HomeMy WebLinkAbout02-1312
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1312
J.t {)(} · #
eUILDING
/1,. I~
ELECTRICAL
(813) 780-0020
t7..511 35' ~
PLUMBING MECHANICAL
Date r; - :i5~. Or2
Property Owner:
Job Address:
Parcell.D. "
g~ ~~
37';C 0 r1!JtAb 0 iJ .
~Mt. OQ~
Sewer Conn
Water Conn: . ((!.tAt:. .
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Zoning: Energy Code:
Descriotion of Work ~ fD - :) l n? ~
~HJJ/lL(?/Jt )/0 -7--0:;L ;/.' lulll"'- WAhd
l17 - =-:::R l' <:
NO OCCUPANCY BEFORE C.O.
o
FINAL
C.O.
DATE
-O~
DATE
Inspector
P~rmit Fee9r 3~
)<SIgnature _ ~
Company
Address
)<Telephone # 78fY-6/~
Valuation or
Contract Price 4 3) ();;Lo. 00
City License Registration # J 04
State Certified License#
G~& fr\DcWflGn ~4
-:j:"' V\C .
BUILDING ELECTRICAL
Ftr .t'l)Jrl6 <27-02 )2Uf Tp. Serv. SLB
Pre SLB / 7-/? -0:2 f{Jb.i?l~ough In :/K-2'l.-(J;Z MJ Tub Set
Lintel 711!J Meter Can Water
FRM. 1,/ P~c2q ~()2 m, Const. Pole Sewer
Insul. CL tJ1J Pool Final
WL ,/g--3v-DL 12..<'-'1 Pre-MetJE)/o -.g-O,~ /2;.1(
Final
Driveway / 7- q - (}2 f!L'1( H3 6
flf'S\C l~.ss
-u: \ L( (.,
~ev(rlS 5uv, VI'lL -hI,
-:it ~8 f.IJ
s 0 VI V\l{s
:..t:t=-
MECHANICAL
PLUMBING
/8- .:;te;--~.,c..
68'
Breakers
Ducts Insl. ~ 2&i_P#e!J
Compressor
Final
'7712~/'1 o~Ltt.- 7-12-02....
NJ 1;6 & -- I ~o?- POI R L r
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
ch",ge 01 lwe nfy-lIve and 00/1 00 0011"'8 1$25.00) 8 hall be made fOl each trip 101 each trade, ^ _ _ /)
a. Wrong Address ~ r;; ~
b. Condemned work resulting from faulty construction. . ~iL.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called. .../\ -0
e. Permit not posted on job site. :zJ!1) ]J
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.
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PASCO COUNTY. FLORIDA
Date Permitted
,',3 I .~.
(~
'..
"i ,),
" .!.l
Permit No.
Builder Name/Owner Name
( ; nCJ/
/ J4IJ!lJ ~jn /ll) , )) liJ~.', ] 11 (- .
County Parcel No. (>._~ ,.,1 if ..) I fl,,) on h (V'lr.,...n '. (", r ( )
Address/Location
",',), "'7 fl..' t,) f I Jf J
(/ d. . At, "'" fl.' f~:" ;.)(.. ..
()
. ,0
i~
Subd.
Classificationffype of Use
" r i.')
,)
~A
!~--
How Determined
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Why?
Rate $,
Zone No.
Sq. FtlUnit
Prepared By
Impact Fe) Amount $ Checked By
I
The abov~ 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
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
1(.' ,- I
I '
No. Units
I
Gross Sq. Ft. (GSF)
~ ~
Rate ERU - 54.00/Year
or $0. 148/Day
ERU Assign No.
/ ! ,.
/ ,';' ,/ (
Assessrf\ent - (No. Units) x ($0.148)
x (No. Days) ,
TOTAL FEE $ I () If f)5
Assessment -
(GSF) x (ERU) x (0.148) x (No. Days)
100
TOT AL FEE $
~2._. 1~;1 I ( ~)
(', ,(( (
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL VERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement 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 USE ONLY
TRANSPORTATION REC. NO. . DATE BY
RESOURCE RECOVERY REC. NO. $"8 ~t: I('~ y. DATE / (' ',11 "'K /O>J BY
.'")
