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HomeMy WebLinkAbout01-0363 BUILDING PERMIT N~ 0363 I'-{.48 ELECTRICAL CITY OF ZEPHYRHILLS (813) '88..664-1 ....., eo ~ 002d bO . ..~ rD. e2 PLUMBING MECHANICAL t!f)ewer Conn . 6/!f;wvater Conn: @tvaterMeter: F'XI:fT/N:;;. ~T.I.F.'S: Ci) dJZJnJJ73 GIi/nJ 7. ~3 ~ A. ~~~5t~ f;A~t!~ ;;;;;;H;;~P~:'~ rJ-;<. Permit 2t. 2. S9 BUILDING Date b IL(/o, Property Owner: ~ ^f!'1 (l ~ /ViA...."y L. Job Address: ~ 8 ~ 2. , 1 ~ 5.+. Parcell.D. # (( .J~ - 21. 0010 - 01900- ("'lllO Zoning: Energy Co~: Radon Gas: DescriPtion of Work S' ;..... Sl() +c-:' \ y 0{ we l/;", ~ 6J.JAL Fr. /IJ -/e-t:)/ c;flU/.I~~./<&~ / j ;3'1 / Ao-..-/ ~ ~ (cAD City License Registration # State Certified License# ~ ~~~:~ft=' Address ~ Telephone# ltJ........ f'''-( -{., 1 0 L FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. c.a. All work shall be performed in accordance with City Codes and Ordinances. s Valuation or Contract Price so. S"O. ~ , 6~ b h"t' \- Lo~s+. BUILDING II ., flt\o..r +: '"' ,. c.:> -. 5' ~e..l L-iJ (.&""'\'0 . ELECTRICAL q 7 PLUMBING liS" SLBV" 7-~-ol <iY y- )1)-01 <;'R Tub Set 9-/5--0/5/2 Water /O-/~-o I It Sewer ~ - ~ I-D I e. Final MECHANICAL S-1 Elel. So",,~ '" G.""",~ Ftr. ,/ (p- /1-fJ I 57<. -PfeSLB 9-rDI ~2_ Lintel '7-/9-0/ 6fL FRM. P-/?'"-O J 512 InsuJ. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool f'- /S-- LJ J 5".1' cP~~~ J() -11-1) I :lR Final q-~-ol5"L Breakers Ducts lnsl. Compressor Final jJ~ /()- o[$.~ Driveway ...:5~M;:;. !?--9-v/~fC REINSPECTION FEE~~n extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty FivU:~0/100 Dollars ($25.00) 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. ~\~~~\ CITY OFZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATE RBCEIVED 5-:2 9.. 0 I PLANS REVIBW FBB~ - OWNER'S NAME TI;Jv-l t<. L"'v\.ec1.. JOB SITE ADDRESS 5" fJ S .2- f..):jJJL'r L-, el-9<....eo (J.-~ ~T. PHONE CONTACT LEGAL DESCRIPTION: LOT (S) if 4- { J-- BLOCK ~ [I SUBDIVISION PARCEL ID # ,( - ;t~~). I - "(:)( 0 - 03 &"00 .- 6 {I 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: IINEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: .SGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o OTHER o COMMERCIAL o INDUSTRIAL o SWIMMING POOL CJ RESTAURANT & HEALTH DEPARTMENT APPROVArCF-,(. / fT- -z. ~6 . -,- 0 DESCRIPTION OF WORK U(w c:c, 5 .S" ;J4L.. . F~1I1' P...'i. 511:1 ~..vC L '3 ~ 7~ 1110.A.. I slim BUILDING SIZE A/' K 3~ L+ SQUARE FOOTAGE Qf,f'3 HEIGHT It. RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED . BUILDING $ "3 '1 ? 00 . 0 0 III ELECTRICAL i 5'0 AMP SERVICE VALUATION OF TOTAL CONSTRUCTION o ~X.c. (1 ~ 1/1 VALUATION OF MECHANCIAL INSTAL~~ ~1t1' II ~) o FLORIDA POWER It PLUMBING ~ MECHANICAL $ 3000 '00 o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: II BLOCK o FRAME o STEEL FINISHED FLOOR ELEVATIONS IS PROJECT II NO BUILDBR .\ ~l COMPANY "EBHU14 ('0,;><. (,JL' ~ 'i . ... STATE CERT OR REGIST # SIGNAT . ! l. "7 CITY PROCE2mSI V~ I 17 ! . Or-If \ . ******************************************** ********************* \.../ BLBCTRIC'!AN COMPANY No. r1-1 ~ E../-t:cfrl'c:--, IAe- _ STATE CERT OR REGIST #.f:.,/(Do/3t.fLf1 CITY PROCESSING #. q7 vr6/L ** ******************************************************** COMPANY ~~~e'~(" Hv;.r?d'"/~~, /~ STATE CERT OR REGIST # C/""COS""7cJB 7 CITY PROCESSING iL 11/5' vTVr {' *************************************************************A****p _ ~ ~ ^ ~ . COMPANY -06 7H~ U6-, ~ ;;:.- J /~ j. . STATE CERT OR REGIST # j{J11~(J I,)D"-...... l '-""-- CITY PROC~G # ,......~ . '********~*:**********************************C2~*~************ PLUMBBR SIGNATURE MECHANICAL SIGNATURE OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE '.:, "",.~:It **~.* *.,,:Ir.** *',*.*-It*.-it'* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *-..* * * * * ** * ** * *'.~ CONDITIONS OF ?ERMIT AFFIDAVIT ,A. NOTICE OF DEED RESTRICTIONS 'The undersigned understands that this permit jnay be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed rest:rictions. 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 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 $2,5 0 IN VALU DO NOT NEED TO RECORD AND POST A ~ OTICE OF CO~EN~~NT". " STATE OF FLORIDA COUNTY OF ~(~~ The foregoing instrument was acknowledged Be~~e this ~ day of t-I\~ ' ~1I01 by . 'hD..o\ ~. C-:>e\..) )--.0,'--+ (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA 4 (" ;- COUNTY OF r6.~ L.;::) The foregoing instrument w~knowled~ed :~fore3!f?vt~sj i~~~ ' ~~ (name of person acknowledged) ~o is personally known to me, or o who has o who has produced (type of identification) n t ak~ an oath. identification) oath FORM 600A-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A IProjEd Name:~-Tina Baldo Residence Builder: 6 <.hk~r + Co~ ~. :-~_. i Address: 5832 12th. street Permitting Office: ~..Y'" "- . ((j I City, State: Zephyrhills; FL 33540- Permit Number: CD"tCO.s Owner: Tina Baldo Jurisdiction Number: <0 ( " OcJ l CI!m~~~()~:~.___~~!.ntra~___._________._____~._~~.~____._____ .