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HomeMy WebLinkAbout18-19781 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 19781 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19781 Address: 5024 20TH 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: SUMMERHILL Est. Value: Parcel Number: 12-26-21-0100-0000-0020 Improv. Cost: 4,700.00 OWNER INFORMATION Date Issued: 6/08/2018 Name: MARTINEZ ANA COTO & JOSE Total Fees: 300.00 Address: 5024 20TH ST Amount Paid: 300.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/08/2018 Phone: 813-838-6848 Work Desc: GARAGE INTO SECONDARY LIVING QUARTERS 525 SQ FT CONTRACTORS APPLICATION FEES HOMEOWNER BUILDING FEE 97.50 HOMEOWNER ELECTRICAL FEE 67.50 HOMEOWNER PLUMBING FEE 67.50 HOMEOWNER MECHANICAL FEE 67.50 /(U C -0, Ins ections Re ulied FOOTER 2ND ROUGH 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. CONTRACTOR SIGNATURE PERMIT OFFItYR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 19781 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19781 Address: 5024 20TH 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: SUMMERHILL Est. Value: Parcel Number: 12-26-21-0100-0000-0020 Improv. Cost: 4,700.00 OWNER INFORMATION Date Issued: 6/08/2018 Name: MARTINEZ ANA COTO &JOSE Total Fees: 300.00 Address: 5024 20TH ST Amount Paid: 300.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/08/2018 Phone: 813-838-6848 Work Desc: GARAGE INTO SECONDARY LIVING QUARTERS 525 SQ FT CONTRACTORS APPLICATION FEES HOMEOWNER BUILDING FEE 97.50 HOMEOWNER ELECTRICAL FEE 67.50 HOMEOWNER PLUMBING FEE 67.50 HOMEOWNER MECHANICAL FEE 67.50 Q A 5q So Ins ections Re uired FO TER 2ND ROUGH PLUMB MI 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. CONTRACTOR SIGNATURE PERMIT OFF169R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER F� _ IN a_ City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: `� � Site: 6-0- Permit Type: G � ' Approved w/no comments:❑ Approved w/the below comments:` Denied w/the below comments: This comment sheet shall be kept with the permit and/or plans. KAvm-Svn'tzer-Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) 878ae0-0020 City Of Zephyrhills Permit App'Icatl Building Department Date.Recelyed �zj .Phone Contact for P®rmi g g 3 .�J 609 Owner's Name O S f �T k Ki�Z Own 7NUMber-',eZOwner's Address. Owner Phone Fee Simple Titleholdor Ham e •�N ��'i ut OwnerPlione Number,se Fee Simpli Titleholder Address S D.a a S 2'I� I S Z JOB ADDRESS SoS-� II�5 3354Z LOT# °'_of- SUBDIVISION. � Ol k PARCEL•ID#.. Z— Z�" ZI' — 00 ,D (OBTAINED FROM PROPERTY.TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN 0 �. DEMOLISH R: .' INSTALL B 'REPAIR PROPOSED;USE Q SFR 0: .:-COMM. OT—H-ER ` G TYPE`OF CONSTRUCTION LOCK - FRAME EEL 0 .. Q 0 0 DESCRIPTION oi:'wtiRr / t, r'V 1`tip 5 A" - i3U1LDIP➢GSIYE a" N 'SQ'FOOTAGE ��� .HEIGHT ..ea+ =BUILDING —_$ —70 VALUATION'OF TOTAL CONSTRUCTION' " ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C. 0PLUMBING � ,. [MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION. =GAS Q ROOFING 0 SPECIALTY Q OTHER FINISHMFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO UILDER; ✓�4 "t„_L� COMPANY / V`� D w l�'e SIGNATURE —ri �-et) r , 1 REGISTERED Y/ N: FEE:CURRRN LILN LAddr®ss License.#" M EL COMPANY SIGNATURE G REGISTERED Y/ N FEE.CURREN Y/N Addre License.# PLURABE4V` COMPANY SIGRlPiTURE REGISTERED Y/ N. FEE CURREK " ' Y/:N Address. Ji/ ZD 33 wcerise#- CjCOMP ANY SIR 1: FEE CURREhGNATU AddrdSs'��,:::. License.# OTHER! COMPANY SIGNATURE;;t�i ;:' '.�i� r ' ,' ' REGISTERED Y/.)V FEE CURREK Y/N License RESIDENTIAL; sAttach;;2'uPlot`P.-.lens:2'setsof Buildin '<Pla 1 j,(.), g, ns'( )set'of Ene�gyForms;=R Q'; 1 construction,:. 1NP t .:: hAir�imurriRteek(,1Q)wq[kingFdays after.$ubmittehdate Required,66si4e;'Constru'ctiorr Plans;StObwaterPlans w/Silt Fenceinstalled; " unitsry;;F�acilitles&Al dumpster;"SiteWork Fermrt for subdivision§/large''.proJects' '' '_COfNN19RCIAL Life Safety Page;(1)set of Energy Forms.R-O-W Permit for'new-construction. Minimum ten(10)"working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence.Installed. Sanitary Facilities 8:1 dumpster.Site Work Permit'for�sll new projects.All commercial requirements must meet compliance $IGRi PERfWIT -Att4ch'(2)"sets if Enginee ediPlans a :- ****PROPERTY SURVEY required for.all.NEW construction... F11tout:application completely. 'Owner-&Contradtor-sigri,back of application,notarized If_over:$2500;.a,Notice.of:Commencement Is required. (A/C upgrades over$7500) Agent'(for the.contractoT):or Power.,of'Attomey-(for'the owner)would"tie someone with notarized letter from owner authorizing same '<::017ER`.YFIE COUNTER PERR�L1TIldG,,;...,.,,, ,.(copy,of contract.required) • ':`r:: .Recoofs ifatiirigles Sewers Service Upgrades.A/C Fences(Plot/Survey/Footage) r..... _ "Driveways-Not over Counter if on pdblic'road'w ays..needs ROW ' . a NOTICE'—OF DEED:RESTRICTIONS: .The.undersi`gned;:unders tands;tha?�t t l 'h;l:•i s/'bte r-$mu2i't�'":m Yavyb.tra'te`:,s.ti-t;scb7ltje••yi f'cho.tFK.r f,,t=e Cc.;ctma:eS.p..sued"n-'k rsc'ttn'"_�di''l.f"f�,: g_..•i^ 1'^:" tr th:anyres be- o ; e.unassecv.whichmaj .x:.:•`:`:':- applicable;deed restrictions. UNLICENSED;°CONTRACTORS AND 'CONTRACTOR RESP;ONSIBiLITIES If-`the owner hasn.€ire a°contractor or contractors Ito undertake work;they;.may;be•;,;re.qu€cad;io bei i€censed.in accordance.with:state':and1ocal;tre ulationsu' 1fExthe�t r _ _-r. ;.��.. Yea.,. ..>- contractor.:is=not:licensed'as requ red'.bylaw; liotli;the owner`and'contra or m ty e`c�tedafor a irrrisdeiateanor.•vioiatf& understate Saw. if the owner or,imended:'..contractor.•.:are�,uncertain as-to-w€iat,llcensing.reyuicem'ei t;iarmay��afz�ly}for ftie 1 ; intended-work.:the are--advised:to'corit bHhe'Pasco County'Bi#ildirr``I-I$edtIdhM vision-=+=Licensin ;Sect€on at g 80.09.''Furthermore; if the owner has'°liired`a contractor or confrac#ors, he is advised t+s;have-the;;contra'ctor,(;k,'1gn.,_,; portions of the "contractor Block".of,this.application.for.which..they-.will:be.•:rasponsibJe;,-1f you,,dir'4'ewwner`:sign contractor.;that may be an indicafibn thsit"h'e is riot"properly,icensed4and:is not enti'tied-to perm€tt€rig pF€vileges tn:RPasca.:_,_. _ i County. TRi4NSP.ORTATION.-IMPACT/:UTILITIES-IMRACT A-ND RESOURCE RECOVERY FEES: 'The undersigned.understands that Tr;'ansportation Impact Fees and Recourse Recovery Fie v� lay apply tofthe construction of_new•:bttild€ngs,.';cttange{of`� use'inIexisting buildlr gs, or'exoiini- 6-of:e (sting`'bu€ldings, as specified in Pasco County Ordinance number-891.0 and 907, as amended. "The°undersignedaso 4nderstands,,that m will`64Identifed, e"`t mia stood that mpactFesaRe mpermting. -tt s furtherundei si ,= adr:r:otof_'s�•• receiving a:-certificate:of occupancy"or.final„power release. If the..pirgject:does not involve 0,66itificate of.occtapan'cy final-.power-releaseY the:#ees.�nust be_:pa€d prior.to-permit--issuance...Furtliermore,.if.Pasco:Counfy Water{Sewer lmp�a.ct- feesare due;_tliey,inust:be:.paid prior to permit'issuance.in.accordanc*'with:applicable-Pasco..Coilnty ordinances. CONSTRUCTION lL1EN LAW(Chapter T1.8;'Fbntda Statutes,as amended): if valuation of work is$25?Q.Ot)or rpore ,r;>,r.