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21-1656
a 01s1011 City of Zephyrhills PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BNR-001656-2021 - Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 03/24/2021 Permit Type: Building New (Residential) Property Number Street Address 1126 21 0010 03900 0180 38550 13Th Avenue Owner Information Permit Information Contractor Information Name: BUTTERFIELD INVESTMENTS INC Permit Type:Building New(Residential) Contractor: BUTTERFIELD Class of Work:SFR Construct INVESTMENTS INC Address: 3125 Amberlea Rd Building Valuation:$150,000.00 DADE CITY,FL 33523-6225 Electrical Valuation:$7,000.00 Phone: (813)973-5250 Mechanical Valuation:$6,000.00 Plumbing Valuation:$12,500.00 Total Valuation:$175,500.00 / Total Fees:$1,541.25 �� TC✓/L Amount Paid:$1,541.25 Date Paid:3/24/2021 1:41:44PM Project Description CONSTRUCT SINGLE FAMILY 1,567 SQ FT'*OWE CREDIT Application Fees Electrical Plan Review Fee $37.50 Mechanical Plan Review Fee $35.00 Building Permit Fee $780.00 Mechanical Permit Fee $70.00 Electrical Permit Fee $75.00 Building Plan Review Fee $390.00 Plumbing Plan Review Fee $51.25 Plumbing Permit Fee $102.50 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 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. CONTRACTOR SIGNAT E PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INVOICE1111 iFOR CITY OF BILLING CONTACT TERI BUTTERFIELD BUTTERFIELD INVESTMENTS INC 31325 AMBER LEA RD DADE CITY, FL 33523 INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00002919 03/23/2021 03/23/2021 Due NONE REFERENCE NUMBER FEE NAME TOTAL BNR-001656-2021 Building Permit Fee $780.00 Building Plan Review Fee $390.00 Electrical Permit Fee $75.00 Electrical Plan Review Fee $37.50 Mechanical Permit Fee $70.00 Mechanical Plan Review Fee $35.00 Plumbing Permit Fee $102.50 Plumbing Plan Review Fee $51.25 38550 13Th Avenue Zephyrhills, FL 33542 SUB TOTAL $1,541.25 REMITTANCE INFORMATION TOTAL $1,541.25 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 March 23,2021 ��I� � 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 Building Department Date ReceivedPhone=Contact for-Perrriittiie 7� —52J7 O ' Owner's Name tf 7 fe , />v;(J-/M e�_5.,b9c Owner Phone Number g/3 73'S2.S 0 Owner's Address '3J32-5 ZG• -Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS E3Yr5-Q 11-A A in- , FL 33S q 2 LOT# SUBDIVISION PARCEL KW II:Z&�Z1-06 1 C1 (OBTAINED FROM PROPERTY,TAX NOTICE) _ WORK PROPOSED. NEW-CONSTR ADDIALT SIGN- Q' Q DEMOLISH INSTALL 8, :;.REPAIR PROPOSED'zUSE SFR- 0 -COMM-, OTHER TYPE OF CONSTRUCTION "BLOCK [_] FRAME r�7 STEEL Q DESCRIPTION OF WORK.' Y1614/ '(_0P7S-A/,t tt BUILDING-SiZE'' �?i S Ll.ith' L `;Y`l `SQ FOOTAGE'ISM ;HEIGHT.. EErBUILDING VALUATION OF TOTALCONSTRt1CTbN "ELECTRICAL - $ J AMP SERVICE ZUO d FROG S E ERG Q W.R.E.C. =PLUMBING $ ZZ LS��. bA []MECHANICAL $$ YALUATlON MECHANICAL INSTALLATION =GAS Q ROOFING :C] SPECIALTY, ] OTHER' df FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. NO BUILDER COMPANY'' 102 f�7`GlQ� SIGNATURE REGISTERED Y/ N FEE CURREI, Y/N Address 3f ZS v Z O . dGf,` License#- 'ce -133Z gLjs ELECTRICIAitiI...: ' COMPANY ( S SIGNATURE C`^ � !'`�bZV GISTERED Y/ N FEE CURREN-s •Y/.N Address T9GJt�r` License.# Z C C?C�o �� �1_ COMPANY Cr�CI �N:t CZC..+ ✓ 1,u� PLUMBER (j1�t1A,t,�,. ,{,ti.�+ t —SfONATURE" `"T' D: N.' ;: . ,FEE CURREh,_ -REGISTERE Address )10% Vl S� iC Z_ M5 V—L 35 , ynoo se,# .C' �,i�t' St�� ► MECHANICAL- ' COMPANY: . �..?+�1� 151,. SIGNATURE' .� � .._.." REGISTERED._,. Y:/ N. . FEECURRE�, Addresa":. . Ill kri 2d/ :11t,`1t� �{'l Lice 3s'Jyr nse OTHER ;.' '•. - ~COMPANY.. .. . . SIGNATURE Y/ NI-_ FEE CURREn Address r �'�'" r. .� .License#�E A*N �... ,. RESIDENTIAL"- .,Attach,{2)•Plof Plans;:(2)sets:ofit3uiliitngy I?laris {1}sett of t:nergptFortns;'F2=OWPerinit for new construction,- Minlmum;tena(40},workingdoys aftersubmittai date::.Required onsite;;Constructton=P-ians;StormwatdfPlans w/Silt'Fence installed, �`," • Saniter'y Facilities ;1;dumpster,-Site Wotk.Perrnit#orsubdivisions/large':prolects •.,?>:•`'� COMMERCIAL Attach(3)°d6mpiete sets of'Baiiding Plans Olds a Life Safety Page;0)set of Energ,y 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 fo_r all new:prolects:.All commercial requirements-must meet compliance SiGN PERMIT Attach-(2)"sets of-Engine®ted,,Plans:;,::. s.=.`- •• ""PROPERTY SURVEY required for all NEW construction..-. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$250%.a Notice of Commencement Is required. (AfC upgrades over$7500) Agent(for#4 con traotor)'or-Power of Attomey'(fb the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING.. —_(Front of Application-Only) Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..need"s ROW NOTICE OF DEED RESTRICTIONS: The undersigned,undsmtandslhat�.this:pormit.may.be.aubJect.to"d®ed"restrictions". which may'behmore°restirictive-than County regulations. °The undersigned as"sumes=�esponstbillty`for"compliance:with`any applicable:deed restrictions. UNLICENSED CONTRACTORS'AND-'CONTRACTOR•RESPONSIBILITIi:S: =1f-the,owner has hired-a'contractor or contractors to undertake work; they maybe-required to:be ttcensed ln.accordance.with siate%;and;local,regulations °if the contractor=is•not.11censed=as'required`y' law,.both the owner and:=contractor=may:be'-cited=for'a=-misdemeanor violation under state law. If the owner or Intended=jcontractor�are_:uncertlain as"to what licensing.requirements,;may°apply,,for.,the',i,-.� Intended work;they are advised to contact the Pasco County Bulldi'j-Inspectlon_Divlslon-lacenstng Section at 727-847- 8009. Furthermore, If the owner"tias"hired`a contractor or contractors, he is advised to have -the contractor(s);,sign. portions of the"contractor_Block" of this..opplication.for which.theY will„be;.responsible.- If:you,:as_the owner sign�as`the°" contractor, thatYrtaybe an indication'that'hs 1s-not:properiy licensed and"Is not°entitled'fo permitting privileges In Pasco. _ County. TRANSPORTATION-IMPACTIUTILITIES'IMPACT�" 0 RESOURCE RECOVERY-FEES:, The*undersigned understands . that Transportation Impact.Fees:and.Recourse Recovery.Fees mey:_applyao the construct(on,of.new_buildtngs,.change°'of= use in existing buildings, or.expansionof cexlstitio.,EWdings,'as specified.in Pasco County Ordinance number 89-07 and 90-07, as amended.,J The undersigned also:understands, that-such fees;;its tnay'be:.due s.wlll=be identified at the"t(me`of• permitting. It Is further understood that Transportation Impact`Fees and=Resource.Recovery Fees.must be paid prior to recetving•a"certificate.of.-occupancy",-,orfinal-power:,release, If,the.project.doesnot•involv&w..;Certlflcat'e of occupancy or final power release;ttie fees must be pald;pflor.to permit Issuance. F16idhermore if.Pascb,County.Water/Sewer�_Impact fees are due,:they-Must.be.pald p�ibr.to..permitasstiaiice In.accordae W- 16'applica,ncble.Pasco-•Countyordinances. CONSTRUCTION-LIEN'LAW(CNapt®r 713, Florida Statutes,as amended): If valuation of work is$2,500.Q0,;or more,:)°:. certify that 1, the -applicant;: have;been provided,'with. a--copy-of'1har: "Florida-:Constructlon'--Lien:.La' —Homeowner's Protection Guide" prepared by tF he Florida Department of Agriculture and Consumer-AAffairs. If the applicant is someone:==:-:: ,.. other than the"owner", I certify.that:Lhave;obtained=a copy;of..the above..descrihed'clocument and;promisa;,Jn,goo falth•to deliver It to the:.':owner"-prior' ,doh1r+nencement:'' CONTRACTOR'S/OWNER'S AFFIDAVIT: I.cartify.:chat.:Ali.the)nformationrin this application is accurate.and that all work ' will'be done In compliance with all.applicable'lauirs regulating construction, zoning andL land°development. Application is hereby made to. obtain .a.permit!,to;,do_:work:,and installation as indloated::=ra certify that no work<:or installation lies 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;to the jurisdiction.� i also . certify that I understand that they(,egulations of other government agencies may apply.to the.intended work, and that it is my responsibility 101tient(fy what. flons I must•take:to,be1n:.compliance. Such.agencies include but-are.not limited to: ®apa rtment artment of`E i'virof mental APrbtection=—.`ress:'Bayheads •' nd Areas.and-Environmentally Sensitive Lands, Water lWastew ter Treatment. - Southwest Florida Water Management.,'01strict!!Wells, Cypress.. Bayheads,- Wetland Areas, Altering Watercourses. - Army Corps of Englneers=Seawalls;-Docks, Navigable Waterways. - Department-of-Health::&.Rehabilitative;.Sen►ices/Environmental Health Unit-Wells,.:Wastewatere Treatment, Septic Tanks:.. US Environmental Protection Agency-Asbestos abatement— Federal,AvlatlomAuthority=Runways.- I understand.that the.folloaring:restrictions apply to the use of fill:- Use of fill Is not allowed in Fl000..