____. ; ::;=~~.:(=~ - --- ~mg), :':;-I;~~:::::::~-- 3. Number of units, if multi-family I i 4. Number of Bedrooms 2 5. Is this a worst case? No 6. Conditioned floor area (Il') 674 IP 7. Glass area & type a. Clear - single pane b. Clear - double pane 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. Concrete, Int Insul, Exterior c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A I L Ducts a. Sup: Unc. Ret: Unc. AH: Interior b. N/A 139.0 ft2 0.0 ft2 O.Oll' 0.0 ft2 R=O.O, II LO(p) ft R=5.0, 416.0 ft2 R=5.0, 456.0 ft2 R=30.0, 674.0 ft, Sup. R=6.0. 32.0 It ----------. ~-- ~ --_._-----_..._---_.._.---~-~-----------_.._-_..- Glass/Floor Area: 0.21 c---__~___._ ___.___.________~_~_.~___. Cap: 24.0 kBtulhr SEER: 12.00 b. N/A c. N/A 13. Heating systems a. Electric Strip Cap: 10.0 kBtulhr COP: 1.00 b. N/A c. N/A 14. Hot water systems a. Electric Resistance Cap: 30.0 gallons EF: 0.91 b. N/A c. Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15. HVACcredits (CF-Ceiling fan, CV-Cross ventilation, HF-Whole house fan, PT -Programmable Thermostat, RB-Attic radiant barrier, MZ-C-Multizone cooling, MZ-H-Multizone heating) MZ-C, PT -C, CF, M -H, PT-H Total as-built points: 12442.00 Total base points: 12666.00 I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code. PREPARED BY: Gabriela Cornette DATE: '?-l~ -01 I hereby certify that this building, as designj:ld,)s in compliance with the Flo' a OWNER/AGENT: DATE: PASS --_._~~._--~-------------._~--_._.~- Review of the plans and specifications covered by this calculation indicates compliance with the Florida Energy Code. Before construction is completed this building will be inspected for compliance with Section 553.908 Florida Statutes. BUILDING DATE: EnergyGauge@ (Version: FLRCNA-200) FORM 600A-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 5832 12th. street, Zephyrhills, FL, 33540- 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 .18 674.0 42.08 5104.8 Single, Clear W 2.0 6.0 15.0 53.47 0.85 684.9 Single, Clear W 2.0 4.0 9.0 53.47 0.74 355.5 Single, Clear W 2.0 7.3 40.0 53.47 0.00 1924.0 Single, Clear S 2.0 6.0 :D.o 44.66 0.80 1068.9 Single, Clear E 2.0 6.0 20.0 59.31 0.85 1013.9 Single, Clear E 2.0 6.0 25.0 59.31 0.85 1267.4 As-Built Total: 139.0 6314.7 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adajcent 0.0 0.0 0.0 Concrete, Int Insul, Exterior 5.0 416.0 1.00 416.0 Exterior 872.0 1.00 1656.8 Concrete, Int Insul, Exterior 5.0 456.0 1.00 456.0 Base Total: 872.0 1656.8 As-Bullt Total: 872.0 872.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 20.0 4.80 96.0 Exterior 40.0 4.80 192.0 Exterior Insulated 20.0 4.80 96.0 Base Total: 40.0 192.0 As-Bullt Total: 40.0 192.0 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Under Attic 674.0 0.60 404.4 Under Attic :D.O 674.0 0.60 404.4 Base Total: 674.0 404.4 As-Built Total: 674.0 404.4 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 111.D(p) -31.8 -3529.8 Slab-On-Grade Edge Insulation 0.0 111.D(p) -31 .00 -3540.9 Raised 0.0 0.00 0.0 Base Total: -3529.8 As-Built Total: -3540.9 INFILTRATION Area X BSPM = Points Area X SPM = Points 674.0 14.31 9644.9 674.0 14.31 9644.9 Summer Base Points: 13473.2 Summer As-Built Points: 13887.1 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 13887.1 1 .(XX) 0.975 0.284 0.857 3297.6 13473.2 0.3577 4819.4 13887.1 1.00 0.975 0.284 0.857 3297.6 EnergyGaugeâ„¢ DCA Form 0CilA-97 EnergyGauge@/FlaRES'97 FLRCNA-2(X) FORM 600A-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 5832 12th. street, Zephyrhills, FL, 33540- PERMIT #: BASE AS-BUlL T GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X WPM X WOF = Points .18 674.0 4.79 581.1 Single, Clear W 2.0 6.0 15.0 10.74 1.02 164.6 Single, Clear W 2.0 4.0 9.0 10.74 1.04 100.9 Single, Clear W 2.0 7.3 40.0 10.74 1.01 435.4 Single, Clear S 2.0 6.0 ~.o 7.73 1.12 258.9 Single, Clear E 2.0 6.0 20.0 9.96 1.03 205.3 Single, Clear E 2.0 6.0 25.0 9.96 1.03 256.6 As-Built Total: 139.0 1421.8 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 0.0 0.0 0.0 Concrete, Int Insul, Exterior 5.0 416.0 2.90 1206.4 Exterior 872.0 2.00 1744.0 Concrete, Int Insul, Exterior 5.0 456.0 2.90 1322.4 Base Total: 872.0 1744.0 As-Built Total: 872.0 2528.8 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Insulated 20.0 5.10 102.0 Exterior 40.0 5.10 204.0 Exterior Insulated 20.0 5.10 102.0 Base Total: 40.0 204.0 As-Built Total: 40.0 204.0 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Under Attic 674.0 0.00 404.4 Under Attic ~.o 674.0 0.00 404.4 Base Total: 674.0 404.4 As-Built Total: 674.0 404.4 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 111.O(p) -1.9 -210.9 Slab-On-Grade Edge Insulation 0.0 111.O(p) 2.50 277.5 Raised 0.0 0.00 0.0 Base Total: -210.9 As-Bullt Total: 277.5 INFILTRATION Area X BWPM = Points Area X WPM = Points 674.0 -0.28 -188.7 674.0 -0.28 -188.7 Winter Base Points: 2533.8 Winter As-Built Points: 4647.7 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 4647.7 1.00J 0.996 100J 0.902 4185.7 2533.8 1.0730 2718.8 4647.7 1.00 0.998 1.000 0.902 4185.7 EnergyGauge TN DCA Fonn axlA-97 EnergyGauge@lFlaRES'97 FLRCNA-200 FORM 600A-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 