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Home My WebLink About03-2352 I 'I, I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2352 Permit Number: 2352 Issued: 9/11/2003 Permit Type: NEW SINGLE FAMILY DWELLING' Class of Work: 101-NEW CONST/SFR Proposed Use: SINGLE FAMILY RESIDENTIAL . Sq. Feet: Est. Value: I Cost: 96,00 I Fees: 3,294.56 Amount Paid: ate Paid: 9/11/2003 Address: 4934 TIMBERWAY ZEPHYRHILLS, FL. Township: Range: Lot(s): 2 Block: Section: Book: Page: Subdivision: COURT SQUARE Parcel Number: 15-26-21-0200-00000-0020 Name: TENBRINK & ASSOCIATES Addr: 35512 CHESTER DR. ZEPHYRHILLS, FL 33541 Phone: (813)782-0678 Lic: Work Desc: SINGLE FAMILY DWELLING MANLEY, SCOTT & EMMA 4934 TIMBERWAY ZEPHYRHILLS, FL. 33542 Phone: WATER CONNECTION RESIDENl RADON 10. , 419.00 i MECHANICAL FEE 21.46 i WATER METER RES 3/4" 77.30 BUILDING FEE 180.00 ~ lj , ;( ~I ~ --fJ'I /2: J.4 /("-f~/;II( Id- - f? l.'1 de t.FJ~ ().r"L~' CONSTRUCTION POLE 2ND ROUGH PLUMB v DUCTS INSULATED PRE-METER! ~ -/~ ~d V ~"'~ WATER J /0- 2-0"] R.llf ,d{[T FINAL MECHANICAL oMlSC ' SEWER :;z + Cl -?. -.() 3 ilM ,r-I MISC INSULATION WALL - ,() 1/'1 MISC MISC. MISC. INSULATION C~ILlNG. MISC. MISC. MISC. DRIVEWAYy ,,, ;lJ,-b '1 Hc1'D ! MISC. I MISC. FIRE DEPT. FINAL REINSPECTlON FEES: When extra inspection trips are necessary due to any orie of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections l)Ot-.maQe whenll inspection called (d) Work not ready for inspection when called 0 "'-, J!~ AM) U'<' (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible I\.(~:HVY,V- '( r^'- ' The payment of inspection fees shall be made before any further permits will be issued to the person owning same -nWarrnng -to-owner: -Your failure to record a notice of commencement may resulfln your paying twice for i improvements to your property. If you intend to obtain financing, consult with your lender or an attorney II before recording your notice of commencement." ------- - -~- -- ------ NO OCCUPANCY BEFORE C.O. ~.~-- - NTRACTOR~~-- PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER :~ ~1Sqij!!i E3 ?ERFORMANCE BUSINESS ?RODUCTS, ;NC_ 81S-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA ,..., '), /l LI c ~-. I I ~:3 WATER ,A.CCT. NO. DATE 1//(/0 ~ /' / OWNER/ ~' ,~ . RENTER---------'--' /~r _...::t<j~MJI!:; ~ ........ .' /" ? ./ - (' . ..c: < /-, I"~ \ i../1, ,-.- ;-~,_..,. -- ~/-'- MAiliNG ~ ,- .-, '"' i) ._'/, I :,~....).~ :'.- \. --' /;<.'" '''..--\ ~). -;r df..' ~ ,/j~ I C - ---1I ' ,-?,"". .' I "::::~~:J I ,I SERVICE ADDRESS /f-13// ~ // -? '~~ /. ~.V'I/J _/.~./,~./ / L... / rJ <..,I Q/ WATER SHUT OFF SERVICE o .~ 1& o SEWER TURN ON SERVICE o GARBAGE INSTAll METER READ METER o /~ IN CITY o OUT CITY CHECK METER o _ No. OF UNITS OTHER o _ DEPOSIT AMOUNT ~ " / I . -: IJ/~ _ /t,-> ;., ~~'- /,...,~~.l.-- _ AMOUNT LAST BILL /' ~ll .1 7 _DATE '~ _ MISC. CHARGE ~ WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY A //' I tj / / / /~, ,~ /~ ~ Retain white form in office at all tunes. .... i Send pink & yellow forms to Water Service Dept. ' ,~ Water Service Dept. to sIgn yellow form & return to office, Vv~~sL;; VYu;,",'"r('(~j.,y ./'. 'l,zuJ) (LJI\! k j- (tss ~ ~. r/7 ~lf 1J~6~~ . JJN"-L{. ~tL.Y 1lJf~Cr l\iIain Ollie::: Area Unoer R.oor ;/ Jinariou: Buiiamg: Set...-n:ic: P1umoing: Mechamc:ll: lWtiou: SQ_E_ I~Lf 1f"S'"L 0lo,OV /51.9.,,0/ JJ~.fD~. J Dl.o;:5"tlV /1 )sov/ LJ.~v PRICE <""\.:::ft; .J U" - ~-':> "7.-:::L SciJ.ooi Iomact ':;ees: C.lDlla:'Ucn ~ees: Tr.ms. Ilnpact ~ee:s: , ") v~ ,10" 11~'f.'J L t. I lotto '~~h-WnA / J:\, ( C/ ~o ~ / '-/- iO _ ~ / 41c, W fjT ,VL V" '':> I <0 ~, ~. Mf)::rhlL- CITY OF ZEPHYRHILLS PERMIT APPLICATION 8UILDING DEPAR~~N~ 5335 8th Street, Zephyrhillsr FL 33542 ~~, 813-780-0020 FAX:813-780-0021 17 DATE RECE IVED+... PL1\NS REVIEW F, . OWN8R'S NAHE Scot\- ~&nfY\fA.., mCU1l~ ,JOB ADDRESS lf~.3t4 lTm~~("" L0~ I L-ot ;)- LEGAL DF":SCRI PTION: LOT (S) ~ BLOCK PARCEL 10 # IS--~~- d 1- Od.OO -00000 - 0 O~O PHONE 81~ f~O-tcSOS SUBDIVISION Cou.rt S~UD-r~ (OBTAIN FROM PROPERTY TAX NOTIf-EI WORK PROPSED: ~EW CONSTRUCTI.ON o ADDITION o ALTERATION o REPAIR o INSTALL DS1GN PROPOSED USE: ~SGL FAMILY DWF.LLING o 110VE o DE110LISH D11ULTI - FA1HLY o It OF UNITS o SWIMMING POOL o 110BILE Hm1E o OTHER o COMMERCIAL o INDUSTRIAL D RESTAURANT & HEALTH DEPARn1E~lT APPROVAL DESCRIPTION OF WORK 'B\cL S~I +O-.rni Ij ~stocj rno..S.OVlt'".:J l-Pr-oJYlf.. l-)~e.... BUILDING SIZE SQUARE FOOTAGE ~/l.