HomeMy WebLinkAbout18-19202 CITY OF ZEPHYRHILLS �
5335 -8TH STREET f"�
_ ; (813)780-0020 19202
BUILDING PERMIT ,
� PERMIT INFORMATION - � LOCATION INFORMATION '
Permit Number: 19202 Address: 6218 9TH ST
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. ,
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: ,
Square Feet: Subdivision: TYSON
Est. Value: Parcel Number: 02-26-21-0160-00200-0010
Improv. Cost: 3,395.00 OWNER INFORIlAATION
Date Issued: 1/19/2018 Name: POWELL DOROTHY &POWELL DOMINIQ E
Total Fees: 90.00 Address: PO BOX 291338 �
Amount Paid: 90.00 TAMPA FL 33687-1338 j
Date Paid: 1/19/2018 Phone: 813-369-2175
Work Desc: INSTALLATION LOFTED BARN 8 X 16 ;
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 90.00 �
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Ins ecti ns R uir
FRAME
SHEATHING
FINAL
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 R IG A U E PERMIT OFFI R I
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PER T EXPIRES IN 6 MO THS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
I BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �i�'
Date Received: [ �GJl�
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Site: �0 7i`� C� �
Permit Type: • � � � �
Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
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This comment sheet shall be kept with the pernut and/or plan j„ �
� �f l�s � �rf / ,
Kalvin S' it er Plans Examiner Date � ' Contrac or and/ e
(Required when c ents are present)
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813-�saoo�o City of Zephyrhills Permit Application Fax-B13-780-0021 � �
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8uliding Department -
Date Received �j �"� ...� -�j_.'
; yt ;. Phons�CoMact�for,PerntiitEin
Owner's Name l2 - Owner Phone Number �. — �26 7� .�
Owner's Address � S� er Phone Number . ��('�(��''��i1 !
� '��d "�� �� Z�
Fee Simple Tltleholder Name // ' � �.�'� O.wner Phone Nunnber
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Fee Simple Titleholder Addr�sa L��/� O
� ' �JOB AQDRESS LOT#
SUBDiV1SION Rj1RCEl.ID# � ` " I
' % , (OBTd4(NEDF,ROlA,PROPERT1f,TAX.NOYICE�
WORK PR�POSED �NEW CONSTR' ADD/At,T •�� SIGN' �[� ;[� DEMOCiSH
; , � e. INSTALL 8 REPAIR � �
P120POSED<USE Q SFR Q COMM -�.., OTNER. Y ;
TYPE OF CIdNSTRUCTION' = Q � 'BLOCK ' `�] FRAME '�. 'STEEC Q •• �
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DESCRIPTION OF WORK I e, (�O G � l
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�UILDING�SIZE - - � 'SQ FOOTAGE '���; J ,.HEIGHT �� '
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S,UlLD3Nt'ar , $���'f'��pO uq�,UATION.'fJ`F'7'Ol'AL'�CONSTRII'CTION f � i
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E�ECTFttGA� $ r� ° AMP SERVIGE. �Q PRQGRESS ENERGY '[�, 'W:R.E.C. '
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o���,M���� � ,� , -_ ±� �CR��-- ///��,,�,_ � ;
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�MECNANtCl1L $ � ' VAi:0i4TtON OFtIVSECF�lA�11CA1 tIdSTALtATIQN
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; � -,. ,. . : ,�..,; �
Q GAS Q ROOHl+�G .Q •SPECIA�tY.,C�_:. ;OTHER� ���� ' '
FIfVISHED PLOOR ELEVATIONS ��� FLOOD�ONE AREA .QY�S. .NO , '
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8tlH.DER i � t�COMPA►F!Y'= � i (�7 � .,
SIGNATURE _ Re�iSre�o Y/ FEE cu��` � Y/N . �
�ddre`ss iG2l� 6 � . S r� License# I� .`f//����(p :J � ��G/
EtEC't'RlCI�: � }COt4APANY' �
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SIGNA7URE` �- '' REGISTERED Y/ N FEE CURRE�" ` '�Y/N.. ' !
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�ddre$s..� , . , . Ucense'#.I,� " . �
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PLUMBElt r�' , /} � _GOMP,,,ANY , - -. � s :, �� .� , i
SIGNATUI3E'. /l� � REGISTERED.(c =.Y;/x.N<� ,;FEE�CURREt� ' Y/N. � I
Addreas ' ` ` ': � . , .�,Ucense7#��� i . �-
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MECFiRt�ii1CA1:. A` � l/l. ` ' GO�IIPANY � .�a,' ;.`: ,>, � �r.:>;.,;., ' . , I
SIGNATURE� /� G� ' � REGIS7ERED,,;�� Y,/:N,`^ },FEE CURREp,"_ YxG:N I
Addrs�s� : - • - � - - . . '' ._ - �_License'#�� � �
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O'LH�R .° - � _ . � , ;Gt51i,APAWY'` - �� `�- . . -� • - �,
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SIGNATl1RE� t-;.:. r' . ' � 'REGISTERED�`` - .Y�/ N:_. ' -�"FEE.CURRE� Y/N.
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Address - - - � - • �Llcense#��' ' ,-� �
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RESiDENTlAL,�<;::;.Attacti;(2}:Plo#�_Plans«�.(2}se�s=of.�Bulldiiig?;Plaiis;'(1,}��efiof'Energy��dmt,s;R=d=1N�Peiti%if�fbrnew°constructton, , . , .
-; '�,_�;:Mlnimum;ten(�1.0)�uyo,iking;days,�.aRe rsubmittalilate'uRequfred onslte;.Cohstnictlon`PlansrStormwater�Plans w/Silt'Fence installed; ___'_
' ^Santtary F�aclltUesr&1£,dumpate_r.,;�Slte:WorlctPermittor.sutidi.visfons!large'�piojects;.:�,�:�- :�-:">,,:` � : . .
COMMERCiAL Attach{3}`eomplete-sefs of Buiitling:Plaris pius•a.life�Safety Page;(f}sat of=Energy Forms.R�O 11V PaRn1t for nauv.canstruction.
Min(mum ten(10)working days�after submittal date. Required onsite,Construcdon Plans,Storrnwater Plans w/Silt Fence Inst�lled,
S�nitary Fadlides 81 dumpster.81te Wark Permit for aii new,projec�..Ri!commercial regulreme�ts.must meet compitance
Sl�N PERMi7 Attac.�{2j�'sets�of�Eriginee_r,ed;!?tans:; ,�;:~-;1- :;:">:�. -
� ""•PROPERIY SURVEY�requi�ed_for all NEW construcUon. • ,
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Dlrec`tlons: „ -. • , � . , , `. .
Fill out applicaUan completely. '
Owner&Contractor stgn back of appiicatEon,natarized ` �
If over�2500,a Notice of Commenc�ment.is requlred. �(A/C upgrades over 3750p) _
" Agent(for tiie�aititractor)'orPoWer of"Attomey(fn�ttie owner)would be someone writhLnotarized letter from owner authariiing saine , �
. �_..
DVER THE COUNTER.�ERNfi7'tiNG� , -(Fmnt of-ApPlication;Only).:• . `, ". � . �_ , -
Reropfs If shingles Sewers Service Upgradas A/G Fences(PIoUSurvey/Foatage)
_ �. .. _ . . -._.•- - _ � . . .. : r:�:
Drlvewaya-Not aver Counter if an public roadways:cneeids'ROW'� � �� �
NO't'1C�OP DEED RESTRIGTQ��1�.. 'The-.under.sl ned:.under�tands�.tt��t4lhis; mt t�ma be;sub�ct:to"deed"_.restrlctici'r.is":�.;�;.,����`"
9., �P,;: �., .Y.:�.. 1 ,w��
which may��bexm�r�`jres'ttictNe�th���Cou�ityar�gril�tCons�:;�The�undei�algned�agsu►►i��ie's��resporisldiUty�'for"compltan"ce v►rltti-any.`.. �,��._
appiicatil��deed restrlctlons. . . .�.�.. ...:- ..�°.:.��r.. :,.-,,:_: �:, . . • � . .n ._._.� ,.. �:...� _.._..,, ._ ; _' ;: ;,-r�:: .
UNtICENSED�'CONTRACTORS AR�D CON�RJ�►CT�R-RESPO�Si�1�ITt�S:'�xff��tiie�owmer hasr�hiced��-a�`:contr�,c#or ar
,
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. �, �;,��' .._.t: '. .,�,:::�.,.�.:��._.:,,.,.,.�..,.;. . ._ ., w- . . .
contractors#a undertake.wor.k,theyrymay�;b�e;t+�qtC:,.,_Lta::�b�;�tcee���dE�n_;acr,.�rdance.with�stata�.and�;tocal;�t�gcala#ton..:.., =:the°, � .
conlractcir�ls not"1li�nsed�=`as�requl�c! by lew� both��the oumer.and-contractorLmay�be�.cited�for�iml�i�emeanar;uiolatian ,
under state law,,:!f the owr�er or int�nded�,contrr��tor�er,e;��ncertasn,as�.t�what:licensing:�requlrements`may�-apply����foi�'�ttie=}'`���:�:<��` '
.. f . ..._,t�....._..».. ,,,;.�._..;r..e,;... ., .�.
intended.work,:tfiey ace;;advlsedT#o_contact tFieyPasco;County�uildtng�lnspectlon_Dhilslon�-l:tcensing Seatian at 727-847-
8008. Fiirft�ermore� 1f tfie vwner'iYas'filred"a i.roritracfoi-'or corifractors� he is acivtsed ta have;the contractor{s),;�sign;-�:� 4=:a�
' -yyi9 S�.A. ik..
portions af the.��"contractor..8lock"~,of this:�app!lcetlon:-for,wttich.fhey..:wttt;�#ie:�re.sponsibta_-.::;tf..you;=-as;�#he aiviinef`sfgn"as`tiie�_. . ...
contractor, thaY�may°tie�an Indlcatton that'tie�=ls�n�Y:properly.licensed-antl'�is"not"entitted to�parriilt�ng`pri�ll�ge�s M Pascu.p{
County: � �. - � - � : ;.:�� -`�=��_-
TRANSPORTATION.•IMPACTIU'i'ILItiES rrAM1�AG7`AN�1 R�SOUItC@ RECOVERY�FEES: '�Jte�underst�ned understands. ,
thatTran�pac#ation Impact.Fe�s.and.-Reco.ucse:-Recavery.�ees-mey�:apptyito�ti��zconstructlon of-new:.b..uiidings�Fchan�e�ofi�`��''°;�`;''vs
,, _. _ ._. . . ..:�.�_�._... �
use in exi'sNng buifdtngs,�or,eicpaitisiortiof�eiiii�fi�%g;��uil�ings,,�s speci�ed.tn P�sco.County��dinance.number 59-0,?�and,-,,., ..
90-07. as �mende8:;�;�tie underslgned a#so;���erstands, #tiail::s�ch fess;�,as�ma�y;`�e:�.d�e;�wflF;�be�denflffed at#i�e'+•tiin��ofr; .ti� ,._
perm#kting. It Is ft�rttie�undersEood that T��sportatlon lmpact�`�ees and'�Ftesotart��Rec�ivsry�Fees::mu�t be pald prlor t� _
_ .�-__ _ .. _ - .._.. , ,� ,�
reca�vtng a'cerNNficate.�of_�oGcupancy."�or�flnal,.power�.�elease: :Iftthe.praJect,;does;�na��Mvolvesa::certi�cafe of occupanay��or=::':°•--:.'
_ . ,___,
flnal power-�release;�,��the;fe'�s-rtiugt�.��paid:tp�r to.{.pAecmit fs's.uance. F�ktk�ermore;�1[Pasco;,Cou�trr=Water/Sewec�>lmpact" •� : �
fees are due;,they mustpbe�pald pri'or.#o.;permlt Iss��ance:in�accordance witff:appiicatite.Pasca,County�ordlnances. �
C�N�TRUCTtON"�1EN"�YV(CFiapter T13�Flortda Statut�s�as�mended}: if vatua�on,of wartc!s.$2,500.OQ�or:more;;l� � .� _�::
certify that 1� .##�e.•apptkcant;:�Fiave=-b�er�-:proxlded-�with-a�=coPY:;o�,the��"Florida-�Gonstivc#ion--Llan:�;av�—Hameawner's
Protectlon Gulde" prepared by,tl'ie`Flo�da Deparki�ent;,o€Agrlculture �nd Cansum�c:.A#fair:s. 1#the appticant!s.someone , • .
� , k rrs:..�:t - r �Gx=�: ,.
othe�than the .owner", l.certify,;.tli�t;°l�.t4iave=,obtainetl a'�_�py;ot.the��bova;de�cra�ed��locue�ent�;and:pro�ilse::ln�gootl:falth�.to. :_
deliver It to.the�'.owner":�p�io�-taAco''mrne�icemeiit:��`•`'�`: � . , . . , � - .. , . . .`- �
CONTRACTOR'Si�WNER`8 AfFi��ViT: 1.c:eiti�y;:#h,at;ali�,the���lnf.ormatlon:ln�thl�applicatlon Is accurate.�nd that all work
wtii'be dcne in compliance wi#h ail.appitcable taws regulating construction� zoning and:�tand���devetopment. �lppiicatio�,t�;
hereby made to,obtairt..a.petcn#kt:itau�io.,-worli�;,�nd 4�Ihstallatfon as fndt�ated�=:.,�1 certity that na work�'.or tnstsltation F�as;
commenced prior to #ssuance'of''.a permlt"'ai�id#ha#�:a#l���rork w!!I be pertormed�to me�t-.sEandards-o#>al! laws regulatMg;
construction� County and City codes, zoning regulatianst a�d land development tegt�latlons'In tl�e jurlsdlctton:� !-�°al'sb
certify that I u�rde�sf�nd that-the r�gulations of other government agencies may�apply�to the intended work, and that!t is=
my respansibitity to lden#ifjr what,ectton�I must�:take,:to tie,�ln�compllanca:�:�.Such.agencles lnclude but�are.not Ilmited to. � Q�
- Depaiiment of�Er�vironmental='Protectiotr=Cypress.'Bayhead�; 1IVeNand Areas and Envlronmentaily Sensttive:
Lands,W�terMfastewster Treatment. ;;
- Sau#hwest Flarld�a W�ter Management:C?Estrlct{Ne!!s, �Cypress.,.Bay.�eads,� Wetland Areas, AI#e�ingi
Watercourses, - °
- Army Corps of En�Ineers-Seawalls,Uocks, hlavigatile Waterways. �
- Department.:of.;Neaith.;>8..ReF�abliitati�e��Seniices/,Envimnmental=.,�l�eaith Unit:Well.s; Wastewater=Treafinent,j
Septic Tan�is:.`". - -;.;: ,. � .. . . , ;
- !1S Envlronmentat Prot�c�c�n Agency-A�bestas abate�m�nt,.� : � � .
� ,
FederaLAvletlon>Aut�io.rltjt=f�urn�iays# �'- � �
I understand that the..following:restNctlons apply fa ttie use af flll:• ; t
- Use offlil is.not aflowed�in,Floo,.d,:Zone"V"untes�s expressly permitted. �
- if fhe�fitt�mafeiirial`Is'�fo�°tie•-usetl�'in:-�Ftood��Zone. "A°, i�is understood that a drainage plan addressing .��
"compe�sating_vatume*wil�.be submtxted at t�me of.�permittJng which is prepared by a professionai engineeT�� .
Ilcensed by'!l��e��tate�of�:Florld"a.. � • - � . ; ;
- If ih��fIA�mateclal:Is-to-:b��used In Flood Zone 'A" !n>cQnnectton�wlth�a���ermltted bi�llding using stem uvall;
� constructlon��I.certify.that;flll:i�illl�b.a�used only.to.flll the area wlthln�the�stem��walL � � ;
- ` If fltl materla�i�ts��to tie us�d �tn any area� I �aertlfy #hat .use of�such flll wlll not adversely aff'ect adJacent i ,
properties. If.use�,a#fili is:f�vnd�ta adversety.�ffeot adja�ent�,properti�s,.the owner may be ci#ed for vtotating� .�
the cond�fans:;aif,.the.bu3ldirig�.permii Is'sued under ttie°�aE�actied�armit��PPtiration;far:lats�:iess#han�one (1��; � ;�
acre wtiich ar$elevsted��liyi:911t;,a�t.englnsered dratnage plan!s requlred. • � �
� ;
If 1 am the AGENT:FOR,TH�,t'ri1FNER;.i�:prom[se In goad falth to Inform th��otnrner:ctf�the permltking coridit4ons-set forth(n j
this affidavit'�prior to commeacing constructlon. 1 understand that a�separate permlt may be requlred for electrlcal'wark�;! ,�
�.�.,_. _�,, �
piumbing, signs, we}Is,.,paots;. atr,candi#ioning,�.ga�s;';or:otk�e� ins#ali�tons not,speciflaall�y included�in.the�appUcatlan. .A{ ;
permit Issuetf:shaft be i�otistr.iied�#o;�e-fa�'Idcense4 to==prt�ceed rnritt�'tf�ie.woik en�!•-nat-as:authoti#yr�ta:viotate;�Yeancet, aiter, or; t,
set aslde any�provlslons of tFie.technlcal;cades;�nor shal!tssuance�of a.permlt.pr.�vent the Buttdlrig t�Idal from thereafter; ;
requlring a cor�ect(on af ecrors-�in�:plans;-const'uctlon:or vlolallons of-eny°codes: Every-p�srmlt�'(ssued"stiall��becQme i�valid ! ",
unless the work autho�ized:by such permlt>�s_commenced•wlthln:�.,sGcc�manths of�permlt Issuance, or if work authvrized by � �
the permit is suspended��or;abandoned;f,oc:a;petiod;of<sGcj�)�montfi's,.eRer,the#trn�tfie�work�,ts commen�ced. An�xtenslon � .
may be tequested�.in writl'ng�:t'r`om.#Fi�;:Buif+�ing.i3t�c�a!#ar a period=not.to exceeif��'ninefy=(90),.days a�d-wiil demonstrate j
Just�table oause for_�the extensio�: If work ceases.for nine#y.{90}cons,ecuthre.d�y.�,..th`�ob�ts�consfdered aba�doned. ;� ; ;}
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IMARNfNG TO OlAINER; YO.U�.:FAI,„LIJRE,�,Tta�RECO�tQ,A.:�OTlCE::OF=�CaMMEI�CEMEMT•.MtAY�FtESU1:T`lN��YOUt� 4 �`
r. . .
PAYING TWICE;:FOR:��IMPR�VEMEN.T96;Zfl4Y0UR�PRCMR_ER�RT:1f:�VI�;YOU{INTEN�:T�.�!OBTAIN��FINiI�ME1N�,'COI�ISULT :
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FLOREDA JURA�.(P.S:tt7:Q • ` � ., . ,..- - •_,- ..� ,r_ -, -- - �._- "- - -- ' ,
OWN�R OR AtiENT CONTRAGTO - � ,
Sybs�b and sw� o a�l e re me !s ubscrlbed'snd'swo : {ot aflt ed t rtte�t�l�i�ls_/ )
I�2-1 by � � -2-1 P �.by . d d'' ��LL.�`k'._l..L.._._�
Wh ar erso liyknp�m to.m or.haslhave,produced � o,is/ re p.ersa 1 known� m �or#iasfisve��rodi�ced • ;
�'�__�L' ,�'(a C'u.�as Id`enUflcaBpn. L: 1r2n'"s cn.,n�, r as IdanBflcaUan. _.
_ �
�� No�ry Pubilc . � �-- Notary Publlc J j
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v0111 S� �0r ���y e�._. •:u,. ;a�i,.;, i�'i' �� riGRl �Ofl• °� SS 0 �+ ,
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6��;,°�N;ayw�,:3a�j saai�ix� ::.�'' �j:�: .� ecem�er 12.�Q18 �
tr(1 l_-1'�L'41$Sttktl!!r.,'� :t cr5 �.v fmyFaintnst�raneopAG•Sfi3.70i9 '
Vame o/ tary typ(�d;��9fd!a'�QEB�?nped'-°;;r„�;,.•�'' Name ot Nolery typed�p ,
��� ' �.,
nn��t��� JACQUELINE BOGE5
*� .- Commission#FF 150422
`�i�ei%�. '
� ,;�ti �; JAC4UELINE BOGES =;��Q; Explres December 12,2�18
• :*� :�- Cammission#FF150422 �A,�„F;��` BondadihruTrayfein�nsurance800a85•7018
• :;� Q Expires December 12,•2Q18
' '�pF,f;,:��`" 0ondodThru7royFdnlnsurance60o.38g.yo19
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PermltNo• ' �^Z��f' OL-�XJ-V���-��Z� i
ParcellD No
/'� � �J NOTICE OF COMMENCEMEN�
state ar�LU7�^(�L� county a__j�tS� � i
7HE UNDERSIGNED hereby gives noiice tl�ef tmprovemeM v�d0 be mede to ceAein r¢a�pmperiy,and In accordance wilh Chepter 713,Floride SleMes, �
the fullawing Informallon is provided in fhis NoUca of Cotmne meM; ( �/ 1
1. DasalPBon of Property: Pa�cel Ide V No.�l���-t�Q Z ���L c��i S�.�,��`T �
. StreetAddress: ��-,6 --.�� � ✓ .
2:� Gene�alDescripllonotlmprovement � �` i
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I 3, IMortnati or Lessee fomiation Hthe Lessee ded torfhe trnpmvemeM: �
N e
�Nn
�Address CIIy � Stete ' m �
� Irtterest In PmPeKY: N B..
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� Neme oT Fee Simple TNeholdar. ' • '
i (If diHere ham Owner Iisted ebove) r�+�►N..� I
� Gp m I
� Address Clly Sfete ' RI UI i
4. Contra , .
j ame
� 3 t+
Addtess Giy Slate ' -i�
I , . . .. �p
Co�raclars Telephone No.:
� Om� �
� 5. Surery: � 'fl •
Name � ��
� Address � .
Stete � �
Amount of Bond:E Telephone No.: � '
6. Lender: - 7� i
� Name �
Adtlress ��, �
Lendefs Telephone No.: . .
7• Persons w(thin fhe Stete oi Floride designated by the ovmer upon whom notices or other dowrnerds mey be serued es provldad by
SecHon 713.13(1)(a)(7),Fbrida SteWtes: _ �D
. f+
Neme �O�D �
N N
Addreu �, �N o
I ' Telephone Number ot Deslpnated Person: S�� r��m
�i/�r
B. In eddflian to himsett,the oymer designates �- ���
to�ecefve a copy oTthe L)enors Notice as proNded In Seetlon 715.l3(1)(b),Florida Statules, ��:'�o i
Telephana Number oi Person or EMity Designated by pw�er. �W�
a
_ 9. E�irallon date of Notke of CortmerKemerq(t�e e�lraHon dffie mey not be betore the campietlon of eonsUucgon end flnel peymerd to the 3 0
- wntrector.but wid be one year irom the date of remrdng uNess e dtlfuenf date is spedfied); � i
. WARNING TO OWNER: ANY PAy1dENTS MADE BY TkE OWNER Af7ER THE EXPIRA710N OF THE NOTICE OF COMMENCEMENT �~rrr�
ARE CONStDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SEC710N 713.13, FLORIDA STA7UfES.AND CAN A
RESULT IN YOUR PAYING 7WICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE NO �
RECORDED AND POSTED ON THE JOB SffE BEFORE TF�FIRST 1NSPECTION. IF YOU INTEND TO OBTAlN FINANCING,CONSULT rA-A Q°
VYITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECOROING YOUR NOTICE OF COMMENCEMENT, {yi+�o �
Under penalty M perJury,l decJere thet,l have read the forepoing notke of commencerrtent en the(eds steted ihere(n are We to fhe best /�� �
of mY krwwledge end be8ef. W � i
-i
STATE OF FLORIDA � �
' COUNTY OFPASCO � I
, 18nature a(Owner or Le ,or Owne a or Lessee's Authorized s I
�RlcedDlredodPerfi � •
�
� signatoys TltlelOfice �I
� 'fhe toregoing Instrument was edcnowledged befoia me��day�2�by (� ��J WC.r/t. . I
i , es lype of autho�ily,e.g., cer.trt�ske.aCnmey m tea)for �
I
(n e of rty on be xrttom strumeM was azeaRed), I
Personelly Known�O�f Produce�d rIdentifisa`Uon,,❑`/ Notery Signature A�
Type of Ideo6'fieation Produced f'�-�v�-I•sl�i\�5'�- Name(Pdnt) � y�,G Qf
.. i
, np�,
_,��'sYrty�:�, JAC�UELINE BOGES
;.. :s Commission#FF 150422 '
. �+�. g Expires Deceinber 12,2018 I
��i,p�h� BorNM Tiw Troy Fen In�u�eneo BU0385-7019 �
vNdetelbcsfioGeecamrnericemen�pc053048 ,
. _ _ . .... ,. _, „ . , _ . .. -
� �������c��'�
�7't�s E�;� a �,c��l�A, COURlTY OF P,4S�0 � , C+
THIS IS TO CER i lrl'`('HAT THE FOREGOING IS A i ' ��
TRUE AND CORRECT C0�'Y OF THE DOCUMENT # v
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE rnG°��'e�'n�st , {�
V1U. NES i1�Y FiWND AN ICIAL SEAL THIS � � =�".'••; •
C`�DAY OF 2 �I {� a �� �
PAULA S O' � CLERK O TROLLER • 1�87 ��
o �
BY DEPUTY CLERK ���OF FLO�e��
A E
i
DISCLOSURE STATEMENT FOR Ot+�NER �
" � CITY OF 2EPHYRHILLS BUILDING DEPARTMENT
2, have read and fully un.ders�aad aad
agree to the grovisions of this iastrument. , ,
The undersigaed atates and affirms �hat he ar she is desiraus of coastructiag, ;
res►ovatiag, adding to or reroqfing his ar hex own domicile, that he or she �
actually occupie�, or will occupy by said d'amicile, and same is na� for �
reat, I.ease or sale. That he or she shall comply �+rith the fallowing couditions: i
1. That the owaer and he or she alane shall act as �he builder for all phas�+s of i
canstructioa. �
2. That the owner will camply with all provisions of the City of Zephyrhill.s i
ordinances and cades pertiaeat to the building. �
3. Tha� in the event various phases o� coastruc�ioa are subcoatracted, he will �
eagage only properly 2icensed subcoatractors and will persaaally supervise �
such work. F
4. Tha� in the even� the Building Inspector sha11 require correctioas �o be made, �
the ownez wi21 assume full responsibili�y to insure they are made, and upoa i
completa.on wi11 call for a reiaspec�ioa before praceeding with the buildiag.
5. Tha� the owaer shall assume full respousibility for the constructioas and will ;
aot expect supervisioa of his work from the City of Zephyrhills Buildiag
Departmexlt.
6. That prior to fiaal inspection any additional fees, iucludiag reiaspection
fees, must be paid ia full.. A writ�en request from this office shall
caastitute au officiaZ notice �o pay adda.tioaal fees.
7. That the owaer shall aomply wi�h al]. Ci�y, S�ate and Federal laws iu regard �o I
social security; workman's compensata.on, lien laws, eta. , where applicable. �
8. That the owaer shall comply wi�h all the saEety codes issued by the Florida �
Industra.al Cammissioa. '
9. State law rec;uires constructioa to be done by Iiaensed coatraetors. You hava
applied for a permit under aa exemption to that law. The exemption. allows
you, as the owaer of your property, to act aa your owa aontraet�or with certaia
restric�ions even though yau do not have a 13.cense. You must provide direct
oasite supervisiaa o£ the coas�ructioa yaurself. You may build or improve a
one-family or two-family resideace or a farm autlauilda.ag. Yau may also build '
or a,mprave a commercial bv.a.lding, provided yaur costs do aot exceed $75,Q00.
The buiZding or resideace must be far yaur owrza use ar oecupancy. It may aat '
be buil� or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved gourself within 1 year after �
the constructioa is complete, �he law will presurne that you built or
substantially improved if for sale or lease, whiah is a vialatioa af th3.s I
�emptioa. You may aot hire aa ua.licensed persaa ta act as Iraur coatrac�or ar �
to supervise people warkiag oa your buildiag. It is your respaasibility to �
make sure that people emplayed by yon have liceases required by state law aad
by count�y or municipaZ licensiag ordinaaces. You may uot delegate the
responsibility far supervising work to a licensed coatractor who is not
licensed to perfarm the work being dane. Any person working oa your building
wha is aot licensed must work uader your direct supervisiaa and mus� be
employed by you, whieh meaas that gou must deduet F.I.C.A. and withholdiug ta�c
and provide workers' compensation far that employee, all as prescribed by law. �
Youx con.structioa must comply w' h all ap�licable laws, ordiaa�,ces, buildiag I
codes, and zoaiag re lat' s.
04+TNER`S SIGNATURE DP.TE �V U
ADDRESS . L �j�s7�/ i
PHONE
PIITNESS PERMIT #
r
�
��� ����a���� ;
� ����"�i�`��
�fl��tR�`��t�i►�{[��tl�e�P� '
December 10, 2015 '
Mr. Jim Richmond �
Floricia Department of Business and Professional Regula#ion I
Manufactured Building Program '
9940 Narth Monroe Street ?
Suite 90A !
Tallahassee, Ftorida 32399-0772 i
RE: Ptan Approval !
RAanufacturer: Hawkeye Building, LLC (MAF 11082) �
Ptan Number: Deluxe �ofted Barr� 2014 ;
;
Dear Mr. Richmond, ;
Pursuant to the requi�ements of #he Florida Department of Business and Professional � ,
Regulatians, the abave referenced dacuments have been reviewed for compliance with: �
�
2014 Florida Building Code, 5�' Edition
2011 National Elecfrical Gocle {NFPA-70)
2014 Florida Fire Prevention Cade ,
These plans camply with Florida Praduct Approval Rule 61 G20-3.OQ6 (FAC)
�
A signed and sealed set af plans are maintained on file in the Third Parly Agency office �
of PSI. �
A!I mandatary comments have been satisfed and plans are approved for canstruction by a �
modular building manufacturer that is currently appraved by the Department of Business
and Professiona! Regulatians. �
If you have any questions or require my assis#ance in any way, ptease do not hesitate to
contact me. '
I
I
Respecifully s mitted,
�
�� � �
�
'UVilliam E. Neary, i
Department Manager �
Modular Facilities Division
���Gapy to: Mr. Darren Warren, ciarre�.uvarrer�Ca�premierb�aiidings.us
� Professional Service Industries,lnc.•1748 33`�Street.Orlando,FL 32889•Phone 407/304-556Q•Fa�c 4Q71304-5564
FL Engineering Business 3684 ,
--- ___ _ _.�_..______
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�5�' TNESE PLAN5 iWERE 1aE5iGNED IN AGGORDfWGE Wi'M THE 2p14 FLORIDA 6U(LDING GODE,BUILDINCy FOR A .•`*2;r�,�C '•;Q��ir TMREE SECAND GUST OF I60 MPH.
� PR�h11BR PORTA�L� �UILDING6 =*. : . vn�, osnins �EET
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� ,,, � ,,,,,, ,,,, ,c,,,, ,o„ Or/enda,Flor/do 32839
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ffi N7Al.4�,E OIAC�RAM ROQF PRE�IIRE DIA6RAM
� ,��p1Hiu�rp��� REV BY DATE DESGRIP710N
� 7HEaE PLANS WERE DE5IGNED IN AGGORDANGE WI7H THE 2014 FLORIDA 6UILDING GODE,l3UILpINC9 FOR A ��»�I;.��,�G� �ir� THREE 5EGONP GU5T OF I60 MPH.
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2. AL4 MATERIALS ANp LABOR SHALL 6E IN AGGORDANGE WITH THE ABOVE GODE AND ALL OTHER APPLIGASLE LOGAL GODE5 AT 7HE TIME OF MRWlFAGTURE.
3. t'�Rl'fTEPd DIMEPtSlONS SHALL TAKE FREGEBEPSGE OVEi2 SGALfD DIMENStOtd�.
4. THE FOU�IDATION PLAId 15 A SEPARATE 5ET OF PLAPLS FO�R'APPRpVAL BY LOGAL MUNIGIPALITIIES. �
5. EXTElZtOR DIMENSlONS GAtd YA�LY 6E'FtiEE�l LIMI'f5 SHOYdW A7 2`O.G.BStf MEMBER SPAGN6 SHALL tdOT EXGEED LiMITS A5 i9SDIGATED.
b. AL4 THE FOLLOWIN6 LUM6ER SHALL 8E PRE95URE 7REATEp IW AGGORDAMGE WITH AWPA U5�GATEGORY UL4B{GROUND GOtdTAG7,HFAYY Di1TY):SKIDS
� 7. 9�LL.TNE F04LOWIN6 WWiBER SHALL BE PRE55U&E TREATEI�iPd P�GGOF2qAPdGGE WITN�WPA I15£GATEGORY UL3B(EXTERIpf2 ApOVE GROUYP,IJNGOATEO OR POOR
WA7ER RUNOFF)s PLOOR JD15T5,PLYWOOD FLOOR DEGKlh1G,AI9D EX7ERIOf2 RRTED WQOD 5TRl3lTURAL PANEL 51DIHfr.
� q. P TTPLYWOOA�OOFtING�iA9QT tREQ IRED Ndt9ERE HE 8C?TTOt�i OFF�EINE FLOOKI�AiC�IS OYER 8C°ABDYEIN6R4llIdD SEGTIOFt 2304.112.i FBG 2014. �tt1'a`�"�7ir��t�n
10. ALL FASTENER5 AND GdNHEGTORS IW GOPITAGT WITH pRE55URE TREATED WOOD SHAL4 BE HOT DIPPED GALVANIZEp(6185)pR STAINLE55 STEEL. �"Goari°`"''��
� II. AL4 WIWDOWS WlTHlN 24'OF DOORS,AND ALl GLA55 1M DQOt25 SHALC�HE SAFEi'Y,TEA9P�RED,O�AGRYLlG PLASTtG SHEET. �aD����/Pyp�/
t2. FOR ROOFS Vi17H A5PHA4T SHING4E5 AWD A SLOPE BETV�EEFS 2 TO 12 AND 4 TO 12 SHALL HAVE A DOUHLE UbDERLAYMEfdT AP�LIGATION AS REfdi11RE0 1N ProPesstonatServfcetndusutes
� AGGORpANGE WITH SEGTION 150?2b OF THE 2014 F�L. 1748 33rd Straet
13. UFiDERLAYMEWT SHA�LL GptdFORM WITH SEGTIOk 15D7.23(ASPNAL7 SHINGLES)AF1D 15D"1.45(ME7AL RDOF PAMELJ OF THE 2014 F.OL. Ort�ado,Ftortda 32839
� 14. ASPIif1RT SHti�6LE5�fA4L GOtdFORM hSiTN SEGTIOM I507.25 OF THE 2Qt4 F.B.G.AT"fAGHMENT OF ASPNALT 5NIH6LE5 SHAIL GONFORM WITN I5012."i OF THE 2p14 FB.G. Plan Reviewer.Wuuam E.Neary,III
� 15. FASTEPdERS FOR ASPHALT SHINGLES 5HALL GOtdFORM TO SEGTION 15072.6 OF THE 2014 F,6.G, ICC�stesoao
ib. TIE-DOJ�AtS SHAi.L MEET 7Hf REQUlREMEWTS OF ALL APPLiGABLE GODES. �a uuoo4os
� I"f. THESE PLAPlS HAVE NOT 6EEF7 DE5IGNED FOR HVHZ REQUIREMENT5 A5 5ET FORTH IN THE 2014 FS.G.OR POf2 U5E AS A GOMMERGIAL BUILDlN6. FL SMi•78,sMp-55
�, !S. THE GOPd'tRAGTOR SHALL BE RE5PON5I8LE FOFL VERIFYttdG A4L EXISTtNG GONDITtpNS,
s 19. 7HE GONTRAGTOR SHALL BE RE5POH51BLE FOR pEUVERY Atdp PLAGEMEN7 OP LAWN STORAGE UNIT TO INSS!!2E 7HE IN'fE6RlTY OF TNE 6UILDtNG AND t75 GQMPONENS
PARTS.
� 20.NO FIELO REVI510Id5 TD ANY STRUGTURA,L GOMPONENTS pR DEVIA710N5 FROM 7HE5E pRAWlN65 SHAL4 BE MADE.
2!. 7}fE OWNER AND 3'NE LOPlTRAGTOR SHALL HOLD HARMLE55 TNE ENGtNEER FROM AWD ItGAIMST ALL LIA6�L17Y GLAIM5,DAMAGES,L055E5 AND EXPEN5E5 INGLUDING
g LEGAL FEES ARISING OUT OF OR RESULTING FROM ERRORS OR OM155lON5!N THE PERFORMANGE OF THE WORK SY TtfE GC)NTRAGTOR.
� 22,SEGTIOR'S AA1D DETAILS OPd TNE DRAWING5 ARE INTENDED TO BE TYPIGAL AND SHALL APPLY AT ALL 51MILAR LOGATIONS,UNLE55 OTHER SEGTIdNS AND DETAILS ARE
� SPEGIFIGALLY REFEI2ENGED.
� 23.i2EFER TO SSIPPi.IED FASTEMtNG SGHEpU4E FOR FASTEFd1NG BASED ON GONNEGTION ANp LOGATION OF MEMBERS A5 PER 201�i FLORIDA BUILOING GOpE 7ABLE 2304.9J
UNLE55 NOTEP OTHERWl5E. 'Ph�se g�i�ns cotcsp9y tvi4h:
24.BUtLPtN65 HAVE BEEN DES�GNED FOR LP 5MARTSIDE PREGSIpN PANEL SIDING,LP SMART5IDE PREGISION 4AP 51DIP1G 5HALL NOT BE U5Ep. 2014 F��,Bm Eddti�eo
� 25.FA57ENER5 IN LP SMART5IDE PREGISloN PANEL 51IIltdG MUST PIOT 6E INSTALlED IN PAkfL 51DING 6ROOVES IM TNE FIEL17 O�THE PAMEI 5tII1FI6 QR NtNEAI 7NE PAAtEL 2091{l4�G
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26.RE�ER T�tHE IGG-E9 EVALUATIO@I REPQRT ESiZ-1301 FOR ADDITIOPiAL DRTA AAiT?SPEGJFiGAT10M5 OF LP SMARTSIi?E FfZEG1510N PANEL 51DING.
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28,PER SEGTION 1609.1,2 OF FBG,STpRAGE 5HEp5 THAT ARE NOT DE5IGNED FOR HUMAN HABI7ATION AND THAT HAVE A FLOOR AREA OF"120 SQUARE FEEt OR LE55 ARE
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