HomeMy WebLinkAbout19-21668 CITY OF ZEPHYRHILLS
_ 5335-8TH STREET
(813)780-0020 21668
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION LOCATION INFORMATION_ `
Permit#:21668 Issued: 8/22/2019 Address: 39672 DAWSON CHASE DR
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: ,256,391.40 Total Fees: 18,396.47 Subdivision: HIDDEN RIVER
Amount Paid: 18,396.47 Date Paid: 8/22/2019 Parcel Number: 24-26-21-0110-00000-3220
CONTRACTOR INFORMATION OWNER INFORMATION
Name: LENNAR HOMES LLC Name: LENNAR HOMES LLC
Addr: 4600 W. CYPRESS ST STE 200 Address: 4600 W CYPRESS ST STE 200
TAMPA, FL. 33607 TAMPA, FL 33607-5995
Phone: (813)574-5743 Lic: Phone: 813-574-5700
Work Desc: CONSTRUCT SINGLE FAMILY 2,276 SQ FT
APPLICATION FEES
PLUMBING FEE 198.75 SEWER CONNECTIONRESIDEW 2,090.00 ELECTRICAL FEE 298.13
WATER CONNECTION RESIDENT 1,010.00 MECHANICAL FEE 139.13 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
BUILDING FEE 1,426.49 WATER METER RES 3/4" 473.78 PARK FEES SF 769.56
POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35
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Inspections Required
F ER 2ND ROUGH PLUMB MISC 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.
i
CONTRACTORS A URE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Jacqueline Boges
From: Jordon Davis (City of Zephyrhills Support) <support@zephyrhillsfl.zendesk.com>
Sent: Tuesday,August 27, 2019 6:33 PM
To: Jacqueline Boges
Subject: [FATHOM] Re:39672 dawson chase by#21668
EXTERNAL EMAIL
##- Please type your reply above this line -##
Your request (#288831) has been updated. REPLY TO THIS EMAIL or click the link below:
https://zephyrh i I Isfl.zendesk.com/hc/req uests/288831
....................................................................................................................................................................................................................................................................................................................................................................................
>> Jordon Davis (City of Zephyrhills Support )
-- --I Aug 27, 3:32 PM MST
The account has been added and services are currently being mapped. The account number is
0000889145-003133989
Best Regards,
Jordon I FATHOM Support
.....................................................................................................................................................................................................................................................................................................................................................................................
r r-
Jacqueline Boges
�- — Aug 27, 9:01 AM MST
services for 39672 dawson chase dr by#21668
This email is a service from City of Zephyrhills Support .
1
1 Y-
1
Jacqueline Boges
From: City of Zephyrhills Support <support@zephyrhillsfl.zendesk.com>
Sent: Tuesday,August 27, 2019 12:02 PM
To: Jacqueline Boges
Subject: [Request received] 39672 dawson chase by#21668
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://zephyrhillsfl.zendesk.com/hc/requests/288831
.......................................................................................................................................................................................................................................................................................................................................................................................
7 I Jacqueline Boges
-- Aug 27, 9:01 AM MST
services for 39672 dawson chase dr by#21668
This email is a service from City of Zephyrhills Support .
1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received JI__ 3
r Phone Contact for Permitting813 363 __ 2891
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Owner's Name Lennar Homes,LLC Owner Phone Number 813.574.5700
Owner's Address 1
4600 W.Cypress St.Ste.200,Tampa,FL 33607 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address I N/A
JOB ADDRESS 39672 Dawson Chase Drive LOT# 3220
SUBDIVISION Hidden River Phase 2 PARCEL ID# 24-26-21-0110-00000-3220
,�� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED II./ II NEW CONSTR e ADD/ALT 0 SIGN 0 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL 0
DESCRIPTION OF WORK Single Family Residence/Pool/Screen Enclosure/Fence
BUILDING SIZE U/R SF 2276 SQ FOOTAGE[1817 HEIGHT 1 Story
1T ITITr
�—� BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE ® PROGRESS ENERGY Q W.R.E.C.
r
PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIONi?/
OGAS W1 ROOFI IG 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA E]YES Do
� ����F�F�4�1-��1--F�f�-� {�1��1--1--F�1-I�f��-��I--4�1--F�1�1�1�1-��1-�•I�f-i��� 1--�1�4-4�1--��1--I�I�4a-F-�1-�
BUILDER COMPANY I Lennar Homes,LLC
SIGNATURE REGISTERED Y/ N FEE CURREN
Address 4600 W.Cyp s St. te.200,Tampa,FL 33607 License# CGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 1034 SkipVr Ro d, mpa, FL 33613 License# I EC13005408
NZ I
PLUMBER COMPANY Bayonet Plumbing, Heating &AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address P.O. Box 53qK, Bqy9net, FL 34674-5308 License# I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating &AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address P.O. Box 530, Bay et, FL 34674-5308 License# I CAC058062
OTHER F COMPANY C Sterling Quality Roofing, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 4211 Shoal Li Blvd, Spring Hill, FL 34607 License# 1 CCC057991
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&1 dumpster;Site Work Permit for subdivisions/large 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.
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 to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County 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 M RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENT TO YOUR PROPERTY. IF YOU INTEND TO OBTAI INANCING, 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 fore me this Subscribed and sworn to(or affir d)before me this
Go-Jul-I y by Ashlee Callahan 25-Ju1-19 by Ashlee C an
Who is/are person_alhj known to me o Who is/are personall known me or
identification. as identification.
Notary Public Notary Public
Commission No. FF98537 Commission No. FF98537
Elissa M.Holleran Elissa M.Holleran
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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Single Family Dwelling
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 t . co' ly with R401.3 -of the F.B.C.
3. Compaction 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 a R.O.W. use permit. All 4 sides of driveway thra the sidewalk_shall have
expansion 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);
1.1. Appliances shall not be installed in a-location where subject to mechanical_damage unless
protected by approved barriers. M303:4 of the F.B.0
12. Water heaters shall comply with section P607.3 of the F.B.C.
13. Foundation supports for A/.0 units shall.b.e-raised at least 3" above finished grade. M130&1
14. Return air iri all bedrooms. F.B.C. M1620.4
15. Smoke detectors are to-be installed in accordance with R313.1 of the F.B.C.
16:All glazing requirements are to be in' accordance with R308:4 of the F:B:C.
17. All means of egress are to be in accordance with R3l1 of the F.B.C.
18. "Green gypsum,board" shall not be used as a backer in showers or tubs.R702.4.2 F.B.C.
19: Combination-type AFCI breakers are required at all locations requiring an AM type breaker.
20. Carbon monoxide alarms will be required in new construction that uses fossil-burning heating
or appliances or an attached garage. They shall be.installed in accordance with the F.B.C.
2:1. All plumbing, mechanical; and electrical shall be separate from unit to unit: This include_ s all
underground plumbing and electric.
22. All 2016 N.E.C. Codes will be enforced.
23. Tamper- Resistant.Receptacles in accordance with 406.11 of the 2016 N.E.0
24. In accordance with the Land DevelopmentCode,lots shall be sodded before final at least_ 10
feet around the structure.
25..R403.5.3Hot W8ter.pipe insulation
insulation#or hot water pipe with a minimum thermal resistance (R-value) of R-3 shall.be applied to the
folio_wing:
Piping 31; inch (1.9.1 mm)and larger in nominal diameter._
Piping serving more than one dwelling unit.
Piping located outside the conditioned space.
Piping from the water'heater to a distribution manifold.,
Piping located under a floor slab,
Buried in piping.
Supply and:return piping in.recirculation systems other than demand recirculation_ systems.
25.Blower door test shall be provided before C.O:
26.A cony of the energy cacls shall be with per-n:it at all times
27. Copy of final.insulation-report shall be provided with vein:it before fnaL
28. No fence,pool or screen enclosure Is issued ivitli.this permit.
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6�'Edition
R.O.W.-Right of Way
A.D:A.-Americans with Disabilities Act N.E.C.-National Electric Code(2016)
Lennar Homes-39672 Dawson Chase Dr-2,276 sq ft
Column
SQ. FEET PRICE
MAIN OR LIVING: 2,276 $ 112.65
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 256,391.40
FEE SHEET $ 1,325.00
ADDRESS $ 30.00
DRIVEWAY $ 45.00
BUILDING: $ 1,426.50
ELECTRICAL: $ 298.13
PLUMBING: $ 198.75
MECHANICAL: $ 139.13
SUB-TOTAL $ 2,062.50
TOTAL $ 2,062.50
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 $ 6,189.63
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: $ 18,396.47
INSTR#2019142632 OR BK 9960 PG 2041 Page 1 of 1
08/22/2019 01:10 PM Rcpt:2083790 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No, 2- Parcel ID No 24-26-21-0110-00000 3220
NOTICE OF COMMENCEMENT
Sate of Florida County of Pasco
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the fadawing information la provided In dda Notice of Commencement
1. Description of Property:Legal HIDDEN RIVER PHASE 2 PB 79 P.GS 102-110 LOT 322
Street Address: 39672 Dawson Chase Drive Zephryhiils FL 33541
2. General Description of Improvement Single Family Residence/Pool/Screen Enclosure I Fence
3. Owner lnfamcd lon: Lennar Homes,LLC.
Name
4600 W Cypress St.Ste 200 Tampa FL-M607
Address city State
Interest in Property:
Name of Fee Simple Titleholder. N/A
Of other than owner)
Address 4. Contractor. Lennar Homes,LLC city state
Name
4600 W Cypress St,Ste 200 Tampa FL133607
Address city sate
Contractor's Telephone No.: 813.574.5700
5. surety. -: N/A
Name
Address city State
Amount of Bond:$ Telephone No.:
6. Lender. N/A _
Name
Address City Stan
Lender's Telephone No.:
7. Persons within the Sate of Florida designated by are owner upon wham notices or other documents may he served as provided by
Section 713.13(1)(a)(7),Florida Stabiles:
Lennar Homes.LLC
Name
4600 W Cypress St,Ste 200 Tampa F_33607
Address city sate
Telephone Number of Designated Person, 813.574.5700
r
8. In addition to himself,the owner designates N/A of_
to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Err*Designated by Owner
9. Expiration date of Notice of Commencement Is one year from the data 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
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA -
COUNTY OF PINELL PINELL AS
Signature of Owner or Owner's Authorized OfHcer/Dimdor/Partrmr/Maneger
Vice President
Signatary'a TItiPJClf cs
The foregoing instrument was admowbedged before me this day of July ,by
Steve Robert Smith as Vice President (type of authodi ,trustee,attorney in fad)for
Lennar Homes.LLC (name of part an b I am Instrument was mcaaned).
Personalty Known 0 OR Produced Identification❑ Notary Sig re
Type of Identification Produced Name(Pant) Elissa olleran
Verification pursuant to Section 92.525.Florida Statutes. Under penalties I dedam that I have read the foregoing and that the ads sated in
It are tree to the best of my knowledge and belief,
-- -- MISDAILHOLIEM - -- Signature of Natural Person Signing Above - - - - - -- - -
GmmltlJonPFFMOT --- ----- --- -- ----..---------- --- --- ------ -- -
--- - wpdata/bra/bcsfarm IM IIiw F+tolkvrmab6JtS4110 - - - -
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STATE QF FLORiDA,00()NTvr OF PASCU
THIS|STD CERTIFY 7H/TTHE FOREGOING IS4
TRUEAND CORRECT COPY DF THE D0CUNIENT
0N FILE[)ROF PUBLIC RECORD\N MIS OFFICE
WITNESS My HAND AND OFFICIALSEAL THIS
_DA
Building and Construction Services(BCS)
JE I is C
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4 V
COUNTY FLORID Blower Door Test Report Form
Property Address: Unit#;'
I - Z
Permit M. Test' o pan me:
I
Test Date: 17
Test rnA. ,
l�
Teste Ce coritac
i
402.4.1.2 Testing.Building envelope air tightness shall be demonstrated by Section 402.4.1.2
The building or dwelling unit shall be tested and verified as having an air leakage rate of not exceeding 5 air changes
per hour. Testing shall be conducted with a blower door at a pressure of 0.2 inches w.g. (50 Pascals).As required by
the Building Official,testing shall be conducted by an approved third party. A written report of the results of the test
shall be signed by the party conducting the test(including Agency Name) and provided to the Building Official prior
to Certificate of Occupancy issuance. Testing shall be performed at any time after creation of all scheduled
penetrations of the building thermal envelope.
i
During testing:(check to verify condition rhet)
Exterior windows and doors, fireplace and stove doors shall be closed, but not sealed, beyond the intended
weather-stripping or other
I
Dampers including exhaust,intake,makeup air,backdraft and flue dampers shall be closed,but not sealed beyond
intended infiltration
Interior doors if installed at the time of the test hall be open
,s pen
-
Exterior doors for continuous ventilation systems and heat recovery ventilators shall be closed and sealed
Heating and cooling systems,if installed at the time of the test,shall be turned off
Supply and return registers,if installed at the time of the test,shall be fully open
f
i
j Vb Building volume(ft3)
Q50 Airflow at 50 Pascal(CFM) _
I
ACH5o Air changes per hour at 50 Pascal
Qso x 60_Va = y� ACH50 (3.0 ACH minimum)
Pass�1 Fail ❑
❑Outside Air mechanically introduced to space(less than 3.0 ACH)
1 hereby certify that the above envelope leakage performance results demonstrate compliance
with Florida ergy Code requirements in accordance with Section R402.4.1.2.
,nature of Tester Date
j Jet Stream," Ultra Blowing Wool insulation
A9tic and Cc*Wall Card 30tvl � a 4,01
? : Batts and Blankets Equipment Required
' When installed in accordance with the manufacturer's It is recommended that a pneumatic blowing machine and a corrugated hose with a minimum W internal corrugation,a rr nimum length
racammendations,Knauf insulation balls and blankets will of 1501.Coils in the hose should not be less than 36'in diameter.Acceptable material feed rate is 5-35lbs1minute.Recommended feed
provide the full R-value. rate is 15-25 lbs/minute.
R-Value* Minimum Thickness Thermal Performance(Sidewall and Attic Application)
To obtain an The stated thermal resistance(R-value)is provided by installing in accordance with the manufacturer's instructions.Failure to install the
Installed Insulation should required number of bagser 1000 square feet and exceedingthe fnaximum square feet of coverage per bag as recommended by the label
Insulation resistance not 6a less than: � P ' � 4
(R-Values of: will result in lower Installed R-values,Field.blending of this product with other loose fill insulations is not recommended by the manufacturer.
R-49 13. 5'
R-38HD 10.25°
Cavity Wall Bag Net Weight-Nominal 32 lbs:,Minimum 31 ibs.
38
R-38 12.00' R-Value* Bags per 1000 SF Maximum Net Minimum
R-30HD 6.25" To obtain an The number of bags Coverage per Bag Weight per SF
Insulation per 1,000 square feet Contents of this The weight per square
R-30 10.00' Cavity resistance of net area should not bag should not feet of installed insulation
R-26 9.00, Framing Depth of: Density be less than: cover more than: should not be less than:
R-22 6.50" 2"x 4" 1 3.50" R-15 1 1.8 lbs./cu.fL 16A bags 61.0 sq.ft. 0.525 Its.
R-21 HD 5.50° 2'x 6' 5.50" R-23 IS lbs./cu.ft. 25.8 bags 38.8 sq.ft. 0.825 lbs.
R-19 6.25" 2°x 8' 7 25' R-31 1.8 Ibs.ku.ft. 34.0 bags 29.4 sq.ft. 1.088 lbs.
R-15HD -3.50"
R-13 3.50" 2'x 10" 9.25' R-39 1,8 ibs.lcu.ft. 1 43.4 bags 23.1 sq,fL 1.388 lbs.
R-11 3.50" •R means resistance to heat flow.The higher the 4-value,the greater the insulating pover.To get the marked R-value,it is essential that this insulation be installed properly.
R-8 2.50"
4 R•18ina5 cavty.ContormsloASTMC865andFederal Open Attic Application Bag Net Weight-Nominal32 lbs.,Minimum 31 Ills.
Specification 1i1-1-1.521E Minimum
Bags[ Maximum Minimum Initial Settled
Framing Adjustment 1;000 SF Coverage Weight Installed Thickness**
To compensate for framing members,the number of bags per The number of hags! Contents of this The weighUSF Thickness Contents of this
1,000 sq.fL of area to be insulated should be as shown below. R-Value* 1,000 SF of net area bag should not of installed Installed insulation bag should
Ba s/MSF Ba slMSF To obtain an insulation should not be less cover insulation should not should not be less not cover more
9 9 resistance(R-Value)of: than: more than: be less than than: than:
Joist 16"D.C. 24"O.C. R-60 29.7 33.6 SF .952lbs. 19.750' 19.759'
R-Value Dimensions Framing Framing
R 49 .23.5 42.5 SF 753 lbs. 16.375° 16.375"
2x4 292 29.4
R-60 2x6 28.9 29.1 R-44 20.9 47.8 SF .670 tbs. 14.875" 14.875"
2x8 28.6 28.9 R-38 17.8 56.2 SF .569 lbs. 13.000" 13.000"
2x4 23.0 23.2 R-30 13.6 73.3 SF .437 lbs. 10,375" 10.375"
R-49 2x6 22.7 219 R-26 11.8 85.0 SF .377 lbs. 9.125' 9.125'
2x$ 22.4 22.7 R-22 9.8 102.2 SF 313 lbs. 7.750" 7.750"
2x4 20.4 20.6
R-44 2x6 20.1 20.3 R-19 8.4 119.3 SF .268 Ibs. 6.750' 6.750'
2x6 19.8 20.1 R-13 5.7 175.3 SF .183 lbs, 4,750" 4.750"
2x4 17.3 17.4 R-11 4.7 210.8 SF :152 lbs, 4.000° 4.000"
R-38 2x6 17.0 17.2 En Net vrelgm-N=Wl32in,if,umallbs.
2x8 16.7 17.0 Cor°ca4eardmsiasncpcataterede':errNaed Wig aVolu-flaic"116bvh;madfinecr0iedgwwthIrptecpemng,2.0PiatOressm aid 15(Yof3nematytalagaEdtnse.
2X4 13.2 13.3 This p:odud conforms to Oe peft mxe requhements ofASrk1 C 764,Type t and canceled Federal Spe6kAw I0N-1030B,Type I,Clus B.R-dues are determ4ied in=ordwca with q 687 and C 518, j
T malsresiVmvtoteelb;tThehtaha the R-vdue,the omaterU*itmb5:g power.To get the irartedR-salm,ftisessvtai that th'shVaonbe ringed pto 4..0ywdottyomil.get insom
R-30 2x6 12.9 13.1 tons and follow Mom camfuty.Instmc5onsdonul come 9thtfi package.
"Se.ndonTlfttf2-yaase*gscell, :predicted setlemm'mat a )tar period wudibelpecail or less.This amauntofsetUngiisftraa4ii gyfcaaRzahm,theWedandselkd
2x8 12:6 12.9 fthessesareeffecevey the same.
2x4 11.3 11.4 tb3r-Ata6cglisa registered trademark ofWgL
R-26 2x6 11.0 11.2 Builder's Insulation Statement
2x8 10.8 11.0 Jet Stream Ultia has been installed in conformance with the included recommendations to provide a thermal resistance of...
2x4 9.3. 9.5 R-Value Thickness
R-22 26 9.1 9.3 Attic Area R- at Inches
2x8 8.8 9.1 Sloped Ceilings R- at Inches
2x4 7.9 _ 8.1 Walls R- at Inches
R-19 26 7.7 7.9
2x8 7 4 7.7 Floors(over an unheated crawl space) R- at Inches
2x4 5.3 5A Crawl Space Perimeter R- at Inches
R-13 2x6 5.0 5.2 Date Installed
2x8 4.8 5.0 Blown insulation has been installed in conformance with the above recommendations to provide an R-value of:
2x4 4.3 4A R- 3_4.1 using ZOA bags of this Insulation to cover lV 7 2 square feet of area
R-11 2x6 4.1 4.3 at a minimutthickne
l®• inches.
2x8 3.8 4.1
CITY'OF " NOTICE / / BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION -OR CORRECTION
D • NOT REMOVE
ADDRE DATE PERMITr�,
Anivoiase /�I U
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
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 R SPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR AW
Lennar Homes-39672 Dawson Creek Dr.-2,276 sgft
Column ts
SQ. FEET PRICE
MAIN OR LIVING: 2,276 $ 112.65
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
I
VALUATION $ 256,391.40
FEE SHEET $ 1,325.00
ADDRESS $ 30.00
DRIVEWAY $ 45.00
BUILDING: $ 1,426.50
ELECTRICAL: $ 298.13
PLUMBING: $ 198.75
MECHANICAL: $ 139.13
SUB-TOTAL $ 2,062.50 (�3�{7
TOTAL $ 2,062.50
( 2
SEWER: $ 1,010.00 ��
WATER: $ 2,090.00 i 7/ C
IRRIGATION: $ - L
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 $ 6,189.63
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: $ 18,396.47
PASCO COUNTY, FLORIDA
Permit No. 2-N(a
Date Permitted 5--2 D. 9
Builder Name/Owner Name I-CA/lAy-flA4%k� Control
County Parcel No, 2A-2f o-?_j- () jjQ_rWMU2,OSubD1v:
Address/Location 237672. JDqv_)-3nn ('4c1g- be
Classificationrrype of Use lie -W)'u 1�
TRANSPORTATION IMPACT FEE Rate: Sq-FtUnIt:
Exempt []Yes No How Determined
Impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE -7 0S, 2-15 Account (0561 Single-Family Detached House Amount
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt R Yes F1 No How Determined
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit -Recreation Total
Zone TOTAL AMOUNT $ -7
Exempt n Yes [ No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt Fj Yes F1 No How Determined Total Amount
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By Checked By
U
NO CERTIFICATE OFOCCUPANCY 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 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