HomeMy WebLinkAbout07-6112
CITY OF -ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
6112
Permit #:6112 Issued: 9/27/2006
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 155,408.00 Total Fees: 6,076.25
Amount Paid: 3,718.69 Date Paid: 9/27/2006
Name: RYMAN CONSTRUCTION INC
Addr: 36413 S.R. 54 WEST
ZEPHYRHILLS, FL 33541
Phone: 813782-0825 Lie:
Work Desc: SINGLE FAMILY RESIDENCE
Address: 6721 BASSWOOD CIR LOT 43
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: DRIFTWOOD tJ4fJo
Parcel Number: 02-26-21-0010-02800~
Name: RYMAN CONSTR
Address: 36413 SR 54
ZEPHYRHILLS, FL. 33542
813 782-0825
~
~ ~Jp.11t91
PLUMBIN
SEWER CONNECTION RESIDENl 1.616.00
FIRE INSPECTION FEES 10.00
PUBLIC SAFETY 5% ~ ~6.35
T;;CT;?u ~ vr 15.88
5/vg
C (j) ~/
BUILDING FEE
MECHANICAL FEE
WATER CONNECTION RESIDENl
POLICE IMPACT FEE
PARK FEES SF
ELECTRICAL
RADON
FIRE PLAN REVIEW FEES
FIRE IMPACT FEE
TRAFFIC IMPACT FEE 99%
OTER C 1ST ROUGH
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPEcnON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
u~ ~~~
· CONTRA TORS SIGNATURE -PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
; I
~~-- -.-.- --.-- -.- -- - - ~-
t'" ,.~. ~" "Y" ,0". ,1_, .
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769.56 -,"
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2,357"56
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Ryman Construction - Basswood Cir-6721 Lot 43
SQ. FEET PRICE
MAIN OR LIVING: 1,766 $ 88.00
JTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 155,408.00
FEE SHEET $ 648.00
ADDRESS
DRIVEWAY r
BUILDING:
ELECTRICAL:
PLUMBING:
MECHANICAL:
SUB.TOTAL
RADON:
TOTAL
SEWERI
WATER!
IRRIGATION:
TOTAL:
WATER METERI $
IRRIGATION METER $
( 11 ~ t,
j/(~"AP-
l/l)~
JV" , "\
~(;C t;G
- 1"'------
~
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~
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 70.68
INSPECTION TOTAL: $ 10.00
PERMIT TOTAL
TOTAL: $ 80.68
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $
,,/
- -
PARKIMPACTFEESIS
. =r;;,. "
oJ d '3 'J~' 5{;,
Exempt 'fiJ>>'-'.tt~
----J :~~
-_/ --
3,718.69 I
769.56 L
SIF'S: $ -
100.0% $ -
1.0% $ -
TOTAL: $ -
-
--~, -.--".--.
-- ".-._~
/" TI F'S: $ 1,588.00
\ 99% $ 1.572.12
'-- 1% $ 15.88
-------.
--
TOTAL: $ 6,076.25 I
813-780-0020
City of Zephyrhills Permit Application
Building Department
Co \ l'Z--
~
C C'n ~..;--\/
Fax-813-780-0021
Date Received
Owner's N~me
Owner's Address I S ~ 41 ~
Fee Simple Titleholder Name I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE
~rJ. ~~
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
PARCELIDlI D 2 - ;U" - ZI- bOlO - 028'00 - 0010
(OBTAINED FROII PROPERTY TAX NOnCE)
SIGN D MOVE 0
~
o
1KI
11
I
E3
D
D
ADD/ALT
REPAIR
COMM
FRAME
Fee Simple Titleholder Address I
I tdl ~ \ (?)~ ~L3D& QU-.. - \,.-D\- t1-3
IDr;ff-watlol P~<;e 1L
NEW CONSTR
INSTALL
SFR
BLOCK
u.n.,' +-
Tow" l-\-oY'\er
SQ FOOTAGE 15) () I
LOTlII
o
o
o
DEMOLISH
I
D
OTHER
STEEL
OTHER I
1$
r
1$
1$
O'f
FINISHED FLOOR ELEVATIONS I
-~,.-
orJ BUILDING
~ ELECTRICAL
[K) PLUMBING
[KJ MECHANICAL
D GAS
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
,0
PROGRESS ENERGY D W.R.E.C.
NOC ~u:..c~ic.-~ ~M
vI dT\- _
'f\ .ec+n c C~ ,_
()we V"lOD~eo-.\ Co.... \ Cs d-
ROOFING
VALUATION OF MECHANICAL INSTALLATION
D
I
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
qvY' (1 U;)\. \ - '1/1..:/00
OONO
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
:~:':"~~E 1# ~
Address .
