HomeMy WebLinkAbout91-1966
STATE OF FLORIDA
City of Zephyrhills
,..,
~5f1'F.L,
T~fj:iermit
(~
19666
..... 1-813-788-6611 --- /2 - ..j --1/
15.- g.D . _____ Date.' .-
(JLECTRIC~ ~lt~!t!1.eltiG> c:: MECHAN~~_ .-1- .~ ~'/'fR. "~:-:~ tI~
-" ....., ~/1. - 4.);tA t,.~L. . )
. /''L ~-'</ PJ<A--'
~ ' "-- / ., _ - _::Y"II \
Properly Owners Name: ~ -?J :u.~ 2/ ~ L, .JZ. u;,,:; If tu. ~
Job Address: <"6:-6. ~ c:2 "':) .
PASCO COUNTY
Permit N!')
BUILDING DEPARTMENT
..-
~-~. ~.Y
Zoning CI:
Sub.Div.
/2-zfo-Z{
\
Lot
tS:DZc;J - ~<./O - OO~
Blk.
Legal Description:
(]., V,
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
i (!O
Estimated Cost: ~~ OO()"
~ ~-
Fee: .~ #; J
SIGNATURE ' t \; '/VlU!. t( M'
,~
All work shal! be performed in accordance
wilh the above and all Cily Codes
and Ordinances.
COMPANY
ADDRESS
TELEPHONE #
'---
Ftr, .
Pre SLB
Lintel
FRM.
Insul.CL
WL \...~ -'11...
r'~
Drlvewa/ -31- q2- 6rrlr
Tp,Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter 1-1.1, q't.. &4It
Final
Breakers
Ducts Insl.
Compressor
Final
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($ 10,(0)
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,
RYMAN CONSTRUCTION
BIBLE MISSIONARY CHURCH
5521 23rd ST.
1,047 Sq.Ft. Living x $ 35
N/A Sq.Ft. Other x $ 11
VALUATION: $ 39,000.00
Building: $ 355.00
Plumbing: 45.00
Elec. 58.25
Mech. 30.00
SUBTOTAL: $ 488.25
BUILDING PLANS REVIEW CREDIT: 38.00
TOTAL: $ 450.25
CONNECTION FEES:
Sewer $ 1,278.00
Water 350.00
Meter 165.00
TOTAL . $ 1,793.00
.
RADON GAS: $ 12.57
Sq.Ft. 1257
TRANSPORTATION FEES: $ 1,585.00
x 99%
x 01%
$ 1 ,569. 15
$ 15 . 85
GRAND TOTAL
: $ 3,840.82
FORM 900-A-91
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Section 9 - Residential Point System Method
Department of Community Affairs
Climate Z~qes
CENTRALd/5 6
PROJECT NAME
AND ADDRESS:
NEW CONSTRUCTION 0'
ADDITION 0
MULTIFAMILY ATTACHED 0
SINGLE-FAMILY DETACHED er
CHECK IF THIS SUBMITTAL
REPRESENTS A WORST CASE
CONDITION: 0
CONDITIONED ~\ I I..., sa,
FLOOR AREA L.Ll1df::l[1J FT.
PREDOMINANT rn [g
EAVE OVERHANG 2- 0 FT.
~NGm .'
PORCH OVERHANG IT:::;l Cl
LENGTH ~. ~ FT.
GLASS AREA AND TYPE
CLEAR TINT,FILM,SOLAR SCREEN
SINGLE- ~SCl, SINGLE- DTIJ sa,
~~~FT. ~~ FT.
DOUBLE- DTIJ SCl, DOUBLE- DTIJ sa,
~E FT. ~E FT.
NET WALL AREA AND INSULATION
EXTERIOR MASONRY R EXTERIOR FRAME R EXTERIOR STEEL R = EXTERIOR LOG R -
mmW rn.[9 [JJJ]] SO, ITJ [JJJ]] SO, ITJ [ITillso ITJ
FT. FT FT
ADJACENT MASONRY R - ADJACENT FRAME R = ADJACENT STEEL R = ADJACENT LOG R -
[JJJ]] SO, ITJ.O [JJJ]] SO, ITJ [JJJ]] SO, ITJ [JJJ]] SO ITJ
FT. FT FT. FT
CEILING AREA AND INSULATION FLOOR TYPE AND INSULATION
UNDER ATTIC R- SINGLE ASSEMBLY R= SLAB PERIMETER R= RAISED WD 0 coNj?"" R=
~sa, [mJ [JJJ]]sa. ITJ ~FT. rn []JJJJsa. ITJ
FT. FT. FT.
