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HomeMy WebLinkAbout06-5739 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 5739 Permit #: 5739 Issued: 4/28/2006 Permit Type: GENERAL BUILDING PERMIT Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 27,192.00 Total Fees: 258.09 Amount Paid: 258.09 Date Paid: 4/28/2006 Address: 5745 9TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-03400-0050 MECHANICAL FEE 3.09 ~l nCL\.t2a; S- d3-67 I~ H 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. REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. 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." ~,(t3~ ~~ CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERM~T A~~~~~^~~U~ BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 , 813-780-0020 FAX: 813-780-0021 \ DATE RECEIVED '-\-_ L~-O~ PHONE GONTACT FOR PERMITTING OWNER'S NAMF:-1feA0 ,f..-r CA B A- L.-( Ii(t.:;) PHONE 7 32 ..;-~ I S<{3/ JOB ADDRESS' ~( <-f ~ q 1::!b- ST. '+ ~ I 3 - '117- ,y b .5.s- LEGAL DESCRIPTION: LO~ (S) 5"; ~ ~ I BLOCK 3'-f SUBDIVISION PARCEL ID # 1(_'Z..b-Zl-OO/O-tJ3''-/-Ob - ~O"'i'""C> (OBTAIN FROM PROPERTY TAX NOTICE\ WORK PROPSED: ONEW CONSTRUCTION ~ADDITION o ALTERATION 0 REPAIR 0 INSTALL DSIGN D MOVE D DEMOLISH PROPOSED USE: ~L FAMILY DWELLING OMULTI-FAMILY Of OF UNITS o MOBILE HO~ o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL 1... L' u 9' " ~.. A-I>b , -.-(~ ~ T~-,-A-tt...O'S ~c.(l. i:>r ~~,c:r BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. / " . l \"'" f / PERMITS REQUESTED D BUILDING $ VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o Progress Energy D W.R.E.C. o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER $ TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES &'No [~~~~~==~~~_~:~---=--_~_~-:~~~-_.__~_~--=--_~_' ~ ,-~----~=~-_~ _ ~_l~~-I~--_:_~~' '. ~~ ----,~'-::,~.; ::::::REC~ . (2j ~ COMPANY ~~ 00'<-Y........< STATE CERT OR REGIST # ****************************************************************** SIGNATURE #. . .' . kI~ COMPANY /4-.-. G tv-~ ELECTRICIAN - STATE CERT OR REGIST # ****************************************************************** PLUMBER ~ .a;~ ./ . ' COMPANY ~ [) ?v-,vVV'L SIGNATURE STATE CERT OR REGIST # *******************************************************;~********* MECHANICAL , ::? ' COMPANY ~ ~<V_~ SIGNATURE -'~ ~~ STATE CERT OR REGIST I ***********************************.*************~*************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST f A. NOTI~E OF DEED RESTRICTIONS Tha undersigned understands that this permit may be subject to "deed restrictions" 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 contr~ftors 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 maybe 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, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions. of the "C;oi1tractor. Sections" of this application for which ti;1ey 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 contract?r that may be an indica~i6n that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI,ON FEES ' D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS kMENDED) I certify that I, the applicant, hay~ been provided with a copy.of "Florida's Construction lien ~aw _ 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. ' Appli~ation is hereby made to obtain a permit to do work and instaliation as indicated. I certify that no work or installation has commenced prior to issuahce of a permit and that all work wiil 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 wh8t actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, wetiand Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, AlteriI~g 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 certi~y 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 pro,fessional 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 la period of six months after the titne.the work is commenced. One 90 day extension of time may be allowed for the permit with fee char~e of $~5.00. ,The extension shall b7 requeste~ in writing to'the Building Official. An approved 1nspect10n must be logged dur1ng each S1X 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 RECbRDAND POST A "NOTICE OF COMMENCEMENT". cff;J Pcdd/~ . S ~RE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 2 u.:.- 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 ,20_ (name' of person acknowledged) Owho is personally known to me, 'or (name of person acknowledged\ [1ho is personally known to me, or o who has produced (type of identification) and who Odid []:iid not take an oath .~ ~~a IBgfomMMW. taking Y' C STATE OF NEW JER8&'I MY COMMISSION EXPIRES 1/05/2001 Name typed, printed or stamped Signature of person taking acknowledgment Name typed, printed or stamped ,Square Feet Valuation Building Electrical ~'YJ Cy~~itL 5"7Cf-S- GJr+I s r: (tWrn \)rf Dollar Amount 1-1t~t-- 15f). ~6- r ;:::.;:) 9-]) ( Plumbing <?J 5. v-::., Mechanical ~Do~ '7... ,r -.7 '-() ~ '1 'I. b~ Connection Fees Sewer Water Meter School Impact Fee Transportation Impact Fee Park Impact Fee Public Safety Impact Fee ~ 'b::? ,..-- NOTICE OF COMMENCEMENT County of .f4 S c ~ State of . r~ t-, fJA THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. ;1 - 2 b - ;;. / - ()O/ 0 - 03 You - () 0)-- D 57+~ (4.6-.sf. Z<z-f (1'1(( t+, c..-t.s ; i-, 33j....'i"L. (Legal description of the property and street address if available) ( 2. General Description of Improvement 3c./- '1- C) A-l).);'7J~':> ,.::) e. '" 'I< { Z- A~iJ I"I#, i),,/ 11111111111111111 I1111111111I1111I111111I1111I111111 I1111111 2006081310 3. Owner Information: Name 1-/ e-,...; r'1 Address '57'+'5 'lJ~ <ST CPo. ($ It t-'-' eIC. () City Ze.-f H<--t ~IA t ~ State C~ - 33.5)/;1 Interest in Property: /-1 "I'" r2 C> (,..-.) /J e.A-.. Rcpl:990774 os: 0. 00 04/21/06 Rec: 10.00 IT: 0.00 Dpty Clerk Name of Fee Simple Titleholder: (If other than owner) Address 4. Contractor: Name OW.,...I c-rG Address 5. Surety: Name Address Amount of Bond: $ 6. Lender: Name Address City State JEO PITTMAN. PASCO COUNTY CLERK 04/21/06 10: 04am 1 of 1 OR BK 6947 PG 1946 City State City State City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: NameJDse C~(o~ Address 5?''f 2- I Z ~ :51; City ? oRA'"ffl-IJ-I'U..s :s ose ~/~,.J State ';- L 8. In addition to himself, Owner designates of~~'fz... t ~.I"b 6" Zd#'t~Ii'/~ rf-, to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. 9. Expiratio? date of Notice of Commencement (the expiration date is 1 year from the date of recordmg unless a different date is specified.) Signature of Owner: ~ (i::; ~......-.o Sworn to and subscribed before me this a ( Cf4 6-<39 <f. .S 7 - 08..3. 0 dayof A'PR.'.... ,2006 . Notary Public: q> <>LA'~..... B oJ}. ~ My Commission Expires: r . PC93053048/A :fi; M~~:;:;'::!J; l. ,J:~i~'. :\~_.~\ ;0f'!\C\'" ~.. . ,:"':" -';;:'~~r':, ~::~:'~5l i ~l .n"') ,~.'I-:~'.:;\I,~r..'~Il.~.,~" ) '-"-...-._ . ....-.,.,','... '-' ;:;:f.x.-lk"'g.I'nc. I State of --- r~1-, /JA NOTICE OF COMMENCEMENT County of .flI S c ;) THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. ;1 - 2 b - ;)- / - 00/ () - o3Yoc) - 0 OJ--O 57+~ (+1::- 51. Ze-{/HI..f((l+I(.,W Ft. 33j....""L- (Legal description of the property and street address if available) ( 2. General Description of Improvement 3c./-'1- c; C}1}')i"7/";),.,;) e c;. 'l</2-Aoj)I'-r~;),/ 1 1111111111111111111111111111111111111111111111111111111I111 2006081310 3. Owner Information: Name f-/~r'--( Address "57 c.+ 'S '1 j .!:= <5T C A t3 It 1-'-- ell. i) City Ze-f ~ I-IA t ~ State r c - 33sllcJ.. Interest in Property: 1-1 c> f"'1 tZ C> (.,.J /'-..J e..A..- Rcpt:990774 Rec: 10.00 os: 0. 00 IT: 0. 00 04/21/06 __~_n____ Dpty Clerk Name of Fee Simple Titleholder: (If other than owner) Address 4. Contractor: Name OW.,...I E~ Address 5. Surety: Name Address Amount of Bond: $ 6. Lender: Name Address City State J04EO/2P1/I0T6TMA1N. PASCO COUNTY CLERK 0:04am 1 of 1 OR BK 6947 PG 1946 City State City State City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name ~ DS eeL:) ( 0""; Address 5<J'f 2- 12~ SI; City l' ~ A '"f (L1J.-1'Ll.cS :) ose ~/~,...J State 'I- L 8. In addition to himself, Owner designates of ~<('t'z.. 17--.t,.b 67', Z4U'/-f '1~H-/~ rt.. , to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified.) Signature of Owner: ~ @o4Y'-.o Sworn to and subscribed before me this a ( CI4 6-<.39 'f - ~-7 . 08-3. 0 day of APR./L- ,202L. Notary Public: r.p~~ tJ of).. "- My Commission Expires: PC93053048/ A ~, ,., ~wT.t. PATRICIA L. ,JOI-'N:3Q),! } "A MYCo""",-- 'h a ,yj""",,,')N I' [V) 'Q'''','7 "I" ()f r.fI>-' - . """',, EXt,)i1\ '..:.S. ,...., "~'''''~''''r j.~ -.'-'~ 1-/lllO.3.oo ' v, --., v, '''A." L TARY FL Nt'!ery $eMco 3, &--"'<JIng, Inc. DJ:SCLOSlJRE STATEMENT FOR OWNER CJ:.TY OF ZEPHY.RBJ:LLS B11J:LDJ:NG DEPARTMENT J:, II r:- rJ fl Y eif <31J /1 ~ ' have read and fully understand and agree to the 'provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own dcmicile~, that he or she actually occupies, or will occupy by said dcmicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions-: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to 'the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work.- 4. That in the event the Building J:nspector shall requ:i.re corrections to be made, the owner will assume full responsibility to insure they are made, . and upon completion wili call for a reinspection before proceeding with the 'building. 5. That the oWner shall assume full responsibi'li ty for the construction and will not expect supervision of his Work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute' an officia~ notice. to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws' in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida J:ndustrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for' a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain, restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a far.m outbuilding. You may also'build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. J:t may not be built or sUbstantially improved for sale or lease. J:f you s&al;or" lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume -that you built or substantially improved if for sale or lease, which is a. violation of this exemption. You may not hire an ~icensed person to act as your contractor or to supervise people working on your building. J:t is your responsibility to make sure that people employed by you have licenses requ:i.red by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not 1.icensed must work under your direct supervision and must be emp1.oyed by you, which means that you must deduct F.J:.C.A. and withho1.ding tax and provide workers' compensation for that emp1.oyee, a1.1. as prescribed by iaw. Your construction mus..t comply W1..;. ~...' a,pplicab1.e 1.aws, ordi:c.a:o.ces, bui1.ding codes, and zoning regu~.ations.. ' .' e /~ OWNER'S SJ:GNATURE II c-}../ 12. '/ ,f}~ /.l //e'~"G:; DATE 0 Cf- r ADDRESS S) V.S-- 9t:f..YT I . EtHONE </, I J - U I ') - 962 /J WJ:TNBSS PElUC[T # CITY OF ZEPHYRHILLS .,. "NOTICE" OF ADDITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be coveRld, any part of the WO/1( with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30AM -4:30 PM MON,-FRI. AFTER CORRECTIONS ARE MADE CALL 780-0020 FOR RE-INSPECTION INSPECTOR !-, S ' I I' _,' I'!. i I lid ,.- J :.': ~_ ' ..':- ,G I jllJ ij ~! i 1m i i ;":,~ -~ ~~~;~ - ,\ I :> t 1)1:,'I,9!., Iblil llil~ ~!_.:,I:~ -;; G::: ~ J'II . nil' f I~ - "'" I-~-^ t,; :) df'I,.filil . It ~ '~. --.,.. I V) Ii I 11 :! It I 'I ~ s . = ~ & ~ ~!~Jh~,1 Ik,. i! lilt ~ i <r 'I r, I' I !II I I ~l 1;14 ,hi ~ ~ I ,.'1 I .', ~.... J ~ .:11 tJ fl. .' In I: II II 1..1 I . Ui . I rn JIll fll l~ illlB1 · P ." II' -IIIIIIIJ1 f m. a:: 5 -)' p-1.!1 ~;II' i!.: II ~ ~ . !1!!; ~t.! !'~~ tHIn It I II I :: U') . mu -- ~ .. ~fSii' EIS~I~ )'jiE~i' g "...1 Ol~.i!:r + l!..11Si'e ~ e.~ .!:~h. .1Qg;;-!1 "i 40Vl OJ ~ ...-::i' "",' !It'll' ~- \J ~.~ ....... '" ".-. r" ~ , ./ ./ ./ ~ -G It E ;~ f~ I~ flB l:~ Cola. d '6.1:jl ;(1' i!f ~VJ li;i . ~ . ~ ~ ... I> ~ I IJ I' I ,I,~ I Ill! J':; , '. JI · · t.. ,.'t' ..... ,Ci I it I. ii ~! j 1 I .;'~ . 1- ~> " ~ ::>! I):' ~ ~L; lilli' Iii M .,.!.:Ia:~ ',' ~~! Q:::.. t IJllj ~~. - .'. ---, $~ S ~ ~ dial!,' BDI . If ~ ,> -;-~'.- " I Ii ., I I 'I .. 8 ~ t; ~~!I p~. IlId iij III { , ~ :1 ; U'il P~! liill I ,;~ I:!J".bJ ~I ~ . I ' I.. .,~.... IS .:It ::.Id. ~ik ~~I'lu. s 'I~ III td 1-' tJ ~ hi'. ~ 1 U Iii! II, lid I, I' tl1 · I ~ I~j I H ~;Ui!:III"ltJ iidI; Ill' is Jo' -= a ~1!!; !1i!h!I~~ ImilmHll~ I iB j ': m 'Ghi __ ;.E ~.... il f.SO~ Eli~i.. ):jiE~i' 14"1 Ol~.ii~ ~II~: .~ ~bl 10~-~ -t ~~ (D ~ "....::;. /.-1j-~ ~ ~.~ ......-~ ".~ ~ r'" !i ~ ~ ./ ./ - ,.., ~ -G It i' ;J f: f~ ~I 5~ci li.l ~ ;('11 !!f ~., I=I~ "'IJ ~~ . ~ . .I .. .. o .I FORM 600A-2004 EnergyGauge@ 4,21 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A 2006-21 Builder: C-.o..b Q. \ lszA...o ..,.\.Q. Vl 1S'1C+C:S Dt.fY) 5~ Permitting Office: G-~ of 2::e{)~'c , Z41Yu.tvhi.U-0 I c::"1...- Pe~i! ~umber: S '/0'\. Q.av:> CL\u....v.) I ~ Junsdlctlon Number: Lo \ \ ~ 00 Central Project Name: Address: City, State: Owner: Climate Zone: I. New construction or existing Addition 2, Single family or multi-family Single family 3, Number of units, if multi-family I 4, Number of Bedrooms 3 5. Is this a worst case? No 6, Conditioned floor area (fP) 1160 ft, 7, Glass type I and area: (Label reqd, by 13-104.4.5 if not default) a. U-factor: Description Area (or Single or Double DEFAULT) 7a, (Sngle Default) 71.1 fP b. SHGC: (or Clear or Tint DEFAULT) 8, Floor types a. Slab-On-Grade Edge Insulation b. N/A c. N/A 9 . Wall types a. Concrete, Int Insul, Exterior b, Frame, Wood, Exterior c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c, N/A II, Ducts a. Sup: Con, Ret: Con. AH: Attic b, N/A 7b, (Clear) 71.1 fP 12, Cooling systems a. Central Unit Cap: 30,0 kBtu/hr SEER: 13.00 b. N/A c. N/A 13. Heating systems a, Electric Heat Pump Cap: 30.0 kBtu/hr HSPF: 8,00 R=4,2, 204,O(p) ft R=4,5, 244,0 ft, R=II.O, 856,0 ft, R=30,O, 1160,0 fP Sup, R=6.0, 125,0 ft b. N/A c. N/A 14, Hot water systems a. Electric Resistance Cap: 30.0 gallons EF: 0.93 b, N/A c, Conservation credits (HR-Heat recovery, Solar DHP-Dedicated beat pump) 15. HV AC credits (CF-Ceiling fan, CV-Cross ventilation, HF-Wbole bouse fan, PT -Programmable Thermostat, MZ-C-Multizone cooling, MZ-H-Multizone beating) Glass/Floor Area: 0.06 Total as-built points: 15056 Total base points: 18414 PASS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. -r=. J - PREPAR~ BY: I orA- ~A' ~\ e...,~\C DATE: ~ 5/0' (ffl3 f:J I 'i? Set .3b . . I hereby certify that this building, as designed, is in compliance with the Florida Energy Code, 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 553.90fJ Florida Statutes, /,.(, f ....\,\ BUILDING OFFI .J0'X DATE: 1 Predominant glass type. For actual glass type and areas, see Summer & Winter Glass output on pages 2&4. EnergyGauge@ (Version: FLRCPB v4.21) ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 87.2 The higher the score, the more efficient the home. New construction or existing Addition Single fumily or multi-family Single family Number of units, if multi-fumily I Number of Bedrooms 3 Is this a worst case? No Conditioned floor area (ft2) 1160 ft2 Glass type I and area: (Label reqd, by 13-104.4.5 if not default) a, U-factor: Description Area (or Single or Double DEFAULT) 7a. (Sngle Default) 71.1 ft2 b, SHGC: (or Clear or Tint DEFAULT) 8. Floor types a, Slab-On-Grade Edge Insulation b. N/A c, N/A 9 . Wall types a. Concrete, Int Insul, Exterior b. Frame, Wood, Exterior c, N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b, N/A c, N/A II. Ducts a, Sup: Con. Ret: Con, AH: Attic b. N/A 1. 2, 3. 4, 5, 6. 7, 7b, (Clear) 71.1 ft2 R=4,2, 204.0(p) ft R=4,5, 244,0 ft2 R=II,O, 856.0 ft2 R=30,O, 1160.0 ft2 Sup, R=6.0, 125.0 ft 12, Cooling systems a, Central Unit Cap: 30,0 kBtu/hr SEER: 13.00 b. N/A c, N/A 13, Heating systems a. Electric Heat Pump Cap: 30.0 kBtu/hr HSPF: 8,00 b, N/A c, N/A 14. Hot water systems a, Electric Resistance Cap: 30.0 gallons EF: 0,93 b. N/A c, Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15, HVAC credits (CF-Ceiling fan, CV-Cross ventilation, HF-Whole house fan, PT -Programmable Thermostat, MZ-C-Multizone cooling, MZ-H-Multizone heating) I certifY that this home has 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, Othetwise, a new EPL Display Card will be completed based on installed Code compliant features, Builder Signature: Date: Address of New Home: City/FL Zip: *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a us EPA/DOE EnergyStclr designation), your home may qualifY for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site atwww.fsec.ucfedufor information and a list of certified Raters, For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824, 1 Predominant glass type. For actual glass type and areas...;- Sununer & Winter Glass outm!! on J!R.1\!:S 2&4, cuergyGauge@ (Version:-FLRCPH v4.21) FORM 600A-2004 EnergyGauge@ 4.21 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , , , PERMIT #: BASE AS-BUlL T GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X SPM X SOF = Points .18 1160.0 25.78 5382.9 Single, Clear N 2,0 4,2 21.3 30,19 0,84 542.9 Single, Clear N 2.0 4.2 21,3 30,19 0.84 542.9 Single, Clear N 2,0 4,7 18,7 30.19 0.86 487.8 Single, Clear S 2.0 4,5 9,8 48.22 0,72 342.2 As-Built Total: 71.1 1915.9 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 0.0 0,00 0,0 Concrete, Int Insul, Exterior 4,5 244,0 1,10 268.4 Exterior 1100.0 1,90 2090,0 Frame, Wood, Exterior 11.0 856,0 1,90 1626.4 Base Total: 1100.0 2090.0 As-Built Total: 1100.0 1894.8 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0,0 Exterior Wood 39.6 7.20 285.1 Exterior 59.4 4.80 285,1 Exterior Wood 19,8 7,20 142.6 Base Total: 59A 285.1 As-Built Total: 59.4 427.7 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 1160.0 2,13 2470,8 Under Attic 30.0 1160,0 2.13X 1.00 2470,8 Base Total: 1160.0 2470.8 As-Built Total: 1160.0 2470.8 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 204.0(p) -31.8 -6487,2 Slab-On-Grade Edge Insulation 4.2 204,O(p -31,74 -6475,0 Raised 0,0 0.00 0,0 Base Total: -6487.2 As-Built Total: 204.0 -6475.0 INFIL TRA TION Area X BSPM = Points Area X SPM = Points 1160,0 14,31 16599,6 1160.0 14,31 16599.6 EnergyGauge@ DCA Form 6OOA-20Q4 EnergyGauge@lFlaRES'20Q4 FLRCPB v4,21 FORM 600A-2004 EnergyGauge<ID 4.21 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: I I I PERMIT #: BASE AS-BUlL T Summer Base Points: 20341.2 Summer As-Built Points: 16833.8 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1: Central Unit 30000 btuh ,SEER/EFF(13,O) Ducts:Con(S),Con(R),Att(AH),R6,O(lNS) 16834 1,00 (1.00 x 1.150 x 1,10) 0,262 1.000 5585,8 20341.2 0.4266 8677.5 16833.8 1.00 1.265 0.262 1.000 5585.8 EnergyGauge ™ DCA Form 6OOA-2004 EnergyGauge<ll>/FlaRES'2004 FLRCPB v4,21 FORM 600A-2004 EnergyGauge@ 4,21 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , , , PERMIT #: BASE AS-BUlL T GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Point .18 1160.0 5.86 1223.6 Single, Clear N 2,0 4.2 21.3 15,07 0,99 319.0 Single, Clear N 2,0 4.2 21.3 15.07 0.99 319,0 Single, Clear N 2.0 4,7 18,7 15.07 0.99 280.2 Single, Clear S 2.0 4.5 9.8 9.90 1,23 119.7 As-Built Total: 71.1 1037.8 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 0,0 0,00 0.0 Concrete, Int Insul, Exterior 4,5 244.0 3.13 762,5 Exterior 1100,0 2.00 2200.0 Frame, Wood, Exterior 11,0 856,0 2,00 1712.0 Base Total: 1100.0 2200.0 As-Built Total: 1100.0 2474.5 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0,0 Exterior Wood 39,6 7.60 301.0 Exterior 59.4 5,10 302,9 Exterior Wood 19.8 7.60 150,5 Base Total: 59.4 302.9 As-Built Total: 59.4 451.4 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 1160,0 0,64 742.4 Under Attic 30.0 1160,0 0,64 X 1.00 742.4 Base Total: 1160.0 742.4 As-Built Total: 1160.0 742.4 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 204.0(p) -1.9 -387.6 Slab-On-Grade Edge Insulation 4,2 204.0(p -2.12 -432,5 Raised 0.0 0,00 0,0 Base Total: -387.6 As-Built Total: 204.0 -432.6 INFILTRATION Area X BWPM = Points Area X WPM = Points 1160,0 -0,28 -324,8 1160.0 -0.28 -324.8 EnergyGauge<ll> DCA Form 6OOA-2004 EnergyGauge<ll>lFlaRES'2004 FLRCPB v4.21