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BUILDI~G PERMIT
Permit
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CITY OF ZEPHYRHILLS
(813) 788-6611
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Description of Work
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NO OCCUPANCY BEFORE C.O. J -/7 -?'f FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Permit Fee
Signature
Company
Address
Telephone# 7 ?':J.. -..:?J, 3~~
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Valuation or fl. /";~, . -
Contract Price-L....:Lll; ODD
City License Registration # A /9
State Certified License# a I? eD /0701<...
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Tp. Servo
Rough In ll-tu-93 B06
Meter Can 1- /k-Cj ~ ~
Const. Pole
Pool
Pre-Meter ;/-1/4" ~
Final
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Tub Set ~ ..9
Water
Sewer
Final
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MECHANIC.M# {lrfl...
BUILDING
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Lintel ~-\t..q3 B~
FRM. 11-02-93 6\L.L
Insul. CL
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Driveway 2-1'-1-44 W::::-
Breakers
Ducts Insl. J()-~..,Cj5 i3~
Compressor
Final
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REINSPECT10N FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
vo.. 1(-/9-7'1
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The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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ADDITIONAL TABLES
CLIMATE ZONES 4 5 6,
6A-18 HEATING CREDIT MULTIPLIERS (HCM)
SYSTEM TYPE HEATING CREDIT MULTIPLIERS (HCM)
Attic Radiant Barrier HCM .98
Multizone HCM .95
Natural Gas AFUE .68-.72 .73-.77 .78-.82 .83-.87 .88-.92 .93 & Up
HCM .61 .56 .53 .50 .47 .44
LP Gas HCM .77 .72 .67 .63 .60 .57
6A-19 COOLING CREDIT MULTIPLIERS CCM) I
SYSTEM TYPE COOLING CREDIT MULTIPLIERS (CCM)
Ceiling Fans .86*
Cross Ventilation .95* *Credit may be taken for only
Whole House Fan .95* one of these system types concurrently.
Multizone .95
Attic Radiant Barrier .95
Heat Recovery Unit
With
HW M
EF
HWCM
EF
Dedicated Heat Pump
Solar
6A-21 INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST (SEE SECTION 606\
COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK
PRACTICE #1 606.1 COMPLY WITH All INFilTRATION PRESCRIPTIVES.
Windows Maximum of 0.34 CFM per linear foot of operable sash crack (includes slidinQ Qlass doors).
Exterior & Adiacent Doors Maximum of 0.5 CFM per sa. ft. of door area; solid core, wood panel insulated or Qlass doors only.
Exterior Joints & Cracks To be caulked, Qasketed, weatherstripped or otherwise sealed.
PRACTICE #2 606.1 COMPLY WITH #1 AND THE FOllOWING:
Exterior Walls and Floors Top plate penetrations sealed. Infiltration barrier installed. Sole plate/floor ioint caulked or sealed.
Exterior Walls & CeilinQs Penetrations, ioints and cracks on interior surface caulked, sealed or aasketed.
Ductwork Ductwork in unconditioned space must be sealed.
Fireplaces Equipped with outside combustion air, doors, and flue dampers.
Exhaust Fans Equipped with dampers. Combustion devices see 606.1.A.2
PRACTICE #3 606.1 COMPLY WITH PRACTICES #1 AND #2 AND THE FOllOWING:
CeilinQs Infiltration barrier installed.
Interior Walls Top penetrations sealed or ioints & cracks on interior walls caulked sealed or aasketed.
Recessed Liohts Sealed from conditioned & insulated from ventilated attic spaces.
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. Combustion cooking appliances see section 606.1.A.3
6A.22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.)
COMPONENTS SECTION REQUIREMENTS CHECK
Water Heaters 612.1 Comply with efficiency requirements in Table 6-11. Switch or clearly marked circuit breaker (electric)
or cutoff (a as) must be provided. External or built-in heat trap reauired.
Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have
a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78%.
Shower Heads 612.1 Water flow must be restricted to no more than 3 Qallons per minute at 80 PSIG.
Air Distribution System 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
sealed, insulated, and installed in accordance with the criteria of Section 61 O. Ducts in unconditioned
attics must be insulated to a minimum of R-6. Air handlers shall not be installEld in attics unless in
mechanical closet.
HV AC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system.
Insulation 604.1,602.1 CeilinQs-Min. R-19. Common walls-Frame R-ll or CBS R-3 both sides. Common ceiling & floors R-ll.
-6-
. .WINTER CALCULATIONS
en
en
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GLASS
AREA x
BASE
= WINTER
POINTS
CLIMATE ZONES 4 5 6
GLASS I SINGLE-PANE OIR DOUBLE-PANE I WINTER 1 AS.BUIL T
AREA x WINTER POINT MULT. WINTER POINT MUL T. x OVERHANG = GLASS
CLEAR TINf2 CLEAR TlNf2 FACTOR (6A-10) WIN. PTS
N 9.6 9.6 5.6 6.1
NE ~5?~5 7.4 7.3 3.5 4.2 '("t a 13, Lf'1
E - 2.2 - 2.0 - 5.6 - 3.6
SE Ja.e;s -10.3 - 9.7 -13.4 -10.4 .b~ -"',lnl
S -10.9 -10.2 -14.0 -11.0
SW 53.0:> -10.3 - 9.7 -13.4 -10.4 I,~ _<<?(,v, 4 I
W - 2.2 - 2.0 - 5.6 - 3.6
NW .s'X ."::;9 7.4 7.3 3.5 4.2 '.0'7 Li1: -; . '1 ,
H' -32.1 -28.0 -27.0 -21.5
.5E. 1tl.FI -/0,3- .q~ -~ <<q
.) f::.. -=l CI ./'t -10,3 J,C> _? Il\ .~s-
Ut,) i (."'\ ~ l../ I. ,5'" IInl ,,~.(.,~-..,
= =
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COMPONENT AREA
DESCRIPTION
EXTERIOR 1.1
...J ADJACENT 1.8
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rn EXTERIOR I~~ 5.1 I ~~~:L", I I ')T'F_e L'- I';) ~ I.;:: 4
4.0 t..>!>
g ADJACENT \'1, ~
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UNDER ATTIC ,r-r 'I r"') .6 . ^' 1 C 5, ~"'};,. \ '"Ill" .lL:J \ ., q ,"l, '--,
CJ
z OR SINGLE .6 ~
::i
iii ASSEMBLY .6
<.J BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
a:
o
o
...J
u..
