HomeMy WebLinkAbout19-21148 / CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21148
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21148 Issued: 5/06/2019 Address: 5016 18TH ST
Permit Type: NEW SINGLE FAMILY DWELLING ZEPHYRHILLS, FL.
Class of Work: 101-NEW CONST/SFR Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 179,000.00 Total Fees: 17,541.47 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 17,541.47 Date Paid: 5/06/2019 Parcel Number: 11-26-21-0010-21500-0170
CONTRACTOR INFORMATION OWNER INFORMATION
Name: JEFF DIXON CONSTRUCTION CO INC Name: BUTTERFIELD INVESTMENTS INC
Addr: 7408 16TH ST Address: 31325 AMBERLEA RD
ZEPHYRHILLS, FL. 33540 DADE CITY, FL 33523-6225
Phone: (813)714-3046 Lic: Phone: 813-973-5250
Work Desc: CONSTRUCT SINGLE FAMILY 2,396 SQ FT
APPLICATION FEES
PLUMBING FEE 113.25 SEWER CONNECTION RESIDEW 2,090.00 ELECTRICAL FEE 169.88
WATER CONNECTION RESIDENI 1,010.00 MECHANICAL FEE 79.28 SCHOOL IMPACT FEE-sfr/1% 77.28
SCHOOL IMPACT FEE-sfr/100% 7,728.00 TRAFFIC IMPACT FEE 1% 36.32 TRAFFIC IMPACT FEE 99% 3,595.68
WATER METER RES 3/4" 473.78 FIRE IMPACT FEE 273.00 PARK FEES SF 769.56
POLICE IMPACT FEE 254.00 PUBLIC SAFETY 5% 26.35 BUILDING FEE 845.09
17
Inspections Required
FO TER 2ND ROUGH PLUMB M S INSULATION 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.
C6NTRA-CTORgP§IGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Jacqueline Boges
From: City of Zephyrhills Support <support@zephyrhillsfl.zendesk.com>
Sent: Monday, May 6, 2019 11:19 AM
To: Jacqueline Boges
Subject: [Request received] 5016 18th st by 21148
EXTERNAL EMAIL
##- 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://zephyrhilisfl.zendesk.com/hc/requests/274157
.............................................................................................................................................................................................................................................................................................................................. ............................................
Jacqueline Boges
` - May 6, 8:1 8 AM MST
new services 5016 18th st by#21 148
This email is a service from City of Zephyrhills Support .
1
Envelope Leakage Test Report (Blower Door Test)
Residential Prescriptive, Performance or ERI Method Compliance
2017 Florida Building Code, Energy Conservation, 6th Edition
Jurisdiction: City of Zephyrhills Permit#: 21148
Job Information:
Builder: Jeff bh(o -..
-�oeh ri n Communitjr',..�"" _.'- .-.- -- Lot:
Address: 501618th Street Unit:..
City: Zephyrhills State: ` FLORIDA Zip: 33542,
Air Leakage Test'Results: Passing results must meet&her the Perforrriance,Prescriptive;or ERI Method.,-..
® PRESCRIPTIVOMETHb'D-The 6uild'ingoirdwe'llihg unit-shall betested,.and verified as having an air lea.kage rate I of not exceeding 7 air changes
per hour at a pressure of.0.2 inch w.g:,(50Y,0ascals)in'.Clirriate Zones 1 and 2.
❑ PERF,ORM.A.NCE or ERI METHOD-The.building or dwelling unit shall be tested and verified as having an;airleakage rate of not exceeding the
selected ACH(50)value,asshown on FORM R405-20J 7(Performance)or R406-2017(ERI),section labeled as Infiltration,sub.=section ACH
�OACH(50)specified on Form R405 2017-Ever Calc(Performonce)or R406-2017(ERI):
Method for calculating building volume
1284 X 60 13664 = 5.64 - ® Retrieved from architectural plans
CF00i ,Building Volume ACH(s0);
❑ Code software calculated
® PASS 0'�- _FALL
ID When ACH(50)is,less than 3 ACHso,-Mechanical Ventilation Field measured and;calculated Field measured;and calculated
installation,must be verified,by building department.
Testing.Testings6ll be conducted in accordance with ANSI/RESNET/IC680and reported at pressure or0.2 inches w:g:(50 Pascals).Testing shall he conducted byeither
individuals asdefined in Section 553.993(5)or(7),F/oridaStatues,orindividuals licensed as setforth in Section
489.105(3)(Q,(g),or(i)or an approved third party.Awritt6n report ofthe results ofth6testshall besigned bythe party c9nducting the test and provided tothecodeofficial.
