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HomeMy WebLinkAbout08-7391 CITY ~OF ZEPHYRHILLS 5335 -,8TH STREET (813)780-0020 BUILDING PERMIT ,Y OF lEt:" ~ I S5~5 - 'B'" - - 7391'-- - , Permit Number: 7391 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 5520 20TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0020-00300-0050 41,225.66 1/18/2008 374.14 374.14 1/18/2008 ROOM ADDITION PLUMBING FEE RADON 36.00 MECHANICAL FEE 4.34 35.00 d P (-vt- lyY;~ I ,{ (/ug '6/ II ot/' rJD'-' FOOTER BOND DUCTS INSULATED MISC ROUGH ELECTRIC LINTEL INSULATION WALL 1ST ROUGH PLUMB PRE-METER INSULATION CEILING DUCTS INSTALLED WATER MISC. PRE-SLAB_ SHEATHING MISC. CONSTRUCTION POLE FRAME 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." ~~ 'i..~ CONTRACTOR SIG TURE PERMIT OFF I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 Date Received Owner's Name City of Zephyrhills Permit Application Building Department Fax-813-780-0021 '6 ]-)8" ~~ 0- Z 4?~Y' hllk:, 'PI ,~"'tl2owner Phone Number I I Owner Phone Number I Fee Simple Titleholder Address I I S5,k) )0+;/:5 f I " JOB ADDRESS B PROPOSED USE 0 TYPE OF CONSTRUCTION !:Zl " DESCRIPTION OF WORK I ad d I ~ ( \ ~" I (4- ' , ~t-2 ," I ILl' 3 u It; )( 27 SQ FOOTAGE ~ . .,1,..,11'...111,.,..,1..,1.'."....1,...".,11........."..".....".....111,..."'..........1111"...........,..,111......,11""""............ ~J SOO G, I JJc) SUBDIVISION WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK 2.CPhft' hi 'lis (- , I PARCEL ID#I ~ D D LOT # ADD/ALT REPAIR COMM FRAME I 2. - J-~- 2.J-OCl20~ Q)3('Y)~' O~,~h (OBTAINED FROM PROPERTY TAX NOTICE) SIGN 0 MOVE 0 o o o DEMOLISH I o OTHER STEEL OTHER I BUILDING SIZE [8] BUILDING 1$ 1$ 1$ 1$ o ROOFING ~ ~' rzj ELECTRICAL PLUMBING (" G) GOO MECHANICAL 000 D GAS FINISHED FLOOR ELEVATIONS I HEIGHT I I I I I D I VALUATION OF TOTAL CONSTRUCTION o D PROGRESS ENERGY W.RE.C. AMP SERVICE VALUATION OF MECHANICAL INSTALLATION SPECIALTY 0 FLOOD ZONE AREA OTHER DYES DNO 1111"'11""11111111111"1"1'11""""'1"11"11111111111.'...........'1111111"'..'.,1,....'111"'1".'."""1""11""1""1'1111111""'11 )~~~~R~ K~ d~ Address _ ' ELECTRICIAN I ~ ~ IJ" n " ;./ ,. '')'" 11 J. t.-/ /SIGNATURE ~ dl ~ Address I COMPANY REGISTERED I I I I I License # I I I tc-~ L r i "'~.rG ~C 5c~\!J{L:S O~ n 1 -'if N. FEE CURRENT I Y f N I ;rtfr~ License # I CAe 1.9/lf8(."g I I I +lc,lI\-C. ClLv'(I ~.r I Y / N I FEE CURRENT Y/N License # COMPANY REGISTERED 11f) me.. () (.;/.1 e ....- 'I Y / N I FEE CURRENT YfN PLUMBER / SIGNATUR,E Address / MECHANICAL SIGNATURE Address /t'JtJ"1 Jfb hlYJ 6tJW R-d' OTHER SIGNATURE License # H a,V\{. C)vl1-e /' Y / N FEE CURRENT Y/N COMPANY REGISTERED COMPANY REGISTERED FEE CURRENT Y/N Y/ N Address License # 111111111111111 11111111111111111111111111111111111111111111111111111111111 1 111111111111111 1 1111111111111111111111111111111111111111111111. J ., J II J RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 11111111111I111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111"1/1111111111111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. CAlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to lideed" 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 valu~tion 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 fin material is to be used in Flood Zone "A" in connection with a permitted building using stem wan 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 infonn the