HomeMy WebLinkAbout10-10866 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10866
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
, .. ,DNS ': E1" >' tn.' k' E 1, ,, , "'' .. n..'' 7I - '.;§ ,";e 1 . 3 ` " „, s . _ ;' V ,
Permit #:10866 Issued: 8/26/2010 Address: 37722 AARALYN RD BLDG 7 #69
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: 139,773.45 Total Fees: 10,603.04 Subdivision: EILAND PARK TOWNHOMES
Amount Paid: 10,603.04 Date Paid: 8/26/2010 Parcel Number: 03- 26 -21- 0230 - 00000 -0690
4 7 .' '77 °: mo' r . .. ` `` . (
Name: LENNAR HOMES INC Name: LENNA 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 1371 SQ FT BLDG 7 # 69
S IN .72.00 L - I AL 135.00 PL :IN 90.00
MECHANICAL FEE 63.00 RADON 13.71 SEWER CONNECTION RESIDEN1 2,010.00
WATER METER RES 3/4" 311.25 WATER CONNECTION RESIDEN1 641.00 FIRE PLAN REVIEW FEES 93.27
FIRE INSPECTION 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% 3,445.20 TRAFFIC IMPACT FEE 1% 34.80
4'11 ((e.:S6\k'a - - �
1 t
. • 0 2 Roll - LU B N ULA TIN ILIN
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 • - commencement." _
‘1144111110 K)g' fir 41 ft,' ,
CONTRAC r %�"'— I RE PERMITOFFI - -
PE ' M � EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Lennar Homes- 37722 Aaralyn Rd Bldg #7 unit#69 1371 sq ft- Permit
#10866
SQ. FEET PRICE
MAIN OR LIVING: 1,371 $ 101.95
OTHER AREA UNDER ROOF: - $ 91.00
OTHER: - $ -
VALUATION $ 139,773.45
FEE SHEET $ 600.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00 _
BUILDING: $ 672.00
ELECTRICAL: $ 135.00
PLUMBING: $ 90.00
MECHANICAL: $ 63.00
SUB -TOTAL $ 960.00
RADON: $ 13.71
TOTAL $ 973.71
SEWER: $ 2,010.00
WATER: $ 641.00
IRRIGATION: $ -
TOTAL: $ 2,651.00
WATER METER: $ 311 25 I3/4 METER
IRRIGATION 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 $ 4,596.08)
I PARK IMPACT FEES $ 769.56 I
SIF'S: $ 1,740.00
100.0% $ 1,740.00
1.0% $ 17.40
TOTAL: $ 1,757.40 n
T I F 'S : $ 3,480.00 n z6 811960 14 +/ ►1/Y�
99% $ 3,445.20 l� T
1% $ 34.80 � 3 Lt 7
TOTAL: $ 10,603.04 `f
1, l
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
4 Contractor/Homeowner: 47/ P -6
Date Received: eq3 d
Site: 3 7 7 7 D4 l // 4 7 #CO 9
Permit Type: Ale4d /UG 4 Avw /37/j, !`i
Approved w /no comments: ❑ Approved w /the below comments: -F Denied w /the below comments: ❑
c , cl_at
This comment sheet shall be kept with the permit and/or plans. /
4 , 1 „ 5 „, rn
twIz ��
Kalvin Plans Examiner Date Contractor and/o ,r• omeowner
(Required when comments 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-UUZU la ity 01 L I IyI I IIIIJ rui ma rNNnvauvi i / � � (j� /_ Kl �j
Building Department D l
Date Received- Phone Contact for Permitting 8 / ii ii, -- `o 3 6 3
Owner's Name _ 4 &V /A/Q A ri OAFS Owner Phone Number (TOO) � 9 C I -- / l c2 0
33w
Owner's Address 4676 7"5 - 0 4/.6/17240,4 11C 1 A Ccfa,�444/ Z- . Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 7722 4 Reo 2EPyy�e ,9/t4r, 33S o LOT # r !O 9
SUBDIVISION 674/gN0 . / RC� PARCEL ID# 0 3%240.2- 0.230— 00000-6 6 / fr i0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED . ril NEW CONSTR ADD /ALT ( 1 SIGN I I MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE I ( SFR I COMM ( I OTHER
TYPE OF CONSTRUCTION BLOCK I I FRAME I 1 STEEL I 1 OTHER I f
DESCRIPTION OF WORK A/ EA/ Co/t/Sri2.uGT ON " 7 °w^/ 140A 4.E'
BUILDING SIZE SQ FOOTAGE 1,3 7/ HEIGHT & J7VI 9
n B $ 3 / 65-0 VALUATION OF TOTAL CONSTRUCTION
n ELECTRICAL $ g y0 AMP SERVICE ® PROGRESS ENERGY - 1 1 W.R.E.0
PLUMBING $ Y3 .75
MECHANICAL $ 1 /.7 9.5-- VALUATION OF MECHANICAL INSTALLATION
I I GAS I 1 ROOFING I 1 SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS /, n / FLOOD ZONE AREA AYES ENO
7
BUILDER . //� COMPANY L,FivNAg. /7 /
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1
Address A ' 41' 0 At A✓E67ttN ' 8ic ND ---r;fteA, ce- 534o Q License #
CSC/ 0R 557 .51
ELECTRICIAN ��/ COMPANY 40/yoN 3o i1/ �L 6 ..Z/Si C .
SIGNATURE ,....3.....__ REGISTERED I Y) N 1 FEE CURRENT I Y / N
Address , / (J y •.SK /f _ /ud/ tfie 336/ 3 License # EC 00 0.25
PLUMBER COMPANY BM l i . ' / / A > & A4 6 &
SIGNATURE REGISTERED j Y/ N FEE CURRENT Y/ N
Address l03V- mv Y 30 S /ZI vc21//Ea/F2 33576] License # CFG /So 0
MECHANICAL 8' /O //ET/C6'»ld /4/6, /16#977'vlr, 0 /�C-
SIGNATURE REGISTERED ( Y/ N 1 FEE CURRENT I Y/ N
Address // Q. •%O)C .53 a',yOA/Fr/O /Nr P License # CS'C OS$ 0 6 2
OTHER COMPANY Co N /6- ( qi i y /PcoF/NG, _rya.
SIGNATURE r
�1 REGISTERED ( Y/ N I FEE CURRENT Y / N I
Address T2 //. 51/04L L /NE' &—vO �SP4411 /IfL4 LL3SW607 License # CO CO 57 99
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Slit Fence installed,
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 -0 -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 all 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 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 A/C Fences (Plot/Survey /Footage)
Driveways -Not over Counter If on public roadways..needs ROW
tions"
NOTICE OF DEED RESTRICTIONS: The undersigned understands t t ais permit may
oe fo comp) d e 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. If the
on
contractor is not licensed as required by law, both the owner and contractor may cited for a misdemeanor lviolation for
under state law. If the owner or Intended contractor o County Building Inspection Division—Licensing r tS ction at 727-847 -
intended work, they; are advised to contact th e Pasco
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
n as the
portions of the "contractor Block" this application s not properly I censed is not entitled to le. y permitting prvileges Pasco
contractor, that may ay b be an indication that P `
County.
TRANSPORTATION IMPACTlUTILITReSIMPACT e Recovery F Fees may may app E COV i ER c YnEESt i o of new eng of
that Transportation Impact Fees an d
use in existing amended. in The undersigned dersi ned existing that such fees, in
es, Pasco County
be due, Ordinance number
identified at the. 89-07 and of
90 -07, as amended. The undersig
permitting. It is further understood that final Transportation power release. If the project does a certificate occupancy o�
receiving a certificate of occupancy P
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.
5
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as o f t "Flo ) ridf valuation on rk is 2,50 00.00 or more, I
Homeowner's
certify that I, the applicant, have been provided with a copy
other than the owner", n I c by tha 1 have obtained Department Agriculture
copy of the described document and promise in faith to
other than the "owner ", ( certify that
it to the "owner" prior to commencement.
that all work
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all construction, this app
an land de Application cation is
will be done in compliance with all applicable laws regulating
ion has
hereby made to obtain a permit to do � installation
ork will be to e m l eet t standards of all laws regulating ing
commenced prior to issuance of a perm I and that
construction, County and City codes, zoning regulations, l agencies es may apply ntended that is
cer that I understand that the regulations of other government
my responsibili to identify E nvt o nviron me n I ta I P otect bn- Cypress Bayheads SWetland Areas include but are not
Environmentally t
- Sensitive
Department of En
Lands, Water/Wastewater Treatment. Bayheads, Wetland Areas, Altering
- Southwest Florida Water Management District - Wells, Cyp ress Y
Watercourses.
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:
P ermitted.
Use of fill Is not allowed in Flood Zone unless ex ress) Y p
If the fill material Is " be used bmitted at time of permitting which o is prepared r by a engineer
- "compensating volume will be submitted
by the State of Florida.
If the fill material is to be used in Flood Zone "lA"he a connection ectlo the withtem yr mitted building using stem wall
construction, I certify that fill will be used only to f
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 l attached per , application for lots les than
the conditions of the building permit issued u nder the
acre which are elevated by fill, an engineered drainage plan is required,
T FOR THE , I promise In good faith to inform a remit may permitting required conditions
ed forelectr electrical work
this I a I d a AGENT trical w A
this affidavit prior to commencing condttucting, l as s or other installations not specifically included in the application.
plumbing, e d shall wells, pools, air to be a g
issued shall be co #o be a license to proceed a the work
a permit prevent the d ing Official from thereaalid
permit aside I permit Building shall become invalid
set aside any provisions errors in plans, construction or violations of any codes. Every p the technical codes, nor shat issuance
requiring a correction of er
unless the work autho
rized by such permit is commenced within six months of permit issuance
is commenced. u thorized b
m a y p is es te d , I d or B
abandoned for a period of six (6) months after ve days, ninety
job i considered abandoned.
ill co
In writing, from the Building Official for a period not exceed ninety (90) days and will demonstrate
ma requested, I
Justifiable cause for the extension. If work ceases for ninety (90) consecutive
MAY RESULT IN YOUR
WARNING TO OWNER: YOUR FAILURE TO R PROPERTY. OP IC U I • 1*, ;l C' CAM IN PROVE E TS TO YOUR PRTY.. IF YOU -I ND ND 70 0 = AI FINANCING, CONSU T
PAYING TWICE F IM „I ;li , ;__Y BEFORE RECD DING YOU WIT YOUR LE O FLORIDA JURAT (F.S. 117.03) ' CONTRALTO' '!'�_ `
OWNER OR AGENT Subscribed and sworn to (or a rni ' 4i0E «' s � v 40S ?
Subscribed and sworn t � 4htJ L
p2�N by produced Wh•1� -re personally known to me or has/have Identification.
Who ear ersP onally known totem , r has /have p
as Identification.
000" ./V
T _ Notary Public
Notary Public
/ Commi �o. . . . Z3
DD 77jf OZ3
Commission No. - '
Name of Notary typed, printed or stamp= _ ,., . Commission DD 774023
Name of Notary typed, pri ci '' :mmission DD 774; '� Q; � I arn N
108 9311100
. ,;far. s o
es June 6, 2 12•00.369
0
, `'' Expires June 6, 2012 Vi a,,,, ,. T Fin
,, ;; ; �` 0undatlltlN TroyNonIMYroomr .1 385-1019
FORM 1100A -08
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs Residential Performance Method A
Project Name: 1371 ST CROIX 214 A N B Builder Name: LENNAR rr /
Street Permit Office: CM 04- 4 1
City, State, Zip: TAMPA , FL , Permit Number. / O f3 41
Owner. LENNAR Jurisdiction: j'
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=4.1 998.67 ft
b. N/A R= ft
3. Number of units, if multiple family 1 c. N/A R= ft
4. Number of Bedrooms 3 d. N/A R= ft
5. Is this a worst case? Yes 10. Ceiling Types Insulation Area
6. Conditioned floor area (ft 1371 a. Under Attic (Vented) R =30.0 686.00 ft
b. N/A R= ft
7. Windows Description Area c. N/A R= ft
a. U- Factor: Dbl, U =0.60 182.25 ft
SHGC: SHGC =0.32 11. Ducts
b. U- Factor: N/A ft2 a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 265 ft
SHGC: 12. Cooling systems
c. U- Factor: N/A ft a. Central Unit Cap: 28 kBtu /hr
SHGC: SEER: 14
d. U- Factor: N/A ft2 13. Heating systems
SHGC: a. Electric Heat Pump Cap: 28 kBtu/hr
e. U- Factor. N/A ft
HSPF: 8.2
SHGC:
14. Hot water systems
8. Floor Types Insulation Area a. Electric Cap: 40 gallons
a. Slab -On -Grade Edge Insulation R =0.0 1371.00 ft2 EF: 0.92
b. N/A R= ft2 b. Conservation features
c. N/A R= ft2 None
15. Credits Pstat
Glass /Floor Area: 0.133 Total As Built Modified Loads: 33.08 PASS
Total Baseline Loads: 40.16
I hereby certify that the plans and specifications covered by Review of the plans and .••'• � •YKE ST A , .. ....
this calculation are in compliance with the Florida Energy specifications covered by this , A. c,. ;FO -
Code. ` calculation indicates compliance - ,, �.�• • `,.= s'...,
with the Honda Energy Code. ,,,,.-ti ` "� ` 1 `
PREPARED B • 01 — i _ .4 Before construction is completed ' 1 , " '. - ti 6�: :
DATE: this building will be inspected for t�7 i l&I , a
compliance with Section 553.908 * ..-- 5 4, , -
I her certify that this building, as design:.4 ' •m fiance Florida Statutes. .� ."./. ,: '
with the Florida Energy Code. - p 'O .. � R� .
OWNER/AGENT:— L %, BUILDING 0 1 1,' L: if
DATE: ��t7% DATE: A //
- Compliance requires certificatio 1 by by the air air handler unit manufacturer that the air handler enclosure
qualifies as certified factory- sealed in accordance with N1110.A.3.
3/24/2009 1:29 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: 1371 ST CROIX 214 A N B Builder Name: LENNAR
Street Permit Office:
City, State, Zip: TAMPA , FL , Permit Number:
Owner: LENNAR 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=4.1 998.67 ft
b. N/A R= ft=
3. Number of units, if multiple family 1 c. N/A R= ft=
4. Number of Bedrooms 3 d. N/A R= ft=
5. Is this a worst case? Yes 10. Ceiling Types ypes Insulation Area
6. Conditioned floor area (ft') 1371 a. Under Attic (Vented) R =30.0 686.00 ft'
b. N/A R= ft'
7. Windows Description Area c. N/A R= ft=
a. U- Factor. Dbl, U =0.60 182.25 ft
SHGC: SHGC =0.32 11. Ducts
b. U- Factor. NIA ft' a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 265 ft'
SHGC: 12. Cooling systems
c- U- Factor. N/A ft2 a. Central Unit Cap: 28 kBtu/hr
SHGC: SEER: 14
d. U Factor. N/A ft' 13. Heating systems
SHGC: a. Electric Heat Pump Cap: 28 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 1371.00 Hz EF: 0.92
b. N/A R= ft2 b. Conservation features
c. N/A R= ft2 None
15. Credits Pstat
Glass/Floor Area: 0.133 Total As Built Modified Loads: 33.08 PASS
Total Baseline Loads: 40.16 H�7
I hereby certify that the plans and specifications covered by Review of the plans and .• *-cTiE S ..,
this calculation are in compliance with the Florida Energy specifications covered by this - v . • ,. , p
Code. lib V, indicates compliance i � `�•, 's . �+ e. C with the Florida Energy Code. f, ;.
PREPARED B m• - % l ..4'.......... Before construction is completed a: 'ti v 3
:J,
DATE: - t his building will be inspected for C
:. ; a:
compliance with Section 553.908 t e �.
° - f
n Florida Statutes.
I hereby certify that this building, as desig � r compliance • ;. d l c .. _ � , . pS ,S •
with the Florida Energy Code. ' t7
D WE
OWNER/AGENT: 1 1 //∎ BUILDING FF IAL: /i
DATE: war/ i' `
,,. ���� DATE: � � y� //
- Compliance requires certificati. n 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 1:29 PM EnergyGauge® USA - FlaRes2008 Page 1 of 5
•
PROJECT
Idle: 1371 ST CROIX 214 A N B Bedrooms: 3 Adress Type: Street Address
Building Type: FLAsBuilt Bathrooms: 0
Lot #
Owner: LENNAR Conditioned Area: 1371 SubDivision:
# of Units: 1 Total Stories: 2 PlatBook:
Builder Name: LENNAR Worst Case: Yes Street
Permit Office: Rotate Angle: 315 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
V 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 R -Value Area Tile Wood Carpet
1 Slab -On -Grade Edge Insulatio 54 ft 0 1371 ft 0.2 0.25 0.55
ROOF
/ Roof Gable Roof Solar Deck
V # Type Materials Area Area Color Absor. Tested Insul. Pitch
1 Gable or Shed Composition shingles 723 ft 114 ft Medium 0.9 N 0 18.4 deg
/ ATTIC
V # Type Ventilation Vent Ratio (1 in) Area RBS IRCC
1 Full attic Vented 300 686 ft N N
CEILING
V # Ceiling Type R -Value Area Framing Frac Truss Type
1 Under Attic (Vented) 30 686 ft 0.1 Wood
WALLS
Sheathing Framing Solar ,
# Ornt Adjacent To Wall Type Cavity
R -Value Area R -Value Fraction Absor.
1 N Exterior Concrete Block - Int Insul 4.1 407.56 ft 0 0.8
2 E Exterior Concrete Block - Int Insul 4.1 591.11 ft 0 0.75
DOORS
# Ornt Door Type Storms U -Value Area
1 E Insulated None 0.6 20 ft2
3/24/2009 1:29 PM EnergyGauge® USA - FlaRes2008 Page 2 of 5
WINDOWS
Window orientation below is as entered. Actual orientation is modified by rotate angle shown in "Project' section above.
Overhang
V # Omt 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 1 ft 0 in 10 ft 0 in HERS 2006 None
2 E Metal Low -E Double Yes 0.6 0.32 N 63 ft 1 ft 0 in 10 ft 0 in HERS 2006 None
3 N Metal Low -E Double Yes 0.6 0.32 N 31.5 ft 1 ft 0 in 1 ft 5 in HERS 2006 None
4 N Metal Low -E Double Yes 0.6 0.32 N 9 ft 1 ft 0 in 1 ft 5 in HERS 2006 None
5 E Metal Low -E Double Yes 0.6 0.32 N 47.25 ft 1 ft 0 in 1 ft 5 in HERS 2006 None
INFILTRATION & VENTING
/ — Forced Ventilation — Run Time Fan
V Method SLA CFM 50 ACH 50 ELA EgtA Supply CFM Exhaust CFM Fraction Watts
Default 0.00036 1295 6.03 71.1 133.7 0 cfm 0 cfm 0 0
COOLING SYSTEM
✓ # System Type Subtype Efficiency Capacity Air Flow SHR Ductless
1 Central Unit None SEER: 14 28 kBtu /hr 840 cfm 0.75 False
HEATING SYSTEM
• # System Type Subtype Efficiency Capacity Ductless
1 Electric Heat Pump None HSPF: 8.2 28 kBtu/hr False
HOT WATER SYSTEM
✓ # System Type EF Cap Use SetPnt Conservation
1 Electric 0.92 40 gal 60 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 6 265 ft Attic 8 ft Default Leakage Interior
3/24/2009 1:29 PM EnergyGauge® USA - FlaRes2008 Page 3 of 5
TEMPERATURES
Programable Thermostat: Y Ceiling Fans:
Cooling X J X e
Feb X Ma (( X Ap X Ma X Ju Jul (X Au X Sep X O X Nov X De
Heating 7C ] Jan X Feb t X] Mar [ )C ' A Ap pr r l X J Ma y X " Jun n rd Jul [X1 Au uf Xi Se p f X ct I Oct IN Nov f X] Dec
Venting X11111 Jan .X Feb [X] Mar [X Apr [X111111 May X' Jun Jul [X Aug X Sep X Oct Ni Nov IXl 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 1:29 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 comers; 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 NI 106.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 NI 106.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.AB2.3 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 NI 112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per
minute at 80 PSIG.
Air Distribution Systems N1110AB 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 1 :29 PM EnergyGauge® USA - FlaRes2008 Page 5 of 5
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE INDEX* = 82
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 =4.1 998.67 ft'
2. Single family or multiple family Multi-family
3. Number of units, if multiple family 1 b. WA R= ft2
c. N/A R= ft2
4. Number of Bedrooms 3 d. N/A R= ft2
5. Is this a worst case? Yes 10. Ceiling Types Insulation Area
6. Conditioned floor area (ft 1371 a. Under Attic (Vented) R =30.0 686.00 ft'
7. Windows" Description Area b. WA R= ft2
a. U- Factor: DbI, U =0.60 182.25 ft2 c. N/A R= ft:
SHGC: SHGC =0.32 11. Ducts
b. U- Factor. WA ft' a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 265 ft'
SHGC: 12. Cooling systems
c. U- Factor. N/A ft2 a. Central Unit Cap: 28 kBtu/hr
SHGC:
SEER: 14
d. U- Factor: N/A ft'
SHGC: 13. Heating systems
e. U- Factor. N/A ft2 a. Electric Heat Pump Cap: 28 kBtu /hr
SHGC: HSPF: 8.2
14. Hot water systems
8. Floor Types Insulation Area a. Electric
a. Slab -On -Grade Edge Insulation R =0.0 1371.00 ft' Cap: 40 gallons
b. N/A R= ft2 EF: 0.92
c. N/A R= ft2 b. Conservation features
None
15. Credits Pstat
I certify that this home has complied with the Florida Energy Efficiency Code for Building
Construction through the above energy say' g features which will be installed (or exceeded) •' 01 THE ST
inspection. Othe _ r = 0 •
P ,�, � EPL Display Card will be completed � v :. �
in this home before final ins t.
based on installed Code compliant fea ' ,.�', . o , � •
�� � a; 0 11 "` '�
.� �� Date: Z 0 0 . a
Builder Signature:
Address of New Home: City /FL Zip: •• Air'
5
o wE
*Note: The home's estimated Energy Performance Index is only available through the EnergyGauge USA -
FlaRes2008 computer program. This is not a Building Energy Rating. If your Index is below 100, your home
may qualify for 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 energygauge.com for information and a list of certified
Raters. For information about Florida's Energy Efficiency Code for Building Construction, contact the
* *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
wrightsoft Building Analysis Job: ST.CR01X 1371
�9 Date: 6/20/2007
Entire House By: S.P.
Bayonet Plumbing Heating and Air
8950 New York Ave. Hudson, FL 34674 Phone: 727 -868 -4636 Fax: 727 -863 -7237
Pro'ect Information
For: LENNAR
FL
Desi • n Conditions
Location: Indoor: Heating Cooling
Tampa, FL, US Indoor temperature ( °F) 70 75
Elevation: 10 ft Design TD ( °F ) 29 20
Latitude: 28 °N Relative humidity ( %) 95 50
Outdoor: Heating Cooling Moisture difference (gr/Ib) 75.4 63.5
Dry bulb ( °F 41 95 Infiltration:
Daily range - 15 (L ) Method Simplified
Wet bulb (° - 80 Construction quality Average
Wind speed (mph) 15.0 7.5 Fireplaces 0
Heatin •
Component Btuh/ft Btuh % of load
Walls 4.2 2569 14.9 Wal- Ventilation
Glazing 37.3 6908 40.2 sects
Doors 17.6 353 2.1
Ceilings 0.9 640 3.7 Infiltration
Floors 33.6 2036 11.8
Infiltration 3.3 2659 15.5
Ducts 803 4.7
Piping Glazing
Humidification 0 0 Floors
Ventilation 1227 7.1 0 Ceilings
Adjustments 0
Total 17195 100.0
Coolin •
Component Btuh/ft Btuh % of load
Walls 3.3 2001 9.7 Walls ventilation
Glazing 60.7 11226 54.6 Internal Gains
Doors 20.5 409 2.0 1
Ceilings 1.8 1253 6.1 , " ' I
Floors 0 0 0 • r Ducts
Infiltration 1.1 920 4.5 G infiltration
Ducts 1206 5.9
Ventilation 831 4.0
Internal gains 2720 13.2 Ceilings
Blower
Adjustments p 0 Glazing Other
Total 20566 100.0
Overall U -value = 0.273 Btuh/ft - °F
Data entries checked.
,„ ,1„ s ofrt- Right - Suite® Universal 7.1.08 RSU05714 2009 -Mar-25 09:00:24
A
/cC 1371 ST CR X.rup Cato = MJ8 Orientation = 3 Page 1
Wri htsoft • Project Summary Job: ST.CROIX 1371
9 Date: 6/20/2007
Entire House By: S.P.
Bayonet Plumbing Heating and Air
8950 New York Ave, Hudson, FL 34674 Phone: 727-868-4636 Fax: 727 - 863 -7237
Project Information
For: LENNAR
FL
Notes:
Desi • n Information
Weather: Tampa, FL, US
Winter Design Conditions Summer Design Conditions
Outside db 41 °F Outside db 95 °F
Inside db 70 °F Inside db 75 °F
Design TD 29 °F Design TD 20 °F
Daily range L
Relative humidity 50 %
Moisture difference 64 gr /Ib
Heating Summary Sensible Cooling Equipment Load Sizing
Structure 15164 Btuh Structure 18529 Btuh
Ducts 803 Btuh Ducts 1206 Btuh
Central vent (38 cfm) 1227 Btuh Central vent (38 cfm) 831 Btuh
Humidification 0 Btuh Blower 0 Btuh
Piping 0 Btuh
Equipment load 17195 Btuh Use manufacturer's data n
Rate /swing multiplier 1.00
Infiltration Equipment sensible load 20545 Btuh
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Average
Fireplaces 0 Structure 2616 Btuh
Ducts 261 Btuh
Heating Cooling Central vent (38 cfm) 1640 Btuh
Area (ft 1371 1371 Equipment latent load 4516 Btuh
Volume (ft 10968 10968
Air changes/hour 0.45 0.23 Equipment total load 25061 Btuh
Equiv. AVF (cfm) 82 42 Req. total capacity at 0.70 SHR 2.4 ton
Heating Equipment Summary Cooling Equipment Summary
Make LENNOX Make LENNOX
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 1000 cfm Actual air flow 1000 cfm
Air flow factor 0.063 cfm /Btuh Air flow factor 0.051 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.
wrightsort Right- Suite® Universal 7.1.08 RSU05714 2009 - Mar -25 09:00:24
.CCN 131 ST CROIX rup Calc = MJB Orientation = S Page 1
• R 11111111111111111111111111! 11111111111111111111111111111 I U I
2010120775
Rept:1322173 Rec: 10.00
DS: 0.00 IT 0.00
08/23/10 K. Garcia, Dpty Clerk
NOTICE OF COMMENCEMENT
Permit No.
PAULA S.0'NEIL,Ph.D.PASCO CLERK & COMPTROLLER
08/23/10 02:2m 1PG
Property Identification No. 03 -26 -21 -0230- 00000 -0690 OR BK 84 3
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 69 EILAND PARK TOWNHOMES Plat Book 60, Page 102.
a) Street Address: 37722 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 authority, e.g. officer, trustee, attorney
in fact) for (name of party on behalf of whom ' ment was executed).
Personally Known X OR Produced Identification Notary Signature
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.
.49:71%.:N ELISSA M. HOLLERAN
.; 4•■ ..= Commission DD 774023
�a � "� ' - Signature of Natural Person Signing Above
FORMS /NOC,rvsd2007
. -� d ; Expires June 6, 2012
'�' Sanded T n, Troy Fein Inwrance 800- 385.7019
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
WITNESS Y HAND A OFFICIAL SEAL THIS
DAY OF • 2 4 �
P UA LA S. O'NE , CLE &COMPTROLLER
�`Y DEPUTY CLERK
•
a; = 1�i ; PASCO COUNTY, FLORIDA
Permit No. M.50ro
Date Permitted Q- Zt -/O
Builder Name /Owner Name t eiv/,1ay I77JYt'1� Control #
County Parcel No. 03 26-21-6 -b 2.�o ... /Alm -406 SubDiv: �� / G( �6�i
Address /Location 8772 Z /44-01-(7 /j ,Zi /J/dj - 7 # /O �
Classification/Type of Use 'Taal Gi
TRANSPORTATION IMPACT FEE , Rate: Sq Ft Unit; /37/
Exempt D Yes 0 No How Determined
Impact Fee Amount $ ? � , A7 r Zone No. TAZ:
SCHOOL IMPACT FEE /;75-74
Account (056) Single- Family Detached House Amount $ .
(057) Mobile Home
(058) Other Residential
123) Collection Fee
Exempt Yes D No How Determined
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation / Total
Zone TOTAL AMOUNT $ 769. 56
Exempt 0 Yes 0 No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt ❑ Yes 0 No How Determined Total Amount /CV/
RESOURCE FEE ERU
TOTAL AMOUNT
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. DATE BY
. ��.-r^' � - -~ - - • • , •/�`J� : v •:: "r. • •`�SC,: ' }.Nl Y ' |l'+ /DA
CONTRACTOR #: 999999 -~ '
� I�f/cE IA-Fick L
NAME: LENNAR TAMPA DA:oIEIO�
R :".::EiPT Hil'irR, '2 963
1, • ADDR: MANAGERS ACCOUNT ` 1
OFF��CE: LAND G LAKES
C/ST: 15550 LIGHTWAVE DR,
FOR: SUITE 210 CLEARWATER FL 33760 CHECK # 07452
SOLID WAST C ZHL BP# 1O�3,
10864,10865 0867 (5) TOTAL
CONTRACTOR: 999999 BLD PERMlTS`
TOTAL AMOUNT: 39..1O
ACCNT COMPNY ACCOUNT CENTER AMOUNT DESCRIPTION/PERMT DATA DR/CR
114 B45O - 363O0O - 2 7.82 ****** SOLID WASTE FEE 6O
114 B450 - 363000 - 2 7.82 ****** SOLID WASTE FEE 60
114 B450 - 36 - 2 7.82 ****** SOLID WASTE FEE 60
114 B450 - 363000 - 2 7.82 ****** SOLID WASTE FEE 60
114 B45O - 363000 - 2 7.82 ****** SOLID WASTE FEE 60
�� h |xECEIVED BY �x�� -_- °^� °~,= --
/l� 3/ 67-Q-43--
..
PASCO COUNTY, FLORIDA
>re
• a f* /
0 it IVY'
Permit No.
Date Permitted Q. %O
Builder Name /Owner Name Control #
County Parcel No. 03' 26-2/-6 23 _ of d ._46& SubDiv: � ad'I,
Address /Location e 77 2 Z G A ,Z( /l) ) 7 # (O
Classification/Type of Us -
TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: 137
Exempt I I Yes I ( No How Determined
Impact Fee Amount $ ' / �&0 / Zone No. TAZ:
SCHOOL IMPACT FEE /
Account (056) Single - Family Detached House Amount $ /7.57'/ `b
(057) Mobile Home
(058) Other Residential
123) Collection Fee
Exempt [] Yes [l No How Determined
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ 769, ,5
Exempt Yes 1 ( No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt 1 1 Yes ( 1 No How Determined Total Amount /0/`9"
RESOURCE FEE a ERU
TOTAL AMOUNT 7
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. /09 3 DATE 11 V& ,5 •
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