HomeMy WebLinkAbout04-3362
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3362
Permit Number: 3362 Issued: 9/24/2004
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 1 01-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 100,150.00 Total Fees: 3,312.18
Amount Paid: Date Paid:
Address: 5043 5TH T
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-18700-0090
Name: HOMEOWNER
Addr:
Phone: Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Phone:
I
WATER CONNECTION RESIDENl
RADON
419.00 MECHANICAL FEE
20.03 WATER METER RES 3/4"
IC
72.60 BUILDING FEE
180.00
784.50
_llr~{
~ 1 U
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
"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."
NO OCCUPANCY BEFORE C.O.
~ .
...
TORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o <'"'
~
PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 FAX 813-7111-711111
0 . 103110 E:8 0
\'1 0 n 0
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CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
i--54Y <t
WATER ACCl. NO.
DATE
9-d.tl--tJf
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Icpwt.u::~
I REmER
~
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r-.~ IJ':< -:2. - ~ ~~ :5t;
~-ry:~~, FZ
SERVICE ADDRESS -0 - 6'M- ~ p
%1'
o
'R
~
o
WATER
SHUT OFF SERVICE
TURN ON SERVICE
o SEWER
CHECK METER
o
0 GARBAGE
)Q IN CITY
0 OUT CITY
INSTALL METER
READ METER
OTHER
o
--1- No. OF UNITS
_ DEPOSIT AMOUNT
-fil tJ> . ;~
- AMOUNT LAST BIU
_ 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 Depl. to sign yellow form & return to office.
Scott Scipione
Lot #8 - 5th St.
sofg
SQ. FEET PRICE
MAIN OR LIVING: 2,003 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 100,150.00
FEE SHEET $ 483.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 784.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 784.50
ELECTRICAL: $ 117.05
PLUMBING: $ 103.00
MECHANICAL: $ 72.60
SUB-TOTAL $ r--r 077.1 fj- y---~
(ft4DON: $ 20.Q~ ~
TOTAL $ , 1,097.18
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
r/
7,1' ")1~ ' t (!, ()
Y_Iv-- ..
7 ..-6 6. ()
Jj)~/
TOTAL: $ 6,594.18 I
WATER METER: $
IRRIGATION METER $
SUB-TOTAL
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TRANSACTION REPORT
AUG/27/2004/FRI 01:37 PM
P.01/01
RECEIVER
817278157000
TYPE/NOTE
OK
FILE
SG3 0219
Zephyrhills Bldg.
Dept.
Fax
To:
Judy
From: Kitty
Fax: 727-a15-7000
Pas.: 1
Phone: 813-780-0020
Date: 8/2712004
He:
address
ee:
o U..ent
x For Review
D 'PIease CO.......nt 0 Please Reply 0 Please Recyde
e Comments: Parcel JD# 11-26-21-0010-18700-0090 will face 511 St
Zephyrhills Bldg.
Dept.
Fax
To:
Judy
From: Kitty
Fax: 727-815-7000
Pages: 1
Phone: 813-780-0020
Date: 8/27/2004
Re:
address
cc:
o Urgent
x For Review
o Please Comment 0 Please Reply 0 Please Recycle
· Comments: ParcellD# 11-26-21-0010-18700-0090 will face 5th S1.
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM ~1 Residential Limited Applications Prescriptive Method C CENTRAL 4 5 6
Sm8l1 Additions, Renovations &. Building Systems
Compliance with Method C of Chaptel6 of \he Rorida Energy Efficieney Code may be demonstrated by \he use of F0!lTl6OOC-01 lor additionS of 600 square feet or less, site- installed componen1S of maoofactured homeS, and
reoova1ionS to' and ' , . . AIlemiltive methods are . for ad<ilions use of Form 6006-01 or 6OOA'()I,
PROJECT NAME: C: BUILDER:
AND ADDRESS: PERMITTING 0 0 0
OFFICE: ZONE: 4 5 6
OWNER: Co 'It(7/} (,. PERMIT NO.= JURlSDICTIONNO.: c:r=crr::o
SMALL AOOtTICNl TO EXISTING RESIDENCES (600 Square feel or less 01 oord\iOIlIld area), ~ ~iremen\S i1 T aI.lIes 6C-1, 6C-2 and 6C-3 appy C1I'tf tllle COOJ;lOIlllIiS ollie adlition, no! tl the 8lIiD1g buIdng.
Space healing, ooofing. and water healing equipmenI efficierCy levels must be met only when equipment is insta8ed specifically to seMl the atldiIion oris ~ installed in conjunction with the additiOO COllSIrOOioo. Co11\JlOIlenIS
separating unconditiOned spaces from conditioned spaces must meet the prescrtbed minimum insulation levelS. RENOVATIONS (Residential buildngs uOOe/gOing 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 componen1S and equipment being renovated or replaced, MANUFACTURED HOMES AND BUILDINGS, Only sile-installed oomponents and features
are covered by ttis form. BUILDING SYSTEMS Comply when complete new system is installed. Plea- Print CK
1. Renovation. Addition, New system or Manufactured Home
2. Single family detached or Multifamily attached
3. If Multifamlly-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
8. Floor type and Insulation:
a. Slab-on-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 eat pump, elec. strip atural 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" (YesINo)
14. Hot water system:
(Types: elec., natural gas, other, existing, none)
* Pertains to manufactured homes with site installed components.
1.
2.
3.
4.
5.
/ J'l
6a.
6b.
7.
Single Pane Double Pane
sq. ft.~ sq. ft.
sq. ft. 113 sq. ft.
0/0
8a.
8b.
Be.
8d.
Be.
R=
R=
R=
R=
R=
__ lin. ft.
__ sq. ft.
sq. ft.
__ sq. ft.
__ sq. ft.
9a-1 R=JL sq. ft.
9a-2 R= sq. ft.
9b-1 R= sq. ft.
9b-2 R= sq. ft.
9c
10a. R= '}O / I./.J'-I sq. ft.
10b. R= sq. ft.
11. Type: Ce'\f rbl
SEERlEER: 1'-
12. Type: eLet.+J'~ ~ ft"R
HSPF/COP/AFUE:
13a. !y~
13b.
14. ~:;: -pfJeetr,y
Review of plans and ~ covered by this calculation indicates co~
~ \he FlOrida Energy Code. Before c:onstr\iCliOIl is ~, this blikflllQ wiD be
inspeeted for cornpIi*1ce in accordance with Seclion 553.908, F .5.
BUILDING OFFICIAL:
DATE:
-1-
Climate Zones 4 5 6
TABLE 6C-,l : PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (600 Sq. Fland Laa), RENOVATIONS TO EXISTING BUILDINGS AND SITE.INSTALLED COMPONENTS OF MANUFACTURED HOMES.
M1NIMUN INSULATION
COMPONENT INSULATION INSTALLED
Concrete Block R-5
en Frame, 2' x 4' R-ll
....J Frame, 2' x 6' R-19
....J
~ Common, Frame R-ll
Common, Masonry R-3
Under Attic R-30
en Single Assembly; Enclosed
C)
z Frame R-19
::J Metal Pans R-13
jjj Single Assembly; Open R-l0
0 Common, Frame R-ll
en Slab-on-grade No Minimum
a: Raised Wood R-ll
0
9 Raised Concrete R-5
u.. Common, Frame R-ll
u In unconditioned space R-6
::> In conditioned space No minimum
0
MINIMUM INSTALLED
EQUIPMENT EFFICIENCY EFFICIENCY
Central AlC - Split SEER = 10,0 SEER = -
~ -Single Pkg. SEER = 9.7 SEER =
:J -
8 Room unit or PT AC EER = 8.5* EER = -
Electric Resistance ANY
Cl Heat pump - Split HSPF = 6,8 HSPF = -
z - Single Pkg. HSPF 6.6 HSPF
~ = = -
w Room unit or PTHP COP = 2.r HSPF/ =
:J: -
w COP
S:f
Cl.. Gas, natural or propane AFUE = ,78 AFUE =
en -
Fuel Oil AFUE = .78 AFUE = -
a: Electric Resistance EF = .88 EF = -
S~ Gas; Natural or L.P. EF = .54 EF =
:J:~ -
Fuel Oil EF = .54 EF =
. See Table 6-3. 6-7
Maximum
1'- .87 0'- .78 2'- .87 1'- .78 3' - .87 2'- .78 4' - .87 3'- ,78
0'- .75 1'- .75 0'- .61 2' - .75 1'- .61 3' - .75 2'- .61
0'- .57 l' - .57 0'- .44 2' - ,57 1'- .44
0' - .39 l' - ,39 0'- .35
Get certified SHGC from the manufacturer or use defaults: Single clear SHGC = .87, double clear SHGC = .78, and single tint SHGC = .75.
TABLE 6C-3 I MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REoUlREMENTS CHECK
Exterior Joints" Cracks 606.1 To be caulked, aasketed weather-strinned or otherwise sealed.
Exterior Windows" Doors 606.1 Max. 0.3 cfm/sa.ft. window area; .5 cfm/sa.ft. door area.
Sole" TOD Plates 606.1 Sole olates and oonetrations throuah too olates of exterior walls must be sealed.
Receaaed Uahtlna 606.1 Tvoo IC rated with no oanetrationsltwo alternatives allowed),
Multl-storv Houses 606.1 Air barrier on oerimeter of floor cavitv between floors.
Exhaust Fans 606.1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion
devices with intearal exhaust ductwork.
Combustion 606.1 Combustion space and water heating systems must be provided with outside combustion air,
Heatlna exceot for direct vent annliances.
Water Heatenl 612.1 Comply with efficiency requirements in Table 6-12. Switch or clearly marlc;ed circuit breaker (electric)
, ..,,,..t ~:. . I=vt....,..1 nr h"Ht.in heat traa' .. ri....r<>
SwimmIng 612.1 Spas & heated pools must have covers (except solar heated). Non-commercial pools must have a
'Pools" SOss oumo timer. Gas soa & 0001 heaters must have minimum thermal efficiency of 7~o.
'+tot Water PI-- 612.1 Insulation is reauired for hot water circulatina svstems lincludina heat recovery units).
;.Shawer Heads 612.1 Water flow must be restricted to no more than 2.5 aallons oar minute at 80 PSIG.
.tNAC Duct 610.1 All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically attached,
I Cci1ri8tructlon, sealed, insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be
Inwtatlon " Installation insulated to a minimum of R~.
HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system.
GENERAl DIRECTIONS:
1, On Table 6C.1 indicate the R-value of the insulation being added to each component and the efficiency levels of the equipment being installed, All R.values and efficieR:ies installed must meet or exceed the minilnurfrvalues1sted,
Components and equipment neither being added nor reoovated may be left blank.
2. ADDITIONS ONLY, Determi1ethe percentage of new glass to corllIIioned floor area in the a<kliOOn as follows, Total the areas of aI ~ windows, slicing ~ doors and ~ass door panels, Double the area ofalll1OlHellbltrool
glass and add h to the previous total. When glass in existing exteriorwals is being reR1OI'ed or enclosed by the addition, an lIl1OUI1I equal to the total area of tt1s ~ may be SlbIracIed from the illaI ~ area, Divide.the &qusIed
glass area total by the conditioned floor area of the acilition, MuflipIy by 100 to get the pen:ent, And thelargest glass pen:entage underwhicl1 yourcalculated peroentage fats on T able6C-2. PrescriptiYes are given bythe1)lle of glass
(Single or Double pane) and the overhang (00) paired with a solar hear gain coefficient (SHGC), For a given glass type and overhang, the minimum solar heat gain coefficient allowed is specified. Actual glass windows and doors
previO\JS~ in theexteriorwalls of the hoose and being reinstalled in the addition do not have to comply with the overhang andsolar heat gaincoefficient re<Jlirements on Table 6C-2. All new glass in the adlition must meet the requirement
for one of the optionS in \he _ percentage ~ you indi:aled, The oveff1ang (OH) distance is measured perpendicularty from \he face of the glass to a poinldlreclty undertheoutennosl edge of !he oveff1ang.
3, RENOV ATlONS ONLY. RepIa:ement ~ needs to meet the following requirements, Any glass type and mheat gain coefficient may be used for~ areas wt1ch are underat IeasI a two 1o?i oveIhang and who6e lowest edge
does not extend furlherthan 8 feet from the oveIhang. Glass areas being rerovated that do not meet this criteria roost be either sige-pane tiied, 00ubIe-pa1e clear or double-pane tinted,
