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HomeMy WebLinkAbout16-17778 CITY OF ZEPHYRHILLS . 5335-8TH STREET (813)780-0020 17778 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Rlumber: 17778 Address: 5238 4TH ST Perrr}it Type: ADDITION/ALTERATION � ZEPHYRHILLS, FL. Class mf Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Propos!ed Use: NOT APPLICABLE Lot(s): Block: Section: Squa�re Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-13100-0190 Impr �v. Cost: 33,530.00 OWNER INFORMATION Date�lssued: 10/05/2016 Name: STARR MOTORSPORTS INC Total Fees: 525.00 Address: 1878 VINA CT Amo�nt Paid: 525.00 CHULUOTA FL 32766-8899 Date Paid: 10/05/2016 Phone: 407-256-2209 Wo k Desc: ADD MASTER BEDROOM 390 SQ FT CONTRACTOR S APPLICATION FEES KERNS FAMILY CONSTRUCTION CO BUILDING FEE 202.50 ABOVE ELECTRIC LLC ELECTRICAL FEE 97.50 AIR CO DITIONING�EXPERTS INC PLUMBING FEE 75.00 JACKS�N PLUMBING INC MECHANICAL FEE 90.00 LAMBE T'S SERVICE NEW ROOF 60.00 � (� � � � , Ins ections. Re uired FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. � ROUGH ELECTRIC LINTEL MISC MISC 1ST ROU�H PLUMB PRE-METER INSULATION WALL MISC. DUCTS I STALLED WATER MISC DRIVEWAY PRE-SLA� 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. NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that may b 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. "Wa ning to owner: Your failure to record a notice of commencement may result in your paying twice for impr�vements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Comp ete Plans,Specifications 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. �.., � �-�-07 C CT R S GNA RE PERMIT OFFI R � PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 'o " . 1 '��.� ��Ni�A.:.h - :M1�� . ' .ua� �'.`rd r `-� t��- •t.' :`� C1Ly Of Z�11yI'�1111S BUILDING PLAN REVIEW COMMENTS Contracto omeowner: �T I�l S F�/y'ji'C.�P (��°�c�UCTj(7nl' i Date Rece ved: � • �9. f� site: 53,��' ��-fl1 � � Permit T �e: l�/,Qd�f-�.O't�C)r'y'1 (,������I�T(�i'l Approved /no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ � , � .�-on_�la�) .C , ��i''a`(�._ . _ �= � _ � �� This co ent sheet shall be ept with the permit and/or plans. � ;�Yy�, I � �/ C�`:�:� �� ,� �. Kalvin Sv�i er 1 xaminer Date Contrac or and/or Homeowner (Required when comments are present) ; � f �, ----- - - -_ _ . ... � _'��`,,.� . I IIIIII illll IIIII IIlII Illil IIIII IIIII Illll IIIII Illll IIII IIII , 2016157793 Permil No. Parcel ID No »-�Z��ooia7a�oo-oteo NOTiCE OF COMMENCEMENT Steteof Florida Countyo� PASCO THE UNDERSIGNED hereby gives notice that improvement wip be made to ceAain real p�perly,and in axordance with Chapter 713,FloAda Ststutes, I the 1o�awing in(ortneGon is provlded in Ihis NoGce of Commencr�nenL• 1. Desaipdon of Property:Percel identifiration No. 1 1-2 8-21-001 0-1 31 0 0-01 9 0 Street Address: 5238 4th St.ZEPHYRHILLS,FL 33542 2. General Desaiption of Imp�vament Add masterDedmom end beth,new�vaq pumbin8 RP�r,instell new Hnorirg,eleqAcal repair,iweu new�woa extedor deck at rear of home. �Q�{�/ {�(!