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HomeMy WebLinkAbout10-10865 • CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10865 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit #:10865 Issued: 8/26/2010 Address: 37720 AARAL RD BLDG 7#68 Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL. Class of Work: 105 -NEW CONST /MULTI 5+ UNIT Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 156,085.45 Total Fees: 10,681.1 4 Subdivision: EILAND PARK TOWNHOMES Amount Paid: 10,681.14 Date Paid: 8/26/2010 Parcel Number: 03- 26 -21- 0230 - 00000 -0680 u, 1: :17.1' a =.`g E`'- ,'ate v r 3 1777 g ck Name: LENNAR HOMES INC Name: LENNAR HOMES Addr: 15550 LIGHTWAVE DRIVE #210 Address: 15550 LIGHTWAVE DR #210 CLEARWATER FL 33760 CLEARWATER FL 33760 Phone: (727)479 -1740 Lic: Phone: (727)479 -1700 Work Desc: NEW TOWNHOME 1531 SQ FT BLDG 7 #68 : UILo N E 724.11 'ANT AL E 68.6 L - AL F 146.48` PLUMBING FEE 97.65 SEWER CONNECTION RESIDEN1 2,010.00 WATER METER RES 3/4" 311.25 WATER CONNECTION RESIDEN1 641.00 FIRE INSPECTION FEES 93.27 FIRE PLAN REVIEW FEES 13.50 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FEES TOWNHOMES , 769.56 SCHOOL IMPACT FEE -sfr/100% 1,740.00 SCHOOL IMPACT FEE -sfr/ 1% 17.40 TRAFFIC IMPACT FEE 99 V 3,445.20 TRAFFIC IMPACT FEE 1% 34.80 RADON 15.31 pc /...--- Nece Goa 5 f ( 20 W4 0 4._ s'n,(A-oe 5 ianxzrwfaTatorre,:tmw,,, •• - N• - •U HP M: MI I� U •N IL FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE -SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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 prope . If you intend to obtain financing, consult with your lender or an attorney before recording your noti e , f commencement." ai, 6,..e...._ or 44 l` ', CONTRAC'7=t'fArmaTim PERMIT OFFI ( - PERM 1 f EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER • City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: keit 44. Date Received: (— (3-46 Site: �7 7 26 //,977q 4n 1 7 #6. Permit Type: /ki (,J ,4fJ» - /53/ Approved w /no comments:❑ Approved w /the below comments: Denied w /the below comments: ❑ 34 This comment sheet shall be kept with the permit and/or plans. I i x G" Kalvin Switzer lans Examiner Date Contractor and/or ; . er (Required when co ents are present) 1&2 Family Dwelling Plan Review Comments 1. F.F.E. Shall be a minimum of 8" above the road elevation and a engineered site plan. 2. Lots shall be graded to comply with R401.3 of the F.B.C.. 3. Compaction test required if 24" or more of fill dirt is brought in at any one place. 4. Tie in survey required before pouring concrete. 5. Driveways require a R.O.W. use permit. 6. All setbacks shall be met. 7. All property markers shall be uncovered and marked at time of first inspection. 8. All A.D.A. requirements shall be met. 9. No electric, plumbing, mechanical, or framing shall be covered without an inspection and approval first. 10. Water heaters shall comply with section P607.3 of the .F.B.0 11. Foundation supports for A/C units shall be raised at least 3" above finished grade. M1308.1 12. Return air in all bedrooms. F.B.C. M1620.4 13. Smoke detectors are to be installed in accordance with R313.1 of the F.B.C. 14. All glazing requirements are to be in accordance with R308.4 of the F.B.C. 15. All means of egress are to be in accordance with R311 of the F.B.C. 16. "Green gypsum board" shall not be used as a backer in showers or tubs. R702.4.2 F.B.C. 17. Combination -type AFCI breakers are required at all locations requiring a AFCI type breaker. 18. Carbon monoxide alarms will be required in new construction that uses fossil - burning heating or appliances or an attached garage. They shall be installed in accordance with the F.B.C. 19. All plumbing, mechanical, and electrical shall be separate from unit to unit. This includes all underground plumbing and electric. 20. All 2008 N.E.C. Codes will be enforced. 21. Tamper- Resistant Receptacles in accordance with 406.11 of the 2008 N.E.0 22. In accordance with the Land Development Code, lots shall be sodded before final at least 10 feet around the structure. F.F.E. - Finished Floor Elevation F.B.C- Florida Building Code R.O.W. -Right Of Way A.D.A. - Americans with Disabilities Act 813- 78U -UULU LILY ui Lt p iyuInnJ ruiiini. r JJIu auv., � /_ Building Department (� • Date Received - Phone Contact for Permitting 8 / i 7b O 3 63 Owners Name 4eNNM Fl O,15 Owner Phone Number (TO) ' 7q - /7 2 V 33 w Owner's Address ,'3O / 4Lij J,,>d r 4( 2/L G f &tJL , Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS c 3 77.EO #94 ,e� ?E,07/ye,,l/tiJ 335 LOT# ‘ S SUBDIVISION E/LAN0 44411- PARCEL ID# 0 .240 -21- 0.230- 00000' -D6 d (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ►r� NEW CONSTR I I ADD /ALT I 1 SIGN ( I MOVE 1 I DEMOLISH IIIIII INSTALL REPAIR PROPOSED USE 1 1 SFR 1 I COMM ( I OTHER 1 1 TYPE OF CONSTRUCTION tiK BLOCK 1 f FRAME ( 1 STEEL 1 1 OTHER DESCRIPTION OF WORK /YEW CONSTZUGT On) - roomy A oA4es BUILDING SIZE SQ FOOTAGE /53/ HEIGHT a -.5 e& i 1 B $ 3 /,65-0 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ s ‘ 0 AMP SERVICE PROGRESS ENERGY 1 1 W.R.E.C. PLUMBING $ y3; 5 MECHANICAL $ .7 /S VALUATION OF MECHANICAL INSTALLATION n GAS n ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS /2"97 FLOOD ZONE AREA 1 YES 1 NO BUILDER / COMPANY ZEN/VAf— NO / 4 t"S SIGNATURE .. . o .e ! REGISTERED I Y / N 1 FEE CURRENT I Y / N Addres� /v G✓0TO�//• - 64 let, 7'T, r S 3G09 License# COG/ m S'S'7.5/ ELECTRICIAN COMPANY COh'c�u 504/ Ec (CT .Z C SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y / N Address , . 3 1 / .SK /fiP IQ. f204Di 7#4wAt/'i- 336/3 License# Ec OD 0.2579 PLUMBER COMPANY ,. BMvs/ Ph-uM6/A/& SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N Address l0 39-1 /-iW 5 .I2i t/E2 4 2 33S7j License # CFG 0,2 /,s"O 0 84 on/ET guM4/4/!s, /4x677• /6., 6 f9'C . MECHANICAL COMPANY f SIGNATURE e ] REGISTERED Y/ N 1 FEE CURRENT 1 Y/ N Address / O. 8O)( 5.3O 3�oA(r16 /Nr, Fc -35 License # CAPC 49 -5 - 8 ' S © 2 OTHER COMPANY C. • TEIeL/I16- &9L / Ty /QQOF7.06;. ve. SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N j Address ¥2// IYOFIL LAI F &.v,O (SP4/AIG 7 License # CC* CO s 7 99 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -OM Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence instated, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for at NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (A/C upgrades over $5000) '" Agent (for the contractor) or Power of Attorney (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 NC Fences (PIot/Survey /Footage) Driveways -Not over Counter If on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understandt t assumes responsibility this permit ybe subject compliance r t ri c ti any which may be more restrictive than County regulations. The undersigned applicable deed restrictions. 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. a 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 IMPACT /UTILITIES IMPACT AND RE 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 certif/ 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 ting commenced prior to issuance of a permit zoning nin that all development regulations lations in the to meet standards jurisdiction. l construction, County and City codes, g g ulafions certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions S agencies include ental Protect bn- Cypress Bayheads W tlad Areas Environmentally t De _ Department of Environmental Sensitive Lands, Water/Wastewater Treatment. Ba heads, Wetland Areas, Altering _ Southwest Florida Water Management District - Wells, Cyp ress Bay heads, Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services /Environmental 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 "V" unless expressly permitted. If the 011 material is to used " be be submitted at time of permitting which o is prepared r by a engineer "compensating volume" will licensed by the State of Florida. - If the fill material Is to be used in Flood Zone "A" i he area connection within the wall mitted building using stem wall construction, I certify that fill will be used only to f ill material is to be used in area, affect adjacent properties, the owner mayr affect d for cited - p lating p If use of fil1 l is found to o adversely 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. ons set forth in If I am the AGENT FOR THE OWNER, 1 promise in good that aosepahat owner of the permit may be l equ g ed for cal work, this affidavit prior to commencing construction. I,under stan plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license fo shall i sua a pe mliprevent the e hB t ding Official from t thereafter e aside any provisions of the technical codes, nor P a correction of errors In plans, construction or violations six months of permit permit ssua or work authorized authorized by requiring unless m work authorized such permit is commence d days e n c will demons the permit is suspended or r abandoned ed d for a aerie ra period not to the ninety commenced. An ex ens o may be requested, i writing, from the Building Official fo . Justifiable cause for the e e extension. If work ceases for ninety (90) consecutive days, the�ob Is considered abandoned MAY RESULT IN YOUR WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT CEMENT. MPROV ME TS TO YOUR PROPERTY. IF YOU INTOETOO 1413 'll IN FINANCING, CONSULT PAYING TWICE FOR l INTEND • ∎ .N Y BEFORE RECO - DING YOUR NO � WIT OU • LEN E7. OR At. ' . tcll4 FLORIDA JURAT (F.S. 117.03) f ie CONTRACTOR r;►�= .:• -�'� me this v cos T OWNER OR AGENT -�, : :::. -!, vy as r Subscribed and sworn to (. i Subscribed and sworn tor L - �-�' Whig .re personally known to me or has /have produced Who ar by or ' as /have produced as identification. Who dare personally known i s Identification. / .-;f Notary Public Notary Public . Commission ? Z DD 774/ 423 Commission . - Commission No. ,, > _ • e � typed, Anted or stamp: ( ...1; . ,., �' _ Commission DD 774023 2012 Name of Notary typ P typed, prl dt P = :mmission DD 77402 Expires June 6, Name of Notary typ P : R ,! �' aondea ThNTroy FeinlNUronce 800-355.7019 ' "`'` Expires June 6, 2012 ^P . , . , . ; ^ Q argyle! TM Troy 91013Iuronae ' r+ 385 -7019 °f FORM 1100A -08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: 1531 SIESTA KEY 214 C Builder Name: LE N � % / / Street: Permit Office: ' i. y t� City, State, Zip: TAMPA , FL , Permit Number: / g 6,5- Owner: LENNAR HOMES Jurisdiction: { /14 Design Location: FL, Tampa rt' 1. New construction or existing New (From Plans) 9. Wall Types Insulation Area a. Concrete Block - Int Insul, Exterior R =4.1 541.33 ft 2. Single family or multiple family Multi- family 3. Number of units, if multiple family 1 b. N/A R= ft2 c. N/A R= ft 4. Number of Bedrooms 2 d. N/A R= ft2 5. Is this a worst case? Yes 10. Ceiling Types Insulation Area 6. Conditioned floor area (ft 1531 a. Under Attic (Vented) R =30.0 766.00 ft b. N/A R= ft2 7. Windows Description Area c. WA R= ft a. U- Factor. Dbl, U =0.60 119.64 ft' SHGC: SHGC =0.32 11. Ducts b. U- Factor. Sgi, U =1.17 33.33 ft2 a. Sup: Attic Ret. Attic AH: Interior Sup. R= 6, 355 ft SHGC: SHGC =0.74 12. Cooling systems c. U- Factor: N/A ft a. Central Unit Cap: 34 kBtu/hr SHGC: SEER: 14 d. U- Factor: N/A ft2 SHGC: 13. Heating systems e. U- Factor: N/A ft' a. Electric Heat Pump Cap: 34 kBtu/hr SHGC: HSPF: 8.2 14. Hot water systems 8. Floor Types Insulation Area y a. Slab -On -Grade Edge Insulation R =0.0 1531.00 ft2 a. Electric Cap: 40 gallons b. Raised Floor R =19.0 88.00 ft2 EF: 0.92 c. N/A b. Conservation features R= ft� None 15. Credits Pstat Glass /Floor Area: 0.100 Total As -Built Modified Loads: 30.62 PASS Total Baseline Loads: 38.54 I hereby certify that the plans and specifications covered by Review of the plans and , THE ST this calculation are in compliance ' the Florida Energy specifications covered b y this I O � ".a �`. .._ ,.'. `` . ;• calculation indicates compliance i,' . , ' Code. PREPARED BY: . \ with the Florida E „ n . 74 % '` ` •�`'.0' !• - - ,1- Code. Before construction is completed ' �' r -rti w_ r : DATE: this building will be inspected for ° ` " compliance with Section 553.908 I hereby certify that t is •wilding, as de, n is in compliance Florida Statutes. `r' `r' with the Florida Energy Code. �, / .. O D • v .' OWNER/AGENT: d ra � m 1l BU I LDI NG OFFI IA 7 _ / • _ DATE: «�_ DATE: - - Compliance requires certifica ion by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory- sealed in accordance with N1110.A.3. 3/24/2009 2:22 PM EnergyGauge® USA - FlaRes2008 Page 1 of 5 FORM 1100A -08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: 1531 SIESTA KEY 214 C Builder Name: LENNAR Street: Permit Office: City, State, Zip: TAMPA , FL , Permit Number: Owner: LENNAR HOMES Jurisdiction: Design Location: FL, Tampa 1. New construction or existing New (From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Multi - family a. Concrete Block - Int Insul, Exterior R =4.1 541.33 ft b. N/A R= ft 3. Number of units, if multiple family 1 c. N/A R= ft 4. Number of Bedrooms 2 d. N/A R= ft 5. Is this a worst case? Yes 10. Ceiling Types ypes Insulation Area 6. Conditioned floor area (ft 1531 a. Under Attic (Vented) R =30.0 766.00 ft b. N/A R= ft 7. Windows Description Area c N/A R= ft a. U- Factor: Dbl, U =0.60 119.64 ft SHGC: SHGC =0.32 11. Ducts b. U- Factor. Sgl, U =1.17 33.33 ft2 a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 355 ft SHGC: SHGC =0.74 12. Cooling systems c. U- Factor. N/A ft a. Central Unit Cap: 34 kBtu/hr SHGC: SEER: 14 d. U- Factor: N/A ft2 13. Heating systems SHGC: a. Electric Heat Pump Cap: 34 kBtu/hr e. U- Factor: N/A ft SHGC: HSPF: 8.2 14. Hot water systems 8. Floor Types Insulation Area a. Electric Cap: 40 gallons a. Slab -On -Grade Edge Insulation R =0.0 1531.00 ft 2 EF: 0.92 b. Raised Floor R =19.0 88.00 ft2 b. Conservation features c. N/A R= ft2 None 15. Credits Pstat Glass /Floor Area: 0.100 Total As Built Modified Loads: 30.62 PASS Total Baseline Loads: 38.54 I hereby certify that the plans and specifications covered by Review of the plans and : .•° �F VIE ST A •. this calculation are in compliance the Florida Energy specifications covered by this N, .- . _ .. ;. ? Code. calculation indicates compliance with ` % ° = �� '6 •n Ill PREPARED �i' [_ ,' with the Florida Energy Code. !r `m 4 - :_ " ° A' : p ARED BY: .a __ _ ._ - Before construction is completed i r :so - =' Z 6: � 4 DATE: this building will be inspected for �'. � � a IP compliance with Section 553.908 del .. : . y, ¢ I hereby certify that t • wlding, as design d, ', in compliance Florida S tatutes. � +'' 'ter with the Florida Energy Code. / , . . , '.,. OWNER/AGENT: AIII� BUILDING OFFIC L: .. ff-,..0...o.bws- DATE: NM VP- _ DATE: /J/O - Compliance requires certificati l by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory - sealed in accordance with N1110.A.3. 3/24/2009 2:22 PM EnergyGauge® USA - FlaRes2008 Page 1 of 5 PROJECT Title: 1531 SIESTA KEY 214 C Bedrooms: 2 Adress Type: Street Address Building Type: FLAsBuilt Bathrooms: 0 Lot # Owner. LENNAR HOMES Conditioned Area: 1531 SubDivision: # of Units: 1 Total Stories: 2 PlatBook: Builder Name: LENNAR Worst Case: Yes Street: Permit Office: Rotate Angle: 270 County: HILLSBOROUGH Jurisdiction: Cross Ventilation: No City, State, Zip: TAMPA , Family Type: Multi - family Whole House Fan: No FL , New /Existing: New (From Plans) Comment: CLIMATE / IECC Design Temp Int Design Temp Heating Design Daily Temp Design Location TMY Site Zone 97.5 % 2.5 % Winter Summer Degree Days Moisture Range FL, Tampa FL_TAMPA INTERNATI 2 39 91 75 70 645.5 54 Medium FLOORS # Floor Type Perimeter Perimeter R -Value Area Joist R -Value Tile Wood Carpet 1 Slab -On -Grade Edge Insulatio 29 ft 0 1531 ft 0.2 0.15 0.65 2 Raised Floor 88 ft 19 0.15 0.2 0.65 ROOF / Roof Gable Roof Solar Deck V # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Gable or Shed Composition shingles 807 ft 128 ft Medium 0.9 N 0 18.4 deg / ATTIC '/ # Type Ventilation Vent Ratio (1 in) Area RBS IRCC 1 Full attic Vented 300 766 ft N N CEILING ✓ # Ceiling Type R -Value Area Framing Frac Truss Type 1 Under Attic (Vented) 30 766 ft 0.1 Wood WALLS # Omt Adjacent To Wall Type Cavity Sheathing Framing Solar ype R -Value Area R Value Fraction Absor. 1 N Exterior Concrete Block - Int Insul 4.1 270.67 ft 0 0.8 2 S Exterior Concrete Block - Int Insul 4.1 270.67 ft 0 0.75 3/24/2009 2:22 PM EnergyGauge® USA - FlaRes2008 Page 2 of 5 • DOORS V # Omt Door Type Storms U -Value Area 1 N Insulated None 0.6 20 ft WINDOWS Window orientation below is as entered. Actual orientation is modified by rotate angle shown in 'Project" section above. V Overhang # Ornt Frame Panes NFRC U- Factor SHGC Storms Area Depth Separation Int Shade Screening 1 N Metal Low -E Double Yes 0.6 0.32 N 31.5 ft 6 ft 0 in 1 ft 0 in HERS 2006 None 2 N Metal Low -E Double Yes 0.6 0.32 N 15.75 ft 1 ft 0 in 12 ft 0 in HERS 2006 None 3 N Metal Low -E Double Yes 0.6 0.32 N 14.24 ft 1 ft 0 in 1 ft 0 in HERS 2006 None 4 N Metal Low -E Double Yes 0.6 0.32 N 15.75 ft2 1 ft 0 in 1 ft 0 in HERS 2006 None 5 S Metal Low -E Double Yes 0.6 0.32 N 32.38 ft 1 ft 0 in 1 ft 0 in HERS 2006 None 6 S Metal Single (Clear) Yes 1.17 0.74 N 33.33 ft 6 ft 0 in 1 ft 0 in HERS 2006 None 7 S Metal Low -E Double Yes 0.6 0.32 N 10.03 ft 6 ft 0 in 1 ft 0 in HERS 2006 None INFILTRATION & VENTING V — Forced Ventilation — Run Time Fan Method SLA CFM 50 ACH 50 ELA EqLA Supply CFM Exhaust CFM Fraction Watts Default 0.00036 1446 7.08 79.4 149.3 0 cfm 0 cfm 0 0 COOLING SYSTEM • # System Type Subtype Efficiency Capacity Air Flow SHR Ductless 1 Central Unit None SEER: 14 34 kBtu/hr 1020 cfm 0.75 False HEATING SYSTEM ✓ # System Type Subtype Efficiency Capacity Ductless 1 Electric Heat Pump None HSPF: 8.2 34 kBtu/hr False HOT WATER SYSTEM • # System Type EF Cap Use SetPnt Conservation 1 Electric 0.92 40 gal 50 gal 120 deg None SOLAR HOT WATER SYSTEM • FSEC Collector Storage Cert # Company Name System Model # Collector Model # Area Volume FEF None None ft2 DUCTS / - Supply — — Return — Air Percent V # Location R -Value Area Location Area Leakage Type Handler CFM 25 Leakage QN RLF 1 Attic 6 355 ft Attic 4 ft Default Leakage Interior 3/24/2009 2:22 PM EnergyGauge® USA - FlaRes2008 Page 3 of 5 TEMPERATURES Programable Thermostat Y Ceiling Fans: Cooling ri Jan [X ]] Feb ] Mar r r X Ma Jun ] Jul Au X' Se X] Oct Nov X Dec Venting Jan (X] Feb EX] Mar X X] May El Jun l X] Jul AuC Sep f X Oct [XJ Nov f XJ Dec Venting Jan [X]]] Feb [X] Mar X Apr :X] May Jun [X) Jul X Aug [[X Sep [X] Oct X] Nov [X Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling (WD) AM 78 78 78 78 78 78 78 78 80 80 80 80 PM 80 80 78 78 78 78 78 78 78 78 78 78 Cooling (WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating (WD) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 Heating (WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 • 3/24/2009 2:22 PM EnergyGauge® USA - FlaRes2008 Page 4 of 5 • • FORM 1100A -08 Code Compliance Cheklist Residential Whole Building Performance Method A - Details ADDRESS: PERMIT #: TAMPA, FL, INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors N1106.AB.1.1 Maximum: .3 cfm/sq.ft. window area; .5 cfm /sq.ft. door area. Exterior & Adjacent Walls N1106.AB.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 corners; utility penetrations; between wall panels & top/bottom 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 N1106.AB.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 N1106.AB.1.2.3 Between walls & ceilings; penetrations of ceiling plane to 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 N1106.AB_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 with < 2.0 cfm from conditioned space, tested. Multi -story Houses N1106.AB.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts N1106_AB.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters N1112.AB.3 Comply with efficiency requirements in Table N112.ABC.3. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built -in heat trap required. Swimming Pools & Spas N1112.AB.2.3 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 %. Heat pump pool heaters shall have a minimum COP of 4.0. Shower heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems N1110.AB All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section N1110.AB. Ducts in unconditioned attics: R-6 min. insulation. HVAC Controls N1107.AB.2 Separate readily accessible manual or automatic thermostat for each system. Insulation N1104.AB.1 Ceilings -Min. R -19. Common walls -frame R -11 or CBS R -3 both N1102.B.1.1 sides. Common ceiling & floors R -11. 3/24/2009 2:22 PM EnergyGauge® USA - FlaRes2008 Page 5 of 5 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 79 The lower the EnergyPerformance Index, the more efficient the home. 1. New construction or existing New (From Plans) 9. Wall Types Insulation Area a. Concrete Block - Int Insul, Exterior R =4.1 541.33 ft 2. Single family or multiple family Multi- family b. N/A R= ft2 3. Number of units, if multiple family 1 c. N/A R= 52 4. Number of Bedrooms 2 d. N/A R= 52 5. Is this a worst case? Yes 10. Ceiling Types Insulation Area 6. Conditioned floor area (ft 1531 a. Under Attic (Vented) R =30.0 766.00 ft b. N/A R= ft2 7. Windows** Description Area c. N/A R= 52 a. U- Factor: Dbl, U '0.60 119.64 5 SHGC: SHGC =0.32 11. Ducts b. U- Factor. Sgl, U =1.17 33.33 ft2 a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 355 5 SHGC: SHGC =0.74 12. Cooling systems c. U- Factor. N/A 5 a. Central Unit Cap: 34 kBtu/hr SHGC: SEER: 14 d. U- Factor: N/A 52 13. Heating systems SHGC: e. U- Factor: N/A 52 a. Electric Heat Pump Cap: 34 kBtu /hr SHGC: HSPF: 8.2 8. Floor Types 14. Hot water systems YP Insulation Area a. Electric a. Slab -On -Grade Edge Insulation R =0.0 1531.00 ft2 Cap: 40 gallons b. Raised Floor R =19.0 88.00 52 EF: 0.92 c. N/A R= 52 b. Conservation features None 15. Credits Pstat I certify that this home has complied with the Florida Energy Efficiency Code for Building vaE sra''•. Construction through the above energy saving features which will be installed (or exceeded) :.' of .. /FO : in this home before final inspection. Oth ` w EPL Display Card will be completed .y , ; ' . .. '•: based on installed Code compliant -.r /; i ce" • ' " .„ ; ; ,., 6 / ti Builder Signature: Z Q '• a �-�- � / , Date: :c a � City /FL Zip: * ` .`.: Address of New Home: : f . , ........... � : Oo •{4 ' Department of Community Affairs at (850) 487 -1824. * *Label required by Section 13- 104.4.5 of the Florida Building Code, Building, or Section B2.1.1 of Appendix G of the Florida Building Code, Residential, if not DEFAULT. EnergyGauge® USA - FlaRes2008 9 Building Analysis wri htsoft 9 Job: SIESTA KEY 1531 Y Date: 6/21/2007 Entire House By: S.P. Bayonet Plumbing Heating and Air 8950 New York Ave, Hudson, FL 34674 Phone: 727-868-4638 Fax: 727 -863 -7237 ■ Project Information For. LENNAR HOMES FL Desi • n Conditions Location: Indoor: Heating Cooling Tampa Intl AP, FL, US Indoor temperature ( °F) 70 75 Elevation: 10 ft Design TD ( °F) 30 20 Latitude: 28 °N Relative humidity ( %) 95 50 Outdoor: Heating Cooling Moisture difference (gr/lb) 76.2 61.7 Dry bulb (°F) 40 95 Infiltration: Daily range ( °F) - 15 (L ) Method Simplified Wet bulb ( °F) - 79 Construction quality Average Wind speed mph) 15.0 7.5 Fireplaces 0 Heatin • Component Btuh /ft Btuh % of load Walls 4.3 5117 18.5 walls ventilation Glazing 38.1 5791 21.0 Ducts Doors 18.0 360 1.3 Ceilings 1.0 746 2.7 Floors 198.9 6950 25.1 Infiltration 1.9 2559 9.3 Infiltration Ducts 5106 18.5 Glazing Piping 0 0 Humidification 0 0 � Ventilation 1010 3.7 l e11 595 Floors Adjustments 0 Total 27640 100.0 Coolin • Component Btuh /ft Btuh % of load Walls 3.3 3889 15.1 walls nt Ventila }ion emel Gains Glazing 58.3 8867 34.5 Doors 20.4 408 1.6 Ceilings 1.8 1430 5.6 Floors 0 0 0 • Infiltration 0.7 898 3.5 Ducts 7023 27.3 Ducts Ventilation 673 2.6 Internal gains 2490 9.7 Glazing Blower 0 0 Adjustments 0 Infiltration Total 25677 100.0 Ceilings Overall U -value = 0.290 Btuh/ft - °F Data entries checked. wrightca Right - Suite® Universal 7.1.08 RSU05714 2009 - Mar -25 09:29:00 ACCN 1531 SIESTA KEY REV.rup Cak = MA Orientation = E Page 1 wri htsoft Project Summary Job: SIESTA KEY 1531 g Date: 6/21/2007 Entire House By: S.P. Bayonet Plumbing Heating and Air 8950 New York Ave, Hudson, FL 34674 Phone: 727-868-4636 Fax: 727 - 883 -7237 Project Information For: LENNAR HOMES FL Notes: Desi • n Information Weather: Tampa Intl AP, FL, US Winter Design Conditions Summer Design Conditions Outside db 40 °F Outside db 95 °F Inside db 70 °F Inside db 75 °F Design TD 30 °F Design TD 20 °F Daily range L Relative humidity 50 % Moisture difference 62 gr /Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 21523 Btuh Structure 17981 Btuh Ducts 5106 Btuh Ducts 7023 Btuh Central vent (31 cfm) 1010 Btuh Central vent (31 cfm) 673 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 27640 Btuh Use manufacturer's data n Rate /swing multiplier 1.00 Infiltration Equipment sensible load 25677 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 2312 Btuh Ducts 2007 Btuh Heating Cooling Central vent 31 cfm) 1284 Btuh Area (ft') 1531 1531 Equipment latent load 5603 Btuh Volume (ft') 12248 12248 Air changes /hour 0-38 0.20 Equipment total load 31280 Btuh Equiv. AVF (cfm) 78 41 Req. total capacity at 0.70 SHR 3.1 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond ARI ref no. Coil ARI ref no. Efficiency 8.2 HSPF Efficiency 14 SEER Heating input Sensible cooling 0 Btuh Heating output 0 Btuh @ 47 °F Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 1200 cfm Actual air flow 1200 cfm Air flow factor 0.045 cfm /Btuh Air flow factor 0.048 cfm /Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.82 Bold/italic values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 8th Ed. +p- W,—I htsof - Right- Suitee Universal 7.1 08 RSU05714 2009 - Mar -25 09:29:00 ACC*, 1531 SIESTA KEY REV.rup Caic = MJ8 Orientation = E Page 1 1111111111111111111111111111111111111111111111 ! 11111 11111111 R J 2010120774 kb ^ `ki Rcpt :1322173 Rec: 10 DS: 0.00 10.00 08/23/10 K. Garcia, Doty Clerk NOTICE OF COMMENCEMENT Permit NO. PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER 08/23/10 PG 0 8403 1cf 1 7 OR 1719 Property Identification No. 03 -26 -21 -0230- 00000 -0680 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal description :) Lot 68 EILAND PARK TOWNHOMES Plat Book 60, Page 102. a) Street Address: 37720 Aaralvn Road Zephvrhills, FL 33542 2. General description of improvements: Single Family Residence / Pool / Screen Enclosure / Fence 3. Owner Information a) Name and address: Lennar Homes Inc. 15550 Lightwave Drive Suite 210 Clearwater, FL 33760 • b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 4. Contractor Information a) Name and address: Steve Smith -- 15550 Lightwave Drive Suite 210 Clearwater, FL 33760 • b) Telephone No.: (727) 479 -1733 Fax No. (Opt.) 5. Surety Information a) Name and address: N / A • b) Amount of Bond: N / A • c) Telephone No.: Fax No. (Opt.) 6. Lender a) Name and address: N / A Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: Steve Smith -- 15550 Lightwave Drive Suite 210 Clearwater, FL 33760 b) Telephone No.: (727) 479 -1733 Fax No. (Opt.) 8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes: a) Name and address: N / A b) Telephone No.: Fax No. (Opt.) 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is Specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO Signature of Owner or Owner's Authorized Officer /Director /Partner/Manager Steve Smith Print Name The foregoing instrument was acknowledged before me this 12 day of August , 2010 , by Steve Smith as Director of Construction (type of authorit e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom ins ..lent was executed). Personally Known X OR Produced Identification Notary Signature /7� /". Type of Identification Produced Name (print) Elissa M. Holleran Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. rk& ELISSA M. HOLLERAN FORMSlNOC,rvsd2007 t t 11 Cbments$ ion DD 774023 Signature of Natural Person Signing Above Expires dune 6, 2012 'R u,,.....,. 'Bondatl 7Aru Frog'FalnIneuN�auB00•�`✓ ' STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WIT 1S�S� AY HAND AND FFICIAL SEAL THIS �7`P' DAY OF 2 OX) PAULA S. O'NEIL ERK COMPTROLLER BY �� DEPUTY CLERK ' Lennar Homes- 37720 Aaralyn Rd Bldg #7 unit#68 1531 sq ft- Permit #10865 SQ. FEET PRICE MAIN OR LIVING: 1,531 $ 101.95 OTHER AREA UNDER ROOF: - $ 91.00 OTHER: - $ - VALUATION $ 156,085.45 FEE SHEET $ 651.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 724.02 / ELECTRICAL: $ 146.48 PLUMBING: $ 97.65 MECHANICAL: $ 68.36 SUB -TOTAL $ 1,036.50 RADON: $ 15.31 TOTAL $ 1,051.81 SEWER: $ 2,010.00 WATER: $ 641.00 IRRIGATION: $ - TOTAL: $ 2,651.00 WATER METER: $ IRRIGATION METER $ - 311.25 I 3/4 METER FIRE DEPARTMENT FEES PLANS TOTAL: $ 93.27 INSPECTION TOTAL: $ 13.50 PERMIT TOTAL TOTAL: $ 106.77 PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 TOTAL: $ 553.35 SUB -TOTAL $ 4,674.18 I PARK IMPACT FEES $ 769.56 SIF'S: $ 1,740.00 100.0% $ 1,740.00 1.0% $ 17.40 / , TOTAL: $ 1,757.40 w� 'Z(O' t'O TIF'S: $ 3,480.00 fr 70b/&0 /66 99% $ 3,445.20 J / 1% $ 34.80 10 �1 TOTAL: $ 10,681.14I 9L5 Vi � IFii `i, PASCO COUNTY, FLORIDA ^ t j O tt 11i, � / Permit No. •/Q 6J Date Permitted 6-- 240--/o Builder Name /Owner Name / oil') wes Control # County Parcel No. 3 ; -2f -o2 o- ao0oo -- d6 SubDIv: / 5 Address /Location 3772_0 4 r f»'7 /t G( 4/ 9 e 7 , � Classification/Type of Use C ALM Y( rf7e._ TRANSPORTATION IMPACT FEE Rate: 5q Ft Unit; /53) Exempt ❑ Yes ❑ No How Determined Impact Fee Amount $ 3 , 119C) , Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single - Family Detached House Amount $ /i 75 . (057) Mobile Home (058) Other Residential 123) Collection Fee Exempt L Yes ❑ No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ 70, 5 Exempt ❑ Yes ❑ No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt ❑ Yes ❑ No How Determined Total Amount / WA -- RESOURCE FEE ERU TOTAL AMOUNT Prepared By g Checked ay 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. DATE BY _ _ ---' '-`~ PASCO COUNTY, FLORIDA CONTRACTOR #: 999999 PAGE: 1 OF 1 ~ ADDR: MANAGERS ACCOUNT NAME: LENNAR DIVISION , ', , ISSUE OFFICE: L RECEIPT NUMBR: 01211963 C/ST: 15550 LIGHTWAVE DR, OFFICE: LAND O LAKES ~ . FOR: SUITE 210 CLEARWATER FL 33760 CHECK # 07452 SOLID WAST CITY OF ZHL BP# 10863, _ 10864 , 10 865,10866,10867 (5) TOTAL CONTRACTOR: 999999 BLD PERMITS TOTAL AMOUNT: 39.10 _ ACCNT COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/PERMT DATA DR/CF 114 B450 - 363000 - 2 7.82 ****** SOLID WASTE FEE �1 114 B450 - 363000 - 2 7.82 ****** SOLID WASTE FEE 6O _ l�� B450 - 363000 - 2 7.82 ****** SOLID WASTE FEE 6( 114 B450 - 363000 - 2 7.82 * SOl l0 WASTE FEE 6C • 114 B450 - 363000 - 2 7.82 ****** SOLID WASTE FEE 6( 60 _ _ , RECEIVED BY �� c�� �v�� "~= =----------- �����*����� ----_--- _ ,,,• _ - �.\/ 64 rf- u�/� �� -~ e__� _ | ! ~ i . � ~| | _ _ , i �� _ _ _ ! , _ ,. 1 i - NCO C(3f r - : . a xL♦ 1'. Ire ', �. �Tfinkiii 47 PASCO COUNTY, FLORIDA Permit No, /o 5G5 Date Permitted g - 26 -- 10 Builder Name /Owner Name hey'llvt-r gli'S Control # County Parcel No. 0 -- 02 -QO o -d SubDiv; �J/ 4' Address /Location 377 2 , 4 4 i � 4 ii i& 4/ 7 , � Classification/Type of Use . " - /atoyi TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: /53) Exempt I I Yes No How Determined Impact Fee Amount $ ; Y- bc.) , Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single - Family Detached House Amount $ l 7 (057) Mobile Home (058) Other Residential 123) Collection Fee Exempt [i Yes u No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ `7 Q, 5 Exempt I 1 Yes 1 I No How Determined LIBRARY FEE Land Adcount Land Credit Land Total Facility Account Facility Credit Facility Total Exempt 1 1 Yes 1 No How Determined Total Amount ,U //F RESOURCE FEE ERU TOTAL AMOUNT J, • Pe Prepared By a r41.4 Checked 1 sy 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. 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