HomeMy WebLinkAbout17-18504 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18504
w ' BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18504 Address: 5740 DOGWOOD ST
Permit Type: ADDITION/ALTERATION - ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0260-02000-1151
Improv. Cost: 8,372.00 OWNER INFORMATION
Date Issued: 5/25/2017 Name: DITTMAN KENNETH
Total Fees: 120.00 Address: 5740 DOGWOOD ST
Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/25/2017 Phone: 352-232-1601
Work Desc: REPLACE 6 WINDOWS S/S
CONTRACTOR S APPLICATION FEES
MORGAN EXTERIORS INC BUILDING FEE 120.00
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Ins ections R red.
FO ER 2ND RO GH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRAC � SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
- 813-780-0020 City'of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �� �� Phone CoMactfor Permitting � / , / b J '
• Owner's Name DITTMAN KENNETH R Owner Phone Number �3 ��� a 1
Owner's Address 5740 DOGWOOD ST ZEPHYRHILL$FL 33542 Owner Phone Number
Fee Simpie Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 5740DOGWOODST ZEPHYRHILLSFL33542 LOT# ��5&116
SUBDNISION COLONY HEIGHTS UNREC PLAT POR pqRCEL ID# 12-26-21-0260-02000-1151
(OBTAINED FROM PROPERTY TA7(NOTICE)
WORK PROPOSED e NEW CONSiR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q CAMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK REPLACEMENT OF 6 WINDOWS SIZE FOR SIZE NON IMPACT
BUILDING SIZE SQ FOOTAGE� HEIGHT �
�BUILDING $ 8372 0o VALUATION OF TOTAL CANSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ������
QGAS, Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS ROOD ZONE AREA QYES NO
�/1 il)��1 C
BUILDER � c MPANY MORGAN EXTERIORS INC
SIGNATURE REGI5TERED N FEECURRE� Y N
Address � � � � License# CRC057210
ELECTRICIAN COfV1PANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
\
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEECURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISfERED Y/ N FEECURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEECURRE� Y/N
Address License#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facildies&1 dumpster,Sde Work Pertnit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans wl Silt Fence ins[alled,
Sanitary Facilities&1 dumpster.Site Work Permd for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
••"PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&CoMractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500}
" Agent(forthe contractor)or Power of Attomey(for the owner)�nould be someone with notarized letter from ownerauthoriang same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) I
Driveways-Not over Counter if on public roadways..needs ROW
Pt0'i'iGE OF DEED RESTRiCTiONB:.The undersigned understands�=#h�t;this:p�rrn�t may,b,e,;subject to.'deed'restcictton's',,,,,�i� :-
whlah may-be�=more:.re'sttlictlVe�Uiait'Goui�.Ey"YegdlalCoiis:"fhe`uriders1gned as`"sumes°respon"'sitillity-tor compllance vuittS'any ` " '-`
; ' appftcabte dead�resMcttons. - , :. ,. .., .. • _�-�.� •
UN�.ICENBED GONTRAC"[ORS;-AND Ct►N3RllC'Ff}R•RE�PONSIBtLt�'i�8: �If tiie awner`has'hfred e cdntractor or
contractors to,undartake work;�they mey:be�,cequired_to.tie;�lcensed in accardanc�..with state.and:�lqcal regulatl,ons: •If the°�� �~
contractot Is not�ltceRsed a`s'requti'ed`by leuv,bothi#tie owner arid=coht[acto'r°may be�clted�fcr•e�mt'sdemeanar vEotatlon
under state taw. 4f the owner nr intend�dt,�,ri�ractor.;are,.wt�c:ertein ss to.what itcensing.reguiresnents�;may<sppty�.for-=ttie� -
tntended warli,they are,ail`viseil-to c6ntact the:Pasco�Counly BuildinA Inspe!ctlon Dhitsion--L.icenst'ng SecUon et 727-847-
8009. Furthermore, !f the owneF tias hlred'a conti actor or contriactors, he Is aduised ta have Ih� vontractor(s)sign .�
partlons af the.`c�ntraafar,8tock'of Ehts_apptt��on�for.which�they.vvilC.be:responslble:--�{.pDtt;•�8;,tF18 09Vit8F'stgii'as�ttie . .
contractor,thet may be�an IndlcaUon that`lia ls not.properly Ilcensed'and�ls'not'en8tfed to permitdng�priuileges In Pasco .
County. ; � _ . _ , � :.•Y-:.,, .. � ., ,
'fRA►NSPOR7'AttCtN IMPAGTM'1l:1'�ES'IMRdGxANb REBE}llRCE itECOVERY�EE3;TJte unders(gned"understands
thatTranspartedon Impack Fees:and.Recourse.Recove.ry_�ees may°Gepp{y�to�t�e;conatrucBon:of new.buiidings,�change'of.'>' `� �
use In exis8ng buildinge,or,ezpansiurr�of�ei�letiri,g��iuildines,as apecHied:in Paecq County Ordinance number 89-07 and,
s0-07.as amended.,.,�he unde�signed atsa;und�ts#ands,#h��=such fees;,as tnay�fie=dt�et;:Hti1F;-6e idenf3�ad at f#ta�time`'of�k ;', ,
permifling. It;ls iiirtfier understaod that Trainsportaklon Impadt'Feea and'Resouroe.Recoy�ii3i�"Fees.muat be pald prlor to
receWing�a'certlflcate.of-occupa�Cy"�or flnt�I�powe,r.;Eelease:�`:t�the proJect;does�.-not involve;a�ceRiflcafa af occupancy�o���=��`��""
flnet pau!er.re,(ease;:!!xe-fees must;be pal�`,p`tor-to,Permit(ssusrice. _Ftit�het�noie:�-Pescu:CouMy°WaterlSewer�ltnpact ; •
:��•
fees are due,_they;must be.patd-prlor to p,ermit.is�yancaln,aixoriiance r�vlth�ppllceble Pasco�-Countji"ordlnances. •
CON3TRUCTION'GIEN'LAYV(Cfie'p"ter 713,Flortila Stetutes,as amended): If valua8on of work is$2,800:OO�.or more,l� ;
certiiy that.l,�#he:appilc�nt,.hsxe beem:Arovi¢ed:with a=copy`oC•the='F.lortiia-Conss#iu�t3on'.l:leri l�w--Hameownes's
Protection Gutde'prepared by+itie Floiida DeparfinenC.of Agrtculiure and ConsumerxRffairs. If the appllcant is someone :, ,�,:•- :;
other tha�the,`owne�',I certKj►,..that I�have,dplaineidfa�copy;oGthe:abQve.desccrlbeddocum�nt-and.p,romise.tn,goqd:failh.to. ,
de}(ver tt to.the`ownei�`'pi�la�°to�coiiir'rsers'ceti�eri�:' . � � . ' . . _
CON3RACTOR'S/OVYNER'S J4P�IDAVIT:.i.ce.ititty,.ttiat;stl�the�infarmaflon;lfl thla appllcetlon ls accurate.and thet all work
wlll'be done In campllance wlth.all.appllcable lawe regulatlng conetrucfton,zaning and>land'tlevelopment. Appllcatlon Is
hereby made�,to obtetn=.a.permitlto�do,,.wotk�and;lhstallation as indt�fec�>� :1 t�rti�y that rso work=cr tnstaltat{on Fias
cammenced�ito�ia i`s"suance of a`�perrtjlF'and that:alt�work wlll be pertormed�to meet stand�ds-of atl iaws reguladng-
canshucUon, County and Clly codes, zoning regulaUnna, and land development cegulatlons�ln the'Jurlsdlcilon. ( al'sb.
, cettify thet 1 nnderstand that the regulatlons of ather govemment agencies maY��PA�Y�ta ttie.lMended vtrcrk,and that It Is
my respon�IbiHty to idenEity.what.actions i muat�teke#o be,in;cotr�pltanca.;Such,agencies-Ipclude bwt are.not Itmtted to: �
�,�....
- Department of Envlronmental='F'�rritecttbn=t,ypree�'Bayh�eadg;�IIVeUend Areas.and Envlronmentally Sensltfve
lends,WaterMfeatewater Treahnent.
- Southwest Florida Water Management:Dtetrict VVelis; Cypress`�Beyheads; WeNand Arees, Altering
Watercourses. •
- Army Gorps of Engtneeis-Seawalls,Docks,Navlgable Waternays.
- Department of,Neaith'&.RehabilitaHv,e�Sej+iices�Envlronmen#at�Nealkh Ufiit:Weils; Wasfev�a�tee3reatment,
SepUc7anks:`:" ' . .
- US Envlroi►mentef Proteo#!an Ag�ncy-As6estos abatement_.
F�deral Av1at(on�Auihorily�R�t3weyac
I underatand tliat the.followln,g.�estrlotlons apply to the use of flll:•
- Use of flll Ia nb!allowed In;Fload�Zone'V"unless expreasly permltted.
- If�fhe�EI mafeila4 ls tb`be usea��l�.:�tood Zane_`A', tt ts utsders#oad that a dratnage plan addressing a
"compensating volume"wlll be submltted at tlme of;pe�rnlEting wfilch le prepared by a professlonal engfneer
Ilcensed by the.State crf F1oHda: " � � - .
- If ih�flq materlat=ts'to ba used tn Ftood Zona'A"Ins cannecction viflth:a pemritted bailding using stem wal!
' c�nstruct[on,I cert(fy.that flll:vu111=be used only.to}III the area wlthln�the�stem wall.
- I(flll material Is�to be usetl�Im.eny ef�ea; I`cei�tify thak.usa of�such f111 wlll rlot advefsely affect�adJacent
praper!lets. 1#ttse of filt,is fonnsf.M adv,ers�ly,ePfecE ad�aceiat'prtlpertlas,,the awner may be clted f�r.vtbCattng.
the condHtons:,of t�e,bi�llding;permlt lssued�under thei altaohed,�ermlt applfcaGon,for..lots.less;lhan.one(1)
ac�e whlcfi'ere ele"vated�tiy flll;�n�nglneered dralnag�plan Is requlred.
It t am the AGENT FOR THE_OYYI+lER�.I�iroin[se!n_good fatth to iMama fhe aw�ter of:the qermlft[ng condittons set forth In
this efildavtR prtor to commericfig aonstriictton. 'I"urideFstand thetersepareke permlt may be requlred for electrical work,
plumbing,.slgns,wells,poals,,aIr.condldoning,.ga;s,:ar:othe�InstallAdo'na nok spec�lcal(y(ncluded�In.the applfcaHon. .A ,
petmit tssusd$hall be caiisbued to:be�a'Itcense-to pioceed wtth'ttie;uvoik and no#�as-authorlty.#o vlotate;�ncel,alter,or
set aslde any provlstons of the.tedinlcat code�;nor shatl tseuance�of a.permit.ptevent the 8ulldtrig C1HIdal trom thereafter
requl�Ing a corr'ecUon af�rro�s In;plans;con�huctlon or_vlolaUons ofi any c�des. �very.perrtmft=lssueil sl9all fiecoma�lnvalld
untess the work siathorized by sucti permlt:9s.coFnmenced wtthfn sGc ntonths of petmlt Essuance,ar tf wark authorized by
the pemrit is suspended or,.,abandoned-for a.pertod,of.�sHr(8)�inontfis eiter.the 8rrie lhe�work is commenced. An extenstan
may be requested,_In wrlUng;_fram-the;Bullding.OfflcleFfor a peNod:not to exceed"nliiety(�)�days a�d wtll demonstrate
Justtfiable cause tor:the extenslon: tf wortc ceases.tor nloet}r.(94}cons.ecutive daycs,.th l�ob�ts cat�sldeted abancloned.
WARMING 1'OiOWNER: Y'OUR,FAILURE�TO,F�ECORQ�A;MGTIGE:OF,�COMM6MCEME�=MAY RESt�I:T IN�YOUR
PAYING 7WIC�FOR:IMPRQI�EMEPI,�S�'��l;a(OU[t�<PFtQ�!'�RTY: .IF XO.iJ�lI�I�Ek�1D:TQ'b8�'Ail�I��Fit�lEINNG��C��+I�ULT
W�'.�i YO�,IR CENDEft OR AFF�'ROR(dEY'��FO_F�.C��ORf31N��,9UR' ��fit�,VlaEFur�F�tr. ,
FLORIDAJUFtA'f-(F.S�t1T.03). , _ T •. . � . , _,.,. , ..
I . . .J
OWNHRORA/3FDfT COtfTRAGTp ��_ �„1
Subaatbed and axrom td(or afifrmed}betore me thEa Sahe�alb e►u1' Y ot"s ���te me'iMb
by i / �b _.,: t��n�r.�fi/��S@/V ...�
Who Islare persamelly knawn to.me.w haaRa�ve prqd4red ��e/a ona J��v.S�ar tYasRtave produced •
' i aa tdenUrtcatloa.' tG�� �l as tdenf]ficaUon.
i
i Plofary Pnbtfc �I��'„+s�r�'.5��,��isL_.�' 7 Notasy PubIIc
Commisalon No:^ � Commisalop.No. Q
; " - -- f�,� �
Name oi Notaty iyp ,pHnted m stamped Rtame otq �i�rppd p o m e
� K�Y � ���A'�LAINE RUFFEU.
��,!
:24••.....
� _.; .:Commission#GCs 045343
; :;;, •�s Expires November 7,202�
_ j "''%�°;;4°�'� 9ondnd 7hru Troy'F�in Insw�nee EOp.385�7019
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� � - � i iiiiii iiiii iiiiiiiiii iiiii iiiii iiiii iiiii iiiiiiiiiiiiii iiii
20'I 7047381
Pertni[NO. PStCCI ID NO I�—`�\`Q � ��C v ��`�^� ���!
NOTICE OF COMMENCEMENT ���
5��8� �U✓�iG GZ.- �,�,d
THE UNDERSIGNED herehy give�notice that inprovement will be made to certein realproperty end in accordance with pter 13,Florida Statu
the followin9 in(ortnation is provided in this Notice of Commen u� 1� C.0 � //��,��' ' �
1. Desmptinn u}Pluperty:Pa ' No.
StreetAddress: �
2. General Desaiptian of Impmvement
W I � O
3. OwnerJn�nnati� ee m�atinn if the Lessee conVa for ' provement:
1/n.n
r�r i
Name
Address City State
Interest in Property: RC t: 185107$ ReC: 10.00
Name ot Fee Simple Trtleholder D S: 0.0 0 I T: 0.0 0
(Ifditterent o�,eri�ceaaeo,re� 03/31/2017 eRecording
.
a.aaress � � sce�a
4. Conlractor.
i
Address City State
Convactors Telephona No.:
5. Surety:
Neme
address Ciry Stete
Amount of Bond:S Telephane Na.:
s. ��� PAULA S.O'NEIL,Ph.D PASCO CLERI(8 COMPTROLLER
Name 3 31 2017 0$:06 PM 1 of 1
Address ciry state G ���
Lendefs Telephone No.
7 Persons wimin the State of Florida tlesignat�er upon whom nauces ar other doaunents may be served as proNtled by
Section 773.13('lxa)(7),Florida Siatutes:
Name
Address City State
Telephone Number of Designated Person:
8. In eddition to himaelf,the awner designetes ot_
lo ive a copy ot Ihe Liemrs Notke as provi�d in Sectio�713.13(t)(b),Florida Statutes.
Telephone Number of Person or Fstiry�esignated by Owner.
9. ExpiraEon date of Notice ot Commencement(the expiralion date may not be betore the compl ' wction and fine�payment to the ;�
contractor,but will bc une year from Ihe data of�ecord'mg uniess a difterent date is specKed):
WARNINO TO OWNER ANY PAYMENTS MADE BY THE OWNER AFfER THE F�fPIRATION THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1. SECTI�N 713.13, FIORIDA STATl1TES. AND CAN
RESULT IN YOUR PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR N0710E OF COMMENCEMENT
Under penalty of perjury,I dedare that 1 have read the toregai�notice of comm cament arn1 H�at ihe ta sfeted tAerein are W e to the best
of my knowtedge and belief.
STATE OF FLORIDA ,� / �
COUNTY OF PASCO
Signature of Owner or Lessee,or O�mers ar Lessee's AUlwrized
OR�cedDirec3orlParm er
�y^ Si s TttlelOffce '
The faegotng instnunent was acMnowledged bef ie me Vu!'�.J day of Q• .2p /.by • 1 1
'T
as (typa M 'ty,e.g,o�cer,trustee,attomey in fad)tor
(n�ne of party IreW twas executetl).
Persorelty Knoxn�Qg Produred tification Nolary Signature
Type ot Identification PtoducedF��c��ur�Pr�• Name(Ptint)
,��l����G��' Susart Moseley
_* _ CommissEon#GG072718
—,�,� '�='Expire5: Feb. 13, 2021
' Bonded thru Aaron Notary
'�._�F�,,,,o`'
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- 15915 N. Fiorida Ave. � , , � , ,
' o r � a n �-utz, Fl.33549
- (813)93i-NOME(4663}
Fax: (813)963-0950 ��E-�
Ext+er=ars, I�.C. t7�7�saz-s3oa ���^�� �r�=t a ��o
ENERGY SAVlNG WINDC?WS ClRDER FORM I SALES AGREEMENT ��ndow Color
Svlr. �`�''j� /`' l tl'7iGI"G- Email Address /tiC%'r�G//7�'��`/�� l{f� ' L°��� t. EXt.
Mrs. 'rQG�r'�C-�� !/l4 ��GL�I �ate � .�� f7�' Whit�/1tVhite
Address �7�� �,r, ����� � Hame(Phone} �''„)�� 2�� f�jQ� C3TanITan
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c�n� ,,� `f/ stat� �=L„ zi " � t � �`�� �.�✓ �'l� �� (�White/Bronze
�� j"` j �' p,�'S�y,� Other Phone
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Double Pane�Clear Glass�Ho!!ow firame•Screwed Camers Fortress Giass
5 Year Warranly Low E Argon Gas•20 SHGC+- •Reinforced Frame•Welded Frame
i.ifetime Cauarantee•Free t`atass Repair Free Screen Repair�Free Re•Cautking
• • � . y � �
Double Pane�Low E Glass•.25 SHGC+-�Hollow Frame Fortress Glass•impact Giass•�ow Argon Gas
Walded Gomers•15 Yea�Warranty. 18 SHGC+-•Reinforced Frame•Welded�rame
Lifetime Guarantee•Free Glass Repair�Free Sc een ReQair�Free Re•Caulking
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!s�'�l.�P�c� �� �r?.i� f2
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� 'i.F3rst of al1.. No verba!agreements are recagnized.Everything must be in writing on the confract. AtltflitilS�1'8�10ti F@2 �29�1U
P(ease make sure everything is written on your order.ff samething is not on yaur wark order,plsase
tNT do not request it from our stafi.They are not allowed ta give anything not on the contract.
2.Pesmits..We puil perrrrifs on ai(jobs where tirey are required.Ypur permit cost is addition to your � ��g�
contract price.!t wouid be unfair for us to add a standard permit charge io aI!contracts,since prices Tota1 Price $ t
INT vary greatiy irom city to city and some cities do not requira permits. It is impossible for your
representative to determine your perrnii cost. (usaaaYiy �e�vve�n $�9 tDlD �a�d ��Q��.We only �Deposit $ ���
charge Nrhai the city charges us, t�ot a penny mare. Certain cifies require finai inspectians. It is
yOUC feSponsibility to be home for your scheduled inspectian. 'f "
3.Installation start time is approximately 6 ta 12 weeks after approval.Sales reps are not allowed to Balance Due Upon
change these times.You may not hear from us for a period of time whiie we are waiting for your COJT1�31�ti0[t $
iNT. materials fo arrive. Don't worry!!We will ca!!as soan as possible to schedule your job. {fi yo�t are
using our financing,the clock doesn't start ticking until your loan is appraved.If your instaliation time Amount / ���
extends past the estimated time on your contract,we wi({credit yaur account�50.00 per week for Finaneed $ f�
�every week that vre fall behind. .
� �_LEAD SAFE PAfNT PRACTICES Il�ve hereb�,�e.cU^ob�''�d�� �ecpiot,�� �c^e.Jl""= ��T -` CrediUDebit Card Information:
�'-- �� Type: Zip COde
_ �,�• :,c- 'c� �.�,,�� �r:,;c ca� ,..,�
� �:.,�;��'�,�s-�,�s o�tn�i_:�.eni�:,s ri��c n��aad'rt�zatc c,.past.;2�r�,�r �c�,��t;•���ctivit}t��bE p�r.-a;mac Number: - - _ ..V_--- -
-- in my/ourhame.'iiwe�received thi�pamphlet betore the work began. - � CVC# � Exp.:
This is a hame solic(tation sale,and!f you do not want the goods or services,you rt�ay cance!this agreemeni by providing written notice to the seiler in
person,by telegram or by mail.This nottce must Indicate that you do not want the goods ar services and must be delivered or postmarked before midnight
of the third business day afier yau sign this agreement. If you cancel this agresment,the Setter may keep all or part of any cash down payment,nat to
exceed the lesser of f 4°!0 of the cash pr3oe or S250.OQ. ��7r�
Executed in Tri licate,on�copy of which uvas delivered to and receipt is hsreby acknowledged by Buyer,this
day of ��1�""f , .�L���
Approved and Accepted. i
A. Do not sign this home improuement contract in blank.
3. You are entitled to a copy of the contract at the time you sign, Keep it to pratect your ieg rights. �
3y, ���'"��.l� � ' �i�7!-'t_ tX� ./,� ,lj
� aser s; tlere}
3y: -- � t�s3`�%�.,�t,t�,.�' � ���.rc/
(S fesman) � {Purehaser Sigre Here)
ww�v marganex eriorsinc.com���''' � �•�`� ����� State Cern�ed Residential CvntYuctof•• CRC�JS72�(1
C�ir�r..S'
i iiiiii iuii iiiiiiiiii�iii iiiii iii�iiiii iiiiiiiuiiui iiii
2o��a���$�
. Partnit No. Percel ID No I-1-�� '^ 7 �``�C`� ��""" ����
r—p�1 /n NOTICE OF COMMENCEMENT �„ ^�
State or j� !CiLV�/ cow,ty a r�
THE UNDERSIGNED here6y�ves notice that improvement wiil be made to certain 2alproperty and in ecoordance with C ap[er 13,Florida Statu
the fWluwirg intamation is ptovided in this Notice af Comme� t �N,/y�C � � /���/�/�• •
1. Drsaiption ot Pmperty Pa ' No. �{� � / Y/
Street Addres�s: �
2 General Desmption of Impmvement
W I � �
3. Uvner�� ee rmatinn H the LFssee conf�e ed fo� ' provement:
Name
Address City State
InterestinProperry: RC t: 1851d78 ReC: 10.00
Name ot Fee Simple T�tleholder. D S: 0.0 0 I T: 0.0 0
, �ua�r0rentr Ownerlistedabove) p3}31J2017 eRecording
Address O , 'yt, State
4. Contractor. L�
�
Address City Sta[e
Cantractofs Telephone No.:
5. Surery:
Name
Aderess City Stete
Ar�rount oi Band:$ Telephone No.:
s. �ender. PAULA S O'NEIL,Ph.D PASCO CLERIC&COMPTROLLER
Name 3 31 2017 D�:06 PM 1 of 1
Address City State G ��6
Lendefs Telephone No.. li
7 Persons wittmn Ihe State of Florida designat b o er upon whom rtotices w other doaunents may be served as provided by
Section 713.13{7}(a)(7),Florida STaNtes:
Name
Address City State
Telephona Number of Desigroted Person:
8. In flddition to himselt,fhe awner designates _ _ _ of ,
t�rve a copy ot the Liao1's Natice as prwided in Section 713.13(7)(b),Flwida Sfatutes.
Telephone Number of Person or Entity Oesignated by Q�mer.
9. Expiration date of Nolice of Commencement(the e�irafion dale may not be before tlre canpl ' o c Wction and finel paymero to lhe
contrector,but will bc onc year from the dafi of recading unicss a diftetent date is specified):
WARNING TO OWNER: ANY PAYMENTS MI1DE BY THE OWNER AFfER THE EXPIRATION O THE NOTICE OF COMMENCEMENT
ARE CONSiDERED IMPROPER PAYMENTS UNDER CHAPTER 773, PART 1, SECTION 713_13. FLORIDA STATUTES. AND CAN
RESULT IN YOUR PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT �AUST BE
' RECORQED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATfORNEY 9EFORE COMMENCING WORK OR RECORDING YOUR NOl10E OF COMMENCEMENT
Under penalty of perjury,I dedaro that I have read the foregaf�notke of wmm ent arrcl H�a[the fa slated tAerein are W e to the best
of my knowledge and belief.
STATE OF FLORIDA ,/ ` �
COUNTY OF PASCO '� /
Signature of O+nmer or Lessee,or Ovmers or Lessee's A�dborrzed
Officer/Director/P er
Signat s TNe101fice '
The faegoing instnunent uas acknowledged 6ef re me�day of Q� .2p /.by � 1
'T
as (type M e ,e.g,oRcer,tnatee,aGomey in fad)for
(name of paRy )retru t xas executetl).
Persoia�N ICnown�QR ProducJe�d/� tiE�c�atio�n�/� / Notary Signature
� Type of IdentiFication Producedrh��.C�(.JL �/' `� • Nama(Prinq �
y`��V'�u�r= Commiss on#GG072718
'� '�-'Expire5: Feb. 13, 202f
�'��¢����,o��� Bonded thru Aaron Notary
AppEicatianJPeemit#: BufldBng a1,cldress��f 0 ��(�.,� � Ovvns,r. � j`��fj� Go�tractbc:�(�(,� �1!/
(� enin s: 5iidin Glass Doors Ex#ariQr Swi� Daors Overhead Doors Fixed Glass W�ndaws Mullions S li hts
**Pressure ` Product Approyal Praduct Model#or Attachment Approvaf Expiration
*�. � .�. U-Faotor SHGC Manuf�cturer Cate o 9dumberJ Seq#:� Name Meihod Enii Date
�, 35 35 .29 .20 g��pNT4N GPE 5167.1 � oous�E Hu��
*Oniy one entry required fcir Maltiple units o£the same size and Design Pressure �"'����f�
**D-Design Pr�ssure:T=3vla�t.Test Pressure _/������ Page I of_
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ALL�N�RNG CODES MPLY V�f1YH
PREVAIL CODE, .
FLORIDA BUILDING �RDINANCES
NpT10NAZEPHYRHIL gODE,AND
CITY OF
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BCIS Fbme � Log In i User Registration I Hot Topics � Submit Surcharge + Stats&Facts I Pudicadons j FBC Sm(f I'BCIS S�te Map I L'v�ks � Search j
Florida
�a ��' Product Approval
,'��; � s-�-, saa
� � � USER:Public User
Ft+:(4'urC,C(��i�
PCv.A1;3rS_iC1
Product Aooroval Menu>Product or Aoolicadon Search>A Ikatio Lis is' eW�l
J
�
• `� � FL# FL5167-R24
- m-a•+-
Application Type
� Code Version 2014
Applicatlon Status Approved �
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified
' by the POC and/or the Commission if necessary.
Comments
Archived ❑
Product Manufacturer Simonton Windows
Address/Phone/Email 1 Cochrane Ave
Pennsboro,V✓V 26415
(614) 532-3596
luanne.harris@simonton.com
Authorized Signature Luanne Harris
lua nne.harris@simonton.com
Technical Representative Luanne Harris
Address/Phone/Email 3948 Townsfair Way
Suite 200
Columbus,OH 43219
(614) 532-3596
lua nne.harris@simonton.com
Quality Assurance Representative AAMA
Address/Phone/Email 1827 Walden Office Square
Suite 550
Schaumburg,IL 60173
(847)303-5664
webm aster@ aama net.org
Category Windows
Subcategory Double Hung
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Association
Referenced Standard and Year(of Standard) Standard Year
AAMA 450 2006
AAMA 450 2010
AAMA/WDMA/CSA 101/I.S.2 A440 2005
AAMA/WDMA/CSA 101/I.S.2 A440 2008
1 of 7 5/12/17, 11•51 AM
FlondaBui g Code Onlme http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQ
. Equivalence of Product Standards
' Certified By Florida Licensed Professional EngineerorArchitect
FL5167 R24 Equiv SimEx-PVC-Equivalencv.pdf
Product Approval Method Method 1 Option A
Date Submitted 04/06/2017
Date Validated 04/18/2017
Date Pending FBC Approval
Date Approved 04/20/2017
Summary of Products �
Model,Number or Name Description
5167.1 07-09, 07-10 and 07-20 Reflections 5500, Prism Platinum,Sears 9300,Grand Estates
Premier,perfeXion Platinum,Vinyl Double Hung
Limits of Use Certification Agency CertiFcate
Approved for use in HVH2: No FL5167 R24_C__CAC 07-09 DH 36x63 RSO.pdf
Approved for use outside HVHZ:Yes FL5167 R24 C CAC 07-09 DH 37x76 R PG65.pdf
Impact Resistant: No FL5167 R24 C CAC 07-09 DH 37x84 R PG60.pdf
Design Pressure: N/A FL5167 R24 C CAC 07-09 DH 44x63 RSO.pdf
Other:48x80(+/-25 PSF),56x84(+/-25 PSF),53x76 FL5167 R24 C CAC 07-09 DH 47x71 R PGSO.odf
(+/-50 PSF),36x63 (+/-50 PSF),44x64 (+/-50 PSF),47x71 FL5167 R24 C CAC 07-09 DH 48x80 R25.pdf
(+/-50 PSF),37x84(+/-60 PSF),37x76 (+/-65 PSF) FL5167 R24 C CAC 07-09 DH 53x76 RSO.pdf
FL5167 R24 C CAC 07-09 DH 56x84 R PG25.pdf
FL5167 R24 C CAC 07-09-10-20 and 08-09-10-20
Waiver.pdf
Quality Assurance Contract Expiration Date
04/19/2020
Installation Instructions
FL5167 R24 II IN0066 SS 07-09 07-10 07-20 DH 1X.pdf
FL5167 R24 II IN0067 07-09 07-10 07-20 DH 2X.pdf
Verified By: American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
' - FL5167 R24 AE PER3815 07-09 07-10 07-20 DH.pdf
Created by Independent Third Party:Yes
5167.2 07-09, 07-10 and 07-20 Refledions 5500, Prism Platinum,Sears 9300, Grand Estates
Premier,perfeXion Platinum Vinyl Double Hung with Transom
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R24 C CAC 07-09 DH w Transom 53x130 R
Approved for use outside HVHZ:Yes PGSO.pdf
Impact Resistant: No FL5167 R24 C CAC 07-09-SO-20 and 08-09-SO-20
D�:ign Pressure: +50/-50 Waiver.pdf
Other: 53x130 Quality Assurance Contract Expiration Date
04/19/2020
Installation Instructions
FL5167 R24 II IN0063 07-09 07-10 07-20 DH w Transom
Z�
Verified By:American Architectural Manufacturers
Association
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
5167.3 07-09, 07-10 and 07-20 Reflections 5500, Prism Platinum,Sears 9300,Grand Estates
Premier, perfeXion Platinum Vinyl Double Hung H-Mulled
Triple
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL5167 R24 C CAC 07-09 DH Triple 126x76 R PGSO.pdf
Approved for use outside HVHZ:Yes FL5167 R24 C CAC 07-09 DH Triple 160x76 R PGSO.qdf
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: +50/-50 04/19/2020
Other: 160x76, 126x76 Installation Instructions
2 of 7 5/12/17, 11'S1 AM
.
4 3 2 1
3/i6"0 TAPCON ANCHOR R�v' REv190NS: ENSEU BY: DATE
WI7H 1.25" MIN. EA�B.
