HomeMy WebLinkAbout00-9361
BUILDING PERMIT
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Pmp.rty Own" ~ (!. ~.
Job Add'",' _ ~~ 15" . . . . ~ 'TJ1;a
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ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
t:/7. ,Jj)
PLUMBING
Permit
09361
-
Date
.3 .- AfJ.. OV
j5'
-
Sewer Conn / ~ "7/ '
Water Conn: '.3 -so -
Water Meter: / ~ () -
TI.F.'s: - AlIt-
MECHANICAL
rh.
Zoning:
Complete Plans. Specifications and Fee Must Accompany Application. C,Q.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
.)R..
BUILDING
mFl~T/J
ELECTRICAL 97
.~~
Company
Address
~
o 4/LIJ1L_~ jJJJtt,w< ~"/()
Valuation or
Contract Price
7~,I'o
City License Registration #
State Certified License#
dRS-o~
0eK I )te.I<OJ../6
PLUMBING /9:li)
MECHANICALo(.j.~7
Ftr. .q/ J2.-tJf!) ~~
Pre SLB s-.J..f.{J.)O ~
Lintel
FRM. ~~(~-"O L1I6
Insul. CL
WL IO-2~t!)C> SQ
Driveway I / f6 / (J I S(Z
,
SLB So? A"I"-' ..
Tub Se v151,..,Zu,c;;,..
Tp. Servo
Rough In V
Meter Can .....--
Const. Pole ~2-0Q) .2/Z
Pool
Pre-Meter 2-Z,3-01 ':Y~
Final
r~ 'hf
Jj-IZ--tJ t1J fL
Breakers
Ducts Insl. /'
Compressor
Final
.c:f ;lrI!Tfll~G- ~
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,
-..
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
989907
EJ
lt~.lliit
PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHYR HILLS, FLORIDA
WATER ACCT. NO,
~ ~ ~A~~'
~(l2{J - 9'tt $( JJ ..
SE~CEAoo~~~:~;;;b
OWNER/
RENTER
MAILING
SHUT OFF SERVICE 0
TURN ON SERVICE .~
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
c
~ r ~
~~7t-tb71 ~~
o /- S C ~
.::t q '3 (p I
DATE .,:t -/9 -0 I
~~.
'(' WATER
o SEWER
o GARBAGE
X IN CITY
o OUT CITY
I
~ No. OF UNIlS
_ DEPOSIT AMOUNT
_ AMOUNT lAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPlETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in offICe at all times,
Send pink & yellow forms to Water Service Dept,
Water Service Capt. to sign yellow form & return to office,
.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED ~ - /0 - ?;'D
PLANSREVIEW~-/J.7egL
OWNER'S NAME ~,~, B\)~0s-'-H::. ~~&'=;~
JOB ADDRESS !5 '7 !J /5 P;e.I<ETlrJ fJ1/~L Il t/c .' ~
N\)I~ ~~;>\ g F"T of k\), IS.B
LEGAL DESCRIPTION: LOT (S)N:,\ \5" Ii A BLOCK SUBDIVISION<3IL\,Ye.~C) ~~ VILLA~
PARCEL ID # '3 ala ~ 1 Q)~ \) \:) ()~t\~~ (S) \ S" P\
(OBTAIN FROM PROPERTY TAX NOTICEI
WORK PROPSED: ~EW CONSTRUCTION
DSIGN
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK t0t.-W ;:'~~tv\E R.E.-'5 i~'E.~~
BUILDING SIZE
SQUARE FOOTAGE
~d-7r
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ILDING
$ '\ ~ )~~~ . "b't)
a~~
PERMITS REQUESTED
& (1) SET ENERGY FORMS.
FORMS.
iI~ NoL
~
o ELECTRICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE ~ORIDA POWER 0
o PLUMBING
~CHANICAL
$ L\.t\)~ ~
VALUATION OF MECHANCIAL INSTALLAT
o GAS
o ROOFING
o SPECIALTY
o OTHER
~E
o STEEL
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
~
~
BUILDER
SIGNATUR~C--~
COMPANY V\ ~ \=-~ I\) 0 ~ \:=... ~ L-.L,~
STATE CERT OR REGIST # ~
CITY PROCESSING # 02 ~
.............
../~
~*****************************************************************
COMPANY~ 1\~\)~ tH-~c:::..\ ~\. e..-
STATE CERT OR REGIST # E.lGo 013 t.( 47'
CITY PROCESSING # q 7 l.."""--
*******************************************************
SIGNATUP.E
\ ~~, ~~/?b-
D~N~'~ \C lL\.., ~tv\.~
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING # J?,t;2 D \...-"
PLlJMBBR
SIGNATURE
******************************************************************
~.' ' COMPANy~)0<:::"'~\~
'_______ STATE CERT OR REGIST #
-- ~ CITY PROCESSING # 0(5'""07 ~
MECHANICAL
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOT.ICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are u~certain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
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 you, as the owner signs 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 may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CO~ECTION FEES
D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~owner" prior to commencement.
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 compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
. codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is
understood that a drainage plan addressing a ~compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit 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 permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced withiri
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may 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 must be logged during each six
month period, or the project will be considered abandoned.
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".
~~(\~ ~d~~
SIGNATURE, ~~:iENT. SIGNATURE, CO:RAC~OR
STATE OF FLORIDA~\::.\
COUNTY OF S c:......o
The foregoing insflument was_~cknO~edged
Before,<.e thi~O ~ offf..i.()F'f;.- , ..1-9~
by .C~ vr..... .-
~name of person acknowledged)
~ho is personally known to me, or
o who has producedJ)h t..e-1' L{~ t2".,. (L
(type of identification)
not take an oath.
fiowledgement
Name t
STATE OF FLORIDA t-..-C\
COUNTY OF r \'0 ~~<:::>
The foregoing inst~nent wa~kn~Wledged
~;fore ,_~:s~Wf //NJA"~ , )4~
__, ~ name of person acknowledged)
~ is personally known to me, or
o who has produced J)y;),.td L;c~
(type of identification)
take an oath
'~
~ rJ; ~ 1 ~.6 -
~1,.~?
stTUctural Engineering
t.lchael A. RcCncn, P.E.
Q21 Shadow Ortve Slite 3
LakeWd. Rcrida 3:JII()9
Ftlone BS3-815-9541
Fa 8e3-B51 9B61
Pages Attached ~
Fax To: :e.; Il ~v. \ e ~ c,.
Subject:
~~ \Z \:, !";(~ · ..,
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From:
Comments:
8truchral ~
t.tctl_ A. ~ 1t.E.
021 a.HlM DrW ... :I
Lakellnd, Pb1da ...
AUn: Bill Burge..
ZephyrhiU. Building Department
Zephyrhill., Florida
May 4, 2000
SUBJECT:
Permit II 9361
37315 Pickett. Mill
Zephyrhilla. Florida
This letter is to certify that compaction test for stem wall Is not
required unless a soils report haa been generated due to
poor 8011. conditions.
If further information is required, please contact me.
<<)JJ f Q.j~
Michael A. Robinson, P.E.
Engineer-at-Recard
Florida Reg. No. 28317
R.C. BURNETTE
SILVER OAKS VILLAGE
----- SQ. FEET PRICE
MAIN OR LIVING AREA 1,520 $ 40.00
OTHER AREA UNDER ROOF 754 $ 15.00
OTHER
VALUATION $ 72,110.00
FEE SHEET $ 362.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 583,00
CREDIT: $ 70.00
BUILDING LESS CREDIT: $ 518,00
ELECTRICAL: $ 85.96
PLUMBING: $ 67.50
MECHANICAL: $ 35,00
RADON: $ 2274
TOTAL $ 724,20
V'
! SEWER: $ 1,278.00
I WATER: $ 350.00
I TOTAL: $ 1,628.00
t/
3/4"
WATER METER:~ $
180,00 1 v'
I
T IF'S :1 $
99% $
1% $
: I
$ 2,532.20 I
-t /90'
/I " . .-__r-
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r". '-- .,-,.....'.... ' -
:5 II_:{\'\-(<- ot*s V,uA-~
~!'~2~~
SQ. FEET PRICE
MAIN OR LIVING AREA J520 LfO.r::.~
OTHER AREA UNDER ROOF 75~ - u~~
I:;'~
OTHER
,
BUILDING:
ELECTRICAL: ?J~ q f!o
PLUMBING: "-7.5,c
MECHANICAL: '3"'" .:;)0
~~
2 iLl 'f Sq.~~, RADON: 2'2. l I '-t
CREDIT: --70, 0'-'
L",
SEWER: 5 Ii"%(\{ ~
WATER:
~,.
TOTAL:
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SIN 10784
RIGHT-J SHORT FORM
2/21/00
Job #:
For:
File name:
RAINBOW ROW 1520 SFL
BURNETTE BUILDERS
BUR1520,bld
By:
NUCCIO HEATING AND AIRCONDITIONING
6306 WEST LINEBAUGH AVE.
TAMPA FL 33625
813-961-7895
Outside db
Inside db
Design TD
Daily Range
Inside Humid,
Grains Water
Method
Canst. qIty
Fireplaces
Htg Clg
40 95
70 75
30 20
M
50
54
Simplified
Average
o
HEATING EQUIPMENT
COOLING EQUIPMENT
Make CARRIER
Model
Type
Efficiency / HSPF
Heating Input
Heating Output
Heating Temp Rise
Actual Heating Fan
Htg Air Flow Factor
0,00
o Btuh
o Btuh
o Deg F
1200 CFM
o . 045 CFM/Btuh
Make CARRIER
Model
Type
COP/EER/SEER
Sensible Cooling
Latent Cooling
Total Cooling
Actual Cooling Fan
Clg Air Flow Factor
0.00
o Btuh
o Btuh
o Btuh
1200 CFM
o , 056 CFM/Btuh
Space Thermostat
Load Sensible Heat Ratio
83
ROOM NAME AREA HTG CLG HTG CLG
SQ,FT, BTUH BTUH CFM CFM
FOY 48 1509 716 68 40
BTH 36 534 365 24 20
GRT / STAIR 290 3595 3626 162 203
DIN 144 2727 2608 123 146
KIT 234 4359 3737 197 209
M BR 273 6506 4873 294 273
M BTH 63 1041 773 47 43
BTH / STAIR 149 1705 1429 77 80
BR 2 143 2226 1620 101 91
BR 3 140 2378 1700 107 95
Entire House d 1520 26582 21448 1200 1200
Ventilation Air 0 0
Equip, @ 1. 00 RSM 21448
Latent Cooling 4547
TOTALS
1520
26582
25995
1200
1200
MANUAL J: 7th Ed,
RIGHT-J: V3,0,01
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---
FORM 600A-97
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
Builder: BURNETTE I
Permitting Office:OIT't t,,7F z:E?1I'1,efl/'-~ 'I
Permit Number: 9:3~ /8
Jurisdiction Number: ~ II (pt'JO
I
Project Name: BURNETTE 1520 SFL
Address: !3 78/6" Plt!.JI<ETT5 I1tIJ.-L Ill/F.
City, State: ZF?lIfI?HI).L'1, FL
Owner: 1?,(!. 'Z/.II?}J~
Climate Zone: .l/ Central
1. New construction or existing
2, Single family or multi-family
3, Number of units, if multi-family
4, Number of Bedrooms
5, Is this a worst case?
6, Conditioned floor area (f1:2)
7, Glass area & type
a, Clear - single pane
b, Clear - double pane
c, Tint/other SC/SHGC - single pane
d, Tint/other SC/SHGC - double pane
8, Floor types
a, Slab-On-Grade Edge Insulation
b, Raised Wood, Post or Pier
c, N/A
9, Wall types
a, Frame, Wood, Exterior
b, Frame, Wood, Adjacent
c, N/A
d. N/A
e, N/A
10, Ceiling types
a, Under Attic
b, N/A
c, N/A
11 , Ducts
a, Sup: Unc, Ret: Unc, AH: Attic
b, N/A
New
Single family
I
3
Yes
1520 ft2
193.0 ft2
0,0 ft,
0,0 ft2
0,0 ft,
R=O,O, 235,0(p) ft
R=II ,0, 70,Oft'
R=I1.0, 1805,0 ft,
R=I1.0, 117.0 ft2
R=22.0, 768.0 ft2
Sup, R=6,0, 300,0 ft
12, Cooling systems
a. Central Unit
Cap: 34,2 kBtulhr
SEER: 10,00
b, NiA
c, NiA
13, Heating systems
a, Electric Heat Pump
Cap: 36,0 kBtu!hr
HSPF: 7.20
b, NiA
c, N/A
14, Hot water systems
a, Electric Resistance
Cap: 50,0 gallons
EF: 0,90
b, N/A
c, Conservation credits
(HR-Heat recovery, Solar
DHP-Dedicated heat pump)
i 15, HV AC credits
(CF-Ceiling fan, CV-Cross ventilation,
HF-Whole house fim,
PT -Programmable Thermostat,
RB-Attic radiant barrier,
MZ-C-Multizone cooling,
MZ-H-Multizone heating)
Glass/Floor Area: 0.13
Total as-built points: 21494.00
Total base points: 23706.00
PASS
I hereby certify that the plan
by this calculation are in c
Energy Code.
PREPARED BY:
DATE:Z-'2.l-0L)
I hereby certify that this building, as designed, is in
compliance with th lorida E
OWNERlAGEN
DATE:
FORM 600A-97
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: , , ,
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
.18 X Conditioned X BSPM = Points Overhang
Floor Area Type/SC Omt Len Hgt Area X SPM X SOF = Points
.18 1520.0 42.08 11512.4 Single, Clear W 1,0 13,0 4,0 53,47 1,00 213,0
Single, Clear S 6,0 7,0 30,0 44,66 0,59 784,0
Single, Clear E 1.0 16,0 30,0 59,31 1,00 1773,0
Single, Clear W 1,0 14,0 9,0 53.47 1,00 479,5
Single, Clear E 1,0 7,0 24,0 59,31 0,98 1399,7
Single, Clear E 6,0 8,0 42,0 59,31 0,61 1509,3
Single, Clear E 1,0 4,0 9,0 59,31 0,92 489.2
Single, Clear W 1,0 6.0 15.0 53.47 0,97 776,9
Single, Clear N 1,0 6,0 15,0 27,96 0,97 408,6
Single, Clear N 1,0 6,0 15,0 27,96 0.97 408,6
As-Built Total: 193.0 8241.7
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adajcent 117,0 0,7 81,9 Frame, Wood, Exterior 11,0 1805,0 1,90 3429,5
Exterior 1805,0 1,90 3429,5 Frame, Wood, Adjacent 11,0 117,0 0,70 81,9
Base Total: 1922,0 3511.4 As-Built Total: 1922,0 3511.4
DOOR TYPES Area X BSPM = Points Type Area X SPM = Points
Adjacent 21.0 1,60 33,6 Exterior Wood 42,0 7,20 302.4
Exterior 42,0 4,80 201,6 Adjacent Wood 21,0 2.40 50.4
Base Total: 63,0 235.2 As-Built Total: 63,0 352.8
CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Under Attic 768,0 0,60 460,8 Under Attic 22,0 768,0 0,90 691,2
Base Total: 768.0 460,8 As-Built Total: 768.0 691,2
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 235,0(p) -31.8 -7473,0 Slab-On-Grade Edge Insulation 0,0 235,0(p) -31,90 -7496,5
Raised 70,0 -3.43 -240,1 Raised Wood, Post or Pier 11,0 70,0 1,83 127,8
Base Total: -7713.1 As-Built Total: -7368.8
INFIL TRA TION Area X BSPM = Points Area X SPM = Points
1520.0 14,31 21751.2 1520,0 14,31 21751,2
EnergyGauge@ DCA Form 600A-97
EnergyGauge@/FlaRES'97 FLRCNA-200
FORM 600A-97
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: I I I
PERMIT #:
BASE AS-BUlL T
Summer Base Points: 29757.9 Summer As-Built Points: 27179.5
Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
27179,5 1,000 1,090 0,341 1,000 10101,6
29757.9 0.3577 10644.4 27179.5 1.00 1.090 0.341 1.000 10101.6
EnergyGauge™ DCA Form 600A-97
EnergyGauge<ID/FlaRES'97 FLRCNA-200
FORM 600A-97
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: , , ,
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
.18 X Conditioned X BWPM = Points Overhang
Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Points
,18 1520.0 4.79 1310.4 Single, Clear W 1,0 13,0 4,0 10,74 1,00 42,9
Single, Clear S 6,0 7,0 30,0 7,73 1,73 400,1
Single, Clear E 1,0 16,0 30,0 9.96 1,00 299,6
Single, Clear W 1,0 14,0 9,0 10,74 1,00 96,6
Single, Clear E 1,0 7,0 24,0 9,96 1.01 240,6
Single, Clear E 6,0 8,0 42,0 9,96 1,11 466,3
Single, Clear E 1,0 4,0 9,0 9,96 1,02 91,3
Single, Clear W 1,0 6,0 15,0 10,74 1,00 161,5
Single, Clear N 1,0 6,0 15,0 12,32 1,00 184.4
Single, Clear N 1,0 6,0 15,0 12,32 1,00 184.4
As-Built Total: 193.0 2167.8
WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Adajcent 117,0 1,8 210,6 Frame, Wood, Exterior 11,0 1805,0 2,00 3610,0
Exterior 1805,0 2,00 3610,0 Frame, Wood, Adjacent 11,0 117,0 1,80 210,6
Base Total: 1922.0 3820,6 As-Built Total: 1922.0 3820.6
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
Adjacent 21,0 4,00 84,0 Exterior Wood 42,0 7,60 319,2
Exterior 42,0 5,10 214.2 Adjacent Wood 21,0 5,90 123,9
Base Total: 63,0 298,2 As-Built Total: 63.0 443.1
CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Under Attic 768,0 0,60 460,8 Under Attic 22,0 768,0 0,90 691.2
Base Total: 768.0 460.8 As-Built Total: 768,0 691,2
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 235.0(p) -1,9 -446,5 Slab-On-Grade Edge Insulation 0,0 235,0(p) 2,50 587,5
Raised 70,0 -0,20 -14,0 Raised Wood, Post or Pier 110 70,0 0.47 33,0
Base Total: -460,5 As-Built Total: 620.5
INFIL TRA TION Area X BWPM = Points Area X WPM = Points
1520.0 -0,28 -425.6 1520,0 -0.28 -425,6
EnergyGauge@ DCA Form 600A-97
EnergyGauge@/FlaRES'97 FLRCNA-200
FORM 600A-97
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS:" ,
PERMIT #:
BASE AS-BUlL T
Winter Base Points: 5003.9 Winter As-Built Points: 7317.6
Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
7317,6 1,000 1.116 0.474 1,000 3870,8
5003.9 1.0730 5369.2 7317.6 1.00 1.116 0.474 1.000 3870.8
EnergyGauge ™ DCA Form 600A-97
EnergyGauge@/FlaRES'97 FLRCNA-200
FORM 600A-97
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
I ADDRESS:" ,
PERMIT #:
BASE AS-BUlL T
WATER HEATING
Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total
Bedrooms Volume Bedrooms Ratio Multiplier
3 2564,00 7692,0 50,0 0,90 3 1,00 2507.02 1,00 7521 ,1
As-Built Total: 7521.1
CODE COMPLIANCE STATUS
BASE AS-BUlL T
Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total
Points Points Points Points Points Points Points Points
10644.4 5369.2 7692.0 23705.6 10101.6 3870.8 7521.1 21493.5
I
PASS
I
EnergyGauge™ DCA Form 600A.97
EnergyGauge@/FlaRES'97 FLRCNA-200
FORM 600A-97
Code Compliance Checklist
Residential Whole Building Performance Method A - Details
I ADDRESS:" ,
6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST
PERMIT #:
COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK
Exterior Windows & Doors 606,1 ,ABC, 1,1 Maximum:,3 cfm/sa,ft, window area' ,5 cfm/sa,ft, door area,
Exterior & Adjacent Walls 606,1 ,ABC, 1,2,1 Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall;
foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility
I penetrations; between wall panels & top/bottom plates; between walls and floor.
EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends I
from and is sealed to the foundation to the too olate, I
Floors 606, 1 ,ABC, 1,2,2 Penetrations/openings >1/8" sealed unless backed by truss or joint members, I
EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed !
to the oerimeter oenetrations and seams,
Ceilings 606,1 ,ABC, 1,2,3 Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, chases,
soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate;
attic access, EXCEPTION: Frame ceilings where a continuous infiltration barrier is
installed that is sealed at the oerimeter at oenetrations and seams,
Recessed Lighting Fixtures 1606,1 ,ABC, 1,2.4 Type IC rated with no penetrations, sealed; or Type IC or non-IC rated, installed inside a
I sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2,0 cfm from
i
conditioned soace tested,
Multi-storv Houses 606,1 ,ABC, 1,2,5 Air barrier on oerimeter of floor cavity between floors, I
I
Additional Infiltration reqts 606,1 ,ABC.1 ,3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, i
have combustion air. I
6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded bv all residences.)
COMPONENTS SECTION REQUIREMENTS CHECK
Water Heaters 612,1 Comply with efficiency requirements in Table 6-12, Switch or clearly marked circuit
, breaker (electric I or cutoff (aasl must be orovided, External or built-in heat trao 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
efficiencv of 78%, i
I
Shower heads 612,1 Water flow must be restricted to no more than 2,5 aallons oer minute at 80 PSIG, i
Air Distribution Systems 610,1 I All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically I
attached, sealed, insulated, and installed in accordance with the criteria of Section 610, I
Ducts in unconditioned attics: R-6 min, insulation, I
HVAC Controls 607,1 Senarate readilv accessible manual or automatic thermostat for each svstem, I
Insulation 604,1, 602,1 Ceilings-Min, R-19, Common walls-Frame R-11 or CBS R-3 both sides, I
I I Common ceiling & floors R-11,
EnergyGauge ™ DCA Form 600A-97
EnergyGauge<ID/FlaRES'97 FLRCNA-200
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMA TED ENERGY PERFORMANCE SCORE* = 81.2
The higher the score, the more efficient the home.
1, New construction or existing
2, Single family or multi-family
3, Number of units, if multi-family
4, Number of Bedrooms
5, Is this a worst case?
6, Conditioned floor area (ft')
7, Glass area & type
a, Clear - single pane
b, Clear - double pane
c, Tint/other SC/SHGC - single pane
d, Tint/other SC/SHGC - double pane
8, Floor types
a, Slab-On-Grade Edge Insulation
b, Raised Wood, Post or Pier
c. N/A
9, Wall types
a, Frame, Wood, Exterior
b, Frame, Wood, Adjacent
c, N/A
d, N/A
e, N/A
10, Ceiling types
a, Under Attic
b, N/A
c, N/A
11 , Ducts
a, Sup: Unc, Ret: Unc, AH: Attic
b, N/A
New
Single tamily
1
3
Yes
1520 ft,
193,0 ft'
0.0 ft,
0,0 tF
0,0 ft,
R=O,O, 235,0(p) ft
R=11.0, 70,Oft'
R=11.0, 1805,0 ft,
R=ll.O, 117,0 ft,
R=22,0, 768,0 ft,
Sup, R=6,0, 300,0 ft
12, Cooling systems
a, Central Unit
Cap: 34.2 kBtu/hr
SEER: 10,00
b, N/A
c, N/A
13, Heating systems
a, Electric Heat Pump
Cap: 36,0 kBtu/hr
HSPF: 7,20
b, N/A
c, N/A
14, Hot water systems
a, Electric Resistance
Cap: 50,0 gallons
EF: 0,90
b, N/A
c, Conservation credits
(HR-Heat recovery, Solar
DHP-Dedicated heat pump)
15, HV AC credits
(CF-Ceiling tan, CV-Cross ventilation,
HF-Whole house fan,
PT-Programmable Thermostat,
RB-Attic radiant barrier,
MZ-C-Multizone cooling,
MZ-H-Multizone heating)
I certifY that this home has complied with the Florida Energy Efficiency Code For Building
Construction through the above energy saving features which will be installed (or exceeded)
in this home before final inspection, Othenvise, a new EPL Display Card will be completed
based on installed Code compliant features,
Builder Signature:
Address of New Home:
Date:
CitylFL Zip:
*NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program.
This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a us EP A/DOE EnergyStCfrM designation),
your home may qualifY for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating.
Contact the Energy Gauge Hotline at 407/638-1492 or see the Energy Gauge web site at www.ftec.ucfedufor
information and a list of certified Raters, For information about Florida's Energy Efficiency Code For Building Construction,
contact the Department of Community Affairs at 850/487-1824.
EnergyGauge@ (Version: FLRCNA-200)
~~UUoD
__ _ _.~__ _ _ ~R~MA~IC~ BUSI~ESS P~U~~ IN:. ~1~-71~~~ F~ 81~:9~~f~__
EJ
~..........
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
CJ t7 -st?
WATER ACCT. NO.
DATE
3 -d29-oo
OWNER/
RENTER
~D
I " ~
'/2,,-Rp/J1.5 - (?Jh/tt~
.
MAiLING /~~ 3 C> .$ 7 H ..s '""J-
? EP JY YR-H)J.,~
..f3S:-;40
SERVICE ADDRESS c37~/~
SHUT OFE.SERVICE 0
TURN ON SERVICE ~
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
~ ':.Ms) 7JJ.. a .l.CT/5'/1
t! J II 'At.. <::if! ' ~r }S"J
~R
o SEWER
o GARBAGE
~TY
o OUT CITY
~ No. OF UNllS
_ DEPOSIT AMOUNT
f-II -?n~
_ AMOUNT LAST BIll
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept,
Water Service Dept to sign yellow form & return to offICe,
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