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Home My WebLink About06-6181 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT I 6181 Permit Number: 6181 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 4924 5TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-21-0010-01000-0110 12,320.00 166.90 166.90 10/18/2006 Phone: CONVERT GARAGE TO LIVING SPACE WINDOW & DOOR Name: VARGHSSE,THOMAS Address: 4924 5TH ST ZEPHYRHILLS, FL. 33542 35.00 ~~~~~ \,1~ INSULATION CEILING ELECTRICAL ROUGH DUCTS INSULATED REINSPECTlON FEES: Reinspection fees will comply with Florida statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. 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. n NO OCCUPANCY BEFORE C.O. ~~ ~~ CO CTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6181 Permit Number: 6181 Permit Type: ADDITION/AL TERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Phone: Work Desc: CONVERT GARAGE TO LIVING SPACE WINDOW & DOOR Address: 4924 5TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-21-0010-01000-0110 96.90 1,000.00 J '~ ~ f')O G REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. 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. ~~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER JELDWEN@ . , .WIND;OWS& DOORS Hig.1..I,C,AJtli:EDOORSYSTEiMS '_APARAPUERTAS ,'NURACAN'ES Engineers Notice of Evaluation #GSI-162F #GDI-l64F #GTI-166F :...t \ , '1,,: PAGE # ; "CONT:4/NS: 2 Engiheers Notice of Evaluation 4' Inswing Inswing Inswing !oo" 6 Engineers Notice of Evaluation 8 ~nchor Calculations 10 b<;~fadrator;W/E6~.8Qpaque'steel door. , fS' ". . .. 14 ". DC Energy Saver W/E 6-8 opaque steel door 18 DC Energy Saver W/E 8~0 opaque steel door. 22 DC Gladiator W/E 6~8 glazed steel door 25 . DC Energy Saver W/ECS-8 glazed steel door . 29 DC Energy Saver W/E 8-0 glazed steel door 32 DC Energy Saver S/E 8-0 glazed steel doo~ . aquew/fSite\:d'oo'r. paque'steel doors 49" J-W'SteeI5/E:~utSW(ngO,p:aqu~;Steel doors w &. w/oSL 58 J-W Gladiator & E~~r.g~~aver,b$Wing glazed W/E st~el doors JW-10l-OC JW-102-0C JWc103-0C JW-104-0C JW-105-0C JW-106-0C JW-107-0C NOA 02-0712.06 NOA02-1022.14 NOA 02~1211.12 NOA 02-121l.l0 Outswing/inswing Outswing/inswing Outswing/insl,\/!ng Outswing Outswing/ inswing Outswing ~ "" '" " . ~>:,<i~.~~,.~:,,;;>~ Outswing/inswing Expires August 5~007 Expires Dee. 2, 2007 Expires April 14, 2008 Expires July 17,2008 For a complete IJsting ,jJ)'fJELD':' WEN Hurricane Door Systems, visit our website at: www.jeld-wenresearch.com. ORANGE THD-18005 5B 5-03 Notice of Acceptance and Approval/Installation Drawings Save for Builder and Inspector _..",c~..; .<;, "'~.< EXTERIOR STEEL DOOR INSTAllATION INSTRUCTIONS J~1!!W~~. ,. ,,>,. ~ ~- Tools needed: · Level · hammer · nail set . caulking gun · rubber gloves · tape l1leasure · square · Philli.ps screwdriver · safety glasses . power drill and 1/8" drill bit Materials needed: · Lockset · shims · caulking .,.:;andpaper · lOd galvanized casing or finish nails or #8 x 3" and #8 x 2 1/4" drywall screws · paint or stain (and primer or sanding sealer for raw wood doors) THD-404 3/03 ~'-- ~~~, ......"..., ,,'......... 0.1....... .....................' --~ -___.,..,~_-::::=__~__ I ~ I ~ [: ~ t I' f: 813-780-002U '-'II.J -. --'-..J'~-" . . Building Department Date Received o - IIp- 0 (P )PpAf1 ( ;.It~ Owner Phone Nu~ber I Owner Phone NumberO ~ , ~) 3) 7 OWner Phone Number I /I'l{f Owner's Name 'th ri~ LOT # JOB ADDRESS PROPOSED USE TYPE OF CONSTRUCTION B o I\/~I (OBTAINED FROM PROPERTY TAX NOTICE) E3 ADD/ALT 0 SIGN 0 MOVE 0 DEMOLISH NEW CONSTR INSTALL REPAIR SFR 0 COMM 0 OTHER I BLOCK c:6 FRAME 0 STEEL 0 OTHER I SUBDIVISION WORK PROPOSED BUILDING SIZE SQ FOOTAGE HEIGHT . 7fbo + o BUILDING 1$ ~ I . ~_ lOOO 0, ELECTRICAL 1$ I o PLUMBING 1$ I D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION D GAS 0 ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I. . I FLOOD ZONE AREA DYES DNO . . .' 1I111111111111111111111111111111111111111111111111111111I111111I111111111 i 11111111111111111111111 ~ 1111111111111111111111111~11111111111111111111111 V (D/rl' lu~ ~ A' 11J:>~ I COMPANY I ~fU.L () W ~ I - - -p REGISTERED Y I N I FEE tURRENT Y I N License # I I I I I Address License # I 'MECHANICAL I COMPANY I SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N Address I License # I OTHER I COMPANY I SIGNATURE . REGISTERED Y / N . FEE CURRENT Y / N Address I I License # I I 111111111111I1111111111111111I111111111I1111111111111111111111111111111111111111111111111 i 1111111111111111111 i 1111I111111111111I11111II11II1111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms , Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ...~PROPERTY SURVEY required for all NEW construction. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Directions: '. Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC VALUATION OF TOTAL CONSTRUCTION AMP SERVICE [2t , PROGRESS ENERGY D W.R.E.C, BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y I N FEE ClJRRENT Y/N License # Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N COMMERCIAL SIGN PERMIT Fences (PloUSurvey/Footage) Driveways-Not over Counter If on public roadwaysooneeds ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for complianCe with any applicable deed restrictions. 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 ~nder state law. If the own.er or Intended contractor are uncertain as to what licensing reqUirements may apply for the Intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847- 8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign portions of the "contractor Bloc~" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an Indication that he Is not properly licensed and Is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact' Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified In Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be Identified at the time of permitting. It is further understood thl\lt Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not Involve a certificate of occupancy or final power release, the fees must be paid prior to permit Issuance. Furthermore, if Pasco County Water/SeWer Impact fees are due, they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work Is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone other than the "owner", I certify 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. ') 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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government 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 Protection-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. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: , _ Use of fill is not allowed In Flood Zone "V" unless expressly permitted. . If the fill material' is' to be used In Flood Zone "N, It is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting Which is prepared by a professional engineer licensed by the State of Florida. .' ., . If the fill material Is to be used In Flood Zone "A" in connection with a permitted building uSing stem wall construction, I certify that fill will be used only to fill the area within the stem ~all. '. If fill material is to be used In any area, I certify that use of such fill will not adversely. affect a?Jacent ,properties. If use of fill Is found to adversely affect adjacent propertl~s, the owner may be Cited for VIolating the conditions of the building permit issued under the attached permIt application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. . . . . If I am the AGENT FOR THE OWNE~, I promise in good faith to Inform the owner ~f the permItting condItions set forth In this affidavit prior to commencing construction. I understand that a separate per~lt may ?e requlr~d for elect~ica~ work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically 1n?luded In the apphcatlon. A ermit Issued shall be construed to be a license to proce~d with the work and not as authOrity to vlolat~, cancel, alter, or ~et aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Bull.ding OffiCIal from the~eafter re uirin a correction of errors In plans, construction or violations of any codes. Every permit Issued shall become. Invalid ( ~ k authorized by such permit Is commenced within six months of permit issuance, or If work authorized. by un ess .e,.wo~s ended or abandoned for a period of six (6) months after the time the work Is commenced. An extension ~::~~:~~~:st~d, In writing, from the, Building Official for a period not t~ exceed ninety (90) day: an: ~II ~emo:rtrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job Is cons ere a an one . . ~::'=~~~EO~':tEI~P:g~:~~~~ ~~:~~~~~~TI~~gJ 1~~:;~g~~:TN~~~~~~d~.rsc:,~; WITH YOUR LENDER OR AN, ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR Subscribed and sworn to (or afflnned) before me this by Who is/are personally known to me or haslhave produced , as IdenUflcation. OWNER OR AGENT Subscribed and sworn to (or afflnned) before me this by Who Islare personally known to me or haslhave produced as Identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed. printed or stamped Name of Notary typed, printed or stamped - '6, TIONAL FLOOD INS U RAN-c-e-'PR'o GRAM ELEVATION CERTIFICA"..i. V.IVI.C. NO. ,jUO{-UU/ f Expires July 31,2002 Important: Read the instructions on pages 1 - 7. . .---,..--- --- -- - .SECTION A': PROPERTY OWNER INFORMATION For Insurance Company Use: Policy Number BUILDING OWNER'S NAME V~~J......<;c.. ,,4, T\.......'^"""l""-~ BUILDING STREET ADDRESS (Including Apt., Unj~ Suite, and/or 8ldg. No.) OR P.O. ROUTE AND BOX NO. '-( q ~ y. 5" +-.1 ~ + ""-ee.. ~ CITY STATE '2-Cfih ~('"" h~. \\? . J:" L . PROPER DE CRIPTION (Lot and 810ck Numbers, Tax Parcel Number, Legal Description, etc.) L - (( 6 - II:> ore..: oS \=;: l"" sot-A U ~ - ~ ~ t .fG.:;1 8UILDING US (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) Re5iDervTi A L LA TlTUDE/LONGITUDE (OPTIONAL) ( ##0 _ ## _ ##:W or ##.