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Home My WebLink About01-0416 BUILDING PERMIT~~ 0416 CITY OF ZEPHYRHILLS (813) 788~6611 Permit _ .~ ()r.) S)~.- BUILDING ~l. ~E ELECTRICAL Date '7/2/ a I 67. ~ PLUMBING ut I '3 5- y MECHANICAL Sewer Conn Water Conn: 1278. ~ (1t' }.;o ' 6) jgo.<2.- O 6""r ...lOA '. p~lA lee .~'" 15.~:" k Property wner: - ~ .. ~ Job Address: 5 '1 , 2 ;- t) t d J"'1 : I , la.,., e Parcel I. 0, # I 2 - '}" . '2 1- 0 I 0 c V 000" . - 0 I l Q . Valuation or Contract Price "'1/30. tV I p~rmi~8 -< Signa Company Water Meter: T.I.F.'s: Zoning: ,g.'f Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. NO OCCUPANCY BEFORE C.O. Address ' 7' Telephone# ~,.?> )7 g ;)... ~D~~ 7 Y E ~ { ELECTRICAL q (. /8 30 Tp. Servo SLB /' ?-?~Ol ~ Rough In X /n - 9-0 I ~ Tub Set /n - r 0 I <R... Meter Can Water Const. Pole ./ ~-/t:rDI<fC. Sewer Pool Final ,/,1. -1</'''1 ';;Jl. I.( Pre-~~~er I ~ -//-0 I I{ L'I FinaL/.1-'4 -0 I ((LI.( il C:""t"~ c/"Y\ City License Registration # State Certified License# .} S~'L. BUILDING'S \ , Ftr. V 7'/'1-0 1..5~ P~e SLB ~- /l-~ J i 1(. Lintel ~ 2__1.2_5 _ FRM. If)- 5-0 I 5~' Insul. CL If)~ /1- 0 I j1~ WL 10 - J I - 0/ B.13 Driveway //1,5'0) lL't s/lE/1 111/ a;- f -/:2--0 15,.( (5 Breakers Ducts Insl. I O-/j"=-O 1.5,(, Compressor Final J"/:J-I't-Ol RL'( FL CI#II ~ r:d>~ fl'~ t:t 12-1 ?-()!, REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 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. .......... ~- - -................. ,----....-~.-- Y' ..... ,/, J.-:. . r (i. (: I -----;~-..--;--: ,'~ ..- k/( i...( ,/ ,~".;.----,,-,~ -- - . ./ i'/ I 1>0:+/ / /""" . I, t,....'- I v/i,j -ill 0: .., l I.{ \/.... -i.-" I " I ( -I' I J.1;.. lei ('/ ('/ t/ - ,'~.'. ~..r~ .,4 JIB!. , ... o'~~'" J..... ,~.... ~'""7',~, .. ~'';''~'''~~~~'''-'' " "T~ ,; '.~,~;~-.~ " \~~~'.., -~"~~~-~'"'or,;'","--.~;7;'~'-T"': PASCO COUNTY. FLORIDA r , Permit No. ~/b .....7/.,j Date Permitted _ l .... ()! , BuilderName/OwnerName -r ,()('" l J .~ J.' \," f (( , \ ' "'\ " County Parcel No. I; J l " , ^ . " ,'", () D"t 1 U [.'(1) -' . (.JU(jf..)T ~.' L Address/Location <}'" :1{ '. , I Ult: it'\' \ \ , t. ,'I V ( Subd. >i". " \ "", f'/ h " i i \ Classificationffype of Use <':'.- 1 )' ,.; ~ (i r I t {.... ~.'"i ~. ~ ~ I ;, II .1.. ',,/~', /" '"" -' How Determined TRANSPORTATION IMPACT FEE CALCULATION EXEMPT 0 / Why? /"- " Zone No. ./ Rate $ .~? .I' ," roO Prep~d By . "Checked By Sq. FtlUnit Impact Fee Amount $ .r The above impact (eelias been established pursuant to the Pasco County Transportation Impact Ordinance as adopted by the Board of Pas<,:e-t:~unty Commissioners. This amount is payable PRIOR to the issuance of a Certificate of Occupancy or utilizatiop<>[ the permitted structure. ./ RESOURCE RECOVERY ASSESSMENT EXEMPT 0 RESIDENTIAL NONRESIDENTIAL No. Units Gross Sq. Ft. (GSF) Rate ERU - 52.00/Year or SO. 142/Day ERU ASSign No. As...e......ment - (No, Units) x ($0.142) .\ (No. Days) Assessment - (GSF) x (ERU) x (0.142) x (No. Days) 100 TOTAL FEE $ .-",. TOT AL FEE $ NO CERTIFICATE OF OCCUPANCY OR FINAL POWER RELEASE WILL BE ISSUED VNTIL THE AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. Acknowkdgement below does not imply acceptance of concurrence. but Simply receipt of a copy of this form. placing the huilding permit owner on notice of this assessment and the conditions of payment for same. Date Received By OFFICE USE ONLY DATE DATE BY BY TRANSPORTATION REC NO. RESOURCE RECOVERY REC NO. While Applicant Canary Trans/Finance Canary RR/Finance Pink Office Green Bldg/lnsp feeca!'ce PC93113094/D Department of Community Affairs FLORIDA ENERGY EF?!CIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-93 .R~Ydential ~'lh0Je Building perfo.rrnance Method A PROJECT NAME: ~9 /:25 V).l) JI11I-tJ,.. MJJr BUILDER: TenBrin~_ construction AND ADDRESS:, PERHITTINGdi7f' Or CLIMATE. ",,If::' . ~..'"J OFFICE ZE?!f'l~f/ILU;' ZONE: 4 I ~ 5/_1 61_1 OWNER:c?p,<)>O~,L. Y/?;L)l5RIJ,.)f( PERMIT NO. D'-II4:7 JURISDICTION NOfe//~()O CK New Construction Single-Family o . - 1. New construction or addition 2. Single family detached or Multifamily attached 3. If Multifamily-No. of units 4. If Multifamily, is this a worst case (yes/no) 5. Conditioned floor area (sq.ft.) 6. Predominant eave overhang (ft.) 7. Porch overhang length (ft.) 8. Glass area and type: a. Clear Glass b. Tint, film or solar screen 9. Floor type and insulation: a. Slab on grade (R-value, perimeter) 10.Net Wall type area and insulation: a. Exterior: 1. Concrete (Insulation R-value) b. Adjacent: 2. Wood frame (Insulation R-value) 11.Ceiling type area and insulation: a. Under attic (Insulation R-value) a. Under attic (Insulation R-value) 12.Air distribution systems a. Ducts (Insulation + Location) 13.Cooling system 14.Heating System: 15.Hot water system: 16.Hot Water Credits: (HR-Heat Recovery, DHP-Dedicated Heat Pump) 17. Infiltration practice: 1, 2 or 3 18.HVAC Credits (CF-Ceiling Fan, CV-Cross vent, HF-Whole house fan, RB-Attic radiant barrier, MZ-Multizone) 19. EPI (must not exceed 100 points) a. Total As-Built points b. Total Base points SN: 6251 CENTRAL 1. 2. 3 . 4. 5. 1341.00 6. 1.30 7. 0.00 Single Pane 8a. O. Osqft 8b.159.4sqft Double Pane- O.OOsqft O.OOsqft 9a.R= 0.00 , 163.56 ft .' 10a-l R= 5.00, 1020.80sqft 10b-2 R=11.00, 250.08sqft-===- lla.R=19.00 , 313.95sqft lla.R=30.00 , 1027.05sqft____ 12a. R= 6.00, uncond 13. Type: Central A/C SEER: 10.00 14. Type: Heat Pump HSPF: 6.60 15. Type: Electric EF : 0 . 88 16. 17. 18. 2 CF 19. 19a. 19b. 83.06 23831.37 28691.37 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- 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 in accordance with Section 553.908 F.S. I Hereby certify that the plans and specifications covered by this calcu- lation are in compliance with the Florida Energy Code. PREPARED BY: DATE: I hereby certify that this building is in compliance with the Florida Energy Code. ...~ c__. ...- OWNER/AGENT: , DATE: to - ').t- . .... . .. ~{j)- BUILDING QF~I~~AL: DATE: 7 2-10, ~~. ******************************************************************************* . . SUMMER CALCULATIONS ******************************************************************************* === BASE === I === AS-BUILT === =============================================================================== ~~i~--~~~-~-~~~~-:- POINTS I TYPE SC ORIEN AREA x SPM x SOF = POINTS ------------------------------------------------------------------------------- N 110.14 82.2 9053.5 SGL TINT N 16.2 51. 5 .90 750.6 SGL TINT N 16.2 51. 5 .90 750.6 SGL TINT N 40.6 51. 5 .92 1921.0 SGL TINT N 16.2 51. 5 .90 750.6 SGL TINT N 16.2 51. 5 .90 750.6 SGL TINT N 4.8 51. 5 .69 169.9 SGL TINT E 16.2 107.1 .90 1565.7 SGL TINT S 23.2 98.3 .87 1998.4 SGL TINT W 9.9 107.1 .83 876.1 E S W 16.19 23.24 9.86 82.2 82.2 82.2 1330.8 1910.3 810.5 -------------------------------------------------------------.------------------ .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x AREA AREA FACTOR GLASS POINTS = ADJ GLASS POINTS GLASS POINTS ------------------------------------------------------------------------------- .15 1,341.00 159.43 1.262 13,105.15 16,534.53 9,533.70 =============================================================================== NON G~i~--~--~~~~-: POINTS I TYPE R-VALUE AREA x SPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 1020.8 1.0 1020.8 Ext NormWtBlock In 5.0 1020.8 1. 00 1020.8 Adj 250.1 .7 175.1 Adj Wood Frame 11. 0 250.1 .70 175.1 DOORS---------------- Ext 20.0 4.8 96.0 Ext Insulated 20.0 4.80 96.0 Adj 17.6 1.6 28.2 Adj Wood 17..6 2.40 42.2 CEILINGS------------- UA 1300.1 .6 780.0 Under Attic 19.0 314.0 1.10 345.3 Under Attic 30.0 1027.1 .60 616.2 FLOORS--------------- Slb 163.6 -31.8 -5201.2 Slab-an-Grade . 0 163.6 -31.90 -5217.6 INFILTRATION--------- 1341.0 10.9 14616.9 Practice #2 1341.0 10.90 14616.9 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- TOTAL SUMMER POINTS I 28,050.27 21,228.71 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- TOTAL x SUM PTS SYSTEM MULT = COOLING I TOTAL POINTS COMPON x CAP x DUCT x SYSTEM x CREDIT = COOLING RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------- 28,050.27 .37 10,378.60 I 21,228.71 1.00 1.100 .340 .860 6,828.00 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ******************************************************************************* WINTER CALCULATIONS ******************************************************************************* === BASE === === AS-BUILT === =============================================================================== g~~;--~~~-~-~;~~-:- POINTS I TYPE SC ORIEN AREA x WPM x WOF = POINTS ------------------------------------------------------------------------------- N 110.14 -3.4 -374.5 E S W 16.19 23.24 9.86 -3.4 -3.4 -3.4 -55.0 -79.0 -33.5 SGL TINT N 16.2 9.6 1. 06 164.3 SGL TINT N 16.2 9.6 1. 06 164.3 SGL TINT N 40.6 9.6 1. 04 407.0 SGL TINT N 16.2 9.6 1. 06 164.3 SGL TINT N 16.2 9.6 1. 06 164.3 SGL TINT N 4.8 9.6 1.20 55.1 SGL TINT E 16.2 -2.0 .48 -15.5 SGL TINT S 23.2 -10.2 .92 -218.9 SGL TINT W 9.9 -2.0 .08 -1. 5 ------------------------------------------------------------------------------- .15 x CONDo FLOOR / TOTAL GLASS = ADJ. x AREA AREA FACTOR GLASS POINTS = ADJ GLASS POINTS GLASS POINTS ------------------------------------------------------------------------------- .15 1,341.00 159.43 1. 262 -542.06 -683.91 I 883.44 -------------------------------------------------------------.------------------ ------------------------------------------------------------------------------- NON G~~~--~--~;~~-: POINTS I TYPE R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 1020.8 1.1 1122.9 Ext NormWtBlock In 5.0 1020.8 2.90 2960.3 Adj 250.1 1.8 450.1 Adj Wood Frame 11. 0 250.1 1. 80 450.1 DOORS---------------- Ext 20.0 5.1 102.0 Ext Insulated 20.0 5.10 102.0 Adj 17.6 4.0 70.4 Adj Wood 17.6 5.90 103.8 CEILINGS------------- UA 1300.1 .6 780.0 Under Attic 19.0 314.0 1. 00 314.0 Under Attic 30.0 1027.1 .60 616.2 FLOORS--------------- SIb 163.6 -1. 9 -310.8 Slab-an-Grade . 0 163.6 2.50 408.9 INFILTRATION--------- 1341.0 4.1 5498.1 Practice #2 1341.0 4.10 5498.1 =============================================================================== TOTAL WINTER POINTS I 7,028.88 11,336.92 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- TOTAL x WIN PTS SYSTEM MULT = HEATING I TOTAL POINTS COMPON x CAP x DUCT x SYSTEM x CREDIT = HEATING RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------- 7,028.88 1.10 7,731.77 I 11,336.92 1.00 1.100 .515 1.000 6,422.37 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- . . ******************************************************************************* WATER HEATING ******************************************************************************* === BASE === === AS-BUILT === =============================================================================== NOM OF BEDRMS x MULT = TOTAL TANK VOLUME EF TANK RATIO x MULT x CREDIT MULT = TOTAL 3 3527.0 10,581.00 40 .88 1.000 3527.0 1. 00 10,581.00 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- ******************************************************************************* SUMMARY ******************************************************************************* === BASE === === AS-BUILT === =============================================================================== COOLING POINTS + HEATING POINTS HOT WATER + POINTS = TOTAL POINTS COOLING POINTS + HEATING POINTS HOT WATER + POINTS TOTAL POINTS 10378.6 7731.8 10581.0 28,691.37 6828.0 6422.4 10581.0 23,831.37 =============================================================================== ***************** * EPI = 83.06 * ***************** ENERGY GUIDE For detailed information of the EPI rating number or for any ITEM listed, ask your Builder for DCA Form 600A-93 or Form 600B-93 EPI= 83.1 o 10 20 30 40 50 60 70 80 90 100 I---------------------------------x-------I The maximum allowable EPI is 100. The lower the EPI the more efficient the home RESIDENTIAL ENERGY PERFORMANCE RATING SHEET ITEM HOME VALUE Low Efficiency High Efficiency WINDOWS.......... ........... Single Tint SINGL CLR DBL TINT I------x--------------I INSULATION. . . . . . . . . . . . . . . . . . Ceiling R-Value......... 30.0 R-10 R-30 I--------------------xl R-O R-7 I--------------x------I R-O R-19 Ix--------------------j Wall R-Value......... 5.0 Floor R-Value......... 0.0 AIR CONDITIONER............. SEER. . . . . . . . . . . . . . . . . . . . .. 10. 0 10.0 SEER 17.0 Ix--------------------I HEATING SYSTEM... ....... .... Electric HSPF.. .......... 6.6 6.8 HSPF 12.0 Ix--------------------I WATER HEATER......... ... .... Electric EF.............. 0.88 0.88 0.96 Ix--------------------I 0.54 0.90 1---------------------1 0.40 0.80 1---------------------1 Gas EF. . . . . . . . . . . . .. 0.00 Solar EF. . . . . . . . . . . . . . OTHER FEATURES....... ....... I certify that these energy saving features required for the Florida Energy Code have been installed in this house. Builder Signature: Date: Address: City/Zip Florida Energy Code for Building Construction - 1993 Florida Department of Community Affairs FL-EPL CARD93 Tenbrink & Associates 39125 Old Mill Lane SQ. FEET PRICE MAIN OR LIVING: 1,341 $ 40.00 OTHER AREA UNDER ROOF: 527 $ 20.00 OTHER: $ 20.00 VALUATION $ 64,180.00 FEE SHEET $ 330.