- certify!that 1,.-the�appl€cant;. .have '.been:,provided-with za .copy .af._the ,"Florida` Construo#ion:':�ien...Law. Homeowners-} Protection Guide" prep ared'by the Florida Department of Agriculture and Consurner-Affairs. If the applicant is;someone=...:,=; ! other than the"owner",1.�ertify that:I:have-obtained'a copy of the:above"de ci:i6,ied`document and:pcom€se in.goof,;.I'tl to..';•. d�€iv�r it to_ti °ewter" riiar toe* iener►f;'_. _ _ _ - - : = CONTRACTOR'SIOWNER'S AFFIDAVIT:,�.;lOttify::-tliat:alilhiD inforrriatiohln':this application is accurate and'that alrwork will be(done in compliance with all appl'icabl0aws regulating construction, zoni6§,'and land-.development. Application,is hereby made to.obtain_a�,permit:.'to.=do;.work:and.:installation.•as'¢€ndicatid: 1'certify that no 'wot•k or_instaltatldhi has commenced prior to issuance of a permit and-that all work will be performed.to:meet;standards-of all laws regulating construction. County and City codes, zoning regulations, and land deveiopment"'regulafions'in:tlae jurisdiction: �,f Jalso ;K certify that I understand that the regulations of other government agencies may apply.to..the.intended work, and that,it is, my responsibility to Identify what actions.l.must,take.to,be, m ompliance fi,Such'•agencles,include°bUt=are noot=limited to: _Department of Environmehta! Rrotectiora=Cypress Baylieads; Wetland Areas and Er_i"vironmentally Sensitive Lands,Water/Wastewater Treatment. Southwest Florida Water Management :District:Wells;''` Eypress .Sayheads, Wetland Areas, 'Altering ?, Watercourses. Army Corps of Engineers=Seawalls, Docks; igable Waterways. ,, Departm.ertt::.of=Health...;8�:RehablIitative,;Services/Environmental:=.Health Unit=Wells,`=Wastewater Treatment, -Sepik°Tanks: US Environmental Protection Agency-Asbestos-abatement. Federal Aviation:;Auttiority-Runways: I understand that:tl a f611bwin,restrictions apply to the use of.fill: Use of fill.is not:aiio*ed in;F1oad Zone"V".uniess expressly permitted. - if the filf-material is to be used in. Flood Zone "A", 'it is understood that a drainage plan addressing..a "compensating volume" will be submitted.at time of permitting which-is prepared by a professional engl.h,oer licensed,by;tha'.Stake of,Florida. - if the-fill`materialjs'to be used in Flood Zone "A"'in connection with a permitted building using:stem wall, construction, l.certify;that,filf,wi11-be used only to fill the area within the stem.wall. ... lf'fiti`mate'rial'Is-�to--be used €n-any area, 1 certify that use of such-fill wilt not adversely atfect-adjacenf..',- properties. If use of fili.Is found:,to.adversely�affect-adjacent properties, the owner maybe cited for violating;- the Eondttions;iif=#toe'°building permit_issued under`the''.attached:.permit:.appllcation,.fotatots''tess than onel,(1} acre whIdh are elevated by fill,an engineered drainage plan is required. ' If I am.the.AGENT=FOR:TFIE:•OWN.ER :'I.•:}iromise in good faith-to inform the.owneraf the;permitting"coed€tiona set forth in this affidav€t-prior'to"commencingconstruction::'I.understand that,a separate permit may be required for electrical.wt rk, r -plumbing9 signs;ryrells,zpoals;-elr.mnditimninggas;::.or,othbQ',siiidtallatiahs-not=specifically--included.An-the-appllcatlon:t=rA:;. z - permit issued shall;betcanstruedto beat€censor -proceed`witi `ttte--work;and not'as:au#h�arity:-td=violafe;.cartaei;=aiteri or >r; set aside ariy provisions'of'thb—technical codes, nor shall issuance of a permit prevent the Building Official from.thereafter' requir€rig_;a:cor�ection�,of.;errors�ir tplario; cfinstruction.or:.violations-of-any codes. -Every`permit issued-shall'-become invdild unless he work author€zed'bysuch permit Is commen.ced within,six months of permit issuance, or if work authorized by' - is the pei'rni#is-suspended;or.abandoned,for;a pP.9 of-six-(6)''monti s.;after the time the work is commenced., An.extension= 4< may be:requested, in.writing,-from:.the BulldM t w1blai for a period not--,td-ekb66d`hIh#ty 0)-,days and'witl''demonstrate ; ustiflable cause for-the extension. I f work:ceases for nine 90 consecutive days,the job is.considered abandoned. WARNING'TO-�O .kik:._,YOUR:FAILUR',._ TO:RECORD-A;NOTICE•O.F:,C.OIii1MENCEMENT:MAY.RESU1eT IN YOUR PAYING;TMCE'FORatMP1 01fEMENTS�Td YOUR 1xRQPl=RTY 1F YOUs`INTENDkTO'OBTAIN=FiNAN'C1NG;''C_ONSULT 4: WiTN'Yt�t1i 'iw:ENDER'fJRAIN AfiTORNEY BEFORE RECORDiNG'.YOt3R NOTtCE` F.CON€MENEMENT::__ ' :.. FLORIDA JURAT}(F.S:. >t7;t}3) C.ON. . OW AGENT 1�` _ 1:+ �! TRAC R t TO Su s ribed a, 'swo to,(or af8mte�d)before me this Su cdbed and swam to(or f8nned)befo e t y �1116L /B7i'� •�'in Ti .�-� : :by...-. I ds- �i—//��� who l,e eersona!ly,known.tp,mp or.,!�aoaye.produced. re parson iiy:kno #o me'or,has/have produced: vat 'i LE'irl;� as lden8flcaitlon. �N4l as identiflcallon. o Public' bli �� Nota Public •r- N tary u c ry Commission No.t'_r0 3�� Cam slort _ BRlAN DAVIS JACOU INE BODES Name of No ny ttyp`d;pri te�bcstarrii5ed a or r onaa Name of No d, _d t. . - s`a �' Commissioni3 FF 167342 ' er12,2018 iie�fti b.,.• ,s Fro? •Je t! �y Comm.©xpiros Oct.9,2018 � �+aasaors � g =\ray)6e FLc9a-5 L-bCe,-Jicn S S-L-ruc3d,,r<2� hil a�qovjl�z t p, .. �EVIE1�i DATE. ALL,-WORK'SHAU—%,'0M€L VV3TH PREvAI �'.0F. 'EP_,H�(_.H� .�... : ... �s� MINER CODES:FLQh�CAS Iio®lnlu C�D,E,. 1�41 .: ... z..EIECTrI,�,:COE, -,_', . . " .`. E, .'.t•.: .t, .- ;__ NO HE.".CI7hY-0F_ZEPHARHl --:.:r.:: ; : 3 ORDINANCES . . .. .. .. ....:........ ... ��: ... .� : IN r' �-� � : ✓' , °� .. : lk 31 YI 1 .. r��. ... .. .. .. �.: .. �. %.- .. ems . .......t4l (�.. j{... r . Y.. �- .t tip' _P.�'a•�' `'^. �-- —1 ;Rcp t:1959751 Rec: 10.00 Illlllllllllllllllllllllilllillllllllllilllllillllllllllllll D5: 0.00 IT: 0.00 2018087455 —_ I 05/23/2018 B. M. , Dpty Clerk �PAULR S.0'NEIL,Ph.G.PRSCO CLERK & COMPTROLLER'- Permit No. Parcel lDNo i05 R3BK01�72�m PG 3739 NOTICE OF COMMENCEMENT �. _ State Of �Ol(��0L_ County of THE UNDERSIGNED hereby gives notice that bnprovement will be made to certain real property,and in accordance with Chapter713,Florida Statutes, the following Information Is provided In this Notice of Commencement w,�,+1 1. Description of Property:Parcel Identification No. 12—Z-q�Z(— 0 O,COWO-00 Ze SbeetAddress: 2. General Description of Improvement 3. Owne�N�n o L e Information e esse,r contracted for the Improvement: w� 0'aT�I`-NOeme ��' !' C' .W �'�P .4 S Art 'Address J Oil— State, Interest In Property: Name of Fee Simple Titleholder. (if different from Owner listed above) Address City state 4. Controctpr t .Si!L - sate , Address City State Contractor's Telephone No.: 5. Surety. Name Address City state AmountafBond:$ TelephoneNo.: 6. Lender. Name Address City State Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City state Telephone Number of Designated Person: 6. In adddlon to himself,the owner designates of to receive a copy of the Uenor's Notice as provided In Section 713.13(i)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner. g. Expiration date of Notice of Commencement(the expiration dale may not be before the completion of construction and final payment to the contractor,but will be one year from the date of recording unless a different date Is spectfied): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER713, PART1, SECTION713.13, FLORIDA STATUTES,AND CAN ® Gi' RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT A "Q� H YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. s #v or penally cf perjury,I dedare that,l have read the foregoing notice of commencement and that the facts stated therein are true to the best kn dge and be6el I FL RIDA ignature of Owner or Lessee,or Owner's or Lessee's Authorized Orfl.=IradodPariner/Monager ' s• �� signetoysTige/Offlce //���/� � / �.� oing Instrument was aeMMedged before me this day of 2AKiy r ' '"'� of authority,e.g.,officer,trustee,attorney to fad)for (n a of arty on behalf ot om InstrurRft was era cutaA. Personalty Known❑QR Produced Identifi^ca�tion_ Notary Signature AQ Type of Identification Produced_ /r^-Lde� I �}�o a(Prim) STATE OF FLORIDA,COUNTY OF PASCO THIS IS TO'CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT , �;Y'r<"'••. JACOUELINE BODES ON FILE OR OF PUBLIC RECORD IN THIS OFFICE '� � Commission#FF 150422 - . Expires Deeemher 12,2018 W�I''""TT77NSSS MY HAND �ILSEAbTjl ; 9aMId Trw yMFalnlntuB00388..p groti m n 53D4T R+' PAUbA S. OWFIL,PLPRK& COMPTROLLER - - -Bh _ - - EPUTYCLERK---------- -- DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, have read and fully understand and agree to the provisions of this instrument. l The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: A 1. That the owner and he or she alone shall act -as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. OWNER'S SIGNATURE a"- V" s DATE 70I� ADDRESS SD .2 PHONE WITNESS PERMIT # Oft N %ma!y JoineW 2Q1 9 Application for Ad Valorem Tax Exemption! a7 (Mt Pasco County Property Appraiser www.pascopa.com PAS-PA601 14236 6th St Ste 101,Dade City,Florida 335233411 R-12112 Land Or Lakes(813)929-2780 New Port Richey(727)847-8151 Dade city(352)521-4433 Homestead Application Type INIT Parcel Identification Number Cards HX card Use Mo HWDVT Pet MN=New,C=Change,A=Addiflonaj TS 1226 210100 00000 0020 001 001 01 01 HD Permanent FL residency required as of Jan I Name and Address M Marital Status:S,M,W,R,D,U Use codes:A,C,0,B,or T MARTINEZ ANA COTO&JOSE A N Are you receiving any residency B Homestead Exemption up to$60,000 5024 20TH ST required exemptions anywhere $500 WdPw`S exemption N Redd Homestead within last 2 yrs? $500 Widowers exemption ZEPHYRHILLS FL 336425216 If"YES"where: $500(Disability)Regular Physical Address $6000(Disability)Service 5024 20TH STREET $5000 Surviving Spouse Notes If"NO",your last years address $500 Blind persons exemption 10-0-5 COMB HERE 9761 FOX HOLLOW RD . The following require documentation TAMPA FL 33647 Total&Permanent disability HILLSBOROUGH RENTED exemption,Quadriplegics Ownership Information Service connected total and permanent disability exemption Legal Description Percent of Ownership 100 Disabled veterans confined to SUMMER HILL SUBDIVISION Deed date wheelchair PB 31 PGS 38-39 Deed notary date LOTS 2&PORTION OF LOT 5 Deed recording date —Total and permanent disability, DESC AS COM AT NW COR OF SAID Type of deed limited income LOT 5 FOR POB TH S72DEG 05' OR Book and Page Surviving Spouse first responder NOTE:Disclosure of your Social Security number is mandatory.It Is required by auction 196.011(1),Florida Statutes.The Social Security number will be used to verify taxpayer identity Information,homestead exemption information submitted to property appraisers and Intangible tax Information submitted to the Department of Revenue. Applicant last name first MI CG-applicant last name first MI Other applicant last name first MI Proof of residence for all owners MARTINEZ ANA COTO MARTINEZ JOSE A JR Social Security No.and H.IN,at 0 code W H Give address for each owner not residing on above referenced property Phone number (813)417-8265 (813)83B-4868 Date you became a permanent resident of the State of Florida 01/01/2007 0110112007 Date of occupancy 03129/2018 03/29/2018 Florida Drivers license number C356016605510 MW54211623490 Issue date on drivers license 02/06/2015 09/2912014 Date of Birth 02111/1960 09/29/1962 Florida vehicle tag number Florida voter registration number U.S.CITZEN-NOT REGISTERED U.S.CITIZEN-NOT REGISTERED Date of registration Immigration number-or-Alien Card Issue date Declaration of domicile(OR and PG) Date of registration Previous Location Current Employer PEOPLES CHOICE REALTY UNEMPLOYED Address listed on your last IRS return 9761 FOX HOLLOW RD 9761 FOX HOLLOW RD TAMPA FL 33647 TAMPA FL 33647 RENTED RENTED Location and number for out of state or foreign country drivers NIA NIA WA NIA Location and number for out of state or NIA N/A NIA NIA FORM R405-2017 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name: R0518244 Builder Name: Street: 5024 20th St Permit Office: City of Zephyrhills City,State,Zip: Zephyrhills,FL,33542 Permit Number: Owner: Martinez Jurisdiction: 611600 Design Location: FL,Tampa County: Pasco(Florida Climate Zone 2) 1. New construction or existing New(From Plans) 9. Wall Types(846.0 sqft.) Insulation Area 2. Single family or multiple family Single-family a.Concrete Block-Ext Insul, Exterior R=4.1 846.00 ft2 b.N/A R= ft2 3. Number of units,if multiple family 1 c, N/A R= ft2 4. Number of Bedrooms 0 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types (532.0 sqft.) Insulation Area a.Under Attic(Vented) R=30.0 532.00 ft2 6. Conditioned floor area above grade(ft2) 532 b. N/A R= ft2 Conditioned floor area below grade(ft2) 0 c.N/A R= ft2 11.Ducts R ft2 7. Windows(48.0 sqft.) Description Area a. U-Factor: Dbl,U=0.65 48.00 ft2 SHGC: SHGC=0.35 b. U-Factor: N/A ft2 12.Cooling systems kBtu/hr Efficiency SHGC: a.Central Unit 12.0 SEER:16.00 c. U-Factor: N/A ft2 SHGC: 13.Heating systems kBtu/hr Efficiency d. U-Factor: WA ft2 a. Electric Heat Pump 12.0 HSPF:9.00 SHGC: Area Weighted Average Overhang Depth: 1.333 ft. Area Weighted Average SHGC: 0.350 14.Hot water systems 8. Floor Types (532.0 sqft.) Insulation Area a. EF:0.000 a.Slab-On-Grade Edge Insulation R=0.0 532.00 ft2 b. Conservation features b. N/A R= ft2 c.WA R= ft2 15,Credits None Glass/Floor Area: 0.090 Total Proposed Modified Loads: 20.46 PASS Total Baseline Loads: 25.12 I hereby certify that the plans and specifications covered by Review of the plans and itIE A this calculation are in compliance with the Florida Energy specifications covered b this ti0o N P 9Y P Y , : `:«�C Code. calculation indicates compliance, ��' with the Florida Energy Code. O PREPARED BY: Before construction is completed w =t,:� { a •- ~ � DATE: 05-17-18 this building will be inspected for F compliance with Section 553.908 I hereby certify that this building, as designed, is in compliance Florida Statutes. with the Florida Energy Code. I OWNER/AGENT: (XOUILDING 0 FI IAI DATE: DATE: - Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory-sealed in accordance with R403.3.2.1. -Compliance requires an Air Barrier and Insulation Inspection Checklist in accordance with R402.4.1.1 and this project requires an envelope leakage test report with envelope leakage no greater than 7.00 ACH50(R402.4.1.2). 5/17/20181:29 PM EnergyGauge@ USA Section R405.4.1 Compliant Software Page 1 of 4 FORM R405-2017 INPUT SUMMARY CHECKLIST REPORT PROJECT Title: R0518244 Bedrooms: 0 Address Type: Street Address Building Type: User Conditioned Area: 532 Lot# Owner Name: Martinez Total Stories: 1 Block/Subdivision: #of Units: 1 Worst Case: No PlatBook: Builder Name: Rotate Angle: 0 Street: 5024 20th St Permit Office: City of Zephyrhills Cross Ventilation: No County: Pasco Jurisdiction: 611600 Whole House Fan: No City,State,Zip: Zephyrhills, Family Type: Single-family FL, 33542 New/Existing: New(From Plans) Comment: CLIMATE / Design Temp Int Design Temp Heating Design Daily Temp V Design Location TMY Site 97.5% 2.5% Winter Summer Degree Days Moisture Range _____ FL,Tampa FL_TAMPA_INTERNATI 39 91 70 75 645.5 54 Medium BLOCKS Number Name Area Volume 1 Entire House 532 4788 SPACES Number Name Area Volume Kitchen Occupants Bedrooms InfilID Finished Cooled Heated 1 Bath 190 1710 No 0 1 Yes Yes Yes 2 Kitchen 342 3078 Yes 0 1 Yes Yes Yes FLOORS # Floor Type Space Perimeter Perimeter R-Value Area Joist R-Value Tile Wood Carpet ______ 1 Slab-On-Grade Edge Insulatio Bath 39 ft 0 190 ft2 ___- 0 0 1 2 Slab-On-Grade Edge Insulatio Kitchen 55 ft 0 342 ft2 ---- 0 0 1 ROOF / Roof Gable Roof Solar SA Emitt Emitt Deck Pitch V # Type Materials Area Area Color Absor. Tested Tested Insul. (deg) 1 Gable or shed Composition shingles 561 ft2 88 ft2 Medium 0.65 No 0.9 No 0 18.4 / ATTIC V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC ______ 1 Full attic Vented 300 532 ft2 N N 5/17/2018 1:29 PM EnergyGauge®USA Section R405.4.1 Compliant Software Page 2 of 4 FORM R405-2017 INPUT SUMMARY CHECKLIST REPORT CEILING # Ceiling Type Space R-Value Ins Type Area Framing Frac Truss Type ------ 1 Under Attic(Vented) Bath 30 Blown 190 ft2 0.1 Wood ______ 2 Under Attic(Vented) Kitchen 30 Blown 342 ft2 0.1 Wood WALLS Adjacent Space avity Width Height Sheathing Framing Solar Below C 1 N Exterior Concrete Block-Ext Insul Bath 4.1 19 0 9 0 171.0 ft2 0 0 0.3 0 2 E Exterior Concrete Block-Ext Insul Bath 4.1 10 0 9 0 90.0 ft2 0 0 0.3 0 3 W Exterior Concrete Block-Ext Insul Bath 4.1 10 0 9 0 90.0 ft2 0 0 0.3 0 4 E Exterior Concrete Block-Ext Insul Kitchen 4.1 18 0 9 0 162.0 ft2 0 0 0.3 0 5 S Exterior Concrete Block-Ext Insul Kitchen 4.1 19 0 9 0 171.0 ft2 0 0 0.3 0 6 W Exterior Concrete Block-Ext Insul Kitchen 4.1 18 0 9 0 162.0 ft2 0 0 0.3 0 WINDOWS Orientation shown is the entered,Proposed orientation. / Wall Overhang V # Omt ID Frame Panes NFRC U-Factor SHGC Imp Area Depth Separation Int Shade Screening ------ 1 W 3 TIM Low-E Double Yes 0.65 0.35 N 20.0 ft2 1 ft 4 in 0 ft 6 in Drapes/blinds Exterior 5 2 W 6 TIM Low-E Double Yes 0.65 0.35 N 28.0 ft2 1 ft 4 in 0 ft 6 in None None INFILTRATION # Scope Method SLA CFM 50 ELA EgLA ACH ACH 50 1 Wholehouse Proposed ACH(50) .0004 558.6 30.67 57.67 .3087 7 HEATING SYSTEM # System Type Subtype Efficiency Capacity Block Ducts 1 Electric Heat Pump/ Split HSPF:9 12 kBtu/hr 1 Ductless COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts 1 Central Unit/ Split SEER:16 12 kBtu/hr 400 cfm 0.78 1 Ductless SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model# Collector Model# Area Volume FEF ----- ft2 5/17/20181:29 PM EnergyGauge@ USA Section R405.4.1 Compliant Software Page 3 of 4 FORM R405-2017 INPUT SUMMARY CHECKLIST-REPORT TEMPERATURES Programable Thermostat:N Ceiling Fans: Coolin JXJ Jan �Xj Feb [[ ]]Mar [ ]A r [ ]Ma ri Jun [X]Jul rl Au JXJ Se Oct Nov Dec Heating Jan Feb [X]Mar j ]ArMay Jun [ 1 Jul Au SeP Oct X Nov X Dec Ventin Jan Feb ttX1l Mar lXl Apr l 1 may Jun I 1 Jul Aug Se jXj Oct X Nov Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling(W D) AM 78 78 78 78 78 78 78 78 80 80 80 80 PM 80 80 80 80 78 78 78 78 78 78 78 78 Cooling(W EH) AM 78 78 78 78 78 78 78 78 80 80 80 80 PM 80 80 80 80 78 78 78 78 78 78 78 78 Heating(W D) AM 65 65 65 65 65 65 65 68 68 68 68 68 PM �68 68 68 68 68 68 68 68 68 68 68 68 Heating(W EH) AM 65 65 65 65 65 65 65 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 MASS Mass Type Area Thickness Furniture Fraction Space Default(8 Ibs/sq.ft. 0 ft2 Oft 0.3 Bath Default 81bs/s .ft. fn ft 0.3 Kitchen Name: Signature: ..................................... Rating Compant: Date: _________________________________________ 5/17/2018 1:29 PM EnergyGauge@ USA Section R405.4.1 Compliant Software Page 4 of 4 2017 EPL DISPLAY CARD ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 81 The lower the Energy Performance Index, the more efficient the home. 1. New home or,addition 1. _New CFrom Plans) 12. Ducts, location&insulation level a)Supply ducts R_______ 2. Single-family or multiple-family 2. Singe-family b) Return ducts R_______ c)AHU location 3.No.of units(if multiple-family) 3. _______1__ 4. Number of bedrooms 4. _______0__ 13. Cooling system: Capacity___12.0 a)Split system SEER___16_0_ 5. Is this a worst case?(yes/no) 5. -____ No__ b)Single package SEER_______ c) G round/water source SEER/C0P_______ 6. Conditioned floor area(sq.ft.) 6. ____ 532 d) Room unit/PTAC EER_______ e) Other ---------- 7.Windows,type and area a) U-factor:(weighted average) 7a.___0_650_ b)Solar Heat Gain Coefficient(SHGC) 7b. 0__350 14. Heating system: Capacity___1 Z.0 c)Area 7c.-___48a_ a)Split system heat pump HSPF----9_0 b)Single package heat pump HSPF....... 8.Skylights c) Electric resistance COP-______ a) U-factor:(weighted average) Ba._____NA_ d) Gas furnace, natural gas AFU E_______ b)Solar Heat Gain Coefficient(SHGC) 8b._____NA_ e) Gas furnace, LPG AFUE_______ f) Other 9. Floor type, insulation level: a)Slab-on-grade(R-value) 9a.-_-_ 0_0_ b)Wood, raised(R-value) 9b.___-___-_ 15.Water heating system c)Concrete, raised(R-value) 9c._________ a) Electric resistance EF_______ b) Gas fired, natural gas EF_______ 10.Wall type and insulation: c) Gasfired, LPG EF_______ A. Exterior: d)Solar system with tank EF_______ 1.Wood frame(Insulation R-value) 10A1.________ e) Dedicated heat pump with tank EF_____ 2.Masonry(Insulation R-value) 10A2-----4.1___ f) Heat recovery unit HeatRec°io_______ B.Adjacent: g) Other 1.Wood frame(Insulation R-value) 10B1.________ 2.Masonry(Insulation R-value) 10B2.____-___ 16. HVAC credits claimed(Performance Method) 11. Ceiling type and insulation level a)Ceiling fans --------- a) Under attic 11 a.___30_0_ b)Cross ventilation No b)Single assembly 11b.________ c)Whole house fan No c) Knee walls/skylightwalls 11c.____-_-_ d)Multizone cooling credit _________ d) Radiant barrier installed 11 d. No_ e)Multizone heating credit --------- f) Programmable thermostat No *Label required by Section R303.1.3 of the Florida Building Code, Energy Conservation,if not DEFAULT. I certify that this home has complied with the Florida Building Code, Energy Conservation,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 code compliant features. Builder Signature:----------------------------------------- D ate:------------------------------------ Address of New Home:_5024 20th St ____________________ City/FL Zip: _ ZephyrhilLs FL 33542 ________ 5/1 7/201 8 1:32:43 PM EnergyGauge®USA 6.0.02-FlaRes2017 FBC 6th Edition(2017)Compliant Software Page 1 of 1 f� +IrN4 1 ,i lu: r ` -4� C /' _' 0 �� '� �'n ' r ' ' � � C r !C � — .� fp _ .. __ ._� i r'-r >G`" .,. ! i * � `• .�"�!' �ti ^.-