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Home My WebLink About14-15659 CITY OF ZE HYRHILLS . 5335-8T STREET % ;'_ • _, (sisp o-oozo �559 BUILDING PERMIT SING E FAMILY RESIDENTIAL PERMIT INFORMATION LOCATION INFORMATION Permit#:15659 Issued: 9/16/2014 Address: 37753 PRAIRIE ROSE LP LOT 39 � Permit Type: GENERAL BUILDING PERMIT � ZEPHYRHILLS, FL. Class of Work: 105-NEW CONST/MULTI 5+ UNIT Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: �5��°� Book: Page: Cost: Total Fees: 8,495.46 Subdivision: WALNUT GROVE TOWNHOMES Amount Paid: 8,386.37 Date Paid: 9/16/2014 Parcel Number: 15-26-21-0210-00000-0390 CONTRACTOR INFORMATION OWNER INFORMATION Name: BAILEY CONTRACTING LLC Name: BUTTERFIELD MOBILE HOME Addr: 4209 GALL BLVD Address: 4034 GALL BLVD ZEPHYRHILLS, FL 33542 ZEPHYRHILLS FL 33542-6219 Phone: (813)377-7395 Lic: Phone: 813-973-5250 Work Desc: NEW CONSTRUCTION SINGLE FAMILY HOME 37753 (1) SQ FT 7007 SQ FT APPLICA7 ON FEES BUILDING FEE 330.69 ELECTRICAL FEE 69.64 PLUMBING FEE 46.43 MECHANICAL FEE 32.50 SEWER CONNECTION ESIDEN- 2,010.00 WATER CONNECTION RESIDENI 641.00 WATER METER RES 3/4" 457.18 FIRE PLAN REVIEW FE S 105.11 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FEES TOWNHOMES 769.56 TRAFFIC IMPACT FEE 99% 3,445.20 TRAFFIC IMPACT FEE 1 0 3 80 f/ �, / - �J� , � � �� .e-Q.Q. 1-��--� � � 1 �.�� 12-- �1�-� a•�ce-- �C�� , � ��. ��., -['6 �... Lo c��'��-- Sl� �-n.l�'� -� 3 Ins ections e uired !"! FOOTER 2ND ROUGH PLUMB IS INSULATION CEILING FOOTER BOND DUCTS INSULATED EWER MISC. ROUGH ELECTRIC LINTEL ISC MISC. 1ST ROUGH PLUMB PRE-METER NSULATION WALL MISC. DUCTS INSTALLED WATER ISC DRIVEWAY PRE-SLAB SHEATHING ISC. MISC. CONSTRUCTION POLE FRAME ISC. MISC. REINSPECTION FEES: Reinspection fees will comply vvit Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following rea ons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corrections not ade when inspections called d) work not ready for inspection when called e) permit not posted on job ite f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there ay be additional restrictions applicable to this property that may be found in the public records of this county, and there ay be additional permits required from other governmental entities such as water management, tate agencies or federal agencies. "Warning to owner: Your failure to record a notice of ommencement may result in your paying twice for improvements to your property. If you intend to obtai financing,consult with your lender or an attorney before recording your not ce of commencement." Complete Plans, Specifications and Must Accompany A plication.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ONTRACTORS IGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS W THOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 OUR NOTICE REQUIRED PROTECT CARD F OM WEATHER � Print Form � CITY OF Z PHYRHILLS � UTI�iTIES ORK ORDER WATER ACCOUNT NO.: DATE: Sep 16,2014 OWNER/RENTER/BUSINESS:Butterfield mobile hame Ilc �p�yTACT PERSQN: Wayne ButterFietd MAILING ADDRESS: 4034 Gall Blvd PNONE RSUMBER: 813-937-525fl EMAIL AQDRESS: SERVICE ADDRESS: 37753 Prairie Rose Lp Lot 39 SHUT OFF SERVICE �X OX WATER TURN ON SERVICE ❑ ❑ SEWER INSTALC.MEfEFt �X ❑ GARBAGE READ METER ❑ �]X IN CIIY CNECK MEfER ❑ ❑ pUT CITy OTHER � DESCRIBE OTHER: 3/4 water NUMBER O UNITS DEPOSIT A OUNT AMOUNT ST BILL DATE MISC. CHA GE METER: FULL 3/4 IRRIGATION � WORK CQMPLETED BY&DATE ORDE TAKEi� BY: jackie boges COMPLEi'ED ORDE GNEN BY: �� Revised 9/2010 r��-� �� , FORM 405-�0 ' � � FLORIDA ENERGY EFFICIENCY CODE OR BUtLDING CONSTRUCTION Florida Deparfinent of Business and Professional Re ulation - Residential Performance Method Pioject Name: Walnut Grove TH 145fi S Bui! erlVame: Sheet� 4408 Court S6eet Per itOffice: Zeph rhi!!s City,Sfate,Zip; Zephyrhills,FL,33542- Per itNumber. %�9! Owrter Jurls lclion: 671600 DesrgnLocation: FL,Tampa . 1. New construcSon or existing New{Fium Plens)� 9. ll Types(1123.9 sqfk) InsulaSon Area y 2.Singlefam!(yormul6plefamily Multi-family a.ConcreteBlock-lnflnsul,Exterior R=4.0 825.28R' b. rame-Wood,Adjacent R=11.0 774.64k' 3. NumberofunRs,ifmWtrplefamily 1 c. oncrefe8lock-Intlnsul,Ad/acent R=4.0 124.00R' 4. NumberofBedrooms 3 d• �a R_ � 5. Is dtis a worst case7 No 10. iling Types (1456.0 sqR.) lnsulation Area a. nderAfflc(Vented) R=30.0 1456.00ff' ' 6. Conditioned Aoorarea above grade((t�} 9456 b. /A R= ft= CondiUonedfloora►eehelowgrade(ft�) 0 �' A R° � 11. cts R /� 7. �ndows(136.3 sqft.) Descripdar Aree a. up:Atiq Ret:NVAC 1,AH:NVAC 1 6 255 a. U-Factor. Dbl,U=0,50 'l36.31 k' - " SHGC: SHGC=0.5U b. fl-Factor.• N/A � 12• olingsystems � k8tu/hr Efficiency SHGC: a. e�traf Unit 25,0 SEER;13.75 c. U-Factor. N/A ft' � SHGC: 13.H a6ng systems k8tu/hr Elficiency d. U-Factor: N/A ff� a. lectricHeatPump' 23.6 HSPF.•8.20 SHGC: Area Welghfed Average Overhang Dspth: 3.682 fL Area Weighted Average SHGC: 0.500 • 14.H t water systams a. fectric Cap:40ga11ons 8. FloorTypes (1456.0 sqft.) lnsulation Area EF�0.920 a.Slab-On-GradeEdgelnsula�on R=0.0 1456.00ft= b. ConservaUonleatures b.N/A R= � None c.N/A R= � 15.C dits Pstat Glass/F1oorArea: 0.094 Total Proposed Motl�ed Loads 30.77 � pASS Total Standard Reference Loads. 39.79 I hereby ceriify that fhe plans and speoifrcations covered by Revie of the plans and ��S7�,q�, , i this calculadon are in com lian 'tf)fhe Florida Energy specift ations covered by this • ti,� _ - 8p ` �de• • calcula ion indicates com liance � '' '�'- � A s� ��.. ' _-.�;+�` - wlth fh Florida Ene!'gy Code. � rrrir, •, .`':::';•;•",��0 PREPARED',B :- �� Before onsfruction is complefed � �f ' � DATE.• %� `` �` ihis bui ding wi!!be inspected for ` � `"-�k' � � • . - ' compli nce with Section 553.908� * ` � , !hereby certity fhat this building,.�as designed,is fn compliance Florida Statutes. _ �, �� with the Florida Energy Code, � �G�� CODe '[�� OWNER/AGENT.• , BUlL NG OFFICIAL: DATE: DATE. � - Coinpllance repuires certificatlon by the�ir handler unit manufacture that the air handler enclosure quallfles as - certified factory�sealed In accordance with 403.2.2.1.1. � - CompllanCe requires completlon of a Florida Air Barrier and Insulatio Inspection Checkllst 5/8/20141:11 PM Enen�yGaugeO USA-FlaRes2010 Section 4 5.4 f Compliant Software Page 1 of 6 i --- •---�- . .... ..._--•-�--._ ..__... _�..._ _ PRO ECT Title: Walnut Grove TH 1456 S Bedrooms: 3 Address Type: Street Address Building Type: User Conditioned Area: i456 Lot# Owner: Total Stories: 1 BIocWSubDivision. #of Unils: 1 Worst Case: No PlatBook: Builder Name: Rotate Angle: 180 Street: 4408 Court Streef Permit Office: Zephyrhills Cross Ventilation: County: Pasco i Jurisdiction: 611600 Whole House Fan. City,State,Zip: Zephyrhills, Family Type: Multi-family FL, 33542- New/Existing: New(From Plans) Comment: CLIM TE / IECC esign Temp Int Design Temp Heating Design Daily Temp V Design Location TMY Site Zone 9 .5% 2.5% Winter Summer Degree Days Moisture Range FL, Tampa FL_TAMPA_INTERNATIO 2 39 91 72 75 645.5 54 Medium BLO KS Number Name Area Volume 1 Blockl 1456 11648 SPA ES Number Name Area Volume Kitchen Occupants Bedrooms Infil lD Finished Cooled Heated 1 HVAC 1 1456 11648 Yes 4 3 1 Yes Yes Yes FLO RS # Floor Type Space Pe�imeter R-Value Area Tile Wood Carpet 1 S/ab-On-Grade Edge Insulatio NVAC 1 142 R 0 1456 ftz ____ 0.4 0.4 0.2 RO F / Roof Gab Roof Solar SA Emitt Emitt Deck Pitch V # Type Materials Area Are Color Absor. Tested Tested lnsul. (deg) 1 Hip Composition shingles 1534 RZ 0(t2 Dark 0.96 No 0.9 No 0 18.4 ATTI V # Type Ventilation Vent Rat (i in) Area RBS /RCC 1 Full attic Vented 30 1456 RZ N N CEILI G # Ceiling Type Space R-Valu Area Framing Frac Truss Type i UnderAttic(Vented) NVAC 1 30 1456 ft2 0.11 Wood ' S/8/2014 1:11 PM EnergyGaugeC�USA-FlaRes2010 Se tion 405.4.1 Compliant Software Page 2 of 6 WA LS Adjacent Space Cavity Width Height Sheathing Framing Solar Below 0 _ 1 W=>E Garage Frame-Wood HVAC 1 1 i 3 0 8 0 24.0 ft2 0 0.23 0.01 0 _ 2 N=>S Garage Frame-Wood HVAC 1 11 2.83 0 8 0 22.6 ftz 0 0.23 0.01 0 _ 3 W=>E Garage Frame-Wood HVAC 1 i 1 6.33 0 8 0 50.6 ft2 0 0.23 0.01 0 _ 4 N=>S Exterior Concrete Block-lnt Insu/ HVAC 1 4 5.33 0 8 0 42.6 ftz 0 0 0.35 0 _ 5 N=>S Exterior Concrete Block-Int Insul HVAC 1 4 12.17 0 8 0 97.4 itz 0 0 0.35 0 _ 6 E=>W Garaqe Concrete Block-Int Insu/ HVAC 1 4 15.5 0 8 0 124.0 RZ 0 0 0.01 0 _ 7 W=>E Exterior Concrete Block-Int Insu/ HVAC 1 4 13.17 0 8 0 105.4 ftz 0 0 0.35 0 '� _ 8 N=>S Garage Frame-Wood HVAC 1 11 9.67 0 8 0 77.4 it2 0 0.23 0.01 0 _ 9 W=>E Exterior Concrete Block-lnt Insu/ HVAC 1 4 9.67 0 8 0 77.4 ftz 0 0 0.35 0 _10 S=>N Exterior Concrete Block-Int Insu/ HVAC 1 4 16.33 0 8 0 130.6 ft2 0 0 0.35 0 _i 1 W=>E Exteiior Concrete Block-Int Insul HVAC 1 4 16 0 8 0 128.0 ftz 0 0 0.35 0 _12 S=>N Exterior Concrete Block-Int lnsul HVAC 1 4 13.83 0 8 0 110:6 Rz 0 0 0.35 0 _13 W=>E Exterior Concrete Block-lnt Insu/ HVAC 1 4 8.33 0 8 0 66.6 it2 0 0 0.35 0 _i4 E=>W Exterior Concrete Block-Int/nsu! NVAC 1 4 8.33 0 8 0 66.6 ftz 0 0 0.35 0 DOO S # ' Ornt Door Type Space Storms U-Value Width Height Area Ft ln Ft ln 1 W=>E Insu/ated HVAC 1 None 0.35 3 0 6.67 0 20.01000 2 N=>S Insu/ated HVAC 1 None 0.35 3 0 6.67 0 20.Oi000 WIND WS Orientation shown is the entered orientation = chan ed to As Buill rotated i80 de rees. / Wal! Overhang V # Ornt ID Frame Panes NFRC U-Factor S GC Area Depth Separation Int Shade Screening i N=>S 5 TIM Low-E Double Yes 0.5 .5 16.2 itz 1 ft 0 in 1 it 0 in Drapes/blinds Exteiior 5 2 W=>E 7 TIM Low-E Double Yes 0.5 .5 i6.2 ftz 1 ft 0 in 1/t 0 in Drapes/blinds Exterior 5 3 W=>E 9 TIM Low-E Double Yes 0.5 .5 9.8 ftz 1/i 0 in 1/t 0 in Drapes/blinds Exterior 5 4 S=>N 10 TIM Low-E Doubfe Yes 0.5 .5 12.8 ft2 9 ft 0 in 0(t 0 in Drapes/blinds Exterior 5 5 S=>N 10 TIM Low-E Doub/e Yes 0.5 .5 i2.8 ft2 91t 0 in 0 it 0 in Drapes/blinds Exterior 5 6 S=>N 10 TlM Low-E Doub/e Yes 0.5 .5 20.0 ft2 9 ft 0 in 0 ft 0 in Drapes/blinds None 7 W=>E 11 TlM Low-E Doub/e Yes 0.5 .5 16.2 ft2 1/t 0 in 1 ft 0 in Drapes/blinds Exterior 5 8 W=>E 11 TIM Low-E Double Yes 0.5 .5 16.2 it2 1 ft 0 in 1 ft 0 in Drapes/blinds Exierioi 5 9 S=>N 12 TIM Low-E Double Yes 0.5 .5 16.2 ftz 1 it 0 in 1 fr 0 in Drapes/blinds Exterior 5 � GARA E # Floor Area Ceiling Area Exposed Wa Perimeter Avg. Wall Height Exposed Wall Insu/ation 1 288 ftz 288 ft2 50 8 ft 0 5/8/2074 1:11 PM EnergyGauge6�USA-F/aRes2010 Se tion 405.4.1 Compliant Software Page 3 of 6 INFILT ATION # Scope Method SLA CFM 50 ELA EqLA ACH ACH 50 1 Wholehouse Best Guess 0.000300 1145.73 6 .8992 118.291 0.22500 5.90178 HEATING YSTEM # System Type Subtype E�ciency Capacity B/ock Ducts (lnvaliElectric Heat Pump None HSPF.•8.2 23.6 k8tu/hr i sys#1 COOLING SYSTEM � System Type Subtype Efficiency Capacity Air F/ow SHR Block Ducts (fnvaliCentra/Unit None SEER:i3.75 25 kBtu/hr 750 c1m 0.75 1 sys#1 HOT WATE SYSTEM # System Type SubType Location EF Cap Use SetPnt Conservation 1 Electric None Garage 0.92 40 ga/ 60 ga/ 120 deg None SOLAR HOT W ER SYSTEM FSEC Collector Storage Cert # Company Name System Model Collector Model# Area Vo/ume FEF � None None nz DUC S / ----Supp/y---- ----Return---- Air CFM25 HVAC# V # Location R-Value Area Location Area L akage Type Hand/er Cl�p5 OUT QN RLF Heat Cool (invali Attic 6 255 ftz HVAC i 20 ftz D fault Leakage HVAC 1 (invalid)cf(Defau/t)c 1 1 TEMPER TURES Programab/e Thermostat: Y Ceiling Fans: Cooling Jan Feb Mar Apr May (X J n (X Jul (X Aug (X Sep Oct Nov �Dec Heatin Jan Feb Mar �A r Ma J Ju/ Au Se �Oct Nov X]Dec Venting (�Jan [�Feb X]Mar €X]Apr �(�May ��J �(�Jul ��A g �(�S p €X]Oct €XJNov (]Dec 5/8/2014 1:11 PM EnergyGauge�USA-FlaRes2010 Se tion 405.4.Y Compliant Software Page 4 of 6 Thermostat Schedule: HERS 2006 Reference Hours Schedule Type i 2 3 4 5 6 7 8 9 f0 11 12 Cooling(WD) AM 78 78 78 78 78 78 78 78 80 80 80 80 PM 80 80 78 78 78 78 78 78 78 78 78 78 Cooling(WEH) AM 78 78 78 78 78 78 78 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 Heating(WD) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 66 66 Heating(WEH) AM 66 66 66 66 66 68 68 68 68 68 68 68 PM 68 68 68 68 8 68 68 68 6B 68 66 66 I 5/8/2014 1:11 PM EnergyGauge�USA-FlaRes20f 0 Se tion 405.4.1 Compliant Software Page 5 of 6 . F,OFt'M 405-10 Florida Code Compli nce Checklist = Florida Department of Business an Professional Regulafions Resi.dential Whole Building P rformance Method ADORESS: 4408 Court Street PERMIT#: Zephyrhi!!s,FL,33542- � � I , MANDATORY REQUIREMENTS SUMMARY-See indlvldual co e sections for full details. COMPONENT SECTION SUMMARYOF REQ lREMENT(S) CHECK Y Airleakage 402.4 To be caulked,gasketed, wea herstripped or ofherwise sealed. Recessed lighting!C-rated as eeting ASTM E 283. Wrndows and doors=0.30 cfm/sq.ft. Testin or visual inspecfion required. Fireplaces:gasketed doors& utdoor combusfion air. Must complete J� envelope/eakage report or vis ally verify Table 402.4.2. Them►ostat 8 403.1 At least one thermostat shal!b provided for each separate heating controls and cooling system. Where fo ced-air furnace rs.primary system, -� prog�ammable thermostat is r quired.Heat pumps with supp/ementa! elecfric heat must prevent sup lemental heat when compressar can meef the Ioad. • Ducts 403.2.2 ,411 ducts, airhandlers, frlterbo es and building cavities which form the � primary air confainment passa eways for air distribution systems shall be considered ducts or plenu chambers,shall be constructed and / sealed in accordance with Sec ion 543.2.7.2 of fhis code. d 403.3.3 8uilding framing ca vities sha!! ot be used as supply ducts. Water heaters 403.4 Heat trap required for vertical ipe risers. Comply with efficiencies in Tab/e 403.4.3.2.Provide switc or clearly marked circuit breaker � {electric)or shutoff(gas). Circ lating system pipes insulafed to= R-2+accessib/e manual OFF witch, Mechanical 403.5 Homes designed to operate at ositive pressure or with mechanica! ventilation ventiJation systems sha!!not e ceed the mrnimum ASHRAE 62 level. " . No make-up air from attics, cra lspaces,garages oroutdoors adjacent ✓ } . to poo/s or spas. , SwimmingPools 403.9 'Poo!pumps and poo!pump m tors with a total horsepower(HP)of= 1 &Spas ._ - HP shalf have the capability of perating at two ormore speeds. Spas , . -. ' ' and.heated pools must have v por-retardant covers or a liqWid cover or, �, � — • other means proven fo reduce eat loss except if 70%aof heat from ara_ � . , site-recovered energy. Off/tim switch required. Gas heaters minimum - thermal e�ciency=78%(82% fter 4/16/13). Heat pump pool heaters " minimum COP=4.0. CooliRg/heating � 403.6 Sizing calculation performed& tfached.Minimum effciencies per �- �Tables 503.2.3.Equipment effi iency ve�cafion required. Special equipment oc�asion cooling orheating ca acity requires separate system or .. variable capacity system. Elect 'c heat>10kW must be divided into two . or more sfages. Ceilings/kneewalls 405.2.1 R-99 space permitting. , ' 5/8/2014 J:11 PM EnergyGaugeO USA-FlaRes20f�SecHon 4 5.4.9 Comp/lant Software Page 6 of 6 ti �.c ._ . r �-�-� - •—�—- - �--L._�__. ..—� -- - �-- - • ENERGY PERFOR ANCE LEVEL (EPL) DISPLA CARD ESTIMATED ENERGY PE FORMANCE INDEX*= 77 The lower the EnergyPerformance ndex, the more efficient the home. 4408 Court Street, Z hyrhills, FL, 33542- 1. New construction or existing New(From P/ans) 9. Wall Types Insulation Area 2. Sing/e family or mu/tip/e family Mu/ti-family a.Concrete Block-Int lnsul,Exterior R=4.0 825.28 ft2 b.Frame-Wood,Adjacent R=11.0 174.64 ftz 3. Number of units,if mukiple family 1 c.Concrete Block-lnt lnsul,Adjacent R=4.0 124.00 Rz 4. Number of Bedrooms 3 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types lnsu/ation Area a.UnderAttic(Vented) R=30.0 1456.00 ft2 6. Cond'ttioned floor area((t2) 1456 b.N/A R= ftz 7. Windows" Description Area c.N/A R= ft2 a. U-Factor: Dbl,U=0.50 136.3i ft2 11.Ducts R ftz a.Sup:Attic,Ret.HVAC 1,AH:HVAC 1 6 255 SHGC: SHGC=0.50 b. U-Factor. N/A ftz SHGC: 12.Cooling systems k8tu/hr Efficiency c. U-Factor: N/A itz a.Centra/Unit 25.0 SEER:13.75 SHGC: d. U-Factor. N/A n2 13.Heating systems kBtu/hr Efficiency SHGC: a.Electiic Heat Pump 23.6 HSPF:8.20 Area Weighted Average Overhang Depth: 3.682 ft. Area Weighted Average SHGC: 0.500 8. Floor Types lnsulation Area 14.Not water systems a.Slab-On-Grade Edge Insu/ation R=0.0 1456.00 k2 a.E/ectric Cap:40 gallons b.N/A R= hz EF.•0.92 c.N/A R= hz b. Conservation features None 75.Credits Pstat � l certify fhat fhis home has complied with the Florida Energy Effici ncy Code for Building qHE sr Construction through the above energy saving features which will be insfalled(or exceeded) .��` _ ATao in this home before final inspection. Otherwise, a new EPL Displ y Card will be completed ya��,,,,"% r�_=�,.� �, b a s e d o n i n s t a l l e d C o d e c o m p l i a n t f e a t u r e s. � n,,,�--:; "'`:�:�;°;:��`°„�o ._ � Builder Signature: Dat : � �� ...' a * �� Address of New Home: City/FL Zip: �, g� cob�.�o *Note: This is not a Building Energy Rating. lf your lndex is below 70,your home may qualify for energy efficient mortgage(EEM)incentives if you obtain a Florida EnergyGa ge Rating. Contact the EnergyGauge Hotline at(321) 638-1492 or see the EnergyGauge web site at energygauge. om for information and a list of certified Raters. For informafion about the Florida Building Code, Energy Conserv tion, contact the Florida Building Commission's support staff. *"Label required by Secfion 303.1.3 of the Florida Building C de, Energy Conservation, if not DEFAULT. EnergyGaugeC9 USA-F/aRes2010 S tion 405.4.1 Compliant Software TABLE 02.4.2 AIR BARRIER AND INSULATION IN PECTION COMPONENT CRITERIA Project Name: Walnut Grove TH 1456 S Builder Name: Streei.� 4408 Court Street Permit Oflice: Zephyrhills City,State,Zip: Zephyrhills,FL,33542- Permd Number: Owner: Jurisdiction: 6i 1600 Design Location: FL, Tampa COMPONENT CRITERIA CHECK Air barrier and thermal barrier Exterior thermal envelope insulation for framed walls is installed in suBstantial confact and c ntinuous alignment with building envelope air barrier. Breaks or joints in fhe air arrier are filled or repaired. Air-permeable insulation i nof used as a sealing material. Air- ermeable insulation i inside of an air barrier. Ceiling/attic Air barrier in any dropped eiling/soffit is suBstantially aligned with insulation and any gaps a e sealed. Attic access(excepi unve ted attic), knee wall door, or drop down sfair is sealed. Walls Corners and headers are sulated. Junction of foundation an sill plate is sealed. Windows and doors Space between window/d or jambs and framing is sealed. Rim joists Rim joists are insulated a include an air barrier. Floors (including Insulation is installed to m intain permanent contact with underside above-garage and of subfloor decking. cantilevered floors) Crawl space walls Insulation is permanently ttached to walls. Exposed earth in unvente crawl spaces is covered with Class I Shafts,penetrations Duct shafts, utility penetra 'ons, knee walls and flue shafts opening to exterior or unconditione space are sealed. Narrow cavifies Batts in narrow cavities ar cut to fit, or narrow cavifies are filled by sprayed/blown insulafion. Garage separation Air sealing is provided bet een the garage and conditioned spaces. Recessed lighting Recessed light fixtures are air tight, IC rated, and sealed to drywall. Ex�eption—fixtures in con itioned space. Plumbing and wiring Insulation is placed betwe outside and pipes. Batt insulation is cut to fit around wiring and plu bing, or sprayed/blown insulation Shower/tub on exterior wall Showers and tubs on exte 'or walls have insulation and an air barrier se aratin them fro the exterior wall. Elecfrical/phone box on Air barrier extends behind oxes or air sealed-type boxes are installed. Common wall Air barrier is installed in co mon wall between dwelling units. HVAC regisfer boots HVAC register boots that p netrate building envelope are sealed to subfloor or dr wall. Fire lace Fire lace walls include an ir barrier. EnergyGauge�USA-FlaRes2010 Se tion 405.4.i Compliant Software i� � F#hvac-Resldential&Light Commercial HVAC Lpads Elite Software Development,lnc. HVAC Designs �' Walnut Grove TN i45S 5 Tam a FL 33615 r' Pa e i Pra'ect Re ort General Pro'ect Information Project Title: Walnut Grove TH 145fi S Project Date: Thursday,May 08,2014 Company Name: HVAC Designs Inc Company Representative: Neil Fimbel Company Address; 7701 W Hanna Ave Company City: Tampa FL 33695 ; Company Phane: {813}885-2258 � Company E•Mail Address: neil@hvacdesigns.com Company Website: http:tlwww.hvacdesigns.com! Desi n Data Reference City: Zephyrhills,Flo ida Building Orientation: Front Door face South Daily Temperature Range: Medium Latifude: 28 Degrees Elevation: 19 ft, Altikude Factor: Q,ggg Outdoor Outdoor Outdoor Indoor Indoor Grains Drv Bu[b Wet Bulb Re1.Hum I.Hum Drv BuEb Difference Winter: 40 37.52 n!a nla 72 nla Summer: 93 77 49°/a 55°1a 75 43 Check Fi ures Tatat Buiiding Suppiy CFNI: $5Q CFM Per Square ft.: p,�g4 Square ft.of Room Area: 1,456 Square ft.Per Ton: 831 Volume(ft')of Cond.Space: 11,B47 Buitdin Laads Total Heating Required Including Ventilation Air: 20,537 Btuh 2 .587 MBH Tatal Sensible Gain: 15,773 BtuEt 80 °to Totat t,atenf Gain: 3,917 Bfuh 20 % Total Cooling Required Including Ventilation Air: 19,690 Btuh 1.T5 Tons(Based On 75%Sensible Capacity) Notes l2hvac is an ACCA approved Manual J and Nlanuat D camputer program. Calculations are pertormed per ACCA Manual J 8fh Edition,Version 2,and A CA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit fhat meets both sensibte and lafenf loads accarding t fhe manufacfurer's perforrnance data at your design canditians. Thursday,May 08,2014,1:03 PM I • Rhvac=Residential&Light Commercial HVAC Loads Elite Software Development,Inc. NVAC Designs �' Watnut Grove TN i45fi S Tam a FL 336i5 '� Pa e 2 Nlanuai Q Ductsize Data-Duct S stem 1 -Su i --Duct Name,etc. Type Roughness Diameter Velocity SPL.Duct Upstream Temperature Width Losst1�0 SPL.Fit Shape Length Height Fit.Eq.Len SPL.Tot Sizin CFM Area SP.Avaii SPf..Cumui -Duct Name:SMT�100,Feeds Into:Foyer,Fitting:1•A,Effective Length 27.6 'Erunk 0.003 14.2 729 O.OQ5 Up:Fan 57 12 0.086 0.018 ( Rect 6.2 14 21.4 0.18A Schedule 85� 26.7 Q.089 0.227 -Duct Name:SR•100,Supplies:Kitchen,Fittings:11-B,11-B,71-8,4 ,11-B,Effective Length:21.8 Runout 0.01 7 599 8.010 Up:ST•110 57 5.4 0.184 0.030 Rr�d 5.3 7.7 16.5 Q.Q40 Scheduie 1fi0 8.7 0.006 0.310 -Duct Name:SR-110,Supplies:M BatFt,Fiftings:11-B,11-B,11-B,4AA Effective E.ength:41.7 Runou# 0.01 4 229 0.004 Up:S7-110 57 3.1 0.061 4.Q03 Rnd B.9 4.4 4.7 0.007 Schedule 20 7.3 0.039 0.277 �Duct Name:SR-120,Supplies:M Wic,Fittings:11-6,11•B,4AA,Effect ve Length:16.5 Runout Q.01 4 57 0.001 Up:ST•190 57 3.9 4.OQ4 O.U00 Rnd 11.6 4.4 4.9 0.001 Schedule 5 12.2 Q.045 0.271 -Duct Name:SR�130,Supplies:M Bed,Fittings:11-8,11�B,4AA,Effect ve Length:22.7 Runaut Q.01 6 494 4.022 Up:ST-110 57 4.7 0.156 0.014 Rnd 13.9 6.6 $.8 0.035 Schedule 97 29.8 0.010 0.306 -Quct Name:SR•44Q,Supp(ies:Gr�at,Fittings:41•B,11-B,4AA,11-B, ective Length:98.2 Runaut 0.01 7 584 0.009 Up:ST-110 57 5,4 0.175 0.023 Rtid 5.1 ?.7 13.1 4.032 Schedule 156 9.3 0.014 0.302 -Duct Name:SR-154,Supplies:Great,Fittings:ll-B,11-B,4AA,91-8,E ecfive E.ength:26.2 Runout 0.01 7 584 0.023 Up:ST-114 57 5.A 4.975 0.423 Rnd 13.2 ?.7 13.0 0.046 Schedule � 156 24.2 0.000 0.316 --Duct Name:SR-180,Supplies:Bed 3,Fittings:11-B,11•B,4AA,11•B,E ective Length:16.1 Runouk 0.01 6 514 0.011 Up:ST-120 57 4.7 4.169 0.016 Rnd 6.7 6.6 9.4 0.027 Schedule 101 10.5 Q.034 0.282 --Duct Name:SR•190,Supplies:Bath 2,Fittings:11�B,11-B,4AA,Effecti e Length:13.0 Runaut 0.01 4 938 0.042 Up:5T�120 57 3.1 0.023 0.001 Rnd 7.4 4.4 5.6 0.003 Schedule 92 7.7 0.059 0.258 Thursday,May 08,2014,1:03 PM - Rhvac•-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. HVAC Designs � Wa/nut Grove TH 1456 S Tam a FL 33615 Pa e 3 Manual D Ductsize Data-Duct S stem 1 -Su I cont'd � -Duct Name,etc. Type Roughness Diameter Velocity SPL.Duct Upstream Temperature Width Loss1100 SPL.Fit Shape Length Height Fit.Eq.Len SPL.Tot Sizin CFM Area SP.Avail SPL.Cumul -Duct Name;SR-160,Supplies:Foyer,Fittings:11-B,11-B,11-B,4AA, 1-B,Effective Length:13.6 ' Runout 0.01 4 619 0.025 Up:ST-120 57 3.1 0.429 0.033 Rnd 5.9 4.4 7.7 0.058 Schedule 54 6.2 0.003 0.313 -Duct Name:ST-110,Feeds Into:Kitchen,Fittings:11-B,11-A,Effectiv Length:69.6 Trunk 0.01 14 556 0.015 Up:SMT•100 57 10.8 0.062 0.028 Rnd 24.2 15.3 45.5 0.043 Schedule 594 88.6 0.046 0.270 -Duct Name:SR-170,Supplies:Bed 2,Fittings:11-B,11-B,4AA,11-B, ffective Length:15.5 I Runout 0.01 5 653 0.026 Up:ST-120 57 3.9 0.348 0.028 Rnd 7.4 5.5 8.1 0.054 Schedule 89 9.7 0.008 0.309 -Duct Name:ST-120,Feeds Into:Kitchen,Fittings:11-B,11-B,11-A,Eff ctive Length:39.7 Trunk 0.01 10 469 0.006 Up:SMT-100 57 7.8 0.070 0.022 Rnd S.0 10.9 31.7 0,028 Schedule 256 20.9 0.061 0.255 Report Units:Pressure:in.wg,Duct lengths:feet,Duct sizes:inch,AirFlow: FM,Velocity:ft.lmin,Temperature:F Notes: Static pressure available values far return ducts are at the entrance f the duct. For supply,they are at the exit. The cumulative static pressure loss value for a return trunk is with respect to the entry point of th return runout upstream with the highest static pressure available. Total and cumulative static pressure loss values for the supply main trunk includ any device pressure losses entered,and the cumulative may also include the total static pressure loss of the return side. Summa Number of active trunks: 3 Number of active runouts: 10 Total runout outlet airflow: 850 Main trunk airflow: 850 Largest trunk diameter: 14.2 SM -100 Largest runout diameter: 7 SR- 00 Smallesttrunkdiameter: 10 ST- 20 Smallest runout diameter: 4 SR- 10 Supply fan external static pressure: 0.316 Supply fan device pressure losses: 0.160 Supply fan static pressure available: 0.156 Runout maximum cumulative static pressure loss: 0.316 SR- 50 Return loss added to supply: 0.043 Total effective length of return(ft.): 77.8 RR- 00 Total effective length of supply(ft.): 123.4 SR- 50 Overall total effective length(ft.): 201.2 RR- 00 to SR-150 Design overall friction rate per 100 ft.: 0.078 (Av lable SP x 100/TEL) System duct surface area(Scenario 1): 228.1 Hot ented Attic (Linked to duct load) System duct surtace area(Scenario 4): 26.7 Exp sed in Space (Linked to duct load) Total system duct surface area: 254.8 Thursday,May 08,2014,1:03 PM � Rhvac=Residential&Light Commercial HVAC Loads Elite Software Development,Inc. HVAC Designs � Walnut Grove TH 1456 S Tam a FL 33615 Pa e 4 Manual D-Ductsize Data- Duct S stem 1 - Return —Duct Name,etc. Type Roughness Diameter Velocity SPL.Duct Upstream Temperature Width Loss1100 SPL.Fit Shape Length Height Fit.Eq.Len SPL.Tot Sizin CFM Area SP.Avail SPL.Cumul —Duct Name:RMT-100,Feeds From:Foyer,Fitting:5-A,Effective Leng :49.0 Trunk 0.003 15.3 625 0.002 Up:Fan 75 14 0.056 0.025 Rect 3.2 14 45.9 0.027 Schedule 850 14.8 •0.016 0.043 —Duct Name:RR-100,Returns From:Foyer,Fitting:2-D,Effective Leng h:28.8 Runout 0.003 15.3 625 0.001 Up:RMT-100 75 14 0.056 0.015 Rect 1.1 14 27.7 0.016 Schedule 850 4.9 0.000 0.016 Report Units:Pressure:in.wg,Duct lengths:feet,Duct sizes:inch,Airtlow: FM,Velocity:ft.lmin,Temperature:F Notes: Static pressure available values for return ducts are at the entrance f the duct. For supply,they are at the exit. The cumulative static pressure loss value for a return trunk is with respect to the entry point of th return runout upstream with the highest static pressure available. Total and cumulative static pressure loss values for the supply main trunk includ any device pressure losses entered,and the cumulative may also include the total static pressure loss of the return side. Summa Number of active trunks: 1 Number of active runouts: 1 Total runout outlet airflow: 850 Main trunk airflow: 850 Largest trunk diameter: 15.3 RM -100 Largest runout diameter: 15.3 RR- 00 Smallest trunk diameter: 15.3 RM -100 Smallest runout diameter: 15.3 RR- 00 Runout maximum cumulative static pressure loss: 0.016 RR- 00 Return loss added to supply: 0.043 Total effective length of return(ft.): 77.8 RR- 00 System duct surface area(Scenario 4): 19.7 Exp sed in Space (Linked to duct load) Total system duct surface area: 19.7 Notes Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition,Version 2,and A CA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads according t the manufacturer's performance data at your design conditions. Thursday,May O8,2014,1:03 PM ` Rhvac-tiesidential&Light Commercial HVAC Loads Elite Software Development,Inc. HVAC Designs . � Wa/nut Grove TN i456 S Tam a,FL 33615 Pa e 5 Manual D Ductsize-Pressure Chan es Gra h -S stem 1 Pressure Changes Through Route with Highest Static Pressure Loss O.i6 0.14 0.12 p 0.10 0.08 3 c 0.06 ai r'n 0.04 N d a` I 0.02 A 0.00 -0.02 -0.04 ' -0.06 �— Static P�ssure Available Total Pressure Avaifab/e Notes: Return side point values are at entrance of duct,while supply side p ints are at ezit. When a return system is present,an additional return side point named[Fan Entrance]is drawn in the graph to show the static pre sure available at the entrance of the fan. When a supply system is present,and an additional supply side point named[Fan Exit]is drawn to sh w the static pressure available at the exit of the fan. Any device pressure losses entered for the supply main trunk are accounted for betwee the fan entry and exit points. Point Name Static Pres ure Available Total Pressure Available A RR-100 0.000 0.024 B RMT-100 -0.016 0.008 C [Fan Entrance] -0.043 -0.019 D [Fan Exit] 0.113 0.147 E SMT-100 0.089 0.123 F ST-110 0.046 0.066 G SR-150 0.000 0.022 Thursday,May 08,2014,1:03 PM � ' Rhvac=Residential&Light Commercial HVAC Loads Elite Sofiware Development,Inc. HVAC Designs � Walnut Grove TH 1456 S Tam a FL 33615 Pa e 6 Total Buildin Summa Loads Component Area Sen Lat Sen Total Descri tion Quan Loss Gain Gain Gain OP LOW E MIN:Glazing-NFRC CODE MIN Operable 2 116.3 1,861 0 2,960 2,960 Pane Low E,ground reflectance=0.23,outdoor insect screen with 50%coverage,light color blinds � at 45°with 100%coverage,u-value 0.5,SHGC 0.5 FD LOW E MIN:Glazing-NFRC CODE MIN Glass Door 2 20 320 0 278 278 Pane Low E,ground reflectance=0.23,light color blinds at 45°with 100°/a coverage,u-value 0.5, SHGC 0.5 11N:Door-Metal-Polystyrene Core 40 434 0 343 343 12B-Osw:Part-Frame,R-11 insulation in 2 x 4 stud 154.6 450 0 300 300 cavity,no board insulation,siding finish,wood studs 13A•4ocs:Wall-Block,board insulation only,R-4 board 669 3,062 0 1,748 1,748 insulation,open core,siding finish 13A-4ocs:Part-Block,board insulation only,R-4 board 124 532 0 355 355 insulation,open core,siding finish 16B-30-ad:RooflCeiling-Under Attic with Insulation on 1455.9 1,491 0 2,469 2,469 Attic Floor(also use for Knee Walls and Partition Ceilings),vented attic,no radiant barrier,R-30 insulation,dark asphalt 22A-pm:Floor-Slab on grade,No edge insulation,no 142 5,362 0 0 0 insulation below floor,any floor cover,passive, hea d or li ht wet soil Subtotals for structure: 13,512 0 8,453 8,453 People: 4 920 1,200 2,120 Equipment: 640 2,040 2,680 Lighting: 0 0 0 Ductwork: 2,246 310 2,047 2,357 Infiltration:Winter CFM:136,Summer CFM:70 4,779 2,047 1,382 3,419 Ventilation:Winter CFM:0,Summer CFM:0 0 0 0 0 AED Excursion: 0 0 652 652 Total Building Load Totals: 20,537 3,917 15,773 19,690 Check Fi ures Total Building Supply CFM: 850 CFM Per Square ft.: 0.584 Square ft.of Room Area: 1,456 Square ft.Per Ton: 831 Volume(ft')of Cond.Space: 11,647 Buildin Loads Total Heating Required Including Ventilation Air: 20,537 Btuh 2 537 MBH Total Sensible Gain: 15,773 Btuh 80 % Total Latent Gain: 3,917 Btuh 20 % Total Cooling Required Including Ventilation Air: 19,690 Btuh .75 Tons(Based On 75%Sensible Capacity) Notes Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition,Version 2,and A CA Manual D. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads according t the manufacturer's performance data at your design conditions. Thursday,May 08,2014,1:03 PM � Rhvac=Residential&Light Commercial HVAC Loads Elite Software Development,Inc. HVAC Designs � Walnut Grove TH 1456 S Tam a,FL 33615 Pa e 7 S stem 1 Room Load Summa Htg Min Run Run Clg Clg Min Act Room Area Sens Htg Duct Duct Sens Lat Cig Sys No Name SF Btuh CFM Size Vel Btuh Btuh CFM CFM —Zone 1— 2 Foyer 58 2,356 54 4 - 993 255 50 54 3 Bed 2 197 3,775 86 5 - 1,659 403 84 89 4 Bed 3 191 3,069 70 6 - 1,872 333 95 101 � 5 Kitchen 242 1,594 36 7 - 2,963 641 150 160 6 Bath 2 77 89 2 4 - 230 60 12 12 7 M Bath 130 149 3 4 - 363 80 18 20 8 Great 281 5,245 119 7,7 - 5,798 1,391 293 312 9 M Wic 44 51 1 4 - 90 0 5 5 10 M Bed 236 4 211 96 6 - 1 805 444 91 97 Duct Latent 310 S stem 1 total 1 456 20,537 467 15 773 3 917 797 850 System 1 Main Trunk Size: 12x14 in. Velocity: 729 ft.lmin Loss per 100 ft.: 0.086 in.wg Duct size results above are from Manual D Ductsize. Runout duct velocities are not printed with duct size results from Manual D uctsize since they can vary within the room. See the Manual D Ductsize report for duct velocities and other data. Coolin S stem Summa Cooling SensiblelLatent Sensible Latent Total Tons S lit Btuh Btuh Btuh Recommended 1.75 75°/a/25% 15,773 5,258 21,031 Actual: 2.08 75%125% 18,750 6,250 25,000 E ui ment Data Heatinq Svstem Coolin4 Svstem Type: Air Source Heat Pump Air Source Heat Pump Model: 4A6H3024C1 4A6H3024C1 Indoor Model: GAF2AOA24S21+TDR Brand: HERITAGE 13 HERITAGE 13 Description: Air Source Heat Pump Air Source Heat Pump Efficiency: 8.2 HSPF 13.75 SEER Comment: 0 Sound: 0 0 Capacity: 23,600 Btuh 25,000 Btuh Sensible Capacity: nla 18,750 Btuh Latent Capacity: nla 6,250 Btuh AHRI Reference No.: nIa 4941302 This system's equipment was selected in accordance with ACCA Manual S. Manual S equipment sizing data: SODB:93F,SOWB:77F,WODB:40F,SIDB:75F,SIRH:55%,WIDB:72F,Sen.gain:15,773 Btuh,Lat.gain:3,917 Btuh,Sen.loss:20,537 Btuh,Entering clg.coil DB:75F,Entering clg.coil WB 63.9F,Entering htg.coil DB:72F,Clg.coil TD:18F,Htg.coil TD:40F, Req.clg.airflow:797 CFM,Req.htg.airflow:467 CFM Thursday,May 08,2014,1:03 PM . . ' ' �Illlifll111illllllllllllillllillli1111111111111111118111111 +�7�H p5P��1002034 17E�0.00'�� . 2014074690 05/12/14 B. Mc6ee, Dpty Clerk � , . - � NC}TICE OF C MMENCEMENT PAU��t S 0'NEIL,Ph D PASC4 CLERK 8 C4MPTROlLER PermitNa. O�OR 8K C�� 1PG��'T Property Identification No. 1�`Z Cr�- Z I 'C}�3Z3-o(p�pQtS"C}O�D . � ',I`HE lTNDERSIGNEI3 hereby gives notice that improvements wi be made ta certain real property,and in accordance with Sectian 7I3.13 af the Flarida Statutes,the following informatSon is provid d in the NOTICE OF COMMENCEMENT. i. Descriptionofproperty{tega7dexcription:)Wt`�n�""��re.Tot.��'lo•�..�eS. �{o �?�U�jtj �"f" '�Z��,r�'f1l�L�-��j�o-�3`� . a) StreetAddress:��7�5 �757.' 7» ' �'77 ra'r'�e lc'USe Loo h r ,!� f�335`�/Z �+' W�(f��f� , 2. General descripiian af im�Srovements L tah i�' � �i � � Owner Infortnation ' a} Name and address:� Z� -�C� nv.e s�f mt n�-fS v�c �b � �r.!! (.��v� 7e. � sr- /1 1=C 33S y Z b) Name and address of fee simple titleholder(if other than wner) � c) Interest in property 4. Contractar Information I2 a) Name and address:�d2-� I�Gt,i� ZL) �G.! �' z�- �1l r'� S f"�.. b) TelephaneNa.:$!3—?8$- G-- -......._Fa�t o.( t.} . 5. Surety Infarmation , a) Name and address: � ` b) Amonnt of Hond: ' . c) Telephone No.: Fax No.(Opt.) • � 6. Lender ' - a} Name and address:� �'�a rrdo. �C.-uL�;#{'or.� �J a �,S � 3'77 1 G!�G�n , 1 2 . ) , �' 4'� ? Identity of person with'sn the State of lorida designated by o er upon"whom notices,or other documents may be served; a) Name and address: b) Telephone No.: Fax No.(Opt.) 8. In additit�n ta himse2f,owner designates zhe fatlowing person o receive a copy of the Lienor's Notice as provided in Sec#ion 713.13(1)(b);Florida Statutes: - ' a) Name and address: b} Telephone Na.: Fax Na.(Opt.) �� 9. Expiration date of Notice of Commencement(the expiratian d te is one year fram the date of recording unless a different date is ' specified): - . , WARNING TO OWNER:A�VY PAYMENTS MA.UE BY THE OWNER AFTER T�HE EXPIRATION OF THE NOTICE QF, COMMIENCEMENT ARE CONSIDERED IMPRQPER PA NTS ITNDER CHAPTER fi13,PA.RT l,SECTION 713.13, FZORIDA STATUTES ANI)CAN RESUL'I'IN YOUR PA G TWIC�FOR I�ROVEMENTS TO YOUR PROPERTY.A NQTICE OF'CUMMF.NCEMENT MiJST BE RECt?RDED D PQSTED�N THE 3QB STTE BEFORE THE TIRST INSPECTION.IF YOU INTEND T4 O$TAIN FINANCgiG, 1�NSULT YOUR LENDER UR AN ATTORNEY BEFORE' COMM�NCIlVG WORK OR RECORDIIVG YOU NOTICE COMMENCEMENT,� STATE OF FLORtAA . _. COUNTY OF PASCO G"� , , Sign ture OF Owner or Owner's Auth ' ed'O#HcerlDirectorlf'armerlMaaager Yl C l�k-�"("e�✓�I'�� Print ame � �'e for ing strurp�was aclrnowledged before me this �� day of .V ►' t 20 �_`T,�� by. w��.- j i,t�e r�e � as of an rity,e.g,officer,trustee attomey in fact)foi (name of gartp on be f w3� ins nt was executed). Personally Known i t3R Produced Identification^ No ry 3ign Type of Identification Produced N e(print) Q'✓J�-( r � Ve.rification pursuant#a Section 92.525,Florida Statutes.Under penaliies f perjury, that I have read the faregaing aad that the facts stated �in it are true to the est of o d belief. "� :•�:+-.=--- I .�o�r�sr�ac.nsazao� J�RRi CONNELL _c2o`;N �';��':, Notary Pubtic-State of Ftorida s,�a otx.n�r�sonsxgn�nsne�,e = *� ; x My Comm.Expires Jun 30,2015 _•« _ ��.•4l ¢o; Gommission#EE 102814 � �"'�F°,`,;;A`' Bonded Thmugh Nationat NotBry A55n. 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C�"Z "��-�'� 1 a'�'U[:CG-C-3�J SubDiv: L�i,[i��rLc`kG'p�i�. 1 Address/Location .3 7 7•. �� 1"j�u.��'��C. �--�'�"- � � Classi�cationtType of Use �!�,�r`1. �1�}'Y� TRANS�ORTATIC3N IMPA T FEE Rate: Sq Ft Uni#: �C.'Z � Exempt [� Yes [] No How Determined Impact Fee Amount $ �.� ��' Zone No. TAZ: SCHOO�IMPAGT FEE --�./ Account (058) Single- amily Detached Mouse Amount $ �% (057} Mabile ome (058) Other esidential 123) Collecti n Fee Exempt Yes [� No How Determined PARKS AND REGREA710 FEE Land Account Land Credit Land Total Recreation Accaunt Recreation Credit Recreation Totai Zane TOl"AL AMOUNT $ ��(--r�. Exempt [] Yes [� No How Determined LIBRARY FEE Land Account Land Credit �and Tatal Facility Account Facility Credit Facility'fatal Exempt [� Yes � N How Determined Total AmounE �-'�� RESOURCE FEE ERU TOTALAMOUNT Prepared By � .:1--� Checked By 9�0 CER7tFtGATE F OCGUPANCY W1LL 8E lSSUED OR FINA�.4NSPECTION PERFOR ED Ui�T1L.THE 7dTRL AMOUNTS LiSTEd HAVE BEEN PAID AND REGElP7E4 FC}t2 A GENTF2AL PERMIT"fitdG OFFiCE QF PASCQ COUNTY , Acknowledgement belaw does n t Etnply acceptance of cancurrence,but simpiy recslpf of a copy af this form,ptacfng i the bui�ding permit ow er on notica of this assessment and ther conditians of payment for same. � DATE RECEIVED BY RECEIPT NO DATE BY