Tesfingshallbeperformedatanytimeaftercreationofailpenetrationsoftheboildingthermplenvelope;,` -
During testing:
L Uterior windows and doors,fireplace and stove doors shall be closed,but not sealed,beyond the intended weather-stripping or other infiltration control measures.
2 Dampers including exhaust,intake,makeup air,back draftand flue dampers shall be closed,but notsealed beyond intended infiltration control measures.
3.Interior doors,if installed atthe time of the test,shall be open.
4:.,Extehor doors for continuous ventilation systems and heat recovery ventilators shall be closed and sealed.
S.'Heating and cooling systems,ifinstalled atthe time of the test,shall be turned off.
6.Supply'and return registers,if installed at the time of the test,shall be full open. '
Testing Company
Compariy,iVame: airEnalasys'` Phone: 877-431,-**7728
I hereby verify that the.above Air Leakage results are.in accordance with the 2017 6th,Edition-Florida Building Code Energy,
Conservation requirements according to the compliance method-selected above: `
Signature ofTester: ;: li(�,.'' Q�l,O,. Date of Test: T1%12/19
Printed Name of Tester:`` William Mago' .
License/Certification# 4305320.,., ` Issuing Authority: ` .y FSEC RESNET
PERMIT APPLICATION
IN
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
All information must be filled-in completely
City of Zephyrhilis
5335 e Street,Zephyrhills, FL 33542
Telephone 813.786.0000 Fax 813.780.0005
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PROIECTIJOB SITE: PROPERTY OWNER
Address: 501(o 18-1W-STe'F7 Name: vC/
Unit#: Address:3/325 Ambe,--JtA_ /?4n!t:
Parcel Identification Number: City, State,Zip0aden Q ,rL_ _33S23
1!-2 to-7-) -0010-2 1506 01-76 1 Phone:'2i3-'?73-52S0 F&
CONTRACTOR:
company: L3 tA Y c,, i nvc_)-J,,
Name:—re-,,
Contractor's License #: c R C /_?_q 2-114-115 E-Mail-&-jp4e..- vedei e.-Vj 0?
Phone:V3473-5250 Cell: Fax:
ARCHITECT/ENGINEER:
Name: Firm Name:
Address- City: State: Zip:.
State License #: Phone: C611: Fax:
Description of Pr6iect
TYPE OF DRIVEWAY LENGTH OF DRIVEWAY CULVERTS NEEDED
`_RESIDENTIAL DRIVEWAY
WGDTH OF DRIVEWAY REINFORCED CONCRETE
-COMMERCIAL DRIVEWAY R.O.W. EXCAVATION O CORRUGATED MATERIAL
-PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET BOX CULVERT
OTHER(EXPLAIN)
CONSTRUCTION MATERIAL CURB CUT REQUIRED
-----ASPHALT ---YES NO
_k,,:::t_ ONcRErE
HEADWALL REQUIRED? YES NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings
will be required.
UTILITY LOCATIONS RtOUIRED; CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
a
PERMIT APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION:
s 6 16 1 gbh S-trect
5o►co �$�, sf,e�.f
a
I(
f
g fh S +-t-e—t
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all
approved construction documents,and issuance of this permit is verification that I will notify the property owner of Florida Lien Law
req.,F.S.713.
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design
Standards(if applicable). (Public Works Design Manual online link:www.ci.zephyrhills.fl.us/public works.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY 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 A plican Signature Date p,
Permit Technician Signature (or)Notary Sig ure*aitz> - h,5 Date
Applicant isA.personally known to me or produced as identification. ,�`��@l�•M.9X
(type of identification) �.�`�i`�`�0'fARy`ti/;P'",
2 des� i
Page 2 of 3 My�Omm iq,202� a
Se s 133466
PERMIT APPLICATION
OFFICE USE ONLY
..-t"n _:.0 "R. "T' Y.�= '-,'4: - ,q - •Y-i __ Y.l``���'3i.J i'-�--
II. -
Concrete (min. 6'1 Y N
Asphalt Base(min. 6'1 Y N
Asphalt(min. 11/2') Y N
Length(min. 191 Y) N
Width (10'min—20'max) Y N
Existing sidewalk. Y N
New sidewalk. Y N
ADA compliant. Y N
Expansion material required. Y D, f-c,t1
Contiguous parking pad. Y N
Triangular flare(3W x 71) Y N
Visibility triangle o.k? f Y. N
Side setback(3'min. R.O.W.) Y N
Plan Review Fee
.AdstitioriaClescrf tiara-_of>v�orkas:de�neclobi`<Publtc-WorksrD'ireci`irr•.anit<or- lesi` i�iee:='�`_'��.:.,:-�-.��� :��=�-v ;;,>='.'�=, :-�`
t_o tiJ D45-
5'"'o fwt w�,7"E
Permit application approved by: Date: epk
Page 3 of 3
Jeff Dixon Construction-501618th St 2,511 sq ft single family
Column Es
SQ. FEET PRICE
MAIN OR LIVING: 2,511 $ -
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 189,000.00
FEE SHEET $ 755.00
ADDRESS $ 30.00
DRIVEWAYI $ 45.00
BUILDING: $ 845.10
ELECTRICAL: $ 169.88
PLUMBING: $ 113.25
MECHANICAL: $ 79.28
SUB-TOTAL $ 1,207.50
TOTAL $ 1,207.50
I
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 $ 5,334.63
PARK IMPACT FEES $ 769.56
SIF'S: $ 7,728.00
100.0% $ 7,728.00
1.0% $ 77.28
TOTAL: $ 7,805.28
T I F'S: $ 3,632.00
99% $ 3,595.68
1% $ 36.32
TOTAL: $ 17,541.47
RASCO CG1U�lTY, FLORIDA
Permit No. 2 7`(y
Date Permitted — 27—W
Builder Name/Owner Name �•t 11)G(1Y► �S7Tu cY1�Control# . r1
County Par,.cel No. 11-4_�1_06/0^2_16 s04176 SubDIV: `
Address/Location
Ciassfficatlord ype of Use k° ��✓rrr
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit:
Exempt ❑Yes [] No How Determined
� l.
Impact Fee Amount $. t7✓�� Zone No. TAZ:
E SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $
(057) Mobile Home
(056) Other Residential
23) Collection Fee
Exempt d Yes ❑,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
Exempt ❑Yes ❑No How Determined Total Amount °
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By j 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
l
r
4►^
��CC
N
FORM R405-2017
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Flbrida Department of Business and Professional Regulation-Residential Performanc/e�Method
Project Name: R0219104 Builder Name: Joe!Beileyy�'L
Street: 5016 18th St Permit Office: City of Zeph�ills
City,State,Zip: Zephyrhills,FL,33542 Permit Number. 2 /14
Owner. Jurisdiction: 611600
besign Location: FL,Tampa County., Pasco(Florida Climate Zone 2)
1. New construction or existing New(From Plans) 9, Wall Types(1514.7 sgfL) Insulation Area
2. Single family or multiple family Single-family a.Concrete Block-Ext Insul,Exterior R=5.0 1269.30 ft'
b.Frame-Wood,Adjacent R=13.0 245.33 ft'
3. Number of units,if multiple family 1 c.N/A R= ft'
4. Number of Bedrooms 3 d.WA R= ft'
5. Is this a worst case? No 10.Ceiling Types(1708.0 sgft) Insulation Area
a.Under Attic(Vented) R=30.0 1708.00 ft'
6. Conditioned floor area above grade(ft') 1708 b.NIA R= ft'
Conditioned floor area below grade(ft') 0 c. ft
11.Duuctct R=s R ft'
7. Windows(219.7 sqft.) Description Area a.Sup:Attic,Ret:Attic,AH:Garage 6 225
a. U-Factor: Dbl,U=0.65 219.67 ft'
SHGC: SHGC=0.35
b. U-Factor. N/A ft, 12.Cooling systems kBtu/hr Efficiency
SHGC: a.Central Unit 34.0 SEER:14.00
c. U-Factor. N/A ft'
SHGC: 13.Heating systems kBtu/hr Efficiency
d. U=Facter. NIA ft, a.Electric Heat Pump 32.6 'HSPF:8.20
SHGC:
Area Weighted Average Overhang Depth: 3.681 ft.
Area Weighted Average SHGC: 0.350 14.Hot water systems
8. Floor Types (1708.0 sgft.) Insulation Area a.Electric Cap:50 gallons
EF:0.970
a.Slab-On-Grade Edge Insulation R=0.0 1708.00 ft' b. Conservation features
b.N/A R= ft' None
c.NIA R= ft, 15.Credits CF,Patel
Glass/Floor Area: 0.129 Total Proposed Modified Loads: 55.78 PASS
Total Baseline Loads: 55.90
I hereby certify that the plans and specifications covered by Review of the plans and 04THE STgT.
this calculation are in compliance with the Florida Energy specifications covered by this
Code. calculation indicates compliance „
with the Florida Energy Code. rnrnI'll �O
PREPARED BY: Before construction is completed ul t�"
DATE: 03-06-19 this building will be inspected for 0 -i'li', a0
compliance with Section 553.908
I hereby certify that this building,as designed,is in compliance Florida Statutes. 9�
with the Florida Energy Code. COD WEJ
OWNER/AGENT: BUILDING OFF IAL:
DATE: DATE:
Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as
certified factory-sealed in accordance with R403.3.2.1.
-Compliance requires'an Air BarrierAnd Insulation'lnspeiction'Checklist in-actordartce with R402.4.1.1 and this project'requires'an
envelope leakage test report with envelope leakage no greater than 7.00 ACH50(R402.4.1.2).
3/6/2019 4:27PM EnergyGauge®USA 6.0.02'(Rev.1)-FlaRes2017 FBC 6lh Edition(2017) Compliant Software Page 1 of 4
FORM R405-2017 INPUT SUMMARY CHECKLIST REPORT
PROJECT
Title: R0219104 Bedrooms: 3 Address Type: Street Address
Building Type: User Conditioned Area: 1708 Lot'#
Owner Name: Total Stories: 1 Block/Subdivision:
#of Units: 1 Worst Case: No PlalBook:
Builder Name: Joel Bailey Rotate Angle: 0 Street: 5016 18th St
Permit Office: City of Zephyrhills Cross Ventilation: No County: Pasco
Jurisdiction: 611600 Whole House Fan: No City,State,Zip: Zephyrhills,
Family Type: Single-family FL, 33542
New/Existing: New(From Plans)
Comment:
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 Entire House 1708 13664
SPACES
Number Name Area Volume Kitchen Occupants Bedrooms Infil10 Finished Cooled Heated
1 Main 1708 13664 Yes 4 3 1 Yes Yes Yes
FLOORS
# Floor Type Space Perimeter R-Value Area Tile Wood Carpet
1 Slab-On-Grade Edge Insulatio Main 158.7 ft 0 1708 ft' 0 0 1
ROOF
Roof Gable Roof Red Solar SA Emitt Emitt Deck Pitch
V # Type Materials Area Area Color Barr Absor. Tested Tested Insul. (deg)
1 Gable or Shed Composition shingles 1850 ft' 356 ft' Medium N 0.65 No 0.9 ' No 0 22.6
/ ATTIC
V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC
1 Full attic Vented 300 1708 ft' N N
CEILING
# Ceiling Type Space R-Value Ins Type Area Framing Frac Truss Type
1 Under Attic(Vented) Main 30 Blown 170E ft' 0.1 Wood
3/6120194:27 PM EnergyGauge®USA 6.0.02'(Rev.1)-FlaRes2017'FBC 6th Edition(2017) Compliant Software Page 2 of 4
FORM R405-'2017 INPUT SUMMARY CHECKLIST REPORT
WALLS
Adjacent S ace Cavity Width Height Sheathing Framing Solar Below
r Tn M/ IThe P R-Value Fr do Ft In Arpa R-Valie_Emctton Ahcnr Gra °
_1 N Exterior Concrete Block-Ext Insul Main 5 56 8 8 0 453.3 ft' 0 0 0.2 0
-2 E Exterior Concrete Block-Ext Insul Main 5 38 0 8 0 304.0 ft' 0 0 0.2 0
-3 S Exterior Concrete Block-Ext Insul Main 5 47 4 8 0 378.7 fF 0 0 0.2 0
-4 W 'Eiferibr Concrete Block-Ezt Instil Maih 5 16 8 8 0 133.3'ft' 0 0 '0.2 0
-5 S Garage Frame-Wood Main 13 9 4 8 0 74.7 ft' 0 0.25 0.01 0
6 W Garage Frame-Wood Main 13 21 4 8 0 . 170.7 ft' 0 0.25 0.01 0
DOORS
# Omt DocrType Space Storms U-Value Width Height Area
Ft In Ft In
1 W Insulated Main None .46 2 8 6 8 17.8 ft'
WINDOWS
Orientation shown is the entered,Proposed orientation.
Wall Overhang
# Omt ID Frame Panes NFRC U-Factor SHGC Imp Area Depth Separation inl Shade Screening
1 N 1 TIM Low-E Double Yes 0.65 0.35 N 4.3 ft' 10 ft 0 in 0 ft 2 in Drapestblinds Exterior 5
2 N 1 TIM Low-E Double Yes 0.65 0.35 N 12.0 ft' 1 ft 0 in 1 ft 0 in Drapes/blinds Exterior 5
3 N 1 TIM Low-E Double Yes 0.65 0.35 N 30.0 ft' 1 ft 0 in 1 ft 0 in Drapes/blinds Exterior 5
4 N 1 TIM Low-E Double Yes 0.65 0.35 N 30.0 ft' 1 ft 0 in 1 ft 0 in Drapesiblinds Exterior 5
5 E 2 TIM Low-E Double Yes 0.65 0.35 N 33.3 ft' 10 ft 0 in 0 ft 8 in None None
6 E 2 TIM Low-E Double Yes 0.65 , 0.35 N 15.0 ft' 1 ft 0 in 2 ft 7 in Drapes/blinds Exterior 5
7 E 2 TIM Low-E Double Yes 0.65 0.35 N 15.0 ft' 1 ft 0 in 6 ft 6 in Drapes/blinds Exterior 5
8 S 3 TIM Low-E Double Yes 0.65 0.35 N 30.0 ft' 1 ft 0 in 1 ft 0 in Drapes blinds Exterior 5
9 W 4 TIM Low-E Double Yes 0.65 0.35 N 20.0 ft' 6 ft 0 in 0 ft 8 in None None
10 W 4 TIM Low-E Double Yes 0.65 0.35 N 30.0 ft' 6 ft 0 in 0 ft 6 in Drapes/blinds Exterior 5
GARAGE
# Floor Area Ceiling Area Exposed Wall Perimeter Avg.Wall Height Exposed Wall Insulation
1 483.51 ft' 483.51 ft' 64 ft aft 1
INFILTRATION
# Scope Method SEA CFM 50 ELA EgLA ACH ACH 50
1 Wholehouse Proposed ACH(50) .000356 1594.1 87.52 164.59 .1303 7
HEATING SYSTEM
# System Type Subtype Efficiency Capacity Block Ducts
1 Electric Heat Pump/ Split HSPF:8.2 32.6 kBtu/hr 1 sys#1
3/6/2019 4:27 PM EnergyGauge®USA 6.0.02(Rev.1)-FlaRes2017 FBC 6th Edition(2017)'Compliant Software Page 3 of 4
FORM'R405-2017 INPUT SUMMARY CHECKLIST REPORT
COOLING SYSTEM
# System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts
'1 Central Unit/ Split SEER:14 34 kBtu/hr 113§ cfm 0.75 1 sys#1
HOT WATER SYSTEM
# System Type SubTyps Location EF Cap Use SetPnt Conservation
1 Electric None Main 0.97 50 gal 60 gal 120 deg None
SOLAR HOT WATER SYSTEM
FSEC Collector Storage
Cart# Company Name System Model# Collector Model# Area Volume FEF
None None ft'
DUCTS
—Supply— —Return— Air CFM 25 CFM25 HVAC#
# Location R-Value Area Location Area Leakage Type Handler TOT OUT ON RLF Heat Cool
1 Attic 6 225 ft' Attic 150 ft' Default Leakage Garage (Default) (Default) 1 1
TEMPERATURES
Programable Thermostat:Y Ceiling Fans:
Cool in rr ]Jan [r]�Feb Mar r 1 r [ May [X Jun n Jul X]Au rX Se Oct Nov Dec
Heatin [X]Jan l l Feb X Mar [ ]pr [ May [ Jun [ ]Jul E ]AuE Se P Oct Nov Dec
Venting [[[[ ]]])Jan [ 1 Feb X Mar [[[XXxlll A r [ May []]]Jun [1 Jul [O Aug ]]]Se Oct Nov Dec
Thermostat Schedule: HERS 2006 Reference Hours
Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12
Cooling(WD) AM 78 78 78 78 78 78 78 78 80 80 80 80
PM 80 80 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 66 66 66 66 66 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 66 66
Heating(WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 66 66
MASS
Mass Type Area Thickness Furniture Fraction Space
Default 8 Ibs/s .ft. 0 ft' 0 ft 0.3 Main
3/6/2019 4:27 PM EnergyGauge®USA 6.0.02(Rev.1)-FlaRes2017 FBC 6th Edition(2017) Compliant Software Page 4 of 4
2017 EPL DISPLAY CARD
ENERGY PERFORMANCE LEVEL(EPL) DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE INDEX*=100
The lower the Energy Performance Index,the more efficient the home.
1.New home or,addition 1. New(From Plans) 12.Ducts,location&insulation level
a)Supply ducts R 6.0
2.Single-family or multiple-family 2. Single-family b)Return ducts R 6.0
c)AHU location Garage
3.No.of units(if multiple-family) 3. 1
4.Number of bedrooms 4. 3 13.Cooling system: Capacity 34.0
a)Split system SEER 14.0
5.Is this a worst case?(yes/no) 5. No b)Single package SEER
c)Ground/water source SEERICOP
6.Conditioned floor area(sq.ft.) 6. 1708 d)Room uniUPTAC EER
e)Other
7.Windows,type and area
a)U-factor.(weighted average) 7a. 0.650
b)Solar Heat Gain Coefficient(SHGC) 7b. 0:350 14.Heating system: Capacity 32.6
c)Area 7c. 219.7 a)Split system heat pump HSPF 8.2
b)Single package heat pump HSPF
8.Skylights c)Electric resistance COP
a)U-factor.(weighted average) 8a. NA d)Gas furnace,natural gas AFUE
'b)Solar Heat Gain'Coefficient(SHGC) 8b. NA e)Gas fumace,'LPG AFUE
0 Other
9.Floor type,insulation level:
a)Slab-on-grade(R-value) 9a. 0.0
b)Wood,raised(R-value) 9b. 15.Water heating system
c)Concrete,raised(R-value) 9c. a)Electric resistance EF 0.97
b)Gas fired,natural gas EF
10.Wall type and insulation: c)Gas fired,LPG EF
A.Exterior: d)Solar system with tank EF
1.Wood frame(Insulation R-value) 10A1. -_ e)Dedicated heat pump with tank EF--
2.Masonry(Insulation R-value) 10A2. 5.0 f)Heat recovery unit HeatRec%
B.Adjacent: g)Other
1.Wood frame(Insulation R-value) 10131. 13.0
2.Masonry(Insulation R-value) 10132.
16.HVAC credits-claimed(Performance Method)
11.Ceiling type and insulation level a)Ceiling fans Yes
a)Under attic 11a. 30.0 b)Cross ventilation No
b)Single assembly l l b. c)Whole house fan No
c)Knee walls/skylight walls 11c. d)Multizone cooling credit
d)'Radiarit barrier installed 11d. No e)Multizorie heating credit
f)Programmable thermostat Yes
*Label required by Section R303.1.3 of the Florida Building Code,Energy Conservation,if not DEFAULT.
I'certify that this home ties complied with the Florida Building Code,Energy Conservation,'ttffough`the above energy
saving features which will be installed(or exceeded)in this home before final inspection.Otherwise,a new EPL
display card will be completed based on installed code compliant features.
Builder Signature: Date:
Address of New Home: 5016 18th St City/FL Zip: Zechvrhills,FL 33542
3/6/2019 4:28:35 PM EnergyGauge®USA 6.0.02(Rev.1)=FlaRes2017'FBC 6th'Edition(2017)Compliant Software Page 1 of 1
Manual S Compliance Report Job: R0219093
wrightsoft- Date: 03-06-19
Entike House By: AMA
Bahrs Propane Gas&AC Inc
4441-Pdlen,Rd,Zephyrhills,FL33541 Phone:613-782-5013
Project Information
For:
SGIO 18th St,Zephyrhills,FL 33542
Cooling'Equipment
Design Conditions
Outdoor design DB: 91.4'F Sensible gain: 25291 Btuh Entering coil DB: 81.1'F
Outdoor design WB:. 77.2°F Latentgaim, 4395 Btuh Entering coil WB: 65.0°F
Indoor design DB: 75.0°F Total gain: 29686 Btuh
Indoor R-H: 50% Estimated airflow-, 1133 cfm
Manufacturer's Performance Data at Actual Design Conditions
Equipment type: SplitASHP
Manufacturer: 3 Ton-Franklin or Model: GSZ14036+ASPT37
Actual airflow: 1133 cfm
Sensible capacity: 25500 Btuh 101%of load
Latent capacity: 8500 Btuh 193%of load
Total capacity: 34000 Btuh 11 Ho of load SH R: 75%
Heating Equipment
Design Conditions
Outdoor design DB: 42.9°F Heat loss: 20559 Btuh Entering coil DB: 69.1'F
Indoor design DB: 70.0'F
Manufacturer's Performance Data at Actual Design Conditions
Equipmenttype: SplitASHP
Manufacturer: 3 Ton-Franklin or Model: GSZ14036+ASPT37
Actual airflow: 1133 cfm
Output capacity: 32600 Btuh 159%of load Capacity balance. 32 *F
Supplemental heat required: 0 Btuh Economic balance: -99 'F
Backup equipment type: EJec strip
Manufacturer: Model:
Actual airflow: 1133 cfm
Output capacity: 10.0 kW 166%of load Temp.rise: 27 *F
Meets all requirements ofACCA Manual S.
wrightsoft. 2019-Ma't-06 13:43:60
Right-SWMD Universal 2018 18.0.32 RSU20M Page 1
AC�Ck...momnam7.;;;0-181h-L-MM9093.rup Cale-MJS FrordDootfaces: W
Project S Job: R0219093
Summary-wrightsoft9 ry Date: OM006-19
Entire House By
Bahrs Propane Gas&AC Inc
4441 Allen Rd,Zephyrhi0s,FL33541 Phone:813-7825013
Project Information
For.
5010 18th St,Zephyrhills,FL 33542
Notes: Load calculation was obtained from a digital copy of drawing.
Design Information
Weather: Tampa Intl AP,'FL,US
Winter Design Conditions Summer Design Conditions
Outside db 43 °F Outside db 91 °F
Inside db 70 °F Inside db 75 °F
Design TD 27 °F Design TD 16 °F
Daily range L
Relative humidity 50 %
Moisture difference 54 gr/lb
Heating Summary Sensible Cooling Equipment Load Sizing
Structure 16284 Btuh Structure 14109 Btuh
Ducts 4275 Btuh Ducts 7428 Btuh
Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh
(none) (none)
Humidification 0 Btuh Blower 3754 -Btuh
Piping 0 Btuh
Equipment load 20559 Btuh Use manufacturer's data y
Rate/swing multiplier 1.00
Infiltration Equipment sensible load 25291 Btuh
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Average
Fireplaces 0 Structure 2532 Btuh
Ducts 1863 Btuh
Central vent(0 cfm) 0 Btuh
Heatingg Coolingg (none)
Area(ft2) 1773 1773 -Equipment latent load 4395 Btuh
Volume(ft3) 14187 14187
Air changes/hour 0.38 0.20 Equipment Total Load(Sen+Lat) 29686 Btuh
Equiv.AVF(cfm) 90 47 Req.total capacity at 0.75 SHR 2.8 ton
Heating Equipment Summary Cooling Equipment Summary
Make 3 Ton-Franklin or Eqv. Make 3 Ton-Franklin or Eqv.
Trade Split HP Trade Split HP
Model GSZ14036 Cond GSZ14036
AHRI ref 201664243 Coil ASPT37
AHRI ref 201664243
Efficiency 8,2 HSPF Efficiency 12.0 EER, 14 SEER
Heating Input Sensible cooling 25500 Btuh
Heating output 32600 Btuh @ 47°F Latent cooling 8500 Btuh
Temperature rise 26 °F Total cooling 34000 Btuh
Actual air flow 1133 cfm Actual air flow 1133 cfm
Air flow factor 0.055 cfm/Btuh Air flow factor 0.053 cfm/Btuh
Static pressure 0 in H2O Static pressure 0 in H2O
Space thermostat Load sensible heat ratio 0.85
Capacity balance point=32°F
Backup: Aux. Heat
Input=10 kW, Output=34121 Btuh, 100 AFUE
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed.
_ i'rF wrighisoitt- 2D19-Mar-0613:43:50r RlghtSOe®Universa12018 18.0.32 RSU20M Page 1
.9C.C.f1...moll"titterfiemS01018th-L-MR0219093.mp Calc-MJ8"Front Door faces: W
813-780-0020 City of Zephyrhills Permit Application
Building Department
Date Received
Phone Contact for Permitting
-7—1
Owner's Name Owner Phone Number i5:7-1 S�Z, Sly
Owner's Address I Owner Phone Number
pg� CI Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#141—�2 C, Q3- d
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR F_� ADDIALT u SIGN Q Q DEMOLISH
INSTALL F1 REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION EEDBLOCK Q FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE 6 SQ FOOTAGE= HEIGHT
oitiisi ...........
419=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE E�' UKE ENERGY W.R.E.C.
[PLUMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_y N
Address License# F__ L_J
ELECTRICIAN COMPANY Lli�5 i ct---,.5 5
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address ffL_4 License#
PLUMBER COMPANY II)e-V 4)) 5. -t , CJ
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address -5-1 .3 35ym License#
MECHANICA COMPANY 611—e ZV41
SIGNATURE
IGNATURE REGISTERED Y/ N FEE CURREN LYLN_J
Address IleA)
J411eli " - -3�S l License#
OTHER COMPANY
SIGNATURE REGISTERED L_]LLN_J FEE CURREN
Address License# F_
Hi+ i I I I I I I I U 1 2 i i i i m M M 0 0 1 i 1 2 11 1 11 f
RESIDENTIAL 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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
I 1 1 1 1 1 1 1 1 14-14 4444444=
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance,with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the,owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as fo what licensing requirements.may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY,FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs., If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that 'no work or installation has
commenced prior to issuance of a permit and_that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the'stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required-for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF'COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) - - - --
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or 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
INSTR#2019048674 OR BK 9877 PG 2800 Page 1 of 1
03/25/2019 09:34 AM Rcpt:2039291 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. O'XeiC Ph.D., Pasco County CCerk&ComptroCCer
Permit No. Parcel ID No /1 —2&—2— /—b o/0—2/,O 0 — OJ 90
NOTICE OF COMMENCEMENT
state of r /O �� County of /J`�S C y
THE UNDERSIGNED hereby gives notice that improvernwd will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following Information is provided in this Notice of Commencement
1. Description of Property. Parcel Identification No _Z "U0; o —2 AvC v U U 7
Street Address: SU/(y /9;�ti /+�5 �1,- 1/ 1�
2. General Description of Improvement NP 14,( �Jh J'Fi(.r. C 4,'Uf-1 )'+L{14, Fa
3. Owner Information or 9wee information If the Lessee contracted for the Improvement:
J'l
Rey /D4 dc. Gi' " FL—.
Address City State
Interest in Property:
Name of Fee Simple Tdleholdw..
Of different from Owner listed above)
Address t // y1l•xU city State
4. Contractor. vJ�T 7• f✓ •
-Zgore /lo- S-tieGf zG1�11.�trl-tr'��) Eli
Address n! _ 7/ r �`L/ City State
Contractor's Telephone No.: a V '
5. Surety:
Name
Address City State
Amount of Bond S Telephone No.:
6. Lender.
Name
Address City State
Lender's Telephone No.:
7. Parsons within the Stale of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1Xa)(7),-Flodds Statutes: Gv�` ••
Name
Address City State �
Telephone Number of Designated Person •. coo
e. In addition to himself,the owner designates al— • s 0
to receive a copy of the Usnoes Notice as provided in Section 713.13(1)(b),Florida Statutes. e
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the expiration data may not be before the completion of construction and final payment to the
contractor,but will be one year.from the date of recording unless a different date 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
RULT IN YOUR PAYING TWICE FOR RECO DED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF TO YOUR PROPERTOU INTEND TO OBTA NOTICE OFOAIN MME FINANCING,CONSULT CEMENt MUST BE Q Z U cr
W
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. F1F ILL CO LLI
Under
f my knowledge andIIeL��e that i have read the toregdng notice o1 commerxemeM errd that the Tads staled thereto are tore to the beef z = � J V
� OV � -J NO
STATE OF FLORIDA 0 � '
COUNTY OF PASCO 'ca�✓ W Fy— W d
Signature of owner or Lessee,cr Owner's or Lessee's Authorized ® of = z U) fL 0
Of icer/DirectorlPartner/Manager 0 x Q —
LL- U U
y�y� Signaloys Title/Office � = O O
The foregoing Instrument was atlin�aletloJad before me this of Ma" 20_M by W f4myu 8 TI e td ® � a W W Y
.as. 'f I t �'(�.fH.%f (type of a ,e.g.,officer,twtee,attorney in fact)for i,� _ 0 U O
'e N'1/YS}WIL Nf$ (ram party half of, 1 ant w executed). Q I-- F— J
Personally WwwrWf$Produced Identification 0 Notary Signature ® � U mCI LL
L W Z O
Type of Identifiatiod Produced Name(Print) a7 h.er S a- = Q
,`1�ltunnNufq,� U C) OOf
y
® ozcl o m
= aL� cn ¢ J
== LIJ
µy tom�� t = 5 LL-
6s �— = fzz >
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wpdatalbes/noticecammenoement�5304a tyt1.GG `G OQ _ '
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
OcContractor/Homeowner: AC f X �l
Date Received: )
Site:
Permit Type:
Approved w/no comments:Lr Approved w/the below comments: ❑ Denied w/the below comments: ❑
r
This comment sheet shall be kept with the permit and/or plans.
t� G' t
Bill urgess—Building Official ate Contxr ctor and/or Homeowner
(ReqI"' when comments are present)