HomeMy WebLinkAbout15-16610 \ �
�
CITY OF ZEPHYRHILLS
� 5335-8 STREET
� , _ . �si3��s�-oozo 16 10
BUILDING PERMIT
� I
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16610 Address: 3732 GARDEN CITY WAY LT 9
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 18,000.00 OWNER INFORMATION
Date Issued: 9/29/2015 Name: NHC-FL115 LLC .
Total Fees: 307.50 Address: 3732 GARDEN CITY WAY
Amount Paid: 307.50 ZEPHYRHILLS, FL. 33542
Date Paid: 9/29/2015 Phone: 813-783-7518
Work Desc: CONSTRUCT GLASS RM ADDITION 12 ' X 26 ' SQFT
- CONTRACTOR S APPLICATION-FEES
SUN S ATE A M N BUILDI FEE 187.50 ELECTRICAL FEE 60.00
JAMES O MORTON ELECTRIC CO.,INC. MECHANICAL FEE 60.00
BAHR'S PROPANE GAS&A/C,INC.
I �. - � - / S
�r=�3
Ins ections Re uired - -
FOOTER 2ND ROUGH PLUMB ISC INSULATI N CEILING
FOOTER BOND DUCTS INSULATED S WER MISC.
ROUGH ELECTRIC LINTEL ISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER ISC DRIVEWAY
PRE-SLAB SHEATHING ISC. MISC.
CONSTRUCTION POLE FRAME ISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly 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 managemen , state agencies or federal agencies.
"Warning to owner: Your failure to record a notice a�f 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 nbtice of commencement."
Complete Plans, Specifications Must Accompany Appl�cation.All work shall be pertormed in accordance with
City Codes and Ordinances. O OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGN ,NRE PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARDi FROM WEATHER
I _ �
a�saso-oo2o City of Zephyrhilis Permit Application Fax-813-780.0021
Building De artment
Date Received ' Phone Contact for Pe tttin O�/. L gg —���g
Owner's Name ��'^� W����� Owner Phone Number
Owner's Addrass �� �-"� W Owner Phone Number
Fee Simple Tltleholder,Name Owner Phone Number
Fee Slmple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION � Q PARCEL ID# 2� ' 26 ' Z f�O(�D � dd�OO !D�`C�
(OBTAINED FROM PROPERN TAX NOTICE)
WORK PROPOSED , B NEW CONSTR�• ADD/ALT SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK ' Q , FRAME STEEL Q
DESCRIPTION OF WORK �� C"�'��5 tl w� �]
BUILDIPYG SIZE SQ FOOTAGE HEIGHT
�BUILDING $ 1 1 VALUATION OF T TAL CONSTRUCTION
i
�]ELECTRICAL $ AMR SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � ����� ; 9�k�a�J(
�.. G)
�MECHANICAL $ ���O VALUATION OF MECHANICAL INSTALLATION v� �Jd
�f�
QGAS Q ROOFING Q SPECIALTY � OTHER ����
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � �COMPAf�Y � S 1�l�j
7
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/.N
Address r' Cicense#
ELECTRICIAtd ' � Q /�G��r ; � 1 �( � ��� ��� L
SIGNATURE � � , Ii ` COMP iY I
REGISTERED Y/ N FEE CURRE� Y/N
Address - License# % , '
PLUMBER COMPAI�Y �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
.
MECHANICAL ✓'/ / � �,�; �l' ' COMPAI�Y l � ��G
SIGNATURE ��—� /�� �� REGISTERED Y/ N FEE CURRE� Y/N =
Address � , License# c.aco y3 y y
OTHER COINP. Y
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
AdcYress License#
RESIDEfVTIAL Attach(2)Plot Plans;(2)sets of:Building'Plans;(1)set of En rgyForms;R-O-W Permit for new construction,
Minimum;ten(1.0)working days aftec_submittal date. Requlre onsite,Construction Plans;Stortnwater Plans w/Silt Fence installed,
Sanitary Facilides&1,dumpster,Site Work:Permit for subdivi IonsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submlttal date. Require onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Wbrk Permit for all new projects.All commercial requlrements must meet gompllance
SIGN PERMIT Attacti(2)"sets of Engineered Plans. -�
""PROPERTY SURVEY required for all NEW construction.
Directlons: .
Fill out applicatlon completely. � �� ��� , c ' .
Owner&Contractor sign back of application,notarized ;�' �' ° `, . � '
If over 52500,a Nottce of Commencement is re ired., A/C'u de�"�per b7500 �<�a y';-• � �'�'��.- _
4k. � _M P9�l.,x � ) •�__. �_.� �.;�;
" Agent(for the contractor)or Power of Attomey(for the owner)would`6e som ne with notarized letter from owner authorizing same � �� ',
DVER THE COUNTER PERMITTING (Front of Application"Onty.) :'���t`;'-�_ .�~%. '' - ��."" � '-�;��• �.��.°�,r� ,��
,; �; �-1,:;
Reroofs if shingles Sewers Service Upgrades d%C` Fences(PIoU'r�urve�r/Footage) � -,-� ` • _, � ,:_ :+ -;,.
�. ,,,� ,�;. +,;�;,'.,.,, :,nr - k� � .,. ..,,. ,_ •. ; -- _'t;i. a •
��„ 3
Driveways-Not over Counter if on public"roadway`s::needs ROV1f,,, _, �„" _ y �- ° � �-•� „`;T;° ;�
s�,";, _,_..ro.. : ...a,..�r:�.,..�..,., .- : .. _._,.-,_, _. a .�..u..,.A..�
i
i
�
NOTICE OF DEED RESTRICTIONS: The undersigned undergtands��.that_this..p�ermlf.may.be,subJect to,"deed"restrictions"
which may 6e�mote�r.est�ictive-th�n County.regulatlons."�TNe under'signed assumes responsibility for c�ompliance with "any
appllcable deed restrict(ons. � • _ ' .
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.w(th state:and•local regulations. If the
contractor fs not Ifcensed as requlred'by law, tioth the owner and contraato��may be-cited for a�misdemeanor violation
under state law. If the owner or Intended contracto� are uncertatn as to what Ilcensing.requirements may apply:�for the
intended work, they are advised to contact the Pasco County Bullding"Inspectfon Diviston—Licensing:�ection at 727-847-
8009. Furthermore, If the owner has-hi�ed a,contracto� 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 stgn as the
cont�acbr, that tnay be an indication that he•(s not.properiy flcensed and is not entitled to perrriitting hrivileges fn Pasco �
County.
TRANSPORTATIOId.IMPACTIUTILITIES IMPAC7'ANb RESOU1tCE R@COVERY�FEE3: �The undersigned understands
that Transportatiqn,ImpaCt,.,�ee's and:Recourse�Recoveiy:F�es,may�apply:to�the construction of nevv b�ildings,,change of
use in existing buildings,'or expansion>of;exi§tiri�g•°�buildings, as specifled in Pasco County Ordinance number 89-07 and
90-07, as amended.,.The undersigned also,understands, that such fees,-.as�may,be�due,:,wlll.be (denClfied at the time of
permitting. It is furtFier understood that Transportatlon Impact Fees and Resource Recovery�Fees.must be pald prior to
rece�ving a "certificate-of occupancy" or flnal powec release. :If the project does not Involve�a certiffcaQe of occupancy or
final power release,the.fees must be paid prior,to permlt issuance. Ft�rthermore;;ff Pasco,County�V1Vater/Sewer Impact
fees are due,they must be�paid.prior to permlE�issuance-In accordance with appllcable Pascv County o�dinances.
CONSTRUCTION LIEN LAW(Gliapter 713� Florlda Statutes, as amended): If valuation of work is$;?,500.00 or more, I
certify that I, the applicant,_ have-been -provid,ed with a copy- of the �"Florida��Constructlon� Llen.L"�wF—Homeowner's
Protection Guide" prepared by�the Florida Department�of Agric.ulture and ConsumerA#fairs. If the applicant is someone
other than the°owner", I certify that I�have..obtained�a copy.of.the above..described docu�ent�and promise in:good faith to
deliver It to the."owne�',prior to•commencement:'��` �
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certlfy.,that all the information In thl.s appl(cation is acc�rate and that all work
will'be done in compliance with all applicable laws regulating construction, zoning and land developm�ent. Application is
hereby made to obtain .a permit to do work:and installation as ind(cated.� °I certifjr that no work:or Installatlon has
commenced prior to fssuance of a�perm(f and that'.all work will be pertormed to meet standards of ail laws �egulating-
construction,,.County and City codes, zoMng regulatrQns, and land development regulatlons-in the�jvrisdtction. ( also
certify that I �iiderstand that the regulations of other government agenc(es may�apply�to the intended�vork, and that it fs
my responsibilit�to`li�entify�what.acttons I must take:to be,in:.corr�pliance: Such agencles,include but-ar�..not Iimtted to: ,
- Depart�ent;of Er�vironmental�Prote'ction=Cypress. Bayheads, Wetland Areas and Env(ronmentally Sensitive
Lands,WatedWastewater Treatment. �
- Southw�st-� Fiorida Water Management-:District-Welis, Cypress.`�Bayheads; Wetlan� Areas, Aitering
Waterc�urses. ;
- Army Corps of Engineers-Seawalls; Docks, Navtgable Waterways.
- Department of Health'& Rehabifltative,$erv(ces/Environmental Health Unit:Wells� WastEjwtater�Treatment,
Septic Tanks. � ,
- US Environmental Protectlon�Agency-Asbestos�batement. � _ � -� ,
Federal Aviatlon Authority-Runways:, �� '
I understand that the following,restrictlons apply to the use of flll:�
- Use of�II Is not allowed in Flood Zone°V"unless expressly permitted.
- If the flll materiaF is to be used: in :Flood Zone. "A", tt. ts understood that a drainage F�lan addressing a
"compensating volume" will be submitted at time of permitttng whlch is prepared by a prolfessfonal engineer
licensed by the State of Florlda:
- If the fill material is to be used In Flood Zone "A" (n�connectfon wlth'.a pecmitted buildin� using stem wall
construction, I certify that fill�:wJll:b.e u'sed only.to#ill the area within the stem vvall.
- If fill material is to be used in any area, i- certify that use. of such flll will not adversely affect adJacent
properties. If use of flll Is found to adversely:�fFect adJacent properties;.the owner may be'cited for viofating
the condi#ions of the buflding:permit Issued�under the attached permit applicatlon, for Iots�less than one (1)
acre which are elevated�by flll,an engineered dralnage plan is required. .
If I am the AGENT FOR THE OWNER, I,�promise In good faith to inform the owner of�the permitt(ng coRditions set forth (n
this affidavit�prior to commer�cing construction. I.understand thata-separate permtt may be requtred for electrical work,
plumbing, signs, wefls, pools, air conditioning, .gas, or other Installations not.spectfically included�in'tR%e application. .A
permiE Issued shall be construed to be a°Ifcense'�to.p�oceed with the work and not as authority to.violat�;cancel, alter, or
set aside any prov(sions,of:,the technical codes; nor shall issuance�of a.permit.prevent the Bulldirig Offl�tal from thereafter �
requiring a correctlo��nf'er'ro�s in�plans, consfruction or violations of any codes. Every permlt issued shall become invalid
unless the work authorized by such perm(t•Is-commenced�wtthin sfx months of permit issuance, or if�nrork authorized by
the permit is suspended or.abandoned for a.period of stx(8)montF�s.after the time the�work ts commenced. An extension
_ _may_be_requested, in writing�_from_the_Building_Offlcial_f.or_a_period_not_to_exceed_ninety_�(90)_days_and�will_demonstrate_ __ __
justlfiable cause for.the extensior�. If work ceases:for ninety(90)consecutive:days�..the Job�is considered�aba�doned.
WARNING TO OWNER: YOUR.FAILURE-TO.REC.ORD A NOTIGE OF�COMMENCEMEMT MAY-RESULT IN YOUR
PAYING TWICE.FOR IMPROVEMENTS TO YOUt�PROPERTY. IF°YO.U�IN��'END'�TO�OBTAIN�FIPtANE1NG;�CONSULT
WIT YOUR LE D� O AW � FORE�RECOR�D G`YOU ' O �C ° T
FLORIDA JURAT(F.S.1.17.0 i
OWMER OR CONTRAC
Subscrib mrie before me thls i Subscrib ' or a rtned)�before me tFils
�by
Who is/are personally known to.me or has/have produced � Who.is/are personallyJcnown to me or haslhave�produced •
as Identlflcatlon. , as IdenNflpOon.
� ' �I
Notary Public . � _Notary Publlc
�
Co slon No ' Com
,.���"•t�G�, � • � ��Y�' JOEL E.BACON '
.: Commission#FF 137073 ; ;°�'p` ��:
Na e o/Notary " � � f �p{p�g�� � '� Name � �rp��i��cgc�s�ed
' R�.?.� Bm�dnd Tlw iray Fein Insurenrn 800.3BSTOt9 �I '.� �,
�'�i' , ` � .,p,,,.. 9uidoE ThN Troy Fein Inauruice 800-385 70f9 '
I
. i
I
I i
,I i
� �
I _�.RfJ o
I w . ��lS���1tZ���
r.cu�� un
+�— _,.,s
�'.
�
i,.
City of Zephyrhills
BUILDING PLAN VIEW COMMENTS
Contractor/Homeowner: �UN c�TATE A LuM�Nc3M
Date Received: � — � -- ! $�
Site: 37 3 dt �A�dCN e��-Y Wa1r
Permit Type: � �� LA SS �M
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below.comments: ❑
I
r
This comment sheet shall be kept with the permit and/or lans.
�/ )� �
_ /�' �/ �.�
Kal n ' z Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
�
�
� �,`
� •
FORM R405-2014
FLORIDA ENERGY EFFICIENCY CO�E FOR BUILDING CONSTRUCTION
Florida Department of Business and Profession I Regulation - Residential Performance Method
Project Name: R0815283LTE Builder Name: Tampa Bay Drafting&Design Scott Jaworski
Street: 3732 Garden City Way Permit Office: Ci�of Zephyrhills
City,State,Zip: Zephyrhiils,FL, Permit Number:� �p/�Q
Owner: Waitman Residence Jurisdiction: 611600
Design Location: FL,Tampa
1 New construction or existing New(From Plans) 9. Wall Types(1053.4 sqft.) Insulation Area
2. Single family or multiple family Single-family a.Frame-Wood,Exterior R=11.0 1053.40 ft2
b.N/A R= f F
3. Number of units,if multiple family 1 c.N/A R= f f
4 Number of Bedrooms 2 d.N/A R= f[
5. Is this a worst case? No 10.Ceiling Types (876.0 sqft.) Insulation Area
a.Under Attic(Vented) R=30.0 876.00 ft2
6. Conditioned floor area above grade(ft2) 876 b.N/A R= f f
Conditioned floor area below grade(ft2) 0 c.N/A R= f[
11.Ducts R ft2
7. Windows(168.0 sqft.) Description Area a.Sup:Attic,Ret:Attic,AH:First Floor 6 175
a. U-Factor: Dbl,U=0.29 100.50 ft2
SHGC: SHGC=0.21
b. U-Factor: Dbl,U=0.65 67.50 ft2 12.Cooling systems kBtu/hr Efficiency
SHGC: SHGC=0.30 a.Central Unit 30.0 SEER:14.00
c. U-Factor• N/A f f
SHGC: 13.Heating systems kBtu/hr E�ciency
d. U-Factor: N/A f F a.Electric Heat Pump 30.0 HSPF:8.20
SHGC:
Area Weighted Average Overhang Depth: 1.000 ft.
Area Weighted Average SHGC: 0.246 14.Hot water systems
a.Electric Cap:20 gallons
8. FloorTypes (876.0 sqft.) Insulation Area EF:0.970
a.Crawispace R=19.0 876.00 ftZ b. Cortservation features
b.N/A R= f t None ,
c.N/A R= f f 15.Credits CF,Pstat
Glass/Floor Area: 0.192 Total Proposed Modified Loads: 37.40 pASS
Total Baseline L�oads: 38.20
I hereby certify that the plans and specifications covered by Review of the plans and ����?`,��,�
this calculation are in compliance with the Florida Energy specifications covered by this ; =� �� .
��' �:
Code. ��/�`� calculation indicates compliance ��'of,,° , '=��
,rK with the Florida Energy Code. � tn; , w :;.`-.,`;.`��'`„�O
PREPARED BY: Before construction is completed cs� • �.°
DATE: 0 - 4- 5 this building will be inspected for � - '���"�� �
compliance with Section 553.908 �. �
I hereby certify that this building,as designed, is in compliance Florida Statutes. ,� . ; ��
with the Florida Energy Code. � (l '�'4D�„*� .
OWNER/AGENT: BUILDING OFF IA�,:
DATE: DATE: " `
- Compliance requires certification by the air handler unit manu cturer that the air handler enc osure qualifies as
certified factory-sealed in accordance with R403.2.2.1.
-Compliance requires an Air Barrier and Insufation Inspection C ecklist in accordance with R402.4.1.1 and an envelope leakage
test report in accordance with R402.4.1.2.
8/14/2015 4:33 PM EnergyGaugeO USA-FlaRes2014 ection R405.4.1 Compliant Software Page 1 of 4
�
Y
. �
FORM R405-2014
PROJ�CT
i
Title: R0815283LTE Bedrooms: 2 Address Type: Street Address
Building Type: User Conditioned Area: 876 Lot#
Owner• Waitman Residence Total Stories: 1 Block/SubDivision:
#of Units: 1 Worst Case: No PlatBook:
Builder Name: Tampa Bay Drafting 8 Design Rotate Angle: 0 Street: 3732 Garden City Way
Permit Office: City of Zephyrhills Cross Ventilation: No County: Pasco
Jurisdiction: 611600 Whole House Fan: No City,State,Zip: Zephyrhills,
Family Type: Single-family FL,
New/Existing: New(From Plans)
Comment:
CLIMATE
i
� IECC �esign Temp Int Design Temp Heating Design Daily Temp
Design Location TMY Site Zone 9�/.5% 2.5% Winter Summer Degree Days Moisture Range
FL,Tampa FL_TAMPA_INTERNATI 2 39 91 70 75 645.5 54 Medium
BLOCKS
i
Number Name Area Volume
1 Entire House 876 7270.8
SPACES
i
Number Name Area Volume Kitchen I Occupants Bedrooms InfiIID Finished Cooled Heated
1 First Floor 876 7270.8 Yes 3 2 1 Yes Yes Yes
' FLOORS
i
# Floor Type Space Exposed PerUV�ll Ins.R-Value Area Floor Joist R-Value Tile Wood Carpet
1 Crawlspace First Floor 126.7 ft 0 876 ft2 19 1 0 0
RObF
I
, / Roof Gable Roof Solar SA Emitt Emitt Deck Pitch
V # Type Materials Area Ar�a Color Absor Tested Tested Insul. (deg)
1 Gable or Shed Metal 903 ft2 110 ft' Medium 0.65 No 0.9 No 3 14
ATTIC
V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC
1 Full attic Vented 3i00 876 ft2 N N II
CEILING I
# Ceiling Type Space R-Va+ue Area Framing Frac Truss Type
1 Under Attic(Vented) First Floor 30 876 ftZ 0.1 Wood
8/14/2015 4:33 PM EnergyGaugeO USA-FlaRes2014 Section R405.4 1 Compliant Software Page 2 of 4
D
:y
FORM R405-2014
WA LS
I
Adjacent Space Cavity Width Height Sheathing Framing Solar Belo w
1 N Exterior Frame-Wood First Floor 11 36 S 8 4 305.6 ft2 0.6 0.25 0.3 0
2 E Exterior Frame-Wood First Floor 11 26 8 8 4 221.3 ftZ 0.6 0.25 0.3 0
3 S Exterior Frame-Wood First Floor 11 36 8 8 4 304.3 ftz 0.6 0.25 0.3 0
4 W Exterior Frame-Wood First Floor 11 26 8 8 4 222.2 ftz 0.6 0.25 0.3 0
DO �RS
# Omt DoorType Space Storms U-Value Width Height Area
Ft In Ft In
1 W Insulated First Fioor None .35 3 7 21 ftz
WIND WS
Orientation shown is the ent red,Pro osed orientation.
/ Wall Overhang
�� # Ornt ID Frame Panes NFRC U-Factor HGC Area Depth Separation Int Shade Screening
1 N 1 TIM Low-E Double Yes 0.29 0.21 81.0 ftZ 1 ft 0 in 0 ft 6 in Drapeslblinds Exterior 5
2 E 2 Vinyl Low-E Double Yes 0.65 0.3 13.5 ft2 1 ft 0 in 0 ft 6 in Drapes/blinds Exterior 5
3 S 3 Vinyl Low-E Double Yes 0.65 0.3 27.0 ft� 1 ft 0 in 0 ft 6 in Drapes/blinds Exterior 5
4 W 4 TIM Low-E Double Yes 0.29 0.21 19.5 ft' 1 ft 0 in 0 ft 6 in Drapes/blinds Exterior 5
5 W 4 Vinyl Low-E Double Yes 0.65 0.3 27.0 ftZ 1 ft 0 in 0 ft 6 in Drapes/blinds Exterior 5
INFILT TION
# Scope Method SLA CFM 50 ELA EqLA ACH ACH 50
1 Wholehouse Proposed ACH(50) .000264 605.9 �i3.26 62.56 .1978 5
I
HEATING SYSTEM
# System Type Subtype Efficiency Capacity Block Ducts
1 Electric Heat Pump Split HSPF:8.2 30 kBtu/hr 1 sys#1
COOLING SYSTEM
# System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts
1 Central Unit Split SEER:14 30 kBtu/hr cfm 0.73 1 sys#1
HOT WAT �R SYSTEM
# System Type SubType Location EF Cap Use SetPnt Conservation
1 Electric None First Floor 0.97 20 gal 50 gal 120 deg None
8/14/2015 4:33 PM EnergyGaugeO USA-FlaRes2014 ection R405.4.1 Compliant Software Page 3 of 4
9
. :�
FORM R405-2q14
SOLAR HOT W� ER SYSTEM
FSEC Collectar Storage
Cert # Campany Name System Modell# Collectar Model# Area Valume FEF
None Nane ft2
auc s
/ —Supply-- —Retum— Air CFM 25 CFM25 HVAC#
Y # Location R-Value Area Location Area L akage Type Handier TOT OUT QN R�F Neat Cooi
1 Attic 6 175 ft� Attic 125 ftZ D fault Leakage First Floor (Default) (Default) 1 1
TEMPEFt,�►TURES
Programabie Thermostat:Y Ceiling Fans:
Coolin Jan Feb Mar A r Ma J n Jul Au Se Oct Nov Dec
Heating �Jan �Feb �Mar �Apr f �MaY 4�J n �Jul ��Au� E�SeR E�Oct �Nov f?C�Dec
Ventin Jan Feb Mar A r ( Ma C J n Ju! Au ( Se (X]4ct Nov ( ]Dec
I .
' Thermostat Schedule: HERS 2006 Reference Hours
ScheduleType 9 2 3 4 5 6 7 8 9 '10 99 72
' Cooling(WD) AM 78 78 78 78 78 78 78 78 80 80 80 80
iPM 80 SO 78 78 78 �8 78 78 78 78 78 78
Cooting(WEH} AM 78 78 78 78 �8 78 78 78 78 78 78 78
PM 78 78 78 78 �8 78 78 78 78 78 78 78
Heating(WD} AM 66 66 66 B6 B 88 68 68 68 B8 68 68
PM 68 68 68 68 8 &8 68 68 &8 68 6B 66
Heating(WEH) PM 68 68 68 68 G8 8$ 68 68 68 68 66 66
(
�
I
�f
I
I
8/14/2015 4:33 PM EnergyGaugeO USA-FlaRes2014 ection R405.4.1 Compliant Software Page 4 of 4
/ � .
r�.
FORM R405-2014
ENERGY PERFORM NCE LEVEL (EPL)
DISPLA CARD
�
ESTIMATED ENERGY PERFORMANCE INDEX* = 98
The lower the EnergyPerformance I�dex,the more e�cient the home.
3732 Garden City W�y, Zephyrhills, FL,
1. New construction or existing New(From Plans) 9. Wall Types Insulation Area
2. Single family or multiple family Single-family a.Frame-Wood,Exterior R=11.0 1053.40 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'
10.Ceiling Types Insulation Area
5. Is this a worst case? No a.Under Attic(Vented) R=30.0 876.00 ft�
6. Conditioned floor area(ft') 876 b.N/A R= ft'
7. Windows`� Description Area c.N/A R= ft'
� a. U-Factor. Dbl,U=0.29 100.50 ft' 11.Ducts R ft�
a.Sup:Attic,Ret:Attic,AH:First Floor 6 175
SHGC: SHGC=0.21
b. U-Factor: Dbl,U=0.65 67.50 ft'
� SHGC: SHGC=0.30 12.Cooling systems kBtu/hr Efficiency
' c. U-Factor. N/A ft2 a.Central Unit 30.0 SEER:14.00
SHGC:
d. U-Factor N/A �� 13.Heating systems kBtu/hr Efficiency
SHGC: a.Electric Heat Pump 30.0 HSPF:8.20
Area Weighted Average Overhang Depth: 1.000 ft.
Area Weighted Average SHGC: 0.246
8. Floor Types Insulation Area 14.Hot water systems Cap:20 gallons
a.Crawlspace R=19.0 876.00 ft' a.Electric EF:0.97
b.N/A R= ft'
c.N/A R= ft2 b. Conservation features
None
15.Credits CF,Pstat
I certify that this home has complied with the Florida Energy Effici'ency Code for Building �,�K�Sr�r
Construction through the above energy saving features which will be installed (or exceeded) �y� _� �a
in this home before final inspection. Otherwise, a new EPL Displ y Card will be completed k�° ��''�� '_��'�o'�`�s+
' based on installed Code compliant features. � �l� � ;`�r`�� �
� 777;!>.'�i, �p` ,
,n, _ �
C4 �4._. � C7
Builder Signature: Da e: � � '�v a
* *
Address of New Home: City/FL Zip: �j.co����,�
*Note: This is not a Building Energy Rating. If your Index i below 70, your home may qualify for energy efficient
mortgage(EEM) incentives if you obtain a Florida EnergyG�uge Rating. Contact the EnergyGauge Hotline at(321)
638-1492 or see the EnergyGauge web site at energygauge com for information and a list of certified Raters. For
information about the Florida Building Code, Energy Conse ation, contact the Florida Building Commission's support
staff.
"'Label required by Section R303.1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT.
S/14/2015 4:36 PM EnergyGauge�USA-FlaRes2014 Section R405.4.1 Compliant Software Page 1 of 1
1 ��
Manual S Com liance Re ort Job: R0815283
� wright5oft�' p p Date: 14 AUG 2015
Entire House BY� �T
Tampa Bay Drafting 8�Design Scott Jaworski
1254 vnetree Drive,Brandon,R 33510 P hone:613-957-0946
� � ' • �
� For: 1Naitman Residence '
3732 Garden City Way, Zeph ills, FL
� � � � •
Design Conditions � _
Outdoor design DB: 91.3°F Sensible gain: 21400 Btuh Entering coil DB: 87.1°F
Outdoor design WB: 77.3°F Latent gain: 5777 Btuh Entering coil WB: 66.9°F
Indoor design DB. 75.0°F Total gain: 27178 Btuh
Indoor RH. 50% Estimated airtlow: 600 cfm
Manufacturer's Performance Dafa atActual Desig Conditions
Equipment type: Split ASHP .
Manufacturer. Model:
Actual airflow: 600; cfm
' Sensible capacity: 21900 Btuh 102% of load
Latent capacity: 8100 Btuh 140% of load
Total capacity� 30000 Btuh 110% of load SHR. 73%
- • �. •
Design Conditions
', Outdoor design DB: 42.5°F Heat loss• 10500 Btuh Entering coil DB: 69.1°F
Indoor design DB• 70.0°F
Manufacturer's Performance Data atActual Desig Conditions " '
Equipment type: Split ASHP
Manufacturer: Model:
Actual airflow: 600 cfm . ` I
Output capacity: 30000 Btuh 286% of load Capacity balance: 15 °F
Supplemental heat required: 0 Btuh Economic balance: -99 °F
Backup equipment type: Elec strip
Manufacturer Model:
Actual airtlow: 600 cfm
Output capacity: 10.0 kW 325% of load Temp.rise: 0 °F
The above equipment was selected in accordance with ACCA anual S. -
2015-Aug-1416:12:41
,� wrightsoftP RighFSuite�Universa1201515.0.19 RSU20773 Page 1
�+� ...FNAC�aWorkFileV�0815283-Waitrnan�R0815283.rup CaIc=MJB FrontDoorfaces:W
r �
Pro ect Summa Job: R0815283
� wright5oft� � � Date: 14 AUG 2015
En tire Ho use BY� �T
Tampa Bay Drafting 8�Design Scott Jaworski
1254 Vnetree Drive,Brandon,FL 33510 P hore:813-957-0946
I
� � ' • �
For. Waitman Residence
3732 Garden City Way, Zeph ills, R
Notes: Load Calculation was obtained from an electronic copy of CAD drawing.
� - � � �
Weather. Tampa Int I mational AP, FL, US
Winter Design Conditions Summer Design Conditions
Outside db 43 °F Outside db 91 °F
Inside db 70 °F Inside db 75 °F
Design TD 28 °F Design TD 16 °F
Daily range L
Relative humidity 50 %
Moisture difference 55 gr/Ib
Heating Summary Sensible Cooling Equipment Load Sizing
Structure 8442 Btuh Structure 11894 Btuh
Ducts 2058 Btuh Ducts 3533 Btuh
Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh
Humidification 0 Btuh Blower 5973 Btuh
Piping 0 Btuh
Equipment load 10500 Btuh Use manufacturers data y
Rate/swing multiplier 1.00
Infiltration Equipment sensible load 21400 Btuh
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Average
Fireplaces 0 Structure 4862 Btuh
Ducts 915 Btuh
Heating Cooling Central vent (0 cfm) 0 Btuh
Area(ft� 876 876 Equipment latent load 5777 Btuh
Volume (ft� 7272 7272
Air changes/hour 0.61 0.32 Equipment total load 27178 Btuh
Equiv.AVF(cfm) 74 39 Req.total capacity at 0.73 SHR 2.4 ton
Heating Equipment Summary Cooling Equipment Summary
Make Make
Trade Existing 2.5 Ton Heat Pump Trade Existing 2.5 Ton Heat Pump
Model Cond
AHRI ref Coil
AHRI ref
Efficiency 8.2 HSPF Efficiency 14 SEER
Heating input Sensible cooling 21900 Btuh
Heating output 30000 Btuh @ 47°F Latent cooling 8100 Btuh
Temperature rise 45 °F Total cooling 30000 Btuh
Actual air flow 600 cfm Actual air flow 600 cfm
Air flow factor 0.057 cfm/Btuh Air flow factor 0.039 cfm/Btuh
Static pressure 0 in H20 Static pressure 0 in H20
Space thermostat Load sensible heat ratio 0.79
Calculations approved byACCA to m et all requirements of Manual J 8th Ed.
2015-Aug-74 76:12:41
� wrightsoft` �9hE5uite�Universa1201515.0.19 RSU20773 Pa e 1
9
�� ...FNAC�aWorkFIeV20815283-Waitrnan�R0815283.rup CaIc=MJB FrantDoarfa s:W
. �
-�l-wrightsoffi° Right�JO Worksheet �ab: R0815283
Entire House Date: 74 AUG 2015
By: JT
Tampa Bay Drafting 8� Design Scott
Jaworski
1254 Vinetree Drive,Brandon,R 33510 P hone:813-957-0946
1 Room name Entire House New Bedroom
2 Expased wall 126.7 ft 24.0 ft
3 Room height 8. ft 8.3 ft heaUcool
4 Room dimensions 13.0 x 11.0 ft
5 Room area 876. ft' 143.0 ft'
Ty Construction U-value Or HTM Area I(ft� Load Area (ft� Load
number (Btuh/ft;°F) (Btuhlft�) or periSneter (ft) (Btuh) or perimeter (ft) (Btuh)
Heat Cod Gross I N/P/S Heat Cod Gross N/P/S Heat Cod
6 VIII _ 128-OSw 0.097 n ' � 2.67 2.75 9� _ �223 596 613 91 64 172 � 177
�--(� 4A5-2ob 0.290 n. 7.97 7.26 _ 8 __. 0 646 _588 ____ _ 27 . __. 0. __._215 ___._196
W, 12&Osw 0.097 e 2.67 2.75 22 208 554 571 108 108 288 296
�—G 4A5-2ov 0.650 e 17.86 30.81 14 1 241__._.._.. _416_--._.._-0_._..__..__..._.0_�__ 0 _ 0
11 W _ -12B-OSw�--W—_�� 0.097 sv _ 267-� �_275 V� 30¢ 277 740 761 0 0 0 0
_� 4A5-2ov __ 0.650 s 17.88_,_.13.83 ._ _2'j. 27 483_._. 373. _ _0 __.. 0 �____.__. 0
0
W 12&Osw 0.097 w 267 275 22� 154 410 422 0 0 0 0
4A�r2ab 0.290 w 7.97 19.15 20 1 156 373 0 0 0 0
4A5-2ov 0.650 w 17.88 30.61 27 2 483 832 0 0 0 0
_..__.._. _ 11N0.. .,_. ._ ._._ __0.350,_w__ 9.63____.10.75 __. ---21-. _.v 21, 202___ ____�6 __._.._ .�___ _ �---....___4.
_ 0
C 16&3�md �. 0.032_ - 0.88 1.73 87 _ 876 771 1520 _ 143 __ 143_ . 126.__ 248
F 19f4-19cstp 0.049 1.06 0.63 87 876 925 548 143 143 151 90
6 c)AED accursion 166 -7
Envdope loss/gain I 6207 7409 952 1000
12 a) Irdiltration 2236 695 424 132
b) Room ventilation 0 0 0 0
13 Intemal gains: Occupants @ 230 3 690 1 230
Appliances/other 3100 0
Subtotal(lines 6 to 13) I 8442 11894 1375 1361
Less extemal load 0 0 0 0
Less transfer 0 0 0 0
Redistribution 0 0 0 0
14 Subtotal 8442 11894 1375 1361
15 DUd loads 24% 30% 2058 3533 24% 30% 335 404
Totalroom load 10500 15428 1710 1766
Air required(cFm) 600 600 98 69
Calculations approved byACCA to meet all requirements of Manual J 8th Ed.
2015-Aug-1416:12:41
wrigt�tsoft` �9hFSuite�Universal 201515.0.19 RSU20773
�� Page 1
.FNAC�aWorkFile�R0815263-Waitrnan1R0815283.rup CaIc=MJB FrontDoorTaces:W
�
-�-wrightsofta Right-JOO Worksheet Job: R0815283
Enfire House Date: 14 AUG 2015
By: JT
Tampa Bay Drafting 8� Design Scott
Jaworski
1254 Vinetree Drive,Brandon,R 33510 Phone:813-957-0946
1 Room name New Sun Rm Existing Home
2 Exposed wall 31.0 ft 71.7 ft
3 Room height 8.� ft heaUcod 8.3 ft heat/cool
4 Room dimensions 13.0 x 18.0 ft 1.0 x 499.1 ft
5 Room area 234. ft' 499.1 ft2
Ty Construction U-value Or HTM Area I(ft� Load Area (ft� Load
number (Btuh/ft;°F) (Btuhlft� or perimeter (ft) (Btuh) or perimeter (ft) (Btuh)
Heat Cod Gross I N!P!S Heat Cool Gross N/P/S Heat Cod
6 W 126-OSw� 0.097 n� 2.67 _ 2.75 . 14� _ ��95 254 262 64 64 170 175
� 4A5-2ab . _ .. 0.290. n__ 7.97 . 7.26__ 0 431 392 0 0 D 0
. W, 12&Osw 0.097 e 2.67 275 0 0 0 113 100 267 274
L�', 4A5-2ov 0.650 e 17.88 30.81 0 0 0 0 14 1 241 416
___ .__. __W._.
__...._..
11 �-V-� 12B-Osw�_ ----- 0.097 s 2.67 - 2.75 0 0 0 304 277 740 761
!.. G 4AS2ov ' ____ _0,650. s ....__ 47.88 13.83. _.� 0_ _. . 0�.. 0. --_27.._. 27 ___-483. 373
W 12&Osw 0.097 w 2.67 275 108 67 180 185 118 86 231 237
4AS2ab 0.290 w 7.97 19.15 20 1 156 373 0 0 0 0
4A5-2ov 0.650 w 17.88 30.81 0 0 0 0 27 2 483 832
__. _«_ 11N0__. ..._____.__.._. __.. .._ 0.350 _W��_. .._9.63____.�10.75_. __. ...2� __ _.. 202._ .__ �6 .� ._ ._0. _..._�. .._ ..__4.__.. _�
__�21,�
C 16B-30md 0.032 - 0.88 1.73 23� 234 . 206 406 499 499_ _ 439 866
F 19Pr19cstp 0.049 1.06 0.63 234 234 247 146 499 499 527 312
_ . . . �
6 c)AED eccursion I 108 65
Envelope lasslgain I 1676 2098 3579 4312
12 a) Ir�filtration 547 170 1265 393
b) Room ventilation 0 0 0 0
13 Intemal gains: Occupants @ 230 0 0 2 460
Appliances/other 500 2600
Subtotal(lines 6 to 13) I 2223 2768 4844 7765
Less extemal load 0 0 0 0
Less transfer 0 0 0 0
Redistribution 0 0 0 0
14 Subtotal 2223 2768 4844 7765
15 DUCt108dS 24�/0 30% 542 822 24% 30% 1181 2307
Total room load 2764 3590 6025 10072
Air required(cfm) 158 140 344 392
Calculations approved bvACCA to meet all requirements of Manual J 8th Ed.
2015-Aug-1416:12:41
W��9~�O�s RighFSuite�Universa12015 15.0.19 RSU20773 pa e z
'��'` ...FNAC�aWorkFIe�R0815283-Waitrren�R0615283.rup CaIc=MJ8 FrontDoorfacES:W 9
I
. , ,
�r� , , � � .G�
jj�� J t�,, �
� Page No. of Pages '''
_ . �01�������.. : ;
SUfV STATE ALUMINUM, INC. - , -
6154 For�King Rd. ;�
- ZEPHYRHIL�S, FL 33542 .
� - (813) 788-7308 '
i v, �•-;�
._ -- ,.'��� C�"'� � ��'�� ��_. °a c..a �
.�-�`;�i-I-� . �.... �
,
SUBMIITED TO �PHONE DATE '
-�����`t t�`���_ \'�`.�� C��`1-`�.`� '\�,��V `'°""�`,�,.�f�I� `�(�l�;�. �'.J � `�.
STREET � J JOB NAME � \ �
:��.� !���_ C�-=���-.—�_��—,'`, ��.--�� �.��-. l.�S'�_-�. ``C�^�� \ o �� ``-� C�(�����
CIN,STATE�nd ZIP CODE ~ � ` --�--�—-- � l JOB LOCATION �� � . �
' :� �����,�.hti.��`a,�� �: �---- `r"� -�' �_���� r..`�
ARCHITECT � \`�� � DATE OF PLANS JOB PHONE
='We h'e�eby submit specifications and estimates for:-----� Y�� .:,� .
`� �..�, �..2 .,,,�' ....--�.-.. C-'1 �'. .� -
,.
,. __ . _
� _
_. _
�° 1 `�,..A ( c.) � �_.--� �>�i �°C-�..s C � �`�.}, y
. ,. - � -_ �
F ....... ... ._..... _>.. . ..... . ... .. .. .. ...
� �� '�' /\ r� �� �
�, �
i�
. „ . �
� . �r... �
'' �'�-_�,1` ' �� l -, ._`".x��'-.���. �'�:�--� .:.�;.�ti�� .... �, r.�'�.-ti1:�:� �. ..�����1. ...�
_ ' �
�z....... .... ... ._....... -
„
.-�.... � � - -�---�-°�
a�"�.� �.�s.� . t��, i�'<•�-�._.._ ��...... ..., ��,._�: . .'� .°�=`° ��� ���`:��Y�""�. ..... ...
_ _ -
,_, _.. _
4'
> >
. ``^
, '
. . d.�..._._.a....... ..... ....... . . . ... .,.,� •_.i 4 Y
.
.
,
I� F 5� �� � �^^ D�.�
1 � � ��� � � � r�,.,� ,
.. .rm.....:.,. ,_ _��,-.�'��-=---- ..... �`� `�
-,.�,. . ., , t, � �� �-- ,�.�.
, �.� ;�:�._•r-��, `���C'— ti \�4"---��� �J� .
. ......... .. .f.�.... ... .,.....1. ._. ... �„� � . ... . ._ ._.
. , ...
.s""� _ ,,. r ��\��`-�{ - .
.-
, � � `
< , �, /
^y `
.
, �i 1"��`� -�.-- �._.^x.,��l.,�� 1�� '°�j�.�.:_.._ `�~��� ����t �� - -�'''' �-
, _. _ � .
, 1 �
. ......._... � .. . .... . - -�� - .. ._.
.. ...... ....
�'�
�. ��, i! . , . .. .. ! dr'�
�.., .
_,..� �_._...�- , '
.. ._.
; . ...� ,.. ...
L \ .
° ..-_�-•—..'---rF�
` _�...--�
i ' ^-.
� , � ���
\.��4.�� � ����h�.,_ '�� ... .'.... .- -
�
, .,
' . .......... .� ...... ��'. :l � _1 `�-- .._. ... ... ... ... ._. .
�, .
.
�Y '� ��-J� ,�-�-��`,��� �� .��`�?_.,.�' (:'���_� '� ,'c`� � ,..,� �.�'�.�.-�...�> !
, _ �._
�
��� � '
_ . ' ,
._. .�.�.-....... .. . ..... ._..w... ... .. .. ... _. _ ...._.._ ...
-=�.� .
�--`-� .���- .
� �
�,��"`\.v=� �� � �..�1 ��� � '... ��.� �� �� �� Y�
... ... _..... ,. .. . ..
�^'�`�\\��'�+G r �-J• 1�,,,,� ;1� ���5 �'S• ••�\...�'.�. �,�� ,
... +.. , . ... ... ._.
�\ . ,.., � ♦
_ ��-- �
1� . � �
i .
. . ... ..�.... : w....+.....r�. .' .. ...... �T.F. :: ._.
_�
p ..
� ,,, \
�
.....
�
�' „ ` / - . � � � '
e• A� •`�__._.
. ....a,.'�cm.ti.... ...>._� N\,,..�...�:t ._. . . .. . ... ... ... ... ... ... ... ...
, . .... �.
,� f, � � .
- \,?��_aCV.._.. ... ���--�_ < ti^��'��� �`'� ("�,:�. ��.�_�1� i��,
. . ..... .. .... .. .. -- • ... .. ......
� _ .`'� � � i� ;=�;:�, c'
r��A"`�.� �t(��-� �"'�--� -��a-�--1� �\'i- ✓\ t' t t-a �`� ,�...�`a. M
. f4
r_.,.,�"'�,.
, �E CCDdYtr�Ct hereby to f_ur�isli�material and labor— omplete in accordance with above specifications, for the sum of:
- ��~ i' �� ) --_---.9.�,.,k-.--- .__.,_._.__ , _� ' �����4�'
�_� `� __,� .. ,` '` � ,_ .
cr.,� ` ..�:..>-==> �•,.,.__ _ °-- '_----.r._ dollars t.
Payment to be made as followps:! �� „� ($' � � )
�r��w �� ��.5 L/l'�G...-a �+J ft.�l��T!+'r"n f �,1t' --�JL_J �� .,_.�rJ G�C^(
� . , •. . .
All unpaid balances sutiject to 1.5%monthly interest fee. �_----�.-f-='�"�- � ____-�__`-=-�,, '
All material is guaranteed to be as spec'rfied.All work to be completed in a workmanlike ` '� ~ -- 4---_-�^��✓�^1� � ' r�
� Aut�rized-�.�--��-��----`__ '���--,'".
manner according to standard practices.My alteration or deviation from above specification __.,..r._ --""�_•'_°" —c�t�`--"
� Signature-�_.-.�=�� -=-^°°,.-.--�--=-�= .
involving extra costs will be executed only upon wririen orders,and will'become an extrg i,,,���F�,,,�___�__
� charge over and above the estiinate. All agreements contingent upon strikes, accident�
or delays beyond our control.Owner to carry fire,tomado and other necessary insuran�. Note:This p�opo581 may be • ,
�� Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within dayS.
�CCC�1tF�TYCP Df C�.OIYt��C�—The above prices,specifications , ,
� and conditions are satisfactory and are hereby accepted. You are authorize�d Signature
to do the work as specified. Payment will be made.as outlined above.
e,:
�_t Date of Acceptance: . ` Signature '
f: �. � ' I. „ , .,. � ._ . •
'- � , I illlll IIIII Ilill IIIII Ilill IIIII IIIII Ilill IIIII(IIII II(I I�II
_ ����������
� Rcpt:i714339 Rec: 1@.00
DS: 0.00 IT: 0.00
09/21/2015 J. R. , Dpty Clerk
Permit No. Parcel ID hlo a4 �� ��, (,����,)��C����'�
.�""`
NOTICE OF COMMENCEMENT
8tate of �(,,, j`�Q�} }�� Caunt af_��(�`�C_i,_,)
THE UNDEF2SIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the foltowing information is provided in this Notice of Commencement:
1 Description of Property� Parcel Identificatian No. �,.Q— '::�.t.. �..� C„�� C�O�40 ��1`�1�
Street Addrass: ���'1� ����L��+����,��L.J�
2. General Description of Improvement �u��✓� �rs�'�S �� �
3. dwner info�tnation or Lessee informakion if ttie Lessee contracted for the�mprovement:
�,"� �� "�N�_�,.,�`�� � �'1 `� �.,����.....�� � �i t„�_ ���
'�„r-',^,_�`���t...�l�; {�- IZSc� �
Address City State �4�3
tn#erest in Property b3 C►��� G� Q'' �
Name of Fee Simple Titleholder:
(!f differsnk lrom(7wner listed above)
Address ��� ��� I City State
Gontractor: � ���'
. r`. a e � e� �.�o�e����� �
Address City—�'r State
Gontracto�'s Telephane No..
5. Surety� � L
Name ��_ t s ` � �
�( �
Address City State
Amount of 8and. $ t�� Teiephone Na..
6. Lender
Name
Address Ciky State
�ender's Telepha�e No.
7 Persons within the State af Florida designated by the awner uppn w om notices or ather documents may be served as provided by
Section 713.13{1)(a)(7),Flarida 6tatutes:
Name
Address City State
Telephone Rlumber oi Designated Person:
8. In addition lo himself,the owner designates of
to receive a copy of the Lienar's Natice as provided in Section 713.13(1)(b},Florida Statutes.
Telephone Number of Person or Entity Designated by Owner
9. Expiretion date of Notice of Cammencement{the expiration date may n�t be before the campletion of construction and final payment to the
contractor,but will be one year from the date of recording unless a differec�t date is specified):
WARNlNG T4 QWNER: ANY PAYMENTS MADE BY THE OWNER A�TEF2 TFiE EXPIi2ATiON OF THE NOTlGE OF COMMENCEMEIVT
ARE CONSIDERED 1MPROPER PAYMENTS UNDER CHAPTER 71�i, PART 1, SECTION 713.'E3, F�QRlDA STATUTES, AND CAN
RESULT IN YOUFt PAYING TWICE FOR IMPFtfJVEMENTS Td YO�1R PROPERTY. A NO710E OF COMMENCEMENT MUST BE
RECOftDED At�tD POSTEC!ON T}-!E JOB SITE BEFQRE THE FlFtST It�SPECTION. IF YOU 1NTEh10 TO OBTAIN FINANGING,CdNSUI.T
WITH YOUF2 LENDER OR AN ATTORNEY SEFORE CdMMENCING W¢RK 4#2 REC4RD1t�tG YOUR NQi'ICE dF CQMME{VGEfv1ENT
Under penalty of perjury,I declare that I have read the foregoing natice of cammencement and that the facts stated therein are We ta the best
of my knawisdge and belief.
F
STA7E OF FLORIDA
GOUNFY O�PASCO
` Si ature oflQwaer or 4.essee,or 4wnet's or E.essee's Authorized
_ - O cer/Dire or/Partner/Manager
4`/Lt>`�tC>�1,�„
Signatary's itielOffice
The foregoing instrument u'ras acknawledged before me fhis�F—"ay af � i ,20�y c._/�/,,,� Z�rl��'�u�,d1/
as �� � (type of authority,e.g.,officer,trustee,attomey in fact)for
(name af arty an behalf of wMo i rumen as e ecuted).
Personally Known�OR Praduced Identificatio Notary Signature
Type af[dentification Produced�Gr ,1,�� li� � Name{Print S�j� C�-' G �T�
,.,,,Y r"•• SHIRCIEN K DEL CO1T0
.r�•KF;
PFUI.p S 0`NEIL,Ph D PASCO CLERK & COhSPTR�LLEt =� 'Y ���`{��N�������
�•�;' EXPiRES:June 26,20t6
09 ORl BK�1����m PG ��,'G 1 ��pF��',•^` Bonded Thru Nota�Y PubFc Undenrtiters
I
wpd atalbcslnoticeeammer�cement_pc053048
— . �