HomeMy WebLinkAbout03-2518
. I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2518
Permit Number: 2518 Issued: 11/18/2003
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: NOT APPLICABLE
, Sq. Feet: Est. Value:
Cost: 96,375.00 Total Fees: 3,646.711
Amount Paid: 3,646.71 Date Paid: 11/18/20031
Name: WOOD CONSTRUCTION & ROOFING
Addr: 39134 KENDELL DR
ZEPHYRHILLS, FL 33542
Phone: Lic: RCC0017034
~ Work Desc: -NEW SINGLE FAMILY DWELLING
Name: BUTTERFIELD M.H.S.
Address: 6932 OAKCREST WAY
ZEPHYRHILLS, FL. 33542
Address: 6932 OAKCREST WAY
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: OAK CREST ESTATES
Parcel Number:
Phone:
WATER CONNECTION RESIDENl
IRRIGATION METER
RADON
. ~I'i/dt-JJV
rl;,,.rvir
5~~ IJ./Je/o} lU/ J-u:iflJi
74,90
BUILDING FEE 762.00
-r-;NJ) 3-3-0 ~ T<(~
rt ~ /.{Jb
t/ t.j7Jorfl1t tie .
Ff )_:;6'0'/ ..z fJJI'5~'j~. \~~ . ~lo
J ) .., - c. - 0 3 . '--.:._ A 1-;_,;
-r::'~ '- -, rY\llN"7
I (1:L1~ fJ.~;)..-O<f PR'?f . 355',110
...
PRE-SLAB;/ J:J.. -/.1-0'3 ~jo CONSTRUCTI 2ND ROUGH PLUM DUCTS INSULATED t/'1-f':1,-OY lA, "
L1NTEL~ I~J.J{J_~.~~O PRE-METE H-~ WATER FINAL MECHANICAL.
FRAMEL~ 13~ .J:1;1:.c> MISC ! SEWER MISC
INSULATION WALL /1'1 ~ MISC MISC.-z:,.. 6 . MISC,
I INSULATION 9~JI;'N~ MISC. MISC. MISC,
i DRIVEWAY V'[ "''/IP,! 1-f'JO MISC. _ MISC, FIRE DEPT, FINAL ..
REINSPEC1l0N FEES: When extra inspection trips are necessary due to anyone 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 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
i
I The payment of inspection fees shall be madei>efore any further permits will be issued to the person owning same
1- "Wiiirn-ing to owner: Your faliluretorecofd a notice of commencement may resuitIFlyour paying twice for
I improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before reco~ing your notice of commencement. "____
NO OCCUPANCY BEFORE C.O.
- --~
"f ~o'~C~RE-- PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
11- ,- 03
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME e u-~ h~"i.. (J ,/PI, //.- S PHONE 97..1 S2S ()
JOB ADDRESS /~-r;.,'1 (]Ar(Jt~J w{11.! (../13,1.
62. ""^" -2/ ()2.3 0 - 0 d 0 c.lf.:" - 0.2.:1 0
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION 0/11<' (/.?~:.J
PARCEL 10 #
WORK PROPSED: ~W CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE:~~MILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~-GW (ta,-,,-> <-
, II -.J1
BUILDING SIZE Yf1. f~, SQUARE FOOTAGE 1$11 ,J.../~1)7
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS~ ,. . ' 1'7
tJt:-r1 Lh Cfl ~
~I\,AV\I\~( f2.w\(.r.rj
VALUATION OF TOTAL CONSTRUCTION ~ . tD~
.~FLORIDA POWER 0 W,R.E,C. ' N
o BUILDING
$
-77. qvv-
o ELECTRICAL
Zcf'V'
A~1P SERVICE
o PLUMBING
o tvlECHANICAL
$ '2. 9CJU i ,,..,-
VALUATION OF tvlECHANCIAL INSTALLA'I'ION
o GAS 0 ROOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: ~
o OTHER
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
SIGNATURE ~~~.-LJ
Q ,..,....
COMPANY {N(Jc"" C~.s.Iu.-7;...J
STATE CERT OR REGIST # f'2 J
CITY PROCESSING #
*J-****************************************************************
MECHANICAL /
SIGNATURE -L4~ f1~7J;~
COMPANY ::r~a....v C:/'C..l:.J7f~
t..J' 0-7 /? .~ STATE CERT OR REGIST # - ~,t-4-
~ ~~ CITY PROCESSING # . J.<h? ~:..-~
1-' ~ ~"l' .
*****************************************************************~ r;lc~ qV
COMPANyC.j-c,.,.".....J.. ~<.........4..J
~II ZIti/? STATE CERT OR REGIST I ~
SIGNATURE ----0d~.--/'S.J~ CITY PROCESSING # ~ - c.:::I
""""""'""""""""""""""""""",""(""",,, G7' ~ .~
COMPANY '5'~,v-V 5 rfUij'
STATE CERT OR REGIST # (Am -60 If c.r tJJ (
CITY PROCESSING #
SIGNATURE
ELECTRICIAN
PLUMBER
*-~***************************************************************
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
<~:~.~
1
"
*****************************************************************
,~
A,. NonCE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" whi~h
may be more restrictive than City regulations. The undersigned assumes res~onsibility'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, 813-780-0020.
