HomeMy WebLinkAbout19-21705 CITY OF ZEPHYRHILLS
5335-8TH STREET
-0 (813)780-0020 21705
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21705 Address: 37347 DERBYSHIRE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-000000-092
Improv. Cost: 3,000.00 1 OWNER INFORMATION
Date Issued: 9/05/2019 Name: MITCHELL JOSEPH ETHAN & RAELYN S
Total Fees: 82.50 Address: 37347 DERBYSHIRE DR
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 9/05/2019 Phone: 828-552-0226
Work Desc: 7 WINDOW REPLACEMENT S/S
CONTRACTOR(S) APPLICATION FEES
HOMEOWNER BUILDING FEE 82.50
Ins pectio s Required
FOOTER 2ND ROU H PLU B 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 OFFICZR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
have read and fully understand and
agree to the provisions of this instrument.
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:
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 I 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.
inances. 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(Tomply with all applicable laws, ordinances, building
codes, and zoning reg, ty'ons.
OWNER'S SIGNATURE dylAl DATE
ADDRESS
PHONE 19-512 Y-b 2) 26-
WITNESS PERMIT #
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
Owner's Name Joseph E. Mitchell . . . . . . . A_JLJ1 I I Downer Phone Number 828-552-0226
Owner's Address F7347 Derbyshire Drive,I Z'hills J Owner Phone Number
Fee Simple Titleholder Name I Joseph Ethan Mitchell Owner Phone Number
Fee Simple Titleholder Address 37347 Derbyshire Drive, Zephyrhills, FL 33542
JOB ADDRESS 37347 Derbyshire Drive, Zephyrhills, FL 33542 ILOT# 92
SUBDIVISION Wedgewood Manor PARCEL D#1 110-26-21-0120-00000-0920
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADDIALT SIGN DEMOLISH
R INSTALL REPAIR
PROPOSED USE FX7 SFR Q COMM OTHER I
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL L] I
Install 7 replacement windows in living space (excluding garage) . All
11
DESCRIPTION OF WORK to be sinqle-hunq, same size as original--no structural modificationsl
BUILDING SIZEC SO FOOTAGE HEIGHT
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
=BUILDING C
3,000.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
=PLUMBING 1$ e7
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER COMPANY (Mm-eY� P�ywe�'el'Z-
SIGNATURE t REGISTERED I Y1 N_J FEE CURREN I YIN
Address License#
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED Y/ N FEE CURREN L_XLN J
Address _71 License#
PLUMBER COMPANY =
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
MECHANICAL COMPANY =
SIGNATURE REGISTERED Y/ N FEE CURREN L_jLN_J
Address I License#
OTHER COMPANY =
SIGNATURE REGISTERED Y/ N J FEE CURREN
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a 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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit 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&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone With notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
-NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
whichimay be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If-the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for'the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,-as amended): If valuation of work is$2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy Of the "Florida Construction Lien Law—Homeowner's
Protection-Guide" prepared by the Florida Department of Agriculture and 'Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work ,
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. -1 certify that no work or installation 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 development regulations in the jurisdiction. I also
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 I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Ehvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:-
- Use of fill is not allowed in Flood Zone"V"unless express*ly permitted.
- If the fill 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 engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If''use of fill is found to adversely affect adjacent properties, the owner maybe.cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated,by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, "wells, pools, air conditioning, gas, or other installations not specifically included-in the application. A
permit issued shall be construed to.be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the-technical codes, nor shall issuance of a permit prevent the/Building Official from thereafter
requiring a correction of errors in.plans, construction or violations of any codes. Every permit issued shall become invalid
unless the-work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety,(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR.FAILURE TO RECORD A,NOTICE OF COMMENCEMENT:.MAY RESULT IN YOUR
PAYING
ING TWICE FOR IMPROVEMENTS
OVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,"CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE.RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.111 03)
OWNER OR AGENT CONTRACTOR / �LL� _
SuI)scribed and swotn or affirmed)before me his Sub 'b d nd s to(or affirmedpefore me this
by e WO L-- VIA �7o t,4
Who Ware personally knovAi-to me or has/have produced W?his/aW'rWpersonaI) known to as/have-produced
as identification. Identification.
