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HomeMy WebLinkAbout20-909 , f Q !f►���� .=r: City of Ze h rhills M&ERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BNR-000909-2020 T. Phone: (813)780-0020 % y Fax: (813)780-0021 Issue Date: V 6/2020 Permit Type: Building New (Residential) 11 26 21 0010 02000 0012 5967 14Th Street Ow a l f rmation Pe mt lnfma#ions -n Co tractorinfomation g Name: BUTTERFIELD INVESTMENTS INC Permit Type:Building New(Residential) Contractor: BUTTERFIELD Class of Work:SFR Construct INVESTMENTS INC Address: 31325 Amber Lea Rd Building Valuation:$140,000.00 DADE CITY,FL 33523 Electrical Valuation:$7,000.00 / J Phone: (813)973-5250 Mechanical Valuation:$6,500.00 Plumbing Valuation:$5,400.00 I Total Valuation:$158,900.00 n Total Fees:$18,690.65 Amount Paid:$18,690.65 Date Paid:10/26/2020 1:09:21PM r`� ter..>.�... � PZoject Descriptygb_ CONSTRUCT SINGLE FAMILY 1,609 SQ FT Park Impact Fee-Single Family/Townhome $769.56 Building Permit Fee �+3 $730.00 Driveway Fee $45.00 Plumbing Permit Fee $67.00 3/4 Water Meter Fee(Galt) $732.71 Plumbing Plan Review Fee $33.50 Electrical Permit Fee $75.00 Transportation Impact Fee-City $36.32 Mechanical Plan Review Fee $36.25 Public Safety Impact Fee-Admin $26.35 School Impact Fee $8,328.00 Public Safety Impact Fee-Police $254.00 Address Fee $30.00 SIF 1 percent Fee $83.28 Public Safety Impact Fee-Fire $273.00 Mechanical Permit Fee $72.50 Water Connection Residential Fee $1,010.00 Electrical Plan Review Fee $37.50 Transportation Impact Fee $3,595.68 Sewer Connection Residential Fee $2,090.00 Building Plan Review Fee $365.00 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 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. CONTR TOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , 7 INVOICE • • • FOR CITY OF ZERHYRHILLS 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-00001699 10/26/2020 10/26/2020 Due NONE REFERENCE NUMBER FEE NAME TOTAL BNR-000908-2020 3/4 Water Meter Fee(Calc) $732.71 Address Fee q $30.00 Building Permit Fee L� $730.00 Building Plan Review Fee $365.00 Driveway Fee $45.00 Electrical Permit Fee $77.50 Electrical Plan Review Fee $38.75 Mechanical Permit Fee t 7,0 $80.00 Mechanical Plan Review Fee $40.00 Park Impact Fee-Single Family/Townhome $769.56 Plumbing Permit Fee $70.00 Plumbing Plan Review Fee lbs $35.00 Public Safety Impact Fee-Admin $26.35 Public Safety Impact Fee-Fire $273.00 Public Safety Impact Fee-Police $254.00 School Impact Fee $8,328.00 Sewer Connection Residential Fee $2,090.00 SIF 1 percent Fee $83.28 Transportation Impact Fee $3,595.68 Transportation Impact Fee-City $36.32 Water Connection Residential Fee $1,010.00 5985 14Th St Zephyrhills, FL 33542 SUBTOTAL $18,710.15 REMITTANCE INFORMATION TOTAL $18,710.16 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 October 26,2020 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1 813-780-0620 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for'Permittin . j 2 s- Owner's Name Lt'f�P.i '�t�� H irk C df C• Owner Phone Number 8/3 7•3-'SZ S4 Owner's Address L5/3 is' t",Pe /fit tf Ci f Owner Phone Number Fee Simple Titleholder Name' Owner Phone Number Fee Simple Titleholder AddressJs JOB ADDRESS (D /`1 fh S(,-<-d �G S ELL 3 2,S� Z LOT# SUBDIVISION � . PARCEL ID# /1-26-Z1-061G0- 02-400- pt (OBTAINED FROM PROPERTY,TAX NOTICE) ' WORK PROPOSED _NEW'CONSTR ADD/ALT' �-] SIGN` Q- [� DEMOLISH INSTALL 8 -. --REPAIR PROPOSED?USE d SFR. Q `COMM OTHER - TYPE OF CONSTRUCTION ._ d BLOCK Q' FRAME STEEL Q DESCRIPTION OF WORK' ✓J el7/ C017 S7`/Lc 1 'C':7 D;-' Sf"1 L Gr yr?!l h'o;,, e' BUILDINGSIZE" 7:x-J S,c ]/ �°Sq'FOOTAGE '��iD 9 HEIGHT- 7 v BUILDING $ VALUATION`dr,1rOTAL CONSTRUCTION• ELECTRICAL $ 7,6 0 0 �. AMP SERVICE �] PROGRESS ENERGY 0 W.R.E.C. [PLUMBING $ V (Q sOO QMECHANICAL $ r 1J66 ' VALUATION OF:MECHANICAL INSTALLATION [ GAS ROOFING SPECIALTY, OTHER ,/ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES. AD C� BUILDER •- COM0i4NY= � ���rf"/�G� /hv1J��CrI f t j✓I c SIGNATURE - REGISTERED / N FEE CURREN Y 1 N Address 135 /�/ l L/ ' I t�Pe-f Dade License'# 'Ck /332 /N$ El�c fr�z ELECTRICIAN c. COMPANYC�vi -�CLa �• SIGNATURE -' REGISTERED Y/ N CURRF '" - Y/N ,Address u License !I ��G r I/J 3S y '# DG� J``� > PLUMBER-` COMPANY•••. ��/.� ;,L : jtl . SIGNATURE" D`-' REGISTERED:. Y/,.N•, •-•FEE CURREN-• U., Y/N Address S1 d� 7 Z 411ri S Y License,# 'y Z :S G•t -Z :' �. MECHANICAL ,� . ', . COMPANY .R��-.�-.��o /1�Y L p✓� �-� C ,: , SIGNATURE REGISTERED, Y./ N. : FE CURRER:_ Y./,N /2 License#" C R Y Address' �y��... D_. 4, OTHER SIGNATURE,. 'iY r ' REGISTERED`' Y/ N; FEE CURRE� Address j ! • License#: .....,,: RESIDENTIAL,.°Attach"(2)nPlof'_P,lans (2)§ets_of 9uildingl'Pian' (1)•set of,.'Ehi*,,Eortns;'rF2`O-lNrPermlt far new;construction, Minimum;ten(10)working;days;atter„subinittaliiate.r Required onslte;Construction Plans,'Stormwater'Pians w/Sift Fence Installed, Sanitary Fac(Itfles.&;1 ciumpste_r,Slte Warlc:Permit forsotidlvlslonsAarge:pro]ects, COMMERCIAL Attach(3)co"mplete sets bf Building Plans iilus a Life SafetyPage;'0)set of Energy Fomrs.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onslte,Construction Plans,Stomtwater Plans w/Silt Fence Installed, Sanitary.Fact ities&1 dumpster.Site Work Permit for all new:pro]ects:All commercial requirements.must meet compliance SIGN PERMIT Rttach'(2)sets of Engineered P:,lan's.;=z:: . . "PROPERTY SURVEY required,for all NEW constutction.. •Directions: !. .. • Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500.a Notice of Commencement is required. (AfC upgrades over$7500) Agent(for the cantraator)"or Power of Attoihiiy(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER,PERMITTING •• -• (Front of-Applicatlan Only)- Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public road ways:.needs ROW i y g :that:this. ermit.ma _besub act to.,"deed",restrlc1I6hs"•. : !. !... NOTICE OF DEED RESTRICTIONS: The undersi ned,understands which maybe r ore`-rest'Ictive-66n Countyregulations:`The'.undersigned�assumes'responsibiltty"for°compliance with any applicable.deed restrictions.. UNLICENSED C-dNTRACTORS SAND•CONTRACTOR-RESPONSM MUTIES: e-owner has,'hired"-w-contractor or contractors to undertake work; they.may be,required•_to;beaicensed-In:accordd ice_with,state.andaocal.regulations :If`the contractorls•not-Ilce-nsed as required by iaw, both the owner and=contractor-may be citedgfora misdemeanor violation under state law. If the owner or Intended contractor Op.;u ertaIn as to what licensing requirements 3ma -:apply 16' the Intended work;they are advised to coritacf.the.Pasco County Bullding;lnt3pectton,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-applicatoor,for„which,they,wlll.:be:=responsible.-.:If. ov you;,-as the _i%r er sign-as'the contractor, that fray bean Indication that'he is not properly`licensed`anti is'not'entitled to permitting privlleges in Pasco TRANSPORTATION..IMPACTIUTILI'TIES"rMPAC'FANb RESOUR E RECOUERY'FEES:'The undersigned understands . that Transportation Impact Fees:and.Recourse Recovery.Fees mey�;applysto:Jthe construction,,ot.new_bulidings,lchange=:of- use In existing buildings, or.,expansion of"exii'sting buildings, as specified.in Pasco County Ordinance number 89-07 and. 90-07, as amended..,The undersigned also,understands, that-such fees,,as,may; a-.due;will:be identified at the`time�of permitting. it is further understood that Transportatlon Impacf Fees and'Resource Recovery Fees.must be paid prior to receiving a:°certificate.-of occupancy" or flnahpower!;;release., of the project:,doesnot Involve,a certificefe of occupancy final power release;1h.wfess must'lie paid:prior.to;permit Issuance. Furthermore;•if:.Pascc>! County;WaterlSewer£impact fees are due,.Ihey_must;be,,ppid:;prior to..permit:Issuance-ln.accordance with:appllcabfe.Pas,c6 County ordinances. CONSTRUCTION-LIEN'LAW(Chapter 713, Florida Statutes,as amended): if valuation of work is$91500AQ,ormore,:6-•'$- certify that 1,-the,-applicant,:-have-.been Pm.vided:with.-a-copy-of•!the• ".Florida---Constructlon• Lten.Law.—Homeowner's Protection Guide" prepared by.-tho Florida Department•of Agriculture and Consumer_Affairs. If the applicant is other than the"owner", I certify that.1.have,obtained aicopy.of:the;above.deserl'ad docurtieint-and promise;tn,good',faith•.to. . :. , deliver it to the."owner prior to_,commencement:" CONTRACTOR'SIOWNER'S AFFIDAVIT: I.ceitlfy,,that;ail•the,information.ln•this application is accurate.and that all work will*be done in compliance with all.applicable'Iaws regulating construction, zoning andL'.land'development. Application is hereby made to. obtain .a.permit;,to do..work rand�lhstallation as indleatedi'-..=,-certify that` no work"br installation-has commenced prior to Issuance of a permit-and thaf`.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 the regulations of other government agencies may-apply.,to the.intended work, and that it is my responsibility to Identify.W.hat,actions I must-take:to,be<In-compli%ance.. Such:agencles Inclu de-but-are.not limited to:. . Depairtment of Environmental�Protection,` ress'Bayheads; Wetland Areas•and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management- .District-!Wells,: Cypress.,-Baybeads;- Wetland Areas, Altering Watercourses. Army Corps of Englneers-Seaswalls,`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:restdiit. s apply to the use of fill:- Use of fill is not allowed ImFlood;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 ;,- "compensating volume":will be submitted at time of%.permitting which is prepared by a-professional englneer licensed bythe.State of Florida: If the fill-material,is'to be used in Flood Zone "A" irn connection with:a-permitted building';using stem wall construction, I certify that fill:will:bwused only to.fill the area within:the.stem•wall:, If Hill material Is-to 'be used-in..any area; 1-•certify that .use. of:such fill will.not adversely affect adjacent. properties. If use-of fill is found.to adversely.'affect adjacent'propertle%.the owner may he cited for violating - the conditions.of the.building'perm-It issued under the.-attached�dermit applicatlon.fot 1ots-1ess.than.one (1) acre which'are eleivated•:by fill;prt engineered drainage plan is required:. If I am the.AGENT FOR THE OWNER, (.promise in good faith to Inform-the owner,ofithe Perm ing conditions set forth In this affidavit`prior to-commencing construction. 'I understand that sa,separate permit may be required for electrical',work, plumbing,..signs; wells;•pools;. air.conditloning .gaffs;,or:other Install tloris not,specifically Included-in.the application. -A t'ue . permit Issued shall be coasd,to tie'a'Ilaense!to;proceed with'-1 iiiork and novas:authorIty-to,violate;.:"cancel, alter, or set aside any-provisions of the.technical codes;-nor shall issuance'of a.permit.prevent the-Building Officlal.fronrthereafiter requiring a correction of errors in-,,.plans -construction.or.vlolations of-any codes:-`Every-Permit-lssued5shdll become-Invalid unless the work authorized-by such permit:•ts-commenced•within sUc,months of permit Issuance, or if work authorized by the permit is suspended or:abandoned for:a;period,;of:six:(S)months.after.t.9 time the,work.is commenced. An extension. may be'requested, ln.writirig,.from the:Buliding•Official for a period£not to exceed',ninety--(90)days and Will'demonstrate justifrabie cause for:the extension.. If work ceases:for"ninety.(90)consecutive.days,..the)obis considered abandoned. la WARNING TO OWNER; YOUR.FAILURE_M.,R•ECORD.A.>NOTICE:OF:-COMMENCEMENT,MAY,-'I ULT IN-YOUR PAYING TWICE;FOR IMPR01/EMENTS:TOYOUIi:P1tOPERTf:�IF:YO.U{IN'FEND TO'�OBTAIN FIN�►MEING;-CONSULT WITH YOUR LENDER OR�ANATTORNEY £FORE+RECORDING`+Y©UR NOTICE"OFI��MENGEli7ttENT' FLORIDA'JURAL(F.S:_1-12.03)-•. OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscdbed'and'swom to'(or'affirmed)•befom me thii by by... Who Is/are personally known tome or;hasRrave produced. - Who,ls/are personallyMbwn•to.me:or has/have-prodUced.. ae Identification. as identification. Notary Public Notary Public- Commisslon No:` Commisslon No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped Permit No. Parcel ID N0 / a NOTICE OF COMMENCEMENT State of � County of P4 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. //-Z 0-2/-00/6'02-000 —OD/Z Street Address: J59�O� [ IT� 5ficcf �enl�u��;(1S15'-(/2 2. Gam, �l Dc u pti ,,of 1-p�.�,,,� new Coll 5 fr-a4+'o el 5 r�►C�� �a�,^i/ct 17 o✓n C� 3. Owner Information or Lessee information if the Lessee contracted for the improvement: C" m m y' 3/3?S ,fin rbzi/Pa AW .. Address City State L Interest in Property: Q1J/1 e 00 1 .-0 00 O Q O. Name of Fee Simple Titleholder, 17 04 e (n t= 'If d fforent from Owner listed above) W O rn u Address �-r% /e�G/ city State •• m 0 0 H to c3 4. Contractor. �Y /35yy Nam/®y,4h Sff�e{ /deleCif 33S"2T Address City State Mt i V Contractor's Telephone No.: �l 3 Z yS �'7/qJ� tQ m m 01 > 5. Surety: '1 04 G L.J Name N m > > Address City State A N .N O CV N N a U Amount of Bond: $ Telephone No.: p 6. Lender:ban C f m -0 Name 0 Z O- Address City State Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name _ Address Rite -State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of— to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner. 9. Expiration date of Notice of Commencement(the expiration date 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. t9p fFANRI equry,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best ♦♦♦� rt�� belief. IS ly+,♦•�e I PA CO y My Comm. z Signature of Owner or Lessee,or wriges essee s Authorized 3.2021 Officer/Director/Partner/Manager Q8t16614074 Siggn�at_iory'sTitle/Office Th ri ��♦,cnowledoed before me this day ofl1CC[)CL .20?Qbv 1 C I as I(ty a of authority,e.g.,officer,trustee,attorney in fact)for (na Hof a on behalf of who rumentwas executed). Personally Known QR Produced Identification El Notary Signature Type of Identification Produced Name(Print) wp data/b cs/noticecom mencement_pc053048 SC j�)QY -9 1 -6)olt - 0 7- ULU- uvlL i t�• t'" I �l� s-f-�.�e-� 5q� -1 l y FL 23;- ZI 2 34 �y n � S-ve-e-� �I CITY OF.ZEPHYRHILLS—BUILDING DEPARTMENT RIGHT-OF-WAY USE PERMIT qob DATE:/2 1 2y2u PERMIT#: No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from.the City.Building Department. Any application for approval of construction operations on any City owned Rights of Way shall furmish a detailed drawing showing the complete scope of time proposed work in triplicate to the office of the Building Official for approval prior to the commencement of anywork. A copy of this permit is to be kept readily available at the site of the work at all times. PARCEL ID M//-2(0 CITY ROAD LOCATION(Legal Description): Crf4 er Z< A, %/i .P r...l'G .S,i d!.df'L, �J /—.r lac / k•/oek 2u �rLc-T .%/j 257 y? 6 r-- < 7r/ /q1, (= T %f-/ fU 2S'0���8'2Sk 111_4 >'Ug%.Ae_6 Z'yG'�E . to 11 Permission Is hereby.granted to IFL1 ne A„&44i4a d. _ of 8.4-.._/r_•?1 �lc>! 41V&i--if'-1�.�-�4/� For the construction and maintenance 1 4 wl. Subject to the following conditions: 1, The construction and maintenance of such utility shall not Interfere with the property and rights of a prior occupant 2. All work shall be done In keeping with the standards of the City Streets Department and under the supervision of the City Building Official,who will be notified at least one day prior to commencement of construction. 3. All materials and equipment shall be subject to Inspection by the City Building Official. 4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all responsibility from damage of any nature arising from this permit Subject to the same terms and conditions;the permit holder may take such safety measures, -including placing and display of caution signs,as it may deem necessary in conduct of construction and maintenance work hereunder. It is the responsibility of the.permlttee,to???? 5. All private and all City property shall be restored to its original condition as far as practical in the opinion of the City Building Official. 6. All underground crossing Installations shall be laid at such depth as may be specified by the City Building Official. 7. The sketch covering the details of this Installation shall be made a part of this permit. This perriit is granted with the understanding that the applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by Odor Installations as a result of his operations in order that they may safe guard their Interests. 6. It is expressty stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property pursuant to this permit shall not operate to create or to vest any property right in said holder. 9. Whenever the City decides to.further exploit the City Rights of Way, any or all said poles' .wires, pipes, cables, or other facilities.and appurtenances authodked hereunder,shall'be immediately removed from said Rights of Way,or reset or relocated thereon as required by.the City Building Official at the,expense of the holder of this permit.. 10. The holder shall save and keep the City harmless from any and all damages,claims, or Injuries that may occur by reason of the construction, maintenance,and operation of said facility. 1-1•: The holder shall complete the requested work within days.or this permit,shall become null_and void. in the event the work requested is not completed upon the expiration date of this permit,the City'shall have the right to complete such work and to charge the holder of the permit for all costs Incurred in completed said work.. 12. The holder shall post a cash or surety bond with the City Manager in the sum of S dollars to guarantee performance of the obligations herein,and to guarantee maintenance of the right-of-way described herein for a period of one(1)year following completion of the requested installation. In the event a surety.bond is posted,the surety bond shall be made payable to the City and shall obligate the surely to hold the City harmless In the event the holder of this permit should fail to meet any of Its obllgations hereunder. The bond shall also Indemnify. the City for all court costs and reasonable attorneys fees In the event legal action is required to collect on said bond. suBMrrrED BY: (PERMITTEE) l�✓U.c;,�,�7u *'� fiilJ�/: /—r�� *�ll�/`i✓[J�o�A7j, �dr e. Signature&Title k ���[� Di��c •lam Address 3122IT. A,,, Pa A-4 - .�'2- REVIEWED BY: CiTY OF ZEPHYRHILLS Utilities Supervisor Date Public Works Date, fJ 3 t> .0 wx .SEE .161o'Ld i i i 4 jQZ 1 � i 1 t 1 G r Ol : 7 t 1 f i Envelope Leakage Test Report (Blower Door Test) Residential Prescriptive, Performance or ERI Method Compliance 2017 Florida Building Code, Energy Conservation, 6th Edition Fj u—risdiction: 6i -6z z Permit#: — p O T — o Job Information: Builder: c2 �� Community: Lot Address: Unit: City: z ,� - ls' Stater, Florid'a'" J;• - , :.t 1. Air Leakage Test ResUItS: Pas'lngresultsiii'ustineeteifherthePerform'ance,Pre scriptive,ortERl.,Method, .„ I>::r+ " .. ., .. . spa.;.. ❑ PRESCRIPTlV.EMETHOD-The building!ordwellingunitshallbetestedand,verified,ashavingah,airleal(age,r'ate'ofnotexceeding7 air changes per hour at a.pressure of 0,,2-inch Wig.`,(50;'pascals).in;Cli'mate Zones 1 and.2. 21YERFORMANCE or ERINETHOD-The.bu)Iding or dwelling unit shall be tested and verified as having'ah!air leakage rate o6ot exceeding the selected ACH(50)value,as'`s'own on FORM R405-20J 7(Performance)or R406-2017(ERI),section labeled as Infiltration;;sub..'§ection ACH.' G"'ACH(50)specified on Form R405-2017-Ener Calc(Performance)or R406-2017(ERI): Method for calculating building volume. -, X 60 ^/.2 72 ® Retrieved from architectural plans , CC�FMSO. Building.V0lume ACHso ^ / ❑ Code software calculated l a� PASS ❑ When ACH5P.is less than.3;ACHso.;Mechanical:Ventilatio'n Field measur6d!and;:balcul'ated Field measured'.and,ca'Iculated installation,;must b;e ve"rified by building department. Testing.Testing'"shall be cond ucted in accordance with ANSI/RESNET/ICC380 and reported at'a pressure or0.2lnches w`d.(50 Pascats)I Testing shall;be conducted byeither individuals as defined in Section 553.993(5)or(7),Florida Statues,orIndividuaIs licensed asset forth in Section 489.105(3)(1),(g),or or an approved third party.Awritten report of the results of the testshall be signed,by.the party conducting the test and:Providedtothe code official. Testingshall be performed atanytimeaftercreation ofall penetrations ofthebuildingthermalenvelope.' During testing: 1 Exteriorwindows anddoors,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 be open. 4.Extd'rior doors for continuous'ventilation systems and heat recovery ventilators shall be closed and sealed. 5.Heating and cooling systems,if Installed at the time of the test,shall be turned off. 6.SupA,-,and return registers,if installed at the time of the test,shall be fully open. . Testing�cpmpany Company Name: alrEnalasVs'z . Phone: 877-431=7728 I hereby verify fliat the above Air Leakage results are in accordance with the 2017.6th Edition Florida Building Code Energy' Conservation requirements according to the,compliarice'method.selected above:: ` Signature of Tester: Date of,Tds_t: Printed Name of Tester: William Maio Lice nse/Ce rtificatio n# RESNET43093201`:, , ..,.,. , Issuing•Authoelty: FSEC ' PASCO COUNTY, FLORIDA E Permit No. Date Permitted Sunder Name/Owner Name 6&QdaU�7control#' " County Parcel No. (( 2.6 ?1/ d D 10 1OZOOD ©d 1 L SubDiv: C _e ? fL Address/Location ls aT— Classitication/Type of US9 �d .J 'm D TRANSPORTATION IMPACT FEE , Rate: Sq.Ft Unit: Exempt ❑Yes [] No How Dater�nined Impact Fee Amount $. Zone No. TAZ: r . SCHOOL IMPACT FEE.' t `/f f Account (066) Single-Family Detached House Amount $ c'S T t/`i (057) Mobile Home 1 i (058) Other Residential 123) Collection Fee ' Exempt [�Yes. []No How Determined I, PARKS AND RECREATION FEE, Land Account Land Credi Land Total y Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ ..7 Exempt ❑Yes n No How Datetrrllned LIBRARY'FEE Land Account Land Credit y Land Total Facility Account Facility Credit Facility Total Exempt ❑Yes 0 No How Determined Total Amount RESOURCE FEE ERU TOTAL AMOUNT Prepared By Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR.FINAL.INSPECTiON PERFORMED OOL:THE TO'PAL AM04NTS LISTED HAVE BEEN PAID AND RECEIPTE ,FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY Ackrtowiedgement below does not Imply acceptance of conourfenca,but almply receipt of a copy of thla.torm;placing ' the building permit owner on notice of this assessmerit Md the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY • - PASCO COUNTY Receipt Date: 03/25/2021 DAS b BUILDING CONSTRUCTION SERVICES Receipt Number: 2030735 8731 Citizens Drive COUNTY FLORIDA Suite 230 OPEN SPACES.VieRnn•PLACES. New Port Richey, FL 34654 727-847-8126 ** NOT A PERMIT ** Paid By Check# CC Auth# Cashier ID Workstation Check 2721 LMESSICK BCCCP40L Fee Description Amount Paid Impact Fee Residential Solid Waste Single Family 50.76 Total Payments: $50.76 Payor Address Phone buttelfield inves is 5967 14th st zephyrhills fl 8132451495 Comme - perm t# 09 city of hlls 11 26 100100200 012 While you will be paying your bill with Pasco County Building Construction Services,the full amount of the credit card or e•check fees,NOT shown above,is collected by First Billing payment services. myreports/reports//production/PASCO/Customer Receipt Of.rpt Print Date: 03/25/2021 Page 1 of 1