HomeMy WebLinkAbout91-1871
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
Permit )f~
18713
J/3(J. ZJ?J
to" cTb
BUILDING DEPARTMENT
1-813-788-6611
7G-: J?;J 30, 07J
MECHANICAL )
Date /tJ - ;;23 - 9/
".J~JL{,~ t 02. 7c. crv
L::-JVv1-. .3 ~ 1) - trz}
/ --If" /l1..;Z-~ / t:. s~ - tlV
Property Owners Name: ..g '<- '/ .ft;;"", , (N"Z-a-d 1;A:-' l~~= a.....)
Job Address: .3 7 )/} 7 ,,,'7ftT/r~ ?LAA 52 ~".JA.r7;= /I?1'r-~1A7 ?t:91/)
Legal Description: Sub.Div. &-e-__ (}J ~ Lot Blk. !)-...:2. {!)-9~
Zoning CI: J ...,2 b .,;J./ - D / ~ - 0 CJ ~ - Q..r~LJ
DescrIPllonofwork)f~ ---Ll,^, ~ ~ . '1 j)'<b - .eg,.~
(j ~
/~ ctYjJ/6-<J ) 73-6
Estimated Cost:
-?I ~ crp-tJ - d()
Fee:..s-{;-.5-: UU
SIGNATURE ~llJL?L. U
-'1 0ti-
~~
/7 r-5 '6 .71ft
~"LV-L
Energy Code Readout: 7 h ' ()
Complete Plans, Specifications and Fee Must Accompany Application
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE # /Y/
COMPANY
ADDRESS
TELEPHONE #
SLB - Tp.Serv.
Tub ser~'...1~/iJJ1ft/-ROU9h In '...IS.q'UJ,J..
Water - S- I Meter Can
Sewer Const. PoleIO'1,~4<Y'
Final Pool
Pre-Meter 1- h-It l,.. ~
Final
MECHANICAL
--------
.#--
y-
BUILDING
" ~. ~----
rtr II_t- ,=
Pr~ SLB ,I-I ''1 /!l~
Lintel
FRM. 1--/7, 'J 7 1it:H
Insul,C~
DriVeWay~: l (
Breakers
Ducts Insl.!-t'7-?z'J'IJ{j'
Compressor
Final
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons. a charge of ten ($10.00)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
,\PPLICANT _GiL I
ADDRESS
S15J6 CONS~\2Q7CJN
(hLADGS ~IZ. ;?-/+tU5PHONE
A-N N l C1i A/UJo
fOt \WtJ ~~E-
LEGAL DESCRIPTION: LOT(S) 5'0
5-I2~lo
7'lZ ,-try (.{ c
OWNER
BLOCK
LOT SIZE /ZS-x lOS-AREA SQ,FT. ~~~
e IL vtc:: /) /e,^ · /.<
SUBDIVISION :::> _L,.H_ ~L0
JOB LOCATION.31J 2;7
PAf~CEL I. D. ii o:j - 20 ~ 2.., \- 0 I ~ 0 - 6>ocx::.>O - 0500
\WRK PROPOSED:-A-New Construction _Addition _Alteration _Repair _Install
_C;ign/Temp.
PROPOSED USE: .t-._(;;n!~le Family
_Sign
_:iove
__Demolish
_M/F
_4F of Units
_M/H
_Commercial
_Indust,
_Swim. Pool
Other
_Restaurant & Health Departmenr Approval
BUILDING SIZE: 4.~1_<-t I( x47~'1~
/662-
Square Feet,
R'
Height
RESIDENTIAL:
COl'IMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.."fS. **
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS, *'~
**COPY OF CONTRACT REQUIRED.
PERMITS REOlffiSTED
X BUILDING
~ELECTRICAL
1-MECHANICAL
~PLUMBING
$ 59; 240 .
~ AMP Service
$ 2.fr;;cv.
Valuation of Total Construction
--t<-_Flor ida Power Corp,
_w,R,E.C,
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
~Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
Company
beL, STl5J~
(b,vS~.{.)Cn00
JE..I elSe. C) '2-2- \ 3 cy
Signature City License Registration #
*******************.****************************************************~,****************
Electrician Company 2-l.\. ",-,-'3> t::<-E'c'l, S 20,
City License Registration # \",D
* * * * * oJ.J.* <o'l.J."*C)t* oJ J~ ~..". * J....t....t.. ~t.. J., .'. * * J. ,'" J.. J.. ..... J...l. oJ.. ..... * J. * J.. ..'.. J.. J.. ..'.. J.. J.. *...
. c~mp~~y"~ ... ~~;~ 'jf1ii~" 'fX(~;;t1.~"6"""""'"
.
Signature City License Registration l~ ,Sf
****************n****,**************************************************~,****************
Hechanical Company ~/(':J j';ec/,,/'9.AJc 6.14$ IZ../j/c I.AJ C.
Signature
City License Registration 1F t': fir. 0 ',0'3 q 'TEt
.*****************************************************~~****************
Other
Cc,iIIpaaly
Signature
City License Registration #
I Hereby certify that I have read and examined this application and know the same to be
true and correct. All provisions of law and ordinances governing this type of work will be
complied with whether specified herein or not, the granting of a permit does not presume to
give authority to violate or cancel the provisions of any other state or local law
regul ting construction or performance of construction.
Lan~~ t? ~.
Signature of O\o,'Iler
Date
IO!(J~/c?/. Da te
signed by the owner and notar~zed.
~ ~Ol~l''t ."'jll.L~~"~.~~Fl~tln~91 .
liil co.\~...lIS;;,ION E/.'. I.... J. t_u, ~J. 199"
Notary Public eON"." THRU NOTARY P""'-IC UN.J!;R,mIYERS.
il'-
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------,._.._-.~-~_._--- ---~.- '--------.----.-
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.--.-..--.--- ' IN&- -~-----------~----
JL~':Itf $j ,..... c.. ~r'l r,( 't1
---.--..-------..--.- ,of ~----'--'-
'Ii Vff L\.Xt'1i t">#\1 if', L;(,)l)
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----.---.....---- --- --.'------ --."'~--~- ~ ----..._~-
---~---------- - ~._._--------~--------- _.~-- .._------~---_._-,---,-
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t:.l.-f-c Ifl t (1\ 1.- too. 00
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rt\~J,h)NJ UlL.. -- 30. ~~ 0
---~-- - -
'5\)~ forA L. ......"...-.. :) Ie 5. 00
-- "- ~. ., :. a. ... -~ .-
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CONTRACT FOR CONSTRUCTION
THIS CONTRACT FOR CONSTRUCTION, dated this l~t day of October '
1991, is between G. L. STEVE CONSTRUCTION, of 37746 Glades Lane, Zephyrhills, Fla.,
(BUILDER), and Mrs. Ann;rp Arnn (BUYER), at
In consideration of the mutual promises, covenants, and conditions contained
herein, BUILDER and BUYER agree as follows: .
1. BUILDER agrees to construct a residential dwelling and BUYER agrees to
employ BUILDER to construct the dwelling on property located at Lot. #')0
of Silver Oaks in Pasco County, Florida, and
legally described as follows:
Lot #50 at Silver Oaks, recorded in Public Records of Pasco County, Florida,
in Map Book 26, Pages 46 through 49. See Lot Purchase Agreement attached hereto.
2. The dwelling is to be constructed thereon in accordance with plans and
specifications that have been approved and signed by BUYER and BUILDER, and at-
tached hereto and made a part hereof as EXHIBITS "A" thru E . All items con-
sidered standard by BUILDER except as noted are attached as EXHIBIT "B".
3. PRICE. The purchase price for the dwelling to be paid by BUYER is the
sum of $ 59,240.00 ,payable to BUILDER as follows:
(a)
(b)
(c)
Initial Deposit $ 500.00
Additional Deposit (at closing) 16.500.00
The following related construction costs are included/excluded in the
purchase price:
V~", Survey
Y~C> Health Dept. Fee
Y~9 Building Permit Fee
Y~C> Inspection Fee
Vpc> Water-Sewer-Hookup
N/A Septic Tank
n,OOO.OO Lot #50 Silver Oaks
Total purchase Price
N/A.
Yeso
N / A
,
Yes
Well-Pump .
Sprin~ler Permit
Pool/Jacuzzi Permit
Site Preparation
Insuarance (Builder's
Other
Risk)
YOQ
Total 13 000 00
$ 72' 2~0 00
7 .
(d)
Payments are to be made by BUYER to BUILDER as defined in BUILDER'S draw schedule
attached as EXHIBIT "C".
4. CONSTRUCTION. The dwelling shall be constructed pursuant to generally
accepted standards of the construction industry and substantially completed \,ith-
in 120 days of issuance of the building permit, or within a reasonable time there-
after, subject to delays and other conditions beyond the control of BUILDER.
BUILDER agrees to pursue construction of the dwelling diligently to completion.
5. INSULATION. Insulation will be installed in the dwelling as follows:
(~ttll block walls will be insulated with Tuff R insulatioo to a thickness of
, inche~l~hich thickness, according to the manufacturer, will yield an
R- alu~ of .; all exterior frame walls be insulated with fiberglass batts,
which thickness, according to the manufacturer, will yield an R-value of II ;
(b~ ~ll ce~lings,. excluding ~arage, pa:-io, an~ first floor of t\7o-story home 1/
ce1l1ngs w11l be 1nsulated w1th blown 1n SAB 1nsulation to a th1ckness of . ~
inches, which thickness, according to the manufacturer, will yield an R-value of
2.b
6. LIMITED ONE-YEAR WARRANTY AND LIMITED DAMAGES. BUILDER shall warrant,
in writing, the dwelling construction against defects in workmanship and materials
for a period of one (1) year from the date of occupancy or closing, whichever
first occurs, except to the extent such defects are caused by the negligence or
improper acts of BUYER OR ANY PERSON OTHER THAN BUILDER. BUYER shall be obligated
to notify BUILDER in writing at its office in Zephryhills, Florida, of any defects
covered by BUILDER'S express warranty on the dwelling and BUILDER shall make or
authorize repairs as shall be necessary to correct such defects, as promptly as is
reasonably possible. ALL EXPRESS WARRANTIES, ANY IMPLIED WARRANTIES WHETHER ARIS=
FORM 90Q-A-91
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
Climate Zones
CENTRAL@ 5 6
PROJECT NAME
AND ADDRESS:
NEW CONSTRUCTION ~
AODITION 0
MULTIFAMILY ATTACHED 0
SINGLE-FAMILY DETACHED ~
IF MULTIFAMILY, NUMBER OF CONDITIONED ~\ \ n sa.
UNITS CCNERED BY [IIJ FLOOR AREA ~ FT.
THIS SUBMITTAL: PREDOMINANT [Ed [9
EAVE OVERHANG
CHECK IF THIS SUBMITTAL LENGTH . FT.
REPRESENTS A WORST CASE PORCH OVERHANG rc::J Cl
CONDITION 0 LENGTH LJQJ. ~ FT.
_~c: " -. \ ~
~~:::TE 4 [W' 6 D
JU~ISDICTION ~
NO.. ~
OWNER:
A e..DD
GLASS AREA AND TYPE
CLEAR TINT,FILM,SOLAR SCREEN
SINGLE- [[IIJ sa. SINGLE- n=r:T:l, sa.
PANE FT. PANE ~FT.
DOUBLE- [[IIJ sa. DOUBLE- [[IIJ sa.
PANE fT. PANE FT.
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R = EXTERIOR FRAME R = EXTERIOR STEEL R EXTERIOR LOG R =
OIJJJ so. m.o CI:J2lili w [ill] OIJJJ so. m [IIIIJ so m
FT. FT. FT.
ADJACENT MASONRY R - ADJACENT FRAME R - ADJACENT STEEL R - ADJACENT LOG R =
OIJJJ so. m.o CIliJill so. [ili] OIJJJ so m [IIIIJ so m
FT FT. FT FT
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R- SINGLE ASSEMBLY R- SLAB PERIMETER R= RAISED WD 0 CON D R=
~so. 8]. OIJJJsa. m c:I:iliiI1J FT. rn [IIIIJsa. m
FT. FT. FT.
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HDT WATER SYSTEM HDT WATER CREDITS
IN ~ CENTRAL D ELECTRIC STRIP r2l HEAT ~ CEILING FANS ~ ELECTRIC SOLAR: o.m
UNCONDITIONED
SPACE R = D ROOM D NATURAL GAS PUMP ~ CROSS VENTILATION D NATURAL GAS S.F. = HEAT RECOVERY iCHECK} D
m.rn D PACKAGE TERMINAL D ROOM UNIT OR D OTHER D WHOLE HOUSE FAN D OTHER FUELS
FUELS DEDICATED
IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL D NONE D ATTIC RADIANT D NONE HEATPUMP: 0 .m
D NONE HEAT PUMP
SPACE R = BARRIER E F =
m.D SEER/EER = rn.~ COP I HSPF I ~.OO D MULTIZONE EF = . ~~ NUMBER OF rn
AFUE = BEDROOMS =
INFIL TRA TION ~ CIiliIili0 ~.@J
PRACTICE USED X 100 =
o #1 [RJ #2 0 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.I.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS,
DATE to -ij) -c:r (
Review of plans and specifications covered by this calculation indicates compliance with
the Florida Energy Code. Betor nstruction is completed, this building will be inspected
for compliance in accordan w. Section 08, F.S.
BUilDING OFFICIAL:
DATE:
9A I PRESCRIPTIVE MEASURES (must be met or exceeded by all residences,)
COMPONENTS SECTION REQUIREMENTS CHECK
WINDOWS 904.1 Maximum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doorsl.
EXTERIOR & 904.1 Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel, insulated or glass doors only.
ADJACENT DOORS
EXTERIOR JOINTS 904.1 To be caulked, gasketed, weatherstripped or otherwise sealed.
& CRACKS
WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Switch or clearly marked circuit breaker (electric)
or cutoff (Qas) must be provided. External or built-in heat trap reauired.
SWIMMING POOLS 904.3 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a
& SPAS pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%.
SHOWER HEADS 904.5 Water flow must be restricted to no more than 3 aallons oer minute at 80 PSIG.
HVAC DUCT 904.6 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
CONSTRUCTION, sealed, insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned
INSULATION space and air handlers located in attics must be insulated to a minimum R-4.2 (R-6 after 1/1/92).
& INSTAllATION
HV AC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system.
INSULATION 904.9 Ceilings-Min. R-19. Common Walls-Frame R-11 or CBS R-3. Common Ceilings & Floors R-11.
- 1 -
SUM,MER .CALCULATIONS
CLIMATE ZONES 4 5 6
I-' GL:ASS I BASE I BASE I-' I SINGLE-PANE DOUBLE-PANE I SUMMER lAS-BUILT
z z GLASS x SUMMER POINT MULT. OR SYMMER POINT MULT.
w AREA x SUMMER = SUMMER w x OVERHANG = GLASS
a: a: AREA
0 PT. MULT. POINTS 0 CLEAR TINT' V CLEAR TINT' FACTOR (9B) SUM. PTS.
N lL2.. :3 47.8 .~ N 41,C( 51.0 51.5 47.8 43.5 2?3> I, '1cr I ' 0
NE 71.7 NE 77.2 76.6 71.7 63.4
E IQ,~ 102.0 I qqq-t.. E rqe, 109.2 107.1 102.0 87.3 11(5 II ./... '3. 7 \ 3
SE 104.1 SE 112.9 110.3 104.1 89.4
S Z{",Q 90.9 2.~(..3,~ S c.~.D 100.2 98.3 90.9 78.8 ,/PI II "'2.,4
SW 104.1 . SW 112.9 110.3 104.1 89.4
W A.~ ~ \ 102.0 1ta./tP.<t),L W ?: 0 '1 109.2 107.1 102.0 87.3 ,'~ , ~4$",[.1
NW 71.7 NW 77.2 76.6 71.7 63.4
H' 90.9 H' 367.7 303.3 324.6 238.1
(J) N 1{)d SI. ') \6C\ '2 '8$7,0
(J)
<(
....I
" W 2.5 , 1- \01' \ \3~ ~z..o,o
,
I CONDo I TOTAL I BASE I BASE I ADJUSTED AS-BUILT
.15 x FLOOR '1 GLASS ADJUST. x GLASS = GLASS GLASS
1 AREA AREA 1 FACTOR I SUBTOTAL I BASE SP SUBTOTAL
.15 1 1\\oB 1 2.\ '- 1<=6 ":!. lQ.. 10<0,1 Il'l.. 2.oG. ,(p \o.sc. ~J.,
,
COMPONENT ~ BASE SUMMER ~ BASE COMPONENT I SUMMER I AS-BUILT
AREA SUMMER AREA x POINT MULT. = SUMMER
DESCRIPTION POINT MULT. POINTS DESCRIPTION (9C THRU 9G) POINTS
EXTERIOR IY'S 1.0 flq~,o C ''1 'lOr~ {,o 1'1 S \ 0
....I ADJACENT 1"7,4 C, 3. B c , \ 1"1-J " '-t .3, car
....I .7
<(
3: --
rn EXTERIOR
g ADJACENT
Q
20
\r&
4.8
1.6
,
11'% II
,
\ fJ 5
\ lJ So
"20
\8
;:e
,
~~
CJ UNDER ATTIC \ It.. ~ .6 qDO.g ~'1.'1- \\t~~ ,-q lOS' . "L
z OR SINGLE .6
::::i
W ASSEMBLY .6
0 BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING. AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE
TOTAL COMPONENT BASE SUMMER POINTS
Y-
TOTAL BASE BASE
x SUMMER = COOLING
POINTS POINTS
2-\ ,'1.'1, (p q I z.. 3,0, '""
10.9
SLAB (PERIMETER)
~ RAISED (AREA)
o
....I
u..
~
-31.8
- 3.43
INFILTRATION
I I
TOTAL COMPONENT AS-BUILT SUMMER POINTS
,
TOTAL
AS.BUIL T x x x
SUM. PTS.
z.D, t~..)O,:;'
AS.BUIL T
HOT WATER
SYSTEM DESC.
'bt
,
IZQ'(,.lO I::!
AS-BUILT
= COOLING
POINTS
'7. 3.A 1. , ~
1991
1992
BASE BASE
x HOT WATER = HOT WATER
MULTIPLIER PINTS
3527 1,0$4, D
COOLING
SYSTEM
HOT
WATER
SYSTEM
~
'H = Horizontal Glass (Skylights)
2For glass with known Shading Coefficient, see section 903.2(a). Tint Multipliers may be used for glass with solar screens, film, or tint.
-2-
WINTER POINT MULTIPLIERS (WPM)
98 WI'NTER OVERHANG FACTORS (WOF)
6
CLIMATE ZONES 4 5 6
:.-- _..~ ,,- .. f'-
-'
~ OH RATIO 1.0-.11 .12-.17 .18-.26 I .27-.35 t .36-.46 J).47 -.57 .58- .70 I .71 .83 [84 1.18..-H.19 172:L 17~-?74.A 2.74+
I SINGLE PANE GLASS '----.
I N 1.0 1.03 1.05 ,1.08
I 110 113 1.15 118 1.20 1..24 1.29 1.34
I NElNW 1.0 1.07 1.10 115 1.20 1.25 1.30 1.35 1.39 1.:50 1.59 1.67
I
I ElW 1.0 .71 .57 .19 -.20 -.65 -1.05 -1.48 -2.03 -3.01 -4.06 -5.04
I SElSW
>-1 1.0 .93 .90 80 .68 .54 .39 .22 .05 -33 -.71 -1.01
<XlI S 1.0 .95 .92 .83 .70 .54 .36 .13 -.13 -.70 -.98 -1 nq
>-0::
~o DOUBLE PANE GLASS
u:l'
(/). N 1.0 1.05 1.07 111 1.14 1.18 1.21 1.24 1.28 1.34 1.40 1.47
.
I NElNW 1.0 1.11 1.16 1.24 1.32 1.41 1.48 1.56 1.63 1.80 1.94 2.08
I ElW 1.0 .88 .82 .66 .50 .31 .15 -.03 -.26 -.fi6 -1.10 -1.50
.
I SElSW 1.0 .95 .92 .85 .76 .65 .54 .41 .28 -.01 -.30 -.52
.
. S 1.0 .96 .94 .87 .78 .65 .51 .33 .13 -.30 -.51 -.60
... OH LENGTH' o It. 1 It. 1V2 It. 2 It. 3 It. 31,2 It. 41,2 It 51,2 It. 61,2 It. 9Y2 It. 14 It. 201t.+
* To select by Overhang Length, no part of glass shall be more than 8 It. below the overhang
OVERHANG RATIO =
OH LENGTH
OH HEIGHT
r~L
H
J
.
01
9C WALL WINTER POINT MULTIPLIERS (WPM)
FRAME CONCRETE BLOCK' FACE BRICK
WOOD STEEL INT. INSULATION EXT. INSUL. R.YALUE WOOD FR LOG
NORMAL WT. NOR, WT. 6 INCH
R.YALUE EXT ADJ EXT ADJ 0- 6.9 7.0
O. 6.9 6.8 5.3 9.4 6.7 R.YALUE EXT ADJ EXT 7 -10.9 2.1 R.YALUE EXT
7 - 10.9 2.5 _ __...2.L 4.4 3.3 0- 2.9 6.0 3.1 6.0 11.189 17 0-29 2.2
11,129 2.0 1.8 33 2.6 3 - 4.9 3.8 2.3 2.8 19 - 259 1.0 3,69 1.2
13,189 1.6 3.0 2.4 5 - 69 29 1.9 2.0 26 & Up .6 7 & Up 9
:0 BLOCK 8 INCH
19 - 259 1.1 1.0 2.6 22 7 -109 2.3 1.5 1.5 R.YALUE
26 & Un .7 .7 1.4 1.2 11,189 1.5 1;- 0,29 3.7 R.YALUE EXT
19 - 259 .8 3,69 2.6 0-29 1.2
26 & Up .5 .5 7,99 1.8 3 - 6.9 9
.0 :~~~~t~j~~ff:t J.itt@iMtl 10 & Up 1.3 7 & Up .7
90 DOOR WINTER POINT MULTIPLIERS (WPM)
DOOR TYPE EXTERIOR ADJACENT
WOOD 7.6 59
.
. ,. .,~.
INSULATED "---- ,5,1..._ .~.., 4.0
9E CEILING WINTER POINT MULTIPLIERS (WPM)
UNDER ATTIC SINGLE ASSEMBLY
R.VALUE WPM R-VALUE WPM
1.0 10 -10.9 1.8
.9 11,12.9 1.6
.7 13, 18.9 1.5
.6 19,25.9 1.1
.4 26 & U .6
CONCRETE DECK ROOF
CEILING TYPE
DROPPED EXPOSED
1.2 1.3
.7 .7
.4 .3
9F FLOOR WINTER POINT MULTIPLIERS (WPM)
SLAB-ON-GRADE RAISED RAISED WOOD2
EDGE INSULATION CONCRETE POST OR PIER I STEM WALL WI UNDER I
R-VALUE WPM R-VALUE WPM CONSTRUCTION FLOOR INSULATION ADJACENT
R.YALUE WPIr I WPM I WPM
0-2.9 2.5 0-2.9 4.0 0- 69 7.9 5.3
3.4.9 1.7 3 - 4.9 1.8 7 -10.9 21 I .7 I 2.1
5 - 6.9 - 2.4 5 - 6.9 1.1 11 '18.9 1.5 I .5 I 1.8
7 & Un - 2.7 7 & Un .8 19 & Up 9 I .3 I 1.0
9G INFILTRATION WINTER POINT MULTIPLIERS (WPM)
9H DUCT MULTIPLIERS (DM)
1 For multipliers for other types of concrete block construction see section 903.2(b).
2 For multipliers for other types of raised wood assemblies see section 903.2 (e) 1.
3 Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation.
-5 -
Return Ducts Return Ducts
R-Value In Unconditioned Space In Conditioned Space
Supply 4.2-5.9 1.14 1.10
Ducts in 6.0-6.6 1.10 1.07
Unconditioned Space 6.7 & up 1.09 1.06
Supply 4.2-5.9 1.10 1.00
Ducts in 6.0-6.6 1.07 1.00
Conditioned Space3 6.7 & up 1.06 1.00
INFIL TRA TION PRACTIC"E WPM
(See Table 9P)
PRACTICE # 1 6.2
PRACTICE # 2 4.1
PRACTICE # 3 2.2
SUMMER POINT MULTIPLIERS (SPM)
98 SUMMER OVERHANG FACTORS (SOF) For single and double pane glas~
,..
"
CLIMATE ZONES 4 5 6
I"Z-
~ QH RATIO .0-.11 .12-.17 .1B-.26 27-.35 ( .36- .46 /47-.57 .5B- .70 .71 .B3 --:B4.11B...- 1.19 1.72 <.173 2.IY 2.74+
. N 1.0 .94 .91 .B7 lIT .79 .75 .72 .69 .62 .56 .50
>-1
CDI NE/NW 1.0 .94 .91 .B5 .79 .72 .6B .63 .5B .50 .40 .36
g~ E/W 1.0 .95 .92 .B5 .7B .70 .64 .56 .52 .42 .33 .26
cdl SE/SW 1.0 .93 .90 .B1 .72 .62 .55 .49 .42 .33 .27 .22
en.
. S 1.0 .91 .B7 .77 .67 .57 .50 .45 .39 .32 .2B .25
~ OH lENGTH . o It. 1 It. 1Y2 It. 2 ft. 3 It. 3112 It. 4112 It. 5Y2 It. 6112 ft. 9Y2 It. 14 It. 20ft.+
. To select by Overhang Length, no part of glass shall be more than 8 It. below the overhang.
OVERHANG RATIO = OH lENGTH
OH HEIGHT
.
01
I~L
H
.J,
9C WALL SUMMER POINT MULTIPLIERS (SPMI
FRAME CONCRETE BLOCKl FACE BRICK
WOOD STEEL INT. INSULATION EXT, INSUL R.YALUE WOOD FR LOG
R.VALUE EXT ADJ EXT ADJ NORMAL WT. NOR. WT. 0- 6.9 2.9 6 INCH
0, 69 6.4 2.2 8.9 2.9 R.YALUE EXT ADJ EXT 7 -10.9 .6 R.YALUE EXT
7 - 10.9 2.3 .8 4.1 1.3 0, 2.9 2.5 .9 2.5 11,18.9 .4 O. 2.9 1.7
11,12.9 1.9 .7 3.0 1.0 3 - 4.9 1.4 .7 .7 19.25.9 .2 3 - 6.9 11
13 - J.a9 1.7 .6 2.8 0.9 5, 6.9 10 .6 .3 26 & Up 1 7 & Uo .B
I/' rg-':-25.9 "'I 1.0 .3 2.4 0.8 7,10.9 .8 .4 .1 R.YALUE BLOCK 8 INCH
.6 .2 1.3 0.4 11.189 ,4 ,3 III O. 2.9 10 R.YALUE EXT
19 . 25.9 .2 .2 ,;.~ l 3, 6.9 .6 0-2.9 1.0
26 & Up .1 .1.. ;,.?- '.,>itvt 7. 9.9 .4 3 - 6.9 .8
~lail~t*~~lt~tM~* :~::~t~@*M?~l~~ :~~$i~::l'~j~ ;;-tr~'~ ,,)$. 10 & Up .2 7 & Up .7
90 DOOR SUMMER POINT MULTIPLIERS (SPM)
9E CEILING SUMMER POINT MULTIPLIERS (SPM)
UNDER ATTIC SINGLE ASSEMBLY
R-VALUE SPM R-VALUE SPM
19,21.9 10 10.9 3.0
22-25.9 11,12.9 2.7
26.29.9 13 - 18.9 2.4
30.37.9 19 - 25.9 1.8
38&U 26&U 1.1
CONCRETE DECK ROOF
CEILING TYPE
DROPPED EXPOSED
3.0 3.3
2.0 2.1
1.4 1.3
DOOR TYPE EXTERIOR ADJACENT
WOOD 7.2 2.4
INSULATED 48 16
9F FLOOR SUMMER POINT MULTIPLIERS (SPM)
SLAB.ON.GRADE RAISED
EDGE INSULATION CONCRETE
R-VALUE SPM R.VALUE SPM
0.2.9 31.9 0.2.9 1.0
3-4~ -~B 3.4~ -13
5 - 6.9 -31.7 5 - 6.9 -1.7
1 1
R,YALUE
0, 6.9 .9
7 -10.9 -1.1
11 - 18.9 -10
19 & U - .9
9H DUCT MULTIPLIERS (DM)
ADJACENT
M
5.3
2.1
18
1.0
,9G INFilTRATION SUMMER POINT MULTIPLIERS (SPM)
INFIL TRA TION PRACTICE SPM
(See Table 9P)
PRACTICE # 1 13.8
PRACTICE # 2 10.9
PRACTICE # 3 7.6
Return Ducts Return Ducts
R-Value In Unconditioned Space In Conditioned Space
Supply 4.2-5.9 1.14 1.10
Ducts in 6.0-6.6 1.10 1.07
Unconditioned Space 6.7 & up 1.09 1.06
Supply 4.2-5.9 1.10 1.00
Ducts in 6.0-6.6 1.07 1.00
Conditioned Space3 6.7 & up 1.06 1.00
1 For multipliers for other types of concrete block construction see section 903.2(b).
2 For multipliers for other types of raised wood assemblies see section 903.2 (e) 1.
3 Ducts in conditioned space need to be insulated only to the R-Value necessary to prevent condensation.
- 3-
WINTER CALCULATIONS
CLIMATE ZONES 4 5 6
f-' GLASS IBASE WINTERI BASE f-' I SINGLE-PANE OR DOUBLE-PANE I WINTER lAS-BUILT
z z GLASS x WINTER POINT MULl x OVERHANG =.
UJ x POINT = WINTER UJ WINTER POINT MULl GLASS
~ AREA' MULTIPLIER ~ AREA TINT~ CLEAR TINT' FACTOR (9B) WIN. PTS.
0 POINTS 0 CLEAR
N 1"2.'1... .;, 5.6 b~i.\.l".lt N ~(~1 9.6 9.6 5.6 6.1 \, \0 I LIO. Z ' -;:-
NE 3.5 , NE 7.4 7.3 3.5 4.2
E L'1,v - 5.6 I -\60.,.1 ') E \<.1. \ \... - 2.2 - 2.0 - 5.6 - 3.6 -."1-t> ~I , "6
SE -13.4 -" SE -10.3 - 9.7 -13.4 -10.4 -,
S "2.1c ' 0 -14.0 I -3(,(1. C) S Z(..,O -10.9 -10.2 -14.0 -11.0 ,ID I f-I 3S, (..
SW -13.4 "- SW -10.3 - 9.7 -13.4 -10.4 '-
~
W M '.\ - 5.6 -'2.1...\\ ' C ) W ZDt - 2.2 - 2.0 - 5.6 - 3.6
NW 3.5 r- NW 7.4 7.3 3.5 4.2 - ,'1.-0 Y;,L{
H' -14.0 H' -32.1 -28.0 -27.0 -21.5
Ul
Ul
C( t ) )\\) I. \ : I i... \.LO q2.~, '-
...J
CJ
L}J 2.3,1, .t- 0 -L\ , 610 \ 83, '-\
,
.15 ~ CONDo I TOTAL I BASE I BASE I ADJUSTED AS-BUILT
FLOOR GLASS ADJUST x GLASS = GLASS GLASS
I AREA I AREA I FACTOR I SUBTOTAL I BASE WP SUBTOTAL
.15 I W."Q I Zli..... "'2>~ ..._~~,"i.S. I - \ 3,. ~ I 3~),/
,
COMPONENT ~ BASE WINTER ~ BASE COMPONENT I WINTER I AS-BUILT
AREA WINTER AREA x POINT MULl = WINTER
DESCRIPTION POINT MULl POINTS DESCRIPTION (9C THRU 9G) POINTS
EXTERIOR '/Ct~ 1.1 '374, ~ ~>~'1 7C,s \ ' \ ~ I q., "('
...J ADJACENT I :,D. 1.8 2.4\.1.- II . \ \ I$~ ,.7 7.4 \ L..
...J
C(
==
,
Ul EXTERIOR 2.0 5.1 \ 01., 0
a::
0 ADJACENT \'6 4.0 7"2.,0
0
Q
-z.o
19>
,
\b,-, 0
11.0
t, t.-) S. ~
lI'):' .
F~~
,
CJ UNDER ATTIC \\Iots .6 100 ~ \2.. Ll... \ ll..,R, 0., lo'S\ .t-
z OR SINGLE .6
:::i .ASSEMBL Y
iii .6
0 BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING. AS.BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
/" , , ,
a:: SLAB (PERIMETER) I L{.. } - 1.9 ( r-'2..' "l, ~ ) Q,-o lA-I ?."S" .$\..).~
0 RAISED (AREA) - .2 ...... ...
0
...J
u..
FOR SLAB-ON-GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE.
,
INFIL TRA TION
4.1
TOTAL COMPONENT BASE WINTER POINT:
BASE HEATING I TOTAL BASE I BASE
HEATING SYSTEM x WINTER = HEATING
SYSTEM MULTIPLIER I POINTS I POINTS
1.1 1c..48{",41'/13~''::.I
BASE I BASE I BASE I TOTAL AS-BUILT I AS-BUILT I AS-BUILT I TOTAL
COOLING + HEATING + HOT WATER = BASE COOLING + HEATING + HOT WATER = AS-BUILT
...J
C( POINTS POINTS POINTS POINTS POINTS POINTS POINTS POINTS
I-
0 IFrom P.2\ IFrom P.2\ (Enter on P.1\ IFrom P .21 IFrom P .21 IEnter on P.1\
I-
q \ 1,;,0. G '7,/~~() 1,os4 2. s.~ \ q, to .; I \ ~-l,... \ i"" 3A4. S,~ ,} OS 4- n,340.4-
'H = Horizontal Glass (Skylights)
2For glass with known Shading Coefficient, see section 903.2(a). Tint Multipliers may be used for glass with solar screens, film, or tint.
x
x
x
AS-BUlL T
= HEATING
POINTS
3443, B
-4,
91 HEATING SYSTEM MULTIPLIERS (HSM)
CLIMATE.ZONES 4"5 6
. SYSTEM TYPE HEATING SYSTEM MULTIPLIERS
Centtal Heat HSPF 6.4 ' 6.79 6.8 ' 6.89 6.9,7.39 7.4,7.89 7.9,8.39 8.4 ' 8.89 8.9 - 9.39 9.~ ' 9.89
Pump Units HSM .53 .50 .49 .46 .43 .41 .38 .36
HSPF 9.9 - 10.39 10.4 ,10.89 10.9,11.39 11.4 ,11.89 11.9,12.39 12.4 & Up
HSM .34 .33 .31 .30 .29 .28
PTHP COP 2.6 ' 2.69 2.7 ' 2.89 2.9, 3.09 3.10,3.29 3.30 ' 3.49 3.50 - 3.69 3.70, 3.89 3.90,4.19
HSM .38 .37 .34 .32 .30 .29 .27 .26
Electric Strip 1.0
Gas & Other Fuels 1.0 (See Table 9J for Credit Multiplier)
1991 Minimums: Central Units-Air Source 6.4 HSPF, Water Source 3.4 COP, Ground Water Source 3.2 COP, PTHP 2.6 COP.
1992 Minimums: Central Units-Air Source 6.8 HSPF, Water Source 3.8 COP, Ground Water Source 3.4 COP, PTHP 2.7 COP.
HSPF means Heatina Seasonal Performance Factor. COP means Coefficient of Performance.
9J HEATING CREDIT MULTIPLIERS tHCMI
SYSTEM TYPE HEATING CREDIT MULTIPLIERS
Attic Radiant Barrier HCM .98
Multizone HCM .90
Natural Gas AFUE .68 - .72 .73 - .77 .78 . .82 .83, .87 .88 - .92 93. Up
HeM .54 51 .47 .44 .42 .40
Other Fuels HCM .61 .60 .56 .52 .49 .47
Where more than one credit is claimed, multiply HCM's together. Enter product on page 4. AFUE means Annual Fuel Utilization Efficiency.
9K COOLING SYSTEM MULTIPLIERS tCSMI
SYSTEM TYPE COOLING SYSTEM MULTIPLIERS
RATING 7.5 ' 80 - 8.5 ' 8.9 - 9.5 - 10.0. 10.5 - 11.0 - 11.5 - 12.0 -
CENTRAL UNITS 79 8.4 8.8 9.4 9.9 10.4 10.9 11.4 11.9 12.4
(SEER) CSM .45 .43 .40 .38 .36 .34 .32 31 .30 .28
PTAC & ROOM UNITS RATING 12.5 - 130 - 13.5. 14.0, 14.5. 15.0 - 15.5 - 16.0. 16.5 - 17.0, 175
(EER) 12.9 13.4 13.9 14.4 14.9 15.4 15.9 16.4 16.9 17.4 & UP
CSM .27 .26 .25 .24 .24 .23 .22 .21 .21 .20 .19
1991 Minimums: Central Units-Air Cooled 8.9 SEER. Ground Water Cooled 10.0 EER. 1992 Minimums: Central Units-Air Cooled 10.0 SEER. Ground
Water Cooled 11.0 EER. PTAC-see Table 9-11A. EER means Energy Efficiency Ratio. SEER means Seasonal EnerQY Efficiency Ratio.
9L COOLING CREDIT MULTIPLIERS ICCMl
SYSTEM TYPE COOLING CREDIT MULTIPLIERS ICCMl
Ceiling Fans .86
Multizone .90
Cross Ventilation or Whole House Fan (Credit for only one) .95
Attic Radiant Barrier .95
Where more than one credit is claimed multinlv CCM's tonether. Enter oroduct on nane 2.
9M HOT WATER MULTIPLIERS 'HWMI
SYSTEM TYPE HOT WATER MULTIPLIERS
Electric EF .80, .81 I .82 - .83 I .84, .85 I .86 - .87 I .88. .90 I .91 - .93 I .94. .96 I .97 & UP
Resistance HWM 3879 I 3785 T 3695 I 3609 I 3527 1 3411 I 3302 I 3200
EF .43 - .47 .48 ' .49 .50 - .51 .52, .53 .54 - .55 .56. .57 .58. .59 .60 - .61 .62, .63 .64 - .65 .66 & UP
Natural Gas HWM 2664 2386 2291 2203 2121 2045 1975 1909 1847 1790 1735
Other Fuels HWM 1845 2059 2145 2231 2317 2234 2157 2085 2018 1955 1895
Water heaters must comply with minimum efficiences in Table 9-7A of the Florida Energy Code. EF means Energy Factor.
9N HOT WATER CREDIT MULTIPLIERS 'HWCM)
SYSTEM TYPE HOT WATER CREDIT MULTIPLIERS
Solar Water Heater SF .1 I .2 I .3 I .4 I .5 .6 I .7 I .8 I .9 I 1.0
HWCM .9 I .8 T .7 I .6 T .5 .4 -1 .3 I .2 I .1 I .0
Heat Recovery Unit With Air.conditioner Heat Pumo
HWCM .62 .58
Dedicated Heat Pump EF 2.0 - 2.49 I 2.5 . 2.99 3.0 - 3.49 I 3.5 & UP
HWCM .44 I .35 .29 I .25
A HWM must be used in conjunction with all HWCM. See Table 9M. SF means Solar Fraction. EF means Energy Factor.
9P INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST tSee Section 903.21fll
COMPONENTS REQUIREMENTS FOR EACH PRACTICE CHECK
PRACTICE #1 COMPLY WITH All INFilTRATION PRESCRIPTIVES ON TABLE 9A.
PRACTICE #2 COMPLY WITH PRACTICE #1 AND THE FOllOWING:
Exterior Walls and Floors Top plate- penetrations sealed. Infiltration barrier installed. Sole plateNloor joint caulked or sealed.
Exterior Walls & Ceilinas Penetrations, joints and cracks on interior surface caulked, sealed or aasketed.
Ductwork Ductwork in unconditioned space must be sealed.
Fireplaces Eauiooed with outside combustion air, doors, and flue damoers.
Exhaust Fans Eauiooed with dampers. Combustion devices see 903.2(1).
PRACTICE #3 COMPLY WITH PRACTICES #1 AND #2 AND THE FOllOWING:
Ceilings Infiltration barrier installed.
Interior Walls Too olate penetrations sealed or joints & cracks on interior walls caulked, sealed or aasketed.
Recessed Lights Sealed from conditioned space & insulated from ventilated attic spaces.
Ductwork All ductwork located in conditioned soace.
Combustion Appliances Be in unconditioned space (except direct vent), draw air from unconditioned space, exhaust
by-products to outside. Stoves see 903.2(f).
,6,
:' ~_""', ,7!~,1 .... ,.,~. 'l':, ;,\?';';'::,,-,t~';:\~-!:w:.l'_', _.' '~j:~_~;'~~ ,.'~;>:; ~r ,~~':.:Jl.-~,~,::'G"'J_-'\r ~?_~--d''l-:'}>''''..--.r:;' \ '~~~'-,
:'.- ,....-,':
NOTICE
OF
RESOURCE RECOVERY ASSESSMENT FORM
PERMIT 1/
,.
I' (...'
/ I
I
,;~
DATE
/'
:. () .. .;.t:'
-"..-) ~
APPLICANT/OWNER
;. 'v h.~
, I "~-I
- .~. y't _
COUNTY PARCEL II
. .~..,
:-~:./ C
..,.1 j' '_
.' I
C.
LOCATION ;i.' /
'.
USE/CODE DESCRIPTION
'.
r' ./' ,..
RESIDENTIAL
NON-RESIDENTIAL
;'
GROSS SQ. FT. (GSF)
II UNITS
RATE/ERU=$SO.OO X 0.96*/YEAR OR $O.131S/DAY ERU ASSIGN 1/
ASSESSMENT = (II UNITS)X($0.131S)X(NO OF DAYS) ASSESSMENT=(GSF)X(ERU)X(0.1315)X(NO DAYS)
100
$
~: r f i
'",,': l. ( .
TOTAL FEE = $
TOTAL FEE
PREPARED BY
* DISCOUNTED FOR PREPAYMENT
--------------------------------------------------------------------.-----------------
The above assessment has been established pursuant to the Pasco County Ordinance
No. 89-07 and Resolution No. 89-197 as commended.
THE ASSESSMENT WILL BE CALCULATED AT THE TIME OF ISSUANCE OF THE C/O. NO CERTIFICATE
OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE ASSESSMENT HAS BEEN PAID.
APPLICANT HEREBY ACKNOWLEDGES RECEIPT OF THIS NOTICE AND THE REQUIREMENT OF ASSESSMENT
FEE PAYMENT PRIOR TO C/O OR FINp~ RELEASE.
DATE
I'
"
-"-::-,
RECEIVED BY
--------------------------------------------------------------------.------------------
FOR OFFICE USE ONLY
RECEIPT II
( '. ' i " ... {'.
I '. "-1 ~1" ,'1
".~ >,' I
,_, i I
DATE ,~j l U': / !
/ 1__
i,.../
:,,.-.....-,---
BY
'"" ,
i
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, " {,-~ --'-'.~
tr.
----..-.._,.~.-.- - -----..- ~.~ ---..~_.~--"'"~_...-~--_.~.-~-_.-
"
,
CON1RACTOR #: 003818
NAME: GARY L
{;[lUF ::':774(, C:;UH)E::::: U\;
C:/:::;:T: ZEFHYFH 1 LU.;:
: E N 1 R ALP E R M 1 r ! I N ~ DAlE: 03/20'92
F'{~'=:.:(; COUN'fV, FLOH I Dr.\ F,.i':,[ ~ 1 Of.:
T :~;::,UE OF F ICE,; D
':;:TE VI::: eLCE 1FT NUt1BF:: .101344:3'-'
OFFICE: DADE CITY
F L :~:: :~::~ ~l.~1- 1
FOR: SOLID WASTE FEE PERMIT #1871 B
CHELf:.: # () 1 (I
CONTRACTOR: 0032~8
(~hi 1'4 I C' ~~:- ;:~ t.:{ j\J :=~
r4Cc:rr:
114
.1 ()T AL
CCWIF'N.v ACCOUI\IT
D4,:::~() _. :3t.:::;C~(H)
?\MOUNT ~
C.EI\jTE=:F;
..,
.,;..
::,:},61
(,iMOUi'iT
:':7. (,1
DE:::;CF~ I F'T I UN,' :'EF:i'l T
{~{j'H~ .r;.*
[)f.) T i~
[iF: / C r;
-t::,t..:
F~E(:F I :'iLD
..., . '( . ,/ I Ii
,/, I ',-/_ . .._1 J .
!? \' :'-":=r::,..j,-L-..~,.. ,... .~1~>-) ~'-.c.:._ ~",-~~~_l., .., q~')-:~\-_",_
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The .undersigned understands that this per.it .ay be subject to 'deed restricti~ns' ~hith may be o~r~ restr.ictive than City
regulations. The undersigned aSSUDes responsibilit(;for. cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor .or contractorl to undertake work, .they lay be required to be licensed in accordance with
state and local regulations. . If the contractor is not licensed as required by law, b~th the ~"ner and contractor lay be
cited for a .isdefteanor violation under state law.. If the owner or intended contract~r are unc~rtain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City ~f Zephyrhills Building Departlent, (813)
7BB-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
'Contractor Sections' of this application for which they will be responsible. If y~u, as the ~wner sign as the c~ntractDr,
you are indicating that you, rather than the contractor, are responsible for the work, If the contractor wishes you to sign
as contractor that Day be an indication that he is not properly licensed ~nd is not entitled to per~itting privileges in the
City of Z~phyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D.
CONSTRUCTION LIEN LAW
(CHAPTER 713~ FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provi'ded with a copy of 'Florida's Construction Lien Law - Ho~eowner's Protection
Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is soeeDne other than the
'owner', I certify that I have obtained a. cDPy of the above described document and prr,mise in g~od faith to deliver it to the
'owner' prior to cO.lencement.
~ , '. ~: 7 "
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infor~ation in this application is accurate and that all wor~ will be d~ne in coapliance with all
applicable laws regulating construction, zoning, and land develop.cnt.
Application Is hereby lade to obtain a per.it to'do work and install~tlon as indicated. ] certify that no work or
installation has cOlmenced prior to issuance of a per.it and that all work will be performed to ~eet standards of all laws
regulating construction, City codes, zoning regulations, an~ land development regulations in the jurisdiction. 1 also
certify that 1 understand that the regulations of other governaental agencies ~ay apply. to the intended work, and that it is
IY responsibill ty to identify I1hat actions I must take to be in cOlllpliance. Such agencies include bu\ ;.J e l\[It I illi ted to:
I Departle~t of Envir~nmental ReQul:tion - Cypress Bayheads, Hetland Areas and Environmentally Sensi\iv~ L~nds,
Water/Wastewater Treatment
. Southwest Florida Water' ManaQement District - Hells; Cypress Bayheads, Hetland ~reas, Altering Hatercourses
I Ar.y Corps ~f EnQineers - Seawalls, Docks, Navigable Haterways
I Depart.ent of Health ~ Rehabilitative Services, Envlron~lental Health Unit - Hells, Hastewater Tre"tr.€:t~. Septic Tanks
I US Environeental Protection AQency - Asbestos abatement
I also certify that, if fill laterial is to be used in Flc.od Z(lne 'A" (Ir '~,etc,', it is underste,(,d lid! a drainage plan
addressing a 'coapensating voluae' will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it 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 perlllit prevent the Building Official fro~ thereafter
requiring a c(,rrection elf errors In plans; construdi(ln, (Ir violations of any c(,de. bery per~it issul!d shall becr'le invalid
unless the He<rk auth~ri2ed by such permit is cClamenced within six 1lI0nths [If issuance, (,r if li('If; au\lIc" I zed by the perli t is
suspended or abandoned for a period of six lonths after the tiJe the Hork is cOlmenced, One 90 day e:\ensiOII of tile, lay be
allOHed for the perlllit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved Inspecti(ln oust bl? logged during each six month period, (,r the project liill be (c,nsidered db.;\rde,ned.
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. JOBS UNDER $2,500 IN VALUE
DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
DATE ____lP-:-~~::-'[j----------------.-------
NOTARY AS TO \ ---7: ~()r / - j'
OWNER OR AGEN~h.k- tf~~Cr-'---:-
MY COMMISSION EXPIRES_ __~~~_~~__Lf1_~----
SIGNATURE~'~~----
CONTR~TO;---.l--r
DATE_~_C2_~;r-~-~-(--------------
NOTARY AS TO ~f / ;-
CONTRACTOR_~L-_~t!.~~---
MY COMMISSION EXPIRES~=~-~rj-~~-~-