HomeMy WebLinkAbout16-17932 . il -- - -- ---
CITY OF ZEPHYRHILLS
; 5335-8TH STREET
; (sis)�so-oo20 17932
�
� -= BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
� PERMIT INFORMATION LOCATION INFORMATION ,
Permit;�:17932 Issued: 11/29/2016 Address: 36027 CARRIAGE PINE CT
Permit I ype: 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: � 266,079.30 Total Fees: 11,394.69 Subdivision: SILVERADO
Amount Paid: 11,394.69 Date Paid: 11/29/2016 Parcel Number: 04-26-21-0070-00200-0010
� CONTRACTOR INFORMATION. OWNER INFORMATION
Name: ' D R HORTON INC Name: DUNE FL LAND I SUB LLC C/O HAWK
Addr: 12602 TELECOM DR Address: 2502 N ROCKY POINT DR STE 1050
TAMPA FL 33637 TAMPA FL 33607-5995
Phone:, Lic: Phone: 813-549-1968
Wo,rk Desc: NEW SINGLE FAMILY HOME 2,362 SQ FT ( 4 BED 2 BATH )
� APPLICATION FEES
BU LD G�I FE 1,088.77 ELECTR AL FEE 222.53 PL MBING FEE 148.35
MECHANICAL FEE 103.85 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00
PUBLIC S�ibFETY 5°/u 26.35 PARK FEES SF 769.56 SCHOOL IMPACT FEE-sfr/100°/u 4,828.00
SCHOOL IMPACT FEE-sfr/1% 48.28 TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32
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' Ins ections Re uired
FOOTER II 2ND ROU PLUMB I IN ULATION CEILI
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH E�ECTRIC LINTEL MISC MISC.
1ST ROU�H PLUMB PRE-METER INSULATION WALL MISC.
DUCTS I�ISTALLED WATER MISC DRIVEWAY
PRE-SLA SHEATHING MISC. MISC.
CONSTR�CTION POLE FRAME MISC. MISC.
REINS�ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
� local�overnment shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.REINSPECTION FEES:
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
' may 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."
Complete Plans,Specifications and Must Accompany Application.All work shall be performed in accordance
� with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
I NO OCCUPANCY BEFORE C.O.
i�ONTRACTORS SIGNATURE PERMIT OFFI
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
i PROTECT CARD FROM WEATHER I
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Permil No. ParcellD No ny Z�zJ��o-c��-�so�n �
I � NOTICE OF COMMENCEMENT
State if '���I I Q_. County of PQs C3�J
TNE 11NDERSIGNED hereby gives notice that impmvement will be made to certain real property,and in accordance with Chapter 713,Flanda Statutes,
the following information is provided in Ihis Notice of Commencement:
1. �I Descrlptlon of Property: Parcel Identiflcation No.
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� Street Address: � �
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i2. � General Descripllon of Improvement Y 1'Qi� J l nQ �� Q Wl�1 �� ��i(1 P y��
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3. IOwner Infortnation or Lessee infortnation if the Lessee contracted tor ihe improvement:
T���o/'�a/1 �n C�
f Z(o O,2 "�Q_I���M "�r �vt,u4 c� ���3�3� Lc.
� Address r City�— S[ate
Interest in Property: Tee �iMf���
I ' Name of Fee Simple Titleholder
(If difterent from Owner listed above)
Address � r n ��P City State
4. � Conlractor_�• ��_�(L
, I ���0.(ame .�e�eCAM �r ��IMr�Q JVC9�L �L I- � Y
Address Ci State ¢Z U � �
Conlractor's Tetephone No.. � ��� C��V�,J w �
5. Surely: ���- �Z � � � Q-� }
Name � � �_ ¢ � � �
Address , / City Stale Lb � W z � a �
Amount of Bond; $_.��/_//'� Telephone No.. � Q = — � � i
� ~ � Q �
6. Lender: ����- � w � � U U
Name � � � QQ� �
Address City Slate O � Q w Q �
. Lenders Telephone No,. U = UO U W
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7 Persons wilhin the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Q } U m � U ,
Sectlon 713.13(1)(a)(�,Florida Slalutes: � J /� �/
Ib/QI�I�CL 1`�1�CL� � f- 2' a Z O J
' Name oW � � S Qz,
A��l� o o.? `�I��.I Pr��r �w�.rOc� ���� � ,� �`o � � o
Telephone Number of Designated Person: �3� ��(l-����Q State � � z � ��
�/�� W C� Q
8. In addilion to himself lhe owner desi na es � — W J W �
. 9 t ��/-T o f_ (� L L Z -�
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to recelve a copy of lhe Lienor's Notice as provided in SecGon 713.13(1)(b),Florida Slatutes. � z � Z — Q
i Telephone Number of Person or Entity Designated by Owner. � ~ ~ � � a m
9. Expiralion date of Notice of Commencement(the expiralion date may not be before the complelion of construction and Flnal payment to lhe ,,.¢ �
' contractor,but will he one year from the date of recording unless a different date is specified): �`•' ��
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRA710N OF THE NOTICE OF COMMENCEMENT � � , • �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORtDA STATUTES, AND CAN ��
RESULT IN YOUR PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE i� � �ry
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN A"ITORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. � �� � .,, �
�
Under penalty of perjury.I declare that I have read the foregoing notice of commencement and lhat the facts stated iherein are true to the best �� " � �� m �
of my knowiedge and belieL o � , � � �
STATE�OF FLORIDA g en � m O'
COUNI OF PASCO �������� �� � � �1
Sign ure ot Owner or Lessee,or Owners or Lessee's Authorized � ,•��,
Rept: 818552 Ree: 10.00 oifice DirectodPartnedManager �/
D5: 0I�00 IT; 0.08 Clerk ��f �Q��P�IA�/ — �•�,�n(77� ��• •
11/29�(2016 J. R., Dpf.y Slgnatory's7ltielOttice � .�, �$ �
The fo i�going instrument was acknowiedg d before me this�day of��y(20 I(y by I�1��'i d� �� f.xl��
as���'� SPr�����/ (type of authorily,e.g.,oKcer,lrustee,attomey in faG)for
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(nam of p rty on be f of whom In rumenl was executed).
Perso i Ity Known Ly OR Produced Idenlificatlon❑ Nolary Signalure��•hf`���u7�
� Type of Identiflcatfan Produced Name(Print) (g/flL M ' ��/vA tt'��
pRULR 5 0'NEIL,Ph.D PRSCO CLERK 4 COMPTROLLER yv � N��Y puWk Stete of Floriaa
11/29/201 01:2 m 1 of 1 �� Ge��M Dortahue
OR� BK ��6� P� 3�61 � +�'CommH�icn Fp��anz
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wpdal i cs/noticecommencemenl�c053048
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; City ofZephyrhills
; BUILDING PLAN REVIEW COMMENTS
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Contractoz�/Homeowner:
Date Received: �������j
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Site: � c�� � � Q ° � �
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Permit Type: ��
ApprQved wlno comments:❑ Approved wlthe below cominents:� Denied wtthe below camments: ❑
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This co ent sheet sha11 be kept with the pernut and/or plans,
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�aLv�i•�zf er�lans Exanaaner Date Contractar andlor Homeowner
������� (Required when comments are present}
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� " ' Permit No. � ��3 2.
� Date Permitted �-�
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�� Builder NamelOwner Name _,� � ttOr 1�`-�-�1� Controt#
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' County Parcel No. ���Z(o-Z.j-(7�1��--�ZFX}' �r� SubDiv: �'� l����a_
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� AddresslLocation ,��o(�?2 ��"+r`t 1� �'. ��
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� ClassifcationlType of Use �t � �� � L�
� TRANSPORTATIOi�IMPACT FEE Rate: Sq Ft Unit: `� ,c:31�J Z
Exempt ❑ Yes [� No Now Determinad
� impact Fee Rmaunt $ �, � 3� Zone Na. TAZ:
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4 SCNOOL IMPACT FEE ,Z�
i Account (056} Single-Family Detached House Amount $ �T Q7�.
{057} Mobile Home
(058) Other Resfdentfal
923} Gallection Fee
Exempt [�Yes [] Na Now Determ(ned
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Accaunt Recreation Credit Recreation Total
1 Zone TOTAL AMOUNT $ ��u � s�,
� Exempt �Yes � Na How Determined
� LIBRARY FEE
� Land Account Land Credit Land Tatai
Facility Account Facil[ty Credit Facility l`ota!
Exempt [] Yss ❑.No How Determined To#al Amotent "z.i
RE30URCE FEE ERU
Tt�TAL AMOUNT
Prepared By Checked By
NC}CERTtF{CATE OF OCCUFANCY WtLL BE ISSUED OFt FlNAL{NSPEC7iON
PERFC)RMED UNTiF,TNE TOTA[.AMOUNfiS LISTED NAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMlTTINC3 l?FFICE OF PASCO COtJNTY
Acknowiedgement below does not Imp{y aaceptance of concurranca,b�t stmpiy receipt of a copy of this form,placing
the bu{Iding parmit owner an notics ot ihis assessment and th�condlkions of payment for sama.
DATE RECEIVED BY
RECEIPT NO. DATE BY
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FORhl1 R405-2014
� FL �� RID�► ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
F�lorida Department of Business and Professional Regulation - Residential Performance Method
��
Pro ect Name: Cali Elevation J Builder Name: ss erttes 1� i�'��]�Yl�
Street� �D,Z� �rr r�G. ���� �T Permit Office: �� �} �.�D��h,�(�S
City,State,Zip: Zephyrhills,FL,`����1� Permit Number: 1'��y 'T
Owner: � Jurisdiction: (p(((�Q7�
Desig i Location: FL,Tampa � Z County• Pasco(Florida Climate Zone 2)
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1. Newiconstruction or existing New(From Plans) 9. Wall Types(1710.2 sqft.) Insulation Area
2. Singll family or multiple family Single-family a.Concrete Block-Int Insul, Exterior R=4.1 1404.00 ftz
� b. Frame-Wood,Adjacent R=11.0 306.22 ftz
3. Num er of units,if multiple family 1 c.N/A R= ftz
4. Numl er of Bedrooms 4 d.N/A R= ftz
I 10.Ceiling Types (1828.0 sqft.) Insulation Area
5. Is this a worst case? No a.Under Attic(Vented) R=30.0 1828.00 ftz
6. Con II itioned floor area above grade(ftz) 1828 b.N/A R= ftz
Con�itioned floor area below grade(ftz) 0 c.N/A R= ftz
11. Ducts R ft2
7 Windows(166.5 sqft.) Description Area a.Sup:Attic,Ret:Main,AH:Main 6 356
a. Ui�Factor: Dbl,U=0.34 126.50 ftz
Si GC: SHGC=0.31
b. U-IF�actor: Dbl,U=0.55 40.00 ftz 12•Cooling systems kBtulhr Efficiency
S��IGC: SHGC=0.34 a.Central Unit 28.6 SEER:14.00
c. U�IFactor: N/A ftz
SHGC: 13.Heating systems kBtu/hr Efficiency
d. U�Factor: N/A ft2 a.Electric Heat Pump 28.6 HSPF:8.20
SHGC:
' Are��Weighted Average Overhang Depth: 2.722 ft.
Are�Weighted Average SHGC: 0.317 14.Hot water systems
� a.Electric Cap:50 gallons
8. Floor Types (1828.0 sqft.) Insulation Area
q EF:0.950
a.Slab-On-Grade Edge Insulation R=0.0 1828.00 ftz b. Conservation features
b.N%A R= ft2 None
c.NiA R= ftz 15.Credits Pstat
Glas I Floor Area: 0.091 Total Proposed Modified Loads: 59.74 pASS
I� Total Baseline Loads: 61.25
' I herell y certify that the plans and specifications covered by Review of the plans and ��'S�E�7'.qT�
this calculation are in compliance with the Florida Energy specifications covered by this 1� ,� , ' = ` O�,
Code�I calculation indicates compliance �'`�,,,,°� "�= �� �
I with the Florida Energy Code. � rr�r,f��.`�'�'�,��;:f.:=�,;;,���"=;, O
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PREPARED BY: � Before construction is completed • �
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DATE: �0-Z7- � this building will be inspected for � 1�,�� �.
compliance with Section 553.908 * :'�` ° �.
I herel�y certify that this building,as designed,is in compliance Florida Statutes. � �
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with tl e Florida Energy Code. GOD�'��
OWf�ER/AGE BUILDING O FICI L:
DAT�: DATE:
- Coiiipliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as
cer�ified factory-sealed in accordance with R403.2.2.1.
-Corippliance 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.
- Co impliance with a proposed duct leakage Gln requires a Duct Leakage Test Report confirming duct leakage to outdoors,
tested in accordance with Section 803 of RESNET Standards, is not greater than 0.060 G1n for whole house.
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� . FORM R405-2014
� FLC�RIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
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F�orida Department of Business and Professiona3 Reguiation - Residential Performance Method
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Pro ec�Name: Cali.Elevation /� Builder Name: DRH Ex ress Homes
Streef� �v�� �,�(�� ���� �'"� F'ermiT Office: p
City,State,Zip: Zephyrhiils,FL,4��`��J Permit Number:
Owne�: � Jurisdic#ian:
Desig i� Location: FL,Tampa � � County:: Pasco{FEorida Climate Zane 2)
i. Newlconstructian or existing New{Fram Plans) 9. Wall Types(1710.2 sqft.) lnsulation Area
( a.Cancrete BEock-Int insul,E�erior R=4.1 1404.00 ft2
2. Single family or multipie family Single-famiiy
� b.Frame-Wood,Adjacent R=11.0 306.22 ftz
3. Nurn' er of units,if muitiple family 1 c.N!A ft= ftz
4. Num er of Bedrooms 4 d.N/A R= ftz
I 10.Ceiling Types (1828.0 sqft.) Insulation Area
5. Es thi a warst case? Nfl a,Under Attic{Vented) R=3Q.0 1828.OQ ftz
I, 6. Con!itioned floor area above grade(ft2) 1828 b.N/A R= ft2
Canditioned floor area below grade(ft2} 0 c.N/A R= ftz
I( 11.Ducts - Fi ft2
7. Winriows(186.5 sqft.) pescription Area a.Sup:Attic,Ret:Main,AH:Main 6 356
a. U��Factor: Dbl,U=0.34 126.54 ftz
Si GG: SHGG=d.31 '
b. U�Factor: Dbl,U=0.55 40.00 ft2 12.Caoling systems kBtu/hr Efficiency
' S GG: SHGG=d.34 a.Central Unit 28.6 SEER:14.00
I` c. UI�F�actor; NtA ft�
SHGC: 13.Heating systems kBtu/hr Efficiency
d U!Factar. N!A 1't2 a.Electric Heat Pump 28.6 HSPF:8.24
SHGC:
Are��Weighted Average Overhang Depth: 2.722 ft.
Are�Weighted Average SHGC: p.317 i 4.Hot water systems
8. Flo Ir 7ypes (1828.0 sqft.) Insulation Area a.Electric Cap:50 gallons
a.Slab-On-Grade Edge 1nsuEation R�0.0 1828.00 ft2 b. Consecvation features EF:0.950
b.N/A R= ftz None
c.N��A R= �2 15.Gredi2s Pstat
GEas IllFloar Area: 0.091 Total Proposed Modified Loads: 59.74 � A�C
(� Total Baseline Loads: 61.25 t� ��
I hereby certify thaf the p(ans and�specifications covered by Review af the plans and ��'t��fi.q�,�
this calGulaxian are in compliance with the Florida Energy specifications Govered by this •� ,�� _�� 0,�,
Gade� calculation indicates compliance r�'�rr, '' _= �,,`' �,
I� with the Florida Energy Code. � rirr,: 'F�;%-' '��,°:��`t, C)
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PREPARED SY: c���-- Before construction is completed 4 :' �`� .� �
DAT : fQ� this building will be inspected far � ,�` ,�,.�
1:
! compliance with Sectian 553.908 * �° *
1 here� y certify that this building,as desEgned,is in cornpliance Fiorida Statutes. .r+�� ��*�
with the Florida Energy Code. , ab y�,`�`
01NNEWAGE . BUELDING C?FFICIAL:
DAT�: DATE:
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- Co�pliance requires certification by the air handter unit rnanufac#urer that fhe air handler enciosure qualifies as
ce;ified factory-sealed in accortdance with R403.2.2.1.
-Cac�p[iance requires an A�r Barrier and lnsuEation lnspectior�Checklist in accardance with R4Q2.4.1.'t and an envelope leakage
test i'eport in accordance with R402.4.1.2.
- Co�zpliance with a praposed duct leakage Qn requrres a Duct Leakage Test Report canfirming duct leakage to outdoor's,
test�d in accordance with Section 803 of RESNET Standards,is not greater than OA60 Qn far whole hanse.
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FORM R405-2014
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i PROJECT
Title: � Cali Elevation D Bedrooms: 4 Address Type: Lot Information
Building Type: User Conditioned Area: 1828 Lot# 1/2
Owne�: Total Stories: 1 Block/SubDivision: Silverado
#of Urits: 1 Worst Case: No PlatBook:
Builder Name: DRH Express Homes Rotate Angle: 180 Street:
Permi��Office: Cross Ventilation: County: Pasco
Jurisdilction: Whole House Fan: City,State,Zip: Zephyrhills,
FamilX Type: Single-family FL,
New/Existing: New(From Plans)
Com�ent: Garage R Face S
CLIMATE
/ IECC Design Temp Int Design Temp Heating Design Daily Temp
V Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range
� FL,Tampa FL_TAMPA_INTERNATI 2 39 � 91 70 75 645.5 54 Medium
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BLOCKS
Nu� ber Name Area Volume
1 Blocki 1828 15848.8
SPACES
Nu�mber Name Area Volume Kitchen Occupants Bedrooms InfiIID Finished Cooled Heated
1 Main 1828 15848.8 Yes 5 4 1 Yes Yes Yes
FLOORS
I # Floor Type Space Perimeter R-Value Area Tile Wood Carpet
� 1 Slab-On-Grade Edge Insulatio Main 198.6 ft 0 1828 ftz ____ 0 0.25 0.75
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I ROOF
/I Roof Gable Roof Solar SA Emitt Emitt Deck Pitch
V # Type Materials Area Area Color Absor. Tested Tested Insul. (deg)
1 Hip Composition shingles 2044 ft2 0 ftz Dark 0.92 No 0.9 No 0 26.6
-Ir
ATTIC
V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC
� 1 Full attic Vented 300 1828 ftz Y N
- Ir
CEILING
I # Ceiling Type Space R-Value Ins Type Area Framing Frac Truss Type
� 1 Under Attic(Vented) Main 30 Blown 1828 ftz 0.11 Wood
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FORM �405-2014
�� WALLS
Adjacent Space Cavity Width Height Sheathing Framing Solar Below
0
_ 1 � N=>S Exterior Concrete Block-Int Insul Main 4.0999 19 8 S 164.7 ftz 0 0.6 0
_2 I W=>E Exterior Concrete Block-Int Insul Main 4.0999 43 8 S 8 378.4 ftz 0 0.6 0
_3� S=>N Exterior Concrete Block-Int Insul Main 4.0999 39 8 S 8 343.8 ftz 0 0.6 0
4� E=>W Exterior Concrete Block-Int Insul Main 4.0999 59 8 8 8 517.1 ft2 0 0.6 0
_5 I N=>S Garage Frame-Wood Main 11 20 0 8 S 173.3 ftz 0.23 0.01 0
_ 6 W=>E Garage Frame-Wood Main 11 15 4 S 8 132.9 ftz 0.23 0.01 0
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I DOORS
# Ornt Door Type Space Storms U-Value Width Height Area
Ft In Ft In
1 N=>S Insulated Main None 4 3 6 8 20 ftz
2 N=>S Wood Main None 46 2 8 6 S 17.8 ftz
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I WINDOWS
Orientation shown is the entered orientation => chan ed to As Built rotated 180 de rees.
/ Wall Overhang
V # Ornt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation Int Shade Screening
� 1 N=>S 1 Vinyl Low-E Double Yes 0.34 0.31 31 0 ftz 1 ft 0 in 4 ft 1 in Drapes/blinds Exterior 5
I 2 N=>S 1 Vinyl Low-E Double Yes 0.34 0.31 2.5 ftz 3 ft 8 in 0 ft 0 in Drapes/blinds Exterior 5
I 3 W=>E 2 Vinyl Low-E Double Yes 0.34 0.31 15.5 ftz 1 ft 0 in 0 ft 9 in Drapes/blinds Exterior 5
I 4 S=>N 3 Vinyl Low-E Double Yes 0.34 0.31 62.0 ftz 1 ft 0 in 0 ft 9 in Drapes/blinds Exterior 5
I 5 S=>N 3 Metal Low-E Double Yes 0.55 0.34 40.0 ftz 8 ft 0 in 0 ft 8 in Drapes/blinds Exterior 5
I 6 W=>E 2 Vinyl Low-E Double Yes 0.34 0.31 15.5 ftz 1 ft 0 in 0 ft 9 in Drapes/blinds Exterior 5
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I GARAGE
II # Floor Area Ceiling Area Exposed Wall Perimeter Avg.Wall Height Exposed Wall Insulation
� 1 430.0128 ftz 430.0128 ft2 46.6 ft 8.67 ft 0
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INFILTRATION
# Scope Method SLA CFM 50 ELA EqLA ACH ACH 50
1 V�Ihalehouse Proposed ACH(50) .000386 1849 101.51 190.9 .2892 7
HEATING SYSTEM
I # System Type Subtype Efficiency Capacity Block Ducts
� 1 Electric Heat Pump None HSPF:8.2 28.6 kBtu/hr 1 sys#1
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FORM R405-2014
,I COOLING SYSTEM
�I # System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts
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1 Central Unit None 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 50 gal 70 gal 120 deg None
SOLAR HOT WATER SYSTEM
FSEC Collector Storage
Cert # Company Name System Model# Collector Model# Area Volume FEF
None None ftz
DUCTS
/ ----Supply---- ----Return---- Air CFM 25 CFM25 HVAC#
�� # Location R-Value Area Location Area Leakage Type Handler TOT OUT QN RLF Heat Cool
� 1 Attic 6 356 ft2 Main 40 ftz Proposed Qn Main ---cfm 109.7 cfm 0.06 0.60 1 1
TEMPERATURES
Progiamable Thermostat:Y Ceiling Fans:
Cooling Jan Feb Mar Apr May Jun Jul Aug Sep Oct r 1Nov Dec
Heatir�g f XJ Jan f X}Feb f X�Mar �APr f �May f�Jun ��Jul 4�Au9 f�Sep f�Oct [X]Nov �Dec
VentirY � J Jan � �Feb [X�Mar A r [ Ma [ Jun Jul [ Au [ Se [ Oct (X]Nov Dec
Therm�i�(stat Schedule: HERS 2006 Reference Hours
� SchedUle Type 1 2 3 4 5 6 7 8 9 10 11 12
Coolini (WD) AM 78 78 78 78 78 78 78 78 80 80 80 80
PM 80 80 78 78 78 78 78 78 78 78 78 78
Coolm (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
Heatinl (WD) AM 66 66 66 66 66 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 66 66
Heatinl (WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68
II PM 68 68 68 68 68 68 68 68 68 68 66 66
�
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FORMi R405-2014
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� ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
I ESTIMATED ENERGY PERFORMANCE INDEX* = 98
iThe lower the EnergyPerformance Index,the more efficient the home.
, Zephyrhills, FL,
1. New construction or existing New(From Plans) 9. Wall Types Insulation Area
� a.Concrete Block-Int Insul,Exterior R=4 1 1404.00 ftz
2. Sing e family or multiple family Single-family 2
b.Frame-Wood,Adjacent R=11.0 306.22 ft
3. Nurr�ber of units,if multiple family 1 c.N/A R= ftz
� 4. Nu ��ber of Bedrooms 4 d.N/A R= ftz
� 10.Ceiling Types Insulation Area
' 5. Is th s a worst case? No a.Under Attic(Vented) R=30.0 1828.00 ftz
6. Conl itioned floor area(ftz) 1828 b.N/A R= ftz
7 Win ows*' Description Area c.N/A R= ft
z
� 11. Ducts R ftz
a. U�Factor: Dbl,U=0.34 126.50 ftz a.Sup:Attic,Ret:Main,AH.Main 6 356
SHGC: SHGC=0.31
�
b. -Factor: Dbl, U=0.55 40.00 ftz
SHGC� SHGC=0.34 12.Cooling systems kBtu/hr Efficiency
c. U�Factor: N/A ftz a.Central Unit 28.6 SEER:14.00
SHGC:
d. �-Factor• N/A ftz 13.Heating systems kBtulhr Efficiency
SHGC:
Are��Weighted Average Overhang Depth: 2,722 ft, a.Electric Heat Pump 28.6 HSPF:8.20
Are�Weighted Average SHGC: 0.317
8. Flo�r Types Insulation Area 14.Hot water systems
, Cap:50 gallons
a.S ab-On-Grade Edge Insulation R=0.0 1828.00 ftz a.Electric EF:0.95
z
c.N%A R= ftz b. Conservation features
, I None
, 15.Credits Pstat
I certif i that this home has complied with the Florida Energy Efficiency Code for Building .�SE sr
Constr�ction through the above energy saving features which will be installed (or exceeded) ti,pf , - _ '�r�ro�
in this �ome before final inspection. Otherwise, a new EPL Display Card will be completed ��`,,,,'�� -',,`, .s+�,
,�
based on installed Code compliant features. � m,,,��-.;;J_:.�;••;:.,��'„ o�
� ..
Builde Signature: Date: � �`'�i� �
* �' ° s
Address of New Home: , � " ity/FL Zip: �, g�
L cflb�.��
��� . .
"Note: This is not a Building Energy Rating. If your Index is below 70, your home may qualify for energy efficient
m��ortgage (EEM) incentives if you obtain a Florida EnergyGauge Rating. Contact the EnergyGauge Hotline at(321)
6�8-1492 or see the EnergyGauge web site at energygauge.com for information and a list of certified Raters. For
in�ormation 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.
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FORM R405-2014
�. Florida Department of Business and Professional Regulations
� Residential Whole Buildin Performance and Prescri tive Methods
ADDF�ESS: Permit Number:
I Zephyrhills,FL,
MANDATORY REQUIREMENTS See individual code sections for full details.
' � 401.3 Energy Pertormance Level(EPL)display card(Mandatory). The building official shall require that an energy performance level(EPL)
display card be completed and certified by the builder to be accurate and correct before final approval of the building for occupancy.Florida law
[Section 553.9085,Florida Statues]requires the EPL display card to be included as an addendum to each sales contract for both presold and
nonpresold residential buildings.The EPL display card contains information indicating the energy performance level and efficiencies of components
installed in a dwelling unit.The building official shall verify that the EPL display card completed and signed by the builder accurately reflects the plans
and specifications submitted to demonstrate compliance for the building.A copy of the EPL display card can be found in Appendix C.
� RI402.4 Air leakage(Mandatory). The building thermal envelope shall be constructed to limit air leakage in accordance with the requirements of
S�ections R402.1 through R402.4.4.
Q R402.4.1 Building thermal envelope. The building thermal envelope shall comply with Sections R402.4.1.1 and R402.4.1.2.The
sealing methods between dissimilar materials shall allow for differential expansion and contraction.
• R402.4.1.1 Installatian. The components of the building thermal envelope as listed in Table R402.4 1 1 shall be installed in
accordance with the manufacturer's instructions and the criteria listed in Table 402.4.1.1,as applicable to the method of construction.
Where required by the code official,an approved third party shall inspect all components and verify compliance.
• R402.4.7.2 Testing. The building or dwelling unit shall be tested and verified as having an air leakage rate of not exceeding 5 air
changes per hour in Climate Zones 1 and 2,and 3 air changes per hour in Climate Zones 3 through 8.Testing shall be conducted with
a blower door at a pressure of 0.2 inches w.g. (50 Pascals).Where required by the code official,testing shall be conducted by an
approved third party.A written report of the results of the test shall be signed by the party conducting the test and provided to the code
official.Testing shall be performed at any time after creation of all penetrations of the building thermal envelope.
During testing:
1. Exterior windows and doors,fireplace and stove doors shall be closed,but not sealed,beyond the intended weatherstripping or
other infiltration control measures;
2. Dampers including exhaust,intake,makeup air,backdraft and flue dampers shall be closed,but not sealed beyond intended
infiltration control measures;
3.Interior doors,if installed at the time of the test,shall be open;
4 Exterior doors for continuous ventilation systems and heat recovery ventilators shall be closed and sealed;
5.Heating and cooling systems,if installed at the time of the test,shall be turned off;and
6.Supply and return registers,if inst,alled at the time of the test,shall be fully open.
O R402.4.2 Fireplaces. New wood-burning fireplaces shall have tight-fitting flue dampers and outdoor combustion air.
O R402.4.3 Fenestration air leakage.Windows,skylights and sliding glass doors shall have an air infiltration rate of no more than 0.3 cfm
, per square foot(1.5 Us/m2),and swinging doors no more than 0.5 cfm per square foot(2.6 Us/m2),when tested according to NFRC 400 or
AAMA/WDMA/CSA 101/I.S.2/A440 by an accredited,independent laboratory and listed and labeled by the manufacturer.
Exception: Site-built windows,skylights and doors.
O R402.4.4 Recessed lighting. Recessed luminaires installed in the building thermal envelope shall be sealed to limit air leakage
between conditioned and unconditioned spaces.All recessed luminaires shall be IC-rated and labeled as having an air leakage rate not
more than 2.0 cfm(0.944 Us)when tested in accordance with ASTM E 283 at a 1.57 psf(75 Pa)pressure differential.All recessed
luminaires shall be sealed with a gasket or caulk between the housing and the interior wall or ceiling covering.
� II 403.1.1 Thermostat provision(Mandatory)., At least one thermostat shall be provided for each separate heating and cooling system.
� R403.1.3 Heat pump supplementary heat(Mandatory). Heat pumps having supplementary electric-resistance heat shall have controls
Ihat,except during defrost,prevent supplemental heat operation when the heat pump compressor can meet the heating load.
� I
iR403.2.2 Sealing(Mandatory)All ducts,air handlers,and filter boxes and building cavities that form the primary air containment
passageways for air distribution systems shall be considered ducts and plenum chambers,shall be constructed and sealed in accordance
ith Section C403.2.7.2 of the Commercial Provisions of this code and shall be shown to meet duct tightness criteria by post-construction
II r rough-in testing below.
Duct tightness shall be verified by testing to Section 803 of the RESNET Standards by either an energy rater certified in accordance with Section
i53.99,Florida Statutes,or as authorized by Florida Statutes,to be"substantially leak free"by either of the following:
Post-construction test:Total leakage shall be less than or equal to 4 cfm(113 Umin)per 100 square feet(9.29 m2)of conditioned floor area
when tested at a pressure differential of 0.1 inches w.g.(25 Pa)across the entire system,including the manufacturer's air handler enclosure.All
register boots shall be taped or otherwise sealed during the test.
2. Rough-in test:Total leakage shall be less than or equal to 4 cfm(113 Umin)per 100 square feet(9.29 m2)of conditioned floor area when tested
at a pressure differential of 0.1 inches w.g.(25Pa)across the system,including the manufacturer's air handler enclosure.All registers shall be
taped or otherwise sealed during the test.If the air handler is not installed at the time of the test,total leakage shall be less than or equal to 3 cfm
(85 Umin)per 100 square feet(9.29 m2)of conditioned floor area.
Exceptions:
i
1. The total leakage test is not required for ducts and air handlers located entirely within the building envelope.
� 2. Duct testing is not mandatory for buildings complying by Section R405 of this code.
� �
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FORM R405-2014
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MAI�DATORY REQUIREMENTS - (Continued)
� RA03.2.3 Building Cavities(Mandatory). Building framing cavities shall not be used as ducts or plenums.
❑ R403.3 Mechanical system piping insulation(Mandatory). Mechanical system piping capable of carrying fluids above 105°F(41°C)
or�below 55°F(13°C)shall be insulated to a minimum of R-3.,
R403.3.1 Protectian of piping insulation.
� R�403.4.1 Circulating hot water systems(Mandatory). Circulating hot water systems shall be provided with an automatic or readily
a cessible manual switch that can turn off the hot-water circulating pump when the system is not in use.
�
� R403.4.3 Heat traps(Mandatory). Storage water heaters not equipped with integral heat traps and having vertical pipe risers shall have
heat traps installed on both the inlets and outlets. Extemal heat traps shall consist of either a commercially available heat trap or a
dQ��wnward and upward bend of at least 3�/z inches(89 mm)in the hot water distribution line and cold water line located as close as possible
to'the storage tank.
� RIr103.4.4 Water heater efficiencies(Mandatory).
Q R403.4.4.1 Storage water heater temperature controls
. R403.4.4.1.1 Automatic controls. Service water heating systems shall be equipped with automatic temperature controls
capable of adjustment from the lowest to the highest acceptable temperature settings for the intended use.The minimum
temperature setting range shall be from 100°F to 140°F(38°C to 60°C).
. R403.4.4.1.2 Shut down. A separate switch or a clearly marked circuit breaker shall be provided to permit the power supplied
to electric service systems to be turned off A separate valve shall be provided to permit the energy supplied to the main burner(s)
of combustion types of service water heating systems to be turned off.
� R403.4.4.2 Water heating equipment. Water heating equipment installed in residential units shall meet the minimum efficiencies of
Table C404.2 in Chapter 4 of the Florida Building Code,Energy Conservation,Commercial Provisions,for the type of equipment installed.
Equipment used to provide heating functions as part of a combination system shall satisfy all stated requirements for the appropriate water
heating category Solar water heaters shall met the criteria Section R403.4.4.2.1.
. R403.4.4.2.1 Solar water heating systems. Solar systems for domestic hot water production are rated by the annual solar energy
, factor of the system.The solar energy factor of a system shall be determined from the Florida Solar Energy Center Directory of
Certified Solar Systems.Solar collectors shall be tested in accordance with ISO Standard 9806,Test Methods for Solar Collectors,
and SRCC Standard TM-1,Solar pomestic Hot Water System and Component Test Protocol,Collectors in installed solar water
heating systems should meet the following criteria.
1. Be installed with a tilt angle between 10 degrees and 40 degrees of the horizontal;and
2. Be installed at an orientation within 45 degrees of true south.
p �403.5 Mechanical ventilation(Mandatary). The building shall be provided with ventilation that meets the requirements of the
�lorida Building Code,Residential or Florida Building Code,Mechanical,as applicable,or with other approved means of ventilation.
��utdoor air intakes and exhausts shall have automatic or gravity dampers that close when the ventilation system is not operating.
p R403.6 Heating and cooling equipment(Mandatory). The following sections are mandatory for cooling and heating equipment.
� R403.6.1 Equipment sizing. Heating and cooling equipment shall be sized in accordance with ACCA Manual S based on the
equipment loads calculated in accordance with ACCA Manual J or other approved heating and cooling calculation methodologies,
based on building loads for the directional orientation of the building.The manufacturer and model number of the outdoor and
indoor units(if split system)shall be submitted along with the sensible and total cooling capacities at the design conditions
described in Section R302.1 This code does not allow designer safety factors,provisions for future expansion or other factors
which affect equipment sizing.System sizing calculations shall not include loads created by local intermittent mechanical ventilation
such as standard kitchen and bathroom exhaust systems.
• R403.6.1.1 Cooling equipment capacity. Cooling only equipment shall be selected so that its total capacity is not less than the
calculated total load,but not more than 1 15 times greater than the total load calculated according to the procedure selected in
Section 403.6,or the closest available size provided by the manufacturer's product lines.The corresponding latent capacity of the
equipment shall not be less than the calculated latent load.
�
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FORM R405-2014
� MAR�DATORY REQUIF�EMENTS - (Continued)
� R403.6.1.1 Cooling equipment capacity.(continued) The published value for AHRI total capacity is a nominal,rating-test value and
shall not be used for equipment sizing.Manufacture's expanded pertormance data shall be used to select cooling-only equipment.This
' selection shall be used to select cooling-only equipment.This selection shall be based on the outdoor design dry bulb temperature for the
� load calculation(or entering water temperature for water-source equipment),the blower cfm provided by the expanded performance data,
the design value for entering wet buib temperature and the design value for entering dry bulb temperature.
Design values for entering wet bulb and dry bulb temperature shall be for the indoor dry bulb and relative humidity used for the load
calculation and shall be adjusted for retum side gains if the return duct(s)is installed in an unconditioned space.
� Exceptions:
1 Attached single-and multi-family residential equipment sizing may be selected so that its cooling capacity is less than the
calculated total sensible load but not less than 80 percent of that load.
2. When signed and sealed by a Florida-registered engineer,in attached single-and multi-family units,the capacity of
equipment may be sized in accordance with good design practice.
� R403.6.1.2 Heating equipment capacity
' R403.6.1.2.1 Heat pumps. Heat pumps sizing shall be based on the cooling requirements as calculated according to Section
R403.6.1 1 and the heat pump total cooling capacity shall not be more than 1.15 times greater than the design cooling load.
. R403.6.1.2.2 Electric resistance furnaces. Electric resistance furnaces shall be sized within 4 kW of the design
requirements calculated according to the procedure selected in Section R403.6.1.
' R403.6.7.2.3 Fossil fuel heating equipment. The capacity of fossil fuel heating equipment with natural draft atmospheric burners
shall not be less than the design load calculated in accordance with Section R403.6.1
� R403.6.1.3 Extra capacity required for special occasions. Residences requiring excess cooling or heating equipment capacity on an
intermittent basis,such as anticipated additional loads caused by major entertainment events,shall have equipment sized or controlled to
prevent continuous space cooling or heating within that space by one or more of the following options:
' 1. A separate cooling or heating system is utilized to provide cooling or heating to the major entertainment areas. �
2. A variable capacity system sized for optimum pertormance during base load periods is utilized.
❑ F�403.7 Systems serving multiple dwelling units(Mandatory). Systems serving multiple dwelling units shall comply with Sections
0403 and C404 of the Commercial Provisions in lieu of Section R403.
❑ �403.8 Snow melt system controls(Mandatary). Snow and ice-melting systems,supplied through energy service to the building,shall
i I clude automatic controls capable of shutting off the system when the pavement temperature is above 55°F,and no precipitation is falling
a,�,nd an automatic or manual control that will allow shutoff when the outdoor temperature is above 40°F.
❑ R403.9 Swimming pools,inground spas and portable spas(Mandatory). The energy requirements for residential pools and
i I ground spas shall be as specified in Sections R403.9.1 through R403.9.3 and in accordance with ANSI/APSP-15.The energy
requirements for portable spas shall be in accordance with ANSI/APSP-14
Q R403.9.1 Paol and spa heaters. All pool heaters shall be equipped with a readily accessible on-off switch that is mounted
outside the heater to allow shutting off the heater without adjusting the thermostat setting.
� R403.9.1.1 Gas and oil-fired pool and spa heaters. All gas-and oil-fired pool and space heaters shall have a minimum
thermal efficiency of 82 percent for heaters manufactured on or after April 16,2013 when tested in accordance with ANSI Z 21.56.
Pool heaters fired by natural gas or LP gas shall not have continuously burning pilot lights.
, R403.9.1.2 Heat pump pool heaters. Heat pump pool heaters shall have a minimum COP of 4.0 when tested in accordance
with AHRI 1160,Table 2,Standard Rating Conditions-Low Air Temperature.A test report from an independent laboratory is
required to verify procedure compliance.Geothermal swimming pool heat pumps are not required to meet this standard.
O R403.9.2 Time switches. Time switches or other control method that can automatically turn off and on heaters and pumps according to a
preset schedule shall be installed on all heaters and pumps.Heaters,pumps and motors that have built in timers shall be deemed in
compliance with this equipment.
Exceptions:
• 1 Where public health standards require 24-hour pump operations.
2. Where pumps are required to operate solar-and waste-heat-recovery pool heating systems.
3. Where pumps are powered exclusively from on-site renewable generation.
O R403.9.3 Covers. Heated swimming pools and inground permanently installed spas shall be equipped with a vapor-retardant cover on or
at the water surtace or a liquid cover or other means proven to reduce heat loss.
Exception: Outdoor pools deriving over 70 percent of the energy for heating from site-recovered energy,such as a heat pump or
' solar energy source computed over an operating season.
❑ RR404.1 Lighting equipment(Mandatory). A minimum of 75 percent of the lamps in permanently installed lighting fixtures shall be
igh-efficacy lamps or a minimum of 75 percent of permanently installed lighting fixtures shall contain only high efficacy lamps.
Exception: Low-voltage lighting shall not be required to utilize high-efficacy lamps.
� R404.1.1 Lighting equipment(Mandatory). Fuel gas lighting systems shall not have continuously burning pilot lights
� �R405.2 Pertormance ONLY. All ducts not entirely inside the building thermal envelope shall be insulated to a minimum of R-6.
O R405.2.1 Pertormance ONLY. Ceilings shall have minimum insulation of R-19.Where single assemby of the exposed deck and beam type or
; concrete deck roofs do not have sufficent space, R-10 is allowed.
1 0/27/201 6 4:20 PM EnergyGauge�USA-FlaRes2014 -Section R405.4 1 Com Page 3 of 3
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FORI�lI R405-2014
' TABLE 402.4.1.1
AIR BARRIER AND INSULATiON INSPECTION COMPONENT CRITERIA
Pr�ject Name: Cali Elevation D Builder Name: DRH Express Homes
Street: Permit Office:
�i
City,State,Zip: Zephyrhills, FL, Permit Number:
Owner: Jurisdiction:
D i sign Location: FL,Tampa
��
COMPONENT CRITERIA CHECK
Airl�barrier and thermal barrier A continuous air barrier shall be installed in the building envelope.
I Exterior thermal envelope contains a continuous barrier.
Breaks or joints in the air barrier shall be sealed.
Air-permeable insulation shall not be used as a sealing material.
Ce ling/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/doorjambs and framing and skylights and
IIframing shall be sealed.
Ri�rii 'oists Rim,joists are insulated and include an air barrier.
Floors (including above-garage Insulation shall be installed to maintain permanent contact with underside
an�d cantilevered floors) of subfloor decking.
IIThe air barrier shall be installed at any exposed edge of insulation.
Ciawl space walls Where provided in lieu of floor insulation, insulation shall be permanently
I attached to the crawlspace walls.
Exposed earth in unvented crawl spaces shall be covered with a Class I
Ivapor retarder with overlapping joints taped.
Sh�jafts, penetrations Duct shafts, utility penetrations,and flue shaft openings to exterior or
�I unconditioned space shall be sealed.
Narrow cavities Batts in narrow cavities shall be cut to fit, or narrow cavities shall be filled
I by insulation that on installation readily conforms to the available cavity
I s aces.
G�arage separation Air sealing shall be provided between the garage and conditioned spaces.
R�ecessed lighting Recessed light fixtures installed in the building thermal envelope shall be
�� air tight, IC rated,and sealed to the drywall.
i
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.
i
Shower/tub on exterlor wall Exterior walls adjacent to showers and tubs shall be insulated and the air
�I barrier installed separating them from the showers and tubs.
E�ectrical/phone box on The air barrier shall be installed behind electrical or communication boxes or
air sealed boxes shall be installed.
�
H AC register boots HVAC register boots that penetrate building thermal envelope shall be
Isealed to the sub-floor or drywall.
F�re lace An air barrier shall be installed on fireplace walls. Fireplaces shall have
�I p gasketed doors
10/27/2016 4:21 PM EnergyGaugeO USA-FlaRes2014 Section R405.4.1 Compliant Software Page 1 of 1
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FORM R405-2014 Duct Leakage Test Report Performance Method
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FLORIDA ENERGY EFFICIENCY CODE
�
FOR BUILDING CONSTRUCTION
Form R405 Duct Leakage Test Report
� Performance Method
ProjeCt Name: Cali Elevation D Builder Name: DRH Express Homes
Stree�: Permit Office:
City,SItate,Zip: Zephyrhills,FL, Permit Number:
Desigl�Location: FL,Tampa Jurisdiction.
IIDuct Test Time: Post Construction
Duct Leakage Test Results ,
CFM25 Duct Leakage Test Values
Line System Outside Duct Leakage
1 System 1 cfm25(Out)
2 System 2 cfm25(Out) I
3 System 3 cfm25(Out)
4 System 4 cfm25(Out)
5 Total House Sum lines 1-4
Duct System
Leakage Divide by
(Total Conditioned Floor Area)
_ (��,Out)
I certify the tested duct leakage to outside, Qn, is Duct tightness shall be verified by ��HE S7�,qT
not greater than the proposed duct leakage Qn O _ � ��
specified on Form R405-2014. testing to Section 803 of the RESNET � ,,,�, t_�; fi
Standards by an energy rater certified in � '��� - ��';,,�^
� )/t/ll����'�!t'•I��`�`,��u t5 j
a c c o r d a n c e w i t h S e c t i o n 5 5 3.9 9, ... 7,
, Florida Statutes. � ��`�';--� , o
SI NATURE: � �_u�' '�'
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* �
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PRINTED NAME: ��'O�j����
D TE: BUILDING OFFICIAL:
DATE:
�
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Job:
Q����figs'��q,R Manual S Com liance Re ort
p p Date: Oct 10,2014
' : . �zr Enfire House Bv�
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5907 Di sher ct,Port Richey,FI 34668 Phone:727-847-3898 Fax:727-815-3399 License:CAC033669
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� • • •
For: DR Horton/Express
Lot 1 Blk 2 Silverado Ranch, Zephyrhills, FI
• . s • .
De�ign Conditions
Oiutdoor design DB: 91.2°F. Sensible gain: 20893 Btuh Entering coil DB: 75.4°F
Outdoor design WB: 77.1 °F Latent gain: 2966 Btuh Entering coil WB: 62.7°F
I�door design DB: 75.0°F Total gain: 23859 Btuh
I door RH: 50% Estimated airflow: 1000 cfm
Ma I ufacturer's Performance Data at Actual Design Conditions
quipment type: Split ASHP
�anufacturer: Carrier Model: CH14NA030'�'*A+FB4CNP030
���ctual airflow: 1000 cfm
ensible capacity: 23270 Btuh 111%of load
� tent capacity: 3914 Btuh 132%of load
�otal capacity: 27184 Btuh 114%of load SHR: 86%
. • •
Dei�ign Conditions
��utdoor design DB: 40.0°F Heat loss: 21100 Btuh Entering coil DB: 69.8°F
I door design DB: 70.0°F
Mal ufacturer's Performance Data at Actual Design Conditions
Equipment type: Split ASHP
��'I anufacturer: Carrier Model: CH14NA030****A+F64CNP030
ctual airflow: 1000 cfm
Output capacity: 25604 Btuh 121%of load Capacity balance: 38 °F
�upplemental heat required: 0 Btuh Economic balance: -99 °F
�ackup equipment type: Elec strip
anufacturer: Model:
�Actual airflow: 1000 cfm
Output capacity: 6.6 kW 107%of load Temp. rise: 20 °F
T I e above equipment was selected in accordance with ACCA Manual S.
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�•�� Progressive Air Systems
S's�I mg.�e
5907 Dasher ct,Port Richey,FI 34668 Phone:727-847-3898 Fax:727-815-3399 License:CAC033669
II
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For: DR Horton/Express
Lot 1 Blk 2 Silverado Ranch, Zephyrhills, FI
i - • e •
Htg Clg Infiltration
Outside db(°F) 40 91 Method Simplified
Inside db(°F) 70 75 Construction quality Semi-tight
' Design TD (°F) 30 16 Fireplaces 0
Daily range - L
Inside humidity (%) 50 50
Moisture difference (gr/Ib) 26 54
HEATING EQUIPMENT COOLING EQUIPMENT
ake Carrier Make Carrier
T�ade CARRIER Trade CARRIER
�odel CH14NA030*'*'A Cond CH14NA030*`**A
A RI ref 6804001 Coil FB4CNP030
I AH R I ref 6804001
Efficiency 8 HSPF Efficiency 11.5 EER, 14 SEER
��eating input Sensible cooling 22500 Btuh
eating output 29600 Btuh Qa 47°F Latent cooling 7500 Btuh
T�mperature rise 27 °F Total cooling 30000 Btuh
?�,ctual air flow 1000 cfm Actual air flow 1000 cfm
/�ir flow factor 0.047 cfm/Btuh Air flow factor 0.048 cfm/Btuh
�tatic pressure 0 in H20 Static pressure 0 in H20
pace thermostat Load sensible heat ratio 0.88
I ROOM NAME Area Htg load Clg load Htg AVF Clg AVF
(ftz) (Btuh) (Btuh) (cfm) (cfm)
�� bed 194 3196 3104 151 149
libing room 270 2891 3627 137 174
�itchen/dining 349 4292 5088 203 244
3 155 1420 1098 67 53
�ath2 55 604 278 29 13
� 2 168 3411 3268 162 156
� c 21 24 35 1 2
, bath 114 1276 652 60 31
M wic 66 77 112 4 5
laundry 39 45 668 2 32
A/C closet pt � 169 1886 1 j04 89 65
�oyer 200 1817 1542 86 74
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
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, E�tire House d 1820 21100 20893 1000 1000
Ot er equip loads 0 0 '
E uip. @ 1.00 RSM 20893
Latent cooling 2966
T��TALS 1820 21100 23859 1000 1000
I
I Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
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FOR R405-2014 '
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RESlDENTIAL ENERGY CONSERVATION CODE DOCUMENTATION CHECKLIST
Florida Deparfinenf of Business and Professional Regulafion
Simulated Performance A/ternafive (Performance)Mefhod
Applications for compliance with the 2014 Florida Building Code,Energy Conservation via the
residential Simulated Performance method shall include
❑ This checklisf
❑ A Form R405 report that documenfs that the Proposed Design complies with Section
R405.3 of the Florida Energy Code. This form shall include a summary page
indicating home address, e-ratio and the pass or fail status along with summary
areas and types of components, whefher fhe home was simulated as a worsf-case
orientation, name and version of the compliance software tool, name of individual
completing the compliance report(1 page)and an input summary checklist that can
be used for field verification (usually 4 pages/may be greater).
❑ Energy Performance Level(EPL) Display Card(one page)
❑ Mandatory Requirements(three pages)
Required prior to CO for the Performance Method:
❑ Air Barrier and Insulation Inspection Component Criferia checklist(Table R402.4.1.1 -
one page)
❑ A completed Envelope Leakage Test Report(usually one page)
❑ If Form R405 duct leakage type indicates anything other than "default leakage; fhen a completed
Form R405 Duct Leakage Tesi Report(usually one page)
i EnergyGaugeC�-USRCZB v5.1
1 0/27/201 6 4:26:01 PM Page 1 of 1
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D R HORTON INC-36027 Carriage pine ct-2,362 sq ft ,
. �
io umn
i SQ. FEET PRICE
MAIN OR LIVING: 2,362 $ 112.65
OTHER AREA UNDER ROOF: -
OTHER: - $ -
VALUATION $ 266,079.30
FEE SHEET $ 989.00
ADDRESS $ 40.00
DRIVEWAY $ 40.00
BUILDING: $ 1,088.78
ELECTRICAL: $ 222.53
PLUMBING: $ 148.35
MECHANICAL: $ 103.85
SUB-TOTAL $ 1,563.50
TOTAL $ 1,563.50
SEW ER: n/a
WATER: n/a
IRRIGATION: $ -
TOTAL: $ -
WATER METER: n/a
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $ 2,116.85
PARK IMPACT FEES $ 769.56
SIF'S: $ 4,828.00
100.0% $ 4,828.00
1.0% $ 48.28 I
TOTAL: $ 4,876.28 i
T I F'S: $ 3,632.00
99% $ 3,595.68
1% $ 36.32
, TOTAL: $ 11,394.69
i
.e�a�;�ao-oo2o City of Zephyrhiils F�ermit Application Fax-813-780-0021
Building Department
Dates Received ,+ ��� ,���.,_�J'���
II 6� 31 �� Phone Contact for Permitting
� ,
Owner's Name . � �ri a � � � Owner Phone Number ���1 . � �� 0
Owner's Address �a��a���� �� M �'� �G`n"f�c'3� 3�Owner Phone Number
' I - —
Fee Simple Titleholder Name G.�r► +L Owner Phone Number
1 •
Fee Simple Titleholder Address
JOBADDRESS ,��4'����j`.r� � �%/"Z'. G7 LOT# � rf�
SUBDIVISIOPI �1�-1 �'e�'� �� PARCELID# O�'��-,v�I���" �Q���� DO/�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PRO OSED �NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED I SE �� SFR Q COMM 0 OTHER
TYPE OF CO STRUCTION � BLOCK Q FRAME 0 STEEL �
DESCRIPTION OF WORK r�� 5�°�<<��rn-� !. ��s���-/`C� K✓�� �b�''�� I "�J��
BUILDING SIZE SO FOOTAGE .�3 � /'`a,�/ HEIGHT
�BUIILDING $ �Qe� �6�, �`� VALUATIONOFTOTALCONSTRUCTION ,��� �C�`>'
I J � .
�ELECTRICAL $ �0��. �� AMP SERVICE J�(./ � PROGRESS ENERGY � W R.E.C.
�PL MBING $ f���D• �r� %� �4/ �
� ( :
0 M CHANICAL $ 5G�` e� � VALUATION OF MECHANICAL INSTALLATION ���C��
OG IS Q� ROOFING Q SPECIALTY THER ������L.�-
FINISHED F OOR ELEVATIONS �d p� �� : FLOOD ZONE AREA DYES NO '
Q7
-1--F-1-�1-1�-4-1-1--��f-1-�i--1�-4-�1-1--1--i-4-��1-l--F-f-�f�-�i-4-1-�1-�1-1--1--F-f-1-f-1--1--f-1--1-�• • • • • " • • • • 1--�1-1--f-
BUILDER � � ,�r COMPANY �� T - �1���^+ ���
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addres ����a?��C��CO!�� �r' I/I'� c. ��G����lc, 2
License#
ELECTRICI �`� �� COMPANY �C� MO�spn ����-`�r� CG
SIGNATURE �•� ^'
REGISTERED Y/ N FEE CURRE� Y 7 N
Addres �� �1 5 i�i I��r' r�.t��G rr• �'- License# �'�i 3��� a�
PLUMBER � � COMPANY 1,,��/"/1 Cl'�''1�� /1 °�-`, Q"�S,
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ` / �p � ,(e �Q() � �v� L6L License# G F� I y2��.'�-
MECHANIC IL �� COMPANY ��D r�5�i ��. �i r�y s-kn' f .
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 5�0� ctsljc,��'f. �C,r•.�-,�T C�+�e License# V C.�
OTHER i ��-�-�,/�,_ COMPANY I� 1 ��Crr'� J��� n
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address (� `�"�� j O`!��' .�7�" ��;rs � License 1# C� ��� I � �
1 1 1 1 1 lil 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1' 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach (2) Plot Plans; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction,
I Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCI L Attach (2)complete sets of Building Plans plus a Life Safety Page; (1)set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans vJ/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance �
SIGN PERMI� Attach (2j sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
-' '-.--�:��4.i�-i�4-1-.�1-�-�1-�1-1--1--i-1--��1--�.�1--4�f-��4.4�.�l-i.1-1--1-�1--1--L-1--1--1�1--i-I.ol--1--4-• • • • : • • • • 1--1--1-1..4.
Directions: I
Fill out a plication completelq , �
Owner&Contractor sign back of application,notarized ' -� � = -
If over�i2500,a Notice of Commencement is required. (A/C upgrades over$7500)
** Ageht(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing�same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shi gles Sewers Service Upgrades. A/C ,. Fences(P.lot/Survey/Footage) '
Drivewa�s-Not over Counter if on public roadways..needs.ROVI/ . __ , ' � ' � .
I �.... , .
NOTICE OF DEED RE�TRICTIONS: 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�ivith an,y
applicable deed restrjctions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed.in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not proper•ly 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, 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 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 A"reas and Environmentally Sensitive �
Lands, 1Nater/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
- Watercourses.
- Army Carps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services%Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal',�Aviation Authority-Runways. _
I understand that the following restrictions apply to the use of fill:
- Use of fll 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 fi�l� material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to�commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall �e 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 invafid
unless the worl< authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR-NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 1�17 03) -
OWNER OR AGENT ,��..���—�� CONTRACTOR C/ �.� — �
Subscri ed and sw9L�to;(or affirmed)before me this Subscribed nd sworn to(or a ' ed)before me this J
/G �� /[by Jl C�nn-c��,�a-uc_1-�c�n-�c C! � by ��r r►nc_�l ,�c a3r�-.r J .•.� ,
Who is/are personally known�to me or has/have produced Who is/a personally known to me or has/have produced
' as identification. as identification.
' Notary Public � Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
� ;o�Y°�e� Notary Public State of Florida
So,suv av�� Notary Public State oi Florida . . Gail M Donahue
, Gail M Donahue q o¢ My Commission FF 170472 "
� My Commission FF 170472 'AOFp.a� Expires 11/18l2018
�oF���A Expires'1.111 812 01 8
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PLOT PLAN .
DESCRIPTION:(AS FURNISHED)
LOT 1, BLOCK 2, SILVERADO RANCH SUBDIVISION PHASE 2, 3 & 4
S RECORDED IN PLAT BOOK 73, PAGE(S) 59-65, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
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\ CEN�OF�WPY � �PRR�P���pCtR\GH.� OF WPY
P1 ��N�EN/�1N�1 60 �DE P�6�c
II c
Curve Ta61e
' Curva� Length Radius �elta Chord Bearing Chord
C1 5.03' 25.00' 1132'13' S80'OS'36'W 5.03'
PRE �ARED FOR:
D• -NOR7IlN'�' LEGEND:
���'�S������ — — — BUILDING SETBACK LINE
ON LOT CALCULATIONS — CENIERLINE
BUILI� ING SETBACKS LOT = 7,074 SQ. FT. _ -- RIGHT OF WAY LINE
FRONT:I 22' LIVING AREA = 1,828 SQ. FT.
GARAGE = 430 SQ. FT. � PROPOSED ELEVA710N
REAR: 13� ENTRY = 16 SQ. FT. � PROPOSED DRAINAGE FLOW
SIDE: 7.5' LANAI = 88 SQ. FT.
SIDE S�REET: 20' PAT10 = 0 SQ. FT. 0 CONCRElE
IDRIVEWAY = 3o S4. FT. n/c AIR CONDITIONER
C, A/C PAD = 12 SQ. FT. S(///���yyy SIDEWAu(
NOTGS. WALKWAY = 31 SQ. FT. PC p01NT OF C RVATURE N
IMPERVIOUS = 34%
1. E G VATIONS SHOWN ARE PER LOT GRADING PT POINT OF iANGENCY
PIIANS PROVIDED BY THE CLIENT = 2435 SQ. FT. RP RaDIUS POINT
2. EI;EVATIONS ARE BASED ON NAVD 1988 SOD = 4,639 Sq. FT. pRC POINT OF REVERSE CURVATURE
p I�M OFF LOT CALCULATIONS PCC POINT OF COMPOUND CURVANRE
RIGHT OF WAY = 606 SQ. FT. T�"� TYPICAL
DRIVE APRON = 133 SQ. FT. Cs CONCRE�S�
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES �P� P�P�T
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF PUBLIC S/W = 220 SQ. FT. �p� CnLCULAIED
THE Pf�OPOSED HOUSE. REFER TO HOUSE PLAN AND SOD = 253 SQ. FT. PB PIA7 BOOK
OPTION�LIST FOR CONSiRUCTION. ALL BUILDING SET BACK TOTALS SqSFT. SqUARE FEET
LINES 5HOWN HEREON IS PER DATA FURNISHED BY CLIENT AREA = 7,680 SQ. FT. F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
AND ISl FOR INFORMATIONAL PURPOSES ONLY. DRIVEWAY = 163 SQ. FF. F.I.R.M. FLOOD INSURANCE RATE MAP
SIDEWALK = 251 SQ. FT. NAVD NORTH AMERICAN VERTICAL DANM
THIS IS NOT A SURVEY _ Ncw NATIONAL GEODETIC VERIICAL DANM
SOD = 4,892 SQ. FT. P� PRIVA'fE LANDSCAPE EASEMENT
�THIS IS A PLOT PLAN ONLY PDE PRIVATE DRAINAGE EASEMENT ,
PUE PUBLIC UTILITY EASEMENT
FLOOD NOTE: SURVEYOR NOTES:
I HAVE E INED THE F.I.R.M. COMMUNITY MAP N0. 12101CO228F, 1• THE SURVEYOR HAS NOT ABSTRACTED THE
DAIED 0 -26-14, AND FOUND THE SUBJECT PROPERTY APPEARS TO LAND SHOWN'HEREON FOR EASEMENTS, RIGHT
LIE IN Z E X, AREA OUTSIDE THE 100 YEAR FLOOD PLAIN. 1HE OF WAY, RESTRICTIONS OF RECORD WHICH
SURVEYO MAKES NO GUARANTEES AS TO THE ABOVE INFORMATION. MAY AFFECT THE 11TLE OR USE OF THE LAND.
PLEASE ONTACT THE LOCAL F.E.M.A AGENT FOR VERIFlCATION.
, I 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN.
B RRINGS�P NEWOOURT BEING N7 79'30'E, ER p�pT7,ERLINE OF 3� ELECTRONIC S GNATU EEAND THEEn UTHEN7IC
A M E R I C A N ELECTRONIC SEAL OF A FLORIDA LICENSED
REVISED: SURV�EYOR, AND MAPPER.
(FIELD D TE:) � U R �/E Y I N G ''y,,,�yp�
����%�:eat DI It II
SCALE:I ��� 30 fEET yy • � g aysynedbylamesWBoleman
�'s'�pO���'y � ON:r—US,st=Florlda,l=0rlando,
,I 8cM A P P I N G I N C. ��� �6 AmeAcanSurveying&Mapping,
APPROVEDBN �B �' c�—�o�=iwaes,�=�mesweoleman,
CERTIFlCATION OF AUTHORIZATION NUMBER LB�6393 �o e„��k��iP1�„@,:m�o,�ffe�,,, F�
160912 L071, BLOCK 2 3191 MAGUIRE BOULEVARD, SUITE 200 �. ��"�"A Datr.7014102]1434:35-04'00' TME
doe No. ORLANDO, FLORIDA 32803 ��aaum,m>m� FlRN
(407) 426-7979 DAlE
oruwNB: DSB pLOT PLAN 10 26 16 CF �•AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485
—_ __
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- i 4 �&�' � PASCO COUNTY
� = 1� r , BUILDING CONSTRUCTION SERVlCES
; ;�._��� 873'!�Citizens Drive Date:4/27/2017
�1 � Suite 23A �
� ,y , New Por�Richey;FL 34654
I * � �� � � 72;7-847-812?
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�'c�F �V !' ! ! @ ��pVl�� *� I
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, Record#: Q6P05-QOOQO-#OOQO �
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� R�ceipt# Paid Bv Check# GC Auth# Cashier ID Workstation Receipt Date Amt Paid i
1�675422 Check 581383 294 BCCCP38W 04/27J2017 $42.30
I� � Totai Rayments: $42.30
P�vor Address � Phnne
� D��t.HORfiON 36027 CARRIAGE PINE i
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CBmrrients:
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MyRe orts/reportsUPRODUCTION/FASCOlReceiptAA 4/27(2417 Page 3 of 3
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