owne' ~f the pennitlln~ conditions s~l forth in this affidavit prior to commencing construction. I understand ~hat a s.eparate parmllmay be reqUl,ed fo' electncal work, plumbing, signs, wells, pools, ai' cond'tionlng, gas, or other Installations not speclfocally mduded In Ihe application. A permit Issued shall be construed to be a license to proceed w,th the work a~d not as authonty to. v'olat~, cancel, alter, or set aside any provisions of the techn'cal codes, no' shall issuance of a perm,t prevent the BUlld,ng OII,clal from thareaft~r requiring a correction of errors In plans, construction 0' violations o! any codas. Every permit ISsued shall bacome. ,nval,d unless the work authorized by. such pannit ts commenced Wllhln SIX months of perm't ISsuance, 0' If work authonzed . by the permit is suspended 0' abandoned fo' a period of six (6) months after the time the work IS commenced: An extenSion may be requested, In writing, from the Building OffIcial fo' a period not to exceed mn~ty ~90) dars and WIll demonslrate Justifiable causa for the extension. If work ceases fo, n'nety (90) consecutIVe days, the~ob IS conSIdered abandoned. WARNING to OWNER: YOUR FAILURE TO RECORDA 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. FLORIDA JURAT (F,S. 117. 03) OWNER OR AGENT S4bsqribed and sworn t, (or affirmed) before me this d . \IfY'O~ by ~I.o.P"''\ \'Y"l;-rlc:;\....,..,.kx ~~ WbP Is/are persona, IIy known to me or has/have produced K--' 0&)';:> u.c.. ' as identification. ." ~'~ _ C) ~.Jl \l \l....... Notary Public commission No. '.11.::.> Kjl"~A L. Miller ;, ""~ r.\'I'H(l1iuion # 00609664 Name of Notary type~~ted'df~ta~Der ~l:f. 201 U ,",' :.~.\;"''l:.':'''.~ l'~" fMW'..... M ....7018 ~.l}__~ 6.~ Notary Public Commission No. l1:~!.~~,: Karen .L. ~I~ Name of Notary typed. p . ....... ,,,,res October 29,2010 , ,Sf,,, Bonded r"" FeI"' _..., In". ......101. ~ York, Kathleen - 20th Street - 5520. Addition SQ. FEET PRICE MAIN OR LIVING: 434 $ 94.99 OTHER AREA UNDER ROOF: - $ 94.99 OTHER: - $ - VALUATION $ 41 ,225.66 FEE SHEET $ 240.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 244.80 ELECTRICAL: $ 54.00 PLUMBING: $ 36.00 MECHANICAL: $ 35.00 SUB.TOTAL $ 369.80 RADON: $ 4.34 TOTAL $ 374.14 SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ . WATER METER:I $ IRRIGATION METER $ - I FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ . PUBLIC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ . SUB-TOTAL $ 374.141 PARK IMPACT FEESI $ . I SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ . TI F 'S:I $ 99% $ 1% $ ~ I TOTAL: $ 374.14 I SQ. FEET PRICE MAIN OR LIVING: 434 $ 94.99 OTHER AREA UNDER ROOF: - $ 94.99 OTHER: - $ - VALUATION $ 41,225.66 FEE SHEET $ 240.00 ADDRESS DRIVEWAY BUILDING: $ 244.80 ELECTRICAL: $ 54.00 PLUMBING: $ 36.00 MECHANICAL: $ 35.00 SUB-TOTAL $ 369.80 RADON: $ 4.34 TOTAL $ 374.14 SEWER $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - WATER METERI $ IRRIGATION METER $ FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ - PUBLIC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ - SUB-TOTAL $ 374.14 I I PARK IMPACT FEESI $ SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - T , F 'S 'I $ 99% $ 1% $ TOTAL: $ 374.14 I ~;; K City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: .\.-~<sl..tN'.SU-- 'Joe\<. ~~ . Date Received: 1-14-a~ Site: 55~o ~ O+h ~+- Permit Type: P, 6~ Add~J..., (J""" Approved wIno comments: 0 Approved withe below comments: 1 Denied withe below comments: 0 '~Rop"rb +-,/'1'\ e rn 0 I k-'(' .t. ~ () Fh 'rS + Jw be (~ S po{.