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HomeMy WebLinkAboutSUBMITTED PAPERS_1OFFICE USE�ONLY: DATB FILED: liq 17Z 1 L 1 c� PLAN REVIEW FEE: o OD RECEIPT NO.: PERMIT NUMBER: f 0 i / v / CONCURRENCY FEE RECEIPT NO.: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED h St. Lucie County Building and Zoning bkQ� VOOJQQ• 2300 Virginia Avenue yf, u o 10O j • D I (A �OR10p • Ft. Pierce, FL 34982-5652 a1011 772-462-1553 A Ei 1S APPLICATION for BUILDING PERMIT CERTIFIC TE of CAPACITY/ZONING COMPLIANCE ,-, P OTIECT 3 RMATION 1. LOCATION/SITE ADDRE S: 2. PROJECT NAME: SITE PLAN NAME: 34 q S'7 3. PROPERTY TAX ID #: - ZNM - zt) O -n, 4. LEGAL DESCRIPTION (attach extra sheets if necessary) EEC S 5. PLAT BOOKS 6. PAGE NO. 7. BLOCK NO. 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.): •�5 LOT DIMENSIONS: \Dlz , x `JO�I 5O� o 10. COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:��L°'�M��' 100, 1 SETBACKS (ACTUAL) ONT: BACK: RIGHT SIDE: LEFT SIDE: 12. TYPE OF CONSTRUCTION (Chec a 1 appropriate boxes) NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION RESIDENTIAL [ ] COMMERCIAL [ ] INDUSTRIAL [ ] OTHER (SPECIFY) 13. DESCRIPTION OF PROPOSED USE: ©W� "F V'N cs0 14. SQ. FT OF CONSTRUCTION: / 62 15. SF. FT 1st FLOOR: 16. VALUE OF CONSTRUCTION: $ -%,,'5j%D The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 4- , COASrAL TESrXNQ LA OIZArORY, L.L.C. PO'BOX 2023 PALM CITY, FLORMA 34991-2023 772.220.6688 DATE JOB NUMBER PERMIT NUMBER CLIENT' CONTRACTOR JOB LOCAL Apr&21, 2010 10 -0417 1001-0167 5 Star Mobil& gQvnw* �® 5 Star Mobil&ftom * NIA . pUp Go�nCY St• LUGje �O JOB ADDRaS 12083 S. I ndZaav Rorer Roads Jew�en•Be" FL SOIL CLASSIFICATION ION Fr REMARKS �14 �i�i whitPi goi.7i r TEST SAMPLE LOCATION : 10' IS LR Corner - Center of PaaL -10' IS RF Corner . \ �i ��►. 11 1 �� LI rw t.. LI IJ �� il.. V IF, 21, ! V 1) 104.6 105.2 99.4 2) 104.0 105.2 98.9 3) 104.8 105.2 99.6 R£SPECTYUL�,LYSUBMITTED: gn,141�- )4673 FRNE,STO VELASCO, P.E. NLUS ° TERMITE PEST CONTROL SERVICE SLIP/INVOICE Time In Time Out P.O. Box 681 �� d Palm City, FL 34991 772-223-9891 Date ..........I.."a..".................................................. Name .5... .....!.I.�c'....!.vu!,r../ ...�.!.......... Address.... /.02.6.Qa3...... &... ... J.PG ... e✓ !'... 1"'..... ...... .¢.....Aja m...i��..-g............................................................................. City/State/Zip..d�............................................................................................................................ Phone .Jk...o��,�...'/%7�.......................... TYPE OF SERVICE Regular One Time Other Special Instructions / Remarks I Amount Account # ❑ Cash ❑ Check No. TARGET PEST MATERIALS USED--- EPA No. % UNITS ❑ Cockroaches ❑ Millipedes ❑ Demand ..............................................................................................................:.:........:................................................................ ❑ Ants ❑ Silverfish Q Talstar ................................................................................................................................................................... ❑ Centipedes ❑ Mice ❑ Me.rit. ............................................................................................................................................................................ ❑ Ticks ❑ Fleas ....❑ ..Triad.................................................................................................................................................................................... Subterranean LJ Rats ❑ Terro ....................................................................................................................................................................................... Termites ❑ Maxforce Other AREA OF TREATMENT ❑ Basement ❑ ❑ Crawl ❑ Bedroom ❑ Main Level(s) ❑Living ❑ Attic ,,��,,,," � Exteric3t"�� Attached Garage/Porch -room Ar4 ❑ Bathroom ❑Plumbing ❑ Void ❑ l5f nc �OJ� ❑ Kitchen ❑ Cabinets ❑ Base Boards ❑,Close,ye-c tp ❑ Cracks & Crevices ❑ Other................................................................................................................................ .... ...................... , < COMMENTS - OBSERVATIONS - RECOMMENDATIONS ❑ BAIT ❑ TRAPS ❑ CHEMICALS ❑ OTHER ... ............... Applicator's N ........................................................................................... ........................................... �U..��.-i0/c.i...........Ai Lgrt %li Technician Signature l cps Y............................................... ustomer Signature OWNER INFORMATION NAME: CITY: STATE: 2L PHONE (DAYTIME): maj 4� � N 3 mail: w l' IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTIME): STATE: r77.y 3Lla-3L03,;'- CONTRACTOR INFORMATION 02 ST. of FL REG.CERT #: �C^� -���� ?`_'� ST. LUCIE COUNTY CERT #:: v0%-n— BUSINESS NAME: �� N��c �F� �� C.`�nSZ�i►JC�R o� QUALIFIERS NAME: ADDRESS: t\-\'` - CITY: STATE: PHONE (DAYTIlVIE): (11� a3-��`Z�1 FAX NO `1`1'a - o12D- DAZBEmail: ARCHIT/BNGINEER: ADDRESS: CITY: '�E�� PHONE (DAYTIME): ( BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: STATE: ZIP: '�� bC VJ w AT IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. St. Lucie County Building & Zoning 2300 Virginia Ave ` Fort Pierce, FL 34982 BUILDING PERMIT SUB -CONTRACTOR SUMMARY be using the following sub -contractors for the project locateL 5ti�5)� �AC1��1�2 J�Z:1��R��- 1 \. 3���J� (Street address or Property Tax ID b) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical `— p Plumbing HVAC/c�- Mechanical Roofing r^Cq S ttir C. Co4-5 nG p Z 0 87 Gas OFFICE.USE ONLY' PERMIT ISSUE DATE: NUMBER: a ST. LUCIE COUNTY PUBLIC WORTS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St, Lucia County Contractor Certification Number.•n State of. Florida Certifleation Number (If Applicgble): v� have agreed to be the (Company Name/Individual Name) sub -contractor for (Type of Trade) (Primary Contractor) for the J ro'ect � p located at , c^j- 'O`:� `+=�_c'-s� 1i� �� c-+� � ; eCR • ��-1 (Pro�gct Strect Address or Property Tax ID #) It'is understood that, if, there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personaNy filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name ofthe Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED & aTV %N-z /S&IGNA PRINT NAME ,DATE co Business Name: hec � ce �.• Address: City/State/Zip: Phone: email: 1r tte25�4'rC . CoG 1' f' ��C . A ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT Y BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): have agreed to be the (Company Name/Individual Name) sub -contractor for`�-���� (Type of Trade) (Primary Contractor) for the project locate at (Proje treet Address or Property Tau ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor'; License) ORIGINAL SIGNATURES ARE REQUIRED SIGNATURE PRINT NAME DATE Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: lM 1� _ \A email: ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): C� �-� � IN have agreed to be the (Company Name/Individual e) r.kY. sub -contractor for`�,�F (Type of Trade) (Primary Contractor) �es�ae for the project located a p '17�z '__\ Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) ORIGINAL SIGNATURES ARE REQUIRED /mar Re�^1, �/t�G�I�Q�� - 2R 1)9 SIGNATURE PRINT NAME DATE c Business Name: C� _ ` lx .N cr o, Address: City/State/Zip: Phone: %Yl -�ilolo'`�`i l03 email: OFFICE USE ONLY: PERMIT# ISSUE DATE ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT y BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): have agreed to be the v (Company N e/Individual Name) sub -contractor for`�� �F �� ti 1e� kA c 0z). (Type of Trade) (Primary Contractor) for the project located t O (Proie treet Addressor Property Tax ID #� It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the individual shown on the Contractor''s' License) ORIGINAL SIGNATURES ARE REQUIRED SIGNA Business Name: Address: City/State/Zip: Phone: OFFICE USE ONLY: PERMIT # ` ���QK DATE PRINT email: DA ST. LUCIE COUNTY PUBLIC WORKS BUILDING & ZONING DEPARTMENT BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): ` Ob k0`1 70 > have agreed to'be the (C m an Name/Individual Name) e0.gsub-contractor for`�x�F vc (Primary Contractor) (Type of Trade) %e-s oe N! > L for the project locate p Street Address or Property Tax ID #) (rode It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's: License) ORIGINAL SIGNATURES ARE REQUIRED PRINT NAME Lip DATE /SIGNATURE v Business Name: Address: City/State/Zip: Phone: :.ybb- y3"1 a email: OFFICE USE ONLY: i ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 772-462-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the follo%ying described property: (Tax ID/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. Property Owner Name Property Owner Signature Date STATE OF FLORIDA, COUNTY OF N�ax VrN ACKNOWLEDGED BEFORE CME.THIS DAY OF A�� 20� BY�ti►Zt���Q i.�l�'AQ'�1 WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED SIGNATURE OF NOTARY NOTARY PUBLIC TITLE IDENTIFICATION. TYPE OR PRINT NAME OF NOTARY COMMISSION NUMBER o<ai� eye• STELLA M. HUNTER AMY COMMISSION # DD 630775 � EXPIRES: Januery 23 Roll ARE nondod 7hm Mimi Public Undo tiers (SEAL) JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3431583 OR 1300'— 63 PAGE 270, Recorded 01/19/2010 at - '�1:03 PM AErEJl RECORDINQ EURNTO: p RM�rr NUMM, 'I'6i. �pa:x•.,. ri•._r.vd I'ur rmx•�xli;�_ i:�li• NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713. Florida statutes the following information is provided in the Notice of commencement 1. DESCRIMON OF PROPERTY (Legal description and street address) TAX FOLIO NIIMBER�� 44M-OT.7 —b00-1 SUBDIVIS14N BLOCK TRACT_LOT \� BLDG UNIT �EE�s STj Is o& \AA \\ *1 NA Ida A \.A NZ .� 't1�Q `M C.09-- VA 2. GENERAL DESCRIPTION OF IMPROVEMENT: C\N&N\:,WQL ire se b. Address\—AQr& •cTe u�aQc����+��� � �Ci_ StiiyS-1 e. interest in property Qiyi�Q' d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER ��h�e �� • �� `\ \-t L\ sc h S r Wxn-" art 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 71113 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE 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) - 20_ . WARNING TO OWNER: ANY PAYMENTS MADERY THE OWNER AFIER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE F CONSIDERED IMPROPER PAYMENTS UNDER CHAVrER 713, PART I S t'•rtON 713 13. nDRtDA STA tTF AND CAN R c r .T IN YOUR PAYING TVflCF FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MLICT BE RECORDED AND POSTED D ON . E !OB e BEFORE _ FIRST tNS cnON. IF YOU UMND TO OBTAIN FINANCING_ CONSULT WITH YOUR I RNDER OR AN ATTORNEY BE F ORE COMMENCING WORK OR RECORD /INO YOUR NOTICE OF/COMMENCEMENT. �Gt�l.61t A�-C F✓/nrw.Gt ,1FrA(�h �LL Signature of of Owner or Print Name and Provide Signatory's Title/Office Owner's Authorized Officer/Director/Partner/Manager State of Florida County of MBMV!1 The foregoing instrument was acknowledge`d before me this / % r� day of J �. n a r a� 20 1 O (Name of person) 11 (Type of authority ... e.g. Owner, officer, trustee, attorney in fact) For�i1�.A � r` �.ex G.y r n i'y �S•.'e.� (Name of party on behalf of whom instrument was executed) Personally Known✓ or produced the following type of ID: STEi1r,h1 HrnI7Fq MYCOMM!"SION# 06,10775 F.sA1RESdar. wryZ01P011 (Printed Name of Notary Public) (Signature of Notary Public) (Sca kf erg °++e �ti Mal, Nt . ihrt4nvA 11, Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my Imowledge and belief (section 92.525, Florida Statutes). Signature(,) of Owners) or Owner(s)' Authorized Ofticer/Director/Partaer/Manager who signed above: By:_l6144 jd—, / ✓'A r--J P . 000W(R—ding) >;TATE OF FLORIDA ST. UVCff COUNTY T*% IS TO CERTIFY THATTHIS IS A TRITE AND CORRECT COPY Of THE By: JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3431582 OR BOt' PAGE 269, Recorded 01/19/2010 PM AFTER RECORDING-RETM TO, FMNIMNUMBER: I't;i<npm.v i•: r. u:r.cr. :,.: rxav: iay i:Y:: NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida statutes the following information is provided in the Notice of commencement. 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBERLASaOLI -VZA -b b\\ ^ OD O `r SUBDIVISION BLOCK TRACT _LOT.�)3LDG UNIT "F_tr'5 S)Xl S bG \_ * \\ -, 11 ' I% ayy \.A \a w.Iow \`ZAP ;N-, "g. K\,- 2. GENERAL DESCRIPTION OF IMPROVEMENT: c�,A4 cn Fn2 !,)�S 0w+ wAbm 3. OWNER INFORMATION: a. Nam--C:: iIi.FVvnrwae c. interest in prnpetty n. b. Address VaUN ht�4c+r��Q.�ri � tRgS`1 .+�.re d. Name and address of fee simple titleholder (if other than owner)_ 4. CONTRACTOR'S NAME, ADDRESS AND PHOiNNE NUMBER: 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER, 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: BOND AMOUNT: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes: NAME, ADDRESS AND PHONE 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) 20_. / Signature of Owner or Print Name and Provide Signatory's Title/Office Owner's Authorized Officer/Director/Partner/Manager State of Florida County of MM-N VIt The foregoing instrument was acknowledged before me this 14 r� day of J 4 . r 20 By� A n n 1 2q.- t\ t'u A t as Oui-jazz (Name ofperson) (Type of authority... e.g. Owner, officer, trustee, attorney in fact) FOrSl,#A%cx\ wee 12, N - —,ru I AL - (Name of party on behalf of whom instrument was executed) Personally Known or produced the following type of ID: _ (Printed Name of Notary Public) (Signature of Notary Public) ?seal ;A'p" ra: M�Y���CppSTELLAM IS M. HUNTER A OD 63W75 Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are 1 al¢rA11es6�1ttINYd belief (section 92.525, Florida Statutes). Signature(s) of Owner(s) or Owner(s)' Authorized Ofileer/Director/Partner/Manager who signed above- (` R�..auwuoortRem,a� STALE OF FORM ST. ME COUNTY TW IB TO CERTIFY THATTNIS [S A Nip ROW ROW OW ROW I -, VY. 1, Ann? ;Property Appraiser - St.Lucie C`11ty, FL Page 1 of 1 PROPERTY RECORD CARD Sharon L Evinrude Record: 1 of 1 <<Prev . Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,��CIE CO Site Address: S INDIAN RIVER DR ParcellD: 4504-602-0011-000-7 Sec/Town/Range: 04:37SA1 E Account #: 160493 ^y 4 Map ID: 45/04N Land Use: Vac Res Zoning: RE-2 City/Cnty: St Lucie County ' Ownership and Mailing Legal Description Owner: Sharon L Evinrude FEE'S S/D S 1/2 OF LOT 11 AND N 1/2 OF LOT 12 WITH RIP RTS Address: 12075 S Indian River Dr (OR 1145-1314) Jensen Beach FL 34957-2209 Sales Information Assessment 2009 Final Total Land and Building Date Price Code Deed Book/Page 2009 Final: 185000 Land Value: 186000 Acres: 1.95 4/24/1998 88000 00 WD 1145 / 1314 Assessed: 185000 Building Value: 0 5/1/1988 110000 00 CV 0589 / 0452 Ag.Credit: 0 Finished Area: 0 SgFt Exempt: . Taxable: Taxes: 3597.04 BUILDING INFORMATION No'Sketch Available No Image Available Exterior Features View: RoofCover: - RoofStruct: - ExtType: - YearBlt: Frame: - Grade: EffYrBlt: Prime Wall: - StoryHght: - No.Units: SecWall: - Interior Features BedRooms: 0 Electric: - PrmintWall: FullBath: 0 HeatType: AvgHt/FI: 1/2Bath: 0 HeatFuel: - Prm.Flors: - %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 0000-Vac Res 240 -Front Ft 100 500 2 0000-Vac Res 520 -Acres 0.8 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND.IS NOT WARRANTED. http://www.paslc.org/pre.asp?prclid=450460200110007 1/19/2010 RESIDENTIAL/COMMERCIAL BUILDING PERMIT CHECKLIST Site Location:1. d-� R !_ads .............._-...... Permit Number: Technician: I_ tiev`sL General Application completely filled out with notarized signatures rv<es r No r N/A Sub Summary List with contractors' names and count & state y �-�Yyes r Nor N/A certification numbers Sub Agreements with original signatures Yes No N/A Owner Builder Affidavit Uj Yes r No M-/A Owner Builder Electric Affidavit r es r No W N/A Filled Land Affidavit t! Yes r No r N/A Geo or recorded warranty deed es r No r N/A Recorded Notice of Commencement V-Yes Uj No N/A Utility Agreement or Payment Receipt Yes No N/A Vegetation Removal Permit Yes NoVIA Non Conforming Lot of Record r7lYes Fj No N/A roans, uatcutattons vz Attachments (s comes commercaal%l resiaenhal): Complete set of plans with engineer/architect raised seal Yes r No r /A Truss plans reviewed and approved by engineer/architect Yes . No ;/� X/A Landscaping and parking plan r Yes r No �' X/A 3 Copies of approved site plans es No N/A 2 Sealed surveys or plot plans with dimensions finished floor Yes r No N/A elevation and setbacks / HPealth—Depar`finent appr-ovalastamp-edwonysurve7an-&floor-apl ✓/ Yes / o N/A �IIealtli-Depar--ment-food2estabiishment-permitnstamp-onoCoor plan -� Yes W�lNor N/A Manual J or Manual N calculationsYes F - No N/A Signed Energy Calculations es r Nor' N/A r r Sealed Wind Load Compliance Certification ��es r No N/A Product Review Affidavit Yes r NoN/A Page 1 of 2 RESIDENTIALICOMMER CIAL B UILDING PERMIT CHECKLIST SiteLocation:I ... ................ _............. ........... _..... ,.... ............. ............ _................ ......... _........... ..... .......... ...... .................... ............... ...... .................... ......................................... _.._........_........... _..._..I .... _... ............................. Permit Number: Other: Health Department permit paperwork CD for Fire Department if commercial or multi -family DEP, SFWMD or Army Corp of Engineers Pool Barrier Affidavit Ground sign landscape affidavit Burn rate for sign cabinets R_V and Mobile Home Tie Down Only (2 copies): Permit Worksheet (Tie -down diagram) Manufacturer set-up and installation manual Manufacturer. blocking diagrams Signed penetrometer test (1 copy) Stair details Mobile home inspection reportfor relocation Copy of Title. for relocation Class A approval from Growth Management Comments: Name: Technician: Yes No N/A r' Yes f" No r N/A 17 Yes [." No r N/A r Yes 1_1 No [7 N/A r` Yes 1 No r N/A G Yes C, No Oj N/A U es r No r N/A ry Yes r' No r-' N/A No N/A yes ' s No r i N/A Yes No N/A Yes No N/A r Yes No N/A 177 Yes r Nor N/A Signature: Date: Re�t�z Clear Form Page 2 of 2 f CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. 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 the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE 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 JOBSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. `Z d ,Lxr, Lce, - n rw- -c OWNER OR CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF NtLls Y\ The foregoing instrument was acknowledged before me this � \ day of �� C 20D' who is personally known or has produced as identification. OR SIGNATURE STATE OF FLORIDA COUNTY OF V1nR� \*-,A The foregoing instrument was acknowledged before me this_�A_day of , 20-a—, by N'_)VA tk\E \: NkkA who is personally known ✓ or has produced as identification. Signature of Notary ature of Nota STELLA M. HUGERMYCO# Commission No. �} FF STELLA M. Hl1NTER MY COMMISSIOPJ s; I)D E 10775 En!:Januar.:�,2011 ;��_ mmission No. == '• DD 630775 EXPIR�?� PD6307 3,2011 ff ;qp•'� Rondad Tf1ru Natary Puh�c Underwriters F�°�°• �" Q• Bonded NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. r S. '..M REPORT HABITABLE RADON PERMIT CODE AREA FEE FEE D O LIBRARY IMPACT PUBLIC BLD IMPACT FEE PUBIC BLD IMPACT PARKS IMPACT FEE 5r 22- CORRECTION I' y FEE 13 FEE ! GENERAL L) - SCHOOL ROAD CREDIT Y N LAW ENF IMPACT 02L 5 IMPACT �f '! v0 IMPACT FEE J 7 /, FEE ol'�c�l -(, —� FEE FIRE/EMS DRIVEWAY Y N DRIVEWAY ADMINISTRATIVE IMPACT OD REQUIRED FEE VARIANCE FEE FEE 5 SPECIFY MECHANIC ✓ ROOF NON -CONFORMING MISCELLANEOUS SUBS REQUIRED ELECTRIC GAS PLUMBING LOT OF RECORD FEES FEES rn oLl . +5 DATE SENT TO ADDRESSING: REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE 'lay RECEIVED 2 e DATE a3 % % 3 l 0 COMPLETED / INITIALS %J Off ftVSE_ON_L_ is DATE FILED: 0i 7,0 1 O PLAN REVIEW FEE: RECEIPT NO.: CONCURRENCY FEE: RECEIPT NO.: PERMIT NUMBER: CERT. CAP. NO.: ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED St. Lucie County Building and Zoning 4 2300 Virginia Avenue L l lJ ISJ •'c�OR10p • Ft. Pierce, FL 34982-5652 772462-1553 APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION 1. LOCATION/SITE 2. PROJECT NAME: SITE PLAN NAME: 3. PROPERTY TAX ID #: y='bA-,CF-Q -M\\ - � -n 1 4. LEGAL DESCRIPTION (attach extra sheets if necessary).k-tiF.`S S 1T-1 o,; \-aA \a ."\", `Z'S� `Zn Low - wks- vs\L6 - 5. PLAT BOOK \A"b 6. PAGE NO.UALI_ 7. BLOCK NO. 8. LOT NO. 9. PARCEL SIZE (ACRES/SQ FT.): , LOT DIMENSIONS: 'bb `f, 'Sbc) 5J10 V0 10. COMPLETE DESCRIPTION OF CONSTRUCTION� PROJECT OR WORK ACTIVITY:�C��% � S nq kQy'�1� V\ N-Xy/t,J" J0 . SETBACKS (ACTUAL) FRONT: BACK: _� RIGHT SIDE: _ LEFT SIDE: TYPE OF CONSTRUCTION (Check all appropriate boxes) NEW CONSTRUCTION (IrIFRESIDENTIAL OTHER (SPECIFY) [ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION [ ] COMMERCIAL [ ] INDUSTRIAL DESCRIPTION OF PROPOSED USE: O1�1G1 SQ. FT OF CONSTRUCTION: :16 15. SF. FT 1st FLOOR: VALUE OF CONSTRUCTION: $ �t5y (7 The value of construction is used to determine the amount of permit fees to be assessed. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 y J & Syr 5: s .RS12075 ;.R�+ S �hi Y I �y MN4; 7 G q4 tf, 7 \ \ tr, RE-2 ✓4 N � f �} RS , rt 3^ RE-p,RS ST. LUCIE COUNTY BUILDING & ZONING 2300 VIRGINIA AVENUE FORT PIERCE, FL 34982-5652 772-462-1553 FILLED LANDS AFFIDAVIT I, the unders��ned, am the owner of the following described property: `�hF1`�2�c1 (Tax ID/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adversely affect the immediate community. Property Owner Name Property Owner Signature Date STATE OF FLORIDA, COUNTY OF M M 'V vc 1 ACKNOWLEDGED BEFORE ME THIS DAY OF '�AK—\ 20�rQ S--S I IrsVV ae— WHO IS PERSO 4A-ME-OR WHO HAS PRODUCED SIGNATURE OF NOTARY NOTARY PUBLIC TITLE IDENTIFICATION. M- TYPE OR PRINT NAME OF NOTARY (SEAL) COMMISSION NUMBER STELLA M. HUNTER `=q4Y :.. R• MY COMMISSION 0 DID 630775 EXPIRES; Jnnual 23,20J , 2011 Bonded Thru Notgty Pub 1@ unwhoters Property Appraiser - St.Lucie Count-r "�L Page 1 of 1 PROPERTY RECORD CARD Sharon L Evinrude Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification ,,VUCIE00 Site Address: S INDIAN RIVER DR ParcellD: 4504-602-0011-000-7 : f �^4 G Sec/Town/Range: 04:37S:41 E Account*: 160493 Map ID: 45/04N Land Use: Vac Res Zoning: RE-2 City/Cnty: St Lucie County ' Ownership and Mailing Legal Description Owner: Sharon L Evinrude FEE'S S/D S 1/2 OF LOT 11 AND N 1/2 OF LOT 12 WITH RIP RTS Address: 12075 S Indian River Dr (OR 1145-1314) Jensen Beach FL 34957-2209 Sales Information Assessment 2009 Final Total Land and Building Date Price Code Deed Book/Page 2009 Final: 185000 Land Value: 185000 Acres: 1.95 4/24/1998 88000 00 WD 1145 / 1314 Assessed: 185000 Building Value: 0 5/1/1988 110000 00 CV 0589 / 0452 Ag.Credil: 0 Finished Area: 0 SgFt Exempt: Taxable: Taxes: 3597.04 BUILDING INFORMATION No Sketch Available No Image Available Exterior Features View: RoofCover: - RoofStruct: - ExtType: - YearBlt: Frame: - Grade: - EffYrBlt: PrimeWall: - StoryHght: - No.Units: SecWall: - Interior Features BedRooms: 0 Electric: PrmintWall: Full Bath: 0 HeatType: Avg Ht/Fl: 1/213ath: 0 HeatFuel: - Prm.Flors: - %A/C: 0 %Heated: 0 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty. Units Qual. Cond. YrBlt. No. Land Use Type Measure Depth 1 0000-Vac Res 240 -Front Ft 100 500 2 0000-Vac Res 520 -Acres 0.8 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/prc.asp?prclid=450460200110007 1/19/2010 • OWNER INFORMATION NAME: ADDRE; CITY: �Q�� '1�j STATE: PHONE (DAYTIlVIE): Wa) 6,Q - O� \a 3 y. � ,- 3 N p, Email: IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE SIMPLE TITLEHOLDER: ADDRESS: CITY: PHONE (DAYTIME): j7_p 3y0-3Y2.3 CONTRACTOR INFORMATION STATE: /II' ST. of FL REG.CERT #: �O$`1� ' n^ST. LUCIE COUNTY CERT #: BUSINESS NAME: QUALIFIERS NAME: _ \J`�N ADDRESS: CITY: RQt m STATE: �L PHONE' (DAYTIME): FAX NO.`1`1'70 2y`3� ARCHIT/ENGINEER: k'N'ARY �CC,2 FcA ADDRESS: V%D kz) v,) �� AVe C v CITY: STATE: PHONE (DAYTIME): BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: Email: ZIP: 3`\Q�A 01. "Al' IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification it will be voided and returned to you by mail. • CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. 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 the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE 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 JOBSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. DOWNER OR CONTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF M f &_S ', 4--\ The foregoing instrument was acknowledged before me this day of 20 L� who is personally known or has produced identification. Signature of Notary Commission No. uomjyt� :It t�z CTINTRACTOR SIGNATURE STATE OF FLORIDA COUNTY OF �_`C\C-\ The foregoing instrument was acknowledged before me this . _day of _ZC_xC1 , 20 % O , by T_ \ . `N E� who is personally known or has produced 4:�4V_\ )ass STE, I A" HUNT of Notary MY COMMISSION N DD 630775 EXPIRES: January 23,4FM*11 Ucndecl Tiuu Notary Public Undanwitem as identification. STEL.LA M. HUNTgg1) N tt DD f30775 uunood Ti1Pa NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUILDER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY BP #: 10 0 I r 0 f to SECTION L j TOWNSHIP 2 n RANGE L/ MAP NO. �D ZONING LAND USE LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # 1ST FLR ELV MAX HGT CONST TYPE OCCUP TYPE MAX OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/1990 LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE HABITABLE AREA (RADON) RADON FEE PERMIT FEE LIBRARY IMPACT FEE PUBLIC BLD IMPACTFEE CORRECTION PUBIC BLD IMPACT FEE GENERAL PARKS IMPACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIRE/EMS IMPACT FEE DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE SPECIFY SUBS REQUIRED MECHANIC ROOF ELECTRIC GAS PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING: REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED Z / lD DATE COMPLETED 7 �7 1 0 o INITIALS \0o1-0\b�i DEPARTMENT 2UP 1, C l In l STATE OF FLORIDA �V OF COMMUNITY AFFAIRS "Dedicated to making Florida a better place to call home" CHARLIE CRIST THOMAS G. PELHAM Govemor Secretary I APPROVED BY September 20, 2007 12/11/09 Mr.;Mikyo Trevino Jacobsen Homes App° °' COPY pp—.. tle+A mNe P. O. Box 368 °°B �°"°'° Safety Harbor, FL 34695 RE:i Manufacturer Renewal of Certification, ID IvIFT-68 - - Expiration Date: November- 09, 2010 . i Dear Mr. Trevino: It is my pleasure to inform you that Jacbosen Homes, located at 600 Packard Court, Safety Harbor, FL 34695, has been approved under the Manufactured (Modular) Buildings Program, as provided for under Chapter 553, Part I, Florida Statutes, for the manufacture of Residential and Commercial Buildings for installation in Florida. Design and production ofthe buildings must be approved for compliance with the current Florida Building Code (FBC) by your 'selected Third Party Agency before, manufacturing begins. Your Third Party Agency is a contractor to the Department and has statutory authority and responsibilities that they must comply with to maintain their approved status. Expect and demand quality plans review and inspections. Each FBC change will make your plans- obsolete until they have been reviewed, approved and so indicated [on the cover page of the plans] for compliance with the FBC by your Third Party Agency for plans review. Please ensure that your plans are in compliance and properly posted on our website to avoid embarrassing work stoppages in the permitting process. All site related installation issues are subject to the local authority having jurisdiction. Unannounced monitoring visits by the Department's contractor will be made at least annually. Complete access to your manufacturing facility and records is mandatory to remain compliant with the rules and regulations of this program. Please visit our website at www.floridabuilding.Org to see valuable information on the Florida Manufactured Buildings Program. A copy of this letter must accompany applications for local building permits. Sic rely, M chael D. Ash br-th Manufactured Buildings Program Manager Cc: William (Bill) Tegeler and Charles (Chuck) Osterday, NTA, Inc. 2555 SHUMARD OAK BOULEVARD TALLAHASSEE, FL 32399-2100 Phone: 850-488-8466/SUNCOM 278-8466 Fax: 850-921-0781/SUNCOM 291-0781 Website: www.dca.state.fl.us COMMUNITY PLANNING AREAS OF CRITICAL STATE CONCERN FIELD OFFICE HOUSING AND COMMUNITY DEVELOPMENT Phone: 850.488-2356/SUNCOM 278-2356 Phone: 305-289-2402 Phone: 850.488-7955/SUNCOM 278-7955 F6x: 850-488-3309/SUNCOM 278-3309 Fax: 305-289-2442 Fax: 850-922-56231SUNCOM 292-5623 r,' •`�w �,. I APPROVED BY INA12/11/09 INC. 0� �a MPwvNoldevbtlon ordevlotlotmthomt mt R' quire nny qulrnrronb of opPlloabla $tale Lewa. STATE OF FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS "Dedicated to making Florida a better place to call home" JEB BUSH THADDEUS L. COHEN, AIA Govemor Secretary DIVISION OF HOUSING & COMMUNITY DEVELOPMENT BUILDING CODES & STANDARDS From: Michael Ashworth, Manufactured Buildings Program Manager To: Building Officials, Manufacturers & Third Party Agencies Subject: Raised Seals on Plans for Manufactured (Modular) Buildings Date: November 28, 2006 Section 553.80(1)(d), FS specifically exempts state approved manufactured (modular) buildings bearing the DCA insignia, from further plan review by local code enforcing agencies. Rule 913-1, FAC; and the Florida Building Code (FBC) do not require original signed and -sealed plans for manufactured (modular) buildings to be submitted to local jurisdictions to obtain a building permit. The insignia issued by this Department attests that the plans have been reviewed and the buildings inspected by a state approved Third Party Agency and found compliant with the FBC. However, any code requirements not completed at the factory are considered site related and are subject to local plan review and inspection in accordance with the FBC and local requirements. Signing and sealing of these plans should follow local procedures. All site -related installation requirements (e.g., foundation, electrical hook-up, plumbing, etc.,) are specifically and entirely reserved to the local authority having jurisdiction, who may require signed and sealed plans for applicable items. The State of Florida Manufactured (Modular) Buildings Program requires its approved Third Party Agencies to maintain a set of signed and sealed plans, (either hardcopy or electronic) that have been reviewed and approved by a Florida licensed design professional or Modular Plans Reviewer. Inspection reports conducted at the manufacturing facility by Florida licensed design professionals or Modular Inspectors are also required to be on file. Local jurisdictions may require copies of the approved plans with the permit application or may rely on the plans on file at www.floridabuilding.org. For additional information, please contact Michael Ashworth at 850-922-6075 or E-mail: michael.ashworth@dca.state.fl.us. cc: I. Jones Files 2655 SHUMARD OAK BOULEVARD . TALLAHASSEE, FLORIDA 32399-2100 Phone: 850.488.8466/Suncom 278.8466 FAX: 850.921.0781/Suncom 291.0781 Internet address: htt0://www.dca.state.fl.us CRITICAL STATE CONCERN FIELD OFFICE COMMUNITY PLANNING EMERGENCY MANAGEMENT HOUSING & COMMUNITY DEVELOPMENT 2796 Overseas Highysy, Suite 212 2555 Shumard Oak Boulevard 2555 Shumard Oak Boulevard 2565 Shumard Oak Boulevard Marathon, FL 33050-2227 Tallahassee, FL 32399-2100 Tallahassee, FL 32399.2100 Tallahassee, FL 32399-2100 (305)289.24D2 (850)488-2356 (850)413-9969 (850)488-7956 t r,- PRODUCT APPROVAL SPECIFICATION SHEET -150 mph - 35' MRH -`Exp. C. As required by Florida statute 553.842 and Florida Administrative Code 9i3 72, please provide the information and approval numbers on the building components listed below if they will be utilized on the construction project for which you are applying for a building permit. We recommend you contact your local product supplies should you not know the product approval number for any of the applicable listed products. Category/Subcategory Manufacturer Product Description Approval Number(s) 1. EXTERIOR DOORS A. SWINGING Dunbarton In -swing Exterior Door FL8172-R3 (int. zone only) B. SLIDING C. SECTIONAL J6kr't-MiJYr_U or D. ROLL UP NIM 12/11/09 E. AUTOMATIC im No U. F. OTHER approve any deviation or deviations tram the requirements of applicable State Laws. 2. WINDOWS A. SINGLE HUNG Kinro 4700 Series Windows FL12053.1 B. HORIZONTAL SLIDER C.CASEMENT D. DOUBLE HUND E. FIXED G. PASS THROUGH H.PROJECTED I. MULLION J. WIND BREAKER K. DUAL ACTION L. OTHER 3. PANEL WALL A. SIDING Style Crest Vinyl Siding FL12231 B. SOFFITS James Hardie Soffit FL889-R4 C. EIFS Category/ Subcategory Manufacturer Product Description Approval Number(s) D.STOREFRONTS E. CURTAIN WALLS F. WALL LOUVERNIIIIIIIIII G. GLASS BLOCK 0 Approval of this document tlaes not euthorizo or H.MEMBRANE requlremente of applleable State Lays. (.GREENHOUSE J. OTHER 4. ROOFING PRODUCTS A. ASPHALT SHINGLES GAF Owens Corning Shingles Shingles FL10124-RI FL10674-RI B. UNDERLAYMENTS Johns Manville CertainTeed Corp. TAMKO Black Warrior Roofing Ice & Watergard Wintergaurd TW Underlayment Underlayment FL5307-RI FL3455-R2 FL3664-R3 FL2077-R2 C. ROOFING FASTENERS D. METAL ROOFING E. WOOD SHINGLES /SHAKES F. ROOFING TILES G. ROOFING INSULATION H. WATERPROOFING .I. BUILT UP ROOFING ROOF SYSTEMS J. MOCIFIED BITUMEN K. SINGLE PLY ROOF SYSTEM L. ROOFING SLATE M. CEMENTS/ADHESIVES COATINGS Certainteed Corp -Roofing Plastic Roof Cement-5 gal. FL490-R2 Category/ Subcategory Manufacturer Product Description Approval Number(s) N. LIQUID APPLIED ROOF SYSTEMS O. ROOF TILE ADHESIVE P. SPRAY APPLIED POLYURETHANE ROOF Q. OTHER 12/11 /09 & SHUTTERS A. ACCORDIAN Approval of this document does not authorize or a rove an deviation or devlallo s from the B.BAHAMA requirements of applicable State Laws. C. STORM PANELS D. COLONIAL E. ROLL -UP F. EQUIPMENT G. OTHERS 6. SKYLIGHTS A. SKYLIGHT B. OTHER 7.STRUCTURAL COMPONENTS A. WOOD CONNECTORS/ANCHORS J-Mark Inc. MasterCraft Engineering Metal connector straps (22 ga straps and 0.035 metal straps) 54B1 MH Strap 5483 MH Strap Local approval — NTA JH070804-10 FL9159.1 FL9159.2 B. TRUSS PLATES MiTek 16 ga truss connector plates FL2197-R1 C. ENGINEERED LUMBER GP GP -Lam FL2023-R2 D. RAILING E. COOLERS -FREEZERS y r• Category/ Subcategory Manufacturer Product Description Approval Number(s) F.CONCRETE ADMIXTURES G. MATERIAL H. INSULATION FORMS I. PLASTICS J. DECK -ROOF K. WALL L.SHEDS M. OTHER. B. NEW EXTERIOR ENVELOPE PRODUCTS A. B. Product Approval for all "site installed items" are on -site, by others and are not supplied by Florida Building Code Online f Page 1 of 2 a r.UT BCIS Home Log In 1 User Registration Hot Topics Submit Surcharge Stabs & Facts ` Publications FBC Staff j BCIS Site Map { Links Search oProduct Approval FUSER: Public User Product Approval Menu > Product or ADollcation Search > Application List > Application Detail FL * FL2865-R3 Application Type Revision Code Version 2007 Application Status Approved Comments APPROVED BY Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency Validated By Kinro, Inc 500 Airport Drive Mansfield, TX 76063 (817)473-4421 Ext117 ddewey(alkinro.net Kinard Mike mkinard@)kinro.com Exterior Doors Sliding Exterior Door Assemblies Certification Mark or Listing ON I H ia, 2J11/09IC Approval M fhb doeumero dvre not nuth.,b. or approve may dwkdon or dwinimm hom tl+a rogpiremeM� of augkaWo9mto LnHs. American Architectural Manufacturers Association American Architectural Manufacturers Association Referenced Standard and Year (of Standard) Standard AAMA/WDMA/CSA 101/I.S.2/A440 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 01/22/2009 Date Validated 04/27/2009 Date Pending FBC Approval 05/04/2009 Date Approved 06/09/2009 Year 2005 http://floridabuilding_org//p /pr app_dtl.aspx?param=vGEVXQwtDgs%2bYQ6%2fEgpc3... 10/5/2009 Florida Building Code Online r Page 2 of 2 Summary of Products FL # Model, Number or Name Description 2865.1 1600 SGD 96x80, Vinyl, SGD, IG, 1/8 tempered Limits of -Use Certification Agency Certificate Approved for use in HVHZ: No FL2865 R3 C CAC KIN 1600 R35 96x80.odf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 09/14/2009 Design Pressure: +35/-35 Installation Instructions Other: FL2865 R3 II Window Installation Florida v032009.Ddf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 2865.2 1600 SGD 172x8O, Vinyl, SGD, IG, 1/8 tempered Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2865 R3 C CAC KIN 1600 R40 72x80.odf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 10/22/20.11 Design Pressure: +40/-50 Installation Instructions Other: FL2865 R3 II Window Installation Florida v032009.pdf Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: APPROVED BY 007PI INC. ON 12/11 /09 Approval of this document does not authorize or approve any deviation or deviations from the requirements of applicable State Laws. Sack Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Fax (850) 414-8436 © 2000-2005 The State of Florida. All rights reserved. Copyright and Disclaimer Product Approval Accepts: Eci Bisb http://floridabuilding.org/pr/Pr Up dtl.aspx?param=wGEVXQwtDgs%2bY06%2tEgpc3... 10/5/2009 FL # Application Type Code Version Application Status Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency Validated By Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By 12/11/09 FL2025-R2 NIRINC. Affirmation Approval oftMe doammld—noteuN or 2007 eppmve -V deviedon or dwf b— from db requlmmenb of ep H.ble Sm. Lewd. Approved N Hy-Lite Products Inc. 3000 East Johnson Ave Pensacola, FL 32514 (850)473-0555 Ext - steve(8usblockwindows.com Steve Beck steve(a)usblockwind ows.com Ron Cook 101 California Ave. Beaumont, CA 92223 (800) 827-3691 Ext 3281 ron cook(alhy-lite.com Tracy Avila 101 California Beaumont, CA 92223 (800)827-3691 tacy avila(@hy-lite.com Windows Fixed Certification Mark or Listing American Architectural Manufacturers Association Standard Year AAMA / NWWDA 101/ I.S 2-97 1997 CAWM 301-90 Forced Entry 1997 r I affirm that there are no changes in the new, Florida Buiidino Code which affect my product(s) and my product(s) are in compliance with the new Florida Building Code. http://floridabuildin�org//pr/pr app dtl.aspx?param=wGEVXOwtDgsUTth8cOKZcOttn0p... 10/5/2009 � r Florida Building Code Online Page 2 of 3 Documentation from approved Evaluation or Validation Entity 0 Yes 0 No r N/A Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved of Products Method 1 Option A 05/01/2009 05/01/2009 06/02/2009 APPROVED BY ONO 12/11/09 INC. .,�..b w��am�mm.ae�.wmnnoma<. u�m.maw m.waw�mo�u�.anu. .mm�mrca or caorrcmw slam i.... FL # Model, Number or Name I Description 2025.1 600/800 jAluminum w/ 3x6 3x8 Blocks Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025 R2 C CAC aama labels2.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II 600 800.pdf HC80/ 26x82 F-C80 625/825 74x74 F-C35/ 50x50 F- Verified By: American Architectural Manufacturers C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- Association HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Created by Independent Third Party: Alum. 57x57 F-LC50/ Vinyl 57x57 F-LC80 Prestige Fixed Evaluation Reports Window 7909 F-C35/ 55x55 F-C80/ 31x87 F-C80 Created by Independent Third Party: 2025.2 625/825 Aluminum w/ 2x6 2x8 Blocks Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025' R2 C CAC aama labels2.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II 625 825.pdf HC80/ 26x82 F-C80 625/825 74x74 F-C35/ 50x50 F- Verified By: American Architectural Manufacturers C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- Association HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Created by Independent Third Party: Alum. 57x57 F-LC50/ Vinyl 57x57 F-LC80 Prestige Fixed Evaluation Reports . Window 79x79 F-C35/ 55x55 F-C80/ 31x87 F-C80 Created by Independent Third Party: 2025.3 Glass Block Serle lAluminum w/ 2x8 Glass Block i Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025 R2 C CAC aama labels2.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II Glass Block Assemblv.pdf HC80/ 26x82 F-C80 625/825 74x74 F-C35/ 50x50 F- Verified By: American Architectural Manufacturers ':. C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- Association HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Created by Independent Third Party: Alum. 57x57 F-LC50/ Vinyl 57x57 F-LC80 Prestige Fixed Evaluation Reports Window 79x79 F-C35/ 55x55 F-C80/ 31x87 F-C80 Created.by Independent Third Party: 2025.4 Glass Block Series lVinyl w/ 2x8 Glass Block Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025 R2 C CAC vinyl class label. df Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II vinyl glass.Ddf HC80/ 26x82 F-C80 625/825 74x74 F-C35/ 50x50 F- Verified By: American Architectural Manufacturers C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- Association HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Created by Independent Third Party: Alum. 57x57 F-LC50/ Vinyl 57x57 F-LC80 Prestige Fixed Evaluation Reports Window 7909 F-C35/ 55x55 F-C80/ 31x87 F-C80 Created by Independent Third Party: 2025.5 Low Profile Builders Series Vinyl w/ 2x6 2x8 Blocks Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025 R2 C CAC aama labels2.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A ' ' Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II Low Profile builder series.pdf HC80/ 26x82 F-C80 625/825 74x74 F-C35/ 50x50 F- Verified By: American Architectural Manufacturers http://floridabuilding.org/pL/pr app dtl aspx?param=wGEVXQwtDgsUTth8cOKZcOtmOp... 10/5/2009 " Florida Building Code Online Page 3 of 3 C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Alum. 57x57 F-LC50/ Vinyl 57x57 F-LC80 Prestige Fixed Window 79x79 F-C35/ 55x55 F-C80/ 31x87 F-C80 Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 2025.E IlPrestiae Fixed Window 11Vlnyl w/ 2x6 2x8 Blocks Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025 R2 C CAC aama labels2.Ddf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II Prestige vinyl.Ddf HC80/ 26x82 F-C80 625/825 74x74 F-C35/ 50x50 F- Verified By: American Architectural Manufacturers C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- Association HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Created by Independent Third Party: Alum. 57x57 F-LC50/ Vinyl 57x57 F-LC80 Prestige Fixed Evaluation Reports Window 7909 F-C35/ 55x55 F-C80/ 31x87 F-C80 Created by Independent Third Party: Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Fax (850) 414-8436 © 2000-2005 The State of Florida. All rights reserved. Copyright and Disclaimer APPROVED BY 0 000 rrl 12/11 /09 INC. Approval of this document does not authorize or approve any deviation or deviations from the requirements of applicable State laws. Product Approval Accepts: 6b hLtp://floridabuilding.org/pL/pr-gpp- dtl.aspx?param=wGEVXOwtDgsUTth8cOKZcOtmOp... 10/5/2009 St. Lucie County Wind Speed Lines St Lucie County Wind Speed Line Description 130 MPH Wind Speed Line: Starting at the intersection of I-95 and county boundary with Indian River County, south on 1-95 to intersection with C-25 Canal, then west along the C-25 Canal to the intersection with the Florida Turnpike then south on the Florida Turnpike to the intersection with 1-95, then south on I-95 to the county boundary with Martin County. 140 MPH Wind Speed Line: Starting at the intersection of US 1 and county boundary with Indian River County, south on US to the intersection with Prima Vista Boulevard, then west on Prima Vista Boulevard to the intersection with the North Fork of the St. Lucie River, then south and southeasterly on the North Fork of the St. Lucie River to the county boundary with Martin County. Description taken from Ordinance 01-003, Exhibit A, Basic Wind Speed Zones, St. Lucie County. (Ordinance Adopted December 18, 2001; information confirmed by St. Lucie County Building Department 5 2.5 0 5 Mile St. Lucie County Wind Speed Lines St. Lucie County Wind Speed Lines — Major Roads F 1 St. Lucie River County Boundary modda )7 aphic 1Ax 1-10 �(a1& PLar M� &ICs-n Job Truss Truss Type Qty Ply Jacobsen Homes 216 41480 HM788101 HINGE MONO 1 1 216511 Universal Forest Products Inc., Grand Rapids, MI 49525, Mike Patten 6.500 s Dec 14 2006 MiTek Industries, Inc. Mon May 1410:34:28 2007 6-2-10 1 14-2.0 82-10 9 7-116 r`��ltulujr>��r �. 10 ,,1�� � P. KO' _�'� B 5 �H18E J©�� G E N S+ �'���i�r ♦�,,~, No 57289 '. G 12 BEH1eA 3 g2- 3x4 1�-_ 3 A _._._.._..__._._ ._..__.._. 2 _ _11f3.= :. Si TE' OF - Sx4.H ... ......_.... _. _. _.._ _ 8.... _ •- O igned'bydtlhnr(pznl 'i• • � wilh�p{ir `-S 10 :">�thgoticity 4.35 12 fl 6 w �� ��I •�� R �•+1� W4 n t 1 KF e 7 May 14, 200 3x4 5� 1x3 II 1x3 II 6 . 3x6 = ' 6-2-10 7-6 5 1 14-2-0 6-2-10 15-12 6541 Plate Offsets MY : 2:0-1-8,0-1-4 3:0-0-5 0-1-12 4:0-0-11 0-1-2 6:0-2-12 0-1-4 10:0-1-4 0-0-8 11:0-2-0 0-1-12 LOADING (psf) SPACING 1.4-0 CSI DEFL in (loc) Well Ud PLATES GRIP TCLL 19.7 Plates Increase 1.15 TC 0.87 Vert(LL) 0.24 1-8 >702 240 MT20 197/144 (Ground Snow=20.0) Lumber Increase 1.15 BC 0.39 Vert(TL) 0.19 1-8 >869 180 MII18 141/138 DLL 7.0 Rep Stress Incr YES WB 0.81 Horz(TL) -0.04 6 n/a n/a BC BCDL 0.0 Code ISC2006frP12002 (Matrix) Weight: 50lb LUMBER BRACING TOP CHORD 2 X 4 SPF No.2 TOP CHORD Structural wood sheathing directly applied or 2-2-0 oc SOT CHORD 2 X 3 SPF No.2 purlins, except end verticals. WEBS 2 X 3 SPF Stud *Except* BOT CHORD Rigid ceiling directly applied or W6 2 X 4 SPF No.3, W2 2 X 4 SPF No.3 JOINTS 1 Brace at Jt(s): 9 FORCES (lb) - Maximum Compression/Maximum Tension REACTIONS (Ib/size) 1=266/0-3-8, 6=270/Mecha ' I 12/11 /09 2-3=-106/0, 3-12=-60/0, 4-12=-52/0, Max Horz 1=415(LC 7) TOP CHORD 1-2=-620i812, 4-5=15/0, 6-10=-149/361, 9-10=-155/383 Max Upliftl=-401(LC 7), 6=-557(LC 7 1 INC BOTCHORD 1-8=4175/561, 7-8=-1175/561, 6-7=-11751561 Max Grav 1=318(LC 13), 6=360(LC WEBS 4-9=-162/402,2-11=-525/1089, 10-11=-166/46,2-8=0/127, approve affV d atlxumant doeneapprove any his d- n or tle oentram the 7-11=-96167, 6-11=-58811286 req.!-.iserapplicable State Le"'e• REQUIRED FIELD JOINT CONNECTIONS - Maximum Compression (lb)/ Maximum Tension (ib)/ Maximum Shear (lb)/ Maximum Moment (lb -in) 9=162/402/120/0 NOTES 1) Wind: ASCE 7-05; 150mph; h=30fi; TCDL=4.2psf; BCDL=4.2psf; Category Il; Exp C; enclosed; MWFRS gable end zone and C-C Extedor(2) zone; Lumber DOL=1.60 plate grip DOL=1.33. This truss is designed for C-C for members and forces, and for MWFRS for reactions specified. 2) TCLL: ASCE 7-05; Pg=20.0 psf (ground snow); Ps=19.7 psf (roof snow); Category ll; Exp C; Partially Exp.; Ct=1.1; IBC 1607.11.2 minimum roof live load applied where required. - 3) Roof design snow load has been reduced to account for slope. ...... 4) Unbalanced snow loads have been considered for this design. 5) This truss has been designed as per IBC Sect. 1605.3.1.1 Load reduction, for multiple live loads. 6) This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 7) All plates are MT20 plates unless otherwise indicated. 8) See BEH18 DETAILS for plate placement. � � 1 0 9) Provisions must be made to prevent lateral movement of hinged member(s) during transportation. 10) All additional member connections shall be provided by others for forces as indicated. :33i�. IS-7 AM 1 X 11) " This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 `"t' tall by 2-0-0 wide will fit between the bottom chord and any other members. 'PLAT OF Pi,. . 12) Provide mechanical connection (by others) of truss to bearing plate capable of withstanding 401 lb uplift at joint 1 'P�4y�Q o , c7 and 557 lb uplift at joint 6. 13) This truss is designed in accordance with the 2006 International Building Code section 2306.1 and referenced C standard ANSlrrPI 1. standard 14) This truss has been designed in accordance with the 2006 IBC Sec 2303.4.2, 2006 IRC Sec 802.10.2 1 L-« ��� �• 15) Take precaution to keep the chords in plane, any bending or -twisting of the hinge plate must be repaired before the building is put Into service. WARNING - Verify design parameters and READ NOTES Universal Forest Products, Inc. 2601 EAST RAPIDSBELTLINE MI 5 A y g p PHONE (816)-3645161 FAX (616)-365.0060 GRAND RAPIDS, MI 49505 This building component has only been designed for the loads noted on this drawing. Construdion•and fitting forces have not been considered. The builder Is responsible for lifting methods and system design. Builder responsibilities are defined under section 2.3 of TPI1-20D2. This design is based only upon parameters shown, and is for Applicability of design and proper Incorporation of component Is responsibility of building an Individual building component to be Installed and loaded vertically. parameters designer - not truss designer. Bracing shown Is for lateral .support of Individual web members only. Additional temporary bracing to Insure stability during construction Is the responsibility of the erector. Additional permanent bracing of the overall structure is the responsibility of the building designer. For general guidance regarding fabricatfon,quality, control, storage, delivery, erection and bracing, consult BCSI 1-03 from the Wood Truss Council of America and Truss Plate Institute Recommendation available from WTCA, 630D Enterprise LN, Madlosn, WI53719 J:lsupportlMiteksu p\templateslufp.tpe(?)copyright 2007 by: Universal Forest Products, Inc, FORM 110OA-08 FLORIDA ENERGY .EFFICIENCY CODE .FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: Mod-466 Builder Name: Jacobsen Homes Street: 12075 WE Indian River Drive Permit Office: City, State, Zip: Jensen Beach , FL , 34957- Permit Number: Owner. Sally Slater Jurisdiction: Design Location: FL, Fort Pierce 1. New construction or existing New (From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a. Frame -Wood, Exterior R=19.0 1527.00 ft2 b. N/A R= ft2 3. Number of units, if multiple family 1 c. NIA R= ft2 4. Number of Bedrooms 2 d. N/A R= ft2 5. Is this a worst case? Yes 10. Ceiling Types insulation Area 6. Conditioned floor area (ft2) 1615 a. Under Attic (Vented) R=30.0 1615.00 ft2 b. N/A R= ft2 7. Windows Description Area c. N/A R= ft2 a. U-Factor: Dbl, U=0.35 234.17 ft2 S HGC: SHGC=0.30 HGCor: 11. Ducts a. Sup: Attic Ret: Interior AH: Exterior Sup. R= 6, 323 ft2. b. N/A ft2 SHGC: 12. Cooling systems c. U-Factor: N/A ft2 a. Central Unit Cap: 24.0 kBtu/hr SHGC: SEER: 13 d. U-Factor: N/A ft2 13. Heating systems SHGC: a. Electric Heat Pump Cap: 21.0 kBtu/hr e. U-Factor: N/A ft2 HSPF:7.7 SHGC: • 14. Hot water systems 8. Floor Types Insulation Area a. Electric Cap: 40 gallons a. Raised Floor R=22.0 1615.00 ft2 EF: 0.93 b. N/A R= ft2 b. Conservation features c. N/A R= ft2 None 15. Credits Pstat Total As -Built Modified Loads: 34.56 �+�+ Glass/Floor Area: 0.145 Total Baseline Loads: 43.01 SS PASS I hereby certify that the plans and specifications covered by Review of the plans and gil pg•� Sr`��� this calculation are in compliance with the Florida Energy specifications covered by this Code. calculation indicates compliance DA with t FI r EnerCode TQ SMP- p PREPARED BY: DATE: nT A $efG *M� 10N wiD-46 complia a with bection bb3.Alfl O I hereby certify that t ilding, as designed, is in compliance8 ' b �• �'VILLIAM TE R �yq with the Florida En COb'WS OWNER/AGENT: FFI ----► - DATE: l2 --7 _ oa DATE: - �>lur fi ibr- c-.F,nt�k2 4V Ac. co-kA�a ks 12/7/2009111:339 AM' ©Y11 ` ������� u T �.... O i �r � L� *; OTWERS.RE(U13�}64, A68- �� 302a L�Z31r oncr- amp - E Al �4 O .R 1 Q � ��:�, 12/9/2009 .• ` EnergyGauge® USA - FlaRes2008 ��i ss • �% % Page 1 of 5 �0*111111111ti10, PROJECT Title: Mod-466 Bedrooms: 2 Adress Type: Street Address Building Type: FLAsBuilt Conditioned Area: 1615 Lot # Owner: Sally Slater Total Stories: 1 SubDivision: # of Units: 1 Worst Case: Yes PlatBook: Builder Name: Jacobsen Homes Rotate Angle: 45 _ Street: 12075 NE Indian River Permit Office: Cross Ventilation: County: St, Lucie Jurisdiction: Whole House Fan: City, State, Zip: Jensen Beach, Family Type: Single-family FL, 34957- New/Existing: New (From Plans) Comment: CLIMATE / IECC Design Temp Int Design Temp Heating Design Daily Temp v Design Location TMY Site Zone 97.5 % 2.5 % Winter Summer Degree Days Moisture Range FL, Fort Pierce FL_ST LUCIE_CO INTL 2 39 90 75 70 '722 62 Low FLOORS # Floor Type R-Value Area. Tile Wood Carpet 1 Raised Floor 1615 ft2 22 0 0 1 ROOF / Roof Gable Roof Solar Deck V # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Gable or shed Composition shingles 1749 ft2 •336 ft2 Dark 0.96 No 0 22.6 deg - ATTIC V # Type Ventilation Vent Ratio (1 in) Area RBS IRCC 1 Full attic Vented 300 1615 ft2 N N CEILING # Ceiling Type R-Value Area Framing Frac Truss Type 1 Under Attic (Vented) 30 1615 ft2 0.09 Wood WALLS Cavity Sheathing Framing Solar # Omt Adjacent To Wall Type R-Value Area R-Value Fraction Absor. 1 N. Exterior Frame - Wood 19 504 ft2 0.23 0.76 2 W Exterior Frame - Wood 19 259.5 ft2 0.23 0.75 3 S Exterior Frame - Wood 19 504 ft2 0.23 0.75 4• E . Exterior Frame - Wood 19 .259.5 ft2 0.23 0.75 APPROVED BY INI12//11 /009 AING. Approval of this dooumont tloes not euthorrso or approve any deviation or deviations from the requirements of applicable State Laws. 12/7/2009 11:39 AM EnergyGauge® USA - FlaRes2008 Page 2 of 5 DOORS # Omt Door Type Storms U-Value Area 1 N Insulated None 0.289999 21.63888 WINDOWS Orientation shown is the entered orientation => changed to Worst Case. # Ornt Frame Panes NFgC U-Factor SHGC Storms Overhang Area Depth Separation Int Shade Screening 1 N=>NE Vinyl Low-E Double Yes 2 N=>NE Vinyl Low-E Double Yes 3 W=>NW Vinyl Low-E Double Yes 4 W=>NW Vinyl Low-E Double Yes 5 S=>SW Vinyl Low-E Double Yes 6 S=>SW Vinyl Low-E Double Yes 7 E=>SE Vinyl Low-E Double Yes 0.35 0.3 N 12.5 ft2 0 ft 9 in 0 ft 8 in HERS 2006 0.35 0.3 N 16.66666 Oft 9 in 0 ft 8'in HERS 2006 0.35 0.3 N 12.5 ft2 0 ft 13.5 10 ft 86 in HERS 2006 0.35 0.3 N 12.5 ftz 0 ft 13.510 ft 42 in HERS 2006 0.35 0.3 N 90 ft2 0 ft 9 in 0 ft 8 in HERS 2006 0.35 0.3 N 40 ft2 0 ft 9 in 0 ft 10 in HERS 2006 0.35 0.3 N 50 ft2 0 ft 13.5 10. ft 68 in HERS 2006 None None None None None None None INFILTRATION & VENTING Method SLA CFM 50 ACH 50 ELA EgLA - Forced Ventilation Run Time Supply CFM Exhaust CFM Fraction Fan Wafts Default 0.00036 1525 6.30 83.7 157.5 0 cfm 0 cfm 0 0 REQUIRES INSTALLATION ON -SITE, BY OTHERS. COOLING SYSTEM System Type Subtype Efficiency Capacity Air Flow _ SHR Ducts 1 Central Unit Split SEER: 13 23 kBtu/hr 690 cfm 0.75 sys#1 4 REQUIRES INSTALLATION ON -SITE, BY OTHERS. HEATING SYSTEM System Type Subtype Efficiency Capacity Ducts 1 Electric Heat.Pump None . HSPF: 7.7 21 .kBtu/hr sys#1 HOT WATER SYSTEM # System Type EF Cap Use SetPnt Conservation 1 Electric 0.93 40 gal 50 gal 120 deg None SOLAR HOT WATER SYSTEM FSEC Cert # Company Name Collector Storage System Model # Collector Model # Area Volume FEF None None ft2 DUCTS - Supply - -- Return ---- # Location R-Value Area Location Area Leakage Type Air Percent Handler CFM 25 Leakage QN RLF 1 Attic 6 323 ft2 Interior 80.75 ft Default Leakage Exterior (Default) (Default) % APPROVED BY 12/11 /09 ON 14�IVco 'Approval of this document does not authorize of approve any deviation or Oeviatlons from the requirernenis of applicable Stale Laws. 12/7/20.09 11:39 AM EnergyGauge® USA - FlaRes2OO8 Page 3 of 5 re 0=111111mc INICTAI 1 ATInu nw.QITO RV nT8 oma TEMPERATURES rogramable.Thermostat: Y Ceiling Fans: �XI IXXJ IXXI Xj Apr IX rX� My May JXX� Jun � Jul Jul IXX Xj Aug IX jXXj Sep �X� Oct �X� Nov Dec Dec Ve Venting Jan' Feb Mar lx� Thermostat Schedule: HERS 2006 Reference Hours - Schedule Type 1 2 3 4 5 6 7 8 9 10 11 .12 Cooling (V11D) AM PM 78 80 78 80 78 78 78 78 78 78 78 78 78 78 78 78 80 78 80 78 80 78 80 78 Cooling (WEH) AM PM 78. 78 78 78 78 78 78 78 78 76 78 78 78 78 78 78 78 78 78 78 78 78 78 78 Heating (WD) AM PM 66 68 66 68 66 68 66 68 66 68 68 68 68 68 68 68 68 68 68 68 68 66 68 66 Heating (WEH) AM PM 66 68 66 68 66 68 66 68' 66 68 68 68 68 68 68 68 68 68 68 68 68 66 68 66 APPROVED BY 0 oorri I N C. 12/11 /09 Approval of this document does not authorize or approve any deviation or deviations from the requirements of applicable State taws. 12/7/2009 11:39 AM EnergyGauge@ USA - FlaRes2008 Page 4 of 5 FORM 1100A-08 Code Compliance Cheklist Residential Whole Building Performance Method A - Details ADDRESS: 12075 NE Indian River Drive PERMIT #: Jensen Beach, FL, 34957- INFII TRATInN REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR'EACH PRACTICE CHECK Exterior Windows & Doors N1106.AB.1.1 Maximum:.3 cfm/s .ft. window area; .5 cfm/s .ft. door area. Ex} r' r & centWalls ll�f��OVEo e4 N1106.AB.1.2.1 Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall; foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility penetrations; 1211 i109 IN[AINC. between wall panels & top/bottom plates; between walls and floor. EXCEPTION: Frame walls where a continuous infiltration barrier is App,aemetthi.eeeanwateeoaaotaamodmar. installed that extends from, and is sealed to, the foundation to the approve any doviaUan w d,WaU na han the r.guiro t.0 ppltm 1. State Laws. top plate. Floors N1106.AB.1.2.2 Penetrations/openings > 1/8" sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed to the perimeter,_penetrations-and seams. Ceilings N1106.AB.1.2.3 Between walls & ceilings; penetrations of ceiling plane to'top floor; around shafts, chases, soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate; attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter, at penetrations and seams. _ Recessed Lighting Fixtures N1106.AB.1.2A Type IC rated with no penetrations, sealed; or Type IC or non -IC rated, installed Inside a sealed box with 1/2" clearance & 3" from insulation; or Type IC with < 2.0 cfm from conditioned space, tested. Multi -story Houses N1106.AB.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts N1106.AB.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA, have combustion air. nTNPR PRERCRIPTIVE MEASURES (must be met or exceeded by all residences.) COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters N1.112.AB.3 Comply with efficiency requirements in Table N112.ABC.3. Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built-in heat trap re. uired. Swimming Pools & Spas N1112.AB.2.3 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have.a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78%. Heat pump pool heaters shall have a minimum COP of 4.0. Shower heads- N1112.AB.2.4 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. _ Air Distribution Systems N1110.AB All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, sealed, insulated and installed in accordance with the criteria of Section N1110.AB. Ducts in unconditioned attics: R-6 min. insulation. HVAC Controls N11.07.AB.2 Separate readily accessible. manual or automatic thermostat for each system. Insulation N1104.AB.1 Ceilings -Min. R-19. Common walls -frame R-11 or CBS R-3 both N1102.B.1.1 sides. Common ceiling & floors R-11. 12M200911:39 AM EnergyGauge® USA FlaRes2008 Page 5 of 5 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 80 The lower the EnergyPerformance Index, the'more efficient the home. 12075 NE Indian River Drive, Jensen Beach, FL, 34957- 1. New construction or existing 2. Single family or multiple family 3. Number of units, if multiple -family 4: Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (ft2) 7. Windows" Description a. U-Factor. Dbl, U=0.35 SHGC: SHGC=0.30 b. U-Factor: N/A SHGC: c. U-Factor: N/A SHGC: d. U-Factor: N/A SHGC: e. U-Factor: N/A SHGC: 8. Floor Types a. RaisedAPMWED BY b. N/A c. N/A 12/11/09 IN 7A (IVC. Approval of this dooumeotdaes not outhortto or approve wry deVlaBon or deviations from the Mutremants of applioablo State Laws. New (From'Plans) Single-family 1 2 Yes 1615 Area 234.17 ft2 ft2. ft2 ft2 ft2 Insulation Area R=22.0 1615.00 ftz R= ft2 R= ft2 9. Wall Types a. Frame - Wood, Exterior b. NIA c. N/A d. N/A 10. Ceiling Types a. Under Attic (Vented) b. N/A c. N/A Insulation Area R=19.0 1527.00 ft2 R= ft2 R=. ft2 R= ft2 Insulation Area R=30.0 1615.00 ft2 R= ft2 R= ft2 11. Ducts a. Sup: Attic Ret: Interior AH: Exterior Sup. R= 6, 323 ft2 12. Cooling systems a. Central Unit Cap: 24.0.kBtu/hr SEER: 13 13. Heating systems a. Electric Heat Pump 14. Hot water systems a. Electric Cap: 21.0 kBtu/hr HSPF: 7.7 Cap: 40 gallons EF: 0.93 b. Conservation features None 15. Credits Pstat * REQUIRES INSTALLA71ON oN.SYTF, Bj OTHERS. certify that this home has complied with the Florida Energy Efficiency Cod6*for'Building-: Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Compliatures. Builder Signature: Date: 12—i—esS Address of New Home: City/FL Zip: _ *Note: The home's estimated Energy Performance Index is only available through the EnergyGauge USA - FlaRes2008 computer program. This is not a Building Energy Rating. If your Index is below 100, your home may qualify for incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at (321) 638-1492 or see the Energy Gauge web site at energygauge.com for information and a list of certified Raters. For information about Florida's Energy Efficiency Code for Building Construction, contact the **Label. required by Section 13-104.4.5 of the Florida Building Code, Building, or Section B2.1.1 of Appendix G ofthe Florida Building Code, Residential, if not DEFAULT. EnergyGauge® USA-•FlaRes2008 Florida Code Summary Report Sally Slater Title: Mod-466 TMY City: FL_ST_LUCIE_CO_I 12075 NE Indian River Drive FLAsBuilt Elec Util: Florida Average Jensen Beach, FL, 34957- Gas Util: Florida Average Registration #: Run Date: 12/07/200911:38:46 Energy Uses Baseline Home As -Built Home a -Ratio LU Heating 2.55 MBtu 1.14 MBtu 0.45 ® Cooling 13.79 MBtu 11.35 MBtu 0.82 Hot Water 7.15 MBtu 7.02 MBtu 0.98 li&9 Total 23.48 MBtu 19.51 MBtu 0.83 Building Loads Baseline Home As -Built Home e-Ratio � _ Heating 5.05 MBtu 2.26 MBtu* 0.45 Cooling 31.43 MBtu 25.88 MBtu* 0.82 Hot Water 6.53 MBtu 6.41 MBtu* 0.98 ffi 5 "Total 43.01 MBtu 34.56 MBtu 0.80 u * normalized modified loads Glass/Floor Area: 0.145 Total As -Built Modified Loads: 34.56 PASS Total Baseline Loads: 43.01 APPROVED BY' 0orp, . ON12/11 /09 I IL C. Approval -of this document does not authorize or approve any deviation or deviations from the requirements of applicable State Laws. 12/7/2009 11:40 AM EnergyGauge® USA - FfaRes2008 / Page 1 of 1 f WORST CASE ROTATION BUILDING :ENERGY SUMMARY Sally Slater Title: Mod-466 TMY City:, FL_ST_LUCIE_CO_INT 12075 NE Indian River Drive User Elec Util: Florida Average Jenseri Beach, FL, 34957- Gas Util: Florida Average Registration #: Run Date: 12/07/2009 11:38:40 ---- Cooling ---- ---- Heating --- HERS Rotation Energy Use Fan Energy Cost Energy Use Fan/Pump Cost Total Energy Index a -Ratio 0 2653 kWh 576 kWh $291 280 kWh 44 kWh $29 12.127 MBtu 0.7842 45 2732 kWh 595 kWh $300 289 kWh 45 kWh $30 12.495 MBtu 08034 90 271 r kWh ' 592 kWh $298 297 kWh 47 kWh $31 12.467 MBtu 0.8017 135 2640 kWh 575 kWh $290 316 kWh 50 kWh $33 12.222 MBtu 0.7882 180 2542 kWh 552 kWh $279 315 kWh 49 kWh $32 11.802 MBtu 0.7660 225 2636 kWh 572 kWh $288 321 kWh 50 kWh $34 12.216 MBtu 0.7878 270 2714 kWh 588 kWh $297 .304 kWh 48 kWh $31 12.472 MBtu 0.8018 315 2729 kWh 591 kWh $299 295 kWh 46 kWh $31 12.495 MBtu 0.8033 These results represent the most recent analysis when worst case was checked. For ratings where default appliance values were not used, the energy values will represent the building used for the HERS Score and not .the entered building. Select ReportslAnnual Simulation to view energy use from the current building. APPROVED BY 12/11 /09 INCo Approval of this document does not authorize or approve any deviation or deviations from the requirements of applicable State Laws. 12/7/2009 11:41 AM EnergyGauge® USA - RaRes2008 / Page 1 of 1 Building Input Summary Report PROJECT Title: ModA66 Bedrooms: 2 Adress Type: Street Address Building Type: User Bathrooms: 0 Lot # Owner: Sally Slater Conditioned Area: 1615 SubDivision: # of Units: 1 Total Stories: 1 PlatBook: Builder Name: Jacobsen Homes Worst Case: Yes Street: 12075 NE Indian River Permit Office: Rotate Angle: 45 County: St. Lucie Jurisdiction: Cross Ventilation: City, State, Zip: Jensen Beach, Family Type: Single-family Whole House Fan: FL, 34957- New/Existing: New (From Plans) Comment: CLIMATE Design Design Temp Int Design Temp Heating Design Daily Temp Location Tmy Site 97.5 % 2.5 % Winter Summer Degree Days Moisture Range FL, Fort Pierce FL ST LUCIE_CO INTL 39 90 70 75 722 62 Low UTILITY RATES Fuel Unit Utility Name 12/11109 imWio.0 Monthly Fixed Cost $/Unit u Electricity kWh Florida Average 0 0.09 Natural Gas Therm Florida Average 1.72 Fuel Oil Gallon Appmvai of title dooum ift does not authorise or Florida Default approve any deviation or deviations train the 0 1.1 Propane Gallon Florida Default raq.1 enlsatapplicabeStateLane. 0 1.4 SURROUNDINGS Shade Trees Adjacent Buildings Ornt Type Height Width Distance Exist Height Width Distance `Oft N None Oft Oft Oft Oft Oft NE None Oft Oft Oft Oft Oft Oft E None Oft Oft Oft Oft Oft Oft SE None Oft Oft Oft Oft Oft Oft S None Oft Oft Oft Oft Oft Oft SW None Oft Oft Oft Oft Oft Oft W None Oft Oft Oft Oft Oft Oft NW None Oft Oft Oft Oft Oft Oft FLOORS # Floor Type R-Value Area Tile Wood Carpet _ 1 Raised Floor . 22 1615 ft2 0 0 1 ROOF Roof Gable Roof Solar Deck # Type Materials Area Area Color Absor. Tested Insul. Pitch 1 Gable or shed Composition shingles 1749 ft2 336 ft2 Dark 0.96 No 0 22.6 deg ATTIC 4 Type Ventilation Vent Ratio (1 in) Area RBS IRCC 1 Full attic Vented 300 1615 ft2 N' N 12/7/2009 11:40 AM EnergyGauge@ / USRFSB v2.8 • Page 1 of 4 Building Input Summary Report CEILING # Ceiling Type. R-Value Area Framing Fraction Truss Type 1 Under Attic (Vented) 30 1615 ft2 0.09 Wood WALLS Wall orientation below is as entered. Actual orientation is modified by rotate angle shown in "Project" section above. Adjacent Cavity Width Height Sheathing Framing Solar # Ornt To Wail Type R-Value Ft In Ft In Area R-Value Fraction Absor. 1 N Exterior Frame - Wood 19 56 9 504 ft2 0.23 0.75 2 W Exterior Frame - Wood 19 28 10 9 259.5 ft2 0.23 0.75 3 S Exterior Frame - Wood 19 56 9 504 ft2 0.23 0.75 4 E Exterior Frame - Wood 19 28 10 9 259.5 ft2 0.23 0.75 DOORS Width Height # Omt Door Type Storms U-Value Ft In Ft In Area 1 N Insulated None 0.29 38 82 21.64 ft2 WINDOWS Overhang # Ornt Frame Panes NFRC U-Factor SHGC Storm Area Depth Separation Interior Shade Screening. 1 N Vinyl Low-E Double Yes 0.35 0:3 N 12.5 ft2 0 ft 9 in 0 ft 8 in None Exterior 50% 2 N Vinyl Low-E Double Yes 0.35 0.3 N 16.67 ft2 0 ft 9 in 0 ft 8 in None Exterior 50% 3 W Vinyl Low-E Double Yes '0.35 0.3 N 12.5 ft2 Oft 13.5 10 ft 86 in None Exterior 50% 4 W Vinyl Low-E Double Yes 0.35 0.3 N 12.5 ft2 0 ft 13.5 10 ft 42 in None Exterior 50% '5 S Vinyl Low-E Double Yes 0.35 0.3 N 90 ft2 0 ft 9 in 0 ft 8 in None Exterior 50% 6 S Vinyl Low-E Double Yes 0.35 0.3 N 40 ft2 0 ft 9 in 0 ft 10 in None Exterior 50% . 7 E Vinyl Low-E Double Yes 0.35 0.3 N •50 ft2 0 ft 13.5 10 ft 68 in None Exterior 50% INFILTRATION & VENTING ---- Forced Ventilation -- Terraln/Wind Method SLA CFM 50 ELA EgLA ACH ACH 50 Supply Exhaust Run Time Shielding Best Guess 0.00050 2118 116.3 218.7 0.365 8.74 0 0 0 Suburban / Suburban MASS Mass Type Area Thickness Furniture Fraction No Added Mass 0 ft2 0 ft 0.3 REG.UISES INSTALLATIOH OBE -SITE, SY OTHERS. COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Ductless 1 Central Unit Split SEER: 13 23 kBtu/hr 690 cfm 0.75 False APPROVED BY ON 12/11/09 TIC. Approval W Nua d-.-nt deee net." fl-o, approve dM d.I.Nen e, devledo- ham Nie m9elmm -of appfp S..L- 12/7/2009 11:40 AM EnergyGauge® / USRFSB v2.8 Page 2 of 4 Building Input'Summary Report INSTALLATION ON -SITES BY OTHERSHEATINO SYSTEM FREQUIRES # System Type Subtype Efficiency Capacity Ductless _ 1 Electric Heat Pump None HSPF: 7.7 21 kBtu/hr False HOT WATER SYSTEM # System Type EF Cap Use �SetPnt Credits 1 Electric 0.93 40 gal 50 gal 120 de None SOLAR HOT WATER Collector Surface Absorp. Trans Tank Tank Tank' Heat PV Pump Collector Type Tilt Azimuth Area Loss Coef. Prod. Corr. Volume U-Value Surf Area Exch Eff Pumped Energy DUCTS -- Supply — -- Return — Air Percent # Location R-Value Area Location Area Number Leakage Type Handler CFM 25 Leakage QN RLF 1 Attic 6 323_ft2 Interior 80.75 ft2 (invalid) Default Leakage Exterior Default Default TEMPERATURES € REQUIRES INSTALLATION O4ITE� BY OTHERS. Programable Thermostat: Y Ceiling Fans: N Cooling Jan Feb Mar Apr Feb X1 Jan Mar Apr Ix Ma Jun Jul rXjMay JXX� Jun �X�.JuI Au Se Aug Rxi Sep Oct JXXi Oct NovDecVenting X� Nov IX RXI Dec lxJ Lx� lx� Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 y 9 10 11 12 Cooling (WD) AM 78 78 PM 80 80 78 78 78 78 78 78 78 78 78 78 78 78 80 78 60 78 80 78 80 78 Cooling'(WEH) AM 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 78 78 78 78 78 78 78 78 78 78 Heating (WD) PM 68 68 68 68 68 68 68 68 68 68 68 66 68 66 Heating (WEH) PM 68 68 68 68 68 68 68' 68 68 68 66 66 APPROVED BY ON12/11 /09 INC. Approval of this document does not authorize or approve any deviation or deviations from the requirements of applicable State Laws. ' 12/7/2009 11:40 AM EnergyGauge® / USRFSB v2.8 Page 3 of 4 Building Input Summary Report APPLIANCES & LIGHTING Appliance Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Ceiling Fans (Summer) AM 0.66 0.65 0.65 0.65 0.65 0.65 0.65 0.33 0.33 0:33 0.33 0.33 % Released: 100 PM 0.33 0.33. 0.33 0.33 0.33 1 0.9 0.9 0.9 0.9 0.9 0.65 Annual Use: 0 kWh/Yr Peak Value: 0 Watts Clothes Washer AM 0.105 0.081 0.047 0.047 0.081 0.128 0.256 0.57 0.849 1 0.977 0.872 % Released: 60 PM 0.779 0.698 0.605 0.57 0.581 0.57 0.57 0.57 0.57 0.488 0.43 0.198 Annual Use: 0 kWh/Yr ' Peak Value: 0 Watts Dishwasher AM 0.139 0.05 0.028 0.024 0.029 0.09 0.169 0.303 0.541 0.594 0.502 0.443 % Released: 60 PM 0.377 0.396 0.335 0.323 0.344 0.448 0.791 1 0.8 0.597 0.383 0.281 Annual Use: 0 kWh/Yr Peak Value: 0 Watts .Dryer AM 0.2 0.1 0.05 0.05 0.06 0.075 0.2 0.375 0.5 0.8 -.0.95 1 % Released: 10 PM 0.875 0.85 0.8 0.625 0.625 0.6 0.575 0.55 0.625 0.7 0.65 0.375 Annual Use: 0 kWh/Yr Peak Value: 0 Watts Lighting AM 0.16 0.15 0.16 0.18 0.23 0.45 0.4 0.26 0.19 . 0.16 0.12 0.11 % Released: 90 PM 0.16 0.17 0.25 0.27 0.34 0.55 0.55 0.88 1 0.86. 0.51 0.28 Annual Use: 1747 kWh/Yr Peak Value: 570 Watts Miscellaneous AM 0.48 0.47 0.47 0.47 0.47 0.47 0.64 0.71 0.67 0.61 0.55 0.53 % Released: 90 PM 0.52 0.5 0.5 0.5 0.59 0.73 0.79 0.99 1 0.96 0.77 0.55 Annual Use: 3042 kWh/Yr Peak Value: 558 Wafts Pool Pump AM 0 0 0 0 0 0 0 0 0 1 1 1 % Released: 0 PM 1 1 1 1 0 0 0 0 0 0 0 0 Annual Use: 0 kWh/Yr Peak Value: 0 Watts Range AM 0.057 0.057 0.057 0.057 0.057 0.114 0.171 0.286 0.343 0.343 0.343 0.4 % Released: 100 PM 0.457 0.343 0.286 .0.4 0.571 1 0.857 0.429 0.286 0.229 0.171 0.114 Annual Use: 0 kWh/Yr Peak Value: 0 Wafts Refrigeration . AM 0.85 0.78 0.75 0.73 0.73 0.73 0.75 0.75 0.8 0.8 0.8 0.8. % Released: 100 PM 0.88 0.85 0.85 0.83 0.88 0.95 1 0.98 0.95 0.93 0.9 0.85 Annual Use: 775 kWh/Yr Peak Value: 106 Watts Well Pump AM 0.05 0.05 0.05 0.05. 0.05 0.05 0.1. . 0.1 0.1 0.1 0.1 0.1 % Released: 0 PM 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0:1 0.1 0.1 0.1 Annual Use: 0 kWh/Yr Peak Value: 0 Watts APPROVED BY 0 oor ON 1211111//0�9 AI.NC Approval of Wa dooumont dose not authadw m approvo anydavinHon o davtaUw.from tho mqul-to of appUmblo Stato L- 1217/2009-11:40 AM EnergyGauge® / USRFSB v2.8 Page 4 of 4 Monthly Summary Energy Use Report Sally Slater Title: Mod-466 TMY City: FL_ST_LUCIE_CO_I 12075 NE Indian River Drive FLAsBuilt Elec Util: Florida Average Jensen Beach, FL, 34957- Gas Util: Florida Average Registration#: Run Date: 12/01/2009 11:38:46 End -Use Units Jan Feb Mar Apr May. Jun Jul . Aug Sep Oct Nov Dec Total Cooling kWh 23 45 112 129 363 396 475 493 338 219 95 44 2732 Cooling Fan kWh 5 .10 25 28 80 86 104 108 73 47 20 9 595 Cooling Vent Fan kWh 0 0 0 0 .0 0 0 0 0 0. 0 0 0 Heating kWh 132 20 24 3 0 .0 0 0 17 20 10 62 289 Heating Fan/Pump kWh . 21 3 .4 0 0 0 0 0 3 3 1 10 45 Heating Vent Fan kWh 0 0 0 0 0 0 0 0 0 0 0 0 0 Hot Water kWh 204 183. 194 174 165 148 146 148 151 169 178 197 2056 Hot Water Pump kWh 0 0 0 0 0 0 0 0 0 0 0 0 0 Ceiling Fans kWh 0 0 0 0 0 0 0 0 0 0 0 0 0 Clothes Washer kWh 0 0 0• 0 0 0 0 0 0 0 0 0 0 Dishwasher kWh 0 0 0 0 0 0 0 0 0 0. 0 0 0 Dryer kWh 76 68 76 73 76 73 76 76 73 76 73 76 891 Lighting kWh 148 134 148 144 148 144 148 148 144 148 144 148 1747 Miscellaneous kWh 208 188 208 201 208 201 208 208 201 208 201 .208 2446 Pool Pump kWh 0 0 0 0 0 0 0 0 0 0 0 0 0 Range kWh 38 34 38. 37 38 37 38 38 37 38 37 38 447 Refrigerator kWh 66 59 66 64 66 64 66 66 64 66 64 66 775 Photovoltaics kWh 0 0 0 0 0 0 0 0 0 0 0 0 0 Cost $ 82 66 79 78 103 104 113 115 100 89 75 78 1082 Total kWh 12024 $1082 APPROVED BY Total Therms 0 $0 Total Oil Gallons 0 $0 12/11/09 A Total Propane Gallons 0 $0ON . Total PV Produced 0 $0 Ap.-1-r tlevtsaon or tlavads dac—ant olalonc a'omoprize or .qui any raqulromanW of appli<ablo Stota Wra Heating Energy Use Cooling Energy Use 738 132 128 120 112 104 98 83 80 72 fiq 82 Y 55 40 40 32 24 10 20 24 17 20 10 T' T T 1.0 Jan Feb Mar Apr T• May Jun Jul Aug 'T® Sep Oct Mw . Dec .1. 9Y3 475 a71 424 398 376 163 338 usL 282 i7+ 36 219 Y 18a 141 112 129 95 40 00 � � in Feb Mar Apr May Jun Jul Aug Sep Oct Kam Dec 12/7/2009 11:40 AM EnergyGauge@ / USRFSB v2.8 Page 1 of 1 Annual Energy Summary Sally Slater Title: Mod-466 TMY City: FL_ST_LUCIE_CO 1 12075 NE Indian River Drive FLAsBuilt Elec URI: Florida Average Jensen Beach, FL, 34957- Gas Util: Florida Average Registration #: - Run Date: 12/07/2009 11:38:46 End -Use Cooling (24 kBtu/hr) Cooling Fan Mechanical Vent Fan Total Cooling Heating (21 kBtu/hr) Heating Fan/Pump Mechanical Vent'Fan Total Heating Energy Consumption 2732 kWh 595 kWh 0 kWh 3327 kWh 289 kWh 45 kWh 0 kWh 334 kWh Annual Cost $246 $54 $0 $300 $26 $4 $.0 $30 Hot Water '2057 kWh $185 Hot Water Pump 0 kWh $0 Total Hot Water .2056 kWh $185 Ceiling Fans 0 kWh $0 Clothes Washer 0 kWh $0 Dishwasher 0 kWh $0 Dryer 891 kWh $80 Lighting 1747 kWh $157 Miscellaneous 2446 kWh $220 Pool Pump 0 kWh $0 Range 447 kWh $40 Refrigerator 775 kWh $70 Total (kWh) 12024 kWh $1082 Total (Therms) 0 Therms $0 Total (Oil Gallons) 0 Gallons $0 Total (Propane Gallons) 0 Gallons $0 PV Produced (kWh)* 0 kWh $0 * Assumes net metering Total Cost APPROVED BY _ $1082 INIA 12/11 /09 'C. Approval of this document does not authorize or approve any deviation or deviations from the requirements of applicable State Laws. 12/7/2009 11:40 AM EnergyGauge® USA - RaRes2008 / Page 1 of 1 Jacobsen Homes 600 Packard Court Safety Harbor, FL 34695 Model: MOD-466 MOD-466 Production _Shearwall Summary :MOD-466 Wall 1: Minimum sheathing required: 7/16" APA OR TECO RATED SHEATHING 179 p.l.f. Sheathing Fastening: 16 GAUGE "STAPLE -1.875 IN. LENGTH - 4 IN. O.C. MAX. SPACING Min. wall to floor/wall/ceiling fastening required:" 0.131" x 3 1/2" NAIL @ 3.75" O.C. MAX. Wall 2: Minimum sheathing required: 3/8" APA OR TECO RATED SHEATHING 439 p.l.f. Sheathing Fastening: 14 GAUGE STAPLE -1.875 IN. LENGTH - 3 IN. O.C. MAX. SPACING Min. wall to floor/wall/ceiling fastening required: 0.131" x 3 1/2" NAIL @ 3.456" O.C. MAX. OR 2 ROWS @ 6.912 Wall 3: Minimum sheathing required: 7/16" APA OR TECO RATED SHEATHING 192 p.l.f. Sheathing Fastening: 16 GAUGE STAPLE -1.875 IN. LENGTH - 4 IN. O.C. MAX. SPACING Min. wall to floor/wall/ceiling fastening required: 0.131" x 3 1/2" NAIL @ 3.75' O.C. MAX. Wall 4: 0 p.l.f. WALL NOT USED lift 5 APPROVED BY ON 12/11 /09 Approval of this document does not authorize or approve any deviation or deviations from the requirements of applicable State Laws. rage -i or z .Jacobsen Homes 600 Packard Court Safety Harbor, FL 34695 Model: MOD-466 MOD-466 Wall 5: 0 PIC Wall 6: 0 p.l.f. Wall 7: 0 p.l.f. Wall 8: 0 p.l.f. Production Shearwall Summary WALL NOT USED WALL NOT USED WALL NOT USED WALL NOT USED MOD-466 APPROVED BY 007PI IN C. ON 12/11 /09 Approval of this document does not authorize or approve any deviation or deviations from the requirements of applicable State Laws. Page 2 of 2 MOD 466 HVAC Load Calculations for Sally Slater 12075 N.E. Indian River Drive Jensen Beach, Florida 34957 wK.7"p, w 19,V,.- 'A C - RESIDED nAL, HVAC LOADS Prepared By: Residential Energy Cale's Monday, March 01, 2010 Rhvac is an ACCA approved Manual J and Manual D computer program. Calculations are performed per ACCA Manual J 8th Edition, Version 2, and ACCA Manual D. Rhvac Residential 8: Light Gommercial HVAG Loads -Ken:Humphre Elite Software Development, Inc. MOD"' PortSaint Luce FL 34983. .: _ Pa a 2' Project Reporf General Project Information Project Title: MOD 466 Designed By: NTA INC. Project Date: Tuesday, January 05, 2010 Client Name: Sally Slater Client Address: 12075 N.E. Indian River Drive Client City: Jensen Beach, Florida 34957 Company Name: Residential Energy Calc's Design Data _ Reference City: Fort Pierce, Florida Building Orientation: Front door faces North Daily Temperature Range: Medium Latitude: 27 Degrees Elevation: 25 ft. Altitude Factor: 0.999 Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Elevation Heating Adj_ Factor: 1.000 Outdoor Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum Rel.Hum Dry Bulb Difference Winter: 42 39.4 80% n/a 72 n/a Summer: 90 78 59% 50% 75 61 Check. Total Building Supply CFM: 778 CFM Per Square It.: 0.482 Square ft. of Room Area: 1,615 Square ft. Per Ton: 810 Volume (ft) of Cond. Space: 14,535 Building Loads Total Heating Required Including Ventilation Air: 29,480 Btuh 29.480 MBH Total Sensible Gain: 17,951 Btuh 77 % Total Latent Gain: 5,448 Btuh 23 % Total Cooling Required Including Ventilation Air: 23,400 Stuh 1.95 Tons (Based On Sensible + Latent) 1.99 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 ACCA 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. Rhvac Res dentialA 1ght Commercial HVAC.Loads " :._ Elite Software Development, Inc.-, KenHumph�eyMOD - 466' Port$amt Lucie FL 3498s ' ' Page 1Vliscelknjeo is Reporf , [System-1 Intertherm Outdoor° Outdoor; Outdoor,! Indoor Indoor Grains Input Data:. - ,. D Bulb Wet Bulb Re1.Hum ,: r - - Rel.Hurh ;-. o -Dry--Bulb -Difference" Winter: 42 39.4 80% n/a 72 n/a Summer: 90 78 59% 50% 75 61.09 Duet Sizin `In Uts. ... _,.: . Main Trunk Runouts Calculate: Yes Yes Use Schedule: Yes Yes Roughness Factor: 0.00300 0.01000 Pressure Drop: 0.1000 in.wg./100 ft. 0.1000 in.wg./100 ft. Minimum Velocity: 650 ft./min 450 ft./min Maximum Velocity: 900 ft./min 750 ft./min Minimum Height: 0 in. 0 in. Maximum Height: 0 in. 0 in. °Outside`Air Data:. Winter Summer Infiltration Specified: 0.260 AC/hr 0.140 AC/hr 63 CFM 34 CFM Infiltration Actual: 0.260 AC/hr 0.140 AC/hr Above Grade Volume: X 14,535 Cu.ft. X 14,535 Cu.ft. 3,779 Cu.ft./hr 2,035 Cu.ft./hr X 0.0167 X 0.0167 Total Building Infiltration: 63 CFM 34 CFM Total Building Ventilation: 52 CFM 52 CFM —System 1--- Infiltration & Ventilation Sensible Gain Multiplier: 16.49 = (1.10 X 0.999 X 15.00 Summer Temp. Difference) Infiltration & Ventilation Latent Gain Multiplier: 41.50 = (0.68 X 0.999 X 61.09 Grains Difference) Infiltration & Ventilation Sensible Loss Multiplier: 32.97 = (1.10 X 0.999 X 30.00 Winter Temp. Difference) Winter Infiltration Specified: 0.260 AC/hr (63 CFM), Construction: Semi -Tight Summer Infiltration Specified: 0.140 AC/hr (34 CFM), Construction: Semi -Tight Duct Load Factor; Scenarios for System 1._ Aittc ; Duct 4 _ . Duct Surface 1' ; From No...? e:' Descri Lion -Location` CeilinY ",Leaks a '. Ins`ulatlon .Area ; V N1DD`' 1 Supply Main Attic 16B 0.12 6 423 No 1 Return Main Attic 16B 0.24 6 78 No f Load Preview Report ' Net! I ft=I Sent Lae Net` Sen Sys!Sys Htg! Clgj SysI ActI Duct Scope Ton! /Toni Areai Gains Gain! Gain? o�` # CFMI CFM, CFM) Size Building .. 1.95 828. 1,615 17,951 5,448' 23,406 29,480. 361i 778: 778i . ... ._... _............ ........... _........ ... ........ .. System 1 _—.. _.._ - _. .. ._— . - - - 1 95• 828 1,6M 17 951; 5,448 23 400 29,480, 361 778 ' 10xi5 Ventilation___. _------------------------ __ ...... _...—. 857 - 2,15E _......_,_... 3,015: __.., 1,714i .... Dud Latent 1,482; 1,482s _... .. _......._............ _- Zone 1 -- . - ,- _.....; .. 17 094 1 808 18,902: 27,766 361 778; _ 10x15 __ _ 1 Da rung ..................._.... -1,615: 280 3 488 285 3 773 5 009 65 . 159 1--8 2 Bonus Room ... __._..._ _ _ .- - __.. .. -_. _ _-__. -._.. _ :._. 112 . 1 012 67 1 079 1 839 24� _ 46 1--4 - 3 Bath 1 - _ _.. . _ 98 __ -_- __- 665; _ _ 59' 724€ 1,388': 18 30 1-4 _. --.._ ....._.. 4-Walk In Closet _ 140 949� 84 1 033 1,981 26 43 _ 1-4 ._ .. 5-Bath 2 ... . 154; 1,834 209 2 043 3 041 40 83 1--5 -..._... _ . - .. ...._ .. .. __ ...__.. 6-Living 328 3 983 302 4 285 6 234 ° 81; .... . 181 _ 2--6 7-Bedroom 2 ...... .............................................. .............. .................. _ ............ - ..--- - ..... ... 266 . - - 1,944.- - -- 151 -- - - 2095 — ..... ....... 3,898 51 88 1--6 8-Bedroom 1 ............... 237 . 3 220 651 3,871 4,376: 57 146 1--7 -EliteSoftware Development, Inc. Rhvac Residential & Light Commercial HVAC Loads Ken Humphrey MOD 466 P.ort:Samt Lucie FL 34983: y Page:5: Duct Size Preview : } Minimum. Maximums Rough.. Design' SP Duct= DAY Htg Clg ' Act. C Duct Velocity' Velocity" Factor U1001 Loss: Velocity; s Length' Flow Flow ; _. _,_. Flow —.. Size - _..._..._.... --- �. ...._.._...._ -- <.__ 45G ...._._._.._.. -- 750 - - - 0; ---.--------- 0.1 ------- ..................... _........................ 454.6 ---_.._- 65,,105 159 1_8 450. 750; 0. 0.1 _ 527J_ 24,�6 46 1--4 -. . . .. 450 ..... .. . : ,_.. _.. .. . .. 750: - . 0. __ _ .. 0.1, ... .. 346 8 ._. -- - ._ 18 30 -- 30: ..: - . 1--4 ,.. 450' - 750 0 _ 0.1 ` 494.8 -............. 26: 43 _.... 43! .....- 1-4 450 750 0; ...... _ 0.1' ..... ..._ a 8 ......... _....._ 40 83 1- 5 . ._ . - 456 -. 750: - 0: 0.1 y611 4614 81, 181: - 2--6 ..._.... .. _._ - 450 750: -.. 0 0.1 - 450.4 --- - - ....._.._. Sti� 881 - --- 1-� .. 45G 750 0 0.11 548.1: 57 146 1--7 .._._.._......_...._..... .... ....... _.......... 650; ...... ............. 900 .... _......... --.......--.._._.__._..__..._.. 0 0.1: - .... 746.6€ _....... .... ._.---.....__.._ _ 361' 8 _......._.. 778 .__.._..__... 10x15 _ Summary System_.. - ----......._.. - _... -.... ._......... — - - _.........._._._................_....._........ _.......... .-...... ------- .._._._............. ------ Heating Flow: 361 ........... .__...__...._.........................._._..._ ................ ........ ... _-_.._................._......... ... ..... .... ... ........... ..._.... ......... _._............._........... ...... .............. ................_....._...................,........... ... ._.............._ ... Cooling Flow. 778 Rhvac Residential Light Commerciai HVAC Loads Ken Humphrey Elite Software Development; Inc. MODA66 Pb Saint Lucie R 34983 ` . Page e 6 Total Building Sur ma' ry Loads Component Area Sen Lat . Sen Total Description - Quan -� - . Loss Gain .; Gain -Gain 3A-v-o: Glazing -Double pane low-e (e = 0.40), operable 156.5 1,645 0 2,010 2,010 window, vinyl frame, light color blinds at 45' with 50% coverage, u-value 0.35, SHGC 0.3 1 D-cm-o: Glazing -Double pane, operable window, clear, 39.6 416 0 350 350 metal frame no break, white or reflective color drapes with tight weave with 50% coverage, u-value 0.35, SHGC 0.3 11 D: Door -Wood - Solid Core 39 456 0 396 396 12E-0sw: Wall -Frame, R-19 insulation in 2 x 6 stud cavity, . 1276.9 2,607 0 1,510 1,510 no board insulation, siding finish, wood studs 16C-30: Roof/Ceiling-Under Attic with Insulation on Attic 1615 1,551 0 2,066 2,066 Floor (also use for Knee Walls and Partition Ceilings), Vented Attic, No Radiant Barrier, White or Light Color Shingles, Any Wood Shake, Light Metal, Tar and Gravel or Membrane, R-30 insulation 20P-22: Floor- 1615 11,919 0 3,973 3,973 Subtotals for structure: 18,594 0 10,305 10,305 People: 2 400 460 860 Equipment: 0 600 600 Lighting: 0 0 0 Ductwork: 7,095 1,482 5,170 6,652 Infiltration: Winter CFM: 63, Summer CFM: 34 2,077 1,408 559 1,967 Ventilation: Winter CFM: 52, Summer CFM: 52 1,714 2,158 857 3,015 Total Building Load Totals: 29,480 5,448 17,951 23,400 Check Figures Total Building Supply CFM: 778 CFM Per Square ft.: 0.482 Square ft. of Room Area: 1,615 Square ft. Per Ton: 810 Volume (ft3) of Cond. Space: 14,535 Building Loads Total Heating Required Including Ventilation Air: 29,480 Btuh 29.480 MBH Total Sensible Gain: 17,951 Btuh 77 % Total Latent Gain: 5,448 Btuh 23 % Total Cooling Required Including Ventilation Air. 23,400 Btuh 1.95 Tons (Based On Sensible + Latent) 1.99 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 ACCA 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. Rhvac Residential & Light Commercial HVAC Loads Ken Humphrey Elite. Software Development, Inc. MOD 466 Port Saint Lucie, FL, 34983J/ Page 7 System 1 Intertherm Summary Loans Component Area Sen " Lat Sen Total ; Description - ... Quan - Loss Gain;, = Gain Gain " 3A-v-o: Glazing -Double pane low-e (e = 0.40), operable 156.5 1,645 0 2,010 2,010 window, vinyl frame, light color blinds at 45* with 50% coverage, u-value 0.35, SHGC 0.3 1 D-cm-o: Glazing -Double pane, operable window, clear, 39.6 416 0 350 350 metal frame no break, white or refilective color drapes with tight weave with 50% coverage, u-value 0.35, SHGC 0.3 11 D: Door -Wood - Solid Core 39 456 0 396 396 12E-Osw: Wall -Frame, R-19 insulation in 2 x 6 stud cavity, 1276.9 2,607 0 1,510 1,510 no board insulation, siding finish, wood studs 16C-30: Roof/Ceiling-Under Attic with Insulation on Attic 1615 1,551 0 2,066 2,066 Floor (also use for Knee Walls and Partition Ceilings), Vented Attic, No Radiant Barrier, White or Light Color Shingles, Any Wood Shake, Light Metal, Tar and Gravel or Membrane, R-30 insulation 20P-22: Floor- 1615 11,919 0 3,973 3,973 Subtotals for structure: 18,594 0 10,305 10,305 People: 2 400 460 860 Equipment: 0 600 600 Lighting: 0 0 0 Ductwork: 7,095 1,482 5,170 6,652 Infiltration: Winter CFM: 63, Summer CFM: 34 2,077 1,408 559 1,967 Ventilation: Winter CFM: 52, Summer CFM: 52 1,714 2,158 857 3,015 System 1 Intertherm Load Totals: 29,480 5,448 17,951 23,400 Check Figures - Supply CFM: 778 CFM Per Square ft.: 0.482 Square ft. of Room Area: 1,615 Square ft. Per Ton: 810 Volume (fl?) of Cond. Space: 14,535 System Loads Total Heating Required Including Ventilation Air: 29,480 Btuh 29.480 MBH Total Sensible Gain: 17,951 Btuh 77 % Total Latent Gain: 5,448 Btuh 23 % Total Cooling Required Including Ventilation Air: 23,400 Btuh 1.95 Tons (Based On Sensible + Latent) 1.99 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 ACCA 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. RhVac Residentlal'8 Light:Commerqal HVAC Loads - -Elite Software.Developmeot Inc. Ken Humphrey o- MOD 46 Port Saint Lucie FL 34983 ,l . " Ps a 8. System-1; Zone -1 Summary Loads (Average Load Procedure `Igor Roo- Ms) Component Area : Sen Lat `Sen Total . Description Quan ... r:- ..Loss r --Gain - -Gain Gain; 3A-v-o: Glazing -Double pane low-e (e = 0.40), operable 156.5 1,645 0 2,010 2,010 window, vinyl frame, light color blinds at 45° with 50% coverage, u-value 0.35, SHGC 0.3 1 D-cm-o: Glazing -Double pane, operable window, clear, 39.6 416 0 350 350 metal frame no break, white or reflective color drapes with tight weave with 50% coverage, u-value 0.35, SHGC 0.3 11 D: Door -Wood - Solid Core 39 456 0 396 396 12E-Osw: Wall -Frame, R-19 insulation in 2 x 6 stud cavity, 1276.9 2,607 0 1,510 1,510 no board insulation, siding finish, wood studs 16C-30: Roof/Ceiling-Under Attic with Insulation on Attic 1615 1,551 0 2,066 2,066 Floor (also use for Knee Walls and Partition Ceilings), Vented Attic, No Radiant Barrier, White or Light Color Shingles, Any Wood Shake, Light Metal, Tar and Gravel or Membrane, R-30 insulation 20P-22: Floor- 1615 11 919 0 3,973 3,973 Subtotals for structure: 18,594 0 10,305 10,305 People: 2 400 460 860 Equipment: 0 600 600 Lighting: 0 0 0 Ductwork: 7,095 0 5,170 5,170 Infiltration: Winter CFM: 63, Summer CFM: 34 2 077 1 408 559 1,................. System 1, Zone 1 Load Totals: 27,766 1,808 17,094 18,902 Check Figures Supply CFM: 778 CFM Per Square ft.. 0.482 Square ft. of Room Area: 1,615 Square ft. Per Ton: 1,016 Volume (ft3) of Cond. Space: 14,535 Zone Loads- : Total Heating Required: 27,766 Btuh 27.766 MBH Total Sensible Gain: 17,094 Btuh 90 % Total Latent Gain: 1,808 Btuh 10 % Total Cooling Required: 18,902 Btuh 1.58 Tons (Based On Sensible + Latent) 1.59 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 ACCA 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. Rhvac Residential Light Commercoal HUAC Loads Ken Humphrey Elite Software Development, Inc..: MOD 466 •P6&8. mt Lucie, FL 34983. 9' Detailed Room L oads - Room l ' Dining (Average Loud Procedure) General Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 20.0 ft. System Number: 1 Room Width: 14.0 ft. Zone Number: 1 Area: 280.0 sq.ft. Supply Air: 159 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 3.8 AC/hr Volume: 2,520.0 cu.ft. Req. Vent. Clg: 0 CFM Number of Registers: 1 Actual Winter Vent.: 9 CFM Runout Air: 159 CFM Percent of Supply.: 6 % Runout Duct Size: 8 in. Actual Summer Vent.: 11 CFM Runout Air Velocity. 455 ft./min. Percent of Supply: 7 % Runout Air Velocity: 455 ft./min. Actual Winter InfiU. 13 CFM Actual Loss: 0.090 in.wg./100 ft. Actual Summer Infil.: 7 CFM Item Area . -U- Htg ' Sen. - GI g , Lat Sen., Descri ion - t� ;� Quantity : Value= : HTM;.s Loss. HTM Gain: , .- Gain! N -Wall-12E-Osw 20 X 9 141.5 0.068 2.0 289 1.2 0 167 E -Wall-12E-0sw 14 X 9 126 0.068 2.0 257 1.2 0 149 N -Door-11 D 3 X 6.5 19.5 0.390 11.7 228 10.1 0 198 N -GIs-3A-v-o shgc-0.3100%S 15 0.350 10.5 158 8.4 0 126 N -GIs-3A-v o shgc-0.3100%S 4 0.350 10.5 42 8.3 0 33 U P-Ceil-1 6C-30 20 X 14 280 0.032 1.0 269 1.3 0 358 Floor-20P-22 14 X 20 280 0.246 7.4 2,066 2.5 0 689 Subtotals for Structure: 3,309 0 1,720 Infil.: Win.: 12.7, Sum.: 6.9 306 1.373 420 0.369 285 113 Ductwork: 1,280 1,055 Equipment: 0 600 Room Totals: 5,009 285 3,488 Rhvac Residential &Light C_ omm&dal HVAC Loads "Humphrey Elite Software Development,'lnc.' Ken MOD 466 Port Saint Lucie FL- 34983 Pa a 10 Detailed R06rh16adt:= ROOMI-2 -;;.'.Bo- nUs -Room (Average Load. Procedure) : 1. General Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 8.0 ft. System Number: 1 Room Width: 14.0 ft. Zone Number: 1 Area: 112.0 sq.ft. Supply Air: 46 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 2.7 AC/hr Volume: 1,008.0 cu.ft. Req. Vent. Clg: 0 CFM Number of Registers: 1 Actual Winter Vent.: 3 CFM Runout Air: 46 CFM Percent of Supply.: 7 % Runout Duct Size: 4 in. Actual Summer Vent.: 3 CFM Runout Air Velocity: 528 ft./min. Percent of Supply: 7 % Runout Air Velocity: 528 ft./min. Actual Winter Infil.: 3 CFM Actual Loss: 0.314 in.wg./100 ft. Actual Summer Infil.: 2 CFM Item Description Area Quantity . -U- - ..,Value: Htg Sen HTM. ,-, . ,=Loss :, - CI g -HTM. Lat - Gain,: Sen ,I Gain: N -Wall-12E-Osw 8 X 9 52.5 0.068 2.0 107 1.2 0 62 N -Door-11 D 3 X 6.5 19.5 0.390 11.7 228 10.1 0 198 UP-Ceil-16C-30 8 X 14 112 0.032 1.0 108 1.3 0 143 Floor-20P-2214 X 8 112 0.246 7.4 827 2.5 0 276 Subtotals for Structure: 1,270 0 679 Infil.: Wn.: 3.0, Sum.: 1.6 72 1.375 99 0.375 67 27 Ductwork: 470 306 Room Totals: 1,839 67 1,012 Rhvac Residential &Light Commercial HVAC Loads Elite Software Development, Inc. Ken_Hjlmphr MOD 466 PorSint F ._ 11taucL Detailed Ro6mloads - Roo►n�3� Bath, (Average Load Procedure] General Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 7.0 ft. System Number: 1 Room Width: 14.0 ft. Zone Number: 1 Area: 98.0 sq.ft. Supply Air: 30 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 2.1 AC/hr Volume: 882.0 cu.ft. Req. Vent. Clg: 0 CFM Number of Registers: 1 Actual Winter Vent.: 3 CFM Runout Air: 30 CFM Percent of Supply.: 9 % Runout Duct Size: 4 in. Actual Summer Vent.: 2 CFM Runout Air Velocity: 347 ft./min. Percent of Supply: 7 % Runout Air Velocity: 347 ft./min. Actual Winter Infil.: 3 CFM Actual Loss: 0.138 in.wg./100 ft. Actual Summer Infil.: 1 CFM Descriptioh : Quaniity,- :. value' . .. ' : HTM . Loss ', _ -, -H7M . - Ga n:. Gatn N -Wall-12E-0sw 7 X 9 63 0.068 2.0 129 1.2 0 75 UP-Ceil-16C-30 7 X 14 98 0.032 1.0 94 1.3 0 125 Floor-20P-2214 X 7 98 0.246 7.4 723 2.5 0 241 Subtotals for Structure: 946 0 441 Infil.: Win.: 2.6, Sum.:1.4 63 1.381 87 0.365 59 23 Ductwork: 355 201 Room Totals: 1,388 59 665 Rhvac Residential &Light Gommerc�al HVAC Loads Ehte Sotrare Development, Inc:: Ken.l lumphrey r IItIOD 466 Port�Saint.Lue�e r Pa e.12 Detailed Roam Lo"ds - --Room 4 -Walk ` fi 'Odset, (Average. Load Procedure) General .: _ Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 10.0 ft. System Number: 1 Room Width: 14.0 ft. Zone Number: 1 Area: 140.0 sq.ft. Supply Air: 43 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 2.1 AC/hr Volume: 1,260.0 cu.ft. Req. Vent. Clg: 0 CFM Number of Registers: 1 Actual Winter Vent.: 4 CFM Runout Air: 43 CFM Percent of Supply.: 9 % Runout Duct Size: 4 in. Actual Summer Vent.: 3 CFM Runout Air Velocity: 495 ft./min. Percent of Supply: 7 % Runout Air Velocity: 495 Urnin. Actual Winter Infil.: 4 CFM Actual Loss: 0.277 in.wg./100 ft. Actual Summer Infil.: 2 CFM It6M, Area -U- Htg . Sen Ctg Lat Sen Descriptions .Quantity tt!alue , HT Loss .. = . KH`fM - .Gala -- Gain' N -Wall-I2E-Osw 10 X 9 90 0.068 2.0 184 1.2 0 106 UP-Ceil-1 6C-30 10 X 14 140 0.032 1.0 134 1.3 0 179 oor-- OP-.._..14 X 10. __.._. _ .. .. __... .. ... . .... .... ..... _.. ...._.__.____._._..._.... ._..___.___....._.....246 140 0.........._..._._..,.__.. 7.4 1 033 ............... 2 5 ...._..._..... - 0 344 _...._ Subtotals for Structure: 1,351 0 629 Infil.: Win.: 3.7, Sum.: 2.0 90 1.378 124 0.367 84 33 Ductwork: _ ......... ._ - _.... _ _..._ _ __ 506 ........... _ _ . ._ . _.. _.. - ... .... _. - - 287 ...... _._ Room Totals: 1,981 84 949 0 Light m CometeMI HUA_C Loads Elite Software Development, [RhV45'-_iROsjdehtlplz Kin Humphrey `. .' ;' t: MOD 466` Port:Samt Lucie FL =34983.. '` age 13. [Detailed Room Loads '-ROO[7 5 -.Bath 2 (Averag9e Load Procedure) General Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 11.0 ft. System Number: 1 Room Width: 14.0 ft. Zone Number: 1 Area: 154.0 sq.ft. Supply Air: 83 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 3.6 AC/hr Volume: 1,386.0 cu.ft. Req. Vent. Clg: 0 CFM Number of Registers: 1 Actual Winter Vent.: 6 CFM Runout Air: 83 CFM Percent of Supply.: 7 % Runout Duct Size: 5 in. Actual Summer Vent.: 6 CFM Runout Air Velocity: 612 ft./min. Percent of Supply: 7 % Runout Air Velocity: 612 Urnin. Actual Winter Infil.: 9 CFM Actual Loss: 0.308 in.wg./l00 ft. Actual Summer Infil.: 5 CFM Item Area -U= `Htg -Sen Clg ; Laty= Sen.± Description HTM',. ,-:-Loss, ..�_ HTM,, Gain. . Gains-, N -Wall-12E-Osw 11 X 9 86.5 0.068 2.0 176 1.2 0 102 W-Wal 1-1 2E-0sw 14 X 9 113.5 0.068 2.0 232 1.2 0 134 N -GIs-3A-v-o shgc-0.3 100%S 12.5 0.350 10.5 131 8.4 0 105 W -GIs-3A-v-o shgc-0.316%S 12.5 0.350 10.5 131 22.3 0 279 UP-Ceil-16C-3011 X 14 154 0.032 1.0 148 1.3 0 197 Floor-20P-2214 X 11 154 0.246 7.4 1,137 2.5 0 379 Subtotals for Structure: 1,955 0 1,196 Infil.: Win.: 9.4, Sum.: 5.0 225 1.373 309 0.369 209 83 Ductwork: 777 555 Room Totals: 3,041 209 1,834 � Rhvac Residen4�at � Lr ht Gommcecial HVAC Loads '� y Elite Smftware Develo m'ent, Inc: Kin Humphrey _ _ 3 `' F � MOD 466 Port:$amt.Lucie, FL. 34983 - s 'Fa a 14' Detailed Room Loads- Room 6 `- Livng`(Average Load -Procedure) Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 22.0 ft. System Number: 1 Room Width: 14.9 ft. Zone Number: 1 Area: 328.0 sq.ft. Supply Air: 181 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 3.7 AC/hr Volume: 2,950.0 cu.ft. Req. Vent. Clg: 0 CFM Number of Registers: 2 Actual Winter Vent.: 12 CFM Runout Air: 91 CFM Percent of Supply.: 6 % Runout Duct Size: 6 in. Actual Summer Vent.: 12 CFM Runout Air Velocity: 461 ft./min. Percent of Supply: 7 % Runout Air Velocity: 461 ft.Win. Actual Winter Infil.: 13 CFM Actual Loss: 0.137 in.wg./100 ft. Actual Summer Infil.: 7 CFM Rein. Area -U- Htg .'r Sen .' Cig " Lat Sen Vafue:. ;HT- E -Wall-I2E-0sw 14 X 9 101 0.068 2.0 206 1.2 0 120 S -Wall-12E-0sw 22 X 9 128.4 0.068 2.0 262 1.2 0 152 E -GIs-3A-v-o shgc-0.316%S (2) 25 0.350 10.5 262 22.3 0 558 S -GIs-3A v-o shgc-0.3100%S (2) 30 0.350 10.5 316 8.4 0 252 S -GIs-1 D-cm-o shgc-0.3 0%S (2) 39.6 0.350 10.5 416 8.8 0 350 U P-Ceil-1 6C-30 22 X 14.9 327.8 0.032 1.0 315 1.3 0 420 Floor-20P-22 14_9 X 22 327.8 0.246 7.4 2,419 _._. - --. .. - - 2.5 - — .-.._ 0 806 Subtotals for Structure: 4,196 0 2,658 Infil.: Win.:13.5, Sum.: 7.3 324 1.373 445 0.370 302 120 Ductwork: 1,593 1,205 Room Totals: 6,234 302 3,983 [Rhvac-�'ReMdentlal,&Light Commercra{ HVAC Loads Elite Software Development, Inc.. F�gn_Humphrey MOD 466 Port Samt.Luc�e FL34983. Pa a a5. Detailed Room Loads �-Roorn:7. Bedroom,.2 (A.verage`Load Procedure} Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 18.0 ft. System Number: 1 Room Width: 14.8 ft. Zone Number: 1 Area: 266.0 sq.ft. Supply Air: 88 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 2.2 AC/hr Volume: 2,398.0 cu.ft. Req. Vent. Gig: 0 CFM Number of Registers: 1 Actual Winter Vent.: 7 CFM Runout Air: 88 CFM Percent of Supply.: 8 % Runout Duct Size: 6 in. Actual Summer Vent.: 6 CFM Runout Air Velocity. 450 ft./min. Percent of Supply: 7 % Runout Air Velocity: 450 ft./min. Actual Winter Infil.: 7 CFM Actual Loss: 0.130 in.wg./l00 ft. Actual Summer Infil.: 4 CFM Item , Area -U-. Htg Sen °, Cig Lai Sen Description m 0zuant Value -HTM ,;•Loss_ , -: ,HT . ..-.. r Gain , Gain:' S -Wall-12E-0sw 18 X 9 147 0.068 2.0 300 1.2 0 174 S -GIs-3A-V-o shgc-0.3100%S 15 0.350 10.5 158 8.4 0 126 UP-Ceil-16C-30 18 X 14.8 266.4 0.032 1.0 256 1.3 0 341 Floor-20P-2214.8 X 18 _.._..... 266.4 _..- - 0.246 _ 7.4 1�966 ..._._._.. ...... _..... ..... 2.5 ...._.._. _ ..- .._ ._.. 0 _ _._._ ...__..._._.. 655 Subtotals for Structure: 2,680 0 1,296 Infil.: Win.: 6.7, Sum.: 3.6 162 1.370 222 0.370 151 60 Ductwork: 996 588 Room Totals: 3,898 151 1,944 Rhvac Residential s Ligflt Commercial HVAC Loads 4 Elite Software Developmeht, Inc , �gn l-�umphrey � _ aciel Rort:Saint Lueie FL• 34983 Detaflec� Room Loed§ -.Room. 3edroorn (Average oa '_Proc dure� General . - , Calculation Mode: Htg. & clg. Occurrences: 1 Room Length: 16.0 ft. System Number. 1 Room Width: 14.8 ft. Zone Number: 1 Area: 237.0 sq.ft. Supply Air: 146 CFM Ceiling Height: 9.0 ft. Supply Air Changes: 4.1 AC/hr Volume: 2,131.0 cu.ft. Req. Vent. Clg: 0 CFM Number of Registers: 1 Actual Winter Vent.: 8 CFM Runout Air: 146 CFM Percent of Supply.: 6 % Runout Duct Size: . 7 in. Actual Summer Vent.: 10 CFM Runout Air Velocity. 548 ft./min. Percent of Supply: 7 % Runout Air Velocity: 548 Urnin. Actual Winter Infil.: 11 CFM Actual Loss: 0.155 in.wg./l00 ft. Actual Summer Infil.: 6 CFM °De cri on Quantity , ,.. ; ,Value:. =HTM ;_- -lass _ ; .: HT,NI =,Gant , Ga n S -Wall-12E-Osw 16 X.9 114 0.068 .... 2.0 233 . , . 1.2 0 135 W -Wall-12E-Osw 14 X 9 113.5 0.068 2.0 232 1.2 0 134 S -GIs-3A-v-o shgc-0.3 100%S (2) 30 0.350 10.5 316 8.4 0 252 'W ,GIs-3A-v-o shgc-0.316%S 12.5 0.350 10.5 131 22.3 0 279 UP-Ceil-16C-3016 X 14.8 236.8 0.032 1.0 227 1.3 0 303 Floor-20P-2214.8 X 16 236.8 - ._ ...._.._.._.._ 0.246 .._..... 7.4 1,748 -_... _._...._..._-.._.. 2.5 __....... _..... . ...... 0 ........ 583 .... Subtotals for Structure: 2,887 0 1,686 Infil.: Win.: 11.2, Sum.: 6.1 270 1.374 371 0.370 251 100 Ductwork: 1,118 974 People: 200 lat/per, 230 sen/per 2 _.. _ ...._ _._ .__ .... _ . ___ _._. _ .- 400 _ .._ ._.. .__... 460 _._ .... _.... Room Totals: 4,376 651 3,220 R4vac�Residential; LightCommercial HVAC,Loads EIRe Software Development, Inc: AC Humphrey_ MOD_'_, 466 Port;Samt,W66' FL. 34983 ' age 17` . Syst0M-1 R6oM Load 'SurnMaty -Mtn i{ Run Run. Clg Clg' Mtn Act' Roorrt :Area Sens Htg Duch Duct f.. Sens Lat .- .Gig Sys No Name _ SF Btuh , ` ,, CFM ,E. -Size . Vel ,; ; . l3tuh ; Btuh ;° :. CFM ,. CFM ---Zone 1--- 1 Dining 280 5,009 65 1-8 455 3,488 285 159 159 2 Bonus Room 112 1,839 24 1-4 528 1,012 67 46 46 3 Bath 1 98 1,388 18 1-4 347 665 59 30 30 4 Walk In Closet 140 1,981 26 1-4 495 949 84 43 43 5 Bath 2 154 3,041 40 1-5 612 1,834 209 83 83 6 Living 328 6,234 81 2-6 461 3,983 302 181 181 7 Bedroom 2 266 3,898 51 1-6 450 1,944 151 88 88 8 Bedroom 1 237 4,376 57 1-7 ...... 548 3,220 651 146 _-..._...._........_._..._ 146 Ventilation 1,714 857 2,158 Duct Latent 1,482 System 1 total _ 1,615 .. 29,480 - ...._ 361 -- 17,951 5,448 .. 778 _.. _...._. 778 _ .._ ....-. System 1 Main Trunk Size: 10x15 in. Velocity: 747 ft./min Loss per 100 ft.: 0.099 in.wg Cooliri System Surnma - .. Net Required: 1.95 77% / 23% 17,951 5,448 23,400 Recommended: 1.99 75% / 25% 17,951 5,984 23,935 Actual: 2.00 75% / 25% 18,000 6,000 24,000 --guipmen ` Data Heatinq System Cooling System Type: Two Speed Heat Pump Two Stage A/C Model: Indoor Model: Brand: AIRQUEST Efficiency: Hi: 7.7 / Lo: 7.7 HSPF Hi: 13 / Lo: 0 SEER Sound: Capacity: Hi: 21,000 / Lo: 0 Btuh Hi: 0 / Lo: 0 Btuh Sensible Capacity: n/a 18,000 Btuh Latent Capacity: n/a 6,000 Btuh r STATE OF FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS "Dedicated to making Florida a better place to call home" CHARLIE CRIST THOMAS G. PELHAM Governor Secretary APPROVED BY September 20, 2007 all. nV Mr. Mikyo Trevino Jacobsen Homes App—alofthladocumentdoeanotauthorlwar approw any daWatlon or dovlatlonefmm the P. O. Box 368 roqulrements of applicable State Lma. Safety Harbor, FL 34695 RE: Manufacturer Renewal of Certification, ID IvIFT-68 - - Expiration Date: November- 09, 2010 Dear Mr. Trevino: It is my pleasure to inform you that Jacoosen Homes, located at 600 Packard Court, Safety Harbor, FL 34695, has been approved under the Manufactured (Modular) Buildings Program, as provided for under Chapter 553, Part I, Florida Statutes, for the manufacture of Residential and Commercial Buildings for installation in Florida. Design and production of the buildings must be approved for compliance with the current Florida Building Code (FBC) by your selected Third Party Agency before manufacturing begins. Your Third Party Agency is a contractor to the Department and has statutory authority and responsibilities that they must comply with to maintain their .approved status. Expect and demand quality plans review and inspections. Each FBC change will make your plans obsolete until they have been reviewed, approved and so indicated [on the cover page of the plans] for compliance with the FBC by your Third Party Agency for plans review. Please ensure that your plans are in compliance and properly posted on our website to avoid embarrassing work stoppages in the permitting process. All site related installation issues are subject to the local authority having jurisdiction. Unannounced monitoring visits by the Department's contractor will be made at least annually. Complete access to your manufacturing facility and records is mandatory to remain compliant with the rules and regulations of this program. Please visit our website at www.floridabuildin-g.org to see valuable information on the Florida Manufactured Buildings Program. A copy of this letter must accompany applications for local building permits. Sic rely, M chael D. Ash orth Manufactured Buildings Program Manager Cc: William (Bill) Tegeler and Charles (Chuck) Osterday, NTA, Inc. 2555 SHUMARD OAK BOULEVARD TALLAHASSEE, FL 32399-2100 Phone: 850-488-8466/SUNCOM 278-8466 Fax: 850-921-0781/SUNCOM 291-0781 Website: www.dca.state.fl.us COMMUNITY PLANNING AREAS OF CRITICAL STATE CONCERN FIELD OFFICE HOUSING AND COMMUNITY DEVELOPMENT Phone: 850-488-2356/SUNCOM 278-2356 Phone: 305-289-2402 Phone: 850.488-7956/SUNCOM 278-7955 Fax: 850-488-3309/SUNCOM 2783309 Fax: 305-289-2442 Fax: 850-922-5623/SUNCOM 292-5623 APPROVED BY 12/11 /09 Raem,a ormro d—MIld—mromlmrm or approve o,y de gon or dwlu6om from tlro regolremems or opplloablo State Lewd. STATE OF FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS "Dedicated to making Florida a better place to call (tome" JEB BUSH THADDEUS L. COHEN, AIA Governor Secretary DIVISION'tOF,HOUSING & COMMUNITY DEVELOPMENT BUILDING CODES & STANDARDS From: Michael Ashworth, Manufactured Buildings Program Manager To: Building Officials, Manufacturers & Third Party Agencies Subject: Raised Seals on Plans for Manufactured (Modular) Buildings Date: November 28, 2006 Section 553.80(1)(d), FS specifically exempts state approved manufactured (modular) buildings bearing the DCA insignia, from further plan review by local code enforcing agencies. Rule 9B-1, FAC; and the Florida Building Code (FBC) do not require original signed and sealed plans for manufactured (modular) buildings to be submitted to local jurisdictions to obtain a building permit. The insignia issued by this Department attests that the plans have been reviewed and the buildings inspected by a state approved Third Party Agency and found compliant with the FBC. However, any code requirements not completed at the factory are considered site related and are subject to local plan review and inspection in accordance with the FBC and local requirements. Signing and sealing of these plans should follow local procedures. All site -related installation requirements (e.g., foundation, electrical hook-up, plumbing, etc.,) are specifically and entirely reserved to the local authority having jurisdiction, who may require signed and sealed plans for applicable items. The State of Florida Manufactured (Modular) Buildings Program requires its approved Third Party Agencies to maintain a set of signed and sealed plans, (either hardcopy or electronic) that have been reviewed and approved by a Florida licensed design professional or Modular Plans Reviewer. Inspection reports conducted at the manufacturing facility by Florida licensed design professionals or Modular Inspectors are also required to be on file. Local jurisdictions may require copies of the approved plans with the permit application or may rely on the plans on file at www.floridabuilding.org. For additional information, please contact Michael Ashworth at 850-922-6075 or E-mail: michael.ashworth@dca.state.fl.us. cc: I. Jones Files 2555 SHUMAR"D OAK BOULEVARD . TALLAHASSEE, FLORIDA 32399-2100 Phone: 850.488.8466/Suncom 278.8466 FAX: 850.921.0781/Suncom 291.0781 Internet address: htti)://www.dca.state.ff.us CRITICAL STATE CONCERN FIELD OFFICE COMMUNITY PLANNING EMERGENCY MANAGEMENT HOUSING 3 COMMUNITY DEVELOPMENT 2796 Overseas Highvay, Suite 212 2555 Shumard Oak Boulevard 2555 Shumard Oak Boulevard 2555 Shumard Oak Boulevard Marathon, FL 33050-M27 Tallahassee, FL 32399.2100 Tallahawee, FL 32399.21oo Tallahassee, FL 32399 2100 (305)289.2402 (850)488.2356 (850)413-9969 (850)488-7956 PRODUCT APPROVAL SPECIFICATION SHEET -150 mph - 35' MRH - Exp. C. As required by Florida statute 553.842 and Florida Administrative Code 913-72, please provide the information and approval numbers on the.building components listed below if they will be utilized on the construction project for which you are applying for a building permit. We recommend you contact your local product supplies should you not know the product approval number for any of the applicable listed products. Category/Subcategory Manufacturer Product Description Approval Number(s) 1. EXTERIOR DOORS A. SWINGING Dunbarton In -swing Exterior Door FL8172-R3 (int. zone only) B. SLIDING C. SECTIONAL At-t-KOVMD MY D. ROLL UP ME3 12/11/09 E. AUTOMATIC F. OTHER requirements or ppilcable Stateiation or ons La s, the 2. WINDOWS A. SINGLE HUNG Kinro 4700 Series Windows FL12053.1 B. HORIZONTAL SLIDER ~ C. CASEMENT D. DOUBLE HUND E. FIXED G. PASS THROUGH H.PROJECTED I. MULLION J. WINDBREAKER K. DUAL ACTION L. OTHER 3. PANEL WALL A. SIDING Style Crest Vinyl Siding FL12231 B. SOFFITS James Hardie Soffit FL889-R4 C. EIFS Category/ Subcategory Manufacturer Product Description Approval Numbers) D.STOREFRONTS E. CURTAIN WALLS 000 F. WALL LOUVER NIW11,10 G. GLASS BLOCK s Approval of this do umenl does not authorize or H.MEMBRANE requirements of applicable State I.O.S. L GREENHOUSE J. OTHER 4. ROOFING PRODUCTS A. ASPHALT SHINGLES GAF Owens Corning Shingles Shingles FL10124-R1 FL10674-R1 B. UNDERLAYMENTS Johns Manville CertainTeed Corp. TAMKO Black Warrior Roofing Ice & Watergard Wintergaurd TW Underlayment Underlayment FL5307-R1 FL3455-R2 FL3664-R3 FL2077-R2 C. ROOFING FASTENERS D. METAL ROOFING E. WOOD SHINGLES /SHAKES F. ROOFING TILES G. ROOFING INSULATION H. WATERPROOFING .I. BUILT UP ROOFING ROOF SYSTEMS J. MOCIFIED BITUMEN K. SINGLE PLY ROOF SYSTEM L. ROOFING SLATE M. CEMENTS/ADHESIVES COATINGS Certainteed Corp -Roofing Plastic Roof Cement — 5 gal. FL490-R2 Category/ Subcategory Manufacturer Product Description Approval Number(s) N. LIQUID APPLIED ROOF SYSTEMS O. ROOF TILE ADHESIVE P. SPRAY APPLIED POLYURETHANE ROOF Q. OTHER 12/11 /09 aft & SHUTTERS 114 C A. ACCORDIAN Approval of this document does not authorize or anorove env deviation or deviations from the B. BAHAMA requirements of applicable State Laws. C. STORM PANELS D. COLONIAL E. ROLL -UP F. EQUIPMENT G. OTHERS 6. SKYLIGHTS A. SKYLIGHT B. OTHER 7.STRUCTURAL COMPONENTS A. WOOD CONNECTORS/ANCHORS J-Mark Inc. MasterCraft Engineering Metal connector straps (22 ga straps and 0.035 metal straps) 5481 MH Strap 5483 MH Strap Local approval — NTA JH070804-10 FL9159.1 FL9159.2 B. TRUSS PLATES MiTek 16 ga truss connector plates FL2197-R1 C. ENGINEERED LUMBER GP GP -Lam FL2023-R2 D. RAILING E. COOLERS -FREEZERS Category/ Subcategory Manufacturer Product Description Approval Numbers) F.CONCRETE ADMIXTURES G. MATERIAL H. INSULATION FORMS I. PLASTICS J. DECK -ROOF K. WALL L. SHEDS M. OTHER. 8. NEW EXTERIOR ENVELOPE PRODUCTS A. B. Product Approval for all "site installed items" are on -site, by others and are not supplied by Jacobsen Homes. APPROVED BY 0 -1 Fwwo 12/11 /09 INC. Approval of this document does not authorize or approve any deviation or deviations from the requirements of applicable State Laws. Florida Building Code Online Page 1 of 3 x, y y i'G BCIS Home Log In User Registration Hot Topics Submit Surcharge ! Stats & Facts Publications j FBC Staff j BCIS Site Map Links Search Product Approval USER: Public User Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL2025-R2 Application Type Affirmation Code Version 2007 Application Status Approved Comments Archived Cji Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency Validated By Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By APPROVED BY ON 12/11/09 AINC. App— onhl, doou,te,t dow not o,th,: or eppmve,nr deviation or dwletlore rrom the requlmtronb of applicable stet, E—o. Hy-Lite Products Inc. 3000 East Johnson Ave Pensacola, FL 32514 (850) 473-0555 Ext- steve(a)usblockwind ows.com Steve Beck steve(&usblockwindows.com Ron Cook 101 California Ave. Beaumont, CA 92223 (800) 827-3691 Ext3281 ron cookCla hy-lite.com Tracy Avila 101 California Beaumont, CA 92223 (800) 827-3691 tacy avilaCla hy-lite.com Windows Fixed Certification Mark or Listing American Architectural Manufacturers Association Standard Year AAMA/ NWWDA 101/ I.S 2-97 1997 CAWM 301-90 Forced Entry 1997 r I affirm that there are no changes in the new, Florida Buildino Code which affect my product(s) and my product(s) are in compliance with the new Florida Building Code. hM2://floridabuilding.org// /pr app_dtl.aspx?param=wGEVXQwtDgsUTth8cOKZcOttnOD... 10/5/2009 Florida Building Code Online Documentation from approved Evaluation or Validation Entity C, yes r No r N/A Product Approval Method Method 1 Option A Date Submitted 05/01/2009 Date Validated 05/01/2009 Date Pending FBC Approval Date Approved 06/02/2009 ............._....._...-_�_.- ..... _.......... _ _._____....-..__._._------- __.............._..___..__.__.._._ ISummary of Products Page 2 of 3 r APPROVED BY ' ONOOOP 12/11/09 INC. nw.oy a me aa�.n<.a ao..+.a ®mwN. or .agere.n a..mm v w a..mona imm mo rcnwmrcm. ei o,v�ao slag �. FL # 11 Model, Number or Name IDescription 2025.1 600/800 JjAluminum w/ 3x6 3x8 Blocks Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025 R2 C CAC aama labels2.Ddf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II 600 800.Ddf HC80/ 26x82 F-C80 625/825 74x74 F-C35/ S0x50 F- Verified By: American Architectural Manufacturers C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- Association HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Created by Independent Third Party: Alum. 57x57 F-LC50/ Vinyl 57x57 F-LC80 Prestige Fixed Evaluation Reports Window 7909 F-C35/ 55x55 F-C80/ 31x87 F-C80 Created by Independent Third Party: 2025.2 625/825 Aluminum w/ 2x6 2x8 Blocks Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025 R2 C CAC aama labels2.Ddf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II 625 825.Ddf HC80/ 26x82 F-C80 625/825 74x74 F-C35/ 50x50 F- Verified By: American Architectural Manufacturers C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- Association HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Created by Independent Third Party: Alum. 57x57 F-LC50/ Vinyl 57x57 F-LC80 Prestige Fixed Evaluation Reports Window 7909 F-C35/ 55x55 F-C80/ 31x87 F-C80 Created by Independent Third Party: 2025.3 IlGlass Block Serie lAluminum w/ 2x8 Glass Block Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025 R2 C CAC aama labels2.Ddf Approved for use.outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II Glass Block Assembiv.Ddf HC80/ 26x82 F-C80 625/825 74x74 F-C35/ 50x50 F- Verified By: American Architectural Manufacturers C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- Association HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Created by Independent Third Party: Alum. 57x57 F-LC50/ Vinyl .57x57 F-LC80 Prestige Fixed Evaluation Reports Window 79x79 F-C35/ 55x55 F-C80/ 31x87 F-C80 Created by Independent Third Party: 2025.4 JlGlass Block Series Vinyl w/ 2x8 Glass Block Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025 R2 C CAC vinyl glass label.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II vinyl cilass.Ddf HC80/.26x82 F-C80 625/825 74x74 F-C35/ 50x50 F- Verified By: American Architectural Manufacturers C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- Association HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Created by Independent Third Party: Alum. S7x57 F-LC50/ Vinyl 57x57 F-LC80 Prestige Fixed Evaluation Reports Window 7909 F-C35/ 55x55 F-C80/ 31x87 F-C80 I Created by Independent Third Party: [Low 2025.5 w Profile Builders Series Vinyl w/ 2x6 2x8 Blocks Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025 R2 C CAC aama labels2.Ddf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II Low Profile builder series.Ddf HC80/ 26x82 F-C80 625/825 74x74 F-C35/ 50x50 F- Verified By: American Architectural Manufacturers http://floridabuilding.org//pr/pr app dtl.aspx?Param=wGEVXOwtDgsUTth8cOKZcOtmOp... 10/5/2009 Florida Building Code Online Page 3 of 3 C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Alum. 57x57 F-LC50/ Vinyl 57x57 F-LC80 Prestige Fixed Window 7909 F-C35/ 55x55 F-C80/ 31x87 F-C80 Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 2025.E 1113restioe Fixed Wi jVinyl w/ 2x6 2x8 Blocks Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL2025 R2 C CAC aama labels2.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: N/A Design Pressure: N/A Installation Instructions Other: 600/800 98x98 F-C30/ 74x74 F-HC40 / 50x50 F- FL2025 R2 II Prestige vinvl.odf HCBO/ 26x82 F-C80 625/825 74x74 F-C35/ 50x50 F- Verified By: American Architectural Manufacturers C80/ 26x82 F-C80 Low Profile Builders Series 77x77 F- Association HC40/ 52x52 F-HC70/ 31x87 F-C80 Glass Block Series Created by Independent Third Party: Alum. 57x57 F-LC50/ Vinyl 57x57 F-LC80 Prestige Fixed Evaluation Reports Window 7909 F-C35/ 55x55 F-C80/ 31x87 F-C80 Created by Independent Third Party: Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Fax (850) 414-8436 © 2000-2005 The State of Florida. All rights reserved. Copyright and Disclaimer APPROVED BY 0orr, INC. ON 12/11 /009 Approval of this document does not authorize or approve any deviation or deviations from the requirements of applicable State Laws. Product Approval Accepts: go 7�1 EChee,.; MW :Bob Appggyt3` < htW://floridabuilding_oria/pr/pr aFp dtl.aspx?Param=wGEVXQwtDgsUTth8cOKZcOtmOp... 10/5/2009 St. Lucie County Wind Speed Lines St. Lucie County Wind Speed Line Description 130 MPH Wind Speed Line: Starting at the intersection of I-95 and county boundary with Indian River County, south on I-95 to intersection with C-25 Canal, then west along the C-25 Canal to the intersection with the Florida Turnpike then south on the Florida Turnpike to the intersection with I-95, then south on I-95 to the county boundary with Martin County. 140 MPH Wind Speed Line: Starting at the intersection of US 1 and county boundary with Indian River County, south on US 1 to the intersection with Prima Vista Boulevard, then west on Prima Vista Boulevard to the intersection with the North Fork of the St. Lucie River, then south and southeasterly on the North Fork of the St. Lucie River to the county boundary with Martin County. Description taken from Ordinance 01-003, Exhibit A, Basic Wind Speed Zones, St. Lucie County. (Ordinance Adopted December 18, 2001; information confirmed by St. Lucie County Building Department 5 2.5 0 5 Mile St. Lucie County Wind Speed Lines St. Lucie County Wind Speed Lines — Major Roads L.,21 St. Lucie River EE County Boundary Rodda n aphic PERMIT #:66-SF-1081231 STATE OF FLORIDA APPLICATION # : AP944375 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: RECEIPT #• DOCUMENT #: PR795164 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Sharon Evinrude (5 Star Homes) - -F-ILE COPY, PROPERTY ADDRESS: 12075A S Indian River Dr Jensen Beach, FL 34957 LOT: BLOCK: SUBDIVISION: PROPERTY ID #; 4504602001110007 ISECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATION3 AND ST 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM ADOAESS NOT RDS F GUSARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT ANY CHANGE IN MATERIAL PERMIT APPLICATION. SUCH MODIFICATIONS MAY O MODIFYTHE RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY, SYSTEM DESIGN AND SPECIFICATIONS T I 900 ] GALLONS / GPD A I ] GALLONS / GPD CAPACITY N I ] GALLONS GREASE INTERCEPTOR CAPACITY CAPACITY K [ IMAXXIMUM CAPACITY SINGLE TANK:1250 GALLONS] 7 GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #pumps [ ] D I 500 ] SQUARE FEET R I SYSTEM SQUARE FEET SYSTEM A TYPE SYSTEM: IX] STANDARD I ] FILLED I CON$IGURATION: [] MOUND I ] [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: NE CORNER CONCRETE MONUMENT ELEV 23.87 NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 50.00][ INCHES FT III ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 20.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D FILL REQUIRED: 1 0.00 1 INCHES EXCAVATION REQUIRED: [ 0.00 ] INCHES 0 TOP OF DRAINFIELD SHALL HAVE NO MORE THAN 18 INCHES FILL T H E R SPECIFICATIONS BY: James C Duncan TITLE: Environmental Specialist II APPROVED BY: d TITLE: Environmental Specialist II St. Luc' ��ucap 1e CHD DATE ISSUED: 12/28/2009 EXPIRATION DATE: 07/07/2011 DH 4016, 10/97 (Previous Editions May Be Used) Page 1 of 3 •1•::31i'1 ?'t •,�"� WE TR" APPLICATION FORt Now System [ ) Repair APPLICANT: "i �- AGENT: MAILING ADDRESS: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL, SYSTEM APPLICATION FOR CONSTRUCTION PERMIT P,EBMIT No .-4 DAT: PAIDt YZE PAID t RECEIPT It --------------- [ ] Existing System [ ] Holding T&nk [ I Abandonment [ ] Tenpora [ ] Innovative �� o a TO BE COMPLETED BY APPLICANT OR APPLICANT BY A PERSON LICENSED PURSUANT 'S AUTHORIZED AQERT, SYSTEMS MUST BE TO 489.105 3 ( )(m) OR 489.552 CONSTRUCTED , FiARIDA STAT[ITEB. PROPERTY i 2 � I-( L fT/L LOT: ( ( 2 BLOC1tt SUBDIVISION:��� `"] PLA3'TED t' 23 PROPERTY ID 1 s :ONINGt I/N OR aQurVALENT: [ Y � ] -PROPERY SIZE: r Q � ACRES WATER BUPPLYt [X ] PRIVATE PUBLIC [ ]<=ZOOOGPD [ ]>ZOOOGPD IS.SEWER AVAILABLE AS PER 381.0063, FS? [ Y /�] DISTANCB TO SEWER: FT PROPERTY ADDRESS: 17J ' DIRECTIONS ROPERTYt , , } M A I i BUILDING INFORMATION [ ] RESIDENTIAL [ ) CCOMCIAL Unit Type of No. of Beg No aEstablishmentBedrooms Commercial/Iastitutional Arrea a SqSgft System Design Table 1, Chapter 64E-6, FAC 77 3 '• ..'S'i 4 1 - t _ -.� €..�..; - ..- NH. Y-.. "-i �••ai f'•.A£ Ki�`� O i.�t''t + ,r � ' i� ✓ �� h �,� 4F�,•... .; x Yj? '.. '1-� 44- �J� � , �, �p-rT�$�� •,: to .:?A'31 ""ii :+.+;•.+ F -. �4 ^•ai r. i :.?.L. �.: :., to q'�.i �: �ry+ a: �' �h"� �•'k+ Y`d i' `iLY.� i � i�v i � -w' v� Ar . ,� OH 4015, 10197�~ a (previOuS iiiOris may -be used) ' Page 1 of 3 ,1 StOCK Number: 5744 001=4015=1' �- _ STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS PEZ, APPLICANT: 1 T - E T;4• Ft AGENT s EjQ; BLOCK: SUBDIVI ION: PROPERTY ID --� r Z [,Section/Township/Range/ A, pii, e1 R .4.(k;, ' or Tax ID Number] MP D , TO BE CO LETE BY ENGINEER, HEALTH PROVIDE REGISTRATION NUMBER UNIT EMPLOYEE OR _ AND SIG OTHER QUALIFIED PERSON. ENGINEER'S MUST NAND SEAL EACH PAGE OF SUBMITTAL. PROPERTY ___________ CO MPrE%111, y _� SIZE CONFORMS ------ _______ ��'�' TO SITE PLAN: [� ygS [ ] NO .NET US - TOTAL ESTIMATED�SEWAGE FLOW: � AUTHORIZED SEWAGE FLOW;'I AREA AVAILABLE' --�� GALLONS PER DAY ACRES UNOBSTRUCTED AREA AVAILABLE; �� GALLONS PER •DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2 [1500 GPD/ACRE OR 2500 GPD/ACREj ] ,,^ SQFT UNOBSTRUCTED AREA REQUIRED: BENCHMARK/REFERENCE POINT LOCATI SQFT ELEVATION OF PROPOSED SYSTEM SITE IS®� `(INCHES O /BELOW THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM ] NC REFERENCE POINT SURFACE WATER. TO THE FOLLOWING FEATURES WELLS: PUBLIC:--"T--�. � DITCHES/SWALES: �. FTBUILDING FOUNDATIONS: LIMITED USE:q .k pT p RIVATb• NOBLY WET? [ ) YES [ NO i�_ FT PROPERTY LINES: FT NON -POTABLE: FT SITE SUBJECT TO FREQUENT FLOODING: FT YEAR FLOOD ELEVATION FOR SITE: [ ] YES [ N FT POTABLE WATER LINES: IOZL PROFILE INFORMATION SITE 1 Muds-_11 /Color Texture Depth ---- to to 1 to to �- to to to MDA SOIL -SMZ , ] O 10 YEAR FLOODING? FT MSL/NGVD SITE ELEVATION: [ ] 7[ES [ ] NO FT MSL/NGVD SOIL PROFILE INFORMATION SITE 2 Nuns ell VColor Texture De th to . to to tc to to to .�t0 —�_ :} 2 USDA-t S08Sto : f �t'i� s• �� iSERVED WATER TABLE: INCHE "[ABOVE / BELOW) EXISTING GRADE. TYPE: [PERCHED / APPARENT] TrNATED WET SEASON WATER TABLE—EE4VATION: INCHES GH WA [ ABOVE / BELOW ) EXISTING GRADE. WATER TABLE VEGETATION: j '] YES ' {" ] No [ ] YES ( ] NO DEPTH: INCHES IL TEXTURE/LOADING RATE' YSTEM'$ NG;. AINFIELD CONFIGURATION:; $, r' DEPTH OF EXCAVATION: INCHES [ s N BED. [ j OTHER (SPECIFY) HARKS/ADDITIONAL CR�ITEiIIA: ZA 'E EVALUATED 1015, 1.0196. — r (Replaces MRS•H.Form 40:15 (Pape 3) which mey be used) :k Number. 37+14�D3-4015-ir DATE: - II r Y %� Page 3 of '3 a STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION # ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT # 56-SF-1081231 SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE804198 I APPLICANT: Sharon Evinrude (5 Star Homes) CONTRACTOR / AGENT: Stephen J Brown Inc LOT: BLOCK: SUBDIVISION: ID#:4504602001110007 TO HE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. N EN3INEER3 MUST PROVIDE $ECiISTRnTION h^DER AM'? SIGAND SEAL EACH PAC47. ns� o.,n..��.-_ --------- PROPERTY SIZE CONFORMS TO SITE PLAN: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: TOTAL ESTIMATED SEWAGE FLOW; 1.80 ACRES 3� 0� 0 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 AUTHORIZED SEWAGE FLOW: ] 2700.00 GALLONS PER DRY [ 1500 GPD/ACRE OR 2500 GPD/ACRE UNOBSTRUCTED AREA AVAILABLE: 2400.00 SOFT ] UNOBSTRUCTED AREA RE BENCHMARK/REFERENCE POINT LOCATION: NE CORNE ELEVATION OF PROPOSED SYSTEM SITE 5� 00�^[ QUTAED: 750.00 SOFT MONUMENT ELEV 23.87 NGVD / FT ] [I ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: N/A FT DITCHES/3WALES: N/A FT WELLS: PUBLIC: NORMALLY WET: [ ]YES [X]NO N/A FT LIMITED USE: N/A FT PRIVATE: 78 FT NON -POTABLE: 53 FT BUILDING FOUNDATIONS: 10 _ FT PROPERTY LINES: 10 FT POTABLE WATER LINES: N/A FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX ]NO 10 YEAR FLOODING? I ]YES 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: [X]NO) SOIL PROFILE INFORMATION SITE 1 FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:St. Lucie sand USDA SOIL SERIES:St. Lucie sand Munsell #/Color Texture Depth Munsell #/Color 10YR 5/1 Texture Depth Fine Sand 0 To 12 10YR 411 10YR 7/1 Fine Sand Fine Sand 0 To 12 12 To 72 10YR 7/1 Fine Sand 12 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: [ PER / APPARENT ] 72 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: I ]YES IX ]NO MOTTLING: [ ]YES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: IX]NO DEPTH: _ INCHES Fine Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: I ] TRENCH [X ] BED ��, INCHES REMARKS/ADDITIONAL CRITERIA I ] OTHEA (SPECIFY) SITE EVALUATED BY: Du an (Title: Environmental Specialist II) (St Lucie County Environmental He DR 4015, 09/2006 (Previous Editions M!YV Be Used) DATE: 12/18/2009 Page 3 of 4 v •1.4.?. M , PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY, .[::• OR ABANDON A WELL St. Lucie County Health Department This form must be completed by the Environmental Health -Water Programs certified well contractor for approval 5150 NW Milner Drive Port St. Lucie, FL 34583 prior to well construction. It or 2 3. ,. Address Well Permit M .7 OSTDS Permit #• - /' / Fee Amount: Date Paid: CUP/WUP #: State 7 Mla:x Owner Phone No. --.............................................................................................................................................. $• PROPOSED WELL:•••• •New ❑ Replacement El Abandonment••. ❑ Repair ❑ Other., ............................... .................. ............................................................................ 6• WELL TYPE: L_'JSingle Family Drinking ❑Single Family Irrigation ❑ DOH Public Drinking (-Duplex/ 415 Service Connections/Serves less than 25 people/ or Business does not consume water) - WUP Required ❑ DEP Public Drinking (> 15 Service Connections or Serves 25 people or more) - WUP Required ❑ Commercial Irrigation•: WUP Required ❑ Monitor-q ..... ............................................. ty ❑ Other (Explain): ...................................................... 7. SITE IS ON: SEWER '❑SEPTIC PROPOSED DISTANCE r-TOYCLOSEST SEPTIC OR PUBLIC SEWER LINE: 771 41 8• CUPMUP: Is a Water Use Permit (WUP) required? ❑ YES L=t NO (if YES WUP must be attached) 9. CONSTRUCTION METHOD: t � Otary ❑Cable Tool ❑Other (Explain): 10. GROUTING METHOD: I _4!een'onite ❑ Cement ❑ Other (Explain): 11 • WELL CONSTRUCTION. PVC ❑Bik-Steel ❑Galvanized ❑ (Ex plain): Other plain): 12. CASING DIAMETER (SIZE): Y" 13. ESTIMATED: TOTAL DEPTH a SCREEN INTE PERMIT CONDITiONS•.T ...................................................................................C 14 ... ♦ t2ontact St._LUcle County Heaith n....m.*...es rcr runi. ...- -- . ... -. �•v tdF A�- N , permit number, and estimated time drilling or abandonment will begin,(PEI 1— c ,rta .rrrh' water wells). If construction does not occur and SLCHD Is not notified and an SLC f�j(1$j fee will be assessed. ♦ t]etalled Site Plan must be attached and show the proposed well location and distan`t`,,��gfS neighboring septic systems and/or sewer lines or sewer systems, and all other applicafil��9S ♦ This ne►mtt mud hn ...............................................................................� 15. WELL CONTRACTOR PERMIT AGREEMENT: I herby car ilfy that I will comply with the applicable rotes of Title 40. Florida Administrative Code, and that a water use permit or artificial recharge permit. If needed, will be obtained prior to commencement of well constnxUon. I also certify that all setbacks referenced in Rule 40E-3, Florida Administrative Code (FAC), 64E-8, FAC, and 62-M FAC, will be maintained. If above setbacks cannot be maintained a variance application will be applied for and obtained prior to drilling. i further certify that all information provided on this application Is accurate and that I will obtain necessary approval from other federal, state, or local governments. Well completion re must be submilted to the District and the delegated agency within 30 a�r dolling ova PapfifjOpIration, whichever occurs first. Signature of Well Contractor License No. •••••••••••••••••••••••••••.•.........DO NOT WRITE BELOW THIS LINE -FOR THIS PERMIT 1S NOT YALID UNTIL PROPERLY SIGNED BY AUTHORIZED OFFICER OR RI iI% l TO ................ provid.A Code. TOWNE�it1�GENT•PERMIT AGGREEMENT: • I certify that I am the owner of the property, that the Inlhrmation provided is accurate, and that I am aware of my responsibilities under Chapter 373, Florida Statutes, to maintain or properly abandon this wall; or, I clarify Mat I am the agent for the owner, that the Information r provided Is accurate, and that I have Informed the owner of his responsibilities as stated above. Owner consents to personnel of the D or a represeMaUve access to the well site. ' n -3 Owners Agents Signature Date USEONLY ............................................ fE OFTHE ST. LUCIE COUNTY HEALTH DEPARTMENT. Permit Approved By:( Issue Date: Distance to closest septic system or sewer line: Well Construction Method: _ — — — — — — — • — u — M atrod — Gut Materiall: Inspectors Comments: Approved By: Date: SLCHD Rev 7/73/07 SIGNATURE SUPERVISOR REVIEW. a- >!.. ; ar »•�r r� I sra ear Iwa r� ra,/s' -- I 11 i 1K I SM FM m aonie r s+Ar da 4Ar nr� �� 1� .�.. �} is cet u■ O-----------, i \ 1 !r ■ st C1. — � ; I ��� �---� -- ► mot ■r S� \ �.� low 4+Orr x n a /�� nxa si io $ llxcs I'-` —�14 � S 0' pit ca 219 1r Rim 9E / T "O• `V is �l \ Xb� e�el.a'a I DINING Q 1 s ° ® ad PRIM PNKR@ Z COMBINED munreaE neor= DC a ® 1 1 1 it 4"@e nr I I ; ii Po. �� r■ a'Wi� I I, 1 � Isalr or I�I 11 Sn'. 1ti>QR'w 2 / LIMNS RDOM in IT it-0i/r ar-o 1/r s,� ��`/ ��' a-2 a/e rao;AP ya 1/r s1' K r _..__ ---.._..... __ ..._......-....__.........._....._....__.-....-... -- ._._....... _ _..... -._. . 11-7 ig 41 , tt-1,/r s 7Ir 4, LI4M1T quirt �, :�-rtJ as rTJ Y4 Mi. 4 472H.32 74.15 UM 37.4) rA" 9�f_ 21a4 443 1O83 2234 ►AN 14• 24.4 7.4 173/ TAM - MOOR PLAN .�y. z •. ®�® U. an 14- RCTUM AIM OROp C"pj ® ri- ULGT WIM LOOATIOM 1TTr, ATR NAMOLe1 LOCATION 1TTN - - - NlAx*A1 O GHCM-AL1. OONOMA,Tom oft TApl! 1!-P sa ;toI ta 1/r�I iaIW M nR♦,%-. ue! sr. R` n 1 2'msolet s"■' j /erxol 11 ©sz ofolove V p��xn1�• ' � f r-r nw IIB it ne 1 tk e. I snlmlr� / BEDROO >Q!1 / ss�oa LIGHT LO17 .'� -sIARSJ as �J �• .» alas 74.10 law 5743 rAM ;sda- lid XtA. 145 $0.82 32" PASS ' r 14A ' l... 7.4 1224 ►AR& -- Rd < 31ALS ® MM a% s .r Q \ 1 ICI ! ttW IRI� BEDROOM Mg / -* 4T �' W-r s-r 414' 4 4' `IP�V`.• ROM 7LAN fJ�-`" ®p0 _ n• all i.• RETYRM AMR DMW "J ® 1a. Ov07 .... LOCATIOM "J AIR MANGLER LOCATION MP.) Z===C= •lA.17ALL O SMARWALL DERIa.ATM We TAdL01 4 4r-4W 1 u-r ., 6K 1 1 ara M� \ 1 PNO / \ cuf jr 1 5rRlrxs ; DINING N. Q11L it \_J"'\ f110EIIB slur FOP. � ti St !m!r \ LIVING ROOM S DOIR 6 �IA7� _V/ 45--2 sp ONIfiN WEAII vAL11L ONION WEAR VAL110: m�aa ni 1 oremAe.INR 7oMu, 5 welTrlaAlllMo �ale0 Rr ro..fu LN D. DEfION OIRAfavu aE: ONIGR WEAR VALUE, 17 �.. . Florida Building Code Online \� v v ` v , Page 1 of 2 BCIS Home I Log In I User Registration a Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff .I BCIS Site Map Unks Search O` Product Approval • sona USER: Public User Product Approval Menu > Product or Aooltcation Search > Aooilcation List > Application Detail FL # FL12509 Application Type New Code Version 2007 Application Status Approved Comments • Archived O FI'LE COBV Product Manufacturer JELD-WEN Address/Phone/Email 3737 Lakeport Blvd Klamath Falls, OR 97601 (800)535-3936 fbc@jeld-wen.com Authorized Signature Janet Gerard fbc@jeld-wen.com Technical Representative Steve Saffell Address/Phone/Emall 3737 Lakeport Blvd Klamath Fails, OR 97601 (541)882-3451 Ext2900 stevesa@jeld-wen.com Quality Assurance Representative Address/Phone/Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification. Mark or Listing Certification Agency National Accreditation & Management Institute, Validated By National Accreditation & Management Institute, Referenced Standard and Year (of Standard) Standard ASTM-E330 ASTM-E331 TAS-202 Equivalence of Product Standards Certified By Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Method 1 Option A 04/29/2009 04/30/2009 05/06/2009 06/09/2009 Year 2002 2000 1994 Summary of Products FL # 11IModel, Number or Name IlDescriDtion 12509.1 Gladiator/Finishleld 12'-0" x 6'-8", Glazed, Steel, Wood Edge, Inswing Door System with and without Sidelites Limits of Use Certification Agency Certificate Approved for use In HVHZ: Yes FL12509 RO C CAC NI009861-RI.PDF Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 10/31/2012 Design Pressure: +45/-45 Installation Instructions Other: Product Can Be Installed In The X, OX/XO, OXO, FL12509 RO II JW192008.PDF XX, OXX/XXO, and OXXO Configurations Per Installation Verified By: National Accreditation & Management Instructions Institute, Created by Independent Third Party: Evaluation Reports FL12509 RO AE Glad Fin, Rot 656. Inswing Anchor D 11 Created by Independent Third Party: Yes http://www.floridabuilding.org/pr/pr app_dtl.aspx?paraTn=wGEVXQwtDgvG4Aty8UaHdN... 3/2/2010 Florida Building Code Online :t Page 2 of 2 12509.2 Gladiator/Finishield 12'-0" x 6'-8", Glazed, Steel, Wood Edge, Inswing Door System with and without Sldelites Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FL12509 RO C CAC NI009861-R1.PDF Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 10/31/2012 Design Pressure: +55/-55 Installation Instructions Other: Product Can Be Installed In The X, OX/XO, OXO, FL12509 RO II JW192008.PDF XX, OXX/XXO, and OXXO Configurations Per Installation Verified By: National Accreditation & Management = Instructions; and Must Be Installed With Surface Bolts. Institute, Created by Independent Third Party: Evaluation Reports RO AE Glad Fin Rot 656 Inswing Anchor W by Independent Third Party: Yes 12509.3 Gladiator/Finishleld 12'-0" x 6'-8", Glazed, Steel, Wood Edge, Outswing Door System with and without Sldelites Limits of Use Certification Agency Certificate Approved for use In HVHZ: Yes FU2509 RO C CAC NI009861-Ri PDF Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 10/31/2012 Design Pressure: +45/-45 Installation Instructions Other: Product Can Be Installed In The X, OX/XO, OXO, FL12509 RO II 1W122008.PDF XX, OXX/XXO, and OXXO Configurations Per Installation Verified By:. National Accreditation & Management Instructions Institute, Created by Independent Third Party: Evaluation Reports FL12509 RO AE Glad Fin Rot 657 Outcwinci Anchor Ev I PDF Created by Independent Third Party: Yes 12509.4 Gladiator/Finishield 12'-0" x 6'-8", Glazed, Steel, Wood Edge, Outswing Door System with and without Sldelites Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FL12509 RO C CAC NI009861-Ri PDF Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 10/31/2012 Design Pressure: +55/-55 Installation Instructions Other: Product Can Be Installed In The X, OX/XO, OXO, FL12509 RO II JWi »nna PDF XX, OXX/XXO, and OXXO Configurations Per Installation Verified By: National Accreditation & Management Instructions; and Must Be Installed With Surface Bolts. Institute, Created by Independent Third Party: Evaluation Reports FL12509 RO AE Glad Fin Rot 657 Outswing Anchor v I DF Created by Independent Third Pa : Yes Back Next Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Fax (850) 414-8436 m 2000-2010 The State of Florida. All rights reserved. Product Approval Accepts: ® M he`cli valsNp Heur�C rung. http://www.floridabuilding.org/pr/pr_app dtl.aspx?param=wGEVXQwtDgvG4Aty8UaHdN... 3/2/2010