HomeMy WebLinkAbout06-5948 (2)
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5984
A dress: 4843 SUZANNE ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Subdivision: WINTERS
Parcel Number: 14-26-21-0000-00200-0000
Book:
Section:
Name: THOMAS,RONALD
Address: 4843 SUZANNE ST
ZEPHYRHILLS, FL. 33542
Phone: 813682-3329
\J ;() \
c(~ \ le/\
'{'l~. N~j
REINSPE
trips are n
from faulty
inspection
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
LINTEL PRE-METER WATER
FRAME MISC SEWER
INSULATION WALL MISC MISC.
INSULATION CEILING MISC. MISC.
DRIVEWAY MISC. MISC.
N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
ssary due to anyone of the following reasons: a) wrong address b) condemned work resulting
onstruction c) repairs or corrections not made when inspections called d) work not ready for
hen called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In a dition 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 s water management, state agencies or federal agencies.
The payment f 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
improveme to your property. If you intend to obtain financing, consult with your lender or an attorney
before reco ing your notice of commencement. n
NO OCCUPANCY BEFORE C.O.
C;(~ Cue-- ~ ~
CON RACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
c,xPlrLuIl UUle UII,uuce UI LUIlllllellcemelll Vile expnUUUll UUle I' 1 yeat numllle UUle
of recprding unless a different date is specified.)
'::I.
Signature ~fOwnerQ c9r7 O.&;J, 9-" 'J,At9?YJ 04 _
IO'/A-t J~
,20~.
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I
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
I
11- 9:;-QLi?
--n:
Owner's Name
f.-J.6LD
I \{g4 ~
5 U 2- b tv f--.Jc 'S t \<.-E...e:..:r-
Owner's Address
Fee Simple Titleho'der Namel
Owner Phone Number '8f.3) ~ - -33> '2
I "60~
Owner Phone Number
Owner Phone Number I
Fee Simple TitlehO~der Address I
, I U f!) U3 S U Z61V 1....)(3- ST{2tc:r:/ c - f-\-i Ll.$ ) f'L ~ 3 s-Y'2..., I LOT # I
JOB ADDRESS . lOT .
SUBDIVISION II.\.n~TEt.s 1-{. HI' Th~'<.1 PARCELlD#llV- 2(;-2/-0000 --OO2.00~OOre
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
I
WORK PROPOSE~I ~ NEW CONSTR
D INSTALL
PROPOSED USE I CJ SFR
TYPE OF CONST~CTION CJ BLOCK
DESCRIPTIONOF~ORK I S~f~" (?./V"'^
BUILDING SIZE 11.2- Y I 'I.. q:-' g I(
B
D
~
SQ FOOTAGE
ADD/ALT
REPAIR
COMM
FRAME
d
$~d)
c
t2 7:>'2..
D
CJ
CJ
DEMOLISH
OTHER I
STEEL D
OTHER I
HEIGHT I "=l.J C:. \ \
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
W.R.E.C,
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
Address
.3(...... --:>'.
.).
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
~0L~
0") I' :/
?u---PL ;>'J '.
Address
OTHER
SIGNATURE
COMMERCIAL
Driveways-N t over Counter if on public roadways..needs ROW
COMPANY
REGISTERED
License #
OW)..Q r
I YI N I
Y/N
FEE CURRENT
License #
Y I N
Y/N
FEE CURRENT
License #
OtUM/'"
I Y I N I
Y/N
FEE CURRENT
License #
Y/N
Y/N
FEE CURRENT
Fences (PloUSurvey/Footage)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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.
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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is 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.
FLORIDAJURAT(F~ r ~ ~
OWNER OR AGEN /!A- ~ CONTRACTOR e...... ~ .,1<-
S~ and swom to ~J afQrmed) before me this ~b ribed and swom (ftr affirmed) b~ore me this t' f
7-/9-O(p by 0;ffl~/{ C/'O..Q J, by CLe.ft... CroP
Who is/are personally known to me or has/have produced Wh is/are personally known to me or has/h~ve p~odu~ed
_ as identification. - as Identification.
~~_ ~ Nom~Publ'
CommiSSion o.
~::1~
~
Notary Public
Name of Notary typed, printed or stampkl
Name of Notary typed, printed or stamped
, ,
OIl"~R ~l
JOBI LOCATION
PAR EL 1.0. .
Th!?-h1'~~
L/-flL/p Ser~AVp
b/
S OW ALL E~ISTING , PROPOSID STRUCTURES-GIVING DIHENSIONS
II //: k:?~ j{,~~ ~
10 - .zp..1 c: ~
.. SETBACKS.
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UTI~ITY BUILDINGS
HUS SHOW SIZE ,
rou DATION INFOR-
HATION.
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FRONT PROPIRTY LiNI
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E EXAMPLES 1 '2) STREET
1, SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS rOR R3 ZONING
60'
10'
p E-
R X
0 I
10~ P S 10'
0 T
S I
E N
0 G
20'
1 O'
10' .
.'
10' EXISTING' 10'
1 0
.
PROPOSED
"
20.' SGL FAH JO'DUPLEX
DI:SCLOSlJRB S'1'ATBMBB'.r FOIL OWllBR
CrrY OF ZBP!lY.RJII:Lt.s BUJ:LDDIQ DBP~
I, ~t:>L'b --t-HoH 65 have read a.ud fuI.ly understand and
agree if~ the provisions of this instrument.
The tSigned states and affizma that he or she is desirous of oonstructing,
renova . g, adding to or reroofing his or her own domioile, that he or she
aotuall occupies, or w:i.ll occupy .by . sa:i.d domicile, and same is not for
rent, 1 ase or sale. That he or she shal.l comply w:l.th the fOllowj.ng c~tions:
1.