Furthermore, if the owner has hired a contractoi 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
0, 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 GuideN 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 "ownerN prior to corrunencement.
E. CONTRACTOR' S/OWNER' S AFF'IDAVIT
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 corrunenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U,S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is corrunenced. 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 COMMENCEMENTN,
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknO\vledged
, 20_
STATE OF FLORIDA
COUNTY OF'
The foregoing instrument was
Before me this __day of
by
acknowledged
, 20__
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
Ovho is personally known to me, or
Dwho has produced
(type
and whoD did 0 did not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid [kiid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
Wood Construction
6932 Oakcrest Way
SQ. FEET PRICE
MAIN OR LIVING: 1,599 $ 50.00
OTHER AREA UNDER ROOF: 657 $ 25.00
OTHER: - $ -
VALUATION $ 96,375.00
FEE SHEET $ 468.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 762.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 762.00
ELECTRICAL: $ 117.75
PLUMBING: $ 99.50
MECHANICAL: $ 74,90
RADON: $ 22.56
TOTAL $ 1,076,71
SEWER: $ 1,616,00
WATER: $ 419,00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
115.""
..q(r' ~
180.00 I .,. ,-
- . /~O
3,291.71 ~
SUB-TOTAL $
SIF'S: $ 1,694.00
97,5% $ 1,651 :65
2.5% $ 42.35
of c'"
JUJ
TOTAL: $
]
3
6,573.71 I
T IF'S: $ 1,588,00
99% $ 1,572.12
1% $ 15.88
....-
./
FO~M 600A-'01
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Residential Whole Building Performance Method A CENTRAL 4 5 6
OWNER:
BUILDER: !S ~I'_
PERMITTING CLIMATE D
OFFICE: ZONE: 4 D 5 6 D
PERMIT NO,~ JURISDICTION NO,: o=:r=:o=rJ
Please T e CK
PROJECT NAME:
AND ADDRESS:
~, /fS,
1. New construction or addition
2, Single family detached or Multifamily attached
3. If Multifamily-No. of units covered by this submission
4. Is this a worst case? (yes / no)
5. Conditioned floor area (sq, ft.)
6, Predominant eave overhang (ft.)
7, Glass type and area:
a, Clear glass
b, Tint, film or solar screen
B. Floor type and insulation:
a, SIab-on-grade (R-value + perimeter)
b. Wood, raised (R-value + sq. ft,)
c, Concrete, raised (R-value)
9. Net Wall type, area and insulation:
a. Exterior: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3, Steel frame (Insulation R-value)
4, Log (Insulation R-value)
5, Other:
b, Adjacent: 1. Concrete block (Insulation R-value)
2, Wood frame (Insulation R-value)
3, Steel frame (Insulation R-value)
4. Log (Insulation R-value)
10. Ceiling type, area and insulation:
a, Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
c, Radiant barrier, IRCC, white roof installed?
11. Air distribution system:
a, Ducts (Insulation + Location)
b, Air Handler (Location)
12. Cooling system:
(Types: central-split, central-single pkg., room unit, PTAC" gas, none)
13. Heating system:
(Types: heat pump, elec. strip, nat. gas, L,P, gas, gas h.p" room or PTAC, none)
14. Hot water system:
(Types: elec" natural gas, solar, L.P, gas, none)
15. Hot Water Credits:
a, Heat Recovery (HR)
b, Dedicated Heat Pump(DHP)
c. Solar
16. 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
117.
17a,
1, ~"UcJ
2. '5',\ AAf I ..p r
3,
4. /0-'0
5. sq, ft,
6, I ft,
Single Pane Double Pane
7a. 1u"5 sq, ft, sq, ft.
7b. sq, ft, sq. ft,
Ba. R= 0 J ~". ;;- l. ft,
Bb. R= sq, ft,
Be. R= sq, ft.
S- ....
9a-1 R= it~'1 sq. ft,
9a-2 R= 11 1'1. 7y sq, ft,
9a-3 R= sq. ft,
9a-4 R= __ sq. ft.
9b-1 R= __ sq, ft,
9b-2 R= j' 1<.(\ sq, ft,
9b-3 R= sq, ft.
9b-4 R= __ sq, ft,
10a. R= 30 /';'1'7 sq, ft,
10b, R= __ sq, ft.
10c.
11a.
11b,
12a,
12b.
12c.
13a.
13b.
13c.
14a.
14b.
15a.
15b,
15c.
(,
(co"d.luncond.)
vA,
U lv' C~' (ccnd.luncond.)
Type: C' JC!;A.T YO (
SEERlEERlCOP: '6 . :a D
Capacity: 3 V' 00 () ,
Type:
HSPF/COP/AFUE: '7.1r.!lJ
Capacity: .3 '7 lie 0
Type: J> /~
EF: '7'(
R=
-
'-
-
16,
c{
I
''1-- 17b_ '1 ~D ;l....
\. DATE: /0 -~ 7-01
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 complet ,this building will be inspected for
compliance in accordan it S on 553.90a,F.S.
BUILDING OFF IAL:, ?
DATE:
OWNER AGENT:
DATE:
SUMMER CALCULATIONS
CLIMATE ZONES 4 5' 6
I OR DOUBLE-PANE SUMMER ~ ..-'-
ORIENT A TION OVERHANG GLASS SINGLE-PANE As-flUIL T
LENGTH AREA UMMER POINT MUL TIPUER SUMMER POINT MULTlPUER X OH FACTOR GLASS
OH (FEET) (SQ. FT.) CLEAR TlNT2 CLEAR TINT2 (from6A.l) SUMME~ PTS
N J 1J.d 27,96 22,93 25,65 21.?? t (t.S" l- ~ 'ii:--
NE 43,65 36.42 3916 32.78
I~L E I 41.i' , 59.31 49,89 52,66 44,33 t"C;'~ ~ _fl. -,
SE 56,64 47,60 50,35 42,37
S I' J ,-~ 44.66 37,29 39,98 33.49 , C, q<<;'{ "_,7::; ,_
H SW 52,82 44,31 47,07 39,55
j W I '101.'1 53.48 44,87 47,1;5 4050 .'11 4 17'1(
'i 31.34 28.45
rw ir- 37.74 34,10
'" I H1 102,51 85,02 93,50 78,03
'" .s. I). 'LJ l.-...t t1 d. l.b i Ll7i.( 776
~
C) Ii
OH LENGTH !
OVERHANG RATIO'" OH HEIGHT
!I
I
i
,
,
:
T T
1~ :'1 ---l~ ---~~ - _n_ . I . j~-a m _I 1-_ ---------l ,>-1. ~ ~---tt-'-!---l . . . tC:.'i
.. _ --I a .. -----------+--J-.2-----r----.D-*---t-- __3&
T T
~ I ~~:i~iI~Jn.~~9t~=.~~=~-=f]-1~-:-l -~S~IRcc~~i~e-r:r I--/~W--i-h.~-~x--l= ~~:Cl --
U ! BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING. AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOT AGE,--
T
0:: -~li _ ____i.::-_j"_~_ciS------
8 -3.43 -1-__. ----- . -------
it ____n__. I I
FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE,
T
INFILTRATION & _ .1..'1.2.1...____.14.3.1_ I__:'}. l_Q_'
INTERNAL GAINS I USE TOTAL FLO
BASE
HOT WATER
POINTS
2564 " V
2FOR GLASS WITH KNOWN SHGC, SEE SECTION 2,1.1 APPENDIX C, 3MUST MEET CRITERIA OF S, 607,1.A,
TINT MULTIPLIERS MAY BE USED FOR GLASS WITH SOLAR SCREENS FILM, OR TINT,
'"
'"
<I::
....J
C)
T
BASE
SUMMER
POINTS
l~".{( .
~.t:-
-I). 'tv'
WEIGHTED GLASS
MULTIPLIER
BASE
GLASS
SUBTOTAL
25,99
COMPONENT
DESCRIPTION I
-- TEX'fERIOR--- i
~ p9JACENL---i'
I
BlffS.Mvffi
AREA ~ FONT.M...lT. =
..ij~;~---F---=1J -.
-]g2,--=-l.-~.~j~~I--
I
~ r=:--= .~-.l
o I
TOTAL COMPONENT BASE SUMMER POINTS
~
Total Base
Summer
Points
T
l~q~C{ "',
COOLING
SYSTEM
HOT
WATER
SYSTEM
'H - HORIZONTAL GLASS (SKYLIGHTS)
..--........."
COMPONENT
DESCRIPTION
T
AS-BUILT
GLASS
SU TOTAL ~
.yv-
T
! s..Mvffi AS-BUILT
AREA x roINT,M,U, = SUMMER
I (€A-21l-1RU6A-6) POI~S
~~'t~~ 1- ~-F-- =-'::J -- --Ji~i--u-
__.kQ_n u--f ... ..' L13-=-
--I
-
T
-Cy'" -f_..
T
. _ .L~C)_?_L__j4.lL_ . !--:1L6-7.
TOTAL COMPONENT A~UILT SUMMER POINTS
T
TOTAL
AS-BUILT x
SUM, PTS,
1
T
I J.. 'rs-t ~
AS-BUILT
HOT WATER
SYSTEM DESC,
SUMMER POINT MULTIPLIERS (SPM) CLIMATE ZONES 4 5 6
6l.\:1 'SUMI!.ER OVERHANG FACTORS (SOF) FOR SINGLE AND DOUBLE PANE GLASS.
