HomeMy WebLinkAbout16-18007 .
�� CITY OF ZEPHYRHILLS
5335-8TN STREEC
(813)780-0020 18007
� BUILDING PEF�MIT
� PERMIT INFORMATION LOCATION INF4RMATION
Permit umber: 18007 Address: 3708 GARDEN G1TY V11Y �{�T 3
Perrtitiit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class�of Work: 434-RDD/A�T RESlDENT1A� Tawnship: Range: Book:
Propo`�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squ�re Feet: Subdivision: MAJESTIC OAKS
E 't. Value: Parcel Number: 24-26-21-0000-00100-0090
Impr��v. Cast: 11,555.00 OWNER INFORMATION
Dat � Issc�ed: 1211612016 Name: NHC-FL1'f5 LLCI CAGLE
To�al Fees: 262.50 Address: 6991 E CAMELBACK RD STE 8310
Amoi�unt Paid; 262.50 SGUTTSDALE AZ 85251-2493
Date Paid: 12/16/2016 Phone: 61$-771-2752
Wa�rk Desc: ROOM ADDlTION /SHED 417.3 SQ FT! DECK 4 X 14.9
� CONTRACTOR S APPLICATiON FEES
SUNST' TE ALUMINUM WC BUILDlNG FEE 142.50
.3AMESIO N]ORTCIN ELECTRIC CCJ.,INC. ELECTRICAL FEE 60.00
BAHR' I PROPANE GAS &A/C, INC. MECHANICAL FEE 60.00
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I Ins ections Re uired
TER i 2ND ROU PL MB MI IN UI..AT! N CElLI G
FOOTER OND DUCTS INSULATED SEWER M[SC.
RQUGH�LECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATICJN WRLL MISC.
DUCTS It�STAL�ED WATER MISC DRNEWAY
PRE-SLAB SHEATHING MISC. MISC.
COfVSTRUCTI4N POLE FftAME MISC. MISC.
REIN�PECTZON FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
foca!government shail �rnpase a fee of four times fihe amount of the fee imposed far th�initiaE inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTIC�: In addition to the requirements of this permit, there rrtaybe additiona( restrictions applicable to this property that
may b found in the public recards of this county, and there may be additional permits required fram other governmental
I entities such as water management, state agencies or federal agencies.
"Vlta�ning to owner: Your fai[ure to record a notice of commencement may resu[t in your paying twice for
improvements ta your property. If yau intend to abtain financing, consult with yaur lender or an attorney
, before recarding your notice of commencement."
Comp ete Plans, Specificatians Must Accompany Application.All wark shall be perfarmed in accordance with
i Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
I NU OCCUPANCY BEFORE C.O.
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'CONT C SIGNATURE PERMIT OFFI R
PERMIT EXPIRE� IN fi Mt3NTHS WITHGIUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
; PRCITECT CARD FROM WEATHER
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�s-�so-oozo��.-`���::__ �"" � _ ,-'�����_�� City,;of-Zephyrhills Permit Application` � " '.�'��.Fax=s�s-7ao-oo2�
� � ," , . .,- . _. ,_ �. � Building Department � � � � ,. . • „ '
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Date Rece ved ( � �-'7�,a'..� , � � �j '��� . _! .��� �
� ' .:Phone Contact for Permittin
TTIT III Tr �C - L.L C Q < �p f b -' 7�l-07�7 Sa-
Owner's ame L �5' C e. Owner Phone Number
I ` {�`� _�� L BS�,a I
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Owner's ddress G(�Q G�C. /�'1 St.��" y� Owner Phone Nurtiber
Fee Simpl' Titleholder Name Owner Phone Number
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Fee S�mple Titleholder Address
JOBADDRESS �O v`eC/�F e� �%�,� (/� h �l�s I`�• 3�� LOT# �
SUBDIVIS�ON a � ���-S PARCEL ID# � [^J �'� �r O b�� •OO L D a-' Q O R �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK P�OPOSED e , NEW CONSTR� ADD/ALT 0 SIGN Q 0 DEMOLISH
INSTALL REPAIR
PROPOS@D USE SFR Q COMM 0 OTHER
TYPE OF I�ONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPI ION OF WORK L /�D�'1 S �Gi" ,l�� /✓z°E�'. YX �y 1
u y�.c� s:r—.
