HomeMy WebLinkAbout01-0790
BUILDING PERMITN~
0790
~\'-\ ,O~
ELECTRICAL
CITY OF ZEPHYRHILLS
~~IUI."ll '....o.ao 11-3 -01
,;'\ Date 0
Ctv dO
.d8S' J)O'
PLUMBING M~CHANtCAL
Permit
rfJ
~,~'jS'
BUILDING
-29/00
- Cl 030
Sewer Conn :1I156f,.;z~
Water Conn: 51 'in"".;). 5
Water Meter: ~
T.I.F."s:
Zoning: Energy Code:
Description of Work 0 1/1' of t)/t PtI, ' -to ,
J;;,cftJd'~J 13t.t;II//n)f 7coo 57: -Me7lA,M t/,H,
rlNflI-
If- ).3-0:1. /I:'Iflll'1/;z
NO OCCUPANCY BEFORE C.O. {!~TII#<IJJ/f:r: P. j-i{5
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
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FINAL
C.O.
DATE
Inspector
Permit Fee .
;<Signatur~/~
Company
Address
~Telephone# 72 7- ~'-J 7 -oBoh~E I(
Valuation or
Contract Price
City License Registration #
State Certified License#
/lftP elec,
/7a
ELECTRICAL
"16<:: (}vytfcn flvW\b~
13
PLUMBING
/3""iff-~n //1 i<
11~S
MECHANICAL
!lln'S'tJn l1uilrllHj (LJ~'
BUILDING
Ftr. 1.51. - ~~Ol ;I..z;e; Tp. Servo SLB Breakers
Pre SLB . Rough In'/I-:22-02. 1r.JO../l.l:fTub Set '//..22-0::;L. 1ff~f!.t...'1 Ducts Insl. ./,!J-7.tJ~ /170
Lintel ,I r-31-0~ J.lYo,(Ja Meter Can Water . Compre~or
FRM. / J ~;lJ... 0').. /-Ifc,ilL'1 Canst. Pole Ild-;) '~OIIfJ"llLY Sewer. Final,/~ "I'd ,...tl.:l.., I!c.. G~~ $b
Insul. CL Pool Finalc>/V -ft','t):<. R[~/lfl ~(+ /'N~ .;J- :JS'- .:)~ #,f 61
WL Pre-Me~r ,!II-:lfl1f2~ WYl.i.wq,..Ml/^cP.. ROve h 7/u.......1o '1.2-~2 HJ"o Rt. .
FinaIVb'-Lt'rO.;z -~i; ~() 't,JJ.L.r<ctJ~./- ..3-1,,-0 ?-Iffo I <<t
Driveway "/3JvJ"A f!lv~b IrI :;JII-I-:2j''''O:z.'R.L~
_ 1Je:-1(J..~.O( #:10 sr~.';).-;).f-D~ Rl'1,.fJO WCJ1.flovrJtlPltJfflh-I-";l.1:2-HifOI,'R-l'l, _,,:for
5f~ - ;)-/7-01 Itro fL.I~~icl t'fth.ctlN. 1~~s~r:.:t.hLJ.1 ~v"'J.?I/J~..:1-5-_ 1~I1t1lL,,vS0I1 'I .et9
REINSPECTION FEES: When extrJf..fsp:itiln t~s~re. ~e'l(s~grtcmmnt'[ne of the fOI~~i!liJ reasons, a 0).. .~O
charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: l'MfF ~ -15--;;s:J,.. 1!.L't
(ocfgy;./-/O-c;J. R~ HJo ~kr-rltS:. i-lr-o;l;tJlJ, 81'3 ';';.P<J/s ~ 5ch#- 3i-Q;;z.Rc<y
a. Wrong Address f,.ieJj'..I:f'1'- -. I-;J.ej...oJ. fI11J,I!W <' rc:fj, i,ts.- 3, 7-()~Rt-r
b. Condemned work resulting fro~ construction. - { J Orr I 5-
c. Repairs or corrections not made when inspection called.
d. Wor~ not ready for in~pec~ion ~hen called. /In .?__ ,JA 'I L ~o/\ f2.1.-fA
e. Permit not posted on Job site. C/ec. LrJNLf ~'8\ 0117 r -'1
f. Plans not at job site. /1/1 . ~ .
g. Work not accessible. W#IJLf J8,'-'Jh ;l f'/.cfI1 - 3-/1-0..2.. /-fro
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
.3 -;;27-oJ.. S~ S.~ pQ,~~ - ~
JI- ,i-OJ.. ~ M. () tfLf --..~- 0
Ji-11-6J - ,1)ecK(vt'} d ~
~---/5-f)~ ~ E/ec. Rt.. Y
5-'-3V--oc/ f',;,~~ff&)k~ C{ I IlfC)
k2. i ;./To
'/
Hinson Building Corp.
38100 Market Sq.
Florida Medeical
Renovation of old. Publix to Medical
SQ. FEET PRICE
MAIN OR LIVING: 32,558 $ 35.00
OTHER AREA UNDER ROOF: $ 15.00
OTHER: $ -
VALUATION $ 1,139,530.00
FEE SHEET $ 2,950.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 4,425.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 4,425.00
ELECTRICAL: $ 514.04
PLUMBING: $ 285.00
MECHANICAL: $ 420.00
RADON: $ 325.58
TOTAL $ 5,969.62
SEWER: $ 21,566.25
WATER: $ 5,906.25
IRRIGATION: $ -
TOTAL: $ 27,472.50
WATER METER:I $
IRRIGATION METER $
~. I
SUB-TOTAL $ 33,442.121
- I
SIF'S:I $
97.5% $
2.5% $
TI F'S: $ 34,763.40
99% $ 34,415.77
1% $ 347.63
25% $ 8,690.85(Dile at permitting
75% $2&,072.55(Due at C.O.)
TOTAL: $ 68,205.52 f $42,132.97 TOTAL DUE AT PERMITTING
P,
*
* T ran s m i s s ion Res u I t R e P 0 r t (M e m 0 r y T X) (J un. 1 O. 2002
8:54AM)
CITY OF ZEPHYRHILLS
*
F i I e
No, Mode
Destination
P g (s)
Result
Page
Not Sent
1870 Memory TX
97884411
p.
OK
Reason for error
E.l) Hang uP or line fai I
E.3) No answer
E . 2) Bus y
E.4) No facsimi Ie connection
....... .,.~
'HI~on .....Id.ng.COrp.
38100__q.
FIO_. __eel
Ren___lon ~ old'Publ"""" Med~
PRR;I:
MAIN OR I.. .
OTHER AREA UNDER RO : "5.00
OTI-4ER: $ -
VAL.UA ON ". "139..$SO~ao
...ee SH~ SO 2.950.00
ADDRESS -
A.Y $
BUI NO:,
~T,S
BUIL.DI_ DIT:
I!!L. , S
PLU_.NG:
_CHANICAL:: $
N:
TOT
4.,425.00
s.........D4
2815.00
.00
32fS.!5B
S.
'RRI~s€l !
;=~:
IRRJ~~~ ":..~'.~~I :
SUB-TOTAL $ 33,~."'2
~~I:
r
TI~\I :
TOTAL: ~
~.7e3.40
34..4"16.7'7
347.83
2.5" $ 8.690_85 (D:u......:t,.pe.2!DCL~t::"'-:O.
75% $2~.072_55<Due at C_O.)
I
88,205.52
$42.132.97 TOTAL DUE AT PERM7TT7NG
I
TAMPA PSI
Fax:81S8131U'::lUj
~eb l~ 2UU2 '::l:2i ~.Ul
'.
l~&alnformation
J: · To Build On
."",...",.. . eo.aIfIng . .....
Profus/on.1 Serv1ce Industries, Inc.
5801 Benjamin Center Drive
Suite 112
34
Tam"a. FL 336
FACSIMILE TRANSMITTAL
TO: Chuck Adair FROM: Chuck Wrobel
FIRM: Hinson FAX: 813/888-8514
FAX: 727-528-4454 PHONE: 813/886-1075
PHONE:
DATE: 2-13-02 TIME: 0945 AM PM
TOTAL NUMBER OF PAGES (INCLUDING COVER:) 3
Per Your Request
x For Your Information
For our Review I Comment
For Your Approvall Signature
Additional Remarks:
If I can be of further assistance YOU can contact me at 813-217-2805.
IF YOU DO NOT RECEIVE ALL PAGES, CALL 813/886-1076 ASAP
TAMPA PSI
Fax:8138810903
Feb 13 2002 9:22
P.02
, -.
CLIENT
.... .. DATE
2-r3--o~
PROJECT NAME
. 0.1_(,&, c
PROJECT NO..
-
ON SITE TIME.
cf
2,0
2.0
. .. __.. '. .h._WEATHER .~
FIELD CONTACT
5
r
._...... ._.___TRAVEL TIME
SCOPE OF FIELDWORK
St ee~ \-~~
_-......------....- _.._.. ..._..._ _'M' _~._..
Record of Field Observ.tiona and Tesa:
Tllcnnlci,n:
FIeLD REPORT RECORD
Caple. to:
iDil
Prof...lonal Service Industrlu, Inc.
