HomeMy WebLinkAbout04-3522
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3522
Permit Num er: 3522 Issued: 10/28/2004
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 1 01-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq, Feet: Est, Value:
Cost: 70,450.00 Total Fees: 3,087.
Amount Paid: 3,087.44 Date Paid: 10/28/200
Name: V LLA E SQUARE BUILD
Addr: P.O. BOX 1536
ZEPHYRHILLS,FL. 33539
Phone: 813 788-6257 lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Address: 6435 VI TORIA WAY
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SILVER OAKS VILLAGE
Parcel Number:
VILLAGE SQUARE BUILDERS,INC.
6435 VICTORIA WAY
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
WATER METER RES 3/4"
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DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC, MISC,
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 corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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. II
NO OCCUPANCY BEFORE C.O.
~-~
TORS SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Village Sqaure Builders, Inc.
6435 Victorian Way
SQ. FEET PRICE
MAIN OR LIVING: 1 ,409 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ .
VALUATION $ 70,450.00
FEE SHEET $ 364.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 606.00
CREDIT: $ .
BUILDING LESS CREDIT: $ 606.00
ELECTRICAL: $ 100.45
PLUMBING: $ 92.50
MECHANICAL: $ 59.40
SUB-TOTAL $ 858.35
RADON: $ 14.09
TOTAL $ 872.44
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
SIF'S: $
97.5% $
2.5% $
180~00 I .
3,087.44 ~
1,694.00 l J.. ~
1,651.65 __J c;v
SUB-TOTAL $
------
--
: I
TIF'S'r
99% $
1% $
TOTAL: $
4,781.44 I
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PERFORMANCE BUSINESS PRODUCTS, INC, 813-7190$008 FAX 813-719-7919
WATER ACCT NO,
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CITY OF ZEPHYRHILLS
ZEPHVRHILLS, FLORIDA
l{- 5 ~'J~
DATE
/O~.2f-flV
OWNER/
RENTER
VI'! IJ~
MAILING
..--
-
Sl vM-L
J5t-t: Idtrs
~n(,
I
SERVICE ADDRESS &?4 3 S
SHUT OFF SERVICE 0
TURN ON SERVICE 0./
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
;rlr
).,..or
I€'
V;2{oR~~ ~
~TER
o SEWER
o GARBAGE
~N CITY
o OUT CITY
L No. OF UNITS
_ DEPOSIT AMOUNT
_ AMOUNT LAST BILL
..--
tJ~~
_ DATE
WORK COMPLETED BY
& DATE COMPLETED
_ MISC, CHARGE
ORDER TAKEN BY
/P-;2 1-Pyd:r-
ORDER GIVEN BY
Retain white form in oHice at all times,
Send pink & yellow forms to Water Service Dept,
Water Service Depl. to sign yellow form & retur to oHice,
JOB ADDRESS
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
v,l lt1-~ ~~ BVlY~~'r,~'.
Gftf ..f1111j,~g(v~ ,1I<1.'k '
Wc1v<<'c- '^~ IY/35
LEGAL DESCRI PTION: LOT (S) t B BLOCK is
~- J.&-oq- O;1"d-Oo- D(JfSO - O\/bO
DATE RECEIVED /~/J~/Df
PLANS REVIEW FEE
OWNER'S NAME
PHONE
7()(J- &#c;7
SUBDIVISION
('(\~ej ()h. VIJ~~.
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: 'NEW CONSTRUCTION
o SIGN
o ADDITION
o ALTERATI ON
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
511~~Lh 11. . . D RESTAURANT & HEALTH DEPARTMENT APPROVAL
h-~/L,>- --....J. I" () - I /0 L/' /JA ,_ IJ
DESCRIPTION OF WORK -fOU\.U2{(Ok. re/~<:' (. ..- L~~ IV"\. 'Vl~
BUILDING SIZE SQUARE FOOTAGE / yO? ~ HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
& (1) SET ENERGY FORMS,
FORM~~~
~~
Ci/v
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R,E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
~ FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES J1l NO
COMPANY
STATE CERT OR REG
CITY PROCESSING #
**************:::::::**~~.~~~**~c:~
STATE CERT OR REGIST # ~ ~~~~
CITY PROCESSING #
SIGNATURE
*************************************************
&~ //1 ~ COMPANY A/o/ Jall"')" l/tlA16;J1~
u:/__ STATE CERT OR REGIST ~ I? r O(J"" 1'- "1
___ ____ . _________ CITY PROCESSING # /~
**********~********************************
PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
MECHANICAL
*************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulat.1.'ons. The unders.1.gned a um 'b'l'
' ss es respons.1. .1. .1.ty for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ~wner ha~ hired a contr~ctor or contractors to undertake work, they may be required
to be l.1.censed .1.n accordance w.1.th state and local regulations. If the contractor is not
l~cens~d as required by law, both the owner 'and contractor may be cited for a misdemeanor
v~olat~on unde~ state law. If the owner or intended contractor are uncertain as to what
l.1.cens.1.ng requ.1.rements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the ~Contractor Sections" of this application for which they
will be responsible, If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work, If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C, TRANSPORTATION IMPACT FEES AND UTILITY 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 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 ~A" or ~A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance,
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced 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 COMMENCEMENT".
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)
C1ho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath,
Dwho has produced
(type of identification)
and who Ddid Oiid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
10 . d ltllOl
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5335 - 8TH StnIot
ZephY"'IIs, FL 33542
City of ZeJ:!hyt'hiHs
Bui~dln9 !).~partment
.',Fax
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~ Judy
:faIa 727-815-7000
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p~ Bobbie ~t1and
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P,,- Fax,cov~ only
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Dale.: 10/1912004
lie: Address Request
cc:
tJ U...., CJ ~For RevIew (J PI-.e eo.......... X P..... RetII(y 1;1 ,Pl.... Recycle
,
.
I would like to retluest add,..... for the foll.wl... (41............., tNfelli!al.&:
(1) F"'n.... will be ASHVlLLE IIIUVE h~ I.D. -WS-21. ,J1.I" "'(J'~- ~,If loot 5 ~ 1/ 'I "i
(2) ~ron"" wUl'be VICTOIUM WAY Parcell.D. .3.2"21"'~Ot ~~;".; Lot 20 (, If 1#,)
-'-"" " .......-----..... ---.
(3) F.....wlH _~~ '~D.ID-2M1'" ~-~t1'Q~
(.) Fran",. ,wid Ite VICTOllAN WAY Pan=eI'I.D. fI03..2t-.2f o022CI Iw8S1ritIO Lot it /, .., J r
If..ry quesdoas, ean,113..~020 or.. .1300~1.
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OCT-19-20e4 10:5S
813 '780 0021
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FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
CONKLIN MODEL Builder: VILLAGE SQUARE
Pennitting Office:
Permit Number:
Jurisdiction Number:
FORM 6OOA-2001
Project Name:
Address:
City, State:
Owner:
Climate Zone:
ZEPHYRHILLS. FL
Central
1. New construction or existing
2. Single family or multi. family
3. Number of units, ifmulti..family
4. Number of Bedrooms
5. Is this 3 worst ~1
6. Conditioned floor atea (ft2)
7. Glass atea &; type
8. Clear. single pane
b. Clear - double pane
c. TintJother SHGC - single pane
II. Tint/other SHGC - double pane
8. Floor types
3. Slab-On-Grade Edge Jnsulation
b. NIA
C. NIA
9. Wall types
8. Frame, Wood, Exterior
b. Frame, Wood, Adjacent
c. NIA
II. NIA
e. NIA
10. Ceiling types
a Under Attic
b. NlA
c. N/A
11. Ducts
8. Sup: Une. Ret: Une, AH: Garage
b. N/A
New
Single family _
1
2
No
973 ft2
123.0 ft2
0.0 ft2
0.0 ft2
0,0 ft2
R=O,O, 136.O(p) ft _
R=II.O, 981.0 ft2
R=11.0, 72.0 ft2
R=30,O, 973.0 ft2
Sup. R==6.0, 200.0 ft
12. Cooling systems
a Central Unit
Cap: 24.0 kBtuIhr
SEER: 12.00
b. NIA
c. NIA
13. Heating systems
a Electric Heat Pwup
Cap: 22.4 kBtuIhr
HSPF: 7.20
b. NIA
c. N1A
14. Hot water sysleIIIS
a. Electric Resistanc:e
Cap: 40,0 gallons
EF: 0.88
b. N/A
c. Conservation credits
(HR-Heat l'CCOVCJy, Solar
DHP-Dedicated heat pump)
15. HVACcredits
(CF-Ceiling fan. CV-Cross ventilation,
HF-WhoIe house fan.
PT.Programmable Thermostat.
MZ-C-MultizoDe cooling,
MZ-H-Multizone heating)
GlassIFloor Area: 0.13
Total &&-built points: 14330
Total base points: 15096
PASO
I hereby certify that the plans and specifications covered
by this calculation arec:;;:::~
Energy Code.
PREPARED BY:
DATE: ,.:::;- ('Pj ~~,/dy
I hereby certify that this building, as designed, is in
compliance with the Florida E C
OWNER/AGENT"
DATE:
Review of the 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 with Section 553.908
Florida Statutes.
BUILDING OFFICIAL:
DATE:
E.nergyGaugee (Version: FLRCPB v3.22)
FORM 600A-2001
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: ,ZEPHYRHILLS, FL,
PERMIT #:
BASE AS-BUILT
GLASS TYPES
.18 X Conditioned X BSPM = Points Overhang
Floor Area TypelSC Omt Len Hgt Area X SPM X SOF = Points
.18 173.0 25.78 4515.1 Single, Clear N 1.0 6.0 15.0 ZT.96 0.98 409.1
Single, Clear E 1.0 4.0 18.0 59.31 0.92 978.3
Single, Clear S 1.0 6.0 45.0 44.66 0.95 1903.0
Single, Clear S 1.0 4.0 6.0 44.66 0.87 232.7
SIngle, Clear W 5.0 7.0 36.0 53.47 0.63 1209.4
Single, Clear W 5.0 2.0 3.0 53.47 0.40 64.6
As-BuiIt Total: 123.0 4797.1
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adjacent 72.0 0.70 50.4 Frame, Wood, Exterior 11.0 987.0 1.90 1875.3
Exterior 987.0 1.90 1875.3 Frame, Wood, Adjacent 11.0 72.0 0.70 50.4
Base Total: 1019.0 1921.7 As-BuiIt TofaI: 1011.0 1921.7
DOOR TYPES Area X BSPM = Points Type Area X SPM = Points
Adjacent 0.0 0.00 0.0 Exterior Wood 42.0 720 302.4
Exterior 42.0 4.80 201.6
Base Total: 42.0 201.6 As-BuiIt Total: 42.0 302.4
CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points
Under Attic 973.0 2.13 2072.5 Under Attic 30.0 973.0 2.13 X 1.00 2072.5
Base Total: m.o 2072.5 As-BuiIt Total: moO 2072.5
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 136.O(p) -31.8 -4324.8 SIab-On-Grade Edge InsuI8tion 0.0 136.O(p -31.90 -4338.4
Raised 0.0 0.00 0.0
Base Total: -4324.8 As-8uIIt Total: 136.0 -4338.4
INFILTRATION Area X BSPM = Points Area X SPM = Points
973.0 14.31 13923.6 973.0 14.31 13923.6
EnergyGauge4D DCA Form 6OCJA..2oo1
EnergyGauge4P/FS'2001 FLRCPB v3.22
F:"ORM 600A-2001
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
, ADDRESS: , ZEPHYRHILLS, FL,
PERMlT #:
BASE AS-BUILT I
I
Summer Base Points: 18313.7 Summer As-Built Points: 18682.9
Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
(OM x DSM x AHU)
18682.9 1.000 (1.087 x 1.150 x 1.00) 0.284 1.000 6636.6
18313.7 0.4266 7812.6 18682.9 1.00 1.250 0.284 1.000 6636.6
EnergyGauge1M DCA Form 600A-2001
EnergyGauge4lliFlaRES'2001 FLRCPB v3.22
FORM 600A-2001
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: , ZEPHYRHILLS, FL,
PERMIT #:
I BASE AS-BUILT
GLASS TYPES
.18 X Conditioned X BWPM = Points Overhang
Floor Area Type/SC Omt Len Hgt Area X WPM X WOF = Point
.18 973.0 5.86 1026.3 Single, Clear N 1.0 6.0 15.0 12.32 1.00 184.4
Single, Clear E 1.0 4.0 18.0 9.96 1.02 182.6
SIngle, Clear S 1.0 6.0 45.0 7.73 1.01 350.4
Single, Clear S 1.0 4.0 6.0 7.73 1.05 48.7
SIngle, Clear W 5.0 7.0 36.0 10.74 1.07 412.6
Single, Clear W 5.0 2.0 3.0 10.74 1.11 35.9
As-BuiIt Total: 123.0 121.4,6
WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Adjacent 72.0 1.80 129.6 Frame, Wood, Exterior 11.0 987.0 2.00 1974.0
Exterior 987.0 2.00 1974.0 Frame, Wood, Adjacent 11.0 72.0 1.80 129.6
... Total: 1011.0 2103.6 As.fJuilt Total: 1011.0 2103.6
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
Adjacent 0.0 0.00 0.0 Exterior Wood 42.0 7.60 319.2
Exterior 42.0 5.10 2142
... Total: 42.0 214.2 As-BuiIt Total: 42.0 319.2
CElUHG TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points
Under AtIic 973.0 0.64 622.7 Under AtIic 30.0 973.0 0.64 X 1.00 622.7
Base Total: 973.0 822..7 As-BuIIt Total: 973.0 822..7
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 136.O(p) -1.9 -258.4 SIab-On-Grade Edge InslMtion 0.0 136.O(p 2.50 340.0
Ral&ed 0.0 0.00 0.0
Base Total: -251A As-8uiIt Total: 136.0 340.0
IHFlL TRATlON Area X BWPM = Points Area X WPM = Points
973.0 -0.28 -272.4 973.0 ..(128 -272.4
EnergyGaugee DCA Form 600A-2001
EnergyGaugeen:laRES'2001 FLRCPS Y3.22
FORM 600A-2001
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: , ZEPHYRHILLS, FL, PERMIT #:
BASE AS-BUILT
Winter Base Points: 3436.0 Winter As-Built Points: 4327.7
Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
(OM x DSM x AHU)
43Zl.7 1.000 (1.078x 1.160 x 1.00) 0.474 1.000 2565.3
3436.0 0.6274 2155.7 4327.7 1.00 1.250 0.474 1.000 2565.3
EnergyGauge 111 DCA Fonn 600A-2001 EnergyGauge4lt/RES'2001 FLRCPB v3.22
FORM 600A-2001
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
I ADDRESS: , ZEPHYRHILLS, FL,
PERMIT #:
BASE AS-BUILT
WATER HEAnNG
Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total
Bedrooms Volume Bedrooms Ratio Multiplier
2 2564.00 5128.0 40.0 0.88 2 1.00 2564.00 1.00 5128.0
M-Built ToIaI: 5128.0
CODe COMPLIANCE STATUS
BASE AS-BUIL T
Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total
Points Points Points Points Points Points Points Points
7813 2156 5128 15096 6637 2565 5128 14330
I
PASS
I
EnergyGauge.... DCA Form 600A-2001
EnergyGaugeeJFlaRES'2001 FlRCPB v3.22
FORM 600A-2001
Code Compliance Checklist
Residential Whole Building Performance Method A - Details
I ADDRESS: , ZEPHYRHILLS, FL,
6A-21INFlL TRATlON REDUCTION COMPLIANCE CHECKUST
PERMIT #:
COMPONENTS SECTION REQUREMENTS FOR EACH PRACTICE CHECK
Exterior Wlndow8 & Doors 606.1.ASC.1.1 Maximum:.3 cfrnIsa.ft. window area' .5 cfmIsa.ft. door area.
ExIerior & Adjacent Walls 606.1.ASC.12.1 CUk, gasket, ~ or seal belween: windowafdoors & frames, surrot.I1ding waI;
fcu1dation & waI sole or .. plate; joinIB belween exterior W8I panels at comers; utiIily
penetrations; between waD peneIs & topJbotIDm pIales; belween waIs and floor.
EXCEPTION: Frame waI& where a c:onIiooolB InlIIIra1ion banier is installed that extends
from and. sealed to 1he foundation to 1he
FIoor& 606.1.ABC.122 Pellliltralioneloperings >1/8" sealed unless backed by trw8 or joint members.
EXCEPTION: Frame tIoonI where a conlirulus illflllatiun barrier. instaIed that is sealed
to 1he oerimeter '0rIS and seams.
Ceilings 606.1.ABC.12.3 Between waIs & ceings; penetJations of celIing plane of top floor; aroood shafts, chases,
softita, c:himneys, cabinets sealed to conlirulus.. barrier; gaps in gyp board & top plate;
attic access. EXCEPTION: Frame ceIings where a conIinuous infllration barrier is
inllI8IIed that is sealed at 1he at and seams.
Recessed UghIing FIlCII.ns 606.1.ABC.12.4 Type Ie rated wlIh no perh:Ib~lIoos, sealed; or Type Ie or non-IC rated, insIaIIed i1side a
sealed box with 112" cIea'wlce & 3" from insulation; or Type IC rated wlIh < 2.0 cfm from
COIId11iolIed ce 1ested.
u.~. _~ Houses 606.1.ABC.12.5 Ai banier on of floor cavitY between fIocn.
AdditionaIlnflllratlon reqls 606.1.ABC.1.3 Exhaust rar. vented to outdocn, dampers; c:ombusIIon space heatens comply with NFPA,
have combustion air.
6A-22 OTHER PRESCRIPTIVE MEASURES lmust be met or exceeded bv all residences.)
COMPONENTS SECTION REQUIREMENTS CHECK
Water Heaters 612.1 Comply wlIh efficiency "",*ements in Table 6-12. SWItch or clearly marked circuit
breaker (electric) or aJtoff 1_\ must be . ExtemaI or buIJt.in heat IraD reauired.
Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except8Olar heated). Non-commercIaI pools
must have a pump timer. Gas spa & pool healllls must have a minimum thermal
efticiencv of 78%.
Shower heads 612.1 Water flow must be reslricled to no more than 2.5 minule at 80 PSIG.
Ai Distri:lution Systems 610.1 H GJets, fillings, mechanical equipment and plenum chambers shaI be mechanically
attached, sealed, insulated, and in8IaIed in accord8nce with 1he criteria of Section 610.
Oucts in ooconclilioned atlica: R-6 min. insulation.
HVAC Conlrofs 601.1 ace e laill4e manual or automatic fhermo8tat for each IN!!Itf!m.
II1IUIaIIon 604.1,602.1 CeIIng&-Min. R.19. Common waII&-Frame R-11 or CBS R-3 both sides.
Common celIng & floors R-11.
EnergyGauge 111 DCA Form 600A-2001
EnergyGaugeGM=laRES'2OO1 FLRCPB v3.22
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE SCORE. = 84.3
The higher the leOn. the more eft"lCieDt the home.
1. New construction or existing
2. Single family or mnIti-family
3. Number of units, if multi-family
4. Number of Bedrooms
5. Is this a worst case?
6. ConditioDed floor 8R8 (ft2)
7. Glass 8R8 &. type
a Clear - single pane
b. Clear - double pane
c. Tint/other SHGC - single pane
d. Tint/other SHGC - double pane
8. Floor types
a SJab.On-Grade Edge Insulation
b. N/A
c. N/A
9. Wall types
a. Fl'lIDIe, Wood, Exterior
b. Frame, Wood, Adja(:ent
c. N/A
d. N/A
e. N/A
10. Ceiling types
3, Under Attic
b. N/A
c. N/A
11. Ducts
3. Sup: UlIC. Ret: UlIC. AH: Garage
b. N/A
, , ZEPHYRHILLS, FL,
New
Single family
1
2
No
973 ft%
123.0 ft%
0.0 ft%
0.0 ft%
O.OW
R=O.O, 136.O(p) ft
R=I1.0, 987.0 ft2
R=11.0, 72.0 ft2
R=30.0, 973.0 ft%
Sup. R=6.0, 200.0 ft
12. Cooling sysleIIlS
a CenIral Unit
Cap: 24.0 kBtuIbr
SEER: 12.00
b. N/A
c. N/A
13. Heating systems
a E1earic Heat Pump
Cap: 22.4 kBtuJhr
HSPF: 7.20
b. N/A
c. N/A
14. Hotwatersystems
a E1ecbic p~~
Cap: 40.0 gallons
EF: 0.88
b. N/A
c. Conservation credits
(HR.-Heat nx:overy, Solar
DHP-Dedicated beat pump)
15. HVAC credits
(CF-Ceiling fan, CV-Cross veutiJatioo,
HF-Whole boose fan,
PI' -Programmable Thermostat,
MZ-C-Multizone cooling,
MZ-H-MuItizone heating)
I certify that this home bas complied with the Florida Energy Efficiency Code For Building
Construction through the above energy saving features which will be installed (or exceeded)
in this home before final inspection. Otherwise, a new EPL Display Card will be completed
based on installed Code compliant features.
Builder Signature:
Address of New Home:
Date:
CitylFL Zip:
*NOTE: The home's estimoled energy performance score is only available through the FLAIRES computer program.
This is not a Building Energy Roting. If your score is 80 or greater (or 86 for a us EP A/DOE EnergySkJl'Mdesignation),
your home may qualify for energy efficiency mortgage (EEM) inantives if you obtain a Florida Energy Gauge Rating.
Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www.fsec.ucfedufor
information and a list of certified Raters. For information about F/orida's Energy Efficiency Code For Building Construction,
contact the Department of Community Affairs at 850/487-1824.
EnergyGaugee (Version: FLRCPB v3.22)
Page 1
Residential Heat Loss and Heat Gain Calculation
In accordance with ACCA Manual J
10/22/2004
Report Prepared By:
Chris' AlC Company
For:
CONKLINNILLAGE sa
ZEPHYRHILLS, FL
Design Conditions: Tampa
Indoor:
Summer temperature: 75
Winter temperature: 72
Relative humidity: 50
Building Component
Outdoor:
Summer temperature: 95
Winter temperature: 34
Summer grains of moisture: 116
Daily temperature range:Medium
Sensible Latent Total Total
Gain Gain Heat Gain Heat Loss
(BTUH) (BTUH) (BTUH) (BTUH)
16,566 2,443 19,009 18,297
16,566 2,444 19,010 18,298
5,588 992 6,580 7,367
1,023 394 1,417 1 ,455
2,036 230 2,266 792
908 0 908 534
1,681 332 2,013 1,937
626 0 626 612
3,518 455 3,973 3,912
281 0 281 752
905 41 946 937
16,566 2,443 19,009 18,297
Whole House
First Floor
Living Room
Dining Room
Kitchen
Laundry
BED 2
HALL BATH
MASTER
WIC
M1BA TH
Whole House
HVAC-Calc Residential 4,0 by HVAC Computer Systems Ltd.
LOIld calculalions are estimal8s only. actual loads may vary d....lD W88lher and construction dilfer8nces,
888736-1101
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PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919
6- , <0 l$" LI
CITY OF ZEPHYRHILLS J
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
DATE i1~(1J 5
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MAILING
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td 3 5 ~. 1/. Jo R, 4...-. tJ""r
[j]/ WATER
7~
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OWNER/
RENTER
SERVICE ADDRESS
SHUT OFF SERVICE
o
TURN ON SERVICE
0/
r:V'
o SEWER
INSTALL METER
o GARBAGE
READ METER
o
~N CITY
CHECK METER
o
o OUT CITY
I
_ No, OF UNITS
OTHER
o
- DEPOSIT AMOUNT
x (( ;JRR~-~
- AMOUNT lAST BILL
_DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all times,
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office,
j{~ -L?5 C/
ORDER GIVEN BY
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L-D( I Cd
PASCO COUNTY, FLORIDA
Permit No. 3)9 ;;Z
Date Permitted /tJ~~9 ~Cl V
Builder Name/Owner Name V d (~ 5; vl4./lR... Pt' I rtvs /TIII(. Control #
County Parcel No, f?f .
Address/Location 6 L{ 35
SubDiv:
UrC-r;R( '~~ t.-J~
ClassificationfType of Us~
TRANSPORTATION IMPACT FEE
Rate:
Sq Ft Unit:
Exempt [J}'Yes D No
How Determined
Impact Fee Amount $
Zone No.
TAl:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J..:I23)" Collection Fee
Exempt LjXes D No How Determined
Amount $
/~?V
PARKS AND RECREATION FEE
Land Account Land Credit
Recreation Account
Recreation Total
Zone
TOTAL AMOUNT $
DNa
How Determined
Exempt
---------
LIBRARY FEE
Land Account
Land Credit
Facility Account
Facility Total
Exemp!-./
,....--------
RESOURCE FEE
TOTAL AMOUNT
DNo
How Determined
Total Amount
QAt. 3 q,<}3
ERU
Prepared By
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does 110t Imply acceptance of cOl1..currenc6, but simply receipt of a copy of this form, placing
the bUilding permit owner on notice of this assessment and tha conditions of payment for same,
DATE
RECEIVED BY
RECEIPT NO.
DATE
BY