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HomeMy WebLinkAbout09-9107 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9107 BUILDING PERMIT Permit Number: 9107 Address: 39548 AUGUSTA NATIONAL DR LOT 12 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: MAJESTIC OAKS Est. Value: Parcel Number: 24- 26 -21- 0000 - 00100 -0090 Improv. Cost: 26,000.00 z r 7 , Date Issued: 5/13/2009 Name: MAJESTIC OAKS LLC Total Fees: 345.00 Address: 39516 AUGUSTA NATIONAL DR Amount Paid: 345.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/13/2009 Phone: (813)783 -3477 Work Desc: 228 RM ADDITION /48 SHED/ DECK W/ PATIO 330/ DRIVEWAY a. , e Ac. f:. 5W .ta .., w 7° T SUN STATE ALUMN INC BUILDING FEE 240.00 ELECTRICAL FEE 35.00 JAMES 0 MORTON ELECTRIC CO.,INC. PLUMBING FEE 35.00 MECHANICAL FEE 35.00 SHOUPE ROY LEON JR BAHR'S PROPANE GAS & A/C, INC. NbC ot A ,v09 SM FOOTER „r 2ND�R rFa,. ," ,..,i? OUGH PLUMB MISC NSULATION 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." /.(i__e ar 4 1 4 CONTRACTOR SIGNATUR PERMIT OFFI �R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER •7 - ,- -- i7 - 1 - - 11 , ' ;.r' City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: 414A-0-inii-- Date Received: 5"-S_0 1 Site: y 1 2 1 , 3 b km ao( Permit Type: ��' dn :Sid ea' / I° (#- Approved w /no comments: ❑ Approved w /the below comments: JG' Denied w /the below comments: ❑ I 2 tfill S•Cf "flu 16 EEa k /'et Z i Pio AI k /5 5 All A 1 rJ ` . �% k o�At■_ i . '1 - _ i • This comment s -et shall ,e kept with the permit and/or plans. -5T . ��� ���'lvi / *� K. in Swi � - - — Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) DATE (M 3 /30 / ,ACORD,. CERTIFICATE OF LIABILITY INSURANCE 0 MIDD'YYYY' 03/30/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARSH USA INC. ' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 525 VINE STREET, SUITE 1600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CINCINNATI, OH 45202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Attn: cincinnati.certrequest @marsh.com, Fax 212 - 948 - 0785 400408 - RRSC - GAUWP - 09/10 00186 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich American Insurance Company 16535 ROTO- ROOTER SERVICES COMPANY 5020 TAMPA WEST BOULEVARD INSURER B: American Zurich Insurance Company 40142 TAMPA, FL 33634 INSURER C: N/A I N/A INSURER D: N/A N/A INSURER E: - -- - -- - -- -- COVERAGES 4 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. NS ADM, TYPE OF INSURANCE P OLICY NUMBER P OLICY EFFECTIVE POLICY EXPIRATION! LIMITS LTR INSRO DATE (MM /DD/YY) DATE (MM /DD/YY) • GENERAL LIABILITY EACH OCCURRENCE $ 2,000 000 A - GLO 9379365 -05 04/01/09 04/01/10 DAMAGE TO RENTED X Lx LIABILITY PREMISES(Ea occurence) $ 501),171) CO MMERCIAL GENERAL MED EXP (Any one person) $ 5,00 OCCUR CLAIMS MADE i PERSONAL & ADV INJURY 1$ 2,000,00 — _ GENERAL AGGREGATE $ 6,000,000 GENERAL AGGREGATE LIMIT APPLIES PER �,t )(] POLICY n JPE LOC PRODUCTS - COMP /OP AG, 5 QQQ,QQI, AUTOMOBILE LIABILITY BAP9379363 -05 (AOS) 04/01/09 04/01/10 I I I A X C OMBINED SINGLE LIMIT $ 3,000,00 ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) 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 $ _ - — j AUTO ONLY: $ AGG EXCESS /UMBRELLA LIABILITY ' EACH OCCURRENCE $ _- OCCUR 11 CLAIMS MADE IAGGREGATE $ DEDUCTIBLE $ 1$ RETENTION $ - - -- _ - - -- B WORKERS COMPENSATION AND WC9379366 -05 (AOS) 04/01/09 04/01/10 X WC STATU- 1 OTH- EMPLOYERS' LIABILITY ( TORYI IMITS i - ER L ____ ANY PROPRIETOR/PARTNER/EXECUTIVE i = .L. EACH ACCIDENT -- �$ 1,000,000 OFFICER/MEMBER EXCLUDED? F.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below .L. DISEASE - POLICY LIMIT $ 1,000,0001 OTHER DESCRIPTION OF OPERATIONS /LOCATIONSNEHICLES/EXCWSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CLE 001880631 - 13 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF ZEPHYRHILLS EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 5335 8TH STREET 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ZEPHYRHILLS, FL 33542 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON R THE INSURER, ITS AGENTS OR REPRESENTATIVES. �of USA Z3ENTATIVE John F. Schultz ACORD 25 (2001/08) 0 ACORD CORPORATION 1988 05/13/2009 10:22 8137831374 BAHRS PROPANE & A/C PAGE 01/01 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDrYYYY) ne 05/0612009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Jamerson McLean Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 621149 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 825 Executive Drive Oviedo FL 32762 Phone: 407 -366 -3482 INSURERS AFFORDING COVERAGE NAIL # INSURED Bahrs Propane Gas & Air Conditioning, Inc. INSURER A. UNITED STATES FIRE INSURANCE CO. 21113 4441 Allen Road INSURER 8: Zenith Insurance Company 00981 INSURER C: Zephyrhills FL 33541 INSURER D: INSURER E �— COVERAGES • THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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. NSR ADD'L POLICY EFFECTIVE POLICY E XPIRATION POUCY NUMBER LJMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 506 - 864767 -5 09101/2008 08/01/2009 Ce TO RENTED 1 eRFMISFS /Eavratre p) $ 100,000 CLAIMS MADE X OCCUR MED EXP (My ate person) $ 5,000 PERSONAL & ADV INJURY - $ 1.000,000 GENERAL AGGREGATE s 2,000,000 GEN L AGGREGATE a APPLIES PER PRODUCTS - COMP /OP AGG 5 2,000,000 POLICY « LOC AUTOMOBILE UABILITY A X ANY AUTO 506- 864767 -5 09101/2008 09/0112009 a a En INGLE LIMIT = 1,000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (P W) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per aoSdent) $ X COMP DED $ 1,000 X _ COLL DED $ 2,000 PROPERTY r eo nI ° S GARAGE Lawry AUTO ONLY - EA ACCIDENT $ � ANY AUTO — -. L OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSIUMBRELLA UASILIT/ EACH OCCURRENCE E OCCUR j I CLAMS MADE AGGREGATE _ $ DEDUCTIBLE RETENTION $ 5 WORKERS COMPENSATION AND I WC STATU- r I OTH- s B EMPLOYERS' LIAINUTY Z836554609 05/1112009 05111/2010 E.L. rrxiY t utrrc FR EACH ACCIDENT $ ' 500000 ANY PROPRIETORIPARTNERlFJIECUTNE OFFICER/MEMBER EXCLUDED? ;MAT- dcz c ri be upper EL DISEASE - EA EINPLOYFE $ 600 SPECIAL PROMSIONS below E.L DISEASE - POLICY LIMIT $ 500,000 OTHER • DESCRIPTION OP OPERATIONS I LOCATIONS / VEHICLES r EXCLUSLoNs ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ExPIRATION City Of Zephyhllls DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS LINRITTEN NOTICE TO THE CERTlRCATE HOLDER NAMED TO THE LEFT, NUT FAILURE TO DO SO SHALL FAX # 813 - 780.0021 IMPOSE NO OBLIGATION OR UARIUTY OF ANY KIND UPON THE INS URER, ITS AGENTS OR 9 , REPRESENTATIVES. AUTHORIZED REPRESENTATIVE t > ACORD 25 (2001/08) ACORD CORPORATION 1988 813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813- 780 -0021 Pq/ Building Department Date Received 5 7-09 Phone Contact for Permittin • -- Owner's Name -7-'a-Coe--/ s /'icy Owner Phone Number Owner's Address 3 9,5V , as - /C kkd"i ,Ot /k Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address ,� ' ,� _,/ /� JOB ADDRESS 395 ,4 /Vi )(- rid / At/ NC . LOT # / $- SUBDIVISION A d `f PARCEL ID# 62 c 000d -01O0- 009v (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED FL] NEW CONSTR I I ADD /ALT n SIGN n MOVE 1 I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR 1 1 COMM n OTHER I I TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME 1 1 STEEL n OTHER 1 I DESCRIPTION OF WORK room 1� 11d/ C la etiM id Cater A T,LaCi ' cithet -f doll /ivYrf BUILDING SIZE 4 X31 SQ FOOTAGE b OG HEIGHT S ' d Ut BUILDING $ ouo, 06d 60 VALUATION OF TOTAL CONSTRUCTION EP ELECTRICAL $ AMP SERVICE PROGRESS ENERGY n W.R.E.C. 90 PLUMBING $ ` ° °' ° s5, ° 1:.7r - i,„3 - 6•,:::14 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , ., : -2' ; :, I I GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 'NO I'' 0 ` SUS yd.. ��! Tie SUINDT REGISTERED U COMPANY C O Y/ N FEE CURRENT 1 Y/ N 1 SIGNATURE � i Address ( /Pi ,Qt'/- XL '''-"' a H. License # // ELECTRICIAN �(i� r ✓ COMPANY 4/01 4A ciPic cowl', SIGNATURE r" C� ! `3 REGISTERED Y / N FEE CURRENT Y / N Address P' D • ' OX / r/ ze b P" y '11 License # t � / ad er PLUMBER / ga't-1-4)/11 COMPANY �2 ald le SIGNATURE ` p �-- REGISTERED I Y / N I FEE CURRENT I Y / N Address 3 k f V Tim 9 4_01 Z- t eil i p(-3,3scar ' ' 1 License # ��/J� r ,// O n-� .. do-k `f /rd��/e 6-41. MECHANICAL SIGNATURE Lei /lf 4)1'3 REGI STERED I Y/ N ' FEE CURRENT I Y / N 1 Address c / t /q/ 4-Ik A 12 A a . -Awl License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-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) sets of Building Plans; (1) set of Energy Forms. R-0-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 construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division— Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'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. 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 OBE RECORDING YOUR NOTICE OF COMMENCEMENT. CONSULT WITH YOUR LENDER OR A N ATTORNEY BEFORE //—(44-574)0. N FLORIDA JURAT (F.S. 117.03) / OWNER OR AGENT O a erne ��� L, f CONTRACTOR 4 Subg bed and sworn t99 (or affirms b e f o r e m e this a i d " - ubsc 'bed and sworn to (p affirmed) b fore t is o 2/J/ by t J/h✓ known to me or has/have produced o is /are personally y known known to me or o Is /are personally has/have produced as identification. as identification. Notary Public Notary Public Commission No. `i' Commission No Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped . . I 'O 1 , . 1 , , , I L-- ‘', 1 ,:: - ; I t , , 1 - , 1 1 oP , . , "p c)/340) i - co" 9 1 - 117 4 z1)3(7 ir a o 0 .//1 7120d02/0 : I , ! I , 7 1 • /,/, I% TY g ALL WORK SHALL COMPLY WITH ALL PREVAILING CODES, FLORIDA BUILDING i o CODE, NATIONAL ELECTRIC CODE ' I q3 imPo' Po l al CITY pF ZEPHYRHILLS ORDINANCES 111 . i 1 \J - >,/(7 / 71/ t ;,.-__.z .p, 7-9,7; / t ty? _56S' FiE k I WIN DATE 5- CITY OF ZEPKY _ RHUE.LS PLANS EXAMINER 27_p di 7 l'•_ M/ / APPENDIX 13-D I FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 11008-08 Residential Component Prescriptive Method B ALL CLIMATE ZONES Compliance with Method B of Chapter 11 of the Florida Building Code, Resident* or Subchapter 13-6 of the Florida Building Code, Building, may be demonstrated by the use of Form 11006 for single -and muttiple -family residences of three stories or less in height, and additions to existing residential buildings. b comply, a building must meet or exceed all of the energy efficiency requirements on Table 11B-1 and all applicable mandatory requirements summarized in Table 11B-2 of this form. If a building does not comply with this method, it may still comply under Method A of Chapter 11 or Subchapter 13-6 of the applicable code. PROJECT NAME: 6 FERRII1/416 ADD Mt ON BUILDER: ,,,(.�✓1 Sta..- A t kvv, - AND ADDRESS: 39548 A gap 51"a Nedl -Dr. PERMtTIING Zephy rh ;'Yl s r F 1.339 -f 0 OFFICE: OWNER: ` j ('�,c kit- 5 1,, er r 'v t'nel PERMIT flea I 1 1 11 1 1 JURISDICTION NO.: I I I I l 1 1. New construction including additions which inc rate any of the following features cannot comply using this method: steel stud walls, single assembly roofkeiling construction, or skylights or other nonvertical roof glass. 2. All in all the applicable spaces of the "To Be Installed" column on 'Table 11B-1 with the information requested. M To Be Installed" values must be equal to or more efficient than the required levels. 3. Complete page 1 based on the To Be Installed" column information. 4. Read "Minimum Requirements for NI Packages ", Table 11B-2 and check each box to indicate your intent to comply with all applicable items. 5. Read, sign and date the "Prepared B certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form. Please Print CK 1. New construction or addttion 1. MA i 410v 2. Single- family detached or multiple-fame)! attached 2.: n. le 3. if multiple- family -No. of units covered by thls submission 3. 4. Is this a worst case? (yea/no) 4. V) 0 5. Conditioned floor area (sq. ft.) 5. as $ 8. Glass type and area: a. U- factor 8a. 0.(a b. SHGC 8b. 0- 3 c. Glass area 6e. 7.R sq. ft. 7. Percentage of glass to floor area 7. 3a % - B. Floor type, area or perimeter, and insulation: a. Slab -on -grade (R- value) 8a. R= lin,ft. b. Wood, raised (R- value) 8b. R= 1'3 oZ aR sq.ft. c. Wood, common (R- value) 8c. Rs sq.ft. d. Concrete, raised (R- value) 8d. R= sq.ft. e. Concrete, conunon (R- value) 8e. Rs sq. ft. 9. Wall type, area and Insulation: a. Exterior: 1. Masonry (Insulation R- value) 9a-1. R= sq. ft. 2. Wood f r a m e (Insulation R- value) 9a-2. Rs 13 _ . ? . 9 sq. ft. h. Adjacent: 1. Masonry (Insulation R- value) 9b-1. R= &IA 2. Wood frame (Insulation R- value) 9b-2. R= I ') 1 84 sq. ft. 10. Ceiling type, area and Insulation: a. Under attic (Insulation R- value) 10a. R = sq.ft. . b. Single assembly (Insulation R- value) 101. R - I -; sq. ft. 11. Air distribution system: Duct Insulation, location 11a R s Test report required if duct in unconditioned space 11 b.Test report attached? Yes No 12. Cooling system: 12a Type: P• 12b. SEER/EER: 13.0 (Types: central, room unit, package terminal A.C., gas, none) 12a 47 56:12 13T1.2 13. Heating system: 13a. Type. l at.. (Types: heat pump, elec. strip, nat. gas, LP -Gas, gas h.p., room or PTAC. none) Isle. HSPF/COP /AFUE: 13c. Capacity" I 5 14. Programmable thermostat installed on HVAC systems: 14. YON la 15. Hot water system: 15a. .type" a l ey • (Types: elec.. nat. gas. LP -gas, solar, teat rec.. ded. heat pump, other. none) 15b. EF: .q 7 I hereby certify mat the p nd specifications covered by the calculation are in compliance with Revew of plans and speotfatbrls covered by this calculation Indicates compkarree with the Florida the Florida Energy Code. Energy Code. Before rnmtruetbn is c p , this willing wet be inspected for compliance in _, accordance wth Section 553. , F . PREPARED BY: DATE:47• // • BUILDING OFFICIAL: I hereby art t this r In in complia h t}"g�j,�";rlda Energy Code: �►q OWNER AGENT: ,� if DATE:.S_� - " "/ I DATE: , 2007 FLORIDA BUILDING CODE- BUILDING 13D.23 Effective 3/1/2009 FORM 1100B -08 TABLE 11 B-1 MINIMUM REQUIREMENTS (See Note 1) All Climate Zones BUILDING COMPONENT PERFORMANCE CRITERIA INSTALLED VALUES: Windows (see Note 2): U- factor = 0.65 U- factor= • (o 5 SHGC = 0. 35 SHGC= . 35 %CFA < =16% %of CFA= . 32.. Exterior door type _ Wood or insulated Type: Walls — Ext. and Adj. (See Note 3): Frame R -13 R -value = j 3 Mass Interior of wall: R -6 R -value = Exterior of wall: R -4 R -value = Ceilings (see Notes 3 & 4) R -30 R -value = 1 Floors: Slab -on -grade No requirement Over unconditioned spaces (see Note 3) R -13 R -value = 1 3 Hot water systems (storage type) Electric (see Note 5): 40 gal: EF = 0.92 Gallons = 50 gal: EF`0.90 EF= Gas fired (see Note 6): 40 gal: EF = 0.59 Gallons = 50 gal: EF = 0.58 EF = — Air conditioning systems (see Note 7) SEER = 13.0 SEER = 13 Heat pump systems (see Note 8) SEER = 13.0 HSPF = 7.7 SEER = 1 3 HSPF = 7. 7 Gas furnaces AFUE = 78% AFUE _ Oil furnaces AFUE = 78% _ AFUE Programmable thermostat Must be installed on all HVAC systems Installed? Yes No Ductwork (see Note 9) Location: Unconditioned space' R -6, Tested Unconditioned pace R- value= (4.(. Test report: Conditioned space NA Conditioned space Unvented attic assembly per R806.4 with R-4.2 R -value = insulation at the roof plane (No test report required) Air Handler location: Location: Unconditioned attic or garage Requires test report Test report: Wi)-- Conditioned space or Unvented attic assembly per R806.4 with No duct test required insulation at the roof plane (1) Each component present in the As -Built home must meet or exceed each of the applicable performance criteria in order to comply with this code using this method; otherwise Method A compliance must be used. (2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U- Factor and the maximum SHGC (Solar Heat Gain Coefficient) criteria and have a maximum total window area equal to or less than 16 % of the conditioned floor area (CFA), otherwise Method A must be used for compliance. Exception: Additions of 600 square feet (56 m or less may have maximum CFA of 50 percent. 32 To l vt s}a-Ll (3) R- Values are for insulation material only as applied in accordance with manufacturers' installation instructions. For mass walls, the interior (Int) requirement must be met unless at least 50% of the insulation value is on the exterior (Ext) or integral to the wall. (4) Attic knee walls shall be insulated to same level as ceilings and shall have a positive means of maintaining insulation in place. Such means may include rigid insulation board or air barrier sheet materials adequately fastened to the attic sides of knee wall framing materials. (5) For other electric storage volumes, minimum EF = 0.97 - (0.00132 * volume) (6) For other natural gas storage volumes, minimum EF = 0.67 - (0.0019 * volume) (7) For all conventional units with capacities greater than 30,000 Btu /hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu/hr see Table 13- 607.AB.32A of She Florida Building Code, Building, or Table N 1107.AB.3.2A of the FBC- Residential. (8) For all conventional units with capacities greater than 30,000 Btu /hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with capacities less than 30,000 Btu /hr see Table 13- 607.AB.3.2B of the Florida Building Code, Building, or Table N1107.AB.3.2B of the FBC- Residential. (9) All ducts and air handlers shall be either located in conditioned space or tested by a Class 1 BERS rater to be "substantially" leak free. "Substantially leak free" shall mean distribution system air leakage to outdoors no greater than 3 cfm per 100 square feet of conditioned floor area at a pressure differential of 25 Pascal (0.10 in. w.c.) across the entire air distribution system, including the manufacturer's air handler enclosure. TABLE 11B -2 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior joints & cracks N1106.AB.1.2 To be caulked, gasketed, weather - stripped or otherwise seated. ./ Exterior windows & doors N1106.AB.1.1 Max. 0.3 cfm/sq.ft. window area; 0.5 cfm /sq.ft. door area. ✓ Sole & top plates N1106AB.2.1 Sole plates and penetrations through top plates of exterior walls must be sealed. // Recessed lighting N1106.AB.1.2.4 Type IC rated with no penetrations (two alternatives allowed) Multistory houses N1106.AB.1.2.5 Air barrier on perimeter of floor cavity between floors. _ Exhaust fans N1106.AB.1.3 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork. Water heaters N1112AB.3 Comply with efficiency requirements in Table NI112.AB.3. 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 NI112.AB.2.3.4 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 %. Heat pump pool heaters shall have a minimum COP of 4.0. Hot water pipes NI112.AB.5 Insulation is required for hot water circulating systems (including heat recovery units). r/ _ Shower heads N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 psig. v HVAC duct construction, N1110.AB All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically insulation & installation attached, sealed, insulated and installed in accordance with the criteria of Section v' N1110.AB. Ducts in attics must be insulated to a minimum of R-6. 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(n+ Wo Florida Building Code Online http: // floridabuilding. org/ pr/ pr_ app_dtl.aspx ?paramwGEVXQwtDq... aL oa /ow raaanarNlewr oR . • t I 1 ( ,. . Co rrrmun�ty Affa.rs . via-. r OCA HOME ABOUT OCA DCA PROGRAMS CONTACT DG BCIS Home Log In Use Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Stag BCIS Ste Map i Links Search Product Approval n , USER: Public User Community Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail 0060ata IfY PLANNING FL # FL5262 -R1 comiumm, Application Type Revision DEMO NT Code Version 2007 t• moor cr Application Status Approved MANAGEMENT t OFRCB. OF PIE Comments Archived Product Manufacturer Therma -Tru Corporation Address /Phone /Email 118 Industrial Drive Edgerton, OH 43517 (419) 298-1740 sjasperson @tttechnologies.us Authorized Signature Steve Jasperson sjasperson@tttechnologies.us Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency National Accreditation & Management Institute, Validated By Ryan J. King, P.E. Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standard Year ASTM E330 2002 TAS 201, 202, 203 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 06/28/2008 Date Validated 10/24/2008 Date Pending FBC Approval 11/11/2008 Date Approved 12/10/2008 1 of 3 3/4/2009 10:12 AM _,y s nroi1nsNa❑ 9NIa,ir'a a ,,,,Z -, E01 oN d ':A'w4P$ - d uopr..41 S310N It ,33N39 2 Sad 1SS3d SNOISU�3?! i co i /' 1 1 /10 .02,0.) --- "77/ 4 ---7 1 N9 S30 `NOLen2i3 -1VOld11 A8 i 31dO ON o = `-1 . £L &6 'oN uo;ycao43nV i0 •7o.W. .3 ' I ' pi p ,_ sn. 3 I o u o, Jo woos opyou .A18Y13SSV 210 121 !'3 �' 3 _ L6L6'9S9'£L9 :•oN .0 4d 1 - z � .--I 569££ v eouwA 0£Z =oa 'o' '{ f' , 3000 SSVI5N3Gi3 I o m 2 `n 'oil) • SLNVi1f7SN00 ONIITU d J 22 fl 1 -VV 3k1 ; do , � , w :, p..tod.,d s}oocunoO _ a0f100�ld 1 I 1 — i I g S i L. c, 1 t 1 ■ .L ,: OIL, O I 1 1 Y' ti' t -, ` ®t' ~ 3 W N 0 �< O C)' u, I -, L'-- _y - 11 Wily ©� I ' ' D z o Q ` ' i u"1 I n :J� _ i__-_-_-_ f- 1 to 4 ) i l n I � C1w \ ®• LL1 ___ g O O• � x } 1 — g ! n n \J W ' 1 -fir ■ o; "n 4 rr � ,1 x x 1v • w � � � -� o W > try '1- - -'� �J- t] , ' MIMI _ ^ O ® k .y. -!� 'i -- - - f' - -- a 10 o a i v- v ),L 1, J N . w .',FL_-_-__-_- u a..7 i l off o d o Q© ^ >.) 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FROM M M MASONRY EDGE - ASONRYEDGE — x (TYP.) (TYP.) fdpow' P'89-i'29Z5-O\89-I'Z9Z5-0\s nei0 J BMIi'0 \80ZI ld\OOET Io+d\Siaplod 1' orom \STelom - MVa APPROVED PRODUCT LIST 2007/2009 NAME/DESCRIPTION MANUF. PROD. # 3" RISER PAN TOWN & COUNTRY FL 9334 3" COMPOSITE PANEL METALS U.S.A. FL 2291 VINYL SIDING & SOFFIT STYLECREST FL 12231 HARDIE BOARD SIDING JAMES HARDIE FL 10477 WOOD WALL FRAMING: SP1 & SP2, STRIP TIES, H SERIES SIMPSON FL 10456 CONCRETE ANCHOR TITAN FL 2355 WOOD DECKS: JOIST HANGERS SIMPSON FL 10531 POST BASE & CAP SIMPSON FL 10860 WINDOWS & DOORS: SEE ATTACHED 'Florida Building Code Online http:// floridabuilding .org/pr /pr_app_dtl.aspx ?param = wGEVXQwtD... Conn rr" comity Affairs . mu rOCA HOME ABOUT OCA DCA PROD/1AM :.: COMIC' OCA BCIS Home ! Log in User Registration Hot Topics Submit Surcharge 1 Stats & Facts Publications FBC Staff BCLS She Map ■ Links Search i Product Approval 0 USER; Public User Community; Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail p,p FL # FL163 -R2 1110LI IG& COOMAIITY Application Type Revision DEVEIAPYEMS' Code Version 2007 Application Status Approved M S CI of THE Comments — —� 3 " Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 mlafevre©cws.cc Authorized Signature Michael LaFevre mlafevre©cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 M La Fev re @cws. cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368-6922 Ext 208 Ralph©cws.cc Category Windows Subcategory Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Roberto Lomas the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL163 R2 COI 510510A (Eng Eval Rep SH- 3500).odf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101/IS2 -97 1997 Equivalence of Product Standards Certified By Sections from the Code 1 of 2 3/4/2009 9:53 AM Florida Building Code Online http : / /floridabuilding.org/pr /pr_ app _dtl.aspx ?param= wGEVXQwtD... Product Approval Method Method 1 Option D Date Submitted 11/10/2008 Date Validated 11/10/2008 Date Pending FBC Approval 11/14/2008 Date Approved 12/10/2008 Summary of Products FL # Model, Number or Name Description 163.1 3500 Single Hung 3500 Single Hung Limits of Use Installation Instructions Approved for use in HVHZ: No FL163 R2 II CWS -268A (5H- 3500).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: 3500 Single Hung Equal Lite H -050 55x91; 3500 FL163 R2 AE 510510A (Eno Eval Rep SH 3500).pdf Single Hung Oriel H -C45 55x91 Created by Independent Third Party: Yes Backl Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. 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R 0. f iiiiiiiiiiiiiii AEI& 4 �4�v. a3i le iiiiiiiiiiiiiiB I "iii iii ts0 i iiiiiiiiiiiiii; =o1 TS TSS P"+ �oU q 4'14' TT " T IYS agtt 1 iiiiiiiiiiliE IBSEN P2 x , 111:11:1111:1; 1 7: AIL _ "s� iNa °mo o G ZN" 4 - ■nom g �:�3�i��aT�a�'a9�.�aa 1 iiiiiiiiiiiiiii ;"; ' ' '''- 1 iiiiiiiiiiiiiiii i s ainiiii:11 e BEIER li liiiiiiiiiND ti iiiiiiiiiiiig i 5 = i iiiiiiiiiii D i iiiiiiiiiiiiiii TOMER 1 iiiiiiiiiiiiE liiiiiiiiiil i iiiiiiiiiiiiiiii i101:11111II- 1 11111:1111:111111; CL-4 d i - Z- THAT PART OF EAST 80.00 FT OF NW1 /4 & THAT PART OF WEST 1/2 OF NE1 /4 OF SEC 24 LYING NORTH OF ZEP,HYRHILLS BYPASS EAST AND LYING WEST OF MAJESTIC OAKS COMMUNITY -PHASE ONE AS PER PB 3.1 PGS 107 -112 EXC NORTH 20 FT THEREOF FOR RD R/W & MAJESTIC OAKS COMMUNITY PHASE ONE PB 35 PG 107 -112 LOT 1 THRU 16 INCL & LOTS 19 THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87 Permit No. Property Identification No. .2.y- AL4► st- / OOC)0 OOJdU — dd9e 200 11111111111 1111111111111111111111111111 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 descr� a) Street Address: a 9SY9 4 aim! it, 4Wii'e CPIue OfloZyr a f - A) AL 2.General description of improvements: , rho • • PM. ia, 0 ,7- 1 3.0wner Information / a) Name and address: TCcG�CI(. s2 ' Pr / /1 3 fj�/ Ayala a. `ik4/ ,er. 2, p/ b) Name and address of fee simple titleholder (if other than ovOner) P. c) Interest in property 4.Contractor Information a a) Name and address: I7 JI .At • E' • /,Y / Zi z p ,(- „LI�. p/ ) 23134- b) Telephone No.: Fax No. (Opt.) T ^� c r.Surety (C . a) Name and address. b) Amount of Bond: w (,O c) Telephone No.::. Fax No. (Opt.) m `~ 6.Lender , a) Name and address: ' • m Phone No in p 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.) -1 e 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section o a ..• 7 1 3. 13(1)(b), Florida Statutes: 0m m a) Name and address: m m • hl Telenhnne Nr. • ...... ..t,.y 0 0 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is F, specified): m 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 silo ui COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. o a • STATE OF FLORIDA , CO ■ `” COUNTY OF PASCO , Ltd Low 0 z a Si ure of Owner or Ow frrsOf4 ce r/Director/PartnedManager ,r '4 ei i . i. S f n-i1�+� a Print Na The f r g � j wps acknowledged before me this / 7 day of , 20 0 , b v_ac fj ril (l k as Art� � f y ~' (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed). o� 0 % Personally Known/ OR Produced Identification Notary Signature c ..<: �. .-C- --_ l 1 CrJ a ( Type of Identification Produced Name (print) V r Cje l bh /}� -f, UTJ A 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. :ORMSNOC.rvsd2OO7 : iglu : o �ahLral Person Si g Abo • STATE OF FLORIDA, COUNTY OF.PASCO. -''' NOTARY PUBLIC - STATE OF FLORIDA THIS IS TO CERTIFY THAT THE FpREGOINC74A , f ' Stacie Hartwig H N TRUE AND CORRECT COPY OF Cr..., r F NT lute :Commission #DD652189 ON FILE OR OF PUBLIC RECORQIN THk ° O PIGS '•. Expires: OCT. 16, 2009 WITNESS MY HANDA� • B ONDEDTHRU AT L.ANTICBONDING CO,,INC. L � FICIA�.' SEALT,� `7 DAY OF 2' , �$' �i ° . O'NEIL, C -K OOMPTROLL R BY � , r DEP