5832 12th. street, Zephyrhills, FL, 33540- 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 2 2564.00 5128.0 30.0 0.91 2 1.00 2479.47 1.00 4958.9 As-Bullt Total: 4958.9 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 4819.4 2718.8 5128.0 12666.2 3297.6 4185.7 4958.9 12442.3 I PASS I EnergyGauge TM DCA Form 6OQA-97 EnergyGaugecl!VFlaRES'97 FLRCNA-2oo ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMA TED ENERGY PERFORMANCE SCORE* = 80.8 The higher the score, the more efficient the home. Tina Baldo, 5832 12th. street, Zephyrhills, FL, 33540- I. New construction or existing 2. Single family or multi-family 3. Number of units, if multi-family 4. Number of Bedrooms 5. Is this a worst case? 6. Conditioned floor area (IF) 7. Glass area & type a. Clear - single pane b. Clear - double pane c. Tint/other SCISHGC - 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. Concrete, Int Insul, Exterior c. N/A d. N/A e. N/A 10. Ceiling types a. Under Attic b. N/A c. N/A II. Ducts a. Sup: Unc. Ret: Unc. AH: Interior b. N/A New Single family I 2 No 674 IF 139.0 IF 0.0 IF 0.011' 0.011' R=O.O, 111.0(p) ft R=5.0, 416.0 ft2 R=5.0, 456.0 ft2 R=30.0, 674.0 ft2 Sup. R=6.0, 32.0 ft 12. Cooling systems a. Central Unit Cap: 24.0 kBtu/hr SEER: 12.00 b. N/A c. N/A 13. Heating systems a. Electric Strip Cap: 10.0 kBtulhr COP: 1.00 b. N/A c. N/A 14. Hot water systems a. Electric Resistance Cap: 30.0 gallons EF: 0.91 b. N/A c. Conservation credits (HR-Heat recovery, Solar DHP-Dedicated heat pump) 15. HVACcredits (CF-Ceiling fan, CV-Cross ventilation, HF-Whole house fan, PT -Programmable Thennostat, RB-Attic radiant barrier, MZ-C-Multizone cooling, MZ-H-Multizone heating) MZ-C, PT -C, CF, M -H, PT-H I certifY that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed (or exceeded) in this home before final inspection. Otherwise, a new EPL Display Card will be completed based on installed Code compliant features. Builder Signature: Address of New Home: Date: City/FL Zip: *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is.l1QJ a Building Energy Rating. If your score is 80 or greater (or 86for a US EPA/DOE EnergyStdJ:! designation), your home may qualifY for energy efficiency mortgage (EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 407/638-1492 or see the Energy Gauge web site at www.fiec.ucfedufor information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. EnergyGauge@ (Version: FLRCNA-200) Gebhart Const. 5832 - 12th Street SQ. FEET PRICE MAIN OR LIVING: 745 $ 40.00 OTHER AREA UNDER ROOF: 38 $ 20.00 OTHER: $ 20.00 V ALUA TION $ 30,560.00 FEE SHEET $ 175.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 262.50 CREDIT: $ - BUILDING LESS CREDIT: $ 262.50 ELECTRICAL: $ 74.48 PLUMBING: $ 60.00 MECHANICAL: $ 30.00 RADON: $ 7.83 TOTAL $ 434.81 SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - J I I I I WATER METER:I $ IRRIGATION METER $ I 434.81 I I I 434.81 I SUB-TOTAL $ SW'S'I $ 97.5% $ 2.5% $ T I F'S 'I $ 99% $ 1% $ TOTAL: $ Connection, Transportation Impact, Scholl Impact, and Water Meter fees are not applicable due to existing residence being demolished. .. . ~ CONSTRUCTIQN WORK COtfTRACT NAME OF PROPERTY OWNER: JOB ADDRESS: Tina Baldo 5832 - 12th Street ZeDhrvhills. FL 33540 CASE NUMBER: 01-024 THIS AGREEMENT, made this l7rJL day of /11111 Tina Baldo, and the Contractor, Gebhart Construction. ,1t~1 ,between the Owner, THIS AGREEMENT becomes effective and binding upon the Contractor and the Owner(s) when the Notice to Proceed is issued. GEBHART CONSTRUCTION Name of Contractor TINA BALDO Name of Owner(s) ~~ ~uaJZ- Signature of Owner President Title (if Officer of Corporation) 14353 - 21. Street Dade City. FL 33523 Address of Contractor Signature of Owner Oc;' - ( ? -<!J I Date Date ~~I The Owner and Contractor Agree as Set Forth Below: ARTICLE 1. - CONTRACT SUM: The Owner shall authorize payment to the Contractor for t~ performance of the construction work, subject to additions and deductions by approved Change Order, the Contract Sum of Thirty-Nine Thousand Seven Hundred and 00/100 Dollars ($39,700.00). ARTICLE 2. - THE WORK AND COMPLETION TIME: The Contractor agrees to furnish all labor. materials, equipment, permits, licenses, and services for the proper completion of the above-identified property in accordance with the Bid Documents and Specifications. The Contractor agrees that materials supplied a~ guaranteed to be as specified. All work shall be satisfactorily completed within 150 calendar days after th. Notice to Proceed is issued. All work shall be completed in a workmanlike manner according to standarq practices. The premises will be unoccupied during the course of construction. . moIk051401I11(1) -1- ARTICLE 3. - TIME OF COMMENCEMENT: No work shall be commenced by the Contractor until he has received a written Notice to Proceed from the Pasco County Community Development Division. The Notice to Proceed will be issued within thirty (30) days from the date of the Contractor signing this Agreement, or if it is not, the Contractor has the option of withdrawing his