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Home My WebLink About03-2038 .' CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2038 ermlt Number: 20 Permit Type: MULTI-FAMILY RESIDENCE Class of Work: 101-NEW CONST/SFR Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 59,550.00 Date Issued: 4/30/2003 Total Fees: 3,375.29 Amount Paid: 3,375.29 Date Paid: 5/06/2003 Work Desc: SINGLE FAMILY RESIDENCE Address: 371 I KS ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: SILVER OAKS VILLAGE Parcel Number: 03-26-21-0200-00000-0670 i ';;i~-.,lL ~)QIQMiijjf'';:i': ;', .:'0j:1 I Name: GOLD MEDALLION HOMES,INC. Address: 37147 FREDRICKSBURG ZEPHYRHILLS, FL. 33541 Phone: LLI , COLBY JAYNES PLUMBING CHRIS' NC CO, FIRST CLASS ELECTRIC WATER CONNECTION RESIDENTI BUILDING FEE IRRIGATION CONNECTION RADON f,:J f-03~ ~f&l , ,,;L UJ 0 :1 -0. c j,/C1 f I ~ - /1- 03 7,"/ 3 )I~. Y;t.iI . 11 " I. e~r '/b3 l l-P S"" /'1-03 1;;1 :(JO MtJt1fMI I{/{ 1/~' WATER METER RES 3/4" SEWER CONNECTION RESIDENTI IRRIGATION METER PLUMBING FEE ,0' -/ - L! U ~_o T ' I PRE-SLAB r -U I: CONSTRUCTIONfOLE )-I'1-03! 2ND ROUGH PLUMB ~ (- (ry<, DUCTS INSULATED 1./ ~(-"J W:ro ('1 LINTEL PRE-METER1/rfti::/t1 ff.:f1Jrt.Li. II. WATER l/ fj'-IO ,ufL- '1 <r ItS] FINAL MECHANICAL FRAME ,/ 3'-7-()'!J r< ~ MISC . SEWER / 9-t()-c 7 ~To MISC INSULATION WALL ~- g -"'1 Ollf I MISC I MISC, v ' MISC, INSULATION CEILING MISC, MISC. MISC. DRIVEWAY I MISC. . I MISC, I FIRE DEPT, FINAL -REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the follOWing reasons, a ._- charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or]'ons~;:::?. a. ;whe inspection called (d) Work not ready for inspection when called ./ ~'''':f\: (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible l. ;.A ~4.J-- . u'I.h~_payment of inspection fees shall be made before any further permits will be issued to the pe on owning ;ame "Warning to owner: Your failure to record a notice of commencement may result in your paying twi for--- improvements to your property. If you intend to obtain financing, consult with your lender or an attorney beforereco~ing_ ~c~ur notice of commencement." - Complete Plans, SpecifiCations and Fee Must Accompany Application. ---..---.--..------.--- _. __ n_ __ _ _ All work sha~~ performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. _u_ ---.--. _._-_.~..__._'-------~-------_._-~.._--_.-.._.~_._----~-_._------ ~ - . NTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER \.;') I- :l , z ai I "- ~ I- W 0 0\ i-..~ g? ~ rn 0 c( a: Z c( ...I c( ~ ~ l- I- :t 0\ '< ... <ii z CJ ~ W >- 0 0 0 w <..i '" "'- C} I-- ei CL ~ ~ !!! cr: w ~ cr: ;:; >- u Z Q c( Q ~ w W I-- a. \ f-, ~ cr: U I-- ~ I I I I I I ;:: " ~ w c( '~ :::l '" W ~ (j) C} 0 ;0 c\'l ti >- 0 0 0 00 ~ 0 n z fJ \} w .. .~ :.: 0 f'f 0 en '""' .... "i' ~ cr: '" -I ... ;;: ."\ ~ W -1<( , ~ Q '" -0 ~ cr: ;; ::t:- '.J"' 0 <..i a: a: '''-<; ~ >9 \J ~ ::t:LL. 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'- W " ~o:: ) ::.. .~ :z: ------- a: W 0 W a.::E j-: 0 :> 0 ::EO ;1 () 0 cr: :> cr: cr: 00 () <( w cr: W cr: W ~ ow <( (j) W I-- I- :.:!;{ 'a: CJ !J.J (/) W W W a:w LL ::;; I-- ~\\ cr:o a: :z: () LL Z W ::;; ~o<l W wf- 5 0 0 -' ::E Zz :J -' :.: cr: ~ a: I-- z f'f 0 0 W ~w ;a: W :::l cr: c( W I I 3: Oa: ~ I :::l ~ W ;r; !::; (/) (/) I- APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT t;..ffled/ 7'- 7-& 3 DATE RECEIVED ~ - / - (J -'5 PLANS REVIEW FEE OWNER'S NAME Girl fllteJJ t<;y, ~~ (L-C. JOB ADDRESS 3 '/1'17 r/Lflrt'ckhvfj LEGAL DESCRIPTION: LOT(S) 1,7 BLOCK PARCEL ID # 01.-2.