HomeMy WebLinkAbout03-1760
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N!!
1760
~3o . eO
BUILDING
fI(,' .,0
ELECTRICAL
(813) 780-0020
q,'eO ,&.ItJO
PLUMBING MECHANICAL
Date I - 13 - 0-3
Property Owner: GM~ d- ?J~ .iM /:M~
Job Address: L-/ 3" .5 L-I 'T7 it\Juz;fo" W 7
Parcell.D. # 1<-2l.t -;.1.1 ~f):L4o- .. II
Sewer Conn 1;'; 7,f . e<J
350'8'0
Water Conn: _
Water Meter: 18"0 J 9-0
T.I.F.'s:
Zoning:
Description of Work
'7. f)']
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
--D8
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
permR~
,>-Sign,~~ ~~
Company
Address
).Xelephone# <6"3 7l;r -Dl.o l~
Valuation or
Contract Price
1L( I 3~ t tH)
.3 &=--1
City license Registration #
State Certified license#
/~~J-~)<<.7nc. Z~r",lh ~(. d./I.se~Ie~,LJIun1-. ~C;___.#/f~
4'7 ~27 ~7
BUILDING ELECTRICAL PLUMBING MECHANICAL
Ftr. /1- 22-03 Ifa--d Tp. Servo SLB l/.2-.5- 03 R'-y,I hOb Breakers
Pre SLB ~-/~-o?1 J.lJOIl/'f Rough In 1./1 -2S-D3M~Tub Set 1./~_2I!v()3I2l 'f;}I-;f"Ducts Insl. / ?..;l..c> '(:)3 f?Uf f/-IP
lintel,/' Meter Can Water - Compressor
FRM. '/3,':l..~-()J HJO.,..f.1.J1Const. Pole ,/I-..l:2-oP2..ljSewer'/ S-/5-03 )}Tb Final
Insul. CL .,/ 3 -2.~-O".JlJiiRl"'ool Final
WL Pre-Meter ,/6 ~J4-o3 RL~
.' '../- Final
Q,;veway ,/ Ip -I:l-U] J (J{J ff ~-Zl{-o3 3 ~ I<{ ~,tt-
5A..tf'" ..: ~_~~.,,~ /Ilq I-If;]b pF (-/2 - 0 j ;r 0 b C;,,) .ir
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following r:;:.., a
charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: . ~
a. Wrong Address 1 ,}I.~-
b. Condemned work resulting from faulty construction., .f{)//"/f) ~
c. Repairs or corrections not made when inspection called. (.fi--) ()./
d. Work not ready for inspection when called. " 1_/
e. Permit not posted on job site. & I') I.U
f. Plans not at job site. ,/ ,r
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
...
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CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
9//
PERMIT .".
/760
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
Dc:kL~. ~,~.'"", BfC '"-I
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ADDRESS
.J..je3'f
DATE
3-20-03
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR ~ JfJ&
FORM 600A-2001
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
Project Name: Model 1706
Address: 'I9sf ~ftr./l.vu~
City, State:Z4kJ"i /ld.I..~ Flf/_
Owner:CDt...1>'b~r1"1 ?lJul.l'1 -Tf'AJt3~/Ai<-
Climate Zone: '/ Central
Builder: Ten Brink
Pennitting Office: (tiT'! Dr :z:Ei>tI'I,lIlILL.:$
Pennit Number: /741 ()
Jurisdiction Number: &7 /16 l) ()