MODEL DESIGNATION: Simonton Double Hung Series 07-09 � 07-10 / 07-20 �nyi Window INTO CONCRETE(SEE 5 � A T.D.D. 72/04/09
N07E 10 FOR WOOD) 6 � 7 rv 5 7,D.0. t2 ts os
MAXIMUM OVERALL NOMINALSIZE._ See Size Chart ' CONCRE7E ASONRY MIN. EDCE OiS7., SEE NOTE 2 CO CERNING EDGED DISTANCES. � �
� � CM GEU MA NIT MEI T TO ANO A T.U.b. 72/23/09
DESIGN PRESSURE RAIING: See Size Chart (BY OTHERS) qppED REMOVE�'SIZES PER NEW TESTING h
51UCONE CAULK ''� e T.o.o. i�/v/ii
EXi. PERIMEiER) .'•r f:�, 1X WOOD BUCK y UPoAlED SIZE cHnRT PFR NEW 7E574uG. T.O.D. 03 04/13
USABLE CONFIGURAT10N5: X � (BY oniERS) /
x 10 ADDED MIN EDGE DIST NOiE. B,J.S OB/18/15
SILICONE CAUIK
GENERAL DESCRIPTION: The head, sill, and sid'e jambs are ektruded PVC. The wall thickness (iN7. PERIMETER)
through which the anchor screw penetrotes is a minimum of 0.142". t/4"MAX. SHIM
AT ANCHORS
1% WOOD BUCK
_ (BY OTHERS)
� SILIWNE CAl1LK
B SIZE CHART � HEAD CONCi2ETE/MASONRY (IIVT. PERIMElER) B
1 4X SCALE (ev on�ERs) '�i�� �
OVERALL SIZE :; ,` 1/4' MAX. SHIM
WIDTH HEIGHT DP RATING AT ANCHORs
��H�. 3/16"0 TAPCON ANCHOR
� WITH 1.25"MIN. EMB.
4s�� 84�� INTO CONCRETE (SEE �'
1 12 1/2" O.C. f25 PSF NOTE 10 FOR WOOD) '��
6'�-I I�r MAX. (TYF'.) I-�6" 56�� 84�� 1/4"�MAX. SHIM MIN. EDGE DIST., SEE NOlE 2 i,�.•�'
3s" s3" (er oni[as)
� 44�� 64�� PECORA 896 SILJCONE'CAULK
a t50 PSF STRUCTURAL GRADE (EXT. PERIMETER)
47�� 71° PECORA 896 SILICONE CAULK
ic 53° 76" STRUClURAL GRADE � � �, , y;�
SILICONE CAULK JAMB
.37" $4" f60 PSF CONCRElE/MASONRY �� 4X SCALE
37" 76" t65 PSF (Br oniFRs)
�. p 1 SILL
� � , 4X SCALE
= d�
� ^� NOTES:
< 1.Thla Installation has been evaluoted for use In Iocotione odhering to the Florlda Building Code and where design pressure requireme�te os determined by
� �� ASCE 7 Minimum Destgn Loads far Buildings ond Other.Structures do not exceed the design pressure ratings Iisted herein, for use o�tside the H.KH.Z.
� 2.For installatfon where the sub—buck is less [han 7 1/2"(FBC chapter 17 Anchorage Methods)7apcon type concrete anchors must be used and the length
a must be such that a minfmum 1 1/4'embedment of the Tapcon into the concrete or concrete block is obtained,unless otherwise noted. Anchors shouid
�i 6e a minimum of 2 1/2" from the edge of the concrate,hollow biock CMU,o�concrete block.
p 3. All Interior and exterior perimeter surfaces of the wlndow must be coulked.
4.Adjust Tapcon anchor locations, if necessary,to maintoin a minfmum of 2.0"clearance from mortor Joints.
Q 5. When the optfonal head exponders are used, the INSTALLER MUST ADJUST the anchar lenglhs to matntoin the required minimum embedment fnto the
a �substrate.
6. Mchors shall be specified and 3paced as shown. Anchor embedment to base materlal shall bo beyond wall dressing or atucco and into wood or concrete.
= 7 Wood bucks(by others)must Ee engineered and anchored properly to trunsfer laads lo the structure. Bucks shall extend beyond iriterior toce of trame such
that full support•of the frome is provided.
H. Follow ITW Tapcon�anahoring Instructfons.
B. The responsibility for selectfon of Simonkon Producta to meet ony applicable local lawe, byilding code@, ordinonces, ar other safety requirements rests eolely
wfth the architect,building owner, oP contractor.
10. For wood buck su6strotes, use J/10 Wood screws wlth 1 7/2"min. embedment into wood,unless otherwise noted. Screws should 6e a minlmum of 3/4'
A � from the edge of the wood. A
� 11.A. Concrete compressiva strength = 3000 P51 at 26 days.
B. Concrete Masonry Units sholl conform with strength requlrements of ASTM C90.
C. Wood Mlnimum Specific GroWiy= 0.55.
12. Shims are optlonal. Max, shim slock is 1/4".
13.'When ueing a 3/16"6 Tapcon or�10 wood acrew through the window frame,pre—drlll the thrv hole at specified Inafallalion acrew locattone.
a14. When used in areas requlring impoct protect(on, this product REQUIRES the use of approved impnet resistont shutters�or other extemol protectton.
,,�it��������' 15. Flashing should be applled using the AS7M E 2112 method approprfota fof the opening tnto which the wlndow is heing installed.
"W' MAX. OVERALL FRAME H1DTH ``�� S F i��� 16, Glpzfng ehall comply with ASTM E 1300 accordtng to the Flortdo bullding code.
��`((���•���•• � ��.p��� Dlc.OaJR cTA A1 NT MS FlN��,: SIMONTON� B� AIN0066 �O
.Z`� . 0 i Thia documant Is the property o1 Simanton Windowe,which Dimenslonal Tolerances �`�, � N o n w s �FAWN BY: DA •
7 � mtalna oll proprletary nnd oNer Hghta to'I!n suhfatt matta. Uniees Oiherwfsn Soecilied G.4S. 03/22/O6
This dawment ie proNded to tha racipient on the expreseed L OY&iEMPER: I Cochrane Avenue �EpCED BY:DATE:
'* ' ndition thot It is not to he dlsdosed,reproduced in whole or 1'rnnxbom,\\'V?fi415
.Q p,�;� po�t,nor usad In conJunetlon wlth the design,manutoeture or ; , �eclmals Mgles
Digitally signed by Hermes F,Norero,P.E. �:" :. s»a w �ePair of goode ro����<ou,�.u�,sim�m�Wlndows SCALE: NEET: APPR D BY: DATE:
s. wlthout It3 wnsent. Thls rratdctlen dous not Ilmit tho .X f.03 FlT I of 1
� Q ' �(/ � RFACE AREA:
Reason:I am approving this document . �9's- �9i.�a � re��v�e��'a��en�eo�un:a���o�moa«����a��aa���n� ' xx t o� 0' 30 min. SEFilES:
� la 6eW�.A�' ' � document whkh Is properly o6lained(rom onother source. .XXX t.005 07-09/07-10/07-20 DWBLE HUNG
Date:2015.06.24 07:57:01-04'00' `�i�d'N A 4�' ���e iwsx rnEnTuer,T: n�;
�I � FlLE:IN0066 1%B U C K I N S T A L L A 7 1 0 N
4 lflli 3 2 1
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�ity ofZephyrhills
BUILI)TN�i PLAN IZEVIEEW C�MMENTS
F
Co�tractarlHomeowner: � C'//�
Date iZeceived: �-- '
Site: �
Pennit Type: ���,r�l��'L�'?.-c1 c� '-}C. �
A�pproved w/�o coxnments: r ApProved withe below comments: ❑ Denied wlthe below comments: ❑
�
his comment sheet shall be kept with the pennit andlox plans. ;
�
�
� ✓���f� � �
alvin Switzer P�ans Examiner Date �ontractor andlor Homeawner
(Required when cc�mments are present) �
. �
�
3
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= , . ,_,', : � : . �� ; � �� � ,' : , _� - :�Exteriors, Inc.� �� .�� ., ; � � . ,- � . : � - -;_ � :
. --.'- � . -. ' ,_ , , ,, . . � ;; Licensey�Re�?��Insured .� .� �- _ � . .. ,� , � � . . � - ,
� � ' ' ' - . ' ' - State Certified Residentidl Contractor•CRG 057210� -� ' � - - �• - _ ,' �
, , - . . , _ ' , , . ,`„ . . ' -., !.' ': � '." . , : _ - . , , .
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- Gity of Zephyhilfs, �._. _ , ., : . _ ,, , . . . � , , �. � � -_" - ,� ,
: - ' . Building&Construction�Services � ,� ' ', �- ;, = , `_� ' ' � !� . � .- ' -' ' - �
� . ,� _ , , 5335 8t"Street� ; _. - ;_ ' . � � , , \ ' , � � , , ` , ,,.-
,,,..
, � �. �Zephyrhills, F.L 33542, � ; , , , ` . , ." • , , - . , . , - ", - -- � �. -
_ .., ! � � , . 'To Whom It May�Concern;� ' , ' . �, �, ;�` ' ' _ - ,� �` �. , ,v i_ , '' , 'J ' ,
� �' - '� - , Please be advised:.that-f;'Kirk C. Morgan,do Hereby authorize.the following individuals_to pull permits- � `._ - •
_ _. � - , . _ - ,
- '- , ,under.my name;Kir.k�G.;Morgan, on betialf of Morgan,Exteriors, Inc: " � , - �_. ', - < ' . - _ � ,
� , , : , , _ , � . , � , __ , � . , _ , � , - �.. , �_ ' - � ,
' , _ �_ '.Robert,Hadesty ; FL DL H323770711300` � , ,robert@mor�anexteriorsinc.com_ � . , -. - � �;_� �
_ , ', , , Frank,Cipriano� _� � - �. FL DL-C165278704440� • , frank@mor�enexteriorsinc.com .:�,_� - . ` , _ ', _
„ . _ .� � . , ,. , � � � - _ � ; _ � : � ; -, � , , _ ,
, � _ ,. , ,r�. � ; • • , � _;
. " �. � Nick Hanvey� � ," FL DL H510631933,830 � hanvev:nicholas@�maiLcom ; {.',- - ` • , _ . ,'
� , � `J., ' ` ' �.. "_ • � . .. _ _ � � � • . , ��• : ' ' " . � , "_ ' , ' ` �
��� - � - � = Kyle Johnson'� " - � ,FI DLJ525516790090 ` , �� n • ,k.r iohnson@vahoo.com �� �, " : ` � _ _ � . � � '
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