4. BUILDING SYSTEMS. Comply when new system is installed for system installed.
5. Complete the information requested on the top half of page 1.
6. Read 'Minimum Requi'ements for Small Additions and Renovations', Table 6C-3, and check all app/ialIlIe items,
7. Read, sig1 and date the 'Owner/Agenf cer1ificationstatemen1on page 1. _ 2 _
Parcel Inf<;>tmation for: 11-26-21-0010-18700-0090 Card: 001
Page 1 of 1
Welcome: Records Search: Parcel Detail
Search AQain Show Map Building Schematic Unavailable Estimate Taxes
See Tax Collector Information - CurrenUDelinauent Taxes
ParcellD 11-26-21-0010-18700-0090 (Card: 1 of1)
Classification 00 - Vacant Residential
Mailing Address Assessment (totals)
SCIPIONE SCOTT Ag Land -
PO BOX 365235 Land $9,555
HYDE PARK, MA 021360004 Building $0
Physical Address Extra Features $0
Legal Description (First 4 Lines) Total Assessment $9,555
CITY OF ZEPHPYRHILLS Save Our Homes $0
PB 1 PG 54 LOT 8 & NORTH 1/2 Taxable Value $9,555
OF LOT 9 BLOCK 187
OR 5946 PG 1405
Land Detail (Card: 1 of 1)
Line I Use II Description II Zoning " Units II Type I Price Cond Value
01 0100 SFR 00R3 14,200.0011 SF I 1.95 1.00 ' $8,190
02 0100 SFR 00R3 12,100.0011 SF " .65 1/ 1.00 II $1,3651
I Additional Land Information I
Acres II 0.14 " Tax Area 1/ 30ZH II Fema Code 181 Res Code IIZHLHLP21
I Building Information I
I Unimproved Parcel 00 I
Extra Features
No Extra Features
Sales History
Previous Owner BALL JOSEPH F JR
Year Month Book I Page Type Amount
2004 07 5946 / 1405 WD $20,000
2004 04 5807/1713 WD -
2003 I 05 I 5368 / 0438 WD I $46,0001
Search AQain Show Map Building Schematic Unavailable Estimate Taxes
See Tax Collector Information - CurrenUDelinquent Taxes
http://appraiser.pascogov . comlsearchlparcel.asp?sec= 11 &twn=26&mg=21 &sbb=OO 1 O&bl... 8/30/2004
Map - Pa~co County Property Appraiser Page 1 of 1
Pasco County, Florida Section 11, Township 26, Range 21, 0.2 miles SSW of
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Map - Pa~co County Property Appraiser Page 1 of 1
Pasco County, Florida Section 11, Township 26, Range 21, 0.2 miles SSW of
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'-
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
o/z~/ov
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
~~
YJe-
JOB ADDRESS 5f rf.2-W~ Z e.)i,,,! i /,
LEGAL DESCRIPTION: LOT(S);-I nc:-i Yl1 BLOCK /#~
PARCEL 10 # /1. 76 - Zt. 0010 - /~f 00 - 6090
SUBDIVISION
WORK PROPSED: ~W CONSTRUCTION o ADDITION OALTERATION [J REPAIR o INSTALL
OS IGN o MOVE 0 DEMOLISH
PROPOSED USE: 0SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SW IMMING POOL o OTHER
(OBTAIN FaclM PROPRRTY TAX NOTICE)
BUILDING SIZE
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
IV e l,J H rr-t e.-
SQUARE FOOTAGE /~C)
~
HEIGHT /6'
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOPMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
[3- ELECTRICAl,
VALUATION OF TOTAL CONSTRUCTION
ITBUILDING
$
Yo (f5v()
{CO
PERMITS REQUESTED
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
r::'rPLUMBING
t:r" MECHANICAL
$
/ {)DO
TYPE OF CONSTRUCTION: ~BLOCK
o FRAME
cPS / 1'-(
o STEEL
o OTHER
.:f L 1-
/J)?J '{J
o GAS
o ROOFING
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA~ES
o NO
CONTRAcToarSECTION
BUILDER
.1eJtl~:-
COMPANY (JWYf. t> /'
SIGNATURE
STATE CERT OR REGIST #
*********************************************************,*********
COMPANY () tJ/Y./7)
STATE CERT OR REGIST #
******************************************************************
PLUMBER
SIGNATURE
.>>~j~
COMPANY I2J l--vVl vr-
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
SIGNATURE
vl MI J~\
COMPANY (?)L-lv1 ,(/--
STATE CERT OR REGIST # _
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" w~ich
may be more restrictive than City regulations. The undersigned assumes responsibility (0r
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, 813-780-0020.
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 indica~ion 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 ~dentify 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.8. 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 vwrk 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
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 20
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
Owho has produced
(type
and whoO did Odid not
of identification)
take an oath.
Owho has produced
(type of identification)
and who 0 did [kiid not ta ke an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
State of
NOTICE OF COMMENCEMENT
"::-/01 :dCJ County of (Ja<...co
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1.
2.
Sc .\p ,'vf) ~
City ?e(J4'1( /,,//'-)
~ <S~lde./lec....
r:; {~ f I- C; c ~,'on t'.
State --;=-/
'335L/'1.
3.
Owner Information: Name gc,o f(-
Address 50 '( L t't;, 51
Interest in Property: pI' ,\-., ~r'7
Name of Fee Simple Titleholder:
(If other than owner)
Address City
Contractor: Name C]{ /J If Sc ,\p I' 0-<7 -f'_
Address )() Z-z. 6ft, ~I- City -Ze~L,ir j,,l/~
State
R
5. Surety: Name
Address
State j:::-(
33542--
City
State
Rcpl:811176 Rec: 10.00
DS: 0. 00 IT: 0. 00
08/27/04 ______ Opty Clerk
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
JED PITTMAN, PASCO COUNTY CLERK
Name 08/27/04 10: 04am 1 of 1
OR BK 6002 PG 1820
Address City State
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), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
tfltrJ j. 0)...0 f () '10/1
day of 7-
, 20 t' i"\ .
My Commission Expires:
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