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HomeMy WebLinkAbout02-1348 BUILDING PERMIT Permit N~ 1ft '1,)0 BUilDING CITY OF ZEPHYRHILLS (813) 780-0020 t"O 2s-'- MECHANICAL L( S.M> ELECTRICAL PLUMBING Property Owner: 'VA V IcY '1<' IAl/t f't1 5 b24 Lf '3 v1.- 3('. Parcell.D.1I 1/-'2{P~2-I- VOIO- /.;;15000-0/50 Zoning: Energy Code: ~ Aadon Gas: ~ I tJ DescriDtion of Work /l d d / if (J ~ ~ ? VCA-h. " 11 ~ Job Address: 1348 Date '7- / ft -0 ~ Sewer Conn Water Conn: Water Meter: T,I.F.'s: NO OCCUPANCY BEFORE C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE DATE Inspector Pe'mitFee ~'~ )<Signature -1/1 ' - '::Il.udJ Company Address :>felephone# (8/~) ~/D - oBOe Valuation or Contract Price ~ tJ I J...!OO i &--0 I City license Registration # State Certified license# {J tv f\L,y o J.J YV/'(' LJvuA.Ly BUilDING ELECTRICAL Ftr. L/ 7 - (~ ' 0 ':1- f2L i{ Tp. Servo Pre SlB Ji-/ f - 0 '1- (2':::!1 Rough In lintel Meter Can FRM. Const. Pole Insul. CL Pool Wl Pre-Meter Final SLB Tub Set Water Sewer Final Driveway MECHANICAL Breakers Ducts Insl. Compressor Final REINSPECTlON 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, OWNER'S NAME ~\ll 0 CITY OF ZEPgYRHILLS PERMIT APPLICATION BUILDING DBPARTMENT 5335 8~ STREBT ZBPHYRBILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATE RECEIVED 6 - .;7~- -o.;:L PLANS UV~~ FEB . ,j/zt- . PHONE ~ACT@"3)~-OeD8' -----""-.="'=......,~ ~ ~S' 4- \ ...,-......,-,._- A. 5~4- LA'-'"t"t4 =31t..C) ~T -z.eP'"'"..... .....\L.L':> , ~ '- JOB SITE ADDRESS LEGAL DESCRIPTION: LOT(S) IS,Lc.,1.7 BLOCK \).."$"' PARCEL ID # 11 - 'toe... ~ -oe,o _ 'L 2.S' 000 _ 0 I So SUBDIVISION WORK PROPSED: (JNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) ~DITION [JALTERATION [J REPAIR [J INSTALL [JSIGN PROPOSED USE: ~GL FAMILY DWELLING [J COMMERCIAL [J MOVE (] DEMOLISH [JMULTI-FAMILY [J# OF UNITS [J SWIMMING POOL [J MOBILE HOME [J OTHER [J INDUSTRIAL D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK A'DP\1i 01...1 OF ~"'M'L'-{ P.ooM SQUARE FOOTAGE 5 \0 JZf . HEIGHT BUILDING SIZE -z.o..{. 1.5. $" RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED y'e. U' (r~ IStBUILDING $ (eoo.oo VALUATION OF TOTAL CONSTRUCTION 6!rELECTRlCAL 160 AMP SERVICE o FLORIDA POWER [J W.R.E.C. [J PLUMBING IQ" MECHANICAL $ 500.00 VALUATION OF MECHANCIAL INSTALLATION [J GAS GrRooFING [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION: [J BLOCK !ir""FRAME D STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES [J NO m!~~~;j"',1lr,JJ:mlfF~FIW~~m'lI1'{f~fJi8:l~rmi~r:r1!:Wl";rnn..Wi tfl:'l!f1lIT~ " ... ...'" ... - -, ... - ". ._;.lIji'Jl~lm".~:.f ,. !1f!~<.h:jl11~H~~:'I:L4~Lrp,~~;~~f;:!I~ I,~ ':f::::~'t,~,1"fr'\I,.If,ft1~jr: ~!.;io I. ""'"'' _ _ .._......... ...._ ..... ~ "... ..., ,....! L.iJf "'~q''l ;d!!!L ...:~j!~:~~'''Jd,l'. .D.. BUILDBR COMPANY Ow.LN:7Z.. A hI ~ STATE CERT OR REGIST # SIGNATURE V / (f""..4:t . ~-' . CITY PROCESSING # ..**.*.....* ..*.**..**.*..***..***..****.*...*..*..........***.* BLBCTRICIAN ~ COMPANY tJW"'~ ' , /..L .~ STATE CERT OR REGIST # SIGNATURE L/ ~ . CITY PROCESSING # .:.*.*..*...***. ***..*****.***..***...********..***************** PLUMBBR SIGNATURE )//j- COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE .********.*****.******.*****..***...*********.********.***.****.** COMPANY OW~EJ2. STATE CERT OR REGIST # CITY PROCESSING # MECHANICAL *.*.****.************************************ OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *********.***********.********************************.*********# -t.' ~' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und~rsigned understands that this permit may be subject 1~0 ~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 RESPONSIBI [.ITIES If the owner has hired a contractor or contractors t,:, 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 tha~ 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 infor.mationin 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 perfonmed 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 1~ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this day of by acknowledged , 19--.:- (name of person acknowledged) [Jwho is personally known to me, or o who has produced (type and who[J did [Jdid not of identification) take an oath. (name of person acknowledged) [1ho is personally known to me, or [J who has produced (type of identification) and who [Jdid Diid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment ~e typed, printed or stamped Name typed, printed or stamped FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600C-97 Residential Limited Applications Prescriptive Method C CENTRAL 4 5 6 Small Additions, Renovations & Building Systems Department of Community Affairs Compliance with Method C of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6OOC,97 for additions of 600 square feet or less, site- installed components of manufactured homes, and renovations to single and multifamily residences, Alternative methods are provided for additions by use of Form 6ooB-97 or 600A,97, PROJECT NAME: n_.._ I..",.,J. BUILDER: ",.,11 ~ AND ADDRESS: PERMITTING CLIMATE 4~5D6D OFFICE: ZONE: OWNER: PERMITNO.~ JURISDICTION NO.: ~ SMALL ADDITIONS TO EXISTING RESIDENCES (600 Square feet or less of conditioned area), Prescriptive requirements in Tables 6C-1, 6C-2 and 6C,3 apply only to the components of the addition, not to the existing building, Space heating, cooling, and water heating equipment efficiency levels must be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction, Components separating unconditioned spaces from conditioned spaces must meet the prescribed minimum insulation levels, RENOVATIONS (Residential buildings undergoing renovations costing more than 30% of the assessed value of the building), Prescriptive requirements in Tables 6C-1 and 6C-2 apply only to the components and equipment being renovated or replaced, MANUFACTURED HOMES AND BUilDINGS, Only site- installed components and features are covered by this form, BUilDING SYSTEMS Comply when complete new system is installed, Please Print CK 1. Renovation, Addition, New System or Manufactured Home 2. Single family detached or Multifamily attached 3. If Multifamily-No. of units covered by this submission 4. Conditioned floor area (sq. ft.) 5. Predominant eave overhang (ft.) 6. Glass area and type: a. Clear glass b. Tint, film or solar screen 7. Percentage of glass to floor area a. Floor type and insulation: a. Slab-an-grade (R-value) b. Wood, raised (R-value) c. Wood, common (R-value) d, Concrete, raised (R-value) e. Concrete, common (R-value) 9. Wall type and insulation: a. Exterior: 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) b. Adjacent: 1, Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) c. Marriage Walls of Multiple Units* (Yes/No) 10. Ceiling type and insulation: a. Under attic (Insulation R-value) b. Single assembly (Insulation R-value) 11. Cooling system* (Types: central, room unit, package terminal A.C" gas, existing, none) 12. Heating system*: (Types: heat pump, elec. strip, natural gas, L,P, gas, gas h,p., room or PTAC, existing, none) 13. Air Distribution System*: a. Backflow damper or single package systems* (Yes/No) b. Ducts on marriage walls adequately sealed* (Yes/No) 14. Hot water system: (Types: elec" natural gas, other, existing, none) * Pertains to manufactured homes with site installed components, I hereby certify that th ,plans d specifications covered by the calculation are in compliance with th Ida gy de, PREPARED BY: DATE: ~9 $/fIt" OJ- I hereby certify that this building' compliance with the Florida Energy Code, OWNER AGENT: DATE: 1. iiJh T l~tJ 2. 3. 4. SIO 5. 1'0" Single Pane Double Pane 6a. 118 sq. ft. sq. f1. 