1. New construction or existing
2. Single family or multi-family
3. Number of units, ifmulti-family
4. Number of Bedrooms
5. Is this a worst case?
6. Conditioned floor area (fP)
7. Glass area & type
a. Clear - single pane
b. Clear - double pane
c. Tint/other SHGC - single pane
d. Tint/other SHGC - double pane
8. Floor types
a. Slab-On-Grade Edge Insulation
b. N/A
c. N/A
9 . Wall types
a. Frame, Wood, Exterior
b. N/A
c. N/A
d. N/A
e. N/A
10. Ceiling types
a. Under Attic
b. N/A
c. N/A
11. Ducts
a. Sup: Unc. Ret: Unc. AH: Not In Attic
b. N/A
New
Single family
1
3
No
1265 fP
0.0 fP
O.OfP
125.7 fP
0.0 fP
R=O.O, 169.0(p) ft
R=13.0, 1352.0 fP
R=30.0, 1706.0 fP
Sup. R=6.0, 250.0 ft
12. Cooling systems
a. Central Unit
Cap: 30.0 kBtuIhr
SEER: 11.00
b. N/A
c. N/A
13. Heating systems
a. Electric Heat Pump
Cap: 30.0 kBtulhr
HSPF: 7.50
b. N/A
c. N/A
14. Hot water systems
a. Electric Resistance
Cap: 30.0 gallons
EF: 0.97
b. N/A
c. Conservation credits
(HR-Heat recovery, Solar
DHP-Dedicated heat pump)
15. HV AC credits
(CF-Ceiling fan, CV-Cross ventilation,
HF-Whole house fan,
PT -Programmable Thermostat,
MZ-C-Multizone cooling,
MZ-H-Multizone heating)
Glass/Floor Area: 0.10
PASS
Total as-built points: 18781
Total base points: 20599
I hereby certify that the plans and specifications covered
by this calculation are in compliance with the Florid
Energy Code.
PREPARED BY:
DATE: ,~- ~ 3-&:2.
I hereby certify that this building, as designed, is in
compliance with the Florida Energy Code.
OWNER/AGENT:
DATE:
Review of the plans and
specifications covered by this
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.
EnergyGauge@ (Version: FLRCPB v3.21)
FORM 600A-2001
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: , , ,
PERMIT #:
BASE AS-BUlL T
GLASS TYPES
,18 X Conditioned X BSPM = Paints Overhang
Floor Area Type/SC Omt Len Hgt Area X SPM X SOF = Points
.18 1266.0 26.78 6870.1 Single, Tint N 1.3 6.0 23.2 22.93 0.95 507.3
Single, Tint S 1.3 6.0 46.5 37.29 0.89 1551.2
Single, Tint S 1.3 7.0 16.5 37.29 0.93 569.3
Single, Tint E 1.3 6.0 23.2 49.89 0.94 1084.3
Single, Tint W 1.3 6.5 16.2 44.87 0.95 687.3
As-Built Total: 126.7 4399.4
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adjacent 0.0 0.00 0.0 Frame, Wood, Exterior 13.0 1352.0 1.70 2298.4
Exterior 1352.0 1.90 2568.8
Ba$e Total: 1352.0 2568.8 As-Built Total: 1352.0 2298.4
DOOR TYPES Area X BSPM = Points Type Area X SPM = Points
Adjacent 0.0 0.00 0.0 Exterior Insulated 21.0 4.80 100.8
Exterior 21.0 4.80 100.8
Base Total: 21.0 100.8 As-Built Total: 21.0 100.8
CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points
Under Attic 1265.0 2.13 2694.5 Under Attic 30.0 1706.0 2.13X 1.00 3633.8
Base Total: 1265.0 2694.6 As-Bullt Total: 1706.0 3633.8
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 169.0(p) -31.8 -5374.2 SIab-On-Grade Edge Insulation 0.0 169,0(p -31.90 -5391 .1
Raised 0.0 0.00 0.0
Base Total: -6374.2 As-Built Total: 169.0 -6391.1
INFIL TRA TION Area X BSPM = Points Area X SPM = Paints
1265.0 14.31 18102.2 1265.0 14.31 18102.2
EnergyGauge<lll DCA Form 6OOA-2oo1
EnergyGauge<lll/FlaRES'2001 FLRCPB v3.21
