HomeMy WebLinkAbout04-2730
.'1
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2730
Permit N...mber: 2730 Issued: 2/09/2004 I
Permit Type: NEW SINGLE FAMILY DWELLING I
Class of Work: 101-NEW CONST/SFR 'I
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value: '
Cost: 132,400.00 Total Fees:
I Amount aid: 1,838.38 Date Paid:
Address: 3990
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0290-00000-0010
Name: OZEMAN HOMES INC
. Addr: PO BOX 97
SAN ANTONIO
Phone: Lic: RR0067693
Work Desc: SINGLE FAMILY DWELLING
JOHNSON, PAM
39909 MLK JR AVE
ZEPHYRHILLS, FL. 33542
Phone:
MECHANICAL FEE
I BUILDING FEE. P':
~ It .~.<l,~lt ~~
111 UP", 'j , ~ hJ-'~ J J"'" p /fl
~ ' ~1} vf'Y' ~ (j" 10
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. t1 ~ tJl\~lot.( H-30
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1 I
I
2ND ROUGH PLUMB '1! DUCTS INSULATED ./
WATER FINAL MECHANICAL
SEWER . MISC
MISC. i MISC.
MISC. [ ~ISC.
DRIVEWAY I MISC. MISC. ~RE DEPT. FINAL _
-REINSPEffiON 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: ~
~t l~o;M V--
(a) Wrong address (b) Condemned work resulting from faulty construction (e) Repairs or eor~' ;'ade_"1~n
inspection called (d) Work not ready for inspection when called (~ ~
' (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible "..' 1/ 1
The payment of inspection fees shall be made before any further permits will be issued to the person owning same )
"Warnlng--to-owner: Your failure to record a notice of commencement may result in-your paying twice for-m_-_~
improvements to your property. If you intend to obtain financing, consult with.your lender or an attorney
__~efor~!eco~ing your notice of commencement."
./..it-
CONT
~.-
TORS SIGNATURE . PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
NO OCCUPANCY BEFORE C.O.
". - -~ --. - -
Bozeman Homes, Inc.
6th Ave.
SQ. FEET PRICE
MAIN OR LIVING: 2,648 $ 50.00
OTHER AREA UNDER ROOF: $ 25.00
OTHER: - $ -
VALUATION $ 132,400.00
FEE SHEET $ 579.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00 ~
!
BUILDING: $
CREDIT: $
BUILDING LESS CREDIT: $
ELECTRICAL: $
PLUMBING: $
MECHANICAL: $
DON: $
928.50
..J .
, ~ )
~i~ 15 ()
( f~ ~/
\ /
~"--------_..-------- ~
SEWER: $ -
WATER: $ 419.00 /'
IRRIGATION: $ -
TOTAL: $ 419.00_ .//
WATER METER:I $
IRRIGATION METER $
180~0!2.r
SUB-TOTAL $
1 ,838.38 ~
3JUJ
j.$eo
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $ 5,120.381
~
'-- -'-"'- _....,.~ '_'''k,.,..~
PERFORMANCE BUSINESS PRODUCTS. INC. 313-719.800& FAX 313-719-7919
~ :~--q1 ~ Co
CITY OF ZEPHYRHlllS
ZEPHYRHIllS., FI:.ORIDA
WATER ACCT. NO.
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(27,b/tLU'R.
SERVICE ADDRESS ~-3 9 9 C' C; j/>L/( .JIi.
OWNER/
RENTER
MAILING
-<
-y .{,J 47
---- j
SHUT OFF SERVICE 0
.-
TURN ON SERVICE IKt
INSTAll METER ~
READ METER 0
CHECK METER 0
OTHER 0
/1
./ !
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rt
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WORK COMPLETE BY
& DATE COMPLETED
DATE
62- 9-0j/
{'
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..-<" d _ _,.."
~-'~ '<:-'
/1 .':-"
/-; v' ~
'4' WATER
[J SEWER
o GARBAGE
':2( IN CITY
[] OUT CITY
I
~- No. OF UNITS
-- DEPOSIT AMOUNT
-- AMOUNT LAST BILL
-_ DATE
-- MISC. CHARGE
h" .n
" (iF
'n :.,' b1-14 l.a,<Pt
;/1 ORDER TAKEN ~. '--
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Retain white form in offICe at all times.
SeI1d pink & yellow fonns to Water Service Dept
'Miter Service Capt to sign yellow form & return to office,
,..-..-.-
~--
PERFORMANCE 8USlNESS PRODUCTS. INC. 313-719.-aOO&FAJ{'613_719-7919
. ~ '~q 'J <{"~ G:,
CITY OF ZEPHVRHIUS
ZEPHYRH/LLS, FLORIDA
WATER ACCT. NO.
DATE
;;,2- 9 -oj!
~~~fj{/~~~~~~ C~~~c5 \.1~LL
-7-
MAILING /?D rQ ~~" 97
. =1,~ 41 arl ~'7u;';::Z 335 ~c
SERVICE ADDRESS 4 9 9 () 9/''L../(.''~7;e.. P '" E'
'4.' WATER
SHUT OFF SERVICE 0
TURN ON SERVICE '18f
INSTALL METER ',l?J
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
':21 IN CITY
o OUT CITY
I
_ No. OF UNITS
- DEPOSIT AMOUNT
- AMOUNT LAST BILL
/'
/l
.,~ i.,'
1/ ~
r:"
--?
,. . I" : -iU2
_ DATE
- MISC. CHARGE
WORK COMPLETE
/I. DATE COMPLE
.Zi:~~ L,n,'
Retain white form in office at all times.
Send pink /I. yellow fonns to Water Service Oept.
