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18-19681
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 19681 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL _PERMIT'INFORMATION LOCATION-INFORMATION :Permit#:19681 Issued: 5/15/2018 Address: 39165 9TH AVE PermitfType: 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: ., 258,306.45 Total Fees: 17,805.47 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 17,805.47 Date Paid: 5/15/2018 Parcel Number: 12-26-21-002A-02600-0012 CONTRACTOR INFORMATION OWNER INFORMATION Name: CUSTOM HOMES LLC Name: PETBER LLC Addr: 6084 IDLE A WHILE CIRCLE Address: PO BOX 566 RIDGE MANOR, FL. 33523 ZEPHYRHILLS, FL 33539-0566 Phone: Lic: Phone: 813-992-0996 Work Desc: CONSTRUCT SINGLE FAMILY 2,293 SQ FT APPLICATION FEES. BUILDING FEE 1,436.69 ELECTRICAL FEE 300.38 PLUMBING FEE 200.25 MECHANICAL FEE 140.18 SEWER CONNECTION RESIDEW 2,090.00 WATER CONNECTION RESIDENT 1,010.00 WATER METER RES 3/4" 473.78 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FEES SF 769.56 SCHOOL IMPACT FEE NEW 7,128.00 SCHOOL IMPACT FEE-sfr/1% 71.28 TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% 36.32 f Inspections Re uired FOOTER 2ND ROUGH PLUMB Misc INSUI ATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection.REINSPECTION FEES: NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications and Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOIRS SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a (�r- k! PASCO COUNTY, FLORIDA _ Permit No. Date Permitted �- Builder Name/Owner Name at Awt,�� Control#. , County Parcel No. �(-OZS?-A"b 2600- 1 Z SubDiv: e -( ��t�is� Address/Location 13 / _ofw Classificationrrype of UseQj TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Exempt ❑Yes ❑ No How Determined Impact Fee Amount $-30 6 3 2, 00 Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ j_ g.fie (057) Mobile Home (058) Other Residential 0Y�) Collection Fee Exemptes ❑ No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ -7 Exempt ❑Yes ❑ No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total i Exempt ❑Yes ❑ No How Determined Total Amountt-1 Y RESOURCE FEE ERU TOTAL AMOUNT Prepared By Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY Jacqueline Boges From: TQ Randolph (City of Zephyrhills Support)<support@zephyrhillsfl.zendesk.com> Sent: Wednesday, June 6, 2018 12:55 PM To: Jacqueline Boges Subject:' [FATHOM] Re: 39165 9th Ave by#19681 ##- Please type your reply above this line -## Your request (#214514) has been solved. TO REOPEN THIS REQUEST, reply to this email or click the link below: https://zei)hyrhillsfl.zendesk.com/hc/requests/214514 ................................................................................................................................................................................................................................................................................................................................................................................ . TQ Randolph (City of Zephyrhills Support ) Jun 6, 9:54 AM MST Complete. 994203-2992319, SO #682298 Best Regards, TQ1 FATHOM Support .................................................................................................................................................................................................................................................................................................................................................................................. Jacqueline Boges Jun 6, 8:10 AM MST Hello may I receive update on this work order please. ......................................................................................................................................................................................................................................................... ............................................................................................... Jacqueline Boges - May 16, 8:1 8 AM MST New full service for 39165 9th ave by#19681 water , sewer , water meter This email is a service from City of Zephyrhills Support . 1 O��y IM31110n i City of Zep h jrhil. BUILDING PLAN REVIEW COMMENTS i Contractor/Homeowner: Custom Homes Date Received: 4/25/18 Site: 39165 9 h Ave Permit Type: _single family 2,293 sq ft Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. Kalvin Svy; zer—Plans Examiner Date Contractor and/or Homeowner �/ (Required when comments are present) Jacqueline Boges From: City of Zephyrhills Support<support@zephyrhillsfl.zendesk.com> Sent: Thursday, June 7, 2018 1:02 PM To: Jacqueline Boges Subject: ' Request#214514: How would you rate the,support you received? ##- Please type your reply above this line -## Hello Jacqueline Boges, We'd love to hear what you think of our customer service. Please take a moment to answer one simple question by clicking either link below: How would you rate the support you received? Good, I'm satisfied Bad. I'm unsatisfied Here's a reminder of what your ticket was about: ...............................--............-..........I...................................................................................... ................................. ................. .................................................. ................................................... ................ TQ Randolph (City of Zephyrhills-Support ) Jun 6, 9:54 AM MST Complete. 994203-2992319, SO #682298 Best Regards, TQI FATHOM Support ............ .........................................................................--............................................................................. ........................ ................................................................ .................................................. Jacqueline Boges Jun 6, 8:10 AM MST Hello may I receive update on this work order please. ........... .......... ............................._.....I.....__.. .. ............ ............ ................... Jacqueline Boges May 16, 8:18 AM MST New full service for 39165 9t meter Custom Homes-39165 9th Ave-2,293 sq ft Column Es SO. FEET PRICE MAIN OR LIVING: 2,293 $ 112.65 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 258,306.45 FEE SHEET $ 1,335.00 ADDRESS $ 30.00 DRIVEWAY $ 45.00 BUILDING: $ 1,436.70 ELECTRICAL: $ 300.38 PLUMBING: $ 200.25 MECHANICAL: $ 140.18 SUB-TOTAL $ 2,077.50 TOTAL $ 2,077.50 SEWER: $ 2,090.00 WATER: $ 1,010.00 IRRIGATION: $ - TOTAL: $ 3,100.00 WATER METER: $ 473.78 IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: n/a INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ - PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 TOTAL: $ 553.35 SUB-TOTAL $ 6,204.63 PARK IMPACT FEES $ 769.56 SIF'S: $ 7,128.00 100.0% $ 7,128.00 1.0% $ 71.28 TOTAL: $ 7,199.28 T I F'S: $ 3,632.00 �o _ —3_,5gJT.68 1.11`1/o $ ~36.32 TOTALS 17 80&4 �E ,f l� T�Z v ,SZ �G �OZ �2 867 S Z ,y h, `Clop-o0 -to-VZOo 41 p,;'Ov 117.�1��✓1ad awyN E DATE: 04/19/18 PASCO COUNTY PROPERTY APPRAISER 14 : 58 : 3 O N - L I N E P A R C E L P R I N T O U T PARCEL-ID: 12 26 21 002A 02600 0012 TYPE: STATUS: A DLA: 041918 SC TP RG SUB BLOCK LOT TRACT: 0330103 PARENT: 12 26 21 002A 02600 0010 DATE-SPLIT: 041218/HRC CLASS : 00 NOTES: SPLIT FROM 2 .A-26-1 LETTER CD- OWNER CHG- NAME: PETBER LLC PO BOX 566 /ADDR FS119 CODE: ZEPHYRHILLS FL 335390566 STREET ADDR: 39165 9TH AVENUE ZEPHYRHILLS FL VALUE & TAX INFO: E X E M P T I O N I N F 0: SOH HX APP LAND AG: NUM CD H W D V T PCT HX-OVRD YEAR DATE S YR DVD% -JUST: ** NO EXEMPTION(S) ON FILE ** BLDG: XFOB: -------------------- APPR: SOH: NS ASD: RPG: EXEM: -------------------- -------------------- BS TXB: S DVD: S DSM: S TXBL: AREA: 30ZH ACRES: .24 SPEC HX: BC TXB ADD EX: C DVD: C DSM: C TXBL: PRIOR YR VALUE: 0 PRIOR YEAR MKT: 0 HX VAL: 0 NON-HX: 0 MKT DIFFERENCE: 0 MKT CHG HX: 0 NON-HX: 0 PRIOR HX VALUE: 0 MC LAND HX: 0 NON-HX: 0 PRIOR HX PCT: PHYS HX: 0 NON-HX: 0 PRIOR NON HX: 0 PRIOR N-HX ASD: 0 S A L E S : YEAR MON DAY BOOK PAGE SALES-AMT INST XFER QUAL ST LIFE I/V TOI 2017 04 04 9703 3226 QC 11 SS V L E G A L D E S C R I P T I 0 N: ASSESSED IN SECTION 12, TOWNSHIP 26 SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA ZEPHYRHILLS COLONY COMPANY LANDS PB 2 PG 16 AKA"-YINGLINGS ADDITION TRACT 26 LESS THE EAST 21. 9 F.T. LESS' THE NORTH 110 FT TOG WITH THE EAST 21. 9 FT OF' TRACI' 27 LESS NORTH 110 11.0 FT THEREOF ALSO LESS EAST 97 . 10 FT THEREOF OR 9703 PG 3226 Jacqueline Boges From: City of Zephyrhills Support<support@zephyrhillsfl.zendesk.com> Sent: Wednesday, May 16, 2018 11:19 AM To: Jacqueline Boges Subject: [Request received] 39165 9th Ave by#19681 ##- Please type your reply above this line -## Hello Jacqueline Boges, We are working to resolve your request promptly and will keep you updated. One of our Support Analysts will keep you updated on the progress of your request. Best Regards, FATHOM Support Team TO ADD ADDITIONAL COMMENTS, reply to this email or click the link below: https://zephyrhillsfl.zendesk.com/hc/requests/214514 ................................................ ................................................................................................................................................................................................................................................................................................................... Jacqueline Boges May 16, 8:1 8 AM MST TW New uJl_seriviee-fio 1t,6�11--!'h aa�e b'p#19 81 ,water , sewer" wa-tern ,meter This email is a service from City of Zephyrhills Support . 1 ts�s-ieu-uuzu City OT Lepnyrnins hermit Application ' Building Department_. .: Date Received .;Phone Contact:for Permitting--, Owner's Name /c7wer Owner Phone Number Owner's Address O�6�0, o.%O S46-rZt ��l .J ,r3 :r Owner Phone Number Fee SimplejTitleholder Name' OWndr•Phone Number' �- Fee SlmpWTitleholder Address JOB ADDRESS 3/�6S ! 7VI V� LOT# SUBDIVISION ze lP C d CO.LGai. PARCEL ID# (OBTAINED FROM PROPERTY.TAX NOTICE) WORK PROPOSED NEW CONSTR` ADD/ALT = SIGN Q 0 DEMOLISH INSTALL e :REPAIR PROPOSED,USE = SFR 0 COMM 0 OTHER ' TYPE'.OF CONSTRUCTION' BLOCK 0. ,.FRAME = STEEL 0 f DESCRIPT(ON`OF WORK /�>!�✓ �e BUILDING;SIZE _!�_3 *_x S2 SQ FOOTAGE � / ..,HEIGHT • ��/ .; I =BUILDING $ �3p4el I 0d VALUATION'OF TOTAL CONSTRUCTION ]ELECTRICAL $ 7Udv AMP SERVICE PROGRESS ENERGY 0 W.R.E.C. =PLUMBING $ zO0 �} p =,MECHANICAL $ / .� VALUATION OF MECHANICAL INSTALLATION =;_GAS 0, ROOFING 0 SPECIALTY = OTHER d i/ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES i , f :BUILDER COMPANY uG SIGNATURE REGISTERED I Y/ N' '-' FEE CURREN Address -License;# ����� D , ELECTRICIAN COMPANY � yS Y4T1G SIGNATURE REGISTERED Y/ N • FEE�CURREN Address License# s PLUMBER,?, 'COMPANY C Q�i!!P1 ��ie3 l -SIGNATURE ` REGISTERED 41, Y•/-N- FEE CURREP Address License#: C 14 ��Gi� � C7 .MECHANIC COMPANY. SIGNATURE'' REGISTERED Y/ N FEE.CURRER Addressor- License.# ce :;OTHER'; COMPANY SIGNATUREY,,+s : -_ REGISTERED Y/.N FEE CURREN License# <RESIDENTIAI: ,:-Attach"f2)Plot;Plans;'(2)'sets^of Building Plans;(I=)sef of Energy Forms;R=:0=U11 Permit Jor new,constiuction;, Mlnimumtero,(10)aworking'ilaySafter submitfal:date.:Requi�ed onslte'Corstniction'Plan"s,Stormwater Plans w/Slit Fence°installed; Sancta ,°Facilities&e1,.dum,ster.;-SifocV.V P:ermit:far,-subdivision0- e' ro ects.`:-= ;COMMERCIAL A6ctr'(2)complete'sets of'Building`PI"an"s-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,Stonnwater Plans w/Silt Fence,installed, Sanitary Facilities&:1 dumpsten:Site,Work Permit-foi all new projects.All commercial requirements must meet compliance 'i:;:StGN:PERfVIIT "Atfacli'(2)'setsofiEjigiriee�edPlans:�Y+:-::°.-,:4., _ `_'- - . ""'PROPERTY SURVEY required:for•aII,NEW,construction:. ;Fill:out`application completely.` O.wner8 Contractor sign°back of application,notarized If over$2500;.a Notice.of:Commencement-.Is required. (A/C upgrades over$7500) Agent,(fortho�contractoe)ror�Power.-of Aftomey(for"the owner)would-lie someone with notarized letter from owner authorizing same i' OVER.THE:000NTER PERMI,T7ING, -...-. ,(oopy_of.eontract-.re uired .. Reroofs;if:sliirigles Sewers. Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not~over Counter If on public'roadways::reeds'ROW ,40TICE-OF:DEED-RESTRiCTIONS: The undersigned:.understands:;that,this4peemit maybe.sybject,to;."deed°;:.restrictions:,;,= - whlch'r 9k_bw'more.restfi6bve t lan County;regu lotions Theru idbitlgried`a`ssu3ii'es.Tes OnsibitityYfoc:comp[iance-wi-r any appllcable:,deed restrictions. ii; 4yT'.•,,"«:,.y;t rr3 -,, UNLiCENSED; CONTRACTORS' AND'CONTRACTOR RESP..,'ONSIBiLiT1ES. if'-the=owner has f fired a contractor or contractors to undertake work,'they may-be,_re� uired-to be kensed in accordance.with statwind local;regulations °tf the contractor.is not;licensed as:required:'by.law, both:the owcter=and"contractor-.may 6e eitedfor a misdemeanor violation'.: under state law. if the owner.or:intended contractor are uncertain as:.ta.what licensing requii emei is inay"apply?.foraheY intended-work -they-.are:advised'#o'contacttl a Pasco County:B iidinglnspectidh-QJvision Licensing'.Section at727=847 f 8009: Furthermore; 'if the owner fias`:hIred`-a contractor`or contractors, he tis advised to:;have thei contractor{s;}y^s gn w 1 portions of the "contractor Block of.this application for which,,they.,will.:be,responsible.- IF,.you,as the owrier`srgn as the contractor, that maybe an [ndicatiori thathe•-[s not properly'llcensed and is not�entifled�to permitting.-privileges n.Pasco County. . TRANSPORTATiON�IMPACT/.UTILITIES,IMPACT AND RESOURCE RECOVERY-FEE$,:`'The Undersigned under<stands,_.. that transportation Imp act.Fees and Recourse Recovery Fees.may apply to,*the,construction.of new,buitdings,,cl an`ge{of use in existing'bUild,figs,=or=expan6lon>of<ex st rig''buildings, as specified In Pasco County Ordinance number.89=07"46d' 90-07, as amended.< The:undersigned;also understands,;that such:fees, as,'may zb<e-,due', will`i*,identiFied14t"the=:tuna permitting. ''If is further understood that Transportation Impact-Fees.and Resourc6!.,Recovery:Fees must be paid:pdorto receivin a:"certificate of accu anc or final, ower release: If the:.,Tg eet.does not:involve;a'certificate of occw_°anc° 9' P Y P P J P finai;power'release;::'ttie fees:must be:,paid prior to permit issuance...,;Furthermore, if Pasco County Water/Sewer;wlmpact-.w' €ees are due,-they musf,be,paid.prior to.permit'issuance.in;accordarice with'appiicable,Fasco�County ordinances CONSTRUCTION'I tEN-LAW(Chapter 743�Florlda'Statutes,as amended): If valuation-of'work is$2,500 00 or more,xl ,-- certify. that I,-the"applicant,_'have been-,,provided with-a.copy.,..of:-the-"Florida' Construction ''lien L.4 omeowner's Protection Guide" prepared�by-the Florida Department of Agriculture and Consumer.Affairs. If the applicant1s;someone x,, other than the"owner",1 certify thata.have'obtained acopy of the above`described`document'and promise in goodfaith to,,..;. deliver.it,to`the:°owner"-prior fa:commencement. CONTRACTOR'S%OWNER'S AFFIDAVIT; :I certify,that.al[the information in this application is accurate and'that alf work will be done in compliance with all applicable'laws regulating construction, zoning-and land--development. Applications hereby.-made to-.obtain a.'.permit'.fWdo.;,work-arid. installation .as',indicated. 'Feertify that no'work or Jnsta[tatI6h,,`has commenced prior'to issuance of'a permit an--that all work will be performed to..meet,.standards,-of all laws regulating construction, County and City codes, zoning regulations, and land development regulations iri.the jurisdiction.'�,;i talso + , certify-that I understand that the regulations of other government agencies may apply to the intended work, and that tit is my responsibility to identify what actions i must take to be incompliance. Such agencies.include but'are not.iimitedao:, . Department of Environmental`Protection-Cypress Baytieads; Wetland Areas and Environmentally Sensitive ; Lands,WaterMlastewater Treatment. Southwest Florida Water Management District-Wells; Cypress .Bayheads, Wetland Areas, Altering Watercourses. Army Carps of Engineers-Seawalls, Docks; Navigable Waterways. Department -of.Health,A I Rehabilitative Services/Environmental:;Health-,Unit Wells,:Wastewater_Treatment, Septic,Tanks.. .. US Environmental Protection Agency.Asbestos:abatement. - Federal Aviation;-Aithority-Runways.. I understand that:the::foll owing:restnc#ions apply to the use of fill: Use of fill is not,pllowed in Flood Zone"V"unless expressly permitted. u' . if the fill material''is to:be'used in,'-Flood Zone "A", 'it is understood that a drainage plan addressing a "compensating volume",will be submitted at time of permitting which is prepared by a professional engineer licensed by.the;State-of Florida. If the fill'material is:to be used in Flood Zone "A" in connection with a permitted building using stem gall 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=#he:buildih' per-mit:is'sued under-the attached,permit-application, for-lots-less than one;(1) acre which are elevated by fill,an engineered drainage plan is required. h If I am.the AGENT FOR THE OWNER-1.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 otlier` lations not specifically included in the application.? A.,_ .:.: perm,it issued shail'be construedttobe a'license ta.proceedwit. 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�pla%ts.construction or violeitions°Of,ahgr dddes:° Every permit issued'shall become invalid unless the work authorized by such permit is commenced within six.-months of permit issuance, or if work authorized by the permit is suspended.or abandoned for<a'period,of six(6).ttiontlis after the time the work is commenced, An extension' may be requested, in writing,"from"the Building'Officlal for a period not to exceed ninety (00) 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;,FAILII:RE7 i-RECORD-A NOTICE OF COMMENCEMENT Mf►Y REBURY IN YOIJR PAYING,TWICEfOR IMPROVEMENT$TG;YO:UR PRCIPERTY:: IF-OU.INTEND1,AOBTA1N:FINANCING CONSU[�'C WITH YOUR'UNDER OR AN ATTORNEY BEFORE'�RECORDING'YOUR NOTICE°'OF COMIUIE CEMENT: FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTO Subscribed and sworn to(ar affirmed}.before me this Subscribed and sworn to(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who Is/are 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 12-26-21-002A-02600-0012 Pasco County Property Appraiser >, .,._ : Page 1 of 1 Data Current as Of: Weekly Archiue Saturday, April 28, 2018 Parcel ID 12-26-21-002A-02600-0012 (Card: 001 of 001) Classification 00 - Vacant Residential Mailing Address Property Value PETBER LLC Ag Land $0 PO BOX 566 Land $14,945 ZEPHYRHILLS FL 33539-0566 Building $0 Physical Address Extra Features $0 39165 9TH AVENUE ZEPHYRHILLS, FL 33542 Just Value $14,945 Legal Description (First 4 Lines) Assessed (Non-School Amendment 1) $14,945 ZEPHYRHILLS COLONY COMPANY LANDS PB 2 PG 16 AKA YINGLINGS ADDITION TRACT 26 LESS THE Taxable Value $14,945 EAST 21.9 FT LESS THE NORTH Jurisdiction City of Zephyrhills Land Detail (Card: 001 of 001) Line Use _�Descriptionzoning _Units _jType rice Condition �V—a-llu--ee 1 0100 _SFR OOR3 7 500.00 SF _ 1.85 1 00 __ $1� 3,875 2 0100 — SFR 00R3 JI 3,148.00 SF $0.34 ) 1.00 $1,070 Additional Land Information EFEF MAv Acres 0.24 `Tax Area 30ZH Code Residential Code ZHLGLP2 Building Information - Use 00 - Unimproved (Card: 001 of 001) Unimproved Parcel 00 - Unimproved _Extra Features (Card: 001 of 001) Line __ Description �_—year jUnits � VValue No Extra Features Sales History Previous Owner: N/A Month/Year _ Book/Page Type _ POR Code Condition `Aount 04/2017 9703 / 3226 Quit Claim Deed ! it _ `Vacant � m`$0 v— http://search.pascopa.com/parcel.aspx?parcel=212612002AO26000012 5/4/2018 Custom Homes 39165 9th Ave 2293 sq ft o umn. SQ. FEET PRICE MAIN OR LIVING: .2,293 $ 112.65 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 258,306.45 FEE SHEET $ 1,335.00 ADDRESS $ 40.00 DRIVEWAY1 $ 40.00 BUILDING: $ 1,441.70 ELECTRICAL: $ 300.38 PLUMBING: $ 200.25 MECHANICAL: $ 140.18 SUB-TOTAL $ 2,082.50 TOTAL $ 2,082.50 SEWER: $ 2,090.00 WATER: $ 1,010.00 IRRIGATION: $ TOTAL: $ 3,100.00 WATER METER: $ 473.78 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 $ 6,209.63 PARK IMPACT FEES $ 769.56 SIF'S: $ 7,128.00 100.0% $ 7,128.00 1.0% $ 71.28 TOTAL: $ 7,199.28 T I F'S: $ 3,632.00 99% $ 3,595.68 1% $ 36.32 TOTAL: $ 17,810.47 FORM R405-2017 - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name. PETBERLLC RES BROWN EPI TJL11 4-18 Builder Name: DON BROWN CONST. Street: 39165 9TH AVE Permit Office: ZE� rr/��YRHI LLS City, State, Zip: ZEPHYRHILLS ,FL,33542 Permit Number. �� hl�� Owner: PETBERLLC RES Jurisdiction: 611600 Design Location: FL, Tampa County.: Pasco(Florida Climate Zone 2) 1. New construction or existing New(Fran Plans) 9. Wall Types(1480.0 sgfL) Insulation Area 2. Single family or multiple family Single-family a.Concrete Bbdt-Int Insul,Exterior R=5.0 1312.00 ftz b. Frame-Wood,Adjacent R=11.0 168.00 ft= 3. Number of units,if multiple family 1 c.N/A R=. ftz 4. Number of Bedrooms 4 d.N/A R= ftz 5. Is this a worst case? No 10. CeiTing Types (1808.0 sgft) Insulation Area a.Under Attic(Vented) R=30.0 1808.00 1`12 6. Conditioned floor area above grade(fF) 1808 b.N/A R= ft2 Conditioned floor area below grade (ft) 0 c.N/A R= f? 11.Ducts R ftz 7. Windows(116.0 sgfL) Description Area a.Sup:Attic, Ret Main,AH:Main 6 361.6 a. U-Factor. Sgl, U=0.30 116.01 ft= SHGC: SHGC--0.23 b. U-Facto: WA fP 12. Coding systems kBtu/hr Efficiency SHGC: a Central Unit 34A SEER:14.00 c. U-Factor. N/A fiz SHGC: 13. Heating systems kBtu/hr Efficiency d. U-Facto WA ft a Electric Heat Pump 32.8 HSPF:8.20 SHGC: Area Weighted Average Overhang Depth: 1.333 f. Area Weighted Average SHGC: 0.230 14. Hot water systems 8. Floor Types (1808.0 sgft) Insulation Area a. Electric Cap:40 gallons EF:0.920 a. Slab-On-Grade Edge Insulation R=0.0 1808.00 ftz b. Conservation features b.N/A R= ftZ None c.N/A R= ftz 15. Credits None Glass/FloorArea: 0.064 Total Proposed Modified Loads: 51.87 PASS Total Baseline Loads: 55.51 �7 I hereby certify that the plans and specifications covered by Review of the plans and �'LJJE STgl this calculation are in compliance with the Florida Energy specifications covered by this ti -�' = ,r0 Code. calculation indicates compliance with the Florida Energy Code. Ja 'r°� PREPARED BY: Before construction is completed w i -.... DATE: y ACZ4g this building will be inspected for , compliance with Section 553.908 I hereby certify that this building,as designed,is in compliance Florida Statutes. With the Florida Energ o e. Qr(��t� . Op p I OWNER/AGE T' BUILDING OFFICIAL: DATE: o DATE: - Compliance requires certification by the air handier unit manufacturer that the air handler enclosure qualifies as certified factory-sealed in accordance with R403.3.2.1. -Compliance requires an Air Barrier and Insulation Inspection Checklist in accordance with R402.4.1.1 and this project requires an envelope leakage test report with envelope leakage no greater than 5.00 ACH50(R402.4.1.2). 4/20/201812:28 PM EnergyGauge®USA- FlaRes2017 Section R405.4.1 Compliant Software Page 1 of 4 FORM R405-2017 PROJECT Title: PETBERLLC RES BROWN E Bedrooms: 4 Address Type: Street Address Building Type: User Conditioned Area: 1808 Lot# Owner Name: PETBERLLC RES Total Stories: 1 Block/Subdivision: #of Units: 1 Worst Case: No PlatBook: Builder Name: DON BROWN CONST. Rotate Angle: 0 Street 39165 9TH AVE Permit Office: ZEPHYRHILLS Cross Ventilation: County: Pasco Jurisdiction: 611600 Whole House Fan: City, State,Zip: ZEPHYRHILLS , Family Type: Single-family FL, 33542 New/Existing: New(From Plans) Comment ORIENTATION SOUTH WAG VALUES SEMI TIGHT CLIMATE / Design Temp Int Design Temp Heating Design Daily Temp v Design Location TMY Site 97.5% 2.5% Winter Summer Degree Days Moisture Range FL, Tampa FL TAMPA INTERNATI 39 91 70 75 645.5 54 Medium BLOCKS Number Name Area Volume 1 Blockl 1808 14464 SPACES Number Name Area Volume IGtchen Occupants Bedrooms InfilID Finished Cooled Heated 1 Main 1808 14464 Yes 5 4 1 Yes Yes Yes FLOORS # Floor Type Space Perimeter R Value Area Tile Wood Carpet 1 Slab-On-Grade Edge Insulatio Main 179 ft 0 1808 ftz — 0 0 1 ROOF Roof Gable Roof Solar SA Emitt Emitt Deck Pitch # Type Materials Area Area Color Absor. Tested Tested Insul. (deg) 1 Hip Composition shingles 1958 ft2 0 ftz Medium 0.2 No 0.9 No 0 22.6 ATTIC V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC 1 Full attic Vented 300 1808 ftz N N CEILING # Ceiling Type Space R Value Ins Type Area Framing Frac Truss Type 1 Under Attic(Vented) Main 30 Blown 1808 ftz 0.11 Wood 412=01812:28 PM EnergyGaugeO USA- FlaRes2017 Section R405A.1 Compliant Software Page 2 of 4 m 5 € € 5 6 0 CD °D O Z Z Z Z Z Z Z M N r v N N N N N N N N N a ,t 7l s ,NC I C Co Co Co C C C C �C C C_ H VC C C_ LL LL m to co ❑ ❑ O O ❑ ❑ ❑ Y07 U uo c coco 5 .E .E S .E Go co 0 0 0 0 0 0 OW CDN pC Opp O CD N N M N N N O 47 ❑ O O O O O O O a„+ Q � � co L- L- L- ve L- r q r. Co 0 0 E 2 •� � r a g � 3 O O aD O a0 O CO O M lL N � E z z z z z z z z z z y, z — � v 'aQ � N cn N N N N r O 0 �7 (' N ry N N N ry N a g J d3 2 O O O O O O O t"a Q� W � Q ZI 0 Z � aN0 3 C 0 U) w O U) in 0 2 M M M M M M M N LL O M (J ,�• 7 y� UrC C C G O C C Z LO O N la48 la M fa fa C C N V > co e c c c c e c c O o oco c o � e e c c c c c Y, 1 � 1 11 � in � � � � win m 3 m m m m m m m a w w w w w uy w w LL U U U C) 0 LL o t (n fA z Q M M CO (O CO U_ 0. g 0 o w w z z z z 0 a N N co co W z 3 z co W N M 4b �b N M v O O h 3 Go � "� M� v tn co� n� �� �� III I I I I I 0 46 L FORM R405-2017 HEATING SYSTEM # System Type Subtype Efficiency Capacity Block Ducts 1 Electric Heat Pump/ Split HSPF:8.2 32.8 kBtu/hr 1 sys#1 COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts 1 Central Unit/ Split SEER: 14 34A kBtu/hr 1032 cfm 0.75 1 sys#1 HOT WATER SYSTEM # System Type SubType Location EF Cap Use SetPnt Conservation 1 Electric None Garage 0.92 40 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 ft' DUCTS —Supply— —Return— Air CFM 25 CFM25 HVAC# v # Location R Value Area Location Area Leakage Type Handler TOT OUT QN RLF Heat Cool 1 Attic 6 361.6 ft Main 90A ftz Default Leakage Main (Default) (Default) 1 1 TEMPERATURES Programable Thermostat:None Ceiling Fans: [X] [X] [1Q Cooling Jan Fob Mar May Oct Nov Dec Venting Jaann Feb Mar Apr May Jun [ ]Jul [ ]Aug L 1 ep Oct Nov X�Nov �Decec Jun ( )Jul [ ]Aug [ J Sep Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling (WD) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Cooling (WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating (WD) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 Heating (WEH) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 4/20/201812:28 PM EnergyGaugeO USA- FlaRes2017 Section R405.4.1 Compliant Software Page 4 of 4 FORM R405-2017 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 93 The lower the EnergyPerformance Index,the more efficient the home. 39165 9TH AVE , ZEPHYRHILLS , FL, 33542 1. New construction or epsting New(From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a.Concrete Block-Int Insul,Exterior R=5.0 1312.00 ft2 b.Frame-Wood,Adjacent R=11.0 168.00 ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 4 d.WA R= ft2 5. Is this a worst case? No 10.Ceili ng Types Insulation Area a.Under Attic(Vented) R=30.0 1808.00 ft2 6. Conditioned floor area(ft2) 1808 b.WA R= ft2 7. Windows- Description Area c.N/A R= IF a. U-Factor: Sgl,U=0.30 116.01 ft2 11.Ducts R ft SHGC: SHGC=0.23 a.Sup:Attic,Ret:Main,AH:Main 6 361.6 b. U-Factor. WA ft2 SHGC: 12.Coding systems kBbAr Efficiency c. U-Factor. N/A ft2 a.Central Unit 34A SEER:14.00 SHGC: d. U-Factor. WA ft2 13.Heating systems kBtu/hr Efficiency SHGC: a Electric Heat Pump 32.8 HSPF:8.20 Area Weighted Average Overhang Depth: 1.333 ft. Area Weighted Average SHGC: 0.230 8. Floor Types Insulation Area 14.Hot water systems lons a.Slab-On-Grade Edge Insulation R=0.0 1808.00 ft2 a.Et EF:c Cap:40 0.92.92 b.N/A R= ft2 b. Conservation features c.N/A R= None 15.Credits None I certify that this home has complied with the Florida Energy Efficiency Code for Building o��HssrA� Construction through the above energy saving features which will be installed(or exceeded) =,s 0 in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code com liant features. Builder Signature: Date: Address of New Home:�j�fs-- t'fj�' � City/FL Zip: *Note: This is not a Building Energy Rating. If your Index is below 70,your home may qualify for energy efficient mortgage(EEM) incentives if you obtain a Florida EnergyGauge Rating. Email EnergyGauge tech support at techsupport@energygauge.com or see the EnergyGauge web site at energygauge.com for information and a list of certified Raters. For information about the Florida Building Code, Energy Conservation, contact the Florida Building Commission's support staff. **Label required by Section R303.1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT. 4/20/20181228 PM EnergyGauge®USA-FlaRes2017 -Section R405A.1 Compliant Software Page 1 of 1 Residential System Sizing Calculation Summary PETBERLLC RES Project Title: 39165 9TH AVE PETBERLLC RES BROWN MJ TJL11 4-18 ZEPHYRHILLS, FL 33542 ORIENTATION SOUTH HVAC VALUES SEMI TIGHT 4/20/2018 Location for weather data: Tampa, FL -Defaults: Latitude(27.97) Altitude(10 ft.) Temp Range(M) Humidity data: Interior RH 50% Outdoor wet bulb 7F Humidity difference r. Winter design temperature(TMY3 99%) 36 F Summer design temperature(TMY3 99%) 92 F Winter setpoint 70 F Summer setpoint 75 F Winter temperature difference 34 F Summer temperature difference 17 F Total heatina load calculation 28789 Btuh Total coollina load calculation 29938 Btuh Submitted heating capacity %of talc Btuh Submitted cooling capacity %of calc Btuh Total (Electric Heat Pump) 113.9 32800 Sensible(SHR=0.75) 117.8 25800 Heat Pump+Auxiliary(O.OkW) 113.9 32800 Latent 107.0 8600 Total Electric Heat Pump) 114.9 34400 WINTER CALCULATIONS Winter Heatin Load for 1808sqft) Load component Load Window total 116 sqft 1183 Btuh 41'a1is{t9.3�'0) Wall total 1286 sqft 5566 Btuh Door total 78 sqft 1216 Btuh Floors{24. 1 I Ceilirgs(�.8£�j Ceiling total 1808 sqft 1958 Btuh Floor total 1808 sqft 7181 Btuh �ktndo:vsfl.t°o} . Infiltration 202 cfm 7571 Btuh _^ Duct loss 4113 Btuh -< Subtotal 28789 Btuh Doors(».2j Ductslk3°} Ventilation 0 cfm 0 Btuh TOTAL HEAT LOSS 1 28789 Btuh Iinfit.(,2ti.34;t SUMMER CALCULATIONS Summer Coolin Load for 1808 sqft) Load component Load Window total 116 sqft 1478 Btuh Wall total 1286 sqft 2185 Btuh Door total 78 sqft 1002 Btuh Ceiling total 1808 sqft 2418 Btuh s alia(7 3Rf1 Floor total 0 Btuh Infil.(28.1�R) Infiltration 152 cfm 2839 Btuh1It° G(�"_)Q' .. Internal gain 8000 Btuh %) Duct gain 3977 Btuh . Sens.Ventilation 0 cfm 0 Btuh Blower Load 0 Btuh Latent int(3.3�G) Total sensible gain 21900 Btuh _ Latent gain(ducts) 1463 Btuh Latent gain(infiltration) 5575 Btuh Ducts(13.2 ¢) Latent gain(ventilation) 0 Btuh Int.Gain(2G.74a) Latent gain(intemaUoccupants/other) 1000 Btuh Total latent gain 8038 Btuh TOTAL HEAT GAIN 29938 Btuh EnergyGauge®System Si in 8th Edition PREPARE BY- DATE: X 2 EnergyGaug& USRCZB v6.0 Residential window Diversity MidSummer PETBERLLC RES Project Title: 39165 9TH AVE PETBERLLC RES BROWN MJ TJL11 4-18 ZEPHYRHILLS , FL 33542 ORIENTATION SOUTH HVAC VALUES SEMI TIGHT 4/20/2018 Weather data for Tampa,-Defaults Summer design temperature 92 F Average window load for July 1131 Btuh Cooling setpoint 75 F Peak window load for July 1309 Btuh Summer temperature difference 17 F Excusion limit(130%of Ave.) 1471 Btuh Latitude 27.97 North Window excursion Jul None WINDOW Average and Peak Loads 1,4004 t (10A, 1f1w a M00 - r .- a.:.:.:::.::.........:Q 9 .. 00 -_......._..... .. . ...._........._....... . ..._.._........_. ............ ............ .... ... ....... ........... 70 - — --- ---- i---- 8 10 12 14 16 10 20 yt►4ndow Load (Beath) _.. Limit for e cursion �� 12 Hour Average 6wwaw Total July Window Load(Radiation and conduction) The midsummer window load for this house does not exceed the window load excursion limit. This house has adequate midsummer window diversity. EnergyGauge®System Sizipg f d - PREPARED B l DATE: EnergyGauge®/USRCZB v6.0 Residential Window Diversity October PETBERLLC RES Project Title: 39165 9TH AVE PETBERLLC RES BROWN MJ TJL1 14-18 ZEPHYRHILLS , FL 33542 ORIENTATION SOUTH HVAC VALUES SEMI TIGHT 4120/2018 y"&data for Tampa;;-Defaults - Summer design temperature 92 F Average window load for October 1237 Btuh Cooling setpoint 75 F Peak window load for October 1531 Btuh Summer temperature difference 17 F Excusion limit(130%of Ave.) 1608 Btuh I Latitude 27.97 North 1 Window excursion(October) None WINDOW Average and Peak Loads TChad ik 1,400 1.300 00 900 8.00 ---- 7004 10 1.2 14 16 18 20 ndow Load (6tuh) Lint for axcurslon 12 Hour Avr-Irkqe Total October Window Load(Radiation and conduction) The October window load for this house does not exceed the window load excursion limit. This house has adequate October window diversity. EnergyGaugeS System izi PREPAREP,BY: DATE: §,64t,5:�-7 EnergyGaug& USRCZB v6.0 System Sizing Calculations - Winter Residential Load - Whole House.,Q mponent Details PETBERLLC RES Project Title' 39165 9TH AVE PETBERLLC RES BROWN MJ TJ 11 4-18 ZEPHYRHILLS, FL 33542 Building Type: User ORIENTATION SOUTH HVAC V LUES SEMI TIGHT 4/20/2018 Reference City:Tampa, FL (Defaults) Winter Temperature Difference, 34.0 F(TMY3 99%) Component L ds for Whole House Window PanesfType Frame U Orientation Area X HTM= Load 1 1, NFRC 0.23 Metal 0.30 E 7.1 10.2 73 Btuh 2 1, NFRC 0.23 Metal 0.30 E 111 10.2 118 Btuh 3 1, NFRC 0.23 Metal 0.30 N 14. 10.2 150 Btuh 4 1, NFRC 0.23 Metal 0.30 N 15J 10.2 161 Btuh 5 1, NFRC 0.23 Metal 0.30 N 15. 10.2 161 Btuh 6 1, NFRC 0.23 Metal 0.30 N 18. 10.2 184 Btuh 7 1, NFRC 0.23 Metal 0.30 S 33. 10.2 337 Btuh Window Total 116. 1183 Btuh Walls Type Omt. Ueff. R-Value Area X HTM= Load (Cav/Sh) 1 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 36 4.47 161 Btuh 2 Frame-Wood -Adj (0.095) 11.0/0.0 15 3.23 485 Btuh 3 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 23 4.47 1061 Btuh 4 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 17 4.47 758 Btuh 5 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 32 4.47 143 Btuh 6 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 15 4.47 672 Btuh 7 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 28 4.47 1288 Btuh 8 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 16 4.47 747 Btuh 9 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 56 4.47 250 Btuh Wall Total 1286 5566 Btuh Doors Type Storm Ueff. Areal X HTM= Load 1 Wood-Exterior, n (0.460) 29 15.6 313 Btuh 2 Wood-Garage, n (0.460) 1 15.6 278 Btuh 3 Wood-Exterior, n (0.460) 4� 15.6 626 Btuh Door Total 7 121613tuh Ceilings Type/Color/Surface Ueff. R-Value Area X HTM= Load 1 Vented Attic/UShing (0.032) 30.0/0.0 18 8 1.1 1958 Btuh Ceilina Total 18 8 195813tuh Floors Type Ueff. R-Value Size�lI X HTM= Load 1 Slab On Grade (1.180) 0.0 179.0 ft(perim.)40.1 7181 Btuh Floor Total 1868 7181 Btuh Envelope Subtotal: 17105 Btuh Infiltration Type Wholehouse ACH Volume(cuft) all Ratio CFM= Natural 0.84 14464 1.00 202.5 7571 Btuh Duct load Average sealed, R6.0,Supply(Att), Retum(Con) (DLM of 0.167) 4113 Btuh All Zones Sensible Subtotal All Zones 28789 Btuh EnergyGauge®/USRCZB v6.0 Page 1 Manual J Winter Calculations Residential Load - Component Details (continued) PETBERLLC RES Project Title; 39165 165 9TH AVE PETBERLLC RES BROWN MJ TJL1 14-18 ZEPHYRHILLS , FL 33542 Building Type: User ORIENTATION SOUTH HVAC VALUES SEMI TIGHT 4/20/2018 NH Subtotal Sensible Heat Loss 28789 Btuh Totals for Heating Ventilation Sensible Heat Loss 0 Btuh Total Heat Loss 28789 Btuh 1. Electric Heat Pump GOODMAN#GSZ140361K 32800 Btuh Key:Window types1 - NFRC(Requires U-Factor and Shading coefficient(SHGC)of glass as numerical values) - or-Glass as'Clear'or Tiny(Uses U-Factor and SHGC defaults) U-(Window U-Factor) HTM-(ManualJ Heat Transfer Multiplier) Version 8 EnergyGaugeti USRCZB v6.0 Page 2 � go n s S u u�Fr Residential Load - Whole HOUSe Component, Details PETBERLLC RES Project Title:- 39165 9TH AVE PETBERLLC RES BROWN MJ TJL11 4-18 ZEPHYRHILLS , FL 33542 ORIENTATION SOUTH HVAC VALUES SEMI TIGHT 4/20/2018 Reference City:Tampa, FL Temperature Difference:-17.OF(TMY3 99%) Humidity difference: 54gr. Component Loads for Who Ho�ese Type' Overhang Window Area(sqft) HTM Load Window Panes SHGC U InSh IS Omt Len Hgt Gross Shaded Unshaded Shaded Unshaded 1 1 NFRC 0.23,0.30 No No E 1.3% 1.0% 7.1 02 6.9 10 27 191 Btuh 2 1 NFRC 0.23,0.30 No No E 1.3ft. 1.0% 11.6 02 11.4 10 27 313 Btuh 3 1 NFRC 0.23,0.30 No No N 1.3ft. 1.0% 14.7 0.0 14.7 10 10 147 Btuh 4 1 NFRC 0.23,0.30 No No N 1.3ft. 1.0% 15.8 0.0 15.8 10 10 158 Btuh 5 1 NFRC 0.23,0.30 No No N 1.3% 3.0ft. 15.8 0.0 15.8 10 10 158 Btuh 6 1 NFRC 0.23,0.30 No No N 1.3ft. 3.5% 18.0 0.0 18.0 10 10 180 Btuh 7 1 NFRC 0.23,0.30 No No S 1.3ft. 1.0% 33.1 33.1 0.0 10 11 331 Btuh Window Total I 1 116 s ) 1478 Btuh Walls Type U-Value R-Value Area(sqft) HTM Load Cav/Sheath 1 Concrete Blk Hollow-E)d 0.13 5.0/0.0 36.0 1.7 62 Btuh 2 Frame-Wood-Adj 0.09 11.0/0.0 150.2 1.6 242 Btuh 3 Concrete Blk,Hdlow-E)d 0.13 5.010.0 237.3 1.7 406 Btuh 4 Concrete Blk Hollow-E)d 0.13 5.0/0.0 169.6 1.7 290 Btuh 5 Concrete Blk,Hollow-E)d 0.13 5.0/0.0 32.0 1.7 55 Btuh 6 Concrete Blk,Hollow-E)d 0.13 5.010.0 150.3 1.7 257 Btuh 7 Concrete Blk Hallow-E)d 0.13 5.0/0.0 288.0 1.7 493 Btuh 8 Concrete Blk,Hollow-E)d 0.13 5.0/0.0 166.9 1.7 285 Btuh 9 Concrete Blk Hollow-E)d 0.13 5.010.0 56.0 1.7 96 Btuh Wall Total 1286(NM 2185 Btuh Doors Type Area(sqft) HTM Load 1 Wood-E)derior 20.0 12.9 258 Btuh 2 Wood-Garage 17.8 12.9 229 Btuh 3 Wood-Exterior 40.0 12.9 515 Btuh Door Total 78 sgft 1002 Btuh Ceilings Type/Color/Surface U-Value R Value Area(sqft) HTM Load 1 Vented Attic/Light/Shingle 0.032 30.0/0.0 1808.0 1.34 2418 "Bluh Ceiling Total 1808 sgft) 2418 Btuh Floors Type R Value Size HTM Load 1 Slab On Grade 0.0 1808(ft-perimeter) 0.0 0 Btuh Floor Total 1808.0 s 0 Btuh Envelope Subtotal: 7083 Btuh Infiltration Type Average ACH Volume(cuft)Wall Ratio CFM= Load Natural 0.63 14464 1 151.9 2839 Btuh Internal Occupants Btuh/occupant Appliance Load gain 5 X 230 + 6850 8000 Btuh Sensible Envelope Load: 17922 Btuh Duct load Average sealed,Supply(R6.0 Attic),Retum(R6.0-fond) (DGM of 0.222 3977 Btuh Sensible Load All Zones 21900 Btuh EnergyGauge®/USRCZB v6.0 Pagel Manual J Summer Calculations Residential Load - Component Details (continued) PETBERLLC RES Project Title: Climate:FL TAMPA INTERNATIONAL AP 39165 9TH AVE PETBERLLC RES BROWN-MJ TJL11 4-18 ZEPHYRHILLS , FL 33542 ORIENTATION SOUTH HVAC VALUES SEMI TIGHT 4/20/2018 WHOLE HOUSE TOTAL$ ; . Sensible Envelope Load All Zones 17922 Btuh Sensible Duct Load 3977 Btuh Total Sensible Zone Loads 21900 Btuh Sensible ventilation 0 Btuh Blower 0 Btuh Whole House Total sensible gain 21900 Btuh Totals for Cooling Latent infiltration gain(for 54 gr. humidity difference) 5575 Btuh Latent ventilation gain 0 Btuh Latent duct gain 1463 Btuh Latent occupant gain(5.0 people @ 200 Btuh per person) 1000 Btuh Latent other gain 0 Btuh Latent total gain 8038 Btuh TOTAL GAIN 29938 Btuh EQUIPMENT; el- 1. Central Unit GOODMAN #GSZ140361 K 34400 Btuh *Key-. Window types(Panes-Number and type of panes of glass) (SHGC-Shading coefficient of glass as SHGC numerical value) (U-Window U-Factor) (InSh-Interior shading device:none(No),Blinds(B),Draperies(D)or Roller Shades(R)) - For Blinds:Assume medium color,half closed For Draperies:Assume medium weave,half closed i For Roller shades:Assume translucent,half closed (IS-Insect screen:none(N),Full(F)or Half('/)) s (Omt-compass orientation) Version 8 EnergyGauge®/USRCZB v6.0 Page 2 System Sizing Calculations - Winter Residential Load - Room by Room Component Details PETBERLLC RES Project Title: 39165 9TH AVE PETBERLLC RES BROWN MJ TJL1 14-18 ZEPHYRHILLS , FL 33542 Building Type: User ORIENTATION SOUTH WAC VALUES SEMI TIGHT 4/20/2018 Reference City:Tampa, FL (Defaults) Winter Temperature Difference: 34.0 F(TMY3 99%) C46m p6n6ht Loads iar.. Ro 0 Window Panes/Type Frame U Orientation Area(sqft) X HTM= Load 1 1, NFRC 0.23 Metal 0.30 E 7.1 10.2 73 Btuh 2 1, NFRC 0.23 Metal 0.30 E 11.6 10.2 118 Btuh 3 1, NFRC 0.23 Metal 0.30 N 14.7 10.2 150 Btuh 4 1, NFRC 0.23 Metal 0.30 N 15.8 10.2 161 Btuh 5 1, NFRC 0.23 Metal 0.30 N 15.8 10.2 161 Btuh 6 1, NFRC 0.23 Metal 0.30 N 18.0 10.2 184 Btuh 7 1, NFRC 0.23 Metal 0.30 S 33.1 10.2 337 Btuh Window Total 116.0(sqft) 1183 Btuh Walls Type Omt. Ueff. R-Value Area X HTM= Load (Cav/Sh) 1 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 36 4.47 161 Btuh 2 Frame-Wood -Adj (0.095) 11.0/0.0 150 3.23 485 Btuh 3 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 237 4.47 1061 Btuh 4 Conc;Blk,Hollow -Ext (0.132) 5.0/0.0 170 4.47 758 Btuh 5 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 32 4.47 143 Btuh 6 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 150 4.47 672 Btuh 7 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 288 4.47 1288 Btuh 8 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 167 4.47 747 Btuh 9 Conc Blk,Hollow -Ext (0.132) 5.0/0.0 56 4.47 250 Btuh Wall Total 1286(scift) 5566 Btuh Doors Type Storm Ueff. Area X HTM= Load I Wood-Exterior, n (0.460) 20 15.6 313 Btuh 2 Wood-Garage, n (0.460) 18 15.6 278 Btuh 3 Wood-Exterior, n (0.460) 40 15.6 626 Btuh Door Total 78(scift) 121613tuh Ceilings Type/Color/Surface Ueff. R-Value Area X HTM= Load 1 Vented Attic/L/Shing (0.032) 30.0/0.0 1808 1.1 1958 Btuh Ceiling Total 1808(sqft) 195813tuh Floors Type Ueff. R-Value Size X HTM= Load 1 Slab On Grade (1.180) 0.0 179.0 ft(perim.)40.1 7181 Btuh Floor Total 1808 sqft 7181 Btuh Room Envelope Subtotal: 17105 Btuh Infiltration Type Wholehouse ACH Room Volume Wall Ratio CFM= Natural 0.84 14464 1.00 202.5 7571 Btuh Duct load Average sealed,Supply(R6.0-Attic),Rebim(R6.0-Cond.) (DLM of 0.167) 4113 Btuh Room#1 Sensible Room Subtotal 28789 Btuh EnergyGaugeD/USRCZB v6.0 Page 1 Manual J Winter Calculations Residential Load - Component Details (continued) PETBERLLC RES Project Title: 39165 9TH AVE PETBERLLC RES BROWN MJ TJL1 14-18 ZEPHYRHILLS , FL 33542 Building Type: User ORIENTATION SOUTH HVAC VALUES SEMI TIGHT 4/20/2018 Subtotal Sensible Heat Loss 28789 Btuh Totals for Heating Ventilation Sensible Heat Loss 0 Btuh Total Heat Loss 28789 Btuh EQUIPMENT; 1 Electric Heat Pump GOODMAN#GSZ140361 K 32800 Btuh Key:Window Wes- NFRC(Requires U-Factor and Shading coefficient(SHGC)of glass as numerical values) or-Glass as'Clear'or Tint'(Uses U-Factor and SHGC defaults) ' .- - U-(Window U-Factor) HTM-(ManualJ Heat Transfer Multiplier) Version 8 EnergyGaugeO USRCZ13 v6.0 Page 2 _ m ,off +.,) P ig}n'f'j� .ram, 1�'° �+�p9I a t i si`� F ! r `h �y ^.*.:.-���•k U}.i �! C,�-�s t4 43 �'�� �� ��.�5e[9 i'�.:��S'��u�S��z� � �t�1i� i5 esidtz-,l bal Load - Roorn by Room _o E moment Detca gs PETBERLLC RES Project Title: 39165 9TH AVE PETBERLLC RES BROWN MJ TJL11 4-18 ZEPHYRHILLS , FL 33542 ORIENTATION SOUTH HVAC VALUES SEMI TIGHT 4/20/2018 Reference City:Tampa, FL Temperature Difference: 17.OF(TMY3 99%) Humidity difference: 54gr. :Component Loads for Room#1:Main Type Overhang Window Area(sgft) HTM Load Window Panes SHGC U InSh IS Omt Len Hgt Gross Shaded Unshaded Shaded Unshaded 1 1 NFRC 0.23,0.30 No No E 1.3% 1.0ft. 7.1 0.2 6.9 10 27 191 Btuh 2 1 NFRC 0.23,0.30 No No E 1.31L I.M. 11.6 0.2 11.4 10 27 313 Btuh 3 1 NFRC 0.23,0.30 No No N 1.3ft. 1.0ft. 14.7 0.0 14.7 10 10 147 Btuh 4 1 NFRC 0.23,0.30 No No N 1.3ft. 1.0ft. 15.8 0.0 15.8 10 10 158 Btuh 5 1 NFRC 0.23,0.30 No No N 1.3ft. 3.0ft. 15.8 0.0 15.8 10 10 158 Btuh 6 1 NFRC 0.23,0.30 No No N- 1.3% 3.5% 18.0 0.0 18.0 10 10 180 Btuh 7 1 NFRC 0.23,0.30 No No S 1.3% 1.0% 33.1 33.1 0.0 10 11 331 Btuh Window Total I 1 116 1478 Btuh Walls Type U-Value R-Value Area(sqft) HTM Load Cav/Sheath 1 Concrete Blk,Hollow-Ext 0.13 5.010.0 36.0 1.7 62 Btuh 2 Frame-Wood-Atli 0.09 11.010.0 150.2 1.6 242 Btuh 3 Concrete 131KHollow-Ext 0.13 5.0/0.0 237.3 1.7 406 Btuh 4 Concrete Blk,Hollow-Ext 0.13 5.010.0 169.6 1.7 290 Btuh 5 Concrete Blk,Hollow-Ext 0.13 5.0/0.0 32.0 1.7 55 Btuh 6 Concrete Blk,Hollow-E6d 0.13 5.0/0.0 150.3 1.7 257 Btuh 7 Concrete Blk,Hollow-Ext 0.13. 5.0/0.0 288.0 1.7 493 Btuh 8 Concrete B10allow-Ext 0.13 5.010.0 166.9 1.7 285 Btuh 9 Concrete Blk,Hollow-Ext 0.13 5.0/0.0 56.0 1.7 96 Btuh Wall Total 1286( ) 2185 Btuh Doors Type Area(sgft) HTM Load 1 Wood-Exterior 20.0 12.9 258 Btuh 2 Wood-Garage 17.8 12.9 229 Btuh 3 Wood-Exterior 40.0 12.9 515 Btuh Door Total 78 sgft 1002 Btuh Ceilings Type/Color/Surface U-Value R-Value Area(sgft) HTM Load 1 Vented Attic/Light/Shingle 0.032 30.0/0.0 1808.0 1.34 2418 Btuh Ceiling Total 1808 sgft 2418 Btuh Floors Type R-Value Size HTM Load 1 Slab On Grade 0.0 1808(ft-perimeter) 0.0 0 Btuh Floor Total 1808.0`s 0 Btuh Zone Envelope Subtotal: 7083 Btuh Infiltration Type Wholehouse ACH Volume(cuft)Wall Ratio CFM= Load Natural 0.63 14464 1.00 151.9 2839 Btuh Internal Occupants Btuh/occupant Appliance Load gain 5 X 230 + 6850 8000 Btuh Sensible Envelope Load: 17922 Btuh Duct load Average sealed,Supply(R& Attic),Retum(R6.0-Cond.) (DGM of 0.222) 3977 Btuh Sensible Zone Load 21900 Btuh EnergyGauge®/USRCZB v6.0 Page 1 Manual J summer Calculations Residential Load - Component Details (continued) PETBERLLC RES Project Title: i Climate:FL TAMPA INTERNATIONAL AP 39165 9TH AVE PETBERLLC RES BROWN MJ TJL11 4-18 ZEPHYRHILLS , FL 33542 ORIENTATION SOUTH HVAC VALUES SEMI TIGHT 4/20/2018 EnergyGauge®!USRCZB v6.0 Page 2 Manual J Summer Calculations Residential Load - Component Details (continued) PETBERLLC RES Project Title: Climate:FL TAMPA INTERNATIONAL-AP 39165 9TH AVE PETBERLLC RES BROWN MJ TJL1 14-16- ZEPHYRHILLS , FL 33542 ORIENTATION SOUTH HVAC VALUES SEMI TIGHT 4/20/2018 WHOLE:HOUSE TOTALS''.,-- . '.' Sensible Envelope Load All Zones 17922 Btuh Sensible Duct Load 3977 Btuh Total Sensible Zone Loads 21900 Btuh Sensible ventilation 0 Btuh Blower 0 Btuh Whole House Total sensible gain 21900 Btuh Totals for Cooling Latent infiltration gain(for 54 gr. humidity difference) 5575 Btuh Latent ventilation gain 0 Btuh Latent duct gain 1463 Btuh Latent occupant gain(5.0 people @ 200 Btuh per person) 1000 Btuh Latent other gain 0 Btuh Latent total gain 8038 Btuh TOTAL GAIN 29938 Btuh QUIPMENT,,-.--.- , 5 1. Central Unit GOODMAN #GSZ140361K 34400 Btuh •Key: Window 41m(Panes-Number and ty"of panes of glass) (SHGC-Shading coefficient of glass as SHGC numerical value) (U-Window U-Factor) (InSh-Interior shading device:none(No),Blinds(B),Draperies(D)or Roller Shades(R)) - For Blinds:Assume medium color,half closed For Draperies:Assume medium weave,half closed For Roller shades:Assume translucent,half closed (IS-Insect screen:none(N),Full(F)or Halfe/2)) (Omt-compass orientation) Version 8 EnergyGauge@) USRCZB v6.0 Page 3 Air Conditioning Contractors of America =` Manual S (Residential Equipment Selection) Project Information Cooling Design Information Name:I PETBERLLC RES HVAC VALUES SEMI TIGHT Outdoor Design Temp: 92 °F db Summer City: JZEPHYRHILLS ORIONTATION SOUTH Outdoor Design Temp:®°F db JWinter State: FL Altitude: 89 Altitude Adjustment: Too Indoor Design Temp:°F db 50 %RH 63 °F wb Manual J Load Calculations Airflow Calculations Total Load Sensible Latent SHR Heat Loss Design TD for Airflow 17 29938 25800 4138 0.862 28789 Design Sensible CFM 1380 LManufacturer ation GOODMAN Furnace Model#: AFUE:� Coil Model#: ARUF37D14A Condenser Model# GSZ1403611C SEER: 14.0 HSPF: 8.20 (A)Manufacturer's Cooling Performance Data Lower Return Air Outdoor Temperature= 95 (F db) Entering Coil Temperature=75(F db) CFM (F wb) Total BTUH Sensible BTUH Latent BTUH SHR Rated CFM @ Rated RA Temperature 68 34,400 25,855 F 8,600 0.75 Rated CFM @Design RA Temperature F 1120 63 31,611 F 5,811 0.8162 Rated CFM @ Rated RA Temperature 60 29,938 F 4,138 0.8618 (B)Manufacturer's Cooling Performance Data Higher Return Air Outdoor Temperature= 95 (F db) Entering Coil Temperature=75(F db) CFM (F wb) Total BTUH Sensible BTUH Latent BTUH SHR Rated CFM @ Rated RA Temperature 68 24,400 1 25,800 -1,400 1.0574 Rated CFM @Design RA Temperature 1380 63 27,861 25,800 2.061 0.926 Rated CFM @Rated RA Temperature 60 29,938 F 4.138 0.8618 Manufacturer's Cooling Performance Data(Interpolated) Design Return Air Outdoor Temperature=95(F db) CFM (F wb) Total BTUH Sensible BTUH Latent BTUH SHR 25,800 2,066 0.9259 Excess Latent Capacity Calculation + -1,036 T 1.036 Capacity @ Design CFM/RA(F wb) 1379.7 63 27,866 24,764 3,102 0.889 Equipment Capacity as a%of Design 93.08% 95.98% 74.96% 7-1 Manufacturers Heat Pump Data Capacity Capacity Balance Supplemental 4@ °F db @ 17°F db Point Heat Required 32,800 16,400 37.3 0.59 Manufacturer's Furnace Data Input Output Desired Calculated Capacity Capacity A�FUE Temp.Rise Airflow ® ®0 tertificate of Product Ratings AHRI Certified Reference Number:201645069 Date:04-20-2018 Model Status:Active Old AHRI Reference Number:7995254 AHRI Type:HRCU-A-CB Series:GSZ14 Outdoor Unit Brand Name:GOODMAN Outdoor Unit Model Number (Condenser or Single Package):GSZ140361 W Indoor Unit Model Number(Evaporator and/or Air Handler):ARUF37D14A' The manufacturer of this GOODMAN product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSUAHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary Air-Conditioning&Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing: Cooling Capacity(A2)-Single or High Stage(95F),btuh:34400 SEER:14.00 - EER(A2) Smgle or Hlgfi Stage{g5F}:11.50 Heating Capactly(H12)-Single or High Stage(47F):32800 HSPF(Region 1�.8.20 " t"Active"Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offering for sale;OR new models that are being marketed but are not yet being produced"Production Stopped"Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratinos that are accompanied by WAS indicate an involuntary re rate. The new published rating is shown along with the previous(i.e.WASI rating. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated; entered into a computer database;or otherwise utilized,in any form or manner or by any means,except for the user's individual, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahridirectory.org,click on"Verify Certificate"link we make hfe hett&- and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above,and the Certificate No.,which is listed at bottom right. --- 1316870737007951 ©2018Air-Conditioning,Heating,and Refrigeration Institute CERTIFICATE NO.: 53 SOUTHERN COMFORT ENTERPRISES, INC. 4109 CR 656 WEBSTER,FL. 33597 352-793.5501 1352-567-6111 CACI S13579 HVAC EFFICIENCY CARD PERMIT#: N/A DATE: 4/20/18 DON BROWN CUSTOMER&ADDRESS:PETBERLLC 39165 9'N AVE ZEPLS FL.33542 BRAND: GOODMAN CONDENSER AIR HANDLER MODEL#:GSZ140361K MODEL:ARUF37D14A COOLING SYSTEMS CAPACITY: 34,400 BTUS 3 TONS a.Split system SEER: 14.0 HEATING SYSTEMS CAPACITY: 34.800 BTUS 3 TONS a.Split system heat pump HSPF: 8.2 8 KW. DUCTS: LOCATION&INSULATION LEVEL: a. Supply ducts: R= 6.0 ATTIC b.Return ducts: R= 4.2 MAIN c.Air Handling unit(AHU) MAIN WITH THE AUTHORIZATION OF THE INSTALLING CONTRACTOR I CERTIFY THAT THE INFORMATION ENTERED ON THIS CARD ACCURATELY REPRESENTS THE SYSTEM INSTALLED. AUTHORIZED SIGNATURE : ATE : 4/20/2018 AS THE BUILDING OFFICIAL OR 4PRESENTATIVE OF THE BUILDING OFFICAL I CERTIFY THAT THE INFORMATION ENTER ON THIS CARD ACCURATELY REPRESENTS THE SYSTEM INSTALLED. AUTHORIZED SIGNATURE : DATE I IvAme. JoTOcrLLG �, 6op-Oa12. �2-Z6,21.002+ z 44,45; 39'IKS Lv Ua cs Z¢ Z3 ' o 2s z�t N h If,l b C j-A%AY tE2 Via. eJo i 3E A 1 T E . 9,4 6 s19 �Z/ 0/,z 9/ hrZ 02 r 8 of z N -600 PERMIT APPLICATION DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY All information must be filled-in completely City of Zephyrhills 5335 8th Street, Zephyrhills, FL 33542 Telephone 813.780.0000 Fax 813.780.0005 Date of:application: Processed By: Permit 4: I (gray,area,;f,'orstaff use only), ❑Copy io" ullding'Department ❑Copy to Public Works. PROJECT/JOB SITE: PROPERTY OWNER Address: S PK G Name: o, 40h- Unit #: Address:,00la•j.3 _D- Unit: Parcel Identification Number: City, State Zip �e s� /2-Ze?_/-Oz?2 - r6X; aD/2 Phone:A1_,> 99Z afiVe Fax: CONTRACTOR: Company: ca1T>.o, A^ec t.CC Name: ...Ql 05 , ../ Contractor's License #: E-Mail: Phone: Cell: / /�"6z:;, Fax: ARCH ITECT/ENG I NEER: Name: Firm Name: Address: City: State: Zip. State License #: Phone: Cell: Fax: Description of Project TYPE OF DRIVEWAY 3s'`o LENGTH OF DRIVEWAY CULVERTS NEEDED RESIDENTIAL DRIVEWAY /WIDTH OF DRIVEWAY ( ) REINFORCED CONCRETE COMMERCIAL DRIVEWAY R.O.W. EXCAVATION ( ) CORRUGATED MATERIAL PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( ) BOX CULVERT ( ) OTHER(EXPLAIN) CONSTRUCTION MATERIAL CURB CUT REQUIRED iri0 ASPHALT YES .�29 NO CONCRETE HEADWALL REQUIRED? YES -"5' NO NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings will be required. UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 PERM IT,APPLICATION N UTILITIES LOCATE CONFIRMATION NUMBER:________________________ PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all approved construction documents, and issuance of this permit is verification that I will notify the property owner of Florida Lien Law req., F.S. 713. The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed restrictions may apply to this property. All work shall comply with the current Florida Building Code, Public Works Design Manual and FOOT Design Standards (if applicable). (Public Works Design Manual online link: www.ci.zephyrhills.fl.us/public_works.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR NOTARY PUBLIC. NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter / interfere with existing stormwater treatment and / or conveyance. PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure statement. (please initial) Applicant Print Name Applicant Signature Date Permit Technician Signature (or) Notary Signature Date Applicant is ( ) personally known to me or produced as identification. (type of identification) Page 2 of 3 ,vAme fzl-I cr LLO - l�acl �o 1�-Z6�Zr-aoor2. �l �'=zo SC w w c�c 23$ z6 0 h Iz zll h 3���5 � ,,gvoo, PERMIT APPLICATION OFFICE USE ONLY Goncret min.6" ` Y N i Asphalt Bose (min. 6") Y N .Asphalt (niln. I Y2") Y N Length thin, 19') Y N Width (10' min—20' max) Y ) N �i Existing sidewalk. Y N New sidewalk. Y �� ADA compliant. Y N Expansion m4erial `requhd. Y GontigiNous parking pad. Y N Triangular flare (3'W x 7'L) Y N Vislbllity triangle o.k:? Y N Side set back (3'min. R.D.W.) N Plan ReVier? Fee Additional descri klan-of_vi�a�ri ,as deflr�ocl:b .Pubilc;6` arks birectonin d or.desl Permit application approved bp:� L/ Date: C cr' p3C)-F15 Page 3 of 3 S r I Sln e Fami Dwe in g: Y g Plan Review Comments 1: F.F.E. shall'be a minimum:of.8" above,the road,elevation and an engineered site plan. 2.. Lots shall be graded to.comply with R401.3 of the F.B;C: 3. :Coinpaetion test required if 24 or more:of fill dirt is.brought in:at any one place. 4.. -Tie in-survey required before pouring concrete.,' 5. Driveways require ,R;O.W.use permit: All 4:sides of.driveway.thru the sidewalk shall Have. - e -pansion material.. 6.. All setbacks shall be met.: . 7. :All.property markers shall be,uncovered and marked at time of first inspection: 8: All,A.D.A.requirements.shall be met.:'. 9.' .No electric;plumbing, mechanical;.or framing shall be covered without an inspection and approval first. 10.All Garages shall:comply,.with section R302.6,of,the:F.B.C. (Fire Separation).. 11::Appliances:shall not:be installed in a location where subjectto m6chanical darnage unless protected:byapproved barriers. M303.4 of.the F.B.C. 12. water heaters shall corriply with secti6n:P607,3 of the F:B.C: 13. Foundation supports for.A/C.units.shall-be raised at least 3 above finished grade.. M 1308.1 : . 14. Return air in all,bedroohis..F.B.C. .M1620.4 . 1 S: Smoke detectors are fo be installed in accordance with.R3111- of the:F.B.C. 16::A11 glazing requirements are.to be in accordance with R308.4,of the F.B:C. .17. All means,of egress are to:be in accordaiice with R311::of the F:B.G. :: gypsum.18. `.`Green sum.board"shall not b 'used:as.a-backer-in:showers ortubs. R702.4.2.F.B.C. 19. Combination-typeAFCl breakers are required.at all.locations requiring_an AFCI type breaker: . . 20. Carboni monoxide alarms will.be required in now construction„that uses fossil-burning heating :or appliances or an attached garage.. They shall be.installed in accordance with.the F.B.C: 21. All plumbing, mechanical,and electrical shall be.separate from unit-to.unit: This iricludes all underground plumbing and electric. 22.. All 2011:N:E:C: Codes:will be enforced:, 23.Tamper=Resistant Receptacles in,accordance with 406.11 of the 2011 N:E:C - 24. hi accordance:.with the La nd:.Development:Code; lots.shall be sodded before final at least-10, . . . feet::around the.structure: 25.A.cony of the enemy cacls shall be' with perinit at all times - 26_-Copy of final insulation report-shall be.prbvided with.permit.befoi�e rnab . F.F.E.-Finished Floor.Elevation F:B:C=Florida Building Code 6a'Edition R.O.W.-Right of Way A.D.A.-Americans with.Disabilities Act . N.E.C.-National Electric:Code(2011)., CITY OF / / / / BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION D • NOT REMOVE ADDRESS PATE PERMIT,, �'qt U; b=21 18 Iq(0br THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. n .n 1 W KA ! V rIr _L�c- 1h1 -FLzo)-) 7_,.,Am A-e- ��a r c i� t?�S1� ri_ JD . A Gy-`c 'f1r-O RCr 17 It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION or other material,until the proper inspector has had ample time to approve the installation. _ OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR ty5 U.S. DEPARTMENT OF HOMELAND SECURITY ` OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program . ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner. SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: SNOWY RIVER RETIREMENT LLC A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 39165 9th avenue City State ZIP Code Zephyhills Florida 33542 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.) Parcel I.D. 12-26-21-002A-02600-0010 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 28.24040031 Long. -82.16876984 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 0 . c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑Yes ❑x No A9. For a building with an attached garage: a) Square footage of attached garage 0 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑Yes ❑x No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3. State Pasco County 120230 Pasco Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12101 C0456 F 09/27/2013 09/26/2014 AE&X _ _76.9'_ 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 139: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2018 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: �6165 9th avenue City State ZIP Code Company NAIC Number Zephyhills Florida 33542 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑x Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones Al—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,ARIA,AR/AE,AR/A1—A30,AR/AH,AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: N.G.S. AL6442 Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 79 1 ❑x feet ❑ meters b) Top of the next higher floor NSA. ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) NSA. ❑x feet ❑meters d) Attached garage(top of slab) NSA. ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building NSA. ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) NSA ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) NSA. 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including NSA. ❑x feet ❑ meters structural support SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑No x❑Check here if attachments. Certifier's Name License Number Harry B. Rogers III 6418 Title Professional Surveyor&Mapper : e )V� Company Name 6418 J s.. L Terminus Surveying LLc OF- Q'- STATE Address %��- ; ��OR1D A. 4 2752 Jason Street City State ZIP Code � e\Q� k / ury ! Tampa Florida 33619 i I011�� Signature Date Telephone 06/19/2018 (813)681-4481 Copy all page o this EI at' Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. Comments(i uding type of equipment and location,per C2(e), if applicable) A5)Latitude and Longitude were provided by Google Earth. C2 a)Elevation taking from top of form boards. N.G.S.-National Geodetic Survey FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 39165 9th avenue City State ZIP Code Company NAIC Number Zephyhills Florida 33542 SECTION E—,BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items El—E4, use natural grade, if available.Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawlspace, or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is [—]feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑ ❑ ❑below the HAG. ❑feet meters above or E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify,this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here.The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 39165 9th avenue City State ZIP Code Company NAIC Number Zephyhills Florida 33542 SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The following information(Items G4—G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments(including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: �9165 9th avenue City State ZIP Code Company NAIC Number Zephyhills Florida 33542 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken;"Front View"and"Rear View'; and, if required, 'Right Side View"and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page. - r- 0I ``a�+\...•_ ..'a.<„i.'jYi-J''".-_�:er::ti'-�K,.-+5 - ' _ '_°2 }: r6'- �'�`'3�.-'"M.'-�?i%Ge ��r,�''4'n"c`•:�..:a'.b''- �:,i :;2,�!�!��.-�:;Wit,.::�.:?..._W.:: ' �kYdgt�;_tpi'°`%yr v' w.�r;._ .....•-S, _l,-vY�?.-^.�..r �;d .%aL',.1�.v�'�'.`-.`�".� .i u ? _ja s4,E•.'.�j. .�v""-.."f wr7'r^',r`as'-'":- �''. _ V. .f �i�YY{' • Photo One Photo One Caption FRONT VIEW _ L �w- ,�''f�va.M _:__ ,o' _-,,:;•}'_�_-mac,^':_.,-_"'.'-_....-"� -e..;-..:.•y`_. ='�t ��'" Photo Two Photo Two Caption REAR VIEW FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30,2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 39165 9th avenue City State ZIP Code Company NAIC Number Zephyhills Florida 33542 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo One Photo One Photo One Caption Photo Two Photo Two Photo Two Caption FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6 IIIIIIIIIII��IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIII 0951264 Rec: 0.00 CIS: . D5 000 IT: 0.00 2018068805 04/24/2018 B. M. , Dpty Clerk Permit No. Parcel IDNo�� 21z? C) 9 I xbN NOTICE OF COMMENCEMENT Stale of County of In {iI~ • THE UNDERSIGNED hereby gives notice that Improvementwhi be made to certain real property,atld In accordance with Chapter713,Florida Statutes, i_ ■N a the following infomtalion is provided in this Notice of Commencement 1 1. Desaipdon of Properly Pamal ldentificaalion No. f 12—2-b % 002 1- z sw-00/� �N 9 Street Address Y,94 ! ,*/y(/� 0:-ee 1r l Ale" �fw.ltOf N I 9 0 2. Generai DescIVIIan of Improvement / tfW✓ &Rlyr- m 3. Owner information or Lessee information if the Lessee contracted for the improvement I W."" //t�.0• �7C�S�e� 2e.PI YYlYY/�� f G �3.f W o Address city Slate rr- Interest in Property: z Name of Fee Simple Titleholder: (If different from Owner listed above) Address G O�i 1510 w s PLC City state 4. Contractor - y. �+'-Gyir�ilG le /zro/e .4/o ,�3s z 3• AddressBUD Contrador's Telephone No.: 5. Surely: Name-- Address City. Slate Arnaud of Bond S Telephone No.: 6. Lander. Name Address City State Lendar's Telephone No 7- Persons within the State of Florida designated by the owner upon whom noticas or other documents may be served as prod by Section 713.13(1)(a)(7),Florida Statutes: Name Address City Scala Telephone Number of Designated Person: S. In addition to h4nself.the owner designates of to receive a copy of the Lianor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Enlity Designated by Owner. 9. Expiration data of Notice of Commencement(the expiration dale may not be before the Completion of mruintatian and foal payment to the conhWor,but will be one year from the date of recording unless a different data Is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1 SECTION 713.13 FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS 10 YOUR PROPLRTY• A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND•TO OBTAIN FINANCING.CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of pequry,I declare that 1,have read the foregoing notice of commencement and that the fads staled thifain are true to the hest of my knowledge and belief. STATE OF FLORIDA Ur N COUNTY OF PASCO a.C7 R Signs o wner or Lessee,ofOwater's or Lessee's Authorized O frycarlDkadar(partnerlMenagar a. O Signatory's T e/Office Y u a1 The foregoing instrument was acknovdedoW before�me this day of • .2[jlfby (type of authority.e.g.,officer,trustee,aflornsy in fact)for V (name half of m insirumeN was executed). Personally Known O�Produced IdoiitQtcaSon Notary Signafrua I �' Type of identification Produced /" L �� Name(Print) ^ ' ' ` ` STATE OF FLORIDA, COUNTY OFPA8CO THIS|GTO CERTIFY THAT THE FOREGOING|SA TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OROF PUBLIC RECORD |N THIS OFFICE V11 WITNESS MYN 'Z'-A DAY OF 2M n~vuAa. u/vc/L. CLExwa COMPTROLLER � DEPUTY CLERK SUB-CONTRACTOR AFFIDAVTf DATE: l TO WHOM IT MAY CONCERN: L Thomas Lachance d/b/a Southern Comfort Ent.Inc. License Number: CAC 1813579 will be the Mechanical contractor for this permit application. The job address is: PA 3 Q`h S gnatune of License Holder or Authorized Agent �.. STATE OF: FLORIDA - COUNTY OF: SUMTER I HEREBY CERTIFY that the foregoing instrument was acknowledged before me this_ day of 20$by Thomas Lachance .who is personally known to •me.. Si of Notary Public Print,Type.or Stamp of Notary :off Pik Notary Public State of Florida Dawn Granberg My Commission GG 143114 4aw Expires09/14/2021