�� 3. Ovmer I�ortnffiion or Lessee f�ortnation H the Lessee contraded for the enprovement: SteRMotorsports,Ina 1878 VINA CAURT N�e CHULUOTA FL Address Ciry State Interest in Property: Neme ot Fee Simple Titleholder. (If different 6an Owner Ilsted ebove) Address Ciry State � 4. ContraGor. KOms Femlly Cone6udion Co..Ina Name 71927 Pasm Trails Blvd. Brooksvae FL Address Clly Stete ConVeclors Telephone No.: 8�3.2s4.575e 5. Surety: Name Address City State Amount of Bond: S Telephone Na.: 6. Lender. Neme Address City State Lenders Telephone No.: 7. Persons wilhin the State of Floride dasignated by the owner upon whom notires or other documents may be senred as provided by Sedion 713.13(1)(a)(/),Florida Stetutes: Name Address , City State Telephone Numher ot Designated Person: 8. In addi4on ta himseH,Ihe owner designates of_ to receive e copy of the Lienors Notica as provlded In Section 713.13(1)(b),Floride Statutes. Telephone Number af Person or Entiry Destgnated by Ovmer. 9. E�ireGon date of NoUce of Canmencement(the e�iration date may not be before the completlon of consWdion and fina!payment to the coMrador,but w{II be one year from the date of recording unless e dif►erent date is specified): WARNING TO OWNER: ANY PAYMENTS MADE EY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.73, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT Under penelry of perjury,I dedere thffi I have read the foregaing nolice of commenceme�and that the facts Stated lherein are We to the hest of my knowledge end belief. S7ATE OF FLORIDA COUNN OF PASCO RCp •1806224 ReC: 10.00 Ignature of Ovmer or Lessee,or Owners or Lessee's Avthmized NireGorlPartneNManep DS: I0.00 IT: 0.00 �6(��.f,/� �,.�.. 10/05/2016 J. R. , Dpt,y Clerk � SlpnatoysTNe/Office / �J The foregoing instrument was adcnowledged DeTore me this r g day ol��`�'2D�b by /l0 OS/`�fU� �� b as,.�1� (ryPe a auu,aary,e.g.,olficer,Wstee,ettamey In Taci)Tor (neme party on behal ot whom JqsWment was e�cawted). ( Personally Knov.n❑QQ Produced Id nUfi�c�\aU-o-n'❑ Notery Signature !JL Z� Type ol lden'hfiption Produced�cS�K/1`�StA[Q�� Name(P.dnt) pqULA S 0'NEIL,Ph.D PASCO CLERK & COMPTROLLER 10/05/2016 01:52 m 1 of 1 ,���`tyyk, JACQUEIINEBOGES OR BK 943� P� 2003 ��� � Commission#FF150422 t�� •Ar Expires December 12,2018 '�';R!4.`' Baded Tlw Tmy Frn Inawmca BOD3BS70t9 wpdate/bcs/noticecommenr�men�,pc053048 ����►L CO�i�' J . Vjl, STATE OF FLQRIDA,COUNTY OF PASCO � � ' • THIS IS TO CERTIFYTHATTHE FOREGOING ISA Do°� ' � � TRUE AND C�RRECT COPY OF THE DOCUMENT � � . ON FILE OR OF PUBLtC RECORD IN THIS OFFICE � . I��o��w�`�'�; � WITN�E�MY� HAND D FF CIAL SEALTHIS � " � ' s¢ __f��'�'�—DAY OF 2� PAULA S O'NEIL,CLERK&COMPTROLLER �' � l�a? �pQ, ' � � �DEPUTY CLERK � �T��o¢�°� B �' � - . e���so-oozo City of Zephyrhills Permit Application Fa�c$��-�so-ooz� Building Departrnent Date Received � Phone Contact for Pertnitting 8�3 zsa s�se Owners Name Start Motorsports,Inc Owner Phone Number �ere�r�couar Owners Address cnuwoTq F��ss Owner Phone Number 4oi.Zss.z2os Fee Simple TiGeholder Name same as amve � Owner Phone Number Fee Simple litleholder Address �e as abova JOB ADDRESS �TH 5T.ZEPHYRHILLS,R 33562 LOT# �s a 20 SUBDIVISION Grya�dn�+os PARCEL IDI� ++-�+��o-+�+�+� (06TAINED FROM PROPER71'TAX N0710E� WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH e INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q Add master bedroom and bath,new hvac,piumbing repair,install new flooring,electrical repair,install new wood DESCRIPTION OF WORK NewaddNon BUILDING SIZE SQ FOOTAGE �f HEIGHT QBUILDING $ 20,000.00 VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ 5,580.00 �P SERVICE Q PROGRESS ENERGY Q W.R.E.C. !�?1 pj �vv c_ QPLUMBING $ 3000.00 � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /'�.A�vS ✓� ' �� 4950.00 QGAS � Q ROOFING Q SPECIALTY .-�O7HER �S FINISHED FLOOR ELEVAf,bNS FLOOD ZO EA QYES NO �/G���j-��5, '� J , t ��/ �V BUILDER�{ �r � COMPANY Kems Family ConsWction Co.,Inc. SIGNATURE e aEGls�r�D Y/ N �cUr�n Y/N � Address y� 3�1927 as Trails Ivd.Brooksville FL 34610 License# CBC1255980 � �-�i � �) ���Y ELECTRICIAN '—�� ^"COMPANY Above ElecUic LLC ' �� ; {�� SIGNATURE �Q REGIS7ERED Y/ N �cuwiEn Y/N n �� Address License# i CiCI� V" /�„���� PLUMBER ��J� �j � `1 COMPANY JacksonPlumbing ��,�/ SIGNATURE �•��' f�clst�o Y/ N F�cuw�n Y!N ,/���� �„ 5�- ��1�� Address License# � MECHANICAL ��1�(„i�" (�( � �COMPANY AirConditioning F�cpeAs SIGNATURE V r�Gls�t� Y/ N �cur�aEn Y/N Address License# OTHER COMPANY ���7�7y/rJ �'��'�Q`'� SIGNATURE �� aEcls�a� Y/ N FEE CURRE� Y/N Address License# 111111111•IIIIIIi1111111111111111111111111111111t111t1111111111tI1i1 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construdion, Minimum ten(10)working days a8er submittel date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projeds COMMERCIAL ANach(2)complete sets of Building Plans plus a Life Safety Page;(7)set of Energy Forms.R-O-W Permit for new consWction. Minimum ten(70)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All commercial 2quirements must meet compliance SIGN PERMIT Altach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construdion. Directions:• FII aut application completely. Owner&Contractor sign back of applicadon,notarized If over EZ500,a Notice of Commencement is requfred. (A!C upgrades over 57500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same OVER THE COUNTER PERMITfING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) Driveways-Not over Counter'rf on public roadways..needs ROW AAQtI�"�+MAa+apqMue�,�n�M1a�,w�wtatt�+l+�AF taCa�oo3utru�f+wow� �tn*ov�t'i�a+�s +�ws i�twn�a sav+r+6a+v�+op�abo� ��e�lnoo�u.�tt � . �uts�bupq+o�p�spw+aoaa�ym�lD+�vuiM�'+ouwaqPv�iwtrre+Kprol?�io�wo�.w4�A�*��F+�M .. � � {04ili+�o�Ed�t�ryt? 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Y/'N Rddtos� Untl+:c�f l w�`� •���� . r " M�CF1At1ACYi� ' S"+CSTJIPAlVK 4rL^onr7ttioa#nC�erle •S!(fiNQ7�1R� ------ - R�,'G1CTE4tW ��l N• ..F.BL GI+R'�AA ��Y7 t+} Ad$4'aas • . ... t,fc%tt6PiF�� arN� c.ar�aruv Sf�NaTt�SiE � �� v1 '�a�+� r. Atltlt�53 {.ICedi66l�' ����w� � tl� iaa : it't � ea�i � �fpa'� � i � ei �terit� f�tte �is � tda•�e`i�4tiq;� �IIfi11) tliill 4.dE5iib�ia`it'tti Actarh(z}Ptet Qim,c:��}�m a aw)e�ng:Frsn�;($>snt rrt�ner�r Fon,�;R-O•W hmmtt for�xsv ovnsxnmEoce, aAnktWm fe�i(tGj iqasi&ic day�aRa�subird'sta�d,st�,qeqetire�!sm�itp�Coae�c9rbn t�aem,Siomny,�er Plarm wr silt Fanc�a maTarte4 $.xtlls�'y FesS91F`��'f dvmpster,Site Wbelc Pcrtni!tar�,bdiv�.'slpn'�pr{;e Pwjed� cOAeM�1. atlach'(xj compl�e s�r�{gai�t'Pts�pfvs a c.��n 9nSew pegc:t�j zak�Er�e�r Fd�r�fiava Pcme'rroraa.r cm,ea,�on. �rdtntm10WI147P)1tiW(cSal�e(�)np�etsl3DrdiitafB�fA. R4qtih+ad•onrAht.C�nsuiplarpktlt3,SYtsi7rtw8kr'Plar�pd�ItFl3rfCe5t�4rd. 5aniftuy Fau81Sq5&1 CumpsW.e:'$ita Wq¢t PL�rrRB[ar sN)naw Rfaf6GA A1f tamm�Cia1•r6�uMirtiiaMt tAu'ss++wct C$mptlenoe 3 afnd P�IY�'f A443d1(2)cCC:4!£7iglileemti P4tus. ' "�PY3{1pER7�Y SoRV�Yt�yuhad�Po'r�ellAlEW cocFslydcLliR: btreetion�; ��. " , . . �Ovt�p�dm�CbmpPcfdY. Owhmr&Contrs�t4r mign.k�af s!�sGpaL'on.,n+y�ruLed fPover$�Og a t4ot4cco or L'a7f�a3A.umanE t�•�wlrotv. t+�0 uaproaes ovor.s�S091 '" �pnilt(tct�annlYnd�ar Powar ai Fl{MAt'tf*(�Tr tl�u 4++ner7�Fe�oasoarw wit6 npm�iatcBr�dronccwpnr ac+lRodzfnD etsirr� trilER't'f9�+COUNYERP�I�m'rrNG taiDYoieuftr�ctrzquirtrfl ' . ' Ret�o�!�!�'s seuwrs sero;ca upareaas ac Fen�,z�laUs+�av�rbn+r�c� MSu�,Nbf aiRr Cwntar�.ontouWla*apc�vaj.p,.itvadsF`.CNV• � ' 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 conVactor 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 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 WaterlSewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the°owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that aIl 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 pertormed 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 govemment 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, WeUand Areas and Environmentally Sensitive Lands,WatedWastewater 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-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 Zane"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 materiaf 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 aifect 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 permif 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)consecu" ys,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NO�E OF MM CEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEAAENTS TO YOUR PROPERTLY. IF YOU TE TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATT Y FO ECO DING YOU NO- E OF COMMENCEMENT. FLORIDA JURAT(F.S.717.03) �� � OWNER OR AGENT � CONTRACTO Ke mily Cons t�n Co.,InC. A Subscribed and swom to(or affirtned before me is /1 scribed a swo to( r afBrmed)befpoe�m�e '� y��� ` ��� ��Y T'� Y�/ by T.ONY<ERNS � I ��'u1 V 1M1�a/e_pgrsonall�known to me or haslhave pro ced Who i person�I kn wn to me or has/tiave p duced F L�Y.1 rl�Qi'�,I CIJ�iL as identificatlon.�a��'{A as iden��cation. . �'�+� Notary Public r AfL_ Notary Public ssion o. Commissio N . Nam fl�q}S �d, E$ Name of Notary ed, rinted or stamped :_' ��__ Commission#FF 150422 �17 0,•,, :;• �'a: Expires December 12,2018 ;;o�••••�.�; JACQUELINE BOGES •��FOFF��¢`� BondedThmTroyFan�nsurenceeoo�3e5-�o�9 ='• :t= COfI1f111SSI0f1�FF�SO42Z ;;��p� Expires December 12,2018 �rj;�,;;c°�'�� BoMed Thru Troy Fein Insuranea 8p0,1g5.7019 FORMS � _� FL�ORI�A Bd!!Ll�INCi�"'ODE, ENEd9C;Y CONSERtlAT/DAJ _ Re��r��ntial B�iEcli�g Tt�erma#E�velop�Ap�raac� FflRM R�02-�0't4 �lima#e Zane L� Scope:Compiiance with Seotion R402.1.1 of the�Iorida BuNd/ng Code,Ene�gy Conservafior�,shait be demonstrated by ihs use of Form R402 fo� single-and multiple•family residences of three stories or less in height,additions to existing residential�uildings,alterations,ren�vatlons, s�d buitdiag systertss ia exist�csg tauifdings,as appttcat�la.To c4mA1Y.&buittii�tg mus#meet or ex�e�d at1 of the energy eiflcEBncy t8qut�ements � o�Table R402A and all appiicable man�tory requirements summarized in Tatsle f�4�3P8 at this torm.If a buikifng does noi camply with th3s ` rryethod,or by the UA Alternative method,it may still compty under Seation R4Q5 of the Florlda BuUding Code,Energy Conservatlan. PqOdECT NANlE: BUIWER: ���,�I'y� �/q�, �'1' C�OK4-Y�'i a{vo ana�Ess: g'Z 3'8 �� :��E.� '"/ rl,.7� ow��: -Z�.Q�t�ff2 t.i z� �"t,. . '335"�12 ���►rrn�c�o��c�: �}� �f' �� � JURISDICTION NUMBER: (e./`�PO L7 PERMtt HUNtBER: j� � GenerallnstrucUans: 1 h'iit t�eit 1h�apptio�bta apa��i tt�a"7a ee ine4etited"column on Yeble Ft4Q2d valth the IoiormaUon requcsted.�(1'To Be Instplled"valuttm mstst be e�tusl to or tYs4se t##tciasst#han tha�uira�#evl+l8. 2 Complete page 1 based an the"To Be Instelled"aolumn Informatlon. 3.Read the Requlrements of Tabls R402B and check each bax to lt�dlcate your InisM to comply w{!tt a{I app4fcable ttems. 4.Rand,algn and date tha"Preparcd By"certiftcstion statemmt at the bottam ot paga 1.The owner ar awner's sgent muat eiso sign and date the tarm. t� Hew coostructlon,�Qditton,or extgting f�u[id(ng f. 2, Singic�-family detached or mulNple-femily ettached 2. ��� 3� if mulEiple-4amUy,n�mder ot untts comered by this submtsslan 3. � 4!, ta fhlsi a warst c�se?{yestrFo} 4. �.�O B� Condtttorted itoor a�a(sq.ft.) 5• �.,,'�t] 5� Wlndawa,type and araa a) ihfactor. 6a o �� J b) Solar Heat Gain Coe�cfent(SHOC) 6b. a � c) Area sc, r Skytigbts I a} lJ4actor. Ta < b} Solar Naat t3atn Coeft�clent{SNGCj Tb. H Floor type,area or periineter,e�tid insulatton: a} Slab-on-grade(f�vaius} 8a. b} Wood.raised(Fi-vatus) Bb. �.�, c) Waod,common(fXvalue) 8c. d) Concrste,t�aised(f�vatue} Sd. e) Gancrete,common(H-value) 8e. Pe 1Na!!type and Insulattenc y�} 8} �%�BROT 1_ iNNOOd#t8tti8{IT15Ul3t3fltS fl-V6St38} g31. E a3 2. Masonry(In9ulation R�value) 9a2. ^ b} AdjacenL• i. 1Nood irame{[nsulatian f�value} 9b1. 2. Masonry(InsulaUon R•vaiue) 8b2. 1 . CeiUng typ8 artd insulatfon ' a} Ati2c(insnJat3an R-vaSue} 10�. �� b) Singte assembly(Insuladon Ft•value) 10b. 1 . Aly distrlbuUon syatem: a} t?uc#IocaGon,insutation i1a. ��. b) AHl1 tocadon tib. �,a� t�'�� G) Tota!duct leaka$e.Test repoii attachad. 49c. GimTtdtt&.�. Y��Mc� t Cooiing system: e}rype 12a. �'�/t�"V"'t 9� b)etficiency 12b. l Fieating sys#em; a}type 13s. '�.�C 15r"Ll�� b)�itlCienCy: 93b. 14. HVAC afzing aalculetion:attached tA. Yes� Na�'"� tS. Wate�heattng aysteme a}type iSa. ��"y�t „� b)eNictency 15b. ! ereby certity thai the pians end specilicatlons cavered by tttis fortn aro Review at plans and speci#Ica#tons aovensd by thls farnn Indicate 1 aam Ilan vq(t a�B t�i?�r��,r Canaervetfon. cam Ilance with the Flarlda Bulldln Cotf�,Erns Cen�zervafian.8etore F EPAREO�,���� 'V°• ��' "Dat q^.s-<�o constructlon is complet�,thls bullding wrll!ba in�eted tor comppance In I reby cortiiy thet thls i dt e' a an �ttth the RlorFda 8utldfng accorctance with Sectlan b53.9Q8,F.S. �.�'9YCor►ar ffOfl. �r r��� �CODE CtF�tCiA4: OWN�#tIACxEiriT. Date: :.) Date:. FL�RIDA BUILDIMG COOE-ENERGY CONSERVATIQN,5th EDRION(201A) R-C.3 , , i TA8l.�F�OdA 8t3iLptPtG COt�+fPBElENT FRESCRtP31VE REQUiREt�iENTS' iNSTAl3.�0 VALUES Ciimata Zane 1 Cllmate taoae 2 Windows: U-Pactor=0.652 CLFactor=0.40' U-Pac2or= , s�+ac n o.as SHGC=�.�5 5HGC= � �� ' g��g�y� tfdaetw=0.75 U-Sactar=4.55 ibfectar� SHOC=0.30 SHGC=0.30 SHC�C= Doors:Exte�i�r daar tFfaai�Yr=O.va' td(actor=d.d0' lFfacton , �toora: Stab•on•Gra e Nfi NR � Ovet UnCOnt�iiibned spaces° R-i 3 R-13 A-Vatue= Wa�ts':E�a.and Adj. Frame R•13 R-13 R-V�lue= �� hdass I�sult�Uon a wall inlerlor. R-4 R-6 R-Valus= Insulation or�wa1E exierior R-3 R-4 R-Value= Ce1flrtgs'• � R:.34 f�=38 R-Vatue� Ait infi!lratinn: 8lower daor test is requlsed on!he ku714ing ernelope ta veri3y leakage S 5 AGH; Tatai leakage=ACN test repart prov[ded to cdde alfic3al. Tesi r Ati�chad9 Yss No Air dlstrlhuU n system°: Air handll g unit hlot atlaw.ed?n e:tic LocaUon: �jr Duct R-va ue R-uafue_>R-8(suppty In aitics)or?R-fi(ep ather duci loca8onsj- fFYalue= A!r leakag s 4uct le t Postconswction tesY. Tatal leakage 5 4 clm/1 QQ s.t Totel leakage= ` cfm/100s.t. Rough-in test Tatai leakage S 3 ctmtl0d s.f. Test report Aitached4 Yes�No - Ducis in ndiUoned space Tsst not required i(all ducta end AHU are in condtGoned epace Location: Air cantlitlon ng system: Mlnlmum tederal standard required by NAECA°. Centraf syst m S 65,QQ0 Btsdh SEER 13.0 �x 1 d�,,`�'4�K"�-. Room unil o PTAC EEA[trom TaWe C403.2.3(3p SEERa t7mar: 5ee 7abtes caa3.2.s{tj-(t t) ���F HeaUng syst�m: Mlnlmum tedera!stentlard requirad by NAEGA° _ t Heat pump 65,000 6tufi HSPF'7J(before 1/1/15};HSPF 8.2(as of 111/15) HSPF= �'�� ��1 fW� Gas lumaee namweathedzec! AFUf 80% AFt1E_ Oli lumace, on-weatherixed AFUE 83% AFUE_ dther. ' Wacer neaU g system{storage rype): Mlnimum lederal standard required by NAEGA' EiacVio' 40 gaL•EF=0.92 Oallons o ��!�,'�"]�� 50 gal:EF=0.90 EF= (3as tiratl" Ap gai:EF=G.59 Ciallons= 50 ga3:EF=4.58 EF= Olher(desc be): 1�f[�=No roquirement. (1)Ench epr�pouent presant in the As Propased home must meet pr e�cceed eac6 of che aQplieable perfonnance eriteda in ordar ro comply with rhis code using tbi5 inelhoQ. I (2)For impacc taCed fenastration comg3ying with Sectioa R341.2.}.2 of the Ftorida Buiidtng Code,Residential or 3ecdon 1609.L2 of the Floridu Buitding Cirde, Buitding the marcimum U-factor shall be 0.T5 ut Climaze Zone•1 and 0.65 in C2imate ZoAe 2.An tuea-wei,�ted averagc of U-factnr and SHCJC shall be acca�ried to zzteet the ret;uirtraeuts,or up to t3 square�ect oP giazed fenesUation azea are exempted fram the U factor and SHGC requirement based on Sechous 4623.1,R402.3,2 aad R4023.3. {3)One side hinged ogaqne door assembiy up to 24 square feet is euempted from this U-factor requiremen� ' (4)R-vulues�are for iusutation mausia!only as agptied 'tn accardanca with manafacturers' insallation iastnactions. For vzass walls, the`inteaor of waii" requirem nt must be met oxcept if at least 50 percent of the insulation tequired for the"'eaterier of wall"is installed exterior of,or integral w,the wall. (5)Ducts& insudtex3"sabsrantiatly tcak fice"per Secrion R4U3,2.2.Test requited by aa cnergy r�ccrtified in accordanw wirh Section 553.99,F7arida Starures, r as authorized by Flarida Srarutes.11ia tota!loakage test is not sequised for dactt and air handlers locaEed entirely wittun the buiiding the�ai envetopc t6}Minimu efftciencies sue Chose set by ttte Nationat Au,ntiwzce�+rergy Ganserwarion Act of i98?fat typica3 residential eguipment and are subjeci to NA£CA niles aa regulations.For otber types of equipment, see Tables C4032_3(t-1!)of che Commvcial Pcovisions uf the Fiorida Building Code, Energy COASfiY fiOA. {?)For othe elecuic smrage vo}umes.min.$F=D97-(4.00132�`volume). . (e)For ather natural gas storagp volumes,min.HF=0.67-{0.0019�vQiumc). ABLE H4029!'dAAPttDAT4RY RE�U{REPdENT5 panent Sesttan Sumtttury o4 Reqtilrement{aJ Check Ir leakage R402.A To be caulked,gesketed,weathersUipped or otherwise sealed per Ta61e R4Q2.4.1.1.Recessed Iighdng:!C-ratsd as having S 2.0 cfm test�ci ta AS'i'M H 283. Wlndows and doors:U.3 ctm/sq.ft{swinging doors:0.5 chnlsf}when tested ta NFRC4Q4 ot AAS+AAlWDMAICSA 10it LS.21A440. `,O" Flreplaces:T1ght-titting tlue dampers&outdaor comt�usHon aIr rogrammable R403.t2 Where farced-a1r tumace is primary syslem,a programmable thermostet is requlred, � harmostai ptr disfribvtfon system �4Q3.2.2 Oucfs sha!!ba tesSed to Sectlon 803 of the RESNEf standarsfs by an er�er�y rater ceRlRed tn at�osdatzcs r�fth � � Rd432.4 Seclion 553.89,Fiadda Stafutes,or as authorizad by h7arlde Statutes.Air h,a�dling units ere not atlpwed in atttcs. 1Nater hesters R403.4 Comp�y wiih eHkiencies ln Table C404.2.Hot water pipes insulated to�A-9 to kitchen outlets,other ce9+�s. Clxcutaiisrg systems ta have an autotnaitc or zcces:.+�le tnat:t:ai L�FF s:ileA.lieai irag rr�u;r-.d for va�tfs�f Fipa - dsers. immirtg poats�spas RA03.9 Spas and heated pools must have vapoaretardant covars or a itquid cover ar other means provan ta reduce heat lo�s excapt St?Q9S ot is�at�ram ettcrocavarcd anesgy.OHitlmar sr•,�tch raquit�d.tias heaiees nlir�trt�Uin fhemtal ef(icfency is$2�,,Heat pump pooi heaters minimum COP is 4.0. iGaatingtheafing Ft403.fi Siz3ng rateutatfon psriarrned&at2ached.SpedaS occasiart cnoiing or heeGng capaciiy tequires separate system or �Gulpment ` variablo capaclty systam. ighting equlpment R40d.7 At least 75%of permanently instafled Itghting futtures ehaU be hlgh•efqcacy Inmps. CITY OF / / / / BUiLDING Z��H'`1f�CN1Ll.S DEPARTMENT OF ADDITION OR �ORRE�TION � • • - � ADDRE55 RATE PERMIT,� .5 �-3 ,� �� S� l '�7�? ��' THIS J i B HAS NOT BEEN COMPLE7ED. The foilowing additions or correctians shc�11 be made before the job �( wi!! be accepted. � ���'� ���'_ '� ��l �'"�i 1�;--�, �� ��'" ( I � I ! It is unlaMjtul tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or c:ause to be covered,any part of the work with flooring,lath,earth 1 or other rt�atssiai,u�ti)ihe proper inspector has had ample time to approve 78Q-0{}20 FQR .E- SP T�(�� r the instail tipn. 1 OF�iC�NOURS 7:30 AM-5 PM MON.-FR1. INSPECTOR s � I I,