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HomeMy WebLinkAbout08-8211 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8211 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit#:8211 Issued: 9/05/2008 Address: 37547 DALIHA TERR LT186 BLD19 Permit Type: NEW SINGLE FAMILY DWELLING ZEPHYRHILLS, FL. Class of Work: 105-NEW CONST/MULTI 5+ UNIT Township: Range: Proposed Use: TOWNHOMES Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 157,985.00 Total Fees: 8,236.73 Subdivision: EILAND PARK TOWNHOMES Amount Paid: 8,236.73 Date Paid: 9/05/2008 Parcel Number: 03-26-21-0230-00000-1860 a Name: LENNAR HOMES INC Name: LENNAR HOMES INC. Addr: 600 N WESTSHORE BLVD. STE 900 Address: 600 N. WESTSHORE BLVD TAMPA,FL. 33609 TAMPA, FL 33609 Phone: Lic: Phone: (813)769-5277 Work Desc: NEW TOWNHOME MARTINQUE( 1663 SQ FT) LT 186 BLDG 19 it U1IiP III Pt1IIPIII BUILDING FEE 727.08 ELECTRICAL FEE 147.15 PLUMBING FEE 98.10 MECHANICAL FEE 68.67 RADON 16.63 SEWER CONNECTION RESIDENT 2,010.00 WATER CONNECTION RESIDENT 641.00 WATER METER RES 3/4" 220.00 FIRE PLAN REVIEW FEES 93.28 FIRE INSPECTION FEES 13.50 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FEES TOWNHOMES 769.56 SCHOOL IMPACT FEE-sfr/100% 1,740.00 SCHOOL IMPACT FEE-sfr/1% 17.40 TRAFFIC IMPACT FEE 99% 1,109.80 TRAFFIC IMPACT FEE 1% 11.21 D Y FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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 fa' ure to record a notice of commencement may result in your paying twice for improvements to your pro . If you intend to obtain financing,consult with your lender or an attorney before recording your no commencement." CONTRACTORS I ATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER PASCO COUNTY, FLORIDA Permit No. 2 Date Permitted Builder Name/Owner Name 2►1✓�r t'�T"u' Control# County Parcel No. - Z -62-3 OMOO- SubDiv: Address/Location 517 54-1 J1 k '- ( , 8 Classification/Type of Use � u)1 / / TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: /(P S�3 Exempt ❑ Yes ❑ No How Determined / Impact Fee Amount $ f, / Z/ D/ Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ 4 7-57' SAO (057) Mobile Home (058) Other Residential 123) Collection Fee Exempt b Yes ❑ No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ 76 55( 5 / Exempt ❑ Yes ❑ No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt ❑ Yes ❑ No How Determined Total Amount RESOURCE FEE ERU TOTAL AMOUNT Prepared By Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY soriwu.� PERFORMANCE BUSINESS PRODUCTS,INC.813.719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS - ZEPHYRHILLS, FLORIDA G� d WATER ACCT. NO. DATE_9 Q ✓ "�) OWNER/ RENTER _ MAILING LV t4 ' vD S �� 3360 c/ SERVICE ADDRESS U7o 7 TL i (-r r1R- ( / /% SHUT OFF SERVICE ❑ gAATER TURN ON SERVICE ❑ SEWER INSTALL METER O GARBAGE READ METER ❑ t=1 iN CITY CHECK METER ❑ ❑ OUT CITY ❑ No.OF UNITS OTHER DEPOSIT AMOUNT AMOUNT LAST BILL DATE MISC.CHARGE METER: full irrigation WORK COMPLETED BY ORDER TAKEN BY &DATE COMPLETED G NBY Retain white form in office at all times. Send pink&yellow forms to Water Service Dept. Water Service Dept.to sign yellow form&return to office. 1111111111111111111111111111111111111111111111IIIII IIII IIII 2008129034 STATE OF FLORIDA COUNTY OF PASCO Rcpt: 1201266 Rec: 10.00 DS: 0.00 IT: 0.00 THIS IS TO CERTIFY THAT THE FOREGOING IS A 09/04/08 Dpty Clerk •TRUE AND CORRECT COPY OF THE DOCUM TON FILE OR OF PUBLIC RECORD IN THIS OFFICE" TNESS MY NO N OFF IAL SEA THIS DAY OF JED PITTMAN PASCO COUNTY CLERK - 09/04/08 10:59am 1 of 1 J TMA , F CIRCUIT COURT OR BK 791 V PG 891 PUTY CLERK NOTICE OF COMMENCEMENT Permit No. Property Identification No.'03-2f.