HomeMy WebLinkAbout00-9532
BUILDING PERMIT
BUILDING
<2~. 110
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
0S
Permit
09532
.".
Date
~ -/::2-00
51/
PLUMBING
~s
MECHANICAL
Sewer Conn J ,:J,7! -.
Water Conn: . ~ -
Water Meter: / r;? D-
T.I.F.'s:
..,r
~
,j~
Job Address:
~ Parcell.D. #
<:t Zoning:
M
a
DATE
"
~
'\)
{
Inspector
'-
....
0~
Valuation or
Contract Price
~-0 t>fv
~.... P r it Fee
C. ~ig!!!!!ure.,>
- Company
f1 City License Registration # c2#? A
~ State Certified License#
'(f G~ (J~~~
BUILDING (7'
~~~FOUAA~
ELECTRICA /
Add~s~
c;lePhone~ 7/.5.
~Du'l~
Y"tbS :?
.-
--
..
~
Tp. Servo ~
Rough In :l---l"J -0 lJ
Meter Can
Const. Pole b'~'2..4 -"0 ctfy)
Pool ~
Pre-Meter , *' ZI-1J}O S if
-
Final
PLUMBING 1.3 /
SLB ~/~-ClO..3 tC
Tub Set - tS' _t:J,) 5iL..
Water
Sewer
Final
Breakers
Ducts Insl. b> --t5_oo3/L
Compressor
Final
Ftr.
Pre SLB
Lintel r;/ L I /O~ jj,e
FRM. 51--- n --0 ~ '8L.
Insul. CL ~
WL @.-i7~()
Driveway
S"~~"'J \ 1'1loq) 5tZ
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a" f/'
charge of Fifteen and 00/100 Dollars ($ 25,00) shall be made for e8~h' ach trade: 'tJ.il.d(
a. Wrong Address I ..e!-5 ~ r L5~
b, Condemned work resulting from faulty construction. 6-/.2- 0 \::)
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.
DAVIS CONTRACTING
4830 TIMBERWAY
SQ. FEET PRICE
MAIN OR LIVING AREA 1,437 $ 40.00
OTHER AREA UNDER ROOF 504 $ 15.00
OTHER
VALUATION $ 65,040.00
FEE SHEET $ 334.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 541.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 541.00
ELECTRICAL: $ 83.16
PLUMBING: $ 65.00
MECHANICAL: $ 35.00
RADON: $ 19.41
TOTAL $ 743.57
v
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $ -
TOTAL: $ 1,628.00
r/'
oft 03/. ~11ol-D
Il(gO. - 1/~
I .__
~--------;::;7
~~~(~/. d
WATER METER: I $
IRRIGATION METER $
180:00 I V
TI F'S: $ 1,480.00
99% $ 1,465.20
1% $ 14.80
TOTAL: $ 4,031.571
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
~7~ .
. RECEIVED ~,q 1- 00
PLANS REVIEW FEE
OWNER'S NAME DOL-Uif'
JOB ADDRESS 4 ~ .~ 0
e O{l/t.r~I-,~
T,'M~ W7
LEGAL DESCRIPTION: LOT(S) I ~
PHONE
//3. ~~Sj'
BLOCK
I
SUBDIVISION
(!t::>u../f- ~ ~ ~'R::.
-'
PARCEL ID # IS-<b',{" OZO~. ~COC()- ~-J l1...
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ~EW CONSTRUCTION D ADDITION D ALT ERAT I ON D REPAIR D INSTALL
DSIGN D MOVE D DEMOLISH
PROPOSED USE: ql'-SGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME
D COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER
D.RESTAU~ & ~EALTH DEPARTMENT APP~OVAL
DESCRIPTION OF WORK ~-"'(k t-:-... IJ j).ve- / /r;r
BUILDING SIZE Wb ( SQUARE FOOTAGE I 9&((
HEIGHT
~ 'r
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
D BUILDING
$
I ~ <t:/
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL
D PLUMBING
o MECHANICAL
AMP SERVICE
~ FLORIDA POWER
D W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALlATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: r1 BLOCK
FINISHED FLOOR ELEVATIONS
D FRAME
D STEEL
D OTHER
IS PROJECT IN FLOOD ZONE AREAD YES 9-NO
u u u u~ff:l
BUILDER '/kE.5 _ COMPANY Da1I ~ ~~1/k~ I-;~(
~ '. ~~::;:~ STATE CERT OR REGIST # I:{"'~ (J/.((/ t{Bl?
SIGNATU(/^-J'j./lu~ CITY PROCESSING # c:lf1tJ
*** **************************************************************
~~-e.r
STATE CERT OR REGIST # c~ Dd'./JI 1.f"~' J
CITY PROCESSING # 'd..n& I tJ I(A ~.
( -
HHH I H***H***{;iHHHH******t:/~::H*lj~**i:Nf
COMPANY - - __
~STATE CERT OR REGIST # L~ 0.5'/ ~f/
CITY PROCESSING # 1.:3 Il//--
SIGNATURE
l L.
;;[0
COMPANY
bUIP
ELECTRICIAN
PLUMBER
SIGNATURE
SIGNATURE
* * * * ** * ** **.*** * * **** ** ******* ** * * * * * * ******** * * *1"** ***** * ***~ '
I COMPANY => &7.v-c7 .s '..:;:l/;~VVc..~...f
,(I/. STATE CERT OR REGIST # ~ O~ I S 4v I
V /,. CITY PROCESSING # ~~O~
MECHANICAL
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
compliance 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 the contractQr 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 IMPACT 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 ~cornpensating 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".
sJ:J;?a~ejr s6d.~~~(~{RE5
STATE OF FLORIDA P A 5 L 0
COUNTY OF . ~
The foregoing inst~ent was. acknowledged
Before me this ~ day of v1A. ~ ' 19_
by i
t (name of person acknowledged)
ho is personally known to me, or
who has produced
(type of identification)
Odid not ~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
19
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type of identification)
and who Odid DUd not take an oath
and
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed
Name typed, printed or stamped
Department of Community Affairs - FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTROCtlON
FORM 600A-97 Residential Whole Building Performance Method A CENTRAL 4 II 8
" ",
PROJECT NAME: BUILDER:
AND ADDRESS: PERMITTING CLIMATE 4DsDsD
OFFICE: ZONE:
OWNER: PERMIT NO.~ I I I I I I J I JURlSOlcttoN NO.: ITIIIIJ
1. New construction or addition
2. Single family detached or Multifamily attached
3. If Multifamily-No. of units covered by this submission
4. Is this a worst case? (yes / no)
5. Conditioned floor area (sq. ft.)
6. Predominant eave overhang (ft.)
7. Glass type and area:
a. Clear glass
b. Tint, film or solar screen
8. Floor type and insulation:
a. Slab-an-grade (R-value + perimeter)
b. Wood, raised (R-value + sq. ft,)
c. Concrete, raised (R-value)
9. Net Wall type, area and insulation:
a. Exterior: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
4. Log (Insulation R-value)
5. Other:
b. Adjacent: 1. Concrete block (Insulation R-value)
2. Wood frame (Insulation R-value)
3. Steel frame (Insulation R-value)
4, Log (Insulation R-value)
10. Ceiling type, area and Insutatlon:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
c. Radiant barrier installed (yes / no)
11. Air distribution system:
a. Ducts (Insulation + Location)
b. Air Handler (Location)
12. Cooling system:
(Types: central-split, central-single pkg., room unit, PTAC., gas, none)
13. Heating system:
(Types: heat pump, elec. strip, nat. gas, l.P. gas, gas h.p., room or PTAC, none)
14. Hot water system:
(Types: elec., natural gas, solar, L.P. gas, none)
15. Hot Water Credits:
a. Heat Recovery (HR)
b. Dedicated Heat Pump(DHP)
c. Solar
16. HV AC Credits
(Use: CF-Ceiling Fan, CV-Cross vent, PT-Programmable thermostat,
HF-Whole house fan, MZ-Multizone)
17. COMPLIANCE STATUS: (PASS if As-Built Pts. are less than Base Pts.)
a. Total As-Built points b. Total Base points
I hereby certify that
compliance with the
1. '
2.
3.
4.
5.
6.
7a.
7b.
_ Pl.... T
A/~.
~.~'..t,& (0
Ck
11a.
11b.
12a.
12b.
12c.
13a.
13b.
13c.
14a.
14b.
158.
15b.
15c.
16.
t/ ,.>..,
; '[3 I
"{ _ sq. ft.
I ft..
Sin91e Pane Double Pane
I ft-,(, ~ sq. ft. sq. ft.
sq. ft. _ sq. ft.
8a. A= 0 ,-L~f(7 I. ft.
8b. R= sq. ft.
8c. R= sq. ft.
9a-1 R= 6 jO ;0 sq. ft.
98-2 R= /e; 7 sq. ft.
9a-3 R= sq. ft.
9a-4 R:::: sq. ft.
9b-1 R= sq. ft.
9b-2 R= " r::l-I sq. ft.
9b-3 R= sq. ft.
9b-4 R:::: sq. ft.
10a. R= 36 jt.{3/ sq, ft.
10b. R= sq. ft,
10c.
(
R:::: ~ ,.{iM~ (condJuncond.)
v l./ C CV\...- (condJuncond.)
Type: C C A'{ V'.~ '
SEERlEI:RlCOP: 10", (, i/'
Capacity: '3 ~ J-CiJ (.)
Type:, 1/ ~ tI r
HSPF/COP/AFUE: .). 'a.:-l~
Capacity: ,"} bi)t, C
Type: ~ (~ '1'
EF: '9 (
~''71
/l/' /1 ,I'
OWNER AGENT:
DATE: I)-IC; .-')-a; -
nee with the Flo~;ode.
DATE:
Review of plans and specifications cQvered by thill calculation
Indloates compliance with the Florida Energy Code. Before
construction Is completed, this building will be Inspected for
compllanc~.ln accc:mlance~~ 53.908, F.S.
BUILDING CI L:--1Q.J.2
DATe: -?
.,.
RevIsed .'
SUMMI:R CAltULATIONS
CUMAfE~. 4 5 e
ORIENTATION OVERHANG Q1.ASS ~AltE. .... ~E.'AHE ~ 8UWER. ~ AHUllT
LENQ11f AREA PClIrf IM.1'iUR POIll' IM.1tLIJl 011 FACTOR GlASS
011 (FEET) (so. n.) CLWI 1IftI ClEAR TIHP (froIll8A-1) IUMIIEIt P'It
,"CiA !~J ~IIU: '1'"
~ ~ q~ '7 ~lAA 1Il.. 'to IA ~''11 ~~r- 1<2.~Y';
J I:l~ Ial ~I U:~ ~
r~L ~ / J:--r I:l ,AI. 1:1\ ~17 C;-~ q (,., "7 T
oIL . All ilQ ~ ~-,III
WJ I 'fY -" ~-,r, ~1 ..71 !tCIl>I; ,t;c, 7 ?. c::..>7T I
H IN } i~Ail 117 ..711I; AnM
J NW / -"1, ~.. 177"- 11 !U !U in 2~ , ,,'~c;~ l-?I.{
I I ~1 1m 1;1 AAm A.1M 7RM
~
CJ
OH LENGTH
OVERHANG RATIO = OH HEIGHT
WEIGHTED OLASS
~ MUlmJEA III
CJ .18 42.0n
COMPONENT AREA BASE SUMMER
DESCRIPTION x POINT. MUL T. ..
EXTERIOR 1.9
j ^.DJACENT .7
;
rn EXTERIOR ~). r e/' I. 4.8
1.6
g ADJACENT
; UNDER ATTIC .8
OR SINGLE .8
ASSEMBLY
0
CoMPONENT
DESCRIPTION
y
~UUlLT
OLASS
. SU8TOT
y
AS-BUILT
SUMMER
POINTS
o
y
~o tf
D
II
,
I :$"t~: r, I':(~
y
INFlLTRAT10Na
INTERNAL GAINS
y
I,? v
.
II:
~
(,)
HOT
WATER
SYSTaI
NUMBER
OF
BEDROOMS
BASE
HOT WATER
MULTIPUER
2564
If OR GLASS WITH KNOWN SHGe OR SC, SEE SECTION 2.1
~FlN,001HT.
-2.
AS-BtlLT
HOT WATER
SYSTEM DE8C.
, .....
--:~"'.."'-"":."".,
WINTER CALCULATIONS
CLlMATEZONES 4 5 8
ORIENTATION OYEIIHANG GlASS I _!-flANE 011, DOUBLE-PAHE , , ,T WINTIII I AHUlLT
LENGTH AREA WEll POtfr IIUIlI.lll WIn'EIl POIrt IIlIl.lIltIR X OH FACTOR. GlASS
0If(FEET) (SO. FT.) Cl!AR TIt'J'I Cl!AR TIN'P (IrorneA-10) WlNTEIl P11
4.JT H)~ 1~1il 14.1 RM
- 7 ~3 ,'/ 1') 111'\ 1., 'lI' t t R~ 11 b':" J CJO '-(
01 1n~ II; 1;01
:E I /-r A a 1! :17 ~Ai if c> 1 D lor
7 Ar.A ., 'UQ
H :w I .~~,~ 0 a-Ail 1,1 II ~ ) Or:,-z. ~7,~
-~ IN In7' 11 .,1 1;, fl 5~M
, MAl / ''"7/ ~ H)!)! '1'1;1 A AM y' '7 fi e<1
~1 I11Y 1'~ '-01 1;J;4
~
Cl
~
~
~~;! ~'
D-L
.
-
j
(
COMPONENT
DESCRlPnON
WEIGHTED GLASS
x MUL npUER
=.
I.~ I
~
CII
.18
INFILTRA nON &
INTERNAL GAINS
TOTAL COMPONENT BASE WINTER POINT~
COMPONENT
DESCRlP110N
AREA
::l
;
p~
5.1
4.0
y
.~~
I
[II EXTERIOR
~ ADJACENT
IF
2-/~' ~~.~
.
J
i
::J
iii
o
UNDER ATTIC
OR SINGLE
ASSEMBLY
.6
.6
a::
o
o
It
FOR stAB ON GRADE USE PERIMETER LENGTll AROUND CONDITIONED FlOOR. FOR RAISED FlOORS USE AREA OVER UNCONDITIONED SPACE.
Y
y
If (, ~ ~ t.--
SYST1:M
..J
~
'H = HORIZONTAL GLASS (SKYLIGHTS)
....
I
)
I,
Lot No.
iD PllH
County,
~
Section 15, T~p.. 26-8, ling. 21-E ~
, DESCRIPrION. 1 '-
.12 ot COURT SQUARE, IK:cording to tile plat t.tle.reof as recorcledl ~.~
Book 33 pag... 6~ and 64 of tb.s Fu.blic B.coras of Pasco i.A""{:! ~
~' , p.R ......
J'lcr1dw. SUb4lec t to easemel)tB of record. I' fL' - ~ ,fIl'"
to"/ Vi ,t ~/' ~. '\
6t1()ert !; ~ ~t1I~. '
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",I .
LEGEND
I.R. iron rod
. P. iron pipe
C. . conc marker
P.C~,point"of curv&
FRY 'Perm. Ref. Mark
P plat value
E fie.ld v811ue
hereby Certlf t
property descrlb
That this survey
Florida Admlnlstra
Florida
Not valid. Wlle.&B aisnJ~/an :
drawing Is a correct representation of the ...Baled!
and that there are no encroachments.
ets with the minimum
n Code.
requirements of Chaptf!e' 21 HH-6
~~ ~~
Claus F. Fasting
Date
/7foy ~ 9, Z D eJ Z.>
T F. FASTING
158 Sondalwood Drive
Dunedin Florida
34698
S~i!Jie
/n..~ 2D'
Ph. (727t 734-9839
1 986758
~
PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-711111
E3
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
O(J -37' 7/
WATER ACCT. NO.
DATE
h -/~-vu
OWNER/
RENTER
MAILING
SERVICE ADDRESS
SHUT OFF SERVICE 0
TURN ON SERVICE ~.
INSTALl METER ~.
READ METER 0
CHECK METER 0
OTHER 0
SEWER
o GARBAGE
~.
o OUT CITY
---'_ No. OF UNIlS
-_ DEPOSIT AMOUNT
-3
----J;II tJ. .,4?7 -It- 6A
-- AMOUNT LAST BILL
--
__ DATE
_ MISC, CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retai h. ~
n W lie form in office at all times.
Send pink & yellow forms to Water Service Dept
Water ServICe Dept. to sign yellow form & return' to office.
.:
. ~ Sunstate Title Agency,lr.c.
Rff'. 13937 7th Stroot .
C. rL t'j'1r,"'c,
Dade lly, r ..N.;I-~'
111111111111 1111I 1111I 1111I 11111 11111 11111111111111I11111111
2000079837
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$
DS
$
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$
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$ 0
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Rcpt.: 423316
DS: 0. 00
06/26/00
Rec: 15.00
IT: 0.00
Dpty Clerk
~~~2~~~~M'j : ffS;O fOUNT:r C~ERK
OR BK 4392 PG 247
NOTICE OF COMMENCEMENT
""':::"",.,::, ',:..:,::,. ":':':'" :",:,,:,,:, :,,:: "'(')"','.::"'.::'8 RR 'R. ,:""",:""""""""",''''''..,.,,,,,.,.,.,,,.,.,-,.,,,.,.,,,.:.,.,.,.,.,.,.,.,,.,.,.,., .,.,.,.,.,.,..., :.,.,.,...,..".'-:.:.:."".",.,.,-,.",.,.,.,.,.:".'.
'DiviSCOHTRicTiNG;INC~","":':'''''''''''':'''/ : DAVIS "COHTRACTIHG; .'.
A FLORIDA CORPORATION A FLORIDA CORPORATION
. ,
.... .. .........................................>::?:.::A~~I~$':)):: :.,:.::,,),,):
37826 SKY RIDGB CIRCLB
DADB CITY, FL. 33525-0838
T'"l.EIIltbHl'~t);<,',},,}}}}, ".."':.~~~~~.~~(.: . ..... .. ..
"'{3!f2) 567-'i994 59-3504097 .
ADDRESS OF REAL PROPERTY:. LOT 12 TIMBBR WAY
ZBPHYRBILLS, FL 33541
:,:", 37826...SKy:RIDGB~ii~fQ.)' ......... ...... .. ..........
DADB CITY, FL 33525-0838
......... :.:,':n~~~NQi:::::::::::::(,....::.:':.::::.::':':'::<,::',,1~~1'iQlll~~:.).,',.",.",','/
. (352) 567~1994 59-3504097' .
Permit No.
Property Tax Folio No.
State of Florida
County of PASCO __
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property:
Street address (if available):
LOT 12 TIMBBR WAY
ZEPHYRBILLS, FL 33541
Legal description of property:
LOT 12, COURT SQUARB, AS PBR HAP OR PLAT THBRBOF RBCORDBD IN PLAT BOOK 33, PAGBS
63-64, PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
2. General description of improvement:
CONSTRUCT SINGLB FAMILY DWBLLING 3 BEDROOMS, 2 BATHS
.
3. Owner information:
a, Name and address: See above
b. Interest in property:
FBB SIMPLE
STATE OF FLORIDA
COUNTY OF PASCO
TRUE AJ~~ri~:~c~~RJ~~O~H:.J/~E FOREGOING IS A
OR OF PUBLIC RECORD IN THIS OFF~ICUgNT ON FILE
NO ITNESS MY
AND OFFICIAL SEAL THIS
DAY OF
p- 2OC:Q
CLERK OF CIRCUIT COURT
DEPUTY CLERK
.
t'
'.
OR OK 4392 PG 248
2 of 3
c. Name and address of fee simple titleholder (if other than Borrower):
4. Contractor:
a. Name and address DAVIS CONTRACTING, INC.
37826 SKY RIDGB CIRCLB
DADB CITY, FL 33525-0838
b. Phone Number (352) 567-1994
c. Fax Number
5. Surety:
a. Name and address RIA
RIA
b. Phone Number
c. Fax Number
d. Amount of bond: $
6. Lender:
a. Name and address S\lnTrust Bank
P.O. Box 156
Brooksvilla, FL 34605
b. Phone Number (352) 796-5151
c. Fax Number
7. Persons within the State of Florida designated by Borrower upon whom notices or Olller documents may be served as provided I
Section 713.13(1) (a) 7., Florida Statutes:
a. Name and address ANITA BOYLB-SUNTRUST BARIC FL BROOKSVILL 9202
P. O. BOX 156
BROOKSVILLB, FL 34605
b, Phone Number (352) 754-5666
c. Fax Number
8. In addition to Owner. Owner designates ANITA BOYLB-SUNTRUST BARIC
m P. O. BOX 156, BROOKSVILLB, FL 34605
to receive a copy ofthe Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a. Phone Number (352) 754-5666
b. Fax Number
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different datI
specified):
OWNER: DAVIS CONTRACTING, INC.,
A FLOBXDA COBPORAT~
BlI' ~A<.- ~:?? - ~
D ARB B. IS )~
AS IT PRBSIDENT .
OWNER:
OWNER: DAVIS CONTRACTING, INC.,
B ~'TXOH
Hhft A. THO
AS ITS VICB PRBSIDENT
OWNER:
.
OWNER:
OWNER:
OWNER:
OWNER:
oJ
STATE OF FLORIDA,
COUNTY OF
6
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OR BK 4392 PG 249
3 of 3
b )) Ulf-,j~ 8. lJA-IIt.$
TY tJr ~1Ic/1.s CMr~I?CT/~J
who are personally known to me or who have produ d
..
PREPARED BY AND RETURN TO:
JOLENE SCHMEDA FL BROOKSV~202
SUNTRUST BANK f""1
P. O. BOX 156
BROOKSVILLE, FL 34605
as Identification.
#'^' Mary K Henderson
* . *My Commission CC705964
~~.. .. Expires February 6. 2002
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PASCO COUNTY.. FLORIDA
Permit Nu.
;
'.
Date Permitted
c)
Builder Name/Owner Name
County Parcel No.
AddresslLocation
Subd.
Classificationffype of Use
How Determined
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Why?
Rate $
Zone No.
Sq. Ft/Unit
Prepared By
Impact Fee Amount $
Checked By
The above impact fee has been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the
Board of Pasco County Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or
utilization of the permitted structure.
RESOURCE RECOVERY ASSESSMENT
EXEMPT 0
RESIDENTIAL
NONRESIDENTIAL
No. Units
/
!
Gross Sq. Ft. (GSF)
Ratc ERL:
52 OOIYear
or $0. 1 42/Oa)'
ERU Assign No.
ASSCssJllCnl- (No Units) x ($0.1421
x (No. Days)
Assessment -
(GSF) x (ERU) x (0.142) x (No. Days)
100
TOTAL FEE $
TOTAL FEE $
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED UNTIL THE AMOUNTS LISTED
HA VE BEE~ PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY.
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form. placing
the huildlOg. permit owner, on noti,e of this asse~sment and the co,nditions of p,\ymel1! fa LS?V1e' .
Date
Received By
OFFICE L'SE ONLY
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
i
_Jl
DATE
DATE
BY
BY
;
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/
White
Applicant
Canary
Trans/Finance
Canary
RR/Finance
P,nk
Office
Green
Bldg/lnsp
feecal:ce
PC93113094/D