HomeMy WebLinkAbout00-9568
BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09568.
..".
-
Date
~-~E'oO
BUILDING
ELECTRICAL
~o
PLUMBING
.:35
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D, # .I..
Water Meter:
T,I.F.'s:
Zoning:
/"0,-< :St1 ~
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
5'1C
Valuation or
Contract Price
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Permit Fee ~
~iflfus~ < ~
Company
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City License Registration #
State Certified License#
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BUILDING
Driveway
~ ~/~-OO
Address
elep~ ~~ J
G.u~~""POL&.WA) ~;J' 4'J'14_
ELECTRICAL a.o~ I PLUMBING 13 I
Tp. Se", Sla ~3'~~O ff
Rough In q (/'2/00 ~ ( Tub Set ;. 2 00
Meter Can Water ~
Const. Pole vZ ,,-5 c) - t>6,Usewer 1~~ t)~
Pool Final
Pre-Meter 10,1.t., -L)t:J 5'1(
Final .
r;n~~~Il-~fJ$C
y~~~~
MECHANICAL ~or
Ftr. ? -{ q~OtJ .9sZ
Pre SLB /).ltf/JrtYO 6/
Lintel ,/?/-9-ClJO Ff
FRM. '3112/00 s
Insul. CL
WL 9/ I 5'_.t:JO ~
Breakers
Ducts Insl. 9 /IZ/Oo S~
,
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.001 shall be made for each~ for each trade: " )r-' &~ . ()
a. Wrong Address If .LdDuht:A.- ~Iz/ c ~
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.
DAVIS CONTRACTING
4744 TIMBERWAY
,LoT /7
SQ. FEET PRICE
MAIN OR LIVING AREA 1,465 $ 40,00
OTHER AREA UNDER ROOF 708 $ 15.00
OTHER
VALUATION $ 69,220.00
FEE SHEET $ 350.00
ADDRESS $ 20,00
DRIVEWAY $ 20,00
BUILDING: $ 565,00
CREDIT: $ -
BUILDING LESS CREDIT: $ 565.00
ELECTRICAL: $ 81.48
PLUMBING: $ 70.00
MECHANICAL: $ 35,00
RADON: $ 21,73
TOTAL $ 773.21
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $ -
TOTAL: $ 1,628.00
I
WATER METER I $
IRRIGATION METER $
180~00 I
TI F'S: $ 1,480,00
99% $ 1,465,20
1% $ 14,80
?~ tfl f1~ tD e.{).
) /,tfgo ~ ~
TOTAL: $ 4,061.21 I
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OWNER'S NAME
JOB ADDRESS
( ~ \
APPLICATION FOR PEmaT'~n ~t~-e01; -1(00 '.
CITY OF ZEPHYRHILLS U:-" . \) r _ 'Z I .......
BUILDING DEPARTYENT ,. DA IVED ~ -t.. . 0 U
S REVIEW I'EJl:
VtttJI ~
'-17 '-f Y
~"/-I-r tAc-I-(~
T INlber tAy
I 'i BLOCK
PHONE 7/ J. 7/e:. S- S"
SUBDIVISION (~U('.J... S;;u<<.r<..
(OBTAIN FROM PROPERTY TAX NOTICEI
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # IS-2b-~I- bZllO_bOOOO. La~ 19
WORK PROPSED: 9iNEW CONSTRUCTION
DSIGN
o ADDITION
o ALT ERAT I ON
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: ~GL FAMILY DWELLING
o COMMERCIAL
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK .$;k'j/L ~iJ, t/,Jt: /h~
~ ,63
/ Cj 3 C SQUARE FOOTAGE /9' ~
.
BUILDING SIZE
RESIDENTIAL:
COMMERCIAL:
o BUILDING
o ELECTRICAL
o PLUMBING
o MECHANICAL
o GAS
o ROOFING
DMULTI - FAMI L Y
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
HEIGHT
g'~
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
$
VALUATION OF TOTAL CONSTRUCTION
/5d/
,
;<: FLORIDA POWER
o W.R.E,C.
AMP SERVICE
$
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: V BLOCK
FINISHED FLOOR ELEVATIONS
BUILDER
SIGNATURE
ELECTRICIAN
SIGNATURE
PLUMBER
SIGNATURE
MECHANICAL
SIGNATURE
OTHER
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAD YES
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IJpw ~
# #' IZ - O.cJ.:.7
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75- 7 J
COMPANY
. STATE CERT OR REGIST
CITY PROCESSING #
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COMPANY P d-.{". <i,.J 1/_ /,;". 'i
STATE CERT OR REGIST # ~.c- Oj~ d r
CITY PROCESSING # /2 /
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COMPANY
STATE CERT OR REGIST
CITY PROCESSING # aO<'
*********
*****************************************
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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 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 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 ~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 b~ 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".
c2?;~~~es s~~~ 1F~~
STATE OF FLORIDA #a:.S GO STATE OF FLORIDA
COUNTY OF ~ COUNTY OF
The foregol.'ng i~. t~ent. was acknowled~#/~ The foregoing instrument was acknowledged
Before ~ this () g.,~ pe ~~ ' '19---':- Before me this _day of , 19 ~
by -bL '-'L a,." [,./Q:.J04 L S by
(name of person acknowledged) (name of person acknowledged)
~ho is personally known to me, or [1ho is personally known to me, or
d who has produced
(type of identification)
Odid not take an oath.
bMIEL WlU..... d
ExP. ~OO~
~ ckn ledgement
n~_lfdM1Ai
and who Ddid
Owho has produced
(type of identification)
~id not take an oath
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
~ectlon 15, Twp. 26-S, Rng. 21-E
BOUNDARY SURVEY
~ot No. 19 of Court Square, according to the plat thereof as recorded
in Plat Book 33 Pages 63 and 64 of the Public Records of Pasco County
Florida.
Subject to easements of record.
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CERTIFICATION
I h.r.by C.rtify that thl. drawino I. a corr.ot r.pr...ntatlon of thl
prop.rt, delor I bed a bOYI and that thlrl are no Ino'oachM"IIl~II.
That thil .uney ",eet. with the ",Ini",u... require...ent. of Chaptfor 61 G1 7-6
Florida Adminiltration Code. Sec. 472.027 ~.J' -~~7~~_
Florida Reoiltered Sun.,or No. 1928 ~~----"-"7"
. · Clau. F. Fallina /?
TED F. FAS'f.ING (/
1582 Sandalwood OrivI SC:~~.
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Dunedin Florida 34698 ~ 2.0
Oat.
/?/o9 4? Z 600
Ph. 734-983.
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 Rorida Energy Efficiency Code may be demonstrated by the use of Form 6008-97 for single and multifamily reSIdences of 3 stones or less in height, and
additions 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 llIlll comply with the
prescriptive measures listed in Table 68-1 ofthis form, An alternative method is provided for addnions of 600 square feet or less by use of Form 600C-97, If ,a building does not comply with this method,
It ma still com I under other sections in Cha ter 6 of the Code.
tJ
OWNER:
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GENERAL. DIRECTIONS
1. New construction including additions which incorporates any of the following features cannot comply using this method: steel stlJd walls. single assembly roof/ceiling
construction, or skylights or other non-vertical roof glass.
2. Choose one of the component packages "A" through "P 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 68-1 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 CK
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 I no)
6. Conditioned floor area (sq. ft.)
7. Predominant eave overhang (ft.)
8. 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. '!Vood 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: c<Jntral, room unit, package terminal AC" 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)
12a.
12b.
13.
14a.
14b.
14c.
15a.
15b.
15c.
16a.
16b.
1.
2.
3.
4.
5.
6.
7.
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8a.
8b.
9.
Single Pane
sq. ft.
sq. ft.
%
OWNER AGENT:
DATE: 5- -3 (/ JO()
Florida Energy Code,
DATE:
on are in compliance with the
-1-
DATE:
Double Pane
sq. ft.
sq. ft.
167. 'i
II
10a. R= D /llJ'"j lin. ft.
10b. R= sq. ft.
10c. R= sq. ft.
10d. R= sq. ft.
10e. R= sq. ft.
11a-1 R= L;' C;r7 sq. ft.
11 a-2 R= __ sq. ft.
11 b-1 R= __ sq. ft.
11 b-2 R= /1 Ji7 sq. ft.
R= '3 D _PI t-r sq. ft.
R: __ sq. 11.
R= ~ U ,lj (~ (
Type: Cl p~ V-" /
SEERlEER: ~,t:! V
Capacity: j'l J {i &
Type: I ^I e ~1r
HSPF/COP/AFUE:, V
Capacity: '5 J,. t c
Type: E {c: -{-
EF: I 91
Revised 1998
TABLE 6B-1
MINIMUM REQUIREMENTS
COMPONENTS PACKAGES FOR NEW CONSTRUCTION
A I B C 0 E F
Max,%ol glass to Floor Area 15% 15% 20% 20% 25% 25%
en Double 'Tint (01)
en Type Double Clear (DC) Single 'Tint (S1) Double Clear (DC) Single 'Tint (51) Double 'Tint (01)
:5
c:J Overhang 2' 1'4' 2' 2" 2" 2'
Masonry EXTERIOR AND ADJACENT MASONRY WALLS R-5
en COMMON MASONRY WALLS R-3 EACH SIDE.
...J
...J
<
3 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)
en Slab-On-Grade R-O
a:
0 Raised Wood R-11 (ONLY STEM WALL CONSTRUCTION ALLOWED EXCEPT PACKAGE D)
9 Raised Concrete R-5
u.
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. STRIP 6,8' 6,8' 7.4 6.8' 7.6
W Gas/Oil (AFUE) MINIMUM OF .73 (Direct heating) or .78 (Central)
:I:
a: Electric EF .90 EF .90 EF .90 NOT ALLOWED NOT ALLOWED EF.90
w;:a Resistance ** (SEE BELOW) (SEE BELOW)
~W
3~ Gas & Oil ** MINIMUM EF OF ,54 NATURAL GAS ONLY
1->- (SEE BELOW)
Oen
:I: Other Any of the following are allowed: dedicated heat pump,
heat recovery unit or solar system.
Climate Zones 4 'S 6
TO BE INSTALLED
':J- %
DC: 0 DT: 0
FEET
00: R=
AOJ: R=
COM: R=
00: R=
AOJ: R= II
COM: R=
UNDER ATTIC: R =
COMMON: R =
R= f)
R=
0
)t c/(,.;>
AFUE =
EF= , S'
EF=
DHP: EF=
HRU: 0
SOLAR: EF=
Single package units mirnmum 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 Glul to Floor Area: This percentage is calculated by dividing the total of 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 overhang of at least the prescribed length with the following exceptions: 1) giass
on the gabled ends of a house and 2) the glass in the lower stories 01 a mutli-story house,
Wall, Ceiling and Floor Insulation Val...: The R.vaIues indicated represent the minimum acceptable insulation level added 10 the structural components of the wall, ceulng or floor, The R-value of the struclural building
materials shaU not be included in this calculation, "Common' components are those separating conditioned tenancies in a multifamiiy building, . Adjacent' components separate conditioned space from unconditioned but
endosed space, 'Exterior" components separate conditioned space from unconditioned and unenclosed space.
Roor: SI~rade floors without edge insulation are acceptable. Raised wood floors shall have continuous stem walls with insulation placed on the stem wall or under the loor except Package D,
Ducls: 'COND' indicates that the ducts must be installed within the conditioned space: that is, the ductworX 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 PTAC's equal to or greater than the prescnbed value.
Electric Space Heating Option: Heal pump systems shall be rated with a Heating Seasonal Performance Factor (HSPF) equal to or greater than the prescribed HSPF, Heat pump systems may contain electnc stnp backups
meeting the criteria of section 608,1.ASC,3,2.1,2, No electric resistance space heat is allowed for these packages.
Electric Resistance Hot Wster Option: For packages designated 'Not AJIc1fteff, an etectric resistance hot water system may be installed only in conjunction with one of the 'Other Hot Water System Options'. See below.
Other Hot Water System Options: Any dedicated heat pump, heal 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 of .88
or greater. or natural gas systems with EF ,54 or greater may be used in conjunction with these systems,
TABLE 6B-21 MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS I CHECK
Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather-stripped or otherwise sealed. j,..
Exterior Windows & Doors 606,1 Max ,3 elm/sq,jt, window area; ,5 elm/sq.ft. door area. L/
Sole & Top Plates 606,1 Sole plates and penetrations through top plates of exterior walls must be sealed. Iv
Recessed Lighting 606,1 Type IC rated with no penetrations (two alternatives allowed). I Jj-fJ
Multi-story Houses 606,1 Air barrier on perimeter of Iloor cavity between floors. I A/'r}
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except lor combustion /
devices ~ith integral exhaust ductwork.
Water Heaters 612,1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit breaker (electric) X
or cutoff (oas) must be orovided, External or built-in heat trao reauired,
Swimming 612,1 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a vv/l
Pools & Soas I pumo timer. Gas spa & 0001 heaters must have minimum thermal efficiencv 01 78%.
Hot Water Pipes 612.1 In3ulation is required lor hot water circulatina systems (including heat recovery units). v
I
Shower Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG, 7
HV AC Duct 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
Construction, sealed, insulated and installed in accordance with the criteria 01 Section 610,1. Ducts in attics must be X'
Insulation & Installation insulated to a minimum of R-6. Air handlers in attics shall be within 5' of an attic access, have a radiant
barrier installed above the ahu extendino 10' in all directions & meet requirements 01 other codes,
HV AC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system, I
-2-
986758
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-718-8008 FAX 813-719-7010
CITY OF ZEPHYRHILLS 00" 3 Y C?' /
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO. DATE ta - C2E-e>V
~.J.r~Q~ (] Mib-~ I ~ j~.
MAlJNG ()::: (p a~/~~ q~~
SERVICE ADDRESS "7 'I1/-';-mA€~IA.JA4 Lor /f/ t1bilJ1T ~
~R 61 P/I/'
o
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o SEWER
SHUT OFF SERVICE
TURN ON SERVICE
READ METER
o
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o GARBAGE
~
INSTALL METER
CHECK METER
o OUT CITY
-'- No. OF UNITS
OTHER
_ DEPOSIT AMOUNT
-tii ~JZ,tu
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
V'JORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept
Water Service Dept. to sign yellow form & return to office.
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Sunstate Title Agency, Inc. .
13g37 7th Street '
[)adQ Cit/. FL 33525
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Rec: 15.00
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Dpty CJerk
~~92G~~~I'I\N..: rr~O fOUNTY CLERK
OR BK 4374 PG 771
NOTICE OF COMMENCEMENT
.................... ......................8 R R"
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DAVIS CONTRACTING, INC.,
A FLORIDA CORPORATION
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DAVIS CONTRACTING, INC.,
A FLORIDA CORPORATION
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.....................
....................
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37826' SKY :'R:ib:~~:;:)di:~g~?"":;););))::):::;::::(((::;();;):;:::::;; ;;(i:;;i;~::~::::::~:~;;:;:;:::i~ai;;:::d:i::~~g~[)i(:::);(::):;i:::/:;:;;::;:;;;:::{}L::;:);::))(:)))
DADB CITY, FL 33525-0838 DADB CITY, FL 33525-0838
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(j52) 561-1994 59~35~4097 .. ........ ....... '(352) 5~7~1~~. ....59~3504097 . ..... .... ...
ADDRESS OF REAL PROPERTY: LOT 19 TIMBBR WAY
ZBPBYRBILLS, FL 33541
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 713,
Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property:
Street address (if available):
LOT 19 TIMBBR WAY
ZBPHYRBILLS, FL 33541
Legal description of property:
LOT 19, COURT SQUARB, AS PBR MAP OR PLAT THBRBOF RBCORDED IN PLAT BOOK 33, PAGBS
63-64, PUBLIC RBCORDS OF PASCO COUNTY, FLORIDA.
2. General description of improvement:
CONSTRUCT A SINGLB FAMILY DWBLLING 2 BEDROOMS, 2 BATHS
3. Owner information:
a. Name and address: See above
b. Interest in property:
FBB SIMPLB
OR 81(
4374
2
PG
of 3
772.
c. Name and address of fee simple titleholder (if other than BorrOwer):
"
4. Contrador:
a. Name and address DAVIS CONTRACTING, INC.