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 535.00 CREDIT: $ - BUILDING LESS CREDIT: $ 535.00 ELECTRICAL: $ 82.60 PLUMBING: $ 67.50 MECHANICAL: $ 35.00 RADON: $ 18.68 TOTAL $ 738.78 y SEWER: $ 1,278.00 . WATER: $ 350.00 IRRIGATION: $ - TOTAL: $ 1,628.00 v WATER METER:I $ IRRIGATION METER $ 180~00 II SUB-TOTAt! 2,5~~.78 ~ SIF'S: $ 1,694.00 97.5% $ 1,651.65 2.5% $ 42.35 TI F'S: $ 1,480.00 99% $ 1,465.20 1% $ 14.80 TOTAL: $ 5,720.78 I ~ fJ , f PERFORMANCE BUSINESS PRODUCTS. INC. 813-711l-8OO8 FAX 813-719-7919 c~i- 33 7~ CITY OF ZEPHYRHILLS ZEPHYRHILLS. FLORIDA DATE 7-d -DI ~~~~ERR~~A1~~JZ 0/ (2-sS0<'~~/~ WATER ACCT. NO. --.. MAILING BSS i ~ Q.,hes +e..y ~< 2;+ ,Fe- 3~~1 SERVICE ADDRESS ~CJI..2.!;- 6.kW '7n~il./ ~.Af'" br WATER SHUT OFF SERVICE 0 ~ o SEWER f1( f' o o GARBAGE TURN ON SERVICE INSTALL METER READ METER ~, IN CITY CHECK METER o o o OUT CITY I _ No. OF UNITS OTHER _ DEPOSIT AMOUNT fw. _ AMOUNT LAST BILL ~ ~ ----=- DATE _ MISC. CHARGE WORK 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. 10 sign yellow form & return to office, This Warranty Deed Made this /t:t" day of January bYCHRISTINE K. DOUGLAS AD. 2001 hereinafter called the grantor, to GORDON L. TENBRINK and PAULA D TENBRINK, is wife whose post office address is: Grantees' SSN: hereinafter called the grantee: (Whenever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) Witnesseth, that the grantor, for and in consideration of the sum of $ 10. 00 and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee, all that certain land situate in Pasco County, Florida, viz: Lots 30, 32, and 37, SUMMER HILL SUBDIVISION, as per plat thereof recorded in Plat Book 31, Pages 38-39, Public Records of Pasco County, Florida. SUBJECT TO Covenants, restrictions, easements of record and taxes for the current year. Said property is not the homestead of the Grantor(s) under the laws and constitution of the State of Florida in that neither Grantor(s) or any members of the household of Grantor(s) reside thereon. Parcel Identification Number:12 26 21 0100 00000 0300 & 0370 &0320 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 accruing subsequent to December 31, 2000 In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written. Signed, s.ealed and;;::?:e. livered . _Ql!..r. presence: .'. ) ~ , / '---j/J) q /, AI?" a /1 _ fll~ -,I. I//S-,.. ../, r:-:-l (', / 81T5 P1-AN PARCEL# 12-26-21-0100-00000-0320 OLD MILL LANE/SUMMER HILL SUBDIVISION 77.77' .... CO) ,...: o .... WEST NORTH 35'-0" EAST CO) o " o .... ~\\~~\~\ APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT DATE RECEIVED ~ -~ ~-O / PLANS REVIEW FEE OWNER'S NAME Gorden ~ P CLU-l CL.T en (6,'1 vtl-L JOB ADDRESS ',3q , ~ 5" 0 \ d rn i \ 1 LCLne..., LEGAL DESCRI PTION: LOT (S) O'$.;t 0 BLOCK PARCEL ID # I J- ~ lD- ~ 1- 01 DO- 0 Deo\) - 0 ~~O PHONE (8~3.J 1 ~;1- 913~ , SUBDIVISION ~mey \-\-\ \ \ (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: ogNEW CONSTRUCTION o ADDITION OALTERATION [JREPAIR [J INSTALL DSIGN D MOVE D DEMOLISH PROPOSED USE: ~GL FAMILY DWELLING D COMMERCIAL DMULTI-FAMILY D INDUSTRIAL D# OF UNITS D SWIMMING POOL D MOBILE HOME D OTHER BUILDING SIZE D RESTAURANT & HEALTH DEPARTMENT APPROVAL &n~tr l-LC. +- S51-F(L{Y\ i \ j block... homt.. SQUARE FOOTAGE l ~lo ~ HEIGHT DESCRIPTION OF WORK RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED & (1) SET ENERGY FORMS. FORMS. (Q N~ ~ BUILDING $ 70,CC:O.oO aOC;; VALUATION OF TOTAL CONSTRUCTION O!I ELECTRICAL AMP SERVICE ~ FLORIDA POWER o W.R.E.C. ~ PLUMBING ~ MECHANICAL $ ;;i7~S .OD VALUATION OF MECHANCIAL INSTALLATION [J GAS D ROOFING [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION: 18I BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES IS NO "...-, r\.~ --, .........., ...... :>NI ":I:JN'VlIOSN1 Nrv~ AO~l 0IlHJ. Q30N08 .,~'\O:: ~. ~~UJS-rif," ',,- dA~ amEN ~. AWT-~ , - ~ ~uawDpaTMou~~E 6UT~uos~ad ~o a~n~Eu6TS qll:?:,~~ :~b:ue (uol~E~lJl~uapl JO adA~) --------. pa::>npo~d SEt{ Ot{M D ::lNI ":I:>N't'~nSNI NI't~ ^O~l n~Hl 030N08 ,.~'W:J.~,;;-.. vOOl 'zl AJoruq9;{ ll!' ".~ ~~:l),.N~Ah~' ~ amEN ~uama6paTMOU}{~E ~o lam o~ UMOU}{ XTTEuos~ad sT O~ (pa6paTMOU}{~E uos~ad ~o amEU) W/~ry..:1-L '~oc.;;{.o~ Xq I O~ 4* 3(1(2I::JO li..EP"';~ Slt{~ a a~oJas: pa6paTMou~~E SEM ~uawn~~sul 6ul06a~0~ at{~ ----::-:. ~o lam o~ UMOU}{ XTTEuos~ad sl oq~ (pa6paTMOU}{~E uos~ad ~o amEu) . ~ ~t731 " (7CJ<Z7~ li..q /ooT.f!p I JO~~ Slt{~ a a~oJas: pa6paTMou~~E SEM ~uawn~~suT 6uTo6a~oJ aq~ 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 ~reas, 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". dLz2..?f 'SIGNATURE: OWNER OR AGENT STATE OF FLORIDA Q COUNTY OF ~~~ ~ Z 2-:>( SIGNATURE: CONTRACTOR STATE OF FLORIDA ~ COUNTY OF (, ~a._...,(7fl 1111111111111111111111111111111111111111111111I1111111111111 2001089235 ~tate of Slc-.-, C'a.....--" NOTICE OF COMMENCEMENT County of 'H:\s Q..O " TUB tmnERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. \~ -~(o -~ I -t \DO-OOOOO -o.s~D 08 YYl\ \\ L-a.Y1~ (Legal description of the property and street address if available) 2. General Description of Improvement C,DY\S+ru..c i- 8.5 t -~ i I:J --.--hIDe- k. hm~<- Rcpl: 509709 Rec: 6.00 DS: 0.00 IT: 0.00 07/02/01 _____ Dpty Clerk 3. O\.mcr Information: Name 6DY'd Of) lJ'( ~~ T~ E:.,rinL l\ddress '3~)d--C"'e~k( tr. City Lep~ "'1-1.1 \ (5 State Ft.- 33SY J Interest in Property: f5L\.) V\ -e y Name of Fee Simple Titleholder: (If other th~n owner) ~;~0~~~I"Ar2: 'fS~O fOUNTJ'f C\ERK OR BK 4655 PG 118 City State Address ~ Contractor: Name Ten \?''1in k-~. Y1s.s0C-\C\..:I-e-, Address 35S1 ;)-Q-,e s.t-e:...v ~Y. City Ze r h, \ \.s Sta te -FL-5{S9-/J 5. Surety: N.:lme i\UC:L'-"SS Ci~y Amount of Bond: $ 6. Lender: Name Address City 7. Persons within the State of Florida designated by Ower upon whom notices or other documents may be served as provide by Section 713.13(1) (a) (7), r-Iorida Statutes: I tlt:mc Address City tate 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Flo lda Statutes. () . ["xp.irrttiqn dftt.e or rt0t.lce of Commencement. (t.he explration ate is 1 year fr~m the d.:ltc of recording unless a different date is spe ified.) Signature of Owner: c~ ~&:-c: i I ~J-I I Sworn to and subscribed before me this ;;-. day of ~O\ f-----~.._----- VVlu-'\ Not.:lry Publ ic: My C=:J:11j;1.i s s ion Expires: PC93053048 PASCO COUNTY, FLQRIDA SCHOOL IMPACT FEE Ordinance No. 01-06 Effective: February 28, 2001 at 2:08 p.m. Permit No. (J J./ lie Date Permitted: ~:2- P! Builder Name/Owner Name (l.jj..vn &~.;l9- a.6 ~ CJc!