HomeMy WebLinkAbout00-9648
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09648
f 11/00
Date
S"J,}. e~
BUILDING
.~ ),"$ J
ELECTRICAL
b S"". '-'..9
PLUMBING
? ~, d.Q
MECHANICAL
Sewer Conn
Water Conn:
/J18. <~'
S ('D. q!:
110. (t;
~-'\+. 'T~(.
Job Address:
T.I.F.'s:
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
City License Registration #
State Certified License#
U. 7
p~rmit~ ~ ~?
Slgnatur ~
Company
Address
9q f' ~ I
Telephone# . i ?...... / .5 &:)
Valuation or
Contract Price
~
b "!. 7So,
,
V;(.k , }J 4.. d< 0 If f
BUILDING
fr\r:.,...:.... fA ~ (
ELECTRICAL C;7
~h''\' S w,l{; ,i.-.. 5
PLUMBING 192v
N~ (l' ; cJ
MECHANICAL '2 ("07
Ftr. ..A--/(/).-CJb ~ Tp. Servo SLB 9, J S"-o~ .2tl
Pre SLB 9- z1.#o& S,e Rough In J()-'LH -af!) >'fZ. Tub Set /(),ZH~ot!> ~ It
Lintel /t)-.-? -00 S"< Meter Can Water
FRM. /tJ'2l.f-t>e> ..5"IC Const. Pole 10-'2,00 S~ Sewer C?-Z9~<3(J) S'~
Insul. CL -r:;;:;:') Pool Final
WL J /J- 21J-. /)Ofc!!:!ftJ Pre-Meter I ~ '-I...t y 't
Final
Driveway /2- , 3 -~o S' " F ~ ~ 4'--' 0 -00 ~I(
Breakers
Ducts Insl. / 0 ~ L4 -(l &> S ~
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 001100 Dollars ($ 25.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
2CHR 7:/4
HERNASCO TESTING LABORATORY, INC.
Materials Testing and Engineering
P.O.Box 5267. Hudson, Florida 34674
(727) 856-5565 . (352) 596-1092 . FAX (727) 856-0020
/JOHN 5:/3
Job No:
Sampled By:
Date Sampled:
Date Reported:
007-26367
Jeff Novak
9/19/2000
9/20/2000
Project:
Location:
Client:
Material:
Sampled From:
5942 17th Street
Zephyrhills, Florida
R.C. Burnett
Fill
Compacted Building Pad
FIELD DENSITY DATA
LOCA nON
Stem WalI- Finished Fill Grade
DRY
DENSITY
PERCENT
MOISTURE
PERCENT
DENSITY
PROCTOR
USED
4' North of South Wall & II' West of
Southeast Comer
103.9
7.6
95.8
108.4
4' South of North Wall & 20' East of
Northwest Comer
103.1
8.1
95.1
108.4
4' East of West Wall & 10' South of
Northwest Comer
103.7
9.6
95.7
108.4
C: R.C. Burnett (2)
IN/rjp
~J-
James C. Tippens, P.E. # 12217
9/20/2000
2700 Bayshore Blvd. # 561
Dunedin, FI. 34698
VIVKI NUCKOLLS
17TH ST.
SQ, FEET PRICE
MAIN OR LIVING AREA 1,398 $ 40.00
OTHER AREA UNDER ROOF 442 $ 15.00
PATIO SLAB 120 $ 10.00
VALUATION $ 63,750.00
FEE SHEET $ 326.00
ADDRESS $ 20.00
DRIVEWAY $ 20.00
BUILDING: $ 529.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 529.00
ELECTRICAL: $ 82.32
PLUMBING: $ 65.00
MECHANICAL: $ 35.00
RADON: $ 18.40
TOTAL $ 729.72
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $ -
TOTAL: $ 1,628.00
WATER METER:I $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
2,537.72 l
TI F'S: $ 1,480.00
99% $ 1,465.20
1% $ 14.80
TOTAL: $
4,017.721
?.
r
R
Prepared by and return to:
Valerie Chavers
Employee
Schrader, Johnson, Auvil & Brock, P.A.