-,2/- 0;Z-10-00OoO- /1 b 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 information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property(legal description.) Lo r T�b , �/.gNo 40-1c 70",YoMEs . !E6-42 P( ,a a)Street Address: 3 754/7TE�-- 2.General description of improvements: siNGt.B ,CAM I LTRe siyENc 4 /Mot- Z rg ers,y EA/CGocS!u�E" 3.Owner Information a)Name and address: LEit/N4'C ¢fo,yfS ,ZNG li Oo /1/. tJEsruyoleE Bt.Vv TAMBA,, L. 3369 b)Name and address of fee simple titleholder(if other than owner) , c)Interest in property 4:Contractor Information a)Name and address: .7TEVE SrM ITN—. (eOO Al. t.Iesss No2E 8 "r 600 Ti4MrnAx: cE 33•bo9 b)Telephone No.: (a 13) 7(.9-.5277 Fax No.(Opt.) 5.Surety Information a)Name and address: /V/4 b)Amount of Bond: .V/A c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: J'r'EVE 5MI r,'{— Ge0 ,V- Wes'rJNoR,f l9wo�, .SrE too, ,Ch ,3 (,c? b)Telephone No.: (S(3 7&?—S2?-7 Fax No. (Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice.as-provided in Section 713.13(1)(b),Florida Statutes: a)Name and.address: IV1iq b)Telephone No.: .Fax No. (Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART T,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THEFIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO Si at or Owner's Authorized /Direetor/Partner/Manager CyyeL . SrEp/it/S Print Name The foregoing instrument was acknowledged before me this 26tH day of Ty'-'/ .2O !.,by '�' .5'7 F,gA NS as MANAGE 2 (type of a rity,e.g..officer,trustee,attorney in fact)for C ore 'oie4.rIo,J (name of party on behalf of whom ent was executed). Personally Known ✓ OR Produced Identification Notary Signature Type of Identification Produced Name(print) & . S$#9 ,4f _//a c t E r9�✓ ' Verification pursuant to Section 92.525,Florida Statutes.Under penalties of.perjury,I declare that I have read the foregoing and that the facts stated in it are.true to the best of my knowledge and belief. ELISSA M.HOLLERAN Signa crson.Signing Above FOF MS(HOC,rvazoo7 "' commission DD 774023 IP s. •_. Expires June 6,2012 • '��; • BardoOTMrTroyFrlroaarkae0aaesaa10 37547 DALIHA TERR LT#186 BLDG 19 MARTINIQUE LENNAR HOMES PRMT#8211 SQ.FEET PRICE MAIN OR LIVING: 1,663 $ 95.00 OTHER AREA UNDER ROOF: - $ 94.00 OTHER: - $ - VALUATION $ 157,985.00 FEE SHEET $ 654.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 727.08 ELECTRICAL: $ 147.15 PLUMBING: $ 98.10 MECHANICAL: $ 68.67 SUB-TOTAL $ 1,041.00 RADON: $ 16.63 TOTAL $ 1,057.63 SEWER: $ 2,010.00 WATER: $ 641.00 IRRIGATION: $ - TOTAL: $ 2,651.00 WATER METER: $ 220.00 3/4 meter IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 93.28 INSPECTION TOTAL: $ 13.50 PERMIT TOTAL TOTAL: $ 106.78 PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 TOTAL: $ 553.35 SUB-TOTAL $ 4,588.76 PARK IMPACT FEES $ 769.56 SIF'S: $ 1,740.00 100.0% $ 1,740.00 25%of tif is choose to pay$280.26 and pay 75%before pre-meter$3,367.71 1.0% $ 17.40 permit cost if paying 25%of tif$4,869.02_ * TOTAL: $ 1,757.40 TIF'S: $ 1,121.01 Minus Credit-check on balance 99%_$ 1,109.80 Minus Credit-check on balance 1%_$ 11.21 Minus Credit-check on balance TOTAL: $ 8,236.73 City.of Zephyrhills BUILDING PLAN REVIEW-COMMENTS Contractor/HOmeowner: Date Received: Site: Permit Type: w comments: [Denied w/the below comments: Approved wino comments:l� Approved w/the below T - ) This comment-sheet shall be kept with the permit and/or plans. Examiner Date Contractor,and/or Homeowner Svcntzer ans (Required when comments are present) Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of commencement is required. (A/C 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 A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter If on public roadways,:needs ROW uIYLIl,C1Y7GL! I-W1Y1Rr1%.I'Jr 111YL7 ,VI'*II J-i IVR f[G.7rVIwii IL111C.7. ii uie uwner nas nirea a contractor or ^.o^'.rac'c^c '.r✓ ' e ' ce wny, ''ey cv cc' ^nr' tcc oc"C '. on"cc' w"v "^ ...p , -c'-'- contractor is not licensed as required by law, hots the owner .and contractor may L c i:e:_ for ;a rni_,de or iolat un�e_:r state law. If the owner or intsmde: ccnirrrctor are uncertain as to v✓hat ii,en:inc :::_iu re!T:pn.:, r Ia} ii: :1' for intended work, they;are advised to con:act the I'_tsco County Building Inspection Divisio r--___icensing S :tior of %27.3.1% 800St. Furthermore, if the owner has hired ti ::c)n-,rectcr or ,o0tractc-s, -ie is advisec is 'rage the c;:yrtr actor's) sip portions of the "contractor Block" of this applicat:cr-n for which they v'✓II be responsible. o as Ids c ne s as :h'! contractor, that may be an indication that he is rot properly licensed and is not entit ed to roerrnittiic pry i ci,�s ! r Pasc 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 o 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. l 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.N R WARNING .TO OWNER: YOUR FAILURE TO NOTICE OENDENCE AY F ANCSNG, CULT iONS LT PA TWICE TCE FOR IMPRO M TO YOUR PROPERTYIF YOIJ INT WITH YOUR LEN ER OR A TO N Y BEFORE RECORDING YOU NO CO N EMENT. FLORIDA JURAT(F.S. 117.03) CONTRACTOR befo a this OWNER OR AGENT this Subscribed and sworn t Subscribed and sworn to( it 8rke 200$ by o vE4- �,r#tog by ° VVho{s/armpersonally known to me or has/have produced Who Is/are personally known to me or h s/have produced as Identification. as Identification. Notary Public Notary Public commission No. D f0 Z' Commission Name of d,printed or st Name o :M:e' Commission DD 774023 ELISSA M.HOLLERAN , �s.�••., Lt A . O1 LERAN -R F = Commission DD 774023 Expires June 6,2012 Expires June 6,2012 Bonded Thin Tray Fain Insurance 800.38&7019 P, _ Bonded Thru Troy Fein Insurance 8003887019 FORM.600M-2004R �itetyyvctuyr.�n+'t '.c FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: LH153IM-MARTINIQUE-1531 S.F.LIVING AREABuilder . LENNAR HOME l'S Address: Permitting Office: Ct'� b� y 4t City,State: Permit Number: g z t I Owner Jurisdiction Number. b t t te CrD Climate Zone: Central 1. Now construction or existing New 12. Cooling systems 2. Siagle family ormulti-family Multi-family — a. Central Unit Cap:28.2 kBtu/hr 3. Number of units,if multi-family 1 — SEER: 14-00 4, Number of Bedrooms 2 — b.N/A — 5. Is thus a worst case?. Yes _ — 6. Conditioned floor area(a') 1531 ft' c.NIA 7. Glass type'and area:(Label rcqd.by 13-104.4.5 If not dcfl ult)a.U-factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a(Snglo Default)127.0 R' — a. Electric Hcat Pump Cap:28.2 kBtu/hr b.SHOC; HSPF:8.20 (or Clear or Tint DEFAULT) 7b. (Clcvr) 1 �'27.0 It' b.N/A 8. floor typos . e. Slab-On-Grade Edge Insulation R"0.0,36.0(p)ft o. N/A b.Raised Wood,Post or Pier R l 1.0,112.0ft' c.N/A _ 14. Hot water systems 9. Wall typos a. Electric Resistance Cap.40.0 gallons — a. Concrete,Lni Instil,Exterior R=4.1,389.0 ft? — EF:0.92 ,,,_ b.N/A b.N/A c.N/A _ r ' d.N/A — c Conservation credits _ '• . c. N/A (HR-Heal recovery,Solar 10. Ceiling typcs DHP-Dedicated heat pump) a. Under Attic R300,866.0 W 15. HVAC credits b.N/A (CF-Ceiling fan,CV-Crow ventilation, C.N/A — HP-Whole house fan, Il, l)ucL5 PT-Programmable Thermostat, a. Sup:Une. Ret:Con, AH(Saaled):Interlor Sup.R"6.0,150.0 ft MZ-C-Muldzono cooling, 11A ML-H.Multizono beating) Glass/Floor Area: 0.08 Total as-built points: 14112 Total base points; 16493 PASS I hereby certify that the plans and specifications covered by Review of the plans and this calculation are in comp) ce a Florida E y specifications covered by this Code. calculation indicates compliance PREPARED BY: ■.. with the Florida Energy Cute. (tWJ DATE• �� Before constr a ion is completed 'Z�o this building will be inipected•for t hereby certify that this building,a t 1n pliance compliance with Section 553.908ithda Energy Code. Florid ,� OWNERJAGENT: BUILDING OFFICIAL: DATE: j DATE; _ _--__ 1 Predominant glass type.For actual gins type and areas,see Summer&Winter Glass output on pages 2&4. EnergyGaugels (Version:FLRCSB v4.5.2) P.02 • FORM 600A-2004K t=iitrtyy%.7UUgan+-+.�.� FLORIDA ENERGY EFFICIENCY CO.D€ FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: LH1531M-MARTINIQUE-7631 S.F.LMNG AREABuilder: LENNAR HOMES 1 Address: Permitting Office: City, State: Permit Number: Owner. Jurisdiction Number: Climate Zone: Central 1. New construction or existing ---- Now — 12. Cooliug systems 2. Single family or multi-£bmily Multi-family — a, Central Unit Cap:28.2 kBtu/hr — 3. Number of units,if multi-family I — SEER: 14.00 4. Number of Bedrooms 2 b.N/A — 5. Is this a worst case? Yes — — 6. Conditioned floor area(ft') 1531 ft' — C.N/A 7. Glass type I and area:(Label read.by 13-104.4.5 if not default) a. U-factor: Description Area 13. Heating systems (or Single or Double DEFAU L'I) 7a(Sngle Default)127.0 ft2 — a. Electric Heat Pump Cap:28.2 kBtu/hr b.SHGC; HSPF:8.20 (or Clear or Tim DEFAULT) 7b. (Clear)127.0 ft —, b.N/A — • 8. floor types - a. Slab-On-Grade Edge Insulation R=0.0,36.0(p)ft c.N/A b.Raised Wood,Post or Pier R=11.0,112.0ft' — c. N/A — 14. Hot water systems 9. Wall types a. Electric Resistance Cap:40.0 gallons a. Concrete,Int Insui,Exterior R=4.1,389.0 R' — EF:0.92 ; b.N/A b.NIA —, c.N/A — d.N/A — c. Conservation credits _ e. N/A — (HR-Heat recovery,Solar 10. Ceiling types — DHP-Dedicated heat pump) a. Under Attie R=30.0,866.0 ft2 15. HVAC credits — b.N/A (CF-Ceiling fan,CV-Cross ventilation, C.N/A — }4F-Whole house fan, il, Ducts PT-Programmable Thermostat, a. Sup:Unc. Ret:Con, AH(Sealed):Interior Sup.R"6.0,150.0 ft MZ-C-Multlzone cooling, LIN/A — MZ-H-Multizone.heating) -- --- -- -Glass/Floor Area: 0.0$ Total an-built points: 14112 PASS Total base points: 16493 I hereby certify that the plans and specifications covered by Review of the plans and this calculation are in compli ce a Florida E specifications covered by thist �188T.�00 Code. calculation indicates compliance PREPARED BY! s« with the Florida Energy Code. DATE' �� �' Before constr ution is oompteted this building win be inspected•for �' I hereby certify that this buin e ,'s compliance compliance with Section 553.908 with the Florida Energy Co Florida Statutes. OWNER/AGENT: BUILDING OFFICIAL: _� DATE: -- _ __.__ _ - I Predominant glass type.Fo type and areas,see Summer&Winter Glass output on pages 2&4. EnergyCauge®(Version:FLRCSB v4.5.2) rUr M QUt1H-0004K SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF=Point r ' .15 1531.0 24.35 6710.0 1.Single,Clear W 1,3 6.0 32.0 57.66 0.94 1778 .: .. 2.Single,Clear W 6,0 4.0 7.0 57.68 0.46 i87.C, 3.Single,Clear E 6.0 9.0 40,0 63.97 0.64 1842: 4.Single,Clear W 1,3 10.0 16,0 57.68 0.99 9l2I0 5.Single,Clear E 1,3 6.0 32.0 63.97 0.94 19'17. As-Built Total: 127.0 6386•.0 • WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points • ,. Y � •, Adjacent 0.0 0.00 0.0 ' Concrete,Int Insul,Exterior 4.1 389.0 1.18 459;0 Exterior 389,0 1.90 739,1 Base Total: 389.0 739.1 As-BulitTotal: 389,0 46l DOOR TYPES Area X BSPM = Points Type Area X SPM = Pointsy T'• Adjacent 0.0 0.00 0.0 1.Exterior Insulated 20.0 4.80 9681} + ' Exterior 20.0 4.80 96.0 ) Bate Total: 20.0 96.0 As-Built Total: 20.0 CEILING TYPES Area X BSPM Points Type R Value Area X SPM X SCM= Points Under Attic 866.0 2.13 1844.6 1.Under Attic 30.0 866.0 2.13 X 1.00 1844,6 Base Total: 866.0 1844.6 As-Built Total: 860.0 Ilm ' FLOOR TYPES Area X BSPM = Points Type R Value Area X SPM = Points: , Slab 36.0(p) -31.8 -1144.8 1.Slab-On-Grade Edge Insulation 0.0 36.0(p) •31.90 -1 Raised 112.0 -3.43 -364.2 2.Raised Wood,Post or Pier 11.0 112.0 1,83 204+:4 Base Total: -1529.0 As.Built Total: 148,0 -944 INFILTRATION Area X BSPM = Points Area X SPM = Po',: 1531.0 14.31 21908.6 1531.0 14.31 2 EnergyGaugee DCA Form 600A-2004R EnergyGauge6VFlaRES'2004R FLRCSS v4.5.2 MAY-20-2008 10:38 FORM 600A-2004R EnergyloaugeB 4.b2 SUMMER CALCULATIONS Residential Whole- Building Performance Method A - Details ADDRESS: ., , PERMIT#: BASE AS-BUILT Summer Base Points: 29769.3 Summer As-Built Points: 29749.2: 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 26200btun,$EERIEFF(14.0)Ducts:Unc(S).Con(R),I K(AH),RB.O(INS) 29749 1.00 (1.08 x 1.150 x 0.85) 0.244 1.000 7887.5 29769.3 0.3250 9676.0 29749.2 1.00 1.061 0.244 1.000 7687.5 EnergyGauge 'DOA Form 600A-2004R EnergyGauge®lFISRES'2004R FLRCSB v4.5.2 FORM 600A-2004R tnergyvaugete)4.5.1 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS; ,, , PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF=Point .18 1531.0 9.11 2511.0 1.Singie,Clear W 1.3 SU 32.0 13,25 1.01 427. 2.Singie,Clear W 6.0 4.0 7.0 13.25 1.10 102!0 3.Singie,Clear E 8.0 9.0 40.0 12.37 1.10 5420 4,Single,Clear W 1,3 10.0 16.0 13.25 1.00 2110 5.Single,Clear E 1.3 6.0 32.0 12.37 1.01 401.0 As-Built Total: 127.0 16 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points, Adjacent 0.0 0.00 0.0 1.Concrete,int maul,Exterior 4.1 389.0 3.31 1285:6 Exterior 389.0 2.00 778.0 Base Total: 389.0 778.0 As-Built Total: 389.0 1286.11 DOOR TYPES Area X BWPM Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 1.Exterior insulated 20.0 5.10 102,a Exterior 20.0 5,10 102.0 Base Total: 20.0 102.0 As-Built Total: 20.0 10 , CEILING TYPES Area X BWPM = Points Type R-Value Area XWPM X WCM= Points;; Under Attic 866.0 0.64 554.2 1,Under Attic 30.0 866.0 0.64 X 1.00 654.2 Base Total: 666.0 5643 As-BulltTotal: 866.0 8 , i• FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points. Slab 38.0(p) -1.9 .68.4 1,Slab-On-Grade Edge Insulation 0.0 36.0(p) 2.50 90.0 RaiSed 112.0 -0.20 -22.4 2.Raised Wood,Post or Pier 11.0 112.0 0.47 52,8.' 86e Total: -9D.8 As-Built Total: 148.0 142.8' :' INFILTRATION Area X BWPM = Points Area X WPM = Points 1531.0 -0.28 -428.7 1531.0 -0. -428.7. ' Eners rGaugeO DCA Form 600A 2004R EnergyGauge48VFIaRES2004R FLRCSB v4.5.2 rvrciv1 vwr�=4vu4N tnergyvaugeav 4. WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: ,, , PERMIT#: BASE AS-BUILT Winter Base Points: 3425.8 Winter As-Built Points: 3339.0• Total Winter X System Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1:Electric Heat Pump 28200 btuh,EFF(8.2)Ducts:Unc(S),Con(R),Int(AH),R6,O 3339.0 1.000 (1.068x1.160x0.87)0.416 1.180 x 0.67)0.416 1.000 1504.5 3425.8 0.5540 1897.9 3338.0 1.00 1.083 0.416 1.000 1504.8. EnergyGaugetm DCA Form 600A-2004R EnergyGauge®JFIaRES'2004R FLRCSB v4.&.2 • r L'rwI uuu1- UU• r\ tnergyt�aug v WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: , , , PERMIT#: 1 BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 2 2460.00 4920.0 40.0 0.92 2 1.00 2460.00 1.00 4920,0 As-Built Total: 492o9! ' •• CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water - Total Points Points Points Points Points Points Points Points 9675 1898 4920 16493 7688 1505 4920 14112 . PASS Ene►gyGaugeTM DCA Form 600A-20048 EnergyGauge®1FlaRES'2004R FLRCSB v4.5.2 I-ORM fiUUA-1UU41t tnergyvuuyv .o.c Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: ,, , PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS -••. ,•• SECTION _•_— REQUIREMENTS FOR EACH PRACTICE_ __•^ CHECK Exterior Windows Door ABC.1.1 Maximum;.3 cfm/ q, ow areaZ.5 cfm/sq.fl.Boor area. Exterior&Adjacent Walls 608.1-ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;Joints between exterior wall panels at comers:utility penetrations:between wall panels&top/bottom plates;between walls and floor. EXCEPTION;Frame walls where a continuous Infiltration barrier Is installed that extends from and is sealed to,the foundation to the top plate. .. _..._ Floors 606.1.ABC.1.2.2 Penetrations/openings a1/6"seared unless backed by truss or joint members. EXCEPTION;Frame floors where a continuous infiltration barrier is Installed that is sealed __ to the perimeter.penetrations find seams. .... .. ..- Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor,around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier,gaps in gyp board&top plate; attic access.EXCEPTION:Frame ceilings where a continuous infiltration barrier is Installed that 1$sealed at the Perimeter,at penetrations and seams. —__ , Recessed Lighting Fixtures i 606.1.ABC,1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,Installed Inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from conditioned space,tested. _„ •, ___ ____. __ Multi-sto Houses 806_1 ABC.1.2.6 Air barrier on perimeter of floor cavity between floors. ,_ Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers:combustion space heaters comply with NFPA, have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES(must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2.Swrtch or clearly marked cir _ breaker(electric)or cutoff gust be provid§�.,External or built-in heat trap required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal _ .. --- efficiencyof 78%• Shower his .... 612,1 Water Row mu fit be restricted to no more than 2.5 gallons per minute at®0 P IS G. ___ Air Distribution Systems 610.1 All duds,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed.insulated,and Installed in accordance with the criteria of Section 610. • Ducts in uncondfliorred attic+.R-6 min,insulation. HVAC Controls .. ... ....607.1 Se rate rcgdi(Yacc ssible manual or autofnatic thermostat for each g ex tern. _ ,,, Insulation 804.1,802.1 Celtings•Min.R-1 9.Common Walls-Frame R-11 or CBS R-3 both sIdas. Common calling&floors R-1 1. EneroyGaugeT°DCA Form 600A-2004R EnergyGauge®VFIaRES'2004R FLRCSB v4.5.2 • ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PER 'ORMANCE SCORE*=88.5 The higher the score,the more efficient the home. 1. New construction or existing New 12. Cooling systems 2. Single family or multi-family Multi-family — a. Central Unit Cep:28.2 kBtu/ht 3. Number of units,if multi-family I — SEER;14.00 — 4. Number of Bedrooms 2 — b.N/A —. 5. Is this a worst case? Yes — 6. Conditioned floor area(112) 1531 ft' — c.N/A 7. Glass typel and area:(Label regd,by 13.104.4.5 if not default) _ a.U-factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a(Sagle Default)127.0 ft' a. Electric Heat Pump Cap:28.2 kBtu/hr b.SHOO: HSPF:8.20 _ (or Clear or Tint DEFAULT) 7b. (Clear)127.0 ft2 — b.N/A 8. Floor types a. Slab-On-Grade Edge Insulation Rz0.0,36.0(p)It o. N/A b.Raiscd Wood,Post or Pier R=11.0,112.0ft' — e.N/A — 14. hot water systems . 9. Wall types a. Electric Resistance Cap:40.0 gallons — a. Concrete,Int Insul,Exterior R=4,l,389.0 ft2 _ EF:0.92 b.N/A -.. b.N/A c.N/A — — d.N/A — e. Conservation credits — e. N/A ,_„ (HR-Heat rccovcry.Solar 10. Coiling types DHP-Dedicated heat pump) ' :< a. Under Attic R=30.0,666.0 R' 15. 11VAC credits b.N/A _- (CF-Cciling fan,CV-Cross ventilation, c.N/A HF-Whole house fan, Ii. Duets PT-Programmable Thermostat, a. Sup:Unc. Ret:Con. AH(Sealed):Interior Sup.R=6.0,150.0 ft — ML-C-Multizonc cooling, b.N/A — M7rH-Multizone heating) I certify that this home has complied with the F da Energy Efficiency Code For Building off, gg Construction through the above a fea s which will be installed(or exceeded) __________ __________ (4 ) in this borne before final;nape ectvise, EPL Display Card will be completed bast d on installed Code co tun Builder Signature: Date:�.- Address of New Home: City/FL Zip: 14"" *NOTE:The home's estimated energy performance score is only available through the FLA/REg computer program. This is nor a Building Energy Rating.,(f your score is 80 or greater(or 86for a US EPA/DOE EnergyStarmdesignation), your home may qualms for energy efficiency mortgage(EEM)incentives t'you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www.fsec.u4f edufor information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Deparnment of Community Affairs at 850/487-1824. I Predominant glass type.For actual glass type and see Summer tit Winter Class neruGauges(Version:FLRCS? v4.5.2) Load Short Form Job: MARTINIQUE-1531 s,,,. ' 'wrigh soft Data: 11/1212007 Entire House By: TRH SIMPSON MECHANICAL I. For. LENNAR HOMES Htg Cig Infiltration Outside db(°F) 40 92 Method Simplified Inside db(°F) 70 75 Construction quality Average Design TO(°F) 30 17 Fireplaces 0 Daily range - L Inside humidity(%) 50 50 Moisture difference(grub) 26 52 HEATING EQUIPMENT COOLING EQUIPMENT Make Lennox Make Lennox Trade 14HPX Series Trade 14HPX Series Model 14HPX-030-230/* Cond 14HPX-030-230/ Coil CBX26UH-030* Efficiency 8.2 HSPF Efficiency 14 EER Heating Input Sensible cooling 22278 Btuh Heating output 28200 Btuh @ 47°F Latent cooling 5922 Btuh Temperature rise 26 °F Total cooling 28200, Btuh Actual air flow 1000 cfm Actual air flow 1000 cfm Air flow factor 0,044 cfm/Btuh Air flow factor 0.050 cfm/Btuh Static pressure 0.00 in H2O Static pressure 0.00 in H2O Space thermostat Load sensible heat ratio 0,84 ROOM NAME Area Htg load CIg load Htg AVF Cig AVF (fta) (Btuh) (Btuh) (cfm) (cfm) FOYER 68 2777 1980 122 98 KITCHEN-NOOK 100 1834 1811 81 90 DINING 160 1622 384 71 19 POWDER-STAIRS 131 1269 301 56 15 LIVING 297 7432 5376 328 266 STAIRS-HALL 102 446 382 20 19 MASTER B.R. 239 3206 4484 141 222 MASTER BATH 58 195 176 9 9 FLEX.ROOM 146 686 581 30 29 HALL BATH 56 195 176 9 9 B.R.#2 2 174 3025 4534 133 225 BandNe values have been mnnuelly ovenlddon Printout certified by ACCA to meet all requirements of Manual J 8th Ed. wnghtsoft RIQnasuno R6sldentla16.0.107 RSR29618 2000- Y-20 08:3418 AM Z Wommy FNAOVJ41531 MJ1.trP Calc■MJ8 OdentaUon■W Page 1 Entire House 1531 22686 20186 1000 1000 Other equip loads 1059 614 Equip.© 0.97 RSM 20259 Latent cooling 3824 TOTALS 1531 23745 24083 1000 1000 Boldllmlk values love 0ad manually oven'ldden Printout certified by ACCA to meet all requirements of Manual J 8th Ed. wrtghtsoft Rfpht-Suit.Rosidendat 6.0.107 RSR29918 ay-20 093428 ZWT0n11ty HVAOtH1581 MJS.rtp C&c-MJS OROMedon o W Pago 2 TOTAL P.11 •-1'� I {cr•�t.., iI:iIifVl•:1: I I :I N:Ii: i u 99c; .ti'..y t`J �� •i..i,:a { '�;,'P'( t .•.a 'I i ��..tt' I•..1...�. ,,lit.:{ f i 't'�.. l.II 1 !� 1 fl :Cg(/ ##:t,_ I.T##i.S:.'sr �.`.":1:-7"-•p. r�t:L'.rics : ii:I:t...l._s:; Rf:Sr:1t.)f:CE :i:)�.�' •l:;.r-_ti:,.f.•t:71�;,.t '•'�f{r'£?roc; I•`l:cc: CC N T• C;i:7i�it='i' Y AC;e:'tl jTtt`II... AMOL.JN•(':, ,.a,.,{1C){? �tr�iC7t2 .N• :(.Qf�I,rt�'t:::Fl: 1)A TA �¢..�42y�•��Fai-�i•:fa t:iC7t..:C T5 �1..1..,......:. TaFi/ :; :I:vE:T? Ta•Y 813-78U-UUZU lolly UI _ JIIyIInna rt rIInL r Building Department ruin Date Received Phone Contact for Permitting 8! 9i8 X53.9 Owners Name h54/A/4 ri O hs Owner Phone Number ( 3) ?�9 `S277 ' Owner's Address !o OO /V• Z✓fSrSlfOR.E SL O `�A. FL 33(,oq Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 375'7 D4L!/JR i E/ ' ZE //yief'/L $i FL .335 f/O LOT# 18Co SUBDIVISION ryA-4- PARCEL ID# O 3- V,-2/`Q23 0- Ot0O - /8( 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ® NEW CONSTR B ADD/ALT SIGN 0 MOVE DEMOLISH INSTALL REPAIR PROPOSED USE SFR 0 COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME O STEEL OTHER DESCRIPTION OF WORK /iEiJ ✓Si /C-T/OJ - l_rO U.1AJ/ tO/I .S BUILDING SIZE I SQ FOOTAGE 13 I HEIGHT a�STO/�i BUILDING $ 3 i 6 57 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL �$ `�-1 AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING ($ 4'3� MECHANICAL $ � t,s-- VALUATION OF MECHANICAL INSTALLATION GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS v e ,,)5 FLOOD ZONE AREA DYES NO BUILDER COMPANY Lg,V,Vf Z. //0: E5 SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address /( t 8&fr 2 A ,4 5349 License# ELECTRICIAN COMPANY e0IQGAn10ECfeI C SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/N Address !! E• OLEgN S T L44 G' 'o /=L 33c&/ License# EC /3 OO S(o PLUMBER COMPANY ARriI, *74k/ P . REGISTERED Y/ N I FEE CURRENT Y/N Address / '929 /v 2 1"f, 3 .�G 33 License# I CFG Q'// 72 MECHANICAL COMPANY 94 O /ETguMO/.(/ ► N 9T/ti , C_ SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/N Address .12 80)C ..544? a9 oA/6r7 1 r 3 ',?%'1 # CAC OS O(0 2 OTHER COMPANY C, d TE LJAJ& SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/N Address g211. 511044 L/,V dt.v License# C ' 799 /� 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, ROW 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 all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500, a Notice of Commencement Is required. (A/C 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 A/C 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"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. I - 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. ct If fill material is to be used in any rea, I certify that use of such to adversely affect adjacent properties,Til the ill not owner mayrbe!citedefor vi ng jacent properties. If use of fill is found the conditions of the building permit issued under the attached permit application, for lots less than one ( ) acre which are elevated by fill, an engineered drainage jplarn the isgwnerequiredr of the permitting conditions set forth in If I am the AGENT FOR THE OWNER, I promise in good Inform for this affidavit prior to commencing construction. I,understand her inst llationsrnot speci icaily bnclud d required n the lectri al wor , plumbing, signs, wells, pools, air conditioning, gas, or of not as authority , cance peer, or rmit issued shall be construed to be a license fo proceed ith th e of a permite work and prevent the Building Official from�ter�eafter set aside any provisions of the technical codes, nor shall Issuance requiring a correction of errors in plans, construction or violations six mf onths of permitcodes. pssruaince,Uordif workshall authorizedauthorized by d q 9 unless the work authorized by such permit is commenced ) days and will demonstrate 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 ceases for ninetyperiod not to exceed ninety consecutive days, the Job Is�considered abandoned justifiable cause for the extension, If work AY RESULT IN YOUR WARNING TO OWNER; YOUR FAILURE TO RECORD A NOTICE OF COMMENCE F ANCING, CONSULT W TO YOUR PROPERTY. IF YOU INTEND C� N EMENT. PAYING TWICE FOR IMPRO M WiTH YOUR LENDEROR A TO N Y BEFORE RECORDING YOU NO FLORIDA JURAT(FS. 117.03) _ CONTRACTOR befo a this OWNER OR AGENT this Subscribed and sworn t o vE` Subscribed and sworn to( it $rwJby t�F�2° by -ro Who Is/are personally known to meorhahaV sJ sas ide tiff cat ond. Who is(are personally known to mas identiEic t oproduced Notary Public Notary Public Commission Commission No. i-tO Name of d,printed or st h ELISSA M.H0LLERAN Name o LERAN 0 i DD 774023 Lt A L Comm ssion Commission DD 774023 ° Expires June 6,2012 x: Expires June 6,2012 ' Balled Thru Troy Fein h wane 8003857019 ' R, r Bonded Thru Troy Fein Inwrance 8003857079