- . Parcel 10: S /:2 T:Z t R 021 Subt?Ot?t::'O Blk~ld.DLot :3~ Address/Location: .3 9 J';(~ (j)..t/ 7tl..d.L ~__ Subdivision: V-U/J'n.4J1P1 ~_ ClassificationlTyp~ of Use: ')t( Single-Family Detached House (J Mobile Home (J Other Residential (J Collection Fee (056) 4 ~9J/ (057) (058) (123) $ ~ t91/ Ex~mpt: Total Fee Yes ~ No How Determined: Prepared ByQ,p~ ~<~ Checked By: The above impact fee has been es~ablished pursuant to the Pasco County School Impact Fee Ordinance No. 01-06 as adopted by the Pasco County Boar of County Commissioners. This amount is payable PRIOR to tt)e issuance of a Certificate of Occupancy or where a Certificated of Occupancy is not required PRIOR to the final inspection. NO C{::RTIFICA TE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION P~RFORMED UNTIL THE TOTAL AMOUNT LISTED HAS BEEN PAID ANp RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COl)NTY. Acknowledgement below does not imply acceptance or concurrence, but l!)imply receipt of a copy of this form, placing the building permit owner on notice of this assessment Cjlnd the conditions of payment for same. /~ - /'1-J21_____ Date cg,/R.; ~Sd~~ Received By OFFICE USE ONLY RECEIPT NO'/;l J/ /fIt) DATE /~-/f-O/ Bvq4 White Canary Customer Finance Green School Board Pink Inspection PC01045114 r " llU !l.i.lllU Jr.11 ~TIIII 11~JJl ' 'TIU i.j[[I\.~.~I.I,__JII . o ~.~ . 'I illl.~ LUr~ ~ ,ll. '~'.'.II!~W~~,I~~~IWI,I~ I PASCO COUNTY, FLORIDA SCHOOL IMPACT FEE Ordinance No. 01-06 Effective: February 28, 2001 at 2:08 p.m. I . / / // Permit No. 1', /./' " 0.> Date permitted:-':z:' .;2 - tJ! / Builder Name/Owner Name '., ';:>1 , T')' / / i -f~~ :' / ,~< "') t"'..,'L:' . Parcel 10: S //2. /' I T..;. I" R (' I Sub. / () BlkO 111 f) Lot "-;2.. ,,"""; ./ ::.. Address/Location: ~:::: f! 1'::'7,-:;- 1/ i,' /" '/',"'-. -~~~-i'.i:/.( -'" Subdivision:,..- />.- - >/,.~" .".' . _~;;,</.c.x...<-...-~ ClassificatiQnlType of Use: Total Fee (056) It ? 1)1/ (O~7) (058) (123) $ /~ 1,9'1/ 'A Single-Family Detached House CJ Mobile Home CJ Other Residential CJ Collection Fee Exempt: Yes X No How Determined: Prepared By: . , A' , f',. /f..r..._'" -"/,, ,\.<. ,:"" ,..' ..". ,I v .t-" .l_ Checked By: The above impact fee has been established pursuant to the Pa$co County School Impact Fee Ordinance No. 01-06 as adopted by the Pasco County Boa!' of County C<!>mmissioners. This amount is payable PRIOR to the issuG'nce of a Certificate of Occupancy or where a Certificated of Occupancy is not required PRIOR to the final inspection. NO CERTIFICATE OF OCCUPANCY WILL BE ISSUE;D OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNT LISTED HAS SEEN PAID AND RE<(EIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY. Acknowledgement below does not imply acceptance or concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and the conditions of payment for same. J.' v .--:.. i ___.________ ~, ..' .~ (_~..;;_/ -0'..-' " / // i ,....-,/'>1/' /<'~r.>j:J'lL. Date Received By OFFICE USE ONLY RECEIPT NO./2 ~/;"C::<~/ DATE I r; I' ",Ii ,\/ I .... r r/ '_..J , BY ,....-'~--.. White Canary Customer Finance Green School Board Pink Inspection PC01045114