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Home My WebLink About92-2470 BUILDING PERMIT ,/ 1~ ~3 - ~ ~ECTRIC~L---==, ~ M~ Sewer Conn Water Conn: Property Owner: -0 p..:f f J-- fA M. ~ It b/?-tAJ 1"1/ Water Meter: Job Address: '3eg72D <1>~ !lV,. T.I.F.'s: Parcell.D. # /I-:]t, -::J..J- eJO/O- //1!JOO- DLJ 00 , r Zoning: Energy Code: Radon Gas: c/?!:)~ Description of Work JOOf1^ A ~\..\ \ ~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit 247~ Date 7-7.- q 2- N<! NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # ------- State Certified License# ~ -- p~rmit Fee~~ t- · Slgnature~_ _ :11- Company Address Telephone# Valuation or 'e:1... . . ~ Contract Price Z Don 0/-1mv, (j)M~~ MEC BUILDING ELECTRICAL L ;; <<U<<f4~ <' r u; t... "'.111j~ Ftr. ~ 2 (- 12- p. - Tp. Servo ~ SLB Pre SLB Rough In b-'Jb..q3~ Tub Set Lintel Meter Can Water FRM. Const. Pole Sewer Insul. Cl h-f ~~~ Pool Final WL _ _ ~ Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway ~~\itticp~0. i2.) 7-i ~ .12 tsP, REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. II ..... ,"'. . ........ '\ "i' !) ~)1 ;J t:. \i ..) ~ -" - '- L1; _y_. v..._" -) 3S72c a. J~ 'J- u n'1- '~Al..,~fLn'OtJ 7,0 DD _.n~__' ----.-~-T-________:_ ----------.--- L-)\Ir,...H;r~ 2.5(" ~ EL X Z.S-- _~!i--~~__~ .~ pLu~ BJ~ c,. .:~I~L- I Me:'tlft~'f1)L Suit~rl'\t.- ~E.i)Y\ ~-(:,,-~ ,;~ 75.00 ~\jd.---------- --~--------.-- --- d..3 .00 ~/n I ___...,_,.,_~___~~_._--!,......--_--' - I - -----------------_.----~---_._--- ...- ._-_._-----"_...~----_..,..,':...-__._.- .... I ___.____..___..._______ ___..L.._.n_" __ .~- ---~----_._-.._---'----. c..O~~~T\Qf'\ ff..i..S __.sf.o~€.~ NjP'i w fJrE-lt ~ I Pi . t!') e.'-~_r- N 1/+ _~JDrlr'- ---------------.-<--.>----... ---_..-,.------ -'.-____.__.___________ f(8\)_()N__~_S 2 'J (p 6'1' f} 2.5'-0 ~ ' __------l(\~J~\Z..rt'\,..'ON JM~1 Ff;..f:.~_________________ \. \ I P\ / f\. ---_._,-------~.....~-_.,._-.---_._------- --.' ---...-.-------..---------------. - -~.__... -----~-- --- ..--- - . ____ -/0 -71) Lu~_1~5..b --- --- --.- --_._--_.~------------- - ._-_.__.,-~------------------_._-_._~- -------~-_._.__.._-----~_._----- ~.._._----------~-~_._~-_.-.- CITY OF ZEP,HYRHILLS BUILDING DEPARTMENT OWNER Jeffrey A. & Tamra L. DeWitt JOB LOCATION 38720 8th Ave. PARCEL I.D. # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. See attached survey. ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' - 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE ....-v......._l?__.~.._~_"IIII1I~".nol_.--._....._~~' ...~;.""~.....,....~,-~~"'. ..,....-., ~..,...._.r~........-_____.. TWp. 20 ~ \ \ ///'/- / lI) co co v 24 20' \ 18.80' \ 4.I'x 2.5' cont, steps ~ , , -- frame goroge - ~ t\j -... ~ ...... olumtnum shed o m (J) ''It C\J Y ANV LOCATION SURVEY ESCRIPTION FURNISHEV BY (FAX -. VfEV) BASE V ON F1 E LV ~NT RVEYOR IS NOT RESPON- OR EASHENTS, RIGHT OF : ENCUMBRANCES Of RECORV ~ HEREON TIIAT HAVE 'N FURNISIIED TO TillS .<' ~ ~c. !I 60' . R/W , ~. ' !'i~{( i>:;';~~;~ l},<:.('~ ..:" .,'.\ ,.It ,.~}t:~~ :j~ ,.,.\'...., " (::> ~If ~!.:,,~~~ ':.'.; "'"" '"... . .. "'r A SURVEY OF A." Ilr rnAI""-r"'''I,.I' --1 sc~t€ 1//:;: 30 ft. LE~NV fIP ::: fOUNV IRON PIT FCM fOUNV CONCRETI (M) MEASURE V (P) PLAT Dr "'"v t.. r ",.-rl' "..... FOR1JI1000-C-91 SMALL ADDITIONS AND RENOVATIONS FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Section 10 - Residential Prescriptive Compliance Method Department of Community Affairs Climate Zones CENTRAL 4 5 6 COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM 1 0ll0C-91 FOR ADDITIONS OF 600 SOUARE FEET OR LESS. AND RENOVATIONS TO SINGLE AND MULTIFAMILY RESIDENCES ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OF FORM 1000A-91 or 9OOA-91 :::;-.. -; -) C~ 8""")j. f.\'-l \~ BUILDER: PERMITTING OFFICE: PERMIT NO.: PROJECT NAME AND ADDRESS: OWNER: -." (",. ~ "--. ~~ t'- '~C v,S'T-""- sQ?J 60 ~ 0 CONDITIONED ITliIill SO NEW GLASS AREA AND TYPE RENOVATION TINT.FILM.50LAR SCREEN IF MULTIFAMILY. NUMBER OF FLOOR AREA ) FT CLEAR ADDITION ~ UNITS COVERED BY PREDOMINANT rn.