAs~-=-l
I hereby certify that the plans and specifications covered
by this calculation are in compliance with the Florida
Energy Code. f m )
PREPARED BY: Shelby R. Carter~
DATE: ~./:b 1--0/
,
I hereby certify that this building, as designed, is in
compliance with the FI~rida E rgy Fod~ /
OWNER/AGENT: ~-If~
DATE: ~fio: ot p-
o
Review of the plans and
specifications covered by this
calculation indicates compliance
with the Florida Energy Code.
BefDre construction is completed
this building will be inspected for
compliance with Section 553.908
Florida Statutes.
BUILDING OFFICIAL:
DATE:
EnergyGauge<ft> (Version: FLRCNA-200)
, '-', '\.IV' VV'"'",-"',
. .
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS:, Zephyrhills, FL,
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
.18 X Conditioned X BSPM = Points Overhang
Floor Area TypeJSC Omt Len Hgt Area X SPM X SOF = Points
.18 1365.0 42.08 10338.4 Single, Clear W 1.3 6.3 20.0 53.47 0.94 1008.0
Single, Clear W 1.3 6.3 15.0 53.47 0.94 756.0
Single, Clear S 1.3 3.3 4.0 44.66 0.75 134.2
Single, Clear E 1.3 6.3 20.0 59.31 0.94 1118.8
Single, Clear E 1,3 8.0 33.0 59.31 0.97 1899.2
Single, Clear E 1.3 4.3 9.0 59.31 0.87 466.7
Single, Clear E 1.3 6.3 15.0 59.31 0.94 839.1
Single, Clear N 1.3 3.3 4.0 27.96 0.88 97.9
As-Built Total: 120.0 6319.9
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adajcent 172.0 0.7 120.4 Concrete, Int Insul, Exterior 5.0 956,0 1.00 956.0
Exterior 956.0 1.90 1816.4 Frame, Wood, Adjacent 11.0 172.0 0.70 120.4
Base Total: 1128.0 1936.8 As-Built Total: 1128.0 1076.4
DOOR TYPES Area X BSPM = Points Type Area X SPM = Points
Adjacent 20.0 1.60 32.0 Exterior Insulated 20.0 4.80 96.0
Exterior 20.0 4.80 96.0 Adjacent Wood 20.0 2.40 48.0
Base Total: 40.0 128.0 As-Built Total: 40.0 144.0
CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Under Attic 1365.0 0.60 819.0 Under Attic 19.0 1365.0 1.10 1501.5
Base Total: 1365.0 819,0 As-Built Total: 1365.0 1501.5
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 158.O(p) -31.8 -5024.4 SIab-On-Grade Edge Insulation 0.0 158.0(p) -31.90 -5040.2
Raised 0.0 0.00 0.0
Base Total: -5024.4 As-Built Total: -5040.2
INFILTRATION Area X BSPM = Points Area X SPM = Points
1365.0 14.31 19533.2 1365.0 14.31 19533.2
EnergyGauge@ DCA Form 600A-97
EnergyGaugeclM=laRES'97 FLRCNA-200
.. .4 "'. 'hv. VVV~-"".
SUMMER CALCULATIONS
,
Residential Whole Building Performance Method A - Details
I ADDRESS: , Zephyrhills, FL,
PERMIT #:
BASE AS-BUlL T
Summer Base Points: 27731.0 Summer As.Built Points: 23534.7
Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
23534.7 1.000 1.090 0.341 1.000 8747.0
27731.0 0.3577 9919.4 23534.7 1.00 1.090 0.341 1.000 8747.0
EnergyGaugeTM DCA Form 6QOA-97
EnergyGauge@(FlaRES'97 FLRCNA-200
I ""I 'IYI VVV~-..., I
. .,
. .