Waler Service Oept. to sign yellow form /I. return to office~
I ./
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'~NBY
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CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
~ ADDRESS u. DATE PERMIT + I
crD~ 1.0' ~ 5-'~-Q<( ~?3o
THIS J6B HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
~ 1;;:tJpStr,,~.L~,~~, ~~~t::f:fr1)
*~= Lv1U1M~i~t'W~tr~PMfJ~
-,- . Q /;-~ CLOC";:."-' j'j~ . - -
It is unlawflill for any Carpenter, Contractor, Builder, or other persons, to
cover or ca~se to be covered, any part of the work with flooring, lath, earth
or other m~erial, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-00~510N
INSPECTOR
CITY OF II N OT ICE" BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADD.ITION OR CORRECTION
DO NOT REMOVE
ADDRESS DATE PERMIT",. I
'3QQ(!)Q to"'jf <ke.. 4- !o-~'f :/1'/30 .
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
,
~~~~'L~ Lc f,o,j.5 cu, Un.. 0"\1iU if-t\.a~
~JJ~>-Vl, ...o.l~ ~~O'LI~
-*"f<'I;.r.~ .In.t1;-~~I..h~ C~
~~ 4~"O. ~
~ ~~~~j;\:;,'1 (~l~-'<\~WcJt
It is unlawful Jor any Carpenter, Contractor, Builder, or other persons, to
cover or caU$e 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 installation.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR ~ ffJ(!)
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
! ~f! /~tf
( I f
PHONE CONTACT FOR PERMITUNG
OWNER'S NAME Mm -JO//d/)A.)
JOB ADDRESS ~'~+'~ 0" 7'4" 4v-e .:319 0 ~
111[1< jg. II v~ r
PHONE glg.- 7 f3g - e7?, /
.
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID # ("2,/2 G /2r /02. Y'ohooCJo /0,0/0
. / / /
WORK I?ROPSED: ~CONSTRUCTION 0 ADDITION o ALTERATI ON
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
.---
PROPOSED USE: ~FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMIL.Y
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOB I LE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Co.t/S//ZA C / rz/e.--iU S:-7-v?-Ge-
"
tC4/3t L-7 \./)v-e./A'::/"v"L.-
,
BUILDING SIZE
SQUARE FOOTAGE
L6V8
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
~ILDING
~~ECTRICl\TJ
$
-iT
/CtJ, 000 .
,
PERMITS REQUESTED
S':+\- 0100
VALUATION OF TOTAL CONSTRUCTION
,,700
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
~~BING
- ~
~:HANICAL $ 2&'00
o GAS ~~FING 0 SPECIALTY
TYPE OF CONSTRUCTION: ~CK
VALUATION OF MECHANCIAL INSTALLATION
'130
,:2
o OTHER
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PRO,JECT IN FLOOD ZONE AREAO YES 0 NO
I__~_.
-..._ ~..~.._~_~__.___._~__.___~____~_~__ cO~~g~~2$._~!~,~________~________~
COMPANY 602-e/?J-''l-J 4or?t-e.5 ;Z:-"uC
~
BUILDER/) //
SIGNATURE ~~..
~
STATE CERT OR REGIST # KA - oS-7/c:J 2-
ELECTRICI
***************************************
SIGNATURE
COMPANY ~ CjJ~
E-c c)()d~;???\
STATE CERT OR REGIS'!' # __ _ _____ ~
*~*~*k*************************************w**
PLUMBER
COMPANY Uhy :;;~.AJ
STATE CERT OR REGIST #
SIGNATURE
MECHAN lCAL
SIGNATURE ~ U
****************************************~***********
I
COMPANY .5 () f/} 117 5
C/7~ STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrrction~" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 8l~-780-0020.
Furthermore, if the ownet has lii'red1 'cbntractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating tllaL
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion 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 Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify wha~ 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 Se~sitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.8. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the techrlical 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 corrunenced 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 Ume
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 RESUI,T IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of , 20_
by
(name of person acknowledged)
Owho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
20
(name of perso~ acknowledged)
Qho is personally known t~o me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who 0 did Qjid not ta ke an oath
Dwho has produced
(type
and whoO did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
Parcel Inforrrtation for: 12-26-21-0290-00000-0010 Card: 001
Page 1 of 1
lJ'{elcom~ : Records Search : Parcel Detail
$~C3r~lLM~in $ho'o\lJ\ltctQ Building Schematic Unavailable CC3~!lJctt~I~xe~
$ee. IctXCOllectocll'lforrnCitiOIl-Cu[rellt/[)elinquEmtI a}(e~
ParcellD I 12-26-21-0290-00000-0010 (Card: 1 of 1) I
Classification 00 - Vacant Residential I
Mailing Address Assessment (totals)
JOHSON PAMELA T Ag Land -
5249 PARKER ST Land $8,552
ZEPHYRHILLS, FL 335424694 Building $0
Physical Address Extra Features $0
1...~9-ClLD~~criRti9n (First 4 Lines) Total Assessment $8,552
UNREC SUB OF SE1/4 OF SE1/4 OF Save Our Homes $0
NE1/4 LOT 1 DESC AS SOUTH Taxable Value $8,552
148.32 FT OF WEST 1/2 OF SE1/4
OF SE1/4 OF NE1/4 OF SECTION
land Detail (Card: 1 of 1)
Line Use Descri~tion zon~ Units I Type II Price II Cond II Value I
01 0100 SFR OOER 42,758.00 I SF II .20 II 1.00 II $8,5521
Additional land Information
I Acres II 0.98 II Tax Area II 30ZH II Fema Code [~] Res Code I/ZHLPLP41
Building Information
Unimproved Parcel 00
Extra Features
No Extra Features
Sales History
Previous Owner PENIX MARK E & GENEVA L
Year Month Book 1 Page II Type II Amount I
2003 12 5645 1 0440 1~QC $15,000
2002 03 4905 1 1955 WD $15'~1
1989 02 16041J428 II WD -
$~~rc;h A@!1'l Show ~ Building Schematic Unavailable Calculate Taxes
See Tax CollectQr Information - CurrenUDelinQuenl Taxes
http://appraiser.pascogov.com!search/parcel.asp?sec=12&twn=26&mg=21&sbb=0290&bl. .. 1/20/2004
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600A-01 Residential Whole Building Performance Method A CEi"iTRAl
~ .~ '-
PROJECT NAME: ..:Joj./A64..1 ,(ZJSlflp/.Le.,
AND ADDRESS: <.or / GTI'f A~
e . L.
