HomeMy WebLinkAbout04-3523
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3523
Permit Number: 3523 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: 3,087.4
Amount Paid: 3,087.44 Date Paid: 10/28/200
Name: VILLAGE SQUARE BUILDERS INC
Addr: P.O. BOX 1536
ZEPHYRHILLS,FL. 33539
Phone: 813 788-6257 Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Address: 6439 VICTORIA WAY
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SILVER OAKS VILLAGE
Parcel Number:
Name: VILLAGE SQUARE BUILDERS,INC
Address: 6439 VICTORIA WAY
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
WATER METER RES 3/4"
419.00 MECHANICAL FEE
180.00 RADON
E
BUILDING FEE
1 .
606.00
FO
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,"
NO OCCUPANCY BEFORE C.O.
ORS SIGNATURE PERM.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-aOO8 FAX 813-719-7919
Lf-5~ ;:;'6
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
DATE /O!::lt!})V
, {
5~ J3Jk; ;-~( ,
OWNER/
RENTER
V i /( "J- J2-
MAILING
..--;:;::::>-
SERVICE ADDRESS ~r:3 /'
SHUT OFF SERVICE 0
TURN ON SERVICE g/
INSTALL METER cV
READ METER 0
CHECK METER 0
OTHER 0
V/o;R/~!Jcv, hi./;
~ATER
o SEWER
o GARBAGE
~CITY
o OUT CITY
/
_ No. OF UNIlS
_ DEPOSIT AMOUNT
3//(
(if -
_ AMOUNT LAST BILL
u;ji;,- ~
_ 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
BY
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED /ojI9~f
PLANS REVIEW FEE .
V~'!l ~~ ~ldtiS:k(,
(p L( ,31 \/1 rA7l{tlV\ 'AJ,
LEGAL DESCRIPTION: LOT(S)~ BLOCK ~
3- ;}Ia- 3' - o ()3-0 0 ,- {)tJ'RO .... n;qo
WORK PROPSED: )QNEW CONSTRUCTION
o SIGN
OWNER's NAME
PHONE
ttl~~ 7'f/6'-fo~~7
JOB ADDRESS
PARCEL ID #
(OBTAIN FROM
SUBDIVISION
o ADDITION
DALTERATION
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
~'l~b-l$.~L'f .DW~ftSTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK rtJv~fr~ ~~-/t ~(r.'j~ fl/lfJill
SQUARE FOOTAGE /"169 tI
BUILDING SIZE
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 FO~~~ I
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~_ ~ (~
jJt<!.."
PERMITS REQUESTED
-
c
pC!-
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
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
COMPANY I Cl
STATE CERT OR REGIST
CITY PROCESSING #
SIGNATURE
* * * * * * * * * * * * * * * * * * * * * * * * * * ;;'::~f'a';':; * * ::;,;;C ~
COMPANY r7"...... ~C '(
STATE CERT OR REGIST # .E~ ~()L5?v
CITY PROCESSING #
SIGNATURE
~
*************************************************
4/~ ~'t,?O {{"/-nb/~~
~~~~:~ERT O~ EGI S # Pi F - (to ~ h 1i~ j
CITY PROCESSING # ) L ?
****'******************~~'*ftft**~
COMPANY I
STATE CERT OR REGIST # C A 05 519
CITY PROCESSING #
PLUMBER
SIGNATURE
MECHANICAL
************** *************************************************
OTHER COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
*****************************************************************
A, NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" vihich
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 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 cownencement.
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
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 19_
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
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
o who 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
.-------.
~----
-
Village Sqaure Builders, Inc.
6439 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 7
RADON: $ r'"..... 14.01:[ ::>
TOTAL $ ""872.44
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ .
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
180~00 I {,
SUB-TOTAL $-/'3,087.44 ~
'-- -~
SIF'S: $ 1 ,694.00
97.5% $ 1,651.65
2.5% $ 42.35
T IF'S 'I $
99% $
1% $
TOTAL: $ 4,781.44 I
FORM 6OOA-2001
FLORIDA ENERGY EFFICtENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Perfonnance Method A
CONKUN MODEL Builder: VILLAGE SQUARE
permitting OffiCe:
Permit Nunber.
Jurisdiction Number.
project Name:
AddresS:
City, State:
Owner:
Cfimate Zone:
ZEPH\'RHILL8, FL
Central
1. New ~ucIioD or existiDg
2. SiDgIc family 01' IIIUhi-6miIY
3. Number ofUDils, if JDU1Ii-famiIy
4. Nuailer of BedroomS
S. Is this a wont case?
6. Conditioned floor area (ft2)
7. GIae aa:a It. 1ype
a. Clear - siagIe pane
b. Clear -..... p8DC
c. Tmt/oIher SHGC - 8ing1e pme
cL Tmt/odIer SHGC - double p8DC
8. Floor types
a. SJab.On-Gmde FAtF IJI5UIaIioo
b. NlA
c.. NlA
9. wan typeS
a. Frame. Wood. Exterior
b. Frame, Wood, Acfiaca1t
c. NlA
cLN/A
e. NlA
10. CeiIiag types
a. UDder AUk:
b.NlA
c.. NlA
U. DuelS
a. Sap: Uac. Ret: Uae. AH: GaIIaIC
b.NlA
New
SiIIgIe family -
1
2
No
973 ft,
123.0 fl'
0.0 fl'
0.0 ft%
0.0 l\'
R=O.O, 136.O(p) ft _
&e1l.0,981.08' _
R-U.O, 72.01\' _
R"'30.0, 913.0 ft' _
Sup. R-6.0, 200.0 ft _
12. CooIin&systaDI
a. CCIlb8l UDit
Cap: 24.0 kBluIbr _
SEER: 12.00
b. NlA
c. NlA
13. HeatiDg SJ*IDS
a. Ek:cb:ic Heat Pump
Cap: 22.4 kBIuJhr _
HSPF: 7.20
b.NlA
c. NlA
14. HotwatersysIeIDS
a. Ek:cb:ic Rc:sistUX:e
Cap: 40.0 pUoas _
SF: 0.88
b. NlA
c. ComJemdioD c:n:diIs
(Hll-Hcat rr.covay, Solar
DHP-Dedic:ated heal pump)
15. HV AC c:n:diIs
(CF-ceiIiDc fall, CV-CJoss WIIIiJaIion,
HF-WboIe __ faD,
PT-Pt........... Tbc:r1DOIItaI.
~CIOOIia&
MZ-H-MultizoDe heaIiJIg)
GIas8/fIOOr Area: 0.13
PASG
Total as-buiIt points: 14330
Total base points: 15096
I hereby certify that the planS and specificatioI]S covered
=~are~~
PREPARED BY:
~/'
DATE: ,~/ ~ ~,/"t'
I hereby certify that this building, as designed, is in
complianCe with the Florida E Code.
OWNERIAGENT- ~
DATE: I~ "t
Review of the plans and
specification& covered by this
calculatiOn indicateS complianCe
with the Florida Energy Code.
Before construc:tioI1 is completed
this building will be inspected for
complianCe with Section 553.908
Florida S1atutSS.
BUILDING OFFlClAL:
DATE:
~(VersiOn: FlRCP8 v3.22)
FORM 6OOA-2001
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: . ZEPHVRHILLS. FL,
PERMIT #:
BASE AS-BUIL T
GLASS TYPES
.18 X Conditioned X BSPM :: Points Overhang
Floor Area TypelSC Omt Len Hgt Area X SPM X SOF::: Points
.18 173.0 Z$..7I 4511.1 SiIVe. Clear N 1.0 6,0 15.0 XlJJ6 0.98 409.1
Single, Clear E 1.0 4.0 18.0 59.31 0.92 978.3
Single, ctear S 1.0 6,0 45.0 44.86 0.95 1903.0
Single. Clear S 1.0 4.0 6.0 44.66 0.87 "132.7
SIngle, Clear W 5.0 7.0 36.0 53.47 0.63 1209.4
SiI9t, Clear W 5.0 2.0 3.0 53.47 0.40 64.8
As-8uia TGIld: 123.8 4717.1
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adjacent 72.0 0.70 50.4 Flame, Wood, ExIeriOr 11.0 981.0 1.so 1875.3
ExIerior 987.0 1.90 1875.3 FrMle, Wood, Adjacent 11.0 72.0 0.70 50.4
... Total: 1011.0 1t21.7 A508uIt TCJt8I: 1_.0 1t21.7
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
ExIerior 42,0 4.80 201.6
_ TaIaI: 4U 281.8 AHIuiIt TGIII: 4Z.O 302A
CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points
Under AUic 973.0 2.13 21112.5 Under AUic 30.0 973.0 2.13 X 1.00 20n.5
_ TaIaI: m.o 2D72.S As-8uiIt TGIaI: 173.0 2D72.5
FLOOR TYPES Area X BSPM :: Points Type R-Value Area X SPM :: Points
Slab 136.O(p) -31.8 ~.8 SIlIb-<)n.GnIde Edge InIU8lIon 0.0 136.O(p -31.90 -4338.4
Raised 0.0 0.00 0.0
.... TaIaI: 4ZU As-BuaToIIII: 136.0 -4338,4
INFILTRATION Area X BSPM :: Points Area X SPM = Points
973.0 14.31 13923.8 973.0 14.31 13923.8
~DCAFarm8OOA-2OO1
~ FLRCPBv3.22
FORM 6ooA-2001
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: t ZEPHYRHILLS. FL,
PERMIT #:
BASE AS-BUIL T
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 (1.087x1.150x1.00) 0.284- 1.000 6636.6
18313.7 0.4266 7812.6 18682.9 1.GO 1.250 0.284 1.000 6636.6
EnergyGaJge1ll DCA Form 800A-2OO1
~ Fl..RCPBv3.22
t=ORM 600A-2001
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
, ADDRESS: . ZEPttYRHILLS. FL,
PERMIT 'It.
,
BASE AS-BUIL T
GLASS TYPES
.18 X Conditioned X BWPM = Points Overhang
Floor Area TypelSC Omt Len Hgt Area X WPM X WOF = Point:
,18 973.0 U6 10aJ SirVe, 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 46.0 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-BuiRToIBI: 123.0 1214.1
WALL TYPES Area X BWPM = Points Type R-VaIue Area X WPM = Points
A4acent 72.0 1.80 129.6 Frame, Wood, Exterior 11.0 987.0 2.00 1974.0
ExIerior 987.0 2.00 1974.0 Frame, Wood. Adjacent 11.0 72.0 1.80 129.6
__ TotlII: .....0 21t3.t As-III* TotlII: 1_.0 210U
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
AdjIIcent 0.0 0.00 0.0 ExIerior Wood 42.0 7.80 3192
ExIBrior <12.0 5.10 2142
.... TofaI: 42..8 214.2 As-BuiK ToIBI: 42.0 .....2
CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points
UndeJ AtIIc 973.0 0.64 6'Z2.7 Under AllIe 30.0 973.0 0.64 X 1.00 672.7
_ToIaI: 973.G 82Z.7 As-8u1It TGIaI: 973.0 122.7
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 136.G(p) -1.9 -258.4- SIab-On-GnIde Edge lnIuIaIion 0.0 136.O(p 2.50 340.0
R8ilIed 0.0 0.00 0.0
.... Total: -2&4 As-8uIt TClII8I: 138.D 340.0
INFILTRATION Area X BWPM = Points Area X WPM = Points
973.0 ..0.28 -272.4 973.0 ..0.28 -272.4
~ DCAFonn 8CJC)A.2001
~ FLRCPBv'3.22
FORM' 6QOA-2001
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
, ADDRESS: , ZEPHYRHLLS. FL,
PERMIT 'It.
BASE AS-BUIL T
Winter Base Points: 3436.0 Winter As-Built Points: 43'1:1.7
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 D8M x AHU)
43'Z1.7 1.000 (1.078x1.180xUJO) 0....74 1.000 2585.3
3436.0 0.6274 2155.7 4327 .7 1.00 1.250 0.474 1.000 2565.3
~1IIDCAForm~
~ FLRCPBv3.22
FORM 6OOA-2001
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
, ADDRESS: f z:EPHYRHtLLS, FL,
PERMIT #:
BASE AS-BUIL T
WATER HEATING
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
As-8uiR TClII8I: 5128.8
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 6837 2565 5128 14330
I
PASS
I
EnerJwGeuge1ll DCA Form 600A-2OO1
~FlRCPSv3.22
FORM 600A-2001
Code Compliance Checklist
Residential Whole Building Performance Method A - Details
PERMIT #:
,
, ADDRESS: , ZEPHVRHIlJ.S, fL,
6A-21INFlLTRATION REDUCTION COMPLIANCE CHECKLIST
eoIM'ONEN18 SEC1'IOII REQUIU!IIENTS FOR EACH ~ CtIECK
EdIrIor~& Docn 808.1NJC.1.1 ~.3 whIow --= .5 cblsct.ft:. doar....
E*rior&~W8Is 606.1.A8C.1.2.1 Caulk, gasket. 'L.uIM.ip or 8eIII bell"''': wIndowlIIdoors & tamee. eurrcu1ding wall:
blndIIion & well" or. pI8Ie;.ic** beIween ederiar W8II paneIa at c::omefS; uIiIily
pen.4lsliolW; betWeen waI peneIa & ~ flI8I8lJ; beIMNIn waIs ....10<<.
EXCEP11ON: Fr8me.... where II ClOI1IirUlIa a.otIvn barrier is i18taIed.......
from and" seeIed to, tie ~ to tie ". .-"
.
Aocn 606.1.ABC.1.22 ~",,,,I8hIpeI_ >1J8".-eeI unIeI8 b8dr8d by__ or jaimmembels.
EXCEPnON: FI8IIIe tIocn where II CClI'IlImJOuB ,_don berrier is intII8lIed thlIlla sealed
to tie .........
CeIlngs 606.1 NJC.1.2.3 Belween.... & ce&1gI; ......aIGI. of ceIng plene of1Dp toor; arCUId 8hafts, chaSeS,
8OfIIIa, ~.\11"", cablnetB..... to conlInuOUS ... benier, ...In GJP board & 1Dp plate;
aile access. exCEPTION: Fr8me ceiIngs where II conlInuOUS il_aIon berrier la
~1h8lla eeeIed attle . It - __.
RAKe.lld I.ighIing FixIureS 8CI8.1.ABC.12.4 Type IC nded wilt no pel......., seeIed: or Type IC or non-IC ndecl,1n&teIIed inIide II
tIeIIIed box wilt 1/Z' ......1CIl & rtam InUaIian; or~ ICndedwilt< 2.0 drn from
~lI8d teIIed.
House8 608.1.ABC.12.5 NT berrier on ofloor''''be(wiMn 1cKn.
AdcIIion8I..dIon reqIs 806.1.ABC.1.3 ElIhau8t'" venIIId 10 cUdocn, cIIImpeIS; combu8Iian spece heaI8IS campIy with NFPA.
118V8~*.
1A-22 OTHER ~ MEASURES'.... be met orexcllded. all N8IcIenCeS-'
COMPONENTS SECIION REQUIREMENTS CHECK
WiIlIlr HeeIleIs 612.1 CompIywil\ ~ ..........In TIIIlIe6-12. SwIk:h or deeIty merked c:Ruit
..... . or c:dOff l_llllUlt be ExI8m8I or bI.&in heal
Swimn" Pools & Spes 812.1 Spes & heel8d pools fIIUIt'" CCMIS (ecept'" he8I8d). NotKoInmen:ial pools
IIIUIt have II pump timer. Gas ape & pool........1'IIUIt have II mIrimum thermal
of 78%.
ShawIlr heads 612.1 WaIIIr low IIIU8t be RlIIIIdIed to no more 1812.5 rnIrUe at 80 PSIG.
NT 0ietrIJu60n Syatema 810.1 ,...., tIIinga. mect.awllcal ~... pIeIUn ch8nileI8 thaII be mecMnlc.lv
aItached, &eBIed, 1nad8Ied, .... inaIIIIIed In ........dance wIIh tie aiIeria of Sedion 610.
Ouc* in\l'~lI8d ~ Mmin. inUeIIan.
HVAC ConInlIs 607.1 ace I lINe menuaI or ~ tIermoeIBl for
tnsulaIion 604.1, 602.1 CeIngS MIn. R-19. Common ':_,Frame R-11 or CBS R-3 both IIde&.
CommGn ceIIng & tIoonS R-11.
EnergyGauge'IM DCA Form 6OQA-2OO1
~ FLRCPBv3.22
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PEUORMANCE SCORE. = 84..3
TIle ...... die san, tIte .-e eftideDt die u.e.
1. New COIJIbU(:tion or exisliDg
2. SiJa&Ie family or JIIIIlti.{amily
3. Number rl.units, if mulli-family
4. Number rl.BedroomS
S. Is this a wont care?
6. ~ floor" (A2)
7. Glass lIR8 &. type
a. Clear - siasJe pane
b. Clear - double pane
c. T'UlfloIber SHGC -1iDgIe pane
d TinIfoIber SHGe - doable pane
8. Floor~
a. SJab.()o-GracIe EclF IDsaIadon
b.NlA
c. NlA
9. Wall typeS
a. FI3IIIC, Wood, Exterior
b. Fame. Wood, AdjaceDt
e.N/A
dNlA
e. NlA
10. CciliDg typeS
a. UDder Aaic
b.NlA
c. NlA
11. Duds
a. Sup: Une. Bet: Uuc:.. AH: GaaF
b.NlA
. . ZEPHYRHIllS, FL,
New
Siagte family _
1
2
No
973 1\2
123.0 f\2
0.0 1\2
0.0 f\2
0.0 ft2
ll-o.O, 136.O(p) ft _
R.=11.0. 987.0 1\2 _
1l=11.0. 72.0 f\2
R.=30.0. 973.01\2 _
Sup. Jloa6.0, 200.0 ft _
12. CooliD8 sy5IeIDI
a. CcaIral UDit
Cap: 24.0 tBIDIbr _
SEER: 12.00
b. NlA
e. NlA
13. HcaIiDg sysleIDI
a. FJec:tric Heat Pump
Cap: 22.4 kBloIbr _
HSPF: 7.20
b. NlA
e. NlA
14. Hot.... systems
a. E1ccIrie R...-
Cap: 40.0 pUoIIs _
EF: 0.88
b.NlA
c. Coasea'YlIIioIl c:a:diIs
(HR-Heat recovay. SoJat
DHP-Dcdil::akd heat pump)
IS. HVAC c:a:diIs
(CF-CeiliD& faD" CV-CtolS ftIIIiJatioD.
IfF-Whole huuIe tim.
PT -Pfoa, ........1liIk 'IbenDOII8I.
MZ-C-MuIdzoac e>>oliDI.
MZ-RJ&n.1ti7ftnI! heaIiDg)
I certify that this bome bas complied with the Florida Energy Efticieocy Code For Building
CoostmCtion through the above eoergy saving features which will be instaIW (or ~)
in this home before final iDspection. ()tberwise. a new EPL Display Card wiD be completed
based on installed Code compliant featureS.
Builder Signature: Date:
Address of New Home:
CityIFL Zip:
*NOTE: The home':I estinIt*d energy petf(Jt7llQlJCe score ;:1 only available through the FLAIRES computer ~.
This;s not aBuilding Energy Roting.lfyour score ;s80 or greater (or 86fora USFPAIDOEEnergyS~designation),
your home may quoJify for energy ejJiclencY mortgage (EEM) inceIftiveS if you obtain a Florida Energy Gauge Rating.
Contact the Energy Gauge Hotline at 321/638-1492 or !lee the .Energy Gauge web site at www.jsec.uif.edufor
i1Ijortnotion and a /ist of certified Roten. For information about Florlda':I Energy E.fficiencY Code For Building Construetion,
contoct the /Jept111menI of ContnnmitY AJfain at8j1J/487-1824.
EnergyGauge:4D (Version: FL1lCPB 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:
CONKLlNNILLAGE sa
ZEPHYRHILLS, FL
Design Conditions: Tampa
Indoor:
Summer temperature: 75
Winter temperature: 72
Relative humidity: 50
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
Building Component
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.
load calculallons are 8SlimaI8s only. aclualloads may vary due tD WlllIlher and conaInIction cIHrerwlces,
888736-1101
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PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
s:-. j ~ ~ ':\
l/rlJ.A-
p, 0, ~5ox 153~
Zr~{S ( f(, 335"37'
SERVICE ADDRESS & Cf 31 \JJ'u;,e/~ 0Ar
~TER
OWNER/
RENTER
j~
P'
DATE i /? (~ >
ISJk
.--
..Lttr.
WATER ACCT. NO,
MAILING
Lo-r-
/9
SHUT OFF SERVICE
o
TURN ON SERVICE
cg/
m/
o SEWER
READ METER
o
o GARBAGE
~N CITY
INSTAll METER
CHECK METER
o
o OUT CITY
--!- No, OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
_ AMOUNT LAST Bill
1(~
1R/2;_ ~
_ DATE
_ MISC, CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Y-b -- OS k..,L--
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,
ORDER GIVEN BY
~
.. ."""'.. .,.-,.- .~~"'.. '.,....,...:1:' ,,,,,,,,,,-,.,",-."~';#---.. 'II .-' ..,. ......,...' ."'.., '. !'.."". r.' '...... r. .
.
L,01 I~
PASCO COUNTY, FLORIDA
County Parcel No,
Permit No. 3 ;-.;2 .3
Date Permitted I 0 ~2J,-O Y
V,'lk~p 'r ~,7:"conlrol#
SubDiv:
Builder Name/Owner Name
Address/Location V c; L? l' V I 'cTo 1\ I ~t\
Classificationrrype of Us~ '5 l M'p ft0r1i I{
TRANSPORTATION IMPACT FEE Rate:
Exempt ~s 0 No How Determined
Lk;
k,~
Sq Ft Unit:
Impact Fee Amount $
Zone No,
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.:123) C..Q!!~ion Fee
Exempt U Yes LXNo How Determined
Amount $
I~ 1<1
PARKS AND RECREATION FEE
Land Account Land Credit
Land Total
Recreation Account
ecreation Credit
Recreation Total
TOTAL AMOUNT $
ONo
How Determined
Land Total
Facility Account
Facility Total
Exe pt
How Determined
Total Amount
RESOURCE FEE~ -:2Il I fY:l...
TOTAL AMOUNT C71,~
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 not Imply acceptance of c6ncurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and th~ conditions of payment for same.
DATE
RECEIPT NO.
RECEIVED BY
DATE
BY