:'~~~I;:L!4ft( ~
Address
~~~u.. ! 1/4 ~
COMPANY
REGISTERED
COMPANY
REGISTERED
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date_ Required onsite. Construction Plans. Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Address
_.. -
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
COMPANY
REGISTERED
(2..r"" ""
Y/N
I Co~~ ~RrlENT'T" f 'y / N
License III I
~~
I Y/N
rn~
I Y/ N I
FEE CURRENT
License III
tv: II r"ru"rJ
FEE CURRENT
License III I
~ e,''l (a.... ~,.A-
~N I FEE CURRENT I
License f. I
I R~~a^ ~o{..~
I Y/ N I FEECURR
License f. I
Y/N
Y/N
~
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A1C Fences (Plol/Survey/Footage)
Driveways-Not over Counter if on public roadwaysnneeds ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired' a contrlictor 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 Pasco County Building Inspection Division-licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction lien law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
lands, WaterlWastewater 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 ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "VO unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
.compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inciuded in the application. 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 codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y.
WITH YOUR LENDER OR AN ATTOR BEFORE CO N Y
FLORIDA JURAT (F.S. 17.03
F COMMENCEMENT MAY RESULT IN YOUR
U INTEND TO OBTAIN FINANCING, CONSULT
OF C NeEMENT.
p~
o is/are personalty known to me or has aile prodUced
as identification.
~otary Public
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
..,a.'PCl~
R,/ "
. .
~ .' .
"'10 '. o~
OFt\';
Notary Public Slale of I'!orida
Bobbie J Knight
My CommiSSion 00416222
Expires 03/31/2008
;! ~tJt'" PiJ.
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'Jotary Public State of I'lorida I
,3obbie ~ Knight
: ommlSSion 00416222
'C" 'o~ 0")/31'"008
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'O'Y2-irr~'~~ L~~\
3 UNiT
( OFL- \) N 'I p'1..lqrJ~ )
. t
Square 'Feet J 'I io ~
~Donar Amount
Valuation
· - -D \~
I~~,~<.'.J
I
-i1-'
c-
. ""l42.: i<6
Building 1 1-)
Electrical ~?7~ "el2---
Plumbing
q'-l i1~
Mechanical
08 . l1
fl. ~',;-
~i.)o~
Connection Fees
Sewer
Water
Meter
i <c. 1<0 I ,Y-
q je, i." r.>
i to. :;">
School Impact Fee
. .
q..:~ . ,-,q
7: ~ I, .
~S/~,~~~-
Transportation Impact Fee
I :SS-n .0 -..
,
Park Impact Fee
7{~,ci. '5~
Public Safety Impact Fee
~.'1';
~~ ,.~~
,
.',\
. ,~.
Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE USER FE~
Owner: ~Y\ C&\.~\.I~
Billing Addres .
Occupancy No.:
Plan No.: a"-~
Business Name: r\.~ (' 0
BusinessAddress: E=' *' ~::..\-
Business Phone No.:
Business Fax No.:
Contact:
~301
PLAN REVIEW FEES
~Site Plan N/C
Building Plans ~
Revision ~
STANDPIPE SYSTEM
D Per Riser $25
SPRINKLER SYSTEMS
[l 0 - 25 Heads $30
D 26 plus Heads $60
FIRE PUMP
D Per Pump $100
FIRE ALARM SYSTEM
D 0 - 25 Devices $30
D 26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
GREASENENTILATION
D Hood/Ducts $35
PLANSTOTAL~l)7'
Comments:
INSPECTION FEES
Annual N/C
1 st Re-inspection $25
2nd Re-inspection $50
3rd Re-inspection $125
4th Re-inspection $250
5th Re-Inspection $500
Construction $15
Commercial $25
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood / Booth $30
Grease Duct $15
FIRE ALARM SYSTEM
D System Acceptance $50
D Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall
LP Gas
Natural Gas
Fuel Tanks
Tent
Billing Phone No.:
Billing Fax No.:
Contact:
PERMIT FEE
FALSE ALARM FEE
1 st Alarm N/C
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $25
5th Alarm $50
6th Alarm $75
7th Alarm $100
8th Alarm $150
9th Alarm $200
10th Alarm $250
Non Compliance $150
"Affidavit of Service/Repair"
SPRINKLER SYSTEMS
D Automatic $15
FIRE PUMP
D Fire Pump $15
FIRE ALARM SYSTEM
D Detection $15
OTHER
$15'1 LPGas
$25 Natural Gas
$25 Fire Works
$25 Fuel Tanks
$15
$45
$45
$25
$45
~
INSPECTION TOTA~
.~
GREASENENTILATION
D Hood/Ducts $15
D Kitchen Suppression $15
FALSE ALARM I
TOTAL
Date:
1 bJ c~
0v' 1 ~lu~_j..~
Inspector:
Page toft
Karen Miller
, ..
From: Harold Ogilbee [HOgilbee@rymanconstruction.com]
Sent: Tuesday, July 11, 2006 1 :16 PM
To: Karen Miller
Cc: Kevin Ryman
SUbject: Driftwood
Karen,
The NOe is with permit # 5897 our site work permit.
About the final plat Kevin and I met with Todd a few weeks back and discussed that the final plat is done when
the project is finished. Todd was in agreement with that. So were not sure what he is looking for know because
everything else is on the site plan.
Electrician is Martian Electric and I can sign for them.
Energy calculations I just received and will have them to you right away.
Evaluation is $100,000 per unit (6 plex $600,000 triplex $300,000)
Anything else Karen just let me know
Thank You,
Harold
7/11/2006
Ryman Construction - Basswood Cir-6721 Lot 43
SQ. FEET PRICE
MAIN OR LIVING: 1,766 $ 88.00
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 155,408.00
FEE SHEET $ 648.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 660.96
ELECTRICAL: $ 145.80
PLUMBING: $ 97.20
MECHANICAL: $ 68.04
SUB.TOTAL $ 1,032.00
RADON: $ 17.66
TOTAL $ 1,049.66
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
180~00 I
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 70.68
INSPECTION TOTAL: $ 10.00
PERMIT TOTAL
TOTAL: $ 80.68
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $
3,898.69 I
769.56 I
PARKIMPACTFEESI$
SIF'S: $ 4,314.00
100.0% $ 4,314.00
1.0% $ 43.14
TOTAL: $ 4,357.14
TIF'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $ 10,613.39 I
FORM 600A-2004 EnergyGauge@ 4.0
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
DRIRTWOOD TOWN HOMES 2 BR 2-5 MID Builder: RYMAN CONST.
PASSe M. f..tp70l-' 6:L~u..:.~QA. fJ 't.3 Permitting Office: PA3CO CO. ~ ~ _
Z-HILLS, FL Permit Number: COil ~ ~~,
RYMAN CONST Jurisdiction Number: '1. na
Central (0 II Coot)
Project Name:
Address:
City, State:
Owner:
Climate Zone:
" -6...'-)
'.;.,.--
I
1. New construction or existing New
2. Single family or multi-family Single family
3. Number of units, ifmulti-family I
4. Number of Bedrooms 2
5. Is this a worst case? Yes
6. Conditioned floor area (ft2) 1002 ft2
7. Glass type I and area: (Label reqd. by 13-104.4.5 ifnot default)
a. U-factor: Description Area
(or Single or Double DEFAUL1) 7a(Sngle Default) 62.0 ft2
b. SHGC:
(or Clear or Tint DEFAUL1)
8. Floor types
a. Slab-On-Grade Edge Insulation
b. N/A
c. N/A
9. Wall types
a. Concrete, Int Insul, Exterior
b. Concrete, Int Insul, Adjacent
c. Frame, Wood, Adjacent
d. N/A
e. N/A
10. Ceiling types
a. Under Attic
b. N/A
c. N/A
II. Ducts
a. Sup: Unc. Ret: Unc. AH(Sealed):Garage Sup. R==6.0, 100.0 ft
b.N/A
7b.
(Clear) 62.0 ft2
R=O.O, 131.O(p) ft
R=7.5, 168.0 ft2
R=7.5, 416.0 ft2
R=I1.0, 144.0 ft2
R=30.0, 1002.0 ft2
12. Cooling systems
a. Central Unit
Cap: 24.0 kBtuIhr
SEER: 13.00
b.N/A
c. N/A
13. Heating systems
a. Electric Strip
Cap: 33.0 kBtuIhr
COP: 1.00
b. N/A
c. N/A
14. Hot water systems
a. Electric Resistance
Cap: 40.0 gallons
EF: 0.94
b. N/A
c. Conservation credits
(HR.-Heat recovery, Solar
DHP-Dedicated heat pump)
15. HV AC credits
(CF-Ceiling fan, CV-Cross ventilation,
.ElF-Whole house fan,
PT -Programmable Thermostat,
MZ-C-Multizone cooling,
MZ-H-Multizone heating)
Glass/Floor Area: 0.06
Total as-built points: 13684
Total base points: 14431
PASS
1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages 2&4.
EnergyGaugeQD (Version: FLRCSB v4.0)
I hereby certify that the plans and specifications covered by
this calculation are in compliance with the Florida Energy
Code. '" I ..-. ~ ' _ _ _ ~
PREPARED BY: r::Jtj'C l.(.< ry'\-(Y\
DATE: 4' ;r ~ L~
I hereby certify that this building. as designed. is in compliance
with the Florida Energy Code. . '"
OWNER/AGENT: l .J <...,~ d::JL-
! DATE: -.. ~7 1" \...-l 01.g
Review of the plans and
specifications covered by this
calculation indicates compliance
with the Florida Energy Code.
Before construction is completed
this building will be inspected for
compliance with Section 553.90Jl.
Florida Statutes..I
BUILDING OFF CI: ZL .
DATE: t
FORM 600A-2004
EnergyGauge@ 4.0
SUMMER CALCULATIONS
RE!sidential Whole Building Performance Met~od A - Details
ADDRESS: PASCO CO., Z-HILLS, FL,
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
.18 X Conditioned X BSPM = Points Overhang
Floor Area Type/SC Omt Len Hgt Area X SPM X SOF = Points
.18 1002.0 25.78 4649.7 Single, Clear E 1.5 2.0 62.0 63.97 0.61 2403.3
As-Built Total: 62.0 2403.3
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adjacent 560.0 0.70 392.0 Concrete, Int Insul, Exterior 7.5 168.0 0.75 126.0
Exterior 168.0 1.90 319.2 Concrete, Int Insul, Adjacent 7.5 416.0 0.39 161.2
Frame, Wood, Adjacent 11.0 144.0 0.70 .100.8
Base Total: 728.0 711.2 As-Built Total: 728.0 388.0
DOOR TYPES Area X BSPM = Points Type Area X SPM = Points
Adjacent 21.0 1.60 33.6 Adjacent Wood 21.0 2.40 50.4
Exterior 63.0 4.80 302.4 Exterior Wood 21.0 7.20 151.2
Exterior Wood 42.0 7.20 302.4
Base Total: 84.0 336.0 As-Built Total: 84.0 504.0
CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points
Under Attic 1002.0 2.13 2134.3 Under Attic 30.0 1002.0 2.13X 1.00 2134.3
Base Total: 1002.0 2134.3 As-Built Total: 1002.0 2134.3
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 131.0(p) -31.8 -4165.8 Slab-On-Grade Edge Insulation 0.0 131.0(p -31.90 -4178.9
Raised 0.0 0.00 0.0
Base Total: -4165.8 As-Bullt Total: 131.0 -4178.9
INFILTRATION Area X BSPM = Points Area X SPM = Points
1002.0 14.31 14338.6 1002.0 14.31 14338.6
Summer Base Points: 18004.0 Summer As-Built Points: 15589.3
Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
(System - Points) (DM x DSM x AHU)
(ays 1: Central Unit 24000 btuh ,SEERlEFF(13.0) Ducts:Unc(S),Unc(R),Gar(AH),R8.0(INS)
15589 1.00 (1.09x 1.150 x 0.95) 0.262 1.000 4858.1
18004.0 0.4266 7680.5 15589.3 1.00 1.188 0.262 1.000 4856.1
EnergyGauge 1M DCA Form 600A-2004
FORM 600A-2004
EnergyGauge@ 4.0
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
f ADDRESS: PASCO CO., Z-HILLS, FL,
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
.18 X Conditioned X BWPM = Points Overhang
Floor Area Type/SC Omt Len Hgt Area X WPM X WOF = Point:
.18 1002.0 5.86 1056.9 Single, Clear E 1.5 2.0 62.0 12.37 1.11 854.7
As.Built Total: 62.0 854.7
WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Adjacent 560.0 1.80 1008.0 Concrete, Int Insul, Exterior 7.5 168.0 2.20 369.6
Exterior 168.0 2.00 336.0 Concrete, Int Insul, Adjacent 7.5 416.0 1.45 603.2
Frame, Wood, Adjacent 11.0 144.0 1.80 259.2
Base Total: 728.0 1344.0 As-Bullt Total: 728.0 1232.0
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
Adjacent 21.0 4.00 84.0 Adjacent Wood 21.0 5.90 123.9
Exterior 63.0 5.10 321.3 Exterior Wood 21.0 7.60 159.6
Exterior Wood 42.0 7.60 319.2
Base Total: 84.0 405.3 As-Bullt Total: 84.0 602.7
CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points
Under Attic 1002.0 0.64 641.3 Under Attic 30.0 1002.0 0.64 X 1.00 641.3
Base Total: 1002.0 841.3 As-Bullt Total: 1002.0 841.3
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 131.0(p) -1.9 -248.9 Slab-On-Grade Edge Insulation 0.0 131.0(p 2.50 327.5
Raised 0.0 0.00 0.0
Base Total: -248.9 As-Bullt Total: 131.0 327.5
INFILTRATION Area X BWPM = Points Area X WPM = Points
1002.0 -0.28 -280.6 1002.0 -0.28 -280.6
Winter Base Points: 2918.0 Winter As-Built Points: 3377.6
Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating
Points Multiplier Points Component Ratio MUltiplier Multiplier Multiplier Points
(System - Points) (DM x DSM x AHU)
(sys 1: Electric Strip 33000 btuh ,EFF(1.0) Ducts:Unc(S),Unc(R),Gar(AH),R6.0
33n.6 1.000 (1.078 x 1.160 x 0.95) 1.000 1.000 4012.4
2918.0 0.6274 1830.8 3377.6 1.00 1.188 1.000 1.000 4012.4
EnergyGauge no DCA Fonn 600A-2004
FORM 600A-2004
EnergyGauge@ 4.0
WATER HEATING & CODE COMPLIANCE STATUS
, Residential Whole Building Performance Method A - Details