(,,-2..1- ()~c](ir OUOOU. ub/o PHONE SUBDIVISION 5:/.uti.1c1 Ltl/~ A are (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEW CONSTRUCTION [JADDITION [JALTERATION [JREPAIR [J INSTALL o SIGN PROPOSED USE:~SGL FAMILY DWELLING [J COMMERCIAL [J MOVE [J DEMOLISH [JMULTI-FAMILY o INDUSTRIAL [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [JOTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED 'rp BUILDING ,KI ELECTRICAL If6 PLUMBING ~ MECHANICAL $ VALUATION OF TOTAL CONSTRUCTION I~O AMP SERVICE tv FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION [J GAS [J ROOFING [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION: [J BLOCK ~ FRAME [J STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES 'Ji NO BUILDER SIGNATURE **************************************************************** ---~ (': COMPANY f/ if: s -z- f ~ s S STATE CERT OR REGIST # CITY PROCESSING # ELECTRICIAN SIGNATURE ********************************************** t4 u/kl/ ,Jal/l1eJ t/r/"1hlv;y ~ COMPANY I I .. I ~ STATE CERT OR REGIST # rr F IJ() ~t Lf.63 SIGNATURE {/l.r. ~ _~ CITY PROCESSING # ).v/?; / {; '" -".=. :.... *~.............................~t.*.t..~.~.~....~... MECHANICAL /1\ COMPANY ~nfl sAIL (""c;~"',v I STATE CERT OR REGIST # C4Co 5;5?.? SIGNATURE L-' CITY PROCESSING # PLUMBER ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsH ~lhich 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 uncertain 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 SectionsH 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 CONNECTION 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 GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownerH prior to co~nencement. 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 *South~est 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 "AH or "A,etc.H, it is understood that a drainage plan addressing a "compensating volumeH 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 within 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 COMMENCEMENTH. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or Dwho has produced (type and whoD did Ddid not of identification) take an oath. o who has produced (type of identification) and who Ddid [}:iid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped Page 1 Residential Heat Loss and Heat Gain Calculation In accordance with ACCA Manual J 11/21/2002 Report Prepared By: Chris' AlC Company 13033 US Hwy 301 Dade City FI. (352) 521-4977 Fax: (352) 521-3393 For: Conklin - Residence Golden Medallion homes ZephyrhillS , FI Design Conditions: Ocala Indoor: Summer temperature: Winter temperature: Relative humidity: 75 72 55 Outdoor: Summer temperature: 93 Winter temperature: 34 Summer grains of moisture: 116 Daily temperature range:Medium Building Component Whole House 973 sq.ft. First Floor All Rooms Infiltration Duct People Miscellaneous Floor NWall Window Door 973 2 973 sq, ft, -- ------ ---- .--- ---- --.-. -._- "- --..- 386 sq. ft. 10 sq,ft, 39 sq, ft. Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) 11,350 1,353 12,703 15,607 ( 1 tons) 11,350 1,353 12,703 15,607 11 ,350 1,353 12,703 15,607 578 893 1,471 2,440 1,032 0 1,032 743 600 460 1,060 0 1,200 0 1,200 0 0 0 0 4,186 750 0 750 1,320 .' .- .. -~._-----.----._-- 222 0 222 276 388 0 388 682 Page 2 Conklin - Residence Golden Medallion homes 11/21/2002 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) SWall 410 sq.ft. 797 0 797 1 ,402 Window 6 sq,ft. 223 0 223 165 Window (2) 6 sq.ft. 223 0 223 165 Window (3) 10 sq.ft. 372 0 372 276 Window (4) 3 sq.ft. 112 0 112 83 EWall 168 sq.ft. 327 0 327 575 Window 6 sq.ft. 427 0 427 165 Window (2) 6 sq. ft. 427 0 427 165 - -----------_._---_..__.~ WWall 117 sq.ft. 227 0 227 400 ----- - ------------------------, Window 12 sq,ft, 854 0 854 331 ~- ---- -----------..--- Window (2) 12 sq.ft. 854 0 854 331 Door 39 sq.ft. 388 0 388 682 Ceiling 973 sq.ft. 1,349 0 1,349 1,220 Whole House 973 sq.ft. 11,350 1,353 12,703 15,607 ( 1 tons) HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd, Load calculations are esllmates only, actual loads may vary due to weather and construction differences. 888736-1101 FLORIDA EI .GY EFFICIENCY CODE FOR BUILDING C. .STRUCTION ' ~~ Residenti.1 Whole Building Perfonn.nce Method A C!,NTRA..!;.. 4 ~ BUILDER: Dmf?..5. PERMITTlN D D D OFFICE: ZONE: 4 5 6 PERMITNO.~ JURISDICTION NO.: ITIcrIJ Please TVDe CK FORM 600A-01 OWNER: PROJECT NAME: AND ADDRESS: 1. New construction or addition 2. Single family detached or Multifamily attached 3. If Multifamily-No. of units covered by this submission 4. Is this a worst case? (yes / no) 5. Conditioned floor area (sq. ft.) 6. Predominant eave overhang (ft.) 7. Glass type and area: a. Clear glass b. Tinl, film or solar screen 8. Floor type and insulation: a. Slab-on-grade (R-value + perimeter) b. Wood, raised (R-value + sq. ft.) c. Concrete, raised (R-value) 9. 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) 5. Other: 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) 10. Ceiling type, area and insulation: a. Under attic (Insulation R-value) b. Single assembly (Insulation R-value) c. Radiant barrier, IRCG, white roof installed? 11. Air distribution system: a. Ducts (Insulation + Location) b. Air Handler (Location) 12. Cooling system: (Types: central-split, central-single pkg., room unit, PTAC" gas, none) 13. Heating system: (Types: heat pump, elec. strip, nat. gas, L.P. gas, gas h.p., room or PTAC, none) 14. Hot water system: (Types: elec., natural gas, solar, L.P. gas, none) 15. Hot Water Credits: a. Heat Recovery (HR) b. Dedicated Heat Pump(DHP) c. Solar 16. HVAC Credits (Use; CF-Ceiling Fan, CV-Cross vent, PT-Programmable lhennoslal, HF-Whole house fan, MZ-Multizone) 17. COMPLiANCE STATUS: (PASS if As-Built Pts. are less than Base Pts.) a. Total As-Built points b. Total Base points J hereby certify that the plans and specifications CO~~1d;LJY calculation are in compliance with the Flo~da Energ~de, ,.:7UlA-W~: } PREPARED BY: ~~'f'\S .Jo"tC"...5 . DATE:../~(IIJ;;" J hereby certify Ihatthi-^btjlding, asAOsigned, is in compliance with the Florida Ene~ Code, OWNER AGENT: (~",l/v'i.:) II-,,~......... _ DATE: nl21 (J r2. 7 1 117. 17a. 1. 2. 3. 4. 5. 6. ,~-- \l (Is '9'1'3 I ft. Si~ane Double Pane 7a. __ sq. ft. ? I sq. ft. 7b. _____ sq. ft. ____sq. ft. .;] q . '? .". 8a. R= J:I!!~ ,-n ~ I. ft. 8b. R= ______ , sq. ft. 8e. R= ____ ,____ sq. ft. sq. ft. 9a-1 9a-2 9a-3 9a-4 R= R= R= R= /1 _ _ sq. ft. /0 ~( sq. ft. sq. ft. ____ sq. ft. 9b-1 9b-2 9b-3 9b-4 R= R= R= R= ___ sq. ft. __ sq. ft. sq. fl. sq. ft. 9' ? 7 ..::;J sq. fl. ___ sq. ft. 10a. R= 3 0 10b. R= 10c. _____________ 11a. 11b. 12a. 12b. 12c. 13a. 13b. 13c. 14a. 14b. 15a. 15b. 15e. R= -1.4.-- .~j(condJUncond,) i I n{'oDt'l(.J, ''ll;yfco~k;'';?J.j Type: ..C:fui~.L....sf!lil:- SEERlEERlCOP: Capacity: ---J.Jfo Of) f3 ri..j Type: }.1f>~~ .....1"J HSPF/COP/AFUE: __~-.2J. Capacity: / ~l7V .g 7(/ Type: ~J _ ( ~t!y5 EF: f( () ~l 16. _-LE ~-q In / I 17b. I? 5~L Review of plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed, this building will be inspected for compliance in accordance with Section 553.908, F,S, BUILDING OFFICIAL: DATE: ,SUMMER CALCULATIONS CLIMATE ZONES 4 5 6 ORIENTATION OVERHANG GLASS I SINGLEof'ANE OR DOUBLEof'ANE X SUMMBl = AS.eUIL T LENGTH AREA UMMERPOINTMULllPlER SUMMER POINT MUL 1lPI.JER OH FActoR GLASS OH (FEET) (sa. FT.) 1I1fT2 CLEAR 1I1fT2 (from eA.I) SUMMER PTS CLEAR /II I 1-1") 7701: "01 ~ 7177 T 2~7/J . " NF 41RI; ~ 3!l111- 3278 F I .J,}- 1;011 iiIiiQ 1;7RR .4.4~n 7 {/1 ,;(.:1 IJ.-L J .c::F 5RRA A7l:n 'ill ~5 A? 17 S f ..a.t) AA RR 37'0 3!l Q8 33.49 I --;n de) sljf 5'R' .fA 11 A7 n7 ~!l55 T H , .:JJf 5348 44,87 .17.115 4nJm I 1/1111' W .J, NW '1.77.1 '1.1,14 "IA 1n 2845 , . r HI in., 1;1 R5 II? 01.;n 7Rm gJ :5 c,:) OH LENGTH OVERHANG RATIO = OH HEIGHT U) U) :5 (!) ,18 WEIGHTED GLASS MULTIPLIER 25,78 COMPONENT ! IWESIJvMR [ BASE DESCRIPTIOIf AREA PCffi.MJLT, SUMMER P_OINTJ{_ EXTERIOR 10J'1 1.9 ,;ZO~ _ -l -l ADJACENT .7 ~ '7,:{ 411 1.6 l' ~'?1 ... 711 '7,~ l' ,rl",;( []]= -I Ill;y;r(n<?\{)a. INFILTRATION & INTERNAL GAINS c,:) 2: :J iii u UNDER A me OR SINGLE ASSEMBLY Q: o 9 LL. -31.8 -3.43 FOR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONDITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONDITIONED SPACE, ,. 14.31 TOTAL COMPONENT BASE SUMMER POINT; COOLING Base Cooling Tolal Base SYSTEM System Summer ulti I'er P inls .43 c?J.1f HOT WATER SYSTEM AS-BUILT HOT WATER SYSTEM DESC. '&A~ Number of bedrooms ;;.. 'H = HORIZONTAL GLASS (SKYliGHTS) 'FOR GLASS WITH KNOWN SHGC, SEE SECTION 2.1,1 APPENDIX C. 'MUST MEET CRITERIA OF S, 607. tA. TINT MULTIPLIERS MAY BE USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT. SUMMER POINT MUL TIP[ :RS (SPM) 6A-1 SUMMER OVERHANG FACTORS (SOF) FOR SINGLE AND DOUBLE PANE GLASS, CLIMATE ZONES 4 5 6, ~r 00:; ~o Southwest 1.00 0.997 0.956 0.874 0.793 0.709 0,645 0,588 0,547 0.479 0.431 0.396 ~l West 1.00 0,994 0.964 0,902 0.834 0.757 0,691 0.630 0.582 0.500 0.438 0,391 Northwest 1.00 0.995 0.966 0.911 0,857 0.798 0.751 0,708 0,674 0.616 0.570 0.532 OH Len th 0.0' 1.0' 1.5' 2,0' 3.0' 3.5' 4.5' 5.5' 6.5' 9,5' 14.0' 20,0' 6A-2 WALL SUMMER POINT MUL TIPLlEI~S ISPMI FRAME CONCRETE BLOCK (NORMAL wn FACE BRICK LOG INTERIOR EXT. R.VALUE WOOD FR R.VALUE BLOCK WOOD STEEL INSULATION INSUL. 0-6.9 2.9 0-2.9 1.0 6 INCH 8 INCH R.VALUE EXT ADJ EXT ADJ R.VALUE EXT ADJ EXT 7-10.9 .6 3-6,9 ,6 R.VALUE EXT EXT 0-6.9 6.4 2.2 8.9 2.9 0.2.9 2.5 .9 2.5 11-18.9 .4 7-9.9 .4 0-2.9 1.7 1.0 7-10,9 2.3 .8 4,1 1.3 34.9 1.4 .7 .7 19-25,9 ,2 10&UP ,2 3-6,9 1.1 ,8 11-12.9 1.9 ,7 3,0 1,0 5-6.9 1.0 ,6 .3 26&Un .1 7&Un .8 .7 13-18,9 1.7 .6 2,8 0,9 7-10.9 ,8 .4 .1 19-25.9 1.0 .3 2.4 0.8 11-18.9 .4 .3 0 26& Uo .6 .2 1.3 0.4 19.25,9 .2 ,2 I NOTE:SEESECTION2.00FAPPENDIXCFORMUlTIPLlERS I 26&Un .1 .1 OF ENVElOPE COMPONENTS NOT ON THIS FORM. 6A.3 DOOR SUMMER POINT MULTIPLIERS (SPM) DOOR TYPE EXTERIOR ADJACENT WOOD 7,2 204 INSULATED 4.8 1.6 6A.5 FLOOR SUMMER POINT MULTIPLIERS ISPMI SLAB-6N-GRADE L RAISED RAISED woon EDGE INSULATION CONCRETE ... POST OR PIER STEM WALL wi UNDER ADJACENT ... .-. R.VALUE SPM ...... R.VALUE SPM ....... R.VALUE SPM SPM SPM 0-2,9 -31.9 > 0-2.9 -1.0 0-6.9 4.50 -5.8 5.3 34.9 -31.8 34.9 .1.7 7.10,9 2.28 -2.8 2.1 5-6.9 -31.7 5-6.9 -1.7 I. 11.18.9 1.83 -2.2 1.8 7&Uo -31.6 > 7&Un .1.7 I.. 19 & Uo 1.36 .1.8 1.0 6M INFIL TRA liON & INTERNAL GAINS (SPMI Air Infiltration 5.17 Inlernal.Gains . +9.14 InfillrationJInlernal Gains 14,31 (Combined) 8M AIR HANDLER MULTIPLIERS SPY) Located in oaraoe 1.00 Located in conditioned area 0,90 Located on exterior of buildill!l 1.02 Located in attic 1.10 6A.9 COOLING SYSTEM MULTIPLIERS CSM SYSTEM TYPE See Table 6.3 for Code minimums Central Units (SEER) Ratin CSM PTAC & Room Unils (EER) Ratin9..... 12.5.12.9 .27 GMl DUCT MULTIPLIERS DMI llee ToIU &-10 lor Codellllnimuma. DUCT RETURN DUCTS In: SUPPLY DUCTS IN: R.Value UnconditIoned Attlcl AttlcI AttlcI Conditioned SOllC8 RBS IRCC White roof snace 4.2 1,113 1.107 1.108 1.107 1.103 Unconditioned Space .0 7 U8 1.083 1.081 .079 .0 , is I.U 1.065 1.064 ,2 . '2 I.U il AtticlRadiant Barrier (RBS) ,0 .56 .0 7 8.0 . 15 I.U , 18 AltlrJlntenor Radiation 4.2 . /8 1. US2 . 14 Control Coatings (IRCC) 6,1 .076 1.U71 - ,165 8, 1.060 1.057 . 52 4. .069 1. 63 .58 AtticIWhite Roof 1. - 1.14 1.04. .1 1. 137 1.0 ,2 '6 1.005 1.007 1. 03 1.0 Conditioned Space .0 5 1.004 1.U05 1.00: 1.0 !l.U 1.004 1.003 1.1104 1,00 l,U COOLING SYSTEM MULTIPLIERS CSM 7,5-7.9 8.0-8.4 8.5-8.8 8,9-9.4 9.5-9,9 10.0-1004 10,5-10.9 11.0-11.4 11.5.11.9 12,0-12.4 .45 043 040 .38 ,36 .34 .32 ,31 .30 ,28 13.0.13.4 13.5.13.9 14.0-14.4 14.5-14,9 15.0-1504 15.5-15.9 16,(}.16A 16.5-16.9 17,0-17.4 17.5 & U .26 .25 .24 .24 .23 .22 ,21 .21 ,20 .19 WINTER CALCULATIONS CLIMATE ZONES 4 5 6 ORIENTATION OVERHANG GLASS SINGLE-PANE OR DOUBLE-PANE J( WINTER .~ A5-IlUIL T LENGTH AREA ~R POINT MULlIPUER WINTER POINT MlL11PLER OH FACTOR GLASS OH (FEET) (SQ. FT.) ClEAR TlftTZ CLEAR lIftTZ (from SA.fO) WINTER PTS ~ ~JT N [ In i?~ i? <;A E; d1 j; 1:.4- I I . I-J NE 12,00 1" 1 617 642 . E I /iJ. ClllE; ini4 d <;? !i 01 T .,,/-1 ~I= A~ a I? 117 11l.f R I ,qr.