{ l.,. $3 HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~8UnDING g"ELECTRICl\L ~LUWnNG ~MECHANICAL PERMITS REQUESTED ,$ VALUATION OF TOTAL CONSTRUCTION ....-.----- ~ AlvlP SERVICE if FLORI DA POWER o V.l.R.E;:C~ / / / ...".fj J (,/ ~~ t'" I A ~ mSTALLATION/1-. 'Iv // $ 34SJ.c() VALUATION OF MECHANCIAL o GAS o ROOFING o SPECIALTY o OTHER TYPE OF' CONSTRUCTION: ~ BLOCK g FRAt1E o STEEL o OTHER FINISHED FLOOR ELEVATIotlS IS. PROJECT IN FLOOD ZONE AREAO YES ~10 Cm1PANY T€Y\BYi~L i f\-..s..s.oc:..-'n.+es ~~ STATE CERT OR REGIST # C6c..(Y..f34~;;l- CITY PROCESSING # :s~1 8UILDER ************************ ***h*+*+*~***********+**+,~*************** ELECTRICIl\N SIGNATURE ~-- JJ ~ (2 COMPANY Ree~~ Ctectn<.....C\.J I ~. STATE CERT OR REGIST # EC I~DO'3S3 CITY PROCESSING 11~~~ ****************************+****~*********************~(********** SIGNATURE COlvlPANY Sc-h l~ -P~\A..YY\bi'Y~ STATE CERT OR REGIST 11 C. Fe.. 04' al CITY PROCESSING 11 I d--"( PLUMBER * * ** * * * * * * ** ** * * * ** * * ** * * * ** ** * * * ** * ** ** * * h*-* *..t ~,'" * * ** * **,.. **** * * **A . Cm1PANY rtY\CU e..t..U 's H-e.a.. i1~ ~ \.:00 I, ~ ~ .STATE CERT OR REGIST 11 C~05g-~g7 CITY PROCESSING It-.2c; J] ***************************************************************** OTHER Cm1PANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE; **********************************************+***********'******* CONDI'rIONS OF PERI'1IT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permi,t may be subject to "deed restrictions" which may be more restrictiv~ than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED dONTRACTORS Al-lD CONTRAC'I'OR 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 mmer and contract6r may be cited for a mis'demeanor violation under state law. If the owner or intended contractor are uncertain as to wllat 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. 'rRANSPOR'l'A'rION I MPAC'l' FEES AND U'rILI'l'Y CONNECTION FEES D. CONS'rRUC'rUION LIEN LAVJ (CHAPTER 713, FLORIDA STA'fU'fES, 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 conunencement. E. CONTRACTOR' S/OWNER' S AFFIDAVI'f I certify that all the information in this application is accurate and that all work will be done in compliance Hith 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 vlOrk or installation has cormnenced prior to issuance of a permit and that all work Hill 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 Inust 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-Seavfalls, 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 "AU or "A, etc.", it is understood that a drainage plan addressing a "compensating volumeu will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit i,ssuance, A permit issued shall be construed to be a license to proceed with the Hork and not as authority to violate, cancel, alter, or set aside any provisions of tile 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 permi t is cOllunenced Hithin 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 i,s conunenced. 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 dudng each six month period, or the project will be considered abandoned. WARNING TO' OWNER; YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUI.'l1 IN YOUR PAYING 'fWICE FOR INPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN nNANCING, CONSUL'I' WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'l'u. SIGNATU~~N'r STATE OF'}!' RIDA COUNTY OF CO The foregoing instrument Before me this ~ day 0 by. SUlt\- fY)()..nI~ (name of person acknowledged) Dwho is personally known to me, or ~~~ ~- - <1fU'-'o. J..' - """" ) SIGN T RE; CONTRA~ ([ S'l'A'1'E OF FLORIDA "-..,)./._, COUNTY OF . de. .7(((/ 'I'he foregoing instr~nent Has cknOWle%e~ ~ Before me this ~d Uf , "..-/ by r , ame of person acknoHe ~vs personally known to Dwho has produced _---.........--~ ~ (type~~ id.entificati on) aJ1C1 vl/ho Od'd id n t' ttl.k..e an oa {l . C . .' .'