~FT SINGLE- ~~~ SINGLE- [[ill SO EAVE OVERHANG 0 ITIJ LENGTH PANE PANE FT MULTIFAMILY ATTACHED THIS SUBMITTAL PORCH OVERHANG ffiB DOUBLE [[ill SO DOUBLE- [[ill SO SINGLE-FAMILY DETACHED ~ LENGTH . FT PANE FT PANE FT WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION FOR ADDITIONS ONLY: WOOD FRAME MASONRY UNDER ATTIC: 5EJ. ~ WOOD MASONRY PERCENTAGE EXTER~O~ [ill]. (g EXTER~O~ m.D Rc RAISE~ = WlJ. [9 RAISED _ IT] 0 OF GLASS R - . TO FLOOR ADJAC~N~ CD. D ADJA~E~T: m.D SINGLE ASSEMBLY m.D COMMO~ OJ 0 COMMRO~ IT1D R = R - . [00% COMMRO~ CD. 0 COM~O~; []J.n COMMON; m.D SLAB-ON- _ OJ 0 R= GRADE R - . DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM IN ~ CENTRAL 0 NONE 0 ELECTRIC STRIP ~ HEAT PUMP ~ ELECTRIC o SOLAR UNCONDITIONED 0 0 0 o NATURAL GAS o HEAT RECOVERY SPACE R = ROOM NATURAL GAS ROOM/PTHP rn.[g 0 PTAC 0 OTHER FUELS 0 NONE o OTHER FUELS o OED. HEAT PUMP IN CONDITIONED 0 NO NEW SYSTEM o NO NEW SYSTEM o NO NEW .~ SF/EF = D.m SPACE: R = [EUQ1 ~ i::Ji SYSTEM EF c m.D SEERIEER = COPIHSPFIAFUE = .....>.L?ioj }':'.f)1:~ I~;, 6,..-, rn NUMBER OF BEDROOMS = I hereby certify that the plans and specifications covered by the calculation are In compliance With the Florida Erlergy ~._> PREPARED BY .\TJ-~, ~~;(!. Aj-:l DATE (". 1 C, ,(',1.. I hereby certify that this building is in compliance WIth the Florida Energy Code Review of plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. 8efor nstr tlon is completed. this bUll II be inspected for compliance In accordanc i S t n 5539GB. F.S BUILDING OFFICIAL OWNER AGENT: DATE DATE TABLE 10A[ MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Wlfoo!DOWS 904.1 Minimum of 0.34 CFM per linear foot of operable sash crack (includes sliding glass doors). V EXTERIOR & 904.1 Maximum of 0.5 CFM per sq. ft. of door area: solid core, wood panel, insulated or glass doors only. v"'" ADJACENT DOORS EXTERIOR 904.1 To be caulked, gasketed, weatherstripped or otherwise sealed. JOINTS & CRACKS .... SOLE & TOP 903.2 Sole plates and penetra1ions through top plates of exterior walls must be sealed. PLATES \. INFILTRATION 903.2 Infiltration barrier must be installed in exterior walls & raised wood floors. BARRIER , INTERIOR 903.2 All openings in interior surfaces of ceilings and exterior walls must be sealed. JOINTS/CRACKS . FIREPLACES 903.2 Fireplaces must have flue dampers, glass doors and outside combustion air intakes. 1\ \\ EXHAUST FANS 903.2 Exhaust fans ven1ed to unconditioned space shall have dampers. except for combustion devices with integral exhaust ductwork. t ,;,' WATER HEATERS 904.2 Comply with efficiency requirements in Table 9-7A. Swi1ch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built-in heat trap required. "... SWIMMING 904.3 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a POOLS & SPAS pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 7B%. \ HOT WATER 904.4 Insula1ion is required only for recirculating systems. including heat recovery units. In such cases. PIPES piping heat loss shall be limited to a maximum of 17.5 BTUH per linear foot of pipe. , ) r SHOWER HEADS 904.5 Water flow mus1 be restricted to no more than 3 gallons per minute at BO PSIG. . " . HVAC DUCT 904.6 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached. CONSTRUCTION. sealed, insulated and installed in accordance with the criteria of Section 904.6. Ducts in unconditioned INSULATION & space and air handlers located in attics must be insula1ed to a minimum R-4.2 (R-6 after 1/1/92). /' INSTALLATION HV AC CONTROLS 904.7 Separate readily accessible manual or automatic thermostat for each system. t, i RENOVATIONS 1003.0 Meets 1he requirements of sec. 1003.0. See step 3 of page 2 of this form. I',:/'r ONLY GLASS -1 - CLIMATE ZONES 4 5 6 TABLE 10B. Prescriptive Requirements for Small Additions (600 Sq.Ft. and Less) and for Renovations to Existing Buildings. COMPONENT MINIMUM INSULATION INSULATION INSTALLED Cone rete R-5 ~~ II ~ Wood frame. 