DUCTS COOLING SYSTEM HEATING SYSTEM HVAC CREDITS HOT WATER SYSTEM HOT WATER CREDITS
IN ZCENTRAL o ELECTRIC STRIP ~EAT .0 CEILING FANS ..0ELECTRIC SOLAR: O.ITJ
UNCONDITIONED
o ROOM o NATURAL GAS PUMP .0'CROSS VENTILATION o NATURAL GAS SF, =
SPACE R = HEAT RECOVERY ,CHECK: D
rn.~ o PACKAGE TERMINAL o ROOM UNIT OR o OTHER o WHOLE HOUSE FAN D OTHER FUELS
FUELS DEDICATED
IN CONDITIONED AIR CONDITIONER PACKAGE TERMINAL o NONE o ATTIC RADIANT o NONE HEAT P~MP: 0 ,ITJ
o NONE HEAT PUMP
SPACE R = BARRIER EJ. -
ITJ,O SEER/EER = rn,~ COP I HSPF I ~, [B1Q] o MULTIZONE EF = ,~~ NUMBER OF ~
AFU E = BEDROOMS =
INFIL TRA TION ~ LIiliUIiliJ D2liJ. ~
PRACTICE USED X 100 =
0#10#20 #3 TOTAL AS-BUILT POINTS TOTAL BASE POINTS CALCULATED E.P.1.
CALCULATED ENERGY PERFORMANCE INDEX MUST NOT EXCEED 100 POINTS.
I hereby certify that the plans and specifications covered by the calculation are in compliance with the Review of plans and specifications covered by this calculation indicates compliance with
Florida Energy Code, the Florida Energy COdr~nstruction is completed, this building will be inspected
PREPARED BY: DATE: for compliance in accordanc i ~53',908, F,S, - f:1
I hereby certify th,t t ' , 'i~ce ~ the Florida Energy Code, \ I . J q BUILDING OFFICIAL: I .J -" ...., ~
i .. -- 9(
- .,Ll )) uATE: \ '22 / // :2-7
OWNERAGENT: ' , .~ 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 slidino olass doors).
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, wealherstripped 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 (gas) must be provided. External or built-in heal trao 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 reslricted to no more than 3 oallons per minute at 80 PSIG,
HVAC DUCT 904,6 All ducls, 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-ll or CBS R-3. Common Ceilings & Floors R-l1,
- 1 -
SUMMER CALCULATIONS
CLIMATE ZONES 4' 5 6
~ I BASE I BASE ~ I SINGLE-PANE I DOUBLE-PANE I SUMMER T AS-BUILT
z GLASS z GLASS x SUMMER P[)I{I(l MULT. OR
w x SUMMER SUMMER w SUMMER POINT MULT. x OVERHANG = GLASS
a: AREA = a:
0 PT. MULT. POINTS 0 AREA CLEAR ..... TINT' CLEAR TINT' FACTOR (9B) SUM. PTS.
N \"'2,.. 47.8 5?3. t. N \"2..- 51.0 51.5 47.8 43.5 ISO 30", ' 0
NE 71,7 NE 77.2 76,6 71,7 63.4
E \;... 102.0 I 2."2.\4, {J ~- \1., 109,2 107.1 102.0 87,3 ' (,.y 8~,1
SE 104.1 SE 112,9 110.3 104.1 89.4
S ~B 90.9 ?'-ISI.f,'Z... S ~e> 100.2 98,3 90,9 78.8 ,<;;:0 \c,c.)::!,.g
SW 104,1 SW 112.9 110,3 104,1 89.4
w. '2.-'-\ 102,0 '2 Y'-\ 6,0 W 2.w" 109.2 107.1 102.0 87.3 ,1..'-\ \101J,~
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
~
,
I CONDo I TOTAL I BASE I BASE I ADJUSTED AS-BUlL T
,15 x FLOOR '1 GLASS ADJUST. x GLASS GLASS GLASS
I AREA AREA I FACTOR I SUBTOTAL I BASE SP SUBTOTAL
.15 I \~'7 I g~ I 1,8.:3 I '7 (, 9 Of \ Y It Ll Oqo, l, ~, 72$;-;
,
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 q14~,O 1.0 QI.\.1:(.O ~B5 C:t 1...\.sJ..o \.4 I 3>2.7. "L
...J
...J ADJACENT ,7 ~-3
<(
:i= f--.
,
I/-.'lOS
~CA'.J'f:)
~\8
It!..
,
Ltlo.o
z:~,~
(/) EXTERIOR 2.0.0 4.8 ~(..O
a:
0 ADJACENT IR. I C> 1.6 U3.S
0
0
~~d
~ UNDER ATTIC IO""",l} ,6 {=2R"7. Q '. '\.."'\... \ 0'4. ..." t:> ,Cl '.....47.~
z OR SINGLE .6
::::i ASSEMBLY
W .6
0 BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
'" , \. , ,. , .......
SLAB (PERIMETER) II,..(~I 0 -31.8 ( -LJ..{.o/('O ) 1>;: C> \,-",0 - :.\,~ \ ( -L..U"" 1.. $", S- J
a: RAISED (AREA) '7 '-
0 - 3.43
0
...J
u.. FOR SLAB-ON-GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE.