37837 Meridian Avenue Suite 314
Dade City, Florida 33525
File Number: 00-07-04
1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1II11111Itltlllllll1ll .
2000088649
Rcpt: 427779 Rec: 10.50
OS: 98.00 k L-,., IT: 0.00
07/17/00 / /~ Dpty Clerk
~;91~~~~t1A~='tS;O fOUNT:, C~ERK
OR BK 4404 PG 796
[Space Above This Line For Recording Data]
I.
It f/I
h/l1JO. (j\)
Warranty Deed
This Warranty Deed made this 13th day of July, 2000 between Cephus Food Sales, Inc., a Florida corporation
whose post office address is 11411 Gran~view Drive, Dade City, Florida 33525, grantor, and Pamrose Enterprises, Inc.,
a Florida corporation whose post office address is 35050 Dolphin Lake, Zephyrhills, Florida 33541, grantee:
(Whenever used h..rein th.. terms "gr'!rtor" anti "grante<:" include all the parties to this instrument and the h-.:irs, legal representatives, and assigns of
individuals, and the successors and assigns of corporations, trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum ofTEN AND NO/IOO DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate, lying and being in Pasco County, Florida to-wit:
Lots 16, 17 & 18, Block 43, CITY OF ZEPHYRHILLS, according to the map or plat thereof as
recorded in Plat Book 1, Page 54 of the Public Records of Pasco County, Florida.
Parcel Identification Number: 11-26-21-0010-04300-0160
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances, except taxes and solid waste assessments accruing subsequent to December 31, 1999, zoning and/or
restrictions imposed by governmental authority, iilld easemellts, fc;;strictions and reser/~tjo:1~ ~f :eccd, if a~y, !1')'.\I~v~r this
reference shall not serve to reimpose same.
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written.
.
DoubleTimee
OR BK 4404 PG 797
2 of 2
Signed, sealed and delivered in our presence:
~
State of Florida
County of Pasco
The foregoing instrument was acknowledged before me this 13th day of July, 2000 by John L. Cook, President of Cephus
Food Sales, Inc., a Florida corporation, on behalf of the corpor on. e U is personally known to me or [X] has produced
a driver's license as identification.
[Notary Seal]
Notary Public
V~E cW-Va:-
,......... rt:/lI>>o_'tJi& · ~
iJ;~"".~~ tA'I ~PfS: JIt# 31.~..---
I.: . _ ~. _......ur---::::..
· ~ :n 1\IIl tlIJlIlY .--
~!>>1 rt \IllftlIIll
"''I,Rr..,
Printed Name:
Valerie Chavers
My Commission Expires:
July 31,2000
I
Warrant)' Deed - Page 2
DoubleTimee
. . ;1
SIN 10784
2/16/00
RIGHT.J SHORT FORM
Job #.
For:
File name:
1398 S.F.LIVING AREA
BURNETTE BUILDERS
NUCCIO HEATING AND AIRCONDITIONING
4116 GUNN HIWAY
TAMPA FL 33624
813-961-7895
ROOM NAME AREA HTG CLG HTG CLG
SQ.FT. BTUH BTUH CFM CFM
FOYER / GREAT 286 5156 4599 216 224
MASTER BATH 125 1537 1425 65 69
MASTER B.R. 200 3503 2583 147 126
DINING 150 3623 3979 152 194
KITCHEN 150 1626 2570 68 125
HALL BATH 100 994 716 42 35
B.R. # 3 154 3148 2372 132 116
B.R. # 2 127 2883 1478 121 72
LAUNDRY 107 1352 782 57 38
Entire House d 1398 23822 20503 1000 1000
Ventilation Air 0 0
Equip. @ 1. 00 RSM 20503
Latent Cooling 5077
TOTALS
By:
HEATING EQUIPMENT
Make CARRI ER
Model
TWe AIR HANDLER /
Efficiency / HSPF
Heating Input
Heating Output
Heating Temp Rise
Actual Heating Fan
Htg Air Flow Factor
Space Thennostat
HEATER
0.00
o Btuh
o Btuh
o Deg F
1000 CFM
o . 042 CFMlBtuh
2 STAGE HEAT
1398
MANUAL J: 7th Ed.
