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HomeMy WebLinkAbout98-7818 BUILDING PERMIT Pe,m;t Fee :1);t'.3, ;;t;L 5;9n8,",e . 1l~v0 Company Address -.1:>- g--P. tro CITY OF ZEPHYRHILLS (813) 788-6611 6-5-;cz, i" ~~ JjO. ~ MECHANICAL BUILDING ELECTRICAL PLUMBING /tb-G-./ ~ Job Address: Parcell.D. # c.S.S...2 Zoning: Descriotion of Work ~6 -/Ir-? " /0 :20 }1f; .*.lh~;' 71 [7/k.- FINAL NO OCCUPANCY BEFORE C,O, F:t: '7J7~ ~ :3V'?-I1'-, Complete Plans, Specifications and Fee Must Accompany APPlicati~ C,Q, All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price srI. ~..s tJ. o--D I City License Registration # \ State Certified License# /~l& ,<, . fA 1h 0./1 Telephone# &~~A &AJ).-tPA BUILDING PLUMBING Tp. Servo SLB b/?oI1 i {31" ( Rough In Q,./J-"fjSltELJd Tub Set 9/9118 e.,h Meter Can -rv Water . Const. Pole t::,-/tP. ~ 8 e<.l;6 Sewer Pool Final I (/)1/97 I?J::, Pre-Meter ./ II/J J 11'& I;, L 8J~L Final Driveway O~I - F~~ 6--1'1-<1 fl SI/..L- ~ ~WrJI Sk;':~ 1/J~ 3&-, Fl~"'i\ [( !u-/qf !Job REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($1 S.eorshall be made for each trip for each trade: .J...!:J-'(j7) ~ / /J _ . IT .1/, -/ /, -ff a. Wrong Address N~ ~ ~ t' b. Condemned work resulting from faulty construction. ~ '-j 11- q C1 C{ c. Repairs or corrections not made when inspection called...... I\. 't I d. Work not ready for inspection when called. ~ e. Permit not posted on job site. ~ f. Plans not at job site. g. Work not accessible. ELECTRICAL Ftr. 6-/7- cy~ f3,l..L Pre SLB 7 h '1 i ~,'l/ Lintel FRM. 9...//...~i' f3).Jf Insul. CL WL 7818 ~ Permit Date t-/{,-?r Water Conn: T.I.F.'s: Inspector =t--IS- L/L(30 t1{..L...lyI c2 A-, MECHANICAL Breakers Ducts Insl. ?h/li Ioh Compressor Final { (hr /91 trJ, . The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKIT . ULc2 tJ ~ r CITY OF ZEPHYRBILLS . it 0 L7) ~ q BUILDING DEPARTIlENT ~jfQ-.1 & /' p - I G~f ~(;Gif J. Do1Al~l- 6i II [),WIIIS PHONE )50 I OWNER'S OWNER'S ADDRESS~ JOB ADDRESS 3rrbO r - PrertVDNcl Rd. Zcfl.lutt~;113. PIA 33StfO LEGAL DESGRIPl'ION: LOT(S) BLOCK SUBDIVISION " Q~~~L I. ~~ J ;$ S- - ~ 6-..:2..1 - DOlO - 06 [/OlJ-VtJ:lO (OBTAIN FROM PROPERTY TAX NOTICE) WORK ~~~~SED: ~ Construction _Addition _Alteration' _Repair _Install _Sign _Move _Deaolish PROPOSED USE: ~le Family _H/F _' of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant ([ Health Departaent Approval DESCRIPTION OF WO~: ~ ~ ~;" BUILDING SIZE: x ,47~O Square Feet, Height 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. RESIDENTIAL : COMMERCIAL : ~LDING ~CTRIGAL vt;;GllARlGAL ~UHB~NG PERMITS REOUESTED $ 76,OCO, .0 AtIP Service Valuation of Total Construction ~, F.lorida Power Corp. W.R.E.C. $ Va.luation of tKdtelliea 1 ~tallation GAS ROOFING -6aae _Steel Other SPECIALTY TYPE OF CONSTRUCTION: _B.lock FINISHED FLOOR ELEVATIONS: F'f . IS PROJECT IN FLOOD ZONE AREA? ~ YES NO ~ ****************************************** BIITI.Dm rft6() ~ /90 (, CONTRACTOR SECTION ~ COMPANY "ll State Cert. or Regist. f City License Registration . **************************************** fltf>:J!{ (Juput Signature V RT.RGTRICIAN COMPANY State Cert. or Regist. # City License Registration f ************************************ ~ktlurul Signature v" COMPANY State Cert. or Regist. , City License Registration t ************************************* ~D~ PLUMBER KEGBANIGAL Signature /' COMPANY State Cert. or Regist. t City License Registration f ************************************ ~(fuJIM< ())>>vt OTHRR COMPANY State Cert. or Regist. , City License Registration # ************************************ ~ VdrlU/AJ Signature APPLICATION APPROVED BY PERMIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit lay be subject Lo "deed restrictions" which lay be lOre restrictive than City 'regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CON'l'RAC1'OU RESPONSIBILI'l'IES · If the owner has hired a contractor or contractors to undertake work, they lay be reguired to be licensed in accordance with state and local regulations. If the contractor is not licensed as reguired by law, both the owner and contractor aay be cited for a lisdeleanor violation under state law, If Lhe owner or intended contractor are uncertain as to wbat licensing reguirelents lay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813) 788-66U. Further.ore, 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 tbey will be responsible. If you, as the OlDer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for tbe work. If the contractor wisbes 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 FEES " " D. CONSTRUCTION LIEN LnW (ClffiPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HoIeowner's Protection Guid~" prepared by tbe Florida DepartJent of Agriculture and ConsUler Affairs, If tbe applicant is sOl8ODe otber than the .owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to couencelent. E. CONTRACTOR' SjOWNER' S AFFIDAVI1' I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. I Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies lay apply to tbe intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, . Nater/Wastewater Treatlent t Southwest Florida Water Hanagelent District - NeIls, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways t Departlent of Health & Rehabilitative Services, BnviroDlental Health Unit - Wells, Wastewater Treallent, Septic ranks t US EnviroDlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "An or "A,ete.", it is understood tbat a drainage plan addressing a .colpensating volUle" will be sub.itted 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 is~u~nce of a per.it prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code, Bvery perlit issued sball beODle invalid unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the peClit is suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day 81tension of tile, lay be allowed for the per.it with fee charge of $15.00. The extension shall be reguested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. NARNING TO ONNIR: YOUR FAILURI TO RECORD A NOTICI OF COHHENCKHRNT HAY RBSULT IN YOUR PAYING TWICK FOR IMPROVRHBIrS TO YOUR PROPERTY. IF YOU INTIND TO OBTAIN FINANCING, CONSULT NITH YOUR LENOIR OR AN ATTORNEY BKFORB RBCORDIHG YOUR HOIICI OF COKHRNCRHINT. JOBS UNDRR $2,500 IN VALUE DO NOT NIED TO RRCORD AND POST A "NOT CB OF COMMBNCRKKNJ". ~. SIGNATURE: . I STATI OF FLORlDA-J'\ COUNTY OF ~~. The foregoing ~trmoent before me this ~ I was acknowledged , 19 9~by STATE OF FLORIDA ~ COUNTY OF .~ ~ The foregoing instrument was acknowledged before me this Cb.t~f , 19 9J/ by (/ who is pers09ally-known to me ~~ who has produced ~~tJ-DJ..~-?~o- 3~ - tJ a entific 10 and who did/did not ta n o. "Y; . a IJ1hrL1 (Signature) . /j/, ~ r1 /f, I a a:l-h. c.. v 0 JJ cLV (Name Typed, Printed/or Stamped) I NOTARY PUBLIC known to me or who has --SO . 3.3~-o entificat and who did/did not an oathL11 Q YYI ~ f~ . (Signature) II/~ A Ai (J ~~~ ~h~ 171}1J V (Name Typed, Printed r-Stamped) NOTARY PUBLIC .:o~~''!i:.t,,,~ Nancy A.. 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""',',. .~~~'i':~"r'I1"''ntf''~'~~~'ii''n~~iW.~Wl~li''ii'lll.1'[tf'j'WeII_1W~'f~::~'~;t;~"~~;"nllr o"-.'';11'1t1Ihi .i_ .- FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600B-97 Residential Component Prescriptive Method B CENTRAL 4 5 6 Department of Community Affairs Compliance with Method 8 Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Fonn 6008-97 for single and multifamily residences of 3 stories or less in height, and add~ions to existing residential buildings. To comply, a building must meet or exceed all of the energy efficiency prescriptives in any ~ of the prescriptive component packages 2m! comply with the prescriptive measures listed in Table 68-1 of this fann. An alternative method is provided for additions of 600 square feet or less by use of Fonn 60OC-97.lf a building does not comply with this method, it ma still compl under other sections in Chapter 6 of the Code. BUILDER: NE/. PERMITTING e/7 Y' D F CLIMATE II ~ D OFFICE: Z ,EP/lt;/?III '--J... S ZONE: 4105 U 6 PERMITNO.