,
,
INFILTRATION
10.9
I I
TOTAL COMPONENT AS-BUILT SUMMER POINTS
,
TOTAL
AS.BUIL T x x x
SUM. PTS.
/3.90(.,.Q
AS-BUILT
= COOLING
PINTS
:3
3527
AS-BUILT
HOT WATER
SYSTEM DE C.
~
,
II ~,'10(P, 't
,
TOTAL COMPONENT BASE SUMMER POINTS
l--
TOTAL BASE
COOLING x SUMMER
SYSTEM POINTS
1991
1992
HOT
WATER
SYSTEM
BASE
= COOLING
POINTS
ct, 489, D
NUMBER
OF
BEDR MS
I
'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,
r
-2-
WINTER CALCULATIONS
.
CLIMATE ZONES 4 5 6
.:-: GLASS IBASE WINTERI BASE t-' I SINGLE-PANE OR DOUBLE-PANE I WINTER I AS-BUILT
z z GLASS )( W"'TI::D D/\INT MULl WINTER POINT MULT. )( OVERHANG = GLASS
w )( POINT = WINTER w
~ AREA MULTIPLIER ~ AREA C[~]Hi..> TINT' CLEAR TINT' FACTOR (9B) WIN. PTS.
0 POINTS 0
N tl_ 5.6 (,.."1 !-1- N \7.. 9,6 9,6 5,6 15,1 \ \:.~ \ 5'l.~, Y
NE 3.5 J ....... NE 7.4 7.3 3.5 4,2
E Ie... - 5.6 -1.,1,1- ) E l/.... 2,2 - 2,0 - 5.6 - 3.6 -I,D'> 27, ')
SE 13.4 .- SE -10,3 - 9.7 -13.4 -10.4 "-
S ~"'a" -14,0 -S3.2.,o ) S 7..:;', 10.9 -10,2 -14,0 -11,0 ,31.0 (-\.....\'\, \ )
SW -13.4 - / SW 10,3 9.7 -13.4 -10.4 ~
W "2.4 - 5.6 ~13l..\,U, ) W L.'-\ 2,2 2.0 5.6 - :3.6 - \.~'" 5'5,'1 )
"- r NW 7.4 7.3 3,5 4,2 ....
NW 3,5
H' -14,0 H' -32,1 -28.0 -27,0 -21,5
en
en
ct
...J
Cl
,
,15 ~ CONDo I TOTAL I BASE I BASE I ADJUSTED AS-BUILT
FLOOR GLASS = ADJUST )( GLASS = GLASS GLASS
I AREA I AREA I FACTOR } SUBTO'f4L I I BASE WP SUBTOTAL
,15 I 1014, I '61.o I \, ~ 3 \ t ("lolo, L.\ ) { 12.\~, ~ -2,,\.f
,
COMPONENT ~ BASE WINTER: BASE COMPONENT 1 WINTER I AS-BUILT
AREA WINTER AREA )( POINT MULl = WINTER
DESCRIPTION POINT MULl POINTS DESCRIPTION 19C THRU 9G) POINTS
EXTERIOR ~~"6,o 1,1 \,DI..\1...,~ C-~~ '""~~.l:> 3'-~ .3 (.01. .1..\
...J ADJACENT 1.8 v,3-
...J
ct
==
en EXTERIOR 'Z-O' 0 5,1 10'LO
a:
0 ADJACENT 1'&.0 4,0 '77..,0
0
Q
,
\~.\s
1.0 b, ~ ,')
~.~ ~ ~:b
,
\~'L'O
1.,0
,
CJ UNDER ATTIC \0"\"'1.0 .6 (..2..~,1.. 12. "L 1- 10'-' ,. D ,q '1141..3.
z OR SINGLE .6
::::;
iii ,ASSEMBLY .6
(.) BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS,BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
, '- ,
SLAB (PERIMETER) \ '-1,.<;;;, l) - 1.9 T 1-2. ,<,. ">. ) r,. 0 \l..\S.D 1.. ,C;" "3 G. ? ' "S'
a: RAISED (AREA) ,
0 - .2
0
...J
IL
FOR SLAB-aN-GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE,
,
INFILTRATION
4.1
'-\.. \
TOTAL COMPONENT BASE WINTER POINT:
I I TOTAL COMPONENT AS-BUILT WINTER POINTS
,
TOTAL
AS-BUILT)( )( )(
WIN. PTS.