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: ,Zephyrhills, FL,
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
.18 X Conditioned X BWPM = Points Overhang
Floor Area TypeJSC Omt Len Hgt Area X WPM X WOF = Points
.18 1365.0 4.79 1176.8 Single, Clear W 1.3 6.3 20.0 10.74 1.01 216.2
Single, Clear W 1.3 6.3 15.0 10.74 1.01 162.2
Single, Clear S 1,3 3.3 4.0 7.73 1.18 36.6
Single, Clear E 1.3 6.3 20.0 9.96 1.01 201.9
Single, Clear E 1.3 8.0 33.0 9.96 1.01 331.6
Single, Clear E 1.3 4.3 9.0 9.96 1.03 92.0
Single, Clear E 1.3 6.3 15.0 9.96 1.01 151.4
Single, Clear N 1.3 3.3 4.0 12.32 0.99 49.0
As-Built Total: 120.0 1241.0
WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Adajcent 172.0 1.8 309.6 Concrete, Int Insul, Exterior 5.0 956.0 2.90 2772.4
Exterior 956.0 2.00 1912.0 Frame, Wood, Adjacent 11.0 172.0 1.80 309.6
Base Total: 1128.0 2221.6 As-Built Total: 1128.0 3082.0
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
Adjacent 20.0 4.00 80.0 Exterior Insulated 20.0 5.10 102.0
Exterior 20.0 5.10 102.0 Adjacent Wood 20.0 5.90 118.0
Base Total: 40.0 182.0 As-Built Total: 40.0 220.0
CEILING TYPESArea X BWPM = Points Type R-Value Area X WPM = Points
Under Attic 1365.0 0.60 819.0 Under Attic 19.0 1365.0 1.00 1365.0
Base Total: 1365.0 819.0 As-Built Total: 1365.0 1365.0
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 158.O(p) -1.9 -300.2 SIab-On-Grade Edge Insulation 0.0 158.0(p) 2.50 395.0
Raised 0.0 0.00 0.0
Base Total: -300.2 As-Built Total: 395.0
INFILTRATION Area X BWPM = Points Area X WPM = Points
1365,0 -0.28 -382.2 1365.0 -0.28 -382.2
EnergyGauge@ DCA Form 600A-97
EnergyGaugeC!!VFIaRES'97 FLRCNA-200
.. ~ '-'I"IVI VVVr-\-V'
WINTER CALCULATIONS
.
Residential Whole Building Performance Method A - Details
I ADDRESS:, Zephyrhills, FL,
PERMIT #:
BASE AS-BUlL T
Winter Base Points: 3717.0 Winter As.Built Points: 5920.8
Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
5920.8 1.000 1.116 0.502 1.000 3316.2
3717.0 1.0730 3988.3 5920.8 1.00 1.116 0.502 1.000 3316.2
EnergyGauge 1M DCA Form 600A-97
EnergyGaugeliYFlaRES'97 FLRCNA-200
. . t, .
I '-'I 'IVI VVV~-""
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
I ADDRESS:, Zephyrhills, FL,
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
9919.4 3988.3 7692.0 21599.7 8747.0 3316.2 7521.1 19584.3
I
PASS
I
EnergyGaugeâ„¢ DCA Form SOOA-97
EnergyGaugeGM=laRES'97 FLRCNA-2oo
. (.......,1 (IVI VVV~-V,
Code Compliance Checklist
.. ,
Residential Whole Building Performance Method A - Details
I ADDRESS:, Zephyrhills, FL,
6A.21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST
COMPONENTS
Exterior WindCNVS & Doors
Exterior & Adjacent Walls
SECTION
606.1.ABC.1.1
606.1.ABC.1.2.1
Floors
606.1.ABC.1.2.2
Ceilings
606.1.ABC.1.2.3
Recessed Lighting Fixtures
606,1.ABC.1.2.4
Multi-st Houses
Additional Infiltration reqts
606.1.ABC.1.2.5
606.1.ABC.1.3
PERMIT #:
REQUIREMENTS FOR EACH PRACTICE
Maximum:.3 cfmls .ft. windoN area; .5 cfmIs .ft. door area.
Caulk, gasket, weatherstrip or seal between: windCNVS/doors & frames, surrounding wall;
foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility
penetrations; between wall panels & toplbottom 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 t ate.
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 ations and seams.
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;
attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is
installed that is sealed at the 'meter at ions and seams.
Type IC rated with no penetrations, sealed; or Type IC or non-IC rated, installed inside a
sealed box with 112" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from
conditioned s tested.
Air barrier on .meter of floor . between floors.
Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA,
hll\le combustion air.
CHECK
COMPONENTS
Water Heaters
SECTION
612.1
6A-22 OTHER PRESCRIPTIVE MEASURES must be met or exceeded b all residences.
CHECK
Swimming Pools & Spas
612.1
ShCM'ef heads
Air Distribution Systems
612.1
610,1
HVAC Controls
Insulation
607.1
604.1, 602.1
EnergyGaugeTM DCA Form 600A-97
REQUIREMENTS
Comply with efficiency requirements in Table 6-12. Switch or clearly marKed circuit
breaker electric or cutoff as must be . External or built-in heat tr r uired.
Spas & heated pools must have covers (except solar heated), Non-commercial pools
must hll\le a pump timer. Gas spa & pool heaters must hll\le a minimum thermal
efficien of 78%.