BUILDIN i SIZE �a.1� SQ FOOTAGE `/I7• .3 HEIGHT
�fTT TI"TT�TI�TI�TT�TI�ITITI�TT�T�TTt�ITi�T�TT�T�TTr1"
' QBUILDING � �/ ��O v VALUATION OF TOTAL CONSTRUCTION
��ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
, ' � ��o°�
PLUMBING $
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MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHEii FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
-1-1-1-��-�t--F-6--F-�-F-t-f-�--1-t--t--t--I--F-1-F-1-1-�--l-�t--t--F-�-1-t-1-�-I--I--1-1--t--f-1--�-I-1-F-F-i--6-F-�--t-t--f-I-1--t-F-f-�-f-�-1-1-i-�
BUILDER `��� JO COMPANY GLk.S 2� `LC `ri u w�
SIGNATURE �/-�� REGISTERED Y! N FEE CURREN Y/N
Add�ess u� �jL �! � �n� ��S f� ��� License# C2G�S�S%7
ELECTRICIAN �� /�� - _ b �� COMPANY l��TVYi G �PC�"/'j G
SIGNATI�RE I`—�—_ 1 `,r�!/,��� REGISTERED Y/ N FEE CURREN Y/N
I 'b� ,s3 7 ��t��S �=L. 33 s39 �icense# C/e�d0 0� �{
Add ess
PLUMBI COMPANY
SIGNAT RE REGISTERED Y/ N FEE CURREN Y/N
Addl ess License#
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MECHA ICAL �--� ����J� �a' COMPANY ���/�S �G
SIGNAT RE � `t� REGISTERED Y/ N FEE CURREN Y/N
Ad Iress y �.r � � Ir lS � 3 y� License# � c...Q 0
OTHER - COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Ad ress License# �
IIII� IIIIIIIIIIIIIII111111 '1111t111t11111111ttt11111111ttt111t11t11it
I RESIDEI TIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMME C1AL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN P RMIT Attach(2)sets of Engineered Plans.
""`"PROPERTY SURVEY required for all NEW construction.
�--r• 1--k�f-t..4.{-1..1-L..f-f..f-i-hi..l-f-i-1-8-f-1..1-Z-1-f-�.l..{-1--{-I-f.a-{.�la-.1--t�1--1-{�-1-1-f-i-{-L.a-1-1--i-1-i�i..4-i.�{.a..k.i.i-1-
' Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized �
If o'yer$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
'* Age�nt(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER T�E COUNTER PERMITfING (Front of Application Only)
Reroofs i(shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Dri leways-Not over Counter if on public roadways..needs ROW
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NOl'iCE OF DEED RESTRiCTiONS: The undersigned understands that this permit may be subject to"deed"resfricfions"
which may be mare restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restric#ians.
UNLICENSED GONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired .a contractor or
contractors ta undertake work, they may be reguired to be licensed in accordance with state and local regulations. !f the
contractor is not licensed as required by iaw, both the owner and cpntractor may be cified far.a misdemeanor vioiatior►
under state law. If the owner or intended cantractor are uncer#ain as to what licensing requirements may apply for the
inte�tded work, they are advised to contact�the Paseo Caunty Bttilding Inspection Division—Licensing Section at 727-847-
8009. Furkhermore, if fihe owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the 'ba�tractor Bloclt° of this applicatian for which they will be responsibfe. !f you, as the owner sign as the
contractor, #hat may be an indication that he is not properly lieertsed and is not enfitled ta permit�ing privileges in Pasco
County.
TRANSPORTATIqN IMFAGTIUT1LtTtES IMPAGT AND RESOURC�RECC}VERY FEES: The undersigned understands
--�-�— that Transportatian Impact Fees and r�ecourse Recovery�rees may apply to the canstruction of ne�v buildings�change-�f
use in existing buildings, or �xpansian of existing buildings, as specified in Pasco Gounfy Ordinance number 89-07 and
90-07, as amended. The undersigned also understartds, that such fees, as may be due, will be identPfred at the t�me af
permitting. It is further understood fitiat Transportation Impact Fees and Resource Recouery Fees must be paid prior to
receiving a"cer�ificate of accupancy" or fina! power release. !f the project does not involve a certificate ot occupancy ar
finai power release, fhe fees must be paid prior to permit issuance. Furfhermore, if Pasco County Wafer/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRLJCTION LiEN LAV1t{Chapter 7`t3,Floricla Statutes,as amended}: If valuation af work is$2,500.Q0 or more, 1
certify.that I, the applicant, have been provided with a copy of the "Flarida Construction Lien Law—Homeowner's
!'rotectian Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !t the applicant is someone
other than the"awner", 1 certify fhat I have abtained a capy of fhe abave described document and promise in good faith to
deliver it to the"owner"prior ta commencemenfi.
CONTRACTOR'810WNER'S'AFF[DAV1T. I certify that aII the information in this app{ication is accurate and that a!1 wark
will be done in campliance wifih all applicable faws regulating canstruction, xoning and (and development. Application is
� hereby made to obtain a permit to do work and installation as indicated. ! certify that no work or installation has
cornmenced prior ta issuance af a permit and that aIl wdrk will be perfarmed to meet startdards of aIl laws regulating
construcfion, County and City codes, zoning regulations, .and land development regulations in the jurisdiction. I also
certify that l understand that fihe regulatians.af ather government agencies may appiy to the intended work, and that it is
, my responsibility to identify what actions I must take to be in comp(iance. Such agencies include but are not(imited ta
- Departrrient of'Environmerita! Protection-Cypress Bayheads, Wetland Areas and_Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses.
- Army Corps of Engineers-Seawa(Is, Docks, Navigable Waterways.
- Department of Health & Reliabilitative Services/Environmental Health Unit-Wells,�Wastewater Treatment,
Septic Tanks.
- US Environmental Protec#ion Agency-Asbestos abatemenfi.
- Federal Aviation Authority-Runways.
i understand that the foiiowing restrictions apply ta the use of fili:
- Use af fill is not allawed in Flood�Zone"V°unless expressly permitted.
- If the fill materiai is to be used in Flaod Zane "A", it is understood that a drainage plan addressing a
"compensating volume" will be submifited afi time of permitting which is prepared by a professional engineer
licensed by the State af Florida.
- If the fi11 materia( is to be used in Flood Zone "A" in connection with a permifted building using stem wali
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fili material is to be tased in any area, I certify that use of such f[i wili not adversely aifect adjacent
properties. If use of fill is found to adversely affect adjacent praperties, 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 eievated by fiIl, 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 ta commencing construction. I understand that a separate permit may be required for eiectrical work,
plumbing, signs, we►ls, poo►s, air condifioning, gas, or other installatians nat specificaily included in #he applicafion. 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, nar.shalI issuance af a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or vialations of any codes. Every permit issued shall become invalid
unless the work au#horized by such permit is commenced v,rithin six manths of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time�he work is cammenced. An extension.
may be requested, in writing, from the Building Official for a period nat to exceed ninety (90) days and will demonstrate
justifiable cause for the a�ension. If work ceases for ninety{90}consecutive days,the jab is carrsidered abandoned.
WARNiNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT !N YC1UR
PAYING TWtCE FUR IMFROVEMENTS TCI YOUR PROPERTY. IF YOU INTEND TO'OBTAIiV FiNANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEF012E R�CORDING YOUR NOTICE OF GfJMMENCEMENT.
FLC7E2IDA JUR,4-f' F.S.9'I .03
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OWNER OR AGENT
} � CONTRACTOR ,_�___a�����G..G?iLG,�.'J
Subscribed and swom to or ffrrtn befare me this Sub s�be¢and swom to(or ried}before ma this
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Who is/�pePsona ly known m or has/have produced Wh is/ e sonally kno�me or haslfiave produced
as identification. as Identification.
`�r��Cv ��_Nofaty Public �����"J��%�\,.�c✓lf l,:�(,��� Notary Pub1lc
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Commission No. �F�7.,3'(r� � Commission.No._ I�`�� / �LC�
Name of Nota Name of Notary typed,printed or stamped
•�°'�""`°�s��;. i�ANCY.! B4�t3�KS ,...,...
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• r�, '€ MY COMMISSION#FF093699 ;=0 4�e 1�9ANCY J BROt3K
"-'" EXPIFiES Februac}t i8.2018 MY COMMISSICIN#FFQ93699
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,.',F....oQ.' EXPrRES February 18.201
(ap7)39s-p153 FloridallotaryService.com �.,,ov�;,
(407)398-0153 FlorldallotaryService.com
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� � FBC Plans C��,� ��- 2 i.�li s ----- -
� � Fiorida �I &Engineering � IIIIIIIIIIINIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII
fi272 Abb4tt Sta6on Dr.
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�.ode i ZePhYfii�,�L 33542
Pertnit hlo. � Parcei ID hto
INOTICE OF COMMENCEMENT ///�
Siate of � �,Q jr �4 Covnty af Y a-SG C)
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THE UNDER IGNED hereby gives notice(hal improvemenl will be made lo certain real property,end in accordance wilh Chapter 713,Florida Statutes,
the following� fortna[ion is provided in this Notice of Commencemenk
i De�cripfion ot Property� Parcei identiFica#inn Na. o�y'��'-o�/—c�Dt�t7—pt�t c�U— Da�D
SIrI el Address: � R C � ,�3 J yoL
2. Geilerai Description flf Improvement__,�`lC�j„�,,,�0%`J�j h 7� �1/! C�L�
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3. Ow er intormation or�essee info atio�if tfie lessee contraGed for the improvemenk: v
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1��i .� �d,�r Q�.�hk�,� /�. �Sr�r ��i.o �'c�s��da/e � �sa s'(
Ad�tess ,�+1 Gity Stake
Int resl in Property v'wyl`O�
h7a i e oi Fee Simple Titlehoider ..
(N diBerent from Owner Iisied above}
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Ad'dress City�y�� �� ' Slale
�. Contractor. � �,
��l�I��me �=--Y�- ')G'i h� i�t � ��, d�/„ �=t 33�`F.�--
Ad'ress /'� r� Git�, SlalQ
Co�tractots Tetephone No. __t'�f f j� 70�`��L�
s, Su�ery:
Name
Ad ress i City State
An ount of Bond: S Telephone No. �
6. Le tler
� Name
Aqpres5 Cily�� Slate
Lender's Tetephane No. �y `s.'
7 Pe sons within the Slale of Flodda designated by tha owner upon whom notices or other documents may be served as provided by � z � �� �
se;�ion 713.13(1)(a)(7),FloriGa Sletutes: w �"' �� w "�
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Adl ress Ciry Slate �y,� W �~ � �1� "�(�'
Te epfione Number of L}asignated Person: Q O� � Q�� O
8. In ddition lo himself,lhe owner designates of_ � U., (x U � (�
� � to receive a copy of{}�e Lienor's Nofice as providetl In Section 7i3.t 3{Y){b},Pforida Statutes. � � � Q� �
Te ephone Number oi Person or Entity Designated by Owner: � �,a W Q �''-t
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9. Ex�ration date aI No(ice a�Commeocemen!(the expiration date may aot be betare lhe campletlon of construction and final payment to the V = O (,� z �'
co Iractor,6ut wiit be one year firom the date of ceaording uniess a diHerent date is specified): Q � F'— �Q (,)
W,RNING TCl OWNER: ANY PAYMENTS MADE BY THE OWNER AFTEi2 THE EXPIRATION OF THE NOTICE OF COMMENCEMENT � �w � � � J
AqE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FI.ORIDA STATUTES, AND CAN z
RESULT tN YOUR PRY{NG TWlCE FOR IMPR6VEMENTS TO YOUR PROPER7Y A NOTICE OF CQMMENCEMEN7 MUST 8E � �' � �'" Q 7- W /'�
R�COftt?ED AND POSTECi ON THE JOB SITE BEFQftE FHE F1F25T INSAECTIQht, tF YOtl IN7ENQ TO 09TAtN FlNANCStJCs,COIVSULT �-^ � � u- = Q Z�
W�H YOUR�ENDER OR AIJ AITORNEY BEFORE COMMENCING WORK OR RECOROING YOUR NOTICE OF COMMENCEMENT ^� L'! G Q } �
I 61. L.� C� � c� �
U der penalty of perjury,I dzclare Ihal I havC rgad the ioregoing nofc f commencement a� a e facls slated therefi are Irue lo�he besl �,;,,, u G
of� �y knowledge and belieG � C.() (Q
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STATE OF l.4RIDA � � • � � � --��L� Q
COUN7Y O�PASCO ` � (n W u- z �
� ' wner or Les e,or wner or sse s u ized #,,o S ��� � �
RepF.:1b2054$ Reo: 10.@0 4�cert6irectorlAactneri nager i � �. h (��j
DS: 0.00 IT: 0.00 �
12/06/2 18 J. R„ Dpty Clerk
( �Signatory's TiUelpKce � {� yl�q�,,,
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The foregoi��inslrument was acknowledged be(ore me this�day ot ��� ,20�?by �/�^7 � t��� .0 �'
�I as ��{9��� (lype of aulhonly e.g. officer,truslee,attorney in facl)fa� �`t1� �
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Personaliy �nown�OR Produced Identfficatlon Notary Signat ' � � ` qp� m �
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TyAe o(Ide�tEffcation Aroduced ��• �� ��� Name(Printj__rs.�c'L7J1,�'..v� /�• +'�'"���^— T7!' � c� ,' � f�'C',•, � �+ o ,�
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PRUI.q S 0'N�IL,Ph D PpSCO CLERK 6 COMPTROLLER • � �, . '�, ' �
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FORM i
, I FLORIDA BUILDING CODE,ENERGY CONSERVATION
FOR I 402-2010 Residential Building Thermal Envelope Approach - ALL CLIMATE ZONES
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Seope:Co pliance with Seciion 402 of the flo�ida Building Code,EnergyConservation,shall be demoristrated by the use of Form 402 tor single-and multiple-family residences of three
stories or ess in height,additions to existing residential buildings,renovations to existing residential buildings,new heating cooling and water heating systems in existin�buiidings as
applicable� o comply,a building must,meei or exceed all ot the energy efiiciency requirements on Table 402A and ail applicable mandatory requirements summarized in Ta le 4028 oI this
form.If a uilding does not comply wiih this method or Alternate Form 402,it may still comply under Section 405 0l the Fla�ida Building Code,Energy Conservation.
PROJEI TNAME: C��e- I (Ov� BUILDER: 5��5 �C /��U.►'+11✓�uP'�'�-
AND A DRESS: �t' 3 PERMITTING -�
I Ma CS�IG�.5 OFFICE: L l 0� �P �'r����S
OWNE�: C I e �N G 1- L I I 5 L�-�-' PERMIT NO.: ��7 JURISDICTION NO.: `/ ��
G eneral I�structlons:
1.New co struction which incorporates any ot the lollowin9 features cannot comply using this method:glass areas in excess of 20 pe�cent oi conditioned floor area,eiectric resistance
heat and a�r handlers located in attics. Additlons<_600 sq.fl.,renovations and eguipment ehangeouts may comply hy this method with exseptions given.
2.Fill in al the appiicable spaces of the"To Be Instalied"column on Table 402A with the information requested.All"To Be Installed"values must be equal to or more efficient ihan the
required I,vels.
3.Comple�e page 1 based on the"To Be Installed"column iniormalion.
4.Read th� requirements of Table 4028 and check each box to indicate your intent to comply with all applicable items.
5.Read,s'gn and date the"Prepared By"ceriification statement at the bottom of page 1 The owner or owners agent must also sign and date the form.
�
- Please Print CK
i. Ne construction,addition,or existing building ,. /�ddi�"IDY1
2. Sin le-family detached or multiple-family attached Z, yt ��
3. If i ultiple-family-No.of units covered by this submission 3, -
4. Is t is a worst case?(yes/no) 4. N�
5. Coil ditioned fioor area(sq.it.) " 5. oZ g�P
6. GI ss type and area:
a.U-factor s a• •�/S
b.SHGC 6b. - 30
c.Glass area 6c. � �� _sq.ft.
7. Percentage of glass to floor area � �_o� ,
8. FI I r type,area or perimeter,and insulation:
a.Slab-on-grade(R-value) Ba.R= lin.ft.
b.Wood,raised(R-v:ilue) Sb.R=�_ sq.ft.
c.Wood,cbmmon(R-value) gc.R= sq.it.
d.Concrete,raised(R-value) Bd.R= sq.ft.
e.Concrete,common(R-value) 8e.R= sq.ft.
9. Wa I type,area and insulation:
a.Exterior: 1. Masonry(Insulation R-value) 9a-1. R= sq.ft.
2. Wood frame(Insulation R-value) 9a-2. R= �3 ��a D sq,ft.
� b.Adjacent: 1. Masonry(Insulation R-value) 9b-1. R= sq.ft.
� 2. Wood frame(Insulation R-value) 9b-2. R= l 3 �sq.ft.
10. Cei ing type,area and insulation: �
j a.Underattic(Insulation R-value) 10a.R= sq.ft.
i b.Single assembly(Insulation R-value) 106.R=�� ��sq.ft.
11. Air�distribution system:Duct insulation,location,Qn
� a.Duct location,insulation 11 a. R= �D �'
b.AHU location 11 b. -N R
c.Qn,Test repbrt a[cached(<0.03,yes/no) 11 c.Test report attached? Yes No
12. Co ling system: /
a.Type 12a.Type: ��<�• �!G
b.Efficiency , 12b.SEER/EER: �3
13. He ting system: 13a.Type: (D KW �'����"r�l�
a.Type 13b.HSPF/COP/AFUE: �7
I b.Efficiency
14. HV I C sizing calculation:attached �q, y� „��
L%
15. Hot water system: ,
a.Type 15a.Type: C�CG•
b.Efficiency 15b.EF' . �('1--
I hereby ceAify ihal the pla nd specitications covered by the calculation are fn compliance wtth the Florida Review of plans and specifications covered by this calculation in'" es compliance with the Florida
Energy Co i. Energy Code.Betare construdion is co leted, s ildi ill be inspected far compllance in
S /��/ accordance wifh Section 553.908,F.
PREPARED BY� DATE: < <P
� COOE OFFICIAL.
I hereby certi ihat h ul d' is in mpli ce with the Florida Energy Code:
OWNER A6�NT: � DATE: ��y/l� DATE: �3`"
C.4 � 2010 FLORIDA BUILDING,�ODE-ENERGY CONSERVATION
I
FORMS �,
TABLE 402A
BUILDING COMPONENT PERFORMANCE CRITERIA' INS7ALLED VALUES:
U-Factor<0.65 U-Fador=
WindowS(sea Note 2): SHGC=Q.3D HGC=
%af CFA<=20% /,o(CFA=
S li hts U-Factor<0.75
' Doors:E�erior doot U-Factor U-Factor e OBS -Factor=
Floors: Slab-orngrade - No requirement -Value=
Over unconditioned s aces see Note 3 R-73
Walis—E�ct.and Adj.{see Note 3}:
Frame p-73 R-Value=
Mass (see Note 3) ' '
lnterior ot walt: R-7.8 R-VaJue=
E#edor of wa1l: R-6 R-Vaiue=
Ceilings(see Notes 8&4) R=30 R-Value= Test report
Retlectance 0.25 Re(lectance= Attached7
Yes1Na
Air distribution system(see Note 4j
Ductwork&air handling unir, l.ocetion:
Unconditioned space Not allowed Test reporl
Gond@ioned space Attached7
Duct F-value R-value a 6 Yg���
R-Value=
Air leakage On pn 5 0.03 Q�_
Air condiUortio s stems see Note 5 SEER=13.6 SEER=
Heating system
Heat pump{see Note 5) Cooling: SEER=13.0 SEER=
Heating: NSPF=7.7 HSPF=
Gas fumace AFUE 78% AFUE_
Oil fumece AFUE 78% AFUE_
Elactric resistance:Not aliawad(see Nois 5)
Water heating system(slorage type)
ElecMc(See Note 6): 40 gaL•EF=0.92 Gallons=
50 gal:EF=0.96 EF=
Gas fired(sae Noie�: RO gal:EF=0.59 Gallons=
Other(de&cribe): 50 gal:EF=0.58 EF=
(f}Each component present in the As Proposed home must mee rexceed each of the apptica performance criteria in order to compiywith ihis code using this method;
otherwise Section 405 compliance must be used.
(2}Windows and doors qualifying as giazed tenestratian ereas mnst comp e maximum U-Facior and the maacimum SHGC(solarHeai Gain Coefficient)criteria
and have a maximum total window area eGuai to or tess than 201 ot the conditioned floor area{CFA};otfierwise Section 405 must be used for compiiance.
Exception: Additions of 600 square feet(56 m2)or less may have a m�ucimum glass to CFA oi 50 percent. ,
(3)R-values are for insviation materia!oniy as appiied in aocordance with mannfacturers'installatlon instructions.For mass walls,lhe"ittierior of waiNrequirement must be
met e�ccept if af Ieasf 50°fo of the R-6 insuiation required for the"e�cterior af waii"is instatled exteriar of,or integrai to,the watf.
(4)Ducts&AHU installed substantially leak free per Sectfon 403.2.2.1.Test by Class 1 BERS rater required.
ExcepUon:Ducts iastallsd onio an existing air distribuYion system as part oi an addition or renovalion;duct must be R-B instailed per Sec.5032.7.2.
(5}For aII convantianat units witfi capacities greater than 30,000 Biu/hr. For other types ot equipment,see Tabies 5d3.2.3(t-8}.
Exceptian:The prohibition on eleciric resistance heat does not appiy to additions,renovations and new heating systems installed in existing buildings.
(6)For olher electric slorage votumes,minimum EF=0.97-(a.00132 x volume}.
(7}Far other naturai gas sforage voiumes,minimum EF=0.67-(0.0019 x voiume}.
TABLE 4028 MANDATORY RE�UIREMENTS
CdMPONENTS SEGTIdtd RE4UlREMENTS CSiECFC
' To be cauiked,gasketed,weatherstripped or atherwise sealed.Recessed lighling IC-rated as meeting ASTM E
Nr leakage 402A 283.Windows and doors=0.30 cfm/sq.k.Testing or visual inspeclipn required.Fireplaces:gasketed doors 8
ouldaor combustion air.
CeitingsrEtnea waIls 4052.1 R-19 s�face permitting.
Programmable thermostat 403.1 1 Where forced-air fumace is primary system,programma6le thermosto[is required.
Air distribubon system 4032 DUcis in aStiCs or on roofs insulated So R-8;other ducts ft•6.IIucts fested to Q,=0.43 by a Glass 7 BERS ratet.
Heat trap required for veAiral plpe risers.Compty with efflciencies in 7able 403.4.3.2.Provide switch ar cieady
Water heaters 403.4 marked circuit breaker(electric)or shutoff (gas).Circuleting system pipes insulated to=R-2+accessible'menual
OFF switch.
Spas and heated poois must have vapar-retardant cavets or e Iiquid caver ar ather means proven!o red�ce heai
Swimming poot 8 spas 403.9 toss except N 70I of heat from sita-recovered energy.OH/timer switch required.Gas heaters minimurn thertnal
efficien =79% 82%aflar M16/13.Heat um ooI heeters minimum COP=4.0.
Sizing calculation performed&attached.Minimum efficiencies per Tables 503.2.3.Equipment efficiency ventica0on
Cooting/heating equipment 403.6 required.Speciai accasion cooiing or heating capacity rec�,�ires sepacate system or variab(e capacity system.
� Etectrio heat>tOkW mvst be divided into two or more sta es,
LigMing equipment 404:1 At least 50%af pertnanently installed lighting flactures shall be high-eflicacy lamps.
2Qi0 F�ORlDA BUILDING C4DE—ENERGY GdNSERVA;ION ' C.5
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BUILDING PLA1V REVIEW COMI��NTS
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This commenl sheet shall be k with the pernut and/or plans. .
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�alvin Switz —P 's E ' er Date Contractor and/or Homeowner
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, SUN STATE ALUMINUM,,I.NC.
� �6154 Fort King Rd , ,
ZEPHYRHILLS, FL 33542 ' . � `
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SU�MITTED !O , � .�"'� � � ' PHONE � DATE
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CITY,STATE and ZIP CODE ,. ' �„� JOB LOCATIOty,,,��_�_ ; �
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We here�y_submibspecifications and es4imates for. ( ��'
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P �D t1'�Lt`hereby to furnish�materi�al and`��abor—complete in accordance with above specifications, f�r the sum of:
.-��--� C�I� ����� �� � �------ --- ' _.._..� + � � L'"—�
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Paymen;to be made as foliows: �=�'�---�
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All unp�id balances subject to 1.5%monthly interest fee. � �� _�„�""`"�=�:�,,.��
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All materal is guaranteeii to be as specified.All work to'be completed in a workmanlike _�� ,,,;...-- ----
manner 'ccordin to standard ractices.An aReration or deviation from above's AuthOdzed`��,/'`� �-"--"" ��'�
9 P Y peafications �. �,�����„�..�--!__��-- - ------
involving�e�ctra costs will be executed only upon written orders,and will become an extra Signature� �.�--�"' - ,
cfiarge o er and.above the estimate. All agreements contingent upon strikes, accidents �-----�—�-�`s�--a�=="'-"���1 �
� or delays�beyond our,contral.Owner to carry fire,tornado and other nebessary insurance. Note:This pfoposal may be .
Our work`rs are fulty covered by Workman's Compensation Insurance. withdfawn by us if not aCcepted within d8ys.:'" .
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and co ditions are satisfactory and are hereby accepted. You are authorized Signatuf _ �
to do t�e work as spec'rfied. Payment will be made as outlined above: "� � "-"'�
Date of cceptance: Signature � f
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