HomeMy WebLinkAbout137 Wildwood Dr (a)MAR 31 2014
CITY OF SANFORD
B LDING & FIRE PREVENTION
PERMIT APPLICATION
11 y�67y_�y
Application No: "� — ��J� Documented Construction Value: $
Job Address: Historic District: Yes ❑ No ❑
Parcel ID:
Description of Work:
Plan Review Contact
/Person: , X X4,4
Phone: "Yi��% 'r g#4q —Fax:
Name 09 XA4
Street: l
City, State Zip:
Name
Street:
Zoning:
Title:
Owner Information
Resident of property? :
City, State Zip: Au Ea 7 State License No.:
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address: Z& o2.2
.`SSG 110, 02 9 = %3 b 7
Building Permit 1�
Square Footage:
No. of Dwellin nits:
Electrical
New Service — No. of AMPS:
Phone:
Fax:
E-mail: _
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type No. of Stories:
Flood Zone:
Mechanical ❑ (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures: O
Fire Sprinkler/Alarm ❑ No. of heads:
1
IV
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no
work or installation has commenced prior to the issuance of a permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
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 WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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 districts, state agencies, or federal agencies.
i Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
S' nature of /Agent Date Signature of Contractor/Agent Date
57/It
Ild-Cu 60;/11'M6-&AtN 7
Print Owner/Ag Name
of Notary -Stated 4 Florida Date
JO M.JOMN60N
as W coMMISSION 9 EE 159467
EXPIRES: March 23, 2018
iol Balm TMu NOM Publk Ur4etwt9eta
Owner/Agent is Personally Known to Me or
Produced ID Type of lD L
APPROVALS: ZONIN-TILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING: .S'-2-2. 1
+9
C
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
Rev. 9.14.2009
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
�(J
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
Property Address: ! �/
I, d , do hereby state that I am qualified
and Japable ofperforming the requested construction involved with the permit application filed and agree to the
conditions specified above.
Form of Identification i v L .
(Must be Photo ID)
3/
ate
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding l year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
by all applicable laws and requirements that govern owner -builders as well as employers. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
,9abide
—"11)
zoning regulations.
I am of aware of construction practices and I have access to the Florida Building Codes.
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
information that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property Address: ! �/
I, d , do hereby state that I am qualified
and Japable ofperforming the requested construction involved with the permit application filed and agree to the
conditions specified above.
Form of Identification i v L .
(Must be Photo ID)
3/
ate
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding l year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
P0.
�cU�.5
City of Sanford
Planning and Development Services
Engineering — Floodplain Management
Flood Zone Determination Request Form
Name: 514 t Q LEI? t_ IAME'i V N i Firm: O coif
Address: 13-1 W % Lp cvoo C1 '])P—,
City:SA�t-�C-0IZt7 State: L Zip Code: 3Z'7i3
Phone: 40-1-'b 14 - g4Z4Fax: Email: U 9 H V n� i `eAt4OC�• CD�I
Property Address: 13-7 W t t-Dw 00 D> Q ksAf
Property Owner: S 4 t 2 t_Q Y Wt L - L I Awt> 5 U t11JT
Parcel identification Number: 10 - ZD --3L') -ISOZ. — CDpO — C) (q0
Phone Number: 40-1-314- 19424- Email: 6 UV1{ V IJ 6? 'Y A I -t 00 . COV-1
The reason for the flood plain determination is:
❑ New structure ® Existing Structure (pre -2007 FIRM adoption) tREX30VA11710k)
❑ Expansion/Addition ❑ Existing Structure (post 2007 FIRM adoption)
Pre 2007 FIRM adoption = finished floor elevation 12" above BFE
Post 2007 FIRM adoption = finished floor elevation 24" above BFE (Ordinance 4076)
OF.F.ICIAL USE ONLY
Flood Zone: & C Base Flood Elevation: 44 Datum: NIhVD 819
FIRM Panel Number: t 7ZO24 4 C>0—I0 1F Map Date: P �Z$ LZOO'7
The referenced Flood Insurance Rate Map indicates the following:
❑ The parcel is in the: ❑ floodplain ❑ floodway
0 A portion of the parcel is in the: El floodplain ❑ floodway
❑ The parcel is not in the: ❑ floodplain ❑ floodway
❑ The structure is in the: ❑ floodplain ❑ floodway
® The structure is not in the: [,floodplain ❑ floodway
If the subject property is determined to be flood zone 'A', the best available information used to
determine the base flood elevation is:
# I Ar - 10 5 Pt'p p tT ( K) U s Yo S C 2, o� ABa► E Fop et aA 44
Reviewed by: Date: 46&*4 okVDg
T:\Engr-Files\Elevation Certificate\Flood Zone Determination Request Form.doc
THIS INST U ENT PREr
Name:
Address! dc
NOTICE OF COMMENCEMENT
State of Florida
County of Seminol
Permit Number:
MARYANNE MORSE, SEMINOLE COUNTY
CLERK OF CIRCUIT COURT B COMPTROLLER
BK 08235 Pg 0597; (Ipg)
CLERK' S #i 24114034595
RECORDED 03/31/2014 02:43:02 PM
RECORDING FEES 10.00
RECORDED BY H DeVore
Parcel ID Number:
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
G ? OWNER
Name
Address:
Fee Simple Title Holder (if other than owner) Name: L'
Address:o,inti
lEICTIFI�THECI;RCUAIT
RY EMORSE
CONTRACTOR: CLERK OU T AND
Name: 1 q 0
��s.
Address: SEMINOLECOUNTY, IDA
Persons within the State of Florida Designated by Owner upon whom notice by other docum be servecbEPU7Y CLERK
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
Address: "R 3 2414
In addition to himself, Owner Designates oflypt
•J
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
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. 1W
ars Signature Owner's Printed Name
Florida Statute 713'93(1 xg): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead'
State of County of _ `
The foregoing Instrument was acknowledged before me this y� day of Qi -C44 - 20/
by_ G1 ��iLGl1iM� '� Who Is personally known to me ❑
Name elperson making statement )
o ce identification type of Identification produced: F-\L—
DEBBIE
l
\ —
DEBBIEBLANTON
• Notary P
` of Florida
MPublic . Slate y Comm. Expires Feb 25, 201500
„FFL6?, Commission # EE 60182
Bonded Through National Nolary Assn Notary Signature
City of Sanford
4V7
D Residential Permit Application Guidelines
t
All permit application packages must be complete prior to acceptance. You must check
each box to the left or indicate n/a on this submittal. A complete application package shall
include the following:
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Completed and signed Right -of -Way Utilization Type I Permit Application.
Copy of the contractor's license issued by the State of Florida (if contractor is applicant).
O A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
O Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
completed and signed Owner Builder Statement / Affidavit (if owner is applicant).
PJA—Approval letter from sanitary sewer provider (if other than the City of Sanford).
r1 Pr0 Copy\of the onsite sewage disposaTsystem construction permit issued by Seminole County Health
Department (if applicable).
D Seminole County Impact Fee Statement (multi -family only).
Q/ Five (5) sets signed and sealed building construction plans.
D k_,,,/Two (2) signed and sealed site / plot plans.
O Two (2) sets signed and sealed floor and roof truss engineering.
O '-� Two (2) copies of completed and signed Statewide Product Approval Specification Form.
O c -""Two (2) copies of the manufacturer's installation instructions for the following products: windows,
doors, roofing materials, engineered lumber products, glass blocks, soffit materials and siding.
O k,,,Ifwo (2) copies of completed and signed energy and equipment sizing calculations.
THE CONSTRUCTION DOCUMENTS MUST INCLUDE, AT A MINIMUM, THE FOLLOWING:
SITE PLAN / PLOT PLAN
l_/ Lot number
Com-- Address / Legal Description
D-/ Setback lines from principle structure and any accessory structures to property boundary (minimum of
eight; two on each side)
Primary building setback lines/envelope
Cl-� A/C unit locations with setback from property line
0-' Survey type
O` Existing easements: drainage, utility, etc.
O Building separations, if applicable
3 Location of septic systems
O Flood -zone reflecting current FEMA map revision date
O Lot grading type (A,B,C, etc.)
D Elevations showing crown of the adjacent street or right-of-way upon which the structure fronts (for
type A and B lots)
O Lot corner elevations and break point elevations
O Drainage swales (if applicable) with profile view
Proposed finished floor elevation
BUILDING PLAN
Construction documents shall indicate code edition being applied
Revised: November 2013 Page l of 5 Residential Permit Application Checklist
C 9_/Construction type
&— Plans to minimum 1/8" scale
G—"" Designer information: name, address, registration #, seal and signature on all pages
0� Page size minimum 22" x 34"
U-"' All pages numbered and labeled
lJ-"' Wind design data required on drawings per FBC 1603.1.4 to meet 139 mph ultimate design wind speed
for risk category II buildings (residential)
• Ultimate design wind speed (Vult)
• Nominal design wind speed (Vasd)
• Risk category
• Exposure category
• Enclosure classification
• Internal pressure coefficient
• Component and cladding design wind pressures in terms of psf
• Structural Calculations, if necessary
FLOOR PLAN
0 Building area tabulation
;`�' Room -size
O Corridors
0 Stair location/guardrails
D Safety glass locations
O Egress door and emergency escape windows sizes and location
O Stairs construction requirements
O Special column/post anchorage
0 Interior load bearing wall locations
O Shear walls
0 Down cells
0 Lintel schedule
0 Attic access
0 Accessibility restroom (door) location
0 Fire resistant assemblies
0 Identify options to be used
FOUNDATION / SLAB
Filled cells with reinforcement locations
Footer denotation/details
5—`� Footers minimum 12" below grade
/ Interior bearing walls/pads
0� Porch pads/footers
0�-� Brick ledge detail
l� Slab thickness/steel/fiber mesh
(� Vapor barrier/termite treatment type
El--,*' Reinforcing steel over lap
t� Relieving arch steel at pipe penetrations
Cr"" All wood minimum 6" above grade
:i Crawl space ventilation
p/ Termite shields
ELECTRICAL
Service riser diagram
Electrical load calculations
Revised: November 2013 Page 2 of 5 Residential Permit Application Checklist
O,� /Bonding/Grounding to foundation steel
L.L/ 'Service location
Q� Panel locations
C' Receptacle lay out
9-�ZGFCI protection
CY A FCI protection
Tamper resistant outlets
■-/ Ceiling fans
D'/Outdoor receptacles
Or/Disconnecting means
[I ",�Switches/lights
0 Smoke/CO alarm locations hard wired, interconnected and battery backup
ELEVATION (front, rear and side views)
-f9'
Attic ventilation
&-"'
Roof pitch
9/
Roofing material
4R/.
Exterior finish/stucco thickness
f91/
Height/bearing elevations
W®/ endow and door opening locations
himney location/height
MECHANICAL
D Equipment location
• Anchorage for condenser
• Protection in garage locations
• Clearances at equipment
• Structural detail for air handler in attic
0--*" Room ventilation
• Duct layout (usually in energy calculations)
• R -value of ducts
• CFM's
• Balanced return/ducted, transfer ducts or grilles
0 Exhaust
• Bath exhausts size and termination
• Dryer exhaust discharge/make up air
Energy calculations with equipment sizing calculations
O Skylights
PLUMBING
Plumbing waste riser diagram
VWater heater location
Fixture location
FUEL GAS
D BTUs each outlet and total BTUs
D Pipe type and total length
D LP regulator and model type
D Combustion air vents
O Location of equipment
O Venting
O Gas Type
Revised: November 2013 Page 3 of 5 Residential Permit Application Checklist
O Gas Pressure
O Gas piping riser
ROOF TRUSS LAY OUT
O Truss I. D. #s
• Layout
• Signed/Sealed truss engineering package
O Strapping/fasteners
DETAIL SHEETS OR NOTES
Ef Footings
O Beam to wall and/or post attachments
O Post/column and beam construction
O Interior bearing walls
O Stairs section
O Chimney construction
O Dormer construction
D Floor framing
O Entry construction
O Arched windows
O Bay windows
O Frame to block connections
D Knee wall construction
O Sky light framing
O Top plate splicing requirements
O Steel requirements (footer, lintel, vertical pour)
• Grade
• Over lap
O Veneer
O Shear wall locations and construction
• Connectors
• Fasteners
Roof sheathing & diaphragms
• Fasteners
• Blocking
Wall and gable sheathing fastening
O Gable end, frame and block, vaulted and flat
Er---- Conventionally framed roof members
O Glass block
• Bearing opening strapping/anchorage
O Bearing/non-bearing wall detail
EL/ Typical wall section detail, one and two story, block and frame, for all scenarios
• Connectors
• Anchorage bolts
• Materials and assembly
O Garage and swing door buck fastening
O Ceiling diaphragms
• Blocking
O Any conventional framing
M UFACTURER'S PRODUCT INSTALLATION INSTRUCTIONS
Roofing installation instructions & compliance with ASTM standards
Revised: November 2013 Page 4 of 5 Residential Permit Application Checklist
UF- Window and mullion installation instructions
Cts/ Garage door, sliding,glasg door and swing door installation instructions
El// Siding installation instructions
6 Soffit installation instructions
O /Glass block installation instructions
& Engineered lumber products installation instructions
PRODUCT APPROVAL
Completed Product Approval specification sheet
• FS 553.842, FAC 61G20-3
These guidelines were compiled to assist the applicant in preparing a residential permit application submittal
and may not be complete. The applicant is required to meet all city of Sanford, state, and federal requirements.
Revised: November 2013 Page 5 of 5 Residential Permit Application Checklist
SCPA Parcel View: 10203050200000190
00vtc! Johr+aon. cf:^
IMKU
APPRAISER
3EMWOLS COUNTY, FLORbA
Property Record Card
Parcel: 10-20-30-502-0000-0190
Owner: HUNT PHILLIP E & SHIRLEY A
Property Address: 137 WILDWOOD DR SANFORD, FL 32773
< Back I I Save Layout I I Reset Layout I I New Search
Parcel: 10.20.30.502.0000-0190 I Value Summary
Property Address: 137 WILDWOOD DR
Owner: HUNT PHILLIP E & SHIRLEY A
Mailing: 137 WILDWOOD DR
SANFORD, FL 32773 - 5572
Subdivision Name: RAMBLEWOOD
Tax District: S1-SANFORD
Exemptions: 00 -HOMESTEAD (1994)
DOR Use Code: 01 -SINGLE FAMILY
\.21918
I
.�� 17 .�f� �•.
Map Aerial Both Footprint + - Extents Center
Larger Map I I Advanced Map I I Dual Map View - External
Page I of 2
Tax Amount without SOH: $1,05;
2013 Tax Bill Amount 51,051
Tax Estimator
Save Our Homes Savings: S(
• Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
2014 Working
2013 Certified
Values
Values
Valuation
Cost/Market
Cost/Marke
Method
Tax Details
Number of
Buildings
1
Depreciated
583,840
578,72(
Bldg Value
Assessment Value Exempt Values
Taxable Value
Depreciated
S600
$60(
EXFT Value
550,000
S42,68;
Land Value
$15,000
512,00(
(Market)
S25,000
$67,68;
Land Value Ag
City Sanford
lust/Market
S99,440
$91,32(
Portability Adj
SJWM(Saint Johns Water Management)l
Save Our Homes
S6,753
$:
Adj
County Bondsi
Amendment 1
550,000
542,68;
Adj
Assessed Valuel
$92,687
$91,31;
Tax Amount without SOH: $1,05;
2013 Tax Bill Amount 51,051
Tax Estimator
Save Our Homes Savings: S(
• Does NOT INCLUDE Non Ad Valorem
Assessments
Legal Description
LEG LOT 19 RAMBLEWOOD PB 23 PGS 7 & 8
Tax Details
Taxing Authority
Assessment Value Exempt Values
Taxable Value
County General Fund
592,687
550,000
S42,68;
Schools
$92,687
S25,000
$67,68;
City Sanford
592,687
$50,000
$42,68;
SJWM(Saint Johns Water Management)l
S92,6871
S50,000
S42,68;
County Bondsi
S92,6871
550,000
542,68;
Sales
Deed Date Book
Page
Amount
Vac/Imp
Qualified
WARRANTY DEED 04/1988 01947
0868
S75,900
Improved
Ye:
WARRANTY DEED 07/1983 01477
1874
565,000
Improved
Nc
WARRANTY DEED 11/1981 01363
1554
S65,800
Improved
Ye:
Find Comoarable Sales within this Subdivision
http://www.scpafl.org/ParceiDetails.aspx?Pl D=10203050200000190 3/31/2014
FORMS
OFFICE
PERMIT #
FLORIDA BUILDING CODE, ENERGY CONSERVATION
FORM 402-2010 Residential Building Thermal Envelope Approach ALL CLIMATE ZONES
Scope: Compliance with Section 402 of the Florida Building Code, Energy Conservation, shall be demonstrated by the use of Form 402 for single- and multiple -family residences of three -�
stories or less in height, additions to existing residential buildings, renovations to existing residential buildings, new heating cooling and water heating systems in existing buildings as
applicable.To comply, a building must meet or exceed all of the energy efficiency requirements on Table 402f1 and all applicable mandatory requirements summarized in Table 4028 of this
form. It a building does not comply with this method or Alternate Form 402. it may still comply under Section 405 of the Florida Building Code, Energy Conservation
PROJECT NAME-
AND ADDRESS:
X3.7 Wj L,D WOOD
15W4VILD1r-L.32773
BUILDER: &41 jjW
PERMITTING
8d. R -
sq. ft.
OFFICE: S 1 1�(T
OWNER: _S `j)QU SF I PERMIT NO.: I JURISDICTION NO.:
General Instructions.
1. New construction which incorporates any of the following features cannot comply using this method: glass areas in excess of 20 percent of conditioned floor area, electric resistance
heat and air handlers located in attics. Additions s 600 sq.1t., renovations and equipment changeouts may comply by this method with exceptions given.
2. Fill in all the applicable spaces of the "To Be Installed" column on Table 402A with the information requested. All "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 the requirements of Table 402B and check each box to indicate your intent to comply with all applicable items.
5. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. The owner or owners agent must also sign and date the form.
1. New construction, addition, or existing building
2. Single-famlly detached or multiple -family attached
3. If multiple -family -No. of units covered by this submission
4. Is this a worst case? (yestno)
S. Conditioned floor area (sq. ft.)
6. Glass type and area:
, U -factor
b. SHGC
c. Glass area
7. Percentage of glass to floor area
8. Floor type, area or perimeter, and insulation:
a. Slab -on -grade (R -value)
b. Wool, raised (R -value)
c. Wool. common (R -value)
d. Concrete, raised (R -value)
e. Concrete. common (R -value)
9. Wall type, area and insulation:
a. Exterior: I. Masonry (Insulation R -value)
2. Wood frame (Insulation R -value)
b. Adjacent: 1. Masonry (Insulation R -value)
2. Wood frame (Insulation R -value)
10. Ceiling type, area and Insulation:
a. Under attic (Insulation R -value)
b. Single assemhly (insulation R -value)
11. Air distribution system: Duct insulation, location, On
a. Duct location, insulation
b. AHU location
c. Qn. Test repon attached (< 0.03: yes/no)
12. Cooling system:
a. Type
b. Efficiency
13. Heating system:
a. Type
b. Efficiency
14. HVAC sizirig calculation: attached
15. Hot water system:
:t. Type
b. Efficiency
Please Print CK
2. J r''tuc
3.
4.
S. -A 0-!)
6a.
6b.
6c. _Sre sq. ft.
7. %,01 %
8a. R= 0, lin.ft.
9a-1. R = .--sq. ft.
9a-2. R=� 479 sq. ft.
9b-1. R = sq. ft.
9b-2. R =�sq. ft.
8b. R- sq. ft.
10a. R= sq. K.
10b. R = sq. ft.
11a. R= U'(/
11b.
11 c.Test report attached? Yes No
12a. Type: C 049h....
12b. SEER/EER: 13
13a. Type: APW PA(.P
13b. HSPF/COP/AFUE: -I1 _l-
14. YesN®
15a. TypejCK
15b. EF: 911
I hereby -nil that the tans and specifications covered by the calculation are in compliance with the Florida Review of plans and specilications covered by this calculation Indicates compliance with the Florida
Energy Code. Energy Code Before construction is completed. this building will be inspected for compliance in
accordance trnlb Section 553.900. F.5
PREPARED B DATE:DV*H I
CODE OFFICIAL:
1 herzby Wiry that this D Idi is m comDlrance with the Florida Energy Code
OWN AGENT. DATE: DATE:
C.4 2010 FLORIDA BUILDING CODE - ENERGY CONSERVATION
Bc. R = y
sq. ft.
8d. R -
sq. ft.
Se. R =
sq. ft.
10a. R= sq. K.
10b. R = sq. ft.
11a. R= U'(/
11b.
11 c.Test report attached? Yes No
12a. Type: C 049h....
12b. SEER/EER: 13
13a. Type: APW PA(.P
13b. HSPF/COP/AFUE: -I1 _l-
14. YesN®
15a. TypejCK
15b. EF: 911
I hereby -nil that the tans and specifications covered by the calculation are in compliance with the Florida Review of plans and specilications covered by this calculation Indicates compliance with the Florida
Energy Code. Energy Code Before construction is completed. this building will be inspected for compliance in
accordance trnlb Section 553.900. F.5
PREPARED B DATE:DV*H I
CODE OFFICIAL:
1 herzby Wiry that this D Idi is m comDlrance with the Florida Energy Code
OWN AGENT. DATE: DATE:
C.4 2010 FLORIDA BUILDING CODE - ENERGY CONSERVATION
I ,r
TABLE 4U2A
FORMS
BUILDING COMPONENT
PERFORMANCE CRITERIA'
INSTALLED VALUES:
REQUIREMENTS
U -Factor < 0.65
Windows (see Note 2):
SHGC = 0.30
U -Factor =
Air leakage
% of CFA < = 209E
C =
95 0l CFA =
%oI
S i hts
U -Factor < 0.75
Cedings1knee walls
Doors: Exterior door U -Factor
U-Faclor < 0 65
U -Factor =
Floors: Slab -on -grade
No requirement
R -Value =
Over unconditioned spaces see Note 3
R-13
403.2
Wells - Ext. and Adj. (see Note 3):
Frame R-13
R -Value =
Mass (see Note 3)
Interior of wall: I R-7.8
R -Value =
Exterior of wall R-6
R -Value
Ceilings (see Notes 3 8 4)
R-_30
R -Value a
Test report
Attached?
Reflectance
0.25
Reflectance =
YesMo
Air distribution system (see Note 4)
403.8
lossexcept if 70% of heat from site -recovered energy. Olf/timer switch required. Gas heaters minimum Ihemial
Ductwork & air handling unit:
Location
Test report
Unconditioned space
Not allowed
Sizing wlculalion pedormed & attached. Minimum efficiencies per Tables 503.2.3. Equipment efficiency verification
Attached?
Conditioned space
403.6
required. Special occasion cooling or healing capacity requires separate system or variable capacity system.
INO
YeSMo
Duct R -value
R -value 2:6
R -Value =
Air leakage On
On 5 0.03
On =
Air conditions systems see Note 5
SEER = 13.0
SEER -
Heating system
Heat pump (see Note 5) Cooling:
SEER = 13.0
SEER -
Heating:
HSPF = 7.7
HSPF =
Gas furnace
AFUE 7eY.
AFUE =
Oil furnace
AFUE 78%
AFUE =
Electric resistance: Not allowed (see Note 5)
Water heating system (storage type)
Electric (see Note 6):
40 gal: EF = 0.92
Gallons =
50 gal: EF = 0.90
EF =
Gas fired (see Note 7)•
40 gal: EF = 0.59
Gallons =
Other (describe):
50 gal: EF = 0.58
EF.
(1) Each component present in the As Proposed home must meet or exceed each of the applicable performance criteria in order to comply with this code using this method;
otherwise Section 405 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 2095 of the conditioned floor area (CFA); otherwise Section 405 must be used for compliance.
Exception: Additions of 600 square feet (56 m2) or less may have a maximum glass to CFA of 50 percent.
(3) R -values are for insulation material only as applied in accordance with manufacturers' installation instructions. For mass walls, the "interior of wall' requirement must be
met except if at least 500/6 of the R-6 insulation required for the "exterior of wall" is installed exterior of, or integral to, the wall.
(4) Ducts 8 AHU installed substantially leak free per Section 403.2.2.1. Test by Class 1 BERS rater required.
Exception: Ducts installed onto an existing air distribution system as part of an addition or renovation; duct must be R-6 installed per Sec. 503.2.7.2.
(5) For all conventional units with capacities greater than 30,000 Btuthr. For other types of equipment, see Tables 503.2.3(1.8).
Exception: The prohibition on electric resistance heat does not apply to additions, renovations and new heating systems installed in existing buildings.
(6) For other electric storage volumes, minimum EF = 0.97-(0.00132 x volume).
(7) For other natural gas storage volumes, minimum EF = 0.67-(0.0019 x volume).
TABLE 4028 MANDATORY REQUIREMENTS
COMPONENTS
SECTION
REQUIREMENTS
CHECK
To be caulked, gaskeled, weatherstrlpped or otherwise sealed. Recessed lighting (Grated as meeting ASTM E
Air leakage
4024
283. Windows and doors = 0.30 cIrn/sq.11. Testing or visual inspection required. Fireplaces: Basketed doors d
outdoor combustion air.
Cedings1knee walls
405.2.1
R-19 space permittlng.
Programmable thermostat
403.1.1
Where forced -air furnace is primary system, programmable thermostat is required
Air distribtnion system
403.2
Ducts in attics or on roots insulated to R-8; other ducts R-6. Ducts tested to O, = 0.03 by a Class 1 BERS rater.
Heat lisp required for ventral pipe risers Comply with efficiencies in Table 403.4.3.2. Provide switch or dearly
Water heaters
403.4
marked circuit breaker (electric) or shutolf (gas). Circulating system pipes insulated to = R-2 + accessible manual
OFF switch.
Spas and heated pools must have vapor -retardant covers or a liquid cover or other means proven to reduce heat
Swimming pool 8 spas
403.8
lossexcept if 70% of heat from site -recovered energy. Olf/timer switch required. Gas heaters minimum Ihemial
efficie = 781/.(82% after 4/16113. Heat pump pod heaters minimum COP= 4.0.
Sizing wlculalion pedormed & attached. Minimum efficiencies per Tables 503.2.3. Equipment efficiency verification
Cooling/heating equipment
403.6
required. Special occasion cooling or healing capacity requires separate system or variable capacity system.
Electric heat >10kW must be divided into two or more stages.
Lighting equipment
404.1
At least 50% of permanently Installed lighting fixtures shell be high -efficacy lamps.
2010 FLORIDA BUILDING CODE — ENERGY CONSERVATION C.5