OWNER: ~
BUILDER:
PERMITTING
OFFICE:
PERMIT NO'o=[LLr I
'/It.I f ~c::,. ---___n
CLIMATE D D 0--.-
ZONE: 4 5 16 I
J JURISDICTiON NO.: rr=ITITI
CK
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamii)f---No. of units covered by this submission
4. Is this i:l 'Nor:.;t case? (yes / no)
5. ConditionE>:! floor area (sq. ft.)
6. Predominant cave overhang (ft.)
7. Glass type iind Zlrea:
3. Clear
b. Tint, film or solar screen
8. Floor type i'md insulation:
a. Slab-on-grade (R-value + perimeter)
b_ INaod, raised (R-value + sq. ft.)
c. Conc""ete. raised (R-value)
Net ',fJar: :'."", ~,a and insulation:
a. '::>;"ii~; ;iJ:":i. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
Log (Insulation R-value)
9.
(jther: ___
t'.l, /."_r,__::
10.
Concrote block (Insulation R-viJl! !'~)
,:. Wood frame (Insulation R-value)
.:J Steei frame (Insulation R-vaiue)
'i Log (Insulation R-value)
Ceiling ty!,.~. C" c:a and insulation:
3. Uilder alLl:; (insu:ation R-value)
b. Single assembly (Insulation R-value)
,;. f=~'Y:"i )'3:;:'~:~, IPCC, white roof installed?
1 i. Air d~stTt::I:.ftk"rl s>f~~':~f:.:;-.l:
2.
Du~:s '~:.;!!/afion + Location)
b. Air Haw;:er (!JJcation)
12. Cooling system:
(Types: central~split. central-single pkg., room unit, PTAC., gas, none)
13. Heating system:
(Types: heat pump. elee. strip, nat gas, LF gas, gas h.p., room or PTAC, none)
14. Hot water ~~vs;:crn:
(Types: elec.. fn"".;; ;2S, sc.:lar, L.P. gas, none)
15. Hot Water Credits;
3. Heat Recovery (HR)
b. Dedicated Heat Pump(DHP)
c. Solar
16. HVAC Credits
(Use: CF-Ceiling Fan, CV-Cross vent, PT-Programmable thermostat,
HF-Whole house fall, MZ-Multizone)
17. COMPLIANCE STATUS: (PASS if As-Built Pts, are less than Base Pts,)
a. Total As-Built points b_ Total Base points
1
I ----~--~
~---
sq. ft_ r --
ftoouble Pane , =-==
sq_ ft.!
-'6'J.. '7 sq_ ft.! __
. '11 L ft. I
,__sq_ft. I
,__sq.ft. 1_____
,
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. 2.
3.
I 4.
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I 6.
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PREPARED BY:
I hereby certify that this b
DATE: II - ).:} -,;3
. h the Florida Energy Code.
DATE: /I
Review of plans and specifications covered by this calculation
indicates compliance with the Florida Energy Code. Before
construction is completed, this b 'Iding will be inspected for
compliance in accordan wit e 553.908, F.S.
BUILDING OFFIC L: .~
DATE:
OWNER AGENT:
--
Ale
16(4)-
-~--/lt.(
Single Pane
sq. ft.
sq. ft.
70,.
7b.
8a. R= 0
8b. R=
Be. R=
9a-1 R= ;-
9a-2 R= Ie;
9a-3 R=
9;:-4 t~=
?u- 1 ;~::: --
9b-2 R= -11-
9b-3 R=
9b-4 R=
~~_GiJ_ sq_ ft.
-L~_ sq, ft.
__ sq. ft.
___ sq~ ft.
_ sq. ft.
_~ '7 sq. ft.
___ sq. ft.
__ sq. ft.
102. R=
'"'> 0
11 (P sq. ft
1Gb.
10c.
R=
,--,-~"-- __ sq. ft.
1-13.
lib.
12a.
12b.
12c.
13a.
13b.
13c.
R= [, V,VI.&-,~'" (condJuncond)
U "'''.:. l' ~ ' ('1'ndJuncOnd)
Type: C Q r-- I "" <..1.
SEERlEERlCOP: ( C , c.. L;,
Capacity: J I{ '). ,IC'"
Type: tf,-P,
HSPF/COP/AFUE: ?" (., u
Capacity: ~ ';-OCJ C-
Type: f5r t>c.-f
EF: . '7 (
14'L
14b.
15a.
15b.
15c.
.-
16.
C. -
. l-
[1t
17a.
r . ~
17b. J- \.f 4 ~ ')
SUMMER CALCULATIONS
;.----:--.----.--.~---.--.--.,-'----..----------:---______,_-.--~ r--
I O;,IEliI A T!0N I OVeRHANG .' GLASS SINGLE-f'ANE
I LENGTH :j AREA UMMER POINT MULTIPUER
_~_~~FEET) Jf . (SQ. FT.) CLEAR TINT'
N (.. 27.96 22.93
NE 43.65 36.42
E 59.31 49.89
SE . I 56.64 47.60
S i---zt-H-]i,L 44.66 37.29
_~W___ " 52.82 44.31
W t~----- 53.48 44.87
-,"IW I 37.74 31 34
I~C-~-3~~i~_~~_:-d3~~Z= 10]51 85.02
I H--4/'r----4-~--~ ~~'"ljL1--
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1--------1-----1i---t---~--_t_~~
,I)
(I)
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I
I
I
I
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OVERH 'J - R' -,- _ OH LENGTH
t,. Co ~.I.U - OH HEIGHT
,
l...__ ..__________
r.~--:~----r-___-r_
, ,- 1 I CO:.'iJ i WEIGHTED GLASS
; ~:,;.~ ~.1 [~x FL.CJ? }: MUL ~IPUER
! ..:;: + A:{r:'~. i
L_~~.~T8~~ , -7k~:rT 25.99
CUi\':PONEt.'T
[;?SCF~!?TtQ'~
I Bf..SE !
