HomeMy WebLinkAbout98-8102
A) BUILDING PE.RMIT
JJ1b7l 0 aTY OF ZEPHYRHILl5 P.,mil
C~ (813) 788.6611
~lo\JOO <6D,9~ ,,~.:)O
PLUMBING
.r~~
Job Address:
Parcell.D. #
Zoning:
ELECTRICAL
35',(y()
MECHANICAL
BUILDING
Sewer Conn
Water Conn:
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,
~mit Fee .
~igna'"'r~ /'P- ~
Compan
Address
~ephone# '7f? Z - ~ff 1Cf
~
- --- . ~ i<-l
P~'NG
~~: s~:/; 1; ~ ht'&",1
3/t/7'1 "
Valuation or
Contract Price
(n~, loOO 000
.
City License Registration #
State Certified License#
I ~bO
~I~
~~3q
ELECTRICAL
f:y~
l q ,;>.
MECHANICAL
BUILDING
Driveway
5t..~.~
Tp, Servo i L
Rough In J / C; /'19 g,ll
Meter Can
Canst. Pole I) /10 /'Ii tfJ"
Pool
Pre-Meter g~- rqPfJI
Final
I=~-kr g<.).~J lI{f&hl 8.'11
Breakers
Ducts Ins~ /9/rt (f't I
Water
Sewer
Final
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25,00) shall be made for each trip for each trade: .
a. Wrong Address ~ UJa{[l:lLa~44/)wCI /hlf!t<-UC.{,
b, Condemned work resulting from faulty construction. 'J /~ L 1/"""9 ~D
c. Repairs or corrections not made when inspection called. L~1. 07. '7 . - [JO<A...~
d. Work not ready for inspection when called. :J-..lq/1~
e, Permit not posted on job site. L. f\. L' I
f. Plans not at job site. 3V- LL~.. G>d-: 11.. 'Ct. ,.f) / I ::. n .1 ~ i"'n.vl ~ QA../O .
g. Work not accessible, ,..:)' ~ u~ ~ Q"', J 0
The payment of inspection fees shall be made before any further permits will be issued to the person owning /'TJ
same, ~
HALL HOMES
39116 OLD MILL LANE
SQ. FEET PRICE
MAIN OR LIVING AREA 1,424 $ 40,00
OTHER AREA UNDER ROOF 214 $ 15.00
OTHER
VALUATION $ 60,170.00
FEE SHEET $ 314,00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 461.00
ELECTRICAL: $ 80.92
PLUMBING: $ 62,50
MECHANICAL: $ 35.00
RADON: $ 16.38
CREDIT: $ 50.00
TOTAL $ 655.80
SEWER: $ 1,278,00
WATER: $ 350.00
TOTAL: $ 1,628.00
3/4" WATER METER:~ $ 180,00 f
TI F'S: $ 1,480.00
99% $ 1,465,20
1% $ 14,80
TOTAL: $ 3,943.80
Hall Home Company, Inc,
4617 Gall Blvd,
Zephyrhills, FL, 33541
City of Zephyrhills Building Department
RE: Permit # 8102 Summer Hill Drive
-
Ron Wilkerson Plumbing City #1814 will be substituting Colby Plumbing City #166.
Thank-you,
11;ca /ltJl
Felicia Hall
D~<- 3 Vi ~ $5
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BRITTON AIR, INC _
MANUAL J LOAD CALCULATION PROGRAM Update Ver.2
HALL HOMES COMPANY
1400 AC LOAD DESIGNED WITH 20 DEGREE TEMP. DIFF.
PASCO
08/04/98
PREPARED BY JERRY
STORAGE H BR BATH KITCHEN BR-2 BR-3
HEAT GAIN HEAT GAIN HEAT GAIN HEAT GAIN HEAT GAIN HEAT GAIN
WALLS 393 474 150 449 202 368
GLASS 1241 1388 511 730 1168 1168
DOORS 280 0 0 280 0 0
CEILING 368 481 186 400 329 278
FLOORS 0 0 0 0 0 0
APPLIANCES 0 0 0 1200 0 0
PEOPLE 0 300 0 0 300 300
SKYLIGHTS 0 0 0 0 0 0
TOTAL 2282 2643 847 3059 1999 2114
ROUGH CFH 83 96 45 111 73 77
ADJUST CFH 122 141 67 164 107 113
AIR EXCHANGES (ADJUSTED) -
PER HOUR 5.73 5.08 6.18 6.27 5.61 7.02
BATH DEN FAMILY DINING
HEAT GAIN HEAT GAIN HEAT GAIN HEAT GAIN HEAT GAIN HEAT GAIN
WALLS 166 347 522 313 0 0
GLASS 0 1241 2336 1241 0 0
DOORS 0 0 280 0 0 0
CEILING 124 317 391 345 0 0
FLOORS 0 0 0 0 0 0
APPLIANCES 0 0 0 0 0 0
PEOPLE 0 300 300 300 0 0
SKYLIGHTS 0 0 0 0 0 0
TOTAL 290 2206 3829 2199 0 0
ROUGH CFH 30 80 139 80 0 0
ADJUST CFH 45 118 205 118 0 0
AIR EXCHANGES (AOJUSTED)
PER HOUR 6.18 6.42 8.04 5.23 0.00 0.00
THE TOTAL HEAT GAIN IS 29732.84 BTUH
THE TOTAL HEAT LOSS IS 27829.2 BTUH
THE COOLING TONS REO'O IS 2.48
THE ROUGH CFM IS 815
THE CFH REQ'O IS 1200
THE TOTAL HEATING KW REO'O IS 8.15
THE TOTAL AREA IS 1400
THE TOTAL SENSIBLE HEAT GAIN IS 25840.03 BTUH
THE TOTAL LATENT HEAT GAIN IS 3892.807 BTUH
THE TOTAL DUCT LOSS IS 2328.73 BTUH
THE SUHHER INFILTRATION IS 2044 BTUH
FORM 600A-93
SN: 1234
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Project Name: MODEL 1400 .::;}} . /7\
Address: ~ t) I" 6~ yY-<.a )b/ A .
City, State: ,
Owner: HALL HOME COMPANY, INC.
Climate Zone: Central
Residential Whole Building Performance Method A
Builder: HALL HOME COMPANY
Permitting Office: a'TI.( () F' ZEf'J#t{1Y!1.
Permit Number: "i? J tJ.,p..
Jurisdiction Number: b II b c;Q
1. New construction or existing
2. Single family or rrwlti-family
3. Number of units. ifmulti-family
4. Is this a worst case?
5. Conditioned floor area (iP)
6. Glass area &. type
a. Clear - single pane
b, Clear - double pane
c, Tint/other SC - single pane
d. Tint/other SC - double pane
7. Floor types
a. Slab-On-Grade Edge Insulation
b. N/A
c. N/A
8, Wall types
a. Concrete, Light Weight- Int Insul. Exterior
b, Frame, Wood, Adjacent
c. N/A
d. N/A
e, N/A
9. Ceiling types
lI. Under Attic
b. N/A
c. N/A
10. Ducts
a. Sup: Uncond. Rd.: Uncond.
b, N/A
New
Single family
1
No
1400 ft2
158,0 ft2
0.0 ft2
0.0 ft2
0,0 ft"
R=O,O, 202O(p) ft
R=5.0, 1202,Oft2
R=U,O, 204,0 ft2
R=23.0, 1400.0 ft.
Sup. R=6,O, 301.0 ft
11. Cooling systans
a. Central Unit
Cap: 28.2 kBtulhr
SEER: 10.00
b, N/A
c. N/A
12, Heating systans
a. Central Heat Pump Unit
Cap: 29.0 kBtulhr
HSPF: 7.00
b, N/A
c. N1A
13, Hot water SYstans
a. Electric Resistance
Cap: 40.0 gallons
EF: 0.80
b, N/A
14. Hot water conservation credits
(HR -Heat rec:oveJy, solar
DHP-Dcdica1ed heat pump)
IS, Infiltration practice (1.2, or 3)
16, HVAC credits
(CF-Ceiling fan,
cv-Cross ventilation,
HF-Wholehousefan,
RB-Attic radiant barrier.
MZ-C-Multizone cooling.
MZ-H-Multizone heating)
2
I GlassIFloor Area: 0.11
Total as-built points: 30990,00
Total base points: 32857.00
EPI = 94.3 .. ]
I hereby certify that the plans and specifications covered
by this calculation are in compliance with the Florida
Energy Code.
PREPARED BY~~ ~ lAA~t:"rv$L
DATE: ~ 4tf-9 8 . <J
I hereby certify that this building is in compliance with the
Florida Energy Code.
OWNER/AGENT:
DATE:
Review of the plans and
specifications covered by this
calculation indicates compliance
with the Florida Energy Code.
Before construction is completed
this building will be inspected for
compliance with Section 553,908 4 c. ~
:~i'~i~~~
FORM 600A-93
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: , , ,
PERMIT#:
BASE AS-BUlL T
GLASS TYPES
,15 X Conditioned X BSPM = Points Overhang
Floor Area TypelSC Omt Len Hgt Area X SPM X SOF = Points
.15 1400.0 82.20 17282.0 Single, Clear W 1,5 7.0 17.0 109.20 0,89 1658,4
Single, Clear N 1,5 5.0 10.0 51,00 0.86 436,9
Single. Clear E 1,5 6.0 16,0 109,20 0.87 1512.3
Single. Clear E 1,5 3,0 7,0 100,20 0.68 522.6
Single, Clear E 1,5 4.0 10,0 109,20 0.77 839,8
Single, Clear E 1,5 6.0 16,0 109,20 0.87 1512.3
Single, Clear E 1.5 6,0 16.0 109,20 0,87 1512,3
Single. Clear W 1,5 6.0 17,0 109,20 0.87 1606,8
-
Single, Clear W 1.5 6,0 20.0 109,20 0.87 1890.4
Single, Clear W 6,0 7,0 12,0 109,20 0.52 675.0
Single, Clear W 2,0 0,0 17,0 109,20 0.87 1606,8
As-Built Total: 158.0 13773.6
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
AdaJcent 204.0 0.7 142.8 COncrete, Ught Weight - Int Insul, 5,0 1202.0 0.80 961,6
Exterior 1202.0 1,00 1202.0 Frame, Wood, Adjacent 11,0 204.0 0.70 142,8
Base Total: 1406.0 1344.8 As-Built Total: 1406.0 1104.4
DOOR TYPES Area X BSPM = Points Type Area X SPM = Points
Adjacent 20.0 1,60 32.0 Exterior Wood 40.0 7,20 288,0
Exterior 40.0 4,80 192,0 Adjacent Wood 20,0 2.40 48.0
Base Total: 60.0 224.0 As-BuIIt Total: 60.0 336.0
CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Under Attic 1400.0 0,60 840,0 Under Attic 23,0 1400,0 0.85 1190,0
Base Total: 1400.0 840.0 As-Bult Total: 1400.0 1190.0
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 202,O(p) -31,8 -6423.6 S1ab-On-Grade Edge Insulation 0.0 202.0(p) -31.90 -6443.8
Raised 0,0 0,00 0.0
Base Total: ~23.6 As-BuJlt Total: ~3.8
INFILTRATION Area X BSPM = Points Type Area X SPM = Points
1400,0 10,90 15260.0 Pradlce #2 1400,0 10.90 15260,0
FORM 600A-93
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: , , ,
PERMIT #:
BASE AS-BUlL T
Summer Base Points: 28507.2 Summer As-Built Points: 25220.2
Total Summer X System = Cooling Total X Cap X Duct X System X Credit -= Cooling
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
28507.2 0.37 10547.7 25220.2 1.00 1.10 0.34 1.00 9460.1
FORM 600A-93
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: , , ,
PERMIT#:
BASE AS-BUILT
GLASS TYPES
.15 X Conditioned X BWPM = Points Overhang
Floor Area TypelSC Omt Len Hgt Area X WPM X WOF = Points
.15 1400.0 -3.40 -714.0 Single, Clear W 1,5 7.0 17,0 -2,20 0.43 -15.9
Single, Clear N 1.5 5,0 10,0 9,60 1.09 104.3
Single, Clear E 1,5 6.0 16,0 -2,20 0.27 -9.7
Single, Clear E 1,5 3.0 7,0 -2,20 -0.76 11,7
Single, Clear E 1.5 4.0 10,0 -2,20 -0.26 5.8
Single, Clear E 1,5 6.0 16.0 -2,20 0,27 -9.7
Single, Clear E 1.5 6,0 16.0 -2.20 0.27 -9.7
Single, Clear W 1,5 6.0 17,0 -2,20 0.27 -10.3
-
Single, Clear W 1,5 6,0 20,0 -2.20 0.27 -12.1
Single, Clear W 6,0 7.0 12,0 -2,20 -2.08 54,9
Single, Clear W 2,0 0.0 17,0 -2,20 0.27 -10,3
As-BuIIt Total: 158.0 99.1
WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Adajcent 204.0 1,8 367,2 Concrete, Light Weight - Int Insul, 5.0 1202,0 2.40 2884.8
Exterior 1202.0 1.10 1322.2 Frame, Wood, Adjacent 11.0 204,0 1.80 367.2
Base Total: 1406.0 1689.4 As-Built Total: 1406.0 3252.0
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
Adjacent 20.0 4,00 SO.O Exterior Wood 40,0 7.60 304,0
Exterior 40.0 5.10 204,0 Adjacent Wood 20.0 5.90 118,0
Base Total: 60.0 284.0 As-BuIIt Total: 60.0 422.0
CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Under Attic 1400,0 0,60 840,0 Under Attic 23,0 1400,0 0.85 1190.0
Base Total: 1400.0 840.0 As-Built Total: 1400.0 1190.0
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 202,O(p) -1.9 -383,8 S1ab-On-Grade Edge Insulation 0,0 202,O(p) 2.50 505.0
Raised 0.0 0.00 0.0
Base Total: -383.8 As-BuIIt Total: 505.0
INFIL TRATION Area X BWPM = Points Type Area X WPM = Points
1400.0 4.10 5740.0 Practice #2 1400,0 4.10 5740.0
FORM 600A-93
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: , , ,
PERMIT#:
BASE AS-BUlL T
Winter Base Points: 7455.6 Winter As-Built Points: 11208.1
Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
7455.6 1.10 8201.2 11208.1 1.00 1.10 0.49 1.00 6011.2
FORM 600A-93
WATER HEATING AND EPI SUMMARY
Residential Whole Building Performance Method A - Details
I ADDRESS: , , ,
PERMIT#:
BASE AS-BUlL T
WATER HEATING
Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total
Bedrooms Volume Bedrooms Ratio Multiplier
4 3527.00 14108.0 40.0 0,80 4 1.00 3879,70 1.00 15518.8
As-BuUt Total: 15518.8
EPI SUMMARY
BASE - - AS-BUlL T
Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total
Points Points Points Points Points Points Points Points
10547.7 8201.2 14108.0 32866.8 9460.1 6011.2 16618.8 30990.1
I EPI: 94.3 I
ENERGY PERFORMANCE LEVEL DISPLAY CARD
I__:=C= I . I
excellent good acceptable
The maximum allowable EPI is 100. The lower the EPI the more efficient the home,
................................................................................................... .............................................................. ........................1.
.~ ....... -::::........~ 7.~ ,>'>~ Y. . .' ,xA:$ ".:;..' ..f.-:..~ ,,,;,y'x'.)". . .... ..'. .:.-.,.... ~., ....~. . . '....x...~." . :':::.:::.;t~::\l.::i::::.:~~::.::;;:);:::::~:;::~.:::~::t:j~:j.::~.::rt;ti.::~{n.::~<:~ . ,', :"; :":<. ;';.:'
.......<). . ..];.!,:.;;~I.]i][:l~ji:;::~J::~F;':j!i:ii{0.:~;ijl~:l.i.;;.:..1(:i~if;.li]fj{@" .? {t, ..., ,. ,.." ".',. ,):})}{ :;jif. ...'x. .x'
For detailed information
of the EPI rating number
or for any ITEM listed,
ask your Builder for
DCA Form 600A-93
or Form 6008-93
EPI=@
10
20
30
40
50
50
70
1---
ITEM
HOME VALUE
Low Efficiency
SINGL CLR
t_-L
WiNDOWS.............
Single Clear
INSULATION.....,..................................... ,
Ceiling R-Value.............................
Wall R- Value............................
Floor R- Value.. .........................
HALL HOME COMPANY, INC,
80
90
100
l::!!gh Efficienc
DBL TINT
_J ..-=__-'
23.0
5.0
0.0
R-10
[ I ---.-~ 1
R-O
I =:C_..31
R-O
t=:::-=L-=--=- __J- ..-
R-30
. .."=.:=J
R-7
~~=-=]
R-19
----]
I certify that these energy saving features required for the Florida Energy Code have been installed in this house.
Builder
Signature:
AIR CONDITIONER.......,.....,......,.............
SEER................. .............................
10.00
10.0
.
9.7
HEATING SYSTE M...............,..,.....,.........
Electric HSPF...... ......................,.........
7.00
6.8
rT
WATER HEATER.........,.....".,..,....".........
Electric EF. .. . . . . . . . . . . . . , . , .. ., " " . . ., " . . . . ,
Gas EF. ... . .. .,..... . ..",., ., .",..",. ., .
Solar EF. "" . . . ..,... . . .,.,.. .. ., .. ....,. ..,
0.80
N/A
N/A
0.88
.
0.54
I
1.0
I
OTHER FEATURES..... ..... .....".".,., .,.,."..
L
.............................................................
.............................................................
'-----,
Address:
City/Zip:
SEER
=r=:::::::::-=:J
EER
17.0
- ----,
__J
16.0
HSPF 12.0
I -=C:__=J
0.96
-r---r-~:::==:J
0.90
I '.-- 1
5.0
--L-_:::.::::r:.:~::::_ __-.I
. 1- _=-L:-:-_-J
_ _--=-T::__==----]
Date:
Florida Energy Code for Building construction-1993 Florida Depaltment of Community Affairs FL-EPL CARD 93
r c~ , APPLICATION FOR PERMIT
b- p))~. ~ Hif1V"P CITY OF ZEPHYRHILLS
f\ , ,,\L- L- BUILDING DEPARTMENT
~ f3~ ~~tZ(ll-\ I~
~Vl"^ 1J3
E. & Irene F. Moone
. .1.1 ,,1: 11 -...,,,,~ Zephyrhills FL. 3354~~
DATE RECEIVED 9-- ~;;;( - 9 j>'"
PLANS REVIEW FEE -5(), IhJ
JOB ADDRES
PHONE 782-4010
~---O/ ~ ~ k~1
LEGAL DESCRIPTION: LOT(S)
38
BLOCK
SUBDIVISION Summer Hill Subdivision
PARCEL ID # 1??h?1 0100 000000180
10BTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: [XNEW CONSTRUCTION
D ADDITION
DALTERATION
D REPAIR
D INSTALL
D SIGN
DMOVE
D DEMOLISH
\
PROPOSED USE: ~SGL FAMILY DWELLING
D COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
D MOBILE HOME
DOTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Single Family Block New Construction
BUILDING SIZE
'26 y 63
SQUARE FOOTAGE 1618
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
~ BUILDING
[X ELECTRICAL
$ 66,600
150
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
~ FLORIDA POWER
D W.R.E.C.
Dl PLUMBING
Q MECHANICAL
$ 2100.00
VALUATION OF MECHANCIAL INSTALLATION
D GAS
D ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: [Jc BLOCK
D FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS 16"
IS PROJECT IN FLOOD ZONE AREAD YES
[3 NO
BUILDER
COMPANY Hall llooIc C~3 f~.
STATE CERT OR REGIST # B
CITY PROCESSING # 1860
v
SIGNATURE
COMPANY Anthony S_ J.eqer
STATE CERT OR REGIST # 0014591
CITY PROCESSING # 2. f 31
,/
*********** ******************************************************
~ ~ COMPANY ,T,Y"p" CQlhy PlmnbiDQ
. STATE CERT OR REGIST # RF 0066463
SIGNATURE ~***~~****~*********..~:~~*:~~~:~~::~.~.*.*~::.......*
v?'
PLUMBER
MECHANICAL ~ .L
SIGNATURE ~ d&.!()
COMPANY Britton Air Inc.
STATE CERT OR REGI ST # CMC 041076
CITY PROCESSING # I 9 2. 5
v/'
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
pompliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, 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 signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If bhe contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IM~CT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify 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.
E. CONTRACTOR' S/OWNER' 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. I
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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
Gk"who has produced;l ftlof/tjJ.lI1// <;:J-J:f'~ ()
(type of identification)
~id not take an
- ./~
~Nt!cTO~
STATE OF FLORIDA /J ,)
COUNTY OF r~ J' C {/
The foregoin? instrument was ~kno~ledged~L/
Before me thlS ~day of ,lip z!:::. , 19:Z.1L
by
(name of person acknowledged)
C1ho is personally known to me, or
~o has producedL?~.
(type of identific tion)
[}::lid not take a
c/Z,
{J/~ W~
SI~RE: OWNER OR AGENT
STATE OF FLORIDA // cJ. r ' }
COUNTY OF C
The foregoing instrument was aCknoJledged
Before me this ~ day ;Jf (' e.;O T , 19ff
by Jomp- S //1:1 h -,
(name of person acknowledged)
Dwho is personally known to me, or
Name typed, p
li;.~y;.~~>or st~PUITZ
g*; "/li;\~':*~ MY COMMISSION /I CC 642416
;'!l"~''''; EXPIRES: August 16, 2001
>~f..?r.:\~~~., Bonded Thru Notary Public Underwriters
Name typ
DO"IS K, PUliZ
I1#nt'e PI~:~~
Q. Bonded Thru Notary Public UnderwntelS
"
,-~
HENRY ONEY
::AfL/)U -/I)~
Signature of Owncr I RENE NEY
o
;/
;;
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3,
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10.
PREPARED BY/RETURN TO:
Susan M, Smith
Pinnacle Financial Corporation
1500 Lee Road. Suite 200
Orlando, FL 32810
I 111111 IIIB 111111111111111111I111111 11111 11111111
98183927
NOTICE OF COMMENCEMENT
Rept: 264518 Ree:
05: 1.01 IT:
08/27/98
6.00
0.00
Dpty Clerk
Building Permit No,
JED PITTMAN, PASCO COUNTY CLERk
08/27/98 83:44p. 1 of 1
OR 8K 3995 PG 1"71 1
...
...
Tax Folio No.
STATE OF Florida
COUNTY OF J~sr~
100 not write in this blank area,
Reserved for recording purposes onlyl
TIlE UNDERSIGNED herehy gives notice that improvements will be made to certain real property. and in accordance with Chapter 713.
Florida Statutes. the following infonl1ation is provided in this Notice of Commencement.
1. DESCRIPTION OF PROPER,Y: PARCEL NO. 12-26-21-0100-00000-0380
LOT 3~e,ga~~MMERnHflttPSuW(ji~{sYONd:reASifpE~ab~LAT THEREOF RECORDED IN PLAT BOOK
31, PAGE 38-39, PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
39116 OLD MILL LANE, , ZEPHYRHILLS, FLORIDA 33540
GENERAL DESCRIPTION OF IMPROVEMENTS: Construction of Single Family Residence
OWNER INFORMATION: NAME AND ADDRESS:
HENRY MOONEY and IRENE MOONEY
5801 12TH ST, ZEPHYRHILLS, FL 33540
INTEREST IN PROPERTY: FEE SIMPLE
NAME OF FEE SIMPLE TITLE HOLDER. IF OTHER THAN OWNER: N/A
SURETY NAME. IF l\"'Y: ADDRESS:
CONTRACTOR NMvlE & ADDRESS:
HALL HOME COMPANY, INC.
4617 Gall Blvd.
ZEPHYRHILLS, FL 33541
LENDER INFORt\lATION:
PI!\:NACLE FI"iANCIAL CORPORATION
1500 LEE 1H).\Il, SUITE 200. ORLANDO, FL 32810
ATTi'>: CO;,\STIWCTlON-PERM DEPT,
FAX: -lU7-S7M-lJUU5/IJlIONE: 407-578-2000
BANCO POPULAR, N.A. (FLORIDA)
5551 VANGUARD ST, ORLANDO FL 32819
AnN: LIZ TIMONERE/CONST'PJ:;RM DEPT.
FAX: 407-370-741l1PHONE: 407-370-7521
PERSONS WITII'!" Tilt: STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM NOTICES OR OTIlER
DOCUMENTS MAY HE SERVED AS PROVIDED BY SECTION 713,13(l)(a)7,. FLORIDA STATUTES:
(name and address)
IN ADDITION TO ImlSFI.F. OWNER DESIGNATES TIlE FOLLOWING PERSON(S) TO RECEIVE A COPY OF THE
L1ENOR'S "'OTIC!: AS PROVIDED IN SECTION 713.l3(l)(b). FLORIDA STATUTES: (name and address)
PINNACLE Fl:'o/ANCIAL CORPORATION BANCO POPULAR, N.A. (FLORIDA)
150U LEE IWAD, SUITE 200, ORLANDO, FL 32810 5551 VANGUARD ST, ORLANDO FL 32819
ATTN: COi'lSTlWCTION-PERM DEPT. AnN: LIZ T1MONERElCONST PERM DEPT.
EXPIRATION DATE OF NOTICE OF COMMENCEMENT:
(The expiralipn datc is pn~ (1) year from the date of recording unless a different date is specified here),
Signature of Owner
Signature of Owner
STATE OF FLORIDA
COUNTY OF PASC!L
The foregoillg instrllm~rll I\'as acknll"lcd!!cd before l1\e this AUGUST 24 , ::'9;a
HFNRV MOONFV ANn TRFNF MOONFV
by
who is personally known I" ln~ or I\'hp has produced DRIVERS LICENSES
as identificarion. and did not take an oath.
(SEAL]
Commission Numher:
Commission Expires:
cc\.t.J>- 'u.. ~ ..
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C>.......... :;:3
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I
MELLISSA K. WORRelL
Notary Public. Slala of Florid.
Comm Explres Much 14, 2002
Comm' CC711320
W:\WPS I \DOC\FORMS'.CPI'\OC. C P
CNOC 7/95
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