6b. sq. ft. sq. ft. 7. ?!3 % aa. R= 0 'I, S" lin. ft. ab. R= sq. ft. ac. R= sq. ft. ad, R= sq. f1. 8e. R= sq. ft. 9a-1 R= sq. ft. 9a-2 R= /9 tIS' sq, ft. 9b-1 R= sq. ft. 9b-2 R= 1/ $4 sq. ft. 9c 10a. R= -EO SJt) sq. ft. 10b, R= -- sq. ft. 11. Type: Ev/5n/ll9 ~A/rI,*1 SEERlEER: '// C'eNTlfllt / 12. Type: EV/.STlNf HSPF/COP/AFUE: 8 13a. AI" 13b. 1'6 14. Type: b/~rlN9 , EF: Review of plans and specifications covered by this calculation indicates compliance With the Flonda Energy Code, Before construction is completed, this building will be Inspected for compliance in accordance with Section 553,908, F,S, BUilDING OFFICIAL: DATE: _1_ Revised 1998 Climate Zones 4 5 6 TABLE &C-l : PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (600 Sq. FI. and Less), RENOVATIONS TO EXISTING BUILDINGS AND SITE-INSTALLED COMPONENTS OF MANUFACTURED HOMES. MINIMUM INSULATION MINIMUM INSTALLED COMPONENT INSULATION INSTALLED EQUIPMENT EFFICIENCY EFFICIENCY Concrete Block R-5 Central AlC - spm SEER = 10;0 SEER = CJ) Frame, 2' x 4' R-ll <!:l - z -Single PkD-' . E'EER .~~'>g,7 SEER -' Frame, 2' x,6' R-19 :::; = - -' <( 0 Room unit or PT AC 8,5' :s: Common, Frame R-11 0 EER = EER = - Common, MAsonry R-3 0 . , tlnlter Attic R-30 Electric Resistance ANY CJ) Single Assembly; Enclosed <!:l Heat pump - Split HSPF = 6,8 HSPF = - Cl z z Frame R-19 ;:: , Single Pkg, HSPF = 6,6 HSPF = - ::J Metal Pans R-13 <( W Room unit or PTHP COP 2,7' HSPFI W Single Assembly; Open R-l0 :I: = = - () W COP Common, Frame R-ll u <( c... Gas, natural or propane AFUE = ,78 AFUE = CJ) Slab-on-grade No Minimum en - a: Raised Wood R-11 Fuel Oil AFUE = ,78 AFUE = 0 - 0 Raised Concrete R-5 -' Common, Frame R-l1 a: Electric Resistance EF ,88 EF LL I-W = = - I- In unconditioned space R.6 o~ Gas; Natural or L.P, EF = ,54 EF = 0 :I::;: - :::> In conditioned space No minimum Fuel Oil EF = ,54 EF = 0 . See Table 6-3,6-7 TABLE 6C-2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS ONLY Maximum percentage glass to floor area allowed is selected by type, overhang length, and shading coefficient. Maximum%- Installed % - GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED UP TO 20% UP TO 30% UP TO 40% UP TO 50% Single Double Single Double Single Double Single Double OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC OH-SC 1'-1,0 0'- ,90 2'-1,0 1'- ,90 3'-1,0 2'- ,90 4' -1,0 3'- ,90 0'- .86 1'- ,86 0'- ,70 2' - ,86 1'. ,70 3'- ,86 2'- ,70 0'-,65 1'- ,65 0'- ,50 2', ,65 1'- ,50 0' -.45 l' -.45 0'- .40 0'. ,35 SHGC or SC may be obtained from the manufacturer. Single clear SC = 1,0, double clear SC = .90, and single tint SC = ,86, SHGC .,. ,87=SC TABLE 6C-3 I MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks 606,1 To be caulked, Qasketed, weather-stripped or otherwise sealed, Exterior Windows & Doors 606.1 Max, 0.3 cfm/sq,ft, window area; ,5 cfm/sq,ft. door area, Sole & Top Plates 606,1 Sole plates and penetrations through top plates of exterior walls must be sealed, Recessed Lighting 606,1 Type IC rated with no penetrations (two alternatives allowed), Multi-story Houses 606.1 Air barrier on perimeter of floor cavity between floors, Exhaust Fans 606,1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust ductwork, Combustion 606,1 Combustion space and water heating systems must be provided with outside combustion air, Heatina except for direct vent appliances, Water Heaters 612,1 Comply with efficiency requirements in Table 6-12, Switch or clearly marked circuit breaker (electric) or cutoff (oas) must be orovided, External or built-in heat trao reouired, Swimming 612,1 Spas & heated pools must have covers (except solar heated), Non-commercial pools must have a Pools & Spas pump timer. Gas spa & pool heaters must have minimum thermal efficiency of 78%, Hot Water Pipes 612,1 Insulation is required for hot water circulating systems (including heat recovery units), Shower Heads 612,1 Water flow must be restricted to no more than 2,5 gallons per minute at 80 PSIG, HV AC Duct 610,1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed, insulated and installed in accordance with the criteria of Section 610,1, Ducts in attics must be Insulation & Installation insulated to a minimum of R-6. HV AC Controls 607,1 Separate readily accessible manual or automatic thermostat for each system, GENERAL DIRECTIONS: 1, On Table 6C,l indicate the R'value of the insulation being added to"el!ct\component and the eHiciency levels of the equipment being installed, All R,values and efficiencies installed must meet or exceed the minimum values listed, Components and equipment neither being added nor renovated may be left blank, 2, ADDITIONS ONLY, Detennine the percentage of new glass to conditioned floor area in the addition as follows, Total the areas of all glass windows, sliding glass doors and glass door panels, Double the area of all non, vertical roof glass and add it to Ihe previous total. When glass in existing exterior walls is being removed or enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area of the addition, Multiply by 100 to get the percent. Find the largest glass percentage under which your calculated percentage falls on Table 6C-2, Prescriptives are given by the type of glass (Single or Double pane) and the overhang (OH) paired with a shading coefficient (SC), For a given glass type and overhang, the minimum shading coefficient allowed is specified, Actual glass windows and doors previously in the exterior walls of the house and being reinstalled in the addition do not have to comply with the overhang and shading coefficient requirements on Table 6C-2. All new glass in the addition must meet the requirement for one of the options in the glass percentage category you indicated. The overhang (OH) distance is measured perpendicularty from the face of the glass to a point directly under the outennost edge of the overhang, 3, RENOVA TIONS ONLY, Replacement glass needs to meet the following requirements, Any glass type and shading coefficient may be used for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet from the overhang, Glass areas being renovated that do not meet this criteria must be either single'pane tinted, double'pane clear or double-pane Iinted. 4, BUILDING SYSTEMS, Comply when new system is installed for system installed, 5, Complete the infonnation requested on the top half of page 1, 6, Read "Minimum Requirements for Small Additions and Renovations", Table 6C-3, and check all applicable items. 7, Read, sign and date the 'Owner/AgenF certification statement on page 1, -2- .~ '^~- 61"~' ~ 126 c,fi. 41...0.,. ~~rl ,.Jf.ft"oJ'" tO~c ,no vJ' to ;"/~O""O " ~ ~o ~ . ~ ~\ -- ~ ~ _< ~4 .r'\ : i..."'; c. FRED DEUEL & ASSOCJ 51 S1 CALL BODLE ZEPHYRHILLS. FLOltII {813) 78] .., ! ", ~cerfitr - - .....,. - - ill -........ with tile ............ __ _I _ tor led Ii.. ~ joinlIy __ and,,........., ~ by file Flllrida D_ ....... f/I .........- 8ow1I of u...t ~. a-..r ZJ t1H-6 of. FlcIrJCla Admilli.tra'.ft eo. .rfectl.e 0;taIIer I. 1981 DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, D6.." \ 0 FL LAwu-r~ have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by t>€c:..1 2.ac"l.. said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. OWNER'S SIGNATURE . ~ ADDRESS S-z.-44 3~ $7: PHONE 813 (./0 - OBoe, 2. 3. 4. 5. 6. 7. 8. 9. Vi~"~ 'I uS" Fi.. ~354J DATE .JvA.Jc Z.r; zooz.. WITNESS PERMIT # . " 411 1 1 ;._,v. I I IU 18 II)'. I)'. I~ cD I~ I NEW FAMIL""" ROOM I I I I 1~" TRAN&OM& ABOVE DOOR UNIT 3' 0" FIXED 1&' 0" X ~'e" 3' 0" FIXED FRENCH FRENCH FRENCH 18' 211 11) :r IS) an N . . :r IS) an N . . :r IS) an N . . . ( IS) - d') = ~ ~-1 X~ = n NlU 'X IT: II N -an N an . . . ~' 411 2' 011 2S' ~II DAVl" LIIUrh AJJ IT/fJ'' 2" ~II FLOOR FLAN 1/4" = 1'0" FlA, '977 LAW. F.7.13,13 S~MINOLE FORM 408 NOTICE OF COMMENCEMENT State of Florida (NEPARE IN DUPLICATE. 