-= GLASS I
-~--+f~L ~~~
M'.EA
_~J
/'.DJ/\CE'rI
;OG'"I
:J- '11
/ 'i" 2-
L_______________~__
II
..
:} 5';' ~ , I
I I i'.<.JSliK~;Civ.; !ite 10,:.,'; x
BASE CEILING AREA EQUALS FLOOf~ I\REA DIRECTLY UNDER CEILING. AS-BUILT CEILING AREA EQUALS ACTUAL CEILING SQUARE FOOTAGf'"
...
~~E(bE~:~~:r) l'i ( r-~-~-[i:c _t-_~=C "l'1ml iJ q { -' ~ .~ ~ (. 5'
SLAS ON GRADE USE PERIMETER LENGTh AROUND CONDITIONED FLOOR. FOR R.~ISED FLOORS USE AREA OVER UNCONDITIONLD SFACE.
v
Ua-;~hZ~~)REA 101' CONDITIONEDSPAi;E~ : un I '"'~" '-
...
TOTAL COMPONENT BASE SUMMER POINTS i 3 i &p ~ ( I
...------~--~
Total Base BASE
x Summer COOUNG
I " ?trm~~NgQi
cXTER!O;-(,
,..---.-.---.------- -_._-----
, t~ tOi,T~J_<',-i ~
i '" iD.YC8\:
I 0
~
r-:-~
I' ~
, 2
; G
UNiJER ATTIC
Oi-~ SINGLE
/\:3,S[:~'~ l~;.
r 8
10
-,
,-'....
'A l ' L~
LC,'t"'
"
,
B1ffSJv'l\'EH
x POINT~M..JLl
BASE
SUMMER
( q~NJf
~.:>~
:).. ~ 9
1.9
.7
1.&'
48
1.6
If
Ie '{
jO
'I€~(
2.13
1--;::;'ILr0:TloH &----~(
i I" ~ J_
~Tr~NAL GAINS . ~.n
COOLING
SYSTEM
HOT
WATER
SYSTEM
Base Cooling
System
Multiplier
.43
Number
of
bedrooms
.3
'H - HORIZONTAL GLASS (SKYLIGHTS)
14.31
CLIMATE ZONE'. 4 5 €.-
I SUMMER
X OH FACTOR
(from6A-1j
rt;
I -~
AS'8t1le T
GLASS n .
SUMMER ,'IS
-,
COMPONENT
DESCRIPTION
OR DOUBLE-f'ANE
SUMMER POINT MULTIPUER
CLEAR TINT'
25.65 21.22
39.16 32.78
52.66 44.33
50.35 42.37
39.98 33.49
47.07 39.55 -c.1'~' -=-'--
47.65 40.50 f!tI~~ (;I I -
~:~~ ~~'6}-r---~-------~---~
;,; ,- -'i'i[-~--
J." 'ij~8-~ ~=!-II!;
_:=r=~=j
--1-~--l
--+----I---i
-+- . ..~. -==1
I ----j---------~1
i : -+-------j
l-------r----.I-----~~
V
!---':..S-2UI,j--l
I G~ASS I
I ~Ur.&~L j
V
AS.BUIL T
SUMMER
AREA
SJ'.MR
x POiNT.M..JLl
?J \-2,,-r'\U~,<~,~::
r::C!:.lTS
/ OaS~ (
,:)., '7
/ 5"1-
~ /)
/0')" (
J.<77
/Sc.c 1-
/
II
I
..,
{~b
'J- /. ~;
. -- -I S
..
3 5-3Tl
IIr{;l
'J. · f '1:>
I -
v
~~
14.31
TOTAL COMPONENT AS-BUILT SUMMER POINTS
T
TOTAL
AS-BUILT x
SUM. PTS.
{). 10
'FOR GLASS WITH KNOWN SHGC, SEE SECTION 2.1.1 APPENDIX C. 'MUST MEET CRITERIA OF S. 607.1.A.
TINT MULTIPLIERS MAY BE USED FOR GLASS WITH SOLAR SCREENS, FILM, OR TINT.
"J;
s
AS-BUILT
HOT WATER
SYSTEM DESC.
Number
of
bedrooms
:3>
SUMMER POINT MULTIPLIERS (SPM) CUMATE ZONES 4 5 6
6~\.1 ~!"~\MER OVERHANG FACTORS (SOF) FOR SINGLE AND DOUBLE PANE GLASS.
r OH Ratio OO~ 11 ' 12-17 18- 26 . 27- 3<; 36- 4.6. 47- 57 58- - __
oJ ~. ~;~~east-~:66_-!~~~:t=t-6:~~~-i-6:~~~ T-6':~ L ~6:ri{-t~ni=J~_6i~~_~=i~~~==f=_6~~-+___6::~=1=~:~~-
>- 'iEasL 1 ~ 1.00-J--.ilill1LLM_6LJ__Q.9N_LQ.~8~_j_O.Z5L! OJi87 0.622 0.571 0.482 0.414! - 0.463 --
~ i i Southeast" n~ri.-OO~j_M99_~jO~95Q J ~~ 0.871.! o.786;oJOo_LO.6315_---I~Q.~iL -.lL54iL 0.478 0.436 ~QAi)L_
~ Q:: South nUQQ-L.JulJl8j-.Jl~L~-~Jl~a!!L~-()JILj-O.708 0.65 O. 8 0.588 0.539 0.503 0.475
gO !-S~uth~~;tn JtQLL_([9970.956LO~!l74~nJO.?93 !__0.7QgJ _0:645 0.588 0.547 0.479 ~.1~L.il.l~
' ~~we~t f+~g-t-{~~~!- ~:~~+~n~i~~_~:~~-!.~:;~~I-~~~:~;~. i ~:~~~ ~:~~ ~:~~: ~:~~~-f--~:~;}~~
.... i OH Len th 0.0' 1.0' 1.5' 2.0' 3.0' I 3.5' 4.5' 5.5' 6.5' 9.5' 14.0' 20.0'
6A-2 VIIALl SUMMER PQINT MUl TlPlIERS SPM
, FRAME
R-VALUE
0~6~9
7-10.9
11-12.9
13-18.9
19-259
26& Up
WOOD
EXT AOJ
6.4 22
23 .8
1.9 .7
1.7 .6
10 .3
.6 .2
i INTERIOR
STEEL 'INSULATION
Exi "TADi~-I[A'--UErIXT ~ L~J~
8.9 ..~-~ i- 2:9 - 0~2.9 . 2.5 .9
4.1__~-___I[_______E[-=..-~~ 1.4 .7
3.0 I 1.0 5-6.9 1.0.6
2.8 i 0.9 7~10.9 .8 .4
?~~--~:-J=-[~~=-~Ir=.i~)_~-_ -~--.-4-- - -.3
1.3 _J_ 0,4___19~25~9 u_n,_2~
26&U .1
6A-3 DOOR SUMMER POINT MULTIPLIERS (SPM)
DOOR TYPE EXTERIOR ADJACENT
,
I ::~D;rco
L
7.2
2.4
16
6;.-5 FLOOR. StJrii\,jER POiUT MULTIPLIERS (SPM)
I
/. SlA.B-GN-GRADE RAISED
EDGE INSULA.T10N CONCRETE
R-VAL'JE
0-2.9
3-4.9
r: n r;
;)~o.~
7 & Up
,p~~
....., I'll
-31.9
-31.8
-31.7
-316
-------------.-- ---~
R-VALUE i SPM I
0-2.9 ~ ~~'-:To~
3~,r9---~i~-::1T--i
~ ~=H':9'-:'J-=- :1.C~~~j
7&U . ~1.7 .
6A-6 INFilTRATION & INTERNAL GAINS ISPMI
--6irJ!lfiltration 5.17
Internal Gains + 9.14
Infiltration/Internal Gains 14.31
(Combined)
6A-? AIR HANDLER MUL T1PlIERS SPMI
Located in aaraae 1.00
located in conditioned area 0.90
Located on exterior of building 1.02
located in attic 1.10
CONCRETE BL9_Cf((NQftMAl_WT)n
FACE BRICK
..I{~~L9lJE_j~O~~ F~~ ~-~~~lJI:f-~~J5 n-~'6 ~~~ - 8 INCH
.. ~~-~~-~I-~-- E--- -~~~--~~~--~__n_ ~-~~
7:10.9_ L_-,L~_ __1::6.9 _ ~&. ~-Y!lLlJE I EXT. EXT
11-18:!i~+_~_i_~ -.!J!.9 - -,~~~2,Qp.f~L1:0_~~
J9-~~~_L.~~ -.1.Q&UP ....L_.L_.l-:6J_'n1.1.8~
26 & U ! .1 i 7 & U !.8 .7
.1
o
NOTE: SEE SECTION 2.0 OF APPENDIXC FORMUL TIPUERS
OF ENVELOPE COMPONENTS NOT ON THIS FORM.
6A-4 CEILING SUMMER POINT MULTIPLIERS SPM
~_IJNOER A TT1G~~~SINGlE ASSEMBLY I CONCRETE DE.f.~OOI=_~___~
;~~~~~~+~- ~~~-~, ;~~~~-L--ft.~-~~I R.VALUE ~PO~~~'N~ ~:~PPED
-- --., ----- ------.-----"-- ..----- --- ----- .__________L1~__~____'_____...._____..._.__~----.__._._________..__
22-25.9 2.55 11~12.9 1 9.73 ! 10~13.9 ! 11.13 ! 1040
-26-29~9 - . 2.2813~18'~"--n[-87r:=L .!.4-=2lJ~9=- j-~~4T_ 79'd
30-379 2.13 19-25.9 i 6.90 i 21 & Up r- 5.99 5.76
38 & Up 1.84l6:?9.9 __L__5.82_J
RBS Credit 0.700 30 & Up 5.40
IRCC Credit 0.864
White Roof Credit 0.550
- ~~ _~RAI~~D_WOOD __~____
POST GR PIER i STEM WALL wi UNDER ADJACENT
CQN~LRlETlON__~L_FLOQ.R INSUL~I1QN_~__ _~
SPM i SPM
-4.50-~ ~-r---~- ----=5.8-.~ - -
--.228.-.---- -2.8 .---------~- --
.. T83 u ----r----~ri-- - --~
.. --1j6-_n~-r-~-_1:S---------
SPM
5.3
2T
1.8
--- ---- .-----
1.0
6A-8 DUCT MULTIPLIERS (OM) See Table 6.10 for Code minimums.
DUCT RETURN DUCTS1n:
SUPPLY DUCTS IN: R-Value Unconditioned AtticJ AtticJ
s ace RBS IRCC
1.113 1.107 1.108
Unconditioned Space .0 . J
AtticIRadiant Barrier (RBS)
AtticiWhite Roof
Conditioned Space
6A-9 COOLING SYSTEM MULTIPLIERS /CSMI
SYSTEM TYPE See Table 6-3 for Code minimums COOLING SYSTEM MUL T1PUERS ICSMI
Central Units (SEER) Ratina 7.5-7.9 8.0-8.4 8.5-8.8 8.9-9.4 9.5-9.9 10.0-10.4 10.5-10.9 11.0-11.4 11.5-11.9 12.0-12.4
CSM .45 .43 .40 .38 .36 .34 .32 .31 .30 .28
PTAC & Room Units (EER) Ratino 12.5-12.9 13.0-13.4 13.5-13.9 14.0-14.4 14.5-14.9 15.0-15.4 15.5-15.9 16.0-16.4 16.5-16.9 17.0-17.4 17.5 & Up
CSM .27 .26 .25 .24 .24 .23 .22 .21 .21 .20 .19
WINTER CALCULATIONS
CLIMATE ZONES ,J. S' 6
-_..._---_._----~.~._----- I I ; I
ORIENT A TION OVERHANG GLASS SINGLE-f'ANE OOUBLE-f'ANE WINTER AS-BUIL',
i 'WINTER POINT MUL TIPUER OR WINTER POINT MULTIPLIER X OH FACTOR
I LENGTH i AREA GLASS'
OH (FEET) (sa. FT.) CLEAR TINT' CLEAR TINT' (from 6A-10) WINTER PTS
~ljT N / I (I ''''-l. /...- 12.32 12.53 6.43 6.64 \ ,,-lj'~ :J.. ~ (,,;
NE 12.00 12.31 6_17 6.42
E I'if :J .:) 9.96 10.54 4.52 5.01 /10v C;; I 1 J-."
SE 8.34 9.12 3.17 3.84
H S J'4 JI. _ /; 7.73 8.59 2.65 33Q . '1'"' q .( -\,-,
_-.t SW I 9.22 , 9.88 3.88 4.45
W ./ . L{ S- 1074 11.21 5.16 5.56 ,. <-r'1'( :II<
,. NW 'I 12.2? 12.51 6.35 6.58
Hi 1; , ~
I ~~ 11.64 12.36 4.91 5.54
,- <'.' ~ 13'1., V .~ ,2(.} ~ 1'1 v
!e I----LU 0 1!1/. '1 I i iJ · ' J 4'1'
! I --f-- ,
.--- ~
I II
I Ii I
I T !! i I
I 01 ~ II I
,
I II I
II I
I Ii i i
i i
I I
! I I
(0
G
-;..j. ~I 5.1
~-I'1 p~~~-- 4.0
V
. UNDER ATTiC 1--L.?-f--l~L-Jii---~--'p f: 'Y1
OR SINGLE l .m ...1__ ~~.~ n .1. _n.. . ~ _n___~_~~___~~
ASSEc.1i3L Y ~, ~ ~ ______~~~~~. __L_J RBSfiRCClwhite roo;" i . X
-- - ~- - - -i3ASECEiLiNG AREA EQUALS FLOOR AREA i:ilREcn YUNDER CEILING. AS-BUIL T CEILING AREA EQUAlS ACTUAL CEILlNGS~6UARE FOOTAGE:-
T
:. S~ (Pf:BI~1ETERl_u J$'-/---r-----i!l.--l~--~~.---~ ___-----~+~--..
'RAISEDjAflEAL+_~_~l---~:::~___~j~___ ,--
- ,_________..,_~_ I ; _ ._ I' _ __________
FDR SLAB ON GRADE USE PERIMETER LENGTH AROUND CONOITIONED FLOOR. FOR RAISED FLOORS USE AREA OVER UNCONOITIONED SPACE~
I ~..-.-----_.
I
I
__=:~:~=~--17~5.:;'.1
I:;' '1 1
---!- I
-i~-~_1-lr'c;Y
-~~~-I~-~-_u- ~
I
'7. (
..:t,O
T
AS-BUilT
GLASS
lug~T~
V
AS-BUILT
WINTER
POINTS
-; C' \.f ~
.,- ." <::
I (1'1
,..
'~~l
I WEIGHTED GLASS
x MULTIPLIER
if>
U)
""
-'
G
5.44
T-
BASE
WINTER
unPt~T,-t
J.>~{"_
~uc l.{~ ~
COMPONENT
DESCRIPTION
AREA
WINTER
x POINT. MUL T.
'(6.~-11THRU 6A-15)
,l\.~
1< ~
/t
f-~-~~---
! Cor:'PONENT
DESCRIPTION
i:XTEF~IOR
ADJACENT
AREA
; BASE WINTER
x POINT. MUL T.
2.0
1.8
-:;",,(;0
- i---
I: ':
"::i
1 U.
\
-'
<(
I-
o
I-
., -
INFilTRATION & .~~LkJ.'-L.J.~ -o.??_~____j - i{l,.. '- L_
INTERNAL GAINS i USE TOTAL FLOOR AREA OF CONDITIONED SPACE.
T
I t-iey~~
~L~__jL?L
T
.~y.... -'--
T
t) G 77
I
HEATING
SYSTEM
BASE
HEATING
POINTS
3/41--
TOTAL
BASE
POINTS
Enter on P.
1-/ <.,
2fOR GLASS WITH KNOWN SHGC, SEE SECTION 2.1.1 APPENDIX C. 3MUST MEET CRITERIA OF S. 607.1.A.
TINT MULTIPLIERS MAY BE USED FOR GlASS WITH SOlAR SCREENS FILM OR TINT.
ar.~f(~~';
..'WI~TER POINT MULTIPLIERS (WPM)
. 6A.iO ~'VlNTER OVERHAt;G FACTORS (WOF)
r
l
wo::
m[
CUMA TE ZONES 4 5 6
Southwest
West
Northwest
OH len h
1.00
1.00
1.00
0.0'
1.002
0.999
0.999
1.0'
1.013
1.003
0.998
1.5'
1.038
1.013
0.997
2.0'
1.071
1.025
0.997
3.0'
1.118
1.040
0.996
3.5'
1.168 1.225
1.053 ' 1.067
0.995 0.994
4.5' 5.5'
6A-11 WAll WINTER POINT MULTIPLIERS (WPM)
FRAME CONCRETE BLOCK NORMAl~ 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 SINCH
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 1.1 .8
26& Un .7 .7 1.4 1.2 19-25.9 .8 .7 r NOTE: SEE SECTION 2.0 OF APPENDIX C FOR MULTIPLIERS 1
26 & Up .5 .5 OF ENVELOPE COMPONENTS NOT ON THIS FORM.
6A-12 DOOR WINTER POINT MULTIPLIERS (WPM)
DOOR TYPE EXTERIOR ADJACENT
6M3 CEILING WINTER POINT MULTIPLIERS (WPM)
UNDER ATTIC I
-R:VACUE~T---WPM-I
~ fg~2f9 _ ~-n--}3r I
22.25~9 -78- ~-i
26.29.9 .69 ~~ T
30.31.9 --r- ~~~f3,j---=___i
38 & U I .55 I
RBS Credit 0.850
IRCC Credit 0.905
White Roof Credit 1.044
SINGLE ASSEMBLY CONCRETE DECK ROOF
R-VAlUE I WPM l r--CEIUNG TYPE-
10-10.9 I 1.02 LB-VALUE_ L~XPO~EQ_J~QPPEP____
-fJ~:}~-~-'-:~---I[-~i~~~J-'} J - 1.16~~m_l.(JL_
-19~T---:-62~;-2mp- ~ ~U_~~~__~ L_---'~
26-29.9 ! -----:SO----J--------- '------------------------
30 & Up -----:46- ---j
WOOD
7.6
5.9
INSULATED
5.1
4.0
6A-14 flOOR WINTER POINT MULTIPLIERS (WPM)
SLAB-ON-GRADE I RAISED
EDGE INSULATION I CONCRETE
R:VAIm:--~!-WPM--! rf~-:VAIUC-j
--O-2.ff-~---2.5-~~' 1--0:2:9- --- -
3:t.9 r~:U i I --3:.;r.9U
'=7~;~- ~+ -J~===I I=~~q---- ~
6A-15 INFILTRATION & INTERNAL GAINS
RAISED WOOD
POST OR PIER STEM WALL wi UNDER
. CONSTRUCTION I FLOOR INSULATION
~\I.~llJ~_.J___ WPM ----L____ WP~______~_ ~__ WPM_~_
0~6.9 2.49 I 1.8 5.3
;;;1E t --:{l-- - f~::-=r~::_~::)_=:::~C~
19&U I 0.14 I .3 . 1.0
ADJACENT
-.
Air Infiltration 0.87 DUCT RETURN DUCTS In:
Internal Gains -1.15 SUPPLY DUCTS IN: R.Value Unconditioned Attic! Attic! AttiCT Conditioned
Infiltrationllntemal Gains -0.28 soace RBS fRCC White roof soace
(Combined) 4.2 1.107 1. 098 1.100 1.102 1.092
Unconditioned Space o:n- 1.078 1.072 1.074 1.075 .061r
8. 1.06 1.051 1:057 tOSS- 1.05L
6A-16 AIR HANDLER MULTIPLIERS (WPMl 4. 1.07 1.UB - - .OW
Located inaaraae 1.00 Attic/Radiant Barrier (RBS) 6. 1.0 3- 1.U5 - - .U45"
Located in cond~ioned area 0.92 8. f 104' - - .)31
Located on exterior of building 1.09 4. I - TOB8 - . )7
Located in attic 1.11 Attic/Interior Radiation i:lr .173" - 1.066 - US
Control Coatings (IRCC) l:rr .J5 - 1.052 - 1.)4
.2 .121 - - 1.110 .m
AtticiWhite roof 1.0 1.0Bi - - 1cmf .m)
l.O T.06i - - 1]03 .j5;
..2" TOO 1.008 1.010 lllM .)01
Conditioned Space ar 1.007 1.000 1.007 tOOT UOI
6MB HEATING SYSTEM MULTlPUERS IHSMI l]f 1.00S- 1.UU5 1000 1.0as- urn
SYSTEM lYPE See Tables 6-6 to 6-8 'Of code minimums HEATING SYSTEM MUl T1PLlERSfHSMI
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 & un
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)
.~. , 11"'1;; ,''''
7~s. 7/'9
"'It ttflU, I*"'l:'
&~~~~------ ~ r t;-'-________
I p.... 7?~M~ It; -t ?f ., y-;------,r
" ..i1'W.t' <!..J,. A",,,,,.,...,,1'li' , 'l ' r
I . ~~ "Y)"''''''ff'iJ---~ I I
" ~ I I
~ ~
( ~ g~ ~
?"M'
7"'.'1 1/.lj,/f fI1 "" ";I.JWJ"'O"J
(1)ilJ~J r A. ~~
V '" ,5"f X}r/
?<<1t11l -11 , .J,,,:)
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(~~/OO joOOO() fttb 7"<-'7/rcr:?/C/ -::# (? -;to "7;-; {;I&'tf ~~
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\ \
CENTRAX #: 51-SE-13320
DATE PAID:
FEE PAID $ if 5" / 'tJ
RECEIPT
OSTDSNBR 03-1943--N
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR:
[ X ] New System [ ]Existing System
[]Repair []Abandonment
] Holding Tank
] Temporary
Innovative Other
Modification
APPLICANT: Johnson, Pam
AGENT: 0864, Bozeman Steve
PROPERTY STREET ADDRESS: 6th Street Zephyrhills FL 33541
LOT: 0010 BLOCK: 0 SUBDIVISION: Zephyrhills Colony C
[Section/Township/Range/Parcel No.]
PROPERTY ID #: 1226210290000000010 [OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-6,FAC
DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME
PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT,
REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS
PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM
COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT.
SYSTEM DESIGN AND SPECIFICATIONS
T 900] Gallons SEPTIC TANK MULTI-CHAMBERED/IN SERIES: [Y
A 0 ] Gallons MULTI-CHAMBERED/IN SERIES: [Y
N 0 ]GALLONS GREASE INTERCEPTOR CAPACITY
K 0] GALLONS DOSING TANK CAPACITY [ 0] GALLONS @ [0 ] DOSES PER 24 HRS # PUMPS [ 0
D 333 ]SQUARE
R [ 0 ] SQUARE
A TYPE SYSTEM:
I CONFIGURATION:
N
F
I
E
L
D
FEET PRIMARY
FEET
[ N ] STANDARD
[ Y]TRENCH
DRAINFIELD SYSTEM
SYSTEM
[ Y ] FILLED
[ N ]BED
N ] MOUND
N]
[ N ]
LOCATION TO BENCHMARK: Steel Nail W/Oranqe Ribbon On Live Oak North of Septic
ELEVATION OF PROPOSED SYSTEM SITE [ 39.0 ] [INCHES [BELOW]BENCHMARK/REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE [49.0] [INCHES [BELOW] BENCHMARK/REFERENCE POINT
FILL REQUIRED:
8.0 ]INCHES
EXCAVATION REQUIRED:
0.0 ] INCHES
JTHER REMARKS:
rhe licensed contractor installing the system is responsible for installing the minimum
~ategory of tank in accordance with s. 64E-6.013(3) (f), FAC.
ESE] Sized for 3 bedroom 1610 sq ft house. Connect to central water.
A copy of the building department per.mit showing the assigned address must be submitted to
the Dade City office.
Stub out needs to be 34" below reference point for gravity flow.
;PECIFICATIONS BY: Hindalong, Jeff
TITLE: EH Specialist II
~
,PPROVED BY: Hindalong, Jeff 1~ ~
lATE ISSUED: 12/9/03
TITLE: EH Specialist II
Pasco
CHD
EXPIRATION DATE: 6/9/05
'H 4016, 03/97 (Obsoletes previous editions which may not be used)
Stock Number: 5744 -001-4016 -0) [ostds_cons_4016~l]
Page 1 of 2
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PERMIT NO:
TAX FOLIO NO:
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF HILLS BOROUGH
LOAN NO. 5082:268
The undersignE;d hereby gives notice that improvements will be
made to certalr~ real property, and in accordance with Section
713 of the Florlda Statutes, the following information is stated
in this NOTICE OF COMMENCEMENT: -
LEGAL DESCRIPTION OF PROPERTY: Repl: 746075
SEE ATTACHED FOR COMPLETE LEGAL DESCRIPTION DS: 0.00
01/08/04
Ree: 10.50
IT: 0.00
Dpty Clerk
PROPERTY ADDRESS: XXX 6TH AVENUE
ZEPHYRHILLS, FL 33542
GENERAL DESCRIPTION OF IMPROVEMENTS:
~'90~~UMA~2: rfS;O fOUNToY' C~ERk
OR Bk5686 PG 1708
SINGLE FAMILY RESIDENCE
OWNER (s) : PAMELA T. JOHNSON
ADDRESS: 5249 PARKER STHEET
ZEPHRYH ILLS, FL 33542
OWNER'S INTEREST IN SITE OF THE IMPROVEMENTS: Fee Simple
FEE SIMPLE TITLE HOLDER (IF OTHER THAN OWNER) : N/A
ADDRESS:
CONTRACTOR: BOZEMAN HOMES, INC.
ADDRESS: 12214 HWY 301
DADE CITY, FL 33525
SURETY (IF ANY) : N/ A
AMOUNT OF BOND: Nl A
LENDER:
Market Street Mortgage Corporation
2650 McCormi ck Dri ve, Ste 200
Attn: Constructi on Lendi ng Depa rtrrent
Clearwater, FL 33759
Name/Address of person within the State of Florida designated by
owner to whom notices or other documents may be served as
provided by Section 713.13 (ll(al7, Florida Statutes:
In addition to himsel f, owner designates MARKET STREET MORTGAGE
. CORPORATION, Attn: Construction Lending Department, 2650
McCormick Dr., Suite 200, Clearwater, FL 33759 to receive a copy
of the Lienor's Notice as provided in Section 713.13 (1)(b),
Florida Statutes. The expiration date of this Notice of
Commencement is one year from the date of recording unless a
.difJerent datel(' s specified.
"- ~. ~,"~s..~-G_,,:j \~
P MELA T. JOHNSON
--.......
6th
The foregoing instrumen. t was acknOWledged before me this
day of January, 2004 _ by PAI~EI A T. J08NSON
who is/are
personally known to me or has/have produced ~drivers license _
as identification fl:'l.? WhO. did .-rc. ~i? l~ot::!l:-a.., an
\'->~/\fV""-.l ~'v'())\.-U. ~\JI~ .
Pferai"~dCY"~;-;8t;;:nTc:S':'o~"'Il9t Notary Public '.
Atil,~;Y-OOt'IALsnti TilLE l\GEJIUE<:; .
'j!.:l86 F!\ST FUWLER AVP')! iF.
fF}v1PL E TF.HFl/\CE, FL 320;1'
oath.
?~~.
(SEAL)
My Commission Expires:
;~~:a;~f.-t
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J\N~,JE-MA.HIE MOvLr'
N.nLli',;.lI/'c,';" ~faleot FI .,' "
\ ., ~.,.... Ort0~
,VI. 'i:' 'If; June 20,2006
" "". (i')D11989:?
1111111111111111111111111111
Exhibit "A"
OR BI< 5686 PG 1709
2 of 2
'ecorded subdivision of the SE 1/4 of the SE 1/4 of the NE 1/4 of Section 12, Township 26
lEast, Pasco County, Florida, being further described as follows: The South 148.32feetofJhe
< SE 1/4 of the SE 1/4 of the NE 1/4 of Section 12, Township 26 South, Range21E~st;.t'as
tida, LESS the South 20.00 feet thereof for road right of way and being SUBJE~tt()~p,~<~~
lngresll and egress over and across the East 15.00 feet thereof and the West 15.00 feet theteof,":.")Y~-
I
File NlIm~1er: 5-03-1754
Legal Dl'scriP~~ll1 with NOll Iloll1cslcau
( '[n:l" '.; ( 'hI li,~,'
STATE OF FLOHIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE. WITNESS MY
HAND AND OFFICIAL SEAL THIS~ DAY OF
L/lflV' __2(~l2J{
JED PlJ:TMJ\N. CLERK OF GI~C:UIT COURT
BY -L.LLdUu-)'..;.l!.;_,I.it.__ DEPUTY CLERK
DAVID W. SMITH, P.E.
Proiects Consultine Eneineer
9909 Wallaston Drive
Dade City, Florida 33525
Phone: 352-521-0865
Fax: 352-521-0867 E-Mail: zeDhvr27~lrte.net
October 21,2004
To Whom It May Concern:
Ref. Pamela Johnson
Parcel Id # 12/26/21/0290/00000/0010
I hereby certify that on October 18, 2004 I personally visited and inspected
the completed build site grading and found the as built site to be in
conformance with the engineering site plan.
I therefore hereby certify that I have reviewed this as built site and found the
drainage to be proper and per plan, directing water away from foundation
walls, and to be in conformance with Pasco County ordinances pertaining to
lot drainage requirements for new homes and all pertinent sections of the
Florida Building Code, 2001 edition.
Respectfully
David W. Smith, p.e. 53608
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