WhIte Copy Office - Yellow Copy Tech - Pink Copy Contractor
TAMPA PSI
F~.B'";l3-e2 89: 54
Fax:8138810903
Feb 13 2002
S7604lse
9:22
P.03
AM
633
P.Q2
,.
4r NDN-OiSTAUCTIVE EXAMINATIO~ ULTRASONIC EXAMINATION or ~ELDS
j ;:,':-" . FAA ~EPAIR STAflON NOOR643K fORM 33.64.2
4816 N. CLA'UC AVfNUE
"m' .. fAMPA, FLOIlIDA 3361'
. .r:
... .:,..1lj PNo.IE: 813-876-4618
UX: B13. 876. 4688
CLlllIT : PROJECT: fLORIOA MEDICAL CLINIC ---I~OCATION: lEPMTRMILLS, FLORIDA
,.OfESSIONAL SE1VICE INDUSTRIES, 111C. MOM~NT CO~II(CtION ~ELDS DATE: 2'12-02
S810 IENJAMIN CEHTER DRIVE REPORT NUMBER; UT6Z ~.."'" ., 'J'
SUIT! 112 LA8 NUMIER: L.OZ.051 ULTRASONIC UNIT: USIlS2
'WA, flORIOA 33634 CLIENT P.O.': 779 SERIAL NUMBER: 2476531
-- .---....
I
MATUIAL 'HIClIiES.: .500"
. TEST MetHOD STD: A\JS 01.1
ACCEPlANCf STo: AU! 01~ 1
I "... II I. . . . . . , I . I . . . . . . . ........ X REMARK S :
. ,
--I
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LOCi 11 Dr Olel.US OISCON'INUlfY lOCATION
IUIIE. (COLUMN -. ....--. - '-'- ~~I~E;~-IDISfAN"
Of NUMBER) INOI- RErEll- AHEN' INOI'
WELDS INOI- TRANS- CA If ON ENeE U" TI 011 CATlOfI LAR F Ro.I WiLD
"""E C CENTEIt CATlOtt DUCU fR~ ~ W.lL ~2! ~.5! OIS' $\IR' fROM 'ROft tV"L -
.no lEA" NUMIER ANGLE FACE LEe " . C D LENCTH TANCE rACE A II Y UAT ION REMARlCS
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fNIS CERTIFIES THAT ON JHE DATE Of THIS REPORT I TEST AND rrsT RESUL" WERe PERFORMED IN ACCORDANCE ~IT~ CONTRACT DOCUMfNTS.
Tlst DAn 2.12.02
"IPetTED If .u tHAEL 'HORNION Jft-hI fLJ-, ._ ~EVH: II
'A" 1 OF ,
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CI1Y OF ZEPHYRH;~LS
11111111111111111111111111111111111I111111111111111111111111
2001171746
I
111J I ! , '" oJ :"" t I; I
,~.. 1'" LA""
.1 Y''''I
NOTICE OF COMMENCEMENT
"MINOLE FORNI."'.
"'N.M: DI .UPl.lCA""
8~ of fJorlda }
C"~~ \
The undersigned herebv Inform, .n.ClCInumld that ImprOVltnt.n1S will be mlde 10 certal" r..1 pro".rI~. and In accordance
"Wi'" ,action 713.13 or me Plorida Statut8I, tile fotlowinalnfomtaaon Ia I.Wct in thi. NQT1CE Of COMMENCfMI;I\IT.
D..criPtion gfproJ)8t1Y ....... .~,~.~U?9..~~~~.~ .:-_.~~~,l;~.. ..~ffif;i4~.~.~~~~...... ..... ..... ..... ....
. .. .... '...,...,., ...., ,.... ....... ..l~~~.~~~.~~.9:l:~.;C;;. .7.)9...9.Q9.:~..,~t..~qy~t:~~....~~~).... ...... ...
..... .(~.6... ,.d.6.. .~.!... _t!.o./~.... .(}.3.9.4:~... tffe!..?~. ...,..: .:..:..............,"';........... ..... ....
Build-out of old Publix iJ"lto m!dical office! including
r..) Generlll ducrill~I:: o. 1::tQ=:n.~ . .::. :?:' .~ ~.~ r, ,~'t~.~~~~ : ~~ ~.g. ~~~.1;9; ~~~~ ; . ~~~~~ ~. . . , . ~~~-:' . .~ ''-~~ . . . .
n Owner..... ,-..~ ...Qt::\.1.,oH ,I'~. (::.~.... ,,,,...WP.,, .......... ,,',..... ........... ....." DS: 0.00 IT: 0.00
. .~<_. Addre......... ,~~,+~,~ .~~~, .!?~..:. .~~ROO'~"" ~~~~. .~~.~~.q... ~.~~,~~.~~.~........ _.......... ~.~~y. .~~el'k
Owner'll in18r.,t In sit. 0' the improvement, . . , , .. . .... . . ... , . .... . . ... , , . . ... . , ..... i~91~~~I"A~8: tt:;O fOUNT:, CL.lRI<
. Fe, Simple TiU. tlg'd,r (I' other dl." ownerl OR BI< 4797 PG 757
Name .. _ . . . . . . .~! l?-. , . . , , . . . . . . . . _ . . . , ... . . . , . . . , . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . , , . . . . . , , . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .
Address '.. ~. .. . . .. .. . . . . I I. .... - .. . . . . . . .... . .. . .... ~ I .. .. .. . .. ..... . .. ..... . , . . . .. . .. . .. I . . . . f. . I., .. . . . . . . .
...... ,
CoPtnaotor . .... ij,'i.,r)SQ{\ .au:i.lc1mg .CQ;w~~n..:......,........,...., ,....,............,.... ' ...........,..... .........
Addr... ....,.. .~~,~~. .~.1;~ .!?~~..~f.t:~. .:. .~~.'.. ~:t,~~,.. .~#?;-~~ }~?P.~..... ...............,........... ....
SurelV (it any) ,.~ I.~: :\, , . . " ,:.,.....................,.....",...,....................... ... 0 0 , , . . . . . , . . . . . , . . . . .. ... .... '. . . . .
.....
Address .....".,.......................,.. I ,.. "" t,. ........ a.......,..... .... I" ,,,. I...... ........ ..~ .Amwnt of bo"d S ".,. ...... . ....
Any per&on making 8 IGlln ror the con'lnIcdon of the Im"rov.mtnu:
Name. ,.. ... ...S\.\O~t. ,sank.~..Attn..~J...YQ\,1I"1,g...... .,..... .... ,...." '0" ,..,.., ....., ..... .....' ..... ..... ....
Add"$$ .....,. .~~3~ .~l-J. ~"+~~m .':'. .~~tw+m;l,~_,.. rlqr.~. ,33.~~~.. .e.l.3:-.7.13Q':";'\U.~........ .......
P.rlOtI wilhin Ih. State of Florid, d..ignated by owner upon whom notice. or other documeftts mllY be served:
H.rne .. '" . . . . . . .N I A. . . . . " ............ I . .' . , . .. . . . ., . . . . . - . . . . . .. ..... I . I , . . . . . , . . . . . I . . . . . . . . _ . .. . '" , . f I I . . . . .. ..........'...
Add,... ....,............................. '" . . '" . . . . . . . I . I , I , . . , . . . . .. . . . . . . . . . . . I ...... I I .. . . . . . ... . . . . . .. , . . . . . . . . . . . . . . . . . . _ . . . _ I I
In adtfition to himself. ow"~r design.tee "'. following penDn 10 r.oeiwl I copy of VIe L.ienor's Not~. .. provided I" Seollon..,
713,13 (1) (hI. F!lorid. StatUt... (FJIIln It Owner's option). .:
. Nam. ............SUJ:lt..n1St ,Bank..~_~.,Earl.Yamg....,. .........., 0.'.. ,.....' ...... ..... ............. ,......... ..'
. .
Add'e.. T~I~;;~~;';~;~;~~"~~;~';~;~.~~'"'''''''''''''''''''''''''''' ... . ..; .~.: 11~e'~i)""""""
..... ...... . ..~'t.."........".........