OHRatlo ' 00-11 i 12-17 18.26 27.35 i 36- - - 7. i . i -
~ I North L 1.00 I _0-992 J-.llJiZLI ~O,931 ~_(L89L'_ _O,84L ,~_0.811 _Q,776_L0.74IL_L..a,6R5~L 0.651 I 0,611
,~N;rth;;;t I J,OO . 0,995 ~j ~O,96Q : 0,908_ _ 0,846 _ OL777 0.719 0,665.... ~ _ 0.623_; _il.549-:-..M9LJ___.M4
>- I_EasL _ __ ---tLOO_l_lt9~--.o~-L-O'9Q3- - _0~835 1 JlL5~ -'- il,68L--,-_0~622.-1_!L5IL_LO,482 I 0.414 0,463
~ : SO!lthft~ 1.00_ I Q,999_+_Q,956 ! _ O,87t "_il,786 I _Q.ZOO _ __ 0635 _ ___ (L5!l0 -t.J),Q10 __I _il~47Ji ~436 __Q.407
~ gj t-SQUt!1 --- 1.oo_r_0~988--+-Q,,91.5 --I.....Q.849__ 0-176_ ._ _O,ZQLL _O,65~ ___0,618 Q,~__+ 0,539 I 0.503 0.475
:>.: Southwest 1.O(L: Oc9jl7 ! 0,956 ~ O,IF! _ Jl,7~3 __ O"LO!l_~_ 0,645 . 0,588 I 0,547 I 0.479 ~ 0.431 0,396
l_~est __ l 1.QL_1 0,994 J_ 0.9~ _ 1 _ Q,~02 0,834 _ _ 0.757_ ~_ 0.691, _ _~ O:.~~O__ --L O,582_J _0.500 _ 0.438 __ ~
i Northwest I 1.00 , 0,995 I 0,966 i 0,911 0,857 0.798 0.751 0,708 i 0,674 : 0,616 0,570 0,532
~ OH Len th I 0,0' i 1,0' 1.5' 2,0' 3,0' 3,5' 4,5' 5,5' 6,5' 9,5' I 14,0' 20,0'
6A-2 WALL SUMMER POINT MULTIPLIERS SPM
FRAME
R.VALUE
0-6,9
7-10,9
11-12,9
13-18,9
19-25,9
. 26&~J)
WOOD . STEEL
EXT .. AoJ::.r::'~XT_ ~r-.AQ.CR.VALIJ.E_
6.4 2,2 i 8,9 I 2,9 0-2,9
.. -.. ..---1---------
2,3 ,8 4,1; 1.3 3-4,9
1,9 ,7 3,0 i-To- --S=6~9-m
1.7 ,6 2:.8_-L_0.L_7~10,9
160 m__ _ }=~T~i~~=-+--Kt::.~ =i~i~tn
26&U
6A-3 DOOR SUMMER POINT MULTIPLIERS (SPM)
DOOR TYPE EXTERIOR ADJACENT
WOOD
INSULA TED
7,2
2.4
1.6
____ __ ____u
. R-VALUE
0-2,9
3-4,9-
5~6,9-
7&U
SLAB-ON-GRADE
EDGE INSULATION
RAISED
i CONCRETE
~_____m
i R-VALUE SPM
I_--=Q-r(~ -: -1,0
i _ _3-4,~--1,7
'5-6,9 -1.7
------.-. ---...-.. -'~--
7&U -1.7
SPM
-3T.9
.. =-31:8--
-31.7
,31.6
6A-6 INFILTRATION & INTERNAL GAINS /SPMI
Air Infiltration 5,17
Internal Gains + 9,14
Infiltration/Internal Gains 14,31
(Combined)
6A-7 AIR HANDLER MULTIPLIERS SPMI
Located in qaraqe 1.00
Located in conditioned area 0,90
Located on exterior of building 1,02
Located in attic 1,10
CONCRETE BLOCK (NQRM~_~)__
I INTERIOR EXT,
:INSULATION INSUL.