BB1398.bld
Outside db
Inside db
Design TD
Daily Range
Inside Humid.
Grains Water
Method
Canst. qlty
Fireplaces
Htg Clg
40 95
70 75
30 20
M
50
54
Sirnpli fied
Average
o
COOLING EQUIPMENT
Make CARRIER
Model
Type HEAT PUMP
COP/EER/SEER
Sensible Cooling
Latent Cooling
Total Cooling
Actual Cooling Fan
Clg Air Flow Factor
0.00
o Btuh
o Btuh
o Btuh
1000 CFM
0.049 CFM/Btuh
Load Sensible Heat Ratio
80
23822
25581
1000
1000
RIGHT-J: V3.0.17
FORM 600A-97
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
Project Name: BB1398 ~ 1398 S.F. LIVING AREA Builder:., BURNETTE BUILDE,RS I
Address: .,., c..{1 11#} ft-. Permitting Office: L..J..y o( Z€f'~/"',I') !
City I State: ""ZI:.f' ~ y.r h: II 5 I F L Permit Number: ?, ~ f3 I
Owner: Pcc....{'o~e ~+. J'~c Jurisdiction Number: b1lboO
Climate Zone: Central
1 New construction or existing
2. Single family or multi-family
3. Number of units, it" multi-family
4. Number of Bedrooms
5. Is this a worst casc?
6. Conditioned floor area (ft')
7. Glass area & type
a. Clear - single pane
b. Clear - double pan~
c. Tint/other SC/SHGC - single pane
d. Tint/other SC/SHGC - double pane
8. Floor types
a. Slab-On-Grade Edge Insulation
b. N/A
c. N/A
9. Wall types
a. Concrete, Int Insul, Exterior
b. Frame, Wood, Adjacent
c. N/A
d. N/A
e. N/A
10. Ceiling types
a. Under Attic
b. Under Attic
c. N/A
II. Ducts
a. Sup: Unc. Ret: Unc. AH: Attic
b. N/A
New
Single liuuily
I
3
Yes
1398 IF
163.0 tt'
0.011'
0.0 ft,
0.0 ft,
R=O.O, 154.0(p) Ii
R=4.2, 901.0 ft,
R=11.0, 130.0 IF
R=19.0, 1398.0 IF
R=I9.0, 96.0 ft2
Sup. R=6.0, 150.0 ft
12 Cooling systems
a. Ccntral Unit
Cap: 28.2 kBtulhr
SEER: 10.00
b. N/A
c. N/A
13. Heating systems
a. Electric Heat Pump
Cap: 29.0 kBtulhr
HSPF: 7.20
b. NiA
c. NiA
14. Hot water systems
u. Electric Resistance
Cap: 40.0 gallons
EF: 0.88
b. N/A
c. Conservation credits
(HR-Heat recovery, Solar
DHP-Dedicated heat pump)
15. HVAC credits
(CF-Ceiling lan, CV-Cross ventilation,
HF-Whole house fan,
PT -Programmable Thermostat,
RB-Attic radiant barrier,
MZ-C-Multizone cooling,
MZ-H-Multizone heating)
Glass/Floor Area: 0.12
PASS
Total as-built points: 20650.00
Total base points: 21704.00
I I hereby certify that the plans and specifications cove~
I by this calculation are in compliance with the Florida
! Energy Code. /\ /7 -.L
I PREPARED BY: I /~ ~=-;/t:ti
I DATE: ;2 - /.~g .,:2-oo~
j I hereby certify that this building, as designed, is in
compliance with the Florida Energy Code.
OWNER/AGENT:
DATE:
, Review of the plans and
! specifications covered by this
I L calculation indicates compliance
II with the Florida Energy Code.
Before construction is completed
this building will be inspected for
I ! com.pliance with Section 553.908
I ! Flonda Statutes.
II BUILDING
II DATE:
__._,_._~_J I, __ _______._._________.______
EnergyGauge@ (Version: FLRCNA-200)
FORM 600A-97
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS:",
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
.18 X Conditioned X BSPM = Points Overhang
Floor Area Type/SC Omt Len Hgt Area X SPM X SOF = Points
.18 1398.0 42.08 10588.4 Single, Clear W 2.0 6.0 32.0 53.47 0.86 1465.3
Single, Clear W 6.0 7.7 7.0 53.47 0.60 226.2
Single, Clear E 2.0 6.0 23.0 59.31 0.86 1169.5
Single, Clear E 2.0 7.7 40.0 59.31 0.91 2157.9
Single, Clear E 2.0 4.0 10.0 59.31 0.74 436.9
Single, Clear E 2.0 3.0 5.0 59.31 0.64 190.3
Single, Clear E 2.0 6.0 23.0 59.31 0.86 1169.5
Single, Clear N 2.0 9.5 23.0 27.96 0.96 615.7
As-Built Total: 163.0 7431.3
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adajcent 130.0 0.7 91.0 Concrete, Int Insul, Exterior 4.2 901.0 1.16 1045.2
Exterior 901.0 1.90 1711.9 Frame, Wood, Adjacent 11.0 130.0 0.70 91.0
Base Total: 1031.0 1802.9 As-Built Total: 1031.0 1136.2
DOOR TYPES Area X BSPM = Points Type Area X SPM = Points
Adjacent 18.0 1.60 28.8 Exterior Insulated 20.0 4.80 96.0
Exterior 20.0 4.80 96.0 Adjacent Wood 18.0 2.40 43.2
Base Total: 38.0 124.8 As-Built Total: 38.0 139.2
CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Under Attic 1398.0 0.60 838.8 Under Attic 19.0 1398.0 1.10 1537.8
Under Attic 19.0 96.0 1.10 105.6
Base Total: 1398.0 838.8 As-Built Total: 1494.0 1643.4
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 154.0(p) -31.8 -4897.2 Slab-On-Grade Edge Insulation 0.0 154.0(p) -31.90 -4912.6
Raised 0.0 0.00 0.0
Base Total: 4897.2 As-Built Total: 4912.6
INFIL TRA TION Area X BSPM = Points Area X SPM = Points
1398.0 14.31 20005.4 1398.0 14.31 20005.4
EnergyGauge<8l DCA Form 600A-97
EnergyGauge@/FlaRES'97 FLRCNA-200
FORM 600A-97
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS:",
PERMIT #:
BASE AS-BUlL T
Summer Base Points: 28463.1 Summer As-Built Points: 25442.8
Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
25442.8 1.000 1.090 0.341 1.000 9456.1
28463.1 0.3577 10181.2 25442.8 1.00 1.090 0.341 1.000 9456.1
EnergyGauge ™ DCA Form 600A-97
EnergyGauge@/FlaRES'97 FLRCNA-200
FORM 600A-97
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS:".