- 77~ A "A ?j;<; 1'lQ --, /01.. H RW !i?? Q: AA 11111 .il tiC; .,J Iii , ..!1J.1 107i 11 '1 l; lj; !i 'ill I /,;2 J-j NW 1m i? <;i ';1!i j; r;A I-ll 11M 1? 11: .il 01 C;I;A ." :5 " ./' ~~~ ! ~ D-L COMPONENT I BASE WINTER L BASE DESCRIPTION AREA x POINT, MULT. - WINTER POINTS EXTERIOR JnY' , 2.0 .:II (0.9 ...J ADJACENT 1.8 --.- ...J ~ COMPONENT DESCRIPTION ~T AREA WINTER J( POINT. MUL T, = (6A-11THRU 6A-15) . v AS.BUlL T GLASS SUBTO AL (J ~ AS.BUILT WINTER POINTS ." U) ::5 " .18 WEIGHTED GLASS MULTIPLIER 5.86 = III EXTERIOR~ W ADJACENT I UNDER A TIle OR SINGLE ASSEMBLY 7r 5.1 4.0 II f:::1<7i::sR.to (l 7f 7, ~, ~ ~-(;J/~ l " :z ::i iIi u .64 0::: o o ...J ..... INFILTRATION & INTERNAL GAINS HEATING SYSTEM /.{ 'H ::; HORIZONTAL GlASS (SKYLIGHTS) WINTER POINT MUL TIPL, tS (WPM) '6MO WINTER OVERHANG FACTORS (WOF) CLIMATE ZONES ,4 5 6 , ~r WQ: m[ So Southwest West Northwest OH Len th 6A.11 WALL WINTER POINT MULTIPLIERS /WPMl FRAME CONCRETE BLOCK (NORMAL WTI FACE BRICK LOG INTERIOR EXT. R.VALUE WOOD FR R.VALUE BLOCK WOOD STEEL INSULATION INSUL. 0-6.9 7,0 0-2.9 3.7 6 INCH 8 INCH R.VALUE EXT ADJ EXT ADJ R.VALUE EXT ADJ EXT 7-10,9 2.1 3-6.9 2,6 R-VALUE EXT EXT 0-6.9 6.8 5.3 9.4 6.7 0.2,9 6.0 3,1 6.0 11-18,9 1.7 7-9.9 1.8 0.2,9 2,2 1.2 7.10,9 2.5 2.1 4.4 3.3 3-4,9 3.8 2.3 2,8 19-25.9 1.0 10&UP 1.3 3-6.9 1.2 ,9 11- 12,9 2.0 1.8 3.3 2.6 5-6,9 2,9 1.9 2,0 26&Up ,6 7&Up ,9 .7 13-18.9 1.8 1.6 3,0 2.4 7-10,9 2,3 1.5 1.5 19-25.9 1.1 1.0 2.6 2.2 11- 18.9 1.5 f.f .8 26& Un .7 ,7 104 1.2 19-25,9 .8 .7 I NOTE: SEE SECTION 2.00F APPENDIX CFOR MUL TIPlIERsl 26& Un ,5 .5 OF ENVELOPE COMPONENTS NOT ON THIS FORM, 6M2 DOOR WINTER POINT MULTIPLIERS WPM) 6M3 CEILING WINTER POINT MULTIPLIERS (wPMI DOOR TYPE EXTERIOR ADJACENT UNDER ATTIC SINGLE ASSEMBLY CONCRETE DECK ROOF R.VALUE WPM R.VAlUE WPM CEILING TYPE WOOD 7.6 5.9 19-21.9 ,87 10-10,9 1.02 R.VALUE EXPOSED DROPPED 22.25.9 .78 11-12,9 .96 10.13.9 1.16 1.05 INSULATED 5,1 4,0 26-29.9 ,69 13-18.9 ,84 14.20.9 ,83 .76 30-37.9 .64 19.25.9 .62 21 & Uo ,54 .50 38&Un .55 26.29,9 .50 RBS Credit 0,850 30&Up .46 IRCC Credit 0.905 6A.14 FLOOR WINTER POINT MULTIPLIERS (WPM) While Roof Credit 1.044 SLAB-4N-GRADE ........ RAISED RAISED WOOD EDGE INSULATION I> CONCRETE ....... POST OR PIER STEM WALL wI UNDER ADJACENT I( ... CONSTRUCTION FLOOR INSULATION R.VALUE WPM T R.VALUE WPM R.VALUE WPM WPM WPM 0.2.9 2,5 ,>.. ~2.9 4.0 0-6,9 2,49 1.8 5,3 3-4,9 .1.7 ....... 3-4.9 1.8 7-10.9 0,78 .7 2,1 5-6.9 -2.4 '. 5-6,9 1.1 ... 11-18.9 0.47 .5 1.8 7 &Un .2.7 .. 7 &Un .8 19&UD 0.14 .3 1.0 6M5 INFIL TRA TlON & INTERNAL GAINS (wPMI 6A.17 DUCT MULTIPLIERS DMI SeeTaIlI.6.10forCod.mlrimuns. AirJnfihration .0.87 DUCT RETURN DUCTS In: Internal Gains . .... ........ ,US.. SUPPLY DUCTS IN: R.Value Unconditioned Attic/ Attlc/ Attlc/ ConditIoned Infiltration/Internal Gains .().28 soace RBS IRCC White roof SDaC9 (Combined) 4.2 1.107 1.098 1.100 1.102 1.092 Unconditioned Space 6,0 1.078 1.072 1.074 1.075 1. 16lr 6M6 AIR HANDLER MULTIPLIERS fWPMl To 1,061 1.056 1.057 T0511 T 52"" 4,2 1,076 1.067 - - 1. 59 Located in aaraoe 1.00 AltirJRadiant Barrier (RBS) 6,0 1.058 1.051 - - 1. 145 Located in conditioned area 0.92 8,0 1.046 1.041 - - 1.036 Located on exterior of buildina 1.09 4.2 1.097 - 1.088 -. 1.077 Located in attic 1.11 Alticllnterior Radiation 6,0 T.Orr - 1.066 - f.057 Control Coatings (IRCC) 8,0 1.057 .- 1. 052 -- 1.045 4.2 1.120 - - 1.110 1.095 AtticJWhite roof 6.0 1.088 - - 1.081 .070 8.0 .068 - - i.O i3 4.2 1.009- 1.0oa- 1.010 1.0 19 Conditioned Space 6,0 ,007 1.006 1.007 .07 6M3 HEATING SYSTEM MULTIPLIERS (HSM) 8,0 r:mr5 1.005 1.006 1.015 SYSTEM TYPE See Tables 6.6 to 6-8 for code minimums HEATING SYSTEM MULTIPLIERS IHSMI 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 & UP 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 Strip & Gas 1.0 (for gas credit multipliers, see Table 6A-21) ADDITIONAL TABLES 6A 20 AIR DISTRIBUTION SYSTEM CREDIT IdUl T1PlIERS CLIMATE ZONES 4 5 '6 TYPE CREDIT Prescriptive requirements Multiplier Airtight Duct credit r I 610.1.Al -I 1.00 Factorv-sealed AHU credilZ. I 610,2A2,1 I 0,95 1 Duct Sealing Multiplier (DSM) shall be 1.15 (summer) or 1, 16 (winter) unless Nrtight Duel credit is demonstrated by test report, 2Mulliply Factory-sealed AHU credit by summer (Table 6A.7) Of winter (Table 6A- t6) AHU mullipHer. Insert total in /he "AS-Buill AHU' box on page 2 Dr 4, 6A.21 HEATING CREDIT MULTIPLIERS tHCMl SYSTEM TYPE HEATING CREDIT MULTIPLIERS (HCM) Proarammable Thennostat HCM ,95 Multizone HeM .95 AFUE .68-.72 T .73-.77 1 .78-,82 r .83..87 T ,88-,92 r .93 & Uo Natural Gas HCM .61 T .56 I .53 T ,50 I .47 T .44 - LP Gas HCM .77 T .72 I .67 T .63 I .60 r ,57 6M2 HOT WATER MULTIPLIERS tHWMl HOT WATER MUL TIPLlERSIHWMI SYSTEM TYPE See Table 6-12 for Code minimums ,97 & Uo EF .80-.81 .82..83 .84-,85 ,86,,87 .88..90 .91..93 .94..96 Electric Resistance HWM 2820 2752 2685 2624 2564 2479 2400 2326 ~- .43-.47 .48-,49 ,50'.51 .52-.53 .54-.55 ,56-,57 .58..59 ,60-.61 ,62-.63 ,64.,65 .66 & Uo Natural Gas HWM 2162 1936 1859 1787 1721 1660 1602 1549 1499 1452 1408 LP Gas HWM 2645 2368 2274 2186 2106 2031 1960 1895 1834 1776 1722 Oed, HP or Solar EF 1.0-1.49 1.5-1.99 2.0-2,49 2.5-2,99 3,0-3.49 3,5-3.99 4.0-4,49 4.5-4.99 5.0-Uo System wfth Tank ~. 2256 1504 I 1128 902 752 645 564 501 451 6M3 HOT WATER CREDIT MULTIPLIERS IHWCMI HOT WATER CREDIT MUlT/PLlERSIHwCMI SYSTEM TYPE Heat Recovery Unit With Air Conditioner Heat Pumn HWCM ,84 .78 AcikJn DedK:ated Heat Pump EF 2,0.2.49 2.5.2.99 3,0-3,49 T 3,5 & Uo (without tank) HWCM .44 ,35 ,29 T ,25 Add-on Solar Water Healer EF 1.0-1.9 2.0-2.9 3,0.3,9 T 4,0-4,9 T 5,0 & Un (without tank) HWCM .84 .42 .28 T ,21 r ,17 6A 24 INFILTRATION REDUCTION COMPLIANCE CHECKLIST NOTE: A HWM must be used in conjunction with all HWCM, See Table 6M2. EF Means Energy Factor. . COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows & Doors 606,1ABC.1,1 Max: .3 cfm/sQ.ft, window area; ,5 cfm/sq,ll door area, V Exterior & Adjacent Walls 606,t.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 penetrations; between wall panels & toplbollom plates; between walls & lloor. r/ EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends from, and is sealed to, the foundation to the top plate. Floors 606,1 ABC, 1.2,2 Penetrations/openings >1/8" sealed unless backed by truss or joint members. L// EXCEPTION: Frame floors where a continuous infiftration barrier is installed that is sealed to the perimeter, penetrations and seams. Ceilings 606.1.ABC.1.2.3 Seal: 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 606.1.ABC.t.2A Type Ie rated with no penetrations, sealed; or Type IC or non-lC rated, instal/ed inside a / sealed box with 1/2" clearance & 3" from insUlation; or Type IC rated with <2.0 cfm from conditioned soace tested. Multi-story Houses 606.1 ABC.1,2.5 Air barrier on perimeter of floor cavity between floors. -7 Additional Infiltration reqts 606.1 ABC.1.3 Exhaust lans vented to outdoors, dampers; combustion space heaters comply with NFPA, 7' have combustion air. 6A.25 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.! COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply wnh effICiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) V- or cutoff IMS! must be nrovided. External or built-in heat tran renuired fOf vertical aioe risers. Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a pump timer. Gas spa / , & nool heaters must have a minimum thennal efficiencv of 78%. Shower Heads 612,1 Water flow must be restricted to no more than 2.5 a,lIlons oer minute at 80 PSIG. 7 Air Distribution Systems 610.1 All ducts, fillings, mechanical equipment and plenum chambers shaJI be mechanically attached, / sealed, insulated, and installed In accordance with the criteria \If Section 610. Duels in unconditioned allies: R-6 minimum insulation, /" HV AC Controls 607.1 Seoarate readilv accessible manual or automatic thermostat for each ~m. y/ Insulation 604,1,602.1 Ceilings-Min. R-19. Common walls-Frame R.11 or CBS R-3 both sides. Common ceiling & floors R-1t. 7 - .. - .....-..,. !-~L_ -./-_,1- -.-1- -E.:~..<:'~'i--7'c. -."0_._ ..' __ i ,. ',-..,! / T -,--.....- ..'............-1 " ! , I ) r""'\ i-....'..... ......................,..,..-.. ---.-~~::r.-~~~,!-~:~-:.-~~::.~:.~t:~~9~~=----:-T--r-.-- 1. Ii" ',..J ,-...,..-..;,....-.. '.........._...Qi l i -...-...-....1 __'h_..._..__ CJ'\"",,: i I CJ.".') I j ! 5,01 ! j I .----~~~~~-j------ ------------~ ------:=~~~-~~~~ -----,------~-----J------- I . : I I I i 1 ~ ...............,............. ,......,1 '"'j~":~::> I 8 0 0 F! t -t-.---' ! , i' . ;' ...................>~ 3 , 5 0 F .~> ! /'1"',"" i t ! J 1 I r'...... '...( i 1.1 -............, 11/...'... 1 it ! L+ / Ix;") ,...,.I~:::~ \j......../ I ; /'.........).' t............... o , 0 1 ~..::[nn.... ""'-'1 , i ............................_.... -:l."'/ ;' I ,/ ./ .'<"..........'.... ~............j I "..... 12 OFt'1 ."............1 l : .... ...............! I,l : ", >', ...... ~ ,~ A...... .~...._........~.............,. : ". . .......i.,.., '. '1.." . "'. .d <J: .....,..,.:~"....., .d ,.,.~'~:.!....A....... (---........1 "', .......'..""',,,/) . ", . . ,. ,....'....,' ....\,.... ! ~"Q tt)../,6 7 /'...., V ;"t.:...1 . ;.....-.1 !'-......., I ~"..~ 9 ~. ' \!; /) r;?l~.t1" do.llior; -..!..Jl:' r-.... .,'. ' I ' /..., .. / '....... ,. / , ~\ ' ~ ... I I ...... \ / r....\ '.... '..I.... { / '-..- /Y- \""...... '\ \ \ ""- , , /...... ~ j--...) j'-... '"..,.<.. -..!.......J /--.......;() ;" .'..,..., '....... I , / \ r....~ \ <.......; / '4 <J.d ".......... / ... ;....' OaKS 0' ""<.. '.... ......... ... ...... ::~) -". / .I ./ / i , ! ! / ,I i i i .'..l.....,.."".,.,.J.. ./ {'-, . '- i '-'-. )'..... . / .....~..~. :,... (.....1 ..,..,..L.../ /........... i i! i j l..... / 1 (..............' I ,).) ! , i i I i ."L.. I ", . "~. 1 "'...... ......~..~...... ......,...........~.. 05/05/03 ~os 14:37 FAX 81~94~6670 PREFFERED-PROPERTIES @OOl 09-25-2001 STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY DIViSION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION FROM FLORIDA WORKERS' COMPENSATION LAW This certifies that the individual listed below has elected t.o be exempt from Florida Workers' Compensation Law. EFFECTIVE DATE 10/12/2001 EXPIRATION DATE 10/12/2003 EXEMPTED INDIVIDUAL NAME KELLY 274-64-7737 ROBERT A S.S. BUSINESS NAME GOLD MEDALLION HOMES INC FEIN 593408464 19909 U 5 41 LUTZ FL 33549 BUSINESS ADDRESS NOTE: PurslIant to Chapter 440.10(1),(9),2 F.S., a sole proprietor, partner, or an officer of a corporation who elects exemption from the Florida Workers' Compensation Law may not recover benefits or compensation under Chapter 440. PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE Of FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE DATE. 10/121200 1 __ ~.. ~ ~ EXPIRATlCN DATE 10/12/2003 .... EX~PTED PERSON LAST NAME KELLY FIRST NAME Q08ERT A SOCIAL SECURITY NUMBER 274 64 7737 BUSINESS NAME GOLD MEDAlLION HOMES INC NOTE: Pursuant to chapter 440.10(1),\g),2, F,5.. a sole proprietor, partner, or officer of a corporetion who elects exemption from the Florida WorkerS' Compensatiol1 Law :nay not recover benefits or compensation under Chapter 440. FEDERAL IDENTIFICATION NUMBER 593408464 BUSINESS AOORESS 1990~ II S 41 H E R E CUT HERE · Carry bottom portion on the lob, k:eep upper portion for your records. ~ ?7 . RETURN TO: McCLAIN & ALFONSO, P.A, p,O. BOX 4 DADE CITY, FLORIDA 33526-0004 1111111111111111111111111I11111I1111111111111I11111111111111 2003077668 r;~ j>~,~t :~~~~, ~1 ~ STATEOFFLORIDA ) COUNTY OF PASCO ) THE undersigned, as Owner, notifies all parties that improvements will be made to certain real property, and in accordance with Section 713.13, Florida Statutes, the following information is stated in the Notice of Commencement: DESCRIPTION OF PROPERTY: NOTICE OF COMMENCEMENT Rcpt: 67699!5 DS: 0.00 / 05/01/03 Rec: 6.00 IT: 0.00 Dpty Clerk Lot 67 of Silver Oaks Village, Phase One, according to the map or plat thereof as recorded in Plat Book 35, Page 63, Public Records of Pasco County, Florida. PITTMAN PASCO COUNTY CLERK ~!~01/03 04:4~m 1 of 1 GENERAL DESCRIPTION OF IMPROVEMENTS: C/ B Home OR BK 533~ PG 335 OWNER AND OWNER'S ADDRESS: Lance A. & Tammy A. Smith 6426 Huntington Drive Zephyrhills, FL 33542 OWNER'S INTEREST IN THE PROPERTY DESCRIBED AS: Simple CONTRACTORS AND CONTRACTOR'S ADDRESS: Gold Medallion Homes, Inc. PO Box 1536 Zephyrhills, Fl 33539 SURETY (if any) and SURETY ADDRESS: N/A AMOUNT OF BOND: $ N/A NAME AND ADDRESS OF LENDER, IF ANY, MAKING A LOAN FOR CONSTRUCTION OF THE IMPROVEMENTS: Community National Bank of Pasco County Post Office Box 639 Zephyrhills, Florida 33539 NAME OF PERSON WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICES OR OTHER DOCUMENTS MAY BE SERVED: Community National Bank of Pasco County Post Office Box 639 Zephyr hills, Florida 33539 IN ADDITION, OWNER DESIGNATES THE FOLLOWING PERSON TO RECEIVE A COPY OF THE LIENOR'S NOTICE AS PROVIDED IN SECTION 713.13, FLORIDA STATUTES: Community National Bank of Pasco County Post Office Box 639 Zephyr hills, Florida 33539 Larry Hersch Attorney at Law Post Office Box 1046 Dade City, Florida 34297-1046 EXPIRATION DATE: April 28, 2004 L~ / /' /7..... (~~~vc-~C-( ~ Tammy A. Smith ~~ STATE OF FLORIDA COUNTY OF PASCO The foregoing instrument was acknowledged before me this 28th day of April 2003, by Lance A. & Tammy A. Smith, who is personally known to me or who produced .-- As identification, and who did/did not take oath. Witness my hand and official seal in the County and State last aforesaid this 28th day of April 2003. 4;;"'!'i;;,~J,Q1 ~nd '-""'J:" '.v, ,.I,V 'n'J'''NoT~FtplJ]m ~~~.~~~7.),;:; ." " '., . ',11.1(_' :":, ;:;,~:.!~-: -;....1J-i. ..'?"8-~'-:: ;i"'li:)--' l'h~U 1'1~~I"i bo\tN IM:iUkANCE.INC. "',8f'lt~\\~' ,..... ~w' ~ f\ (-ri -- I iJ/. ~ ' )7) ('f-, 1_-1..._,-, STATE OF FLORIDA COUNTY OF PASOQ.' . THIS IS TO CERTIFY IHAT THE FOREGOING IS A TRUE AND CORRECT Copy OF THE DOCUMENT ON ALE OR OF PUBLIC RECORO:IN:THis OFFICE"T. NESS MY HAND AN~[SE~l. TH.IS .'. ~AY:OF ',2 t2D:1? . ... : JEO PJ1TMA '~~ CIRCUH qqlJRT BY ~U~PUTY CLERK CITY OF ZEPHYRHILLS IINOTICE" OF ADD.ITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE 311'4 fr~ dr~ ATE I PERMIT -# IlJ ID 'UJ )) THIS JOB HAS NOT BEEN COMPLETED The ollowing additiqns or corrections shall be made before the job . will be accepted. -1 ~...~ $ e.-s; ~ e-u: .", 'lfuJ e) j!., r i" fl q "- t ; () -1 ;J1: A(ffooJeJ ~: '" ~.td fft.t11 <; l4.tI~~'~ -k, ~c. J. ADDRESS It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the wor1< with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installalion, OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. AFTER CORRECTIONS ARE MADE CALL 780-0020 FOR ZSPECTION INSPECTOR ~ ~ / .CITY OF ZEPHYRHILLS IINOTICE" OF ADD.ITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE ADDRESS C PERMIT "" ~ 7, 1 r.r I,'c:.~~ h l.t~ i THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job will be accepted. , *6"4b~ +-ritS) +0 hI brc.t.f! cJ 4~ II O. C~ j Ke ,,-"'\. Or. 110~ed. ~:rJfl i' ore h , 1\ o..\. be Gv: "5 0 I"l L. n, 1I ~ kl. ') h&" It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. AFTER CORRECTIONS ARE MADE CALL 780-0020 FOR RE-INSPECTION OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. INSPECTOR ~::::'f"~E :i .'~: 30L0 MED~L~:CN ~OMES ..~ .~,.... ~:;, .. ..... .'_' ~ '" '1 ._,.-, ...f'\ ::CNT '~ :~ .;f 3CLID 'JjI;;,~::7"::: ,.... ~:- -....~.,'- .~;~.- ;-~ - 'I T":iT,;'"\L AiTiCU..rr: C~~J~F:t,)..:.. ;~C::::[}l.}J\.~"'- I:;.'~5<) .,. ...,.'.-.. ....... ....-;" ~;-:; .~':..' ~.) t_...: ~.i ::::::~:,.r-r-~~:t ,c~t._ :::.C'-::::-""i ..- "I.-~'~ '\~~-.: ::: ,.,~ S:::: ; : ;:~ t~ ;'''.~.- "~' f': i._ '-:=. 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