~ JURISDlCTlONNO.: ~ OWNER: !hc- / EY '6.1). J)OiU0 GENERAL DIRECTIONS 1, New construction including additions which incorporates any of the following features cannot comply using this method: steel stud walls, single assembly roof/ceiling construction, or skylights or other non-vertical roof glass. 2. Choose one of the component packages "A" through uP' from Table 6B-1 by which you intend to comply with the Code. Circle the column of the package you have chosen. 3. Fill in all the applicable spaces of the "To Be Installed" column on Table 6B-1 with the information requested. All "To Be Installed" values must be equal to or more efficient than the required levels. 4. Complete page 1 based on the "To Be Installed" column information. 5. Read "Minimum Requirements for All Packages", Table 6B-2 and check each box to indicate your intent to comply with all applicable items. 6. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form. Please Print 1. Compliance package chosen (A-F) 2, New construction or addition 3, Single family detached or Multifamily attached 4. If Multifamily-No. of units covered by this submission 5. Is this a worst case? (yes / no) 6. Conditioned floor area (sq. ft.) 7. Predominant eave overhang (ft.) S, Glass type and area: a. Clear glass b. Tint, film or solar screen 9. Percentage of glass to floor area 10. Floor type, area or perimeter, and insulation: a. Slab-on-grade (R-value) b. Wood, raised (R-value) c_ Wood, common (R-value) d. Concrete, raised (R-value) e. Concrete, common (R-value) 11. Wall type, area and insulation: a. Exterior: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) b_ Adjacent: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) 12. Ceiling type, area and insulation: a. Under attic (Insulation R-value) b. Single assembly (Insulation R-value) 13. Air Distribution System: Duct insulation, location 14. Cooling system (Types: central, room unit, package terminal A.C., gas. none) 15. Heating system: (Types: heat pump, elec. strip, nat. gas, L.P_ gas, gas h.p., room or PTAC, none) 16. Hot water system: (Types: elec., nat. gas, L.P. gas, solar, heat rec., ded. heat pump, other, none) 1, 2. 3, 4. 5, 6. 7. 75 )I (.-0 5 "IV 6 { I CK OWNER AGENT: specifications COV~bY th~ calculation are in compliance w~the ~ DATE: 6-/~7 designed. is in compliance w~h the Florida Energy Code. DATE: _1 "91,, .t Single Pane sq. ft. sq. ft_ ".~ % Sa. Sb. 9, Double Pane sq. ft. /97. 2..-sq. ft. 10a. R= @ /'iY lin. ft_ . 10b. R= sq. ft_ 10c. R= sq. ft. 10d. R= sq. ft. 10e. R= sq. ft. 11 a-1 R= sq. ft. 11a-2 R= 1 , /DCp I sq. ft. 11b-1 R= sq. ft. 11b-2 R= I l /)7 sq. ft. 12a. R= 10 " 7 '} sq. ft. 12b. R= sq. ft. 13, R= h i..) A.JC~.A " 14a. Type: C R^ 'I v. do I 14b, SEERlEER: i(!) ( to 14c, Capacity: i 6 )'-00 15a, Type: Ii- 7' 15b. HSPF/COP/AFUE: I' ^- C> 15c, Capacity: 4- J.. () 0 0 16a. Type: C e~t It' q. I 16b, EF: ,q I DATE: TABLE 6B-1 MINIMUM REQUIREMENTS COMPONENTS PACKAGES FOR NEW CONSTRUCTION A B C 0 E F Max. %01 glass to Roor Area 15% 15% 20% 20% 25% 25% Type Double Clear (DC) Single Tint (ST) Single Tint (ST) Single Tint (ST) Double Tint (DT) Double Tint (DT) Overhang 2' 1'4" 2' 2' 2' 2' Masonry EXTERIOR AND ADJACENT MASONRY WALLS R-5 COMMON MASONRY WALLS R-3 EACH SIDE_ Wood EXTERIOR, ADJACENT, AND COMMON WOOD FRAME Frame WALLS R-11 CEILINGS CEILINGS UNDER ATTIC R-30. FRAME COMMON CEILINGS R-11_ (NO SINGLE ASSEMBLY CEILINGS ALLOWED) Slab-On-Grade R-O Raised Wood R-11 (ONLY STEM WALL CONSTRUCTION ALLOWED EXCEPT PACKAGE D) Raised Concrete R-5 DUCTS R-6 R-6 R-6 R-6 R-6 R-6 SPACE COOLING (SEER) 12.0 10,0* 10.0* 12.0 10.0* 10.9 Elect. (HSPF) STRIP 6.8* 6.8* 7.4 6.8* 7.6 Gas/Oil (AFUE) MINIMUM OF .73 (Direct heating) or _78 (Central) Electric EF _90 EF .90 EF .90 EF .90 NOT ALLOWED EF .90 Resistance ** (SEE BELOW) Gas & Oil ** MINIMUM EF OF .54 NATURAl GAS ONLY (SEE BELOW) Other Any of the following are allowed: dedicated heat pump, heat recovery unit or solar system. IT Climate Zones 4 5 6 ~. TO BE INSTALLED I I % DC: 0 DT: jg] , FEET EXT: R= ADJ: R= COM: R= EXT: R= I I ADJ: R= /1 COM: R= UNDER ATTIC: R = 30 COMMOM: R= R= C' R= R= R= (." CONDo 0 SEER = /O,ev COP= _orHSPF=~ AFUE = EF= t '7/ EF= DHP: B EF= - HRU: SOLAR: 0 EF=_ Single package units minimum SEER=9.7, HSPF = 6.6. Minimum efficiencies for gas and electric hot water systems apply to to 40 gallon water heaters. Refer to Table 6-12 for minimum Code efficiencies for oil water heaters and other sizes. DESCRIPTION OF BUIlDING COMPONENTS USTED Percent of Glass to Roor Area: This percentage is calculated by dividing the total 01 all glass areas by the total conditioned floor area Overhang: The overhang is the distance the roof or soffit projects out horizontally from the face of the glass. All glass areas shall be under an overl1ang of at least the prescribed length with the following exceptions: 1) glass on the gabled ends of a house and 2) the gtass in the lower stories 01 a multi-story house. Wall, Ceiling and Floor Insulation Values: The R.values indicated represent the minimum acceptable insulation level added to the structural components of the wall, ceiling or floor. The R-value of the structural building materials shall not be included in this calculation. "Common' components are those separating conditioned tenancies in a multilamily building. "Adjacent" components separate conditioned space from unconditioned but enclosed space. 'Exterior' components separate conditioned space from unconditioned and unenclosed space. Roor: Slab-orrgrade floors wilhoul edge insulation are acceptable. Raised wood floors shall have continuous stem walls with insulation placed on the stem wall or under the floor except Package D. Ducts: "CONDO indicates that the ducts must be installed within the conditioned space: that is, the ductwori< shall be located on the conditioned side of the insulation. Ducts in conditioned space are acceptable for any prescriptive package. Space Cooling System: Cooling systems shall have a Seasonal Energy Efficiency Ratio (SEER) for central units or Energy Efficiency Ratio (EER) for room units or PT AC's equal to or greater than the prescribed value. Electric Space Heating Option: Heat pump systems shall be rated with a Healing Seasonal Perfonnance Factor (HSPF) equal to or greater than the prescribed HSPF. Heat pump systems may contain electric strip backups meeting the criteria 01 section 608.1.ABC.3.2.1.2. No electric resistance space heat is allowed lor these packages. Electric ResislanCe Hot Water Option: For packages designated "Not Allowed". an electric resistance hot water system may be installed only in conjunction with one of the "Other Hot Water System Options -. See below. Other Hot WaterSyslem Options: Any dedicated heat pump, heat recovery unit, or solar hot water system may be installed. Solar systems must have an EF of 1.5 or higher. Electric resistance systems having an EF 01 .88 or greater. or natural gas systems with EF .54 or greater may be used in conjunction with these systems. TABLE 6B-2\ MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather-stripped or otherwise sealed. )( Exterior Windows & Doors 606.1 Max .3 cfmlsq.ft. window area; .5 cfm/sq.ft. door area. )( Sole & Top Plates 606.1 Sole plates and penetrations throuqh top plates of exterior walls must be sealed. I' Recessed Lighting 606.1 Type IC rated with no penetrations (two alternatives allowed). )( Multi-story Houses 606.1 Air barrier on perimeter of floor cavity between floors. bfI Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion f devices with intearal exhaust ductwork. Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) ~ or cutoff (cas) must be orovided. Extemal or built-in heat trao reauired. Swimming 612.1 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a Iplf Pools & 50as oumo timer. Gas soa & 0001 heaters must have minimum thermal efficiencv of 78%. Hot Water Pipes 612.1 Insulation is required for hot water circulating systems (including heat recovery units)_ i ~ Shower Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. I X. HV AC Duct 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, I Construction, sealed, insulated and installed in accordance with the criteria of Section 610_1. Ducts in attics must be ^ Insulation & Installation insulated to a minimum of R-6. Air handlers shall not be installed in attics unless in mechanical closets. \, HV AC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system_ I /, -2- c3pt;,Of c ANGIE & BILL DOWNS PRETTY POND RD, SQ. FEET PRICE MAIN OR LIVING AREA 1,792 $ 40.00 OTHER AREA UNDER ROOF 678 $ 15.00 OTHER - $ 0.85 VALUATION $ 81,850.00 FEE SHEET $ 398.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 587.00 ELECTRICAL: $ 86.52 PLUMBING: $ 65.00 MECHANICAL: $ 40.00 RADON: $ 24.70 CREDIT: $ 50.00 TOTAL $ 803.22 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: $ 4,091.22 FLA. ,gn lAWS F. 113.13 SEMINOLE FORM 4C?B NOTICE OF COMMENCEMENT ~:-':~,:fo~'O"d. } '..:.... o. ....,..... IIHU.Ug![I_IIID1UI The undersigned hereby informs all concerned that improvements will be mode to certain real property, Bnd In accordance with section 713.13 of the Florida Statutes, the following information Is statad In this NOTICE OF COMMENCEMENT, Dascription of property I~~""":""""""""""""""""""""""""""""""""""""""""", . . . . . . , . . . ~ . . . . . . . . . . . . . . . ~.5 . .2.f?: . ~ J . . . . Q. 9 1. .0 . . . O. P. ~.9~. . . . O.~?:O. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . _ . .' Rcpt: 21t5675 Rec: 6. 00 .......................................................... .0..;....................... 8f;U/98 o. 00 IT: DP~V ogler General description of improvements. . . . . .~. . ~i-R.. . . . . .. . . . . .. . . .. JED PITTMAN, PASCO COUNTY CLEF own.'....W~.~. ." .~..,..................~/W?:.o;t~?~..l~f~\~e J~~..~i>~If:t..'lmzi.... Owner's interest in site of the improvement. .. .. . _ 0. ~b. f. . 7:-f.'. ~~. . .. .. . . . " . . . .. . .. . . . . . . . . . . . . . '" . .. ........ . .. . . . . . .. . . Fee Simple Title holder (if other than owner) Nan'le ... U) JJ:l.. .hl.. .It)q.#~~...... .;J",.9./~.. r.. ..J?~w.~.S................................. ............... :~;,...~:dress ....... :GARY' . . m c?lfJe' . . .. . " . . . . . . . . . . . . . . . " .. . . . .. . . .. . . . . . . . . . . . . . .. . . . ..... .. .. . .. . .... . ..... . . " ... 'Dc~ntractor. .Ca. n.'J.C.u.J. m .e.l.~.~~...., ."':7.~~~~...................................................... .... '" ._....... tflAdd'." .. 37':-(2l .P'/J,l,<:;~ . 4,rhlfth) (6. al'lk ..a~f....... .'Z!.:>?-t2'4 Surety (if any) ..........................................................,...................... ~ ~. '!. . ~. . . . . . .. .. . .. . , .. .. . . Address..................................................................................... .Arnount of bond $ .. ~.O..:-:-.... Any person making a loan for the construction of the improvements: Narne ........ NIt-..............................................................,........................... _.................... Address ........................................................................................................................ Person ~in the State of Florida designated by owner upon whom notices or other documents may be served: Nanle ....~.1. ... A..9.~...... ... ........ ....... ......... ...... ........ .... ..................... .._.... ~I."... .. ./Vt?4.<i ,{,,-.S;5.. Lt rlfr:~{.... .had$-"- .,:S. .$.f(1,,.,h<l.................................................. In addition to himself, owner designates the following person to receive a copy of the lienor's Notice as provided in Section :::~:3JJ1t::.SIW)~o~n.'.' OPUon)................................................................... 9/Address ..j? refff.!?t?~/.. .I?C!~.<..... . NO. .q4.{-:.c:~.~. .<?~~.-:(~":.t>~-..................................... THIS SPACE FOR RECOROER'S USE ONLY ........................................................... . STATE OF FLORIDA COUNTY (If PASCO ri..F.) is 1() C~imii' 1HAT T},t fOREGO!NG IS A lr!~~:; ~~D :.';n[~xfCT C;~H)~{ OF THE DOCUMENT ON FilE 0;"""""." ""ORD '" ,.''; (~NESS MY HMW A I' OFfiCiAL SEAL THIS DAY OF 19 j JED PI A, CLER f CIRCUITCOURT. i BY .....~.V" Owner Sworn to and subscribed before me this .....,........... _ . . . . . . . . . . . . . . 5'wd"["'... .~~.............P...,9'1)1 ~.~ ..~~.~.. ~0rAA~........... .... /) I -~.. ~~~~~ .I~~I;~'-' :-. - ;.J Oi / D.C. .0 ,-' 'l'l, _ ~L}L MY COMMISSION EXPIRESJ -I,)"d Ond I :' J!c{~/ A~ttz1/ BLl / . J, .--A {j .( / . / /&1. ecC c;2roZ../ ~ i I"~ C);f , ,/ ja'( tf2L~7"o4<2<C~-' ,cn?'~ /:tf @Cdu;- _ .--1- ~ d . ,-J- ;J O;}/7 OL&ljrl~'/(! /tt> !f?dGZ., pA~~ ,k ~~)~ a;r~ fftf',v~/1/ 'f',~-i.JCI,t/L} ~ <l'rv~. ~}7AZ-L~~ /1 // ' '1" / (;10/"'1 C/.<) {ne I ( r' /{{iU' (/.{A"r'~' · U )!~~~~,L if ') ~~I'~ 1 ;Ye/U~ fifl~,.( ~f)~ oJ) . 0~;C{lL~_e .7/ I .. I It <.S' 5\9- / :> (f - 95/- " J 7 ? :/Y j - ~~ 6 !J - , ,1.. (.. '71tl.A-<'~1 (~ 1ft ,h' rL~l (' i... \\\Wl~ft,,~ ~~~:~. ~.: \.\ MY COMMNancy A. Moody ;!.'. :,.; ISSIOO fI CC ~:'i:';!"i-'~ Febru8l}' 215200034806 EXPIRES 1I..,r,i BONOEO THRU TllOV . FAIN INSlIRAHcE. INC. OWNER DEPARTMENT JOB LOCATION PARCEL I.D.' It Of) 2Q SIIOH ALL EXISTUIG & PROPOSED STRUCTURE;8! GI ~ ING DIMENSIONS & SBTBACKS. I .t- S r~\ I () J\ V {1tA-I1JI ---'~L /---,.--------..-----.">.--.-..'! ~ ! r. '{~ 4 _ '?.. r " ,}, ;~O -"-~ ~ ! . --~ PILl!. 1_.- - -., -" --'-. ".__._f 1u -: ~..0~~_? I < 7st. , UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. "- ~I FRONT (NOTE EXAMPLES 1 & 2) s'rREE'l' LINE 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E_ R X 0 I 10' p S 10' 0 T S I E N D G 20' 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' , 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINB FRONT PROPERTY LI:NB DATE: WITNESS: WITNESS: PERMIT f~ I, to DISCWSURE STATEMENT FOR OWNER i ,~ CITY OF ZRPIIYRHILLS BUILDIRG DEPARTMENT , j ~ ill 1.11."" \ . ~rv~ have read and fully understand and agree the provis10ns of this instrument." The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or rrr~of~ his or her own domicile, that he or she actually occupy, or will occupy by lV) ~~ said domicile, and same is not for rent, lease or sale, That he or she shall co ply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction, That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the bUilding. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 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 reinspect ion before proceeding with the building, 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. 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. 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. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 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, ~~11L I 2. 3. ,4. 5, 6, 7. 8, 9, cr~ DATE: OWNER: