HomeMy WebLinkAbout08-8353 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8353
BUILDING PERMIT
Permit Number: 8353 Address: 3442 AQUARMARINE WAY LT#21
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE
Est. Value: Parcel Number: 24-26-21-0020-00000-0210
Improv. Cost: 17,800.00
Date Issued: Name: SALISBURY, HAROLD & CAROL
Total Fees: 255.00 Address: 3437 PERIDOT LN
Amount Paid: 255.00 ZEPHYRHILLS, FL. 33540
Date Paid: 9/25/2008 Phone:
Work Desc: RM ADDITION (432), PORCH OPEN (156), PATIO COVER (455) & SHED 104
HOMEOWNER BUILDING FEE 150.00 ELECTRICAL FEE 35.00
PLUMBING FEE 35.00 MECHANICAL FEE 35.00
100 /7
- 6
FOOTER 2ND ROUGH PLUMB MISC I I 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 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."
ece X//2 /4-ice
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: g 5
Site:
/ 2- / J 4-1Z �►e /ma y
permit Type: ,
A roved w/no comments:❑ Approved w/the below comments: SQ Denied w/the below comments: ❑
PP
i) II ��
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This co et sh11l be kept with the permit and/or plans.
O8 Js/ c /<A'L /tWJ
Kal Switzer- ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
CITY OF / / / / BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
ADDRESS TE PERMIT#
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
C4 t �(- C6
CtItr)) OV't � J Y o/-C4i
Efa r aiIf'JofuiqA Ip. C J/ )
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It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR
813-780-0020 City of Zephyrhllls Fermi[rippIII. LIUI I -
Building Department "T
Date Received Phone Contact for Permitting '/3 1 2, — ____
,
Owner's Name
k rO LW j Owner Phone Number VOl—3t 0 ^ l�ov 7
Owner's Address y37 ��� Owner Phone Number
Owner Phone Number
Fee Simple Titleholder Nam
Fee Simple Titleholder Address
c3 7(� LOT#y� �-rn LM W
JOB ADDRESS /_
j Q/l2 /U//lye PARCEL ID# I�OC.ri)v(�o - - o�,�v
SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q MOVE Q DEMOLISH
EJJ INSTALL e REPAIR
PROPOSED USE 0 SFR COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 1th
Q STEEL Q OTHER
DESCRIPTION OF WORK ���
a j/ ij /) fj iX /lf /oy
BUILDING SIZE T 1 SQ FOOTAGE I J.1V7 HEIGHT
E] BUILDING ' f ) v VALUATION OF TOTAL CONSTRUCTION
EIII T i AMP SERVICE Q PROGRESS ENERGY Q0 W.R.E.C.
ELECTRICAL $ 1o0DU
PLUMBING $ fOQ-
('I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION AX 1
0 (
GAS 0 ROOFING Q SPECIALTY Q OTHER
Jll
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO
BUILDER L COMPANY r. ` ° c(/ ia
SIGNATURE `'CA T'ti/ REGISTERED f Y/ N I FEE CURRENT I Y/N N
Address I V9 .4 License#
ELECTRICIAN /''' 4k COMPANY 4r : o �
(.t ��'Wrf REGISTERED I Y/ N I FEE CURRENT
'(I N
SIGNATURE
1� License#
Address r /
/r COMPANY /- r. o/ V a U-f L
PLUMBER ` r REGISTERED Y/ N FEE CURRENT Y/N
SIGNATURE .
License#
Address
MECHANICAL /`Qn /r I COMPANY
Iv4eiL Cr: , ('/ rLv 1
SIGNATURE 1 '- `VV REGISTERED IY/ N I FEE CURRENT IY/N
License#
Address �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N J FEE CURRENT I Y/N
License#
Address
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&I dumpster
COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
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) Fences Plot/Surve /Foote e
Reroofs Sewers Service Upgrades A/C Driveways ( y g )
• 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 727-87-
• 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contrabtor(s) sigh
• portions of the "contractor Block" of this application for Which they Will be tesponsible. If you, as the oWher sign as the. .
• contractor, that may be an indication that he Is not properly licensed and is hot entitled to permitting privileges In Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned Understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of heW buildings, chahge of
use in.existing buildings; or expansion of existing buildings, as specified in Pasco County Ordinance huinber• 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 hot Involve a certlficata 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*ork.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'SIOWNER'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. '
- H 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.
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
may i ed ng ditlelectri al work,ons set forth in
this affidavit prior to commencing•construction. I understand that a separate permit y qu
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,
Lion orll issuance of a permit violations of any codes. event the Everypermitiissued Oshall becomecial from inva id
er
requiring a correction of errors in plans, con
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(8) months after the time the Work is commenced. An extension
may be requested, in writing, from the Buiceias �forial for a ninety(90)Consecutive days the jobod not to exceed is0eonsldered abandoned.Will
WARNINGdemonstrate• justifiable cause for the extension. If work
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE
IF YOU INTENDETO BTAIN F NANCING; CONSULT
NCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:
FLORIDA JURAT(F.S.117.03) ,,L CONTRACTOR.
• OWNER ORIAQENt
d n /J' Sub crib dad o(or a e )b i _�
u j d swo (or a ) for t �(7 by
by Who islare personally known to a or has/have produced
Who islare oersonally known to or hasmave pro ced as identification.
• s identification.
,!/ /�1� 2{ "/ Notary'Public
C�����u /'�����'.)"�'!/�� Notary Public J
Commission No.
commission No. •
NOTARY PUBLIC- rated dr stamps
Mace Hartcvt ped CD65218��
g -
Commission#DD652189 I)C 1. ?a s a
Expires: f ' 16,2009 Rt'N • )C
. ')ED THRU ATIAN":.,<ONIJING CO.,INC.
2008136337
Rcpt: 1204080 Rec: 10.00
NOTICE OF COMMENCEMENT DS: 0.00 I T: 0.00
09/18/08 Dpty Clerk
Permit No. JED PITTMAN PASC0 COUNTY CLERK
09/18/08 01:46pm 1 of 1
Property Identification No. oZ V—AI4 o/—CO&O—OOOUJ—1J0 OR BK 7928 PG 467
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.)7Qt,Eomt LI Am;► ,L!/ ho-y- MAY 4 f7-9a L j6 oll
a)Street Address: J5Yyot 1L&1x&,,rAg 2 4 r y.
2.General description of improvements:
3.Owner Information
Ra)Name and address: 141-&,&l S4-J/t JYd 7 ,4tod' L'L.1 e Z rxA ff ,3JJVO
b)Name and address of fee simple titleholder if other than owner)
c)Interest in property
4.Contractor Information
a)Name and address: d&)/-Pr If Cpit_kl�c�-o/"
b)Telephone No.: Fax No.(Opt.)
5.Surety Information
a)Name and address:
b)Amount of Bond:
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:
b)Telephone No.: 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(l)(b),Florida Statutes:
a)Name and address:
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 I,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 THE FIRST
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
Signature.of Owner 0f Owner's Authorized Officer/Director er/Manager
d/Q J&//Lf jliy
Print Name
The egoin s mf ntfSU as acknowledged before me this day of `? ,61- 20 Y,by
� al!clt, s .c J1L �'
7 (type of authority,e.g.officer,trustee,attorney
in fact)for (name of party on behalf of whom instrument was executed).
Personally Known 11OR Produced Identification Notary Signature S��z�Q __
Type of Identification Produced Name(print) �C�'e- t 1-L11
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.
FORMS/NOC,rvsd2oo7 44-�Io�IINI-Wur..Ien Signing Above
DNI`OD JNIQNO"DLT.NV'LLV f1IIHd.QHQNofi
2`91'LOO aai?dxg NOTARY PUBLIC STATE OF FLORIDA
604
68IZS9GG#uOtSSltuluo3 Stacie Hartwig
0Inn�.1eH a1oe1S ,,=Commission#DD652189
yalxou do atdis-orlgna 7-11VI0N .„ Expires: OCT.16,2009
BONDED THRU ATLANTIC BONDING CO.,INC.