, ADDRESS: PASCO CO., Z-HILLS, FL,
PERMIT #:
BASE AS-BUlL T
WATER HEATING
Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total
Bedrooms Volume Bedrooms Ratio Multiplier
2 2460.00 4920.0 40.0 0.94 2 1.00 2407.66 1.00 4815.3
As-Bullt Total: 4815.3
CODE COMPLIANCE STATUS
BASE AS-BUlL T
Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total
Points Points Points Points Points Points Points Points
7680 1831 4920 14431 4856 4012 4815 13684
I
PASS
I
EnergyGauge 1M DCA Form 600A-2004
FORM 600A-2004
EnergyGauge<ID 4.0
Code Compliance Checkl~st
Residential Whole Building Performance Method A - Details
, ADDRESS: PASCO CO., Z-HILLS, FL, PERMIT #:
6A-21 INFIL TRA TION REDUCTION COMPLIANCE CHECKLIST
COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK
Exterior Windows & Doors 606.1 ABC.1.1 Maximum:.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area.
Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall;
foundation & wall sole or sill plate; joints between exterior wall panels at comers; utility
penetrations; between wall panels & topJbottom plates; between walls and floor.
EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends
from, and is sealed to, the foundation to the top plate.
Floors 606.1.ABC.1.2.2 Penetrations/openings >1/8" sealed unless backed by truss or joint members.
EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed
to the perimeter, penetrations and seams.
Ceilings 606.1.ABC.1.2.3 Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, chases,
soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate;
attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is
installed that is sealed at the perimeter, at penetrations and seams.
Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non-IC rated, installed inside a
sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from
conditioned space, tested.
Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors.
Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA,
have combustion air.
COMPONENTS
Water Heaters
6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.)
SECTION
612.1
REQUIREMENTS CHECK
Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked cir
breaker (electric) or cutoff (gas) must be provided. Extemal or built-in heat trap required.
Spas & heated pools must have covers (except solar heated). Non-commercial pools
must have a pump timer. Gas spa & pool heaters must have a minimum thermal
efficiency of 78%.
Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG.
All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically
attached, sealed, insulated, and installed in accordance with the criteria of Section 610.
Ducts in unconditioned attics: R-6 min. insulation.
Separate readily accessible manual or automatic thermostat for each system.
Ceilings-Min. R-19. Common walls-Frame R-11 orCSS R-3 both sides.
Common ceiling & floors R-11.
Swimming Pools & Spas
612.1
Shower heads
Air Distribution Systems
612.1
610.1
HVAC Controls
Insulation
607.1
604.1, 602.1
EnergyGauge 1M DCA Form 600A-2004
EnergyGaugeelFlaRES'2004 FLRCSB v4.0
ENERGY PERFORMANCE LEVEL (EPL)
, - DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE SCORE* = 85.1
The higher the score, the more efficient the home.
RYMAN CONST, PASCO CO., Z-HILLS, FL,
. I. New construction or existing New
2. Single family or multi-family Single family
3. Nwnber ofrmits, ifmulti-family I
4. Nwnber of Bedrooms 2
5. Is this a worst case? Yes
6. Conditioned floor area (1\') 1002 ft2
7. Glass type I and area: (Label reqd. by 13-104.4.5 if not default)
a. U-factor: Description Area
(or Single or Double DEFAULT) 7a(Sngle Default) 62.0 ft2
b. SHGC:
(or Clear or Tint DEFAULT)
8. Floor types
a. Slab-On-Grade Edge Insulation
b. N/A
c. N/A
9. Wall types
a. Concrete, Int Insul, Exterior
b. Concrete, Tnt Insul, Adjacent
c. Frame, Wood, Adjacent
d. N/A
e. N/A
10. Ceiling types
a. Under Attic
b. N/A
c. N/A
I I. Ducts
a. Sup: Unc. Ret: Dnc. AH(Sealed):Garage Sup. R=6.0, 100.0 ft
b. N/A
7b.
(Clear) 62.0 ft2
R=O.O, 13 I.O(p) ft
R=7.5, 168.0 ft2
R=7.5, 416.0 ft2
R=II.O, 144.0 ft2
R=30.0, 1002.0 ft2
12. Cooling systems
a. Central Dnit
Cap: 24.0 kBtuIhr
SEER: 13.00
b. N/A
c. N/A
13. Heating systems
a. Electric Strip
Cap: 33.0 kBtuIhr
COP: 1.00
b. N/A
c. N/A
14. Hot water systems
a. Electric Resistance
Cap: 40.0 gallons
EF: 0.94
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 Thennostat,
MZ-C-Multizone cooling,
MZ-H-Multizone heating)
I certify that this home has complied with the Florida Energy Efficiency Code For Building
Construction through the above energy saving features which will be installed (or exceeded)
in this home before final inspection. Otherwise, a new EPL Display Card will be completed
based on installed Code compliant features.
Builder Signature: Date:
Address of New Home:
CitylFL Zip:
"'NOTE: The home's estimated energy peiformance score is only available through the FLA/RES computer program.
This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a us EP A/DOE EnergyStarâ„¢designationj,
your home may qualify for energy efficiency mortgage (EEM) 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 www.fsec.ucfedufor
information and a list of certified Raters. For information about Florida's Energy FJficiency Code For Building
Construction, contact the Department of Community Affairs at 850/487-/824.
1 Predominant glass type. For actual glass type and ~ see Summer & Winter Glass oU!put onJ!..ages 2&4.
cnergyGauge@ (Version: FLRC:stl v4.0)
~
. Residential System Sizing Calculation
Summary
Project Title:
DRIFTWOOD TOWN HOMES MID.r.5 BR
RYMAN CONST.
PASCO CO.
ZEPHYRHILLS, FL
Code Only
Professional Version
Climate: Central
Location for weather data: Tampa - Defaults: Latitude(28) Temp Range(M)
Humidi data: Interior RH 50% Outdoor wet bulb 77F Humidi difference 54 r.
Winter design temperature 40 F Summer design temperature
Winter setpoint 70 F Summer setpoint
Winter tem erature difference 30 F Summer tem erature difference
Total heatin load calculation 18577 Btuh Total coolin load calculation
Submitted heating capacity % of calc Btuh Submitted cooling capacity
Total (Electric Strip) 177.6 33000 Sensible (SHR = 0.75)
Latent
Total
Winter Heatin Load
Load com onent
Window total
Wall total
Door total
Ceiling total
Floor total
Infiltration
Subtotal
Duct loss
TOTAL HEAT LOSS
91 F
75 F
16 F
23182 Btuh
% of calc Btuh
144.4 18000
56.0 6000
103.5 24000
WINTER CALCULATIONS
62 sqft
728 sqft
84 sqft
1 002 sqft
131 ft
267 cfm
Load
2151
1471
1075
1002
3183
8809
17692
885
18577
~)
Btuh
Btuh
Btuh
Btuh
Btuh
Btuh
Btuh
Btuh
Btuh
1n1I.(47'llo)
SUMMER CALCULATIONS
LIIl.....~~)
~)
~'"")
WoII8(2%)
Doara(~)
Summer Coolina Load (for 1002 saft)
Load comoonent Load
Window total 62 sqft 1736 Btuh
Wall total 728 sqft 538 Btuh
Door total 84 sqft 766 Btuh
Ceiling total 1002 sqft 1343 Btuh
Floor total 0 Btuh
Infiltration 259 cfm 4551 Btuh
Intemal gain 2400 Btuh
Subtotal(sensible) 11334 Btuh
Duct gain 1133 Btuh
Total sensible gain 12467 Btuh
Latent gain(infiltration) 9495 Btuh
Latent gain(intemal) 1220 Btuh
Total latent gain 10715 Btuh
TOTAL HEAT GAIN 23182 Btuh
L_In1I.(41"")
EnergyGaug~ system~' ing~ ~ACCAf"'anual J.
PREPARED BY: \,_ _... \Ja. J ~,
DATE: .. , ~ c-L.
EnergyGauge@ FLRCPB v3.4
., -
System Sizing Calculations - Winter
Residential Load - Component Details
Project Title:
DRIFTWOOD TOWN HOMES MID 1-5 BR
Code Only
Professional Version
Climate: Central
RYMAN CONST.
PASCO CO.
ZEPHYRHILLS, FL
Reference City: Tampa (Defaults) Winter Temperature Difference: 30.0 F
71712006
Window Panes/SHGC/Frame/U Orientation Area X HTM= Load
1 1, Clear, Metal, DEF N 10.0 34.7 347 Btuh
2 1, Clear, Metal, DEF S 10.0 34.7 347 Btuh
3 1, Clear, Metal, DEF S 42.0 34.7 1457 Btuh
Window Total 62 2151 Btuh
Walls Type R-Value Area X HTM= Load
1 Concrete - Exterior 7.5 168 3.5 588 Btuh
2 Concrete - Adjacent 11.0 416 1.5 624 Btuh
3 Frame - Adjacent 11.0 144 1.8 259 Btuh
Wall Total 728 1471 Btuh
Doors Type Area X HTM= Load
1 Wood - Exter 21 13.8 290 Btuh
2 Insulated - Exter 42 14.1 592 Btuh
3 Wood - Adjac 21 9.2 193 Btuh
Door Total 84 1075Btuh
Ceilings Type R-Value Area X HTM= Load
1 Under Attic 30.0 1002 1.0 1002 Btuh
Ceilina Total 1002 1002Btuh
Floors Type R-Value Size X HTM= Load
1 Slab-On-Grade Edge Insul 0 131.0ft(p) 24.3 3183 Btuh
Floor Total 131 3183 Btuh
Infiltration Type ACHX Building Volume CFM= Load
Natural 0.40 1 0020( sqft) 67 2209 Btuh
Mechanical 200 6600 Btuh
Infiltration Total 267 8809 Btuh
Subtotal 17692 Btuh
Totals for Heating Duct Loss(using duct multiplier of 0.05) 885 Btuh
Total Btuh Loss 18577 Btuh
Key: Window types (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint)
(Frame types - metal, wood or insulated metal)
(U - Window U-Factor or 'DEF' for default)
(HTM - ManualJ Heat Transfer Multiplier)
Key: Floor size (perimeter(p) for slab-on-grade or area for all other floor types)
EnergyGauge@ FLRCPB v3.4
RYMAN CONST.
PASCO CO.
ZEPHYRHILLS, FL
- System Sizing Calculations - Summer
Residential Load - Component Details
Project Title:
DRIFTWOOD TOWN HOMES MID 1-5 BR
Code Only
Professional Version
Climate: Central
Reference City: Tampa (Defaults) Summer Temperature Difference: 16.0 F
717/2006
Type Overhang Window Area(sqft) HTM Load
Window Panes/SHGCIUllnSh/ExSh Omt Len Hat Gross Shaded Unshaded Shaded Unshaded
1 1, Clear, DEF, N, N N 1.5 2 10.0 0.0 10.0 28 28 280 Btuh
2 1, Clear, DEF, N, N S 1.5 2 10.0 10.0 0.0 28 45 280 Btuh
3 1, Clear, DEF, N, N S 1.5 2 42.0 42.0 0.0 28 45 1176 Btuh
Window Total 62 1736 Btuh
Walls Type R-Value Area HTM Load
1 Concrete - Exterior 7.5 168.0 1.4 239 Btuh
2 Concrete - Adjacent 11.0 416.0 0.4 158 Btuh
3 Frame - Adjacent 11.0 144.0 1.0 141 Btuh
Wall Total 728.0 538 Btuh
Doors Type Area HTM Load
1 Wood - Exter 21.0 9.1 190 Btuh
2 Insulated - Exter 42.0 9.2 386 Btuh
3 Wood - Adjac 21.0 9.1 190 Btuh
Door Total 84.0 766 Btuh
Ceilings Type/Color R-Value Area HTM Load
1 Under Attic/Dark 30.0 1002.0 1.3 1343 Btuh
Ceilina Total 1002.0 1343 Btuh
Floors Type R-Value Size HTM Load
1 Slab-On-Grade Edge Insulation 0.0 131.0 ft(p) 0.0 0 Btuh
Floor Total 131.0 0 Btuh
Infiltration Type ACH Volume CFM= Load
Natural 0.35 10020 58.6 1031 Btuh
Mechanical 200 3520 Btuh
Infiltration Total 259 4551 Btuh
Occupants
4
Btuh/occupant
X 300 +
Appliance
1200
Load
2400 Btuh
Subtotal 11334 Btuh
Duct gain(using duct multiplier of 0.10) 1133 Btuh
Total sensible gain 12467 Btuh
Totals for Cooling Latent infiltration gain (for 54 gr. humidity difference) 9495 Btuh
Latent occupant gain (4 people @ 230 Btuh per person) 920 Btuh
Latent other gain 300 Btuh
TOTAL GAIN 23182 Btuh
Key: Window types (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint)
(U - Window U-Factor or 'DEF' for default)
(InSh - Interior shading device: none(N), Blinds/Daperies(B) or Roller Shades(R))
(ExSh - Exterior sh~ding.device: non~~Rf~Q(R;IlfY~PB 34
IOmt - comDass onentatlon) v .
BUILDING INPUT SUMMARY REPORT
. Title: ~ DRIFTWOOD TOWN HOMES Wllmily Type: Single Address Type: Street Address
.... Owner: RYMAN CONST. NewlExisting: New Lot#: NlA
0 # of Units: 1 Bedrooms: 2 Subdivision: N/A
W
., Builder Name: RYMAN Conditioned Area: 1002 Platbook: N/A
0 Climate: Central Total Stories: 1 Street: PASCO CO.
0::
IL Penn it Office: PASCO CO. Worst Case: Yes County: PASCO
Jurisdiction #: (blank) Rotate Angle: (blank) City, St, Zip: ZEPHYRHILLS, FL,
tn # Floor Type v .vvv R-Val Anta/Pertmeter Units tn # Door Type OrlentBtlon Area Units
0:: 1 Slab-On-Grade Edge Insulation 0.0 131.0(p) fl 1 0:: 1 Wood Exterior 21.0 ft' 1
0 0 2 Insulated Exterior 42.0 ft' 1
0 0 3 Wood Adjacent 21.0 ft' 1
..J C
LL
tn # Ceiling Type R-Val Area 88M Area Units C) # System Type Efficiency Capacity
C') 1 Under Allie 30.0 1002.0 ft' 1002.0 ft' 1 Z 1 CentralUnil SEER: 13.00 24.0 kBtulhr
~I ::J
..J 0
W 0
0 , Credit Multipliers: None 0 Credit Multipliers: None
# Wall Type Location R-Val Area Units # System Type Efficiency Capacity
1 Concrete Block - Intlnsul Exterior 7.5 168.0 ft' 1 C') 1 Elecbic Strip COP: 1.00 33.0 kBtulhr
tn Z
..J 2 Concrete Block - Int Insul Adjacent 11.0 416.0 ft' 1 i=
..J 3 Frame - Wood Adjacent 11.0 144.0 ft' 1
~ ~
w
Z Credit Multipliers: None
# S=., Return Air Handler Su. =
# Panes Tint Ornt Area OH Length OH Hght Unlb L location Location R- I
Single Clear tn 1 Uncond. Uncond. Garage 6.0 100.0 fl
1 N 10.0 ft' 1.5 fl 2.0 fl 1 ....
2 Single Clear S 10.0 ft' 1.5 fl 2.0 fl 1 0
3 Single Clear S 42.0 ft' 1.5 fl 2.0 fl 1 ::)
C
Credit Multlpl.....: AHU sealed
0:: # System Type EF Cap. ConservatIon Type Con.EF
W 1 Electric Resis1ance 0.92 40.0 None 0.00
....
~
tn # Use Default? AnnUIII Operating CoM ElectrIc Rate
~ a:: 1 Yes NJA N/A
0 LL
C W
Z 0::
i
Rater Name: CodeOnlyPro Class #: 3 Pool Size: 0
0 Rater CertIfication #: CodeOnlyPro Duct Leakage Type: N/A Pump Size: 0.00 hp
tn Area Under Fluorescent: 0.0 Visible Duct Disconnects: NlA Dryer Type: Electric
i Area Under Incandescent: 1002.0 Leak F.... Duct System Proposed: No Stove Type: Electric
NOTE: Not all Rating info shown HRVIERV System Present?: No Avg Cell Hgt: 1 0
EnergyGaugee (Version: I-LRCJ;>B v3.4
PASCO COUNTY, FLORIDA
Permit No, & 1 ,~
Date Permitted
Builder Name/Owner Name t?~~ t'CI'Y"\--::A-<" Control #
County Parcel No. 6~. ~i.c - do' :. 60\ 0- (.)31560- 0::>1 b SubDlv:
Address/Location Cd 1 d , DG...i:>.D( .i. 'IT"'ITY'Q (!~ - 0 n i -\- - 4 S
ClassificationIType of US!?::) r~G ~ fY"V1.. ~
TRANSPORTATION IMPACT FEE. Rate:
Exempt D Yes [1"'No How Determined
Sq Ft Unit:
Impact Fee Amount $ 15<tS <[('. C5b
Zone No.
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.:t~) Collection Fee
Exempt ~es 0 No How Determined
Amount $
PARKS AND RECREATION FEE
Land Account Land Credit
Recreation Account
Land Total
Recreation Credit Recreation Total
Zone
TOTAL AMOUNT $
Exempt 0 Yes 0 No
LIBRARY FEE
Land Account
Land Total
Facility Account
Facility Total
Exempt 0 Yes 0 No
RESOURCE FEE
TOTAL AMOl,JNT
How Determinec:l
Total Amount
"
'.
ERU
Prepared By
Checked By
NO C!:RTIFICATE 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 accep!ance of concurrence, but simply receipt of a copy of !hIli form, placing
the building permit owner on notice of this assessment alld the conditions of payment for same.
DATE
RECEIPT NO.
RECEIVED BY
DATE
BY