-1.9
- .2
R_
FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE.
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INFILTRATION
4.1
TOTAL COMPONENT BASE WINTER POINT~
BASE HEATING TOTAL BASE
HEATING SYSTEM x WINTER =
SYSTEM MULTIPLIER POINTS
1.1 ,b::L
...J
c(
I-
o
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'FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1.1 OF APPENDIX C. TINT MULTIPLIERS MAY BE
USED FOR GLASS WITH SOLAR SCREENS, FilM, OR TINT,
-4-
. .
SUMMER POINT MULTIPLIERS (SPM)
CLIMATE ZONES 4 5 6
6A-1 SUMMER OVERHANG FACTORS (SOF) FOR SINGLE AND DOUBLE PANE GLASS.
~r OH RATIO .00-.11 .12-.17 .18-.26 .27-,35 .36-.46 .47-.57 .58-.70 .71-.83 .84-1.18 1.19-1.72 1.73-2.73 2.74+
N 1.00 .94 .91 .87 .83 .79 .75 .72 .69 .62 .56 .50
NElNW 1.00 .94 .91 .85 .79 .72 .68 .63 .58 .50 .40 .36
t-a: EIW 1.00 .95 .92 .85 .78 .70 .64 .58 .52 .42 .33 .26
frlo
~l SElSW 1.00 .93 .90 .81 .72 ,62 .55 .49 .42 .33 .27 .22
S 1.00 .91 .87 .77 .67 .57 .50 .45 .39 .32 .28 .25
OH LFNr,TW Oft 1 ft. l%ft. 2ft. 3ft, :w,ft 41j,ft 51j,ft 6V,ft. 9V, ft 14ft 20ft.+
.To select bv Overhana Lenath. no oart of alass shall be mare than 8 ft. below the averhano.
6A-2 WALL SUMMER POINT MULTIPLIERS SPM
FRAME
WOOD
EXT ADJ
6.4 2.2
2.3 .8
1.9 .7
1.7 .6
1.0 .3
.6 .2
R.VALUE
0-6.9
7-10.9
11-12.9
13-18.9
19-25.9
26& U
STEEL
EXT ADJ
8.9 2.9
4.1 1.3
3.0 1.0
2.8 0.9
2.4 0.8
1.3 0.4
CONCRETE BLOCK'
INT. INSULATION
NORMAL WT.
EXT ADJ
2.5 .9
1.4 .7
1.0 .6
.8 .4
.4 .3
.2 .2
.1 .1
6A-3 DOOR SUMMER POINT MULTIPLIERS 6A-4 CEILING SUMMER POINT MULTIPLIERS (SPMI
DOOR TYPE EXTERIOR ADJACENT UNDER ArnC SINGLE ASSEMBLY CONCRETE DECK ROOF
R-VALUE SPM R.VALUE SPM CEILING TYPE
WOOD 7.2 2.4 19-21.9 1.1 10-10.9 3.0 R-VALUE DROPPED EXPOSED
22-25.9 .9 11-12.9 2.7 10-13.9 3.0 3.3
INSULATED 4.8 1.6 26-29.9 .7 13-18.9 2.4 14-20.9 2.0 2.1
30-37.9 .6 19-25.9 1.8 21 & Up 1.4 1.3
38 & Up .4 26-29.9 1.1
::lOR.lln 0.9
6A-5 FLOOR SUMMER POINT MULTIPLIERS (SPM)
SLAB.ON.GRADE RAISED liil! RAISED WOO[)2
EDGE INSULATION CONCRETE POST OR PIER STEM WALL wI UNDER ADJACENT
,Hi CONSTRUCTION FLOOR INSULATION
R-VALUE SPM R-VALUE SPM R.VALUE SPM SPM SPM
0-2.9 -31.9 0-2.9 -1.0 ::i 0-6.9 0.9 -5,8 5.3
3-4.9 -31.8 3-4.9 -1.7 HH 7-10.9 -1.1 -2,.8 2.1
5-6.9 -31.7 5-6.9 -1.7 11-18.9 -1.0 -2.2 1.8
7 JI. lJn -::11 E; 7 & fIn -17 HH HI Jl.lJn -09 -lA 10
SPM)
6A-7 DUCT MULTIPLIERS (DM)
INFILTRATION PRACTICE SPM RETURN DUCTS RETURN DUCTS
(SEE TABLE 6A-211 R-VALUE IN UNCONDITIONED SPACE IN CONDITIONED SPACE
PRACTICE #1 13.8 SUPPLY DUCTS IN 4.2-5.9 1.14 1.10
PRACTICE #2 10.9 UNCONDITIONED SPACE 6.0-6.6 1.10 1.07
7.6 6.7 & UP 1.09 1.06
SUPPLY DUCTS IN 4.2-5.9 1.10 1.00
CONDITIONED SPACE' 6.0-6.6 1.07 1.00
67& Un 1.06 100
6A-8 COOLING SYSTEM MULTIPLIERS (CSM)
SYSTEM TYPE COOLING SYSTEM MULTIPLIERS (CSM)
Central Units (SEER) RatinQ 7.5-7.9 8.0-8.4 8.5-8.8 8.9-9.4 9.5-9.9 10.0-10.4 10.5-10.9 11.0-11.4 11.5-11.9 12.0-12.4
CSM .45 .43 .40 .38 .36 .34 .32 .31 .30 .28
PTAC & Room Units (EER) Ratina 12.5-12.9 13.0-13.4 13.5-13.9 14.0-14.4 14.5-14.9 15.0-15.4 15.5-15.9 16.0-16.4 16.5-16.9 17.0-17.4 17.5 & Up
CSM .27 .26 .25 .24 ,24 .23 .22 .21 .21 .20 .19
MINIMUMS: CENTRAL UNITS-AIR COOLED SPLIT SYSTEM 10.0 SEER, SINGLE PKG, 9.7 SEER, GROUND WATER HEAT PUMP 11,0 EER. PTAC-SEE TABLE 6-2
6A-6 INFILTRATION SUMMER POINT MULTIPLIERS (SPM)
6A-9 HOT WATER MULTIPLIERS (HWM)
SYSTEM TYPE HOT WATER MULTIPLIERS (HWM
Electric Resistance EF .80-.81 .82-.83 .84-.85 .86-.87 .88-.90 .91-.93 .94-.96 .97 & Up
HWM 3879 3785 3695 3609 3527 3411 3302 3200
Natural Gas EF .43-.47 .48- .49 .50-.51 .52-.53 .54-.55 .56-.57 .58-.59 .60-,61 .62-.63 .64-.65 .66 & Up
HWM 2974 2664 2558 2459 2368 2284 2205 2132 2063 1998 1938
LP Gas HWM 3638 3259 3129 3009 2897 2794 2697 2607 2523 2444 2370
, FOR MULTIPLIERS FOR OTHER TYPES OF CONCRETE BLOCK CONSTRUCTION SEE SECTION 2.1 OF APPENDIX C. 2 MULTIPLIERS FOR OTHER TYPES OF RAISED WOOD ASSEMBLIES SEE
SECTION 3.1 OF APPENDIX C. 3 DUCTS IN CONDITIONED SPACE NEED TO BE INSULATED ONLY TO THE R-VALUE NECESSARY TO PREVENT CONDENSATION.
-3-
.WINTER POINT MULTIPLIERS (WPM)
CLIMATE ZONES 4 5 6
6A-10 WINTER OVERHANG FACTORS (WOF}
J OH RATIO .00-.11 .12-.17 .18-.26 I .27-.35 .36- .46 .47-.57 I .58-.70 .71-.83 .84-1.18 1.19-1.72 1.73-2.73 I 2.74+
SINGLE PANE GLASS
N 1.00 1.03 1.05 1.08 1.10 1.13 1.15 1.18 1.20 1.24 1.29 1.34
NE/NW 1.00 1.07 1.10 1.15 1.20 1.25 1.30 1.35 1.39 1.50 1.59 1.67
EfW 1.00 ,71 .57 .19 -.20 -.65 -1.05 -1.48 -2.03 -3.01 -4.06 -5.04
SE/SW 1.00 .93 .90 .80 .68 .54 .39 .22 .05 -.33 -.71 -1.01
tic: S 1.00 .95 .92 .83 .70 .54 .36 .13 -.13 -.70 -.98 -1.09
~[ DOUBLE PANE GLASS
N 1.00 1.05 1.07 1.11 1.14 1.18 1.21 1.24 1.28 1.34 1.40 1.47
NE/NW 1.00 1.11 1.16 1.24 1.32 1.41 1.48 1.56 1.63 1.80 1.94 2.08
EfW 1.00 .88 .82 .66 ,50 .31 .15 -.03 -.26 -.66 -1.10 -1.50
SE/SW 1.00 .95 .92 .85 .76 .65 .54 .41 .28 -.01 -.30 -.52
S 1.00 .96 .94 .87 .78 .65 .51 .33 .13 -.30 -.51 -.60
OH LENGTH* Oft. 1 ft. 1'12 ft. 2ft. 3ft. 3% ft. 4% ft. 5% ft. 6% ft. 9% ft. 14ft. 20ft.+ .
.TO SELECT BY OVERHANG LENGTH, NO PART OF GLASS SHALL BE MORE THAN 8 FT, BELOW THE OVERHANG.
6A-11 WALL WINTER POINT MULTIPLIERS PM
FRAME
WOOD
EXT ADJ
6.8 5.3
2.5 2.1
2.0 1.8
1.8 1.6
1.1 1.0
.7 .7
R.VALUE
0-6.9
7-10.9
11-12.9
13-18.9
19-25.9
26&U
STEEL
EXT ADJ
9.4 6.7
4.4 3.3
3.3 2.6
3.0 2.4
2.6 2.2
1.4 1.2
CONCRETE BLOCK'
INT. INSULATION
NORMAL WT.
EXT ADJ
6.0 3.1
3.8 2.3
2.9 1.9
2.3 1.5
1.5 1.1
.8 .7
.5 .5
6A-12 DOOR WINTER POINT MULTIPLIERS 6M3 CEILING WINTER POINT MULTIPLIERS (WPM}
DOOR TYPE EXTERIOR ADJACENT UNDER Arnc SINGLE ASSEMBLY CONCRETE DECK ROOF
R-VALUE WPM R.VALUE WPM CEILING TYPE
WOOD 7.6 5.9 19-21.9 1.0 10-10,9 1.8 R.VALUE DROPPED EXPOSED
22-25.9 .9 11-12.9 1.6 10-13.9 1.2 1.3
INSULATED 5.1 4.0 26-29.9 .7 13-18.9 1.5 14-20.9 .7 .7
30-37.9 .6 19-25.9 1.1 21 &Uo .4 .3
38 & Uo .4 26-29.9 .6
::\n~lln 4
6A-14 FLOOR WINTER POINT MULTIPLIERS (WPM}
SLAB-ON-GRADE i'i'i'!!'ii RAISED ii'i'j' RAISED WOOD2
EDGE INSULATION CONCRETE Ii POST OR PIER STEM WALL wI UNDER ADJACENT
},i/ CONSTRUCTION FLOOR INSULATION
R-VALUE WPM iiII R.VALUE WPM )) R-V ALUE WPM WPM WPM
0-2.9 2.5 ii 0-2.9 4.0 Ii';i 0-6.9 7.9 1.8 5.3
3-4.9 -1.7 ii 3-4.9 1.8 iiIi/i 7-10.9 2.1 .7 2.1
5-6.9 -2.4 5-6.9 1.1 Hi:.i 11-18.9 1.5 .5 1.8
7 R.lln _?7 ji 7 R. Iln R iiii lQ R. lln Q ::\ l-n
WPM)
6A-16 DUCT MULTIPLIERS (DM}
INFILTRATION PRACTICE WPM RETURN DUCTS RETURN DUCTS
ISEE TABLE 6A-21l R-VALUE IN UNCONDITIONED SPACE IN CONDITIONED SPACE
PRACTICE #1 6.2 SUPPLY DUCTS IN 4.2-5.9 1.14 1.10
PRACTICE #2 4.1 UNCONDITIONED SPACE 6.0-6.6 1.10 1.07
i::\ ?? 6.7 & Uo 1.09 1.06
SUPPLY DUCTSIN 4.2-5.9 1.10 1.00
CONDITIONED SPACE' 6.0-6.6 1.07 1.00
"7 R. lIn 1M 1- nn
6A-17 HEATING SYSTEM MULTIPLIERS IHSM\
SYSTEM TYPE HEATING SYSTEM MULTIPLIERS IHSM
Central Heat HSPF 6.40-6.79 6.80-6.89 6.90-7.39 7.40-7.89 7.90-8.39 8.40-8.89 8.9-9.39 9.4-9.89
Pump Units HSM .53 .50 .49 .46 .43 ,41 .38 .36
HSPF 9.90-10.39 10.40-10.89 10.90-11.39 11.40-11.89 11.90-12.39 12.40 & uo
HSM .34 .33 .31 .30 .29 .28
PTHP COP 2.50-2.69 2.70-2.89 2.90-3.09 3.10-3.29 3.30-3.49 3.50-3.69 3.70-3.89 3.90-4.19
HSM .40 ,37 .34 .32 .30 .29 .27 .26
Electric Strio 1.0
Gas & LP Gas 1.0 (See Table 6A-18 for Credit Multiolier\
MINIMUMS: CENTRAL UNITS-AIR SOURCE SPLIT SYSTEM 6.8 HSPF, SINGLE PKG. 6.6 HSPF, WATER SOURCE 3.8 COP, GROUND WATER SOURCE 3.4 COP, PTHP SEE TABLES 6-6 TO 6-8.
6A.15 INFILTRATION WINTER POINT MULTIPLIERS (WPM)
1 FOR MULTIPLIERS FOR OTHER TYPES OF CONCRETE BLOCK CONSTRUCTION SEE SECTION 2,1 OF APPENDIX C. 2 MULTIPLIERS FOR OTHER TYPES OF RAISED WOOD ASSEMBLIES SEE
SECTION 3.1 OF APPENDIX C. 3 DUCTS IN CONDITIONED SPACE NEED TO BE INSULATED ONLY TO THE R-VALUE NECESSARY TO PREVENT CONDENSATION.
-5-
APPLICA"l"XOINl FOE i,mrnrl'
. CI'i"Y OF ZEPIIYRlITLLS
BUI:tDIINlG DRPAR1'HE'.JNlT
OWER'S
OWNER'S ADDRESS 5 <; ~ ~
81'\
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JOB ADDRESS
LEGAL DESCRIPTION: LDT(S) \ ~ 4 f\ BLOCK SUBDIVISION 0) L'0 ~ ~K.
PARCEL LD.t '3 -~\.g _.~ 1 - a \ ~ ~ - aC)C) a ~ - \ () 4'~
WORK PROPOSED: ~ Construction --.J\ddition _Alteration _Repair
C!> ~ ~~
_Install
_Sign
_l!Iove
_Deaolish
PROPOSED USE:
~g1e Faaily
_H/F
_, of Units
_H/H
_CoImerciaJ-
_Indust.
_SwiJII. Pool
Other
_Restaurant & nealt:h Deparhlent Approval
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BUILDING SIZE: 5 a x S 4- J
\'14- ~ '^\ v
Square Fee t ,
Height
RESIDENTIAL:
COKHERCIAL :
ATTACH (2) PLOT PI.AHS & (2) SEIS OF BUILDING !l}'..MS & (1) SET ENERGY FORH.<;. U
ATTACH (3) SETS OF BUII.DlliIG PI..ANS & (1) SET ENERGY FOR~lS.-;!-*
**COPY OF CONTRACT REQmmED.
~
_BUILDING
_ V ELECTRICAL
~CHANICAL
V'ri.mmING
t\ i .-
$ '-So) 'C> C)Q ~
\'5'0
$ ~lSc) "
PEIMI,'fS REOUP..STED
AMP Service
Valuation of Total Construction
-/
Plorida Power COrp.
__W.R.E.C.
Va.1.ua-.:.iUll vf i!'!echanical Installation
GAS
~lock
ROOFING
SPECL~LTY
TYPE OF CONSTRUCTION:
_Frase _Steel
Other
FDfISHED FLOOR ELEVATIOnS:
Ft.
IS PROJECT IN FLOOD ZONE AREA?
~/
'l'ES NO
******************************************
COt'iJ'TRACJOR SRCTION
R\UWF.R ~ cmtPANY
'-. . State Cert:. or Regist. {# C'. \C .r- . ~ "I C'i ~
Signature r)~ City License Registration #= J/ /
****** ***********************************
Y.I.ECTRICIAN
Sirolatllre LA) \=:. <:l Q...
OOIIPANY f E t \E- L E '-':J ~ \ \::.-
S tat.e Cert. or Reg is t. 1# I;:. ~\)O~ lH,., '* t"'l
City License Registration f ,~-z?
******************************************
PUJKBER
yt ~ANY~"~~e~G~~
tfJ'L /n/1 State Cert:. or Regist. #f
, ~ ~ ~ City I"icense Registration 4i
**~~~***~~~***********~~*~****~*~*~**~****
~L~~
\~"S"
Signature
Signa blre
OO'lfPMlIY-t\ \ ~. --,- ~ ~
St.ate Cert. or RegisL ,
Cii.,y i.iceillie Regisl:ration it-
~**~*****************~**~~****
f'OJiPANY
SLate Cert. or Regist. #f
City License Registration *
~****~*****************~******************
r~
O'IHY,Ji
APPLICATION APPROVED BY
PER..~T OFFICER.
CONDITIONS OF P~RMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTInNS
The ~ndersigned understands that this pertit ~ay be subject to "deed restricti~ns" ~hich Ily be lore restrictive than City
regulations. The undersigned assvles responsibility for cOlpliance with any applicable deed'restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contracto~ or contra~tors to undertake work, they may be required t~ be iicensed in accordance with
state and local regulations. If tne.cbnfractor is not"licensed as required by law, both the owner and contractor eay be
cited for a lisdeleanor viola~ion under state law. If the O~,ler or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are adyi~erl to contact the City of Zephyrhills Building Departeent, (8131
788-6611.
Furtherlore, 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 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 perlitting 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 Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departaent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
"owner" prior to cOllencelent.
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 cOlpliance with all
applicable laws regulating construction, zoning, ~nd land developlent. '.
Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
installation has coaaenced prior to issuance of, a perait and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that jt is
IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not lilited to:
f Departlent of Environaental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Water/Wastewater Treatment
f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Waterc~urses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways .
f Departlent of Health ~ Rehabilitative Services, Environ_ental Health Unit - Wells, Wastewatpr T'2~t~~;it, 5ep.ic lanks
f US Environ.ental Protection AQencv - Atbestos ~h~~,~~~~
I also rertify that, if fill aaterial is to be used in Flood Zone "A" or 'A,2te.", it is understood that a dr~inage plan
addressing a "colpensating volule" Mill be sublitted which is prepared by a professional engineer -registered in the State cf
Florida prior to perlit issuance.
A pertit 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 perlit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such pertit is coa.enced within six Donths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six aonths after the tile the work is com~enced. One 90 day extension 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 .inspection Dust be logged during each six month period, or the project will be considered abandoned.
WARNING TO OWNER: YtlUR 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".
~~
SI'NA lURE, CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me th i s 7.-/;;2.... ,19 R by
J
_\(. /;:.J , );0 ~~ E.l\~
who is personally known to me or who has
_ _PI-QctuCE'd _..
as ic tification
take o3th.
p~
STATE OF FLORIDA
COUNTY OF (.) Ii/;) ~ -
The foregoing \nstrument wa; acknowledged
befctl-e me th i s 7 _ / ~ , 19..!l..L by
~ ,G , l;l.J~~~Tl E
who is personally known to me or who has
pn.riuced '-l/kJ ~..-n-6-iW"- _
i:lS 10 rnir icatic'I' nu wi,.... .::lid/c.id ;1.,.,;;
~~ 4l~
( S i.JJAd tLrc e ) /f'1
cr ~a-.-c..' e.... e)({~A/S
(Name Typed, Printed Dr Stamped)
NOTARY PUBLIC
(S i..s.ra ture)
~IC:. a,.. e.. . 'e., r"J I.v-e..- Jl.A!
(Name '~YP2d, Printed Dr Stamped)
NOTARY PUBLIC
MAP SHOWING SURVEY OF
I ..reel .r 1... ...a., . ,..U.. .. Let IU. .. ...... H tile ,l.t or 'Ilnr Ooh ,.....
On'. .. r.e.r'" a. .tot .... 2'. ..... ., t~r...b .t lacl..I... .r t.. 'obl'e '.eord. of
'''':0 c...t,. ".rl". NI' ..rell ""'" .." ..rtlewlnl, "ocrllle4 .. hllo".. totSllIICl
at .. IRt.r..ctl.. .r t.. '.otherl, IIRt .r ..I' Let I.J .. .~ Oft NI' ,lot .f '1Iv.r
0.,. ..... 0.0. "It~ t.. ..rt..rl, 11.. or ..I' Lot 1... oltb the "ot rltht-.f-v., II..
of .11...r 0.'0 .rl.... ,. .. feot rl,~t.or-"r .. .ho". .. NI' .Iot .r .11...r O.k. 'ho..
0...1, t..ace ...t"...tul, .1... I..t ..If 11...... .n.... t.. .Il: .. . eor'l:t- cone....
'o.the..torl,. .."1,,, . r"'" or JI..... o. .rc 'lot4ace or ...a f..t, ..I' .re bol",
..btoRd" br .~. "'rl" ... .I.t.ace .r ...t~ 1'..'.... ...t. '.'2 fo.t t. the f2lIl
llf.-JIW.JI.1JlII t..ace _t1_ .1.... NI' rl,U-.r-.., 1I...r .1I...r 0... Orlv. I" .
Io"th"..hrl, "roctl... 01.., ... or.-l the orc .r 0 ewr... ~... ._U....tuly, hovl"'l
. rodl.. or II..... .. .re 'I.t.ac. .f ".'1 r..t. NI' orc bel., ...t.Rd.. by . e~ord
be.rl., ... 'Iot.ace .r ...t~ 1"""1' ...t. ".'2 f..t, ~~ '-ctb "'1"'" ...t.
120." .It~.. l.t.rlOCtl.. "Ith t.. ...t IIft1 .r NI' Lot I", t~.ac. Iorthe..t.rl, .10'"
I.ot ..I' 11.. ... .r.... t.. arc of . eor.. CORe.... 'ootho..t.rly. ho"I", . rodlu. of
.S.... r..t. .. .re 'I.t.ace of .a.sl f.,t. NI' ore bol"9 .obt..... by . e~ord "'.rln,
.nd dl.t.nce or .ort~ 1......J. IIet, .a.Jt r..t, t...ace ...t~ 'J""'7. ...t. 120.00 f..t
to tile ~InM MmI_I.
eHtal.l., t,'U ...... ...t, _. HI....
lub'.et t. . IS foot. otlllt, .......t ...r .ftd ocr'N tho ...t.ra, 5 f..t .f th, .bov.
d..~rllle4 ..rcol .. 1....
.;
"
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,
if'
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S' t/TlLtT If' esM r
S'i.CXYSI"I/V. 8.07'
/<: 30.CO' tJ.. O. 24 . ex:,
(.., .07'
I..Of
II;'. ...;,~:,,\
'i. r L~.1
...~., \; .:,.).
\.~\? t;... . 11
G:bID1L MOTU
Iou to,. .~" h.uu or, ....ud 011
the '.cor' 'Iot, .~.eor... In 'lot
,; ""?(P. "'" th".911 J/l
loclo.lvol, .r NI' ubllc '.eo~. ·
II
21 &I.....t. .hown h.r.oo .r. for
d(ll~,., otllltl" .'" .......
11.1... .tIler"l.. ..t'" Ile"M. '
LOr 10S JI lIOTfClI Thor. N, IN ..dltlo...1
r..trlctloAl thot .r. lit r.cord"
.. tll" plot tNt N, bo fo...d In
tilt hlllle '.eer.. .f wIlli conty
"l.rldo .t.tvt.. 1"."11.
t! nl. .ur...,,,.. Nd. ,It~...t IN",flt
of .. .botr.et or tltl.. n.ro"ro,
t~.r. cool' IN .'4Itl'~1 .......t.
nY1l~IIt4 olld rtltrleth.. or .tho;
.. n.ro If polllle r.cor' t"'t .0' .r
.., ..t .'foct t.l. perc.l.
LOr 101
~.c:>s"OO'?,'E. 1101'
C(= 450.(::()' 6: 0,'24 'Cb"
l.,.: 1/.01'
/0' UTILrTY ~ r:
I'
II
I
v.., Ic'-I- A
I HEREBY CERTIfY TMA T THE LANDS SHOWN ....E~I.'ON '-'!: \O:"THll'l ZC~.~E
COMMUNITY NO. DATED
_ ~ ~OWN ON F.I II fLOOD HAZAAO BOUNOARY MAP
NOT VALID UNLESS EM80r.sF.n WITH" Surfv'naA'S SEAL
~..~--
GDe Ar.ooc.i..~..
I HUlU. CI..rl'. ~T Tl"t ..eoV( \~IoO$ ..EIIl \lJI'vt1\O IJNOtll
\,IV l'II>>oNa.1l1 SUPfIlV'SI~ ,,~O DIRECTION, T""'T n.tAt AIIII'lO
~Ta IXCI"T ,.. ~ ANO THIlT '... S\Jflvl. ~
MI..ION ...n. THI "'1N1"'V'" TICHN'CAl "..><>....0. MT 'Ofl~H"
THE 'LO'''OA ICARD Of lAND SUfl~'OI'S, "'-"'8UAHT TO MClIOH
4710". 'LOfllo.. ar"TUTU '
AI ov. Z. 2- 18 B,
/ '" z :;'0 '
, ,
LEGEND
SIGNED
SCALE
9320 lunar tinv., Suit. 10!)
Temp.. f'lorlcifl '311ft
(113) 82n-006t
~~~ ._~-<~~ / -----
(b,i.J15 e. EI.SrVlC::U P.L.S. CERT. NO. 3/CK)
. CONCRETE MONuMENT
.". FENCE
o IRON PIPE SET
. IRON PIPE FOUND
II CROSS CUT
CHK. By
F.B.
PG
PASCO COUNTY, FLORIDA
Permit # .s j~ 6.___ f /J
Date 51- /9-9Y
Name/Owner ~ 13,~
County Parcel# ..3 -eJ. /, -;v- (~/ cJ.. 0 - 0 CJ C) cJ c:/ . /0 Y D
Location b ,-/.3 < --'<-/2/-fA (} ~;L. A QA
<---:D -;J -A-' t}
ClassiflCation/TypeofUse r1 P..4-l.d!~AtJA'~
lRANSPORTATION IMPACT FEE CALCULATION
Rate $
Zone #
Sq. Ft.1 Unit
Impact Fee Amount $
The above impact fee has been established t to the County Transportation Impact Ordinance as adopted by the Board of
County Commissioners. This am is payable PRIOR to the issuance Certiftcate of Occupancy or authority to utilize the permitted
structure.
RESOURCE RECOVERY ASSESSMENT
RESIDENTIAL
NONRESIDENTIAL
# Units
I
Gross Sq. FL (GSF)
Rate / ERU =
50.00 x 0.96* I Year
or $0.13151 Day
ERU Assign #
Assessment =
(# Units) x ($0.1315)
x (# Days)
Assessment =
!Q.SEl x (ERU) x (0.1315) x (# Days)
100
TOTAL FEE $
~4 L/. q 1/
TOTAL FEE $
*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 CERTIFICATE OF OCCUPANCY.
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit
owner on notice of this assessment and the conditions of payment for same.
Date
Received By
OFFICE USE ONLY
lRANSPORTATION REC. #
RESOURCE RECOVERY REC. # 2 0 '7~9 5'
DATE
DATE
'T-Lo ,-qy
:~__6b
White
Applicant
Canary
Trans I Finance
Canary
RR I Finance
Pink
Office
Green
Bldg IInsp
,_,.".__."_"_,.__,.,~"~,,,,---';"~:.o.--.,,._ -.._-..-..;-.',----;- ,_'.._,';,--',:----:--.-.~~'._
! ENTnAL PEPMI
PASCO COUNTY. FLORIDA
CONTRACTOR #:
NAME: RICKY GOLLHARDT
ADDR: 6433 SILVER OAKS DR
C/!:;T: ZHILL.S
FOf~: F:[:::;OUPCE
:':;-;;f-.,:'::: E'
',~ .. ... ~'
1 TIN G DATE: 04/20/94
F'AC-iE ~ :1 OF 1
I:;::::::UE CIFFICE: D
~:ECE I F'T hIUMBE: (H),20';";i'::i!:i
OFFICE: DADE CITY
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03-26-21-0120-00000-1040
CHECI< # ::; 1 7;:
AceNT
114
'rOTPd_ r-=il"IOUNT:
COMPNY ACCOUNT CENTER
B45(:l -. :~:6300f:).- .:
:::4. 9l~
(-lMOUNT
34.94 ~***** SOLID WASTE FEE
t::>C
REC:E 1 \IED BY ___________ __._______.:..___.,_ __.....____.__..___....__..__._____,.
DESCRIPTION/PERMT DATA
l:~R./ (: F~
. .
SUMMER CALCULATIONS
_I. BASE I BASE GLASS -' SINGLE
GLASS x SUMMER = SUMMER AREA x SUMMER P
AREA PT. MUL T. POINTS CLEAR
N 82.2 N 51.0
NE I 0l.1? .'8.> 82.2 1~3'''1. I.('J NE 'aZ.is 77.2
E 82.2 E 109.2
SE I~. 'f,r;'" 82.2 10104.4 '1 SE I d. .'1:5 112.9
S 82.2 S 100.2
SW 53.o~ 82.2 ~" SW 5"3.0' 112.9
W 82.2 W 109.2
NW I)8.5i "J 82.2 '-t~ Ill'> . t'J'~ NW 5'iS't 77.2
CI) H' 82.2 H' 367.7
CI) it=. ~o.lq A~. ).. a4~1.1O 5~ 3('), F1 II~. ?
::5 ~E. 3o,l~ ~~. :J. a to , . (0 51::. q()./l' /I:J..1
CJ
La\) q<.:, ~J, :l_ fEct I. 'ZI- In:') ~"" """l~
" ."
.151 COND 1 TOTAL I BASEl BASE 1 ADJUSTED
FLOOR GLASS I ADJUST. i GLASS GLASS
AREA i AREA FACTOR SUBTOTAL T BASE SP
.15 I '~I.\ ~ 1::109.K).t t84 ~ ,I a I"ISI{.llo
'I'
COMPONENT ., BASE SUMMER I BASE COM
DESCRIPTION AREA x POINT. MUL T. = SUMMER DESC
POINTS
EXTERIOR IIPo0 1.0 \1.# (") ~ CB to
..... ADJACENT -;:; n t"') .7 'I.J t'\ III [) I
.....
<C
==
CI) EXTERIOR
a:
0 ADJACENT
0
Q
CJ UNDER AITIC
z OR SINGLE
::J
iii ASSEMBLY
u
a:
0
0
.....
LL
l(~
.
qlo
~'?L/7
IS~15~ L
4.8
1.6
-PANE
OINT MUL T. OR
TINf2
51.5
76.6
107.1
110.3
98.3
110.3
107.1
76.6
303.3
CLIMATE ZONES 4 5 6
A5-BlNL T
GLASS
SUM. PTS
DOUBLE-PANE
SUMMER POINT MUL T.
CLEAR TINf2
47.8 43.5
71.7 63.4
102.0 87.3
104.1 89.4
90.9 78.8
104.1 89.4
102.0 87.3
71.7 63.4
324.6 238.1
C>
PONENT
RIPTION
AREA
o .6
.6
.
')'c
,J;~ '1_
IlS C) I ~'.~, I
BASE CEILING AREA EQUALS FLOOR AREA DIRECTLY UNDER CEILING, AS-BUilT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGE.
.
o -31.8 Cil
-3.43
INFILTRATION 1/71.(0 10.9
COOLING
SYSTEM
TOTAL COMPONENT BASE SUMMER POINT~
BASE COOLING TOTAL BASE
SYSTEM x SUMMER
MUL TIPLlEFl POINTS
.37 3'" &'0 l
HOT
WATER
SYSTEM
.
\1 ~.
=
.
IVS/'i"1.Cfbl
,
NUMBER
OF
BEDROOMS
0.3>
AS.BUIL T
HOT WATER
SYSTEM DESC.
b\..c
AS.BUIL T
= COOLING
POINTS
IS~o9.(,~
NUMBER
OF x
BEDROOMS
3
'H = HORIZONTAL GLASS (SKYLIGHTS)
2FOR GLASS WITH KNOWN SHADING COEFFICIENT, SEE SECTION 1.1 OF APPENDIX C. TINT MULTIPLIERS MAYBE
USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT.
-2-
-
Department of Community' Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-93 Residential Whole Building Performance Method A CENTRAL 4 5 6
PROJECT NAME:
AND ADDRESS:
OWNER: R. '
,~\)K~c\'~
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units covered by this submission
4. If Multifamily, is this a worst case (yes / no)
5. Conditioned floor area (sq. ft.)
6. Predominant eave overhang (ft.)
7. Porch overhang length (ft.)
8. Glass type and area:
a. Clear glass
b. Tint, film or solar screen
9. Floor type and insulation:
a. Slab on grade (R-value + perimeter)
b. Wood, raised (R-value + sq. ft.)
c. Concrete, raised (R-value)
10. Net Wall type, area and insulation:
a. Exterior: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
4. Log (Insulation R-value)
b. Adjacent: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
4. Log (Insulation R-value)
11. Ceiling type, area and insulation:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
12. Air distribution system:
a. Ducts (Insulation + Location)
b. Air Handler( Insulation + Location)
13. Cooling system:
(Types: central-split, central-single pkg., room unit, PTAC., none)
14. Heating system:
(Types: heat pump, elec. strip, nat. gas, L.P. gas, room or PTAC, none)
15. Hot water system:
(Types: elec., natural gas, solar, L.P. gas, none)
16. Hot Water Credits:
a. Heat Recovery (HR)
b. Dedicated Heat Pump(DHP)
17. Infiltration practice: 1, 2 or 3
18. HV AC Credits (Type in Letter designation: CF-Ceiling Fan, CV-Cross vent,
HF-Whole house fan, RB-Attic radiant barrier, MZ-Multizone)
19. EPI (must not exceed 100 points)
a. Total As-Built points
b. Total Base points
EPI = Total As-Built points X 100
Total Base points
I hereby certify that the plans and specifications covered by the calculation are in compliance with the
Florida Energy
OWNER AGENT:
-1-
Please Type CK
1. t..J e. l ......)
2. )F D
3.
4.
5. /1 'Ie> sq. ft.
6. 1,3.3 ft.
7. I~ ft.
Single Pane Double Pane
8a. 3o'l.~~q. ft. sq. ft.
8b. sq. ft. sq. ft.
9a. R= a . cr , JZo I. ft.
9b. R= , sq. ft.
9c. R= , sq. ft.
1 Oa-1 R= '-1.0 IfDOQ sq. ft.
10a-2 R= sq. ft.
10a-3 R= sq. ft.
10a-4 R= sq. ft.
1 Ob-1 R= sq. ft.
10b-2 R= JI\() ~ 0 ('I) sq. ft.
1 Ob-3 R= sq. ft.
10b-4 R= sq. ft.
11a. R= 3t> 1?4D sq. ft.
11b. R= sq. ft.
12a. R= " .0 , (COnd.lQ
12b. R= , (cond.luncond.)
13a. Type:C IS Ul/<::'\>I.-\1-
13b. SEERlEERlC6p: /0 .5
13c. Capacity:
14a. ~IIDQ-T Pu"-! P
14b. HSP COP/AFUE: '1, (Q.,!;"
14c. Capacity: 40 GA L.
15a. Type: r; L--
15b. EF: fZ~
16a.
16b.
17. It)
18. ~O t0r=.~
119. 3~}. '7K ,
19a. "3 t~ i '5; to . ~ 9
19b. L/ d. a'i 'r/. S' Cl
Review of plans and specnications covered by this calculation indicates compliance wnh
the Florida Energy Code. Before construction is completed, this building will be inspected
for compliance in accordance wnh Section 553.908, F.S.
BUILDING OFFICIAL:
DATE: