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808 E 2 St - BC04-002401 (MODULAR HOME) DOCUMENTSPERMIT ADDRESS CONTRACTOR tam S_ ADDRESS PHONE NUMBER A O;) - IkA C - PROPERTY OWNER MSS ADDRESS PHONE NUMBER 2) -[\ ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE SUBDIVISION PERMIT #Oy " d - \O DATE Lo - a 8 -( y PERMIT DESCRIPTION V PERMIT VALUATION GCU SQUARE FOOTAGE C) 1J t7 d ra En e C i ty of Sanford 0°0Certificateof Completion This is to certify that the building located at 808 E. 2"d Street for which permit number 04-2401 was issued has been completed according to the plans and specifications filed in the permit, to wit as Factory Built Building complies with all the building, plumbing, electrical, mechanical, as well as City of Sanford codes and ordinances and with the provisions of these regulations. Staff Approval Date Conditions (if blank, no conditions apply) Building: B. Oden Engineering: D. Richards Public Works: n/a Utilities: R. Blake Fire Department: T. Robles Zoning: D Richards M. D. Construction Property Owner 10/27/ 04 11 /03/ 04 11 /03/ 04 11 / 16/ 04 11 /03/ 04 11 /03/ 04 rVA .. "f ,,, 11 / 16/04 Building Official Date CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION FACTORY BUILT BUILDING **** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 10/27/04 04-2401 808 E. 2nd St. M D Construction Byron 407-323-4706 60 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. ngineeri o Fire _ Public Works Zoning Utilities Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION FACTORY BUILT BUILDING **** DATE: PERMIT #: ADDRESS: CONTRACTOR: 10/27/04 04-2401 808 E. 2nd St. M D Construction PHONE #: Byron 407-323-4706 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineering ublic Works OUtilities Fire Zoning Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CERTIFCATE OF OCCUPANCY 1 REQUEST FOR FINAL INSPECTI44 o FACTORY BUILT BUILDING 1 1 I f 1 1 1 1 C C, . 1 f 1 ( 1 1 f DATE: 10/27/04 1 1 PERMIT #: 04-2401 Q 1 ADDRESS: 808 E. 2°d St.W u c. C ;; a o , sn m 1 CONTRACTOR: M D Construction u u e. a PHONE #: Byron 407-323-4706 u The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineering Fire Public Works Zoning tiliti s f Licensing GAL // / or CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) LMBC1001 CITY OF SANFORD 4 Address Misc. Information Inquiry 11/04/04 07:45:20 Location ID/Subdivision Parcel Number . . . . . . Alternate location ID . . Location address . . . . . Primary related party . . Type options, press Enter. 5=View detail Opt Description CUSTOMER SERVICE NOTES 93495 ACREAGE PARCELS 30.19.31.300-0010-0000 808 E 2ND ST MARS HILL SDA CHURCH Free -form information VACANT 6-24-04 2 F2=Address F3=Exit F5=Special Notes F9=Parcel Notes F12=Cancel F16=Related pty data F10=Subd Notes CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION FACTORY BUILT BUILDING **** DATE: 10/27/04 PERMIT #: 04-2401 ADDRESS: 808 E. 2nd St. CONTRACTOR: M D Construction PHONE #: Byron 407-323-4706 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineering Public Works Utilities Zoning Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CERTIFCATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION FACTORY BUILT BUILDING **** DATE: 10/27/04 PERMIT #: 04-2401 ADDRESS: 808 E. 2nd St. CONTRACTOR: M D Construction PHONE #: Byron 407-323-4706 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. Engineering Public Works Utilities Fire Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CITY OF SANFORD PERMIT APPLICATION Permit # Q `A — O A u ` 1 Date: Job Address: F-10S G Description of Work: Historic District: Zoning: --J Value of Work: $ ct Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets _ Occupancy Type: Residential Commercial Construction Type: # of Stories: Parcel #: Owners Name & A( 9 Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Addition/Alteration Change of Service Temporary Pole Replacement New (Duct Layout & Energy Calc. Required) of Water & Sewer Lines # of Gas Lines Plumbing Repair — Residential or Commercial Industrial Total Square Footage: of Dwelling Units: Flood Zone: (FEMA form required for other than X) Contact Person: Attach Proof of Ownership & Legal Description) State License Number: Phone: Fax: ne: 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 writh 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. 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. Acceptance of permi ' v ' ication that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. o - )- -1-ny igna of er Agent Date Signature of Contractor/Agent Date Q LI -<A Oq CWG--1 nt Owner/Agent' a Print Contractor/Agent's Name D C, L( ture pf )tary-State of Florida Date Signature of Notary -State of Florida Date FLORENCE A. DE GRAVE MY COMMISSION # DO 164280 EXPIRES: November 12, 0 6 y'qer/Agene.49 eo,Bars s e 9 Produced IDD / d,(jv Contractor/Agent is _ Personally Known to Me or Produced IDo APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning: Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) I 7 CITY OF SANFORD BUILDING DIVISION OWNER/BUILDER AFFIDAVIT CONSTRUCTION CONTRACTING Owners of property when acting as their own contractor and providing direct, onsite supervision themselves of all work not performed by licensed contractors, when building or improving farm outbuildings or one -family or two-family residences on such property for the occupancy or use of such owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such structure by the owner -builder within 1 year after completion of same creates a presumption that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The owner may not delegate the owner's responsibility to directly supervise all work to any other person unless that person is registered or certified under this part and the work being performed is within .the scope of that person's license. For the purposes of this subsection, the term "owners of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner must personally appear and sign the building permit application. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction yourself. You may build or improve a one -family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I, S .3 cks L-w , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed. I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allowed by law on the permitted structure. CRvnernwer Signature Date 5 S: _T w—_Ks—) _ 31i46?5 144L 5 DCLNLtifCr4 Print OwnerBuilde Name y0 rt No, T More of Notary —State of Florida Date ox< r rn ay 09 2 cn (Z7 Owner is Perso ally Known to Me or has o y Produced . ( z ZQv 2 o IN 1V p 2 p N S o m rn p(A -'4o clR.,,,&i Cd- f e) a.et &- d ,. 407) 323-5646 800 E. Second Street Dr. Sylister J. Jackson, Pastor Sanford, Florida 32771 November 3, 2004 City of Sanford Dan Florian, Building Official P.O. Box 1788 Sanford, FL 32772-1788 RE: Prepower Inspection Request for 808 E. 2"d Street in Sanford. To Whom It May Concern: This letter is written to request a prepower inspection for the address referenced above. Please be advised that such building will not be occupied until the Certificate of Occupancy has been released. Sincerely, 2 Sylis ackson, Pastor Mars Hill SDA Church Y•``e/ FLORENCE A. DE GRAVE MY COMMISSION # DD 164280 EXPIRES: November 12, 2006 Bondod Thru Budget Notary Services CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE:,• I C/ PERMIT #:CA Q `A O BUSINESS ADDRESS: PHONE NO.: FAX NO.: CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW %Q F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ j URN PER}}11T (], TENT PERMIT ( TANK PERMIT [ ] OTHERX'' =491 TOTAL FEES: $ 0 (PER UNIT SEE BELOW) Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Pre 'on on A i ant's Signature PERSONS '^ ADVISED THAT THIS ISA STATEMENT EES DUESEMINOLE UNI)ER THE ROAD` LIBRARY AND/OR EDUCATIONAL UNT` FIRE/RESCUE, i IGSih CE OF A BUILDING PERMIT. PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE ApPLICANT OR ONHER, r - CAL ULATIO MENTIONED IAPACT FEES OF ANYOFTHABOVE .* ' EXERCISED FILING A WRITTEN REOUEST / 45 C NDAR THAN D Y" THE^ECEIV G SIGNATURE DATE ABOVE, NOT LATER CERTIFICATElM]ET F CC ANCY OR THE REQUEST FOR REVIEW THE REQUIREMENTS EMENTS OFTY L D DEVELOPMENT CODE. UES Q- RNING APPEALS BE PICKED UP OR REQUESTED, THE PLAN IMPLEMENTATION OFFICEr 1101 FAST FIRST STREET, S N RD FL, 32771; 4O7-65-7356.` 1 ..`'~-..- ,`..~"" "- ^nc rn. `p`un,rrvwTY OR CITY OF SA! -% F[)Rl> Permit # : CITY OF SANFORD PERMIT APPLICATION ( C Date: Job Address:n Description of Work: Z`%— 6 ,ss 191i-, &4 i Historic District: Zoning: Value of Work: S ia/ Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: 10 3 Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: / t-t Q I - (/i// -wal""I (Attach Proof of Ownership & Legal Description) Owners Name & Addres i t CtiLd_ 1 5 T A P / Contractor Name & Address: ,71 S(/Cs .SVA hlrAMP% v- pSOI /. / . o.t't/327(r6 t e L1-e.sVjmbeQMF Phone & Fax: l /" `rt0 ( )Y' _ Contact Person: /J s 1%! Phone:700) Bonding Company: / (/ I, ,. , _ _ Address: Mortgag( Address: Architect Address: r 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 reguiating construction in this iurisdiction. 1 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. 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. Acceptance of permit is verification that I will notify the owner of the property of the requirements S_ ,,y 4.n'gnature t-ier/Agent Date Sr Sn 1 zlC K S -zldPrintOwner/Agent's Name Prirr S' atureofNotaddaa Date SignaTrDE9SlEt ie6Nf'NMYCOMMISSION # DD 188491 EXPIRES: February 25, 2007 t g tjlj{gent is FI N^t )y sma.to a 9j Contrac U APPLICATION APPROVED BY: Bldg_ C42 1EOy Zoning: s Utili initial alai & - 11Date) nrtial & Date) Special Conditions: E 1 l g - AQ L42 S e 0-&a Sic •Y-h 4- p„t, r• 1-0ti0- A S r Florida Lien Law, FS 713. of Date DEBBIE BLANTON MY COMMISSION # DD 188491 FYPIRES: February 25. 2007 T mial &'Date) ( Initial & ate C w S 0 NOTICE OF COMMENCEMENT Permit No. State of Florida County of Seminole Tax Folio No. :3 64— l / - 31 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. 1. Description of imion of the property and street 2. General description of improvement: 3. Owner information > /4/Ka. Name and address a b. Interest in property c. Name and address of fee simple titleholder (if other than Owner) 4. Contractor a. Name and if available) COWIED Corr PARY, NW NCIEc..4T O .4 4 GF b. Phone numl.*r Fax number 5. Surety a. Name and address b. Phone number Fax number c. Amount of bond 6. Lender a. Name and address b. Phone number te 0 7- 3 c — g.- G ?, r, Fax number 7. Persons within the State of Florida designated by Owner upon whom notices or other provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address b. Phone number 8. In addition to himself or herself, Owner designates Fax number C'& kr- 9 W may be seivei as N of to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes. a. Phone number Fax number 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) ature of Owner Sw or a u-med) arid subscribed befo ) e this day of , 20 , by Personally Known OR Prodded Ide ification . Type o Identif ation Produced K/Z , Jai () yU a () 0 THIS INSTRUMENT PREPARED BY: NAME L" m"-- Si tore lic, State of Flon +PMr comet;,„ Anh Thu Nguyen ADDR. pwo+ Ota Comm' fires: a Expires March 25, 2008 DEVELOPMENT FEE WORKSHEET OF SANFORD UTILITY — ADMIN P.O. BOX 1788 SANFORD, FL 32772-1788 Project Name: 7 gWz 7- <OAaA7e Date Owner/Contact Person: 1hW'C—> %/LL Phone: 32-/ -Z %7 -23S7 Address: 8086 -2, 5171 Type of Development: 1) RESIDENTIAL Type of Units (single family or multi -family): Total Number of Units: Type of Utility Connection individual connections or central water meter & common sewer tap): Water Meter Size (3/4", 1 ", 2", etc.): REMARKS: 2) NON-RESIDENTIAL Type of Units (commercial, Industrial, etc.): Total Number of Buildings: Number of Fixture Units each building): Type of Utility Connection individual connections or central water meter & common sewer tap): Water Meter Size (3/4", 1", 2", etc.) REMARKS: r 1 Gown 3 2. s ey2 ' = 1, drz6- COAWEC77ONFEE CAL CULA770N. e2/ o e/-IIA — FED G Co.,k/_ ?.S; //375 C- DName - Signature - Date acrncrn r ina 2) 1) Water Svstem Impact Fees Equivalent Residential Connection (ERC) -300 Gallons Per Day (GPD) Residential - S650 Unit - Single family structure, or multi -family unit containing three (3) bedrooms or more. . S487.50 Unit - Multi -family unit or Mobile Home unit containing less than three (3) bedrooms. (This category is basal on judgment/assumption, estimation that such family units on average require 750,4-225 GPD of the water and sewer service of an average single family unit} Commercial S650 ERU - Fixtures unit schedule from Southern Plumbing Code will be used. One ERU will be charged for connection and up to twenty (20) fixtures units. For projects having more that twenty (20) fixture unit base for the fast ERU. (Example: twenty-five (25) fixtures units will be rated as 115 eru: twenty-six (26) fixture units will be rated as 1.5 ERU.) Sewer Systems Impact Fees Equivalent Residential Connections-270 Gallons Per Day (GPD) Residential - S1,700 Unit - Single Family structure, or multi -family unit Containing three (3) bedrooms or more. S1,275/Unit - Multi -family unit or Mobile Home unit containing less than three (3) bedrooms. (This category is based on judgment/assumption, estimation that such family units on average require 759/o of water and sev& service of an. average single family uutit Commercial- Industrial- Institutional S1,700/ERU Fixtures unit schedule from Southern Plumbing Code will be used. One ERU will be charged for connection and up to twenty (20) fixtures units. For projects having more than twenty 20) units the Impact fee will be increments of 25% based on multiples of five (5) fixture units above the twenty (20) fixture unit base for the first ERU. (Example: twenty five (25) fixture units vrill be rated as 1.25 ERU: twenty six (26) fixture units will be rated as 1.5 ERU4 Slondard Plumbing coder 0 1997 W.,- L 52.5 r,-0ILaFortrapslargerthan3inches, use Table 709.2 b A showerhead over a bathtub or whirlpool bathtub attachments does not increase the drainage fixtures unit valveeSeesections709.2 thought 709.4 for methods of computing unit valve of fixtures not listed in Table 709.1 or for rating of devices with intermittent flows.. d Trap size shall be consistent with the fixturs outlet size. e For the p-apose of computing loads on building drains and Sewers, water closets or urinals shall not be rated at a lower drainage first fixture unituuuiessthelowervaluesarecvnfirrrtedbytesting.TABLE 709.2 DRAINAGE FIXTURES UNITS FOR FIXTURES DRAINS OR TRAPS Fixture Drain or Trap Size inches Drainage Fixtures Unit Value 1 / 1 - - 2 4 - 3 4 5 --- 6 Mar 68-04 07:39a Engineering; 4073305679 p.1 City of Sanford Engineering And Planning Department fax cover sheet To: Irene Boyle CPH Engineers Fax: (407) 330-0639 From: David L. Richards, Engineering Assistant City of Sanford Engineering and Planning Department Date: March 2, 2004 You should receive_ page(s) including this cover sheet 33-0Saa 4 NNENGI E$71NG a Subject: Approved Engineering Plans for "Mars Hill 7" Day Adventist Church" Final Engineering Plans received on January 26, 2004, have been approved for "Mars Hill 7"' Day Adventist Church" located at 808 E. 2"d Street, with the following stipulations: 1. All construction must meet all City of Sanford Codes and Land Development Regulations. 2. All other permits required for this project must be obtained. An EPA Notice of Intent NOI) for Stormwater-Discharge Associated with -Industrial Activity Under an N'POES Permit" must be filed with EPA for all sites which are one (1) acre and greater. 3. As-builts and Certificate of Completion from the engineer of record to be submitted to the City prior to C.O. 4. All easements and right of way dedications, if any, must be conveyed to the City prior to Site Development Permit issuance. Prior to the issuance of a Site Development permit, a completed Site Development permit application (see attached) and a contractors or engineer's certified cost estimate shall be submitted for review and approval. If you have any further questions, you may contact my office at (407) 330-5652. Thank you. P.O. Box 1788 Sanford, Florida 32772-1788 Phone: (407) 330-5652 Fax (407)330-5679 F ASHA_ENG1Development Review106-Post ApprovalWpprovals120041Mars Hill 7th Day Adventist.apr.wpd Printed March 1, 2004 (5:57pm) 0 - STATE Of fLOR10A DEPARTMENT OF COMMUNITY AFFAIRS Dedicated to making Florida a better place to call home" Psalm ca"W" Certification Number: Manufacturer: Address: Expiration: January 02, 2004 TR-62 T & R Custom. lac. PO Bon 1079 EilaviHe, GA 31806 2004 Certified for Manufacturing: commercial buildings 3"M M. 5811E11T seewstry This will confirm that T & R Custom. Inc. is certified to manufktute modular buildings Manufactured Building as defined by Rule 9184, FAQ in a manufacturing facility for location or sale in the State of Florida. The condition of the certification is limited to Authorization specified in Section 553, Part IV, Florida Status. Please contact the Construction Industry Licensing Board.1940 North Monroe Street, Tallahassee, Florida rsguding licensing requirements for sito-related permits for installation of manu&ctumd building: Phone number (850)487-1395 gad e-ma37 address is calleente@dbpr.stateAus. 2S53 SMUMARO OAK /OULIVARD • TAILAMASSiE. F1,0210A 32399-2109 Phone: 650.468.8466/Suetorn 278.41466 FAX: 650.921.0781/Suncom 291.0781 Internet address: harp://www.dca.stale.It. us COVIW PAVE 00"etb+.4Ro 43"M CO INAMM ftANN e6 6MfiwA"" N""14& M noustm a C*"Wd" r3M00"t T aM OwWr "W". f ae 3+3 2333 fh~ OM 9aAoM1 ifs! aks" Or 6wMMod 35u gum" oat oftill"" W q 33060d)f f R i r rt 3239" t00 IMd4rR IK 32" to %SWAM rt 32"" too ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs EnergyGaugeFlaCom v1.22 FORM 40OB-2001 Component Performance Method for Commercial Buildings Jurisdiction: DAYTONA BEACH, VOLUSIA COUNTY, FL (741100) Short Desc: 2763 Project: 2763 Owner: MODULAR DIMENSIONS Address: Enter Address here Enter Address here City: DAYTONA State: FLORIDA PermitNo: 0 Zip: 0 Storeys: I Type: Assembly GrossArea: 2077 Class: New Finished building Net Area: 2077 Max Tonnage: 4 (if different, write in) Compliance Summary Component Design Criteria Result ENVELOPE 111.70 123.05 PASSES Other Envelope Requirements - B PASSES LIGHTING POWER 2,900.00 4,361.87 PASSES LIGHTING CONTROLS PASSES EXTERNAL LIGHTING PASSES HVAC SYSTEM PASSES PLANT PASSES WATER HEATING SYSTEMS PASSES PIPING SYSTEMS PASSES Met all required compliance from Check List? Yes/No/NA IMPORTANT NOTE: An input report Print -Out from EnergyGauge FlaCom of this design building must be submitted along with this Compliance Report. W InnAINC00 APR 2 7 2004 a a R. JOHNSON 4/26/04 EnergyGauge FlaCom FLCCSB v1.22 COMPLIANCE CERTIFICATION: I hereby certify that the plans and specifications covered by this calculation are in compliance with the rFlorida Energy Efficiency Code. I 1 — e% PREPARED BY: DATE: bur I Zto I hereby certify that this building is in compliance with the Florida Energy Efficiency Code. ' OWNER AGENT DATE: Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed, this building will be inspected for compliance : in accordance with Section 553.908. F.S. BUILDING OFFICIAL: DATE: If required by Florida law, I hereby certify (') that the system design is in REGISTRATION compliance with the Florida Energy Code. No. F-tuklNeed- ens h r. / c ym a 38Y5-7 ELECTRICAL SYSTEM DESIGNER: LIGHTING SYSTEM DESIGNER: MECHANICAL SYSTEM DESIGNER: PLUMBING SYSTEM DESIGNER: Signature is required where Florida Law requires design to be performed by registered design professionals. Typed names and registration numbers may be used where all relevant information is contained on signed/sealed IG11J. Project: 2763 Title: 2763 Type: Assembly Location: DAYTONA BEACH, VOLUSIA COUNTY, FL 741100) WEA File: DAYTONABEACH.TMY) Envelope Compliance Design Load Criteria Zone Heating Cooling Heating Cooling PrOZol (CONDITIONED) 0.00 111.70 -1.17 121.88 Total Loads: Design =111.7 Criteria=123.048 PASSES D0ulfU0 APR 2 7 2004 0 4/26/04 Q m R. JOHNSON y EnergyGauge FlaCom FLCCSB v1.22 PA Project: 2763 Title: 2763 Type: Assembly Location: DAYTONA BEACH, VOLUSIA COUNTY, FL (741100) WEA File: DAYTONABEACH.TMY) Other Envelope Requirements Item Zone Description Design Limit Meet Req. PrOZol % Skylight - Max % Limit 0.00 6.70 Yes Pr0ZolRn PrOZol Exterior Roof- Max Uo Limit 0.05 0.07 Yes Meets Other Envelope Requirements Project: 2763 Title: 2763 Type: Assembly Location: DAYTONA BEACH, VOLUSIA COUNTY, FL 741100) WEA File: DAYTONABEACH.TMY) External Lighting Compliance Description Category Allowance Area or Length ELPA CLP W/Unit) or No. of Units (W) W) Sgft or ft) Ext Light 1 Exit (with or without Canopy) 25.00 35.0 875 120 Design: 120 1PASSES Allowance: 875 (V) Project: 2763 Title: 2763 Type: Assembly Location: DAYTONA BEACH, VOLUSIA COUNTY, FL (741100) WEA File: DAYTONABEACH.TMY) Lighting Power Compliance Space Ashrae Description Area Height No. of AF Design Effective Allowance ID sq.ft) (ft) Spaces W) (W) (W) PrOZolSpl 36 Common Activity Areas - 2,077 8.0 1 1.00 2900 2900 4,362 Computer/Office Equipment Design 2900 PASSES Effective: 2900 [ Allowance: 4361.868 (V) w %®o® 310 APR 2 7 2004 61 a T Q R. JOHNSON 4/26/04 EnergyGauge FlaCom FLCCSB v1.22 3 Project: 2763 Title: 2763 Type: Assembly Location: DAYTONA BEACH, VOLUSIA COUNTY, FL (741100) WEA File: DAYTONABEACH.TMY) Lighting Controls Compliance Acronym Ashrae Description Area No. of Design Min Compli- ID - (sq.ft) Tasks CP CP ance PrOZo 1 Sp 1 36 Common Activity Areas - 2,077 2 6 3 PASSES Computer/Office Equipment PASSES Project: 2763 Title: 2763 Type: Assembly Location: DAYTONA BEACH, VOLUSIA COUNTY, FL (741100) WEA File: DAYTONABEACH.TMY) System Report Compliance PrOSyl System 1 Constant Volume Air Cooled No. of Units Split System < 65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Cooled < 65000 Btu/h 10.00 10.00 8.00 PASSES Cooling Capacity Air Handling Air Handler (Supply) - 0.80 0.80 PASSES System -Supply Constant Volume PASSES Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None W RAID00 APR 2 7 2004 8 a Q R. JOHNSON 4/26/04 EnergyGauge FlaCom FLCCSB v1.22 Project: 2763 Title: 2763 Type: Assembly Location: DAYTONA BEACH, VOLUSIA COUNTY, FL 741100) WEA File: DAYTONABEACH.TMY) Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss liance Water Heater 1 Storage Water Heater - <=120 [gal] & <= 1.00 0.92 PASSES Electric 12 [kW] PASSES Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance inches] Runout? Temp [Btu-in/hr Thick [in] Thick linj Fj SF.F1 None W U u 0 APR 27cc o. a R. JOHNSON ti 4/26/04 EnergyGauge FlaCom FLCCSB v1.22 Project: 2763 Title: 2763 Type: Assembly Location: DAYTONA BEACH, VOLUSIA COUNTY, FL (741100) Other Required Compliance Category Section- Requirement (write N/A in box if not applicable) Check Infiltration 406.1 Infiltration Criteria have been met El System 407.1 HVAC Load sizing has been performed Ventilation 409.1 Ventilation criteria have been met ADS 410.1 Duct sizing and Design have been performed El T & B 410.1 Testing and Balancing will be performed Electrical 413.1 Metering criteria have been met Motors 414.1 Motor efficiency criteria have been met Lighting 415.1 Lighting criteria have been met O & M 102.1 Operation/maintenance manual will be provided to owner Roof/Ceil 404.1 R-19 for Roof Deck with supply plenums beneath it Report 101 Input Report Print -Out from EnergyGauge FlaCom attached? W Irllt®^® a APR 2 7 2004 a a. Q R. JOHNSON 4/26/04 EnergyGauge FlaCom FLCCSB v1.22 6