. . . ',' I, I '~) .. 'J ' Signifure of person taking acknowled ,,'''n'.... Bobbie Swetland g~?-'."J\"l:~\ MY COMMISSION # CC893160 EXPIRES Na~i:-.. :... d'BorJOa;~ AINlIlIlSullJlNcamped ",,9flll'" o who has produced r--t..:bL-1h'11S-4C-(q4-~.s--o)3-o (type of identification) ~id not take an oath. H'tliQMMlSSto,..tUJm~M4 EXPIRES: April 27, 2007 Bonded Thru Notary Public Undeowriters F~RM 600A-2001 Tested sealed ducts must be certified in this house. FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A I' Project Name: Address: City, State: Owner: Climate Zone: ten brink " J Lot #2 Court Square49..1.f7~L... u..J~ Zephyrhms, FL 33541- I Scott & Emma Manley South Builder: Ten Brink & Associates I Permitting Office: c!./f'f ()~- ;;?#IL l~ Permit Number: d( 35'~~ Jurisdiction Number: t/ I ~ tJ D 1. 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 (iF) 7. Glass area & type a. Clear - single pane b. Clear - double pane c. Tint/other SHGC - single pane d. Tint/other SHGC - double pane 8. Floor types a. Slab-Dn-Gradc Edgc Insulation b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Adjacent b. Concrete, Int Insul., Exterior c. Frame, Wood, Exterior d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A 11. Ducts(Leak Free) a. Sup: Unc. Ret: Unc. AH: Garage b. N!A New Single family 1 4 No 1635.33 ft2 259.0 ft2 0.0 ft2 0.0 ft2 0.0 ft2 R=O.O, 162.0(p) ft R=19.0, 139.3 ft2 R=3.0, 1336.0 ft2 R=19.0, 722.0 ft2 R=19.0, 1007.0 ft2 Sup. R=6.0, 6.0 ft 12. Cooling systems a. Central Unit Cap: 48.2 kBtuIhr SEER: 11.00 b. N/A c. N/A 13. Heating systems a. Electric Strip Cap: 15.3 kBtuIhr COP: 1.00 b. N/A c. N/A 14. Hot water systems a. Electric Resistance Cap: 50.0 gallons EF: 0.88 b. N/A c, Conservation credits (HR.-Heat recovery, Solar DHP-Dedicated heat pump) 15, HVAC credits (CF-Ceiling fan, CV-Cross ventilation, HF -Whole house fan, PT -Programmable Thermostat, MZ-C-Multizone cooling, MZ-H-Multizone heating) CF, _ I~GlaSsIFlOOr Area: 0.16 Total as-built points: 26517 Total base points: 30528 PASS I i I II II I I II II BUILDING OZFICIAL: I i DATE: t1 f ltiJ I 'L EneravGauae4i) (Version: FlRCPB v3.22\ i hert:by ~jfy thatihe pf.::it~ df'16 ~~lo"rS ~ by this calculation are in compliance with the Florida Energy Code. PREPARED BY: DATE: R>evlew-ofthe' plans. and specifications covered by this caicuiation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for complianc-e with Sectton 553.908 Florida Statutes. ~()RI\I1,~nnA_?nn1 . -. ".,". -T-. .. --- . C-ode Compliance Checklist ResidentiatWhoteButtding -Performance' Method A -' Detaits- AUUKt:$j: Lot #2 court ~quare, ZephyrhillS, FL, 33541- I-'t:KMII #: 6A-21INFIL TRATION REDUCTION COMPLIANCE CHECKLIST CO.M.POHENTS I SECDON. I JlEQ1JJREl8ENTS .FOR.EACHPRACllC.E ,CHECK Exterior Windows & Doors 606.1.ABC.1.1 I Maximum:.3 cfm/sa.ft. window area: .5 cfm/sa,ft. door area, Exterior & Adjacent Wails 606.1.ABC.1.2.1 I Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wail; I I foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility I np-"pnations: hp.twp.An waD nanp.Js.,}l.,tonlhnftom nlat_: bP.twp.p.n walls ,and ,floor ~.~ I ~XCEPTI~~: Frame walls ~ere ~ co~tinuous i~filtration barrier is installed that extends ,frill.T.i.. andiS sealed m~.tbe f!iiJl1datioo. m tae too .Q/ate_, 606,1,ABC.1.2.2 I Penetrations/openings >1/8" sealed unless backed by truss or joint members. I I EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed I I CeUinns I~~~F"'~ I I 606,1.ABC.1.2.4 I I to the perimeter, penetrations and seams. FUltwF\p.!l wa!l'l, I!.. c:pjJjnn..c;:, np.oetratiorm.of c:edtnnnlAM of ton. flnor: around .!\bafIR. t:MSfll'I. I soffits, chimneys, cabi~e~ sealed to continuou; ~ir barrier; ~aps i~ gyp board & t~p plate; , attio a~ EXCEPTION::, .FIart.'Ie ceiliflga wbf:f"e a c-ooJifHJoosinfiltratioo,1iamf:f" .is installed that is sealed at the erimeter at enetrations and seams. I Type IC rated with no penetrations, sealed; or Type IC or non-iC rated, installed inside a I sealed box with 112" clearance & 3" from insulation; or Type IC rated with < 2,0 cfm from r:onditio!lf~dgf)acF\. tP_'l,tp.d Air barrier on erimeter of floor ca' between floors. I EmaJJStfaos vellted, to outdoors., dampers; com.bustion Sfi8Ce beaters c-omply witbNFPA have combustion air. I I I I Multi-sto Houses AdditiooallnfiltrBtiooreqU; 606.1.ABC.1.2.5 , 601U.,.ABC"t..3 6A-22 OTHER PRESCRIPTIVE MEASURES Im"!Ilt hA mAt nr AVr.P.AdAd hv all rP.!llidAnr.A!ll ) - . - - - - OM - .. - COMPONENTS SECTION REQUIREMENTS 1 CHECK I Water Heaters 6'i2.'j Compiy with efficiency requirements in Tabie 6-i2. Switch or cieariy marked circuit I I breaker (electric) or cutoff (cas) must be Drovided. External or built-in heat trap required. Swimming Poots & 'Spas [612.1 i Spas & necitea pools musi:nave covers {except soiarfleated}'; Non-commercial pools , I I , must have a pump timer. Gas spa & pool heaters must have a minimum thermal , , I I I ..ffic:i..nN nf 711% I Shower heads 612.1 Water flow must be restricted to no more than 2.5 aallons per minute at 80 PSIG. I I Air Distribution Systems i 6iO.i i Aii ducts, fittings, mechanicai equipment and pienum chambers shaii be mechanicaiiy I 1 attached, sealed, insulated, and installed in accordance with the criteria of Section 610. : i Ducts inuIlC;;ohamoneaamcs: R..:o niill, insulation. I HVAC Controls 607.1 , Separate readily accessible manual or automatic thermostat for each system. I , In!'>.lIomnn I Rnot 1 Rn? 1 I r...i1inn!'>-Min R-1 Q r.nmmnn w..II!'>-Fr..m.. R-11 nr r.R~ R-::I hnth !'>;rl..!'> I I Com~on ceiling & floors R-11. EnerovGauoe TN DCA Form 600A-2001 EneravGauoeQi)/flaRES'2001 FLRCPB v3.22 1=()~I\JH~nnA_ ?nn 1 . -.::...... -.---. ---. Tested sealed ducts ~ust be cert!f!ed !!'1 this house. WATER' HEATiNG & CODE COMPLIANCE STATUS' Residentia'l Whole Buildlng Perform'ance Method A - Details I I AUUKI=~~: Lot #2 court ~quare, Zephymills, FL, 33541- t-'I=KMII #: t I Tank Volume AS-BUll T t Tank X Multiplier X Credit = Total I Ratio Multiplier Total EF Number of X Bedrooms 4- 2'".$69.00 947.6.0 50.0 Q,88, As-Buift Total: 4- i-.O!) 2369.00 i.oo 9<R:6.Q. 9476.0 I CODe COMPLIANCE STATUS BASE I AS-BUILT I Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 19843 1209 9476 30528 13708 3333 9476 26517 i I PA~~ . I ,~~ i , EneravGauoeTU DCA Form 600A-2001 1!='ORM '/3nQA' .-20D 1 .-.... '".;,;..~v- ---. T e-stedsea-!.ed ducts must be cert!f!ed~!1 this house, WiNTER CALCULATIONS Residentiat Whole BuHding Performance Method A - Detaits I ......,. '_ ',..,',', __,' I AUURESS: Lot #2 Court Square, Zepnyrhills, FL, 33541- PERMn #: I BASE , GLASS TYPES i AS...BUtL T I ,18 X Conditioned X BWPM = Points Overhang F!oer Ar-ea T"OOlC.lt;:f' Ornt .Len YJ:.t -.~r-ea X WPM X WOF= POfnt .~,....-'-- , 'l;:I' .18 1635.3 2.36 694.7 Single. Clear N 1.,5 1A 105,Q 4.,91 0.96 49Hl Single, Clear N 1.3 1.4 150.0 4,91 0,97 713.8 Single, Clear N 1.3 1,4 4.0 4.91 0.97 19.0 I As-Built Total: 259.0 1230.61 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 139,3 0,50 69,7 Concrete, Int Insul, Adjacent 19.0 139,3 0.10 13.9 Exterior 2058.0 0.60 1234.8 . Concrete. Int Insul. Exterior 3.0 1336.0 1.20 1603.2 J a~- - "_4_'- d~-= I UkU. 2t97".S ""A4I . I...JU....iJ JFrame, Wood, Exterior As;.Buift 1'utdt 19.0 722.0 0.30 216.61 ^Aft.,... ~ft'..ift. '1iJ".';>> IO..JoiJ.. Area X WPM = Points 42,0 1.80 75.6 n:r:>.b 1.lsU '-9"0.11 147.6 265.7 .' DOOR TYPES- Area X BWPM = Points Type Adjacent 0,0 0.00 0.0 Exterior Insulated 1 Extenor 147.b 1,8'0 2"6'5.7 1 EXterior Insulatea Base Total: 147.6 265.7 As.Built Total: CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 1...___...,..._.- DCla.-= I v\CIl. 1007.0 0.10 100.7 I Under Attic 19.0 1007.0 0.14X1.00 AA""',.A IVV'.U AA^ .. . _' ...._~:k.-...__I- IUU.' ""~"DUII\ IU1.dI. ....~.. ft- .uu..v 141.0 uul ."'I.U FLOOR TYPES Area X BWPM =- Points Type R-Va.tue Area X WPM :;; Points Slab 1 KalSea 162,O(p) a.a -2.1 U,(jO -340.2 Slab-On-Grade Edge Insulation U.U 0.0 162.0(p -2,10 -340.2 Base Total: -340.2 As-Built Total: 162.0 -340.2 INFILTRATION Area X BWPM :;; Points Area X WPM = Points .....A:'!\C'. ~ t:'5_.oc. dQ. of .(.C!,,~_ !') "._t')~ aD..,. ."''''''''.0,.,1 -"'."'v -,;;,,,.1.. l\Jy..,...., -"'."'v -.;;,t",. I Wi,nter R:U:U:ll Dnintcp 1927.2 Winter Act_Rlli't Dninto. 3032.7 ..-'....'W'. _-"_'W' . ........._. ............. ....- --.... -...-. Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points ",. " (DM x DSM x AHU) 3032.7 1.000 (1.099 x 1.000 x 1.00) 1.000 1.000 3332.9 ... ' .,.., .,. ^~ .,. ...,.. ~ ^ .,.., .. ft^ .. ^^ ... ^^ .. ^ftft, ~~~.,.^ .s"., u.u2,4 .,09.. 3u3,. , ..uu ..u~s ..uuO ..uuu ~~~,.~ EneravGauae ™ DCA Form 600A-2001 " FOR;.:~'~o.A-2Q01 Tested sp~ed ducts must he c..ertif.l8-d in this house. SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot fI2 Court Square, Zephyrflills, FL, 33541- PERMIT #: BASE AS-BUlL T GLASS TYPES ,18 X Conditioned X BSPM = Points Overhang Floor Area Type!SC Ornt Len Hgt Area X SPM X SOF ::;: Points .18 1635.3 32.50 9566.7 ' Single, Clear N 1.5 1.4 105.0 33.94 0.71 2536..2 Single, Clear N 1.3 1.4 150,0 33.94 0.74 3760,3 Single, 0!ear N "La. 1.4 4.0 33.94 0.74 100.3- As-Built Total: 259.0 6396.8 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 139.3 1.00 139.3 Concrete, Int Insul, Adjacent 19.0 139.3 0.30 41.8 Exterior 2058.0 2.70 5556.6 Concrete, Int Insul. Exterior 3.0 1336.0 2.70 3607.2 Frame, Wood, Exterior 19,0 722.0 1.60 1155.2 Base T otal~ 2197.3 5&95.9 As-Buitt T otat; 2197.3 4304.2 DOOR TYPES Area X BSPM ::;: Points Type Area X SPM = Points A~nt 0.0 0.00 0.0 El!tefiof If1st!lated 42.0 S.40 2&&.8- Exterior 147.0 0.40' 9"44,0 Exterior IhSulated' 105.0 0.40' 015.8 Base Total: 147.6 944.6 As-Built Total: 147.6 944.6 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 1007.0 2.80 2819.6 ,Under Attic 19.0 1007.0 3.72 X 1.00 3746.0 Base Total'; 1007.0 2&1&.6 As-Built Totat; 1007.0 ........- ft ~, -.v.v FLOOR TYPES Area X BSPM = Points Type R-Value .A.rea X SPM = Points Slab- 1-61,etl'-r -2!lO -3-24e-.0 SJab.-0fl..Grade Edge If1stJlt!tion- 0.0 1-61.etl' -20,el) -3-24e-.O RaISea' a.a a.ou a.a Base Total: -3240.0 As.Built Total: 162.0 -3240.0 INFILTRATION Area X BSPM = Points Area X SPM = Points 1-&*.3- 1,&,19 '*>727 ;& 1-S*.3 1-8-.19 '*>727.& Summer Base Points: 4651.4.7 Summer As-Built Points: 43379.5 Total Symmer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points tDM- Y. DSM- Y. AHU} 43379.5 1.000 (1.073 x 1.000 x 1.00) 0.310 0.950 13707.8 48514.7 0.4288 19843.2 43379.5 .& ft.ft. ... ft....~ ft. ~.& ft. ^ Ar.^ 13707.8 I.UU I.U/~ U.~IU U.0701U EneravGauae TM DCA Form 600A-2001 Tested sealed ducts must be cert!f!ed in th!s house. ENERGY PERFOR1"IANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 85.7 The higher the score, the more efficient the home. Scott & Emma-Mantey, Lot#2 CourtSquare; Zephyrhills; FL, 33541- 1. New construction or existing 2. Single family or multi-family 3. Number of units, ifmulti-family 4. Number of Bedrooms 5. Isthis-a-worstcase? 6. Conditioned floor area (ft') 7. Glass area & type New Single family I 4 No 1635.33 fF ., ("'Ilao... .~;;n.....14 9"\..........0. u. .......-.... ..u....o...... P"......... 259.0 fP b. Clear - double pane 1;, Tmt/!.\the~SHGC- smgkpl!W1 d. Tint/other SHGC - double pane 8. Floor types a. Slab-0n-Grade Edge Insulation b. N/A c. N/A 9. Wall types a. Concrete, Int Insul, Adjacent b. Concrete, Int Ins'.!!, Exterior c. Frnme,vvood,E~erior d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/-A c. N/A 11. Ducts(Leak Free) 0.0 ft2 1;1.0 ~2 0.0 ft2 R=O.O, 162.0(p) ft R=19.0, 139.3 ft2 R=3.0, 1336.0 fr2 R=l~.u, 7I..2,u iF R=19.0, 1007.0 ft2 ... en...... TT.....,.. Do+. TT....,.. ^ U. rl...-ronDo u-. yu.y" .........."'. ..."'........ ......u."'. .l..,...... ....u....u.o.... C..._ D-t:: (\ t:. f\ A ......u1'..'\. ",.v, '-'.V....L b. N/A 12. Cooling systems a. Central Unit Cap: 48,2 kBtu/hr SEER: 11.00 b. N/A c. N/A 1'1 UQ....,.;n..... ~TIl"I+4..,.",.. ..I. -'.. ... ............\...&...0 ~ J o;Jt.-""'....u.~ a. Electric Strip Cap: 15.3 kBtu/hr COP: U10 b. N/A c. N/A 14. Hot water systems a. Electric Resistance Cap: 50.0 gallons EF: 0.88 b. N/A c. Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15. HVAC credits (CF-Ceilillg fan, .cV-Cross velltilatklR, HF-Whole house fan. PT -Programmable Thermostat, CF, _ 1t.K7 r "-A'..1.;.,.,.......<30 ,.......""l.nrF .\.....l..&../ __ .I.....u.L.....L..v....'" .......,"'......0,. MZ-H-Multizone heating) T c.ertity thllt thi~ home hl!~ c.omplieel with the Flonell! Energy Effic.ienc.y Coele For Rllileling Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Dispiay Card win be compieted based on installed Code compliant features. Builder Signature: Address of New Home: Date: City/FL Zip: *NOTE: The home's estimated energy performance score is on~v available through the FLA/RES comp'elter program. This is nota Building Energy Rating. If your score is 80 or greater (or 86for a US EPA/DOE EnergyStar™designation), your home may qualify for energy efficiency mortgage (EElvf) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at wwwfsec.ucf.edufor infnrmnJinn nndn li.<:t tifr.prtifipd Rntpr<: Fnr infnrmntinn nh()1ftFlnridn~<: F.nprgy Fffir.iPrwyCndpPnr RuildingCnn<:tmr.tinn, contact the Department of Community Affairs at 850/487-1824. EnergyGauge@(Version: FLRCPB v3.22) r-..... ..... _..... _ ".........1..... ,.,......................1:..................... 1::1lt#IYY uUUt# uUIIIJJlli:llI\;t# Duct System Performance Report I' ~roject Name: I Aaaress: City, State: I Owner: 1 Climate Zone: ten brink Lot #2 Court Square Zephvrhills, Fl 33541- Scott & Emma Manley South Builder: Permitting Office: Permit Number: Jurisdiction Number: TenBrink & Associates I I T_"_I n. ._.. ~.._..__ 1 __1,___ T__" D__. .1.._1 I ULal IJU"L ~J"L~1I1 ...~an.a~G I ~"L I'G"UI"" . CFM25 Total Duct Leakage Test Values Line System Duct Leakage Rated Air Handler Flows I I 1 I' 12 I 3 4 5 System 1 ,..4'"",,>1:; '-'....'-"" ,..4'"", villi I t J I System2 cfm25 cfm System 3 cfm25 cfm System4 Total House nllrt ~vctt~m - - -- -,I ___0.- Leakage cfm25 cfm ! = House Duct Leakage cfm25 (Sum lines 1-4) House Air Handler Flow (Sum lines 1-4) Total House Duct System Leakage 1 Total duct system leakage refers to all components of the duct system, including air handler, all returns and all supply ductwork regardless of location. Test must be done after all air handlers, ducts. registers and grills are installed. Total leakage includes all duct leakage of air to or from inside, outside and surrounding non...concHtioned .zen-as. -LeaJr<aga-toGutdcor testa and/or-pressurapan-tests-may not be used for energy code credit. If there are more than four systems, include results of other systems on back. Sum all cfm25 and rated air handler flows and show on line five above. Tetro duct s~'stem leakage for the-house ca{cuiated on line five must be equal to or less than 0.05 to receive airtight duct credit. I hArAhy (",.Artify thAt thA AhnvA nt J(~t tA~tinD rArfnrmAn~A results demonstrate compliance with the Florida Energy I, Florida Building Code requires that testing to confirm leak free duct I systems be performed by a person specifically approved by the state I to perform these tests. I I BUILDING OFFICIAL: I DATE: ^"'" J_ .....--"'____!.-.~-._..___...._:f._ ~".. -__...-__.."'...........a;....... ...~_..I.'-_ n..-M,Jt.=....... _A^ A_ A ... \JUUtl I tl4UIf tlllltllll::> If I i:IlNUl Ui:lII\,;tl Will I .:>tl\,;lIUII 0 I U. 1./'\, I, Florida Building Code, Building Volume, Chapter 13 for leak free duct systemcredft. SianaturA: - Printed Name: Florida Approval #: Florida Approval Type: DATE: EneravGauoe@ Nersion: FLRCPB v3.22) P, * * Transmission Result Report(MemoryTX) (Sep, 9, 2003 1 : 48PM ) CITY OF ZEPHYRHILLS * F i Ie No, Mode Destination P g (s) Result Page Not Sent - - - - - - - -- - - - ------- - - - - - - - - -- - - - ---- - - - - - - - - - - - -- - - - --- - -- - - - - - - - - --- - -- - - - - - - - - - - - - - - -- - - - - - - - - - - -- 4169 Memory TX 817278157000 P, OK - - - - - - - - - - - - - - --- -- - - - - - - - - - - - - - - - - - - ---- - - - - - - - - - - - - - - - - - - - - --- - - - - - - - -- - -- - - - - ---- - - - - - - - - - - -- - - -- Reason for error E.l) Hang UP or line fai I E.3) No answer E.2) Busy E . 4) No fa c s i mil e con nee t ion (13315 8- s.....t Zephyri'll". FL 3354.2 City o'F Ze-phyrhills Buildi~g De-part:m~nt ~ TD, .Judy - County Addressing .~ Bobbie Svvetland p-- 727-815-7000 P-.- Fax cover only - D._, 09tf09I2003 -= ADDRESS R.EQUEST cc. o ......._ o pq.._ O~_Co_ xx_~ DPt__o:::t.__ Dear- .Judy, I vvcn...ld Uk_ to request a.n addr'81!18 fbr a propoeec:l single family d"""3'lllng _ ParceII.D. # 15-26-21-0200-00??o-o020 Lot .2 In Court Squar:e Subdivision Hou_ _I front "TIMBER VIlA V'" Thanks .and ."U Ii!rN8It your reply_ // 7-$iL.....: ~- ~- ~.~1'i~ ~ \ fi- ~ ~ 7. /f'") h ~\ } 8, 11111111111111111111111111111111111111111111I1111I11111I111I 2003166389 NOTICE OF COMMENCEMENT Rcpl: 713882 os: 0.00 09/08/03 Rec: 6.00 IT: 0.00 Dpty Clerk Building Permit No. JEO PITTMAN PASCO COUNTY CLERK 09/08/03 04:07pm 1 of 1 OR BK 5528 PG 927 Tax Folio No. STATE OF FLORIDA COUNTY OF PASCO THE UNDERSIGNED hereby gives notice that improvements will be made to certain :eal prop,ert~, and i~ acc?rdance with Chapter 713, Florida Statutes, the following mformatlOn IS provIded m this Notice of Commencement. 1. Description of Property: (legal description of the property, and street address if available) LOT 2, TIMBER WAY, ZEPHYRHILLS, FL 33541 LOT 2, COURT SQUARE, BOOK 33,PAGE 63-64, PASCO COUNTY, FL TAX ID # 15-26-21-0200-00000-0020 2. General Description of bnprovements: Single Family Dwelling 3. Owner Information: a. Name and Address: SCOTT N, AND EMMA J. MANLEY 4713 SILVER CIRCLE, ZEPHYRHILLS, FL 33542 b. Interest in property: FEE SIMPLE c. Name and address of fee simple titleholder (if other than owner): 4. Contractor: (Name and Address) TEN BRINK & ASSOC. INC 35424 CHESTER DRIVE,ZEPHYRHILLS, FL 33541 5. Surety: a. Name and address: b. Amount of bond: Lender Information: a. Name and Address: First National Bank of Pasco 13315 Highway 301 Dade City, FL 33525 b. Designated Contact: Ralph W. Cumbee, Amy Pollock, or Taralee Morehouse Persons within the State of Florida designated by Owner upon whom notice or other Documents may be served as provided by Section 713.13(1)(a) 7., Florida Statutes: (name and address) First National Bank of Pasco 13315 Highway 301 Dade City, FL 33525 In addition to himself, Owner designates Ralph W Cumbee, Amy Pollock or Taralee Morehouse of First National Bank of Pasco to receive a copy of the Lienor's Notice as provided in Section 713.13 (1 )(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified). Other expiration date: .~:(l~ /lY"'fJ; Signature of Owner N/A N/A 6, , /~'::-' I ~ /.-, /' .l"'[""?,l--J,o~--n-<...cL :;- ' ...-: r SIgnature of Owner ..~ /! .-, . '-./)/t:'~iL/ / ,-- --._,._-~._~--~- .------ - Signature of Owner Signature of Owner Q{5(O"""b ._--~ ... .~~-:;::-~ ~'\l; \ 1.. \ , ";:'.',< SU~iP\l\J ,~, :.';c.;.~:::~.~: f\lo~aJy-PubHc, 812."1:'::: 01 FiC-;,:" ~VJ/ CJ:)rr"'~'1:.ss!on I '-=:_~:::"r~::::.;::)!cn \,;.' CITY OF ZEPHYRHILLS "NOTICE" OF ADD.ITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE ADDRESS DATE PERMIT",. J1.93y /2-1I-e;3 csS2- THIS JOB HAS NOT BEEN COMPLETED. ,e following additiqns or corrections shall be made before the job will be accepted. ~~ ~ ~ *<1 * ~ ~ ~ u It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. AFTER CORRECTIONS ARE MADE CALL 780-0020 FOR RE-INSPECTION OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. INSPECTOR ~~ Quoteno: B212.031 xref: ob No: 24376 Date: 8/1103 Revised: 8/6/03 Salesman: Hanley Estimator: cdb TRUSS ENGINEERING SerWlg the Prore$Sicml/ Bui/deI /6090 Flight Path Drive Brooksville F/34604 V (352) 79(1)096 F (352) 796-7752 Project MANLEY RES Sold To TENBRINK & ASSOCIATES INC 35424 CHESTER DRIVE Model CUSTOM Ship To 4934 TIMBER WAY Zephyrhills County Pasco Lot: Blk: ZEPHYRHILLS FL 33541 contact' JAMIE or Voice' 813-782- fax' 813-715- . PAULA . 0678 . 9119 TCPitch BCPitch Top Chd Bot Chd Brg Sz Ovrhng PI/Sq Loading Spacing SeatPlts :5/12 0/12 2x4 2x4 8" 16" PL sh 24"o/c Yes subd: Depth WindSp 16 120mph ~ /1, .' " Enclosed are .~ complete set(s) of engineering drawings and truss placement layout(s) for the job listed above. Dt~-U~-~UUj nUN UQ;lQ rn r n/\ nv. IJob iTrlissITrussTY~"-' ' 12437c ; FT6 I FLOOR . . I AdilO\S Building Mlllerials, Brooksville,FL 34604'6824 -- ---- -jOIY-'- '[PIY i IS 1 ; I Job Rererence (optional) ..- -5.100 s-May 30 2003 MiTeK: li1duslries'-lric. Mon Dec 08 14:03:042003 Page l' 1-3.() 0;";11-8 P-lO-?; " 2-0-0 ; _..-1.:0-9 1-1.8 ---it .. , 0-1-8 : Sb.i.. 1'31., J~" I t -.f 4><5" 2.. ,0 h.!i 316 FP.:..: ," :1G ,I b.: "1~ ~' I I I 2)11\ :lJl4 . 44~ _ 3)14 1x-4 3x4 . 3x4 - 1 ~ II? lot; T' t-'0e . 5._ ~ __-* i',f,~;--}1f 'Ii"-" ^ f~ :t;;'~i:',-;':", -- "},;---~-._----::-"-:t:-~~.:--~3:'::~--=--':'~ - -:---(. 24'-' "~3 22 21 :10 18 16 17 16 15 5Jl5 4)15 :1 "AS It :0.6.\ 2..6. II 415 11 4K5 II 2xC II 3<6 FP = 3x6 FP::: 3<5,1 ..e'" , i ".o~::, f~ VI ':::"~Hl:~"":::] ]30:'~:~ 1.~9'::~~;:f:'.~":~:.' 1:~~:Edg':~::;'12;:';fOO'f<::~~,"J ". ., '. ' :~::l: [~~:~~~;~~~l: l~.~iZj~:~~~~J: !~{~d3~~J~J: f~~i~itg_:~~Ui~~J~J~~ol~~.~:~-0>=~~e~_(19.,O~3-0~~d~~J,120,O:3-~~~-0-~1: r.aO:_3~~_! ! ~gt~INGfi.~ ":- -u~fa~i'~~a~~- -1~i -I--'~g;-~::;r--~~~~'- -_~~~-il~i"-~~g--~~gu'--l-,u~~~~ES" -'~~~~o' -.--! TCDL 10.0 . Lumber Increase 1.00 -BCM1 l' Vert(TL) -0.68 17 >386 360 i ggBt g:8 i, ~~~Stre~6~%AN~~~ "i, _~~~r~ __ ~:~~L~~~.._1~/~. .n/~_ J ..~~_i.9~t:c14~...I~_ LUMBER BRACING ! TOP CHORD 4 X 2 SYP No.2 TOP CHORD Shealhed or 6-0-0 oc pUrlim:..-eicept end .erticals. i" i ~~~HORD : ~ ~ ~~~ ~g:~O BOT CHORD Rigid ceiling direcUy (~or IG.o.o~~'r~~~~~______J}~--c.= l'EAclIONS OW,,,, 2<079....0, M9",~~0'L~o 1 -03~ ,FORCI:S (Ib) - First Load Case Only , I . TOP CHORD 24.25=.799,1.25;-798,11-26;-800,10-26;-799, 1-2=-868,2-3=-2200, 3-4=-29n. 4-5".3547, 5-6=-3748,6-7=-3585,7-8=-3043,8-9;-2182, \/-10=-871 '1 BOT CHORD 23-24=44,22-23=1602,21-22=2972,20-21=2972, 19-20"2972, 18-19=3762.17-18=3762.16-17=3781,15-16=3043, 14.15=3043, 13-14=3043, 12,13=1603, ! 11-12=44 I ; WEBS 3-21=678,4-20=-536,7-15=-509,8-14=564, 1-23=1094.2-23=-995,2-22=811, 3-22=-1219, 7-16=720,6-16=-266, 6-17=-46, 5-17=-2lJ, 5.19=-293, 4-19=763, : 10-12=1098.9-12=-993,9-13=786,8-13=-1196 I : NOTES . 1) Recommend 2x6 slrongbacks, on edge. spaced a11O-0-0 DC and fastened to each L'Uss wllh 3.16d nails. Strongbacks 10 be at:ached to walls allheir olller ends or , I restrained by other means. I ! LOAD CASE(S} Standard tJ.;.,O flI- . ! : fK l~~~, I I ' ; fLLH'n~E.R. CUi 3" \-tOLj;:. "L~ T/c.\-+op--o otJ t-.'I i ! , i , \ l.,gll "Lr0 F f20 "" ~J:.GHi tOO- i ; f{C--PMr2 ~ M?Lkt.~-._./lx-_4Jo~_",~,y.,/?,,~__.QNBoLlf i..WI/oJ ,,@_.3 I SF() ~ Ai /LLd ......--.._.._..,----,..'1-.._..,---~~ f~o~- ['-l",-Sm.C( 1~c::i)_..AlJ)f\J..G___~t...~._._t!._~_8..~~._ CI'f'V OF ZEPHVRHILLS "NOTICE" OF ADD.ITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE ADDRESS DATE PERMIT + .11934 /p-Zo3 2JS-L THIS JOB HAS NOT BEEN COMPLETED T following additiqns or corrections shall be made before the job . will be accepted. , (in '~-\'''N'b-<~L(Jla~~acli~ in1l It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30 AM - 5 PM MON,-FRI. AFTER CORRECTIONS ARE MADE CALL 780-0020 FOR RE-INSPECTION q-z0 INSPECTOR ;l: ,".lV,..: :...1 i ;' ,...~.t"l: .i '...'; } i ! u....iF ,..,..... , , ... .:,- ":j. :.: L \. (\)~ ..oJ i:.,:: "(',,;; i 1. ,.: ~..! ! :: ."1" .-;. i :~\n:;.:" "':iP'ii. . . r:~ F . .)(..)( :l!'. .'l(':ll':,( : .,=F: j" .i):',:. "',( .i:' . ,. i d. p'~ i 'f" roo; . i I 'j", PASCO COUNTY, FLORIDA Builder Name/Owner Name ~~~ Permit No. ;t~s ~ >;c. ~ . ' Date permltted.9/lJ!d:~~( 06!rA07K 9 a~~ontrol # County Parcel No, 1.j~2~".:2/ -Od2 P 6-(xz,e~- cO d2 () SubDiv: U.aiL1 t ~. Address/Locatlon~'l3/f ~~~=__~~ ClassificatlonfTypa of Usa - ~~~ L~ :W"4?1~ft ~. TRANSPORTATION IMPACT FEE Rate: U Sq Ft Unit: Exempt 0 Yes ~NO How Determined Impact Fee Amount $ Zone No, TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) Other Residential -i123) Collection Fee Exempt LJ Yes 1:;;:t~o How Determined PARKS-AND RECREATION FEE Land Account Land Credit .... ~-....-... Amount $ --..---------.--------..- Land Total ----~-- Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT ,L.._______ Exempt [J Yes [J No 'l.i1HiARY FEE Land Account How Determined Land Credit Land Total ------- Facility Account ______ Facility Credit _______ Facility Total _ Exempt [] Yes [] No RESOURCE FEE C~At\JUNT How Determined Total Amount ERU f f-l 0 Prepared By ___________ Checked By -.------ NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY AclmowlBdgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing tile bUilding permit owner on notice of this assessment and the conditions of payment for same, DATE RECEIVED BY RECEIPT NO. LCLl~()~ DATE \\, \d -03 BY \::1\ ~~ :1 '.'~ ; ~-, '.#t~" :~.~ . ~ ".,,\t::"-:;-,;;