[ r, 0", oxm~d c.\t- , I Q - (,,0 .sWt be d-~ vnG,s") ;).. ~)( ~-{ ~("oo ~ cl ()o r ~- ho()s~ r ()) But ~/~ rOf)('(\ 'W (~ (s <(2.\ ~e w~.p("e5 JDCJ( In j) i4-11 S'et-bC\cts ~QU b~ VVl-e-t. This comment sheet shall be kept with the permit and/or plans. Contractor and/or Homeowner (Required when comments are present) DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS -BUILDING DEPARTMENT I, provisions of this instrument. have read and fully understand and agree to the The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, 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 Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility 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 official 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 Industrial 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 farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required 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 licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. OWNER'S S'GNATURE ~~ &~. DATE I 1140 g ADDRESS 5JdO 4_ _ _ __ _~~ PL PHONE 9>} 3- '7 ~~- 5Jto.b ~ WITNESS PERMIT I/Masterforms/OwnersAffidavit/Nov07 "--- I- Z U) ~ Ul ~ ~ C) t:'4 \ , D <( ~ ~ C) -9 ~ cr -0 ~ \- W ~ UJ ~ ~ A~GY 1(i,'lZ/w lO'DU~' t20AD /00.00' - to r-:- CO LO \;)1 g 100.001 .~ ~, ~ ------- - ~t;ND 0~ S/5"ICWN 1200 \'LB'U>2'2" ~ 115' I- g ~.n l:" ~ . fouNO 5/f,"IfZDN _ 200 {o; C&.lrel2Ll~ R..IIIJo IZllPHT OF V\lAj CD~= CDHCrz.t:;,f., 'PcP~ ~gMANE:Nr C.ONTI2DL. PDINT 11,:>.00' LOT 4- ~ L.cr 0 I I .to ~ ~ ~ ~ ~ LEGAL DESCRIPTION: North Lot ... The North 11.75 feet of Lot 4, Block 3 less the West 1?0 feet thereof and Lot 5, Block 3 less the West 15.0 feet thereof all being part of YINGLINGS ADDITIC to Zephyrhills, Florida as shown on the revised plat thereof recorded in Plat Book 2, Page 16, of the Public Records of Pasco County, Florida. CERTIFIED TO: GENERAL HOME DEVELOPMENT, CORP. SOUTHTRUST BANK OF WEST FLORIDA MCCLAIN & MCCLAIN, P.A. ATTORNEYS' TITLE INSURANCE FUND, INC. I 5 5 ~c Dl.o+n ~+- I , Y'OR-McVAl: INC. 3001 u.s. 98, SOUTH , I.AICBAND, R.ORIDA 33803 ' PlANNING CONSULTANTS ENVIRONMENTAL DESIGN ENGINEERING ro......."......._..._ J hereby certify that the above correctly reIIects the results of a recent survey made under my din!ction and that the data shown is true and COm!Ct to the best of my knowledge and I 2023 -5-" ' ~beIief., This survey meets the minimum II!chnical slandards, Florida Chapter. 21 HH-6, As Per F.I.R.M. Panel No. Ona~ e,'. =i-J.\.C.j ~ . 4 . 7, F . Statutes. , ' Fll<t.O ' lcit Survey=-' Date <0 .p,-<:t 4- ~FQLJ~tion ::, f&~ 4.IQ.'l4.-- f1e\..D Date 11-" -'14- FilJal #5130 r-- Flood Zone x . PATRICK '-' \ €::I (( ~ ~ is -~ ~ cr ~ \- \.ll ~ \J) ::;; C'! I- Z U) ~ w ::- ~ (;) t'4 AILG.Y 1<;'l2/w IO'DI~T I20AD 100.00' - LO r-: C$) LD \iij g 100,00. 'S! j ~~, '=b , ---- ~I<."'D o -Si€f Slt>"1 fZDI'J \Zoo "I.B'Uo'l'2 .. :r 115' ..... ~ ~..o ~ ~ . rooNO 5f'/'I(Zl>N 200 t~ c~reC2ll~ Il.,w~ 121(QHT OF 'foJA"( Co~= CONCrzt;Tf- PCp, ~I2.MANENr CO NT 1201.. POINT lIa:..oo' LOT4- ~ LoT 0 I I .\1) ~ to ~ ~ LEGAL DESCRIPTION: North Lot ... The North 11.75 feet of Lot 4, Block 3 less the West 1?0 feet thereof and Lot 5, Block 3 less the West 15.0 feet thereof all being part of YINGLINGS ADDITIC I to Zephyrhills, Florida as shown on the revised plat thereof recorded in Plat Book 2, Page 16, of the Public Records of Pasco County, Florida. CERTIFIED TO: GENERAL HOME DEVELOPMENT, CORP. SOUTHTRUST BANK OF WEST FLORIDA MCCLAIN & MCCLAIN, P.A. ATTORNEYS' TITLE INSURANCE FUND, INC. 5 5 ~o ~()\i1 ~~ X I hereby cenify that the above correctly ret1ects the results of a recent survey made under Flood Zone my din!ction and that the data shown is true and c:orrect to the best of my I<nowIed8e and 120 23 -5 - . ~ief., lhi-J sunoey meelS the minimum technical standards, Florida Chapter. 21 HH-6, As Per F.I.R.M. Panel No. One ~ c.:,: _"-.c., pursuant . 4 . 7, F ' Statutes. Final Fl~ Dale (d.p,~q4- F&~ it. 1't-'lA.- ~~ 11-"-'14- .S. #5130 r-- YOR-McVA~ INC. 3001 U.s. 98, SOUTH lAKBAND, RORIDA 33803 PlANNING CONSULTANTS ENVIRONMENTAl DESIGN ENGINEERING rot '""-~IlI"'._ lot Survey :. . F.oundation PATRICK APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600c-04R Residential Limited Applications Prescriptive Method C CENTRAL 4 5 6 Small Additions, Renovations & Building Systems Compliance w~h Method C of Sub-Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C-04 for add~ions of 600 square feet or less, site-installed components of manufactured homes, and renovations to single- and multiple-family residences. Alternative methods are provided for additions by use of Form 6008-04 or 600A-04. PROJECT NAME: BUILDER: AND ADDRESS: PERMmlNG j I' OFFICE: OWNER: l.c?t2- n PERMIT NO.: I SMALL ADDITIONS TO EXISTING RESIDENCES (600 square feet or less of conditioned area). Prescriptive requirements in Tables 6G-1, 6G-2, and 6G-3 apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS (Residential buildings undergoing ren- ovations costing more than 30% of the assessed value of the building). Prescriptive requirements in Tables 6C-1 and 6G-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 form. BUILDING SYSTEMS. Comply when complete new system is installed. 1. Renovation, Addition, New System or Manufactured Home 2. Single-family detached or Multiple-family attached 3. If Multiple-famlly-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. Tint, film or solar screen 7. Percentage of glass to floor area 8. Floor type and insulation: a. Slab-on-grade (R-value) b. Wood, raised (R-value) c. Wood, common (R-value) d. Concrete, raised (R-value) e. Concrete, common (R-value) 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) b. Adjacent: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) c. Marriage Walls of Multiple Units' (Yes/No) 10. Ceiling type and insulation: a. Under attic (Insulation R-value) b. Single assembly (Insulation R-value) 11. Cooling system' (Types; central, room unit, package terminal A.C., gas, existing, none) 12. Heating system" (Types: heat pump, elec. strip, natural gas, LP-gas, gas h.p., room or PTAC, existing, none) 13. Air distribution system" a. Backflow damper or single package systems' (YeslNo) b. Ducts on marriage walls adequately sealed' (YesINo) 14. Hot water system: (Types; elec., natural gas, other, existing, none) , Pertains to manufactured homes with site-installed components. I hereby certify the Aorida Ener ecifications covered by the calculation are in compliance wlth CK Pleese Print 1. FfdJ i .,ie, ~ 2. ~ ,'r) t.e 3. .----. 4. 5. "'I'~ 'f r- Single Pane Double Pane 6a. !1-~ ( sq. ft. _ sq. ft. 6b. sq. ft. _ sq. ft. 7. ~% Sa 8b. 8c. 8d. Be. R= () R=_ R=_ R=_ R= <60, L. ft ""10. . sq. ft. sq. ft. sq. ft. sq. ft. R=~ R=_ R=_ R=_ . ", o.f #. \ sq. ft. sq. ft. sq. ft. sq. ft. 98-1 98-2 9b-1 9b-2 9c. 108. R =~ t..f ~ V sq. ft. 10b. R=_ sq. ft. 11. Type: {/ r2 ".;t V' -l ; SEER/EER: I j . (, (., Type: H .p HSPF/COP/AFUE: '1. 7 12. 13a. 13b. Lf'>b 14. Type: [;( t!'-r EF: I ~ V PREPARED BY: DATE: /. 'tfc1 Review of plans and specifications covered by this calculation indicates compliance wlth the Florida Energy Code. Before constructi is com d. building will be inspected for compliance in accordance with Section 553 ,F.. BUILDING DFFlCIAL: DATE: FLORIDA BUILDING CODE - BUILDING 13-D.35R APPENDIX '13~D Climate Zones 4, 5, 6 TABLE 6C-1: PRESCRIPTIVE REQUIREMENTS FOR SMALL ADOmQNS (600 Sq. Ft. end Lnsl, RENOVATlQNS TO EXISTIlG BUILDINGS AND SITE-INSTALLED COMPONENTS DF MANUFACTURED HDMES COMPONENT MINIMUM INSULATION INSULATION INSTALLED Concrete Block R-5 ~ tIl Frame. 2' x 4' R-ll -' -' Frame, 2' x 4' R-19 ~ Common. Frame R-ll Common, Masonry R-3 Under Attic R-30 if 1,-1 tIl Single Assembly; Enclosed Cl R-19 :z Frame ~ Metel Pens R-13 iii () Single Assembly; Open R-10 Common, Frame R-ll tIl No Minimum U 0: SlaI>-on-grade R-11 0 Raised Wood g Raised Concrete R-5 u. Common, Frame R-ll t; In unconditioned spece R-6 ~ ::> In conditioned spece No minimum 0 TABLE 6C-2: PRESCRIPTIVE REQUIREMENTS FDR GLASS AREAS IN AOOmQNS ONLY EQUIPMENT MINIMUM INSTALLED EFFICIENCY EFFICIENCY Cl Central AlC -Split SEER = 13.0' SEER /lee: :z ~ - Single Pkg. SEER = 13.0' SEER - 0 0 Room unn or PTAC EER =8.5' EER - () Electric Resistance ANY '7,'7 Cl Heat pump - Split HSPF = 7.7" HSPF = Z - Single Pkg. HSPF = 7.7" HSPF _ ~ W Room unit or PTHP COP =2.7" HSPF/COP =_ I W Gas, natural or propane AFUE = .78 AFUE () It. Fuel Oil AFUE = .78 AFUE tIl 0: Electric Resistance EF = .92 EF= I tj.v I-W Ot;( Gas; natural or LP-gas EF = .59 EF_ I:;: Fuel 011 EF = .54 EF_ It It 'See Table 13-607.1.ABC.3.2 end 13-608.1.ABC.3.2 Maximum percentage glass to floor area allowed Is selected by type, overtlang length, and solar heat aain coefficient Maximum %;p~ Installed % - .2.- GLASS TYPE. OVERHANG, AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UPT020% UP TO 30% UP TO 40% UP TO 50% Single Double Single Double Single Double Single Double OH-5HGC OH-SHGC OH-SHGC OH-SHGC OH-5HGC OH-SHGC OH-SHGC OH-SHGC 1'- .87 0'-.78 2'-.87 1'-.78 3'-.87 2'-.78 4'-.87 3'- .78 0'- .75 1'- .75 0'-.61 2'-.75 1'-.61 3'-.75 2'-.61 0'-.57 1'-.57 0'-.44 2'-.57 1'- .44 0'-.39 1'-.39 0' - .35 0'-.30 Get certified SHGC from the menufacturer or use defaults: Single clear SHGC = .75, double clear SHGC = .66, and single tint SHGC = .64 TABLE 6e-3 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK ExterIor Joints & C...cks 606.1 To be caulked, gasketed, weather-stripped or otherwise sealed. X Exterior Windows & 000... 606.1 Max. 0.3 cfmIsq.ft. window area; .5 cfmIsq.1t door area. )'-- Sole & Top Plates 606.1 Sole plates end penetrations through top plates of exterior walls must be sealed. 1- R_aed Ughtlng 606.1 Type IC rated with no peneltations (two alternatives allowed). 1././1 Multistory Houses 606.1 Air barrier on perimeter of floor cavity between floors. /v7 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 spece end water heating systems must be provided with oufslde combustion air, except for direct vent JJ~ appliances. Waler Heaters 612.1 Comply with efficiency requirements In Table 612.1.ABC.3.2. sWitch or ciearly marked circuit breaker electric or cutoff .'/... (gas) musf be provided. External or bulh~n heat trap required for vertical pipe risers. Swimming Pools & Spas 612.1 Spas & haated pools must have covers (except solar heated). Noncommercial poolS must have a pump timer. Gas spa & 1f11 pool hesters must have minimum thermal efficiency of 78%. Hot Water Pipes 612.1 Insulation Is required for hot water circulating systems (Including heat recovery units). Jdt Shower Heads 612.1 Water tIow must be restricted to no more then 2.5 gallons per minute at 80 pslg. '"f.... HV AC Duct Construction, 610.1 All ducts, fittings, mechsnlcal equipment and plenum chambers shall be mechanically attached, sealed, Insulated and 7'-- Insulation & Installation Installed In accordance with the crttaria of Section 610.1. Ducts In attics must be insulated to a minimum of R-6. HV AC Controls 607.1 Separate readily accessible manual or automaltc thermostat for each system. ...,.... GENERAL DIRECTIONS: 1. On Table 6C.llndicate fhe R-value of the insulation being added to each component and the efficiency lavels of the equipment being installed. All R-values and efficiencies installed musf meet or exceed the minimum values lis1ad. Components and equipment neither being added nor renovaled may be left blank. 2. ADDITIONS ONLY. Determine the percentage Of new glass to conditioned floor area In the addition as follows. Total the areas of all glass windows. sliding glass doors and glass door panels. Double the area of all nonvertical roof glass and add n to the previous to1al. When glass in existing axtsrlor walis is being remOVlld or enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the _I glass area. Divide the adjusted glass area to1al by the conditioned Iloor area of the addition. Multiply by 100 to get the pecen!. Find 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 OVllrhang (OH) paired with a solar heat gain coefficient I5HGC). 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 housend being reinstaUed in the addition do not have to comply with the overhang and solar heat gain coefficient requirements on 13b1e 6G--2. All new glass In the addition must meet the requirement for one of the options In the glass pecentaoe category you indicated. The overhang (OH) distance is measuretl perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY. Replacement glass needs to meet the following requirements. My glass type and solar haat gain coefflcienl may be used for glass areas which are under at Ieasf a 2-foot overhang and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this crileria musf be either single-pane tinted, double-pane clear or double-pane tinted. 4. BUILDING SYSlEMS. Comply when new system is installed for system installed. 5. Complete the information requested on the top half 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/Agent' certification statement on page 1. 13-D.36R FLORIDA BUILDING CODE - BUILDING I, Kathleen L. York, hereby authorize Cassandra York-BrugrlOne to sign and pickup the permit for the room addition located at 5520 20th Street. ~.~~ athleen L. York ~--Ir \'\\.e€ 'f) v'\~'{ A ~eV"\ c\C$ F "-lock. ~~ne Ca~J5&.0'CCL {2e('1ee.. ~_brk - (3 fU9"cr0e- Sworn to and subscribed to before me this 14th day of January 2008 by above who has produced Florida Driver's License as identification and who did not take an oath State of Florida County of Pasco ~"~~~ Notary Public ~,~ \"0- \ 'Ie" ~'~W).~f~ Karen L. Miller :!rlJi"'"{;: Commission # DD609664 ~-&&i Expires October 29, 2010 -...~Rli"-1ItIIIIei ,,-101III, ~ IIli 1llNIIo1lll. NOTICE OF-COMMENCEMENT 1111/111/111111111111/1111111111111111111111111111111111111/ 2008008909 ~.__._---~.._-:.-_..._~,,_.._-,...-.-"--,._._~._._..----~-"--.-.---..,- - .-,--. 'PennitNo. Property Identification No. ) d. . d t. :J I DC>:J.6 (:)(J 806 Rcpt:1155068 OS: 0. 00 01/18/08 00 _i)-d Rec: 10.00 IT: 0.00 _ . Dpty Clerk . THE UNDERSIGNED hereby give'informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following infol1l!ijijonis provided in this NOTJC~. O~ COMMENCEMENT. ' . , ' . ~l!6(!fe 3. e.uw t.t) ~ I5ff; ~~j>+ R.lPf- 5 I.Description of property (legal description:) L : 'tL. B;l "P6' /1.:. V6U.A JJ I 7Sf1ojM. a)StreetAddress:.55::Jo . 33,~- . 2 2.General description of improvements: 3 .Owner Information , ' . a) Name and address: L. 55JD t)L b) Name and address of fee simple titleholder (if other than owner) 0. .' ' c }In,t ores! D'l"OP""', ' t'4'C~=;:m.;,,~J'~ 55<Jo~o:tll.<;fucf J3~u.ftd.FL3354-~ b) Telephone No.: s?1 '2,-1'J~t~~/..:...'(...,g . Fax No. (6 .~ , ',' ,_ 5.Suretv Information . . . a) Name and address: JEO PITTMAN, PASCO COUNV CLERK b) AUlOUDt of Bond: 01/18/08 09;26am ~G 1489 c) Telephone No.: Fax No. (Opt,) _ OR ~7 40 , . 6.Lender a), N.me aod addressfAb.~ ,p, (!. 1',e>"( S 17 Q. SUm~ I LJ(.l_~ ~ ~ 'loc';.l- S1l6 , .' - ,~~a~_~ ' 7. Identity of person within the State of Florida designated by own.er upon whom notices or other documents may be served: . ~ _ J" ' a)Nameandaddress:~A4.A~p~ ~..:r5.;1D~JO~> s~t,~~. PL3.3S"~ b) Telephone No.: ~ l_ '.: ~6 ~~, ,', Fax No. (Opt) '.: . ' 8.ID addition to lilinself, owner designates the following person to receive a copy of the Lienor's Notice as prOvided in Section _ 713.13(Jl)(b)"Florida Statutes: /I... -' - Lp~'.,'" " , ' _...:' , xL, ' 'AD. FL.3354. a)Nameandaddress:~~~~'B~~..~L'j;;)O JO-'~J)~1Sk~, ' 'b)l'elephoneNo.: . , ,FaxNo.(Opt) _ ' .' " 9.Expiration date Of, NO,tice of Commencement (the expiration date is one year fro~ the date ofrecording.unl~ a different date is 'Pccrlied) , ~1.,\.JOIO .... .. . . FL. 33.::t4 " -/ \- WARNING TO. OWNER: ANY"PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATlo.NOF THE NOTICE OF Co.MMENCEMENT ARE Co.NSIDERED IMPRo.PER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, . FLo.RIDA STATUTES, AND CAN RESULT IN yo.UR PAYING TWICE FOR IMPROVEMENTS TO yo.UR PRo.PERTY. A NOTICE o.F Co.Ml\ffiNCEMENT MUST BE RECo.RDED ANDPo.STED o.N THE JOB SITE BEFURE THE FIRST INSPECT-Io.N. IF yo.UINTENDTo. OBTAIN FINANCING, CONSULT YOuR LENDER OR AN ATrORNEY BEFORE COMMENCING WORK OR RECORDING YOuR NOTICE OF COMMENCEMENT. STATE 011 FLORIDA COUNTY OF PASCO The foregoing instrument was acknowledged before me this ~ day of ~)o.. y~ . 20.QfL, bY m+h I e.e. n m ~Ol- '< as ( e of authority, c.g. officer, trustee, attorney in fact) 0' , /] ~ ~ .........., .--. ~ ofparty on beha ~_'""'~ P=a1IY~own -= OR~uced I:.meetionX- Notmy SIgoature . ~ ~ . - I T)'pe ofIdentification Produced t="l(\ndo. Or-iI/en lie fn:): Name (print) d that Verification pursuant to Section 92.525, Florida Statutes. Under penalties ofpeIj the factS stated in it are true to the best of my knowledge and belief. FORMS/NOC.rvsd2007 Signature of Natural Person Signing Above