J . EXT-Ai5J-r~T
, . 2,5 ,9 25
1.4 .7 .7
1.0 ,3
i ,8 ,1
--- ----_._----~
.4 0
FACE BRICK
-----~-
R-Y~'-.~;~OD FR R-VALUE_i 1!l.Q(;1(
0-6,9 . 2,9 0-2,9 1,0
---~ -~-
7-10,~....L_,L_ .. :3::~___,Ln
11-18,9 i.4 7-9,9 .4
19-25,9-l--~2--10& UP-~-.2m
26 &UT----:1-- ------~--
LOG
61NCH S INCH
R-VA1..~ EXT EXT
0-2,9 1.7 1,0
--------
3-6.9 1.1 ,8
7&U ,8 ,7
NOTE: SEE SECTlON2,QOF APPENDIXC FORMUL TIPLlERS
OF ENVELOPE COMPONENTS NOT ON THIS FORM,
6A-4 CEILING SUMMER POINT MULTIPLIERS SPM
SINGLE ASSEMBLY CONCRETE DECK ROOF
R-VALUE SPM I CEILING TYPE
-10-10,9 ----c- 10.27-: R-VALUE I EXPOSE~-t ~ROPPED
11-12,9 9,73 10-13,9 t-11,13 ' 10.40
-13:T8:g-~--g.72-; -14.20.9-- ~-8A'2'--T-7~9-
f9-25~9.. L--ll~~21&1Jp--~'- -'5:99'-_....---5,76
26-29,9 5,82
30 & Up 5.40
RAISED WOOD
POST OR PIER - --STEM-'WALL. wI UNDER i -- --- ----
____ CONSl]~~CTlOti___ FLOOR INSULATlON--.l ADJACENT
SPM SPM I SPM
-- 4.50----.-- .---~----5.ff- -- -----1------~-
_____L__ ______ _~..______ ---I--_~___
2,28 -2,8. 2,1
rg-3 ------~---- ---- --.2.2 --1-:8
__._...____.____.__ _-0._-___._,- .
1,36 -1,8 1,0
6A-S DUCT MULTIPLIERS (OM See Table 6.10 lor Code minimums,
DUCT RETURN DUCTS In:
SUPPLY DUCTS IN: R-Value Unconditioned Atticl Atticl
s ace RBS IRCC
1.113 1,107 1,108
6A-9 COOLING SYSTEM MULTIPLIERS /CSMI
SYSTEM TYPE See Table 6-3 for Code minimums COOLING SYSTEM MULTIPLIERS /CSMI
Central Units (SEER) Ratinq 7,5-7,9 8.0-8.4 8,5-8,8 8,9-9.4 9.5-9,9 10,0-10.4 10,5-10,9 11.0-11.4 11.5-11.9 12,0-12.4
CSM .45 .43 .40 .38 ,36 .34 ,32 .31 ,30 ,28
PTAC & Room Units (EER) Ratinq 12,5-12.9 13,0-13.4 13,5-13,9 14,0-14.4 14,5-14,9 15.0-15.4 15,5-15,9 16,0-16.4 16,5-16,9 17.0-17,4 17,5 & Up
CSM ,27 ,26 .25 ,24 ,24 ,23 ,22 ,21 ,21 ,20 .19
UNDER ATTIC
R-VALUE SPM
-19='21.9 i82
. . 22-25,9 .. . 2,55
26~29: 9 2,28
30-37,9 2'.1:3
38 & Up 1.84
RBS Credit 0.700
IRCC Credit 0,864
White Roof Credit 0,550
Unconditioned Space
AtticfWhite Roof
Conditioned Space
WEiGHTED GLASS
MULTIPLIER
"
~ ! E:::T i I 5 ~---"'- J ~ ~~ ~ ~Rss"RCu.w. ..;1_ ls'cpL , I
(.,) ----~ - --SASE- CEILlNG-AREAEQUAi:iiFLOORAREA DIRECTLY UNDER CEILING, AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE,
" -
- - L_____
WINTER CALCULATIONS
en
(j)
j
C)
.
.
01
en
~
-'
C)
,18
COMPONENT
DESCRIPTION
~ f-~~;~~~~--=-'-~-1~
~ I ---; l -;-.
AREA
0:: l S~(f'ERI~ETERJI _1'-1;--"-._
g !BAISED (AREALJ _
-'
LL
INFILTRATION & ,__L'2__
INTERNAL GAINS
CLlM~TE ZONE~ .. 5'~
I I , I I ,-
,j GLASS SINGLE-PANE OR DOUBLE-PANE WINTER = AS-BUIL T
AREA 'WINTER POINT MULTIPLIER WINTER POINT MULTIPLIER X OH FACTOR GLASS
~ i (SQ. FT.) CLEAR TINT2 CLEAR TINT2 (from 6A-IO) WINTER PTS
11 '~j.. I 12,32 12,58 6.43 6,64 .(;~' 7.t; \ ,--
12,00 12,31 6,17 6.42
: Ltlj, I 9,96 10,54 4,52 5,01 I i fr': \ 4lil
8,34 9,12 3,17 3,84
ic-J t, I. 771 8.59 2,65 339 , .,c, \I IJ...~
i 9,22 , 9,88 3,88 4.45 I
I ~-l, 7 1074 11.21 5,16 Ei,56 . Cf99 .1'~
1?,?? 12,51 6.35 6,58
, 11.64 12.36 4,91 5,54
','2l.:., yo ., ,]; I, ~"N' 1.t:i I
. .
l
,
ORI~NTATION I OVERHANG
LENGTH
I OH (FEET)
,
N --r----,----~
NE --,-------j
E t-1===~
SE
----l
~W -=:-====~
~-t1-_---J
~-=-----------1
1~1 I
--------;---~--+.....:._:.----:-'-'-- --1
__~~+--/J.,.~ :
-=--=-----=C:::::~~~.J
=t-----1
, I
----+----j
i I
I
I '
-=-t--~
5.44
'f
AS-BUIL T
GLASS
SUBTO
i
! BASE WINTER
~ POINT. MUL T. =
,
T-
BASE
WINTER
POINTS
/tjIP.___ _
).11- (
~y-';
"
COMPONENT
DESCRIPTION
AREA
'f
! WINTER ! AS-BUILT
x POINT, MUL T, = WINTER
!(5A-11THRU6A-15)1 POINTS
, '_-_1-;~=_____~__2-L~_____L~_=
I C/ -
, ') ")...(, (
- t.---+-,'"'",-
'f
l[fX.___._n/
i- - .1."------
'f
),
2,0
1.8
.t
I. - - - -- .__.nun::t-LL~
.. ___n______+ n--.lI'1 ,
~.I
. mtif~-6.
+-
-1.9
-,2
HEATING
SYSTEM
-'
~
o
....
~
BASE I
HOT WATER = =
POINTS
From p, 2
UJ- V f-~
'FOR GLASS WITH KNOWN SHGC, SEE SECTION 2.1,1 APPENDIX C, 'MUST MEET CRITERIA OF S, 607,1 ,A,
TINT MULTIPLIERS MAY BE USED FOR GLASS WITH SOLAR SCREENS FILM, OR TINT,
'~INTER POINT MULTIPLIERS (WPM)
,SA:10. ~NTER OVERHANG FACTORS (WOF) .
CUMATEZONES 4 5 6
~r
we:::
;do Southwest 1.00 1,002 1.118 1,168
0l 1.038 1.071
West 1.00 0,999 1,013 1,025 1.040 1.053 '
Northwest 1.00 0,999 0,997 0,997 0,996 0,995
OH len h 0,0' 1,0' 2,0' 3,0' 3,5' 4,5'
6A-11 WAll WINTER POINT MULTIPLIERS (WPM)
FRAME CONCRETEBlOCK(NORMAL~ FACE BRICK lOG
INTERIOR EXT, R-VALUE WOOD FR R-VALUE BLOCK
WOOD STEEL INSULATION INSUL 0-6,9 7,0 0-2,9 3.7 6 INCH BINCH
R.vALUE EXT ADJ EXT ADJ R.vAlUE EXT ADJ EXT 7.10,9 2,1 3-6,9 2,6 R-VALUE EXT EXT
0-6,9 6,8 5,3 9.4 6.7 0-2,9 6,0 3.1 6,0 11-18.9 1.7 7-9.9 1.8 0-2.9 2,2 1.2
7-10,9 2,5 2,1 4.4 3,3 3-4,9 3,8 2,3 2,8 19-25,9 1.0 10&UP 1.3 3-6,9 1,2 ,9
11-12.9 2.0 1.8 3,3 2,6 5-6,9 2,9 1.9 2,0 26 & Up ,6 7&Up ,9 .7
13-18,9 1.8 1.6 3,0 2.4 7-10,9 2,3 1,5 1.5
19-25.9 1.1 1.0 2,6 2.2 11-18,9 1.5 1.1 ,8
26& Up .7 .7 1.4 1.2 19-25,9 ,8 ,7 r NOTE: SEE SECTION 2,0 OF APPENDIX C FOR MULTIPLIERS I
26 & Up ,5 ,5 OF ENVELOPE COMPONENTS NOT ON THIS FORM,
6M2 DOOR WINTER POINT MULTIPLIERS (WPM)
5,9
6M3 CEIUNG WINTER POINT MULTIPLIERS (WPM)
~----.JJ!!l!E-i-~l]~_~_L~GlE ASSEMBLY _~
~~~~~~! . ~~__ I R1~~~E F~~ _ I R-VAlUE
~~~25,9__L__: 78_ __']_11-g,~___L___,~L _ -L-- 1 0-1 ~,9
J~;~:~ _!_ _~~__ :J~~_~~:~_j_~:;L~ ~t~u~
38 & Uo . ,55 ,26-29,9. ,50 ,
RBS Credit 0,850 3o-,f up-T ---:461
IRCC Credit 0,905
White Roof Credit 1.044
CONCRETE DECK ROOF
CEILING TYPE
EXPOSED I DROPPED
1.16 I 1,05
,83 ; ,76
,54 ,50
DOOR TYPE EXTERIOR
1------ f----.--
WOOD 7,6
ADJACENT
i .
1--
INSULATED
5,1
4,0
6A-14 FLOOR WINTER POINT MULTIPLIERS (WPM)
SLAB-oN-GRADE i i RAISED : I
EDGE INSULATION I I CONCRETE I
R-VALUE ..L_~M-~--I L_R-VAlUE r- WPM_ ~
O-~ . ~ 'O-~ i ~
_--=3-4.9._~~=:;-=--1.7_ -; C_l:t:9-~__T--f8~= .-..J
-- - 7~6Jp-+- ~~:f -- ~ ~-7~6Jo -. i-- __1,;-_1
I POST OR PIER STEM WAll wi UNDER
i CONSTRUCTION I FLOOR INSULATION
R-VAlUE i WPM ! WPM
0-6,9 -----r 2.49 1,8
-~-Tf(j]---i---~--O,78~-- --- +----:7-
~-~~it~-r -~~~.. -==J---- -:~---
RAISED WOOD
r ADJACENT
i
6A-15 INFilTRATION & INTERNAL GAINS fWPMI 6A-17 DUCT MULTIPLIERS DMI See Table 6-10 for Code mlnimums,
Air Infiltration 0,87 DUCT RETURN DUCTS In:
Internal Gains -1,15 SUPPLY DUCTS IN: R-Value Unconditioned Attic/ Attic/ Attic/ Conditioned
Infiltration/Internal Gains -0.28 space RBS fRCC White roof space
(Combined) 4,2 1.107 1.098 1.100 1.102 1.092
Unconditioned Space 0,0 1. 078 1.072 1.074 1.075 l,Otill
6A.16 AIR HANDLER MULTIPLIERS (WPM) 8,0 1. 061 1.056 lUo( 1,058 1.052
4,2 l,U(o l,U!5( - - 1,059
located in caraae 1.00 AttidRadiant Barrier (RBS) 6,0 1,058 1.051 - - 1.045
Located in conditioned area 0,92 Il,O 1.046 1.041 - - 1.036
Located on exterior of building 1.09 4.2 1.097 TO!lll - 1.077
Located in attic 1.11 Attic/Interior Radiation 6,0 1.07:f' - 1.066 - 1,057
Control CoatinQs (IRCC) 8,0 lU: - 1.052 - 1.J4
4,2 1.1 1.