913SII~
,
I '13SI,~
I
BASE HEATING I TOTAL BASE I BASE
HEATING SYSTEM x WINTER = HEATING
SYSTEM MULTIPLIER I POINTS I POINTS
1.1 j yt.,L'2.1 I 51D7.0
BASE I BASE I BASE T TOTAL AS-BUILT I AS.BUIL T I AS-BUILT I TOTAL
COOLING + HEATING + HOT WATER = BASE COOLING + HEATING + HOT WATER = AS-BUILT
...J
ct POINTS POINTS POINTS POINTS POINTS POINTS POINTS POINTS
I- IFrom P ,2\ tFrom P.2\ tEnter on P.1I (From P.2\ tFrom P.2\ tEnter on P. 1\
0
I-
o.".\<t~,D SID) \O\S~\, () 2~,II'Y7,D t..\<1'10 ,\ 34" 1.1, s: \(),9t\,!) \q ,u,(.~, ~
'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,
AS-BUILT
= HEATING
POINTS
3q 44. 'S'
-4-
91 HEATING SYSTEM MULTIPLIERS (HSM)
CLIMATE ZONES 4 5 6
SYSTEM TYPE HEATING SYSTEM MULTIPLIERS
Central 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 9.4 - 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 & Uo
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 Multiolier)
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 Heating 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
Natu ral 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 7,9 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 - 13,0 - 13,5 - 14,0 - 14,5 - 15,0 - 15,5 - 16,0 - 16,5 - 17,0 - 17,5
(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 Enercv Efficiencv Ratio. SEER means Seasonal Energv Efficiencv Ratio,
9L COOLING CREDIT MULTIPLIERS ICCMl
SYSTEM TYPE COOLING CREDIT MULTIPLIERS (CCMI
Ceilino Fans ,86
Multizone ,90
Cross Ventilation or Whole House Fan (Credit for onlv one) ,95
Attic Radiant Barrier ,95
Where more than one credit is claimed multinlv CCM's tnnether, 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 & Uo
Resistance HWM 3879 I 3785 I 3695 I 3609 I 3527 I 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 & Uo
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 'HWCMI
SYSTEM TYPE HOT WATER CREDIT MULTIPLIERS
Solar Water Heater SF ,1 T ,2 I ,3 I .4 r ,5 ,6 T .7 I ,8 I ,9 I 1.0
HWCM ,9 I ,8 I .7 I ,6 T ,5 .4 I ,3 I ,2 I ,1 T ,0
Heat Recovery Unit With Air-conditioner Heat Pump
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 ISee Seellon 903.21n1
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 Too alate oenetrations sealed. Infiltration barrier installed, SoleDiatelfloor ioint caulked or sealed,
Exterior Walls & Ceilings Penetrations, ioints and cracks on interior surface caulked, sealed or oasketed,
Ductwork Ductwork in unconditioned soace must be sealed,
Fireplaces Eouiooed with outside combustion air, doors, and flue damoers.
Exhaust Fans Eouiooed with damoers, Combustion devices see 903,2(0.
PRACTICE #3 COMPLY WITH PRACTICES #1 AND #2 AND THE FOLLOWING:
Ceilinos Infiltration barrier installed,
Interior Walls Top olate penetrations sealed or ioints & cracks on interior walls caulked, sealed or oasketed,
Recessed Liohts Sealed from conditioned soace & insulated from ventilated attic soaces,
Ductwork All ductwork located in conditioned space.
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-
SUMMER POINT MULTIPLIERS (SPM)
98 SUMMER OVERHANG FACTORS (SOF) For single and double pane glass.
CLIMATE ZONES 4 5 6
~-==----.
~ OH BATIO .0 ,11 .12 ,17 .18 ,26 ,27 ,35 ,36 .46 .47 sf' .58 ,70 .)71 ,83 ,84 1,18 1.19 1.72 1.73-2,73 V 2.74+
I 7N) .94 ,87 ,83 .79 .75 - ,72 ,69 ,62 ,56 .50
1.0 .91
>-1 NE/NW 10 ,94 ,91 .85 .79 .72 .68 ,63 ,58 ,50 .40 .36
<I:l1
I-a: E/W 1,0 ,95 .92 ,85 .78 .70 ~ .64 ,58 ,52 .42 .33 ,26
~q
u:J1 SElSW 10 ,93 ,90 ,81 .72 .62 35"' .49 .42 .33 .27 .22
en.
I S 10 ,91 .87 .77 ,67 .57 ,50 .45 ,39 ,32 .28 .25
~ OH lENGTH . o It. 1 It. 11f.! It. 2 It. 3 It. 3V2 It. 41f.! It. 51f.! It. 61f.! It. 9V2 It. 14 It. 20ft.+
. To select by Overhang length, no part of glass shall be more than 8 ft. below the overhang,
OVERHANG RATIO = OH lENGTH
OH HEIGHT
I~L
H
J
9C WALL SUMMER POINT MULTIPLIERS (SPMl
01
FRAME CONCRETE BLOCK1 FACE BRICK
WOOD STEEL INT. INSULATION EXT. INSUL. R.YAWE WOOD FR LOG
R.YALUE EXT ADJ EXT ADJ NORMAL WT. NOR. WT. 0- 6,9 2.9 6 INCH
0- 6,9 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 0- 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 1.1
13 - 18,9 1.7 ,6 2,8 0,9 5 - 6,9 1,0 ,6 .3 26 & Up ,1 7 & Up ,8
19 - 25,9 1.0 ,3 2,4 0.8 7 -10,9 ,8 .4 ,1 R.YALUE BLOCK 8 INCH
26 & Un ,6 ,2 13 0.4 11 -18,9 .4 ,3 ,0 0- 2,9 1.0 R,YALUE EXT
19-25.9 ~ 3 - 6.9 ,6 0-2,9 1,0
26 & Up .1 ,1 7 - 9.9 ,4 3 - 6,9 .8
l~ttt~1#lit~jj~~~ff:lr 10 & Up .2 7 & Up .7
90 DOOR SUMMER POINT MULTIPLIERS (SPM)
DOOR TYPE EXTERIOR ADJACENT
WOOD 7,2 2.4
INSULATED 48 1.6
9F FLOOR SUMMER POINT MULTIPLIERS (SPM)
SLAB.ON.GRADE RAISED
EDGE INSULATION CONCRETE
R.VALUE SPM R.VALUE SPM
o - 2.9 31.9 0 - 2.9 1.0
3 - 4.9 31.8 3 - 4.9 1.7
5-6.9 -31,7 5-6.9 -1.7
7 - 1. -1.
96 INFilTRATION SUMMER POINT MULTIPLIERS (SPM)
INFILTRATION PRACTICE SPM
(See Table 9P)
PRACTICE # 1 13.8
PRACTICE # 2 10.9
PRACTICE # 3 7.6
9E CEILING SUMMER POINT MULTIPLIERS (SPM)
UNDER ATTIC SINGLE ASSEMBLY
R-VALUE SPM R-VALUE SPM
19-21,9 1,1 10-10,9 3.0
22 - 25,9 .9 11 - 12.9 2.7
26 - 29.9 .7 13 - 18.9 2.4
30 - 37,9 ,6 19 - 25.9 1,8
38&U .4 2 &U 1.1
CONCRETE DECK ROOF
CEILING TYPE
DROPPED EXPOSED
3.0 3.3
2.0 2.1
1.4 1.3
R.YALUE
0- 6,9
7 -10,9
11 -18,9
19 & U
9H DUCT MULTIPLIERS (OM)
Aeturn Ducts Aeturn Duels
A-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
, For multipliers lor other types of concrete block construction see section 903.2(b).
2 For multipliers lor other types of raised wood assemblies see section 903.2 (e) 1,
3 Ducts in conditioned space need to be insulated only 10 the A-Value necessary to prevent condensalion.
- 3-
WINTER POINT MULTIPLIERS (WPM)
9B WINTER OVERHANG FACTORS (WaF)
CLIMATE ZONES 4 5 6
~ OH RATIO .0 ,11 .12 ,17 ,18 .26 .27 .35 .36.46 1.47 .5V' ;;.q: ]If"'! .71 .83 .84 1.18 I 1.19 1.72 1.73 2.73 I C?7A D
I SINGLE PA
I
I N 1.0 1.03 1.05 .1,08 1.10 1.13 1,15 1,18 1.20 1.24 1.29 1.34
I NE/NW 1.0 1.07 1,10 1.15 1.20 1.25 1.30 1,35 1.39 1.50 1.59 1.67
I
I E/W 1.0 ,71 ,57 ,19 -.20 -.65 -1.05 -1.48 -2.03 -3.01 -4.06 -5,04
I SE/SW
>-1 1.0 .93 ,90 .80 ,68 ,54 .39 .22 .05 -,33 -,71 -1.01
CDI S 1.0 .95 ,92 .83 .70 .54 .36 .13 -.13 .70 .98 -10~
I-cr:
~o DOUBLE PANE GLASS
u::ll
enl N 1.0 1.05 1.07 1,11 1,14 1.18 1.21 1.24 1.28 1.34 1.40 1.47
I
I NE/NW 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 E/W 1,0 ,88 .82 .66 ,50 ,31 ,15 -.03 -.26 -.66 -1.10 -1.50
I
I SE/SW 1,0 .95 .92 .85 ,76 ,65 ,54 .41 .28 -.01 -,30 -.52
I
I S 1.0 .96 .94 ,87 ,78 ,65 ,51 .33 .13 .30 ,51 .60
.. OH LENGTH' o It 1 ft. 1112 It 2 It 3 ft. 3Yz It 4112 ft 5112 It 6112 It 9Yz It 14 It 20ft.+
* To select by Overhang Length. no part of glass shall be more than 8 ft below the overhang,
OH LENGTH
OH HEIGHT
r~L
H
J
OVERHANG RATIO =
01
9C WALL WINTER POINT MULTIPLIERS (WPM)
FRAME
CONCRETE BLOCK!
