HomeMy WebLinkAbout16-17304 � ,�
`� CITY OF ZEPHYRHILLS �
5335-8TH STREET
(813)780-0020 17�4
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL f!
PERMIT INFORMATION LOCATION INFORMATION �
Permit#:17304 Issued: 5/12/2016 Address: 36126 SHADY BLUFF LP LT 8
Permit Type: NEW SINGLE FAMILY DWELLING ZEPHYRHILLS, FL.
Class of Work: 101-NEW CONST/SFR Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 248,636.00 Total Fees: 11,317.75 Subdivision: SILVERADO
� Amount Paid: 11,317.75 Date Paid: 5/12/2016 Parcel Number: 04-26-21-0060-00300-0080
"� CONTRACTOR INFORMATION OWNER INFORMATION
Name: HIGHLAND HOMES Name: HIGHLAND HOLDINGS INC
A;ddr: 3020 SOUTH FLORIDA AVE SUITE 101 Address: 3020 S FLORIDA AVE STE 101
I ' LAKELAND FL 33803 LAKELAND FL 33803-4058
P.hone: (863)619-7103 Lic: Phone: 863-619-7103
; Work Desc: CONSTRUCT SINGLE FAMILY 2440 SQ FT
' APPLIGATION FEES
BUILDIN FEE 1,033.70 ELECTRICAL FEE 214.43 PLUMBING FEE 140.25
MECHANICAL FEE 98.18 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00
PUBLIC SAFETY 5% 26.35 PARK FEES SF 769.56 SCHOOL IMPACT FEE-sfr/100% 4,828.00
, � SCHOOL IMPACT FEE-sfr/1% 48.28 TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32
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' Ins ections�Re uired ' �
' FOOTER 2ND ROUGH PLUMB MIS IN LATION CEILING
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: (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.REINSPECTION FEES:
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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications and Must Accompany Application.All work shall be pertormed in accordance
with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� /
CbNTRACTO S SI AT RE PERMIT OFFI
PERMIT EXPIR N 6 NTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
CITY OF / / / � BUILDING
ZEPHYRHILLS DEPAl;TMENT
OF ADDITION OR CORRECTION
� • • - •
ADDRESS DATE PERMIT,f
� � �; £ :f s�-�i -�G �3
THIS JOB HAS NOT BEEN COMPLETED. e following additions or corrections shall be made befo e the job
will be accepted.
4
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It is unlawtul for any Carpe�ter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. 'INSPECTOR ,-�-
CITY OF / / / / BUILDIN�
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
� � • - . •
ADDRESS DATE PERMIT f
: � ti2(� 5 �� 2 2�G� �'? �
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
� will be accepted. _ ,
� ���-C�l �t�D���R- ".�¢��1�734v� 1�11G�n (� �� Y�_ 6�� �`�_�
z ila } 4r4r�� �- --
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a �ol� ��'�i���--5 � ��. � ��" � ��i�- �'�
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� �n/l_a � ���J� !�. �Ao sy e�.lC� e�`��-�- �� �,���
It is unlawtul tor any Carpenter,contractor,euilder,or other persons,to AFTER COR C ONS ARE MADE CALL
cover ar cause to ba covered,any paR of the work with flooring,lath,earth 780-� 0 E-INSPECTION
ar other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR �
�+ PASCO COUNTY
;;;,.,:�... BUILDING CONSTRUCTION SERVICES
--��`-- 8731 Citizens Drive Date:5/19/2016
•. Suite 230
y,'
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New Port Richey, FL 34654
. 727-847-8127
�r�r �� � �� �bt�l� �t'�'
. Record#: 06POS-00000-#0000
ecei t# Paid By Check# CC Auth# Cashier ID Workstation Receiat Date Amt Paid
1607001 Check 36126 Shady 4770 177 BCCCP03W 05/19/2016 $38.57
Bluff
Total Payments: $38.57
Pavor Address Phone
Highland Holdings 3020 S Florida Ave 863-619-7103
Suite 101
Lakeland
Com�_enfs•
Gity of Zephyrhilis
MyReports/reports//PRODUCTION/PASCO/ReceiptAA 5/19/2016 Page 3 of 3
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���riiz�. ._.-�a6cxcttc��ie-1, - �zc:
3905 Kidron Road"Lakeland, FL 33811 ''863-647-2877"Fax.863-647-1770
Moisture-Density Relations of Soil
Laboratory Compaction Test
ASTM: D1557 Method: A
Client: Highland Homes Date: 07/07/2016
Project: 36126 Shady BlufF(Zephyrhills) Project#: 13078
Permit#: 17304 Lab No.: 1P
119
118 � � �
�
� 117 �' _ .. .
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.n
� 116
.�
� Max Dry Density:118.1 pcf
a�
� 115 Optimum Moisture:9.9°/a
�
0
114 -
7 8 9 10 11 12 1
% Moisture
Date Sampled: 05/25/2016
Sampled by: C. Stafford
Location Sampled: Building pad; Composite (natural ground) I
Visual Classification: Gray slightly silty fine sand
Report Distribution: Tested B. Kulp
Client: by:
City of Zephyrhills
File: 13078 Checked
by:
I c ' , Laboratory Manager
Services: Environmental and Geotechnical Engineering and Consulting, Drilling,
Materials Testing, Contamination Assessments, Audits and Remediation
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���CJ.�cr�o�zcJ, ��a�,.
3905 Kidron Road*Lakeland, FL 33811 '863-647-2877*Fax 863-647-1770
SOIL TESTING -FIELD DENSITY-PERCENTAGE
OF COMPACTION REPORT
Project: 36126 Shady Biuff(Zephyrhills) Lab No: 1 D
�Client: Highland Homes Technician. C. Stafford
Job No.. 13078 Contractor: Client
Date: 07/07/2016 Weather. Clear
i�ermit#: 17304
Page 1 of 1 •
ASTM: D6938 IN PLACE FIELD DENSITIES DATE 05/25/2016
MADE
� � TEST TYPE INSITU IN PLACE DRY LAB MAX '
TEST NATURAL GROUND MOISTURE DENSITY DENSITY COMPACTION PERCENT
NO. LOCATION OF TEST PERCENT PCF PCF ATTAINED REQUIRED THICKNESS
1 Building pad; Center-1st and final lift 7.3 113.1 118.1 96% 95% —
� 2 Building pad; Northwest comer-1st and final lift 7.6 112.0 118.1 95°/a 95% —
3 Building pad;Southeast comer-1 st and final lift 7.0 112.1 118.1 95% 95% —
The percentage of compaction for the in-place density test are based on laboratory Moisture Density
Relation Test D1557-A as follows:
Lab No 1 P 'i
Maximum Dry Density 118.1
i Optimum Moisture 9.9
J
Report Distribution: By �
Client: AI McGh' , aboratory Manager
City of Zephyrhills
File: 13078
Services: Environmental and Geotechnical Engineering and Consulting, Drilling,
Materials Testing, Contamination Assessments, Audits and Remediation
/ /
��
Fore Electric &Energy, LLC.
2128 E. Edgewood Dr Suite 301
Lakeland, FL 33803
Ph 863-937-9149 Fax 863-937-9151
EC0002618
May 3, 2016
City of Zephyrhills- BUILDING DEPARTMENT
Re: Permit Authorization
To Whom It May Concern: �
, I, Carswell B. Morgan would like to authorize the following individual(s)to sign for
electrical permits for Fore Electric &Energy, LLC. My State certification number is
EC0002618. If you should have any questions, please do not hesitate to contact me at
863-937-9149.
Steve Morgan,Alan Sangster,Darrick Peck,Chad Ashley,Charlie Laughon,Jeff Odro,Greg
Fiorentino,Pat Walsh,Tim Davis,Jamie Jenkins,David Adams,Brian Walsh,Ralph Donley,
' Leslie VcM Trump, Shaun Miller,Fran Lavoie, Stephen Miller
This authorization is to remain in effect indefinitely, unless cancelled by me in writing.
Sincerely,
Carswell B. Morgan
Qualifier
Sworn to and subscribed before me this_3�d day of_May_2016. The above is
personally known to me. �
State of Florida at Large
Notary Public My Commission Expires
.�P�,� Notary Public Stete of Florida
;'° . Sandra Schultz
� My Commission FF 093058
�oFfl,o� Expires02/24/2018
I
1 ;/
05/05/2016 08:47 8638533377 FAMILY PRES5 PAGE 02/02
s
- Hadge E�nte�prises, I�►c.
� 32 r6 N. Gal�owap Rd.
Lak�I�.nd, Fl S38�.0 �
� Kei�kx Hod e
� � .
� 32X� N'. G�lloway Rd. ��
Lakeland, F1338I0 �,
�-5-16 �
T, Ke�th S. Hodge g�ve x�r.y a,utho�iza.tio�x for �.e f�llowzng �ist o� �
I�xgh�and. H�mes em�loye�s to pull p�umbaixig pern�.its on my behalf:
*�rian Wa�.sh
�Charli.e La.ugh,on �
'�D�.�id Adams
'�J�nixe J�x�kixa,s
���eve Mi.]Ye�-
*Shau� MilJ.er
' * Frax1 Lavoi.e
*Leslie VqnTxur,�r�p
Sincerely, Keith S. Hodge
863-559,8155
- � Date_ �_��
Swo to �.d subscribed la�£are me thzs �� day af�20,�G?
by e��h : ��d
�11io is �ersan��ly own. to riae o�-who h.as produced
{type o�f Tl�.)
Signatuze o�Na � No�C seal o� s�arr�
State of Florit�a � �
My Camrx�ission E�pires � i�"a eub1i�s'���°��'��d°
� My Cammipblon FF y7$8ga
� Explteayy/0$1Z41e
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: � v��� `�J"��
Date Received: �
� Site: �`P` �� �,
Permit Type: �(N � `�����,
' Approved w/noocomments:❑ Approved w/the below comments: Denied w/the below comments: ❑
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This comme sheet . I.be kept with the pernut and/or plans.
,
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Kalvin wit er lans Examiner Date o actor and/or om wner
(Required when commen e present)
36126 Shady Bluff-Highland Homes 2536 sqft
o umn
SQ. FEET PRICE
MAIN OR LIVING: 2,440 $ 101.90
OTHER AREA UNDER ROOF: - $ 88.00 �
OTHER: - $ -
VALUATION $ 248,636.00
, FEE SHEET $ 935.00
ADDRESS $ 40.00
DRIVEWAY $ 40.00
BUILDING: $ 1,033.70
ELECTRICAL: $ 214.43
PLUMBING: $ 140.25
MECHANICAL: $ 98.18
SUB-TOTAL $ 1,486.56 �
TOTAL $ 1,486.56 �
SEWER: na
WATER: na
IRRIGATION: $ -
TOTAL: $ -
WATER METER: na
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ - na
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $ 2,039.91
PARK IMPACT FEES $ 769.56
SIF'S: $ 4,828.00
100.0% $ 4,828.00
1.0% $ 48.28
TOTAL: $ 4,876.28
T I F'S: $ 3,632.00
99% $ 3,595.68
1% $ 36.32
TOTAL: $ 11,317.75
� Hi�hla�d Ho�es
The value leaders.
May 3, 2016
City of Zephyrhills
Attn: Building department
' S335 8th St.
Zephyrhills, FI 33542
AUTHORIZATION LETTER
I, D.Joel Adams, contractor license number CGC058580, hereby authorizes the following individuals to
act as my agent in signing permit, electrical, plumbing, a/c applications, picking up permits and calling
in inspections.
Brian Walsh Fran Lavoie
Charlie Laughon Jamie Jenkins
David S. Adams Leslie VonTrump
Stephen Miller
This authorization replaces any prior submissions. Anyone not listed above is to be removed from the
� curre orization list. This authorization is to remain in effect indefinitely, unless cancelled by me
' writing.
I D. Joe'�bdams, Executive Vice President
High �and Homes
l
Sworn to and subscribed to before me this 3rd day of Mav , 2016 by D. Joel Adams,
who is �ersonall�kno n to m nd who did not take an oath.
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Nota y P�blic
�
3020 South Florida Avenue,Suite 101,Lakeland,Florida 33803-4058 • Phone:(863)699-7103 • Fax:(863)619-7995
Websife: www.HighlandHomes.ORG
I I'llll II'll I'I'I IIIII IIIII IIIII IIIII IIIII IIII I IIIII III I IIOI
201�1�2113
Ti�IS INSTR�ltUIE�dT?REPARFi��Y•
Jennifer 1Cuehncr
Inttovxtive 1'ifle,LLC Rept: 1714429 Rec: 10.00
4921 Soutt�iork Drive,Suite 4,L�kaland,Florida 33813 DS: 0.00 IT: 0.00
BG3-S46�5T28 09J21 f 2015 eRecording
Permit Nur.�ber;
'i'ax roliu PJumber: d3�-ZG-21-C9Q{4-Q0393t4-t60$4� PAULA S.0'NEIL,Ph.D PASCO CLERK�CO�,�PTROLLER
09J21/2U15 02:00 P23 1 of 1 '
Staic of: �3��ada OR BK ���� p6 � �� � I
County of: �'asxo ,
�ile Tiumber: 1'a'-92I2
1�1�'�'IC: �' �3�'�"��1�Y�1'��::1�l�:.�',�T�t1P�E"�
7'i�e undersig}ted i��ereby gives rrukice that improvem�nt dviU be tnatEe tr,certain resl pro�aerEy�,an.d,in
� accordance with Chapter 7 t3,Pfnric�a 5tai�z�r^s,t9te following infarmation is pruvidad en Yhis Notice of'
Co�im�nscrnent,
€ L)ese;riptio[a o€'Prapczty:
Lot 8,6lock 3,SILUEI�ADL1-F'HASE 1A,a subrJivisi�n r�ccorelin�Ya 4he plat thec�of r2carded
at�lat Book 61,Page 79,in the PuUlic Reoords of Pasco C,ounty,F:orida.
35126 Shady 131uff L.p,Lcp9�yf•hi[Is,Floredn 33547
2. Crzneral�3escription r,f Impromements: Singia Fssnily Residenu:
3. Chuner Ircfor�mation:
a. R?ame arid rlddress: i-lighland F3oldings,Ina.;,�Q20 3ruth Plor;da.4venue,Siiite 3�lY,
L�keland,Florida 33S(�3-�305R �`,� � �
b. Enterest u�pr«pert,�: Fee Simp)e G s ' �• �
c. ;�Issrnes and uddress of fu:simple title hotder(if oEhez than owner): ��°'
4. ConEractor: 1-�i�;hlanc3 Huldin}�,Tnc.,s�i�larida�ur}�oeation,3020 South r(orida Avenne, � L ��
Suite i O1,Lakel�nd,Floridn 33803. � a � : '�
5. Surety: ,'�tone h �• �
6. l.ender: Pidelrty B.mk 7607 Bayaneadu��s Itd E � . � � �
Ste 200,Jacksunville,Florlda 3225G atFn:Dee Daa Barb�s . 4� � ' O
7. Persons��ithin the SBate nf Florida desibmaeed by Own�;r u�son Ewh�m notices or oYher docunEeE�ts �•� � ; �
may be served as provided by Secteon 713.1.i(1)(a}i.,FEarida StatuY�.I'idelst�Eank,7x07 y � ���
Ba me�dows Rd E
Sta 206,Jacksunvitle,Florida 32256 �s � �� �F
S. In ndditinn to himsel.f,�wner cicsignates she follo�viug persons to receive a copy of the LienUr's
Notice�pravided in Seolion 713.13(I}(b),Piorida Skitutes.
9. Expiratian dtP�of?Jotice oi Gomme�cement(the expi�gtia3i dsYe is 1 year fr�ym daY�of recaedina
Q � w Y
unlcss s different dszte is sgecified): z U �
W.412ttiLHG TA pii^.'7ER: A?dY P�dYItiEV15 W1ADE �Y Y�f� OR'tiER AC''fN.li 3'EIE EXPIItA,'f7lJ't OF TRE NO'CAf:4: Of�' � W LL � W J
�O35h9&NCE�IH;A"E'R.R}:CO�tii83FttED 91Y93'ROPEEB PtlYPJE£tdFS E/NBEii CHR2TEIt 713�1PART J,�F;i.il(31d 7P3.l3,ELflRiT?A � (.7� � _�,J U
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L'QRIWI�PdG'E;iiEP7T A1CLS'E'S�BFCED3tF?�D AND FOSFEA UIV'F41&;IOA St7F,BF.FQ)R8'C9�E B�91tST IIr'SPEL7ION.iF Y�i�
i N 3'F N D T O 0 9 6'9'A L*d F B 3'F A;d I�'('a.C O N S L'L'I i i Z F II Y Q U 3 2 1.f:P d�E R(D R h�1 t�T T O R 1 4 E t'S&.F O R E C O h 9:r'8 3i N C[�I(:�i r U R[C � � �2 Q � �
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i S��om to as�d subscribe��f�ra me September l3,2U i 5 by R.obert J.Adams,as PrEsident of E�ighl�nd p � � � _ ��j
I Io l dings,Inc.,a F lp fi d�C p a ti on,on be ha l f of f n e w � W O p p Z
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h'ctary Publ' � � ' .:,;;-`�` �+�9ee'ltsru Pdot��3�c imca�e_ �s � Q cn � u- ��--.��
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Vrzifi�asinn pur.suant tu Sec:ion 92.525,I'iorida Statutes.L;r.�ier pena3ties ofperjury,T declsrc thst 1 liavc resd ihe foregoir.g and
that the fc3cts stateG in i u�t to ihe.lycsi of my laiowledge and beliei.
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f � 813-780-0200 Fax 813-780-0021
City of Zephyrhills Permit Application
Building Department
Date Received G��/ g C � Phone Contact for (863)619-7103 x224
< < � Permitting
Owner's Name Highland Homes Owner Phone Number (863)619-7103
Owner's Address 3020 S. Florida Ave,Ste 101 Lakeland, FL 33803 Owner Phone Number 863 619-7103
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
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JOB ADDRESS 36126 Shad Bluff L LOT#
SUBDIVISION Silverado PARCEL ID# CJ`�[ ^� �' ��V�� W'
(OBTAINED FROM PROPERTY TAX NOTICE) ^/`c�\
w j�V
WORK PROPOSED X� NEW CONSTR � ADD/ALT SIGN DEMOLISH
PROPOSED USE X� SFR � COMM � OTHER
TYPE OF CONSTRUCTION �BLOCK X❑ FRAME � STEEL �
Single Family Residence
DESCRIPTION OF WORK
2,440
BUILDING SIZE � SQ FOOTAGE HEIGHT
X BUILDING $109 080 VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $3,100 AMP SERVICE 200 ❑ PROGRESS ENERGY W.R.E.C.
�PLUMBING $3,350
-�1�3��
X MECHANICAL $4,000 VALUATION OF MECHANICAL INSTALLATION � < � � Lv"" '
❑ ti �' � ��
�
�GAS X� ROOFING � SPECIALTY � OTHER � � JC���p
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO
BUILDER �� COMPANY Highland Homes
SIGNATURE � s � �--
i REGISTERED Y/}V FEE CURRENT Y/
. �
I Address 3020 S. Florida Ave.,Ste 101,Lakeland, FI 33803 License#�� CGC058580
� ELECTRICIAN / COMPANY Fore Electric
SIGNATURE � �
REGISTERED Y N FEE CURRENT;� Y N
I Address 2128 E. Edgewood Dr.,Ste 301,Lakeland, FI 33803 License# EC0002618
PLUMBER ��� COMPANY Hodge Plumbing
SIGNATURE i
REGISTERED / N FEE CURRENT Y N
Address 3216 North Galloway Rd.Lakeland, FI 33810 License# CFC044188
MECHANICAL / COMPANY Schmitt, Inc.
SIGNATURE � ( � �
REGISTERED Y/ N FEE CURRENT Y/
Address License# CAC1815629
OTHER COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRENT Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 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 all NEW construction.
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencementis required. (A/C upgrades over$7500)
'* Agent(for the contractor)or Power of Attorney(for the owener)would be someone with notarize letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of the Application Only)
�Reroofs if shingles Sewers Service Upgrade A/C Fences(PoUSurvey/Footage)
; 4
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under
state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended
work, they are advised to contact the 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 RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use 'i
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 occupanc�' 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby
made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to �
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City
codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the ,
regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what ,
actions I must take to be in compliance. Such agencies include but are not limited to: '
– Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
– Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses.
– Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ,
– Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic ,
Tanks. �
– 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 fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a I
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer I
licensed by the State of Florida.
– If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
– If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If
use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of
the building permit issued under the attached permit application, for lots less than one(1)acre which are elevated
by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this
affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing,
signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall
be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions
of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of
errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized
by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or
abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing,
from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension.
If work ceases for ninety(90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117 03
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to( affirmed)before me this Subscribed and sworn to(or a�rmed)before me this
I 4111116 by Brian Walsh _ 4/11/16 by Brian Walsh
Who is/are personallv known to me or has/have produced Who is/are personallv known to me or has/have produced
as identification. as identification.
� r �
� +� ,> > , r� , ,
� �'� ' � i // Notary Public ' '�II � � �1��� Notary Public
omm�sion No. Com ission No.
`�J
�'
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
,.�������•, JAMIE JENKINS
�SPRY PUB�� ��;�p,R�PUei JAMIE JENKINS
:20* �`�; Notary Public-State of Florida j2°, ,°�: Notary Public-State of Florida
« ;•_ Commission#FF 242885 _•��;•: Commission#FF 242885
�N�'q�, �;� My Comm.Expires Jun 22,2019 =Na* �oc�
''�0����'� BondedthroughNationalNotaryAssn. '�.;FOFF��o- My Comm.Expires Jun 22, 2019
�������` Bonded through National Not�ry Assn.
36126 Shady Bluff
o umn
SQ. FEET PRICE
MAIN OR LIVING: 2,440 $ 101.90
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
� VALUATION $ 248,636.00
, FEE SHEET $ 932.00
ADDRESS $ 60.00 $ 60.00
DRIVEWAY
BUILDING: $ 1,010.64
ELECTRICAL: $ 209.70
PLUMBING: $ 139.80
MECHANICAL: $ 97.86 �
SUB-TOTAL $ 1,458.00
TOTAL $ 1,458.00
SEW ER:
WATE R:
IRRIGATION: $ -
TOTAL: $ -
WATER METER:
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35 `
TOTAL: $ 553.35
SUB-TOTAL $ 2,011.35
PARK IMPACT FEES $ 769.56 i
SIF'S: $ 4,828.00
100.0% $ 4,828.00 � �
1.0% $ 48.28 -
TOTAL: $ 4,876.28
T F F'S: $ 3,623.00
99% $ 3,586.77
1% $ 36.23
TOTAL: $ 11,280.19
i . Single Family Dwelling
� � Plan Review Comments
1. F.F.E. shall be a minimum of 8" above the road elevation and an 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. All 4 sides of driveway thru the sidewalk shall have
expansion material. !
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. All Garages shall comply with section R309.2 of the F.B.C. (Fire Separation).
11. Appliances shall not be installed in a location where subject to mechanical damage unless
protected by approved barriers. M303.4 of the F.B.0
12. Water heaters shall comply with section P607.3 of the .F.B.0
13. Foundation supports for A/C units shall be raised at least 3" above finished grade. M1308.1
� 14. Return air in all bedrooms. F.B.C. M1620.4
15. Smoke detectors are to be installed in accordance with R313.1 of the F.B.C.
16. All glazing requirements are to be in accordance with R308.4 of the F.B.C.
17. All means of egress are to be in accordance with R311 of the F.B.C.
18. "Green gypsum board" shall not be used as a backer in showers or tubs. R702.4.2 F.B.C.
19. Combination-type AFCI breakers are required at all locations requiring an AFCI type breaker.
20. 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.
21. All plumbing,mechanical, and electrical shall be separate from unit to unit. This includes all
underground plumbing and electric.
' 22. A112008 N.E.C. Codes will be enforced.
23. 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 5�'Edition
R.O.W.-Right Of Way
A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code(2008)
,
,� ''
s'�'`�<u _�4�
PERMYT APPLICATION �}�f
� �� ��- A�4
�` �-c�-�
DRI\/EWAY PERMIT APPLIC/ATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-VU�AY
, All information must be filled-in completely
City of Zephyrhills
5335 8"' Street, Zephyrhills, FL 33542
' Telephone 813.780..0000 Fax 813.780.0005
i- - -- - - -- - . - - - _- _ - .- _ ' - - �c=- - - '�.�;=`:
D�e.of:a� li� fioii. - - -p�� :g:�;-_...:; _:
at ca - rocessed. 4, - Perniit;#c� ��u;
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d,'�fii'Bu Id e yartineiif- Co� 1?W l�i f�1N.*
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�
PY.
PRO7 CT/]OB ITE: ROPER OWNER �
Address: ,, i ` ' �' Name: f `
Unit#: Address: ; j Q "Unit: (
Parcel Id ntification Number: Ci State Zi
Phone: - ax:
CONTRACTOR:
Com an : �
Name:
Contract r's L' eRse #: E-Mail:� (� �
Phone: ;� - ' Cell: Fax: -
ARCHITECT/ENGIIVEER:
�
{� �
Name: I � Firm N me: � . �� � •
Address: j 5 Ci n State: Zi
State License #: , Phone: �� - I Cell: � Fax: — ^ (�
Description of Project
TYP�OF DRIVEWAY �I LENGTH OF DRNEWAY CULVERTS NEEDED
, L�RESIDENTIAL DRNEWAY �WIDTH OF DRIVEWAY (�'REINFORCED CONCRETE
� COMMERCIAL DRIVEWAY R.O.W. EXCAVATION ( )CORRUGATED MATERIAL
PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( )BOX CULVERT
( )OTHER(EXPLAIN)
CONSTRUCTION MATERIAL CURB CUT RE UIRED
ASPHALT YES � NO
�CONCREfE
HEADWALL REOUIRED? YES �NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings
will be required.
UTILITY LOCATYONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
I Page 1 of 3
� PERMIT APPLICATION
OFFICE USE ONLY
_ -- . _ -"�`PUBLIC.WORKS USE:ONLY.._`r. -=- _ -
Concrete (min.6'� Y N
Asphalt Base(min.6'� Y N
N
Asphalt(min. 1�/z`� Y N
Length(min.19� Y N
' Width(10'min—20'max) Y N
Existing sidewalk. Y N
New sidewalk. Y N
ADA compliant. N
Expansion material required. N
Contiguous parking pad. Y N
Triangular flare(3'W x 7'L) Y N
Visibility triangle o.k.? Y N
Side set back(3'min.R.O.W.) Y N
, Plan Review Fee
:Addition`'al:desc�i`tiori�of:work as d`efned°ti ,P,uiSlic Woriis DirecEor.arid�or desi neee._. �. - -
0
ti
Permit application approved by: Date:
0
�J�
Page 3 of 3
� � � PERMIT APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA,IF ADDITIONAL SPACE IS REQUIRED,ATTACH TO THIS
APPLICATION.
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all
approved construction documents,and issuance of this permit is verification that I will notify the property owner of Florida Lien Law
req.,F.S.713.
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
All work shall comply with the current Florida Building Code,Public Works Design Manual and FDOT Design
Standards(if appliwble). (Public Works Design Manual online link:www.ci.zephyrhills.Fl.us/public_works.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBLIC.
NOTE: The City of 2ephyrhilis is not responsible for maintenance or repairs of driveways. Driveways shall not alter/
interfere with existing stormwater treatment and/or conveyance.
PROPERTY . N : By signing this application: I certify that I have read and understand the owner/builder disclosure
state ent. ' (please initial)
� � V � � � l�
A li nt Print Nam ` Appli t Signaturet Date
�
�t
Perm hnician ign ure (or)Notary Signature Date
pli t is( )persori ly known to me or produced as identification.
(type of identification)
Page2of3
. . '4 PLOT PLAN
-� � ' L❑T 8, BLK 3, SILVERAD❑ SUB,
P,B 1, PG 55
PASC❑ COUNTY, FL
SCALE 1"= 30'
166,09' 10' LANDSCAPE HUFFER/
WALL EASEMENT
——————————————————————————
P
18'"a•
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r9 l8�"�� N
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16' WIDE aI ��('`��
RIVENAY % U
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Pe�� ���� `�M a223
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PLOT PLAN
LOT 8, BLK 3, SILVERAD❑ SUB, Z
P,B 1, PG 55
PASC❑ C❑UNTY, �L
SCALE 1"= 30'
166,09' 10' LANDSCAPE BUFFER/ ,
WALL EASEMENT
�a�-a,
�
18'-4.
1l'-O• N
f'906 �w'- i
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N
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DRIVEWAY %
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: � = P'�►�C� �tJU�VTYy �LC�f�IDA
:�
'� �� Permit No. ���
Date Permitted ��-�-
Builder NamelOwner Name -` !(If.��It� ��',� Control#
.
County Parcel No. ��{-L�-Z1_ d��-���d'j}(,��(} SubDiv: �1 V�'r� �
� Address/Locatian ��p ( d?- G't�t 1�f 7��'" � � ��
t .
GlassificatianiType of Use ��f1 1 /r��
TRANSPORTaTlON IMPACT FEE Rate: Sq F# Unit: ��"T�C,�
Exempt [� Yes ❑ No How Determined
� lmpact Fee Amount $ ���2� �one No, TAZ:
SCHOOLIMPAGTFEE
Account (056? Single-Family Detached House Amount $ �� ��. �
(057) Mobile Home
(058) Other Residential
123) Collection Fee
Exempt [] Yes [� No How Determined
PARKS AND RECREATIdN FEE
Land Accaunt Land Credit Land Tota!
'�
Recreation Account Recreation Credit Recreatian Total
Zone TOTAL AMOUNT $ 7 �� �,�
Exempt � Yes � No How Determined
l.IBRARY FEE
�.and Account Land Credit Land Total
� Facikity Account Faciiity Credi# Facility Total
Exempt [] Yes ❑ Na How Determined Tota1 Amount ����--�
RESt�URCE EEE EF2U
TOTAL AMt7UNT
Prepared By o ��� ,.�. Checked By
-C��
NO GERTlFICATE OF OCCUPANCY'�11fIL.L �� I�SUED OR FINA'L lNSPECTION
�' PERFORMED UNTIL THE 7QTAL AMC?UNTS LlSTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO GOIJNTY
Acknowiedgement beiow does not impfy acceptance of concurrence,but slmply recelpt of a capy of this form,placing
the bullding parmlt awner on notice af this assessmen#and fhe.conditions of payment far same.
DATE RECEIUED BY
RECEIPT NO. DATE BY
1
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Ta-SFwcE
FORM 405-10
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Business and Professional Regulation - Residential Performance Method
ProjectDl e: (� REM TON IV 41 Builder Name: SCHMITT,INC
Street: �( /( (' �• ' ��� Permit Office:�'�j 0� Z��������
City,St� p:d v�L, 1^I Permit Number / 7 3D�
Owner• HIGHLA � � Jurisdiction: �� ��
Design Location: FL,Ocala
1 New construction or e�asting New(From Plans) 9. Wall Types(1717.3 sqft.) Insulation Area
•2. Single family or multiple family Single-family a.Concre4e Block-Ext Insul,Exterior R=4 1 1448.00 ft'
b.Frame-Wood,Adjacent R=13.0 269.33 ftZ
3. Number of units,if multiple family 1 c.N/A R= ft2
4. Number of Bedrooms 3 d.N/A R= ftZ
5. Is this a worst case? Yes 10.Ceiling Types (1887.0 sqft.) Insulation Area z
a.Under Attic(Vented) R=38.0 1841.00 ft
6. Conditioned floor area above grade(ft') 1841 b.Knee Wall(Vented) R=19.0 46.00 ft�
Conditioned floor area below grade(ft�) 0 c.N/A R= ft'
11 Ducts R ftZ
7 Windows(186.7 sqft.) Description Area a.Sup:Attic,Ret:Attic,AH:Garage 6 225
a. U-Factor• Dbl,U=0.55 186.67 ftZ
SHGC• SHGC=0.32
b. U-Factor N/A ft2 �Z•Cooling systems kBtu/hr Efficiency
SHGC� a.Central Unit 34.4 SEER:14.00
c. U-Factor� N/A ft�
SHGC: 13.Heating systems , kBtu/hr Efficiency
d. U-Factor• N/A ftZ a.Electric Heat Pump 33.6 HSPF:8.20
SHGC:
Area Weighted Average Overhang Depth: 3.704 ft.
Area Weighted Average SHGC: 0.320 14.Hot water systems
8. Floor Types (1841.0 sqft.) Insulation Area a.Electric Cap:40 gallons
EF 0.920
a.Slab-On-Grade Edge Insulation R=0.0 1841.00 ft2 b. Conservation features
b.N/A R= ftz None
c.N/A R= � 15.Credits Pstat
Total Proposed Modified Loads: 29.29 PASS
Glass/Floor Area: 0.101 Total Standard Reference Loads: 38 31
I hereby certify that the plans and specifications covered by Review of the plans and p�'C�STqpA
this calculation are in compliance with the Florida Ener�q�r specifications covered by this �y � ' __ �� O
Richard T. ? o,9rca��Y.��edbY���a, ����9� �- %, _ . �
Code. � ��� calculation indicates compliance �� �i,, ' °;:,,�����
1'°":`"=""h"dT.`°`ba"9n"'.°,°", with the Florida Ener Code. � nn,,���.;��= •°:� „ O
Carbau h III� ema�F-rcarbaugh@schmittincmm,c=US 9y � �
Date:2015.08.0514:4156-04'00' �f• ,,"-�
PREPARED BY: g _, Before construction is completed �
apiMNW.ab�ris �
DATE: �-ti-� ��"'..-:�:`a..�.�.-•- this building will be inspected for � ,'a
,, "'.'°""°"..`""°' compliance with Section 553.908 *�-° *
I hereby certify that this building,as designed,,i o9in�Ycom�l�a�ce Florida Statutes. 1�, ���C.
with the Florida Ener codeDanny �'DN:cn=DannySNmM14o. /) Orj��¢
9Y f`ou=CAC1815619. /
OWNER/AGENT� SChPYlltt ,,� �'"'°-p�"'Bp��H�Sa�,,,N�.�o �
''�'"��"5 BUILDING OF� �AL: �
�ATE: 1-6-15 %�=:°�".�:°_m-�� DATE: ��
� A,o�,..,.�m
- Compliance requires certification by the air handler unit manufacturer that the air handler enc sure qualifies as
certified factory-sealed in accordance with 403.2.2.1.1.
- Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist
8/5/2015 2:37 PM EnergyGauge�USA-FlaRes2010 Section 405.4.1 Compliant Sofiware Page 1 of 5
PROJECT
Title: REMINGTON IV 1841 Bedrooms: 3 Address Type: Street Address
Building Type: User Conditioned Area: 1841 Lot#
Owner• HIGHLAND HOMES Total Stories: 2 Block/SubDivision:
#of Units: 1 Worst Case: Yes PlatBook:
BuilderName: SCHMITT,INC RotateAngle: 180 Street:
Permit Office: Cross Ventilation: No County� Marion
Jurisdiction: Whole House Fan: No City,State,Zip: ,
Family Type: Single-family FL,
New/E�dsting: 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,Ocala FL_OCALA_MUNI_(AWO 2 28 91 70 75 1144.5 51 Medium
BLOCKS
Number Name Area Volume
1 Blockl 1841 14728
SPACES
Number Name Area Volume Kitchen Occupants Bedrooms InfiIID Finished Cooled Heated
1 Main 1841 14728 Yes 4 3 1 Yes Yes Yes
FLOORS
# FloorType Space Perimeter R-Value Area Tile Wood Carpet
1 Slab-On-Grade Edge Insulation Main 181 ft 0 1841 ft2 ____ 0 0 1
ROOF
/ Roof Gable Roof Solar SA Emitt Emitt Deck Pitch
\/ # Type Materials Area Area Color Absor Tested Tested Insul. (deg)
1 Gable or Shed Composition shingles 1940 ft2 306 ftz Medium 0.9 N 0.9 No 0 18.4
ATTIC
V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC
1 Full attic Vented 300 1841 ftZ N N
CEILING
# Ceiling Type Space R-Value Area Framing Frac Truss Type
1 Knee Wall(Vented) Main 19 16 ft2 0.1 Wood
2 Knee Wall(Vented) Main 19 16 ftZ 0.1 Wood
3 Knee Wall(Vented) Main 19 14 ft2 0.1 Wood
4 UnderAttic(Vented) Main 38 1841 ft2 0.1 Wood
8/5/2015 2:37 PM Ener Gau e�USA-FlaRes2010 Section 405.4.1 Com liant Software Pa e 2 of
9Y 9 P 9 5
I
WALLS
Adjacent Space Cavity Width Height Sheathing Framing Solar Below
1 NE=>SW Exterior Concrete Block-Ext Insul Main 4.1 44 4 8 0 354.7 ftz 0 0 0.8 0
2 SE=>NW Exterior Concrete Block-Ext Insul Main 4.1 34 0 8 0 272.0 ft2 0 0 0.8 0
3 SW=>NE Exterior Concrete Block-Ext Insul Main 4.1 46 4 8 0 370.7 ftz 0 0 0.8 0
4 W=>E Exterior Concrete Block-Ext Insul Main 4 1 8 0 8 0 64 0 ftZ 0 0 0.8 0
5 NW=>SE Exterior Concrete Block-Ext Insul Main 4.1 48 4 8 0 386.7 ftz 0 0 0.8 0
_ 6 -=>SE Garage Frame-Wood Main 13 33 8 8 0 269.3 ft� 0 0.25 0.8 0
DOORS
# Ornt DoorType Space Storms U-Value Width Height Area
Ft In Ft In
1 NE=>SW Wood Main None .35 2 6 8 13.3 ftZ
2 SE=>NW Wood Main None .35 6 6 8 40.2ftZ
3 -=>SE Wood Main None .35 3 7 21 ft�
WINDOWS
Orientation shown is the entered orientation => changed to Worst Case.
/ Wall Overhang
�� # Ornt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation Int Shade Screening
1 ne=>SW 1 Metal Low-E Double Yes 0.55 0.32 4.5 ftZ 1 ft 0 in 1 ft 0 in Drapes/blinds Exterior 5
2 se=>NW 2 Metal Low-E Double Yes 0.55 0.32 44.2 ft2 1 ft 0 in 1 ft 0 in Drapes/blinds Exterior 5
3 se=>NW 2 Metal Low-E Double Yes 0.55 0.32 10.7 ft2 7 ft 0 in 1 ft 0 in Drapes/blinds Exterior 5
4 sw=>NE 3 Metal Low-E Double Yes 0.55 0.32 15.0 ft2 1 ft 0 in 1 ft 0 in Drapes/blinds Exterior 5 �
j 5 w=>E 4 Metal Low-E Double Yes 0.55 0.32 22.5 ft2 4 ft 0 in 1 ft 0 in Drapes/blinds Exterior 5
6 NW=>SE 5 Metal Low-E Double Yes 0.55 0.32 6.5 ft2 1 ft 0 in 1 ft 0 in Drapes/blinds Exterior 5
7 NW=>SE 5 Metal Low-E Double Yes 0.55 0.32 30.0 ftZ 1 ft 0 in 1 ft 0 in Drapes/blinds Exterior 5
� 8 NW=>SE 5 Metal Low-E Double Yes 0.55 0.32 53.3 ft2 8 ft 0 in 1 ft 0 in Drapes/blinds Exterior 5
GARAGE
# FloorArea Ceiling Area E�osed Wall Perimeter Avg.Wall Height Exposed Wall Insulation
1 506 ftZ 506 ftZ 64 ft 8 ft 1
, INFILTRATION
# Scope Method SLA CFM 50 ELA EqLA ACH ACH 50
1 Wholehouse Best Guess .0003 1448.7 79.53 149.57 .2696 5.9018
HEATING SYSTEM
# System Type Subtype Efficiency Capacity Block Ducts
1 Electric Heat Pump None HSPF 8.2 33.6 kBtu/hr 1 sys#1
8/5/2015 2:37 PM EnergyGauge�USA-FlaRes2010 Section 405.4.1 Compliant Software Page 3 of 5
i
COOLING SYSTEM
# System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts
1 Central Unit Split SEER: 14 34.4 kBtu/hr 1032 cfm 0.71 1 sys#1
HOT WATER SYSTEM
# System Type SubType Location EF Cap Use SetPnt Conservation
1 Electric None Garage 0.92 40 gal 60.9 gal 120 deg None
I SOLAR HOT WATER SYSTEM
' FSEC Collector Storage
Cert # Company Name System Model# Collector Model# Area Volume FEF
I� None None ft2
' DUCTS
, / ----Supply---- ----Retum---- Air CFM 25 CFM25 HVAC#
�� # Location R-Value Area Location Area LeakageType Handler TOT OUT QN RLF Heat Cool
1 Attic 6 225 ftz Attic 115 ftz Default Leakage Garage (Defauit)c(Default)c 1 1
�'� TEMPERATURES
Programable Thermostat: Y Ceiling Fans:
i Venting ��Jan ��Feb �X�Mar �X�Apr � �May �X��un [X]Jul [X]Aug [X]Sep �X�Oct �X�Nov €�Dec
Jun [ ]Jul [ ]Aug [ ]Sep
Thermostat Schedule: HERS 2006 Reference Hours
Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12
Coaling(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
8/5/2015 237 PM EnergyGauge�USA-FlaRes2010 Section 405.4.1 Compliant Software Page 4 of 5
FORM 405-10
Florida Code Compliance Checklist
Florida Department of Business and Professional Regulations
Residential Whole Building Performance Method
ADDRESS� PERMIT#�
, FL,
- MANDATORY REQUIREMENTS SUMMARY-See individual code sections for full details.
COMPONENT SECTION SUMMARY OF REQUIREMENT(S) CHECK
Air leakage 402.4 To be caulked, gasketed, weatherstripped or otherwise sealed
Recessed lighting IC-rated as meeting ASTM E 283. Windows and
, doors= 0.30 cfm/sq.ft. Testing or visual inspection required.
Fireplaces: gasketed doors &outdoor combustion air. Must complete
envelope leakage report or visually verify Table 402.4.2.
Thermostat& 403 1 At least one thermostat shall be provided for each separate heating
controls and cooling system. Where forced-air furnace is primary system,
programmable thermostat is required. Heat pumps with supplemental
electric heat must prevent supplemental heat when compressor can
meet the load.
Ducts 403.2.2 All ducts, air handlers, filter boxes and building cavities which form the
primary air containment passageways for air distribution systems shall
be considered ducts or plenum chambers, shall be constructed and
sealed in accordance with Section 503.2.7.2 of this code.
403.3.3 Building framing cavities shall not be used as supply ducts.
Water heaters 403.4 Heat trap required for vertical pipe risers. Comply with efficiencies
in Table 403.4.3.2. Provide switch or clearly marked circuit breaker
(electric) or shutoff(gas). Circulating system pipes insulated to =
R-2+ accessible manual OFF switch.
Mechanical 403.5 Homes designed to operate at positive pressure or with mechanical
ventilation ventilation systems shall not exceed the minimum ASHRAE 62 level.
No make-up air from attics, crawlspaces, garages or outdoors adjacent
to pools or spas.
Swimming Pools 403 9 Pool pumps and pool pump motors with a total horsepower(HP) of= 1
&Spas HP shall have the capability of operating at two or more speeds. Spas
and heated pools must have vapor-retardant covers or a liquid cover or
other means proven to reduce heat loss except if 70% of heat from
site-recovered energy. Off/timer switch required. Gas heaters
minimum thermal efficiency=78% (82% after 4/16/13). Heat pump pool
heaters minimum COP=4 0.
Cooling/heating 403.6 Sizing calculation performed &attached. Minimum efficiencies per
Tables 503.2.3 Equipment efficiency verification required. Special
equipment occasion cooling or heating capacity requires separate system or
variable capacity system. Electric heat>10kW must be divided into �
two or more stages.
Ceilings/knee walls 405.2.1 R-19 space permitting
�I
8/5/2015 2:37 PM EnergyGauge�USA-FlaRes2010 Section 405.4.1 Compliant Software Page 5 of 5
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE INDEX* = 76
The lower the EnergyPerformance Index, the more efficient the home.
• „ FL,
1 New construction or existing New(From Plans) 9. Wall Types Insulation Area
� 2. Single family or multiple family Single-family a.Concrete Block-Ext Insul,F�cterior R=4 1 1448.00 ft2
b.Frame-Wood,Adjacent R=13.0 269.33 ft�
3. Number of units,if multiple family 1 c.N/A R= ft2
4. Number of Bedroams 3 d.N/A R= ft2
10.Ceiling Types Insulation Area
5. Is this a worst case? Yes a.Under Attic(Vented) R=38.0 1841.00 ft�
6. Conditioned floor area(ft�) 1841 b.Knee Wall(Vented) R=19.0 46.00 ft=
7 Windows" Description Area . c.N/A R= ft'Z
a. U-Factor Dbl,U=0.55 186.67 ftZ �� Ducts R ft
a.Sup:Attic,Ret:Attic,AH:Garage 6 225
SHGC: SHGC=0.32
b. U-Factor N/A ft2
SHGC: 12.Cooling systems kBtu/hr Efficiency
c. U-Factor N/A ftZ a.Central Unit 34 4 SEER:14.00
SHGC:
d. U-Factor• N/A ftz 13.Heating systems kBtu/hr Efficiency
SHGC: a.Electric Heat Pump 33.6 HSPF.8.20
Area Weighted Average Overhang Depth: 3.704 ft.
Area Weighted Average SHGC� 0.320
8. Floor Types Insulation Area 14 Hot water systems
: a.Electric Cap:40 gallons
a.Slab-On-Grade Edge Insulation R=0.0 1841 00 ft EF 0.92
b.N/A R= ft2
c.N/A R= � b. Conservation features
None
15.Credits Pstat
I certify that this home has comp ie �nnt t e ori a nergy iciency o e or ui ing o�'�KEs�'AI�A
Construction through the above energy saving features which will be installed (or exceeded) ,y - , � �
in this home before final inspection. Otherwise, a new EPL Display Card will be completed �k�",,,;'% -;.,;,.� '{'„�
based on installed Code compliant features. '••-- �
F q�n�� ',:;yp.° .���`�
� ti ( �
Builder Signature: � � ��� � Date �-t � I 1y � �,� ,I �
*`�� �,
Address of New H me: � ity/FL Zip� �((I� �, o,�
cob�.�.�
*Note: This is not a Building Energy Rating. If your Index is below 70, your home may qualify for energy efficient
mortgage (EEM) incentives if you obtain a Florida EnergyGauge 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 Conservation, contact the Florida Building Commission's
support staff.
**Label required by Section 303 1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT.
EnergyGauge�USA-FlaRes2010 Section 405.4.1 Compliant Software
Load Short Form Job: REMINGTON II
-�- wrightsoft� Date: 02/17/14
Entire House By: RLJ
SCHMITT,INC
17935 U.S:HIGHWAY 19,HUDSON,FL 34677 Phone:727/868-9531
� � • •
For: HIGHLAND HOMES, 1841'
REMINGTON II
� � - • • •
Htg Clg Infiltration
Outside db(°F) 34 93 Method Simplified
Inside db(°F) 70 75 Construction quality Average
Design TD (°F) 36 18 Fireplaces 0
Daily range - M
Inside humidity(%) 30 50
Moisture difference(gr/Ib) 10 38
HEATING EQUIPMENT COOLING EQUIPMENT
Make Goodman Mfg. Make Goodman Mfg.
Trade GOODMAN, JANITROL,AMANA DISTI. Trade GOODMAN, JANITROL,AMANA DISTI...
Model GSZ140361 B Cond GSZ140361 B
AHRI ref 7995401 Coil ARUF37"14A
AH R I ref 7995401
Efficiency 8.2 HSPF Efficiency 11.5 EER, 14 SEER
Heating input Sensible cooling 24140 Btuh
Heating output 33000 Btuh @ 47°F Latent cooling 9860 Btuh
Temperature rise 27 °F Total cooling 34000 Btuh
Actual air flow 1133 cfm Actual air flow 1133 cfm
Air flow factor 0.039 cfm/Btuh Air flow factor 0.039 cfm/Btuh
Static pressure 0.45 in H20 Static pressure 0.45 in H20
Space thermostat Load sensible heat ratio 0.87
ROOM NAME Area Htg load Clg load Htg AVF Clg AVF
(ft� (Btuh) (Btuh) (cfm) (cfm) .
BR 3 166 3650 2821 143 110
BATH 2 52 1971 1253 77 49
FAMILY RM 337 2796 6592 110 257
NOOK 112 2387 1869 94 73
MASTER BR 219 3978 3235 156 126
TOIL. 20 415 142 16 6
KITC H EN 160 311 1582 12 62
WIC 50 97 127 4 5
LAUN. 48 615 909 24 35
DIN ING 148 2708 3184 106 124
FOYER 53 1610 948 63 37
LIVING RM 171 4075 4192 160 163
BR 2 166 2069 1317 81 51
MASTER BATH 133 2203 919 86 36
Calculations approved byACCA to meet all requirements of Manual J 8th Ed.
�. WPI �'ItS�ft� 2015-Apr-2307:29:13
^_ 9 Right-Suile�Universal 2015 15.0.16 RSU09333 Page 1
�+� HVAC\Data\HIGHLAND HOMES\REMINGTON II 1841.rup Calc=MJ8 Front Door faces: S
r'
Entire House 1834 28884 29089 1133 1133
Other equip loads 0 0
Equip. @ 0.98 RSM 28565
Latent cooling 4464 '
TOTALS 1834 28884 33030 1133 1133 ,
Calculations approved byACCA to meet all requirements of Manual J 8th Ed.
,,� wri htsoft` 2015-Apr-23 07:29:13
9 Right-Suite�Universai 2015 15.0.16 RSU09333 Page 2
/�i� HVAC\Data\HIGHLAND HOMESIREMINGTON II 1841.rup Calc=MJ8 Front Door faces: S
y Pro ect Summa Job: REMINGTON II
-E�' wrightsoftg � � Date: 02/17/14
Entire House By: RLJ
SCHMITT,INC
17935 U.S.HIGHWAY 19,HUDSON,FL 34677 Phone:727/868-9531
� • • 0
For: HIGHLAND HOMES, 1841'
REMINGTON II
N otes:
� - � � •
Weather: Ocala Muni (AWOS), FL, US
Winter Design Conditions Summer Design Conditions
Outside db 34 °F Outside db 93 °F �,
Inside db 70 °F Inside db 75 °F �
Design TD 36 °F Design TD 18 °F
Daily range M I,
Relative humidity 50 %
Moisture difference 38 gdlb
Heating Summary Sensible Cooling Equipment Load Sizing
Structure 26258 Btuh Structure 26444 Btuh
Ducts 2626 Btuh Ducts 2644 Btuh
Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh
Humidification 0 Btuh Blower 0 Btuh
Piping 0 Btuh
Equipment load 28884 Btuh Use manufacturers data n
Rate/swing multiplier 0.98
Inflltl'atlon Equipment sensible load 28565 Btuh
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Average
Fireplaces 0 Structure 3528 Btuh
Ducts 937 Btuh
Heating Cooling Central vent(0 cfm) 0 Btuh
Area(ft� 1834 1834 Equipment latent load 4464 Btuh
Volume(ft� 14672 14672
Air changes/hour 0.50 0.26 Equipment total load 33030 Btuh
Equiv.AVF (cfm) 122 64 Req. total capacity at 0.71 SHR 3.4 ton
Heating Equipment Summary Cooling Equipment Summary
Make Goodman Mfg. Make Goodman Mfg.
Trade GOODMAN, JANITROL,AMANA DISTI. Trade GOODMAN, JANITROL,AMANA DISTI...
Model GSZ140361B Cond GSZ140361B
AHRI ref 7995401 Coil ARUF37"14A
AH R I ref 7995401
Efficiency 8.2 HSPF Efficiency 11.5 EER, 14 SEER
Heating input Sensible cooling 24140 Btuh
Heating output 33000 Btuh @ 47°F Latent cooling 9860 Btuh
Temperature rise 27 °F Total cooling 34000 Btuh
Actual air flow 1133 cfm Actual air flow 1133 cfm
, Air flow factor 0.039 cfm/Btuh Air flow factor 0.039 cfm/Btuh
� Static pressure 0.45 in H20 Static pressure 0.45 in H20
Space thermostat Load sensible heat ratio 0.87
Calculations approved byACCA to meet all requirements of Manual J 8th Ed.
.�, WCI f7tS0�` 2015-Apr-23 07:29:13
," 9 Right-Suite�Universal 2015 15.0.16 RSU09333 Page 1
�� HVAC\Data\HIGHLAND HOMES\REMINGTON II 1841.rup Calc=MJ8 Front Door faces: S
I
N
Sheet 1
143 cfm BATH 2
77 cfm
BR 3 NOOK
143 cfm
94 cfm MAS7ER BR
9" 4��
156 cfm
6" 24x12
263 cfm 5'-4"
781 cfm
9 7��
9,�
16 cfm
111 cfm FA RM 6„ TOIL.
81 cfm 6„ �6" 111 cf KITCHEN 4
WIC 4��
BR2 6"
6�� 6 cfm g6 cfm
81 cfm 12" MA 7ER BATH
81
63 cfm g��
U 12"
162 cfm 46 16"
4 I
FOYER
8' ��� ��
LIVING RM D'NING '
111 cfm 12"
' GARAGE
il
I�
Job #: REMINGTON II Scale. 1 92 �
Performed by RLJ for: SCHMITT,INC Page�
HIGHLAND HOMES 17935 U.S.HIGHWAY 19 Right-SuiteO Universal 2015
REMINGTON II HUDSON, FL 34677 15.0.04 RSU09333
Phone:727/868-9531 2014-Nov-05 07•31.55
. LAND HOMES\REMINGTON II 18...
Duct System Summary Job: REMINGTON II
� wrightsoft6 Date: 02/17/14
Entire House By: RLJ
SCHMITT,INC
17935 U.S.HIGHWAY 19,HUDSON,FL 34677 Phone:727/868-9531
� • • •
For: HIGHLAND HOMES, 1841'
REMINGTON IV
Heati ng Cool i ng
' Extemal static pressure 0.45 in H20 0.45 in H20
Pressure losses 0.18 in H20 0.18 in H20
Available static pressure 0.27 in H20 0.27 in H20
Supply/retum available pressure 0.187/0.083 in H20 0.187/0.083 in H20
Lowest friction rate 0.121 in/100ft 0.121 in/100ft
Actual air flow 1133 cfm 1133 cfm
Total effective length (fEL) 224 ft
� • � - .
Design Htg Clg Design Diam H x W Duct Actual Ftg.Eqv
Name (Btuh) (cfm) (cfm) FR (in) (in) Matl Ln (ft) Ln(ft) Trunk
BAn�z h 1971 77 47 0.125 4.0 Ox 0 VIFx 39.4 110.0 st1
BR z h 2069 81 61 0.127 6.0 Ox 0 VIFx 37.6 110.0 st1
BR3 h 3650 143 106 0.121 6.0 Ox0 VIFx 44.8 110.0 st1
DINING c 2296 106 111 0.151 7.0 Ox 0 VIFx 18.8 105.0 st3
FAMILY RM c 2289 55 111 0.139 6.0 Ox 0 VIFx 29.6 105.0 st1
FAMILY RM-A c 2289 55 111 0.138 6.0 Ox 0 VIFx 30.0 105.0 st1
FOYER h 1610 63 45 0.141 4.0 Ox 0 VIFx 27.2 105.0 st3
KITCHEN c 1674 12 81 0.152 6.0 Ox 0 VIFx 17.9 105.0 st3
v+uN. c 962 24 46 0.151 4.0 Ox 0 VIFx 18.3 105.0 st3
LIVING RM c 3363 160 162 0.131 8.0 Ox 0 VIFx 38.0 105.0 st3
MASTER BATH h 2203 86 46 0.159 6.0 Ox 0 VIFx 17.4 100.0 st2
MASTER BR h 3978 156 127 0.152 7.0 Ox 0 VIFx 18.2 105.0 st2
, NooK h 2387 94 66 0.142 6.0 Ox 0 VIFx 26.4 105.0 st2
TOIL. I1 415 16 7 0.155 4.0 Ox 0 VIFx 15.7 105.0 st2
wic c 134 4 6 0.153 4.0 Ox 0 VIFx 17.4 105.0 st2
• • � - . •
Trunk Htg Clg Design Veloc Diam H x W Duct
Name Type (cfm) (cfm) FR (fpm) (in) (in) Material Trunk
st3 Peak AVF 366 446 0.131 568 12.0 0 x 0 VinlFlx
st1 Peak AVF 411 435 0.121 554 12.0 0 x 0 VinlFlx
st2 Peak AVF 356 252 0.142 454 12.0 0 x 0 VinlFlx
2014-Nov-05 07:31.52
,,; wrightsoftQ Right-Suite�Universal 2015 15.0.04 RSU09333 Page 1
�� HVAC\Data\HIGHLAND HOMES\REMINGTON II 1841.rup Calc=MJ8 Front Door faces: S
I �
� , 1
Grill Ht CI TEL Desi n Veloc Diam H x W Stud/Joist Duct
9 9 9
Name Size(in) (cfm) (cfm) (ft) FR (fpm) (in) (in) Opening(in) Matl Trunk
rb2 Ox 0 263 186 56.2 0.148 594 9.0 Ox 0 VIFx
rb1 Ox 0 646 781 69.0 0.121 559 16.0 Ox 0 VIFx
rb4 Ox 0 81 61 0 0 0 0 Ox 0 VIFx
rb3 Ox 0 143 106 0 0 0 0 Ox 0 VIFx
2014-Nov-0S 07:31�52
„ wrightsoft$ Right-Suite�Universal 2015 15.0.04 RSU09333 Page 2
/�i� HVAC\Data\HIGHLAND HOMES\REMINGTON II 1841.rup Calc=MJ8 Front Door faces: S
■ p
,
� i � �
Cer�ificate of Product Ratings
AHRI Certified Reference Number: 7995254 Date: 3/30/2015
Product: Split System: Heat Pump with Remote Outdoor Unit-Air-Source
Outdoor Unit Model Number: GSZ140361K*
Indoor Unit Model Number:ARUF37D14A*
Manufacturer: GOODMAN MANUFACTURING CO., LP.
Trade/Brand�name: GOODMAN;JANITROL;AMANA DISTINCTIONS; EVERREST; ONE HOUR AIR
CONDITIONING AND HEATING; ENERGI AIR
Series name: GSZ14
Manufacturer responsible for the rating of this system combination is GOODMAN MANUFACTURING CO., LP.
Rated as follows in accordance with AHRI Standard 210/240-2008 for Unitary Air-Conditioning and Air-Source
Heat Pump Equipment and subject to verification of rating accuracy by AHRI-sponsored, independent,third
' party testin9�--- -- -�- - ----- - _ _- -- ------� ----
r
J '_ ' ' _ '___'_"__"- '___
I
' Cooling Capacity_(Btuh): , __ 34400 - - - -__ -- , - __ _ ._ _ ;,:�
� ---- - -- - - ' ="� - , - - , • ' j - - -- ,��
; EER Rsting'(Cooling): ._ �11.�50 r _ -_� � � I ` �� j ,`__ � '
__. 1 � .. � , i � r ' �
,� SEER Rating-(Cooling)l - � - ��14:�00 - � -�- - � - � -� -� � -
_
' Heating Capacity(Btuh) @ 47 F: 32800 `_�'''� 'i` � � - �� ;_i ' � ' � �/ �`. �, � , ' _ � _
' Region IV HSPF Rating (Heating): 8.20
---- ---- --- -� -- __ _---- ----- -------- --- - ---- - - - - - -- - -- -- - —
Heating Capacity(Btuh) @ 17 F: 20000
'Ratings followed by an asterisk(')indicate a voluntary rerate of previously published data,unless accompanied with a WAS,which indicates an involuntary rerate.
DISCLAIMER
AHRI does not endorse the product(s)Ilsted on this Certlflcate and makes no representatfons,warrantles or guarantees as to,and assumes na responslbtllty for,
the praduct(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or pertormance of the product(s),or the
unauthorized alteration of data Iisted on thfs Certificate.Certifled ratings are valld only for models and conflguratlons Iisted ln the
directory at www.ahridirectory.org.
TERMS AND CONDITIONS ��
This Certificate and its contents are proprletary products of AHRI.This Certificate shall only be used for Indlvldual,personal and
confidential reference purposes.The contents of this Certificate may not,in whole or In part,be reproduced;copied;disseminated;
entered(nto a computer database;or otherwise utilized,fn any form or manner or by any means,except for the user's Indlvldual,
personal and confldentlal�efe►ence. AIR-CONDITIONING,HEATING,
CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE
The informatlon for the madel cited on thls certificate can be verlfled at www.ahridfrectory.org,click on"Ve�ify Certificate"Ilnk �make]ife heccerr
and enter the AHRI Certified Reference Number and the date on whlch the certfficate was issued,
which is listed above,and the Certlficate No.,which is Iisted at bottom rlght.
02014 Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 130722107072546357