Notary Public -Notary Public
Commission No. Commission No.
c
"ry
Name of Notary typed,printed or stamped Name of Note
t y P E.�:,,,
CARLOS MALDONADO
Commission#GG346275
-,q- Expires June 18,2023
Bonded Thru Troy Fain insurance 800.385.70i 9
last,Mciilfled t)a1e:98/06/201912:26:42
PO*Mitchell-BA(DIY)
Job Name.Mitchell BA(DIY^j
Jolt Aditress;.. . _.... .• ..... .. , .. _. _.
t]uote.# 5823821
AluMinum & Cor strut oon:
CUStotner Copy Sates Person:Marty Monbarren
until item Description Quantity, Line Pricing
0001, SW5400.VINYL SINGLE HUNG 5400 Ordered: S611 Price t:price
3.00 $304.18 $91-2.54
rya, Ce t!fibatlbn.Type:'AAMAA440 FrameType:1.375FIN
' Vent Configuration;-EQUAL Window Style:STD
Size.Selectiom.CUSTOM Size R#f:ACTUAL
Width:36.5/8 Helghit:49 518
Actual:Size:3fi 5/8 X 49 6/8 Rough INasonry:36,318 X 5ti.5/8.
Wood_Ffarne Opening:36718 X 49 7/8 Egress Opening:32 318'X 20 3h'6(4.5319 SOFT)
Frame Color.W =White Balance Type:CONSTANT
Glass Fatuity:IG =insulating_ Glass Makeup.IGA208A2
Glass:314"IG(118 AN-1/2 AIR-118 AN) Does unit need to meet Turtle Code;NO
Glass Color.G2 -GRAYLITE.11 bdW E:'ENERGY SHIELD
Argon Gas:NONE Privacy Glass:NONE -NONE
Grid Type:GBGF0563 -ShEr.Flat GridBETWEEW.Grid style:8T6
Grid Location:UNIT Summary.Top:3A2D LITES(2V1H BARS)
Summary:Bottom:3A26 LITES(2V1H BARS) Reinf;Upgrooe:_N" NE:-None
Screen Type:1816K--1816 Charcoal Screen Frame TLA
Went Latch:N tNOCO;_N C'" W��'r°l u
Lock"Tyj SW EP -Sweep Latch Upgrade HardwaillowiLokr ? ji6 �i�B
Lock Quanfttit,2.0000 BokingIVC
Uff iOptions: t�o °fi��� i � ��RZV� i
1!n HI 24. ry
elk ge.N Pi Crab 1V14 N ROJIV ANCe � ll�
e1? if
CARt1 190-1.022 TC1:Meets the requirements
TCT3;.ordnance for TC4:marine turtle protection
sli veDesignPressure:60.0600 NegativeDesignPressure:70:0000.
RAtVumber:ft.1435 EnergyStar:1.0000'
CondeiisatibnResi6taih66:'56.0000 .PF;',0.3300
SpharFleatGainGiett'0;1400 VT:
Location: Notes:
'
G`r
,•a
..;r
0002 SH5406 VINYL SWGLE HUNG 5400 Ordered: Soil Price tw/price ~
$363.33 $363.33
rM, Certification Type:AAMAA440 Frame Type:1.375FIN
` Vent Configuration:EQUAL Window Style:STD
St a Selection:C11,STOM Size Ref,ACTUAL
W.0th:521/8 Height:49 518
Actual.Size:52,1/,8 X 49 5/8 Rough Masonry:53'.7/8 X 50 5/8
Wood Frame Opening:52 318 X 49 7/8 Egress Opening:47 718?S' 3/16(6.7016 SQFT)
Frame Color White. Balance:Type:CONSTANT
Glass Famiiy:.IG.'-lr sulating GlassMakeup:IGA2OP2
Glass.'3/4"id(.1/8 AN-1/2 AiR+118 AN) Does unit need to meet Turtle Code:NO
Glass Color.G2,tiGRAYLITE II tow E:ENERGY SHIELD
Argon Gas:NONE Privacy Glass.-NONE -NON_E
Grid Type:GBGF0563 -9/16"Flat-GridBETWEEN Grid4 St''I STD
Grid Location:UNIT Summary Top;4A2D LITES(3V1 H BARS}
Summary Bott6m:4A2D LITES(3V1 H BARS) Reihf.Upgrade:NONE -None
Screen Type:18t6K -1816 Charcoal Screen Frame Type:ROLLFORM
Vent Latch:N- WOOD:N
Lock Type:SWEEP -Sweep Latch Upgrade Hardware Finish:N
Comfort Lift,Y LIA Ralf:N
Lock Quantity;2:0000 BoxIng.Optionst.N -None
Acc Glass Breakage:N becralite:N
Vent His 24.4665 Prep'for Mull;°N
GAR#:i$0-1{321 TCi:Meeis the requirements
TC3:ordinance for TC4:marine turtle,protection
PositiveDesig'nPressure:50.0000 NegativeDesigriPressure:50.0000
PANumber FL 1435. EnergyStm.1.0000
CoridernsationResistance:56.0000 UP U300
SoiarHea Ida iriCoef 0:1400 VT:G.1366
VTCOG:0.1900
Location:' Notes•
0003 SH5400 VINYL SINGLE HUNG.5400 Ordered: Self-Price x PA.e
(3.oti) 1.00 $220.97 $220.97
CeM* canon Type:AAMAA440 Frame Type:1.375FIN
g- Vent Configuration:EQUAL Window Styles STD
Size Selection:'CUSTOM Size Ref:ACTUAL
Width:18-5/8 height:-49 5/8
Actual Siie:"18 5/8 X-49 5/8 Rough Ma' son y.,M 3/8 X 50 518
Wood Frame 6pening:19 18 X 49 7/8 Egress Opening:14.3/8 X 203/16(2.0122.SQFT)
Frame Color.W -White Balance Type:CONSTANT
Glass Family:IG -Insulating Glass Makeup:IGA208A2
Glass:3/4"IG(1/8 AN-1/2 AIR-1/8 AN) Does_unit need to,meet Turtle Code:NO
Glass Color G2 GRAYLITE 1.1 Low E:ENERGY SHIELD
Argon Gas-'NONE Privacy Glass:NONE -NONE
Grid Type:GBGF0563 :0/16"Flat GrtdBETWEEN. Grid Style:STD
Grid Location:UNIT SuminaryTop:2AW LITES'(1V1H BARS)
Summa.y Bottom:2A2D LITES(1V1 J-1 BARS) Refit Upgrade:NONE -None
Screen Type:1816K -1816'Chaecoa! Screen Frame Type:'ROLLFORM
VentLatch:'N WOOD:N
Lodi Type:SWEEP -Sweep Latch Upgrade Hardware Finish:N
Comfort Lift:Y Lift Rail:N
Lock u"antity::1:0000 Bozing.Options:N -None
Ace Glass Breakage:N Decrailte:'N,
Vent Ht 24AB55 Prep for Mull:N
CAR#;190-1027 TC1:Meetsihe requirements
TC3:-ordinance,for TC4:marine turtle protection
PositiveDesignPressure:50.6000 NegativeDesignPressure:50.0000
PANumiier:FL 1435 EnergyStar:1.0000
CondehsationResistance:56.0000 UF:0 3300
S61iii eatbalh000eif 0:1400 VT:0.1300
vrdbG:61490-0'
Location: Notes:
1
,
_...._ .._...SH5400VINYLS �.-. .. .. ..� . .• . .. ,:•. , ...._ .- . . .
000¢ SINGLE HUNG 5400 Ordered: Sell Price Ext Price
(4.00) 1.00 $304.18 $304.18
r . Certification Type:AAMAA440 Frame Type:1.375FIN
Vent'Configuration:-EQUAL Window Style:STD
Stie Selection:CUSTOM Site Ref:ACTUAL
Width:36 5(8 Hoiglj 37 518
Actuai.Size:36 5t8 X 37 518 Rough_ sonry:34 3/0 X 38 518
Woad Frame Opening:36 7/8 X 37 7/8 Egress Opening:32 318 X 14 3116(3.1829 SQFT)
Frame Color W -White Balance Type:CONSTANT
Glass Family:IG -Insulating Glass Makeup:IGA208A2
Glass:3t4"!G 0/8 AN-112 AIR-118 AN) Does.uriit need-to meet-Turtle Code:NO
Glass Color:G2 -GRAYLITE 11 Low E ENERGY SHIELD
Argon.Gas:NONE Privacy Glass:.NONE -NONE
Grid Type:GBGF0563-9116"Flat GndBETWEEN i,Grid'Styie:STD.
Grid Location:UNIT Summary Top:3A2D LITES(2V1H BARS)
Summary Bottom:3A20 LITES(M H BARS) Retnf:Upgrade:_NONE -None
Screeen TyM,1816k -1816 Charcoal Screen Frame Type:Rt3LLFORM
Vent Latch:'N Wt7CD:N
Lock Type:SWEEP -Sweep Latch Upgrade Hardware Finish:N
Comfort Lift:Y Lift Rail:N
Lock:Quantity:2.0000. Boxing Options:N -None
Acc Glass Breakage:N Decialite:N
Vent t t:18.4554 Prep for Mull:N
CAR#:100-1022 TC1:Meets the requirements
TC3::ordina66e for T04:marine turtle protection
Positivel-)646 i?ressure:50.0006 NegativeDesignPressure:70.0000
PANumtier FL 1435 EriergyStac 1.0000
Condensat ggRpsistance:56.0000. _UF:Q.3300
SoladleatGainboeff:0.1400 VT:0.1300
VTCOG:'0.1900
Location:
Notes:
D005 MULTI-PART MULTI-PART UNITS Ordered: Sell Price Ext Price
1.06 $928.08 $928:08
® BEGIN MODEL SET 005:::::::::::::::::: ::::::.... .Series:5400.0000
Combo Config:.TW -Twin Factory Mull:Y
Unit 1(Bottom Left Unit):.SH5400.FM Unit 2:SH5400.FM
Frafie Type:1.375FIN AssembIybptrons:FCTRML
Width Equal or Width.CUSTOM Mull 0art_Selec6on:'MULtJCVR/CLPS
Slze Selection:ACTUAL Width:72.2506
Height:49:6850 Vertical Mull:1.25X3.25X.62FM
Frame Color•.W -White Glass Color:G2 --Grayllte 11
Boxing Options:N -None
Location: - _
Notes:
r
0005 SH5400 VINYL SINGLE HUNG 5400 Ordered: Sell Pride Ext Price
(6.00) 1.00 $0.00 $0.00
- ....
Certification Type:AAMAA440 Frame Type:1:375FIN
Vent Configuration:EQUAL Wiridow Style:STD.
Size=.Selection::CUSTOM Size Ref:.ACTUAL
Width:351/2 Actual Size:35 1/2 X 49.11/16
Rough Masonry:37 1/4.X 5011/16 Wood Frame,Opening:35 3/4 X 4915/16
Egress Opening:31 im X 20 3/16(4.3809 SQFT) Frame.Color.W -White
Balance Type:CONSTANT Glass Family:.IG -
Glass Makeup:IGA208A2 Glass.3/4"IG(1/8 AN-112 AIR-118 AN
Does unit:need,to:meet Turtle Code:NO blass.Color-62;_GRAYLITE 11
Low It.ENERGY SHIELD Argon Gas:NONE.
Privacy Glass:NONE :NONE Grid'Type:GBGF0563 -9116"Flat GridBETWEEN
Grid Style:STD Grid Location:UNIT
Summary Top:3A2D LITES(2V1H BARS) SumM,-ary'Bottom:3A2D LITES(2V1H BARS)
Reirif.Upgrade:'NONE -None Screen Type:1816K -181,6`Charcoal
Screen Fra_me Type:ROLLFORM Vent Latch:N
1NOCD:.N Lock Type:.SWEEP -Sweep Latch
Upgrade Hardware Finish:N Comfort Lift:Y
Lift Rail:N Lock Quantity:2.0000
Boxing Options:N -None Acc Glass Breakage:N
Decralite:N_ Vent Hit:24.4855
Prep for Mull:Y Left N
Right:Y Top:N
Btm:N CARM 190-1027
TC1:Meets the requirements T6:ordinance for
TC4:marine turtle protection Posiw664sighoressure:50.0000
NegativeDesignPressure:50.0000 PANumber:FL 1435
Energy tar.1.6660 Condensat onResistance:56.0000
UF:0.3300 SolarHeatGainCoeff.0.1400
VT:0.1300 VTCOG:0.1900
Location: Notes:
0005 $H5400 VINYL SINGLE HUNG 5400 Ordered: Sell Price EExt Price
(7•00) 1.00 $0.00 $0.00
Certification Type:AAMAA440 Frame Type:1.375FIN
Vent Configuration:EQUAL Window Style:STD
Site Seledor:CUSTOM Size i Ref ACTUAL
Actual Size:35112 X 49 11/16 Rough Masonry:37 1/4 X 5011/16
Wood Frame Opening:35 3/4 X 4915/16 Egress Opening:3`1.1/4 X 20 3116(4.3809 SOFT)
Frame Color.W -White Balance Type:.CONSTANT
Glass Family:IG - Glass Makeup:IGA208A2
Glass:3/4"iG(1/8 AN-1/2 AIR-1/8 AN) Does unit need to meet Turtle Code:NO
Glass Coior:.G2 -GRAYLITE 11 Low E:ENERGY$HIELb
Argori'Gas�NONE Privacy Glass:.NONE -NONE
Grid Type:GBGF6563 -9/16"Flat GridBE-rWEEN Grid Style:STD
Grid Location:UNIT Summary Top:3A2D LITES(2V1H BARS)
Summary Bottom:.3A2D LITES(2V1H BARS) Reinf.Upgrade:NONE -None
Screen Type:1816K -1816 Charcoal Screen Frame Type:ROLLFORM
Vent Latch:N WOOD:N .
i Lock7ype:SWEEP •S_weep'Latch~+—��- .Vpgrade'Hardware Finish:N
Comfort Lit Y i Lift Rail:N
Lock'Quaritity 2.0000 Bozirig.Options:N -None !
Acc,Glats Breakage:N Deoralite:N
Yent.Ht:24.4855 Prep:for Mull:Y i
Let Y � Right:N
Top:IV 18tm:N i
CAR#'190-1027 1 TC1*'Meets the requirements
TC3:oidinarice'for {TC4;marine turtle protection I
PositivebesignPressure:50.0000 NegativeDesignPressure:50.0000 !
PANumtier_FL 1435 { EnergyStar:1.U00D
Condensationkesistance:56,0000 1 UF:0:3300
l SolarHeatGainCoett:0.1406. 1 VT:0.190o
s VTCOG:0.1900 i
I
L.ovation:-__._---_---_�_.___.__-___._____. .—_.._ Notes: i
k+ Y•x ;^-yr�: "�-�r..�.. g....^'Awy " *sK�=^ .e�'..
' .t�Sw
...�t �+z i;asrr r aR az =:'ti"s®
; :;is' r.._..�.-.�s •.3:..4:3.ar :..a � .u.:: ':.o..rwirKS>;,i-��
0005 ;MULL MULL BARS )Ordered: Sell PriceExt Price
m-00) '1.00 ! $0.00 $0.00
Product Family Series:5400.0000 ; Certitictition Type:AAMA
Part SwecGoh:MULUCVR(CLPS :Mull,Exttint Frame Type:1.37SFIN
{ Muil Ear type:1.25X3.25X.625 Mull Clip type:T-CLIPJT'CLIP
!Size Selection:CUSTOM Frame Color,,W -White
Assembly Options:FCTRML Boxing Captions:N None I
IEND MODEL SET 005: ..................
i
Locatibir Notes: j
x,^, *�,:° .-�..�,_.- ,,`_r ..v-c; - .,n,....v-r:.,r;:'r�ar�.-.--a�+;:`.« .�,�.._..,^�e,. ,...-,_�-c,�= rs .,,.,��-s,"':i--•.;:';'=�
.�:1, :F�! _.�, .,�.�c, .r.�,;;,F. ,� .r°' ,' ',.� .�.,¢°��`�iP`;€�. ,4�;,.�7�`w,r�r,�;,' ;:;�.. %':�ar:�S. ":v�' °� '':aSa: ^`w..a�: �thr.�-��.s�•:_,,;.
cd�� '�x• .���' �..' ze•'„ ��,_ ',�.,,. :fit eye` s:, :s�,sr�y,s:�,4.. _,. '"$x�-�'ti �.��.::rY � ,-�,.�_F. u.,'�.: - .t,->r
�, x..:s._ b'�4•.;a; :2'°`' �:.:aa:�:....�..�i..m.:.aoa'r ".�swa:::.�.:�aF.
.,...�.,..� ^s�b;.:Ns::�::-..n=:•'.,�::.:�'::�:. `�� - .s:s._.. cra...�+'7�e�'�a-."-it:..'ta.:.;..'_..oi•:.7
Products Ordered Total quantity
Sk15400 8
MULTI-PART 1
MULL 1
(TOTAL SALE AMT: $2,729.101
TOTAL CUSTOMER $191.04�
TAX'
$2,020.141
NET SALE AMOUNT: I
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
` oo5� h JUJ Yc �e
Contractor/Homeowner:
i
Date Received:
i
Site: V 2 d2i h LiSk�L, Ve
! Permit Type: ktl4a 7 GU ihalb ti - I�Ame �-)'Ze--
U.
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: O
This comments et shall be kept with the permit and/or plans.
AUG' 2 9 2019
Kalvi S " zer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
INSTR# 2019221753 BK 10031PG 716
12/31/2019 10:28am Page 1 of 1
Rcpt: 2121627 Rec: 10.00
DS: 0.00 IT: 0.00
Nikki Alvarez—Sowles, Esq.
Pasco County Clerk & Comptroller
NOTICE OF OOMMENCEMENT
Kermit No. 21705
Property Identification No: 10-2 6-21-012 0-00 0 0 0-0 92 0
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with
Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
-Lot 9, wedgewood Manor - Phase -I &11, according to the map or plat thereof as
1.Description of property(legal description)recorded in Plat Hook 27, Pages 11 - 14, inclusive, Public Records of Pasco County, FL.
a)Street Address: 37347 Derbyshire Drive, Zephyrhills, FL 33542
2.Qgperal description of improvements: Install 7 replacement windows in living space.
3.Owner information
a)Name and address: Joseph E. & Raelyn S. Mitchell, 37347 Derbyshire Dr., Zephyrhi118, FL, 33542
b)Name and address.of fee simple titleholder.(if.other than-owner)
c)Interest in property
4.Contractor Information
a)Name.and,address: owner
b)Telephone No.: Fax No.(Opt.)
53urety Information
a)Name and address: NZA
b)Amount of Bond: N/A
c)Telephone No.: N/A Fax No.(Opt.)
6.Lender
a)Name and address: N/A
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be -served:
a)Na.1ne and address: N/A
b)Telephone No.: -N/A Fax No.-(.Opt.)
8Jn addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as-provided in Section
713,13.(1)(b),Florida Statutes:
a)Name and address: N/A
b):Telephone No.: t N/A Fax No.(Opt.)
9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY.PAYMENTS MADE BY THE OWNER AFTER THE RXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13;
FLORIDA-STATUTES,AND CAN 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE-OF.COMMENCErMENT.
STATE OF FLORIDA ,� r
COUNTY OF PASCO
Signature
i Owner or Owner's Authorized Offioer/Direcmr/Pa tner/Manager
f r
WA Tr e
Print Name
The foregoing instrument was acknowledged before me this day of --> ,20�by_.
as �,�\ owuiu+uU .(type of authority,e.g.o_f icer,trustee,attorney
in fact)for behalf of whom instrument was exe d).
Personally Known .OR Produced Identification= yture
June 0,2022o.GG 226691 •'
z I —
Q n2-0-J40
Type.of Identification:Produced ,�''qT f•.O F FAO````
nfni m,u�r`�
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perj ,I declare that I have read-the foregoing And-.that
the facts stated in it.are true.to the best of my knowledge and belief.
Signature of NepraftPerson Signing Above
FORMS/N0C,rvsd2007