#####j Company NAJC Number. ZIP CODE ;'~5~ I HORIZONTAL DATUM: U NAD 1927 U NAD 1983 SOURCE: U GPS (Type): U USGS Quad Map U Other: SECTION e - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME & COMMUNITY NUM8ER 82. COUNTY NAME 83. STATE C ~ -+_ ~ 'Z .. \ \ ~ ~ 0 ~"3 S "'" 5 C. 0 }::'.? . 84. MAP AND PANEL 85. SUFFIX 86. FIRM INDEX 87. FIRM PANEL 88. FLOOD 89. BASE FLOOD ELEVATlON(S) NUMBER DATE EFFECTlVEIREVISED DATE ZONE(S) (Zone AO, use depth of flooding) oS- c.... ,.;t '-'/"11 (-::l..(,-,(q I .A.6 6't ' B10. Indicate the source of the Base Rood 8eyation (SF;:) data or base flood depth entered in 89. U FIS Profile L.A1 FIRM .. U Community Determined U Other (Describe): B11.lndicatethe elevation datum usedfcrthe8FEin B9: IlU NGVD 1929 LI NAVD 1988 U Other (Describe): 812. Is the building located in a Coastal 8anier Resources System (CBRS) area or Otherwise Protected Area (OPA)? U Yes ~ No Designation Date: ~ I A. , SECTION C - 8UILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations a~ based on: UConstrudion Drawings* LJBuilding Under Construction* WFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number...l- (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no. diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE. V1-V30, V (with BFE), AR, ARiA, ARlAE, ARiA 1-A30, ARlAH. ARlAO Complete Items C3a-i below according to the building dIagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section S, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section 0 or Section G, as appropriate, to document the datum conversion. Datum lUG "0 I"';z. "\ Conversion/Comments. . . ..J fA . - . Elev~ refe~ used L eC _ ~ D. oes the elevation reference mark used appear on the FIRM? U Yes I.2Sl.. No o ~ gf~(induding basement or ~ndosu~)-. ~ ~? . "3 ft.(m) ~ o b) Top of next higher floor ;;!,i..4 ._ft.(m) ~ o c) Bottom of Icw~st horizontal structural member 01 zones only) A . _ ft.(m). ~ ~ o d) Attached garage (top of slab) AI / A . _ ft.(m) ~ ~ o e) Lowest elevation of machinery andlor equipment . ~ : I C1>- servicin~1:the .building A c. ~ 4f . -1L ft.(m) ~ ~ o ~ Lowest adjacent grade (LAG) ':--'"--:;-d:"CC.: (j:$ . Je.... ft.(m) ~ j o g) Highest adjaCent grade (HAG) . '... ~ L.,J.::z.. ft.(m) f' o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade ~ :3 o i) Total area of all pennanent openings (flood vents) in C3h AJ IA sq. in. (sq. em) . '>- ' . ~-~ ~.~. . - '~.-' SECTION 0 -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I underst~d that any false stateme~~ ~a!,- b: ~_~~~~e by fine or imprisonment under 18 U. S. Code, Section 1001. CERTlFlERSNAME .. ..."C_ ... '.-'..___~_"'__' __,_n -. UCENSENUM8ER. ____.___._..._..._n DAVID L. SMITH :..~/'- . 5265-. , "_c,' TITLE'-PSM --- .~_-. .~-..'~~_~~..'~.'~:....~-"'...~..'" ._...._......'.:._.CO. MPANYNAME. ----.SMIrnn-.SURVE- YORS-~~~.::'-" _ ....---......,......--.-...,....-- .... ..-....-DAVID L.-.J..c. -~ ADDRESS .~.:c-.:..~;..;.cn::~TAMPA:..-.sTATE..FL: -..~.~:-90J;lb3612 . _._.~~ -;0 "'"0 2--"".- ,._.TE~I-Ipf-.!~( 813 E REVERSE SIDE FOR CONTINUATION REPLACES.AL.-L PREVIOlJ$::EQrr.:19~~ =:=MA Fo~ ~!-31~~:'G_99 _.::."~=~=:: . .---.' ._-~."'-.-~._---,_.~~_.. . ., .... . . '-~.-~ '---"--,-".~- . ._-~~~~~..~.~ ~~'~-:-]'~-'.~'..:.':;:~,~~~~~~:- . _ __'- ~._,.' .;: .:" ~." .:::'..:j::i';_;~:,.;~r:,__;"tj.:~-~- ,- ;::":;::. .-:' . .. -. - ;- .-- ~ -=-- "';'.~- ~ - IMPORTANT: In these spaces, copy the ")responding information from Section A. ~~ BUILDING STREET ADDRESS (Including Apt, Uni~ Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. ';L t1- .~ +re<. 4- CITY I. \ STATE ZIP CODE ~~~~~:?~.N.~J:~ ~~mber.";.~ Z-c::.. hr k.., L., "}"}S'-/I ~?r.~:-r..,".t"':' ,. SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED} Copy both sides of this Elevation Certificat~ for (1) community official, (2) insurance agent/company,. and (3) building owner. COMMENTS 1-1 Check here jf attachments SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT RECUlRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) lr Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting 'ormation for a LOMA or LOMR-F, Section C must be completed. . '. Building Diagram Number _ (Select the building diagram most similar to the building forwhich ~is certificate is being completed- see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) ./ . The top of the bottom floor (including basement or enclosure) of the building is' L-L.l item) LLJin.(cm) U ,above or U below (check one) the highest adjacent grade. . For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is LU ft.(m) LUin.(cm) above the highest adjacent grade. . For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? LI Yes LI No Lf Unknown. The local official must certify this information in Section G. . SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION e property owner or owner's authorized representative who completes Sections A. B, and E for Zone A (without a FEMA-issued or nmunity-issued 8FE) or Zone AO must sign here. . :JPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME )RESS NATURE IIMENTS CITY DATE STATE TELEPHONE ZIP CODE U Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) leal official who is authorized by law or ordinance to administer the commun!tYs floodplain management orcf~ce can complete IOS A, 8, C (or E), and G of this Eevation Certffieate. Complete the applicabie item(s) and sign below. -1 The information in Section C was talcen from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state. or 10~1 I~ to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) . J A community official completed Section E for a buDding located in Zone A (without a FEMA-issued or community-issued 8FE) or Zone AO. J The following information (Items G4-G9) is provided for community floodplain management purposes. :RMIT NUMBER G5. DATE PERMIT ISSUED Ga. DATE CERTIFICATE OF COMPUANCElOCCUPAb.I~~ . ISSUED . .. . is permit has been issued for: U New Construction Lf Substantial Improvemer,rt lvation of as-built lowest floor (including basement) of the building is: . . -. .. E or (in Zone AO) depth of flooding at the bwlding site is: . OFFICIAL'S NAME d. _ item) Datum: -~.--:.. item) Datum: TJTJ.E .' UNITY NAME TELEPHONE ., ~ ',.-.." ...-, .,:,...... , -.'-~-'..,:-.,'-....';...........,~~:......,. ...,.... iURE ... -_.... .- --,. ..- ."~ . '-....- ',"- --' - .,-;---'-,,; ..'....'.....--.-.':- -."': 7::::~:..~....--:-: DATE .. .--- ---'---"""""'-'-.---------'--.- .-.--' --~. --.-"- .,'-,- . , ~~~d~:,,-.;b2~~;~~i~~:~ " ..-.......,...".,.,-. ,.,..-,...... ._,.. ..._--- .- ,rTT"tR"f_"2of l\11~nn ....._. a _ _ _ ~ ~ _ .---.- ----.--.- .._"_.___._,..""'"....~_~__~A~"........,.<.. ""'._".,_.",..~.._,..-"_"_,"',.".,,,,'~."',.,'".~_._...",.,,,"" ---'~ -i ','I < - ""' ~ S,i .. ~" r-l f:" ~t:l."" :J "",' -.. r..J ' Q /,,1 '''' ~ ~ ,'. .. ,'"'I ';', ~, 7,' "~ ..,. .,. -<' :-;, ~. ,~-, ro.J ~, ~: f~ ' ~ -J. o :k \':t.-, -~ ~ -::t~ C'6 C' \-, ~:.~" .~' \,,'~'''', ........ :;t{' ;~ ~~ ..\!) ,- ~ .- E S ~d'~ ~~o ~i~~ ....l~....lU ....l....l~ ~j~~ i7? ~"j(,.~) Z '~ ;a S~ U ....l....l~~ ~~m / . I I I / / ....;:..'..... ".. ,~,:;i.:i~~~~,~"",.,,~.. .., . .-.....'_1...,.... .,,-,......_....-..""'~.~ <l IJl. tz. 'd '\l-l - .J O~.i-. "(~ol. 'f ~ P ,..J ~ ~ -'!.' !>' l.cl ,\:1,.J t\ \A. 0 I). -, ""~ .., ~ . \:J ~:.; ..J ~ ',~ v; tJt a ~ i r N d. F ^ .,. -'\ III ~'" '. F ;; <+- r __ '& ;:'.1 ~~~5~-.r~ -J ~ ~ 3 ~ ~ - d "" ~ - <' 'll. <J:: ..... t c ,.l) ~ ~..J _ I~ .9 \-- 31 ':h.I 'to Id. J "1 ~ '-l.> :.- '01;, %. - ~; tC _ ~ '5 , "- '" -. 1- j .J '" 7.L '!: _:j , " z:gtJi ~.- 15 ~i ~ :Z. A. )0 \cl <!: " , i '- J--r1J : ~{.ll0V~ i I ! , .:l( ! \.d ~. <.....J , '~. .......-- .~:'_....: \~ ....,'. J:J 1B ..J ~ ~/) Z :..!J ..." "'f X -z &t ~~ ~ ~ ~ ~ ~ ~ ul ~s: ~ ~ . \$ ~ ~.~ i ". Varghese Thomas - 4924 5th Street - Garage to Living SQ. FEET PRICE MAIN OR LIVING: - $ 88.00 OTHER AREA UNDER ROOF: 280 $ 44.00 OTHER: - $ - VALUATION $ 12,320.00 FEE SHEET $ 95.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 96.90 ELECTRICAL: $ 35.00 PLUMBING: $ - MECHANICAL: $ 35.00 SUB-TOTAL $ 166.90 RADON: $ - TOTAL $ 166.90 SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ . WATER METERI $ IRRIGATION METER $ FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ - PUBLIC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ - SUB-TOTAL $ 166.90 , I PARK IMPACT FEESI $ SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - : I TO F 's r 99% $ 1% $ TOTAL: $ 166.90 I t-\-Cr'("Y\Q CJU_5)~ Permit Application Review Comments By: Bill Burgess Date: C::r:-t \ lei , d-Ob(P Address: ~qd.Y 5+11 'S+-. [Q] No Comments . - Type: ('j"/'tl ~o ,-\- bG-.J....e.. <::(- +0 1-( t~) -:;rC1~ &~pRJ-Ti l~ L~~O Jri FL~D Z~. uJiLL K.).?",;jJ E-Lf".-\JfI1T~..J e,*-TIF,vcn-C 5tJ~~'\1'~~ b9SlZ- Fl~:,D ~YfFri,^, '0'-1 FT. F~0\iL ~'fATi ~'l {\Jr>-C6SC';,r1()L'j .(3" -----_.~-- .~ LNI \. \. r3 JZ- J2k-1"j) ~>iJ? 'Th 3~ J2A I s.~ 8 '3 Li- I ort- ,Jl esrt-R, ------ --.----------- ~I')T;N~ P'f.C 1 cl1 , 10)'7 /~ BtIJi)C; '=' (r ~ ~--- ~ 5"""vJ I N ~ L ':'",'IlZl. \ / \ ---/ ) ~~U~T <S'--.)fJyV\\T1~ rl~Yl r4~~vC- ~~. ~- ------ J' State of NOTICE OF COMMENCEMENT r LOR' t> ft County of p fJ5- C to 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. Description of Property: ParcelNO'/'f-;:(C r-dJ -001 O'~r.q" 0 /0(00- () 110 (Legal description of the property and street address if available) IT} , % If /)( T'lJ (jUy o~ a_ r Clf L S' If) v-e-..L- V 1> 2. General Description of Improvement Co4vJ~tcl ~ Name of Fee Simple Titleholder: (If other than owner) Address 4. Contractor: Name BJ Address 5. Surety: Name Address Amount of Bond: $ 6. Lender: Name Address 1111111111111111111111111I1111111111111111111111111111111111 2006210687 City o (~I nL( City State State City Rcpl: 1042207 Rec: 10.00 os: 0.00 IT: 0.00 10/18/06 Dpty Clerk State JED PITTMAN~ PASCO COUNTY CLERK 10/18/06 1~:35am 1 of 1 OR BK 7228 PG 1761 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: Name 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.) Signature of Owner: day of WDlo.L- ,2Odb . My Commission Expires: PC93053048/ A I~D 95LP I [P;). l1~ () ~~ ~~ ~,G. ~ ESLIE DIXON MY COMMISSION # DD57 EXPIRES: July 12.2010 Fl. Notary Discount J.\SSoc. Co. Notary Public: