HomeMy WebLinkAbout15-16701�— �
CITY OF ZEPHYRHILLS
5335-STH STREET
� � (sss��so-oo20 16701
, BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16701 Issued: 11/05/2015 Address: 39119 PARK DR
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: 160,900.00 Total Fees: 1,502.18 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 1,502.18 Date Paid: 11/05/2015 Parcel Number: 12-26-21-0030-00100-0090
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ALL STATE HOMES INC Name: LUCKEY, SHERMAN &ALISE
Addr: 11300 N CENTRA AVE Address: 39119 PARK DR
TAMPA,FL. 33612-5603 ZEPHYRHILLS, FL. 33542
Phone: 813935211 Lic: Phone: (813)783-2322
Work Desc: CONSTRUCT NEW REPLACE HOME FIRE DAMAGE
APPLICATION FEES
BUILDING FEE 1,030.20 E ECTRICAL FEE 214.43 PLUMBING FEE 151.50
MECHANICAL FEE 106.05
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Ins ections Re uired
FOOTER 2ND ROUGH PL MB MI IN ULATION 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 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 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 property. 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 performed in accordance
with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTORS SIG PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
\
39119 PARK DR-ALLSTATE HOMES INC-2683 SQ FT-REPLACE
»
HOME DUE FIRE DAMAGE-NEW CONSTRUCT
� o umn
SQ. FEET PRICE
MAIN OR LIVING: 2,683 $ 101.90
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 273,397.70
FEE SHEET $ 1,010.00
ADDRESS
DRIVEWAY
BUILDING: $ 1,030.20
ELECTRICAL: $ 214.43
PLUMBING: $ 151.50
� MECHANICAL: $ 106.05
SUB-TOTAL $ 1,502.18
I TOTAL $ 1,502.18
SEW ER: currenUwaived
WATER: current/waived
IRRIGATION: $ -
� TOTAL: $ -
WATER METER: current/waived
IRRIGATION METER $ -
� FIRE DEPARTMENT FEES
PLANS TOTAL:
- INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ - n/a
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5% $ -
TOTAL: currentlwaived
SUB-TOTAL $ 1,502.18
PARK IMPACT FEES current/waived
SIF'S:
100.0% $ -
1.0% $ -
TOTAL: current waived
T I F'S: current waived
99% $ -�
� 1% $ -
TOTAL: $ 1,502.18
39119 Park Dr
. .
o umn
SQ. FEET PRICE
Total 2,683 $ 101.90
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 273,397.70
FEE SHEET $ 1,007.00
ADDRESS
DRIVEWAY
BUILDING: $ 1,027.14
ELECTRICAL: $ 226.58
PLUMBING: $ 151.05
MECHANICAL: $ 105.74
SUB-TOTAL $ 1,510.50
TOTAL $ 1,510.50
SEWER:
WATER:
IRRIGATION: $ -
TOTAL: $ -
WATER METER:
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5% $ -
TOTAL: $ -
SUB-TOTAL $ 1,510.50
PARK IMPACT FEES
SIF'S:
100.0% $ -
1.0% $ -
TOTAL: $ -
TIF'S:
99% $ -
1% $ -
' TOTAL: $ 1,510.50 ,
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Since 1955
I STEVEN HANSEN, license holder for All State Homes, Inc., authorize the
following people to apply/sign for permits under my license number CRCO26357 in
' the City of Zephyrhi Ils.
Please allow .ONLY the person(s) listed below to sign.
Dawn Jordan
Tom Gregory
Donna Lotz
� 10/30/15 -
STEVEN HANSEN Date
STATE OF FLORIDA
� COUNlY OF HILLSBOROUGH
�� Notery Puhllc State of Florida
Mary A�n Jaworske
E�`repmmif05 201g�74291
(Signat r o Notnr lic- State of Florida) �O'��
Personally known � OR Provided Identificntion
Type of Identification Produced
Corpornte Office * 11300 N. Central Ave. * Tampa, FL 33612-5699 * (813) 935-2111 * Fax(813)932-
3753 '
:�� � , ALL STATE I30MES,INC.
' CONSTRUCTION AGREEMENT
11300 N.Central Ave.•Tampa,Florida 33612 P�
813-935-2111 or 933-6561•Fax 813-932-3753 �
Date: 7/15115
Purchaser's Name SHERMAN LUCKEY AND ALISE LUCKEY
Purchaser's Address 39119 PARK DRIVE City ZEPHRHILLS State FL Zip Code 33542
Home Tel. (813)783-2322 Bus.Tel. Other Tel.
THIS CONTRACT made and entered into by and between ALL STATE HOMES, INC., hereinafter called the "Contractor" and above
"Purchasers" hereinafter called the OWNER. The Contractor agrees to construct a home or duplex(s) or triplex(s) (hereinafter"Home") as per
Contractor's plans.
Model CUSTOM Elevation CUSTOM Signed and approved by Owner
Such home is to be built on the property of Owner, in PASCO county ZEPHRYHILLS city, legally described
as follows:_12-26-21-0030-00100-0090 and the Owner agrees to pay for such home the purchase price shown
below and,unless a 100%cash purchase,Owner authorizes Contractor to arrange first mortgage financing for said home on said property as
shown above.
Model Purchase Price $ 160,900.00
Total Extra Items,Closing Cost&Survey Allow-
ance(AddendumlChange Order 001) $ 30,550.00
$
TOTAL PRICE $ 191,450.00
Down Payment $ 0.00
Allowances for Lot Payoff(if any) $ 0.00
AMOUNT TO BE FINANCED A $ 191,450.00
1.CONTRACTOR REQUIRES UP TO THIRTY(30)WORKING DAYS TO START CONSTRUCTION AFfER MORTGAGE CLOSING AT LENDER,OR ESCROW DEPOSIT ON CASH CONTRACTS,AND
RECEIPT OF BUILDING PERMR;PROVIDED,HOWEVER,THAT CONTRACTOR SHALL NOT BE REQUIRED TO COMMENCE WORK UNTIL NOTICE OF COMMENCEMENT IS RECORDED IN THE
PUBLIC RECORDS OF THE COUNTY WHERE THE ABOVE DESCRIBED PROPERTY IS LOCATED AND A CERTIFIED COPY THEREOF IS PROPERLY POSTED ON THE CONSTRUCTION SITE.
2.CONTRACTOR REQUIRES UP TO TWO HUNDRED SEVENTY(2T0)DAYS PER HOUSE OR DUPLEX INCLUDED IN THIS AGREEMENT FROM THE DATE OF COMMENCEMENT OF ACTUAL
' CONSTRUCTION FOR COMPLETION OF CONSTRUCTION OF EACH HOUSE OR DUPLEX INCLUDED IN THIS AGREEMENT.
3.COSTS OF UTILITY TAP FEES,SUCH AS ELECTRICAL,WATER,AND SEWAGE TAPS THAT ARE NOT INCLUDED IN THE TOTAL PRICE STATED ABOVE,AND ALL SUCH COSTS SHALL BE
PAID BY THE OWNER IN ADDRION TO THE TOTAL PRICE STATED ABOVE.
4.IF ANY GOVERNMENTAL REQUIREMENTS DICTATE STANDARDS IN EXCESS OF NORMAL SEPTIC TANK AND DRAINFIELD STANDARDS SUCH AS,FOR EXAMPLE,SUMP PUMP,ANDIOR
OVERSIZED SANDBED OR DRAINFIELD ANDIOR EXTRA FILL DIRT REpUIRED FOR A HIGHER SEPTIC TANK STUBOUT,THE EXTRA COSTS OF SUCH REMS OVER THE NORMAL STANDARDS
SHALL BE AN ADDITIONAL CHARGE TO THE OWNER.
5..ANY OTHER COSTS OF MEETING ANY GOVERNMENTAL REQUIREMENTS FOR THE PURPOSE OF CONSTRUCTION ON OWNER'S PROPERTY,DESCRIBED ABOVE,SUCH AS,BUT NOT
LIMITED T0,DEVELOPMENT IMPACT OR PERMR FEES(OTHER THAN NORMAL BUILDING PERMIT FEES OR COST OF INSPECTIONS),ENGINEERING,STUDIES,SPECIAL IMPROVEA9ENTS TO
SATISFY GOVERNMENT REQUIREMENTS,ETC.,SHALL BE PAID BY OWNER..
6.NO ALTERATIONS,ADDITIONS T0,OR ADDENDUMS TO THIS PRINTED FORM CONTRACT SHALL BE BINDING UPON ALL STATE HOMES,INC.WRHOUT THE SIGNATURE OR INITIALS OF A
CORPORATE OFFICER OF ALL STATE HOMES,INC.APPEARING THEREON.
7.THIS CONTRACT SHALL NOT BE BINDING UPON ALL STATE HOMES, INC., UNTIL REVIEWED AND ACCEPTED BY AN OFFICER OF ALL STATE HOMES, INC.THE FOREGOING
NOTWITHSTANDING,IF ALL STATE HOMES,INC.DOES NOT REJECT THIS CONTRACT WRHIN THIRTY(30)DAYS OF THE EXECUTION HEREOF OF ALL PARTIES,THEN THIS CONTRACT
SHALL BE DEEMED ACCEPTED.THE EFFECTNE DATE OF THIS CONTRACT SHALL BE THE EARLIER OF THE 30TH DAY AFfER EXECUTION BY ALL PARTIES IF THE CONTRACT HAS NOT
BEEN REJECTED,ORTHE DATE OF SUCH ACCEPTANCE.
8.RADON GAS:RADON IS A NATURALLY OCCURRING RADIOACTNE GAS THAT,WHEN IT HAS ACCUMULATED IN A BUILDING IN SUFFICIENT QUANTITIES,MAY PRESENT HEALTH RISKS
TO PERSONS WHO ARE EXPOSED TO IT OVER TIME.LEVELS OF RADON THAT EXCEED FEDERAL AND STATE GUIDELINES HAVE BEEN FOUND IN BUILDINGS IN FLORIDA ADDITIONAL
INFORMATION REGARDING RADON AND RADON TESTING MAY BE OBTAINED FROM YOUR COUNTY PUBLIC HEALTHUNIT.
9.OWNER TO HAVE ALL STATE HOMES INC.A NAMED INSURED ON THEIR BUILDER'S RISK INSURANCE AND IS RESPONSIBLE FOR ANY THEFTNANDALISM ON SRE..OWNER AND
OWNER'S BUILDER'S RISK INSURANCE COMPANY HEREBY WANE SUBROGATION RIGHTS AGAINST THE CONTRACTORAND THE CONTRACTOR'S INSURANCE COMPANY.
10.ACCEPTANCE FROM OWNER IS DEFINED AS WHEN ALL STATE HOMES,INC.IS FULLY PAID.
B EXCEPT WHERE CONSTRUCTION MORTGAGE PROVIDES OTHERWISE,AND ON ALL NON-FINANCED CASH PROJECTS, I
� )
CONTRACTOR SHALL BE PAID AS FOLLOWS
Initial down payment $ 0.00 DATE RECENED 1 1
25%of total price(less any initial down payment) $ 0.00
15%of total price when concrete slab is poured $ 0.00 TOTAL PRICE
50%of total price when roof dried-in,inside framing and tub set $ 0.00
Balance upon completion $ 0.00
$ 0.00
NOTE:UNLESS MORTGAGE FINANCING INDICATED UNDER"A"ABOVE,ALL CONSTRUCTION PROJECTS SHALL BE CASH PROJECTS,PAYABLE AS ABOVE
SPECIFIED UNDER HEADING"B".
THIS AGREEMENT IS SUBJECT TO ALL TERMS AND CONDITIONS STATED UPON PAGES 1 THROUGH 3.TIME IS OF THE ESSENCE OF THIS AGREEMENT.
- _IF ALL STATE HOME$,INC.IS TO ARRANGE PERMANENT FINANCING; PAYMENT WILL BE BASED ON AVAILABLE CONVENTIONAL RATES AT THE TIME OF
COMMITMENT FROM LENDER. " - ' " - - -- _- — —- �
— DATE CEIVED _7 / 15 1_15_
THE BUYER OF A ONE-FAMILY OR TWO-FAMILY RESIDENTIAL DWELLING UNIT H �ZHE.RIG HAVE ALL DEPOSIT FUNDS(UP T010 PERCENT OF THE
PURCHASE PRICE) DEPOSITED IN AN INTEREST-BEARING ESCROW ACCOUNT.THIS RIGHT MAY BE WAIVED, IN WRITING, BY THE BUYER.THIS RIGHT IS
BEING WAIVED AS ACKNOWLEDGED BY MY INITIALS ON THE LINE PROVIDED. Customer initials
WITNE SES:
J�/ � OWNER � (Seal)
OWNER • (Seal)
ALL STATE H S,INC.By:
HA 00009139
Re�.(02�0�) Page 1 of 3
ADDITIOl�?AL CONDITIONS AND AGREEMENTS
IT IS I6iUTUALLY IJNDERSTOOD AND AGREED THAT:
�. a.Unless indicated upon page 1 hereof as a cash project,or unless Owner indiqtes that Owner shall obtain Owners own construction and permanent mortgage financing,then
ConVactor shall use its best efforts to assist Owners in obtaining construction and permanent mor�qage financing from a non-signatory lending institu6on equal to the amount to be financed,as
stated on page 1 hereof,upon the terms stated on page 1 hereof;provided,however,that Contractor does not guarantee the availability of such financing,and Contractor shall not be liable in any
event or for any amount,upon the failure to obtain such financing for any reason.Any monetary difference beiween the mortgage financing as stated on page 1 hereof or ihe actual mortgage
financing and the total price shown on page 1 hereof shall be paid in full by Owner to Contractor upon execution of the mortgage instruments,and Owner agrees to execute such instruments and
documents,specifically including such mortgages and promissory notes as may be required by the mortgagee
b,If any portion of the Contract Price is to be paid by or through a construction loan agreement procured by Owner from a lender which requires Contractor to execute or to be bound
by a construction loan agreement or other agreement which wntains terms or conditions which Contractor in its sole discretion deems unacceptable,then Contractor may either(a)retum any
deposit to Owner,following which this Agreement shall be terminated and each party relieved from any further obligation to the other;or(b)refuse to sign or be bound by such consVuction loan
agreement or other agreement,following which Contractor may suspend its further performance under this Agreement until such time as Owner fumishes written adequate assurances of its ability
to pay the balance of the Contract Price.In the event Owner fails to fumish such written adequate assurance within forty-five(45)days of ConVactors written demand,then Owner shall be deemed
in default and Contractor may then invoke the default provisions of this Agreement.
2. Owner agrees to direct any lending institution financing the construction of the house to pay to Contractor such sums as may be due as construction progresses in accordance with the
pracGce of the lender.Owner further agrees to execute and deliver to Contractor,within three(3)days following compleUon of the above described work, a Certificate acknowledging such
completion and accepting said improvements,as required by said lending institution andlor Contractor.
3. Owner acknowledges that this Agreement,including the terms and condiGons stated upon page 1 hereof,and lhe plans for the model home described on page 1 hereof,constitutes the
full and entire understanding of Owner and ConVactor and that this contract has not been signed in reliance upon any promise, representa6on or inducement not specifically stated in this
Agreement.This Agreement may not be changed except in writing signed by either one of the Owners and by any officer of the Contractor.This Agreement shall be fuliy binding and obligatory
upon both Owner and Contractor and the heirs,successors,personal representatives and assigns of Owner and ConVactor.This Agreement shall be construed as if both Owner and Contractor
equally participated in the drafting thereof.
4. Absent specific wdtten notific�tion to the contrary mailed by registered mail to Contractor within four(4)days following such completion,Owner shall be conclusively deemed to have
acknowledged such completion and accepted said improvements without excepGon.All payments due the Contractor under this Contract,whether for damages or otherwise shall be payable at the
office of said ConUactor in Tampa, Florida,when due. If Contractor should resort to collect said payments through an attomey, Owner agrees to pay all costs of such collection,including a
reasonable attomey's(ee.
5. a.Should the mortgage financing terms stated upon page 1 hereof be unavailable to Owner after reasonable efforts by Contractor andlor Owner to arrange for same,or should Owner
fail to qualify for the above specified mortgage financing and fail to agree on financing on different rates or terms,or should any mortgage contemplated or instituted hereunder prove undesirable or
otherwise unsa6sfactory to the Mortgagee thereof,within thirty(30)days hereof,then this Contract shall be null and void,having no further force or effect,except that any deposit made hereunder
shall be retained by Contractor to the extent of all expenses incurred by it hereunder and provided that any mortgage theretofore executed by Owners shall be released.
b.In the event that Owner shall qualify,however,for mortgage financing upon the terms stated upon page 1 hereof or if Owner shall agree upon altemative mor�qage financing,or in
the event that no mortgage financing is required hereunder(that is in the case of cash projects and projects where the owner is providing his own financing),and thereafter Owner,in any such
event,shall refuse or fail to execute the aforementioned financing instruments or in any other way breach this Agreement or instnict lhe Contractor not to proceed hereunder at any time prior to
said Contractors having commenced actual construction,then and in any of said events,Owner agrees to pay to the Contractor an amount equal to ten per cent(10%)of the above listed total
price as liquidated damages whereupon Owners liability under this Agreement shall cease.
c.In the event of any breach of this Agreement or of the Owner giving no6ce to the Contractor to cease its acGvities hereunder at any time following actual commencement of
consVuction activities pursuant hereto,then and in any of said events Owner agrees to pay to Coniractor a proportionate part of the aforementioned total price based upon the percentage of
completion attained and,in addition thereto,as liquidated damages,an amount equal to ten per cent(10%)of the total price allocable to the percentage of construction work not completed.
d.It is underslood and recognized that,in the event of any of the above enumerated breaches by the Owner,damage to the Contractor resulting therefrom is certain but difficult to
compute in amount,and,therefore,the above specified liquidated damages are agreed as a reasonable adjustment of the probable damages to the Contractor under such circumstances,and not
as a penalty. A lien is hereby given to Contractor by Owner on the above described property to secure all obligations and liabilities of Owner under all the provisions of ihis wnstruction agreement
in its entirety,which lien shall be in addition to and not in lieu of any lien granted by the laws of Florida or the United States.Should it be necessary for Contractor to enforce this lien or any lien
granted to Contractor by law through court proceedings,Owner agrees to pay all costs of such enforcement including,but not limited to,a reasonable fee for Contractors attomey.In the event
there occurs a default by Owner under the terms and condifions of this contract,ConVactor may enforce the lien granted herein through foreclosure or Contractor may exercise any other rights
granted to Contractor by law,including but not limited to,exercising the rights and privileges granted to Contractor by Chapter 713 of the Florida Statutes.Any attempt by Contractor to enforce the
lien granted by the provisions of this paragraph shall not be deemed an election by Contractor to waive or forego the rights granted to ConVactor by law,including,but not limited to,Contractors
rights under Chapter 713,Florida Statutes.
6. All allowances stated on Addendum 001 hereof, if any, are acknowledged as estimates only. Owner shail be liable for Contractors cost plus 20°/a overhead and profit for any
allowance item. If the cost plus the 20%exceeds the amount of the allowance,Owner shall in all events pay as a further extra the diHerence between the allowed charge(cost plus 20%)and the
amount of the allowance.Likewise,those charges stated on Addendum 001 hereof for such extra courses of block as may be required for foundation,if any,are estimates and should Building
Code compliance or terrain conditions require(in ihe sole judgment of Contractor)more than 3 courses of block for foundation,Owners will pay Contractor its standard chan�e therefor,which shall
not be less than$1.25 per square foot of total whole area of the foundation per extra course. If any allowance is greater than the allowed charge,the Contractorwill apply the resul6ng credit to the
Final Statement at the time of completion and final settlement Any foundation with greater than 6 courses of extra foundation block requires 1 or more belt beams per local buildings codes.
Owners will pay Contractor the standard charge therefor,which shall not be less that$7.50 per lineal foot. Stairs and handrails may be required and Owners will pay Contractor the standard
charge therefor,which will be current cost at the time of installation plus 20%for overhead and profit.
7 Owner warrants and represents to the Contractor that the above specified construction does not violate any existing restrictions,zoning,set-back or other land use requirements
pertaining to the above described property and acknowledges that Owner has specificaliy approved the location thereon or said improvement. Owner hereby further specifically accepts sole
responsibility for access to the building site,all elevation,surface,subterranean and other soil condiGons, both known and unknown, relative to the subject and surrounding property Having
' carefully reviewed Contractors building plans and blueprints and having also made all color and other selections,including extras,no change orders will be accepted without additional expense to
Owner to be agreed upon before implementation thereof.Contractor is released irom responsibiliiy for damage to the building site resulting irom delivery of materials or workmen thereto.
Except as expressly disclosed in any public report fumished Owner,Contractor has made no geological or environmenlal tests or surveys of the property or lot and makes no representation or
warranty conceming geological or environmental matters such as sink holes or radon gas and specifically excludes such geological and environmental matters from any warranties given under this
agreement.Owner acknowledges and understands that Contractor makes no warranty or representation regarding shifting soils,unsettled soils,unusual rocks or subsurface conditions,and the
limited warranty provided above does not include defects caused by normal wear and tear,insubstan6al or immaterial variances or defects,the elements,natural disasters or faulty maintenance,
operation or abusive use.Under no circumstances shall Contractor be liable for consequential or incidental damages.No warranty shall arise or be enforceable until such time as conVactor has
been paid in full.
e. DANGEROUS CONDITION;CONSTRUCTION WORK;ENTRY UPON PROPERTY:Owner understands and agrees that the Property is a construction site and that the Property and
the improvements,equipment and supplies located on the Property constitute a danger to those who may enter on the Property.Owner shall not enter onto the Property prior to completion unless
authorized to do so and accompanied by Contractors representative.Any unauthorized,unaccompanied entry by Owner shall constitute a breach of this Agreement by Owner,at ConVactors
election.Any entry by Owner onto the Property,whether accompanied,authorized,or not,shall be done at Owners own risk and in compliance with all safety laws and regulations.Owner waives,
releases and agrees to indemnify Contractor,its officers,directors,employees,agents,subcontractors and suppliers from any and all claims,losses or damage,whether to property or persons,
suffered or incurced by Owner,Owners family members or guests,as a direct or indirect result of any entry onto the Property.
9. SUPERVISION OF FORCES: Owner agrees that supervision and direction of the working forces, including, without limitation, all subconVactors, is to be done exclusively by
Contractor,and Owner agrees not to issue any instructions to the working forces or otherwise hinder construction or installabon of improvements on the Property.Owner shall not do or have any
work done on the Property,nor may Owner store any possession thereon,prior to completion of the work.
10. UTILITIES:Contractor will pay utility bills for electricity and water used during construction of the improvements.Owner understands and agrees that all utilities will be disconnected by
Contractor three(3)business days following the issuance of a temporary or final Certificate of Occupancy,whichever is earlier,and it shall be Owners sole responsibility to arrange for the supply
of all utilities to the Property thereafter.
11. Notwithstanding those construction periods stated upon page 1 hereof, Contractor shall in no event be responsible for delays in completion resulting irom conditions beyond
Contractors control,including,but not limited to,slrikes,riots,earthquakes,hurricanes,war,acts of God,moratoriums,govemmental orders,acts of Owner,or inability of Contractor to obtain any
one or more of materials and/or equipment necessary to such completion,failure of any utility company to provide service or to provide or allow hook-up to its service,or any other event which
would support a defense based upon impossibility or impractirabiliiy of performance. Noiwithstanding anything contained in this Agreement to the contrary,in no event shall Contractor be
responsible for any damages or inconveniences suffered by Owner due to Contractors failure to complete the improvements within the time period set forth herein,regardless of such delay.If
Contractor fails to install an extra item,ConVactors responsibility shall be limited to a refund of any amount paid therefore.
b.DELAYS:If the progress of Contractors work is substantially delayed without the fault or responsibiliiy of Contractor,then the schedule of work shall be adjusted accordingly.It is
expressly agreed that,in the event Contractor is delayed by any cause(e.g.,other contractors,strikes,riots,disturbances,stoppage of the work by govemmental authorities,etc.),Contractors time
for completion of its work shall be extended by an amount equal to such delay,without prejudice to ConVactors right to additional compensation for such delay.
000 13 Page 2 of 3
All State Homes, Inc.
Owne s initials
12. , ��wner,•or'Owners,joinUy and severally,as the case may be,shall be personally responsible to Contractor for all amounis due Contractor hereunder.All amounts due Contractor
hereunder shall accrue interest at the maximum interest rate allowed by law(currently 18%per annum)from the due date thereof until paid and should it become necessary for Contractor to collect
said payments through an attomey,Owner hereby agrees to pay all costs of such collection,including a reasonable attomey's fee.The words"Owne�'or"Owners"whenever used herein,shall
mean the singular or the plural according to the number of owners shown on page 1 hereof,and each Owner hereunder shall be jointly and severally responsible for all amounts due to Contractor
and conditions and covenants of Owner hereunder
13. FINAL INSPECTION:Upon substantial completion of the home,Owner shall have the opportunity to attend a formal presentation of the home with Contractors representative during
which any incomplete work or defects shall be itemized and the itemized list shall be signed by Owner and Contractor.If Owner does not inspect the home at that time,Owner shall have waived
Owner's right to such inspection.Contractor shall have a reasonable time to perform the work necessary to complete or correct those items on the signed,written list.
14. DELIVERY OF POSSESSION:Possession of the home shall be delivered to Owner after the Certificate of Occupancy has been issued and all sums due Contractor under this
Agreement have been paid in full.Owner shall in no event take possession or be entitled to take possession of the home prior to that time.
� 15. SUBSTITUTIONS:Contractor agrees to construct the home in substantial compliance with the Specifications.Contractor shall have the right to substitute substantially equivalent
, materials for any of those called for in the Specifications and to make such other modifications to the home or substitutions as may be required due to shortages in supplies or materials or as may
be required by appropriate local authorities or any construction lender,or as may be reasonabiy necessary to fulfill the design intent of Contractor.
16. OWNERSHIP OF PLANS, SPECIFICATIONS, ETC.: Any and all plans, blueprints, illustrations, specifications or copyrighted or copyrightable interests produced or created by
Contractor in connection with the construction of the home shall be and remain the sole and exclusive property of Contractor
17 In the event that the above listed total price is increased by any change or addition to the plans or specifications or for any other reason,the full amount of such increase(or any other
monies owing the Contractor that are not provided by a deposit or mortgage proceeds)shall be due and payable to the ConVactor on the date of the change order;provided,however,that upon
� the request of the Owner,the Contractor,at its option,may agree to the payment of all or any part of such amount in equal monthly installments over a period not to exceed one year(12 months)
such installments to include principal and interest at eighteen per cent(18%)per annum until paid in full;provided however,that no such monthly installments shall in any event be less than
$50.00.Owner or Owners shall execute a negotiable installment promissory note to Contractor evidencing any such amount due and the terms provided above and providing for the acceleration of
the maturity or due date of the unpaid principal and interest at the option of the holder upon default in the payment of any installment of principal and interest.
18. Any other tertns herein to the contrary notwithstanding,if at anytime prior to the actual start of on site construction work,Contractor,in its sole discretion,shall decide(a)that any
requirements of any govemment or govemmental agency or authority with respect to the construction of the home herein proposed upon the premises described herein or(b)that elevation,
surface,subterranean or other soil conditions with respect to such premises,are such that Contractor's usual methods of construction of the home proposed hereunder are difficult,impossible or
I unfeasible financially or otherwise,then Contractor,in its sole discretion,may terminate this contract,retain the nonrefundable deposit to cover Contractor's costs incurred,and Contractor shall
have no further obliga6on to Owner.
19. The total price,sub-total price and amount to be financed shall remain effective for sixty days after the date of this contract,but,if construction does not commence within the said sixty
day period through no fault of ConVactor,then the said total price,sub-total price and amount to be financed shall increase to include price increases for the model described herein.
I20. Contractor warrants to Owner that beginning at closing of lhe residence("Home")and for a period of one(1)year thereafter the structural components of the Home will be constructed
free from substantial or material defects arising from faulty workmanship.In addition,Contractor shall assign to Owner all manufacturer or supplier warranGes that are so assignable.Contractor
makes this expressly in lieu of all other express or implied warranties conceming the home sold or to be constructed hereunder and the property sold hereunder or previously purchased from
Contractor,and any other representations,statements or promises made by any person are unauthorized and are not binding upon Contractor.All other warranties with respect to the home and
the property hereunder are hereby disclaimed,to the extent permitted by law,whether implied or arising by operation of law,course of dealing,custom and practice,or otherwise,including,but not
limited to,any warranties of habitability,merchantability,and fitness for particular purpose;and Owner represents that Owner has read and understood this provision,and that Owner understands
and agrees that,by entering into this contract and accepting the benefits of the limited warranty described above,Owner has knowingly relinquished any and all other warranties of any kind or
nature regarding the home and the properiy.Owner may purchase a ten year structural Home Buyers Warranty insured by New Home Warranty Insurance Company(NHWIC).Owner understands
and agrees that Contractors one year warranty excludes all items covered by the said Home Buyers Warranty if purchased by Owner. In the event of a conflict between the provisions of Builders
construction agreement and the provisions of the"Structural Home Warranty,the provisions of the"Structural Home Warranty"will control."
21. Construction Industries Recovery Fund Disclosure. Payment may be available from the Construction Industries Recovery Fund if you lose money on a project performed under a
contract where the loss results from specified violations of Florida law by a state licensed contractor For information about the Recovery Fund and filing a claim,contact the Florida Construction
Industry Licensing Board at the following telephone number and address:CONSTRUCTION INDUSTRY LICENSING BOARD•ATTN:RECc�VERY FUND�7960 ARLINGTON EXPRESSWAY,
SUITE 300•JACKSONVILLE,FLORIDA 32211-7467•Telephone:(904)727-6530.Owner hereby acknowledges that Contractor provided Owner with the Notice of Consumer Rights Under The
Construction Industries Recovery Fund as required by Section 489.1425,Florida Statutes.
22. Pre-suit Mediation.Any controversy or claim arising out of or related to the Contract,or the breach thereof,that has not been resolved in accordance with the provisions of this
Contract,shall be referred initially to non-binding mediation as a condition precedent to litigation of a claim between the Contractor and the Owner as to any matter or claim arising out of the
ConVact.The parties shall make a good faith effort to resolve the dispute at this non-binding mediation stage to avoid the unnecessary time and expense associated with formal binding litigation.
Owner and Contractor shall share equally in the costs associated with the services of the mediator.Should Owner and Contractor reach a settlement of the dispute at mediation,the terms of the
settlement shall be set forth in a written settlement agreement signed by an authorized representa6ve of the Owner and Contractor prior to the conclusion of the mediation.Should Owner and
Contractor be unable to resolve their dispute under the mediation procedure set forth above,the dispute shall be decided by the court of appropriate jurisdiction in Hillsborough County,Florida;
provided,however,in the event it is necessary for Contractor to foreclose on its construction lien,then such IitigaGon shall be filed in the county in which the subject property is located.The parties
expressly waive any and all right to trial byjury in any action(s)between or involving them.This clause shall survive closing.
SEVERABILITY:In the event any part,term,sentence,clause or provision of this Agreement should be held to be invalid or unenforceable,such invalidity or unenforceability shall not affect in
any way the remainder of this Agreement,not otherwise invalid or unenforceable,all of which shall continue,neveRheless,in full force and effect.
FLORIDA LAW CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY FILE A LAWSUIT FOR DEFECTIVE CONSTRUCTION AGAINST A CONTRACTOR,
SUBCONTRACTOR,SUPPLIER,OR DESIGN PROFESSIONAL FOR AN ALLEGED CONSTRUCTION DEFECT IN YOUR HOME.SIXTY(60)DAYS BEFORE YOU FILE YOUR LAWSUIT,YOU
MUST DELIVER TO THE CONTRACTOR,SUBCONTRACTOR,SUPPLIER,OR DESIGN PROFESSIONAL A WRITTEN NOTICE OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE
DEFECTIVE AND PROVIDE YOUR CONTRACTOR AND ANY SUBCONTRACTORS, SUPPLIERS, OR DESIGN PROFESSIONALS THE OPPORTUNITY TO INSPECT THE ALLEGED
CONSTRUCTION DEFECTS AND MAKE AN OFFER TO REPAIR OR PAY FOR THE ALLEGED CONSTRUCTION DEFECTS.YOU ARE NOT OBLIGATED TO ACCEPT ANY OFFER MADE BY
THE CONTRACTOR OR ANY SUBCONTRACTORS,SUPPLIERS,OR DESIGN PROFESSIONALS.THERE ARE STRICT DEADLINES AND PROCEDURES UNDER FLORIDA LAW,
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA
STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT
PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR
PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A
SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL
SUPPLIERS OR NEGLECTS TO MAKE OTY�ER LEGAI�LY REQUIRED PA�'MEN'�S, TH� PEOPLE
WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE
PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR
CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED
YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR
OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO I
PAY. FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT
WHENEVER A SPECIFIC PROBLEM ARISES,YOU CONSULT AN ATTORNEY.
HA 00009139
Page 3 of 3
All State Homes,Inc.
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City of Zephyrhills � ��e ,���
� BUILDING PLAN REVIEW COMMENTS ���/�
Contractor/Homeowner: ��`�� ��,���5 ��
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Date Received:, �b���` �'
Site: 3-�/��9 ��l(' ��
Permit Type: �F�J���� �F"!�� ��i�G�YyI
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Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
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This comment sheet shall be kept with the pernut and/or plans. �
. �
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• Kalvin S 'tzer— s Examiner Date Contractor and/or Hom
(Required when co ents are esent)
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. A114 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)
:, a l..u��' �i_..�G
� . Y � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 `PG��'1 ��
"" Building Department
� • Date Received 0�16�( Phone Contact for Permitting ��, `��. — 2�(, � /G�� !
�(, p � F�� �
Owner's Name �' �L�} � � �1,. Owner Phone Number � ' � '�,� 5g
Owner's Address -) � � Owner Phone Number
Fee Simple Titieholder Name Owner Phone Number
Fee Simple Titleholder Address
�� JOB ADDRESS I � I 1 l'�Y�� �Ji- Ze h r h i I 1 335 �-- LOT# �
SUBDIVISION PARCEL IQt!
(OBTAINED FROM PROPERTY TA7(NOTICE)
WORK PROPOSED e NEW CONSTR e ADDlALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q
DESCRIPTIONOFWORK i�l�w C���S�hru�-{ion SI` IJ�OU� (1 �
BUILDING SIZE SQ FOOTAGE L� HEIGHT � I
OBUILDING $ 1 1,1,/1 r�lfl VALUATION OF TOTAL CONSTRUCTION
1lW "llllJ
hr;
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �� �� ��
� ` ��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /yy
�r.
OGAS Q ROOFING Q SPECIALTY � OTHER 1 �'�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO �
�`6 .S-�,�
BUILDER ' �� COMPANY i'f�� 1�/111.. �mW � �C .
SIGNATURE �'� �� REGISTERED Y/ N FEE CURRE� Y J N
, Address I l, , l '1 l.I�I I t� License# � ��S
' ELECTRICIAN � COMPANY
Tam�G f�ct. 1�e�m�U rn L"(ec ��jJat�,�`s��`e�9
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address r5�a�-I � �e��t� u�s� �r T License# � ��'j ��/U
PLUMBER COMPANY ����1 1 l�`-� ��U mIJ I� �/
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address N e _1rtU� � ni License# � � �t �
MECHANICAL A�� COMPANY NUI...���� e� I�
y�y� .� �
SIGNATURE i+ REGISTERED Y/ N FEE CURRE� Y/N
Address � � ���3�
C e U License#
+j � OTHER ���`.'°`�� COMPANY �U �1 �DO11Q�C lii 1�1� l��(}' � �
� �� SIGNATURE . REGISTERED / N FEE CURRE� Y/N
Address Q �, ���1) �Ul � � License# 1���� �`"1") ` �� �1
IIIIIIIIIIISIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIISI1111111111111 � ����
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, �p
Minimum ten 0)working days a er submittai date. ,eqwr�"R��te,Construc ion ans,Stormwater Plans w/Silt Fence instailed, i
Sanitarv Facilities&1 dumpster;Site Work Permit for subdivisions/lar e ro'ec�s'—
COMMERCIAL Attach(2)complete sets of Building lans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsita,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Sfte Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for alI NEW construction.
Directions:•
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500)
� " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
` 1...�C�1C� �
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,
• 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 AMD 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 Divisior�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 in existing buildings,or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Fiorida 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—Homeowners
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 cammencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other 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 8� Rehabilitative Services/Environmental Health Unit-Welis, 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
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, welis, 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 COM NCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR T E OF COMMENCEMENT. ��1�
FLORIDA JURAT(F.S.1 .03j '
i
OWNER OR AGENT CONTRACTOR ���/ �O
Subscribed and sworn to r affirmed)befor me this y Subscribed and swor affirtned)before me this
b. �� b
Who is/are p r'sg onally knpy✓ri1 e or has/have produced � Who is/are ersonally k wn to me or has/have produced
as identifica6on. �p as identification.
G 4''�l � � Y' Notary Public 1V C. ��� Notary Public
Commission Na. Commission Na.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
�o�";:::�Bi•� NOELLABUR(dESON aot;:A�::��o NOELLABURQESON
,� * MY COMMISSION#FF 173&40_ �, * MY COMMISSION#FF 173610
EXPIRES:Nope,'mber.2,2Qf&=_ ' ,� � EXPIRES:.No'verober 2,20„18,.,
�""rFOFF���`�O! BondedThruBudgelNdbryServicess,.• _ , j'�'�oFc�o�'�O Bond2.d-TlltllBildgelNotaPjtSe�viCes..:;,-V:,:; ��
d �.c�c���
*:,,y��`iZ.kr:.,
.�>✓ `t,�'rV:
PERMIT APPLICATION ��� `�'°h �`
�,�;'.:�
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
� All information must be filled-in completely
City of Zephyrhills
5335 8�'Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780.0005
� Date of application: , , . 'P.rocessed By:: :. � � � . Permi##:, . . " - ,
` � , ' (9ray area for smff use bnly) • = ` , ,
���Copyto Building Department � � ` .�Gopy'to Public:Works ` �
PRO7ECT/70B SITE: PROPERTY OWNER
i , ..
Address: " r Nam :
C� (C e '' (1 1 �5 C �
Unit #:
Address: � I Unit:
Parcel Identification Number: -z(�- 2.1-003b� v0 0 Ci State Zi " ( L 5 �
� � Phone: "� Fax:
CONTRACTOR:
Com an : �p
Name: � S
Contractor's License #: �� Q 35`� E-Mail: �Y- c aQ 6 (� Q .(�
Phone: 1��5-�1� Cell: $} �3 R�55 Fax: "
ARCHITECT/ENGINEER:
,
Name: p�l f(t �( ( Firm Name: }'T � �� j� � (�(� I'1
Address: DO VYl Vl Ci : 1r 1'C� State: L Zi : q"lo
State License #: � Phone: 81 (p(o�. 81 Cell: $l (o �{ Fax:
T�'1PX�i IS Ctfl Description of Project ��
� �.X 1 S�Y� �
TYP F DRNEWAY `, LENGTH OF DRNEWAY CULVERTS NEEDED
RESIDENTIAL DRNEWAY ��)��W�7 WIDTH OF DRNEWAY ( )REINFORCED CONCREfE
COMMERCIAL DRNEWAY G�6'1� R.O.W. EXCAVATION ( )CORRUGATED MATERIAL
PUBLIC ACCESS DRNEWAY �;O r�� DEPTH LINEAR FEEf ( )BOX CULVERT
� ( )OTHER(IXPLAIN)
CONSTRUCTION MATERIAL CURB CUT REQUIRED
ASPHALT YES NO
��CONCREfE
HEADWALL REQUIRED? YES NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
' IIt�`,"' � �7C�J L��6���'��/'�U/
1 `,
�13-935-�111 �►.L S'�� I�OM�S,71�C, IQCLIJ�'rv �d�clalru �fl-�-�5 Rev��sed
ar zi_ .
SECTION 12, TOWNSHIP 26 SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA. lg"
TOPOGRAPHIC SURVEY W1TH TREE IOCATION � LOT 26
LEGAL DESCRIPTION: LOT 27 B LOC K �
LOTS 9 AND 10, BIOCK 1, ZEPHYR HEIGHTS, AS RECORDED IN
PLAT BOOK 5, PAGE 50, OF THE PUBLIC RECORDS OF PASCO B LOC K � ��,��a„�� "�x�,3 ��
COUNTY, FLORIDA. FN� t/z'�.R. 'S2 „ ! Pr1ST 139.89'(Fj No 1/2"I.R.�a7•�
— — — 5'UTIUTY EASEM � ��L�^'_ —,�s70'� x CLF * _ 'da �.8
8' S.6'. .To�c uKwso S.0 � n�.e x 0.1
TREE LEGEND (SIZE AS NOTED) 1.1 , SHED ao" SNco �L � Yo 60,. �b nK,�.s �
IN : SHEO,,���';� Ir"� o
OFIF ` �.'':' 1 ) 4'CLk°& �n
a�w/F. 6" � u�e a�.e LOT 10 '�.�+ �
��=crrRus�sx� �=onx�rss QE LOT 9 � °B E�LOCK 1 �
,eEn, B LOC K 1 ,.., . �, ' 38.0 �36"
OVE-� e�.� ;G1,r;18:0'•,
ELEVATION LEGEND: ^��6 �� `°"°` . .-. .� 'u .:°r"'�=r;;:=�Y� 38" fks. .
GL=GHN7BRLIIVSSL.BVATTON $.� I PRoPoSED NCW CONSTPl�GTIoN. ��� Y � (ry`�.9
oc--�anc��G7IRBABLBVATION LOT 8 $� .. I5� ��66_ S1N�L� F�kfmi� R�SID6NC& ; j';'� a73 yg, ►, �� LOT 1 1
EP=.BDC�SOFPAVBM8IN'19L6VATfON B LOC K 1 ��_ : � 3s,r•srEmwR�- -, =,,,�, 88 B LOC K 1
ASPH=ASPHALTB[BVATION r� ' I - - .�,!n 15.1'
� �"" � FFE= . - , � 6" �€�
CNC=CONCRE78&LSVATION •r z ... �sn►.ti
OT7=CiRA7�II111/L6'�7'fiLBVATlN �' �
1 ; %,..., �
INV.�PIPBINVBRTBI.SVA770N ,�8,�� .:; • CONCRET�'.d I _ � # " :' �%•'�(, 2,$ a BLOG. ��
TY7B=7CJPOFBANKHLSVATION TO F36 I : Pe,X.151'ja'6'• � . -,;a r" e�M�A{„ � S$
) '
Ti7B=7CJBOFSLOPB&LBVATION G;'.".-�!'i:,.';>'°��OEM06D 6.�. ' . , ' - . - r-.-— - - - "+`;�;<� -- -- yk�p
:'�x�a:�• �
ERK=BRICKSLSYATlON -_ � 'Eyi5T7A16 -1.7 ,t' . - (,ON( ..•F//:.,`•.,; :_ ^ - -�,v,�r.��,,:;:�16J',:;k" 1�3 �s
�E OPP > •,,,Of�IV�:�: !Op" eab 11.D 8�� ,
NOTES: 6�W�F •� CONCRE7'E � �a� � . I� �e•� gg,2 �x IS.S
1)BEMINCS ARE BASEU UPON 7HE NORMERLY � •.�,DRIVE� �
UNE LOTS 9&10,EAST PIAT BEARINC W��1,e �.. WELL
2)PROPERTY APPEARS TO B£IN FLODD ZONE'X" $" .� / nd � I Z+Z
PANEL612057C-0A56 SUFFl%"P 881 i� , :.,���.�•' I 'k' 4�CLF
ACCORUING TO NA710NAL FL000 �x •a . � ! �9 T.S
INSIIRANCE RAIE NAP RENSED 9-26-2014 .g ••
S)ELEVn710NS ARE BASED ON NAW'88 DATUM �•8 FND C.M. °�•� �� '0�,�) I� �'S8' FND 1 2"I.R. �
4J IECAL DESCRIPTION FURNISHm BY TI7lE COMPANY �X qx4 ` • ^ ' �e� N�°.��� ."374���I 862 x GUY � S�LB�C
S)ALL MEASUREMQITS ARE IN U.S.FEET 1 �� ..�d', � , dM � WEST I37SS�(DI � WIRE �Y
eea � PP�s Gluvemm�berl(�
aP . VERIZON. .' •~ �. . �9 69A • se9
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CERTIFIED T0: 6 dw�� EDGE OF PAVEMENT ������
SAffitMANO.LUQC8YA11mAldSBRLUCKBY � � _ �. PARK DRIVE�3 _ �3 �2.4���"
�-0���,�y�� 50'PLATTED R/W 20' ASPHALT ROAD � ��I'Z�
L7�CA()O7TIZSALSURANG8Q7. ' Chord=2.42(F�P)
.�ct srA78NOn�£nvG S178a�vc�lAwC ChordBrg.N.89 48�2 S
P.K NA2INROAD SlT6B6NCfA4ARK
ELHVA7TON.89.02' P.K NAILINROAD
��� 11// CERTIFICATION BLBYATTON=89.18�
,Digitallysigned by`��o y; wly��/�� «rc�emrnrernussrmverw,asnune NOT VALID WITHOUT SIGNATURE WITH SURVEYOR SEAL �S�N
;-� • �'DON WILLIAM50��p�', ��e '�, q�y'�/� ��Tn'Rsswr'smcecx+rt�.u�nme7srr� T&��Q
/" \^�_ o V/�� ��+���s+'����+' LEGEND:, i.a.=iRON aao NOTE: THIS SIIRYEY WAS CONDUCTED ASSOClt'�li'iS INC.
��Qi,w`.-��J".�aat.tir.Date:2015.09.2=,Q v ��' O� �R1R7ffHY7N8BQARDOPPROPB4S7[1NALUND �ASVH�ASPHAL! ��UCENSED BU9NE55 �
V �'� .e'• �� y.�yB���A� o.U.-oYFF MERD UnU7Y ' N9THOU7 THE BENEFlT OF AN ABSTRACT
'Ifl•11�4(i-�14�flflC 'N 364� �'• .. �N1QlJ�SlGNANRH A/C.A61 CON�ITIONER pK �pppK�NRttON 0�11RE,THEREFORE.7HERE MAY BE PROF6SSIONAI.SURVSYORS
w; 4= MPHARA'OQN7ldSDQLTAffiVl'LSAVJ!!ORl�OBY (C)-CnLCUlA7Eu ���p�,T O7HER EASENENTS,RIGHT-OF-WAY,
DONALDL.WQ.LIAMSON �b : DONALDLWHLfAA6T1NPSAfJSG9ANDJSQ7M7WM' CIFaCHA1N LINK FEtICE PP�PolSifl PolE �
o ; STA7BOP �X�' M77/RSQip/)-7 � Cl�l..CONCREtE NONUMENi SETBACK LINES,ACREEMENTS,
.afYf7S(3J W(bJ(cJ(d)� PCP.PERM�NENf CON7NOL COINT ��.4��b�S
PRQPB49RWALS(A�VSYORANDAfAPPID! �� � ' CONC�COnCPE7E pqb..,pEpypNENT REFER[NCE NONUNENT RESERVA7qNS,OR O7HER SIMILAR FdATTER
��pB{7Jy7�p,{7}p�y�,}�y /�p :FLORIDR \ CSW�CONCR[TE AOEWAl1C pyy.ppp�S9DNAL AIRYEl9R ANO YAPPFA OF PUBUC RECOR�,N07 DEPICTED ON 302DOUNNHI(i}iWAY9UlTB220p
N[7I'VAl�ATfltOfl!'7fIDID�Cl110AQC �/% • D��� FlEID WORN BTt LM DA7E: F.B./PC. (p)-DEED MEASUFENENT Rl5/PLS e REp57EnE5/PROFE540N�1 LAND SVRVErDR h115 SURVEY TAMPA,PL33QA
SIQaLl7VR$ANDSBALQPAlQ.ORR7A If�o� ..•.•. �0�� 8-19-20�5 !8 Y2 (��FlEIO MEI91kE0 R/w=axal�-OG-WAY (�1�3J 265-4795
LfCffil.�SGp[1ByWQANDMAppID1 ��/ �SufYCY�f �� " ' OAIG � �D.FlRE MIDRANT S,P.N.D..SEf P.K.NAIt h DISK LBOBB�S PAXUI{�3�ZGM1�O6l
���„jj11,\� URAFTED BY� B.P, g�Z�_pp�g JOB/IS-963 p�o�NNPIPE W/FCXOUD FFNCE IA h CAP 1B�69I5 {y��µ{ySONS RVEYINCOYEPIZON.NET
� �
PERMIT APPLICATION
Q
+ � aFFic� usE oN�.Y
PUBLIC�WCIRKS USE ONLY
Concrete (min. 6'� Y N
Asphait Base (min. 6"} Y N
Asphalt(min. 1'Iz"� Y N
�ength {min. 19`} Y N
iNidth {20'min—20'max) Y N
� F�isting sidewalk. Y N
New sidewalk. Y N
ADA compliant. Y N � �
F�cpansian materia( required. N �}'�' - �; p�F ,�gy�j�r�N7
Contiguous parking pad. Y I�
Triangular flare (31N x 7'L) Y N
Visibility triangle o.k.? Y N "
Side set back(3'min. R.O.W.) Y N ,
Plan Review Fee
Additional descri #ion af work as de�ined b P.ublic Works Director and or desi nee:
.
Permit application approved by: Date: 2 3oc?"!
Page 3 of 3
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_.�°�' ;:�i� _:�L J �rL �•i�'+�i �
��acf z5�111�Ll S7A(E F�OMES,'rl.�. �QIJr/L$A1dQ.o'V l0-�-�5 RCvt SCrl
erCTlul1 t2,iOWkSr!P 26 SOU7N, ILL`:G'c 21 EAS.PA5:0 J;U17fY.1109•G�l QIg" f
�'OFOGRA�HI� SITt���EY WRM TREE LOCATI�N LOT 2fi
LEGAL DESCRIPTION: LOT 27
LOTS 9 AND 10, BLOC}C 1,ZEPHIA liEIGNTS,AS pECORDED IN BLOCK 1 BLOCK 'I
PLAT 900K 5,PAGE 90,OF THE PUBLIC RECORDS OF PA�CO pr �
COUNTY, FtOn'IDA !2` �T����� a
iND 1/77A HA�4f 19R�9'(Ff x p� � !
_ _ ' .''ti:_Ir!FA:i11 .�'_Q�=_� 70'(➢J _ .:'�V �irt` I/77.R�� ;
— s �
TREE L'eGEND (S12E AS NOTED) � 8 IX "'Q'= � tid St60 y�. T"�W°�y �S„�„(p° y lt! ;
� IM�c. �
a'C[k+
.w/v 5" � •
��cmem�� ��cHrm� 'rb '� LQT 9 '1� 4 �OCK�I � i
�e-n,q�� BLOCK� 1 •� � �� 3ao 3y� J j
EL�VATlON CEGEND: �� ^�,'�.,�.�_ 'u_.�Z s, ��
d.�tL�El8VA7PaN ��I P:a➢oS60 N6W to.Ih7[�cT,ar.] 7g �,� �.�+i j
e�.�an�n a�eea�e�rcev �T p �. �' �nancE wNc�.ti r-p±�atzF-ia��uk 1 x„� � � �� LOi 11
����A�so�v B LOC K 1 '� ' 3?.r••srFastWw.c. K • S 8 k3 LOC K 1 �
��,. f
av�_�sZarxv,�ao,v �:0., �_I � �. 6,��
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TOB�717i'GFaAI�➢CSLBYATrtBv To BE
I[�.TOHQASZQNlBf8Vit7T�Y ��p I ��61�15 @.�' p+�M. y !i
SRK�PRACB(BVAYION �EY�57i1J6 L7 �A�F •. �"� y--,.�!--- 74!' �'� y
NDIES: �E e�� 'cW'��'' '�' •I1 I�'�'V � h LJ� 8, 3
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ura wrs�a ia uar vu:evrmc ' y,�,q,�.• :.I! wvi
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'A4x Ium:�:-as¢ Amx T i'.:V
MCORW IO M/o�1L tt�0o 7 ' 7
IOOxtC a1R I�W.F[�•'fD a:t-]+'{ X �1 I '�'71 7..T
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a: • 3 X7 vv�J oxs�mUo-tR7
v vervzop �+s +wn w�
C E�xa Drt+�r.um.v��.eer.�r "a � � DRIVE�w encc a�P�n:--�Jir ��s�
rt PARI:
�mr�aaevs� so'aurr— V .—. ■' ,w ua�
R/W 20'ASPWILT ROAD ° �48�'�
u�isrA�s�emms.�n�co. �� dve.2f2QiRi°J
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��t �/i C�RTIFICA710N � �'��^�f�'
Digilallyslgrcdby`�1'�.Wl�/�/ «�srawr�ravnwes�uo� wji,j,j�$Qj�
i i NOi VAUD WITMGVf SIONRTURF:N!H SUAVEYQR S£AL
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noravo�vmsm�ro�ram � '�� wm ra/w ar-carxu axra. rsrc-; '�i�v or wa�e r:.:o�..a��rn:�o. S�'lREUIIC08WAYEOf�llOA
7s � �nn ncM:n:W m .aa uua,m,. ..,�,i_,u�w`t+`�n."'��,,,wo aRK.v :�a,wr.r sv�awvma
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u�matvsnf.wWn� �/���������� oevtm n� ar. a-7��SoiS �I�o-�cs (p•ro��c pxrowu�r �a�c��ais'�i w�e�+e�� MY
I Il �11YIH N'�oOOFYC AlIWfOY �
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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 applicable). (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 RUBLIC.
NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter/
interfere with existing stormwater treatment and/or conveyance.
PROPERTY O RS: By signing this application: I certify that I have read and understand the owner/builder disclosure
statement. (please initial)
t�U,Vv" ��rG�C�X1 � �-z-�-I.S
Applicant Print Name Applicant Signature Date
Permit Technician Signature (or) Notary Signature Date
Applicant is( ) personally known to me or produced as identification.
(type of identification)
Page 2 of 3
�° k.�t~�-� �1�-p��-r,
, g13-93zt-z111 prl.L STPrTE hkaM&S,7ti1C. l�Ci�'U � »'�°-�5 Rev+�sec!
• SECTION 12, TOWNSHIP 26 SOU7H, RANGE 21 EAST, PASCO COUNTY, FLORIDA. 18"
' ; T(JPO�GR.A.PHIC SURVEY WlTH TREE LQCA730N `�.r �Q�' ��
LEGAL DESCRiPTION: LOT 27 B LOC K 1
LOTS 9 AND 10, BIOCK 1, ZEPHYR HEIGHTS, AS RECORDED IN B LOC K � �•4 xgs,y
PLAT �OOK 5, PAGE 50, OF THE PUHUC RECORDS QF PA5C0 BAST l40.AD'(D) aax�,� n�
CdUNTY, F�dRtDA. �Z'� „ �LST 139.&9'(FJ a'CLF °�roD i/2"t.R.�s.i e
F(VD t/2"l.ft. .
— — �'5�UTILITY EASEM ���_' _ --�-xT���� X�� _ �'
^ '8' 5.6. - - Sti�rO :o ec csKwso � S.0 �„ ng e X 0.1 a
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TREE IEGENO {SIZE AS NOTED) 1.1 : - ZN sHEo 3�" ` SHEO,{ ._� q8 �, • 4IN�.s n
. �
-6a�. �" ,� a� �.a LOT 10 �
���=crr�rrs� �.=a.a�c� �E LQT 9 '�' °� �LOCK 1 �
72EM B LOC K � "-':,d8:0.'rrN —38.0 4 �36,
�E� ��, es.� �',.
EIEYAT,ION �EGEND' ���, r , �`°-� ._- - : ', q°�,:''"�<;.=Y �58„ ���y
4"L=GSN7�LIN6HLSVATTON $.o�`'o', �. PRoPoSED NCNC CONST�!.�GTIohI� ' r'. :� ' �.�,
FZ=FLOWI.INEBGBVATION �OT 8 $� : � U� �s,K��.� E�m� lz�s►QcNc� X,��,F�' �" yg' � �� LOT 11
Bt3C=EACKOPCtIRBBt.BVATION - ' - ,
EP=SDC�BOFPAT/�MIDIITBLBVATION B LOC K � � �� 38.1'��TEM WRIC. „.N . ,, -';�'?. ' �g ��-{��� �
SD , , fiFE� "";:•-•` �',�". IS.I' 6�� �W
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INV=PIPSINVER'TELBVATION x,.�;.' -
. G . - ' � '�. •.;�: 23 b B�oc. o S�
TYIB=�iJPOFBANKffi.I3VATION' ��TD �f6 ... . �. E�115'I;M.y. '� � ,�,'.'f',�'r' `�M�p{, � $g
j T7f3E=Tt?EOFSLQFE&LBVATION f;;;.,,F'; AEMOF.O - `= . ••` ' , .-,. y..'�s, -- ---
6.Z' . • Y��f "sa.s �°
r.::�.vi.<163,':,-"; -
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N4TE5; 6'wlF .,��tfrieREi� � �Q� � . �� �.i oa x
�� t)eEARiNGS ARE BASEO UPON ME NOR31tE:RlY � ;,Q�ZIVEs�: ' 88.2 ISS,
UNE LOTS 9&IU,EAST PlA7 BEARING � �- WELL� ,
. wC�Y:' 2: r i i,i
2)PRtlPERTY APPEARS TO 8E IN FLODD ZONE'X' $1 � �•r. � I �k' 4�CLF
PANE!@12057C-0456 SUFFI%"F" �� • '.���, " " 1 ' �,S
ACC6RDItJG 70 NAAQHAC FCOW X � $ ..°- �p 8&2
INSURbl10E R.ST£MAP RENSED 4-25-2Di4 p�' T����a l Ug �,StY' �
S)ELEVA710NS ARE BASED ON NAVD'88 DATUM g7,8 � "�• � . ' . � _ FN� 1 2���.R.
FND C.M. Q a , S',MR.C.
4)IECAI DESCRIPTON FURNISHQI BY iI1lF COAIPANY �X 4K4 ` �� � �^, • eB.;� ��N,89.54�3 , '374Q�� 88.2 •X GUY n� ' 882
5j AtL MEASUREMENTS AftE IN U.S.fEET �� , °d;.���1 .dt,. °8 R'.�7'13�.5&��J °e WIRE j �
1 :�j • pp Curvanum6erl{�
�P 3 �VERIZON a'�•.�. :� � •,.�1��'�- �A. . �P 9 .
GER71FIEfl T4' g� �,6 7 � E4GE OF PA4EMENT �������
, � d"�°" , �. PARK DRIVE�� u�zos�s2�a�,
Sl�PMAN�.LUCK6YANPALISBR.LUCKBY — . � .
3i°� , 893 �)
a��'�'� 5o'PLA7TED R/W 20' ASPHALT ROAD `� 73�a�eenr-1.21
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r.�nCAt?OaarcB�vsuRatvG�oa SrtBBENCtfl11Z9RS Cha�dBrg.N.8948�2�
ALLSTA7�XOIHBS,INC �P.K.NAILINROAD [ SI76B6NQAfARK
BLBYATlONa 89.02' E!'P.K.NAILA/ROAD
ELBYATION=89.18'
� i ti�tt tttt� CERTIFICATION WII.,F,.IAMSON
�D3gitallysigned 6y`wp y: �txt,����� � �������w�� NOT VAUD WITHOUT SiGNATURE WITH SURYEYOR 5EAL ry7�&A.�.p
,7 DON WILUAMSO��, ,�se N ��j FZORtA4blN94fUF178C/lMGLST.INDARD3ASS81' LEGEND: i.R.�iRON Roo NO7E: TMIS SURVE.Y WAS CONOUCTCp ASSO4A!'fli'iS INC.
/����%/���—•<<"�f'��'Date:2075:09.2�� y� 4'a' 'O� FORTliDY7N880ARDOFPROFBFSIQNALlAAD ASPH�aSPH+LLT ��UCEhSED dUSINESS yflTHOUT THE BENEFlT OF AN ASSIRAGT �
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FORM R405-2014
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Business and Professional Regulation - Residential Performance Method
Project Name: Luckey Residence Builder Name: y-��� �yQ�' ���G
SVeet 39119 PARK DR Pertnit Ofiice: (,'��� ur 2 ePhYr�`'�
Ciry,Slate,Z'ip: ZEPHYRHILLS,FL,33542 Permit Number. /b �
Owner: All State Homes Jurisdiction: �f((o d a
Desig�Localion: FL,Tampa
1. New construction or existing New(From Plans) 9. Wall Types(1424.0 sqfl.) Insulalion Area
2. Sin ie famil or multi le fami� Sin le-famii a.Concrete Block-Int Insul,Exterior R=4.1 1240.00 ft2
9 Y P Y 9 Y b.Frame-Wood,Adjacent R=11.0 184.00 ft=
3. Number of units,if mulGple family 1 c.N/A R= ftz
4 Number of Bedrooms 3 d.N/A R- ft=
10.Ceiling Types (1885.0 sqft.) Insulation Area
5. Is this a worst case? No a.Under Attic(Vented) R=30.0 '1747.00 ft�
6. Conditioned Boor area above grade(ftZ) 1739 b.Knee Wall(Vented) R=19.0 138.00 ftZ
c.N/A R= ftz
Conditioned floor area below grade(fl') � 11.Ducts R K'
7_ Windows(203.6 sqft.) Description Area a.Sup:Atlic,Ret:AtUc,AH:Entire Space 6 268
a. U-Factor. Dbl,U=0.63 95.14 ft' �
SHGC: SHGC=0.33
b. U-Factor. Dbl,U=0.56 46.41 ft' 12 Cooling systems kBlu/hr Efficiency
SHGC: SHGC=0.37 a.Central Unit 28.6 SEER:14.00
c. U-Factor. Dbl,U=0.45 4020 ftz
SHGC: SHGC=0.43 13_Heating systems kBtulttr Efficiency
d. U-Factor. olher(see details) 21.90 ft' a.Electric Heat Pump 28.6 HSPF:8.20
SHGC: olher(see details)
Area Weighted Average Overhang Depth: 4.767 ft.
Area Weighted Average SHGC: 0.360 14.Hol water systems
a.Electric Cap:40 gallons
8. FloorTypes (1739.0 sqft.) Insulatio� Area EF:0.950
a.Slab-On-Grade Edge Insulation R=0.0 1739.00 ftZ b. Conserva6on features
b.N/A R= hZ None
c.N/A R= ft' 15.Credits None
Glass/FloorArea: 0.117 Total Proposed Modified Loads: 51.97 pASS
Total Baseline Loads: 53.84
I hereby certify that the plans and specifications covered by Review of the plans and 4'tKE STAT
this calculation are in complian with jhe Florida Energy specifications covered by this ��� "; _�0,�
Code. � calculation indicates compliance y�v„; ==�°��
� /� with the Florida Energy Code. � n,ir,�°�-..r:;a�;:��•��� 0
PREPARED BY: Before construction is completed � --=;- �
DATE_ this building will be inspected for � -S"�'�" . a
compliance with Section 553.908 . � C , ,.
I hereby certify that is building,as designe is in compliance Florida Statutes. 1�, �y�C
with the Florida Energy de. � C�D WE�
OWNER/AGENT: BUILDING OFFIC� L:
DATE: DATE: 0"a ^ ��
- Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as
certified factory-sealed in accordance with R403.2.2.1.
-Compliance requires an Air Barrier and Insulation Inspection Checklist in accordance with R402.4.1.1 and an envelope leakage
test report in accordance with R402.4.1.2. �
- Compliance with a proposed duct leakage Qn requires a Duct Leakage Test Report confirming duct leakage to outdoors,
tested in accordance with Section 803 of RESNET Standards,is not greater than 0.000 Qn for whole house.
9/14/2015 4:59 PM EnergyGaugeB USA-FlaRes2014 Section R405.4.1 Compliant Software Page 1 of 5
FORM R405-2014
PROJECT
Title: Luckey Residence Bedrooms: 3 Address Type: Street Address
Building Type: User Conditioned Area: 1739 Lot#
Owner: All State Homes Total Stories: 1 Block/SubDivision:
, #of Units: 1 Worst Case: No PlatBook:
� Builder Name: Rotate Angle: 0 Street: 39119 PARK DR
Permit Office: Cross Ventilation: County: PASCO
Jurisdiction: Whole House Fan: City,State,Zip: ZEPHYRHILLS,
Family Type: Single-family FL, 33542
New/Existing: New(From Plans)
� Comment:
CLIMATE
� IECC Design Temp Int Design Temp Heating Design Daily Temp
Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range
FL,Tampa FL_TAMPA_INTERNATI 2 39 91 70 75 645.5 54 Medium
BLOCKS
� Number Name Area Volume
1 Block1 1739 13912
SPACES
I Number Name Area Volume Kitchen Occupants Bedrooms InfiIID Finished Cooled Heated
1 Entire Space 1739 13912 Yes 4 3 1 Yes Yes Yes
FLOORS
# Floor Type Space Perimeter R-Value Area Tile Wood Carpet
1 Slab-On-Grade Edge Insulatio Entire Space 178 ft 0 1739 ft' ____ 0.26 0 0.74
ROOF
/ Roof Gable Roof Solar SA Emitt Emitt Deck Pitch
V # Type Materials Area Area Color Absor. Tested Tested Insul. (deg)
1 Gable or shed Composition shingles 1884 ftz 362 ftz Medium 0.7 No 0.9 No 0 22.6
ATTIC
V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC
1 Full attic Vented 300 1739 ft' N N
CEILING
# Ceiling Type Space R-Value Area Framing Frac Truss Type
1 Under Attic(Vented) Entire Space 30 1747 ft' 0.11 Wood
2 Knee Wall(Vented) Entire Space 19 138 ftZ 0.11 Wood
9/14/2015 4:59 PM EnergyGaugeO USA-FlaRes2014 Section R405.4.1 Compliant Software Page 2 of 5
�
FQRM R4Q5-2014
WALLS
Adjacent Cavity Width Height Sheathing Framing Solar Below
# Omt To WaILType Space R_va�e Ef la Et la araa R-vaiuP Frar.tinn Ahsnr C�rad o
_ 1 S Exterior Concrete Block-Int Ins�5intire Space 4 1 23 0 8 0 184.0 ftZ 0 0 0.5 0
_ 2 S Exterior Concrete Block-Int Ins�ilntire Space 4.1 14 0 8 0 112.0 ft� 0 0 0.5 0
_ 3 W Exterior Concrete Block-Int Ins�ilntire Space 4.1 10 0 8 0 80.0 ft' 0 0 0.5 0
_4 W Garage Frame-Wood Entire Space 11 5 0 8 0 40.0 ft' 0 0.23 0.5 0
_ 5 E Exterior Concrete Block-Int Ins�lntire Space 4.1 4 0 8 0 32.0 ft2 0 0 0.5 0
_ 6 W Garage Frame-Wood Entire Space 11 12 0 8 0 96.0 ftz 0 0.23 0.5 0
_ 7 W Garage Frame-Wood Entire Space 11 6 0 8 0 48.0 ftZ 0 0.23 0.5 0
_ 8 N Exterior Concrete Block-Int Ins�ilntire Space 4.1 15 0 8 0 120.0 ft= 0 0 0.5 0
_ 9 N Exterior Concrete Block-Int Ins�lntire Space 4 1 10 0 8� 0 80.0 ftz 0 0 0.5 0
_10 N Exterior Concrete Block-Int Ins�IIntire Space 4 1 12 0 S 0 96.0 ftZ 0 0 0.5 0
_11 N Exterior Concrete Block-Int Ins�Intire Space 4 1 15 0 8 0 120.0 ftZ 0 0 0.5 0
_12 E Exterior Concrete Block-Int Ins�6Intire Space 4 1 14 0 S 0 112.0 ftz 0 0 0.5 0
_13 E Exterior Concrete Block-Int Ins�Intire Space 4 1 6 0 S 0 48.0 ft' 0 0 0.5 0
_14 S Exterior Concrete Block-Int Ins�lntire Space 4 1 15 0 8 0 120.0 ftZ 0 0 0.5 0
_15 W Exterior Concrete Block-Int Ins�lntire Space 4 1 4 0 8 0 32.0 ft2 0 0 0.5 0 �
_16 E Exterior Concrete Block-Int Ins�iIntire Space 4 1 13 0 8 0 104.0 ft2 0 0 0.6 0
I
DOORS
# Omt DoorType Space Storms U-Value Width Height Area
Ft In Ft In
1 S Insulated Entire Space None .29 3 6.7 20.1 ft2 ,
2 W Insulated Entire Space None .29 2.7 6.7 18.1 ft�
WINDOWS
Orientation shown is the entered,Pro osed orientation.
/ Wall Overhang
V # Omt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation Int Shade Screening
1 S 1 Metal Low-E Double Yes 0.56 0.37 46.4 ft' 8 ft 0 in 0.5 ft 0 in None None
2 S 2 Metal Low-E Double Yes 0.63 0.33 32.3 ft� 1 ft 0 in 1 ft 0 in Drapes/blinds None '
3 N 8 Metal Low-E Double Yes 0.63 0.33 9.7 ft' 1 ft 0 in 1 ft 0 in None None I
4 N 10 Vinyl Low-E Double Yes 0.45 0.43 40.2 ft' 12 ft 0 in 1 ft 0 in None None II
5 N 11 Metal Low-E Double Yes 0.59 0.34 15.4 ftZ 1 ft 0 in 1 ft 0 in None Exterior 1
6 E 12 Metal Low-E Double Yes 0.63 0.33 23.2 ftZ 1 ft 0 in 1 ft 0 in Drapes/blinds None
7 E 13 Metal Low-E Double Yes 0.63 0.33 6.7 ft' 1 ft 0 in 1 ft 0 in Drapes/blinds None
8 S 14 Metal Low-E Double Yes 0.63 0.33 23.2 ftz 1 ft 0 in 1 ft 0 in Drapes/blinds None
9 W 15 Metal Low-E Double Yes 0.63 0.34 6.5 ft� 1 ft 0 in 1 ft 0 in None Exterior 1
I
�
I 9/14/2015 4:59 PM EnergyGaugeO USA-FlaRes2014 Section R405.4 1 Compliant Soflware Page 3 of 5
I
I
�
FORM R4Q5-2014
GARAGE
# Floor Area Ceiling Area Exposed Wall Perimeter Avg.Wall Height Exposed Wall Insulation
1 547 ft2 384 ft' 68 ft 8 ft 1
INFILTRATION
# Scope Method SLA CFM 50 ELA EqLA ACH ACH 50
1 Wholehouse Proposed ACH(50) .000254 1159.3 63.65 119.7 1906 5
� HEATING SYSTEM
' # System Type Subtype Efficiency Capacity Block Ducts
1 Electric Heat Pump Split HSPF:8.2 28.6 kBtu/hr 1 sys#1
COOLING SYSTEM
# S stem T e Subt e Efficienc Ca acit Air Flow SHR Block Ducts
Y YP Yp Y P Y
1 Central Unit Split ` SEER:14 28.6 kBtu/hr 858 cfm 0.75 1 sys#1
HOT WATER SYSTEM
# System Type SubType Location EF Cap Use SetPnt Conservation
1 Electric None Garage 0.95 40 gal 60 gal 120 deg None
SOLAR HOT WATER SYSTEM
I FSEC Collector Storage
I Cert # Company Name System Model# Collector Model# Area Volume FEF
� None None ft2
, DUCTS
/ ----Supply---- ---Retum--- Air CFM 25 CFM25 HVAC#
�� # Location R-Value Area Location Area Leakage Type Handler TOT OUT QN RLF Heat Cool
1 Attic 6 268 ft2 Attic 86.95 ft Proposed Qn Entire Spac ---cfm 0.4 cfm 0.00 0.60 1 1
�
9/14/2015 4:59 PM EnergyGaugeO USA-FlaRes2014 Section R405.4.1 Compliant Software Page 4 of 5
FORM R4.05-2014
TEMPERATURES
Programable Thermostat:N Ceiling Fans:
Coolin Jan Feb [ ]Mar A r [ ]Ma X]Jun X]Jul Au [X]Se [ ]Oct Nov Dec
Heatin9 �Jan �Feb [X]Mar f �Apr [ ]May f ]Jun 4 ]Jul f�Aug [ ]SeP []Oct Nov Dec
Ventin Jan Feb [X]Mar [X]A r [ ]Ma [ ]Jun [ ]Jul [ Au [ ]Se [X]Oct Nov Dec
Thermostat Schedule: HERS 2006 Reference Hours
Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12
Cooling(WD) AM 78 78 78 78 78 78 78 78 78 78 78 78
PM 78 78 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 68 68 68 68 68 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 68 68
Heating(WEH) AM 68 68 68 68 68 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 68 68
9/14/2015 4:59 PM EnergyGaugeO USA-FlaRes2014 Section R405.4.1 Compliant Software Page 5 of 5 '
FORM R405-2014
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE INDEX* = 97
The lower the EnergyPerformance Index, the more efficient the home.
39119 PARK DR, ZEPHYRHILLS, FL, 33542
1 New construction or existing New(From Plans) 9. Wall Types Insulation Area
2. Single family or multiple family Single-family a.Concrete Block-Int Insul,Exterior R=4 1 1240.00 ft�
b.Frame-Wood,Adjacent R=11.0 184.00 ft2
3. Number of units,if multiple family 1 c.N/A R= ft�
4. Number of Bedrooms 3 d. N/A R= ftz
5. Is this a worst case? No 10.Ceiling Types � Insulation Area 2
a.Under Attic(Vented) R=30.0 1747.00 ft
6. Conditioned floor area(ftz) 1739 b.Knee Wall(Vented) R=19.0 138.00 ft�
7. Windows** Description Area c.N/A R= ft'
a. U-Factor: Dbl,U=0.63 95.14 ftZ 11 Ducts R ft�
a.Sup:Attic,Ret:Attic,AH:Entire Space 6 268
SHGC� SHGC=0.33
b. U-Factor: Dbl,U=0.56 46.41 ft2
SHGC: SHGC=0.37 12.Cooling systems kBtu/hr Efficiency
c. U-Factor• Dbl,U=0.45 40.20 ft' a.Central Unit 28.6 SEER:14.00
SHGC: SHGC=0.43
d. U-Factor: other(see details) 2�•9�ftZ 13.Heating systems kBtu/hr Efficiency
SHGC� other(see details) a.Electric Heat Pump 28.6 HSPF:8.20
Area Weighted Average Overhang Depth: 4.767 ft.
Area Weighted Average SHGC: 0.360
8. Floor Types Insulation Area 14.Hot water systems Cap:40 gallons
a.Slab-On-Grade Edge Insulation R=0.0 1739.00 ft2 a. Electric EF.0.95
� b.N/A R= ft2
c.N/A R= ftz b. Conservation features
None
15.Credits None
I certify that this home has complied with the Florida Energy Efficiency Code for Building EST
Construction through the above energy saving features which will be installed (or exceeded) .y o��x _ AT�o
in this home before final inspection. Otherwise, a new EPL Display Card will be completed �",,,�''��' ! _'���.� '�'�,
� rnn�''„ :;,�;•°;��```;� p�
based on installed Code compliant features. ;:
Builder Signature: ��J C�(Jj'j� �� Date: � la I' f�� � �' - � �
�„� a
Address of New Home:3q � �� �{-' � �` City/FL Zip: , �1 I'�I � *�.cpD y�'��g'�*
�3 �a
"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 R303.1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT.
9/14/2015 4:59 PM EnergyGaugeO USA-FlaRes2014 -Section R405.4 1 Compliant Software Page 1 of 1
FORM R405-2014
TABLE 402.4.1.1
AIR BARRIER AND INSULATION INSPECTION COMPONENT CRITERIA
Project Name: Luckey Residence Builder Name:
Street: 39119 PARK DR Permit Office:
City,State,Zip: ZEPHYRHILLS,FL,33542 Permit Number:
Owner• All State Homes Jurisdiction:
� Design Location: FL,Tampa
�I
COMPONENT CRITERIA CHECK
I Air barrier and thermal barrier A continuous air barrier shall be installed in the building envelope.
� Exterior thermal envelope contains a continuous barrier.
� Breaks orjoints in the air barrier shall be sealed.
Air-permeable insulation shall not be used as a sealing material.
Ceiling/attic The air barrier in any dropped ceiling/soffit shall be aligned with the
insulation and any gaps in the air barrier shall be sealed.
Access openings, drop down stairs or knee wall doors to unconditioned
attic spaces shall be sealed.
Corners and headers shall be insulated and the junction of the foundation
Walls and sill plate shall be sealed.
The junction of the top plate and the top or exterior walls shall be sealed.
Exterior thermal envelope insulation for framed walls shall be installed in
substantial contact and continuous alignment with the air barrier.
Knee walls shall be sealed.
Windows, skylights and doors The space between window/door jambs and framing and skylights and
', framing shall be sealed.
Rim 'oists Rim joists are insulated and include an air barrier.
, Floors (including above-garage Insulation shall be installed to maintain permanent contact with underside
and cantilevered floors) of subfloor decking.
The air barrier shall be installed at any exposed edge of insulation.
Crawl space walls Where provided in lieu of floor insulation, insulation shall be permanently
attached to the crawlspace walls.
Exposed earth in unvented crawl spaces shall be covered with a Class I
vapor retarder with overlapping joints taped.
Shafts, penetrations Duct shafts, utility penetrations, and flue shaft openings to exterior or
unconditioned space shall be sealed.
Narrow cavities Batts in narrow cavities shall be cut to fit, or narrow cavities shall be filled
by insulation that on installation readily conforms to the available cavity
s aces.
Garage separation Air sealing shall be provided between the garage and conditioned spaces.
Recessed lighting Recessed light fixtures installed in the building thermal envelope shall be
air tight, IC rated,and sealed to the drywall.
Plumbing and wiring Batt insulation shall be cut neatly to fit around wiring and plumbing in
exterior walls, or insulation that on installation readily conforms to available
space shall extend behind piping and wiring.
Shower/tub on exterior wall Exterior walls adjacent to showers and tubs shall be insulated and the air
barrier installed separating them from the showers and tubs.
Electrical/phone box on The air barrier shall be installed behind electrical or communication boxes or
air sealed boxes shall be installed.
HVAC register boots HVAC register boots that penetrate building thermal envelope shall be
sealed to the sub-floor or drywall.
Fireplace An air barrier shall be installed on fireplace walls. Fireplaces shall have
gasketed doors
9/14/2015 5:01 PM EnergyGaugeO USA-FlaRes2014 Section R405.4 1 Compliant Software Page 1 of 1
Luckey Residence
HVAC Load Calculations
for
All State Homes
����� H��� Q�
Prepared By:
Wednesday,September 23,2015
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition,Version 2, and ACCA Manual D.
�
Rhvac-Residential&Light Commercial HVAC Loads . � Elite Software Development,lnc.
Nuccio Heatinq and Air : __ , _ .._ . , , �: _ . , _ �. _ :: , . Luckey Residence
Tampa.FL 33625- �"+�� Page 2
Project Report _ _
Gene�af Project Information:> :. �. ' • � ,�„__.,�,� �
Project Title: Luckey Residence
' Project Date: Tuesday, November 11,2014
Client Name: All State Homes
Design Data "� � � ` �� '� �
. _ � � __:_.,..,,_ �-- — - .
Reference City: Tampa AP, Florida
Building Orientation: Front door faces South
Daily Temperature Range: Medium
Latitude: 28 Degrees
Elevation: 19 ft.
Altitude Factor: 0.999
Outdoor Outdoor Outdoor Indoor Indoor Grains
D�-y Bulb Wet Bulb $el.Hup� $el.Hup7 �Bulb Difference
Winter: 40 37.52 n/a n/a 70 n/a
Summer: 91 77 54% 50% 75 53
Check•Fi ures ' ' � • � ' � `�
Total Building Supply CFM: 932 CFM Per Square ft.: 0.536
Square ft. of Room Area: 1,739 Square ft. Per Ton: 814
Volume(ft3)of Cond. Space: 15,568 �
.Bu'ildin -Loads` � � � � - �
Total Heating Required Including Ventilation Air: 24,144 Btuh 24.144 MBH
Total Sensible Gain: 20,482 Btuh 80 %
Total Latent Gain: 5,169 Btuh 20 %
Total Cooling Required Including Ventilation Air: 25,651 Btuh 2.14 Tons(Based On Sensible+ Latent)
Notes . � .. � , _ ., - , , . . -
� .�.__._.....____� - r.,.�_.�. _..�_.�...�.
Rhvac is an ACCA approved Manual J and Manual D computer program.
Calculations are performed per ACCA Manual J 8th Edition,Version 2, and ACCA Manual D.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads according to the manufacturer's performance data at
your design conditions.
i
\\PLOTTER_RICOH\wrightapps ...WLL STATE LUCKEY 9,15.rh9 Wednesday, September 23,2015,3:33 PM
Rhvac-Residential 8�Light Commercial HVAC Loads , �� Elite Software Development,Inc.
Nuccio Heatinq and Air . _ . _ . _.. , _, : . . . _ Luckey_Residence
Tampa FL 33625 � � - Paae 3�
Miscellaneous Report _ _ ___ ___. _�
System 1 Entire Space ` ` :, Outdoor Outdoor - `.Outdoor � � Indoor . ' :��Indoor� `Grains
In�ut Data .. _ __� ' _=__Dry Bulb _ �Wet�Bulb � Rel.Hum � __Rel.Hum Drv B�alb - Diffecence
Winter: 40 37.52 80% n/a 70 n/a
Summer: 91 77 54% 50% 75 52.95
�Duct:Sizin In uts . _ � - � ° _ � -
Main Trunk Runouts
Calculate: Yes Yes
�� Use Schedule: Yes Yes
Roughness Factor: 0.00300 0.01000
Pressure Drop: 0.1000 in.wg./100 ft. 0.1000 in.wg./100 ft.
Minimum Velocity: 650 ft./min 450 ft./min
Maximum Velocity: 900 ft./min 750 ft./min
Minimum Height: 0 in. 0 in.
Maximum Height: 0 in. 0 in.
Outside Air Data .,�. _- _ �_ _ � < ' � ' � _-_..._..-�---
�(llint�[ �ummer
Infiltration Specified: 0.260 AC/hr 0.140 AC/hr
67 CFM ___ 36 CFM___________ ______
Infiltration Actual: 0.260 AC/hr 0.140 AC/hr
Above Grade Volume: X 15,569 Cu.ft. X 15,569 Cu.ft.
4,048 Cu.ft./hr 2,180 Cu.ft./hr
X 0.0167 X 0.0167
Total Building Infiltration: 67 CFM 36 CFM
Total Building Ventilation: 0 CFM 0 CFM
---System 1---
Infiltration&Ventilation Sensible Gain Multiplier: 17.59 = (1.10 X 0.999 X 16.00 Summer Temp. Difference)
Infiltration&Ventilation Latent Gain Multiplier: 35.98 = (0.68 X 0.999 X 52.95 Grains Difference)
Infiltration&Ventilation Sensible Loss Multiplier: 32.98 = (1.10 X 0.999 X 30.00 Winter Temp. Difference)
Winter Infiltration Specified: 0.260 AC/hr(67 CFM), Construction: Semi-Tight
Summer Infiltration Specified: 0.140 AC/hr(36 CFM), Construction: Semi-Tight
'Duct Load Factor.Scenarios�for System 1 �___ _.�..__,e.y�. � '
, . � , , ` Attic Duct Duct; ; Surface �. � From
`No.�.,Type Description _ Loeation � Ceiling �� _..,�Leakaqe�' . Insulation- Area ��T]MDD
1 Supply Attic 166 0.12 6 240 No
1 Return Attic 16B 0.12 6 174 No
\\PLOTfER RICOH\wrightapps ...1ALL STATE LUCKEY 9,15.rh9 Wednesday, September 23,2015, 3:33 PM �
Rhvac-Residential 8�Light Commercial HVAC Loads �: Elite Software Development,Inc.
Nuccio Heatinq and Air _ , � _ Luckey Residence
Tam a FL 33625 Page 4
Load Preview Report - �
Net ft.' Sen Lat Net Sen Sys Sys Sys Duct
Scope Ton /Ton Area Gain Gain Gain Loss Htg Clg Act Size
CFM CFM CFM
Buildinp 2.14 814 1,739 20,482 5,169 25,651 24,144 314 932 932
Svstem 1 2.14 814 1,739 20,482 5,169 25,651 24,144 314 932 932 14
Duct Latent 813 813
Zone 1 1,739 20,482 4,356 24,838 24,144 314 932 932 14
1-Great Room 375 3,855 769 4,624 3,815 50 175 175 1-S
2-Master Bedroom 224 2,546 442 2,988 4,257 55 116 116 1-6
3-Master Wic 72 209 50 259 84 1 10 10 1-5
4-Master Bath 108 1,255 488 1,743 1,136 15 57 57 1-5
5-Laundry 90 1,499 354 1,853 2,428 32 68 68 1-5
6-Kitchen 165 3,223 1,273 4,496 1,310 17 147 147 1-6
7-Dininq 180 1,502 88 1,590 2,011 26 68 68 1-5
8-Bed 3 225 3,130 413 3,543 4,035 52 142 142 1-6
9-Bath 2/Hall 90 611 44 655 865 11 28 28 1-5
10-Bed 2 210 2,651 435 3,086 4,202 55 121 121 1-6
UPLOTTER_RICOH\wrightapps ...WLL STATE LUCKEY 9,15.rh9 Wednesday, September 23,2015, 3:33 PM
�
Rhvac-Residential 8�Light Commercial HVAC Loads ` � Elite Software Development,Inc.
Nuccio Heatinq and Air_ _ Luckey Residence
. _ . - . � ... - __ ' . -
Tampa FL 33625 � ' - -- Page 5
�uct Size Preview
Room or Minimum Maximum Rough. Design SP Duct Duct Htg Clg Act. Duct
Duct Name Source Velocity Velocity Factor U100 Loss Velocity Length �
SVstem 1
Supply Runouts
Zone 1
1-Great Room Built-In 450 750 0.01 0.1 502.4 50 d 175j 175 1--8
2-Master Bedroom Built-In 450 750 0.01 0.1 589.9 55�v116j 116 1--6
3-Master Wic Built-In 450 750 0.01 0.1 69.9 1�;� 10 10 1--5
4-Master Bath Built-In 450 750 0.01 0.1 418J 15 � I
�__57� 57 1--5
5-Laundry Built-In 450 750 0.01 0.1 500.2 32 68 68 1-5
� I
6-Kitchen Built-In 450 750 0.01 0.1 746.7 17 rf 147i 147 1-6
7-Dininp Built-In 450 750 0.01 0.1 501 26���68; 68 1--5
8-Bed 3 Built-In 450 750 0.01 0.1 725 52 41�2 142 1-6
r---
9-Bath 2/Hall Built-In 450 750 0.01 0.1 203.7 11��28 28 1--5
r-=-
10-Bed 2 Built-In 450 750 0.01 0.1 614.1 55 t,12�, 121 1--6
Other Ducts in System 1
Supplv Main Trunk Built-In 650 900 0.003 0.1 871.5 314 s 932;' 932 14
SUmmarv
Svstem 1
Heatinq Flow: 314 I
Coolinp Flow: 932
\\PLOTTER_RICOH\wrightapps...1ALL STATE LUCKEY 9,15.rh9 Wednesday, September 23,2015, 3:33 PM
�
,
., •
�.
Rhvac-Residential 8�Light Commercial HVAC Loads � Elite Software Development,Inc.
Nuccio Heatinq and Air Luckey Residence
Tam a FL 33625 � Page 6
E uipment Data - System 1_- Entire Space _ __
, Cooling
System Type: Air Source Heat Pump
Outdoor Model: CH14NA030"""`A
� Indoor Model: FB4CNP030
Tradename: CARRIER
Outdoor Manufacturer: CARRIER AIR CONDITIONING
Description: Air Source Heat Pump
AHRI Reference No.: 6804001
Nominal Capacity: 30000
Efficiency: 14 SEER
Heating
System Type: Air Source Heat Pump
Model: CH14NA030**''*A
Tradename: CARRIER
Manufacturer: CARRIER AIR CONDITIONING
Description: Air Source Heat Pump
Capacity: 29600
Efficiency: 8 HSPF
This system's equipment was selected in accordance with ACCA Manual S.
Manual S equipment sizing data: SODB: 91 F,SOWB: 77F,WODB:40F, SIDB: 75F, SIRH: 50%,WIDB: 70F, Sen. gain:
20,482 Btuh, Lat. gain: 5,169 Btuh, Sen. loss:24,144 Btuh, Entering clg.coil DB: 75F, Entering clg. coil WB: 62.5F,
Entering htg. coil DB: 70F, Clg. coil TD:20F, Htg.coil TD: 70F, Req. clg. airflow: 932 CFM, Req. htg.airflow: 314 CFM
\\PLOTTER RICOH\wrightapps ...�ALL STATE LUCKEY 9,15.rh9 Wednesday, September 23,2015, 3:33 PM
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AFTER RECORDING-RETURN TO: DS: 0.O�D IT: �l.DD
1UJtl�J�015 QRec�rding
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�VOTICE OF CONilUlE1�CEMEPJT PAu�As.o'NEiL,Ph.D PASCO CLERK�COMPTROLLER
io/n��2oi5 ii:�4 r��s i ot 2
The undersi�ned hereby gives no#ice that improvement wi� �e rrrlM���rtain t�a�$�
property, and in accordancE with Chapter 713, Florida Sfatutes, the foliowing in#orma#ion
is provided in this Notice of Commencement. .
1. DESCR1PT10�1 O�PR�PERTY: TAX FO�10 NO.: 122621003fl0U1000090
PERMIT#
PROPERTY ADDRESS: 39719 Park Drive,Zephyrhills, FL 33542
LEGAL DESCRiPTt09V: Lot 9, 90, Block 1,ZEPHYR HElGHTS, according fo the plat thereof
as recorded in Plat Book 5, Page 50, o# 4he Public Records of
Pasco County, Fiorida
2. GENERAL DESCRIPTIOPJ OF IMPROi/EMENT: ��'Io�r��� ��'� ���� t�_ �G�,�
D�" r'V�Lj i�'�r'i�,
3. OWIdER MAME: Sherman G Luckey,Alise R Luckey
(a) ADDRESS:
39119 Park Dr,Zephyrhitls, FL 33542
(b) PHOME: (813)958-2680
_ (c) ltVTEREST IN PROPERTY: ❑ Fee Simple ❑ Leasehold ❑ Other
(d) Name and Address of Fee Simple Titie Nolder(if other than owner):
4. CONTRAC70R NAME: ALL STATE HOMES INC
(aj ADDRESS:
1130fl N CENTRAL AVENUE, TAMPA, FL 33612
(b) PHONE NUMBER: 8139336561
5. SURETY'S NAME,ADDRESS AND PHONE NUMBER AND BOiVD AMOUNT:
6. LEPIDER'S NAME:GTE Federal Credit Union
(a) ADRESS:
791 E. Henderson Avenue, Tampa, FL 33602
{b) PNONE NUMBER: (813) 871-2690
7. Persons within the State of Florida designated by Owner(s) upon whom notices or other
documents may be served as provided by Section 713.13 (1)(a)7., Florida Statutes:
NAIVIE ADRESS AND PHONE NUMBER:
8. In addition to himself or herself, Owner designates the failowing to receive a copy af the Lienor's
Notice as provided in Section 713.13 (1} (b), Florida Statutes:
{VAME, ADDRESS AND PHONE tdt1MBER:
9. Expiration date of this Notice of Commencement is one year from the date of recording uniess a
different date is specified). Expiration Date: September 25, 2416
WAI2NING TO OWNER: ANY PAYMEPITS MADE BY THE OWNER AFTER THE EXPIRATION
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OF THE NOTICE O� CflMi�ENCEMENT ARE CONSiDERED IMPROPER PAYNlENTS UiVDER
CHAPT�R 713. PART 1. SECTION 713.93. FLORIt�A STATUTES AIVD CAN RESU�T IN YOUR
PAYING TWtCE FOR 1MPROVEMEPITS TO YOUR PROPERTY A NOTICE OF
COMMEiVCEMEPIT MUST BE RECORDED AND POSTED ON THE JOB S1TE BEFORE THE
FIRST IPlSP�CTIOfV. 1F YOU lNTEND TO OBTAIN __F_1NANCING. CONSU�T WITH YOUR
LENDER OR AN ATJ'ORNEY BEFORE COI�IMENC{NG WORK OF RECORDING YOUR
NOTICE OF COMiI+lENCEMEIVT.
� �
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Signa#ure�of Owner�or O er's Authorize�! Print Name and Provide Signato�'
Officer/Director!Partner/Manager TitfelOffice
State of FL���� ��
County of JS �(4��(.,
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The foregoing instrument avas acicnowisdged before me this �day of ` • ,20���--'�G----
. Bv Shere�,a� � ��.L�:�.� �.�,se�,.��c��, ,.a�-
(name of person) , , ,
-Fvr
executed)
- Personafly known or�oducad the foll � entt ation: AFt�I� �`L�-%t-�.-g�
a �
tate c�FL0^ '
o�y�,, Notarl p"�giorvn � �
_ � 6a�bara . �
t MY�omm��01�29'ig231922 -
��5� y ( igna ur�fPd'otary Public
'���a� Exp
Under penalties of perjury, I dec(are that I have read the foregoing and that the facts stated in it are true to I�
the best o#my knowledge and belief. (Sectian 92.525, Florida Statutes). Signature(s) of Owner(s) or
Owner 'Authorized Officer/Director/Partner/Manager ho signed a ov :
,��/ �,:,_�
By �r�''r�.�'.Q��..� By � /�F �G%'��`�' '
' - � ,
�����'`���+�, ���+a�C�r �LC3RIDA,COUNTY OF PA.SCO
, �� � e+ � " �T� THIS IS TO CERTIFY THAT THE FOREGOlNG IS A
��'f Q e� TRUE ANp CORRECT COPY OF THE�JQCUn�ENT
� � �. -y ' , �N FII.E OR dF pUBLiC RECORD Ifv Tr!IS OFFICE
� �: .���.w{ _���:• ' , � WITN �S��lY HAND t�N��FFlCIAL S�AL TNIS
�r:y�,G �•ti� 3rw, 0
�� ����'�� _.� DAY�� -� 2`f(�
.� '?`J?,. (:. , �j � (�AtJL�S�'t�lEi1_, CLER. & OMPTROLLER
- � ��`• -+�' ,
f r� � � : �
� • ���'•' ��` DEPUTY CLERK
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Accenture Maigage Cadence Document Cenier O PA12243
05/2015