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09-8875
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 8875 BUILDING PERMIT 7 Permit Number: 8875 Address: 38647 ROSE LANE Permit Type: MULTI - FAMILY RESIDENCE ZEPHYRHILLS, FL. Class of Work: 103 -NEW CONST DUPLEX 2 -UNIT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: OAK RUN Est. Value: Parcel Number: 02- 26 -21- 0040 -00B00 -0100 Improv. Cost: 81,046.71 _� . _ �' sy €� Date Issued: 3/13/2009 Name: POE, J ASON & HURLBURT, MICHAEL Total Fees: 10,092.50 Address: 13350 LEWIS GALLAGHER RD Amount Paid: 4,725.39 DOVER FL 33527 Date Paid: 3/13/2009 Phone: (813)659 -2758 Work Desc: CONSTRUCT NEW DUPLEX 837 SQ FT :Ea ,e;� -e ... .. ,�� , s , . a`� a,•..:m° . � . .. .� E • r , , � , . a .., n �`r,"`.E` . �... 7e �"z; •.'. HURLBURT CONST T ^v IN BUILDING FEE 476.16 ELECTRICAL FEE 91.80 BRUCE DOAN ELECTRIC INC PLUMBING FEE 61.20 MECHANICAL FEE 42.84 SUPERIOR PLUS PLUMBING INC RADON 8.37 SEWER CONNECTION RESIDENTI 1,909.50 AIR EXCELLENCE INC. WATER CONNECTION RESIDENTI 608.95 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FE ES DUPLEX 769.56 SCHOOL IMPACT FEE /UNITS 1,855.00 s SCHOOL IMPACT FEE /UNITS 18.55 TRAFFIC IMPACT FEE 99% 3,595.68 TRAFFIC IMPACT FEE 1% �A � - f *, 36.32 FIRE PLAN REVI�W FEES 50.22 [ + � FIRE INSPECTION FEES I ti� 15.00 ip II ul°{ #) f I aq it )0C \ 5C42jti3S C t ini /. VII-V4 �• „i,.4.,' , + Oa' / 4 I IllYir pyt A '7,„,.„., \ ,5t„ a a$ g . A 4 0,3* ax g\ ��E�4 ” •:': +' ::.. . . s s . �� e _� vi 4` } fie : i l l � , fi, - F OOTER 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 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 befo - recording your notice o commencement." 4(./ a / i p /, 0, , ...A....d 1 /or 4 1 li, , CONTRAC r r r SIGNAT RE PERMIT OFFI rR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER r 4 '! o -G iii i; PASCO COUNTY, FLORIDA , Permit No. Date Permitted `�. -i Builder Name /Owner Name /74.4-/ (�9Yry_'I'l� # County Parcel No. 02- 24- 2 1- 064,0- eveko -0/0 SubDiv: Address /Location 3 Si 7 Aire. J2n e_ Classification/Type of Use Re ide." wP TRANSPORTATION IMPACT FEE Rate: .k3 Sq Ft Unit: J3 7 Exempt E Yes E No How Determined Impact Fee Amount $ 3l 3 Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single - Family Detached House Amount $ 7 5 3 , 55 (057) Mobile Home (058) Other Residential J1 23) Collection Fee Exempt ` Yes ❑ No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ 7 b 9.5,E Exempt _ Yes E No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt E Yes No How Determined Total Amount RESOURCE FEE ERU TOTAL AMOUNT Prepared By /1 cJ U 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 [ 00 00 O 0000000 CD CD y n�►� r) r) ►� A � -1 --.1 -1 -.4 ....4 Co 00 00 VD VD VD O O O ..• N N N to �— -- - ---� - G G 0 O C O A "t m 0 0 N N "00 LA c N 00 W in co � Dn DA 0 r! t e. ft A (. -l\ A A v w w 00000 co 0 CO 00 n O? A .- A O O O A 0 0 O 0 r+ "S n = N N N N N N N N N N N N N N N N N N N N N N ell f D C' A Z "� co 00 00 O 000000000000 @ w b 3 2 9 a a m m O ,-i• O O O O O O O O O O O O O O O O O O O O 0 0 D ft 40 0• ft f t p , 0 0 4O 4D VD VD VD VD 0 • 4D VD VD 4D 4D VD VD VO VD VD 0 O O f D "t b O "! "t d CAn 0 zs� �z sn m 0 l a pby CO CC CO bbObybl�bd IC CO vtotdbbdtr�roby y a 7 ! i ; f�- x F .I _ d, . mo w }! EL- ; a w :, w ` w ^ ; p w � w G; m, w G; w w_ w. - "s fo a ' y M C D 5 5 = 6 7' 7 5 1 7 8 R' R 5 D' 8 5 5 7 D' "= fD v F — 4 . OQ at OQ CD CD 0Q n CD OQ n CD CM n CD QQ CD CD DP 0 CD (TO CA ~ � "s • ec ° o ^ ° a on k © CM f or. D 00 <D � � O C• ∎—• p C I CM ...p• oo . ON O G CD N M b 0 :, r 0 0 0 O CND W -- .+ N W p O "C � �,te V C2. 0o J, O O 5 as i4 w A - fn eir I..) ND C I..) 00 vi - ?� ?wwwwwwwwwNNNN C '�'� 0 f A O O O co co co co co O O O O O p -t ,-,. N 0 0 O -1 -.4 - 00 00 00 N N N N N N N N N 00 0o 00 00 e� fD © O C a 2 et A rel r+ 'T1 e eD D b O Ci7 — O O "w eD et 10 0 te A a v z e et 0 0 o W 0 0 V l 1- V, 1- C/ i.-` A A A w w w w w w w w w N N N N 0 0 0 y W OOO 00000000 • 0 V VD 0 0 0 00 -.4 O-1 O �10000001V N NNNN N N N 00000000 00 2 0 © C/1 F l . . 1 e l ' O O A fD w ° O © C to n n a O O PP i • • 0 co 0 oo G 14 cn J O N N i 5, OO t-, y o IN CD 0 T3 © © A .• .4 ENE O 00 �y CD 0 O O 7 4 k . O O O or Vl 0 ../... IQ 4 I JLt 4. co O b r• o o 2 .. ___. -_._ __ __.. ,. _._ ..___. .1_. . -...__ _.._ _ _.. ___ .- _.__ _ _ - . - _._� 1 %.' •. • fl , 0 oe, 7Lv /1/),,,,,p ,4 i7`/ ( �w J). F - 1 .z.' -;a ,n =c . �i_i I II }1;i PASCO COUNTY, FLORIDA • (i tt '' Permit No. ' 7 Date Permitted -I O9 Builder Name /Owner Name //AV r�T L.AYrd di tro # County Parcel No. 02-2-6-2-/-0640-00A0-e/00 SubDiv: Address /Location 3 YY Si 7 Ass - I e.. Classification/Type of Use /f e31de 4./ -. / 4, -60 `� `/1 TRANSPORTATION IMPACT FEE Rate: / rE3 Sq Ft Unit: ] 3 7 Exempt 1 1 Yes 1 1 No How Determined Impact Fee Amount $ 3C 3 Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single - Family Detached House Amount $ 7/ 5 73 e55 (057) Mobile Home (058) Other Residential 123) Collection Fee Exempt Li Yes 1 1 No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total i Zone TOTAL AMOUNT $ 7 6 • --6 Exempt 1 1 Yes 1 1 No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt 1 1 Yes 1 1 No How Determined Total Amount X /A- RESOURCE FEE , �� ERU TOTAL AMOUNT Dj di 014.4A/I 0 14(1; 0 -.'''' . ‘7I ' V r 6 . Prepared By ,Ft1!/U 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 f ��� / 4.,. - RECEIVED BY RECEIPT NO. cll(4(taig ' DATE /, /1 /.6 - BY 7Lt3 - ( ,,0-e) (-/,) . e!.Y'" ie a�7` Hurlburt Construction Inc: 38647 Rose Lane - Permit # 8875 Y � SQ. FEET PRICE MAIN OR LIVING: 837 $ 96.83 OTHER AREA UNDER ROOF: - $ 91.00 OTHER: - $ - VALUATION $ 81,046.71 FEE SHEET $ 408.00 ADDRESS $ 30.00 DRIVEWAY_ $ 30.00 BUILDING: $ 476.16 ELECTRICAL: $ 91.80 PLUMBING: $ 61.20 MECHANICAL: $ 42.84 SUB -TOTAL $ 672.00 RADON: $ 8.37 TOTAL_ $ 680.37 SEWER: $ 1,909.50 WATER: $ 608.95 IRRIGATION: $ - TOTAL: $ 2,518.45 WATER METER: IRRIGATION METER $ - 'CREDIT FROM MH FIRE DEPARTMENT FEES PLANS TOTAL: $ 50.22 INSPECTION TOTAL: $ 15.00 PERMIT TOTAL TOTAL: $ 65.22 PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 TOTAL: $ 553.35 SUB -TOTAL $ 3,817.39I PARK IMPACT FEES $ 769.56 I SIF'S: $ 1,873.55 100.0% $ 1,88.5 1.0% $ 18.55 _ // ('J ✓ 1 1 � TOTAL: $ 1,873.55 l(Iit T I F 'S : $ 3,632.00 25% Tif due @ permitting $908 + permit cost $3,817.3 - 5.39 99% $ 3,595.68 balance due before pre meter — (75% Tif) $2,724. + $2,643. - $5,367.11 1% $ 36.32 TOTAL: $ 10,092.50 I P LOT GRADING PLAN - - 101.00 — - - EXISTING GROUND CONTOUR -.r•- - (PROPOSED GRADING) FLOW ARROW NORTH --- �� - - -- `� p SCALE: 1 " =20' G -- 01.0 - 1 - -4'`3 00 -.r-• --.1N- �, , ..—N — N.,\,— I 1 PROPOtEO 6" BERM ' SEE DETAIL -THIS SHEET PROPOSED 6" BERM I( ' � -1 / � SEE DETAIL -THIS SHE. T i 1 — r 10 Q 7 5 '.>"C' I A A \\� \\ \ � I I I f PROPOE[�DUPLEX l l j__ A 11 0 ,- l \ , ->y- \ z zz \ SL OPE PROPOSED DRIVEWAYS /WALKS O > / 6. �0 TOWARDS DEPRESSION AREAS 1� / 50 ,5 00 0 �� ct ` \ 10 • 0 0� (AWAY FROM EXISTING OAK) 0.� 00• ,....,, g� j w cci w 00 5 2 S — i / // T1E BERM INTO 0 O , \ ` ----- --- A 0 / r / / N., ` DEPRESSION TOP >TOP EL= 100.00 . ` ��' . _ r fF / 1 TOP EL =99 / / PROPOSED DEPRESSION B Y �B • " Z/ � f � � SEE DETAIL -THIS SHEET ? I 1 .� (15x15' ®TOP) c TT zi I 0 0 A l _ s� PROPOSED DEPRESSION\ i BOT. EL f 8°11E1- it) Di ., = C SEE DETAIL -THIS SHEET �\ 03 0) B OA J m B \-. X1 099.5 0. J (15'x15' ® TOP) \-- ( I I 0) - --- \ I 1 I ; 1 \ - e I _-9 5 , Y 1'. -- r'3+ 6' 5' 5' 5' -r> >- GRASS & SOD SOD GRASS & 2' 2' 2' a MULCH o o MULCH SOD SOD ° z 0 1- 1- 0 Q M w 0 Z 0 0 Z CC CO 0 w CO m )- C 0 0 0 CO N f� CO 0 W w W x W I- w 0 W d d W M O I- M ° w w W H d 0 1 0 1 0:1 10 0 :1 a / /ss A , � \ \ / / /\ \ 6 '\/\ \ / \ / / � /, / %�i i\� \i���, �� SECTION B -B PREPARED BY: SECTION A - A (DEPRESSION DETAIL) ALPHA ENGINEERING & SURVEYING, INC. (BERM DETAIL) POST OFFICE BOX 5229 LAKELAND, FL 33807 -5229 Al J PHONE: (863) 646 -8571 (4a /B �� FAX: (863) 646 -4977 [[ CERTIFICATE OF AUTHORIZATION #1022 JEFFREY A. LAZENBY, P.E. DATE JEFFREY A. LAZENBY, P.E. FLORIDA REGISTRATION #: 62973 FLORIDA REGISTERED PROFESSIONAL ENGINEER #62973 CERTIFICATE OF AUTHORIZATION #: 1022 Apr 13 2009 9:32RM Hurlburt Construction, Inc 813- 754 -4289 p. Pa 4- g , .LEGAL _DESCRIPTION PARCEL •A: COMMENCE AT THE NORTHWEST CORNER OF BLOCK 8. OAK PARK, AS PER PLAT THEREOF, RECORDED IN PLAT BOOK 3, PAGE 53, PUBLIC RECORDS OF PASCO COUNTY, FLORIDA; THENCE RUN TH CE NORTH 8 FEETi THENCE WEST FEET TO THE POINT OF BEGINNING. EAST 82 FEET. NORTH PAR 8: COM NCE AT THE NORTHWEST CORNER OF BLOCK B. OAK PARK, AS PER PLAT THEREOF, WES 50 FEET FOR A POINT OF E RE OED 1N PLAT 800K 3. PAGE 53, PUBUC RECORDS OF PASCO COUNTY, FLORIDA; THENCE RUN SCALE. , =20 THE CE NORTH 83 FEET; THENCE E WEST 1 30 FEET TO THE POINT OF BEGINNING EA 30 FEET; UNPLATTED LANDS (ZACK'S OAK SIDE MOBILE PARK) W j : »1 ;t ' :", "4 ` ` M! ".rJ' FOUNO I /2' IRON RGD U FOUND 1/2' IRON ROD W/ N. :....,1V ,':P.lt1' ns' Ft it CAP STAMPED -13555 nt I nk� ' i . A' 13i; ?� .. u�.c; :; t NO IDENTIFICATION Z .-... 1'0 N89'50'42"E 112.52 W W .f N>Z w.. S' ! ' rJ . i : i ' CHAIN FENCE ► . H - Z �' POMER POLE o 24 6 7' N N `.1 }. d P .' W 1— 32.01' l ` 11.67' 12.33 11.81 32.3E' . --= _J I c73 EXIST NG ^ Q Ill /\ ta. , LL' / BLACK FOUNDATION M J in in v LI" , W el #38647 '• 1 #386 i- Na J Y. EL .. CD ., co Y 0. O O. W "` nr, i; c: a O ;ii,1 2 4.00' 32.16' O m p 1- i ` 32.04' ,,i7.- 48.00 N F 4 2 `' W ? ^ ct I EL t ,c, o OA. ST ?: F ir' § 4:C. al = ,, .. IDIlNPT?OV: D •:a1: - P — r . kVA'•' EXISTING < ! �, . .... OAK TREE + CO ■ 4 • a a W "' W LAS :: 1.::, • S89'48 *11' W ° 112.001F) FOU D 1/2" IRON RO } ' 1 , ', ,.',f-'7,'''''',14f5 �� a V , ` u 4ti '-‘17''-'7',..-''''' y i r' r 1 ' M' • $" IRON PIPE O to W/ �AP STAMPED 13555 TE L e ( - S r ',71',/,', t a T t �� i , , ,, i ;. y , '. d ` . NTFICAT10N Z 0 Y °, x 1 c c.� t ` 4 r ' 2 r " -',-?,k:''''-'1'-',.1+-:-,4 . ._.. t1 . . ., i'.F `, ■ . ..,4 ?de l : '1'. _ ,;� • : w. 1 E 'ii' NOTES c 1. BEARINGS SHORN HEREON ARE RELATIVE TO THE MONUMENTED (n (P) —PER RECORDED PLAT EAST BOUNDARY OF BLOCK A, OAK PARK, AS PER THE PLAT THEREOF. RECORDED IN PLAT BOOK 3, PAGE 53, PUBUC RECORDS 2 (F) — PER FIELD MEASUREMENT OF PASCO COUNTY, FLORIDA; THAT BEARING BONG N00'00 "E (ASSUMED). 2. LEGAL DESCRIPTION SHORN HEREON WAS FURNISHED BY CLIENT. PREPARED BY: ALPHA ENGINEERING & SURVEYING, INC. POST OF'10E BOX 5229 LAKELANO, FL 33807 -5229 PHONE: (863) 646 -8571 �L _ 0. �`!� L!� - 7 —� F (R 646-4977 UMBER •'.: ER E.. LAZENBY, 111, P.S �/ DATE RO E. L NUMBER L8 7467 TIE —IN SURVEY FLORIDA REGISTRATION 0: ROBERT E. R EYOR III CERTIFICATE OF AUTHORIZATION 0 7467 FLORIDA SURVEYOR & MAPPER 2260 (NOT A BOUNDARY SURVEY) Apr 13 2009 9:32AM Hur.lburt Construction, Inc 813-754-4289 p.2 LC - GRADING PLAN - - 101.00- - - - EXIS11NG GROUND CONTOUR - (PROPOSED GRADING) FLOW ARROW NORTH SCALE: 1 . , - ' 1f0A. C2/0---- 1 ,- '''`I.' --../N- -....r- - ..-- ,,...- ....... , . PROPOSED 6 BERN I ' SEE DErAIL-THIS SHEET PROPOSED 6 BERN 1 I. , I V SEE DETAR.-11•11S smEk:r - ■. ' .. ; -._ c..... .., —...,-,.... A " , A I — A — ' A PROPOtECZ,DUPLEX ; r , -N..A... 1 ..- i I --... ....- -- . , \ --'& -- SLOPE PROPOSED DRIVEWAY'a e$ - - ,3 „...--_, , , , 1 07 TOWARDS DEPRESSION AS ••••■.„‹.)::: y ,' q z ) CI c.. .„ - 2 i2 C ta ..-- . To., 0 0 ..? .,-*' (AWAY FROM EXISTING OAK) _.„ . - ..;',C • , • , 1 ' ••0 ' - La U61 ....— --- ..-- ■ , WW 1 -- --- - 1 — --' .") ' s .. TIE BERM INTO g .._ • ' , , DEPRESSION TOP . .„ , '')- ...7 L.-- "....,43T- 1 P EL=100.00 - - . .....r -_ .• - ..1...... ./ / PROPOSED DEPRESSION B -NB 1 - - 't 1 ' ' - / SEE DETML- THIS SHEET . , - a . , ,_ I (15' x15' • TOP) ' i . J' ' !, , H 0 PROPOSED DEPRESSON • -, 0 -, 1 807. £L-V00 cti i e .4 „ ( i 5 e)C ...- SEE DETAL-THIS SHEET EXISTING _ "TREE' B_____.-- C .,.. -w- ... Vis'xi5' o TOP) ._ OAK ' ' 1 ■ B ....--- ( t , . . \ f , ,, ,.,-. , ..,-..,..--L, . e e " r-i' ,',. tl " 'XS, :,, p:e• 's•t "i 71;' - ',. ,.' ... . Pikts ' i' ' '' '' .7• siPSeir's ','' 4S- 4,, ' - ?SC; ,.., ''' '' - ' , ' :. 1 '• r , ., r.'' ' ' ' • .0," -'s , '",,i'•- t., „. sv'.' Is,.4 ls ass , 0A 4;44 "ps jill ,,..:'.., . , - .u . ,, , . , . '-' s s '' ' _ s ,_ ,,, s ,,`• s ‘ : i i ,ts■- - - S• ' :44■Ti. „4ior 1, /, ,, ,,4 ' , T r , j ''' ''' . P4 4.6 ":, ? :; . ., '44 ' '."--- ' I 4 W ' .!. 't , , ' 1 i , '. ', f ' ,. ' ''' '' ,.■zt 4 s '-' ... °:' cii`It-''4 "--- - .; ' ■,„ ',".,■ ' ' ' ''' ' ' ' - • -" t " •-•." ,1 1' ' 1'1.2 , ' ' ' 24, ,' ■ ' ..0.0;., 4i' 7 71.1r •• ' Ala ,.,.-"'Vn. ,■■ .71. r, -„,,- -. it - L ., ,,,,. - - .. -0. 4 .. - ,r -• .1 ) - GRASS & SOD SO' GRASS & 2 r 2' cc MULCH < 3 3 MULCH 6• 4 16 )- 2 1 0 F- 2 g 2 3 0 CD 03 g 2 ffi CD 5 a% a% , 0 g 6 6 g � 8 .L. .-- cc Li g 2 ,.., 0, it 0 . la1 cc b 10: -1- lcy.1 li• R .. • I , \ ../ /, \ / , • \ ..e. /7 \ , / N. _ / ,,,(' /\,,, -</, /, .\\.... \ ,,,,,,, \ \,.. ,,.\\ \s ‘ \:\ •,\, ., ; ,...:>//;\, %/\, N ss \ •; \ •S • N • / / ',/ / '// / / / ■ ./\ /\‘\‘'/ / V\ ‘'././ •(/' // . \ r•N / / /„ /' \,' '.. / / //' //' . / /e ' e \X:,:e • SECTION 8--13 PREPARED BY: SECTION A-A (DEPRESSION orrAn.) ALPHA ENGINEERING & SURVEYING. INC. (FERIA DETAIL) POST OFFICE BOX 5229 1 K' LAKELAND, FL 33807-5229 0 PHONE: (863) 646-8571 C9/ FAX: (863) 648-4977 CEErlIFCAIE OF AUTHORIZATION #1022 JEFFREY A. LAZENBY, P.E. DATE JEFFREY A. LEY. P.E. FLORIDA REGISTRATION #: 62973 FLORID A REGISTERED PROFESSIONAL ENGINEER #52973 CERTIFICATE OF AUTHORIZATION #: 1022 813 - 780 -0020 City of Zephyrhills Permit Application / Fax -813- 780 -0021 Building Department "� (jam Date Received a l) St a / Phone Contac for Permitting 13 e S f -- �� Owners Name` T C(A(1 el T. Ow Ibvie 4:Sase PI 3 Re Owner Phone Number S SI3 – (�,59�Z�Ss Owners Address 133S-O Le..4.0Z s GtI Ct A Rd , O' -vwr Number fee Simple Titleholder Name Nj4 Owner Phone Number Fee Simple Titleholder Address /� '1 j ' _+ 1 ^7 JOB ADDRESS 3S rci9 1 Ito Late•e..,ZG r�'lt (lS l 339 .• LOT# SUBDIVISION OCXAC• Plitt k- PARCEL ID# ■ 0 2 2_0 Z ( opt/ o co Boo ) 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I 1 MOVE I I DEMOLIS INSTALL REPAIR PROPOSED USE I SFR I 1 COMM n OTHER TYPE OF CONSTRUCTION BLOCK Y I FRAME 0 STEEL I 1 OTHER DESCRIPTION OF WORK - 0 `e )( _. ( K T ? BUILDING SIZE 2y k( *2... SO FOOTAGE 3) )t 1 HEIGHT I ), J f BUILDING $ /� / / \ EVALUATION OF TOTAL CONSTRUCTION '; 9, V T - n �( ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY I W..R.E.C. E PLUMBING $ '\ V n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 2 p 1 , . F .,, ) 1 1 GAS 1 I ROOFING 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ONO C U� g p' ...... ,rs ......... 11 ��L - �wrr�■ Irr►. rr��rlr�" ir'." r .....................:................._.,..._ ::::.::::::�:::: �tr�i�:.•.:: �:-::: �:::;:: �::::::::::::;::::::::::::::;: �:::::;::;:::::::�:::::::::�:.: � �1 � � BUILDER Firgan�� COMPANY y ck \o p f G., `�`(. x - • . SIGNATURE 4 i L. ► _ �4. � REGISTERED LC ) N I FEE CURRENT Y / N – Address 13350 L,ef.xi S Gantt kti, l 'El.o.er Ft- 335a) License ,. ense # C C 03 ?St( 3 ELECTRICIAN COMPANY ,.7tuLe. {. t L , SIGNATURE REGISTERED ® FEE CURRENT mum Address Po B• 3Q �/` A - DSa.S 3 ?Sri A License# ER 0©C152- PLUMBER J .nom COMPANY rrdf PL■lS PLUM .- SIGNATURE .---: ., --- REGI STERED =� �/ —, = I Y N I FEE CURRENT I Y/ N Address VD P t5 ?, Sefr . 3 3 583 License # CFC IL( 2- 6/75 MECHANICAL I �9 COMPANY I . PXce ! 1elnce SIGNATURE r // i �� i REGISTERED Ai N FEE CURRENT - Y/ N I n Address - Q I.Qidw1 R(y� �?j3�(' _ License# CA ( 3 4 { !0 OTHER L A 1 COMPANY SIGNATURE REGISTERED I Y/ N i FEE CURRENT 1 Y/ N I Address L License # 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 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 ccnstruction. 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. US Environmental Protection Agency- Asbestos abatement. Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND T. O =TAIN FINANC, G, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO OTIC - r F C M • N • - ' - . FLORIDA JURAT (F.S. 117.03) YO � / � ,'�/ OWNER OR AGENT CONTRACTOR I .��V a, � ��_. .� Subscribed and sworn to (or affirmed) before me this Subscribed and o (or b-. ' this ; Who is /are personally known to me or has/have produced o ieFarE' "personally kno + o me or has/have prod d P SEHAR as identification. • ' as identification. MY COMMISSION x D1 c EXPIRES: November 02 :`.0 I - Nix) - NOTARY Fl. Notary Discount Assoc Notary Public �.Q. I ,,� . Nota • : i 1 •k Commission No. Commission No. (DO t 4. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped FORM 600A -2004R EnergyGauge® 4.5.2 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name Rose Duplex Right Side Builder: ot Address: Per m itting Office: 4 /i urlburt Construction, I c. o f Z y City, ���SL re �� y Permit Number: Owner: 2- 1 r 11i 1(5 , R 3 35412 Jurisdiction Number: 011600 Climate Zone: Central 1. New construction or existing New 12. Cooling systems 2. Single family or multi - family Multi- family a. Central Unit Cap: 18.0 kBtu /hr _ 3. Number of units, if multi- family 1 SEER: 13.00 4. Number of Bedrooms 2 ____ b. N/A 5. Is this a worst case? No 6. Conditioned floor area (ft 814 ft c. N/A 7. Glass type 1 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. (Sngle Default) 51.6 ft I a. Electric Heat Pump Cap: 18.0 kBtu /hr b. SHG ( HSPF: 8.00 (or Clear or Tint DEFAULT) 7b. (Clear) 51.6 ft _ b. N/A 8. Floor types • a. Slab -On -Grade Edge Insulation R =0.0, 122.0(p) ft _ c. N/A b. N/A c. N/A 14. Hot water systems 9. Wall types a. Electric Resistance Cap: 40.0 gallons a. Concrete, Int Insul, Adjacent R -4.1, 296.0 ft ___ EF: 0.92 b. Concrete, Int Insul, Exterior R =4.1, 590.0 ft b. N/A c. N/A d. NrA I c. Conservation credits e. N/A (HR -Heat recovery, Solar 10. Ceiling types DHP- Dedicated heat pump) a. Under Attic R= 30.0, 814.0 ft 15. HVAC credits b. N/A (CF- Ceiling fan, CV -Cross ventilation, c. N/A HF -Whole house fan, 11. Ducts PT- Programmable Thermostat, a. Sup: Unc. Ret: Unc. AH(Sealed):Interior Sup. R =6.0, 100.0 ft MZ- C- Multizone cooling, b. N/A MZ -H- Multizone heating) - I Glass /Floor Area: 0.06 Total as -built points: 10237 PASS Total base points: 11489 I hereby certify that the plans and specifications covered by Review of the plans and ••- this calculation are in compliance with the Florida Energy specifications covered by this :.. pVSHE- SIgTi',•.. Code. a calculation indicates compliance : % ' ; = ��: PREPARED BY.,' � 1 with the Florida Energy Code. ,, r n +, 0 DATE: 2 z f Z Bef construction _ � rucon is completed this building will be inspected for c•D'• - . ; b I hereby certify that thi .. Iding, a •e i% i compliance with Section 553.90 ' t'� '`1 1 1 compliance with the F . ; : En:i., 1 7 Florida Statutes. 5 OWNER/AGENT: ■'l1`.L.AL1k.. . - -- BUILDING i" OFF DATE: `7� -O GI DATE: 5 IAL: c. 09 1 Predominant glass type. For actual lass g type and areas, see Summer & Winter Glass output on pages 2 &4. EnergyGauge® (Version: FLRCPB v4.5.2) • FORM 600A -2004R EnergyGauge® 4.5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , , , . PERMIT #: 1 BASE I AS -BUILT GLASS TYPES 18 X Conditioned X BSPM = Points Overhang Floor Area Type /SC Ornt Len Hgt Area X SPM X SOF = Points .18 814.0 24.35 3568.0 1.Single, Clear E 1.0 0.0 16.2 63.97 0.36 375.0 2.Single, Clear E 1.0 0.0 3.0 63.97 0.36 69.0 3.Single, Clear S 1.0 0.0 32.4 48.22 0.48 742.0 1 As -Built Total: 51.6 1186.0 WALL TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Adjacent 296.0 0.70 207.2 1. Concrete, Int Insul, Adjacent 4.1 296.0 0.65 190.9 Exterior 590.0 1.90 1121.0 2. Concrete, Int Insul, Exterior 4.1 590.0 1.18 696.2 Base Total: 886.0 1328.2 I As -Built Total: 886.0 887.1 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 1.Exterior Insulated 18.0 4.80 86.4 Exterior 38.0 4.80 182.4 2.Exterior Insulated 20.0 4.80 96.0 Base Total: 38.0 182.4 1 As -Built Total: 38.0 182.4 CEILING TYPES Area X BSPM = Points Type R -Value Area X SPM X SCM = Points Under Attic 814.0 2.13 1733.8 1. Under Attic 30.0 814.0 2.13 X 1.00 1733.8 Base Total: . 814.0 1733.8 As -Built Total: 814.0 1733.8 FLOOR TYPES Area X BSPM = Points Type R -Value Area X SPM = Points Slab 122.0(p) -31.8 - 3879.6 1. Slab -On -Grade Edge Insulation 0.0 122.0(p -31.90 - 3891.8 Raised 0.0 0.00 0.0 Base Total: - 3879.6 As -Built Total: 122.0 - 3891.8 INFILTRATION Area X BSPM = Points Area X SPM = Points 814.0 14.31 11648.3 814.0 14.31 11648.3 EnergyGauge® DCA Form 600A -2004R EnergyGauge® /FIaRES2004R FLRCPB v4.5.2 • FORM 600A -2004R EnergyGauge® 4.5.2 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , , ,• PERMIT #: BASE AS -BUILT Summer Base Points: 14581.2 Summer As -Built Points: 11745.9 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 18000btuh ,SEER/EFF(13.0) Ducts: Unc(S),Unc(R),Int(AH),R6.0(INS) 11746 1.00 (1.09 x 1.150 x 0.85) 0.260 1.000 3264.0 14581.2 0.3250 4738.9 11745.9 1.00 1.069 0.260 1.000 3264.0 EnergyGauge DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v4.5.2 System Sizing Calculations - Summer Residential Load - Whole House Component Details Project Title: Code Only Rose Duplex Right Side Professional Version Climate: Central Reference City: Tampa (Defaults) Summer Temperature Difference: 16.0 F 2/4/2009 Antloadititte Hou Type* Overhang Window Area(sqft) HTM Load Window Pn /SHGC /U /InSh /ExSh /IS Ornt Len Hgt Gross Shaded Unshaded Shaded Unshaded 1 1, Clear, 1.27, B -M, N,H E 1ft. Oft. 16.2 16.2 0.0 25 62 409 Btuh 2 1, Clear, 1.27, B -M, N,N E 1ft. Oft. 3.0 3.0 0.0 28 69 84 Btuh 3 1, Clear, 1.27, B -M, N,H S 1ft. Oft. 32.4 32.4 0.0 25 29 817 Btuh Window Total I 52 (sqft) 1310 Btuh ----------- - - - - -- - -- ------------ - - - - -- - -- Walls Type R- Value /U -Value Area(sqft) HTM Load 1 Concrete BIk,Hollow- Adj 4.1/0.15 296.0 2.4 703 Btuh 2 Concrete BIk,Hollow - Ext 4.1/0.15 590.0 2.4 1427 Btuh Wall Total 886 (sqft) 2129 Btuh Doors Type Area (sqft) HTM Load 1 Insulated - Exterior 18.0 9.4 170 Btuh 2 Insulated - Exterior 20.0 9.4 189 Btuh Door Total 38 (sqft) 359 Btuh Ceilings Type /Color /Surface R -Value Area(sqft) HTM Load 1 Vented Attic /DarkShingle 30.0 814.0 1.6 1322 Btuh Ceiling Total 814 (sqft) 1322 Btuh Floors Type R -Value Size HTM Load 1 Slab On Grade 0.0 122 (ft(p)) 0.0 0 Btuh Floor Total 122.0 (sqft) 0 Btuh Zone Envelope Subtotal: 5120 Btuh Infiltration Type ACH Volume(cuft) wall area(sqft) CFM= Load SensibleNatural 0.32 6512 886 34.7 611 Btuh Internal Occupants Btuh /occupant Appliance Load gain 4 X 230 + 1200 2120 Btuh Sensible Envelope Load: 7851 Btuh Duct load Average sealed, Supply(R6.O- Attic), Return(R6.0- Attic) (DGM of 0.274) 2151 Btuh Sensible Zone Load 10002 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Summer Calculations Residential Load - Component Details (continued) Project Title: Code Only • Rose Duplex Right Side Professional Version Climate: Central 2/4/2009 ' TOTALS Sensible Envelope Load All Zones 7851 Btuh Sensible Duct Load 2151 Btuh Total Sensible Zone Loads 10002 Btuh Sensible ventilation 0 Btuh Blower 0 Btuh Whole House Total sensible gain 10002 Btuh Totals for Cooling Latent infiltration gain (for 56 gr. humidity difference) 1322 Btuh Latent ventilation gain 0 Btuh Latent duct gain 503 Btuh Latent occupant gain (4 people c@ 200 Btuh per person) 800 Btuh Latent other gain 0 Btuh Latent total gain 2625 Btuh TOTAL GAIN 12627 Btuh EQ P E T 1. Central Unit # 18000 Btuh *Key: Window types (Pn - Number of panes of glass) (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint) (U - Window U- Factor or'DEF' for default) r+�.•+ar (InSh - Interior shading device: none(N), Blinds(B), Draperies(D) or Roller Shades(R)) (ExSh - Exterior shading device: none(N) or numerical value) (BS - Insect screen: none(N), Full(F) or Half(H)) (Ornt - compass orientation) 11A1011.1111., Version 8 For Florida residences only EnergyGauge® FLRCPB v4.5.2 Page 2 System Sizing Calculations - Winter Residential Load - Whole House Component Details Project Title: Code Only • Rose Duplex Right Side Professional Version Climate: Central Reference City: Tampa (Defaults) Winter Temperature Difference: 30.0 F 2/4/2009 !Component L for hm House Window Panes /SHGC /Frame /U Orientation Area(sgft) X HTM= Load 1 1, Clear, Metal, 1.27 E 16.2 38.1 617 Btuh 2 1, Clear, Metal, 1.27 E 3.0 38.1 114 Btuh 3 1, Clear, Metal, 1.27 S 32.4 38.1 1234 Btuh Window Total 52(sgft) 1965 Btuh Walls Type R -Value Area X HTM= Load 1 Concrete BIk,Hollow - Adj(0.15) 4.1 296 4.5 1317 Btuh 2 Concrete BIk,Hollow - Ext(0.15) 4.1 590 4.5 2626 Btuh Wall Total 886 3943 Btuh Doors Type Area X HTM= Load 1 Insulated - Exterior 18 10.5 189 Btuh 2 Insulated - Exterior 20 10.5 210 Btuh Door Total 38 399Btuh Ceilings Type /Color /Surface R -Value Area X HTM= Load 1 Vented Attic /D /Shin 30.0 814 1.0 778 Btuh Ceiling Total 814 778Btuh Floors Type R -Value Size X HTM= Load 1 Slab On Grade 0 122.0 ft(p) 35.4 4319 Btuh Floor Total 122 4319 Btuh Zone Envelope Subtotal: 11403 Btuh Infiltration Type ACH X Volume(cuft) walls(sqft) CFM= Natural 0.61 6512 886 66.2 2183 Btuh Ductload Average sealed, Supply(R6.0- Attic), Return(R6.0- Attic) (DLM of 0.111) 1510 Btuh Zone #1 Sensible Zone Subtotal 15096 Btuh WHOLE HOUSE TOTALS Subtotal Sensible 15096 Btuh Ventilation Sensible 0 Btuh Total Btuh Loss 15096 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Winter Calculations Residential Load - Component Details (continued) Project Title: Code Only • Rose Duplex Right Side Professional Version Climate: Central 2/4/2009 1. Electric Heat Pump # 18000 Btuh Key: Window types (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint) types - metal, wood or insulated metal) (U - Window U- Factor or'DEF' for default) (HTM - ManualJ Heat Transfer Multiplier) Key: Floor size (perimeter(p) for slab -on -grade or area for all other floor types) 1"tRMlllf61.1 Version 8 For Florida residences only EnergyGauge® FLRCPB v4.5.2 Page 2 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 88.1 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 Cap: 18.0 kBtu/hr 3. Number of units, if multi - family 1 _ SEER: 13.00 4. Number of Bedrooms 2 b. N/A 5. Is this a worst case? No _ 6. Conditioned floor area (ft 814 ft c. N/A 7. Glass type' and area: (Label reqd. by 13- 104.4.5 if not default) a. U- factor: Description Area 13. Heating systems (or Single or Double DEFAULT) 7a. (Sngle Default) 51,6 ft - a. Electric Heat Pump Cap: 18.0 kBtu/hr b. SHGC: HSPF: 8.00 (or Clear or Tint DEFAULT) 7b. (Clear) 51.6 ft b. N/A 8. Floor types a. Slab -On -Grade Edge Insulation R =0.0, 122.0(p) ft _ c. N/A b. N/A c. N'A - 14. Hot water systems 9. Wall types a. Electric Resistance Cap: 40.0 gallons _ a. Concrete, Int Insul, Adjacent R =4.1, 296.0 ft _ EF: 0.92 b. Concrete, Int Insul, Exterior R =4.1, 590.0 ft b. N/A 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 Attic R =30.0, 814.0 ft _ 15. HVAC credits b. N/A (CF- Ceiling fan. CV -Cross ventilation, c. N/A _ HF -Whole house fan, 11. Ducts PT- Programmable Thermostat, a. Sup: Unc. Ret: Unc. AH(Sealed):Interior Sup. R =6.0, 100.0 ft _ MZ- C- Multizone cooling, b. N/A MZ -H- Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building ........... Construction through the above e -rgy saving fe. ures which will be installed (or exceeded) • in this home before f spec I . • - • 1, ew EPL Display Card will be completed : w� ~ „' based on installed C i .. i c m 1 ea / es : ti "� co y Builder Signature: f - ! ' << _.�.. • Date: 2- -- � -0 � � ' --a ','!� Z ` Address of New Home: 3 41 V City/FL Zip: � �--�� 1 - 1 • '•::�'C ..... T '��: •� • . �Ytl `S t° o p�. *NOTE: The home's estimated energy performance score is only available through the FLARES computer �` t p gram. WE This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA/DOE EnergyStcr designation), your home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www.fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487 -1824. 1 Predominant glass type. For actual glass type and areas see Summer & Winter Glass output on pages 2 &4. >rnergyGauge® (Version: ILRLFB v4.5.2) • FORM 600A -2004R EnergyGauge® 4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , , ,. PERMIT #: I BASE 1 AS -BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type /SC Ornt Len Hgt Area X WPM X WOF = Point .18 814.0 9.11 1335.0 1.Single, Clear E 1.0 0.0 16.2 12.37 1.32 264.0 2.Single, Clear E 1.0 0.0 3.0 12.37 1.32 48.0 3.Single, Clear S 1.0 0.0 32.4 9.90 2.29 734.0 As -Built Total: 51.6 1046.0 WALL TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Adjacent 296.0 1.80 532.8 1. Concrete, Int Insul, Adjacent 4.1 296.0 2.08 615.7 Exterior 590.0 2.00 1180.0 2. Concrete, Int Insul, Exterior 4.1 590.0 3.31 1950.0 Base Total: 886.0 1712.8 I As -Built Total: 886.0 2565.6 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 1.Exterior Insulated 18.0 5.10 91.8 Exterior 38.0 5.10 193.8 2.Exterior Insulated 20.0 5.10 102.0 I Base Total: 38.0 193.8 1 As -Built Total: 38.0 193.8 CEILING TYPESArea X BWPM = Points Type R -Value Area X WPM X WCM = Points Under Attic 814.0 0.64 521.0 1. Under Attic 30.0 814.0 0.64 X 1.00 521.0 Base Total: 814.0 521.0 As -Built Total: 814.0 521.0 FLOOR TYPES Area X BWPM = Points Type R -Value Area X WPM = Points Slab 122.0(p) -1.9 -231.8 1. Slab -On -Grade Edge Insulation 0.0 122.0(p 2.50 305.0 Raised 0.0 0.00 0 Base Total: -231.8 As -Built Total: 122.0 305.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 814.0 -0.28 -227.9 814.0 -0.28 -227.9 EnergyGauge® DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v4.5.2 FORM 600A -2004R EnergyGauge® 4.5.2 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details I ADDRESS: , , ,r PERMIT #: I BASE AS -BUILT Winter Base Points: 3302.8 Winter As -Built Points: 4403.5 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 18000 btuh ,EFF(8.0) Ducts :Unc(S),Unc(R),Int(AH),R6.0 4403.5 1.000 3302.8 0.5540 1829.8 4403.5 1.00 (1 1.093 x 87) 0.427 1.000 2053.2 EnergyGaugerM DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v4.5.2 FORM 600A -2004R EnergyGauge® 4.5.2 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details I ADDRESS: , , ,. PERMIT #: I 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 246D.00 1.00 4920.0 As -Built Total: 4920.0 CODE COMPLIANCE STATUS BASE AS -BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 4739 1830 4920 11489 3264 2053 4920 10237 PASS 1 � yO � `TH 91 , co. E ST�0�:: 0 ,I V EnergyGaugeTM DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v4.5.2 ' FORM 600A -2004R EnergyGauge® 4.5.2 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 & Doors 606.1.ABC.1.1 Maximum:.3 cfm /sq.ft. window area; .5 cfm/sq.ft. door area. _ Exterior & Adjacent Walls 606.1.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 corners; 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 >1/13" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter, penetrations and 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 is sealed at the perimeter, at penetrations and seams. Recessed Lighting Fixtures 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 s_pcstested. Multi -story Houses 606.1.ABC.1.2.5 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 _ CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked circuit — -- breaker (electric) or cutoff (qas) must be provided. 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 efficiency of 78 %. Shower heads 1 612.1_ Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated, and installed in accordance with the criteria of Section 610. Ducts in unconditioned attics: R-6 min. insulation. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. Insulation 604.1, 602.1 Ceilings -Min. R -19. Common walls -Frame R -11 or CBS R -3 both sides. Common ceiling & floors R -11. EnergyGaugeTM DCA Form 600A -2004R EnergyGauge® /FIaRES'2004R FLRCPB v4.5.2 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD • ESTIMATED ENERGY PERFORMANCE SCORE* = 88.1 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 Cap: 18.0 kBtu/hr _ __ 3. Number of units, if multi - family 1 _ SEER: 13.00 4. Number of Bedrooms 2 b. N/A 5. Is this a worst case? No 6. Conditioned floor area (ft 814 ft c. N/A 7. Glass type 1 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. (Sngle Default) 51.6 ft a. Electric Heat Pump Cap: 18.0 kBtu/hr b. SHGC: HSPF: 8.00 (or Clear or Tint DEFAULT) 7b. (Clear) 51.6 ft b. N/A 8. Floor types a. Slab -On -Grade Edge Insulation R =0.0, 122.0(p) ft c. N/A b. N/A c. N/A 14. Hot water systems 9. Wall types a. Electric Resistance Cap: 40.0 gallons a. Concrete, Int Insul, Adjacent R =4.1, 296.0 ft __ EF: 0.92 b. Concrete, Int Insul, Exterior R =4.1, 590.0 ft b. N/A c. N/A d. WA c. Conservation credits e. N/A (HR -Heat recovery, Solar 10. Ceiling types DHP- Dedicated heat pump) a. Under Attic R =30.0, 814.0 ft 15. HVAC credits b. N/A (CF- Ceiling fan, CV -Cross ventilation, c. N/A HF -Whole house fan, 11. Ducts PT- Programmable Thermostat, a. Sup: Unc. Ret: Unc. AH(Sealed):Interior Sup. R =6.0, 100.0 ft _ MZ- C- Multizone cooling, b. N/A MZ -H- Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building ••••••• Construction through le above e - rgy saving features which will be installed (or exceeded) o izKE s in this home before coal nspe' s 1 ew EPL Display Card will be completed <vQ, 4 :4, : based on installed o .1 , s �/ : , � 4 Builder Signature: i i I , �►�1 j 4 - L 4 V� , d �r, �. D ate: 2 ... �, y '� =� P a : Q1f1� , ��p �► \ ± .. yam.. • Address of New Home: "336(e) �eLS� City/FL Zip: - i ( 7R_ ... I: 3354 2.: * ' * ................. *:VOTE: The home's estimated energy performance score is only available through the FLA /RES computer program. This is not a Building Energy Rating. If your score is 80 or greater (or 86 for a US EPA /DOE EnergyStar designation), vour home may qualify for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638 -1492 or see the Energy Gauge web site at www.fsec. ucf. edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487 -1824. 1 Predominant glass type. For actual glass type and areas see Summer & Winter Glass output on pages 2 &4. E nergyGauge® (Version: FLRCPB v4.5.2) System Sizing Calculations - Summer Residential Load - Whole House Component Details Project Title: Code Only . , Rose Duplex Right Side Professional Version Climate: Central Reference City: Tampa (Defaults) Summer Temperature Difference: 16.0 F 2/4/2009 Component Loads forWhote :Hou Type* Overhang Window Area(sqft) HTM Load Window Pn /SHGC /U /InSh /ExSh /IS Ornt Len Hgt Gross Shaded Unshaded Shaded Unshaded 1 1, Clear, 1.27, B -M, N,H E 1 ft. Oft. 16.2 16.2 0.0 25 62 409 Btuh 2 1, Clear, 1.27, B -M, N,N E 1ft. Oft. 3.0 3.0 0.0 28 69 84 Btuh 3 1, Clear, 1.27, B -M, N,H S 1 ft. Oft. 32.4 32.4 0.0 25 29 817 Btuh Window Total 52 (sqft) 1310 Btuh — Walls Type R- Value /U -Value Area(sqft) HTM Load 1 Concrete BIk,Hollow - Adj 4.1/0.15 296.0 2.4 703 Btuh 2 1 Concrete BIk,Hollow- Ext 4.1/0.15 590.0 2.4 1427 Btuh Wall Total 886 (sqft) 2129 Btuh Doors Type Area (sqft) HTM Load 1 Insulated - Exterior 18.0 9.4 170 Btuh 2 Insulated - Exterior 20.0 9.4 189 Btuh Door Total _ 38 (sqft) 359 Btuh Ceilings Type /Color /Surface R -Value Area(sqft) HTM Load 1 Vented Attic /DarkShingle 30.0 814.0 1.6 1322 Btuh Ceiling Total 814 (sqft) 1322 Btuh 1 Floors Type R -Value Size HTM Load 1 Slab On Grade 0.0 122 (ft(p)) 0.0 0 Btuh Floor Total 122.0 (sqft) 0 Btuh Zone Envelope Subtotal: 5120 Btuh Infiltration Type ACH Volume(cuft) wall area(sqft) CFM= Load SensibleNatural 0.32 6512 886 34.7 611 Btuh Internal Occupants Btuh /occupant Appliance i Load gain 4 X 230 + 1200 2120 Btuh Sensible Envelope Load: 7851 Btuh Duct load Average sealed, Supply(R6.0- Attic), Retum(R6.0- Attic) (DGM of 0.274) 2151 Btuh Sensible Zone Load 10002 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Summer Calculations Residential Load - Component Details (continued) Project Title: Code Only Rose Duplex Right Side Professional Version Climate: Central 2/4/2009 WHOLEFS n Sensible Envelope Load All Zones 7851 Btuh Sensible Duct Load 2151 Btuh Total Sensible Zone Loads 10002 Btuh Sensible ventilation 0 Btuh Blower 0 Btuh Whole House Total sensible gain 10002 Btuh Totals for Cooling Latent infiltration gain (for 56 gr. humidity difference) 1322 Btuh Latent ventilation gain 0 Btuh Latent duct gain 503 Btuh Latent occupant gain (4 people c 200 Btuh per person) 800 Btuh Latent other gain 0 Btuh Latent total gain 2625 Btuh TOTAL GAIN 12627 Btuh EQUE1T 1. Central Unit # 18000 Btuh J, *Key: Window types (Pn - Number of panes of glass) (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint) (U - Window U- Factor or'DEF' for default) n..a� (InSh - Interior shading device: none(N), Blinds(B), Draperies(D) or Roller Shades(R)) (ExSh - Exterior shading device: none(N) or numerical value) (BS - Insect screen: none(N), Full(F) or Half(H)) (Omt - compass orientation) MAKIN- Version 8 For Florida residences only EnergyGauge® FLRCPB v4.5.2 Page 2 System Sizing Calculations - Winter Residential Load - Whole House Component Details Project Title: Code Only • Rose Duplex Right Side Professional Version Climate: Central Reference City: Tampa (Defaults) Winter Temperature Difference: 30.0 F 2/4/2009 1 C°01 Ponent Loads tOt V O C ilelleUSS Window Panes /SHGC /Frame /U Orientation Area(sgft) X HTM= Load 1 1, Clear, Metal, 1.27 E 16.2 38.1 617 Btuh 2 1, Clear, Metal, 1.27 E 3.0 38.1 114 Btuh 3 1, Clear, Metal, 1.27 S 32.4 38.1 1234 Btuh Window Total 52(sgft) 1965 Btuh Walls Type R -Value Area X HTM= Load 1 Concrete BIk,Hollow - Adj(0.15) 4.1 296 4.5 1317 Btuh 2 Concrete BIk,Hollow - Ext(0.15) 4.1 590 4.5 2626 Btuh Wall Total 886 3943 Btuh Doors Type Area X HTM= Load 1 Insulated - Exterior 18 10.5 189 Btuh 2 Insulated - Exterior 20 10.5 210 Btuh Door Total 38 399Btuh Ceilings Type /Color /Surface R -Value Area X HTM= Load 1 Vented Attic /D /Shin 30.0 814 1.0 778 Btuh Ceiling Total 814 778Btuh Floors Type R -Value Size X HTM= Load 1 Slab On Grade 0 122.0 ft(p) 35.4 4319 Btuh Floor Total 122 4319 Btuh Zone Envelope Subtotal: 11403 Btuh Infiltration Type ACH X Volume(cuft) walls(sqft) CFM= Natural 0.61 6512 886 66.2 2183 Btuh Ductload Average sealed, Supply(R6.0- Attic), Return(R6.0- Attic) (DLM of 0.111) 1510 Btuh Zone #1 Sensible Zone Subtotal 15096 Btuh Subtotal Sensible 15096 Btuh Ventilation Sensible 0 Btuh Total Btuh Loss 15096 Btuh EnergyGauge® FLRCPB v4.5.2 Page 1 Manual J Winter Calculations Residential Load - Component Details (continued) Project Title: Code Only Rose Duplex Right Side Professional Version Climate: Central 2/4/2009 E lUIPME 17 1. Electric Heat Pump # 18000 Btuh o Key: Window types (SHGC - Shading coefficient of glass as SHGC numerical value or as clear or tint) °` (Frame types - metal, wood or insulated metal) (U - Window U- Factor or'DEF' for default) (HTM - ManualJ Heat Transfer Multiplier) Key: Floor size (perimeter(p) for slab -on -grade or area for all other floor types) f1H141Jf1L Version 8 For Florida residences only EnergyGauge® FLRCPB v4.5.2 Page 2 . . t ri ,••••* < 1 ".:. tk) t 41& ; C & 1 * ■ tr-- iii./1 3 ,ii,L vl 1, A ):. VI -- _ 0 z .... L-, ,iiirivol 0- ft)■1110likrAli (c; ,r. ,,., 1 ‘14 — — ____ _ r IIIL . I. o \ c4 x - --1 , , - - - - . , ... ,„ , • \ _ 1 , i , - 0 0 I - IC . 2 01.71■X 20 cot ... :me mom a rttxrett li.7.01:01.4 iroxoir I wearecirom gi c .. ... i 1 • 0 3 i j 1 F] ,.. --- 3 c---- • • 1 cV\ \ • / / I / \ , . ., p",==. ..14 ■••■■••=1 I ............. . , _ / X \ Ar. IV: t _ 1 m 1 ___ ‘004 36Vri SQ. FEET PRICE MAIN OR LIVING: 837 $96.83 OTHER AREA UNDER ROOF: - $94.00 OTHER: - $- VALUATION $81,046.71 FEE SHEET $408.00 ADDRESS $30.00 DRIVEWAY $30.00 BUILDING: $476.16 ELECTRICAL: $91.80 PLUMBING: $61.20 MECHANICAL: $42.84 SUB -TOTAL $672.00 RADON: $8.37 TOTAL $680.37 SEWER: $1,909.50 WATER: $608.95 IRRIGATION: $- TOTAL: $2,518.45 WATER METER:I IRRIGATION METER $- 1 FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $- PUBLIC SAFETY IMPACT FEES POLICE $254.00 FIRE $273.00 5% $26.35 TOTAL: $553.35 SUB -TOTAL $3,972.17 PARK IMPACT FEESI $769.561 SIF'S: 100.0% $1,873.55 $1,855.00 1.0% $18.55 TOTAL: $1,873.55 T I F 'S : $3,632.00 99 °/ $ 1°/ $36.32 TOTAL: $10.247.28 . ITW Building Components Group, Inc. 1950 Marley Drive Haines City, FL 33844 Florida Engineering Certificate of Authorization Number: 0 278 Florida Certificate of Product Approval # FL 1999 Page 1 of 1 Document ID:1TPC6922Z0420 1 63 1 30 Truss Fabricator: Old Oak Truss Job Identification: J081539- /HURLBURT CONSTRUCTION INC -- , ** Truss Count: 23 Model Code: Florida Building Code 2004 and 2006 Supplement Truss Criteria: CUSTOM /TPI- 2002(STD) Engineering Software: Alpine Software,Version 8.03. ,.— Structural Engineer of Record: The identity of the structural FOR did not exist as of Address: the seal date per section 61G15- 31.003(5a) of the FAC Minimum Design Loads: Roof - 40.0 PSF @ 1.25 Duration Floor - N/A Wind - 125 MPH ASCE 7 -02 - Closed Notes: Seal Date: '32/2:1:Y2009 1. Determination as to the suitability of these truss components for the structure is the responsibility of the building designer /engineer of -Truss Design Engineer - record, as defined in ANSI /TPI 1 James F. Collins Jr. Florida License Number: 52212 2. The drawing date shown on this index sheet must match the date shown 1950 Marley Drive on the individual truss component drawing. Haines city, FL 33844 3. As shown on attached drawings; the drawing number is preceded by: HCUSR6922 Details: A1301502-GBLLETIN-PB140-VAL130- ' # Ref Description Drawing# Date 1 61445--Al 09051310 02/20/09 2 61446 - -A2 09051311 02/20/09 3 61447 - -A3 09051312 02/20/09 4 61448--A4 09051313 02/20/09 5 61449 - -A5 09051314 02/20/09 6 61450 --A6 09051315 02/20/09 7 61451--A7 09051316 02/20/09 8 61452 - -A8 09051317 02/20/09 9 61453 - -B1 09051318 02/20/09 10 61454 - -B2 09051319 02/20/09 11 61455 --C1 09051320 02/20/09 12 61456 - -C2 09051321 02/20/09 13 61457 - -C3 09051322 02/20/09 14 61458 - -E35 09051323 02/20/09 15 61459- -GE1 09051324 02/20/09 . 16 61460 - -31 09051325 02/20/09 17 61461 --J3 09051326 02/20/09 18 61462 - -K37 09051327 02/20/09 19 61463--M5 09051328 02/20/09 20 61464 - -PG1 09051329 02/20/09 21 61465- -V1 09051330 02/20/09 22 61466 - -V2 09051331 02/20/09 23 61467 - -V3 09051332 02/20/09 1111111111111111111111 11111 1111 1111 O , _ LC) co d , d Olt - O l ,--� Q . 7 co N --e, l0 O o 1_1 IN N n 0.1 p L0 N LP 1 C0 N N = '-) M V 0 CJ II. 0) N 0 F- •- z r c.) _1 0-o W W Z LL +, i= v W I- 3 .0 Li.1 W Q CC V W CC S. 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Q S NNN 05 0 0 3 O_ "' 0 \ U 3 C ,- J C.) 3 O 'O - O v) c_ r0 0 r • Q p 0) C C a) 01 CD Q O_ C LL r") 0 0 a) > rn C - O a-- >- 'p In = '0 C: )) J 0 V] 'O = 0 co N m 0 4< - 0 4- 4 H 3 '7 C C O a) 0 J 1- c0 3 33 C w Z CL COI 0 7I I I �I O - I O . 1 N -I= '-V \ '-j I N w CDIO I ' I o J N IN N 1 D a m - N \ LC) l0 N N of '7 6l I C) LCD N O co J CO I 0_ 6 V 1- - O LO I 0 CJ I = -c I ,_ N_ W W Z! w -c U u H 3 O w U U L/ W - O C) W CC - OCO CC 0 D (n 0 • J • C �.� li w w w w o -0 3 (n (1) Cr) f/7 V7 m o_ 2 d d CO_ `� \ O O O O O O (NI w a c N 0 O O O O O N 0 0 r0 N ti w • O • V lD ∎ CO • U C3 N� a P Q z • O V • 0 - J J J J w • (_) \ J O 0 J C> N J - C Q w L O w O V C.J U O 1 O 0 z V C O N H CO CO F- 0 CO �. N Q 3 so CO w CO LL - m d } 0_ Ln ro Jn x cc O `�, . T • o 3 > d o N - ■ 9Z N W 0 • o V c t .. . to $ .. ¢F Q o w Q. ro � • : z (/) � •L c v 4v I llhilo V P 4( ? v M = L cu O D_cu L U a �_ - • LC) >>4- C V- - _ N c V/ N - - _ - _ c CO n 0 - G \ ha N ^ 0 T \ C. 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Cat CV ' ° d M a' o x X x 0 m f m t m I' n a° �. _ as a -CCO n v o c as ' x woo II x �i z EnEnM --0 oW - �x H �.� U 0.,=1 Lo 1 z x z W d-, ° � - E-E U - O d �I NNE o WL x a x L -L „ �� „ c71 a I U U U - x o x oow F �� ¢x ¢ a a U U H 1: a 0 1 c U ww - x 111 - w ° H o * v a ` VERIFY ALL DIv1ENSIONS AND CONDITIONS PRIOR TO FABRICATIO\ � C--1\ I I I I 1 1 I I I 1 L � I I I I I-� m K K m m m m m m m m m m m CP CP Ui 0 U CP CP U1 CP CP Cii Ul CP � 1 Al - _ 1 i PG1 i A2 1uI A2 A3 1 III lir � c-n. W IO A o I ■IP No I► D_ C 1 A5 j N 1 I 2 i A6 i °3'CR.: 00 A7 A8 I - ° A °o 8 A7 A6 11 111 A5 , �, CO I l Ih irli IL A3 c- ) 1 i 1 I I I _ — < r ___ ■ PG 1 A2 ___ CO I ii Al ,41 m m m m m m m m m m m 1 ' 0 K K ( (..n c_ c_ c c c_ c_ c_ L - c_ ( c:) 0 m CP � (.11 CP CTi CTi CP Cil CP Ut 0 Ui 1 f 1 1 1 1 `` i , 1 1 I 1 I 1 M I I Cry lc— , tv —4' -0" 30' 8" 6' -4" 41' -0" iv, ..., ( If/ v i r \ . , City of Zephyrbills BUILDING PLAN REVJEW COMMENTS omeowner: 1----ailltra e al.., 1 .--t- Date Received: Site: cg ? 4/ D.6.6.-- A.,,, • Permit Type: ■ , I Z. ...I Approved w/no comments C3 Approved w/the below comments: Denied w/the below comments: 0 • - 1101,M11715 / AIDL 1 10 A ... This comm t she s be kept with the permit and/or plans. 1:2 0 7 1 Kalvin witzer — sns Examiner Date Contractor and/or Homeowner (Required when comments are present) Page 2 of 3 Date:2/25/2009 02:07 PM Page:2 of 3 Pa From:Linda Allen FaxID:Florida Insurance Ce g ACORD OP ID LA DATE (MMIDD/YYYY) _ CERTIFICATE OF LIABILITY INSURANCE BRUCE - 02/25/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Florida Insurance Center Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 414 11 Alexander Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Plant City FL 33563 Phone:8i3- 754 - 3561 Fax:813- 764 -8402 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Nasitield Insurance Company 24112 INSURER B. Auto Owners Insurance Co 18988 Bruce Doan Electric , Inc. INSURER C. P 0 Box 1390 INSURER D: Thonotosassa FL 33592 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR 7 NS L POLICY NUMBER DATE (MM/DD/YY) POLICY DATE (MM/DD/YY)N LIMITS LTR NSRC TYPE OF INSURANCE GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 _ UVIW \l,tIUHtNItIJ 8 150,000 A X COMMERCIAL GENERAL LIABILITY CWP3670957 01/11/09 01/11/10 PREMISES (Ea occurence) CLAIMS MADE 1 X 1 OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 — I POLICY n 7 4 ^ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 50 , 000. B ANY AUTO 9542032400 02/16/09 02/16/10 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ (Per person) X SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) . GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ - 7 OCCUR I I CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ W(; SIAIU- UIH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS • CERTIFICATE HOLDER CANCELLATION CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Zephyrhills NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Building Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5335 8th Street IVES. Zephyrhills FL 33542 REPRESENTATIVES. AUT IZED REPRESENWIVE • ACORD 25(2001/08) L @ACORD CORPORATION 1988 Page 3 of 3 Date:2/25/2009 02:07 PM Page:3 of 3 Pa From:Linda Allen FaxID:Florida Insurance Ce g • IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) 02/25/2009 14:30 8139865994 DOAN ELECTRIC PAGE 01 P.-7-, sTs .09. . . ,,,, Y . . , , , ,,,,.:::,,, , : , ,:...,,, . . . , , , . . . . ... , 0 . , , e ' 3 r • 1f J 4 ,t'a • a . 9 ? g - a b �.� 1 c ^' ,,1 >f( r' is ' li �( i . • In Y ; tt��r 02/25/2009 14:30 8139865994 DOAN ELECTRIC PAGE 02 • • VC Lb /7 6ti.Ytit i.�, + i�I�k�fe \ •..i �, l „ti •' Ea LTLA - � � � ' • T:zaN r, - p y � r l -\ r_.v. 1'r - f � � a_•. 1 � S = ° i a `+” ' Ica '•: � a ,. , � t r • _� J B +'S 01 . , : ^ .w Jf ray "� . t - -;a q ,� _ y } ,6!7 � -ars, 4 /(> c 'y !/�f'.,r _.'+°' • n ,a yam � � v ,^ , �: .� " ( ye. • " ' �. J • � jL J � �. e - � l r r S/ .' .' r a' �•,� �.Jn� P "F r`F' . yr � �� �( °• t � i .,l , - f ��.Gt ;` f ) 4 � r ,� � %� . }h ^ an f .� \b, ":�' ♦ y ? ' ate . ' • r- �� r t ; ` y 4 ,. ,ti•�;. - ° � " ( .p_ �'E g: • R. ,1 =�c6 LG. ���: . `� ti �•tr�•�.. � l7;1 ` • " � • (. !,♦.. MJ - _ f r J "I+ f • if �'Y .;1..�C'� i ) r+ r ll '- • f'^I' • {.' M cy'.'1 y.. 1• -t • . jt ' - •.s.. {rc :� '4'eG,.r'." .r «,`::o;; -, ,_ , i,`•C ��p.��;�+ S • yyyy .......,:.,.,..:.. co .- .J.. -:, &, .a...,,�5,,.. -errs , -x ": - 02/25/2009 14:30 8139865994 DOAN ELECTRIC PAGE 03 DEVELOPMENT REVIEW SERVICES D a IFxs w4ta+mcuR'...: _' :�., ,:......, • . CONTFIACTOR LICENSING '; 1 OKFICE DISPLAY CARD, ..,; CERTIFICATE OF COMPETENCY DEVELOPMENT REVIEW SERVICES DEPT. CONTRACTOR LICENSING � I:D. #. t3�5�P2 C , CERTIFICATE OF COMPETENCY t': I. 01 S4; ;.r " 'ER 0 a6 — r il 1 q D.# �.;. C.C: ,, ClE_EGTRI � ' ,� h �: PI7RACT'r " Be it known that: S ' \ `'' t{AYING TH COMPEFENCYRFAUIR )2 .LECTi"�<i' ' . 4 i 1 � �° Y THE UCb'1SE TERM EXPIRING. i/3S1 r {! �' ` 1 - __,. SIGNATURE � F}.�y � .r i�.' >"�I�C;� r , . � *le t � t � .. i 1 tn : 1 s 1 �a OR R ,t IT SHALL BE THE RESPONSIB1Lrf Y OF ; 1:itvEWSEE TO KEEP ALL INSURANCE,'. at , . . ', UNDER SEC. 18 PASCO COUNTY COIDE MET THE ADDRESSES AND PHONE NUMBERS. CU :; . PROVISIONS FOR A CERTIFICATE OF COMPETENCY y : EXPlflll ' -_ " : 5. l :Pr i4U7A0r1/B ' D ATE ; 02/25/2009 14:30 8139865994 DOAN ELECTRIC PAGE 04 y 71 y _' . • PL.EAtE : , G11 ; t : ' 0;0 a ., A•R0 :AND RETAIN FOR F;UTUREREFE•R.ENCE • ' �' , �. ` � 4 • 'IMPORTANT': ,.,.,,•. c - i � , Pursuant -to Chapter 440.05(14), FS -; an officer of a corporation who _,,„,-4 ....,....,...._,,,, elects eitemption from this chapter by :. filing a certifibate of :.blectlan' ',S ". i rl 4 e� .d L under this sectinn• may not rec benefits • :or`compansation. iinder,.tMs - 41oN tsl►W ' ;:! R ; D. chapter. • f , . ; 02/20/2008 EX f u , 02,/ Pursuant . .to • Chapter 440.051121, F.S.; )Certiflcetes of • eltfctien. to be' ' WW.r.4: -D DDAllf.' \ �% t' il, � exempt:.. eRPfy . only within the scope of the business or trade, listed on • .'2006$5027 E the notice • of election to be • exempt: ; : ; . i' N AN ADDRESS ` u E: Pursuant to 'Chapter 440:05(131, F -S.. Ngvi of election to bei , e e i . % . r '0 AN €LtCTIc:iec 1 : i end certificates. of electron'to be exempt shall be subject ;to revocation • ' z. rasa • if; at any..time, after the filing of the. notice ar the issuance of the: • r= * : I Otcieit5A FL ,3si9x r � '. 1 ,� certificate; the person .name . on the notice or certificateb no .tenger stleets , - :' • the requirements of this • section for. issuance . ..Cf. e.certificate. The � department 'shall revoke ,a dertif icste; at any : tired.' for failure .of the 00.E OF :aLisu S S:, OR TRA[7E ' ' Person 'named on the certificate to meet the requirements, o.f This ' • .section,. .. • k gUESTIONS? (50) 413 - a lp CUT HERE �k r M Gard' k9.aattom bn tFlq' job, .kesp upp per..tion;.for your record a x. . • P ` .' ' s }; '4.4i4.•;."...:•:- 10''*2 L'Ef#TftICATE OF ELECC10 f TO.:Bt HX ..s4 a , QgL1 .;' CON. $ 16 S/H ° • 1 41.• .. Corporate Warranty Deed , ►j,, y ������11��������11��������11��������������1��11��������� TOTAL 2008180137 This Indenture, made December I , 2008 A.D. Repf : 121832 Rye: 18.50 Between DS: 140.00 IT: 0.00 BIG PINE ENTERPRISES, LLC whose post office address is: 147 GAYTON 12/19/08 y Clerk ROAD, LEWISTON, MAINE 04240 a corporation existing under the laws of the Dpty State of Maine, Grantor and JASON B. POE and MICHAEL T. HURLBURT O �O IJN pf CLERK whose post office address is: 13350 LEWIS GALLAGHER ROAD, DOVER, FL ii9le�bl " s:�� m SC 33527. Grantee, OR BK 798T PG 101 Witnesseth, that the said Grantor, for and in consideration of the sum of Ten and No /100 Dollars ($10.00), to it in hand paid by the said Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the said Grantee forever, the following described land. situate, lying and being in the County of Pasco, State of Florida, to wit: PARCEL 1: Commence at the NW corner of Block B, OAK PARK, as per plat thereof recorded in Plat Book 3, Page 53, Public Records of Pasco County, Florida, thence run West 20 feet for a POINT OF BEGINNING, thence South 83 feet, thence East 82 feet, thence North 83 feet, thence West 82 feet to the POINT OF BEGINNING. PARCEL 2: Commence at the NW corner of Block B, OAK PARK, as per plat thereof recorded in Plat Book 3, Page 53, Public Records of Pasco County, Florida, thence run West 50 feet for a POINT OF BEGINNING; thence South 83 feet, thence East 30 feet, thence North 83 feet, thence West 30 feet to the POINT OF BEGINNING. Subject to taxes for the current year, covenants, restrictions and easements of record, if any. Parcel Identi I ication Number: 02 26 21 0040 00B00 0100 & 02 26 21 0040 00B00 0101. And the said Grantor does hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. a `v A t r4 1 _- g! - r-4O..-e0. - ( 1 . 5 A Prepared by: Sunsiate Title Agency, Inc., 1 ,, _ (' I , (A /, . 13937 7th Sant Dude City, Flurida 33525 -- is File Number: S- 27643 Corpor t.�e Warranty Deed f y 0 ._- .• 0 t\? 1 0 V A • 11 ( 1 11 • ■Illalt 0 8 13 A ..... 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RECEIVER COM.TIME PAGE TYPE /NOTE FILE 01 MAR /12 09:47AM 818137544289 0:00:42 3 OK SG3 8409 - P�, . . • J ....... . . i • :City of ,Zeplhyrh lls: : • • • ,,j : „, ::. ` : Building Department , ,� '''Kf Phone: (813)- 780 -0020. ; , ' • . Fax (813)- 780 -0021 .:, t • . . 't . 1 • TO: ' Scarlet FROM: Jackie FAX #: 813 - 7544289 FAX #: 813 -780 -0021 DATE: 2/27/09 ' # OF PAGES including cover sheet: 3 . t • MESSAGE: . • Scarlet I have attached the fee sheet for both duplexes. 38647 is the side where impact fees • . apply you will need to pay $4,725:39 for permit pick up. 38651 is the side where entire . permit will need to be paid amount .of $2,655.09. • The remaining balance on 38647 -- •$5,367.11 will have to be paid before pre-meter. • • Thank you • • ' ' • Jackie Boges • • • 9a •' 4y r 1L53 City of Zephyrhills: Building Department I t Phone: (813)- 780 -0020 Fax: (813)- 780 -0021 E, TO: Scarlet FROM: Jackie FAX #: 813 - 754 -4289 FAX #: 813 - 780 -0021 DATE: 2/27/09 # OF PAGES including cover sheet: 3 MESSAGE: Scarlet I have attached the fee sheet for both duplexes. 38647 is the side where impact fees apply you will need to pay $4,725.39 for permit pick up. 38651 is the side where entire € € permit will need to be paid amount of $2,655.09. € E The remaining balance on 38647 -- $5,367.11 will have to be paid before pre - meter. ! ! ! € € E ! E Thank you € E Jackie Boges B E 1 E f € 6 E I [ t € I € [ E ! 1 i I 1 I E € 1 E € € P.01 /01 TRANSACTION REPORT MAR /12 /2008 /WED 10:55 AM FAX(TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE 01 MAR /12 10:55AM 88137544289 0:00:20 1 OK SG3 8411 • CONNECTION FEES PER RESOLUTION #580 -07 - EFFECTIVE 6/11/07 Residential Homes/ R.V./Park Model Townhomes ' Duplexes Sewer $2,010.00 Sewer $1,909.50 /unit Sewer . $502.50 Water 641.00 Water 608.95 /unit Water .160.25 Total $2,651.00 Total 52,518.45 Total $662.75 • Apartments Mobile Homes Sewer $1,407.00 /unit Sewer $1,005.00 Water 448.70 /unit Water 320.50 • Total 51,855.70 Total 51,325.50 PARK IMPACT FEE -. ORDINANCE #904 -04 (10/25/04) Single Family 5769.56 Duplex $769.56 /unit . Mobile Home $573.73 . Multi -Family ..$663.06 /unit • • • PUBLIC SAFETY IMPACT FEE — ORDINANCE #912 -05 (2/14/05) Per Dwelling Unit - $553.35 (Police -254, Fire -273, Adm- 26.35) Non - residential - • $338 per 1,000 square feet x 1.05 = Total • SCHOOL IMPACT FEE - Intergovernmental Agreement �' g111 f 0 1 Single Family Detached $, 828 + 48.28 = $4,876.28 Single Family Attached"ro"�"`1,740 + 17.40 = 51,757.40 Mobile Homes . $2,843 + 28.43 = $2,871.43 Duplexes & Multi- Family... $1,855/unit + 18.55 = $1,873.55 TRANSPORTATION IMPACT FEES - ORDINANCE #1003 -08 (4/28/08) 3 5 u Single Family $3,632 - $ ''' r. Condo/Townhouse $3,480 /unit Duplexes $3,632 /unit 36 Mobile Home Park $2,270 /unit Multi -Fam /Apt $3,727 /unit Retirement Community $1,657 /unit 61-4 .—ACLF $ 527 /unit Campground/RV Park .5 873 /space . 1- :$ A Non - residential - Refer to Table 1 (see attachment) C ;1ea WATER METERS — ORDINANCE #274 (6/11/07) • 3/4 5220.00 1" 5320.00 • • 1.5" $725.00 2" $990.00 Above 2" Check with Utilities Superintendent . • IRRIGATION METERS Same S cost as Water Meter + Irrigation Connection of 5266.00 + $35 Plumbing Jacqueline Boges To: Shane LeBlanc Subject: DRIVE WAY Hello Shane I placed in your box a drive way permit application for 38647 & 38651 Rose lane. Thank Jackie 1 • % �. PERMIT APPLICATION 1 . ,: ^, �,. i•1 t0. \� DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT -OF -WAY All information must be filled -in completely City of Zephyrhills 5335 8 Street, Zephyrhills, FL 33542 Telephone 813.780.0000 Fax 813.780.0005 Date of application: 34.09 Processed By: Permit #: (gray area f staff use only) ❑Copy to puilding Department rOopy to Public Works PROJECT JOB SITE: _ _PROPERTY OWNE Address: i. M • e_ • ' . ►..0 Name: �t � ' Unit #: Address:1335 Lewis er Parcel Identification Number: City, State, Zip Dovert 0 Z-2-( 00c{ 0 00 800 0 / 00 Phone: 213 -foSq Z7S8 Fax: %/3- CONTRACTOR: Come : , l=1= i►..- : — • Name: f'C - cc. el 11-3v( Contractor's License #: C-2 5C- o3""/ V'13 E-Mail: SS p. he b u i d. -"fors &A. • cry ry' Phone: b."3- Sc(Z SS Cell: &3 32:3 '"S 2 t LC Fax: 'KS 9 ARCHITECT /ENGINEER: n ' 1111 Name: . �� �-� C� Firm Name: ��� Address: (cis ewoo C ity: (.a- to rc Stag - Zip: ?� State License #: 3 7a art Phone: (,3 -fo&tf (,SO& ell: Fax: &,3 � Description of Proiect TYPE OF DRIVEWAY 34 LENGTH OF DRIVEWAY CULVERTS NEEDED (/ RESIDENTIAL DRIVEWAY 17 OF DRIVEWAY ( ) REINFORCED CONCRETE COMMERCIAL DRIVEWAY R.O.W. EXCAVATION ( ) CORRUGATED MATERIAL PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( ) BOX CULVERT -- ( ) OTHER (EXPLAIN) CONSTRUCTION MATERIAL. CURB CUT REOUIRED ASPHALT YES NO ✓CONCRETE HEADWALL REOUIRED? YES NO NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings will be required. UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 PERMIT APPLICATION UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. ' ,1 AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all approved construction documents, and issuance of this permit is verification that I will notify the property owner of Florida Lien Law req., F.S. 713. The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed restrictions may apply to this property. All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design Standards (if applicable). (Public Works Design Manual online link: www. ci. zephyrhills .fl.us /public_works.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR NOTARY PUBLIC. NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter / interfere with existing stormwater treatment and / or conveyance. PROPERTY •� s.•: By signing this application certify tr.. I have real • • nderstand the owner /builder disclosure statement. ' 4 1 ' (please initial) rif te Pa' 2.--20 -0 .3 ' `"`'`-"' Date Applicant Print Name ANA cant Signature 0./CV L.0-4-491• a) - 0 Permit Technician Signature (or) Notary Signature Date Applicant is ) personally known to me or produced as identification. (type of identification) Page2of3 .0" SCARLETT SEHAR MY COMMISSION » DD608427 �FOrc� EXPIRES: November 02, 2010 I - 800 NOTARY FI. Notary Discount Assoc C'n . 0 0 ..._ r3 . N 1 ii :3- ti i . 0 i ., .: t , . . ..! l - .._ U ..xi N Erti All (,) IN ' 1 • o (-) <"-- .... r ......., *------x-----------1 r (.- ''. 01 . 0 cs- zr a-,oF It, 00 - I= -..., r `-,;) _ IX _ , • . 0 .■ , . A Qi) , Oti . . -• . . rx1 f \I - 1•° ;,. , • 0 .0 . g _ ,..., IQE . ■■■•■•• GO (NI C P .. • : , P.. '' 0 ' ' <,-. - - 1 . . .411. o. - ... Oz- . 1 1 v ) c? Do (Y) (y) c VP 00 S PERMIT APPLICATION OFFICE USE ONLY PUBLIC WORKS USE ONLY Concrete (min. 6 ") Y N Asphalt Base (min. 6 ") Y N Asphalt (min. 1 ") Y N Length (min. 19') Y N Width (10' min — 20' max) Y N Existing sidewalk. Y N New sidewalk. Y N ADA compliant. Y N Expansion material required. Y N Contiguous parking pad. Y N Triangular flare (3'W x 7'L) Y N Visibility triangle o•k.? Y N Side set back (3' min. R.O.W.) Y N Plan Review Fee 1 Additional description of work as defined by Public Works Director and or designee: 1 Permit application approved by: Date: Page 3 of 3 0 0 . s, ; k J.: N I t i 0 . 46 0 a A ! n] N 1 0 11 :7- r r t cl IR 0 i - ..._ 8 N t2. 02S , - Al Cr 1 0 ..._. 111- ill . G-o,', _ V' DO . _ r cp ., . CX - o .■ ' ., — . • • M. • ' , A El . a. , • A:., ; cr . o (NJ °1° ..1 ., ---7- .:-. 0 ---- N - 3 0 .2: " 4.1 iti cf . . . • , •.'";- - : ;s1• . VI Cv . iil '.. -,-* . • :e , .- . - - .... : 0 - ' C. . , - • - r' , . - 4 _...., , . , , e • a, v . . . . . III 0 ..4 Pt - V) 9 Do rn c() C5it PERMIT APPLICATION OFFICE USE ONLY "" ----' PUBLIC WORKS USE ONLY Concrete (min. 6") Y N Asphalt Base (min. 6 ") Y N Asphalt (min. 11/2 ") Y N Length (min. 19') Y N Width (10' min — 20' max) Y N Existing sidewalk. Y N New sidewalk. Y N ADA compliant. Y N Expansion material required. Y N Contiguous parking pad. Y N Triangular flare (3'W x 7'L) Y N Visibility triangle o.k.? Y N Side set back (3' min. R.O.W.) Y N Plan Review Fee 1 Additional description of work as defined by Public Works Director and or designee: Permit application approved by: Date: Page 3 of 3 PERMIT APPLICATION UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION.` AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing information is accurate and that all work will comply with all applicable codes. I understand these codes shall ta e F onda Lien Law all approved construction documents, and issuance of this permit is verification that I will notify the property owner req., F.S. 713. The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed restrictions may apply to this property. All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design Standards (if applicable). (Public Works Design Manual online link: www. ci. zephyrhills .fl.us /public_works.asp) APPLICATION IS VOID UNLESS SIGNS TECHNICIAN PROPER NOTARY PUBLIC. FI N AND WITNESSED BY A PERMIT NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter / interfere with existing stormwater treatment and / or conveyance. PROPERTY •� By signing this applicati' ertify th• I ha : re• -! . ,f i understand the owner /builder disclosure statement. off (please initial) �i , z� r\t �€ iA be ,1.i.�..i :L 9 Applica t Signature Date to t 2,-70431 Applicant Print Name Permit Technician Signature (or) Notary Signature Date as identification. Applicant is personally known to me or produced (type of identification) SCARLET'T SEHAR �y/� MY COMMISSION # DD60842 Page 2 of 3 '+�r�a EXPIRES: November 02, 2010 oFa FI. Notary Discount Assoc Co I-800-3-NOTARY PERMIT APPLICATION l r -) .. DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT —OF —WAY All information must be filled -in completely City of Zephyrhills 5335 8 Street, Zephyrhills, FL 33542 Telephone 813.780.0000 Fax 813.780.0005 Al Date of application: 3 . I Processed By: e . & Permit #: (gray ar o r staff use only) ElCopy to ,Building Department Copy to Public Works - Address: PROJECT JOB SITE: G _ PROPERTY OWNER P.. . - - • f hl I�S fc- Name: r e -. a u l::riT , � N • Unit #: ,/is 3 , a ►� � � �; `• �r �l Unit #: _____— __ -_ Address:1335 Le r� , ,: Parcel Identification Number: __ City, State, Zip • • 0 ZZ( l 00 40 00 0 / OO Phone: 813 -67Sgi Z7S$ Fax: $(3- - CONTRACTOR: ' Name: r(\ £l T, 11 t k.W. — - — Contractor's License #: C(3 (..._ 03 V-13 E_Mail_ .5S -RC_ . v i ME o I •' . Cc) Irh Phone: S3-0 Sc( Z1 SS Cell: 8't3 Fax: Wl3 - ARCHITECT /ENGINEER: . . Name: . 1t artk . i-i -( C � Firm Name: 4 1 4 y'_en1 Address: (g58l C� w eoo AT City: ( ct. . 1 Stat -. Fe- Zi .•., State License #: 3-a Phone:' 3 -fog (,SO cell: Fax: 803 �Y Description of Proiect TYPE OF DRIVEWAY 3 % 4 � 1f I LENGTH OF DRIVEWAY CULVERTS NEEDED 1/ F RESIDENTIAL DRIVEWAY 17 t WIDTH OF DRIVEWAY ( ) REINFORCED CONCRETE COMMERCIAL DRIVEWAY R.O.W. EXCAVATION ( ) CORRUGATED MATERIAL PUBLIC ACCESS DRIVEWAY _DEPTH _LINEAR FEET ( ) BOX CULVERT ( ) OTHER (EXPLAIN) CONSTRUCTION MATERIAL CURB CUT REQUIRED ASPHALT YES NO CONCRETE HEADWALL REQUIRED? YES NO NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings will be required. UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 Jacqueline Boges From: Todd Vandeberg Sent: Thursday, March 05, 2009 10:30 AM To: Shane LeBlanc; Jacqueline Boges Cc: Bill Burgess; Rick Moore • Subject: RE: DRIVE WAY This is a permitting issue but I agree that a drainage plan should be provided to demonstrate that all onsite drainage will be handled on site. Todd Vande Berg Director of Development City Of Zephyrhills 813- 780 -0006 813 - 780 -0005 (FAX) tvandeberg@ci.zephyrhills.fl.us _..... From: Shane LeBlanc Sent: Thursday, March 05, 2009 10:21 AM To: Jacqueline Boges Cc: Bill Burgess; Rick Moore; Todd Vandeberg Subject: RE: DRIVE WAY Jackie: Rose Lane is a private street — therefore the public works department does not have jurisdiction of the driveway design. My only recommendation would be for the planning and building department to check the lot legal descriptions / permitting requirements along with an engineered drainage plan for on -site treatment /retention. Rose Lane has had a history of drainage "issues" in the past. Should you have any questions, please let me know. Thanks, SJL Shane J. LeB anc PUBLIC WORKS SUPERINTENDENT CITY OF ZEPHYRHILLS 5335 8TH STREET ZEPHYRHILLS, FL 33542 T: 81 3.780.0022 F: 813.780.0025 sleblanc@a ci.zephyrhillsfl us From: Jacqueline Boges Sent: Wednesday, March 04, 2009 9:05 AM To: Shane LeBlanc Subject: DRIVE WAY Hello Shane I placed in your box a drive way permit application for 38647 & 38651 Rose lane. Thank Jackie 1 I V'" f Y a/ PERMIT APPLICATION „,A_.7 'i - ''''''1.4 ii . DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT -OF -WAY All information must be filled -in completely City of Zephyrhills 5335 8`” Street, Zephyrhills, FL 33542 Telephone 813.780.0000 ,, Fax 813.780.0005 Processed By: r 6 Permit #: Date of'application: .3-4-09 (gray ar f or staff use only) ❑Copy to Building Department opy to Public Works PROJECT 70B SITE: go • Unit #: Address: VD P - e_ �� � 'P rn � Name: ( - PROPERTY OWNER .� a`��IM?1� Address: 133SD L2r a is 5e... , ''i ,, : --- -- ' .' * S -. 2- -7 Parcel Identification Number: City, State, Zip 170v-P1 / 0 Zz(,Z I 0O O oo 00 0 / 00 Phone: 813 -oSQ Zug Fax: V3- CONTRACTOR: Compan : , r��= 11 L + _ .._.._._ Name: (`(\ 1-c, .El r. or - .CD �►'� Contractor's License #: C-2 5C- O3� 3 _ E -Mail: � p - �C_ V 1 Phone: b . i o Sct - - 58 Cell: 6 3 - 3 2 : 3 - S 2 _ 1 1 T Fax: 3 -- 7 S4-4 7S 9 ARCHITECT/ENGINEER: r . . n Name: lL Gra -ram. !-` � jFirm Name: (- e'en Address: a 58 1- a ew 'DX City: La-1 e t ccrc Sta Zi : State License #: 3 ? Phone: S ,3 ', (S O&ell: Fax: SQ03 Description of Proiect '' ( CU LVERTS NEEDED TYPE OF DRIVEWAY � T LENGTH OF DRIVEW REINFORCED CONCRETE RESIDENTIAL DRIVEWAY 17 OF DRIVEWAY ( ) CORROGATED MATERIAL COMMERCIAL DRIVEWAY R,O.W, EXCAVATION ( ) PUBLIC ACCESS DRIVEWAY _DEPTH LINEAR FEET ( ) BOX CULVERT OTHER (EXPLAIN) CONSTRUCTION MATERIAL, CURB CUT REOUIRED ASPHALT _ _YES NO V HEADWALL. REQUIRED? YES NO NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings will be required. UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 PERMIT APPLICATION UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. AFFIDAVIT: A accurate and that all work will co permit indicated. all appli able codes. 1 understand hesecodes shall take precedence over all information is a approved construction documents, and issuance of this permit is verification that I will notify the properly owner of Florida Lien aw req., F.S. 713. The issuance of this permit does not ensure compliance t rl with e this property. and I understand that additional deed All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design Standards (if applicable). (Public Works Design Manual online link: www. ci. zephyrhills .fl.us /public_works.asp) APPLICATION IS VOID UNLESS SIGNED WITH OR NOTARY PUBLIC. ON AND WITNESSED BY A PERMIT TECHNICIAN NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter / interfere with existing stormwater treatment and / or conveyance. PROPERTY 1 By signing this applicatir, - certify th• I ha : re••. 4 ' understand the owner /builder disclosure statement. .i (please initial) A .1 /' I rrvciA0L-el \A-LA, Y4 ' ,LI iSi.—/ F 9 Applica t Signature Date � Permit Technician Signature (or) Applicant Print Name �r �Q 491,9v,s. f f or Notary Signature Date ) as identification. Applicant ispersonally known to me or produced (type of identification) ET'i 4 " P SCARL SEHAR MY COMMISSION # OD60842 Page 2 of 3 ez EXPIRES: November 02, 2010 AO 1- 810.3- NOTARY FL Notary Discount Assoc . Co. • - 0 0 . II o C ' li il N I • 4--1-----..•!-- o A ii ti N g Ai tn IN) .::: :. 7,-1 a A . a r' 1 U__ 0 • ----- .■'i (3" , •".) — 11- ill v. , Do - . ... - • - &I... , — : ' ' ' rC iP t•\. - tx .. . aa _ I. - — ' • . . • ffl CD ,,..., , 7 - .' . • rx • i 4 c' ‘----- , ---- i - T- 4 :,,.: ... ID — ni i o 2 _ . •,,.: , -..,„, w to ..-.4: - • , .- En 02 • VI ": • -.* . • s= .•.• , " -, 2: 0 - ' al -- r a - g . • .. , t ... .. „ . - - . 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