STATE OF FLORIDA
COUNTY OF PAS C )
THIS IS TO CEF;i' FI THE EGREGOING IS A
TRUE AND CORRECT Cf1PY ? H :)OCU;AENT ON FILE
OR OF LIC RECORD IA TNESS MY
HANI ND OF, iCIO SEA iAY OF
M
B
DISCLOSURE STATEMENT FOR OWNER
/c/ CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, / !ii v a have read and fully understand and
agree to the provisions of this tstrument.
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 $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an 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 workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning re lations. G
OWNER'S SIGNATUR DATE
ADDRESS 3 y
PHONE O cTh — QJ
WITNESS CI.CLG PERMIT #
Name
Sic/n2 � G(k/�L-Qit GAP 1L)Uy
Address
Z rLLI`f M ' , 1
To Whom It May Concern,
Please be advised that:
Stacie Hartwig and Deborah Dokendorf of Pasco Permit Service have my
permission until further written notice to act as my agent to sign and pick up
permits.
Sincerely,
S' nature
9 -Is dl
Date
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The foregoing instrument was sworn to and subscribed before me this !5 day
of -}-P,, bee , cc2 8 .
Personally known or Produced identification________,
pIJBIdGFTATE OF FLORIDA
Tahr
in 01 10
i0
Commissioned Stamp notary S'gn ture
and Expiration Date
Harold Salisbury
3437 Peridot Lane
Zephyrhills Fl.33540
813-780-8564
Len Bartos
Southwest Florida Water Management Distric
2379 Broad Street
Brooksville,Florida 34604-689
Mr.Bartos
I have recently purchased a lot in the Emerald Point RV Resort.It is lot number 21 at
3442 Aquamarine Way Zephyrhills Fl. In its
The lot currently has an older ry trailer on it which I planrtoo lL Iii remove.torder do pthis I will
lacel
would like to have a Park model home with a screened in p°
have to extend my cement pad three feet In order to do that I have to go into the wetland
buffer zone.I have enclosed maps,drawings,and aerial views of the property. sated.
Your consideration of some sort of hardship exception would be greatly apperi
please advise me of any additional information that would help me plead my cause-
Thank you
Valro4ldIalisbury
3437 Peridot Lane
Zephyrhills Florida 33540
Emai1Ddwash1@a0l.com
b - f
msµ:
r -
Southwest Florida 96-
2379 Broad Street 04.6
, Brooksville,Florida 346899
f' �'� "� mater Management District (352)77211 or 1-800-423-1476(FL only)
SUNCOM 628-4150 TDD only 1-800-231-6103(FL only)
On the Internet at WaterMatters.org
An Equal Bartow Service Office Lecanto Service Office Sarasota Service Office Tampa Service Office
Opportunity 170 Century Boulevard Suite 226 6750 Fruitville Road 7601 Highway 301 North
Employer Bartow,Florida 33830-7700 3600 West Sovereign Path Sarasota,Florida 34240-9711 Tampa,Florida 33637-6759
(863)534-1448 or Lecanto,Florida 34461-8070 (941)377-3722 or (813)985-7481 or
1-800-492-7862(FL only) (352)527-8131 1-800-3203503(FL only) 1-800-836-0797(FL only)
SUNCOM 572-6200 SUNCOM 531-6900 SUNCOM 578-2070
Judith C.Whitehead March 11, 2008
Chair,Hernando
Nell Combee
Vice Chair,Polk
Todd Pressman
Secretary,Pinellas Harold Salisbury
Jamifer F-Bey
Treasurer,Hillsborough 3437 Peridot Lane
Thomas e,p�,ey Zephyrhills, FL 33540
Sarasota
Patricia M.Glass Subject: Project Evaluation -Permit Not Required
Manatee Project Name: Emerald Point RV Park, Lot 21 Salisbury Porch
HeNs B.Mooree Extension, Phase I
Hillsborough
Ronald E.oaldey Inquiry Number: EX 5416
Pasco County: Pasco
Salle Parks Sec/Twp/Rge: 24/26S/21 E
Pinellas Latitude/Longitude: 28°12'28.57";82°09'39.18"
Marftza Rovira-Forino
Hillsborough
Pte,C.Symons Reference: Subsection 373.406(6), Florida Statutes, (F.S.)
DeSoto
Dear Mr. Salisbury:
David L Moore The District has reviewed the information you submitted for the project referenced above and has
Executive Director determined that an Environmental Resource Permit(ERP)will not be required for the extension
William S.BBenky of a cement pad into the buffer adjacent to the wetland,for construction of a home with a screened
General Counsel in porch. The area of work in the buffer will be approximately ten-feet long by three-feet wide.
The information received by the District will be kept in the Brooksville Service Office to support the
Districts determination regarding your project. The District's determination that your project does
not require an ERP is only applicable pursuant to the statutes and rules in effect at the time the
information was submitted and may not be valid in the event subsequent changes occur in the
applicable rules and statutes. Additionally, this notification does not mean that the District has
determined that your project is permanently exempt from permitting requirements. Any
subsequent change you make in the project's operation may necessitate further evaluation or
permitting by the District. Therefore, you are advised to contact the District before beginning the
project and before beginning any activity which is not specifically described in your submittal.
Your timely pursuit of this activity is encouraged to avoid any potential rule changes that could
affect your request.
This letter constitutes notice of Final Agency Action of the project listed above. A request for
hearing must: (1) explain how the substantial interests of each person requesting the hearing will
be affected by the District's action, or proposed action, (2) state all material facts disputed by the
person requesting the hearing or state that there are no disputed facts, and(3) otherwise comply
with Chapter 28-106, F.A.C. Copies of Sections 28-106.201 and 28-106.301, F.A.C. are
enclosed for your reference. A request for hearing must be filed with (received by)the Agency
Clerk of the District at the Districts Brooksville address within 21 days of receipt of this notice.
Receipt is deemed to be the fifth day after the date on which this notice is deposited in the United
States mail. Failure to file a request for hearing within this time period shall constitute a waiver of
any right you or such person may have to request a hearing under Sections 120.569 and 120.57,
F.S. Mediation pursuant to Section 120.573, F.S., to settle an administrative dispute regarding the
District's action in this matter is not available.
Permit No.: EX 5416 Page 2 of 2 March 11, 2008
Enclosed is a"Noticing Packet"that provides information regarding the District Rule 40D-1.1010, F.A.C.,
which addresses the notification of persons whose substantial interests may be affected by the District's
action in this matter. The packet contains guidelines on how to provide notice of the District's action, and
a notice that you may use.
If you have questions regarding this matter, please contact Barry D. Billets, at the Brooksville Service
Office, extension 4371. Please reference the Project Name and Inquiry Number in future communications
concerning this project.
Sincerely,
Henry Robert Lue, P.E., Director
Brooksville Regulation Department
HRL:BDB:snr
Enclosures: Noticing Packet(42.00-047)
Rule 28-106.201 and 28-106.301. F.A.C.
Copy of Letter and Map
cc: Inquiry No. EX 5416/File of Record 40013014.000
US Army Corps of Engineers
Leonard F. Bartos, P.W.S.
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rC NOT VALID WITHOUT THE ORIGINAL RAISED SEAL AND S
LEGEND: OF A FLORIDA LICENSED SURVEYOR AND MAPI
x00.00 POINT OF ELEVATION A/C = AIR CONDITIONER
FF = FINISHED FLOOR S/1P = SIDEWALK
BM = BENCH NARK D.E_ = DRAINAGE EASEMENT THIS CERTIFIES: -
FOB = POINT OF BEGINNING O.E. = UTILITIES EASEMENT FIrLD BOL
pLS PROFESSIONAL LAND SURVEYOR R/P = RIGHT OF WAY .T WE HAVE MADE A'SURVEY OF THE ABOVE DESCRIBED
FCM = FOUND CONCRETE MONUMENT CL = CENTERLINE PROPERTY. THAT IT IS TRUE.•AND CORRECT TO THE BEST OF
FIR = FOUND IRON ROD PI = POINT OF INTERSECTION OUR KNOWLEDGE AND BELLEF AND THAT TIES FLAT
AT IS A TRUE
F Iti'EVISIONS.
SIR = OET IRON ROD ®= PAVED - REPRESENTATION THEREOF AND THE SURVEY AND THIS PLAT
Fpp FOUND= FOUND PINCHED IPN PIPE PIPE Q= CONCRETE = CONC. CDNFORNS TO THE MINIMUM TECHNICAL STANDARDS SET FORTH
FPK&D — FOUND PK&DISK DIRT/GRAVEL BY THE FLORIDA BOARD OF—LAND SURVEYORS IN CHAPTER
SPK&D SET PKdeDISK 61G17-6 FLA.ADMINISTRATIVE CODE-PURSUANT TO SECTION
I {— vnvvmrn GARB ........r. cn. —.mr—a /l - -
APPENDIX 13-D
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600C-04R Residential Limited Applications Prescriptive Method C CENTRAL 45 6
Small Additions,Renovations&Building Systems
Compliance 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
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 600B-04 or 600A-04.
PROJECT NAME: 5l 5 LL(t.4 ieenJ BUILDER: w
AND ADDRESS: rirclL .f PERMITTING CLIMATE
In r j I. OFFICE: ZONE: 4 5 Z 6 Z
OWNER: �-�aro �lSb r PERMIT NO.: I I I I I I JURISDICTION NO.:
SMALL ADDITIONS TO EXISTING RESID ES(600 square feet or less of conditioned area).Prescriptive requirements in Tables 6C-1,6C-2,and 6C-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 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
form.BUILDING SYSTEMS.Comply when complete new system is installed.
Please Print CK
1. Renovation,Addition,New System or Manufactured Home 1• t
JIt'L4l
2. Single-family detached or Multiple-family attached 2.
3. --
3. If Multiple-family—No,of units covered by this submission 4. 43 aZ
4. Conditioned floor area(sq.ft.) 5 1
5. Predominant eave overhang(ft.)
6. Glass type and area: Single Pane Double Pane
a.Clear glass 6a. sq.ft. sq.ft.
b.Tint,film or solar screen 6b. sq.ft. 7� sq.ft.
7. Percentage of glass to floor area 7.
8. Floor type and insulation:
a.Slab-on-grade(R-value) 8a R = lin.ft.
b.Wood,raised(R-value) 8b. R= L 3 a sq.ft.
c.Wood,common(R-value) 8c. R= sq.ft.
d.Concrete,raised(R-value) 8d. R= sq.ft.
e.Concrete,common(R-value) Be. R= -sq.ft.
9. Wall type and insulation:
a. Exterior: 1. Masonry(Insulation R-value) 9a-1 R= sq.ft.
2. Wood frame(Insulation R-value) 9a-2 R=_______ sq.ft.
b. Adjacent: 1. Masonry(Insulation R-value) 9b-1 R= sq.ft.
2. Wood frame(Insulation R-value) 9b-2 R= (( sq.ft.
c. Marriage Walls of Multiple Units*(Yes/No) 9c.
10. Ceiling type and insulation: 10a. R=______ sq.ft.
a.Under attic(Insulation R-value) 10b. R= I 3 3 a sq.ft.
b.Single assembly(Insulation R-value)
11. Cooling system* 11. Type:
(Types:central,room unit,package terminal A.C.,gas,existing,none) SEER/EER:
12. Heating system• 12. Type:
(Types:heat pump,elec.strip,natural gas,LP-gas,gas h.p.,room or PTAC, HSPF/CO AFUE: _
existing,none)
13. Air distribution system*
a.Backflow damper or single package systems*(Yes/No) 13a.
b.Ducts on marriage walls adequately sealed*(Yes/No) 13b.
14. Hot water system: 14. Ty
(Types:elec.,natural gas,other,existing,none)
'Pertains to manufactured homes with site-installed components.
I hereby certify that the s and specifications covered by the calculation are in compliance with Review of plans and specifications covered by this calculation indicates compliance with the Florida
the Florida Energy Co Energy Code.Before construction is completed,this building will be inspected for compliance in
accordance with Section 553.908,F.S.
PREPARED B _ '4- _ DATE: g-r9�g
BUILDING OFFICIAL:
I hereby certify that s iocom li ith t Florida Energy Code:
OWNER AG r (Ll 1/ DATE DATE:
FLORIDA BUILDING CODE—BUILDING 13-D.35R
APPENDIX 13-D
Climate Zones 4,5,6
TABLE 6C-1:PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS(600 Sq.Ft.and Less),RENOVATIONS TO EXISTNG BUILDINGS AND SITE-INSTALLED COMPONENTS OF MANUFACTURED HOMES
COMPONENT MINIMUM INSULATION EQUIPMENT MINIMUM INSTALLED
INSULATION INSTALLED EFFICIENCY EFFICIENCY
Concrete Block R-5 -��� O
Frame,2'x4' R-11 Z Central A/C -Split SEER=13.0 13.0- SEER= (3.0 I.I.
Frame,2'x 4' R-19 p -Single Pkg. SEER=13.0* SEER= f
Common,Frame R-11 O Room unit or PTAC EER =8.5 EER =
Common,Masonry R-3
R-30 Electric Resistance ANY
Under Attic
w O Heat pump-Split HSPF=7.7 HSPF=
Z Single Assembly;Enclosed Z
Z Frame R-19 a -Single Pkg. HSPF=7.7' HSPF
= Metal Pans R-13 w Room unit or PTHP COP =2.7 HSPF/COP=
o Single Assembly;Open R-10 =
Common,Frame R-1 1 Lu Gas,natural or propane AFUE_.78 AFUE_
nQ. Fuel Oil AFUE .78 AFUE=
O Rs de No Minimum
00 RaisedCo
Wood R-1 1
J
Raised Concrete R-5
U Common,Frame R-1 1 F-w Electric Resistance EF=.92 EF=
Gas;natural or LP-gas EF=.59 EF=
In unconditioned space R-6 f Fuel Oil EF=.54 EF=
p In conditioned space No minimum
TABLE 6C-2:PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY 'See Table 13-607.1.ABC.3.2 and 13-608.1.ABC.3.2
Maximum percentage glass to floor area allowed is selected by type,overhang length,and solar heat gain coefficient.Maximum%=Z ..Installed%_
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%
Single Double Single Double Single Double Single Double
OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC
-.7 2'-.87
-.75
0'-.30
Get certified SHGC from the manufacturer or use defaults:Single clear SHGC=.75 double clear SHGC=.6)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 cfrn/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.
Recessed Lighting 606.1 Type IC rated with no penetrations(two alternatives 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 air,except for direct vent
appliances.
Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2.Switch or clearly marked circuit 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 Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 psig.
HVAC Duct Construction, 610.1 All ducts,fittings,mechanical 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 R-6. t/
HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system.
GENERAL DIRECTIONS:
1, On Table 6C-1 indicate 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 neither being added nor renovated 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 it 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 maybe
subtracted from the total glass area.Divide the adjusted glass area total by the conditioned floor area of the addition.Multiply by 100 to get the pecem.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 overhang(OH)paired with a solar heat gain coefficient PHGC).Fora 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 reinstalled in the addition do not have to
comply with the overhang 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 overhang(OH)distance is measured perpendicularly from the face 01 051 glass to a point directly under the outermost edge of the overhang.
3. RENOVATIONS ONLY.Replacement 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 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 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