Water f1o.v must be restricted to no more than 2.5 a1lons minute at 80 PSIG.
All ducts, fittings, mechanical equipment and plenum chanbers shall be mechanically
attached, sealed, insuJated, and installed in accordance with the criteria of Section 610.
Ducts in unconditioned attics: R-6 min. insulation.
S ate readil accessible manual or automatic thermostat for each stern.
Ceilings-Min. R-19. Common walls-Frame R-11 or CBS R-3 both sides.
Common ceiling & floors R-11.
EnergyGaugecliYFlaRES'97 FLRCNA-200
,. .
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE SCORE* = 82.0
The higher the score, the more efficient the home.
I. New construction or existing
2. Single fiunily or multi-family
3. Number of units, ifmuJti-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/oth<<SaSHGC-doubkpane
8. Floor types
a. Slab-On-Grade Edge Insulation
b. N/A
c. N/A
9 . Wall types
a. Concrete, Int Insul, Exterior
b. Frame, Wood, Adjacent
c. N/A
d. N/A
e. N/A
10. Ceiling types
a. Und<< Attic
b. N/A
c. N/A
I I. Ducts
a. Sup: Une. Ret: Une. AH: Attie
b. N/A
Davis, , Zephyrhills, FL,
New
Single family
I
3
Yes
1365 iF
120.0 ft2
0,0112
0.0 ft2
0.0 ft2
R=O.O, 158.0(p) ft
R=5.0, 956.0 ft2
R=II.O, 172.0 ft2
R=19.0, 1365.0 ft2
Sup. R=6.0, 100.0 ft
12. Cooling systems
a. Central Unit
Cap: 32.6 kBtu/hr
SEER: 10.00
b. N/A
c. N/A
13. Heating systems
a. Electrie Heat Pump
Cap: 33.4 kBtu/hr
HSPF: 6.80
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. HVACcredits
(CF-Ceiling fan, CV-Cross ventilation,
HF -Whole house fan,
PT -Programmable Thermostat,
RB-Attic radiant barri<<,
MZ-C-Multizone cooling,
MZ-H-MuJtizone heating)
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 features.
Builder Signature:
Address of New Home:
Date:
CitylFL Zip:
*NOTE: The homes estimated energy peiformance 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 86 for a us EP A1DOE EnergyStJl:1 designation),
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.fsec.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.
Energ}(Jauge@ (Version: FLRCNA-200)
. "". "-'VI VUUr-\-""
I .
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
Project Name:
Address:
City, State:
Owner:
Climate Zone:
Lot17/Davis -
<..f Boe .-;;......6u
Zephyrhills, FL
Davis
Central
~y
Builder: Davis
Permitting Office: Pasco
Permit Number: 0 If l.. ~
Jurisdiction Number: & i, boO
1. New construction or existing
2. Single family or multi-family
3. Number of units, ifmulti-family
4. Number of Bedrooms
5. Is this a worst case?
6. Conditioned floor area (ft2)
7. Glass area & type
a Clear - single pane
b. Oear - double pane
c. Tint/other SCISHGC - single pane
d. Tint/other SC/SHGC- double pane
8. Floor types
a SIab-On-Grade Edge Insulation
b. N/A
c. N/A
9. WaIl types
a Concrete, Int Insu1, 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
11. Ducts
a Sup: Unc. Ret: Unc. AH: Attic
b. N/A
New < 12. Cooling systems
Single family t.I a Central Unit
1 ~
3 b. N/A
Yes
- 1365 ft2 ~ c. N/A
120.0 ft2 13. Heating systems
0.0 ft2 a Electric Heat Pump
0.0 ft2
0.0 ft2 / b. N/A
R=O.O, 158.0(p) ft Z c. N/A
R=5.0, 956.0 ft2
R=11.0, 172.0 ft2
./
-SJ
R=19.0, 1365.0 ft2
I
Sup. R=6.0, 100.0 ft 1.
Cap: 32.6 kBtu/hr ~
SEER: 10.00 _
Cap: 33.4kBtu/hr ~
HSPF: 6.80 V
~
i7
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. HV AC credits
(CF-Ceiling fim, CV-Cross ventilation,
HF-Whole house fim,
PT -Programmable Thermostat,
RB-Attic radiant barrier,
MZ-C-Multizone cooling,
MZ-H-MuItizone heating)
Glass/Floor Area: 0.09
Total as-built paints: 19584.00
Total base points: 21600.00
PASS
I hereby certify that the plans and specifications covered
by this calculation are in compliance with the Florida
Energy Code. ~
/) ,
PREPARED BY: Shelby R. Carter -' '
DATE: k ~ :J,. <f -01
/
I hereby certify that this building, as designed, is in
compliance with the ~ ~ /
OWNER/AGENT: , -;z~
DATE: ~ho-.; 0 (y
EnergyGauge@ (Version: FLRCNA-200)
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.