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 at time of•.permitting whlch 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 wIII=be:used only.to..fill the area withinAhe-stem wall. If 611 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 foundto adversely.:affect adjacent properties,.the owner may be'cited for.viotating.' the conditlons.:of the:building"permit Issued-under tha'attached_permit application;-for:iots-.less.than:one (1) acre which are elevated-by flit;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 electrlca[work, plumbing,..signs, wells,,pools;, air:conditioning, :gas,=.or:other Installations not.specifically included-in.the application. .A permit Issued shall be construed to a license'-toproceed 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 Bulldirig Official from thereafter requiring a correction-of errors In:plans construction.or vlolations of-any codes:' Every-permit=Issued"shall become invalid unless the work authorized.by such permit:•Is.commenced within alx.,months of-permit Issuance, or if work authorized by the permit Is suspended.or-.abandoned:-fora period of<slx;(t3)montf s':after the,time the,work is commenced. An extension may be requested, In,writlrig,.:.from.the;:Bullding Officlal for a period:,not.to exceed=ninety:(90)-da0 and-wtil demonstrate justifiable'cause for.the extension. If work ceases,for ninety.(90)consecutive:days,..th 6Job:is considered abandoned. NZ WARNING TO OWNER: YOUR.:FAILURE,Tta.RECORD,A.,NOTICE,:OF•COMMENCEMENT--.NFAY=RESULT-IN YOUR ' PAYING TWICE;FOR.IIiA,tsftOVEMENTS:TO,:YOUR:PROPERTY:°,IF-.YG.U,INTEND`TO'�OBTAIN'iFINANCING 'CONSULT _WITH YOUR LENIDER OR ANATTCIRNEYAEFORR=RECOROINMUR,NOTICE.OpLCe0MMENCEAMMENT' FLORIDA JURAT:(F.&1.17.03) OWNER OR AGENT CONTRACTOR subscribed and mmm to(or affirmed)before me this Subscdbed:and'sbwom•to(or affirmed)'beforo me'thli _ y. Who Is/are personally known tome or has/have.produced. Who.is/are p-ersonallyknownIo:mwor has/have-produced as identlfication. as Idenfificafion. Notary Public Notary Public, Commission NO." Commisslon.No._ Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped } Y :PERMIT-APPUCATION rx " DRIVE. ►A'Y P.ERMIT:APPL,I,CA't7ON iCONSTRUC:6I0N WITHIN,.P.UB1:-IC'RIGHT--OF=WAX Ali information-must.be-fliled-In completely :City.ofdZelphyrhilis "5335*e Street,Zephyrhills,"FL 33542 7elephone.813.780.0000 Fax 813.780.0005 'it :ta•3."' ..is Y'" ma`s, fdy'i x'i7 •.{ ,<i'___ ••ta^.^M-'fiFS•,T' f_r.!d:^S C•u4 ^'*fif�n4 -,l'I Y.i'•` ,ly' ,i'�`e" �'i _ E�:,.N�; i- ;f- aa.,,,a���l;«•:t�`.,=(ER;-,"zs.7" P. .`w _ OW h P1103ECT 3013 SITE: -PROPERTY'OWNER Address: 3X S"Sd /3 fh name: i u r -ld Y,� ej C42--t- c . Unit#: Address:3 !.�- »)b e-'] & .Unit: Parcel Identification'Number: Ci State Zi ,�• 4 �� 3 3 S2 fl-ZG�-Z 1-D7 ' -U.3 960-0 R�� Phone: i3J9�. -S�SaFax: " CONTRACTOR. Company: —. i-el/7 _ nVre)Tm e.0-h /✓I r Name: Contractor's License#: C-R C E-Mail:bu -te,,-- i e)oe r`r"evi f.� �, �:/'"a7 -Phone: Q13 -J 73-52 S D 'Cell: u/3-� 5=JCS Fax: ARCHITECT/ENGINEER: Name: Firm Name: Address: City: State: Zip: State License#: Phone: Cell: Fax: Description at Proiect TYPPrOF DR VVE AY ` ,LENGTH OF-DRIVEWAY GU6 M'NEEDED V.RESIDENTIAL DRIVEWAY 2;!j t WIDTH OF DRNEWAY ( }REINFORCED CONCRETE. COMMERCIAL DRIVEWAY R.O.W. 1ICCA'VATI011 ( )CORRUGATED MATERIAL PUBLIC ACCESS DRIVEWAY a' DEPTH LINEAR FEET ( }BOX CULVERT ( }OTHER(EXPLAIN) CQNUWUfQTION ATE,RIAL CURB CUT REQUIRED —ASPHALT YES CONCRETE HEADt44tALL REQUIRED? YES .I CIO NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings will be required. UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770. Page 1 of 3 4p: t PERMIT APPLICATION Y 1� UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. -76 !l pia I c 1/ — .vI l I 3 q , 4 io;g'La IN � t Ave �J 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.fi.us/pubiic_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/buiider disclosure statement.A✓P (pleaseital et Yi e- f1in tY LtJL Al /a,2- 1 _ Applichfit Print Name Applant Signature Dfite Permit Technician Signature (or)Notary Signature Date Applicant is( )personally known to me or produced as identification. (type of identification) Page 2 of 3 y PERMIT APPLICATION OFFICE USE ONLY �; -r,:rt'+"w•ri�c;�'M- ii.,== .'y::".:�%=r ?+- a'e.`5cvu..•v, �'-i:k`.• . ;`2, =tsr' z `v` Y, e•" i`-s a2'..* .,r< �S' -a.. :a J r ��,.. ...,._ :�:- .t•.���'�: �s,. �x�.., ;; :>ti3p�BL�C�•W�,•.•�`RI�S-t��E-�.�NLY� ��<•�- � .s � Irv: �--.:,��. �.s<�t�-": w.d'i.:#:c.....n'�r.•:U;;•sn,.=:i?r2� .,i.: �=:r....f.L. ar�r�.�_..�i.... ..�_._-_.a....._.a..._(i.�..•m.e.......t....,,3-..5'..•::z'^.•%:54 i`,�::'..�r..,�:x::+.: -�-......,. a.r n.:..'.�= Concrete (min. 6 Y N Asphalt Base(min. 6") Y N Asphalt(min. 11h") 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 N Contiguous parking pad. Y N Triangular flare(3W x 71) Y N Visibility triangle o.k.? Y N Side set back(3'min. R.O.W.) Y N Plan Review Fee _�,.:•r;� a9S,=��'!::;=1L!rY:'c.."�:-b';+-.t�:�:y.'"'?-s.7= .:•-_...y�.�'_ ..�-�.�_Yra-•__���,- �.�.}-:.,_',�l•c"5 :.i 'i.> '-�.C`,'�.:_ _,�•_ �• +-=. :•;A di o'al��esui ti�on�of-:w_ rk=�s�defin'ed,ti :Pu 1ic�Wo �i'e�or�and:�oF=.desi •..���-=,. �-k-�-•�•�,:�.� r; Permit application approved by: Date: Page 3 of 3 INSTR#2021035751 OR BK 1 0284 PG 3376 Page 1 of 1 02/2k021 09:54 AM Rcpt:2264212 Rao:10.00 DS:0.00 IT:0.00 N I kki!Alva rez-Sowles,Esq.,Pasco County Clerk&Comptroller Permit No. Parcel ID No 2/ -D b I 0— 03 qOd-o/,p G NOTICE OF COMMENCEMENT state at r I6Y r�a County of Pa S C o THE UNDERSIGNED hereby gives notice that Improvement 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./1'2 40"2I ^QDIO —02900 Street address:MKSo A brain .tZ / i 3 2. Generel Description of Imprbvemenl L P"/ ec 'IS ON I I 3. Owner Information tLeas Information If the Lessee contracted for the Improvement cue,LO /avej4 1-/j,1h C- 3/3Z5 AoNA-/eQ •Rzi Address city state Interest in Properly QLdn a., Name of Fee Simple Titleholder. (If different from Owner listed above) Address -{—/t.-r-d city slate 4. Contradar. 13Syy Nam a/yfti S f�CC� Do We ci 35ZS FL Address City State ZIS /u Y Contractor's Telephone No.: 7Y�^ ; /J 5. Surety: Name Address City State Amount of Bond:$ Telephone No.: 8. Lender Name Address City State Lenders Telephone No.: T. Pereons wlttdn the State of Florida designated by the owner upon whom notices or other documents may be served aS provided by Section 713.130)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b).Florida Statutes. Telephone Number of Person or Entity Designated by Owner. 9. eipiration date of Notice of Commencement(the oviration 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 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. Under penalty of perjury.I declare that I have read the foregoing notice of commencement and that the fads stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO Signaluro of er or Lessee,or Ownere ee's Authorized Offlcer/Dlrecto ..r/Manager lit LAO/ Sign try pie/Office ,fit' The foregoing instrument was ckn6wle ed befo 'me thi' day of 20�by Iw as (type o1 authblf ,e.g..officer,trustee,attome�(�ty�►!1///�� L Pal/ /� (/�i (ram o b of whominsWmentwautef�. $rQA��j� Personally Known a7 2"a Pro'duced Identification(] Notary Signature �� �•'•~�•••'••Y �1i Type of Identification Produced Nam e(Print) COW- `Y F GG''��7 >+ Z�ir PUB�t�-••'pQ'�: 407le Of wpdatelbcs/notcec:ommencementpc053o48 �1j11/1111��� a:=�'•'o®��Coe State Of Florida,County Of Pasco ?��j • o This is to certify that the foregoing is a true and correct copy of the document r' on file or of public record in this office. Witness�my hand official seal this U) day of e Nikki Alvaregowles,Esq.,Cl r Comptroller gy,� ®� Pasco ou ITrida t'© ® ®� By , Deputy Clerk Manual S Compliance Report Job: R0221105 wrightsofto Date: Feb 26,2021 Entire House By. AE Butterfield Investments Inc Plan: Zephyrhills 31325 Amberlea Rd,Dade City,FL 33523 Project • • For: 3855013th-5f,Zephyrhills,FL 33542 j�V--P- • • • Equipment Design Conditions Outdoor design DB: 93.0°F Sensible gain: 21461 Btuh Entering coil DB: 80.37 Outdoor design WB: 75.2°F Latentgain: 3838 Btuh Entering coil WB: 64.5°F Indoor design DB: 75.0°F Total gain: 25299 Btuh Indoor RH: 50% Estimated airflow: 933 cfm Manufacturer's Performance Data at Actual Design Conditions Equipmenttype: SplitASHP Manufacturer. 2.5 Ton-Franklin Model: GSZ140301 K*+ARUF31 B14A* Actual airflow: 933 cffn Sensible capacity: 21840 Btuh 102%of load Latent capacity: 6160 Btuh 160%of load Total capacity: 28000 Btuh 111%of load SHR: 78% Heating Equipment Design Conditions Outdoor design DB: 40.9°F Heat loss: 19575 Btuh Entering coil DB: 70.0°F Indoor design DB: 70.0°F Manufacturer's Performance Data at Actual Design Conditions Equipmenttype: SplitASHP Manufacturer: 2.5 Ton-Franklin Model: GSZ140301 K'+ARUF31 B14A' Actual airflow: 0 cfm Output capacity: 27800 Btuh 142%of load Capacity balance: 33 OF Supplemental heat required: 0 Btuh Economic balance: -99 OF Backup equipment type: Elec strip Manufacturer: Model: Actual airflow: 0 cfm Output capacity: 8.0 kW 139%of load Temp.rise: 34 OF Meets all requirements ofACCA Manual S. .1 wrightsoftd 2021-Mar-02 09:47A6 /9Ci(� Rigt4-Sute®Uriversa1202121.0.02RSU07440 Pagel iButterfield-3855013thSt-LE1R0221104.rLp Calc=MJB HotseFrordfaces:N - - Project Summary ry Job: R0221105 wrightsoft, Date: Feb 26,2021 Entire House By. AE Butterfleld Investments Inc Plan: Zephyrhills 31325 Ambedea Rd,Dade ON FL 33523 Project Information For: 3855013th fit,Zephyrhills,FL 33542 Notes: Load calculation was obtained from a digital copy of the CAD drawing. Design Information I Weather: Orlando Sanford,FL,US Winter Design Conditions Summer Design Conditions Outside db 41 OF Outside db 93 OF Inside db 70 OF Inside db 75 OF Design TD 29 OF Design TD 18 OF Daily range M Relative humidity 50 % Moisture difference 39 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 17562 Btuh Structure 13155 Btuh Ducts 2013 Btuh Ducts 5234 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh none (none) Humidification 0 Btuh Blower 3072 Btuh Piping 0 Btuh Equipment load 19575 Btuh Use manufacturer's data y Rate/swin multiplier 1.00 Infiltration Equipment sensible load 21461 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average, Fireplaces 01 Structure 3098 Btuh Ducts 740 Btuh Central vent(0 cfm) 0 Btuh He tin coolingg� (none) Area(fF) 1567 1567 Equipment latent load 3838 Btuh Volume(ft3) 12534 12534! Airchanges/hour 0.38 0.20: Eq u ipment Total Load(Sen+Lat) 25299 Btuh Equiv.AVF(cfm) 79 42: Req.total capacity at 0.78 SHR 2.3 ton Heating Equipment Summary Cooling Equipment Summary Make 2.5 Ton-Franklin Make 2.5 Ton-Franklin Trade Split HP Trade Split HP Model GSZ140301 W Cond GSZ140301 W AHRI ref 201642087 Coil ARUF31614A` AHRI ref 201642087 Efficiency 8.2 HSPF Efficiency 12.0 EER,14 SEER Heating input Sensible cooling 21840 Btuh Heating output 27800 Btuh @ 47°F Latent cooling 6160 Btuh Temperature rise 0 OF Total cooling 28000 Btuh Actual airflow 0 cfin Actual airflow 933 cfm- Air flow factor 0 cfmBtuh Airflowfactor 0.051 cfmBtuh Static pressure 0.50 in H2O Static pressure 0.50 in H2O Space thermostat Load sensible heat ratio 0.85 Capacity balance point=33 OF Backup:Aux.Heat Input=8 kW, Output=27297 Btuh,100 AFUE Calculations approved byACCAto meet all requirements of Manual J 8th Ed. wrightsOft` 2021-Mar-02 09:47:46 •M •o - -,m Riglt-Sute®Urrversal2021 21.0.02 RSU07440 Page 1 ...iBUterfield-3855013thSt-LE\R0221104.nQ calc=W8 House Frortfaces:N FORM R405-2020 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name: R0221104 Builder Name: 62ts `L' Street: 38550 13th 4A,.e_ Permit Office: Ci of Z phyrhills City,State,Zip: Zephyrhills,FL,33542 Permit Number: [4 s Owner: Jurisdiction: 611600 Design Location: FL,Orlando County: Pasco(Florida Climate Zone 2) 1. New construction or existing New(From Plans) 10. Wall Type�1504.0 sqft.) Insulation Area 2. Single family or multiple family Detached a.Concrete Block-Ext Insul, Exterior R=5.0 1210.70 ft2 b.Frame-Wood,Adjacent R=11.0 293.33 ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 3 d.N/A R= ft2 5. Is this a worst case? No 11.Ceiling Types (1567.0 sqft.) Insulation Area a.Under Attic(Vented) R=30.0 1567.00 ft2 6. Conditioned floor area above grade(ft2) 1567 b.N/A R= ft2 Conditioned floor area below grade(ft2) 0 c.N/A R= ft2 7. Windows(181.5 sqft.) Description Area 12.Ducts R ft2 a. U-Factor: Dbl,U=0.65 181.51 ft2 a.Sup:Attic,Ret:Garage,AH:Garage 6 175 SHGC: SHGC=0.35 b. U-Factor: N/A ft2 13.Cooling systems kBtu/hr Efficiency SHGC: a.Central Unit 27.8 SEER:14.00 c. U-Factor: N/A ft2 SHGC: Area Weighted Average Overhang Depth: 1.679 ft. 14.Heating systems kBtu/hr Efficiency Area Weighted Average SHGC: 0.350 a.Electric Heat Pump 27.8 HSPF:8.20 8. Skylights Area c. U-Factor:(AVG) N/A ft2 15.Hot water systems SHGC(AVG): N/A a.Electric Cap:40 gallons 9. Floor Types (1567.0 sqft.) Insulation Area EF:0.970 a.Slab-On-Grade Edge Insulation R=0.0 1567.00 ft2 b. Conservation features b.N/A R= ft2 None c.N/A R= ft2 16.Credits CF Glass/Floor Area: 0.116 Total Proposed Modified Loads: 40.91 PASS Total Baseline Loads: 43.51 I hereby certify that the plans and specifications covered by Review of the plans and this calculation are in compliance with the Florida Energy specifications covered by this Code. calculation indicates compliance with the Florida Energy Code. 161-. 'a. •;:=;r.,.�,� O PREPARED BY: Before construction is completed w DATE: 03-2-2021 this building will be inspected for compliance with Section 553.908 * ?r I hereby certify that this building,as designed,is in compliance Florida Statutes. B, with the Florida Energy Co WE OWNER/AGENT-BUILDING OFFI�IrAI�: 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 Barrier and Insulation Inspection Checklist in accordance with R402.4.1.1 and this project requires an envelope leakage test report with envelope leakage no greater than 7.00 ACH50(R402.4.1.2). 3/2/2021 10:02 AM 7.0.00-FlaRes2020 FBC 7th Edition(2020) Compliant Software Page 1 of 4 FORM R405-2020 INPUT SUMMARY CHECKLIST REPORT PROJECT Title: R0221104 Bedrooms:; 3 Address Type: Street Address Building Type: User Conditioned Area: 1567 Lot# Owner Name: Total Stories: 1 Block/Subdivision: #of Units: 1 Worst Case: No PlatBook: Builder Name: Rotate Angle: 0 Street: 38550 13th St Permit Office: City of Zephyrhills Cross Ventilation: No County: Pasco Jurisdiction: 611600 Whole House Fan: No City,State,Zip: Zephyrhills, Family Type: Detached 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,Orlando FL_ORLANDO_INTL_AR 41 91 70 75 526 44 Medium BLOCKS Number Name Area Volume 1 Entire House 1567 12536 j SPACES Number Name Area Volume Kitchen Occupants Bedrooms InfilID Finished Cooled Heated 1 SFR 1567 12536 -Yes 4 3 1 Yes Yes Yes FLOORS # Floor Type Space Perimeter R-Value Area Tile Wood Carpet 1 Slab-On-Grade Edge Insulatio SFR 188 ft 0 1567 ft2 ---- 0 0 1 ROOF / Roof Gable Roof Rad Solar SA Emitt Emitt Deck Pitch V # Type Materials Area Area Color Barr Absor. Tested Tested Insul. (deg) 1 Gable or Shed Composition shingles 1698 ft2 326 ft2 Medium N 0.65 No 0.9 No 0 22.62 / ATTIC V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC 1 Full attic Vented 300 1567 ft2 N N CEILING # Ceiling Type Space R-Value Ins Type Area Framing Frac Truss Type 1 Under Attic(Vented) SFR 30 Blown 1567 ft2 0.1 Wood 3/2/2021 10:02 AM 7.0.00-FlaRes2020 FBC 7th Edition(2020) Compliant Software Page 2 of 4 FORM R405-2020 INPUT SUMMARYCHECKLIST REPORT WALLS Adjacent Cavity Width Height Area Sheathing Framing Solar Below Space AhSnr o 1 N Exterior Concrete Block-Ext Insul SFR 5 27 8 8 0 221.3 ft2 0 0 0.03 0 2 E Exterior Concrete Block-Ext Insul SFR 5 29 8 8 0 237.3 ft2 0 0 0.03 0 3 S Exterior Concrete Block-Ext Insul SFR 5 48 8 8 0 389.3 f12 0 .0 0.03 0 4 W Exterior Concrete Block-Ext Insul SFR 5 45 4 8 0 362.7 ft2 0 0 0.03 0 5 E Garage Frame-Wood SFR 11 36 8 8 0 293.3 ft2 0 0.25 0.01 0 DOORS # Ornt Door Type Space Storms U-Value Width Height Area Ft In Ft In 1 N Insulated SFR None .35 3 5 7 23.9 ft2 WINDOWS Orientation shown is the entered,Proposed orientation. Wall Overhang V # Ornt ID Frame Panes NFRC U-Factor SHGC Imp Area Depth Separation Int Shade Screening 1 N 1 Vinyl Low-E Double Yes 0.65 0.35 N 23.6 ft2 1 ft 4 in 1 ft 0 in Drapes/blinds Exterior 5 2 N 1 Vinyl Low-E Double Yes 0.65 0.35 N 23.6 ft2 4 ft 0 in 1 ft 0 in Drapes/blinds Exterior 5 3 E 2 Vinyl Low-E Double Yes 0.65 0.35 N 13.7 ft2 1 ft 4 in 1 ft 0 in Drapes/blinds Exterior 5 4 S 3 Vinyl Low-E Double Yes 0.65 0.35 N 23.6 ft2 1 ft 4 in 1 ft 0 in None None 5 S 3 Vinyl Low-E Double Yes 0.65 0.35 N 16.4 ft2 1 ft 4 in 1 ft 0 in Drapes/blinds Exterior 5 6 S 3 Vinyl Low-E Double Yes 0.65 0.35 N 16.9 ft2 1 ft 4 in 1 ft 0 in Drapes/blinds Exterior 5 7 S 3 Vinyl Low-E Double Yes t).65 0.35 N 47.1 ft2 1 ft 4 in 1 ft 0 in Drapes/blinds Exterior 5 8 W 4 Vinyl Low-E Double Yes 0.65 0.35 N 6.9 ft2 1 ft 4 in 1 ft 0 in Drapes/blinds Exterior 5 9 W 4 Vinyl Low-E Double Yes 0.65 0.35 N 9.8 ft2 1 ft 4 in 1 ft 0 in Drapes/blinds Exterior 5 GARAGE # Floor Area Ceiling Area Exposed Wall Perimeter Avg.Wall Height Exposed Wall Insulation 1 505.25 ft2 505.25 ft2 64 ft 8 ft 1 INFILTRATION # Scope Method SLA CFM 50 ELA EgLA ACH ACH 50 1 Wholehouse Proposed ACH(50) .000356 1462.5 80.24 150.64 .1408 7 HEATING SYSTEM # System Type Subtype Speed Efficiency Capacity Block Ducts 1 Electric Heat Pump/ Split Singl HSPF:8.2 27.8 kBtu/hr 1 sys#1 I 3/2/2021 10:02 AM 7.0.00-FlaRes2020 FBC 7th Edition(2020) Compliant Software Page 3 of 4 • i FORM R405-2020 INPUT SUMMARY'CHECKLIST REPORT COOLING SYSTEM # System Type Subtype Subtype Efficiency Capacity Air Flow SHR Block Ducts 1 Central Unit/ Split Singl SEER:14 27.8 kBtu/hr 834 cfm 0.78 1 sys#1 HOT WATER SYSTEM # System Type SubType Location EF Cap Use SetPnt Conservation 1 Electric None Garage 0.97 40 gal 60 gal 120 deg None SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model# Collector Model# Area Volume FEF None None ft2 DUCTS / —Supply— —Return— Air CFM 25 CFM25 HVAC# V # Location R-Value Area Location Area Leakage Type Handler TOT OUT QN RLF Heat Cool 1 Attic 6 175 ft2 Garage 50 ft,2 Default Leakage Garage (Default) (Default) 1 1 TEMPERATURES Programable Thermostat:N Ceiling Fans: Coolin Jan Feb Mar Apr Ma Jun Jul Aug Se r 1 Oct Nov Dec Heating H Jan Feb Mar Apr May Jun Jul Au Sep [ ]Oct Nov Dec Ventin Jan Feb Mar [X]Apr [ May [ Jun [ Jul Aug [ Se [[[XXX]]]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 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 8 Ibs/s .ft. 0 ft2 0 ft 0.3 SFR I I 3/2/2021 10:02 AM 7.0.00-FlaRes2020 FB%,7t11 Edition(2020) Compliant Software Page 4 of 4 FORM R405-2020 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 94 The lower the EnergyPerformance Index, the more efficient the home. 38550 13th 9t, Zephyrhills, FL, 33542 f}ve 1. New construction or existing New(From Plans) 10. Wall Type and Insulation Insulation Area 2. Single family or multiple family Detached a.Concrete Block-Ext Insul, Exterior R=5.0 1210.70 ft2 b.Frame-Wood,Adjacent R=11.0 293.33 ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 3 d.N/A R= ft2 5. Is this a worst case? No 11.Ceiling Type and insulation level Insulation Area a.Under Attic(Vented) R=30.0 1567.00 ft2 6. Conditioned floor area(ft2) 1567 b.N/A R= ft2 7. Windows** Description Area c' R= ft2 a. U-Factor: Dbl,U=0.65 181.51 ft2 12.Ducts,location&insulation level R ft2 SHGC: SHGC=0.35 a.Sup:Attic,Ret:Garage,AH:Garage 6 175 b. U-Factor: N/A ft2 SHGC: 13.Cooling systems kBtu/hr Efficiency c. U-Factor: N/A ft2 a.Central Unit 27.8 SEER:14.00 SHGC: d. U-Factor: N/A ft2 14.Heating systems kBtu/hr Efficiency SHGC: a.Electric Heat Pump 27.8 HSPF:8.20 Area Weighted Average Overhang Depth: 1.679 ft. Area Weighted Average SHGC: 0.350 8. Skylights Description Area 15.Hot water systems Cap:40 gallons a. U-Factor(AVG): N/A ft2 a.Electric EF:0.97 SHGC(AVG): N/A b. Conservation features 9. Floor Types Insulation Area None a.Slab-On-Grade Edge Insulation R=0.0 1567.00 ft2 Credits(Performance method) CF b.N/A R= ft2 c.N/A R= ft2 I certify that this home has complied with the Florida Energy Efficiency Code for Building �,� Spar Construction through the above energy saving features which will be installed (or exceeded) 0 in this home before final inspection. Otherwise, a new EPL Display Card will be completed y�q,����1 ��:0';,+ based on installed Code compliant features. Builder Signature: Date: 3 �1� Address of New Home: 325TO 111112A Ave City/FL Zip: h y f IL 33Sy Z WE "Note: This is not a Building Energy Rating. If your Index is below 70, your home may qualify for energy efficient mortgage (EEM) incentives if you obtain a Florida Energy Rating. For information about the Florida Building Code, Energy Conservation, contact the Florida Building Commission's support staff. ""Label required by Section R303.1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT. 3/2/2021 10:03 AM 7.0.00-FlaRes202O FBC 7th Edition(2020) Compliant Software Page 1 of 1 A 1l7l d ! ll ?1�� 7 +Qb I yR��19 N �aoand SSGJPPV eddl wjoA Form Type Address Parcel L IM" /----------------- 4F 56 L------------- Q-1 1-7 Avg :PERMr!"A ICAiION I aRmwA">YER.ER1ouppL cm., ®R" -CONSTRUCT ION"WITHIN.RUBVIC RTGHT GF-WAY All infbrmatlon=•be-fllled-In oomplaWy Cil y.of.Z�ephyrhiils 3335'e Sbeet,2ephyrhift,TL 33542 i -elephone B13 780.0000 Fax 833MO.0005 UfaLZWIc� �!!a+f�n=. 'i's+r=`3r t� fi,-;:.f.:•;,�.Y��r,�y"f'iti:^`' `�� L p+ar ! t"=` `'"`3,"i,—NrZx._, ,. . '��r ' �� �� t - � ;'�-�.,.-:.'.•:ti't.. x+' r>• n �;;a�':_t+!x •M"a1' Yx-.;j r�r �4u'_.' ..�;... c.z-``'",',r. .2�-.�; x,�a ,�' '� six�'�:yt�.rs .�a,v, �. +'�r�.:'3""r s '� iuCc' �.���.y�•c..nL•.-+w.. „.,-,' �, ,�: ��.�gli.� ,f�:ss.`,,,�, G.. ? -.;..�k.:iC"'se9�'.t-�..�c' :d�'€,S�;i�... �".+� —'--'S_. -i ai 3r:, �._ t..�:}• ...r. �7}.:`:r=.3. .q:r 'r`' 'r'.' :9�Ik�in :'.;L;�r ;= e-•''`,•�-..-.'-i:::':.;;e,::: e•f�-,..'}) 1rn -,,..�•:N f,rr^:... r�rr .:i.•;i.e"'r.c::`i ,..L'-��.,:1!':. +rY:�. NWF�, PROJECT JOS',SMm. -PROPERTY'OWNER Address: ,�"S'SD /B-/h t.e Name: /"j 4rn -Unit*: Address:.3 x A»;her o- Unto Parcel Identl mUon'Number: C3tv,S"tabe ZI h"ric /) r., . /:: . 9 3 Sa. I1-ZCo-2 !-v)r .r-U3 C1ejn—O 'Phone:8'r3-q?mz-SZSvFag, CONTRACTOR Company: T-tf-t4,s,-c1.11 _ ,,v eiIm*-iVA ,lit c Name:-�'c.-1 r�,ts-,r-��-,—/'>•cr t! ContraetDr'S Uomm*., -Phone: s?I3 -q?3-525U 'Cell: ;�ix 7�/. /�/q�' Fm ARCFiI &/ENGINEER: 'Name: firm Name: Address: My: . State: zip: State Uomnse#• Phone: Cell• Rw. . R&SCdMom ofJP1 LENm oRNEWAY I L►E 'N o � WDRIVEWAY FD Z r WID3i'1 of DRIVEWAY ( ),PMNFOR®CONaM7E• CC?MMERCtAI.DW WAY R.O.W.. EKCAMUION ( }MRRUGAIM MMERIAL ,_,.,,-UBLIC AL1C6S DRNEWAYL„_' ,PEPTH LINEAR FEET ( )BOX CULUBtT ( )omim(EXRM) JWNSrR MCA MATERIAL • CURB CUT REQUIRED ,HALT YES �!'MNM iE HEADVLMI�REOttMM YES `-no NO'i IC,E TO APPL'I N I<: If actual work exceeds scope of this description,additional permits or drawings will be required. UTILTI'Y SONS REOUIREO: GALL BEFORE YOU DIG:1.80Q.432A770. Page I of 3 L 4A 96 C�j V) a) CL Ck CL "IV L -�I 7 tr. AS "bill 7 01 18018d 0_3.S,3 g'SSOJPPV odA.Lwjo.-j Envelope Leakage Test Report (Blower Door Test) Residential Prescriptive, Performance or ERI Method Compliance 2017 Florida Building Code, Energy Conservation, 6th Edition Jurisdiction: �� Permit#: W ®per — p Job Information: Builder: Community: Lot Address: �� `,2 � c Unit: _. City: - State: Florida Zip: Air Leakage Test Results: Passing results must meet either the Performance,Prescriptive,orMMethod ❑ PRESCRIPTIVE METHOD-The building or dwelling unit shall be tested and verified as having an air leakage rate of not exceeding 7air changes per hour at a pressure of 0.2-inch w.g.(50 pascals)in Climate Zones 1 and 2. 5LAIFORMANCE or ERI METHOD-The building or dwelling unit shall be tested and verified as having an airleakage rate of not exceeding the selected��AA�CH(50)value,as shown on FORM R405-20J 7(Performance)or R406-2017(ERI),section labeled as Infiltration,sub-section ACH. e CH(50)specified on Form R405-2017-Ener Calc(Performance)or R406-2017(ERI): Method for calculating building volume /� X 60 �o�tJ��_ _ ® Retrieved from architectural plans C�M°— Building Volume ACH50 ❑ Code software calculated 9-`� PASS ❑ FAIL ❑ When ACH50 is less than 3 ACH50, Mechanical Ventilation Field measured,and calculated ❑ Field measured and calculated installation must be verified by building department. Testing.Testing shall be conducted in accordance with ANSI/RESNET/ICC380 and reported ata pressure or0.2 inchesw.g.(50 Pascals).Testing shall be conducted byeither individuals as defined in Section 553.993(5)or(7),Florida Statues,orindividuals licensed as setforth in Section 489.105(3)(1),(g),or or an approved third party.Awritten report ofthe results ofthetestshall be signed by the party conducting the test and provided tothecodeofficial. Testingshall be performed atanytimeaftercreation ofall penetrations ofthebuildingtherma/envelope. During testing: 1 Exteriorwindows and doors,fireplace and stove doors shall beclosed,butnotsealed,beyond the intended weather-strippingor other infiltration control measures. 2.Dampers including exhaust,intake,makeup air,back draftand flue dampers shall be closed,butnotsealed beyond intended infiltration control measures. 3.Interior doors,if installed at the time of the test,shall beopen. 4.Exterior doors for continuous ventilation systems and heat recovery ventilators shall be closed and sealed. S.Heating and cooling systems,if installed at the time of the test,shall be turned off. 6.Supply'and return registers,if installed at the time of the test,shall be fully open. Testing Company Company Name: airEnalasys Phone: 877-437-7728 1 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 of-rester. /`/ate Date of Test: O Printed Name of Tester: William Mago License/Certification# RESNET 4309320 _ Issuing Authority: FSEC t PERMIT APPLICA71ON OFFICE USE ONLY •c�=i ±C?:i'r:r��:5d�.�'- =•u"� ,:3:?r[Y.�{i:%:�i•`i`� 1i�-�CC;� — ��/`.. —l.—s.-/y� g■i - `tir"�;Cc:ci: -• -- . ..e-,:•y;, i.S' 't:J.'LL:tl:.• -T.'.• �r l'1_'�.:.i t:�Is{F .:fC`Y�•���.�_}a�1�R�lS.tl�Sf`E3Kf:Y4,,...... . - f'. t�'• t:i% Conaebe (min. 6). Y N Asphalt Base(min.61) Y N Asphalt(min. 11/2 ) Y N Length(min. 19) Y N Width(10'min—20'max) N Exiong skewalk. Y N New sidewalk. Y ADA oompliant Y N Expansion material required. Y N Contlguous parking pad. Y Triangular flare(3'W x 71) Y N 0-C S Msibiitty triangle o.k.? N Side set back(3'min.R.O.W.) 1' N Plan Revlew Fee i.3 C Permit appilcation approved by: Date: . Page 3 of 3 t' PERMIT APPLICATION UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA,IF ADDITIONAL SPACE IS REQUIRED,ATTACH TO THIS j APPLICATION. qsY 1 1 fir-n�x1,-y v=`�•� � ,�,[ _ c-G ck�pnd ✓oars ti"!a�J AFFIDAVIT: Application Is hereby made to obtain a permit to do work and installetiods as IndlraEesl. I certify that all foregoing information is accurate and that allmork will comply with all applicable codes.-I understand these codes shall take precedemx over all approved eonstructlon 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 addlHonal deed restrictions may apply to Ods p►"operty. All work shall comply with the current Fimida Building Code,Public Works Design Manual and FDOT Design Standards(if applicable). (Public Works Design Manual online link,viww.dzephythOlsAl.us/pubftc-woft.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR NOTARY PUBLIC. NOTES The City of Zephyrhilts Is not responsible for maintenance or repainr of driveways. Driveways shall not alter I interfere with existing sWrmWaterbeatment and l or conveyance. PROPERTY OWNERS: By signing this application: I certify that I have read and understand the ownerlbuilder disclosure statement:j-//? (please�''kca1 wet I J- 3%4il2ri Appllcbfit Print Name Applicant Signature Date Permit Technician Signature (or)Notary Signature Date Applicant is{ )personally known tome or produced as Identification. (type 0 identification) Page 2 of a i I