37826 SKY RIDGB CIRCLB
DADB CITY, PL 33525-0838
b. Phone Number (352) 567-1994
c. Fax Number
5. Surety:
a. Name and address N/A
N/A
b. Phone Number
c. Fax Number
d. Amount of bond: $
6. Lender:
a. Name and address SunTru8 t Bank
P.O. Box 156
Brook8ville, PL 34605
b. Phone Number (352) 796-5151
c. Fax Number
7. Persons within the State of Florida designated by Borrower upon whom notices or other documents may be served as provided by
Sedlon 713.13(1) (a) 7., Florida Statutes:
a. Name and address ANITA BOYLB-SUHTRtJST BAHIC PL BROOKSVILL 9202
P. o. BOX 156
BROOKSVILLB, PL 34605
b. Phone Number (352) 754-5666
c. Fax Number
8. In addition to Owner, Owner designates ANITA BOYLB- SUHTRtJST BAHIC
of P. O. BOX 156, BROOKSVILLB, PL 34605
to receive a copy of the Lienor's Notice as provided in Sedion 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 date is
specified):
OWNER: DAVIS CONTRACTING, INC.,
A PLORIDA CORPORATION ~
Bijl~.L-GP ~~
DAN. VIS - ----
AS ITS PRBSIDBNT
OWNER:
OWNER:
OWNER:
OWNER:
OWNER:
lPFL409B II> John H, Ha~and Co, (O!5/11/991 (8OOl937.3799
Page 2 0/3
OR BK 4374 PG 773
3 of 3
STATE OF FLORIDA,
GOUNTY OF
PII~eo
Slj~O()
.
Sworn to and subscribed ~efore me this
~T~UEN A. -r1/C)/'J1IfS
by
Dt./,1JiG 8 , Olt-J, 5 AN 6
who are personally known to~e or who have produced
~
as identification.
,~""'" Mary K Henderson
:Q~MY Commission CC105964
..........',. Expires February 6, 2002
PREPARED BY AND RETURN TO: JOLENE SCHMEDA FL BROOKSVILL 9202
SUNTRUST BANK
P. O. BOX 156
BROOKSVILLE. FL 34605
STATE OF FLORIDA
. COUNTY OF PASCO
THIS IS TO CERTIFY T
~~U5/:D CORRECT COpy OF~~E T~MOREGO'NG IS A
HAND UBlIC RECORD IN THIS OFF/CEU~~J:: FILE
o OFFICIAL SEAL THIS :? /~S MY
~ DAY OF
JEDe AN 2~
BY . ' CL CIRCUIT COURT
DEPUTY CLERK
..
Paqe 3 of 3
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PASCO COUNTY, FLORIDA
Permll No
/ ..,.,; l.;
Date Permitted
Builder Name/Owner Name
",
County Parcel No.
I
Address/Location
.J ,'I
. .
Subd.
JJ<'..
"'I>".~
<>":;.
Classificationffype of Use
I
How Determined
TRANSPORTATION IMPACT FEE CALCULATION
EXEMPT 0
Why?
Rate $
Zone No.
Sq, FtlUnit
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:
52.00/Year
or SO.142/Day
ERU Assign No,
ASSCSSJllcnt - (No Units) x ($0.1421
\ r No Days)
Assessment -
(GSF) \ (ERU) \ (0 142) x (No. Days)
100
TOTAL FEE $
TOT AL FEE $
NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTlL THE AMOUNTS LISTED
HA VE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTI~G OFFICE OF PASCO COUNTY.
Acknowkdgement below does not imply acceptance of concurrence. hut Simply recclpt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of paymellt for same.
-~ ,
Date
Received By
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---------------------------------------
OFFICE L'SE ONL Y
TRANSPORTATION REC. NO.
RESOURCE RECOVERY REC. NO.
DATE
DATE
4
#
BY
BY
White
Applicant
Canary
Trans/Finance
Canary
RR/Flnance
Pink
Office
Green
Bldgllnsp
feecalce
PC93113094/D