AttiCJWhite roof O,U 1,01 1. J
1.01
1.01 1. 008 l,U10
Conditioned Space 1,OOT 1.006 1.007 1,007 1,000
6MB HEATING SYSTEM MULTIPLIERS (HSMI l. 1,005 1005 1.006 tOe IS 1.000
SYSTEM TYPE See Tables 6-6 to 6-8 for code minimums HEATING SYSTEM MULTIPLIERS lHSMI
Central Heat HSPF 6.40-6,79 6,80-6.89 6,90-7.39 7.40-7,89 7,90-8.39 8.40-8,89 8,9-9.39 9.4-9,89
Pump Units HSM ,53 ,50 .49 .46 .43 .41 .38 .36
HSPF 9,90-10,39 10.40-10.89 10.90-11.39 11.40-11.89 11.90-12,39 12.40 & up
HSM ,34 ,33 ,31 ,30 ,29 ,28
PTHP COP 2.50-2,69 2.70-2.89 2.90-3.09 3.10-3.29 3.30-3.49 3,50-3,69 3.70-3,89 3.90-4.19
HSM .40 ,37 ,34 .32 ,30 ,29 ,27 .26
Electric Strip & Gas 1.0 (for gas a-edit multipliers, see Table 6A-21)
WPM
5,3
2,1 --
----t-----
! 1.8
r 1,0
~J'fK e1<&57 &571'i7&5
?ltnIt&O'1d1t&~s' ASStJe')A7Ib1t, me.
'1&'P'lI'II~1ilS, 'J-!. 99542-1694
~~&tn ~7719&~
P1!&S'J'!)8'1t7
6920 ()a/e (fre4t 1ft..
779-1441
S70111)?fI('JIt&
1I'1e& P1!&S'J1)8'1t7
6911 ()a/e (!w4t 1ft..
779-1942
M~.t 1N, ~7719&~
S&e1!&7~-71!&AS1t1!&1i!
6920 ()a/e (fre4t 1ft..
779-1441
THE ARCHITECTURAL REVIEW COMMlnEE OF OAll CREST ESTATES,
PHASI ONI, HAS RIVIIWID THE PLANS SU.MITTlD BY, WAYNI
BunIRFIILD, TO BI CONSTRUCftD ON LOT' 13 AT PHASII, OAI
CREST ESTATES. -
WE, THE UNDIRSIGNED ARCHmCTURAL REVIIW COMMITTlE, HAVE
FOUND THI PLANS TO BI ACCIPTABLE.
Jii~~~ .
IER Y HIINIMA~
~~L~.
J:;:;;; (;f ~
'1M FLANNIRY
j/-S--O ~
DATE:
11'-rO~,
DATE:
II !J- tl 3
DATE:
58'8"
DATE f t
BU,,-C'ING
40'8"
A1J- MhI'D~~\4.JJ1")
\\ - I'
t- e.D t-4 \09 E <;l~ to)~ -r~ fit~Vtl'1
uN)~
'Prepared by and return to:
CHERYL 0, ROE
ACCU TITLE AGENCY
14445 7TH STREET
DADE CITY, FL 33523
Warranty Deed
This Indenture, Made this 31 st day of October, 2003 between EDWARD S. SMITH and
BEVERLY E. SMITH, HIS WIF} grantor*w,!ose post office address is
3911'2.... l'.n.....(. JJr, Z;~h'1[h,11~ I. ~35lf(),and BUTTERFIELD MOBILE
HOME SERVICE INC" gra tee whose post office address IS 38930 BUTTERFIELD LANE,
ZEPHYRHILLS, FL 33542.
*"grantor" and "grantee" are used for singular or plural, as context requires
WITNESSETH: That said grantor, for and in consideration of the sum of TEN AND No/IOO
DOLLARS ($10.00) and other valuable considerations to said grantor in hand paid by said grantee,
the receipt whereof is hereby acknowledged, has granted, bargained and sold, to the said grantee,
and grantee's heirs and assigns forever, the following described land, situate, lying and being in
PASCO County, Florida, wit:
LOT 23, OAK CREST ESTATES, PHASE ONE, ACCORDING TO MAP OR
PLAT THEREOF RECORDED IN PLAT BOOK 32, PAGE 47 AND 48,
PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
SUBJECT TO RESTRICTIONS, RESERVATIONS AND LIMITATION OF RECORD, IF ANY,
AND TAXES FOR THE YEAR 2003 AND SUBSEQUENT YEARS,
and said grantor does hereby fully warrant the title to said land, and will defend the same against
the lawful claims of all persons whomsoever,
IN WITNESS WHEREOF, grantor has hereunto set grantor's hand and seal the day and year first
above written.
ROE
~Y~seal)
EDWARD S. SMITH
~ f'~ (Seal)
EVERLY . MITH
STATE OF FLORIDA
COUNTY OF PASCO
C\ The foregoing instrument was acknowledged before me this ~ day of
~. , 20~ by EDWARD S, SMITH and BE~RL}'jE. SMITH, who is/are
personally known to me or who haslhave produced !.J') ~ l:vu.-t~ as
identification, ~
~~~~:~~ic CHERYL O. ROE
(Seal)
My Commission Expires:
CHERYL O. ROE
MY COMMiSSION' CC 999117
EXPIRES; February 5 2005
8o.1Jed Thtu Notary PlIbAc U~rwritllS
Prepared by and Return to Address:
l!!!!lerfields
38930 Butterf"reld Lane
ZeohvrhiJls. FL 33541
~~~~~ll~~l~1I "'" ""I ""I IIi" "'11 """"" "'1
NOTICE OF COMMENCEMENT gS~t0. ~~3950
11/18/03
County of Pasco
Rec: 6 00
IT: .
0.00
Dpty Clerk
State of Florida
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 the Notice of
Commencement: JED PITTf1AN PASCO COUNTY CLERK
11/18/03 12:5!pm 1 of 1
1. Description of Property: Parcel No. 02-26-21-0230-00000-0230 OR BK 562D PG 1290
(Legal description of the property and street address if available)
2. General Description ofImprovement Build Home
3, Owner Information: Name Butterfield Mobile Home Service IDc
Address 38930 Butterfield Lane City Zephvrhills State FL
Interest in Property: _
Name of Fee Simple Titleholder: _
(If other than owner)
Address _ City _ State
4. Contractor: Name Wood Construction
Address 39434 Kindall Drive City Zephrvhills State FL
5. Surety: Name _
Address City State
Amount of Bond: $ -
6. Lender: Name
Address City - State
7. Persons within the State of Florida designated by Owner upon who notices or other documents may
be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City _
State
8. In addition to himself, Owner designates
of
Section 713. 13 (1 ) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording
unless a different date is specified.)
to receive a copy of the Lienor's Notice as provided in
Signature of Owner: 0-,..- ~~~
Sworn to and subscribed before me this J <6 ~
day of -1J.()) gtY)bee
,20~
Notary PublicS----
~~~
---------
----...
My Commission Expires:
.:..~-
.. MY COMMISSION" DO 070959
EXPiRES: March 8, 2006
Bondod Th.., audget Notary Services
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERT!F\! THAT THE FOREGO"
TRUE AND CORRECT COpy or THE DOCUMEN'T
OR OF PU L1C RECORD IN Tfii$ OFFICE. ~r
HAN 0 OFFICIAL SEAL TH'~.t.
, 2~'
A . C RK OFIRCtI'
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CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT.",
693;J (j -2--0 ,~/~
THIS JOB HAS NOT BEEN COMPLETED. T. ollowing additiqns or corrections shall be made before the job
will be accepted.
,
~~\)l~~llj~4~1. (~
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the wor1< 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
INSPECTOR ~
CITY OF
ZEPHYRHILL'S
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
I ADDRESS DATE PERMJT ># I
"''In Dc I<. ( d<"+ ~ 12/ '6/0] 1 S L8
THIS JOB HAS NOT BEEN COMPLETED. T~e ollowing additiqns or corrections shall be made before the job
will be accepted.
Co", { .\-n.. ( \--:~_
OCA.t\.e ~
rolf
S"'~t\ ){lAll~ Q. 7.10 fJ-o,k c.~eJ
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
INSPECTOR W I- ~
OFFICE HOURS 7:30 AM - 5 PM MON,-FRI.
~
PERFORMANCE BUSINESS PRODUCTS. iNC. 313-719-8008 FAX 313-719-7919
c 3""", q~r) ~?
CITY OF ZEPHYRHllLS
ZEPHYRHILLS:, FLORIDA
WATER ACCT. NO.
DATE :;;</.;;../ fJ 'i
OWNER/
RENTER
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31 f.3C( ~ f"b.
2eptlN1r h;! (5/
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MAIUNG
SERVICE ADDRESS
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. II\TER
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SHUT OFF SERVICE D
TURN ON SERVICE ~
INSTALL METER ~
READ METER D
CHECK METER D
OTHER D
D SEWER
D GARBAGE
~CITY
D OUT CITY
/
~ No. OF UNITS
_ DEPOSIT AMOUNT
3 / II" +-
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_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPlETED
ORDER TAKEN BY
ORDER GIVEN BY
Retam white form In office at all times. I
Send pInk & yellow forms to Water Service Dept
Water Service Dept to sign yellow form & retum to offlCe_
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PASCO COUNTY, FLORIDA
( i:u.ilder NameLoWner Name tJot?L OnJ~ Control #
County Parcel No. 0.;2 -.;1~-O'LI- O~aD--oot)2Jo-~oSubDiv: G~~L
Permit No. :2 ..5--/;
Date Permitted /I//~/{)~
.
Address/Location
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate:
Exempt 0 Yes ~OwDetermlned_
Impact Fee Amount $
Zone No.
TAZ:
SCHOOL IMPACT FEE
Account (056) Slngle~Famlly Detached House
(057) Mobile Home
(058) Other Residential
JJ23) C~~ion Fee
Exempt LJ Yes ~ No How Determined
Amount $
I. ~7f ~
,
PARKS AND RECREATION FEE
Land Account Land Credit
l.and Total
,-Re'Cr'eation Credit
Recreation Account
Zone _---.---
~~...-"-
..~."
,..-
.3eJ.l1Pf/" 0 Yes 0 No
LIBRARY FEE
Land Account
Recreation Total
TOTAL AMOUNT $
How Determined
Land Credit
Land Total
Facility Account
Facility Credit
Facility Total
Exempt 0 Yes 0 No
RESOURCE FEE
TOTAL AMOUNT
How Determined
Total Amount
48~1
ERU
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
Acknowledgement below does not Imply acceptance of 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.
DATE RECEIVED BY
RECEIPT NO. (,;'fld IODATE 3~3-- O'-f. BY 'W L).). 6 '" "--.