FORM 600A-2001
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: , , ,
PERMIT #:
BASE AS-BUlL T
Summer Base Points: 23962.1 Summer As-Built Points: 23143.4
Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
(OM x OSM x AHU)
23143.4 1.000 (1.087 x 1.150 x 1.00) 0.310 1.000 8968.4
23962.1 0.4266 10222.2 23143.4 1.00 1.250 0.310 1.000 8968.4
EnergyGaugeTM DCA Form 6OOA-2001
EnergyGauge<ll>/FlaRES'2001 FLRCPB v3.21
FORM 600A-2001
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
I ADDRESS: I I I
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 = Point
.18 1265.0 5.86 1334.3 Single, Tint N 1,3 6.0 23.2 12.59 1.00 291.6
Single, Tint S 1.3 6.0 46.5 8.59 1.03 413.2
Single, Tint S 1.3 7.0 16.5 8.59 1.02 144.1
Single, Tint E 1.3 6.0 23.2 10.54 1.01 248.4
Single, Tint W 1.3 6.5 16.2 11.21 1.01 182.6
As-Built Total: 125.7 1280.0
WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Adjacent 0.0 0.00 0.0 Frame, Wood, Exterior 13.0 1352.0 1.80 2433.6
Exterior 1352.0 2.00 2704.0
Base Total: 1352.0 2704.0 As-Built Total: 1352.0 2433.6
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
Adjacent 0.0 0.00 0.0 Exterior Insulated 21.0 5.10 107.1
Exterior 21.0 5.10 107.1
Base Total: 21.0 107.1 As-Built Total: 21.0 107.1
CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points
Under Attic 1265.0 0.64 809.6 Under Attic 30.0 1706.0 0.64 X 1.00 1091.8
Base Total: 1265.0 809.6 As-Bullt Total: 1706.0 1091.8
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 169.0(p) -1,9 -321.1 Slab-On-Grade Edge Insulation 0.0 169.0(p 2.50 422.5
Raised 0.0 0.00 0.0
Base Total: -321.1 As-Bullt Total: 169.0 422.5
INFIL TRA TION Area X BWPM = Points Area X WPM = Points
1265.0 -0.28 -354.2 1265.0 -0.28 -354.2
EnergyGauge@ DCA Form 6OOA-2001
EnergyGauge@/FlaRES'2001 FLRCPB v3.21
FORM 600A-2001
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
r ADDRESS: , , ,
PERMIT #:
BASE AS-BUlL T
Winter Base Points: 4279.7 Winter As-Built Points: 4980.8
Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
(OM x OSM x AHU)
4980.8 1.000 (1.078 x 1.160 x 1.00) 0.455 1.000 2834.3
4279.7 0.6274 2685.1 4980.8 1.00 1.250 0.455 1.000 2834.3
EnergyGauge 1M DCA Form 6OOA-2001
EnergyGauge@/FlaRES'2001 FLRCPB v3.21
FORM 600A-2001
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
I ADDRESS: · · ·
PERMIT #:
BASE AS-BUlL T
WATER HEATING
Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total
Bedrooms Volume Bedrooms Ratio Multiplier
3 2564.00 7692.0 30.0 0.97 3 1.00 2326.10 1.00 6978.3
As-Built Total: 6978.3
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
10222 2685 7692 20599 8968 2834 6978 18781
I
PASS
I
EnergyGauge™ DCA Fonn 6OOA-2001
EnergyGauge@lFlaRES'2001 FLRCPB v3.21
e. N/A
10. Ceiling types
a. Under Attic
b. N/A
c. N/A
II. Ducts
a. Sup: Unc. Ret: Unc. AH: Not In Attic
b. N/A
R=30.0, 1706.0 ff'
(HR-Heat recovery, Solar
DHP-Dedicated heat pump)
15. HV AC credits
(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)
Sup. R=6.0, 250.0 ft
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:
Date:
Arll'f'n3C'C" n:FT\JAuT Un.rno.
r":'4-~~ '7:,_.
t..'
NORTI4
~
61TE PLAN TEN ~rNK . A6S0C. INC.
MODEL. -1106 LOT -II C~T e,QUAFU:
PARCEL. eJS-2b-21-0200-o0000-011O
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SOUTI4
Tenbrink & Associates
Lot 11 Timberway
SQ. FEET PRICE
MAIN OR LIVING: 1,265 $ 50.00
OTHER AREA UNDER ROOF: 442 $ 25.00
OTHER: - $ -
VALUATION $ 74,300.00
FEE SHEET $ 380.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 630.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 630.00
ELECTRICAL: $ 116.00
PLUMBING: $ 96.00
MECHANICAL: $ 66.60
RADON: $ 17.07
TOTAL $ 925.67
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $ -
TOTAL: $ 1,628.00
J
l
WATER METER:I $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
2,733.671
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: $ 5,907.67 ,
996786
~
PERFORMANCE BUSINESS PRODUCTS. INC_ 613-719-8008 FAX 613-719-7919
\:' :t--- \a~5 ~
CITY OF ZEPHYRHILLS
ZEPHYRHIUS, FLORIDA
WATER ACCT. NO.
DATE {-/3 -tJ .3
OWNERI
RENTER
--rinbirl1. K
() f)550C.
.--:-
JhC~
MAIUNG S-ESL ~.
SERVICE ADDRESS ~ ,T3 <I -!;;,beriJ I
~rll
SHUT OFF SERVICE 0
TURN ON SERVICE g./
INSTALl METER 0,/
READ METER 0
CHECK METER 0
OTHER 0
~WATER
o SEWER
o GARBAGE
~N CITY
o OUT CITY
.L No. OF UNITS
_ DEPOSIT AMOUNT
3/'" ,-A- ~
1'-1 ~!~
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
VYORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
ORDER G1VEN BY
/-/..3-03
~
x-_.
F'Ieta," white form in office at all times. '
Send pink & yellow forms to Water Service Depl. G'
'/Vater Service Depl.:o sign yellow form & return to offICe.
r
CI'J.'Y OF ZEPHYRHIIJLS PERMIT APPLICA'rION (Cdttd /~9-~
BUILnINr~ DBPAR'l'!tEN'f 5335 8th STREE'f ZEJilHYRHILLS, FL 3354~
JilhbneI813-'l80-0020 Fa:ltIB13-780-0021 /1 '7'3
DATE RIOBIVBlD ___~-:-_~__= o.?-.
PIJANS RBlVIBW I'll
, OWNER 'S 11AME Garclen L. -a- Po...WCL. b--:_'-e-vt By I t}k- ____ PHONE CONTACT ~ 1~.1 g;>. -o~?L
,TOB Sl'I'E1 ADDRElS8 ____Llr- j~be.r-_~~_________________________________
LEI<JAL DESCRIPTION: LOT(S) -J.L____ BLOCK SUBDIVISION Cot..-U"t- S~~~
PARCEL In # 1.-';--e)~~~/-:~:l6)O-{)tf?~- eJ//()
WORK PROP8ED I ~EW CONS'I'RUCTION 0 ADDITION
(OBTAIN P'ROM PROPI!IRTY 1'AX NOTICE)
o AUfElRATION
LJ REPAIR
o INSTAI,I,
D8IGN
PROPOSED USE: ~Gt, FAMILY DWELLING
o MOVE
o DEMOLISH
OMlJLTI - F'AMIl,Y
0# OF UNI'l's
OSWIMMING POOL
[J MOB I LEl Hot1E
o OTHER
o COMMERCIAL
o INDUSTRIAL,
o RESTAURANT & HEAL'l'U DEPAR'fMEN'r APPRoVAt,
DESCRIPTIoN OF WORK C.(;Y"\~+v-. ne-w .s:} i. .f2a..m1 \ j bl eLk.. hc-Yl1~
BUILDING SIZE SQUARE FOOTAGE -DOl,
UmIGUT
RESIDENTIAL:
COMMERCIAIJ I
A'1'TACH (:2) PLOT PLANS & (:2) SETS OF BUII,DING PLANS &: (l.) SET ENERGY FORMS,
ATTACH (3) SETS OF BUIJJDING PLANS & (1) SET ENERGY FORMS,
PROPER.TY SURVEY REQUIRED FOR ALl, NEW CONSTRUCTION,
!t1 BtJII.IllNG
r'" BIl,I!IC'l'R I CAL
[VPLor1B ING
~ MECHANICAL
PERMITS REQUESTED
$ (, ~,OOO. OC) VAl.tJATION OF TOTAl, ConS'l'RuCTION
;;00 AMP SERVICEl ~ Fl,ORlrJA PdWER [J W. R, E, C,
$ ~OOO.tlO
-- VAf,UATION OF MECHANCIAIJ IllSTAlJl,ATION
[J C:~AS
LYROOF 1m3
o SPECIAIJTY
[J OTHER
'l'YPIll OF CONSTRue'nON t ~ BLOCK
o FRAME:
o STEEl,
o o'rnER
FINISHED FLOOR ElLEVATIONS
Ie PROJECT IN FLOOD ZONE ARIllAO YElS ~NO
BUILDBR
COMPAHy1e.nt3f 'hk.. ;-~S()C.. rl'1C-.
/7 ~ R ~ r STATE CER'f OR REGIST If C6c..04~Y ;;?J- _
(~.J2~;;:J..... ,~<' "'TY PROCESSING un u~~
****************************************************************** . ~
S IGNZ\'rUREJ
JDLICTRICIAN
,,-....-.--........ ,(
SIGNA'1'URE~<::'::::"':"- ,....._
~
COMPANY ZqJ~Y-hills Ete.dr'i'L
STATE CER'!' OR REGIST # e> G () "A.l G" ~
CITY PROCESSING # 9.. ')
..1.....-___._
******************************************************************
PLUMBIR COMPANY A.A. Sc::..h lemClKl_ "'Ph.l.mbl~ Co. 1J::nL. 1
~ ~ / e:f'~ STAT" ""RT OR RaGIS" H fiC'. 0'1 n ~~. ./
SIGNA'fUREl ~~ ~ . CI'l'Y PROCESSING # ( . _
**********************************************************~******* ~ ~\:I ~
MBCHANICA COf\1PANY ~hr5 6tu f 11-1(1 ___~_~~
STATE CERT OR RECHST # CAl-04 3C1Q ~
CITY PROCESSING ~ \,
*****************************************************************
OTHJDR
SIGNATURE
COMPANY
STATE CERT OR RElGIST #
CITY PROCESSING #
*****************************************************************
f
--.--.-....-
.A, NpTICE OF DEED RESTRICTIONS
'1'11e unders.! gned understands that tins pe:nnJ: Inil Y 111, subJe:.:t to "deed restrictions" \-Ihleh
may be more restr:icLive than City regnlctioils. 1'h" L1ndEH's.! qned assumes responsib:ll.ity for
compliance Hith any appl.t.cable deed t:!~str.icdon3,
B. UNLICENSED CON'rRp.CTORS AND CONTHl\.C'l'I)R R1:SPON5TBILI'l'IE;S
I f the aHller has hil:ed a contractor OJ: ::ont.cact'JU3 to und,::rtake work, they may be reqni red
I to be :U.c6nsed in accordance vJJth state and lnGi~l J:egu.LatJons. If the contractor :Is not
l.icensed as requi.red by law, both the Oh'ne!: and contractor Illay be cited for a misdemeanor
violat.ion ulldel.- state 1aH. If the OHne.r or illtE:nded oontractor are uncertain as to vlhat
licensing requirements may apply for the I.ntendE:d Hork, they are advised to contact the
City of Zephyrhills Building Department, 013-'11313-6611.
l1'urthermore, if the O\'lller has hired a contn~cl:or or contractors, he is advised to bave the
contractor(s) sign portions of the "Contractor Sections" of this application for Hh1ch they
will be responsible. If you, as the aHner signs as the contractor, you are ind.tcating that
you, rather than the contractor, are responsible for the Hork, If the contractor Hlshes
you to sign as contractor that may be an indication that he is not properly Ucensed and is
not enti tled to permitting privileges in tlu3 City of Zephyr:hills.
c. 'l'RANSPOR'l'A'rION IMPAC'!' FEES AND U'l'ILITY CONHEc'nON FEES
D. CONS'l'RI/C'rUION LIEN LAW (CHP.P'l'ER 713, FLORIDA S'l'A'I'UTES, AS AMENDE:D)
I certjfy that I, the applicant, have been provided \lith a copy of "Florida's Construction
:I ten La\! -- 1I0Illeo~/l1er' s Protection Guide" prEOpared by the E'lorida Department of Agriculture
and Consumer Affairs, If the applicant is 130rneone other that the "oHner", I eerify that I
have obtained a copy of the above descr1bed document and promise in good fa1th to deliver
it to the "DWnel.-" priol.' to conunencelllent.
E. CONTHAC'I'OH' a/OWNER'S AFE'IDAVIT
I certify that all the information in this npplication is accurate and that all Hork Hill
be done in compliance Hith all applicable Inws regulating construction, zoning, and land
developmell \: ,
Application is llereby made to obtain a permit to do work and installation as indiaated. I
certify that no Hark or instaLlation has conunenced prior to issuance of a permit alld t.hat
all Hark will be performed to meet standards of all laHs regulating construotion, City
Godes, zonjng regulations, and land development regulations in the juriscUctjon, I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsib.ility to ident.lfy \'Ihat act.ions I must take 1:0
be in compLiance, Such agencies include but are not limited to: *Department: of
Envirollmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/WastewaLer 'rreatment
*Southwest Florida Water Management District-Wells, Cypress Baylleads, Wetland Areas,
Alterillg Watercourses
*Army Corps of Engineers-BeaHalls, Docks, Navigable Waterways
*IJepartmenL of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater 'rreatment:, Septic 'ranks
*lJ,s. Environmental Protection Agency-Asbestos abatement
I also cert1fy that, if fill material is to be used in Flood Zone "A" or "A, eta.", it is
understood that a dra1nage plan addreSSing a "compensating volume" wi.11 be submltted Hh1ch
is prepared by a professional eng:l.neer registered in the State of Florida prior to permit
issllance.
A permit issued shall be construed to be a license to proceed Hith the work and not as
autllority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall 185\1ance of a permlt prevent the Building Official from thereafter requ1ring a
correution of errors in plans, constructi.op, or violations of any oode. Every permit
issued shall become invalid unleslS the work authorized by suah permit is commenced witld n
SlK months of issuance, or If work authorl.zed by the permit is suspended or abandoned for a
period of six months after the time the \'/ork is conunenced, One 90 day extension of t hne
may be aLl oHed for the permlt Hith fee charge of $15,00, '1'he extension shaLl be req\1ested
in Hriting to the Building Official. An approved inspection mllst be logged dud ng each sil[
month period, or the project Hill be considered abandoned.
WARNllIG '1'0 OWNERl YOUR FAII.1JRE '1'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESlJIir HI YOUR
PAYING TWICE H'OR IMPROVEMEN'rS TO YOUR PROPER'ry. IF YOU m'l'END '1'0 OB'rAIN FINAHCIIH3, CONSIJV1'
WITH YOUR I.ENDER OR AN A'i"l'ORNEY BEFORE RECORDING YOUR NO'rICE OF COMMENCEMENT. ,JOBS llNI>ER
I~A:;: ll~l';;;l{EC::D AND POB1' :~F ~<EN;:'~~_s _
SIGNA'l'URE: OWNER OR AGENT SIGNA'I'URE: CON'I'R1\C'l'OR
CO.N JJ ~ '.'.1}~ O,\T S ().~ ~? S~}~'~I!.' l\F~l~~ f)A '!~~ T
S'1'P.'}'E Oli' InoRTIJA
COUN'l'Y OF .____.__
The foregoing instrument Has acknowledged
Before me this _._____ day of._ , 1~_
by
(name of person ackno~'/ledged)
[] Hho is personally kno\'/n to me, or
Llwho has produoed___~____
(type of identiflcation)
and who[]clJd Ddid not take an oath.
STA'l'E OF FLORIDA
COUN'l'Y OF __.____________
The foregoing instrument was acknowledged
Before me this _J.iay of--.-- , 19_.:....
by ______
(name of person acknowledged)
[kho is personally known to me, or
[] Hho has produced ____..___
(type of jdentificaLl.on)
and Hho [Jdid [}:iid not take an oath
Si.gnature of per-son tak1ng acknoHledgement
-'_.'--~-'--'--"---'------_'_---_'._---'P--~
Signature of person taking acknoH1edgmentf
N~~-,~;-t-yp-~d~-- ~-i7~t-ed -~~--;-t;;j~~d-------'
Name typed, printed or stamped
NOTICE OF COMMENCEMENT
~~~Wl~~~!W' 1111111111 1111111111 111111111111111111
state of --.F'lcri ~
County of __Jh.::. <.. 0
THE IrnOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes the
following inforI:1ation is provided in this Notice of Commencement: '
1. Descr iption of Property: Parcel No. \S'...;:llt - 2\ - O~()O - 00000-0 liD
\i mbu- W
(Legal descr~pt~on of t e property an
2 .
General Description of Improvement
GOY1 ~ t-r-. V1UA) Sj" ttu-n; ij b Ie ck.. hem-<..
3. Owner Information: Name C1L-Yd.crn 1-. ,'P~~'D.-;::tn BVJTlL
l\ddress 3S:SId-. Lhe.~tuDr. City -z.e.p~rhi Ils State FL 3?:>sc-i J
Interest in Property:
O1Pn-<....r
Name of Fee Simple Titleholder:
(If other th~n owner)
Rcpt: 640205
OS: 0.00
12/16/02
Rec: 6.00
IT: 0-;00
____ Opty Clerk
Address
City
State
4R
Contractor: N.:lme Tw By, nIL, -1 \LtSSDC\Gt.t-c-So. .Tne .
Addres s 3$:4-;;t4 c..hest--e..r 'Dr. City 7<10 ~ r h', \ ls
State PL 335L11
5. Surety: N.:lrne
Address
City
Stat~
Amount of Bond: $
JEO PITTMANi PASCO COUNTY CLERK
12/16/02 0 : 3Jrm 1 of 1
OR BK 516~ PG 1479
6.
Lender: Name
Address
City
State
7 .
Persons within the State of Florida
notices or o:her documents may be
7lJ.lJ(1)(a)(7), Florida Statutes:
designated by Owner upon whem
served as. provided by Section
tJ"mc
Address
City
State
8. In addition to himself, Owner designates
of
Lienor's Notice as provided
to receive a copy of the
in Section 713.13(1}(b), Florida Statutes.
l). r-xp.irn1.l'Jn d~te or tlot..ice of Commencement. (the expiration d,;:,te is 1 yedr
fr~m the ~.:lte of recording unless a different date is specified.)
oS iCJ~at ure of Owner:
~D.d~~)
Sworn to and subscribed before me this 13 ~ day of De.c.:c,..m be...r
200d.- . ~ ' .
Notury.pccbliC: ~.~
My C::J:il,;1j SSl.on Exp~res. Q..( dD03
PC93053048/ A
....,~......,. JAMIE L. MURPHY
l~. ~\. MY COMMISSION It CC 799573
~ :~ EXPIRES: April 27, 2003
'"1.r," Bonded 11vu Notary Public Underwriters
-t-5 C I J~~,I 1). /')1
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