bid and proposal. Work shall begin no later than seven (7) days after the Notice to Proceed is issued. If work is not completed within agreed upon time period, Contractor will be penalized Fifty and 00/100 Dollars ($50.00) per day liquidated damages for every normal working day until completion, unless approval for extension has been agreed upon in writing by Owner, Contractor, and the Community Development Division. This provision is contingent upon strikes, accidents, Acts of God, or other events beyond the control of Pasco County and the Contractor. ARTICLE 4. - PAYMENT: The Contractor will be paid according to the draw schedule after the Community Development Division conducts an inspection certifying that the work has been completed according to the contract. Final payment due the Contractor will be made after the Contractor has furnished the Owner, in care of the Community Development Division, satisfactory release of liens or claims for liens by subcontractors, laborers, and material suppliers for completed work or installed materials. All such releases must be notarized. Payments will be made within thirty (30) days of receipt of pay request by the Pasco County Finance Department. ARTICLE 6. - CONTRACTOR'S INSURANCE: The Contractor shall be responsible for all damages to person or property that occur on the job site or adjacent thereto as a result of his fault or negligence in connection with this contract. The Contractor shall, prior to commencing work, furnish evidence of required comprehensive liability insurance. The Contractor shall also furnish evidence of coverage in accordance with Florida Workers' Compensation Laws. ARTICLE 6. - SUBCONTRACTS: All subcontractors shall be bound by the terms and conditions of this contract insofar as it applies to their work, but this shall not relieve the General Contractor from the responsibility to the Owner for the proper completion of all work to be executed under this Agreement, and he shall not be released from this responsibility by any subcontractual agreement he may make with others. The Contractor shall be required to furnish to the Owner and Community Development Division in writing, a list of the names of the subcontractors proposed for the principal portions of the work within ten (10) days of the Notice to Proceed if requested. The Contractor shall not employ any subcontractor to whom the Owner or the Community Development Division may have a reasonable objection. ARTICLE 7. - GENERAL RESPONSIBILITIES OF THE CONTRACTOR: 7.1 The Contractor shall be licensed and supervise and direct the work using his best skills and attention. 7.2 The Contractor shall provide the Owner and Community Development Division with evidence that he has secured and paid for all licenses and permits necessary for the proper execution of the work; and, upon completion of the job, shall provide evidence that all work has been inspected and approved by the appropriate building inspectors. 7.3 The Contractor shall not employ on the work any unfit person or anyone not skilled or licensed, if appropriate, in the task assigned to him. . 7.4 The Contractor shall be responsible for the acts and omissions of all his employees. and all subcontractors, their agent and employees, and all other persons performing any of the work. 7.5 The Contractor shall not assign this contract without written consent of the Owner and the Community Development Division. Any request for assignment must be addressed to the Community Development Division. moIk051401/17(2) -2- 7.6 The Contractor at all times shall keep the premises free from accumulation of waste materials or rubbish caused by this work. 7.7 The Contractor shall permit the Community Development Division to examine and ln$pect the constructjon work under this contract at any reasonable time. 7.8 The Contractor shall furnish the Owner and the Community Development Division with the names. addresses, and telephone numbers of the firms to be contacted for service to the various appliances or other equipment that was installed or repaired under this contract. 7.9 The Contractor shall indemnify and save harmless the County, its agents and employees. and the Owner from liability for any injury or damages to persons or property resulting from the Contractor's prosecution of work pursuant to the provisions of this contract. ARTICLE 8. - GENERAL RESPONSIBILITIES OF THE OWNER: 8.1 The Owner shall permit .the Contractor to use, at no extra cost, existing utilities such as light, heat, power, and water necessary for the proper execution and completion of the work. 8.2 The Owner and occupants shall cooperate with the Contractor to facilitate the perfor- mance of the work and are responsible for the removal or protection of rugs, furniture, and clothing, if necessary. 8.3 The Owner and occupants shall be responsible for the proper use and care of the property including all equipment and appliances. 