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
.18 X Conditioned X BWPM = Points Overhang
Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Points
.18 1398.0 4.79 1205.2 Single, Clear W 2.0 6.0 32.0 10.74 1.02 351.0
Single, Clear W 6.0 7.7 7.0 10.74 1.07 80.6
Single, Clear E 2.0 6.0 23.0 9.96 1.03 236.0
Single, Clear E 2.0 7.7 40.0 9.96 1.02 406.2
Single, Clear E 2.0 4.0 10.0 9.96 1.06 105.7
Single, Clear E 2.0 3.0 5.0 9.96 1.10 54.7
Single, Clear E 2.0 6.0 23.0 9.96 1.03 236.0
Single, Clear N 2.0 9.5 23.0 12.32 1.00 282.6
As-Built Total: 163.0 1762.7
WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Adajcent 130.0 1.8 234.0 Concrete, Int Insul, Exterior 4.2 901.0 3.26 2937.3
Exterior 901.0 2.00 1802.0 Frame, Wood, Adjacent 11.0 130.0 1.80 234.0
Base Total: 1031.0 2036.0 As-Built Total: 1031.0 3171.3
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
Adjacent 18.0 4.00 72.0 Exterior Insulated 20.0 5.10 102.0
Exterior 20.0 5.10 102.0 Adjacent Wood 18.0 5.90 106.2
Base Total: 38.0 174.0 As-Built Total: 38.0 208.2
CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Under Attic 1398.0 0.60 838.8 Under Attic 19.0 1398.0 1.00 1398.0
Under Attic 19.0 96.0 1.00 96.0
Base Total: 1398.0 838.8 As-Built Total: 1494.0 1494.0
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 154.0(p) -1.9 -292.6 Slab-On-Grade Edge Insulation 0.0 154.0(p) 2.50 385.0
Raised 0.0 0.00 0.0
Base Total: -292.6 As-Built Total: 385.0
INFIL TRA TION Area X BWPM = Points Area X WPM = Points
1398.0 -0.28 -391 .4 1398.0 -0.28 -391 .4
EnergyGauge@ DCA Form 600A-97
EnergyGauge@/FlaRES'97 FLRCNA-200
FORM 600A-97
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS:" I
PERMIT #:
BASE AS-BUlL T
Winter Base Points: 3570.0 Winter As-Built Points: 6619.7
Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
6619.7 1000 1.116 0.474 1.000 3501.7
3570.0 1.0730 3830.6 6619.7 1.00 1.116 0.474 1.000 3501.7
EnergyGaugen.. DCA Form 600A-97
EnergyGauge@/FlaRES'97 FLRCNA-200
FORM 600A-97
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
I ADDRESS:.. ,
PERMIT #:
BASE AS-BUILT
WATER HEATING
Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total
Bedrooms Volume Bedrooms Ratio Multiplier
3 2564.00 7692.0 40.0 0.88 3 1.00 2564.00 1.00 7692.0
As-Built Total: 7692.0
CODE COMPLIANCE STATUS
BASE AS-BUlL T
Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total
Points Points Points Points Points Points Points Points
10181.2 3830.6 7692.0 21703.8 9456.1 3501.7 7692.0 20649.8
I
PASS
I
EnergyGauge ™ DCA Form 6ooA-97
EnergyGauge@/FlaRES'97 FLRCNA-200
FORM 600A-97
Code Compliance Checklist
Residential Whole Building Performance Method A - Details
I ADDRESS:. · ·
6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST
PERMIT #:
COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK
Exterior Windows & Doors 606.1.ABC.1.1 Maximum:.3 cfm/sa.ft. window area' .5 cfm/sa.ft. door area.
Exterior & Adjacent Walls 606.1.ABC.1.2.1 Caulk, gasket, weatherstrip or seal between: windows/doors & frames, surrounding wall;
foundation & wall sole or sill plate; joints between exterior wall panels at corners; utility
penetrations; between wall panels & top/bottom plates; between walls and floor.
EXCEPTION: Frame walls where a continuous infiltration barrier is installed that extends
from and is sealed to the foundation to the too olate.
Floors 606.1.ABC.1.2.2 Penetrations/openings> 1 /8" sealed unless backed by truss or joint members.
EXCEPTION: Frame floors where a continuous infiltration barrier is installed that is sealed
to the perimeter penetrations and seams.
Ceilings 606.1.ABC.1.2.3 Between walls & ceilings; penetrations of ceiling plane of top floor; around shafts, chases,
I soffits, chimneys, cabinets sealed to continuous air barrier; gaps in gyp board & top plate; I
attic access. EXCEPTION: Frame ceilings where a continuous infiltration barrier is
installed that is sealed at t~e perimeter, at penetrations and seams. !
Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations, sealed; or Type IC or non-IC rated, installed inside a I
sealed box with 1/2" clearance & 3" from insulation; or Type IC rated with < 2.0 cfm from i
conditioned space, tested. I
Multi-storv Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. i
I
Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors, dampers; combustion space heaters comply with NFPA,
have combustion air. I
6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded bv all residences.)
COMPONENTS SECTION REQUIREMENTS CHECK
Water Heaters 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marked circuit
breaker (electric) or cutoff (aas) must be orovided. External or built-in heat trao reauired.
Swimming Pools & Spas 612.1 Spas & heated pools must have covers (except solar heated). Non-commercial pools
must have a pump timer. Gas spa & pool heaters must have a minimum thermal
efficiency of 78%. n
Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG.
Air Distribution Systems 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically
attached, sealed, insulated, and installed in accordance with the criteria of Section 610. L
Ducts in unconditioned attics: R-6 min. insulation.
HVAC Controls 607.1 Seoarate readily accessible manual or automatic thermostat for each system. ~
Insulation i 604.1,602.1 Ceilings-Min. R-19. Common walls-Frame R-11 or CBS R-3 both sides.
i i Common ceiling & floors R-11.
EnergyGauge™ DCA Form 600A-97
EnergyGauge<ID/FlaRES'97 FLRCNA-200
EN" \ \.-JC".
'~T t1 S\
LEGAL DESCRI PTION: LOT (S) \ L. ) \ "l) \ 't BLOCK 42::>
PARCEL ID # l ~ -... ~\o.- a \ - ~ ~\1'\ - ~ l\:3~~ - ~ \~'=>
WORK PROPSED: ~CONSTRUCTION
OWNER' S NAME~.R~~~
5''t'f2
APPLICATION FOR PERMI~ Cc_i.(I2r/ )
CITY OF ZEPHYRHILLS \ ~ Itj'tY!_ ~ .'. 7 /20 / rJ~
. BUILDING DEPARTMENT ~_ RECE:IVED -L:. _
PLANS REVJ:EW FEE
PHONE '1 \ a.. ~ \ 1:> I:>
C=- E ~ t1 Y \C\-\, l I_A.S.
JOB ADDRESS
SUBDIVISION c) tT Y ~-f- c:..E..\l t\y~\\..\.,.s.
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
DALTERATION
o REPAIR
o INSTALL
DSIGN 0 MOVE 0 DEMOLISH
PROPOSED USE: ~FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK K) E w RE:~S ,bl:; ~~ ~
BUILDING SIZE
SQUARE FOOTAGE
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.
~DING
~ECTRICAL
~UMBING
~HANICAL
W.R.E.C.
$ ~"-~ 9~c;-. ~ u
VALUATION OF MECHANCIAL INSTALLATION
o GAS 0 ROOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: ~K
o OTHER
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
?
COMPANY V t ~ '~.:::+ ~ t) tJ~ ~ L '-S
STATE CERT OR REGIST #
CITY PROCESSING #
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ELECTRICI
COMPANY \
STATE CERT OR REGIST # -
CITY PROCESSING # o,r"J
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PLUMBER
SIGNATU~
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STATE CERT OR REGIST #
CITY PROCESSING # ,C\, ~,~
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MECHANICAL
SIGNATUR~A
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STATE CERT OR REGIST #
CITY PROCESSING # ;:} S"<:::l " 0(:
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OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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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 corrunencement.
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 corrunenced 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 pe~t
issued shall become invalid unless the work authorized by such permit is corrunenced 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 corrunenced. 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 OT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". . .
S+--<=~~~JA-
SIGNATURE: CONTRACT
SIGNATURE:
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STATE OF FLORIDA
COUNTY OF
The foregoing inst~ent w~OWledged
Before me this:2-l> l..- day of _, ~
by
. ~e of person acknowledged)
~o is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing i~st~ment ~a~nowle~d
Before me this ~O~ay of ~ , ~
by
--Loame of person acknowledged)
~is personally known to me, or
I~
o who has
of identification)
take an oath.
ent
Name tYP~ce8mRIi>ed
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111111111111111111111I1111111I1111111 I111IIIII1 mil iilllllt
2000088651
Rcpt: 427779
os: 0.00
07/17/00
Rec: 10.50
IT : 0 . 00
Dpty Clerk
SCHRAOER JOH~.d by:
o · ~A~L&~
" - 0 Pos~ Office Box 2337-'vw\' P.A,
ade CIty, FL 33526-2337
~;91~~~~1'I\~: &CS~O fOUNToYf C~ERI<
OR 81< 4404 PG 805
BORROWER
Pamrose Enterprises, Inc. NOTICE OF
35050 Bo1phin Lake Drive COMMENCEMENT
Zephyrhi11s, FL 33541
Telephone Number ,....,. "
,,' ,
ADDREfS OF REAL PROPERTY: 1
7th Street and North Avenue
Zeohvrhi11s. FL 33540
OffiCER INITIALS INTEREST RATE PRINCIPAl. AMOUNTI FUNDINGI MATURITY DATE CUSTOMER NUMBER LOAN NUMBER
CREDIT LIMIT AGREEMENT DATE
RWC 07/14/00 219755 71
Permit No
Tax Folio No. 1126210010043000160
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):
17th Street and North Avenue
Zephyrhi11s, FL 33540
Legal description of property:
Lots 16, 17 & 18, Block 43, CITY OF ZEPHYRHILLS, according to the map or
plat thereof as recordearin Plat ~ook 1, Page 54 of che Public Records
of Pasco County, Florida.
f
2. General description of improvement:
1-4 Single Family Residence'
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE. WITNESS MY
HAND A OFFICIAL SEAL TI1IS ...lift< DA Y OF
2~
JED PM, CLERK OF CIRCUIT COURT
BY
. DEPUTY CLERK
3. Borrower information:
a. Name and address:
Pamrose Enterprises, Inc.
35050 Dolphin Lake Drive
Zephyrhi11s, FL 33541
Interest in property:
OWNER
Name and address of fee simple titleholder (if other than Borrowe~):
LP-FL40IlFormAtlon Technologies, Inc. (7/24/94) (800) 937-3799
OR BK 4404 PG 806
2 of 2
4. Contractor: Pamrose Enterprises, Inc.
35050 Dolphin Lake Drive
Zephyrhi1ls, FL 33541
5. Surety:
a. Name and address
b. Amount of bond: $
n/a
"'td ''''''tQ~q
. . 'It'. . 1"" 'I
to q}ol:)t;<:H'i 1- \I';" ' .'
'\ ( ..
" ~ '"
6. Lender:
First National Bank of Pasco
13315 U.S. HIGHWAY 301
Dade City, FL 33525-5435
7. Persons within the State of Florida designated by Borrower upon whom notices or other documents may be served as provided by
Section 713.13(1) (a) 7., Florida Statutes:
8. In addition to Borrower, Borrower designates
of ,
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
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): JULY 14, 2001
Borrower:
~~ J~~
Title:C~ \~---c-
Borrower:
Borrower:
By:
By:
Title:
Title:
STATE OF
COUNTY OF
The foregoing instrument was acknowledged before me this
who is personally known to me or who has produced
take an oath.
by
as identification and whn
Tille or Rank:
Serial Number. if any:
STATE OF
COUNTY OF
R-otLl b A
PAlS W
DY:
d-c5lN
IQno
by ~~rZJ C ~ (\.~
'Sec:...~~ # -ne.~e.r
, on behalf of the C-ofl.pu r ~ "t'l....b n
as identification and _
Tille or Kank:
t )01tw' CJoJ.W-,
BY:
Serial Number. if any:
,.....~...
~*W~~..M.. VAlERIE I'U..~
. "at . .~. ..... ....... _....~
i : io,.... -ISSION, cc--
. ?l. . . _ v,_
I.:: --'I1Q:'-' 31 2000
IL, .. . IIondicr lIuu Notary _ ~
~