INT. INSULATION EXT. INSUL.
NORMAL WT. NOR. WT.
EXT ADJ EXT
6,0 3,1 6,0
38 2.3 2,8
2,9 1.9 2,0
2.3 1,5 1.5
1,5 1.1 ,8
,8 7
,5 ,5
FACE BRICK
R,YALUE WOOD FR
O. 6.9 7.0
7 -10,9 2,1
11 -18,9 17
19 - 25,9 1.0
26 & Up ,6
R.YALUE BLOCK
0-29 37
3 ' 6,9 2,6
7,9,9 1,8
10 & Up 1.3
WOOD STEEL
R.YALUE EXT ADJ EXT ADJ
0- 69 6,8 5,3 9.4 67
7 -10.9 2,5 2,1 4.4 3,3
11 -12,9 2,0 1.8 3,3 2,6
13 - 18.9 1,8 1.6 3,0 2.4
19 - 25,9 1.1 1.0 2.6 22
26 & U 7 7 1.4 1.2
LOG
6 INCH
R,YALUE
0'2,9
3 - 6,9
7 & Up
8 INCH
R.YALUE
0-2,9
3 - 69
7&U
EXT
2,2
1,2
9
EXT
1,2
9
7
1*%:~{~ ~:: ~nt(fdM
90 DOOR WINTER POINT MULTIPLIERS (WPM)
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 2 & U .6
DOOR TYPE EXTERIOR ADJACENT
WOOD 7,6 5,9
INSULATED 5,1 4,0
CONCRETE DECK ROOF
CEILING TYPE
DROPPED EXPOSED
1.2 1.3
.7 .7
.4 .3
9F FLOOR WINTER POINT MULTIPLIERS (WPM)
SLAB-QN.GRADE RAISED RAISE If WOOD'
EDGEINSUL TION CONCRETE POST OR PIER STEM WALL WI UNDER I
WPM R-VALUE WPM CONSTRUCTION FLOOR INSULATION ADJACENT
R-VALUE R,YALUE WPM I WPM
0-2.9 2.5 0-2.9 4.0 0- 6,9 7,9 5,3
3 - 4.9 - 1.7 3 - 4,9 1.8 7,10,9 2,1 I ,7 I 21
5 - 6.9 - 2.4 5 - 6,9 1.1 11 -18.9 1,5 I 5 I 1.8
7 R. Iln 2.7 7 P. Un .8 19 & Up ,9 I ,3 I 1,0
9H DUCT MULTIPLIERS (OM)
9G INFILTRATION WINTER POINT MULTIPLIERS (WPM)
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
Ducls in 6.0-6.6 1.07 1.00
Conditioned Space3 6.7 & up 1.06 1.00
INFIL TRA TION PRACTlC"E WPM
(See Table 9P)
PRACTICE # 1 6,2
PRACTICE # 2 4.1
PRACTICE # 3 2.2
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 -
APPLICATION FOR PE~lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT _R Y J'v1 A- N Co N STf2-U CT I () 1---1. J N C
ADDRESS 373::2..5'" ST, QT, .r'-f u!r=::S'T, LEPH-Yf2..HIL\..SPHONE8'J'3-78'.:L-Og.;lS'"
OWNER 8/ B LE I'll S S IoN A.R-, CH-u I2...c.H '
JOB LOCATION S"{):J-/ ).317-1) $.. ZEP~'lR-J+ILI. S, FL.-
I ,I ,
LOT SIZEI37-t.X IC,/-/O AREA SQ,FT,tO-:l-,.lSD S.I=;
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D,1~ 13 - 00
BLOCK SUBDIVISION
J-::L0:,-.Jf3(."O/ q(!)1f -sJ. JL.}34, 0
I
WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Ins tall
_sign/Temp. _Sign _Hove _Demolish
PROPOSED USE: ~Single Family _M/F _1~ of Units ,._M/H
_Commercial _Indust. _Swim" Pool Other
_Restaurant & Health Department Approval
BUILDING SIZE:
I
:2-(, X 4~-/~
}:LS'I
Square Feet,
, 1 STOr<- 'i Height
& (1) SET ENERGY FORMS,**
FORt-IS, * *'
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
**COPY OF CONTRACT REQUIRED.
rRRM1TS RROUESTED
/ BUILDING
/' ELECTRICAL
v'MECHANICAL
1/'/ .
_PLUMBING
\ _ 'r /- 0'::-
$ ~ 1) ,~U DO
valuation of Total Construction
AMP Service
Florida power Corp.
_W,R,E.C,
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
.... .
TYPE OF CONSTRUCTION: ~Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT,
******************************************
Signature
~ONTRACTOR ~R~N
IKC, Company' yV\A.N COf,}S~:v..c\-\(J~ l.N~
State Cert. or Regist. i~ (p,C-03>S\~o,...
City License Registration #
********1,*1,** **
~a~ .
State Cer . or Regist, #
City License Registration 11 !/)"1'
************************************
~ Company. Ck
~ State Cert, or Regis , 41
ItJl~ City License Registration
******************************************
, PLllMBRR
~
MECHANICAL /J,I4wK'~ //<o./J i1,..,t. {,'.<u.e Ilk 7NC. Company
/ ,.
~ / / / S~ate Cert. or R~gi5t. .iU:LlGO"'/'YJ'
Signature'/I. !::.... ~~ C~ty L~cense Reglstrat~on lr "7 Y
" ******************************************
**
Company
State Cert, or Regist, #
City 'ense Registrati;Pn 1~
PTHRR
Signature
PERMIT OFFICER,
APPLICATION APPROVED BY;
CONDITIONS,OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The,undersigned understands that this per.it .ay be subject to "deed restrictions' which may be lore reitr.ictive than City
reguhtions, The undersigned usules responlibllitt:for,colplhnce with any applicable deed restrictions.
,ff"'
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor ~r contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor il not licensed as required by law, both the owner and contractor lay be
cited for a aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-bbll.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
'Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work, If the contractor wishes you to sign
as contractor that aay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the
City of Zephyrhills,
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 provided with a copy of "Florida's Const\uction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Depart.ent of Agriculture and Consuaer Affairs. If the applicant is SOlec.ne other than the
"owner', I certify that I have obtained a, copy of the above described doculent and proroise in good faith to deliver it to the
"owner" prior to cOlmencelent.
;1',,':
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will be done in coapliance with all
applicable laws regulating construction, zoning, and land development, .
Application is hereby lade to obtain a pertit to'do work and install~tion as indicated. I certify that no work or
installation has COI.enced prior to issuance of a perlit and that all work will be performed to meet standards of all laMS
regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction, I also
certify that I understand that the regulations of other govern~ental agencies fiay apply'to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in complianc!!. Such agencies include b1lt ~le nc,tliaited to:
. "'.~
I Depart_ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi tive Land5r
Water/Wastewater Treatlent
* Southwest Florida Water ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering WatercDurses
I ArlY Corps Gf EnQineers - Seawalls, Docks, Navigable Waterways
I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks
I US Environaental Protection AQency - Asbestos abatement
I also certify that, if fill laterial is to be used in Flood Zone "A' or "A,etc,', it is understood th~t a drainage plan
addressing a 'colpensating volul!!" will be sublitled which is prepared by a professional engineer regist~ied in the State of
Florida prior to permit issuance,
A perlit issu~d shall be construed to be a lrcense to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
requiring a correction of errors in plans; construction, Dr violations of any code. Every permit iS511~d :hall becole invalid
unless the work authorized by such perlit is cOlllenced within six 1I0nths of issuance, or if work authDrlzed by the per.it is
suspended or abandoned for a period of six lonths after the ti,e the work is commenced, One 90 day e~t~~sioll of tile, lay be
allowed for the perlit with fee charge of $15.00, The extension shall be requested in writing to the Building Official, An
approved inspectic,n !!lust be logged during each six lonth period, or the prc,ject wi JJ be cc,nsidered i1bdlldc,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".
r;) ,I" ~ ~
SIGNATURE_\_\'_' O___-'_l~ A JJ ":_ I I ( I "/1___
~"N~~N~ SIGNATURE~ ---~~i6R~----
DA TE____________?1:-~::-CJ_L-__---,--,-------
DATE________~=J~~~j_________________
NOTARY AS TO 1/: NOTARY AS TO 1/, ' 1. ~. ,J
OWNER OR AGENT__~~~ CONTRACTOR___jJJ~~~lttt~~---
'>> KARl FINNEGAN " KARl FINNEGAN
MY COMMISSION EXPIRES Slate of Florida M COMMISSION EXPIRES ~1fW-91~r1da
____ '"1IIyQmn:'bp~'18, 1985 WCoIiiTl::exp. ,18,1995
~1~1~ ~1~1 0
APPLICATION FOR PEID1'IT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
;~ '
APPLICANT ~ tv'l\ (\) C () I\JS--\ \Z LA C\ '\ d V\.J .::L.N ('
ADDRESS 3'\ 3 d. s S~ ~,& S4 \.."J' - 2-\1\ \ \s, PHONE B\S "-76 2-o62.s
OWNER 't:sC b\e f'v\\s~\ 6 ".) A~'i C' ~ \A.~(\\ '
JOB LOCATION 6~9- \ :;)..3Q.Q st, 2e.0\(i?hIU~)F LOT SIZE\~'l\lX' \lol'ID"AREA SQ.FT,~ld.SO
LEGAL DESCRIPTION: LOT(S)
PARCEL I, D. j~ ~,- 0 l) · '~d-(v- L-\- 3L:,o J
I
BLOCK
SUBDIVISION
S ol.\ - S '9--\4~ 0
WORK PROPOSED:~New Construction -^ddition _Alteration _Repair _Install
_Sign/Temp, _Sign _Nove _Demolish
PROPOSED USE: ~Single Family _M/F _j~ of Units ,._M/H
_Commercial _Indust, _Swim" Pool Other
_Restaurant & Health Department Approval
L/ I I'
BUILDING SIZE: ~}'-0 X G 10,
\'J-Sl
Square Feet,
\~t~)(.C'f Height
& (1) SET ENERGY FORMS,**
FORtiS. * *
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
~UILDING
LELECTRICAL
/ MECHANICAL
LPLUMBING
$
Valuation of Total Construction
AMP Service
Florida Power Corp,
_W,R,E,C.
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ~Block
_Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT,
******************************************
C ~/ ___, CONTRACTOR SECTION
() ~'5'\...\ -L lUQ -, Company
State Cert. or Regist, !~ (,~~C-DSS\~Z;
City License Registration !t,....,..'7~ 'XP";3.c;
******************************************
Signatu
f,T.ECTRTCTAN Company ~~ ~.#/"A.l!.
: ~ ~ State Cert. 0 Regist. "
ignature ~ ' ~ City License Registration it 17 'f
, **********oJo******** ** *** ** **,', -{, i,i,* *i, -{, ** *
Signature
Company
State Cert, or Regist. #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAl.
Company
State Cert, or Regist. ff
City License Registration #
OTHER
Signat~ ~
******************************************
PERMIT OFFICER,
APPLICATION APPROVED BY
CONDITIONS, OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The.undersivn'd undlrstands that this plrlit ..y be lubjttt to "deed reltritti~ns. which lay be lore restr.ictive than City
rtvulationl. The undersigned assules re5ponsibllity"~for,tolpliante with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor 'or contractors 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, both the OHner and contractor lay be
cited for a tisdeleanor violation under state laM, If the owner or intended contract~r are uncertain as to what licensing
requirelents lay apply f~r the intended work, they are advised to contact the City ~f Zephyrhills Building Departlent, (813)
788-6611.
Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the c~ntractor(s) sign portions of the
.Contractor Sections" of this application for which they will be responsible. If you, as the ~wner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the w~rk. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to per&itting privileges in the
City of Zephyrhills,
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 provided with a copy of "Florida's Const~uction lien laK - HOleoKner's Protection
Guide. prepared by the Fl~rida Departlent of Agriculture and Con suter Affairs. If the applicant is SOleone other than the
"owner", I certify that I have obtained a, copy of the above described docu&ent and pro~ise in good faith to deliver it to the
"owner' prior to cOllenCetent,
~ 'I, .- ~ ~; '7. : ~ ;:
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in coapliance with all
applicable laKs regulating construction, zoning, and land develop.ent.
Application is hereby lade to obtain a perlit to' do work and install~tion as indicated. I certify that no work or
installation has COllenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws
regulating construction, City cod~s, zoning regulatiDns, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govern~ental agencies ~ay apply'to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlllplianc~. Such agencies include bill. ~Ie ne,t lillited to:
. .I.r
I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
Water/Wastewater Treatment
f Southwest Florida Water ManaQeaent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
f ArlY Corps Gf Enqineers - Seallalls, Docks, Navigable Waterways
I Departleot of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks
I US Environmental Protection Aqency - Asbestos abatement
I also certify that, if fill laterial is to be used in Hc.od ZClne "A" or "A,etc,', it is understoe,d tho\. a drainage plan
addressing a 'coapensating volule" will be sub.itted which is prepared by a professional engineer regist~ied in the State of
Florida prior to permit issuance,
A perlit issued shall be construed to be a license to proceed with the 1I0rk and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
requiring a correction of errors in plans; construction, or violations of any code. Every permit issll~d :hall becole invalid
unless the work authorized by such permit is commenced within six lonths of issuance, or if lIork authorIzed by the perlit is
suspended or abandoned for a period of six tonths after the tiJe the work is commenced. One 90 day e~tr~sion of tile, say be
allowed for the permit with fee charge of $15.00, The extension shall be requested in writing to the Building Official, An
approved inspection lust be logged during each six Bonth period, or the project will be considered dbdl.doned.
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".
SIGNATURE
----------------------------------
OWNER OR AGENT
SIGNATURE______________________________
CONTRACTOR
DATE
-----------------------------------
DATE
------------------------------~_._------
NOTARY AS TO
OWNER OR AGENT
NOTARY AS TO
CONTRACTOR_____________________________
-----------------------------
"
MY COMMISSION EXPIRES
MY COMMISSION EXPIRES
------------------
----------------------
__~_~_N CONSTRVCTID~l JNC.
-~-_~'.7'j'lS'" ST. RT 5~ WEST---
eEPI-\YRA)LLS) FL. 3.3S1r
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SS).. I 2.3 ~D ST__
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