HomeMy WebLinkAbout04-3525
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3525
Permit Number: 3525 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 SQUAR BUILDERS INC
Addr: P.O. BOX 1536
ZEPHYRHILLS,FL. 33539
Phone: 813 788-6257 Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Address: 6445 VICTORIAN WAY
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SILVER OAKS VILLAGE
Parcel Number:
Phone:
WATER CONNECTION RESIDENl
WATER METER RES 3/4"
419,00 MECHANICAL FEE
180.00 RADON
59,40 BUILDING FEE
14.09
606.00
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.
S SIGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919
4-56~1
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO,
DATE !()-2.1 ~ 0 V
OWNERI
RENTER
\f;ll~ '<)'r/\JL l0~
~
:.t- Ir1. c ,
MAILING
-;:::::=--
SERVICE ADDRESS It l.( '( S 1/,' cIO"2(~ f.tJ~ h-r J-t;
0 ~TER
SHUT OFF SERVICE
[J/ 0 SEWER
TURN ON SERVICE
GV 0 GARBAGE
INSTALL METER
0 ~CITY
READ METER
CHECK METER
o
o OUT CITY
(
_ No. OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
_ AMOUNT LAST BILL
34"
w~~
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
!O-21'-ClC/
I:Y-
>(
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 0
OWNER'S NAME
JOB ADDREssLI'T'/.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
~ BUILDIliJG DEPARTMENT
~,~Bllldtf/1 fL-C,.
DATE """"IVEIl :J; 7/ (Iii
PLANS REVIEW /
PHONE '7ft1o'-{p?X;7
,
LEGAL DESCRIPTION: LOT (S) ;; D
PARCEL ID # ~ - ()(g- ;; \ - DadO(j-
WORK PROPSED: ~NEW CONSTRUCTION
DSIGN
BLOCK D
b()Bb - (JUdO
SUBDIVISION c;l\lIe.r~ Vlt~~
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERATI ON
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
D COMMERCIAlJ
DMULTI-FAMILY
D INDUSTRIAlJ
D# OF UNITS
D SWIMMING POOL
DMOBILE HOME
D OTHER
BUILDING SIZE
5IN~~ D RESTAURANT & HEALTH DEPARTMENT APPROVAL
OF WOR~~V~~~\ ~/.. (1 ('~LI(~ fY1(jdt~1
SQUARE FOOTAGE I YDQ '4
HEIGHT
DESCHIPTION
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.
FORMS.CJl~
;E"- r!- '
/II ue-
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R,E.C.
o PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
D ROOFING
D SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
D NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR EGIS
CITY PROCESSING #
SIGNATURE
* * * ** * * * ** ** * * ** * *** * * * ** * *;;* * *'1<* * ** '/<* * * * ** * * *, J
COMPANY h4 &~ Red
STATE CERT OR HEGIST # ~~~~
CITY PROCESSING #
ELECTRICI
SIGNATURE
~'l1ML
************************************************.
COMPANY CO/by J4Y";;, {{/A1~ 14 'j
STATE CERT OR REGIST # ,,~ " 'I? '2
CITY PROCESSING # /~t
***s*'***ft**
C
PLUMBER
SIGNATURE
***************** **********************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
OTHER COMPANY
STATE CERT OR REGIS'f #
SIGNATURE CITY PROCESSING #
*****************************************************************
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ndeed restrictionsH which
may be more restrictive than City regulations, The undersigned assumes responsibility for
corr~liance 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 nContractor SectionsH of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills,
C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D, CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of nFlorida's Construction
lien Law - Homeowner's Protection GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs, If the applicant is someone other that the nownerH, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the nownerH 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 nlY 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 nAH or "A,etc.H, it is
understood that a drainage plan addressing a "compensating volumeH will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the perrtlt 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 OE' 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 nNOTICE OF COMMENCEMENTH.
~V"J..U..J.J.VHoJ vr r~NVIl.T Ar"r'l. JJI\.V.l '1.'
