HomeMy WebLinkAbout20-288 T
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fatiiin City Of Zephyrhills PERMIT NUMBER ,
-. � 5335 Eighth Street
Zephyrhills, FL 33542 BNR-000288-2020
,% Phone: (813)780-0020
�.. Fax: (813)780-0021 Issue Date: 07/01/2020
Permit Type: Building New (Residential)
Property Number _Street Address
10 26 210010 09100 0020 137625 8Th Ave
Owner Information Permit Information Contractor Information
Name: CALVIN&LINDSEY DUQUE Permit Type:Building New(Residential) Contractor: GL STEVE
Class of Work:SFR Construct
Address: 39103 5Th Ave Building Valuation:$255,000.0
ZEPHYRHILLS,FL 33542 Electrical Valuation:$18,000.00
Phone: (813)355-7314 Mechanical Valuation:$15,000.00 \
Plumbing Valuation:$12,000.00 \I)/(/�1
Total Valuation:$300,000.00 p 7 -Z-,-f
Total Fees:$17,613.90
Amount Paid:$171,613.90
Date Paid:7/1/2020 4:46:12PM
Project Description
CONSTRUCT SINGLE FAMILY 3,183 SQ FT
Application Fees,
Building Permit Fee $1,305.00 Transportation Impact Fee $3,595.68
School Impact Fee $8,328.00 Public Safety Impact Fee-Police $254.00
3/4 Water Meter Fee(Calc) $732.71 Park Impact Fee-Single Familyrrownhome $769.56
Mechanical Plan Review Fee $57.50 Plumbing Permit Fee $100.00
Public Safety Impact Fee-Fire $273.00 Electrical Permit Fee $130.00
Address Fee $30.00 SIF 1 percent Fee $83.28
Transportation Impact Fee-City $36.32 Water Connection Residential Fee $1,010.00
Plumbing Plan Review Fee $50.00 Electrical Plan Review Fee $65.00
Public Safety Impact Fee-Admin $26.35 Building Plan Review Fee $652.50
Mechanical Permit Fee $115.00
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 isjgreater,for each subsequent reinspection.
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 permit 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 add fee 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.
O�I
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Bldg Dept
From: Bill Burgess
Sent: Monday,July 13, 2020 4:22 PM
To: Bldg Dept
Cc: Jacqueline Boges
Subject: RE: Duque-8th Ave job-Septic Permit
Yes, please retain this copy for our records.As we discussed,they will be required to obtain a plumbing permit from us,
so that we can ensure the connection from the dwelling to the septic tank is to code.The septic tank and drain field
installation inspection,will be conducted by the Pasco,County Department of Health....Thanks, Bill
From: Bldg Dept<BDept@ci.zephyrhills.fl.us>
Sent: Monday,July 13,2020 4:14 PM
To: Bill Burgess<bburgess@ci.zephyrhills.fl.us>
Subject: FW: Duque-8th Ave job-Septic Permit
septic
Building Dept
813-780-0020
813-780-0021
Florida has a very broad public records law. Electronic communications regarding most City
of Zephyrhills business are public records and available upon request. Your e-mail
communications may therefore be subject to public disclosure. If you received this message in
error, please do not read, forward, copy, ,etc. and delete immediately
From: Bldg Dept
Sent: Monday,July 13,20201:50 PM
To: Bill Burgess(bburgess@ci.zephvrhills.fl.us) <bburess@ci.zephvrhills.fl.us>
Cc: Kalvin Switzer<kswitzer@ci.zephvrhills.fl.us>
Subject: FW: Duque-8th Ave job-Septic Permit
Bill could you let me know what to do with this septic'tank application.
Thank you
Building Dept
813-780-0020
813-780-0021
Florida has a very broad public records law. Electronic communications regarding most City
of Zephyrhills business are public records and available upon request. Your e-mail
communications may therefore be subject to public disclosure. If you received this message in
error, please do not read, forward, copy, etc. and delete immediately
From:Gary Steve<Blsteveconst@hotmail.com>
Sent: Monday,July 13, 202012:43 PM
i
To: Bldg Dept<-BDept@ci.zephyrhills.fl.us>
Subject: Duque-8th Ave job-Septic Permit
EXTERNAL EMAIL
Gary&Debbie Steve
G.L. Steve Construction,LLC
37651 8th Ave
Zephyrhills,FL 33542
(813)355-7314 cell
Disclaimer:Fla.Stat 668.6076"Under Florida law,e-mail addresses are public records.If you do not want your e-mail address
released in response to a public-records request,do not send electronic mail to this entity.Instead,contact this office by phone
or in writing."
Disclaimer:Fla.Stat 668.6076"Under Florida law,e-mail addresses are public records.If you do not want your e-mail address
released in response to a public-records request,do not send electronic mail to this entity.Instead,contact this office by phone
or in writing."
2
,S '1
PERMIT #:51-SE-2106686
STATE OF FLORIDA
APPLICATION #:AP 1523749
n ' DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID.
SYSTEM
RECEIPT #:
DOCUMENT #:PR137711O
CONSTRUCTION PERMIT FOR: * OSTDS New
APPLICANT: Galvin&Lindsey Duque
PROPERTY ADDRESS: 37625 8th Ave Zephyrhills,FL 33542
LOT: 2 BLOCK: 91 SUBDIVISION: Zephyrhills Colony Company
PROPERTY ID #: 1026210010091000020 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER)
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY !RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY,
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 1 GALLONS 1 GPD New SeDtic Tank w/Filter CAPACITY
A [ ] GALLONS / GPD NIA CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ 1 GALLONS DOSING TANK CAPACITY ( }GALLONS Q[ ]DOSES PER 24 HRS #Pumps [ 7
I
D [ 375 1 SQUARE FEET New Drainfield SYSTEM
R [ 1 SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [X] STANDARD j ] FILLED [ ] MOUND [ }
I CONFIGURATION: [XI TRENCH ( ] BED [ .7
N
F LOCATION OF BENCHMARK: Nail w/ribbon on tree east of DF
I ELEVATION OF PROPOSED SYSTEM SITE [ 41.001 [ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 71.001[ ZNCHES FT 1[ ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 7 INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),and 2166 sq.fL for a total
o estimated flow of 300 gpd.
T Use new 900 septic tank;Install an approved outlet filter.Bottom of 375 sq.ft.trench drainfield to be no more than 71
H inches below reference point.Please note:that systems must receive a"Final System Approval"before the permit
expiration date shown or a new permit,applicable fees,and compliance with newer code requirements may apply.
E
R
SPECIFICATIONS BY: David R Bauer TITLE: Environmental Specialist II
APPROVED BY: e�^ TITLE: Environmental Supervisor I Pasco CHO
KenSpth A Joaea
DATE ISSUED: 0 I2020 EXPIRATION DATE: 01110/2022
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
1 2 4 APIV3749 SE:13341 n0
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 subsequent reinspection.
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 permit 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 add fee 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.
Q L14
—dbRTPACT0RSiGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
n
^F GfilUfl' City Of Zephyrhilis PERMIT NUMBER'
5335 Eighth Street
Zephyrhills, FL 33542 BNR-000288-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/01/2020
Permit Type: Building New (Residential)
Property Number Street Address
10 26 21 0010 09100 0020 7 B
Owner Information Permit Information. Contractor Information
Name: CALVIN&LINDSEY DUQUE Permit Type:Building New(Residential) Contractor: GL STEVE
Class of Work:SFR Construct
Address: 37625 8Th Ave Building Valuation:$300,000.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$18,000.00
Phone: (813)355-7314 Mechanical Valuation:$15,000.00
Plumbing Valuation:$12,000.00
Total Valuation:$345,000.00
Total Fees:$20,086.40
Amount Paid:$17,362.40
Date Paid:7/1/2020 9:53:46AM
Project Description
CONSTRUCT SINGLE FAMILY 3,183 SQ FT
Application Fees
School Impact Fee .. $8,328.00 Transportation Impact Fee $3,595.68
Water Connection Residential Fee _ $1,010.00 Plumbing Permit Fee $100.00
Address Fee $30.00 Building Permit Fee $1,530.00
Public Safety Impact Fee-Admin $26.35 Sewer Connection Residential Fee $2,090.00
Park Impact Fee-Single Family/Townhome— $7,69.56 Driveway Fee $45.00
Electrical Permit Fee $130.00 3/4 Water Meter Fee(Calc) $732.71
Public Safety Impact Fee-Police-- $254.00 SIF 1 percent Fee $83.28
Public Safety Impact Fee-Fire ^ $273.00 Transportation Impact Fee-City 1 $36.32
Mechanical Permit Fee $115.00 Building Plan Review Fee $765.00
Plumbing Plan Review Fee $50.00 Electrical Plan Review Fee $65.00
Mechanical Plan Review Fee $57.50
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 isl greater,for each subsequent reinspection.
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 permit 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 add fee 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.
CONTRACTOR SIGN& URE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813.780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Dat®Received Phone Contact for Permittin ,.J
owner''s Name �%,�y L-�1 .�i� Suo OE Owner Phone Number g1
:,;••Owner's Address S70��EP lc.�L�S Owner Phone Number'
Owner Phone Number
I
JOB ADDRESS' 97E ��L:,J -.LOT#
SiIEIDIVISION PARCEL ID# 1 D"2 6—ZY' DDI a " 6
(08TAINED4ROM:P.ROP,ERTY TAKOOICE)
WORK PROPOSED. . NEW CONSTR ADD/ALT , L._ , SIGN 0 �� DEMOLISH
R INSTALL. . R'EFAIR
PROPOSED USE: ® SFR Q COMM , OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME �' STEEL Q
DESCRIPTION OF.,WORK 120AISTEUC-77 14,)J, 4>F „J 0L) �- > f�
BUJLDING.SIZE � � SQ•FOOTAiE. . HEIGHT-1
4...........In.reMiffiiiiii, L. i.-�.
B61LDING $ VALUATION OF�TOTAL CONSTRUCTION' S ��
i
[Z]ELECTRICAL $ 7]
AMF'SERVICE ® DtlKE ENERGY [� W.R;E.C.
I Or o- ate
PLUMBING $' /
®MECHANICAL $• VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS „FLOOD2ONE'AREA. YES , NO
I
BUILDER - , COMPANY
SIGNATURE - REGISTEREpI Y/ N FEE CURREp . Y•/N
Address &.51 K V Z6 t License# ��-�l_5aXa1_3_9
ELECTRICIAN' � — COMPANY
SIGNATURE REGISTERED' Y/ N FEE CURREN Y T N
Address License#
PLUMBER S` , l COMPANY
SIGNATURE REGISTERED Y%`N FEE CURREn.
Address. License# .
MECHANICAL .:,; Q�i rf COMPANY
SIGNATURE'. r 7 c>7, k REGISTERED Y/ N FEE CURREN Y/'N
Address•. ( . License#.F77-77.
OTHER COMPANY
SIGNATURE ' REGISTERED Y/:N,.,.. FEECURREA.,.-, Y!Y;N:•_
-Address � License#T r
: :,.
RESIDENTIAL Attar:r(2)iPiot Plans;(2)`sets of 8uildirig'P..lans;(1).set.of Energy Farins;`R iN Permit far new:canstruction,.
Minimum ten-(-10,)working``days'afteksubniittal`date. Re'quired,onslte;'Constnicdoi1.Mani,SiormiNater Plans w!Silt Fence installed,
Sanitary_Facilities&.:Aumpster,,Slte WorkPermit for subdivisionsAaige projects
COMMERCIAL Attach(Z)complete.sets af,:Building Flans;plus a,Life:$afety.Page;(1:)'.set o€Energy Fotms.R-0-W Permit for.-new.construction.
Minimum ten(1.0),wgrking,deys;aftersubmittal daxe,Regured onsite;Construction:Plansw$tormwater Plan' ouilt'Fence installed'
Sanitary Facilities&1 dumpster.Site' 'di*'Permit for all'new projects.All commercial.requirements must meet compliance
SIGN PERMIT Attach(;).sets of'Engineered Plans'.
""PROPER'TY I�RVE-SY'required for all NEW construction.
Directions: i
Fill out application completely..,
Owner Si Contractor sign.back of{application,notarized
if over$"66,a Notice of'Comm9.ncement is required.,-.{A/C upgrades over$7500)
Agent(for the.contractor:)or'Powerof.Attorney,(for the owner)would'besomeone.with notarized1etter from owner-authorizing same
OVERT! S COUNTER•P..ERMFITING :(qqp ;of cantract'rc quireci}
Reroofs If shingles Sewers` Service:Upgrades..k. •Fences(Flot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROWi
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which maybe more restrictive than County regulations. The undersigned..assumes-responsibility,for-compliance with'any
applicable deed restrictions.
UNLICENSED-CONTRACTORS AND,CONTRACTOR RESPONSBILITIES:`,!,If the owner'has hired a contractor or
contractors to undertake work, they maybe 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 tin of
permitting. It is further understood,that'Trari§portation.Impact Fees and Resource Recovery Fees must be paid-prior to
receiving.a "certificate of.occupancy" or final.1power 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 7.13;:Florida Statutes;as amended): If valuation of Work is,$2,5.00.00 or more, I
certify that 1, 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 therapplicant.is someone
other than the"owner,:I certify that-.f.havd obtained a copy of-the-above desc�ibbd document and promise in good faith to
deliver it to the"owner".prior to commencement.
CONTRACTOR'S/OWNEW&AFFIDAVIT., ,I'.certify that;all,ttie,information=.in,ahis.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 t6-d0�vork°"a"nd installati64-a§: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,Zoanty and"Cify`codes;• zoning-regulations, ands 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:)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:,T_reatment.
Southwest Florida Water Management District-Wells, Cypress .Bayheads, 'Wetland Areas, Altering
Watercourses.
Army Corps-of Engineers-Seawalls, Docks, Navigable Waterways.
Department of-.--Health :8,.Health 'Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks,
US Environmental Protection Agency-Asbestos abatement.'
Federal Aviation Authi*ity=Runways.
l understand that*the following,restrictions.:apply;to-the use of-fill:
Use of-fill.is not`allowed in' - d Zone"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"`,will:,be,submitted attime,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 fillthe.area withinr thestem.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 fhLis.found.to adversely affect:adjacent,:properties, the owner-may:be cited for violating
the conditions of the building permit issued under1he-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 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 fora 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 YOUlt-PROPERTY...IF.-YOU'INTEND-TO"OBTAIN.FINANCING, CONSULT
WITH_YOUR.LENDER:OR AN ATTORNEY BEFORE RECORDING YOUR.NOTICE.OF.0 M NCEMENT.
FLORIDA JURAT(F.S.117 3) --- �_
.! OWNER OR AGENT CONTRACTOR
Subscribed and sworn to r affirmed)before me this Subscribed an to(or affif )before me this
YIN A_I �n '� by 0,IQ if\ by� /
Who is/are personally known o m or has/have produced Who Is/ person y.known to me or has/have produced
S--br;Ao_ <W%V —, Vnu1 as identification. as identification.
a/' 1�22jzf&L
Notary Public Notary Public
r 4 i
Commission No. GG ?) `1L�l 3a Com i i%t� i
1 P Commission#GG 276457
1U►i' L _ '
Name of Notary typed,printed or stamped Name o. y, F o ru r 800 38S7ot9
r
Iwo
VE 'e
Julie Leach
oQNOTARY PUBLICSTATE OF FLORIDA Comm#GG311482Expires 4/23/2023
L
NOTICE' TO BUILDERS
This notice is NOT to be submitted for.permitting, it is informational
only for Builders.
SPRAY FOAM APPLICATION ONLY
Outdoor air cfm is included in this calculation and is recommended for an
outside air vent to be installed to pass the ACH50 blower door requirement.
See below recommended installation method:
Fresh Air
Intake
r with Grille
Return Filter
Air Grille '
Filter
Per R403.6, Mechanical ventilation (Mandatory), "The building shall be
provided with ventilation that meets the requirements of the Florida.Building Code,
Residential, or Florida Building Code, Mechanical, as applicable, or with other
approved means of ventilation including:Natural, Infiltration or Mechanical means.
Outdoor air intakes and exhausts shall have automatic or gravity dampers that
close when the ventilation system is not operating."
FORM R405-2017
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Business and Professional Regulation - Residential Performance Method
Project Name: R0420165 Builder Name: GL Steve Construction
Street: 8th Ave Permit Office: City of Zephyrhills
City,State,Zip: Zephyrhills,FL,33542 Permit Number 7-F6
Owner: Calvin and Lindsey Doque Jurisdiction: 611600
Design Location: FL,Tampa County: Pasco(Florida Climate Zone 2
1. New construction or existing New(From Plans) 9. Wall Types(2020.0 sqft.) Insulation Area
2. Single family or multiple family Single-family a.Frame-Wood,Exterior R=19.0 1736.70 ft2
b.Frame-Wood,Adjacent R=1 3.0 283.33 ft2
3. Number of units,if multiple family 1 c.NIA R= ftZ
4. Number of Bedrooms 3 d.N/A R= ft2
5. Is this a worst case? No 10.Ceiling Types (2166.0 sqft.) Insulation Area
a.Roof Deck(Unvented) R=20.0 2166.00 ft2
6. Conditioned floor area above grade(W) 2166 b.NIA R= ft2
Conditioned floor area below grade(W) 0 c.N/A R= ft2
11.Ducts R ft2
7. Windows(256.2 sqft.) Description Area a.Sup:Attic,Ret:Attic,AH:House 6 275
a. U-Factor. Dbl,U=0.33 256.23 ftZ
SHGC: SHGC--0.25
b. U-Factor NIA ft2 12.Cooling systems kBtu/hr Efficiency
SHGC: a.Central Unit 34.2 SEER:16.00
c. U-Factor. N/A ft2
SHGC: 13.Heating systems kBtu/hr Efficiency
d. U-Factor: N/A ft2 a.Electric Heat Pump 35.0 HSPF:9.50
SHGC:
Area Weighted Average Overhang Depth: 3.505 ft.
Area Weighted Average SHGC: 0.250 14.Hot water systems
a.Propane Tankless Cap:1 gallons
8. Floor Types (2166.0 sqft.) Insulation Area EF:0.650
a.Slab-On-Grade Edge Insulation R--O.O 2166.00 ft2 b- Conservation features
b.N/A R= ft2 None
c.N/A R= ftZ 15.Credits CIF
Total Proposed Modified Loads: 61.93
Glass/Floor Area: 0.118 Total Baseline Loads: 65.97 PASS
I hereby certify that the plans and specifications covered by Review of the plans and 0 lit S 7',1
this calculation are in compliance with the Florida Energy specifications covered by this
Code. calculation indicates compliance
with the Florida Energy Code.
PREPARED BY: Before construction is completed
DATE: 4/24 0 this building will be inspected for
compliance with Section 653.908
I hereby certify that this building,as designed,is in compliance Florida Statutes- 40.
with the Florida Energy Code. COp WS
OWNER/AGENT: BUILDING OFFICIAL:
DATE: DATE:
- Compliance requires certification by the air handier unit manufacturer that the air handier 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 greatlir than 7.00 ACH50(R402.4.1.2).
4/24/2020 4:50 PM EnergyGauge@)USA 6.0.02(Rev.1)-FlaRes2017 FBC 6th Edition(2017) Compliant Software Page 1 of 4
FORM R405-2017 INPUT SUMMARY CHECKLIST REPORT
PROJECT
Title: R0420165 Bedrooms: 3 Address Type: Street Address
Building Type: User Conditioned Area: 2166 Lot#
Owner Name: Calvin and Lindsey Doque Total Stories: I Block/Subdivislon:
#of Units: 1 1 Worst Case: No PlatBook:
Builder Name: GL Steve Construction Rotate Angle: 0 Street: 8th Ave
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
Entire House 2166 21660
SPACES
Number Name Area Volume Kitchen Occupants Bedrooms Infil ID Finished Cooled Heated
I House 2166 21660 Yes 4 3 1 Yes Yes Yes
FLOORS
V # Floor Type Space Perimeter R-Value Area Tile Wood Carpet
I Slab-On-Grade Edge Insulatio House 173.7 It 0 2166 ft2 ---- 0 0 1
ROOF
Roof Gable Roof Rad Solar SA Ernift Emift Deck Pitch
V # Type Materials Area Area Color Barr Absor. Tested Tested Insul. (deg)
I Gable or Shed Composition shingles 2283 W : 360 ft2 Medium N 0.65 No 0.9 No 20 18.4
ATTIC
V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC
I Full attic Unvented 0 2166 ft2 N N
CEILING
V # Ceiling Type Space R-Value Ins Type Area Framing Frac Truss Type
1 Under Attic(Unvented) House 0 Blown 2166 ft2 0.1 Wood
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FORM R405-2017 INPUT SUMMARY CHECKLIST REPORT
WALLS
Adjacent Cavity Width Height Sheathing Framing Solar Below
Frnt 10 Wall Type Space p_N/=,,,e Et In Et In Aren RA/ahle E-mr-flon Abso,
I N Exterior Frame-Wood House 19 47 8 10 0 476.7 ft2 0 0.25 0.3 0
-2 E Exterior Frame-Wood House 19 53 4 10 0 533.3 ft2 0 0.25 0.3 0
- 3 S Exterior Frame-Wood House 19 43 4 10 .0 433.3 ft2 0 0.25 0.3 0
4 W Exterior Frame-Wood House 19 29 4 10 0 293.3 ft2 0 0.25 0.3 0
-5 W Garage Frame-Wood House 13 24 0 10 0 240.0 ft2 0 0.25 0.01 0
-6 S Garage Frame-Wood House 13 4 4 10 0 43.3 ft2 0 0.25 0.01 0
DOORS
V # Omt Door Type Space Storms U-Value Width Height Area
Ft In Ft In
I W Insulated House None .46 3 7 21 ft2
'WINDOWS
Orientation shown is the entered,Proposed orientation.
Wall Overhang
# Omt ID Frame Panes NFRC U-(`actor SHGC Imp Area Depth Separation int Shade Screening
I N I TIM Low-E Double Yes 0.33 0.25 N 24.0 ft2 '8ft0in I ft0in None None
2 N I TIM Low-E Double Yes 0.33 0.25 N 24.7 ft2 8 ft 0 in I ft0in Drapestblinds Exterior 5
3 N I TIM Low-E Double Yes 0.33 0.25- N 6.0 ft2 8 ft 0 in I ft0in None None
4 E 2 TIM Low-E Double Yes 0.33 0.25 N 24.0 ft2 1 ftoin 5ft0in None None
5 E 2 TIM Low-E Double Yes 0.33 0.25 N 15.0 ft2 1 ftoin 5ft0in Drapes/bfinds Exterior 5
6 E 2 TIM Low E Double Yes 033 0.25 N 22.1 ft2 1 ft4in 1 ft6in Drapes/blinds Exterior 5
7 S 3 TIM Low-E Double Yes 0.33 0.25 N 24.0 ft2 5 It 0 in 1 ft0in None None
8 S 3 TIM Low-E Double Yes 0.33 0.25 N 23.4 ft? I ft 4 in I ft6 in Drapesiblinds Exterior 5
9 S 3 TIM Low-E Double Yes 0.33 0.25 N 23.4 ft2 1 ft 4 in 5 ft 0 in Drapesiblinds Exterior 5
10 S 3 TIM Low-E Double Yes 0.133 0.25 N 31.8 ft2 5 ft 0 in 1 ft0in Drapes/blinds Exterior 5
11 W 4 TIM Low-E Double Yes 0.33 0.25 N 31.8 ft2 1 ft4in I ft0in Drapes/blinds Exterior 5
12 W 4 TIM Low-E Double Yes 0.33 0.25 N 6.0 ft2 1 ft 4 in I ft0in None None
4-ARAGE
Floor Area Ceiling Area Exposed Wall Perimeter Avg.Wall Height Exposed Wall Insulation
1 576 ft2 576 ft2 64 ft 8 ft
INFILTRATION
# Scope Method SLA CFM 50 ELA EqLA ACH ACH 50
1 Wholehouse Proposed ACH(50) .000445 2527 138.73 260.9 .1781 7
4/24/2020 4:50 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
HEATING SYSTEM
System Type Subtype Speed Efficiency Capacity Block Ducts
1 Electric Heat Pump/ Split Singl HSPF:9.5 35 kBtu/hr 1 sys#1
COOLING SYSTEM
# System Type Subtype :Subtype Efficiency Capacity Air Flow SHIR Block Ducts
1 Central Unit/ Split Singl SEER:16 34.2 kBtu/hr 1140 cfm 0.73 1 sys#1
HOT WATER SYSTEM
System Type SubType Location EF Cap Use SetPnt Conservation
I Propane Tankless; Garage 0.65 1 gal 60 gal 120 deg None
SOLAR 140T WATER SYSTEM
FSEC Collector Storage
Cert # Company Name System Model# Collector Model# Area Volume FEF
None None ftz
DUCTS
Supply Return Air CFM 25 CFM25 HVAC#
# Location R-Value Area Location Area Leakage Type Handler TOT OUT QN RLF Heat Cool
I Attic 6 275 ft2 Attic 150 ftz Default Leakage House (Default) (Default)
TEMPERATURES!
Programable Thermostat:N Ceiling Fans:
Cooling g Jan
Feb ep
FebMar Apr ay fx]Jul Aug JIS Oct W Nov Dec
Apr
I I May Jun
Venting Mar A Jun Jul Aug Sep Oct Nov Dec
Venting Jan Feb Mar Apr May Jun Jul Aug Sep 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 so
PM 80 80 80 80 78 78 78 78 78 78 78 78
Cooling(WEH) AM 78 78 78 78 78 78 78 78 80 80 80 80
PM 80 80 80 80 78 78 78 78 78 78 78 78
Heating(WD) AM 65 65 65 65 65 65 65 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 68 68
Heating(WEH) AM 65 65 65 65 65 65 65 68 68 68 68 68
PM 68 68 68 68 68 68 68 68 68 68 68 68
MASS
Mass Type Area Thickness Furniture Fraction Space
Default lbs/sq.ft. 0 ft2 0 ft 0.3 House
4/24/2020 4:50 PM EnergyGauge@)USA 6.0.02(Rev.1)-FlaRes2017 FBC 6th Edition(2017) Compliant Software Page 4 of 4
2017 EPL DISPLAY CARD
. .
'
�� �����
°~"°~�"�~° " PERFORMANCE~~"""°��"�p~=~ =~~~��~=~ «=~" "~x DISPLAY `�"�"^~~
ESTIMATED ENERGY PERFORMANCE INDEX* =94
The lower the Energy Performanc
e the more efficienthome.
�
1.New home or,addition 1._New(From Plans) 12'Oucte location Q insulation level
/ a)Supply du� ___-� � 6.l
2.S|ng\e�amUyormu0p|a�an�|y 2._Sh�le-fam8y b)Return ducts R-_-_-6.0
o)AHOlocation House
3.No.cf units(if multipha-fmmik) 3.---____1_-
4.Number ofbedrooms 4. l 13.Cooling system: Cap�cby___3�2
a)Split system 8EEF�__130
5.|o this a worst case?(yeaho) 5. _bbo _ Single package SEEFL___--_
c)Gmund/wataroqurceSEER/COF�_____
8.ConditionadOoorarom(ag.ft.) 6. 2166 d)Room unh/P77\C EER_____-_
e)Other
7.Windows,type and area
o)U-factoc(waightedaverage) 7a` 0.330L'
b)Solar Heat Gain Coefficient(2HGC) 7b' 0.250_. 14'Heating system: C
c)An»a 7o` 266.2_ a)Split system heat pump HGPF___J9.5
b)Single package heat pump HSPF______
8.GkyliQhts c)Electric resistance COP_______
a)U-factoc(welghtedaverage) 8a. _ NA d)Gas furnace,natural gas AFUE___
b)8okarHeatE/ainCoaffic|ert(SHGC) 8b e)Gas furnace,LPG AFUE�_____
' f)Other
S.Floor type,insulation level:
a)8!ab-on-grade(R-vaue) 9a. 0.0�
b)Wood,raised(R+alum) Ob- 15'Water heating system
o)Concrete,raised(F-va|ue) 9n. a)Electric resistance EF�_____
b)Gaofired. nsduna|gao EF_______
1O.yVa||typenndinouladon: ' c)Gas fired,LPG EF�_-0.65
A.Exterior: d)Solar system with tank EF�______
1'VVmodfname((nauhationR-voue) 10A1._19.0 o)Dedicated heat pump with tank EF__-_
2'Masonry(Insulation R-value) 1OA2` f)Heat recovery unit HeolRec%__-_-_ '
B.Adjocenu: / g)O1her
1.Wood frame(insulation R+alme) 10131�3.0 _
Z'Masonry(insulation R-maue) 10132`__�_____
1G'HVAC credits claimed(Performance Method)
11.Ceiling type and insulation level m)Ceiling fans Yes
a)Under attic 1 la. O.0L_ b)Cross ventilation &&l
b)Single assembly 11b. c)Whole house fan No
n)Knee walls/skylight walls 11c`_______ d)Multizone cooling credit
d) Radiant barrier installed 11d �No o)88u@zone heating credit
f) Programmable thermostat �No
*Label required by Section R303.1.3 of the Florida Building Code, Energy Conservation,if not DEFAULT.
/
|certify that this home has complied with the Florida Building Code. Energy Conservation,through the above energy
saving features which will be installed(or exceeded)in this home before final inspection.Otherwise,a newEPL
display card will be completed based on installed code compliant features.
Builder Signature: Date'
Address of New Home: 8th Ave Chy/FLZip:
*124/20204:51n0PKx snergyGauQag)USA n.u.04(Rev.1)-F|aResoo17FBCmmEmuon(2m17)Compliant Software Page of 1
Manual S Compliance Report Job.- R0420165
+�+ W Fightsoft, Date: Apr 23,2020
Entire House By: MKc
GL Steve Construction
37651 8th Ave,ZepFry Is,FL 33-142
Project • . •
For. Calvin and Lindsey Doque
8thAve,Zephyrhills,FL 33542
Cooling Equipment
Design Conditions
Outdoor design DB: 91.4°F Sensible gain: 24801 Btuh Entering coil DB: 83.1°F
Outdoor design WB: 77.2°F Latent gain: 5096 Btuh Entering coil WB: 65.8°F
Indoor design DB: 75.0'F Total gain: 29897 Btuh
Indoor RH: 50% Estimated airflow: 1140 cFm
Manufacturer's Performance Data at Actual Design Conditions
Equipmenttype: SplitASHP
Manufacturer. 3 Ton Goodman Mfg. Model: GSZ160361 B+ASPT37C14A
Actual airflow: 1140 cfm
Sensible capacity: 24966 Btuh 101%of load
Latent capacity: 9234 Btuh 181%of load
Total capacity: 34200 Btuh 1141/oof load SHR: 730/c,
Heating Equipment
Design Conditions
Outdoor design DB: 42.9°F Heat loss: 20301 Btuh Entering coil DB: 69.7°F
Indoor design DB: 70.00F
Manufacturer's Performance Data at Actual Design Conditions
Equipmenttype: SplitASHP
Manufacturer. 3 Ton Goodman Mfg. Model: GSZ160361 B+ASPT37C14A
Actual airflow: 1140 cfm
Output capacity: 35000 Btuh 172%of load Capacity balance: 29 OF
Supplemental heat required: 0 Btuh Economic balance: -99 OF
Backup equipment type: Elec strip
Manufacturer. Model:
Actual airflow: 1140 cfm
Output capacity: 10.0 kW 168%of load Temp.rise: 44 OF
Meets all requirements ofACCA Manual S.
r wrightsolFt" 2020-Apr-24163500
,..•: .„,...w.,, RigttStiL-@Uriversa1201919.0.18 RSU07440 Page 1
ACC _v60
ri-Duque-L-E-MailirgC4vd?R0420165.rup Calc=MJ8 FrortDooriaces S
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A 1� TRACT 91
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OF TRACT 91
- (BEARING BASIS)
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Single Family Dwelling
Plan Review'C.omments
1.. F.Y.E.shall be a minimum of 8" above the road elevation and.an engineered site plan.
.2. Lots shall N graded to.comply 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. A114 sides of driveway thru 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 FAIC. (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:C
12. Water heaters shall comply with section P607.3 of the.R.B.C:
13:-Foundation supports for A/C units.shall.be raised at least 3"'above finished grade. M1308A
14, Returri air in' all bedrooms. F.B.C.. M1620;4
15. Smoke.detectors are to be installed in accordance with R3.111 .of the F.B.C.
16. All'glazmg 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 R311 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-a-11 locations requiring an AFCI 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.
21..All plumbing,mechanical, and electrical shall be separate from unit to unit. This includes all
underground:plumbing and electric.
22: All 2016 N.E.C. Codes will be enforced:
-
23. Tamper- Resistant Receptacles in accordance with 406.11 ofthe' 2016 N.E.-C
.24. In accordance with the Laud Development Code,lots..shall be sodded before final at least 10
feet around the structure.
25:.R403.5.3Hot waterpipe insulation.
insulation for hot water pipe with'a minimum thermal resistance (R-value) of R-3 shall.be applied to the .
following:. .
.
Piping V.inch (19.1 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 tie#ore C.O: .
26.A co&of the enery.'cacls shall be.with permit at all times:
27. Copy of r ial.insulation report shall'be provided with Permit before fnaL
28 No fence,pool or screen enclosure :is issued with:this.permit.
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6t'Edition
R.O.W.-Right of Way
A.D:A.=Americans with Disabilities Act N.E.C.--National Electric_Code (2016)
PASCO COUNTY Receipt Date: 04/11/2016
aN
PA
BUILDING CONSTRUCTION SERVICES Receipt Number: 1975452 S C 8731 Citizens Drive
COUNTY FLORIUtl Suite 230
OPEN SRAM.MRIMMI'FIACM New Port Richey,FL 34654
727-847-8126
r
A 'ERMIT -**NOT /A
Paid By Check# CC Auth# Cashier ID Workstation
Check 5144 CINGERSOLL BCCCP71W
Fee Description Amount Paid
Impact Fed Residential Solid Waste Single Family 27.88
Total Payments: $27..88
PaYar Address Phone-
GL Steve Construction 37625 8th Ave
Zephyrhills,.FL 33542
Comments:
Parcel,ID 10-26-21-0010-09100-0020
City of Zephyrhills
37625 8th Ave-Solid Waste fee
While you will be paying your bill with Vasco County Building Construction Services,the full amount of the credit card or e4heck tees,NOT shown above,Is collected by First
Billing payment services.
myrepojlslreportslIPASCOPRODIPASCOICustomer Receipt v1f rpt Print Date: 07/21/2020 Page 1 of 1
i
Envelope Leakage Test Report (Blower Door Test)
Residential Prescriptive, Performance or ERI Method Compliance
2017 Florida Building Code, Energy Conservation, 6th Edition
E
Jurisdiction: lPermit#:
Job Information:
Builder: Community:" Lot
�..
fir;_`` •-:,:c �•:, ,_
Address: . '
f
City:
Zi
r = `State. Flarida .:
..�'- -
.rv: y
Air _
Leakage a Test Resais Possln``resints`riausti»eeteiihertiiePe orriiance Aresi rr Live ot'EFitNfefhod
g 9. rf ,. A ,4
❑ PRESCRIPTIVE MEN HOD-,The build)ng orduvellrng unrtshall be'tested=:a`ndwerify�js having an air, ak e'rate ofnot exceeding Z air changes
erhour ata'ressure`of0;2=lnclitiv. :' S0:'ascals,in:G mate Zones 1`and 2..
,.
[IERFORMANCE:&r`Ai{VtfA66-- h`1u'sfdingordwellingunitshallbe.testedandverifiedashavingan,aIfeakage,rA6tiff,rlatexceeding'the
,. , ..::;. ...:.tiff;"„ ._..
selectedAGH(50)value;asshown�onFORMR405-20J7(Performance)orR406-2017(ERI);section labeled asliifiltratiari sub`sectionACH:;''y4,
,4CN 50 s eci W on Form R40S-2017-Ener Colc Pe ormance or R406-2017 ERI:` rt
r SPY•.iitc''`:.:!;.: .'.:::''>..:... :.;:r..�'.' :°:t`yC`5
Method for calculating buildingyolurrie`:.
4 a; 11.27 X 64 c2 1(0 6-0 ® Retrieved from architectural plans '
so ACH °
CFM Buildin lume Vo so
❑ Code software calculated
PAS
_ _. r:'..
PEI
When ACH54,is less than 3.ACH5oi°MechanicalrV,entilativn Fiel i;rrieasureld and calculated �!,b Field Lmeast.i d;and,calculated
ri y uc!✓itg department.
stallation must 5i3 verified"b b i i
{ Testing ' ' NS!/RESNETfi„3a 0anr � ;a pre' u eor0i' wg(50Pr`sa—r uc radc te-s tingshLllbie'wni1: = h4i'i f
r I
faviduals as defined in Section 553.993(5)or(7),Florida Statues,or individuals licensed asset forth in Section
46-105(3)(1),(g),or(i)oran approved thiidparry.Awritten report oftheresultsofthAestshallbesiglbdbythe'party conducting the test and,providedtothecodeofftclaL t
Te'stingshallbeperformedatanytimeafte�creationofallpehetril onsoftfiebuildingth`ermolenLelope°r� - ?;
During testing:
t 1� terior windows and doors,fire lace and stove doors shall be closed,but not sealed,beyond ,. t P Y ppingorotherinfiltration control measures::`'
1,2.Dampers including exhaust,intake,makeup air,backdraftandfluedampersshall be closed,but notsealed beyond intended infilt ration control measures.
3.Interior:doors,:if h*lled-at�the time.of the test,shall beopen.
4:-Exterloidoorsforcontinuousventilation systems andheat recovery ventilators shall be closed and sealed
:
S,'Heati`og and coaling systems;ifii?statied at the time of the test,shall be turneii off. > r'
6,Supply:and refuiri.registers;if installed at the time of the test,shall be fully open:.
Testin j'C:Pany;:
x. r:
Company,Name :`... airEnalasys<;,>.. : Phone: 877=437 7728:
I hereby verify that th6.above A'ir:Leakage results'are in accordance with the 2017 6th Edition Florida Building Code Ener"gy
Conservation requ6'a:,mertts according to'tliepcoiripliarice'method,selected,above '--=` '
i%
y
'k
l
�Y
Signature ofT ste r: _
�r esDafe ofT t
r
Printed Name of Tester. :^Wi li`_iii I a -Mago.
; :.oLicense Certification# RES NET 43 ng-Authr.-.t..r...v_,v,
,-FSC
PASCO COUNTY, FLORIDA
Permit No. -2,68
Date Permitted (2__%_2_4E
Builder Name/Owner Name L yVeLw___>Cx"- ntrol#'
County Parcel No, 10-24-V-0010-07100,_0020 SubD!v: e;(�, M�4*ds
Address/Locaflon 3,7 o,-,5 r� Av,&
Classification/Type of Use ZY4 If-Zn^1&1 F6
TRANSPORTATION IMPACT FEE Rate: SQ.Ft Unit 3 113
Exempt []Yes' ❑ No How Determined
Impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $ va
(057) Mobile Home
(058) Other Residential
(123) Collection Fee
Exempt []Yes ❑No How Determined
PARKS AND'RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit �Recreatlon Total
Zone TOTAL AMOUNT $ 76f 56
Exempt F1 Yes Fj No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt F1 Yes [] No How Determined Total Amount _
RESOURCE FEE ERUI
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
RECEIPTE6 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