BUILDING QFFI IAL:
DATE: L. (
PASCO COUNTY, FLORIDA
SCHOOL IMPACT FEE
Ordinance No. 01-06
Effective: February 23, 2001 at 2:08 p.m.
Permit No. o,/6?
Date Permitted: '7 -3/ -tJj
Builder Name/Owner Name -p{.] V 1:S ~r~c-f; n~
-
"
ParGellD: S /5 T c;...~ R ~I Sub. ();241) Blk, OQt'OOLot O/7tJ
Address/Location:3 g 00 -r; ~~ W~
Subdivision:
ClassificationlType of Use:
~ingle-Family Detached House
o Mobile Home
o Other Residential
Q Collection Fee
(056) I, ~ 9'1
(057) '.
(05$)
(123)
$ I, {, ry
Exempt:
Total Fee
Yes .+ No
How Determined:
Prepared BY:~~
Checked By:
The abov~ impact fee has been established pursuant to the P~sco County
School Impact Fee Ordinance No, 01-06 as adopted by the Pasco County Boar'
of County Commissioners. This amount is payable PRIOR to the issuance of a
Certificate of Occupancy or where a Certificated of Occupancy is not req~ired
PRIOR to the final inspection.
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL
INSPECTION PERFORMED UNTIL THE TOTAL AMOUNT LISTED HAS BEEN
PAIQ AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF
PASCO COUNTY.
Acknowledgement below does not imply acceptance or concurrence, but simply
receipt of a copy of this form, placing the building permit owner on 1'I0tice of this
assessment and the conditions of payment for same.
1- 7 -L2~~____
Date
k!dh~- ,~~
r~eceived By
OFFICE USE ONLY
RECEIPT NO. 1~5:loY DATE /- '7-0 a--.
BY~~
White Canary
Customer Finance
Green
School Board
Pink
Inspection
PC01045114
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PASCO COUNTY, FLORIDA
SCHOOL IMPACT FEE
Ordinance No; 01-06
Effective: February 28, 2001 at 2:08 p.m.
...:
..
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.' .
. ..
Permit No.
D {( f:. g'
1'7. .-" 2; (. /i I
Date Permitted:....--..- ../ I, j,
~1:!~!q.~r..~e/Owner Name.L/'/i Vi < i J't:,'! /'!. t. r~/...;)
Parcel 10: S /'; T
,
,<' R' / Sub. /'>/:(i Blk, '
Lot
...'"/,'".',
//:,./
Address/Location:
i..fX
...----
""'I( ) )
i' i \ ,I i! I I' I .11.>(' C' _>\.~
Subdivision:
C1assificationIType of Use:
~Single-F amily Detached House
q Mobile Home
o Other Residential
o Collection Fee
Total Fee
(056) I (: /'/
(057) .
(058)
(123)
$ l. /' 71/
,
Exempt:
Yes
V
I' No
How Determined:
Prepared By: l<.{?t i~'Vf\,,^~:;,_.-'t,~l;i,
Checked By:
The above impact fee has been established pursuant to the Pasco County
School Impact Fee Ordinance No. 01-06 as adopted by the Pasco County Boa:
of County Commissioners. This amount is payable PRIOR to the issuance of a
Certificate of Occupancy or where a Certificated of Occupancy is not required
PRIOR to the final inspection,
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL
INSPECTION PERFORMED UNTIl- THE TOTAL AMOUNT LISTED HAS BEEN
PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF
PASCO COUNTY.
Acknowledgement below does not imply ac~eptance or concurrence, but simply
receipt of a copy of this form, placing the building permit owner on notice of this
assessment and the conditions of payment for same,
I - /7-, /':,-:'/,___,__
Date
ix/,ll 'Ll-I,
f ; '. .'-'-._'-~.-
Received By
"..... {.
( '_'fd.:.~
OFFICE USE ONLY
RECEIPT NO. ('~)~:) 'It':) C/ DATE I r;. ( ~./i
BY [/"-1'" i
! , j.. : "-'Ii. \ 'J,i'i
White Canary
Customer Finance
Green
School Board
Pink
Insp~ction
PC01045114