8.4 The Owner shall provide the Contractor with access to the property during normal working hours on normal working days. ARTICLE 9. - GENERAL RESPONSIBILITIES OF THE COMMUNITY DEVELOPMENT DIVISION: 9.1 The Community Development Division shall provide general administration of the contract, but it is understood by all parties that the County is not a party to this Contract. 9.2 The Community Development Division shall make frequent inspections of the work while it is in progress to determine if it is proceeding in accordance with the contract docu- ments. 9.3 The Community Development Division shall have the authority to reject work which does not conform to the contract documents. ARTICLE 10. - CONTRACT DOCUMENTS: This contract consists of the Bid Proposal. the Work Write- UP. including any drawings or plans, the General Bid Specifications, and any insurance policies speeified in Article 5 above. ARTICLE 11. - CHANGES IN THE WORK: Except in an emergency endangering life or property. no change in the work shall be made by the Contractor unless he has received a prior written order signed by the Owner and authorized representatives of the Community Development Division. The contract sum and the contract time may be changed only by Change Oreter. No extra costs will be paid to the Contractor when he has neglected to properly evaluate the extent of the construction work. moIk061401/17(3) -3- ARTICLE 12. - GUARANTEES AND WARRANTIES: The Contractor shall guarantee to correct any work that fails to conform to the contract documents and shall correct such defects due to faulty materials, equipment, or workmanship which appear during the progress of the work or within a period of one year from the date of final inspection and acceptance or such longer periods of time as may be specified by law or by terms of any special guarantees required by the contract documents. The provisions of this Article apply to work done by subcontractors as well as work done by the Contractor. Furthermore, the Contractor shall furnish the Owner, in care of the Community Development Division, with all manufacturers' and suppliers' written guarantees and warranties covering materials and equipment furnished under the contract. ARTICLE 13. - TERMINATION OF CONTRACT BY THE OWNER: If the Contractor defaults or neglects to carry out the work in accordance with the contract documents or fails to perform any provisions of the contract, the Community Development Division or the Owner acting through the Community Development Division may, after seven (7) days' written notice, terminate this contract and finish the work by whatever method he deems expedient. If the unpaid balance of the contract sum exceeds the expense of finishing the work, such excess shall be paid to the Contractor; but if such expense exceeds such unpaid balance, the Contractor shall pay the difference to the Owner or the Community Development Division. ARTICLE 14. - TERMINATION OF CONTRACT BY THE CONTRACTOR: If the Owner fails to perform any applicable provisions of the contract, the Contractor may, upon seven (7) days' written notice to the Owner and the Community Development Division, terminate the contract, and recover from the Owner payment for all work satisfactorily completed and all other such remedies as are otherwise specified by law. 15.1 ARTICLE 15. - GENERAL CONOlnONS: 15.2 15.3 15.4 15.5 15.6 15.7 moIk051401/17(4) The Work Write-Uc shall take precedence over the basic specification and, when in conflict, the material, equipment, or workmanship called for in the 'Work Write-Up" will be required. The Drawings of floor plans are diagrammatic only, illustrating the general intention of the Owner; they do not show all the work required, exact dimensions, or construction details. Soecifications and Standards are detailed in a separate booklet available to the Owner and the Contractor from the Community Development Division. WorkmanshiD shall be done in accordance with the standards of the several trades known as a ''workmanlike manner." Materials shall be neWt in good condition, and of standard grade unless otherwise agreed in writing before their delivery to the job. Recairs shall be made by the Contractor to all surfaces damaged by the Contractor resulting from his or his subcontractor's work under this contract at no additional cost to the Owner. Where "repair of existing work" is called for by the contract. the feature is to be placed in "equal to new condition" either by patching or replacement; all damaged. loose, or rotted parts shall be removed and replaced, and the finished work shall match adjacent work In design and dimension. Bids or ProDosals will be submitted at Bidder's risk and the Owner or the Community Development Division reserves the right to reject any or all bids or proposals. -4- 15.8 Buildlna Codes - All work to be done shall be subject to the regulations of local building codes as interpreted by the applicable City or County building department/division whether or not covered by the specifications and drawings for the work. 15.9 Cleanup and removal from the site of all debris and waste materials resulting from his work shall be the responsibility of the Contractor. Materials and equipment that have been removed and replaced as part of the work shall belong to the Contractor and shall be removed from the site. 15.10 Trade Names are used in the basic specification to establish quality and type of material required; exact material to be used on a specific property will be described in the 'Work Write-Up" for the particular property. 15.11 Adiacent Prooerty - When adjacent property is affected or endangered by any work done under this contract, it shall be the responsibility of the Contractor to take whatever steps are necessary for the protection of the adjacent property and to notify the owner thereof of such hazards. 15.12 Pavroll Records of employee's hours worked and wages paid on construction jobs shall be made available to the Community Development Division if requested. 15. 13 The Use of Lead-Based Paint on applicable surfaces of any residential structure undergoing Federally assisted construction or construction under any program with Federal assistance is prohibited. Any surface which contains lead-based paint shall be considered an immediate health hazard. ARTICLE 16. - ARBITRATION: The Contractor and Owner agree, that in cases of apparent irreconcilable differences arising in connection with contract performance or terms of the contract during the progress of the construction, to submit the matter to the Community Development Division for binding arbitration. ARTICLE 17. - LIEN WAIVERS: Contractor agrees to protect, defend, and indemnify the Community Development Division and the Owner from any claims for unpaid work, labor, or materials with respect to Contractor's performance. Final payment shall not be due until the Contractor has delivered to the Owner complete release of all liens for work completed arising out of Contractor's performance or a receipt in full covering all labor and materials for which a lien could be filed or a bond satisfactory to the Owner indemnifying him against any lien. ARTICLE 18. - PROHIBITION OF KICKBAC~S: The Contractor nor any of its officers, partners, owners, agents, representatives, employees, or parties in interest has in any way colluded, conspired, connived, or agreed, directly or indirectly with any other Bidder, firm, or person to submit a collusive or shall Bid in connection with the Contractor for which the attached Bid has been submitted or to refrain from bidding in connection with such contract, or has in any manner, directly or indirectly, sought by agreement or collusion or communication or conference with any other Bidder, firm, or person to fix any overhead, profit, or cost element of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful agreement, any advantage against the Pasco County Community Development DIvision, or any person interested in the proposed contract; and, The price or prices quoted are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any of its agents, representatives, owners, employees, or parties in interest, including this affiant. rrICllkOS'401117(5) -5- " A.BT~LE.,j9. -ltiTI;BI=ST QF MEMBgRS. OFFICEBl...EMPLOYEES OF PUBLIC BODY MEMBE~ OF LOCAL GOVERNING BODY. OR OTHER PUBLIC OFFICIALS: No member, officer, or employee of Pasco County, or Its designees or agents, no member of the goveming body of the locality in which the program is situated, and no other pUblic official of such locality or localities who exercises any functions or responsiblllties with respect to the program during his tenure or for one (1) year thereafter, shall have any interest, direct or indirect, in any contract or subcontract, or the proceeds thereof, for work to be performed in connection with the program assisted under the Agreement. ARTICLE 20. - PROHIBITION OF BONUS OR COMMISSION: The assistance provided under this Agreement shall not be used In payment of any bonus or commission for the purpose of obtaining County approval of the application for such assistance. ARTICLE 21. - LOCAL EMPLOYMENT: To the greatest extent possible, the Contractor agrees to hire, train, and subcontract to individuals and firms that live or are located in Pasco County and the Tampa Bay Area. ARTICLE 22. - MJNORITY AND WOMEN BUSINESS ENTERPRISE: To the greatest extent possible, the Contractor agrees that he will, if it is !"lecessary, subcontract work to minority- and women-owned businesses. ARTICLE 23. - USE OF DISBARRED CONTRACTORS: The Contractor agrees not to hire, employ, or award subcontracts to, or otherwise engage the services of, any subcontractor during any period of debarment, suspension, or placement in ineligibility status of 24 C.F.R., Part 24. Use of such subcontractors may require the Contractor to repay the County and funds paid to such persons. ARTICl,.E 24. - HOLD HARMLESS: The Contractor and Owner covenant and agree to indemnify Pasco County and all of its officers and agents from any and all liability, claims, actions, suits, or demands by any person, firm, or corporation for injuries, death, or property damage arising out of or in connection with the work to be performed by the Contractor. ARTICLE 25. - ADDITIONAL WORK: The Owner agrees not to have any other Contractor do any other work on the property during the period of this contract. This does not include the Owner doing work on their own behalf. moIk051.01/17(8) -6-. ..." .. THE PROJECT CONSISTS OF THE CONSTRUCTION OF A TOTAlLY NEW TWO BEDROOM, ON!8ATH HOME IN ACCORDANCE WITH THE FOLLOWING STANDARD SPECIFICATIONS USTED AND THE ENCLOSED BUILDING PLANS. THE HOME IS 745 SQUARE FEET OF AIR CONDITIONED SPACE. ' SPEC NO. COST CONSTRUCTION ITEM SlO .00 1 ALLOW ,...eee:;oo Site removals and clearing as required at Individual sites. Maintain safe site conditions. seo .ca 2 ALLOW,S2 OOO.-(JO Fill dirt as required for slab elevation. (Minimum code height varies-above crown at road center line). Verify with loca' building official. 3 4 Concrete in accordance with Specification requirements. ,..( :'0 Footings - monolithic. Thicken slab to bottom of slab 12'" below finished grade, 16- wide at base reinforced with 2 - t#5 continuous. 4S degree taper to 4- slab thlckness~ (See plan wall section). NOTE: Alternate footing design may be used or, based on site conditions. required by the architect. . 1\ /, "r"" .r:. ') ,,-,\,./ Masonry walls (8j exterior with gypsum wallboard interior finish (typical) and stucco ext~rior, Reinforce per code and plan with 2 - IS continuous. Fill cores with concrete. Knock out' block cap beam and reinforCe with 1 w #5 continuous at top of wall. 'l- (~O New re;nforced concrete s1ab-on-grade. rFibennesh" reinforcing pennMled In lieu of welded wire). 7 g 10/11 19 General carpentry. All provisions apply. heo All rooms to be carpeted identically with the exception of the Di'1ing area. Kitchen and Bath; Extend carpet into all adjacent closets. ~ 00 Vinyl composition tile flooring in DIning area, KJtchen and 8ath. (Exposed troweled finish concrete stab in the Utility Rm. and the Garage if part of the building. 1- 00 Base and shoe molding at all vinyl tile. Sase only at all carpet. .5"(90 Alllndicatecf partitions to be 2~ x 4- stud with 112" drywall taped and painted white. ~}OO Roof framing and sheathing. Engineered roof trusses or conventional framing (2" x 8" rafters, 2- x 6" ceiling Joists. 8 foot flat ceifings). Roof pitch'- 4/12. AU roof framing tied to walls with hurricane clips per sac. Furnish drawings stamped by licensed engineer if tnJsses are LlSed. f< 00 Vent space above rafter insulation to code. Use 10' ridge vent and vented soffits. J?tJ 0 Aluminum single hung white finiSh windows with screens. SiZes per plan. 20 24 26/58/91 27/28 30 32 36 ~ 0 Front Door: ~ Rear Door: utility Rm. Door. '3-0 0 Side Door. Kitchen/Garage Door Garage Door: 310 x 6/8 panel door per Spec. 36d. (With and without Garage) 610 x 8/8 glass sliding door. (With and without Garage) 3/0 x 618 flush door per Spec. 368. (Without Garage) 3/0 x 618 combination door per Spec. 36b. (With and without Garage) 3/0 x 818 flush door per Spec. 36a. (WIth Garage) Metal overhead as per plan. (Garage addition only). 42 I ()({)() Concrete block exterior finish - stucco per specs. S"OO Baked aluminum vented soffit with aluminum covered fascia board. ~ D New guttetS and downspouts required at all eaves/ruFlwOtr areas. fOr 0 00 43 48 Q.\nUII'"nl\n..,........."I.......:..._"" . ...,. . - -.- 5-4. 5S 58/59 6.2 63 66/91 70 72 74 78 n 7an9/80 81 82 SOb. .5DO Waif insulation board R-S. (Minimum) {PO Ceifing insulation Batt or Blown-in R.30. (ObO 1/2" drywall typical wall finiSh, taped, sanded. and painted white. Smooth finish. ("Wonderboard" or equal at tub/shower area). Not required at Garage walls and ceiling. ~ 00 Ceramic tile walls to 5'.s" above finished floor at bath surround. }.OO Fixture set required at Bath. Install required blOCking, Blocking In Bath required for future grab bars for handicapped OCCUpancy. I O~() All ceilings to be dJyWaIl taped and painted. Use 518" gypsum wallboard on 24" o.C. joists or trusses, 112" gypsum wallboard on 18" o.c. joists. "Lace" or Knockdown finish on all ceilings. I 00 Install attic access opening with cover. Interior doors per plan as follows: .Colonist" 2/6 x 6/8 typical at Bedroom No.1, Bedroom No.2 and Bath. (white). "Colonist" 2/0 x 6/8 at Linen Closet. 210 x SIO flush above retum air at A.H.U. closet. Louver bi-fold 4/0 x 818 at Bedroom No.1 and Bedroom No. 2 closets. )..(){) Vanity cabinet per plan with integral sink top Counter top with 210 x 2J6 mirror with lights on wall above vanity at Bath. ) 0-0 Medicine cabinet per plan. 1 '()~O New Kitchen cabinets with counter top per plans and details. (See drawing A-6). 500 Indicated clothes. linen. and air conditioner air handling unit. J.-) DO 150 Amp. electrical entrance service with exterior weather proof panel. ,,"oc; AU required rough and finished electrical work including all indicated walJ switches and outlets. All SWitches, outlets aned cover plates to be white. . ALLOW $500.00 Purchase and install new light fixtures and ceiling fans. All bedrooms to have switdled light or outJet. 83 .r jiC() New 2T. electric heat pump unit with A}{(J. in closet. Minimum 12.0 SEER and HSPF; 9.70. 10 KW electric heat s1rip. InstaJI near helt pump outside a new !NeON or approved equat MOdel E . 6000 OWV energy recovery unit with all piping and electrical connections to heat pump. water heater and heat exchanger. (EN CON manufactUred by American Equipment System Corp., 190 Scarlet Boulevard, Oldsmar, FL 34877, Phone 85+-5411). 84/85 ( (~O Rough and finished plumbing work including aU fIXtures indicated on the plans. Wort/includes roughing and connections only for a clothes wuher, a 30 gallon -Low Boy" electric water heater and two outside hose bibs. . 86 t ;...a 0 Furnish and install an electric range and refrigerator. (AJlow $1..200.00 total for bOth appliances). ~!.Inr J 89 .2.!;IV SteriliZe soil for termite and destructive insect infestation prior to plaCing floor slab. , ~ k liD R:\PHILlPPnPASCO\NewRlverRevised0S-10-oowW.doc Revised May 10, 2000 Pag. 3 Of 4. ~ J. OVe; Allow $2,000.00 tor constrUcting a concrete driveway or parking pail .;ICfpending on Slt~ ana setback conditions, also entrance platforms and steps as indicated, and the front Porch conC'.tete slab floor. ......r6ro Paint interior (one color) and aU stucco, wood, ferrous metaJs exposed to the exterior. it'.CCI ,DC'" Allow $1, 0:00 for sodding and seeding. SOdding, planting, and seeding locations to be determined. ; 0 U Make all necessary utility connections, .} 00 Incluc:le all costs for clean.up and required insurances. 90 . . 91 92 ~~. 'Od TOTAL. PROJECT: $ ~ G, ODO t ~ 0 THE FOLLOWING AODITIONAL WORK MAY BE REQUIREO AT CERTAIN SITES. STATE ADDITIONAL-COSTS, IF REQUIRED, FOR THE FOlLOWING WORK ITEMS SHOULD THEY APPLY TO THE PROJECT: . 1. Ttee and stump removal. 2. . If deed restrictions or codes require underground electric service, the added cost of this service. 3. Work assumes connection to public water supply with required meter and all fees. Verify water location with City/County. Added cost for the need for a wellincfuding all pennits, fees, connections, and equipment. 4. Work assumes connection to a public sewer and all required fees. Verify sewer location with City/County. Added cost for the need for a septic tank and field where public sewer facilities are not available. 5. Monolithic footings as indicated are assumed. Addeo cost for stem wall and spread footings if required by site conditions. 6. Impact fees. . 7. . Building pennlt (varies with locality). (.' 1J"- Otl.-\O Q.kl~rl"'4. f-(I)US,- TOTAL ADDEO COSTS: TOTAL PROJECT INCLUDING ADDEO COSTS: R:\PHlll.~PI\PASCO\NewRiverRevisecl 05- ~ O-OOWW.doc $ . $ $ $ $ $ $ 700.... $ f"l '00- $ !> t'f I) DO . 0 (;) Revised May 10, 2000 pag, ~ of 4 ~-' .:.! ' II ,.... ~ ,~ ' ~~ ~ ~ ~?;, ~. / ~-( \f'&P' . ~' ..y ,. -< , ~ ,I ;, C tP ~..~ ~C2 ~ .~ 0:::0 .. . ~ if .:::;, ,0 , . ..'tn .. . .:i'a:.~ , .~.Z .. N ::> '. Q.. 0 . ,'-',~ ~(.) . '.j ,0 'F . . .0: '. ' "' \ - - z o ~ u UJ CJ') ~. .; \ ~\ ;"1': . d '..,.~:>f'I" /0'2. :.., . ,t 3n~ ,:}U ... . b.... '.~ :'''' :~'~~:'''-'-::,:. . ..~ . For Use by Clerk of Circuit Court NOTICE OF COMMENCEMENT 111111111111 11111 11111 1111111111111111111I1111I111I1111I1111 2001068073 State of Florida County of Pasco Rcpt: 499410 DS: 0.00 OS/22/01 Rec: 6.00 IT: 0.00 ._____ Opty Clerk The undersigned hereby informs all concerned that improvements will be made to certain real property; and in accordance with Section 713.13 of the Florida Statutes, the following information is stated in the NOTICE OF COMMENCEMENT. This notice shall be void and of no force and effect if construction is not commenced within 30 days of recordation. Description: 5832 12th Street Zephyrhills Florida 33540 Legal Description: Lots 11 and 12, Block 38, Town of Zephyrhills, as per plat thereof recorded in Plat Book 1, Page 54, Public Records of Pasco County, Florida JED PITTMAN PASCO COUNTY CLERK OS/22/01 li:51am 1 of 1 OR BK 4616 PG 1660 GENERAL REHABILITATION General description of improvements: Owner(s): Tina R. and Nancy L. Baldo Address: ,l.:f': Contractor: Address: 5832 12th Street Zephyrhills Florida 33540 Gebhart Construction 14353 21 st Street, Dade City , FL 33523 Expected Completion Date: October 31,2001 In addition to himself, owner designates the following person to receive a copy of Lienor's Notice as provided in 713.06(2)(b) Florida Statutes: Pasco Community Development Division, Attn: Edwin Pflieger , West Pasco Government Center, Suite 340, 7530 Little Road, New Port Richey, FL 34654 ~ri/ I t/YlA. '\ (OWNER) Tina R. Baldo f)~ tJLP do (OWNER) ncy L. Baldo n/k: a Nancy L Flink I HEREBY CERTIFY that on this day before me, a Notary Public, duly authorized in . the State and County above-named. personally appeared N4nC"I L &n.(Jl) Flink anct Tina R. and tJ8f1By L. Baldo' sworn to and subscribed before me 11th day of May, 2001 I I Personally known to me, or as identification and (did/did not) take an oath. 'i. . -~ I Produced k\lhLt.~ ,J(6 C7\LCO~<l.G :~; .' iF0?~!{;~.~. .": ~ "'= ;~.:~:.~~.?....;:: ; . <<.~.~-;~t~3~'" "'"'," BEVERLY G. BARTH ~y COMMISSION # CC 948246 EXPIRES: July 15, 2004 Bonded Thru Notary Public Underwriters \b".u /.Ie:, ,8. Notary Public My Commission Expires: Seal Ycn~~