, I t(.........
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/E
APPLICATION FOR PERMTT
CITY or ZEPHYRRILLS
. BUILDING DEPARTMRNT
DATi!: 1U!:Cl!:IVED c2 ~:l 7" 1) ~
PLANS REVIR nz
fI'
LEGAL DESCRIPTION: LOT (S) BLOCK Ullff I
J?AR.CEL ID f# I~-- _'?h '-oj '-0iJt10 .~ oot~- dOrlJ
PHONE
OWNER'S NAME
JOB ADDRESS
37
SUBDIVISION
lOBTAIU
WORK PROPSED: 'NEW CONSTRUCTION
[j SIGN
PROPOSED USE: l}:GL FAMILY DWELLING
COMMERCIAL
o ADDITION
o MOVE
DALTER.J\TION
o REPAIR
Cl iNSTALL
o DEMOLI SH
OMULTI - FAMI L Y
o INDUSTRIAL
0" OF UNITS
o SWIMMING POOL
d MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
BUILDING SIZE
/Ver{
6{)
LI/t (or
DESCRIPTION OF WORK
~ J{
SQUARE FOOTAGE
/()~
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FoRMs.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
~oC/'
~ BUILDING
t:yELECTRICAL
~ PLUMBING
~ MECHANICAL
o GAS 0 ROOFING
$
5O;o?JZ)
,
VALUATION OF TOTAL CONSTRUCTION
l~tJ
AMP SERVICE
I
FLORIDA POWER
D
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
FINISHED FLOOR ELEVATIONS
!J
FRAME
o STEEL
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
SIGNATURE
~/t/ Iff ertl/t-Vt f6..a,.7#..
,
STATE CERT OR REGIST "
CITY PROCESSING " lor
BUILDER
COMPANY
SIGNATUR
**********************************************************
COMPJ\NY r::'. </- b (; C'1f- s S
STATE CiRT OR REGIST " - Co CJd '2...<:7(1
CITY PROCESSING If ! cj' c;,
.LJl:C~C
PLUMBER
COMPANyg~lr .sE"/2/UE tlA/L7/.7vc.
STATE CERT OR REGIST" ~p~
CITY PROCESSING" OC
SIGNATURE
********************************************************t**'**'***
o COMPANY ?"t:1 ~ ~
/ STATE CERT OR REGIST # It-f11 n (j If Cf (, ,
~ CITY PROCESSING f#
MBCRANXCAL
************************* ***************************************
OTHER COMPANY
STATE CERT OR REGIST "
SIGNATURE CITY PROCESSING "
*'" '" ** *.* * *** "" * ******* "**"* ** *~ **** ** ***;i:'**-li* ,,**.** **** *** ********
1\.. NV'J.',H;t; UI!' 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 ndsdemeanor
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
cont~actor(s) sign portions of the "Contractor Sections" of this application for which the:
will be responsible. If you, as the owner signs as the contractor, you are indicating thai
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 il
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 oocument 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 tc
be in compliance. Such agencies include but are rtot 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
*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 durihg 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~~
SIGNATURE: C T CTOR
STATE OF FLORIDA /ft . n -~)
COUNTY OF ~ (~o
The foregoing instrument was
Before me this ~day 0
by
~: (name of person acknowledged)
~ho is personally known to me, or
Owho has produced
~.(type of identification)
and who Odid llSPid not take an oath
~~/n. l1foAd .
Signature of person taking acknowledgment
owl edged
. ,~-2-
STATE OF FLORIDA 11)
COUNTY OF rc;..fCtJ
The foregoing in~trument was acknowledged
Before me this ~ day of f?b , n~J)-
by Unce I~
~ (name of person acknowledged)
/~Who is personally known to me, or
Owho has produced
(type of identification)
and whoD did ftdid not take an oath.
JOM[) rY\. \ljOiJ
Signature of person taking acknowledgement
..\\.t'~",,~,
l~~ Dana M. Ward
,9; '''1 MY COMHISSION fJ 8flroeZl1lX~$
Name type~ ......~ted orJul;'f.".~
'~Ji1.,fli'" BONDfD THRU TROY FA/II MlItAHCE, file
Name
Dana M. Ward
;. RETURN TO:
'Ff McCLAIN & ALFONSO, PA
P.O. BOX 4
~ ' ~E~. FLORIDA_
1/11I1111111 11111 11/11 1/11/11I1111111 1111I 1111111111 IIJIIIII
2002098733 . .
NOTICE OF COMMENCEMENT
Rcpt: 599131
DS: 0. 00
06/26/02
Rec: 10.50
IT: 0.00
Dpty Clerk
STATE OF FLORIDA )
COUNTY OF PASCO )
THE undersigned, as Owner, notifies all parties that improvements will be made to certain real property, and
in accordance with Section 713.13, Florida Statutes, the following information is stated in the Notice of
Commencement:
DESCRIPTION OF PROPERTY:
See Exhibit "A"
GENERAL DESCRIPTION OF IMPROVEMENTS:
CI B Home
JED PITT"ANA PASCO COUNTY CLERK
06/26/02 0..: : 00pm 1 of 2
OR BK 4989 PG 692
OWNER AND OWNER'S ADDRESS:
Gold Medallion Homes, Inc.
PO Box 1536
Zephyrhills, FI 33539
OWNER'S INTEREST IN THE PROPERTY DESCRIBED AS: Simple
CONTRACTORS AND CONTRACTOR'S ADDRESS: Gold Medallion Homes, Inc.
PO Box 1536
Zephyrhills, FI 33539
SURETY (if any) and SURETY P.lI)DRESS: N/A
AMOUNT OF BOND: $ NIP..
NAME AND ADDRESS OF LENDER, IF ANY, MAKING A LOAN FOR CONSTRUCTION OF THE
IMPROVEMENTS:
Community National Bank of Pasco County
Post Office Box 639
Zephyrhills, Florida 33539
NAME OF PERSON WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM
NOTICES OR OTHER DOCUMENTS MAY BE SERVED:
Community National Bank of Pasco County
Post Office Box 639
Zephyrhills, Florida 33539
IN ADDITION, OWNER DESIGNATES THE FOLLOWING PERSON TO RECEIVE A COPY OF THE
LIENOR'S NOTICE AS PROVIDED IN SECTION 713.13, FLORIDA STATUTES:
Community National Bank
of Pasco County
Post Office Box 639
Zephyrhills, Florida 33539
Larry Hersch
Attorney at Law
Post Office Box 1046
Dade City, Florida 34297-1046
EXPIRATION DATE: June 17. 2003
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged before me this 17th day of June 2002, by
Robert A. Kelly, President of Gold Medallion Homes, Inc., who is personally known to me or who produced
As identification, and who didldid not take oath.
Witness my hand and official seal in the County and State last aforesaid this 17th day of June 2002.
J:~OIl1J.rM.' a/i;d
NOTARYP LIC
..'~~'r~', Dana M. Ward
/j'i/;;;:":;= MY COMMISSION # 00038228 EXPIRES
~:~.~~~':.l July 14, 2005
-"/f.'o'" -;..~., WNDf['THRU TROY FAIN INSUI1ANCf.INC
"'"1'''
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Y --blAn;..-t; -# / 5/ ~ (0 ;. ,"7
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PERFORMANCE BUSINESS PRODUCTS. INC. 1113-719-8008 FAX, 513-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
Cd -c,:' 7/0
WATER ACCT. NO.
DATE ~ ~ ~ S -f.: ;;Z
OWNER/
RENTER
C:1~cfJ ~~~ ~,
S.ee ~,
~~C.
~.
'PJ/lCL5 ~~ Ii,<;/
\l\TER
SERVICE ADDRESS 73 7 d-.. <)[)
SHUT OFF SERVICE D
TURN ON SERVICE ~
INSTALL METER ~
READ METER D
CHECK METER D
OTHER D
D SEWER
o GARBAGE
~N CITY
D OUT CITY
.1 No. OF UNITS
_ DEPOSIT AMOUNT
3/!1 '1 /1/l~_
>Y' ~ "5 · r'lIV'-q'
_ AMOUNT lAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all time .
Send pink & yellow forms to Water Service Dept
Water Service Dept. to sign yellow form & return to 0
.~
o
;~'-..
PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 ~ 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
/') ~ /) -;'17
,:...--'~ -L../ //
WATER ACCT. NO.
DATE ~ -t::l5--t7:<.
OWNER/
RENTER
/ "1 '
<ccPd/ '-tNcfJt~
S~ C-~'
~i7J1C,
~
GuJtlcts~:r" ,/
il'\TER
SERVICE ADDRESS 37:;250
SHUT OFF SERVICE 0
TURN ON SERVICE ~
INSTAll. METER rw/
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
~ITY
o OUT CITY
-L- No. OF UNITS
_ DEPOSIT AMOUNT
7?
If
'LJ;jj, ~
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETt:D BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all Ii
Send pink & yellow forms to Water Service Dept
Water Service Dept to sign yellow form & retun) to
6--cJSr- ()::2
Gold Medallion Homes
Tract "F" Unit 1
SQ. FEET PRICE
MAIN OR LIVING: 1,020 $ 40.00
OTHER AREA UNDER ROOF: 148 $ 15.00
OTHER: $ -
VALUATION $ 43,020.00
FEE SHEET $ 240.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 400.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 400.00
ELECTRICAL: $ 76.16
PLUMBING: $ 67.50
MECHANICAL: $ 35.00
RADON: $ 11.68
TOTAL $ 590.34
SEWER: $ 1,278.00
WATER: $ 350.00 I.>
IRRIGATION: 1$ -
TOTAL: $ 1,628.00
~
WATER METER: $
IRRIGATION METER $
,,-
SIF'S: $ 1,694.00
97.5% $ 1,651.65 I
2.5% $ 42.351
'3 ?"1 ;t C;l
I
I
TIF'S,!'
99% $
1% $
- I
TOTAL: $
4,092.34 ,
/; / J
G'o .\:
)y"\ s: r\
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: BUILDER:
AND ADDRESS: PERMITTING CLIMATE 405060
OFFICE: ZONE:
OWNER: PERMITNO.~ JURISDICTION NO.: o=co=rJ
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 I 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-an-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-:;ingle 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. HV AC 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 tha
compliance with t
117.
17a.
11a.
11b.
12a.
12b.
12c.
13a.
13b.
13c.
14a.
14b.
15a.
15b.
15c.
16.
CK
1. #~.'
2. >; ""S l ; .
3. NO
4.
5. I@ )....0 sq. ft.
6. / ft.
Single Pane Double Pane
7a. ("I I, ~ sq. ft. sq. ft.
7b. sq. ft. . sq. ft.
Sa. R= {;) IYv I. ft.
Sb. R- sq. tt.
Sc. R- sq. tt.
9a-1 R= sq. tt.
9a-2 R= /I lilt.) sq. ft.
9a-3 R= sq. ft.
9a-4 R= sq. ft.
9b-1 R= sq. ft.
9b-2 R= sq. tt.
9b-3 R= sq. ft.
9b-4 R= sq. ft.
10a. R= 30 10 J- 0 sq. tt.
10b. R= sq. ft.
10c.
R= b , u Af (cond.luncond.)
LI A-' C v /V l (cond.luncond.)
Type:C ~ A. 1 (c4 (
SEERlEERlCOP: I L' Leo
Capacity: :J J. L (() U
Type: 1'-1 ~ .
HSPF/COP/AFUE: -1. 0
Capacity: 'i). ~ eYe.' Q
Type: ,Eft!T
EF: ; q (
c ~
PoJ s "
,
I
17b.
'hL3L.
",
DATE: 1-'J..~o1-
pliance with the Florida Energy Code.
Review of plans and specifications covered by this calculation
indicates compliance with the Florida Energy Code. Before
construction is completed, this building will be inspected for
compliance in accordanc i Seclio .3.908, ~
BUILDING OFFICI l/
DATE:
OWNER AGENT:
DATE:
.1.
Revised 1998
. SUMMER CALCULATIONS
r~L r-
H
j
ORIENTATION OVERHANG
LENGTH
OH (FEET)
N '/
NE
E
SE
S /
SW
W'
NW
HI
Ul
Ul
c(
-.J
Cl
I
OH LENGTH
OVERHANG RATIO = OH HEIGHT
~
:3
Cl
42.077
WEIGHTED GLASS
MULTIPLIER
.18
COMPONENT 1 BASE SUMMER I BASE
AREA SUMMER
DESCRIPTION x POINT. MULT. = POINTS
EXTERIOR i II .'J 1.9 01. \l q
-.J ADJACENT .7
-.J
~
T
\ ()L\.
rn EXTERIOR
g ADJACENT
:). i d:'
4.8
1.6
Cl
Z
:::;
W
(.)
UNDER ATTIC
OR SINGLE.
ASSEMBLY
a:
o
o
-.J
U.
INFILTRATION &
INTERNAL GAINS
14.31
CLIMATE ZONES 4 5 6
GLASS I SINGLE.PANE OR DOUBLE-PANE ~ SUMMER I AS-BUILT
AREA ~UMMER POtIT Mll.TFUER SUMMER POM' MUlTFUER OH FACTOR = GLASS
(sa. FT.) CLEAR, ntW CLEAR TINT1 (Irom6A.1) SUMMER PTS
.~ iI', I / 27.96' '2!l~ '5.65 '1." ,qq 1... Cf'flo
43.65 36.4239.16 32.78
59.31 49.89 !\?AA 44.33
56.64 47 M !'iO.~'i 4'~7
44.66 ~7.?!l 39.911 ~~49
52.82 44.31 47.07 39.55
53.48 44.87 47.65 40.50 .,. S S?...:J
37 74 ~1 ~ 34.10 28.45 I 1,!'1 I
102.51 8502 g~.!'iO 7A.03
I
hWt'1..
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COMPONENT
DESCRIPTION
T
i04
II
I, I
~{Y
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T
14.31
USE TOTAL FLOOR AREA OF CONDITIONED SPACE.
T "
I ~ {'f if L/I
T
/~ ')...'7 ..:5>
TOTAL COMPONENT BASE SUMMER POINT~
COOLING BASE COOLING TOTAL BASE
SYSTEM x SUMMER
SYSTEM MULTIPLIER POINTS
.36 ')0
HOT
WATER
SYSTEM
NUMBER
OF
BEDROOMS
:J-
AS-BUILT
HOT WATER
SYSTEM DESC.
IH = HORIZONTAL GLASS (SKYLIGHTS)
2FOR GLASS WITH KNOWN SHGC OR SC, SEE SECTION 2.1 APPENDIX C. TINT MULTIPLIERS MAY BE
I..ISEDf<JlGlASSWlliro.AROCAEENS,R.M,OOlM'.
-2.
WINTER CALCULATIONS
! .
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H
rJ
en
en
j
Cl
:1
01
en
en
j
Cl
ORIENTATION OVERHANG
LENGTH
Off (FEET)
Ii /
NF
r:
~i=
!:: I
~W
Ws
NW
1-/1
€lIMATE'ZONES ~4
5 6
"'
-iE.p~E OR DOUBLE-PANE , .. WINT&R
~o7Rpcim IM.TJIUER WINTER POM' MIUJIlJER X OH FACTOR
ClEAR TINJ2 CLEAR TINJ2 (from6A.10)
fl?~ 1?:J;R Rd.'l ~ . ,;<c;Q
il?M 1') <11 fG7 RA?
i A.M 1 nl;A 4.!'i? !'i.nl
i Ait Cl-l? 'l17 'l1M
i77'l A Ii!! ~ ~
i A-"- AM 'lAA 4.4517
074 lPl lil!; ~
b?? l?lil ~ ~
11./;4 12.~ 491 5.!'i4
\ I
IJ
GLASS
AREA
(SQ. FT.)
';,.. (
_ AS-BUILT
- GLASS
WINTER PTS
4\Cr
(,0 ,c.,'
.
iTD7
v
j'1 r 'f,. l:(ql.\
T
,.-, .n i'., Y 64
,..
~
4.79
.18
WEIGHTED GLASS
MUL TIPUER
=
COMPONENT 1 BASE WINTER 1 BASE
AREA WINTER
DESCRIPTION X POINT. MUL T. = POINTS
EXTERIOR II! ') 2,0 ,.::J ,:;:;l '). C-,
-' ADJACENT 1.8 ~
-'
~
[II EXTERIOR
g ADJACENT
o
~ (~~ I
Cl
:z
::;
W
o
UNDER ATTIC
OR SINGLE
ASSEMBLY
a:
o
o
-'
u.
INFIL TRA TrON &
INTERNAL GAINS
COMPONENT
DESCRIPTION
WINTER
x POINT. MUL T.
(6A'11THRU6A-15)
"
AS-BUILT
WINTER
POINTS
AREA
5.1
4,0
"
llo
'L (.!
I ~. I
T
110
II
-0.28
"
4 L( ."t..>
TOTAL COMPONENT BASE WINTER POINT~
BASE HEATING TOTAL BASE
SYSTEM x WINTER
MULTIPLIER POINTS
1.07 ?:, ') \
SYSTEM
-'
<(
.-
o
.-
2FOR GLASS WITH KNOWN SHGC OR SC. SEE SECTION 2.1 APPENDIX C. TINT MUL T1PUERS MAYBE
-4.
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PASCO COUNTY, FLORIDA
Permit Nu.
", I ',.,..:,
'.
.....
Date Permitted _
: t"
\Jt
,~~/ .:5 ~..
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Builder Name/Owner Name
1'." i" ~
(i', , 1'/, "
f / l.t ~!(~ .1'..( 1,('
1- if.... t.~..) ) l.~--"J.--' .~[ 1'1 {..'
County Parcel No. :'; .,..11 ....;, i t..,.l 00 - Cn ooe -' r:;' r' u
Address/Location
:'. f"'1 t', ~:' ()
,,/ ,'t").,
, ,'\-,( i.iA'It k<, I.ji t1
j
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, ...-..Jt:
Subd.
Classificationffype of Use
~'
F T)
~
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
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
Gross Sq. Ft. (GSF)
/'; -
<.
,
.'~"
No. Units
I
. -----
..-,
" i' . ._____J
Rate ERU - 54.00Near
or $0. 148/Day
ERU Assign No.
,I
Assessment - (No. Units) x ($0.148)
x (No. Days)
TOTAL FEE $ I () ~ pS
Assessment -
(GSF) x (ERU) x (0.148) x (No. Days)
100
TOTAL FEE $
-7 rf,J. I ( '"'.5
e---' y.-:yt
u_J'c (
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowkdgement below does not imply acceptance of concurrence. but simply receipt uf 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 USE ONLY
TRANSPORTATION REC. NO. DATE
RESOURCE RECOVERY REC. NO. 5<7? <! It) 9' DATE I (:: It <:., !t'rl'
? '\ .'
BY
BY
\ f. /rp
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
Pink
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/E