2' x 4' R-1l -' Wood frame. 2' x 6' R-19 ; Common. Wood frame' R-ll Common. Masonry' R-3 en Under attic R-30 Cl P-,- :z Single assembly R-19 1'1 ::; w Common. Wood frame' R-ll Co) en Slab-on-grade No Minimum ~- \ l llC: Raised wood R-ll 0 9 Raised concrete R-5 "- Common. Wood frame' R-ll 0 In unconditioned space 1991 1992 ~.(., :::> R-4.2 R-6 0 In conditioned soace No Minimum 'Common components are those which separate two conditioned living units in a muitifamily building. TABLE 10C. Prescriptive Requirements for Glass Areas in ADDITIONS ONLY (Renovations see 3 below) EQUIPMENT MINIMUM INSTALLED EFFICIENCY EFFICIENCY 1991 1992 ...J 0 Central AlC SEER = 9.0 10.0 SEER =~ 0 () Room unit or PT AC EER = 8.5 8.5 EER = C) Electric Resistance ANY z i= Heat Pump HSPF = 6.4 6.8 HSPF <( = - W I Room unit or PTHP COP = 2.6 2.7 HSPFI = So w HSPF = 6.1 6.1 COP () <( a.. Gas, natural or propane AFUE = .70 .78 AFUE = (/) - Fuel Oil AFUE = .76 .78 AFUE = c: 8x w Electric Resistance EF = .88 EF = t- ' v ~ Gas, natural or propane EF = .54 EF = t- - 0 I Fuel Oil EF = .54 EF = Maximum percentage glass to floor area allowed is selected by type, overhang length, and shading coefficient. See below. Maximum Installed4 % = '30 % = I GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT (TINTING) REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UP TO 50% Single Double Single Double Single Double Single Double OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC l' - to 0' - .90 ./ 2'-1.0 l' - .90 3' - 1.0 2' - .90 4' - 1.0 3' - .90 \. 3' - .86 0' . .86 I - .00 0' - .70 2' - .86 l' - .70 2' - .65 2' . .70 0' - .65 l' - .65 0' - .50 l' - .45 l' - .50 0' - .45 0' - .35 0' - .40 Shading coefficients (SC) may be obtained from the manufacturer of the glass. Typical shading coefficients are: single-paned clear SC = 1.0, double-paned clear SC = .90, and single-paned tint SC = .86. Form 1000C may be used to comply the following types of construction SMALL ADDITIONS TO EXISTING RESIDENCES. Additions which have 600 square feet or less of conditioned area may comply with the Energy Code using this form. The prescriptive requirements in Tables 10A, 10B and 1 DC apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels. RENOVATIONS. Residential buildings undergoing renovations costing more than 30% of the assessed value of the building must comply with the Energy Code using this form. The prescriptive requirements in Tables 10A and 10B apply only to the components and equipment being renovated or replaced. GENERAL DIRECTIONS: 1. On the left side oITable 1 DB in the column titled "INSULATION INSTAllED", indicate the R-value of the insulation being added to each component. On the right side oITable 1 DB indicate the efficiency levels of the equipment being installed in the column titled "EFFICIENCY INSTAllED". All R-values and efficiencies installed must meet or exceed the minimum values prescribed in the preceding column for that component. Components and equipment neither being added nor renovated may be left blank. 2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows, sliding glass doors and glass panels in doors which are more than 1/3 of the area of the door. Double the area of all non-vertical roof glass and add it to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area of the addition. Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 1 OC. For example, 29% glass would qualify for the "Up to 30%" column. Prescriptives are given by the type of glass (Singie or Double pane) and the overhang (OH) paired with a shading coefficient (SC). Any pair within the selected "Up To " category is acceptable For a given glass type and overhang, the maximum shading coefficient allowed is specified Indicate the category into which the percentage falls in the box at the top titled "Maximum % = ". In the next column titled "Installed", indicate the calculated percentage of glass in the addition. Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition, do not have to comply with the overhang and shading coefficient requirements on Table 1 DC. All new glass in the addition must meet the requirements for one of the options in the glass percentage category you indicated. The overhang (OH) distance is measured perpendicularly from the face of the glass to a point directly under the outermost edge of the overhang. 3. RENOVATIONS ONLY. Only glass areas which are being replaced as part of the renovations need to meetthe following requirements. Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either single-pane tinted, double-pane clear, or double-pane tinted. 4. Complete the information requested on the top half of page 1. 5. Read "Minimum Requirements for Small Additions and Renovations", Table 10A on page 1, and check to indicate your intention to comply with all applicable items. 6. Read, sign and date the "Owner/Agent" certification statement on page 1. 2 APPLICATImil FOR PJ'iIJmI'f CITY OF ZEP:ITRHILLS BUILDTIiG DEP~T ~IS KMm Jeffrey A. & Tamra L. DeWitt PHONE' 782-5960 ~IS ADDRESS 38720 8th Ave., Zephyrhills, FL. 33540 JOB ADDRESS same as above. LEGAL DESCRIPTION: IDT(S) all of BLOCK 115 SUBDIVISION .&D f II - -1< .- <1/. - 0010 - 11$00 - 0000 PftACEL I.D. ,.1:;;" KORK PROPOSED:_5ew Construction ...!....JvIdition _Alteration _Repair _Install _Sign _!!love _Deaolish PROPOSED USE: XSing1e Faaily _"IF _' of Units _"/H _~rcia1 _Indust. _Swia. Pool Other _Restaurant &: Health De~t Approva1 BUILDING SIZE: 16' X16' . 256 Square Feet. jJf/ Height RESIDENTIAL: eotmERCIAL : ATTACH (2) PLOI' PLA5S &: (2) SEI'S OF BUILDING PI..US &: (1) SET RHERGY FORMS. u ATTACH (3) SEI'S OF BUII.DDIG PLA5S &: (1) SET ENERGY FORtIS. ** **COPV OF CONTRACT REQtllRED. PEmtITS REOUESiED -X-BUILDING $6400.00 va1uation of Total Construction -X-ELECTRICAL 200 AIfP Se~ice X Plorida Power Corp. W.R.E.C. _MECHANICAL $ Va1uation of Mechanical Installation _PLUMBING GAS ROOFDlG SPECIALTY TYPE OF CONSTRUCTION: _Block -1LFnoIe _Steel Otller YES L- NO FTIiISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLooD ZONE AR&.I\? ***********************~****************** Signature COlI'I'RACI'OR SECTION COlIIPAm ,/In.&J e OI./l1er State Gert:. or Regist:. 41 City License Registration I *********************tt*t*t*************** COlIIPABY ;j, IJt P~/J fieF' State Cert. or Regist. 41 City License Registration f ****************************************** BUILDER F.LECTRICIAN Si COlIIPAliW State Gert:. or Regist:. :/# City License Registration f ***************~************************** PL1ltIBER Signature COlIIPAfi_ State Ce:ct:. or Regist. 41 City 1'".i,:ense Registration f ******************~~~~~******************* KECllAlflCAL Signature CO!IP~~ State Ce-.rt. or Regist:. :/# City License Registration I .~**.~"'~***.**".:******************* l ~'4- .- O'T'IIF.R Signature APPLICATION APPROVED BY PERKIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und~rsigned understa~ds that this perlitlay be subject to "~e~d restrictions' which lay be lore restrictive than City regulations. The underSigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the OMner has hired a contractor or cOltractors to undertake work, they .ay-~ r~qui~~icensed in accordance with state and local regulations. If the contractor is n&t licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the 'Contractor Sections' .of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEE~ D. CONSTRUCTION LIEN LAW (CHAPTER 713, FL.ORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the 'owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the 'owner' prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulatir.q construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cO.lenced prior to issuance of a perlit and ,liat all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of oiher governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencie.s include but are not lilited to: f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Eny~ron.entally Sensitive Lands, Water/Wastewater Treataent f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas~ Altering Watercourses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart_ent of Health L Rehabilitative Services. Environlental H~alth Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ_ental Protection AQency - Asbestos abatelent I also certify that, if fill taterial is to be used in Flood Zone "A' Dr "A,etc,', it is understood that a drainage plan addressing a 'coapensating volute" will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit 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 perlit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code~ Every pertit issued shall becole invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, .or if work authorized by the permit is suspended or abandoned for a period of six tonths after the ti.~ the work is comlenced. One 90 day extension of tile, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each six to nth period, or the project will ,be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU~ 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT'. SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument was acknowledged before me this June 24, , 19-2L by STATE OF FLORIDA COUNTY OF The foregoing instrument befcq-e me th i s was acknowledged , 19_ by Jeff DeWitt who is personally known to me or who has produced as identification and who~did not tff_r2~t~~~</# ~natL\re) who is personally known to me Dr who has pl-oduced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC !Name Typed, Printed Dr Stamped) NOTARY PUBLIC Jo Ann Strickland ~\....,,~ I~~~Y ~~ JO ANN STRICKLAND i; :*::. MV COMMiSSION EXPIRES Y N Juiy 5, 1995 BONDED TliRU TROY FAIN INSURANCE. INC. DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS Before me this day personally appeared who, being duly sworn, deposes and says as follows: "I have read and fully understand the provisions of this instrument." Jeff Dewitt The undersigned states and affirms that he or she is desirous of constructing his or her own domicile. that he or she actually occupy, or will occupy said domicile, and that he or she shall comply with the following conditions: .j' 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 pe!sonally 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 th~ 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 reinspect ion 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, et:c., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Comm~ssion. 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 even though you do not have a license. You must supervise 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 at a cost of $25,000 or less. The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. Your construction must be done according to building codes and zoning regulations. 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. Zephyrhills, FL. 33540 STATE OF FLORIDA COUNTY OF Pasco The foregoing in~~. ent was acknowledged before me this ~ - ~,19~ by Te ff De u../I who is personally known to me or who has produced as identifi- ca ion nd who dirlUdi ;?ot take an oath. Jtt16!* 38720 8th Ave. Address BUILDING PERMIT NUMBER NOTARY NAME TYPED, PRINTED OR STAMPED NOTARY PUBLIC A\"U"~ r~tf.. ~~ JO ANN STRICKLAND c;{ ..:~ MY COMMISSION F.J(PlRES ~ ~ Juiy 5, 1995 "'W;lIn BONDED THRU TROY FAIN INSURANCE. INC. i ! 4 . .---- .f - 1 I 1 ,. 1 , i , i t- -- i /L// . /1-, ex t. f!jtdoool /}I/X~ p. f. .;-.. 01'" I , , ') //)( g'// ",' t.. ,^.-:? . II !I ~. + i ro xg x/6 COf/c/'ea'; : h/qckj a/ .J;flctI cells. . i i G~O(JIv'P Jeff .v~t)~tt ;'9.z; 38'7AQ if"~t/~, : 7f~ -'S"9~o. ! 1/ 8" @ 2,//X 1// sf(/~ It'/OC, 21/:x.~ll/ sole /1aIe fl-o\J\\) E- 1 y{ct0 of 8.e,j)G.'1\)6 IN ~~ 3~ // Ii. OF/~ Spllf\! ~~ ~l:::.l~', /~ /JCJOOrA 5' . :<"XIO/d. . *2- f/Qo/'jo/stSo~~ 1(; // 0, c. rJI\\f:. 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