1111I1111111111111I11I11111111111111111111 11I111111111111111 County of PA-~ <!..D } 2002109482 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 this NOTICE OF COMMENCEMENT. ~l).::""'~<~" ~"'~i1 Li E . . Lv IS I S I fc Au D 17 E'f-(!cPr,i-/-e 1Jon.n-1 :3 ~EET Description of property ,.,.."..,......,....,.. J. . . . , . . .j , . , , . . , , . . . . . . . , , ,j. . , . . . , . . , , . . , , , . . . , , , , . . . . . , . , , . . , . . , . , . . , . . . . . , . . , , , 9,~, . . ~.-r . . ,~ ,7.,/. . . ,~.0~ . , r. "!:.S;~. . ,~~ 7':':1. . . ~F, , .'4;:7!.t-!, r.~,(~,~. , ,~, . , .f.t;/1, , .1!.0.~, , ~ ~, . , , ~fo~ '~:~!X;}, ~i'~' ~;R; .(I~l.P.0T~,. !~. P~~. ~4:. -'?,F:, Tilt;.. .f~~,:~~ General description of improvements ,.". .~,P.l;:n T~e4:.,. .q.'~, ."F~,~l.~~,., .899M,."., "'...,.,."",, .> DA4 I b R , LAuiJ-l Owner , , , . , , . , . . , , , . , , , . . , . , , . . . . . . , . . . . , , , , . . . . . , . . , . . , . , . , , . , , . , , , , . . . . , . . . . , , . ,.. , . . , , , , . . . , , , , , . . , , , , , . . , . , , , , . , . , , . . . . . . , , , , 52.4-4- 3a.v S TiUET ZE.PI-I yPt#h US FL, 3354/ Address ".,.""."'..,..,..........,......"..."...,......".,...........,',.,.~..".,",...,",.".,.".,..,"',.,",.,...., Owner's interest in site of the improvement. . . . . , . , . , . . , . . . . , . . . , , , , . , , . . . . , , . , Fee Simple Title holder (if other than owner) Rcpl: 603582 OS: 0.00 07/16/02 Rec: 6.00 IT: 0.00 Dpty Clerk Name ",.." ,.,',..,"',.,",'",.,...,.,..".,..........,...,....",..,..."" .........................,................ . . , i~~1~~~1MA:2.:rS;O COUNTY CLERK Address ,..................................,....,..........,.................., OR OK 5008 ~G of 1 .. o LV 1.-I:erL.- 1989 Contractor, . . , . , , . , , , , , , . , , . , , , , , , , , , , . , , . , , , . , . . . . , , . , . . , , , , . , . . , . . , , . . . . , . , , , , , , , , , , , , , , , , ' , , . , , , . , , . , , , , , , , . , , , , , , . , , , , , , , , . , Address ,..,',.,"""",.,"',..".,.".,"""',....,"",..."",.."".""""".."""""."""""""""""",."" Surety (if any) ",.,"""",.,""",..,',.,...,',."..,...,..,.",.",..".""",.,."""""",.""""""",."""""" l>/JA Address""".,.".",."..",."....",.,...,.........",...,."..,."",.,."""""". ",Amount of bond $ '."'.,."",,, Any person making a loan for the construction of the improvements: Name '""., .l>.4,4.".".",..",...".""....."..,......".,."....,.""""""""""""""",."""""".",..".. Address """,.,""",.,"",.,',.,',...,",.,..,..,"',.,.",..."""""""""""."""",.".",.""",."""""", Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name ,'.,. /) U ~. . , , , . , . , , . , , , , , . , , . , , . . , , , . , , , , . . , , , . , . . , . , . . . . , , , . , . , , . , . ' , , . , , , , . , , , . . , , , . , , , . , , , , , , , , , , . , , , . , , , . . , , , , , , , , Address ',.."..,',....".,',...,....,.,.,..,",....".....,..",."....".,.""",."""",.""",.""",.".""""."." In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713,13 (1) (h), Florida Statutes. (Fill in at Owner's option). Name "'".""",., ~, , , , , , .. ,. ' , U.,L'__ , , , " , " , . . . , , , . , , ' , , , , . , , , , , , . , , . , , , , ' , , , , . ' , , , , , , , STATE OF FLOAIDI\ 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 OFFI~~y;NESS MY HAND AN FFI IAL SEAL THIS ~AY OF 2 P'fJ Z- LERK Of CIRCUIT COURT ~ DEPUTY CLERK Sworn to and subscribed before me this L(l.daV of . Jt,-Lll.tt' . . . . . . . . . . . . . ,. . . . . . . . . . . ?Q"G? lG@lCio.-,~,.~D~n,~",," JED PI BY /#A?i~:tt:-.. \:.(. ):] --:.~.....~. 1',Rr..f.\' LYNDA E. MCKINNON MY COMMISSION # DD ll65871 EXPIRES: October 18, 2005 Bonded Thro NolaIY NlIic UndorwrIt811 " tJu.-sN~ , . Sz Lf4 3tLl> sr /tJ:))'LlCN " .. '- !& C. 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