STATE OF FLORIDA
COUNTY OF PASCQ
THIS IS TO CERTIP' THAT THE FOREGOING IS A
TRUE AND CORRECT CO!,. (I' THE DOCUMENT ON FILE
OR OF Lie R,ECOR, D li\ nilS~OFFIC E. NESS MY
HA D "Ff-"'CIAlAE~,L .: HI" DAY OF
. '1--.2
, C Ri; Of C!!,CUIT COURT
DEPUTY CLERK
Sworn to and ,ubecrlbed b'-or. 1'1'I8 this ,......,..".,.; ,
_~t}~_..~~~..........~1
! . ~ ~....~..,..,~.. Nata%~~~anNorman
/.r-rli~..\ MY COMMISSION # Ccn6815 EXPIRES
~. : i September Zo. ZOOZ
" Jlf. IlONDIO THIIU tROY FAIN INSURANCf. tHe.
l d L~~SO:~
vSH-SGS-LU
tldLj:l ~CI)~'9 :,30
DATE: 12/11/01 PASCO COUNTY PROPERTY APPRAISER
o N - L I N E PAR C E L P R I N T 0 U T
08:46:15
PARCEL-ID: 02 26 21 0010 03900 0030 TYPE:
SC TP RG SUB BLOCK LOT
STATUS: A
DLA: 082196
PARENT:
NOTES: 87S/P$2870000INCLl-39-2&
S/P800000INCLDSl-39-2 & 4
NAME: FMC MARKET SQUARE INC
/ADDR
DATE-SPLIT: OOOOOO/FIB CLASS: 19
1-39-4;90PAABAV-100(D) ;93 LETTER CD-
TRIM-RET A/C-CALL 8-14-96 OWNER CHG-
38135 MARKET SQUARE
ZEPHYRHILLS
PREV OWNER: KORO-MARKST SQUARE HOLDINGS BV
STREET ADD"ZES: 3 81:J MARKET SQUARE DR
FL 335402505
ZEPHYRHILLS, FL
9254
7648
4059
X E M P T ION I N F 0: SOH HX APP
JM CD H W D V T PC~ HX-OVRIDE YEAR DATE S YR
** NO EXEMPTIOK(S) ON FILE **
VALUE & Ti\X -
LAND AG:
-MRKT:
BLDG:
XFOB:
FO:
APPR:
SOH:
EXMT:
1 0961
TXBL: 1980961
ACRES: 3.54
AREA: 30ZH
LOTS:
CHG:
DENIAL TYPE:
AUTOMATIC RECEIPT DATE:
HX VAL:
MKT CHG HX:
MC LAND HX:
PHYS HX:
o
o
o
o
NON-HX:
NON-HX:
NON-HX:
NON-HX:
1980961
o
C
82598
PRIOR YR VALUE:
PRIOR YEAR MKT:
MKT DIFFERENCE:
PRIOR HX VALUE:
PRIOR HX peT:
PRIOR NON HX:
1898363
1898363
o
o
1898363
S A L E S:
YEAR MOt" ::JK 21='~1'.~ SALES-AMT INST XFER QUAL
1977 02 13i8
1987 12 76 01 8 WD
1987 12 03 13 7 WD
1993 11 3,.28 02 3 WD
ST LIFE I/V TOI
I
I
I
MS I
DATE: 12/11/0' PASCO COUNTY PROPERTY APPRAISER 08:46:15
0 N - L I N E P A R C E L P R I N T 0 U T
PARCEL-ID: O~ 26 21 010 03900 0030 TYPE: STATUS: A ;)LA: 082:_96
s~ TP RG CUB BLOCK LOT
LEG A L DES C RIP T ION:
ASSESSSD IN SECTION 02, TOWNSHIP 26 SOUTH, RANGE 21 Ell.ST,
PASCO COUNTY, FLORIDA
ZEPHYRHILLS COLONY COMPANY
39 & 42 DESC AS COM AT SW COR
24 "w J\LG WEST BDY OF SEC
638.36 FT FOR POB TH NOODG 00'
16"E l\LG LINE BEING 60 FT
BDY OF TRACT 39 256.25 FT TH
N89DG 54' 51"E 38.34 FT TH
S89DG 54' 51"W 45.82 FT TH
54' 51"W 248.90 FT TO POB AKA
OR 32 8 PG 203
LANDS PB 1 PG 55 POR OF TRACTS
OF NW1/4 OF SEC TH NOODG 13'
662.75 FT TH N89DG 54' 51"E
04"E 602.58 FT TH N89DG 57'
SOUTH OF & PARALLEL TO NORTH
SOODG 00' 04"W 568.70 FT TH
SOODG 13' 24"E 3.70 FT TH
SOODG 13' 24"E 30 FT TH S89DG
K-MART PCL
F i I e
No, Mode
1190 Memory TX
p.
* T ran s m i s s ion Res u I t R e PO r t (M e m 0 r y TX) (N 0 v . 26, 2001
9: 1 DAM) *
CITY OF ZEPHYRHILLS
*
Destination
P g (s)
Page
Not Sent
Result
817275284454
P,
OK
Reason for error
E.l) Hang UP or line fai I
E.3) No answer
/'-..2~-.o1'
~: C!;NUe-t<.
.---:::::------
../ -P,:;1 <F~
E.2) Busy
E.4) No facsimi Ie connection
.:'::.-"":~
. Hln-.an a....Id....... Corp.
_"00 _ Sq.
Flaorlda M_
R...o.v.don or OIcl.POubllx IlD __
MAIN OR LIVING.;:
I'"RJCE
S 3<5.00
32
OTJ-ER. AR.EA UNDER. ROOF":
15.00
OTHER:
:&
VAL..I....AA: ON
1 139 830..00
F'&;;'~ H
960.00
o
~
...ca: .
CIU!!DlIT: '"
BUILDING LE_ C :
I!!LI!!c:TRJC::AL. S
PL N:
.....CHANlICAL: S
....
.....26..00
5'14..04-
286.00
420.00
326..58
....-......
""
~EI!
IMFU~ :
:::5::
IRRJ~~~~.J~f :
SUB-TOTAL $ 33......2_12
,-
:~~Efl
T'~f:
34.~63.~
34.4"1~:77'
25%
75%
$ 8.690_65<DDQ.'at..p..:I!IIL"1:~t:::t.n.
$26~072.55(Due at C_O.)
TOTAL: $ 68.205.52
$42.L32.97 TOTAL DUE AT PERMITTING
"
Component Performance Method for Commercial Buildings
Form 400B-97
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLA/COM-97 Version 2.2
PROJECT NAME Florida Medical Clinic
ADDRESS: _Zephyrhills, Florida
PERMITTING OFFICE:
_Zephyrhills
CLIMATE ZONE: _4
PERMIT NO:
JURISDICTION NO:_611600
OWNER:
AGENT :
_Florida Medical Corporation
BUILDING TYPE: _Institutional (Health)
CONSTRUCTION CONDITION: Existing Building
DESIGN COMPLETION: _Renovation
CONDITIONED FLOOR AREA: _33154
MAX. TONNAGE OF EQUIPMENT PER SYSTEM:
COMPLIANCE CALCULATION:
NUMBER OF ZONES: 4
ENVELOPE PERFORMANCE
OTHER ENVELOPE REQUIREMENTS
LIGHTING
INTERIOR LIGHTING
EXTERIOR LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. EER
IPLV
2. EER
IPLV
3. EER
IPLV
4. EER
IPLV
HEATING EQUIPMENT
AIR DISTRIBUTION SYSTEM INSULATION REQUIREMENTS
1. With Insulated Roof 6.25
2. With Insulated Roof 6.25
3. With Insulated Roof 6.25
4. With Insulated Roof 6.25
REHEAT SYSTEM TYPES USED
NO REHEAT SYSTEM is USED
WATER HEATING EQUIPMENT
1. EF
2. EF
3. EF
4. EF
PIPING INSULATION REQUIREMENTS
1. Circulating
2. Circulating
3. Circulating
4. Circulating
METHOD B
34
DESIGN
CRITERIA
RESULT
38.55
74.35
PASSES
PASSES
44238.00
990.00
60564.30
12000.00
PASSES
PASSES
PASSES
11.30
12.30
10.90
11.70
11.30
12.30
10.90
11.70
8.50
7.50
8.50
7.50
8.50
7.50
8.50
7.50
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
4.20
4.20
4.20
4.20
PASSES
PASSES
PASSES
PASSES
0.83
0.83
0.83
0.83
0.82
0.82
0.82
0.82
PASSES
PASSES
PASSES
PASSES
1. 00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
PASSES
PASSES
PASSES
PASSES
COMPLIANCE CERTIFICATION:
----------------------------------------------------------------------------
I hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida EnergY~~t~'c' y Code.
PREPARED BY: /~~
DATE: I exl.
I hereby certify that this building is
in compliance with the Florida Energy
Efficiency Code.
OWNER/AGENT:
DATE:
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
for compliance in accordance with
Section 553.908, Florida Statutes.
BUILDING OFFICIAL:
DATE:
I hereby certify(*) that the system design is in compliance with the Florida
Energy Efficiency Code.
SYSTEM DESIGNER REGISTRATION/STATE
ARCHITECT:.. I~
MECHANICAL: ~I..' t'JE ~'4A "i n. ~ It
PLUMBING: _~~~- -~~
ELECTRICAL: " : ~ v ___ ~
LIGHTING :. /<. L;,~(."
(*) Signature is required where Florida law requires design to be performed
by registered design professionals. Typed names and registration numbers may
be used where all relevant information is contained on signed/sealed plans.
----------------------------------------------------------------------------
----------------------------------------------------------------------------
BUILDING ENVELOPE SYSTEMS COMPLIANCE
CHECK
1------------------------------------------------v-
U SC VLT Shading Area (Sqft)
401.------GLAZING--ZONE
Elevation Type
South
West
East
Commercial
Commercial
Commercial
0.87 .25 .25 Continuous Ove 120
0.87 .25 .25 Continuous Ove 33
0.87 .25 .25 Continuous Ove 33
Total Glass Area in Zone 1 = 185
2------------------------------------------------v-
U SC VLT Shading Area (Sqft)
401.------GLAZING--ZONE
Elevation Type
South
Commercial
0.84 .25 .25 Continuous Ove 178
Total Glass Area in Zone 2 = 178
3------------------------------------------------v-
U SC VLT Shading Area (Sqft)
401.------GLAZING--ZONE
Elevation Type
South
Commercial
0.84 .25 .25 Continuous Ove 143
Total Glass Area in Zone 3 = 143
4------------------------------------------------v-
U SC VLT Shading Area (Sqft)
401.------GLAZING--ZONE
Elevation Type
Adjacent
Commercial
402.------WALLS--ZONE
Elevation Type
North
West
East
South
South
North
West
East
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
402.------WALLS--ZONE
Elevation Type
1.31 .25 .25 None 0
Total Glass Area in Zone 4 = 0
Total Glass Area = 506
1------------------------------------------------
U Insul R Gross (Sqft)
24"oc/5/8"Gyp 0.151 4 2288
24"oc/5/8"Gyp 0.151 4 220
24"oc/5/8"Gyp 0.151 4 220
24"oc/5/8"Gyp 0.151 4 163
24"oc/5/8"Gyp 0.151 4 235
24"oc/5/8"Gyp 0.151 4 2288
241oc/5/8"Gyp 0.151 4 88
241oc/5/8"Gyp 0.151 4 88
Total Wall Area in Zone 1 = 5590
2------------------------------------------------
U Insul R Gross (Sqft)
ISO
ISO
ISO
ISO
ISO
ISO
ISO
ISO
Btwn
Btwn
Btwn
Btwn
Btwn
Btwn
Btwn
Btwn
8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 699
8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 899
8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 795
, Total Wall Area in Zone 2 = 2392
402.------WALLS--ZONE 3------------------------------------------------
Elevation Type U Insul R Gross (Sqft)
North
East
South
8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 394
8"CMU/3/4"ISO Btwn 24"oC/5/8"Gyp 0.151 4 1188
8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 624
Total Wall Area in Zone 3 = 2206
402.------WALLS--ZONE 4------------------------------------------------
Elevation Type U Insul R Gross (Sqft)
North
West
South
--------- -------------------------------- ----- ------- -----------
South 8 "CMU/3/4 II ISO Btwn 24"oc/5/8"Gyp 0.151 4 1824
East 8"CMU/3/4"ISO Btwn 241oC/5/8"Gyp 0.151 4 196
West 8"CMU/3/4"ISO Btwn 241oc/5/8"Gyp 0.151 4 196
403.------DOORS--ZONE
Elevation Type
Total Wall Area in Zone 4 = 2216
Total Gross Wall Area = 12404
1------------------------------------------------
U Area (Sqft)
--------- ------------------------------------------
North
South
1-3/4 Steel
2 Motor
403.------DOORS--ZONE
Elevation Type
South
No doors
403.------DOORS--ZONE
Elevation Type
Door-Polyurethane core (24 0.20 48
Alum Frme Sgl GIs DR .96 50
Total Door Area in Zone 1 = 98
2------------------------------------------------
U Area (Sqft)
0.00 0
Total Door Area in Zone 2 = 0
3------------------------------------------------
U Area (Sqft)
South
No doors
--------- ------------------------------------------ ----- ----------
403.------DOORS--ZONE
Elevation Type
Adjacent
No doors
404.------ROOFS--ZONE
Type
0.00 0
Total Door Area in Zone 3 = 0
4------------------------------------------------
U Area (Sqft)
0.00 0
Total Door Area in Zone 4 = 0
Total Door Area = 98
1------------------------------------------------
Color U Insul R Area (Sqft)
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 1 = 25919
404.------ROOFS--ZONE 2------------------------------------------------
Type Color U Insul R Area (Sqft)
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 2 = 25919
404.------ROOFS--ZONE 3------------------------------------------------
Type Color U Insul R Area (Sqft)
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 3 = 25919
404.------ROOFS--ZONE 4------------------------------------------------
Type Color U Insul R Area (Sqft)
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 4 = 25919
Total Roof Area = 103676
405.------FLOORS-ZONE 1------------------------------------------------
Type Insul R Area (Sqft)
Slab on Grade/Uninsulated
405.------FLOORS-ZONE
Type
Slab on Grade/Uninsulated
405.------FLOORS-ZONE
Type
1.26 25919
Total Floor Area in Zone 1 = 25919
2------------------------------------------------
Insul R Area (Sqft)
1.26 25919
Total Floor Area in Zone 2 = 25919
3------------------------------------------------
Insul R Area (Sqft)
------------------------------------------------
Slab on Grade/Uninsulated
1.26 25919
Total Floor Area in Zone 3 = 25919
4------------------------------------------------
Insul R Area (Sqft)
405.------FLOORS-ZONE
Type
Floor over Conditioned Space/Insulated 1.26 7287
Total Floor Area in Zone 4 = 7287
Total Floor Area = 85044
406.------INFILTRATION--------------------------------------------------
IC~
Infiltration Criteria in 406.1.ABCD have been met.
MECHANICAL SYSTEMS
CHECK
------------------------------------------------------------------1-----
HVAC load sizing has been performed. (407.1.ABCD) ~
407.------COOLING SYSTEMS-----------------------------------------------
Type No Efficiency IPLV Tons
1. Air Cooled ( >= 65,000 Btu/h 1 11.3 12.3 34.19
2. Air Cooled ( >= 65,000 Btu/h 1 10.9 11.7 34.19
3. Air Cooled ( >= 65,000 Btu/h 1 11.3 12.3 34.19
4. Air Cooled ( >= 65,000 Btu/h 1 10.9 11.7 34.19
408.------HEATING SYSTEMS-----------------------------------------------
Type No Efficiency BTU/hr
1. No Heating System 0 0 0
2. No Heating System 0 0 0
3. No Heating System 0 0 0
4. No Heating System 0 0 0
409.------VENTILATION---------------------------------------------------
I CHECK
Ventilation Criteria in 409.1.ABCD have been met. ~~
410.-----AIR DISTRIBUTION SySTEM----------------------------------------
CHECK
----~~~~-;i;i~~-~~d-d~;i;~-h~~~-b~~~-~~~f;~~d~-(~~~~~~~~~)------I-~
ABU Type Duct Location R-value
6.25
6.25
6.25
6.25
CHECK
------------------------------------------------------------------1-----
Testing and balancing will be performed. (410.1.ABCD) ~p
411.-----PUMPS AND PIPING-ZONE -----------------------------------------
Basic prescriptive requirements in 411.1.ABCD have been met. I~
1. Packaged
2. Packaged
3. Packaged
4. Packaged
Variable
Variable
Variable
Variable
Air
Air
Air
Air
Volume
Volume
Volume
Volume
With
With
With
With
Insulated
Insulated
Insulated
Insulated
Roof
Roof
Roof
Roof
PLUMBING SYSTEMS
411.-----PUMPS AND PIPING-ZONE 1---------------------------------------
Type R-value/in Diameter Thickness
1. Circulating
411.-----PUMPS AND PIPING-ZONE
Type
3.79 1.5 1
2---------------------------------------
R-value/in Diameter Thickness
1. Circulating
411.-----PUMPS AND PIPING-ZONE
Type
3.79 1.5 1
3---------------------------------------
R-value/in Diameter Thickness
1. Circulating
411.-----PUMPS AND PIPING-ZONE
Type
3.79 1.5 1
4---------------------------------------
R-value/in Diameter Thickness
1. Circulating 3.79 1.5 1
412.-----WATER HEATING SYSTEMS-ZONE 1----------------------------------
Type Efficiency StandbyLoss InputRate Gallons
1. <=12 kW .83.5 36 80
412.-----WATER HEATING SYSTEMS-ZONE 2----------------------------------
Type Efficiency StandbyLoss InputRate Gallons
1. <=12 kW .83.5 36 80
412.-----WATER HEATING SYSTEMS-ZONE 3----------------------------------
Type Efficiency StandbyLoss InputRate Gallons
1. <=12 kW .83.5 36 80
412.-----WATER HEATING SYSTEMS-ZONE 4----------------------------------
Type Efficiency StandbyLoss InputRate Gallons
1. <=12 kW .83.5 36 80
ELECTRICAL SYSTEMS
CHECK
413.-----ELECTRICAL POWER DISTRIBUTION---------------------------- -----
Metering criteria in 413.1.ABCD have been met. ~
414.-----MOTORS--------------------------------------------------- -----
Motor efficiencies in 414.1.ABCD have been met. ~
415.-----LIGHTING SYSTEMS-ZONE 1---------------------------------------
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)
---------- -------------- -------------- ------ ----------
Corridor 1 On/Off 2 None 0 480 546
Computer/O 1 On/Off 2 None 0 384 260
General 1 On/Off 2 None 0 32 93
Control Ro 1 On/Off 2 None 0 64 159
Fine Activ 1 On/Off 2 None 0 192 365
Lounge/Wai 1 On/Off 4 On/Off 4 4088 2967
Corridor 1 On/Off 2 None 480 498
Corridor 1 On/Off 2 None 576 317
General 1 On/Off 2 None 32 75
Total Watts for Zone 1 = 6328
Total Area for Zone 1 = 5279
415.-----LIGHTING SYSTEMS-ZONE 2---------------------------------------
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)
---------- -------------- -------------- ------ ----------
Reading, T 2 On/Off 2 None 0 384 284
Patient Ro 1 On/Off 2 None 0 192 132
Toilet and 1 On/Off 2 On/Off 1 85 49
Laboratory 2 On/Off 2 None 0 576 465
Inactive S 1 On/Off 2 None 0 75 49
Corridor 1 On/Off 2 None 0 1152 836
Dental Sui 16 On/Off 2 None 0 3072 1672
Laboratory 6 On/Off 2 None 0 3456 2670
Toilet and 1 On/Off 2 None 0 24 98
Pharmacy 1 On/Off 2 None 0 192 105
Nurse Stat 1 On/Off 2 On/Off 4 512 173
Reception 1 On/Off 2 On/Off 4 592 166
Fine Activ 1 On/Off 2 None 0 256 170
Accounting 1 On/Off 2 On/Off 2 1408 1072
Lounge/Wai 1 On/Off 2 None 0 288 197
Corridor 1 On/Off 2 None 0 832 976
Nurse Stat 1 On/Off 2 On/Off 2 1136 249
Toilet and 3 On/Off 2 None 0 51 185
Pharmacy 1 On/Off 2 None 0 192 134
Dental Sui 1 On/Off 2 None 0 192 133
Operating 1 On/Off 2 None 0 192 158
Accounting 1 On/Off 2 None 0 192 116
Dental Sui 2 On/Off 2 None 0 384 175
Toilet and 2 On/Off 2 None 0 384 452
Total Watts for Zone 2 = 15819
Total Area for Zone 2 = 10717
415.-----LIGHTING SYSTEMS-ZONE 3---------------------------------------
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)
---------- -------------- -------------- ------ ----------
Reading, T 4 On/Off 2 None 0 768 568
Conference 4 On/Off 2 None 0 768 620
Toilet and 4 On/Off 2 None 0 68 192
Dental Sui 8 On/Off 2 None 0 1536 742
Dental Sui 8 On/Off 2 None 0 1536 634
Nurse Stat 1 On/Off 2 On/Off 7 944 226
Operating 1 On/Off 2 None 0 192 119
Operating 1 On/Off 2 None 0 192 128
Laboratory 1 On/Off 2 None 0 64 69
Reception 1 On/Off 2 None 0 286 48
Toilet and 1 On/Off 2 None 0 64 48
Medical Su 1 On/Off 2 None 0 64 48
Corridor 1 On/Off 2 None 0 896 1311
Reception 1 On/Off 2 None 0 240 125
Lounge/Wai 1 On/Off 2 None 0 896 780
Reception 1 On/Off 2 None 0 320 125
General Ar 1 On/Off 2 None 0 288 264
Reading, T 2 On/Off 2 None 0 384 219
Inactive S 1 On/Off 2 None 0 13 13
Corridor 1 On/Off 2 None 0 448 549
Reception 1 On/Off 2 On/Off 2 528 254
Toilet and 1 On/Off 2 None 0 17 56
Dental Sui 4 On/Off 2 None 0 768 483
Occupation 1 On/Off 2 None 0 1920 1398
Locker Roo 1 On/Off 2 None 0 192 121
Toilet and 1 On/Off 2 On/Off 2 30 68
Toilet and 1 On/Off 2 None 0 192 226
Occupation 1 On/Off 2 None 0 192 150
Locker Roo 1 On/Off 2 None 0 128 178
Toilet and 1 On/Off 2 On/Off 2 30 68
Fine Activ 1 On/Off 2 None 0 13 13
Total Watts for Zone 3 = 13977
Total Area for Zone 3 = 9841
415.-----LIGHTING SYSTEMS-ZONE 4---------------------------------------
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)
---------- -------------- -------------- ------ ----------
Fine Activ 1 On/Off 2 None 0 1344 1754
Reading, T 1 On/Off 2 None 0 768 696
, ..
Corridor 1 On/Off 2 On/Off 2 320
Toilet and 1 On/Off 2 On/Off 2 209
Toilet and 1 On/Off 2 On/Off 2 209
Reception 1 On/Off 2 On/Off 2 704
Reading, T 1 On/Off 2 None 0 192
Reading, T 1 On/Off 2 None 0 192
Reading, T 1 On/Off 2 None 0 256
Corridor 1 On/Off 2 None 0 384
Multi-fun. 1 On/Off 4 On/Off 4 1712
Accounting 1 On/Off 2 None 0 864
Accounting 1 On/Off 2 None 0 576
Reading, T 1 On/Off 2 None 0 256
Corridor 1 On/Off 2 None 0 128
Total Watts for Zone 4 =
Total Area for Zone 4 =
Total Watts =
Total Area =
340
182
185
581
153
153
312
273
867
525
480
185
150
8114
6834
44238
32672
CHECK
Lighting criteria in 415.1.ABCD have been met. ~
------------------------------------------------------------------ -----
16. Operation/maintenance manual will be provided to owner. (102.1) ~
Component Performance Method for Commercial Buildings
Form 400B-97
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLAjCOM-97 Version 2.2
PROJECT NAME_Florida Medical Clinic
ADDRESS: _Zephyrhills, Florida
PERMITTING OFFICE:
_Zephyrhills
CLIMATE ZONE: _4
PERMIT NO:
JURISDICTION NO:_611600
OWNER:
AGENT :
_Florida Medical Corporation
BUILDING TYPE: _Institutional (Health)
CONSTRUCTION CONDITION: Existing Building
DESIGN COMPLETION: _Renovation
CONDITIONED FLOOR AREA: _33154
MAX. TONNAGE OF EQUIPMENT PER SYSTEM:
NUMBER OF ZONES: 4
ENVELOPE PERFORMANCE
OTHER ENVELOPE REQUIREMENTS
LIGHTING
INTERIOR LIGHTING
EXTERIOR LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. EER
IPLV
2. EER
IPLV
3. EER
IPLV
4. EER
IPLV
HEATING EQUIPMENT
AIR DISTRIBUTION SYSTEM INSULATION REQUIREMENTS
1. With Insulated Roof 6.25
2. With Insulated Roof 6.25
3. With Insulated Roof 6.25
4. With Insulated Roof 6.25
REHEAT SYSTEM TYPES USED
NO REHEAT SYSTEM is USED
WATER HEATING EQUIPMENT
1. EF
2. EF
3. EF
4. EF
PIPING INSULATION REQUIREMENTS
1. Circulating
2. Circulating
3. Circulating
4. Circulating
COMPLIANCE CALCULATION:
METHOD B
34
DESIGN
CRITERIA
RESULT
38.55
74.35
PASSES
PASSES
44238.00
990.00
60564.30
12000.00
PASSES
PASSES
PASSES
11.30
12.30
10.90
11.70
11. 30
12.30
10.90
11.70
8.50
7.50
8.50
7.50
8.50
7.50
8.50
7.50
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
4.20
4.20
4.20
4.20
PASSES
PASSES
PASSES
PASSES
0.83
0.83
0.83
0.83
0.82
0.82
0.82
0.82
PASSES
PASSES
PASSES
PASSES
1.00
1. 00
1.00
1.00
1.00
1.00
1.00
1.00
PASSES
PASSES
PASSES
PASSES
.
COMPLIANCE CBRTIFICATION:
I hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy ~~~' 'c' y Code.
PREPARED BY: ,~~
DATE: I. ex).
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
for compliance in accordance with
Section 553.908, Florida Statutes.
BUILDING OFFICIAL:
DATE:
I hereby certify that this building is
in compliance with the Florida Energy
Efficiency Code.
OWNER/AGENT:
DATE:
I hereby certify(*) that the system design is in compliance with the Florida
Energy Efficiency Code.
SYSTEM DESIGNER
ARCHITECT:. .
MECHANICAL: ~~ 5' ~ ~ji4A 'i
PLUMBING : _~~
ELECTRICAL:' ~ '/./. v
LIGHTING :' -;</f-
(*) Signature is required where Florida law requires design to be performed
by registered design professionals. Typed names and registration numbers may
be used where all relevant information is contained on signed/sealed plans.
REGISTRATION/STATE
~ti-
_ L;~(,.' ~
----------------------------------------------------------------------------
----------------------------------------------------------------------------
401.------GLAZING--ZONE
Elevation Type
BUILDING ENVELOPE SYSTEMS COMPLIANCE
CHECK
1------------------------------------------------v-
U SC VLT Shading Area (Sqft)
South
West
East
Commercial
Commercial
Commercial
0.87 .25 .25 Continuous Ove 120
0.87 .25 .25 Continuous Ove 33
0.87 .25 .25 Continuous Ove 33
Total Glass Area in Zone 1 = 185
2------------------------------------------------v-
U SC VLT Shading Area (Sqft)
401.------GLAZING--ZONE
Elevation Type
South
Commercial
401.------GLAZING--ZONE
Elevation Type
0.84 .25 .25 Continuous Ove 178
Total Glass Area in Zone 2 = 178
3------------------------------------------------v-
U SC VLT Shading Area (Sqft)
South
Commercial
401.------GLAZING--ZONE
Elevation Type
0.84 .25 .25 Continuous Ove 143
Total Glass Area in Zone 3 = 143
4----------------------------~-------------------v-
U SC VLT Shading Area (Sqft)
Adjacent
Commercial
402.------WALLS--ZONE
Elevation Type
North
West
East
South
South
North
West
East
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
8 CMU/3/4
402.------WALLS--ZONE
Elevation Type
1.31 .25 .25 None 0
Total Glass Area in Zone 4 = 0
Total Glass Area = 506
1------------------------------------------------
U Insul R Gross (Sqft)
24 oC/5/8"Gyp 0.151 4 2288
24 oC/5/8"Gyp 0.151 4 220
24 oC/5/8"Gyp 0.151 4 220
24 oC/5/8"Gyp 0.151 4 163
24 oC/5/8"Gyp 0.151 4 235
24 oC/5/8"Gyp 0.151 4 2288
24 oC/5/8"Gyp 0.151 4 88
24 oC/5/8"Gyp 0.151 4 88
Total Wall Area in Zone 1 = 5590
2------------------------------------------------
U Insul R Gross (Sqft)
ISO
ISO
ISO
ISO
ISO
ISO
ISO
ISO
Btwn
Btwn
Btwn
Btwn
Btwn
Btwn
Btwn
Btwn
--------- -------------------------------- ----- ------- -----------
8ICMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 699
8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 899
8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 795
Total Wall Area in Zone 2 = 2392
402.------WALLS--ZONE 3------------------------------------------------
Elevation Type U Insul R Gross (Sqft)
North
East
South
--------- -------------------------------- -----
8"CMU/3/4"ISO Btwn 24"oC/5/8"Gyp 0.151 4 394
8"CMU/3/4"ISO Btwn 24"oC/5/8"Gyp 0.151 4 1188
8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 624
Total Wall Area in Zone 3 = 2206
402.------WALLS--ZONE 4------------------------------------------------
Elevation Type U Insul R Gross (Sqft)
North
West
South
--------- -------------------------------- ----- ------- -----------
South 8"CMU/3/4 II ISO Btwn 24"oC/5/8"Gyp 0.151 4 1824
East 8"CMU/3/4 II ISO Btwn 24"oC/5/8"Gyp 0.151 4 196
West 8"CMU/3/4"ISO Btwn 24"0C/5/8"Gyp 0.151 4 196
403.------DOORS--ZONE
Elevation Type
North
South
1-3/4 Steel
2 Motor
403.------DOORS--ZONE
Elevation Type
South
No doors
403.------DOORS--ZONE
Elevation Type
South
No doors
403.------DOORS--ZONE
Elevation Type
Adjacent
No doors
404.------ROOFS--ZONE
Type
Total Wall Area in Zone 4 = 2216
Total Gross Wall Area = 12404
1------------------------------------------------
U Area (Sqft)
Door-Polyurethane core (24 0.20 48
Alum Frme Sgl GIs DR .96 50
Total Door Area in Zone 1 = 98
2------------------------------------------------
U Area (Sqft)
0.00 0
Total Door Area in Zone 2 = 0
3------------------------------------------------
U Area (Sqft)
0.00 0
Total Door Area in Zone 3 = 0
4------------------------------------------------
U Area (Sqft)
0.00 0
Total Door Area in Zone 4 = 0
Total Door Area = 98
1------------------------------------------------
Color U Insul R Area (Sqft)
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 1 = 25919
404.------ROOFS--ZONE 2------------------------------------------------
Type Color U Insul R Area (Sqft)
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 2 = 25919
404.------ROOFS--ZONE 3------------------------------------------------
Type Color U Insul R Area (Sqft)
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 3 = 25919
404.------ROOFS--ZONE 4------------------------------------------------
Type Color U Insul R Area (Sqft)
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 4 = 25919
Total Roof Area = 103676
405.------FLOORS-ZONE 1------------------------------------------------
Type Insul R Area (Sqft)
Slab on Grade/Uninsulated
405.------FLOORS-ZONE
Type
1.26 25919
Total Floor Area in Zone 1 = 25919
2------------------------------------------------
Insul R Area (Sqft)
Slab on Grade/Uninsulated
------------------------------------------------
405.------FLOORS-ZONE
Type
1.26 25919
Total Floor Area in Zone 2 = 25919
3------------------------------------------------
Insul R Area (Sqft)
------------------------------------------------
Slab on Grade/Uninsulated
1.26 25919
Total Floor Area in Zone 3 = 25919
4------------------------------------------------
Insul R Area (Sqft)
405.------FLOORS-ZONE
Type
Floor over Conditioned Space/Insulated 1.26 7287
Total Floor Area in Zone 4 = 7287
Total Floor Area = 85044
406.------INFILTRATION--------------------------------------------------
IC~
Infiltration Criteria in 406.1.ABCD have been met.
MECHANICAL SYSTEMS
CHECK
------------------------------------------------------------------/-----
HVAC load sizing has been performed. (407.1.ABCD) ~
407.------COOLING SYSTEMS-----------------------------------------------
Type No Efficiency IPLV Tons
1. Air Cooled ( >= 65,000 Btu/h 1 11.3 12.3 34.19
2. Air Cooled ( >= 65,000 Btu/h 1 10.9 11.7 34.19
3. Air Cooled ( >= 65,000 Btu/h 1 11.3 12.3 34.19
4. Air Cooled ( >= 65,000 Btu/h 1 10.9 11.7 34.19
408.------HEATING SYSTEMS-----------------------------------------------
Type No Efficiency BTU/hr
1. No Heating System 0 0 0
2. No Heating System 0 0 0
3. No Heating System 0 0 0
4. No Heating System 0 0 0
409.------VENTILATION---------------------------------------------------
I CHECK
Ventilation Criteria in 409.1.ABCD have been met. ~
410.-----AIR DISTRIBUTION SySTEM----------------------------------------
CHECK
----;~~~-;i;i~~-~~d-d~;i~~-h~~~-b~~~-~~~f;~~d~-(~~~~~~~~;)------I-~
ABU Type Duct Location R-value
----------------------------------- ---------------------- -------
6.25
6.25
6.25
6.25
CHECK
------------------------------------------------------------------1-----
Testing and balancing will be performed. (410.1.ABCD) ~p
411.-----PUMPS AND PIPING-ZONE --------------------------------_________
Basic prescriptive requirements in 411.1.ABCD have been met. I~
1. Packaged
2. Packaged
3. Packaged
4. Packaged
Variable
Variable
Variable
Variable
Air
Air
Air
Air
Volume
Volume
Volume
Volume
With
With
With
With
Insulated
Insulated
Insulated
Insulated
Roof
Roof
Roof
Roof
PLUMBING SYSTEMS
411.-----PUMPS AND PIPING-ZONE 1--------------------------------------_
Type R-value/in Diameter Thickness
1. Circulating
411.-----PUMPS AND PIPING-ZONE
Type
3.79 1.5 1
2------------------------------------___
R-value/in Diameter Thickness
1. Circulating
411.-----PUMPS AND PIPING-ZONE
Type
3.79 1.5 1
3---------------------------------------
R-value/in Diameter Thickness
1. Circulating
411.-----PUMPS AND PIPING-ZONE
Type
3.79 1.5 1
4---------------------------------------
R-value/in Diameter Thickness
1. Circulating 3.79 1.5 1
412.-----WATER HEATING SYSTEMS-ZONE 1----------------------------------
Type Efficiency StandbyLoss InputRate Gallons
1. <=12 kW .83.5 36 80
412.-----WATER HEATING SYSTEMS-ZONE 2----------------------------------
Type Efficiency StandbyLoss InputRate Gallons
1. <=12 kW .83.5 36 80
412.-----WATER HEATING SYSTEMS-ZONE 3----------------------------------
Type Efficiency StandbyLoss InputRate Gallons
1. <=12 kW .83.5 36 80
412.-----WATER HEATING SYSTEMS-ZONE 4----------------------------------
Type Efficiency StandbyLoss InputRate Gallons
1. <=12 kW
.83 .5
36
80
ELECTRICAL SYSTEMS
CHECK
413.-----ELECTRICAL POWER DISTRIBUTION---------------------------- -----
Metering criteria in 413.1.ABCD have been met. ~
414.-----MOTORS--------------------------------------------------- -----
Motor efficiencies in 414.1.ABCD have been met. ~
415.-----LIGHTING SYSTEMS-ZONE 1---------------------------------------
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)
---------- -------------- -------------- ------ ----------
Corridor 1 On/Off 2 None 0 480 546
Computer/O 1 On/Off 2 None 0 384 260
General 1 On/Off 2 None 0 32 93
Control Ro 1 On/Off 2 None 0 64 159
Fine Activ 1 On/Off 2 None 0 192 365
Lounge/Wai 1 On/Off 4 On/Off 4 4088 2967
Corridor 1 On/Off 2 None 480 498
Corridor 1 On/Off 2 None 576 317
General 1 On/Off 2 None 32 75
Total Watts for Zone 1 = 6328
Total Area for Zone 1 = 5279
415.-----LIGHTING SYSTEMS-ZONE 2---------------------------------------
Space Type No Control Type 1 No Control Type 2 No Watts Area (Sqft)
---------- -------------- -------------- ------ ----------
Reading, T 2 On/Off 2 None 0 384 284
Patient Ro 1 On/Off 2 None 0 192 132
Toilet and 1 On/Off 2 On/Off 1 85 49
Laboratory 2 On/Off 2 None 0 576 465
Inactive S 1 On/Off 2 None 0 75 49
Corridor 1 On/Off 2 None 0 1152 836
Dental Sui 16 On/Off 2 None 0 3072 1672
Laboratory 6 On/Off 2 None 0 3456 2670
Toilet and 1 On/Off 2 None 0 24 98
Pharmacy 1 On/Off 2 None 0 192 105
Nurse Stat 1 On/Off 2 On/Off 4 512 173
Reception 1 On/Off 2 On/Off 4 592 166
Fine Activ 1 On/Off 2 None 0 256 170
Accounting 1 On/Off 2 On/Off 2 1408 1072
Lounge/Wai 1 On/Off 2 None 0 288 197
Corridor 1 On/Off 2 None 0 832 976
Nurse Stat 1 On/Off 2 On/Off 2 1136 249
Toilet and 3 On/Off 2 None 0 51 185
Pharmacy 1 On/Off 2 None 0 192 134
Dental Sui 1 On/Off 2 None 0 192 133
Operating 1 On/Off 2 None 0 192 158
Accounting 1 On/Off 2 None 0 192 116
Dental Sui 2 On/Off 2 None 0 384 175
Toilet and 2 On/Off 2 None 0 384 452
Total Watts for Zone 2 = 15819
Total Area for Zone 2 = 10717
415.-----LIGHTING SYSTEMS-ZONE 3---------------------------------------
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)
---------- -------------- -------------- ------ ----------
Reading, T 4 On/Off 2 None 0 768 568
Conference 4 On/Off 2 None 0 768 620
Toilet and 4 On/Off 2 None 0 68 192
Dental Sui 8 On/Off 2 None 0 1536 742
Dental Sui 8 On/Off 2 None 0 1536 634
Nurse Stat 1 On/Off 2 On/Off 7 944 226
Operating 1 On/Off 2 None 0 192 119
Operating 1 On/Off 2 None 0 192 128
Laboratory 1 On/Off 2 None 0 64 69
Reception 1 On/Off 2 None 0 286 48
Toilet and 1 On/Off 2 None 0 64 48
Medical Su 1 On/Off 2 None 0 64 48
Corridor 1 On/Off 2 None 0 896 1311
Reception 1 On/Off 2 None 0 240 125
Lounge/Wai 1 On/Off 2 None 0 896 780
Reception 1 On/Off 2 None 0 320 125
General Ar 1 On/Off 2 None 0 288 264
Reading, T 2 On/Off 2 None 0 384 219
Inactive S 1 On/Off 2 None 0 13 13
Corridor 1 On/Off 2 None 0 448 549
Reception 1 On/Off 2 On/Off 2 528 254
Toilet and 1 On/Off 2 None 0 17 56
Dental Sui 4 On/Off 2 None 0 768 483
Occupation 1 On/Off 2 None 0 1920 1398
Locker Roo 1 On/Off 2 None 0 192 121
Toilet and 1 On/Off 2 On/Off 2 30 68
Toilet and 1 On/Off 2 None 0 192 226
Occupation 1 On/Off 2 None 0 192 150
Locker Roo 1 On/Off 2 None 0 128 178
Toilet and 1 On/Off 2 On/Off 2 30 68
Fine Activ 1 On/Off 2 None 0 13 13
Total Watts for Zone 3 = 13977
Total Area for Zone 3 = 9841
415.-----LIGHTING SYSTEMS-ZONE 4---------------------------------------
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)
---------- -------------- -------------- ------ ----------
Fine Activ 1 On/Off 2 None 0 1344 1754
Reading, T 1 On/Off 2 None 0 768 696
. -
Corridor 1 On/Off 2 On/Off 2 320
Toilet and 1 On/Off 2 On/Off 2 209
Toilet and 1 On/Off 2 On/Off 2 209
Reception 1 On/Off 2 On/Off 2 704
Reading, T 1 On/Off 2 None 0 192
Reading, T 1 On/Off 2 None 0 192
Reading, T 1 On/Off 2 None 0 256
Corridor 1 On/Off 2 None 0 384
Multi-fun. 1 On/Off 4 On/Off 4 1712
Accounting 1 On/Off 2 None 0 864
Accounting 1 On/Off 2 None 0 576
Reading, T 1 On/Off 2 None 0 256
Corridor 1 On/Off 2 None 0 128
Total Watts for Zone 4 =
Total Area for Zone 4 =
Total Watts =
Total Area =
Lighting criteria in 415.1.ABCD have been met.
~6. Operation/maintenance manual will be provided to owner. (102.1)
340
182
185
581
153
153
312
273
867
525
480
185
150
8114
6834
44238
32672
CHECK
~
-----
~
Component Performance Method for Commercial Buildings
Form 400B-97
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLA/COM-97 Version 2.2
PROJECT NAME_Florida Medical Clinic
ADDRESS: _Zephyrhills, Florida
OWNER:
AGENT :
_Florida Medical Corporation
BUILDING TYPE: _Institutional (Health)
CONSTRUCTION CONDITION: Existing Building
DESIGN COMPLETION: _Renovation
CONDITIONED FLOOR AREA: _33154
MAX. TONNAGE OF EQUIPMENT PER SYSTEM:
COMPLIANCE CALCULATION:
PERMITTING OFFICE:
_Zephyrhills
CLIMATE ZONE: _4
PERMIT NO:
JURISDICTION NO:_611600
NUMBER OF ZONES: 4
METHOD B
ENVELOPE PERFORMANCE
OTHER ENVELOPE REQUIREMENTS
LIGHTING
INTERIOR LIGHTING
EXTERIOR LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. EER
IPLV
2. EER
IPLV
3. EER
IPLV
4. EER
IPLV
HEATING EQUIPMENT
AIR DISTRIBUTION SYSTEM INSULATION
1. With Insulated Roof
2. With Insulated Roof
3. With Insulated Roof
4. With Insulated Roof
REHEAT SYSTEM TYPES USED
NO REHEAT SYSTEM is USED
WATER HEATING EQUIPMENT
1. EF
2. EF
3. EF
4. EF
PIPING INSULATION REQUIREMENTS
1. Circulating
2. Circulating
3. Circulating
4. Circulating
DESIGN
38.55
44238.00
990.00
11. 30
12.30
10.90
11.70
11. 30
12.30
10.90
11.70
34
CRITERIA
74.35
60564.30
12000.00
8.50
7.50
8.50
7.50
8.50
7.50
8.50
7.50
REQUIREMENTS
6.25
6.25
6.25
6.25
0.83
0.83
0.83
0.83
1.00
1.00
1.00
1.00
4.20
4.20
4.20
4.20
0.82
0.82
0.82
0.82
1.00
1.00
1.00
1.00
RESULT
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
PASSES
----------------------------------------------------------------------------
COMPLIANCE CERTIFICATION:
I hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy ~~~'c' y Code.
PREPARED BY; ;~~
DATE: I ~).
I hereby certify that this building is
in compliance with the Florida Energy
Efficiency Code.
OWNER/AGENT:
DATE:
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
for compliance in accordance with
Section 553.908, Florida Statutes.
BUILDING OFFICIAL:
DATE:
I hereby certify(*) that the system design is in compliance with the Florida
Energy Efficiency Code.
SYSTEM DESIGNER
ARCHITECT:. .
MECHANICAL:~~ ii' ," .4~ . -~
PLUMBING : _~~
ELECTRICAL :' .: 'P. v
LIGHTING:' ~
(*) Signature is required where Florida law requires design to be performed
by registered design professionals. Typed names and registration numbers may
be used where all relevant information is contained on signed/sealed plans.
REGISTRATION/STATE
~~
2:' Ld.?5(." ~
============================================================================
403.------DOORS--ZONE
Elevation Type
Total Wall Area in Zone 4 = 2216
Total Gross Wall Area = 12404
1------------------------------------------------
U Area (Sqft)
North 1-3/4 Steel Door-Polyurethane core (24 0.20 48
South 2 Motor Alum Frme Sgl GIs DR .96 50
Total Door Area in Zone 1 = 98
403.------DOORS--ZONE 2------------------------------------------------
Elevation Type U Area (Sqft)
South
No doors
403.------DOORS--ZONE
Elevation Type
South
No doors
403.------DOORS--ZONE
Elevation Type
Adjacent
No doors
404.------ROOFS--ZONE
Type
0.00 0
Total Door Area in Zone 2 = 0
3------------------------------------------------
U Area (Sqft)
0.00 0
Total Door Area in Zone 3 = 0
4------------------------------------------------
U Area (Sqft)
0.00 0
Total Door Area in Zone 4 = 0
Total Door Area = 98
1------------------------------------------------
Color U Insul R Area (Sqft)
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 1 = 25919
404.------ROOFS--ZONE 2------------------------------------------------
Type Color U Insul R Area (Sqft)
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 2 = 25919
404.------ROOFS--ZONE 3------------------------------------------------
Type Color U Insul R Area (Sqft)
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 3 = 25919
404.------ROOFS--ZONE 4------------------------------------------------
Type Color U Insul R Area (Sqft)
------------------------------------
Built-up Gravel/2" ISO/Mtl Deck Medium .065 14 25919
Total Roof Area in Zone 4 = 25919
Total Roof Area = 103676
405.------FLOORS-ZONE 1------------------------------------------------
Type Insul R Area (Sqft)
Slab on Grade/Uninsulated
------------------------------------------------
405.------FLOORS-ZONE
Type
1.26 25919
Total Floor Area in Zone 1 = 25919
2------------------------------------------------
Insul R Area (Sqft)
Slab on Grade/Uninsulated
------------------------------------------------
405.------FLOORS-ZONE
Type
1.26 25919
Total Floor Area in Zone 2 = 25919
3------------------------------------------------
Insul R Area (Sqft)
------------------------------------------------
Slab on Grade/Uninsulated
1.26 25919
Total Floor Area in Zone 3 = 25919
4------------------------------------------------
Insul R Area (Sqft)
405.------FLOORS-ZONE
Type
Floor over Conditioned Space/Insulated 1.26 7287
Total Floor Area in Zone 4 = 7287
Total Floor Area = 85044
406.------INFILTRATION--------------------------------------------------
IC~
Infiltration Criteria in 406.1.ABCD have been met.
MECHANICAL SYSTEMS
CHECK
------------------------------------------------------------------1-----
HVAC load sizing has been performed. (407.1.ABCD) ~
407.------COOLING SySTEMS-----------------------------------------------
Type No Efficiency IPLV Tons
1. Air Cooled ( >= 65,000 Btu/h 1 11.3 12.3 34.19
2. Air Cooled ( >= 65,000 Btu/h 1 10.9 11.7 34.19
3. Air Cooled ( >= 65,000 Btu/h 1 11.3 12.3 34.19
4. Air Cooled ( >= 65,000 Btu/h 1 10.9 11.7 34.19
408.------HEATING SySTEMS-----------------------------------------------
Type No Efficiency BTU/hr
1. No Heating System 0 0 0
2. No Heating System 0 0 0
3. No Heating System 0 0 0
4. No Heating System 0 0 0
409.------VENTILATION---------------------------------------------------
I CHECK
Ventilation Criteria in 409.1.ABCD have been met. ~
410.-----AIR DISTRIBUTION SySTEM----------------------------------------
CHECK
----;~~~-~i;i~;-~~d-d~~i~~-h~~~-b~~~-~~~f~~~d~-(~~~~~~~~;)------I-~
AHU Type Duct Location R-value
----------------------------------- ---------------------- -------
6.25
6.25
6.25
6.25
CHECK
------------------------------------------------------------------1-----
Testing and balancing will be performed. (410.1.ABCD) ~p
411.-----PUMPS AND PIPING-ZONE ------------------------------------_____
Basic prescriptive requirements in 411.1.ABCD have been met. I~
1. Packaged
2. Packaged
3. Packaged
4. Packaged
Variable
Variable
Variable
Variable
Air
Air
Air
Air
Volume
Volume
Volume
Volume
With
With
With
With
Insulated
Insulated
Insulated
Insulated
Roof
Roof
Roof
Roof
PLUMBING SYSTEMS
411.-----PUMPS AND PIPING-ZONE 1---------------------------------------
Type R-value/in Diameter Thickness
1. Circulating
411.-----PUMPS AND PIPING-ZONE
Type
3.79 1.5 1
2---------------------------------------
R-value/in Diameter Thickness
4~AKE r:,-~ (2./ DIJ Iv1 G 0 I U/ C C!. L art ~
'ER'S ADDRESS '"58' 35 L~ARIC.C:--!J SQ L{},'---Rc:~
JOB ADDRESS 38 /(O() L~ I"t-Rl<-'-C--r 5~ L{!r12 G
2- /I; II,
2 'j.j; / /<j
.
'/)%~'
~ /0'/1-0 I
~ /
PHONE 8(5- 780-/371-
j:'L, 3.3 S.4()
,rf.. 5:s.5'1CJ
'"
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1.D.' (/) 2... z.~-?. j~O () 10.03 'l ()-oot!) 30
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED :_New Construction _Addition ~teration _Repair _Install
_Sign -'love _DeJIOlish YI~
PROPOSED USE: _Single Fuaily _M/F _, of Units _M/H
_eo..ercial _Indust. _Swim. Pool _Other
Restaurant & Health Depar~ent Approval
13l( (L D-Ou..F c r 0'- {) pu. r)L Ix. INTO 11 G f) Ic:-rl L 0 ;::-f:'/~e;-J
DESCRIPTION OF WORK: /0 C!-LU-11l,uv- f"21L1llduJ6- 7()ClO S.h /.1(;;22 ~ING 1A:.IlrH t;:LC-V~e
BUILDING SIZE: \ 6':3 X 17 0 . "2 (, 0 10 Square Feet. 2 Z Height
."jt- 3 ,3 ,,(J (j J:ivcL U-() "1/ u- l.{ 6: i2/f'N I '..../ c;--
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. \ t-
PROPERTY SURVEY REQUIRED FOR ALL NEW CO~STRUCTION. f!9. 6a~5
PERMITS REOUESTED GtYfL fJj:f3 t:,/
$ Valuation of Total construct~J
_BUILDING
_ELECTRICAL
AMP Service
Florida Power Corp.
_MECHANICAL
W.R.Ep-
~ ~'r\
SPECIALTY '/1 ~ IJ-~ - '
TYPE OP COIISTRucnON' _Block _FraIIe _Steel 7 ! J' b \ 1(,\
FINISHED FLOOR ELEVATIOIIS:......::~.......::.:::::::.::.:::::.::::.~ YES
CONTRACTOR SECTION ~
COMPANY /-t, ~ :5tJJ\J B (J / <-0 /ij6- (7~,
1/11 /J/ . S~te ~ert. or Regist.., CGCO 5tJS
~ ~~ C1ty L1cense Registrat1on' ;~~~
************************************~**..** I I t7<.~
,.~ .-
COMPANY V /1, /..r;", FffQ/l/Dl
State Cert~ or Regist. ,
City License Registration ,
* ********************************
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
NO
Rffil.Da ~
Signature
ELECTRICIAN
Signature
COMPANY
State Cert. or Regist. ,
City License Registration .
* ************************************
PLUMBER
b
MECHABICAL .. A ..4 /
Signature ~~ ~
, .
COMPANY Sr/fhN AJrz
State Cert. or Regist.' G" Me 0 41 D'7 b
City License Registration' Iq~~
************~*****************************
OTRR~"gF~_"
Signature ~;
COMPANY
State Cert. or Regist. ,
City License Registration #
******************************************
APPLICATION APPROVED BY
"7PF~. '. 'RIIJKf-t.-I!...,
~IG)
. L-O~I 1<,.4'; ti-;il':- ......
PERMIT OFFICER.
(] 0111 ?I9Ai-l_ ,/?o~~ H~~:5;fi1dl2t7s/,t/{!,
(~/. III( ;L Ie!.., -# ~ 0- .
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTIC~OF ~EED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which laY be lOre restrict.
regulations. The undersigned assOles responsibility for cOlpliance 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
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
cited for a lisdeteanor 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)
788-6611.
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 b~ responsible. If .you, as ~e own~r. S~!P.l 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 laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrhills.
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 - HOIeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConSOler Affairs. If the applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docOIent and prolise in good faith to deliver it to the
"owner" prior to couencl!lent.
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, and land developaent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOIIenced prior to issuance of a perlit and that all work will be perf oIled 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 goveI11lental agencies laY apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
* Departlent of Environtental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
* Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departtent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
* US Environtental Protection Agency - Asbestos abatetent
I ,also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a .cOlpensating volOle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
A perlit 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 perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is COlleJlced. One 90 day extension of tile, lilY 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 lUst be logged during each six IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCKHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVEJlKNTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COHHKNCKHBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~~ ~~b W- I ~I!JI~
~ : OWJfER OR AG ) SIGNATURE: C NTRAC'l'OR
STATE OF FLO~DA
COUNTY OF ---'1!SGo
The foregOing instrument was acknowledged
before me this Ot!. , I , ~CO I by
JOe.. De Ia.+o rr~
who is personally known ~ or who has
produced
as . entification and who did/did not
t (i~ oat I ~~~~
Signature)
Pa..l..\.Ia.. L. VD..h No rmOt Y\
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
STATE OF FLORIDA
COUNTY OF Pinellas
The foregoing instrument was acknowledged
before me this 10-11- ~ mQ2001 by
Jam L. Wallace
who is personally
produced
as identification d who did/did Bet-
take an oath.
(Signature)
Lisa Gaye Biqlin
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
,'-;;"~'t"", Paula L VanNorman .
lfl:' ..P~\ MY COMMISSION # CC776815 EXPIRE'
; ~ :~: September 20, 2002
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