7.
the owner and he or she alone shall act as the builder for all. phases of
truction.
the owner will comply with all provisions of the City of Zephyr-hills
oes and oodes pertinent to the building.
in the event various phases of OODstruction are suboontraoted, he will.
ge only properly licensed subcontractors. and will. perscmaJ.ly supervise
work.-
in the event the Building :rnspector shall require oorrections to be made,
owner will assume fuI.l responsibility to insure they are made, and upon
letion will call for a reinspectiOD. before prooeeding with the building.
the owner shall. asS1:Ulle full responsibili t:y for the construotion and wil.l.
expeot supervision of his work from the Ci t:y of Zephyr-hills Building
t.
prior to final inspection any additicmaJ. fees. incluclin.g reinspection
· must be paid in full. A written request from this office shall.
titute an offioial notice to pay acJdit:icm.a1 fees.
Tha the owner shall oomply with all City, State and Federal. laws in regard to
soc. al security, workman.' s compensat:ion, lien l.aws. etc., where applicable.
Tha the owner shall comply with al.l the s~ety codes issued .by the Fl.orida.
I: strial Commission.
Sta e law requ:i.res construction to be done .by licensed contractors. You have
app ied for a permit under an ex&IQption to that law. The exemption all.ows
YOU. as the owner of your property, to act as your own contraotor with oertain
res- iotions even though you do not have a license. You JQ.11St provide clirect
ODSi e supervision of the construction yourself. You may build or improve a
0De- aaily or two- family residence or a faxm outbuilding. You may also buil.d
or. rove a cODBlleroial building, provided your oosts do not exceed $25.000.
The lding or residence must be for your own use or oocupancy. I:t lIiay not
be .1 t or substant:iall.y improved for sale or l.ease. I:f you sellar l.ease a
- bu:i.l you havebuil.t or substantiall.y improved yoursel.f within 1 year after
the ODStruction is oomplete. the l.aw will. preawae that you. buil.t or
subs tial.l.yimprOVed if for sal.e or lease, which is a viol.ation of this
ex tion. You may not hire an UD.l.icensed person to act as your contractor or
to ervise peopl.e work:i.D.g on your buil.ding. I:t is your responsibility to
make sure that people employed by you have l.icenses required .by state l.aw and
by c ty or JBUD.icipal licensing ordi"l"''1C''es. You may not del.egate the
resp ibility for supervisiug work to a l.icensed oontractor who is Dot
lic ed to perform the work bei:ng done. Any person worki:ng aD your building
who s Dot licensed must work UDder your direct supervision a:ad must be
empl ed by you. which means that you 1IL11St deduct !'.I:.C.A. a:ad withholding tax
and rovide workers' compensation for that employee, all as prescribed by law.
Your oonstruction must comply with all applicable laws, orrH 'fta:nces, building
oode , and zoDing ~atiODS.
~~~~~ DAn 7~-O{.
S~ '-18'13 ~orz.~,,-, ~. 'fSt"'.. EPllyteW-IIIS. ~L. .~~s--u.,.
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3.
4.
5.
6.
8.
9.
PBRlD:T #
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t::o fJAL D ~b<? / f.A-'11J n;:12-5 He) BIt.. 1::. fk,H~ P6 eJGllJ(!J.
Name /
~g~~ SV2A~~€ S1~t'
Address
~~Ht/I'3, FL e3 ~Y'2-
f
Whom It May Concern,
Please be advised that:
Stacie Cross, & Debbie Dokendorfof Pasco
Permit Service have my permission until further written
notice to act as my agent to sign and pick up permits.
~ Sincerely,
\sp{c9rJ a/.L? c9 ~Y77J~ _
signature
7-ID-l)~
date
i
~OTARY
,
~TATE OF FLORIDA, COUNTY OF PASCO
, The foregoing
s~scribed before
~rsonally known
instrument was sworn to and
me this /O~ay of J'~
or Produced identification
, ~{p
~
, ,1 ,~ " .
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N tary~
Co missioned Stamp
an Expiration Date
Page 1
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
~M.B. No. 3067-0077
LPires December 31,2005
Important: Read the instructions on paaes 1 . 7.
SECTION A . PROPERTY OWNER INFORMATION For Insuranoo Company Use:
BUILDING OW 'JER'S NAME Policy Number
RON & GLE NDA THOMAS
BUILDING STF ET ADDRESS (Induding Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAlC Number
4843 SUZANN ST
CITY STATE ZIP CODE
ZEPHYRHILLS FL 33542
PROPERTY D SCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
WINTERS MO ILE HOME PARK 14-26-21-0000-00200-000O
BUILDING US (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDElLO GITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):_
(#tf-##-##. 'or ##.####If) 0 NAD 1927 0 NAD 1983 0 USGS Quad Map
o Other:_
SECTION B . FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B2. COUNTY NAME
PASCO
83. STATE
FL
B7. FIRM PANEL
85. SUFFIX 86. FIRM INDEX DATE EFFECTIVEiREVlSED DATE
C 12/17191 12/17191
B10.lndicate the rce clthe Base Flood Elevatioo (BFE) data or base flood depth entered in B9.
o FIS PrcIiIe 0 FIRM ~ Community Determined 0 Other (Describe): _
B11.lndicate the eI atioo datum used for the BFE in 89: ~ NGVD 1929 0 NAVD 1988 0 Other (Describe): _
B12.ls the buildi ed in a Coastal8alier Resources S tem CBRS <rea or OtheIwise Protected Area OPA ? 0 Yes 0 No Des. natioo Date
SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
s CYe based on: 0 Construction DrcJ.vings" 0 Building Under Construction" ~ Rnished Construction
Certificate will be required when COI'lstruction of the building is romplete.
Number 2 (Select the building diagran most similar to the building for which this oortilicate is being rompleted - see pages 6 end 7. ~ no diagram
ts the building, provide a sketch or photogr~.)
C3. Elevations - A 1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARIA 1-A30, ARlAH, ARlAO
Complete Items C3.-a-i belON ocrording to the building diagram spOOfied in Item C2. State the datum used. ~ the datum is different fron1 the datum used for the BFE in
Section B, COI'lV the datum to that used for the BFE. ShON field measurements and datum COI'lversion calculation. Use the s~ provided or the Comments <rea of
Section D or . G, as cwrqxiate, to document the datum COI'lversion.
Datum NGVD 1 ConversionlCornments
Elevatioo ce marl< used CFDfTBM Does the elevation reference mark used appear on the FIRM? 0 Yes ~ No
o a) Topofbott floor (including basement or enclosure) 00. ~ft.(m)
o b) Top of ne higherfloor N/A._ft.(m)
o c) Bottom of haizontal structural member (V zones only) N/A. _ft.(m)
o d)Attochedg (top of slab) N/A. _ft.(m)
o e) Lcwest eIe ation of mochinery and/or ~ipment
servicing building (Describe in a Comments area)
o ~ LoNest adj t (finished) grade (LAG)
o g) Highest adj t (finished) grade (HAG)
o h) No. of anent openings (flood vents) within 1 ft. al:xJve adja:;ent grade Q
() i) Total area all permanent openings (flood vents) in C3.h [sq. in. (sq. an)
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification i to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the i formation in Sections A, e, and C on this certificate represents my best efforts to interpret the data available.
I understand that n false statement ma be unishable b fine or im risonment under 18 U. S. Code, Section 1001.
CERTIFIER'S NA E JOHN H. DEMMONS, JR. LICENSE NUMBER PSM fJ372
88. FLOOD ZO'JE(S)
AE
89. BASE FLOOD ELEVATfa\l(S)
(Zone AO, l.OO ~ or ftoOOrg)
84
(ij
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en
'0
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"'-
",t1l
00
.0'0
E C
Wt1l
P$/'-'l -rl SC, 7 2-
ic~oao
7/27/0("
N/A. _ft.(m)
86.~ft.(m)
~.!ft.(m)
a.: cO
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COMPANY NAME C. FRED DEUEL & ASSOCIATES, INC.
CITY
ZEPHYRHILLS
DATE
7 2-7/6 (,
STATE
FL
TELEPHONE
(813) 782-B717
ZIP CODE
33541
Replaces all previous editions
I
IMP<'~RT ANT: In these spaces, copy the corresponding infonnation from Section A For Insuranoo Conllany Use:
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or B\1;j No) OR P.O. ROUTE AND BOX NO. Pot.y Number
. 4843 SlIZANNE ST.
CI1Y STATE - ZIP CODE Company NAIC NlJfrber
ZEPHYRHILLS FL 33542
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy ooth sides of is Elevation Certificate for (1) community offidal, (2) insurance agenVcompany, and (3) building CM'Iler.
COMMENTS
1). BASE FL(x)D ETERMINA TION BY CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
2). AIR CONDITIO ING UNIT IS WINDOW TYPE I NONE AT GROUND LEVEL
o Check here if attachments
SEdlON E . BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOllT BFE)
I
For Zone AO CIld zori:l A (withoot BFE), cx:mpIete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information fa" a LOMA Or LOMR-f,
Section C must be caI1pleted.
E1. Building Diagr;m Number _(Select the building diagram most similCl" to the building for which this certificate is being completed - see pages 6 and 7. If no diagram acx:;urately
. represents the building, provide a sketch or photograph.)
E2. The top of the OOttPm floor (including basement or enclosure) of the building is _ ft.(m) _in.(an) 0 aOOve or 0 beIcM' (check one) the highest CKljocent grale. (Use
natural gra:le, WatciIOOle).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) ct the building is _ ft.(m) _in.(an) above the highest CKljocent
grale. Complete~ems C3.h CIld C3.i on front ct form.
E4. The top ct the p1~ ct mcd1inery CIld'or equipment servicing the building is _ ft.(m) _in.(an) 0 above or 0 beIcM' (check one) the highest CKljocent grale. (Use
natural grCKle, WatciIOOle).
E5. For Zone AO only:11f no flood depth number is avcilOOle, is the top ct the OOttorn floor elevated in cmxdance with the oommunity's fIoo:lpIcin mroagement ordinance?
o Yes 0 NoI 0 Unkoo.vn. The kx3 ctficial must certify this information in Section G.
SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
I
The ~ 0NI'1er cjr a.vner's aJlhaized representative who completes Sections A, B, C (Items C3.h and C3.i ooly), CIld E fa" Zone A (withoot a FEMA~ssued or oommunity-
issued BFE) or ZoodAO must sign here. The statements in Sections A e, C, and E are oonect to the best of my kooNledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS
CITY
STATE
ZIP CODE
SIGNATURE
DATE
TELEPHONE
COMMENTS
o Check here if attachments
SECTION G . COMMUNITY INFORMATION (OPTIONAL)
I
The Ioca official who is iauthorized by law or ordinance to CKlminister the community's fIoodplcin mroagement ordinance em complete Sections A, B, C (or E), CIld G ct this Elevation
Certificate. Complete tt/e applicable item(s) CIld sign beIcM'.
G1. 0 The informalior\ in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authoIized by state
or kx3law to Certify elevation information. (Indicate the source CIld date of the elevatioo data in the Comments <rea beIcM'.)
G2. 0 A community qJidal completed Section E for a building located in Zone A (without a FEMA~ssued or community~ssued BFE) or Zone AO.
G3. 0 The fo/loNing information (Items G4-G9) is provided for community floodplain management purposes.
G4. PERMIT NUWBER
G5. DATE PERMIT ISSUED
GG. DATE CERTIFICATE OF CCJMlLIANCEJOCCUPANCY ISSUED
G7. This permit has issued for: 0 New Coostruction 0 Substantial Improvement
GB. Elevation of as-buiffi IoNest floor (including basement) ct the building is:
G9. BFE or (in Zone Ad) ~ ct flooding at the building site is:
LOCAL OFFICIAL'S ~ME
COMM""lY NAME
SIGNATURE
COMMENTS .
I
I
-I
_._ft.(m)
_._ft.(m)
Datum:
Datum:
TITLE
TELEPHONE
DATE
- I
FEMA Form 81-31, January 2003
o Check here if attachments
Replaces all previous editions
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
I9.M.B. No. 3067-0077
L<Pires December 31,2005
Important: Read the instructions on a es 1 . 7.
SECTION A - PROPERTY OWNER INFORMATION
For II1SlllIf1OO ~ Use:
Policy Number
BUILDING 0 ER'S NAME
RON & GL NDA THOMAS
BUILDING ST EET ADDRESS (Induding Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
4843 SUZANN ST
CI1Y STATE
ZEPHYRHILL FL
PROPER1Y D SCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
WINTERS MO ILE HOME PARK 14-26-21-o00o.oo200-000O
BUILDING US (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTI
LATITUDElLO GITUDE (OPTIONAL)
( ##' - #If - ##. 'or ##.#####')
Company NAIC Number
ZIP CODE
33542
HORIZONTAL DATUM:
o NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):_
o USGS Quad Map
o Other:_
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
82. COUNTY NAME
PASCO
B3.STATE
FL
87. FIRM PANEL
85. SUFFIX 86. FIRM INDEX DATE EFFECTIVElREVlSED DATE
C 12117/91 12117/91
Ire ci the Base Fkxx:l Elevation (BFE) data or base floexl depth entered in B9.
o FIRM (gI Community Determined 0 Other (Desaibe):_
ation datum used for the BFE in 89: (gI NGVD 1929 0 NAVD 1988 0 Other (Desaibe): _
ed in a Coastal8aTier Resources S em CBRS <rea or Otherwise Protected Area OPA ? 0 Yes 0 No Des' ation Date
SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
s ere based 01'1: 0 Constructior1 !:lIaNings* 0 Building Under Construction" (gI Rnished Construction
Certificate will be required when rolStructior1 ci the building is oomplete.
Number g (Select the building diagran most similcr to the building for which this certificate is being oompleted - see pages 6 and 7. If no diagram
ts the building, provide a sketch or photogr~.)
A 1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARJA, ARJAE, ARJA 1-A30, ARJAH, ARJAO
Complete It C3.-a.i belcm cmxding to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, rol ert the datum to that used for the BFE. ShaN field measurements and datum rolversion calaJlation. Use the Spcnl provided or the Comments <rea of
Section D or . G, as apprqlriate, to document the datum rolversion.
Datum NGVD 929 Conversior1lComments
Elevation rei mcrk used CFDfTBM Does the elevation reference mark used awear 01'1 the FIRM? 0 Yes (gI No
o a) Top ci om floor (including basement or enclosure) 00. .1 ft.(m)
o b)Topci higherfloor NJA._ft.(m)
o c) Bottom ci t horizontal structural member (V ZOI'Ies OI'Ily) NJA. _ft.(m)
o d)Attcd1ed arage(topcislab) NJA. _ft.(m)
o e) LONest eI ation of machinery CIld'or equipment
seM::i the building (Desaibe in a Comments area)
o Q Lo.vest t (finished) grOOe (LAG)
o g) Highest jCDll1t (finished) grOOe (HAG)
o h) No, of ent openings (flood vents) within 1 ft. al:.ove adjCDll1t grCKJe Q
o i) Total <rea all pemlCJlentopenings(ftood vents) in C3.hQ..sq. in. (sq. an)
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the formation in Sections A, e, and C on this certificate represents my best efforts to interpret the data available.
I understand tha an false statement ma be unishable b fine or im risonment under 18 U.S. Code, Section t001.
CERTIFIER'S NA E JOHN H. DEMMONS, JR. LICENSE NUMBER PSM ffi72
88. FLOOD ZONE(S)
AE
89. BASE FLOOD ELEVATION(S)
(Zone AD, use depth a bxlrg)
84
(1j
<1l
C/)
al<1l
"'-
'" Ol
oD
.0."
E c:
WOl
/2>$ fVj .-11 5{" 72
i~o(Lq
7/27/o?
NJA._ft.(m)
86.2.ft.(m)
flQ. !ft.(m)
~cO
<1l ~
.o=>
En;
=> c:
z.2'
<1lC/)
'"
c:
~
::;
COMPANY NAME C. FRED DEUEL & ASSOCIATES, INC.
ADDRESS
5151 GALL BLV
SIGNATURE
CITY
ZEPHYRHILLS
DATE
STATE
FL
TELEPHONE
(813) 782-6717
ZIP CODE
33541
FEMA Form 81-3 ,January 2003
See reverse side for continuation.
Replaces all previous editions
I
IMPORTANT: In these spaces, copy the corresponding infonnation from Section A For Insurarm Corl1Jany Use:
BUILDING STREET ADDRESS (Induding Apt, Un~ Suite, andlor BIj,:J No.) OR P.O. ROUTE AND BOX NO. Poky Nurmer
. 4843 SUZANNE ST.
------
CITY STATE ZIP CODE Coolpany NAIC Number
ZEPHYRHILLS FL 33542
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy !nth sides cl tllis Elevation Certificate for (1) OO'11munity offidal, (2) insuranoo agenVOO'11pany, and (3) building o.vner.
COMMENTS
1). BASE FLOOD DETERMINATION BY CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
2). AIR CONDITIONING UNIT IS WINDOW TYPE I NONE AT GROUND LEVEL
o Check here if attachments
SEC-mON E . BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
I
For Zone AO and Zone A (withoot BFE), OO'11p1ete Items E1 through E4. ~ the Elevation Certificate is intended for use as supporting information for a LOMA Or LOMR-F,
Section C must be oortlpleted.
E1. Building Diagr<JT1 Number _(Select the building diagr<JT1 most similCJ' to the building for which this certificate is being ampIeted - see pages 6 and 7. If no diagrcrn croJrately
. represents the building, provide a sketch or photograph.)
E2. The top cl the bottbm floor (induding basement or et'ldc5ure) cl the building is _ ft.(m) _in.(an) 0 above or 0 beIa.v (check one) the highest adjaoont grade. (Use
natural grade, Wa'failable).
E3. For Building DiagrjrnS 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) cl the building is _ ft.(m) _in.(an) above the highest adjaoont
grade. Complete iijems C3.h and C3.i on front of form.
E4. The top cl the p1atbm cl machinery CJ'ldIor equipment savicing the building is _ ft.(m) _in.(an) 0 above or 0 beIaN (check one) the highest adjaoont grade. (Use
natural grade, Wavcilable).
E5. For Zone AO only:: ~ no flood depth number is available, is the top cl the bottom floor elevated in axordCllCe with the OO'11munity's floodplain management ordinCllCe?
o Yes 0 No 0 UnkroMl. The local clficial must ca1ify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property o.vner Or o.vner's authorized representative who OO'11p1eles Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA~ssued or OO'11munity-
issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are conoct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS
CITY
STATE
ZIP CODE
SIGNATURE
DATE
TELEPHONE
COMMENTS
o Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local clficici who is lauthoriZed by law or ordinCllCe to administer the OO'11munity's floodplain management ordinCllCe can rompIele Sections A, B, C (or E), and G cl this Elevation
Certificate. Complete tile applicable ijem(s) and sign beIa.v.
G 1. 0 The inform~ in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or archiject who is authorized by state
or local law to ca1ify elevation information. (Indicate the source and date of the elevation data in the Comments CJ'ea beIa.v.)
G2. 0 A OO'11munity cff1dal ampIeted Section E for a building located in Zone A (without a FEMA~ssued or OO'11munity~ssued BFE) or Zone AO.
G3. 0 The folloNing information (Items G4-G9) is provided for OO'11munity floexlplain management plJlJX)Ses.
G4. PERMIT NU~R GS. DATE PERMIT ISSUED GG. DATE CERTIFICATE OF COtvRIANCEIOCCUPANCY ISSUED
G7. This lXlffilit has beEIn issued for: 0 New Construction 0 Substantial Improvement
G8. Elevation of as-bui~ IoNest floor (including basement) of the building is:
G9. BFE or (in Zone AQ) depth of flooding at the building sije is:
LOCAL OFFICIAL'S rlJAME
COMMUNITY NAME I
SIGNATURE
_._ft.(m)
_._ft.(m)
Datum:
Datum:
COMMENTS
--4
TITLE
TELEPHONE
DATE
- ----i
o Check here if attachments
FEMA Form 81-3', Jlmuary 2003
Replaces all previous editions
APPENDIX 13-D
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600C-04 Residential Limited Applications Prescriptive Method C CENTRAL 4 5 6
Small Additions, Renovations & Buildin S stems
Co pliance with Method C of Sub-Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C-04 for additions of 600
sq re feet or less, site-installed components of manufactured homes, and renovations to single- and multiple-family residences. Alternative methods are
pro ided for additions by use of Form 600B-04 or 600A-04.
P OJECT NAME:
A D ADDRESS:
BUILDER: ~&'"
PERMITIlNG
OFFICE:
o NER: R
PERMIT NO.:
CLIMATE 0 lZl
ZONE: 4 5
JURISDICTION NO.:
~
SM LL ADDITIONS TO EXISTING RESIDENCES (600 square feet or less of conditioned area). Prescriptive requirements in Tables 6G-" BC-2, and BG-3
app y only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met
onl when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating
unc nditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing ren-
ova ions costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables BC-' and 6C-2 apply only to the components
and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site-installed components and features are covered by
this orm. BUILDING SYSTEMS. Compiy when complete new system is installed.
-I
Please Print
CK
1. Renovation, Addition, New System or Manufactured Home
2. Single-family detached or Multiple-family attached
3. If Multiple-family-No. of units covered by this submission
4. Conditioned floor area (sq. ft.)
5. Predominant eave overhang (ft.)
6. Glass type and area:
a. Clear glass
b. lint, film or solar screen
7. ercentage of glass to floor area
8. loor type and insulation:
a. Slab-on-grade (A-value)
b. Wood, raised (A-value)
c. Wood, common (A-value)
d. Concrete, raised (A-value)
e. Concrete, common (A-value)
9. all type and insulation:
a. Exterior: ,. Masonry (Insulation R-value)
2. Wood frame (Insulation A-value) ft//(,.....
b. Adjacent: 1. Masonry (Insulation A-value)
2. Wood frame (Insulation A-value) A II<<<,.
C. Marriage Walls of Multiple Units" (Yes/No)
10. eiling type and insulation:
a. Under attic (Insulation A-value)
b. Single assembly (Insulation A-value)
1. 1'0......
2. '~l~
:: ~ cf1
5. I'
Single Pane Double Pane
6a. ,;)0 sq. ft. _ sq. ft.
6b. sq. ft. _ sq. ft.
7. ~%
8a R = c:&- _lin.fl.
8b. R=_ sq. fl.
8c. R=_ sq. fl.
8d. R=_ sq. fl.
8e. R=_ __sq. ft.
9a-l R=_ sq. ft.
9a-2 R=~ .~og sq. ft.
9b-l R=_ sq. ft.
9b-2 R=~ I~W sq. fl.
9c. --
lOa. R=_ sq. fl.
lOb. R=~ ~3L{ sq. ft.
11.
ooling system"
(Types: central, room unit, package terminal A.C., gas, existing, none)
eating system"
(Types: heat pump, elec. strip, natural gas, lP-gas, gas h.p., room or PTAC,
existing, none)
ir distribution system"
a. Backflow damper or single package systems" (Yes/No)
b. Ducts on marriage walls adequately sealed" (Yes/No)
ot water system:
(Types: elec., natural gas, other, existing, none)
"Pert ins to manufactured homes with site-installed components.
11.
Type: ..../
SEERlEER: ~
/
Type:
HSPF/COP/AFUE:
12.
12.
13.
14.
13a.
13b.
14.
/
/
Type/
EF:r
and specmcations covered by the calculation are in compliance w~h
DATE: 7-(9~
g 's ih co~ Florida Energy cog~TE: 7 -fY..7-d
~IS~
Review of plans and specifications covered by this calculation indicates compliance with the Florida
Energy Code. Before constr 'on is completed, this building will b<l inspected for compliance in
accordance with Section . 08, F.S. 1')
DATE:
FLOR DA BUILDING CODE - BUILDING
13-D.35
APPENDIX 13-0
Climate Zones 4, 5, 6
TABLE 8C-l: PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (800 Sq. FI. and Less), RENOVATIONS TO EXISTNG BUILDINGS AND SITE-INSTAlLED COMPONENTS OF MANUFACTURED HOMES
COMPONENT MINIMUM INSULATION
INSULATION INSTALLED
Concrete Block R-5 K-ll
(f) Frame, 2' x 4' R-l1
..J
..J Frame, 2' x 4' R-19
~ Common, Frame R-ll
Common, Masonry R-3
Under Attic R-30
(f) Single Assembly; Enclosed
Cl R-19
z Frame P-13
::; Metal Pans R-13
ijj
() Singla Assambly; Open R.l0
Common, Frame R-l1
(f) Slab-on-grade No Minimum -t7"
a: R-l1
9 Raised Wood
Raised Concrete R-5
"- Common, Frame R-ll
I- In unconditioned space I R.6 --
() ,/'
::> In conditioned space No minimum
0
EQUIPMENT MINIMUM INSTALLED
EFFICIENCY EFFICIENCY
Cl Cenlral AlC -Split SEER: 10.0 SEER:
z
::; - Single Pkg. SEER: 9.7 SEER:
0
0 Room unit or PTAC EER : BS EER :
()
Cl Electric Resistance ANY
z Heat pump - Split HSPF : 6.B HSPF :
~ - Single Pkg. HSPF : B.6 HSPF :
J: Room unit or PTHP COP : 2.7" HSPFr
W COP:
() AFUE : .7B
~ Gas. natural or propane
Ul Fuel Oil AFUE : .7B AFUE :
AFUE :
a: Electric Resistance EF : .92 EF:
I-W
O~ Gas; natural or LP-gas EF : .59 EF:
J:;;: Fuel Oil EF : .54 EF:
TABLE 6C-2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONlY
. See Table 13-607.1.ABC.3.2 and 13-60B.l.ABC.3.2
Maximum percentage glass 10 floor area allowed is selected by type, overhang length, and solar heal gain coefficient. Maximum %: lllnstalled %: 7'5"
GLASS TYPE, OVERHANG, AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED
(UP TO 20% ~ UP TO 30% UP TO 40% UP TO 50%
~ Double Single Double Single Double Single Double
"ml-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC
C::l'-~ 0'- .7B 2' - .B7 l' - ,7B 3' - .B7 2' - .7B 4' - .B7 3'-.7B
0' - .75 l' - .75 0'- .61 2' - .75 I' - .61 3' - .75 2'- .61
0' - .57 l' - .57 0' -.44 2' - .57 l' -.44
0' - .39 l' - .39 0' - .35
I 0' - .30
Gel certified SHGC from the manufacturer or use defaults: Single clear SHGC: .75, double clear SHGC : .66, and single tint SHGC : .64
TABLE 6C-3 MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior Joints & Crscks 606.1 To be caulked, gaskeled, weather-stripped or otherwise sealed. V
Exterior Windows & Doors 606.1 Max. 0.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area. {./'
Sole & Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. V
Recessed Lighting 606.1 Type IC rated with no penetrations (two altemativas allowed). -
Multistory Houses 606.1 Air barrier on perimeter of floor cavity between floors. -
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust -
ductwork.
Combustion Heating 606.1 Combustion space and water heating systems must be provided with outside combustion alr, except for direct vent -
appliances.
Water Heaters 612.1 Comply with efficiency raquirements in Table 612.1.ABC.3.2. Switch or clearty markad circuil breaker electric or cutoff -
(gas) must be provided. External or built.in heat trap required for vertical pipe risers.
SWimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a pump timer. Gas spa & -
pool heaters must have minimum thermal efficiency of 78%.
Hot Water Pipes 612.1 Insulation is required for hot water Circulating systems (including heat recovery units). -
Shower Heada 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 pslg. -
HVAC Duct Construction, 610.1 All ducts, fittings. mechanicaJ equipment and plenum chambers shall be mechanically attached, sealed, insulated and -
Insulation & Installation installed in accordance with the criteria of Section 610.1. Ducts In attics must be insulated to a minimum of A-B.
HVAC Controls 607.t Separate readily accessible manual or automatic thermostat for each system. -
GENERAL DIRECTIONS:
1. On Table 6C-llndicate the R-value of the insulation being added to each component and the efficiency levels of the equipment being installed. All R-values and efficiencies Installed must meet or exceed
the minimum values listed. Components and equipment nellher being added nor renovated may be left blank.
2. ADDITIONS DNLY. Determine the percentage of new glass to conditioned floor area in the addllion as fOllOWS. Total the areas of all glass windows, sliding glass doors and glass door panels. Oouble the
area of all nonvertlcal roof glass and add II to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition, an amount equal to the total area of this glass may be
subtracted from the total glass area. Divide the adjusted gfass area total by the conditioned floor area of the addition. Mulliply by 100 to get the percent. Rnd the largest glass percentage under which your
calculated percentage falls on Table 6C-2. Prescriptives are given by the type of glass (single or double pane) and the overhang (OH) paired with a solar heat gain coefficient (SHGC). For a given glass type
and overhang, the minimum solar heat gain coefficient allowed is specified. Actual glass windows and doors previously In the exterior walls of the house nd being reinstalled in the addition do not have to
comply with the ovemang and solar heat gain coefficient reqUirements on Table 6C-2. All new glass in the addition must meet the reqUirement for one of the options in the glass percentage category you
indicated. The ovemang (OH) distance is measured perpendicularly from the face of the giass to a point directly under the outermost edge of the overhang.
3. RENOVATIONS ONLY. Replacament glass needs to meet the following requirements. Any glass type and solar heat gain coefficient may be used for glass areas which are under at least a 2-foot overhang
and whose lowest edge does not extend further than B feet from the overhang. Glass areas being renovated that do not meet this criteria must be either single-pane tinted, dOUble-pane clear or doubie.pane
tinted.
4. BUILDING SYSTEMS. Comply when new system is installed for system Installed.
5. Complete the information requested on the top ha~ of page 1.
6 Read "Minimum Requirements for Small Additions and Renovations: Table 6C-3, and check all applicable Items.
7. Read, sign and date the "Owner/Agenr certification statement on page 1.
13-0.36
FLORIDA BUILDING CODE - BUILDING
,------~,...~."'_...""',...------......,._..._"".,..".""""'-,...-"'~-"
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
ORM 600C-04 Residential limited Applications Prescriptive Method C
mall Additions, Renovations & Buildln S stems
Com liance with Method C of Sub-Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C-04 for additions of 600
squ e feet or less, site-installed components of manufactured homes, and renovations to singie- and muitipie-family residences. Alternative methods are
provi ed for additions by use of Form 600B-04 or 600A-04.
BUilDER: ~~
PERMlmNG
OFFICE:
PERMIT NO.:
APPENDIX 13-D
CENTRAL 4 5 6
CLIMATE 0 f7I
ZONE: 4 5 lL.J
JURISDICTION NO.:
~
SMA l ADDITIONS TO EXISTING RESIDENCES (600 square feet or less of conditioned area). Prescriptive requirements in Tables 6C-" 6C-2, and 6C-3
appl only to the components of the addition, not to the existing buiiding. Space heating, cooling, and water heating equipment efficiency levels must be met
only hen equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating
unco ditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS (Residentiai buildings undergoing ren-
ovati ns costing more than 30% of the assessed value of the building). Prescriptive requirements in Tabies 6C-' and 6C-2 apply oniy to the components
and uipment being renovated or replaced. MANUFACTURED HOMES AND BUilDINGS. Only site-installed components and features are covered by
this f rm. BUilDING SYSTEMS. Comply when complete new system is installed.
1. enovation, Addition, New System or Manufactured Home
2. ingle-family detached or Multiple-family attached
3. I Multiple-family-No. of units covered by this submission
4. onditloned floor area (sq. ft.)
5. redomlnant eave overhang (ft.)
6. lass type and area:
a. Clear glass
b. Tint, film or solar screen
7. ercentage of glass to floor area
8. oor type and insulation:
a. Slab-on-grade (R-value)
b. Wood, raised (R-value)
c. Wood, common (R-value)
d. Concrete, raised (R-value)
i e. Concrete, common (R-value)
9. Ian type and insulation:
a. Exterior: ,. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value) ft//(......
lb. Adjacent: 1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value) II- I ru...
c. Marriage Walls of Multiple Units' (YesINo)
10. C i1ing type and insulation:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
11. C ollng system"
(Types: central, room unit, package terminal A.C., gas, existing, none)
12. Hating system"
(Types: heat pump, elec. strip, natural gas, LP-gas, gas h.p., room or PTAC,
~ existing, none)
13. AI distribution system"
a. Backflow damper or single package systems" (Yes/No)
b. Ducts on marriage walls adequately sealed" (Yes/No)
14. H t water system:
(Types: elec., natural gas, other, existing, none)
CK
1.
2.
:: .;? 3~ r/1
5. I'
Single Pane Double Pane
6a. ,;)0 sq. ft. _ sq. ft.
6b. sq. ft. _ sq. ft.
7. ~%
8a
8b.
8c.
8d.
Be.
R=c&-
R=_
R=_
R=_
R=_
lin. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
9a-l
9a-2
9b-l
9b-2
9c.
R=_
R =---1L
R=_
R =---11-
sq. ft.
.-=30 g sq. ft.
__sq. ft.
I go sq. ft.
lOa. R= _sq. ft.
lab. R= 13 ~ sq. ft.
11.
Type: ~'
SEERlEER: ~
/'"
Type:
HSPF/COP/AFUE:
12.
13a. ~
13b. /"
14. Type/
EF~
~ 'iC3~ DATE: 7-1?-orp
g 's ih co~ Florida Energy co~~'re; 7 ~~
and specifications covered by the calculation are in compliance wtlh
13-D.35
APPENDIX 13-0
Climate Zones 4, 5, 6
TABLE BC-1. PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (BOO Sq. FI. and Lesal, RENOVATIONS TO EXlSTNG BUILDINGS AND SITE"INSTALLED COMPONENTS OF MANUFACTURED HOMES
EQUIPMENT MINIMUM INSTALLED
EFFICIENCY EFFICIENCY
<!l Central AlC -Split SEER = 10.0 SEER =
z
:J - Single Pkg. SEER = 9.7 SEER =
0
0 Room unit or PTAC EER = 8S EER =
'-'
<!l Electric Resistance ANY
Z Heat pump - Split HSPF = 6.8 HSPF =
~ - Single Pkg. HSPF = 6.6 HSPF -
:r: Room unit or PTHP COP =2.7" HSPFI'
UJ COP=
'-' AFUE = .78
C1: Gas, natural or propane
CIJ Fuel 011 AFUE = .7B AFUE =
AFUE _
II: Electric Resistance EF = .92 EF=
t-UJ
O!;;: Gas; natural or LP-gas EF = .59 EF=
:r:~ Fuel Oil EF = .54 EF=
MINIMUM INSULATION
COMPONENT INSULATION INSTALLED
Concrete Block R-5 K-l(
CIJ R.ll
..J Frame, 2' x 4'
..J Frame, 2' x 4' R-19
~ Common, Frame R-ll
Common. Masonry R-3
Under Attic R-30
CIJ Single Assembly: Enclosed
<!l R-19
z Frame ['-(3
:J Metal Pans R-13
ijj
'-' Single Assembly; Open R-l0
Common, Frame R-ll
CIJ Slab-on-grade No Minimum --er
II: R-ll
0 Raised Wood
0 Raised Concrete R-5
..J
LL Common, Frame R-l1
t- In unconditioned space R-6 .---
'-' No minimum /'
:J In conditioned space
0
TABLE BC.Z. PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONlY
. See Table 13-607.1.ABC.3.2 and 13-60B.1.ABC.3.2
Maximum percentage glass to floor area allowed Is selected by type, overhang length, and solar heat galn coefficient. Maximum % = lllnstalled % = ..75:
GLASS TYPE, OVERHANG, AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED
(UP TO 20% .J UP TO 30% UPTO 40% UP TO 50%
~ Double Single Double Single Double Single Double
'--oR-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC
c::: 1'~ 0' - .7B 2' - .B7 I' - .7B 3' - .B7 2'. .7B 4' - .B7 3' - .78
~0'-.75 1'- .75 0' - .61 2' - .75 1'. .61 3' - .75 2' - .61
0' - .57 l' - .57 0' - .44 2' - .57 l' -.44
0' - .39 l' - .39 0'. .35
0' - .30
Get certified SHGC from the manufacturer or use delaults: Single clear SHGC = .75, double clear SHGC = .66, and single tint SHGC = .64
TABLE 6C-3 MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather.stripped or otherwise sealed. ,/
Exterior Windows & Doors 606.1 Max. 0.3 cfm/sq.ft. window area; .5 clmlsq.ft. door area. V
Sole & Top Plstes 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. (/'
Recessed Lighting 606.1 Type IC rated with no penetrations (two altematives allowed). -
Multistory Houses 606.1 Air barrier on perimeter of floor cavity between floors. -
Exhaust Fens 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust -
ductwork.
Combustion Heating 606.1 Combustion space and water heating systems must be provided with outside combustion air, except tar direct vent -
appliances.
Water Hesters 612.1 Comply with eN/ciency requirements in Table 612.1.ABC.3.2. Switch or clearty marked circuit breaker electric or cutoff -
(gas) must be provided. External or built-in heal trap required for vertical pipe risers.
Swimming Pools & Spss 612.1 Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a pump timer. Gas spa & -
pool heaters must have minimum thermal effiCiency of 78%.
Hot Water Pipes 612.1 Insulation is required for hot water circulating systems (including heat recovery units). -
Shower Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 pslg. -
HVAC Duct Construction, 610.' All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and -
Insuletlon & Instsllation installed In accordance with the criteria of Section 610.1. Ducts In attics must be insulated to a minimum of A-S.
HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. -
GENERAL DIRECTIONS:
1. On Table 6C-llndlcate the R-value cf the insulation being added to each component and the efficiency levels of the equipment being installed. Ail R-values and efficiencies installed must meet or exceed
the minimum values listed. Components and equipment neither being added nor renovated may be left blank.
2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the add"lon as follows. Total the areas of all glass windows, sliding glass doors and giass door panels. Double the
area of all nonvertlcal roof glass and add It to the previous total. When glass in existing extertor walls Is being removed or enclosed by the addition, an amount equal to the total area of this glass may be
subtracted from the total glass area. Divide the adjusted glass area total by the conditioned Noor area of the addition. Multiply by 100 to get the percent. And the largest glass percentage under which your
calculated percentage fails on Table 6C-Z. Prescrtptlves are given by the Iype of glass (single or double pane) and the overhang (OH) paired w"h a solar heat gain coefficient (SHGC). For a given glass type
and overhang, the minimum solar heat gain ccefflcient allowed is specified. Actual glass windows and doors previously in the exterior wails of the house nd being reinstalled In the addition do not have 10
comply with the overhang and solar heat gain coefficient requirements on Tabfe 6C-Z. All new glass in the addition must meet the requirement for one of the options in the glass percentage category you
indicated. The overhang (OH) distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang.
3. RENOVATIONS ONLY. Repiacement glass needs to meet the following requirements. Any glass type and solar heat gain coefficient may be used for glass areas which are under at least a 2-Ioot overhang
and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either single-pane tinted, double-pane clear or double-pane
tinted.
4. BUILDING SYSTEMS. Comply when new system is installed for system installed.
5. Complete the information requested on the top half of page 1.
6 Read 'Mlnlmum Requirements for Small Additions and Renovations: Table 6C-3. and check ail applicable Items.
7. Read. sign and date the 'Owner/Agenf certification statement on page 1.
13-0.36
FLORIDA BUILDING CODe - BUILDING
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Mar 19 07 02: 5p
~.
OAr: MARCH 19, 2007
Glenda Thomas
o REPLY ASAP
813-333-5922
p.1
, From: Ronald Thomas
1843 Suzanne St ZephyrtliRs, FI 33542
Phone Number: 813-862-3329 FAX 813-333-5922
Number of Pages, Induding Cover: 1
o PLEASE COMMENT
~ PLEASE REVIEW
X FOR YOUR INFORMATION
CONSIDER nus A LETTER OF HARDSHIP CO~CERNING THE ABOVE PERMIT NUMBER. [HAD COMPlETE KNEE
R ENT SURGERY IN JANUARY WHICH STOPPED THE WORK ON MY PROJECT. THANK YOU FOR YOUR
CO SJDERAll0N.
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