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)
CUho is personally known to me, or
Dwho has produced
(type
and whoD did Ddid not
of identification)
take an oath,
o who has produced
(type of identification)
and who Ddid []:lid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, pri.nted 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: $ 1 00.45
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 $
180~00 I
3,087.44 t -( ~.O
yY
':-T
SUB-TOTAL $
SIF'S: $ / 1,694.00
97.5% $ i 1,651.65
2.5% $ . 42.35
'----..-...-,
T I F '8 'I $
99% $
1% $
TOTAL: $
4,781.44 I
53.50'
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85) ZEPHYRHILLS
8001< 1, PAGE 55 OF
A AND LYING IN SECTION
COUNTY, FLORIDA AND
AS RECORDED IN PLAT
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::: - .L1NE TABLE
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SOUTH RIGHT Of WAY
LINE OF EILAND BOULEVARD
BOUNDARY LINE / /
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ZeptlytNlIs, FL 33642
Cit:} of ZerhyrhiUs
Bui~rluJ~1 !).~partment
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:faIu 727-815-7000
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He: Address Request
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I would like ta ,...est add,..... ~r the fo.I.wI... (4)...... fMIIIr tlWell"IS:
(1) FNn.... will be ASHVlLLE DIUVE Pan::"'.D. ~1. ~J~I" "'(11'- t!'~ Lot 5 " 1/ 'I Lf
(3) ~""__wUl'Iae~~~~!,~,,~ I.D. MI3-,..21.oUOI #I&,~~~
(3) F...._. win... VlCT_AN WAY Parcel f~D. ,-2&o21.auo ~~IO Lat 11 " II ,.r
(.) Fran",..wlU lie VlCTOIlWI WAY ......'I.D. to3oo2Wf.o2lO ,",,,,"10 Lo'19 /, ", r
If Wit ........., 08....13..710.0020 or'" l1So7l8oG011.
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OCT-19-2004 1e:ss
813 76121 0021
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FORM 600A-2001
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Perfonnance Method A
CONKLIN MODEL Builder. VILLAGE SQUARE
permitting Office:
pennit Number:
Jurisdiction Number.
project Name:
AddresS:
City, State:
Owner:
Climate Zone:
ZEPHYRHILLS. FL
Central
12. Cooling sysu:ms
a CeatraI Unit
l. New CQIIStrUCtioD or ClIistiDI
2. Single fiImi1y or molti-&mily
3. Numb<< of DJJits, if muIti-f'amily
4. Number ofBcdJOomS
S. I5Ihis a WOl'Bt C8fIIC1
6. CoaditionCd Door ua (1[2)
7. GIaIs an:a It. type
a Clear - single plIIle
b. Clear - dodJIe plIIle
Co TJDt/other SHGC - siDgJe plIIle
d. TmtlodIcr SHGC - doI1bIe plIIle
S. Floor types
a SJab..()o..Gmde:Edp 1JIsuIation
b.NlA
c. N/A
9. wan types
a Frame. Wood, Exterior
b. Frame. Wood, AdjaceOt
c. NlA
d. N/A
Co NlA
10. Ceitiq types
a Under AMie
b.NlA
c. NlA
11. Ducts
a. Sup: UDc. Rct: Une. All: GlIraF
b.NlA
New
SiDgIc &mily -
1
2
No
973ft2
123.0 ft2
0.0 ft2
0.0 ft2
0.0 ft2
R:=O.O, 136.O(p) ft _
R=1I.O,9S7.0ft2 _
R"U.O. 72.0 ft2 _
R.-30.0. 973.0 ft2 _
Sup. R=6.0, 200.0 ft _
Cap: 24.0 kBtuIbr _
SEER: 12.00
b.NlA
c, NlA
13. HeaciDg syIlem5
a EJecttic Heat P8mp
Cap: 22.4 kBIuIhr _
HSPf': 7.20
b.NlA
Co NlA
14. Hot water sysIeIIIS
a E1cc:tric Resi~
Cap: 40.0 pUoos _
BY: 0.88
b. NlA
c. CouI1emIdoP c:n:diIs
(Hll~ recovery, Solar
DHP..[)ediadcd beat pump)
IS. HV AC Cl1llIils
(CF-CeiIio& fan. CV..cross \'aIIiIaIioD.
HF-WhoJe---
PT ..PJvso..dUDllb1e 'lbcnDoII8I.
MZ-CMuItimac ClOOtiJt&
MZ-H-MuItizoae bc:aIiDg)
\ G/aS8IfIOor Area: 0.13
PASG
Total &&-built points: 14330
Total base points: 15096
I hereby certify that the plans and ~ covered
=~-~~
PREPARED BY:
.,::;-'
DATE: 0/ ~ ~lld"
I hereby certify that this building, as de8i . s in
compliance with the Florida E ~_
OWNERlAGENT: ~
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:
~(VersiOn: FLRCPB v3.22)
FORM 6OOA-2001
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
r ADDRESS: , ZEPHVRHLLS, FL,
PERMIT #:
r BASE AS-BUIL T
I
GLASS TYPES
.18 X Conditioned X BSPM = Points Qvert1ang
Floor Area TypelSC Omt Len Hgt Area X SPM X $OF = Points
.18 913..0 25,78 4515,1 SlngIe, Clear N 1.0 6.0 15.0 'Z1.9S 0.98 409.1
Single, Clear E 1.D 4.0 18.0 59.31 0.92 978.3
Single, Clear S 1.0 6.0 46.0 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 OAG 64.6
....TaW: 123.8 ~.1
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
A4&Cent 72.0 0.10 50.4 Frame, Wood, ExIIllrior 11.0 987.0 1.90 1875.3
ExIerior 987.0 1.90 1875.3 Frame, Wood, Adjacent 11.0 72.0 0.70 50.4
... ToIIII: 1...0 1121..7 ~ToIIII: 1...0 1121..7
DOOR TYPES Area X BSPM = Points Type Area X SPM = Points
Adj8cent 0.0 0.00 0.0 ElIterior Wood 42.0 720 302.4
ExIIllrior 42.0 4.80 201.6
... Total: 42JI 211" ~ToIIII: 42.0 302A
CSUNG TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points
Under AUic 973.0 2.13 2072.5 Under AUic 30.0 973.0 2.13 X 1.00 2072.5
... ToIIII: W3.D 2812.1 As-BuIt TaIaI: 973..0 .,2.1
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 136.O(p) -31.8 -t324.8 SIab-On-Grade Edge InU8lion 0.0 136.D(p -31.90 -4338.4-
Ral8ed 0.0 0.00 0.0
... ToIIII: ...... As-BuIt ToI8I: 131.0 ..u38A
INFIL TRA110N Area X BSPM = Points Area X SPM = Points
973..0 14.31 13923.6 973.0 14.31 13923.6
~DCAFarm~
~ FLRCPBv3.22
FORM 6OOA-2001
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
, ADDRESS: . ZEPHVRHILLS. 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)
18882.9 1.000 (1.087 x 1.150 x UKI) 0.284- 1.000 6636.6
18313.7 0.4266 7812.6 18682.9 1.00 1.250 0.284 1.000 6636.6
EnergvGauge'lll DCA Form 6OQA.2OO1
EneI'gyGe~ fLRCPBY3.22
FORM 6OOA-2001
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
, ADDRESS: . ZEPHYRHILLS. FL.
PERMIT '1#:
I BASE AS-BUIL T
GLASS TYPES
.18 X Conditioned X BWPM = Points ()verf1ang Hgt Area X WPM X WOF = Point:
Floor Area TypelSC Omt Len
.1. 173.0 U8 ,....3 8ingIe, 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 1.02 182.8
SIngle, CIeer S 1.0 6.0 45.0 7.73 1.01 350.4
8ingIe, CIeer S 1.G 4.0 6.0 7.73 1.05 48.7
SIngle, Clear W 5.0 7.0 36.0 10.74 1.07 412.8
SIngle, Clear W 5.0 2.0 3.0 10.74 1.11 35.9
",ToIaI: 123.0 121.....
WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
A4acenl 72.0 1.10 129.8 Frame, Wood, ExIerlor 11.0 987.0 2.00 197.U
ExIerior 987.0 2.00 1974.0 Frame. Wood, A4acent 11.0 72.0 1.80 129.8
... ToIII: .....0 210U As-III* ToIIII: ,..0 210U
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
Adjeca 0.0 0.00 0.0 ExIerior Wood 42.0 7.60 3192
EIderior 42.0 5.10 2142
... Total: 42.8 214.2 As-8Ia Total: 42.0 311.2
CEIJNG TYPES Area X BWPM = Points Type R-VaIue Area X WPM X WCM = Points
Under AtIIc 973.0 0..64 622..7 Under NIle 30.0 913.0 0.64 X 1.00 622.7
Base TatBI: 97U 82Z.7 As-8IIIt ToIIII: 973.0 t22.1
FLOOR TYPES Area X BWPM = Points Type R-VaIue Area X WPM = Points
Slab 136.G(p) -1.9 -258.4 SIab-On-Grade Edge""'" 0.0 136.O(p 2.50 340.0
RaIsed 0.0 0.00 0.0
.... ToIaI: -zaA. As-8uIt ToIaI: 138.0 340.0
INFILTRATION Area X BWPM = Points Area X WPM = Points
973.0 -0.28 -272.4 973.0 -0.28 -272.4
~ DCA Form 6lJOA..2OO1
~ FLRCPBv322
FORM 6OOA-2001
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
, ADDRESS: , ZEPHVRIWLLS, FL, PERMIT 1t.
I
BASE AS-BUIL T
Winter Base Poi.....: 3436.0 Winter As-Built Points: 43rt .7
Total Winter X system = Heating Total X Cap X Duct X system X Crecfd: = Heating
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
(OM x D8M xAHU)
43Z1.7 1.000 (1.07Bx 1.180 x 1.00) 0.474- 1.000 2586.3
3436.0 0.6274 2155.7 4327 .7 1.00 1.250 0.474 1.000 2565.3
EnergyGauge 111 DCA Form 6CJ0A.3J01
~A.RCP8v3.22
FORM 600A-2001
, . WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
, ADDRESS: , ZEPHYRHILLS. fL,
PERMIT #;
I
BASE AS-BUIL T
WATER HEAnNG
Nlmber 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.6IiIt Total: 5128.0
CODE COMPUANCE 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
~.... DCA Fonn 8CJOA..2OO1
~RES"2OO1 FLRCPBv3.22
FORM 6OOA-2001
Code Compliance Checklist
Residential Whole Building Performance Method A - Details
PERMIT #.:
,
, ADDRESS: , ZEPHVRHLLS. FL.
6A-21INFLTRATION REDUCTION COMPLIANCE CHECKLIST
<X*PQNENfS 8EC11DN REQUIU!M~ FOR EACH PRAC1'Q; c:tEC*
EJcIIrior WIndows & DoclIS 608.1 JIBC.1.1 MIaimUm:.3 windoW area: .5 dmIsIJ.ft:. door....
EldlIIriOr & Adj8centWals 608.1.ASC.12.1 c.a. gaeket. ..............,,<<... beIWe8n: w1r..Jow8fdocn & tames, IURlW1CIna wall;
faundIIIion & waD sole <<.. ...; jofnIII beIIlIeen edIrIorWllll..- at c:amers; uIiIIly
peI"'ation8; betWeen waI.... &~ pIIII8s; betweenwals and IGor.
exCEP11ON: Flame" where a c:onIirA.IClla ............. ia iI18bIIed 1hat e'JltIlnda
from and ia sealed 10. .. fcu1dIIlicIo to" .
Floors 606.1.ASC.122 PeI...~.. >118" aeeIed unIeIa becIred bytrws<< joIntmember8.
EXCEPTION: fnDe tocn where . conIinUou& ._aIion b8nier is instIIIIed bit is eeeIed
to 118 . ... .......
CeIngs 608.1.ABC.12.3 BelINeen walls & ceIInga; pel..... of ceIng plane oftDp tIoor; arocni......, c:ha8e8,
IlOIIIa. .AlimIaep, ceIIIneIB sealed to canINIoUS air b8nier. gepa In 1M' board & top plate;
aIIic accea. exCEPTJON; Frwne ceIngs where a conIfIuluB ._oIlion b8nier ia
inII8Ied1hat is sealed at.. . 1Il and_.
Recnntl ~ FiIdInS 608.1.ASC.1.2.4 Type IC railed" lID .....llIIona, sealed; or Type IC <<nOn-IC rated, ir1IbIIIed inIlde a
sealed boxwllh 11Z' ~ & 3- from ~ <<Type Ie ratedwlh < 2.0 cfm from
GOIdlolled tested.
.- .- Houses 608.1.ASC.12.5 Nrb8nier on of IGor caullv~ tocn..
AddIIIonaIluMlalion reqls 606.1.ASC.1.3 &l8lltf8na wnIII!ld tD ouIdoorS, damperS; combuIlion space heaIIn c:ompIy will NFPA,
have combuIIiOr! air,
6A-22 OTHER ~ MEASURES (..... be III8l or excMded bv ........d8nces.)
COMPONENTS SECYIOII REQUIREMENTS cHECK
Water HeeIer& 612.1 ~wiIt eftidIIttII ~ in T8ble6-12. 8wIk:h or dearIf mertred drcUit
....... or cuIotJ 1.-) must be EJdiem8I << bI&In heat HL
SWimm/lIQ Pools & Spes 812.1 Sp8s & fI8IIII8d pools must.. CCMIS (....,.... heIIII!d). Non-commen:iaI pools
nut haVe 8 pump timer. GaB spa & pool""'" must have 8 .........11ermaI
of78%.
Shower heads 612.1 W..... tow IllUltbe reIIItcIled to lID more thin 2.5 mirU8 at80 PSIG.
Nr IJiIIrIlUIion SyIIienW 810.1 ,. cb:ts, -,,1I'IeCII8I1ica1 equipment'" plenum dWlO1berS sh8I be IMChelIIcaIIy
aIIaChed, sealed.1nUaIed, and InII8IIed In ac:conI8nce willi 118 aiIeria of SecIion 810.
Ducta In \IAOOII....... 8IIca: R-6 nin. ~
HVAC COnIroI& 607.1 - at ,..... ...... << adDIII8IIo tIIermGII8t for each SVlItem.
InUaIion eoU,602.1 CeIngs MIn. R-19. Common waa.Frame R-11 <<CBS R-3 bolh tides.
Common ceIIng &... R-11.
EnefmGauge.... DCA Form 8CJQA.-2001
~FLRCPBY322
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE scOU* = 84.3
TIle ....... die score, tIIe..-e eftide8t tile .....
1. New coasb1Jdion 01' existiDg
2. Sia&Ie family or JmIIti.faIIIily
3. Number C'I UDiIs. if JIIIIlIi-faIIIi
4. Number C'll!t&(lO.lIIS
S. Is dais a wont C1I1Idt
6. COJlllitio-l floor lIRl8 (fP)
7. Glass ;uea &: type
a Clear - siDgIe pme
b. Clear - cJoabIe pme
c. TUIt/odIer SHGC -1Ii8IIc pme
cI. TamlOIbcr SHGC - doobIe paue
8. FJoor 1ypeS
a SJab-()n-Gradc Ed8e IDsuJlorinn
b. NlA
c. N1A
9. Wall types
a FI'lIIIIe, Wood. Exterior
b. Fmme, Wood. AdjaceDl
c. NlA
d. NlA
e. NlA
10. Ceiling types
a UDder Attic
b. N1A
c. NlA
11. DadS
a Sap: Une. Bet: Uuc. All: Gan1F
b.NlA
, , ZEPHYRHlllS, FL.
New
SiagIe family _
1
2
No
913 ft%
123.0 fP
O.OfP
O.OfP
O.OfP
R.SO.O, 136.O(p) ft _
R.=11.0, 987.01\% _
R.=11.0,72.01\% _
R.=30.0, 913.0 fP
Sup. R.=6.0, 200.0 ft _
12. CooJiDg systems
a CeuIral Uait
Cap: 24.0 kBIuIbr _
SEER: 12.00
b. NlA
c. NlA
13. Heating aystems
a EJectrie Heat PUmp
Cap: 22.4 kBtDIbr _
HSPP: 7.20
b. NlA
c. N1A
14. Hot......,....
a EJectrieR~
Cap: 40.0 gaIIoDs _
EF: 0.88
b.NlA
c. Coa&emIIioD c:mIits
(Hll-Heat n=aMlIY, Solar
DHP..J.'>edicPfM heat pump)
IS. HVACc:mtits
(CF-CcitiDI fim. CV.cmss WDIiJatioa.
HF-WboIe blJuK &0,
PT -Pn.,v ......., .,.. 'J'IIenIKIIIat.
~c:ooliD&
~beatiDg)
I certify tbat this home bas complied with the Florida Energy EftiQeQcy Code For BuiJdiog
Construction through the above eaergy saving features which wiD be ._11M (or exceedec.I)
in this home before final inspectioo. Otbetwise. a new EPL Display Card will be compIetoed
based OIl installed Code compliant featureS.
Builder Signature: Date:
Address of New Home:
City/FL Zip:
*NOTE: The home's utiItJt*d energy perJormance score ;s only available through tire FLAIRES computer~.
This is not a Building Energy Roling. ljyour score is 80 or greater (or 86 for a US EP AIDOE EnergyStoT""designation).
your home '*'Y qualify for energy efficienCy mortgage (EEM) inceIfIive8 ifyow obtain a Florida Energy Gauge Roting.
Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www.jsec.flC/.edufor
injormaJion and a list of certified Raters. For i1formaIion aboIIt FIorlda's Energy EJllciency Code For Bflilding ConstrUCtion.
conklCt the IJepartment ofConnmmitY Affairs at 850/487-1824.
EnergyGauge4D (Version: FI.BCPB v3.22)
Page 1
Residential Heat Loss and Heat Gain Calculation
In accordance with ACCA Manual J
1012212004
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
M/BA TH
Whole House
HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd,
load calculations are estimaIIls only. ac:tualloads may vat)' due /l) M8Iher and CO/l8IrUCtion dHr8tences,
888736-1101
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PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919
WATER ACCl. NO.
(")
1 05763
n n
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6-fb<b3
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
DATE
'1~/o5
\/i/(c..y.. ~~
7, 0.. Bo~
OWNER/
RENTER
MAILING
b.-u~/~
/5 .3~
---
.J t1C
SERVICE ADDRESS It '1,(~
SHUT OFF SERVICE 0
TURN ON SERVICE 0/
INSTAll. METER OJ/'
READ METER 0
CHECK METER 0
OTHER 0
'V;'c{Oe/~
L~
~
~ WATER
o SEWER
o GARBAGE
~ITY
o OUT CITY
-L No. OF UNllS
_ DEPOSIT AMOUNT
_ AMOUNT LAST BIU
X '1__ 7R~,~
WORK COMPLETED BY
& DATE COMPLETED
_ DATE
_ MISC. CHARGE
ORDER TAKEN BY
Y-& ~ 05/if'
ORDER GIVEN BY
;j
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,
'),11J,V()(J
.....
11,;:....~
IJ:&
~~!,:p
CCi--()--,O
PASCO COUNTY, FLORIDA
Permit No. _ 30 ~ 5
Date Permitted jtr 21 ~t7Y
BLilder Name/Owner Name [li'I/'1. \A"~.. A/'",-J\L ht-/4.ttl4,Ji.r, Control # _
u 7 I (I
County Parcel No, SubDiv: ~S ,: {It'll (:~ Ie 5 Vi' (r
Address/Location it 1~/~; l~ I (7~l?1 ~ L,.j(
Classification/Type of USE? fJH,) 5::11 3~Q.. '~'1..~d)6
' I
TRANSPORTATION IMPACT FEE Rate:
Exempt crVes ~'o How Determined
N) \
~1.t0!l.'1b
Sq Ft Unit:
Impact Fee Amount $
Zone No,
TAl:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.:123) C~tion Fee
Exempt U Ves Lj No How Determined
l ~ q, Lf
Amount $
PARKS AND RECREATION FEE
Land Account Land Credit
J-~and Total
-------
----
Recreation Account ---/-Recreation Credit Recreation Total
,..- .
//-...---
Zone ./'./' TOTAL AMOUNT $
~
Exe;pPt D Ves D No How Determined
LIBRARY FEE
Land Account
Land Total
Facility Account Facility Credit
Facility Total
Exempt How Determined
Total Amount
RE OURCE FEE,.?(}, ( f ":2.
TOTAL AMOUNT r2!.:..L--/
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 concurrence, 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