HomeMy WebLinkAbout08-7552
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7552
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
7552
ADDITIONIAL TERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
Address: 3446 MALACHITE DR L T 137
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number: 24-26-21-0040-00000-1370
15,000.00
DAVIGNON, LEO & MICHAEL
3446 MALACHITE DR L T# 137
ZEPHYRHILLS, FL. 33540
401 316-0183
Name:
227.50 Address:
227.50
2/28/2008 Phone:
12.5 X 21 ROOM ADDITION & 6X6 SHED
HOMEOWNER
HOMEOWNER
35.00
~
-r"f---;. 't<'~",~e ,c.':, il
2ND ROUGH PLUMB MISC
FOOTER BOND DUCTS INSULATED SEWER MISC,
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC,
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC, MISC.
CONSTRUCTION POLE FRAME MISC, MISC.
REINSPECTION 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."
-Ii- ~CG ,rg Jv ~
CONTRACTOR SIGNATUR PERMIT OFF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, City of Zephyrbi11s
BUILDING PLAN REVIEW COl\1MENTS
- --'-".-
.-:-:~;.~.~~:~:~~ > -.:-
_____ .' .c 'c';':~"'-':--"-;::~._-:~'
-;-_..-,-,-~ .~;..-:::-~_..."...---=:=.
.~~~~ --,
Approved wino comments: 0
It-o ,Da V'JAOn
2 - 2,-7 ~ iJfj
:3lf<f 6 Jid fl!<cf ~ a
ski ~~{; / tm Ilrltt~ {7.-. 5,x Z/
I .
ApPrOved withe below comments! Denied withe below comments: 0
Contractor/Homeowner:
Date Received:
Site:
Permit Type:
\e
oi.~
u~
i-e
Vl1e Ow R tJ
Cn"ffd c.lor"
6tv\'
kept with the permit and/or plans.
:2.~7-ol
Date
~~ . ~#15
Contractor and/or Homeowner
(Required when comments are present)
APPENDIX 13-D
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600C-04R Residential Limited Applications Prescriptive Method C CENTRAL 4 5 6
Small Additions, Renovations & BuildinG Svstems
Compliance with Method C of Sub-Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 600C,04 for additions of 600
square feet or less. site-installed components of manufactured homes. and renovations to single' and multi pie-family residences, Alternative methods are
provided for additions by use of Form 600B-04 or 600A-Q4,
PROJECT NAME:
AND ADDRESS:
OWNER: Leo R. t'lO"'-'
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 ren'
ovations costing more than 30% of the assessed value of the building), Prescriptive requirements in Tables 6C,1 and 6C,2 apply oniy to the components
and equipment being renovated or replaced, MANUFACTURED HOMES AND BUILDINGS, Only site,installed components and features are covered by this
form, BUIL.DING SYSTEMS, Comply when complete new system Is installed,
,. Renovation, Addition. New System or Manufactured Home
2. Single-family detached or Multiple-family attached
3. If Multlple-family-No. of units covered by this submission
4. Conditioned floor area (sq. ft.)
5. Predominant eave overhang (ft.)
6. Glass type and area:
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: " Masonry (Insulation R-value)
2. Wood frame (Insulation R'value)
b. Adjacent: " 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, LP'gas. gas h.p.. room or PTAC.
existing. none)
13. Air distribution system'
a, Backflow damper or single package systems. (YesINo)
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.
CK
Please Print
1. AAd'+IDw
2. SI"'-'5'~
3 -
4: .;l~q r/1
5. {/
Single Pane Double Pane
6a. sq. ft. _ sq. ft.
6b. sq. ft, ~ sq. ft.
7. ~%
8a R =_
8b. R=~
8c. R=_
8d. R =_
8e. R=
Un, ft
~sq,It,
sq, It,
sq, It,
sq, It,
9a-' R=_ 3{,g sq. It,
9a-2 R=~ sq. It,
9b-1 R=_ I~g sq, It.
9b-2 R=~ sq. It.
9c.
10a. R= .;?c.c; sq, It,
10b. R= /3 sq, It,
11.
Type:
SEER/E~R:
Type:
HSPF/COP AFUE:
12.
13a,
13b.
14,
/'
/
Type/
EF:
ns and specifications covered by the calculation are in compliance w~h
DATE,oZ!-Z74
rgy Code: ~ _."., A
DAT~ ;,\ {'V,
FLORIDA BUILDING CODE - BUILDING
ates compliance with the Florida
,II be inspected for compliance in
13-D.35R
APPENDIX 13-0
Climate Zones 4, 5, 6
TABLE 8C-1: PRESCRIPTIVE REQUIREMENTS FOR SMAlL ADOmONS (800 Sq. FI. and Less). RENOVATIONS TO EXISTNG BUILDINGS ANO S1TE~NSTAlLEO COMPONENTS OF MANUFACTURED HOMES
EQUIPMENT MINIMUM INSTALLED
EFFICIENCY EFFICIENCY
~ Central AlC -Split SEER = 13.0. SEER -
z
~ , Single Pkg. SEER = 13.0' SEER =
8 Room unit or PTAC EER =8,5. EER -
u
Electric Resistance ANY
~ Heat pump' Spilt HSPF = 7.7" HSPF -
z , Single Pkg. HSPF = 7,7. HSPF =
~ Room unit or PTHP COP =2,7. HSPF/COP =_
:I:
W Gas. natural or propane AFUE = .78 AFUE -
u
if Fuel Oil AFUE = ,78 AFUE -
rn
a: Electric Resistance EF = .92 EF=
f-W
O!;( Gas; natural or LP'gas EF = .59 EF=
:I:;s: Fuel Oil EF = .54 EF=
It
COMPONENT MINIMUM INSULATION
INSULATION INSTALLED
Concrete Block R,5 K-II
rn Frame. 2' x 4' R,11
j Frame, 2' x 4' R,19
Common, Frame R,11
Common. Masonry R-3
Un~er Allie R,3Q
rn Single Assembly; Enclosed
(!l R,19
z Frame (<-I?
~ Metal Pans R'13
W
u Single Assembly; Open R,10
Common. Frame R,11
rn S1ab-on-grade No Minimum 12 -i I
a: R-11
9 Raised Wood
Raised Concrete R'5
"- Common. Frame R,11
t In unconditioned space R,6 t2 -Ce
::> In conditioned space No minimum
c
It
TABLE BC-2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADOmONS ONLY
. See Teble 13,607 .1,ABC.3,2 end 13-608,1 ,ABC,3,2
Maximum cercentaee elass to floor area ellowed is selected bv Ivpe. overhang length, and solar heat gain coefficient. Maximum % - Installed % -
GLASS TYPE. OVERHANG. AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED
UP TO 20% UPTO 30"1. UP TO 40% UPT050%
Single Double Single Oouble Single Double Single Double
OH-SHGC OH,SHGC OH,SHGC OH,SHGC OH,SHGC OH,SHGC OH,SHGC OH,SHGC
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 1', ,57 0', .44 2', .57 1', .44
0', .39 1', .39 0', ,35
0', .30
Get certifled SHGC from the manufacturer or use defaults: Single clear SHGC = .75. double clear SHGC = .66. and single tint SHGC = ,64
TABLE 8C-3 MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
ExterIor Jolnlll . Cracks 606,1 To be caulked. gasketed. weather'stripped or otherwise sealed.
ExterIor Windows. Doors 606.1 Max, 0,3 cfmlsq.ft, window area; .5 cfm/sq,ft, door area.
Sole. Top Plates 606.1 Sole plates and penetrations through top plates of extenor walls must be sealed,
Recessed Ughtlng 606.1 Type IC rated with no penetrations (two alternatives allowed).
Multlatory HOUHS 606,1 Air barner on penmeter of floor cavity between floors.
Exhsuat Fans 606,1 Exhaust fans vented to unconditioned space shall have dampers, except for combustion devices with integral exhaust
ductwork.
Combustion Heating 606,1 Combustion space and water heating systems must be provided with outside combustion air, except for direct vent
appiiances.
Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked circuit breaker electric or cutoff
(gas) must be provided, External or built.;n heat trap required for vertical pipa risers,
Swimming Pools & Spas 612,1 Spas & heated pools must have covers (except solar heated). Noncommercial pools must have a 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 (inclu~ing heat recovery units),
Shower Heeds 612.1 Water flow must be restricted to no more than 2,5 gallons per minute at 80 psig.
HVAC Duct ConstructIon, 610,1 All duels. fillings. mechanical equipment and plenum chambers shall be mechanically attached, sealed. insulated and
Insulation. Inatellstlon installed in accordance with the cntena of Section 610,1. Ducts in allies must be 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'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 efflclencies installed must meet or exceed
the mlnimLm values listed. Components and equipment ne~her being added nor renova1ed may be left blank,
2, ADDITIONS ONLY. Oetermine the percentage of new glass to cond~ioned floor area in the addition as follows, Tetal the areas of all glass windows, sliding giass doors and glass door panels. Oouble the
area of all nonvertlcal roof glass and add it to the previous total. When glass In existing extenor walls Is being removed or enclosed by the addition. en amount equal to the total area of this glass may be
subtracted from the total glass area, Olvide the adjusted glass area total by the conditioned flcor area of the add~ion. Multiply by 100 to get the pecent, Find the largest glass percentage under which you r
calculated percentage falls on Table 6C-2. Prescriptlves are given by the type of glass (single or double pane) and the overhang (OH) paired whh a solar heat gain coefficient I>HGC). For a given glass type
and overhang, the minimum solar hea1 galncoefficlentallowed is specified. Actual glass windows and doors previously in the exterior walls of the housend being reinstalled In the add~ion do not have to
comply with the overhang and soiar heat gain coefficient requirements on lible 6G-2. All new glass in the addition must meet the requirement for one of the options in the glass pelOentage ca1egory you
Indicated. The overhang (OH) distance Is measured perpendicularly from the face of the glass to a point directiy under the outermost edge of the overhang,
3, RENOVATIONS ONLY. Replacement glass needs to meet the following requirements. Any glass type and solar heat gain coefficient may be used for glass areas WhiCh are under a1least a 2,Ioot overhang
and whose lowest edge does not extend further than 8 feet from the overhang, Giass areas being renovated that do not meet this criteria must be either single-pane tinted. double,pane 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 Requirements for Small Addnions and Renovations: Table 6C'3, and check all applicable ~ems.
7. Read, sign and date the "Owner/Agent' certification statement on page 1.
13-D.36R
FLORIDA BUILDING CODE - BUILDING
1Jn
Dr:
me- a::; a.fa
Fee Simple Titleholder Address I same as at:x>.r~
i,~tf~~~~?}, ~'/~ ~ 33E71o I LOU 1/31
Em ~ I' PARCELlD#1 ~'f-~0-;2/- 190ifD-a>OM- J 37D
d NEW CONSTR r==J ADD/All D ::~INED 0 PROP~~~~AX DCE) DEMOLISH
U INSTALL D REPAIR
PROPOSED USE D SFR D COMM D
TYPE OF CONSTRUCTION D BLOCK D FRAME D
DESCRIPTION OF WORK I RoDm Add i +1 i)Y1 ~ .s he.L
BUILDING SIZE l/~~X -;~~I SQ FOOTAGE I 33g!/J HEIGHT I
111111 , 11111 , I , 111111111111 . I . 11111 11111111 , , II . . , ' I111 II lIP I , . . 1111111111 . II , I . . II I lIP . 111111111 , ' , . 11111111 111111 . 111111 . , 1111111111111 '11111111
IKT
p?J
~
~
81:3-780-0020
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
BUILDING
OTHER
STEEL
I
D
OTHER I
ELECTRICAL
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
PLUMBING
D
~
W.R.E.C,
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
ROOFING
D
I
SPECIALTY D
FLOOD ZONE AREA
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
OTHER
DYES
~NO
Owr;e.r- J...eo f( Da:V/4rlOn
'I 'y / N I FEE CURRENT I Y t:M I
License # I /J h..
~ ~ 'Z~ FEE CURRENT I Y / N
License # I /7 h-
OtJ)Il&r- /-.e.O R., DrA.Vi.!1non
I Y I N I FEE CURRENT r Y I N '-"
License # I I? ~
Y I N
Y/N
FEE CURRENT
License #
Y/N
Y/N
FEE CURRENT
Address License #
11111111111I1111111111111111111111111111I111111I1I1111111I11111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date, Required onsite. Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans. Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans,
....PROPERTY SURVEY required for all NEW construction.
i:il~~~tj~~~':' . , , . . . . . . . . . . . . . . , . . . . . , . , . . . . , . . . . . . . , . . . , . . . . , . . . . . . . . . , , . . . , , , . , . . . , , . . . , , . . . . . . . . . . , , , . . . . . . . . . , , . , , . . . . . . , . . . , . . . . . , . . . . . , . , . . , . I
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 Fences (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs 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 climplian<<;e 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
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 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 Block" 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 that 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, WaterlWastewater 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 "A", 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 wall. , .
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properti~s, the, ow~er 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 OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a s.eparate perm~t. may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically In~luded. In the application. A
permit issued shall be construed to be a license to proceed with the work a~d not as authon~y ~o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violations of any codes. Every permIt Issued. shall become. invalid
unless the work authorized by such permit is commenced within six months of permit issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced.. An extension
may be requested, in writing, from the Building Official for a period not t~ exceed mn~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job 15 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 AN ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F,S. 117 ~ CONTRACTOR o!tJei~ j ~~jJA ~A.Yi
S~b crib ~"d ~;oD~~rrnRY5:~d~
o Is/are personally known to me or has/have produced
as identification.
crn!~7~['~::::OF M::~P"~'
SUZ2~~;ne r~3bx
Name of Notary typed. printed t>rst\lrOpetJo~Jri'.sicn IF IV:' 'J111O
r~O~O~ G~~
51 p..1~ Or r1' ~scO :\' 1\'\~ fOPl~G~I~~ fl\.E
CO\)~~ ,~~~g-~6~~ cilt~~~O~~~;:J-~~~~~~S~ ~~f
"0 COPl"" cO I~ " ,
lP1U~ F>... BLIC PI~CO" V.I.. 1\'\15
OPl Of t'U offlCIF>.1.. 5 2 (tif; :\'
\'\F>.~O F>.~O r~ CIPlCUl1 COU~"f( CI..~R'f.,.
~N, Cl..~. "v -"~A-+fo ~_O~t'v
tO~ ~
J~'( NOTICE OF COMMENCEMENT
W1f 1?11-
11111111111111I1111111111111111111111 111111111111111 11111111
2008030103
Rcpl: 1163653 Rec: 10.00
DS: 0,00 IT: 0.00
02/27/08 Dpty Clerk
JED PITTMAN PASCO COUNTY CLERK
02/27/08 01:33pm 1 of 1
OR BK 7771 PG 502
Permit No.
Property Identification No. cJ.t.f -;<(; -;l./-OOtfO - OOOO() -/8'10
THE UNDERSIGNED hereby give infonns you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
TH6 an6R.RLD PO/N'TE /t.IIICESD;t!!.r ,
I.Description of property (legal description:) PHASE TUJ 0
a) Street Address: .
2. General deSCription ofimpfovementl:
R 3.0wner Information ~ .
a) Name and address: t-e 0 . Va. V I
b) Name and address offee simple titlehol
. c) Interest in property
~.contractor Information
a) Name and address: ()uJnef- Leo
b) Telephone No.:
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
Ie. ba l/i5_no n -3~ maJttchik Dr. Ze,hyrh; tIs) FL.- 33SCfO
Fax No. (Opt.) ,
Fax No. (Opt.)
PhoneNo.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713. 13(I)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE .JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF CO NCEMENT.
...
STATE OF FLORIDA
COUNTY OF PASCO
The going. instnnnent was acknoWl~e.d before~ this ~ay of fe br~ . 20 pS . by J.-el? 1(.
, C{ ...-..." as fIM~-e.1 ( fauthority, e.g. officer, trustee, attorney
m fact) for (name of party on behalf of w instrument was executed).
~
Notary Signature
Personally Known _ OR Produced Identification ~
Type of Identification Produced :L:>r, Ver~ Llc.~.s G
Name (print) <..~lU2'a..IA-~ ~Lr
Verification pursuant to Section 92.525, Florida Statutes. Under penalties
the facts stated in it are true to the best of my knowledge and belief.
FORMSINOC.rvsd2007
J\)OT~J\Y PUBLIC,STATE OF FLORIDA
Suzanne Bahr
Ccmmission # DD601110
E>1.~jI2s: NO\( IS, 2010'
BO:\DLD Tlli,L IJ'L<llC BONDING CO,. INC.
that I have read the foregoing and that
,
)..Eo ~'./)l1vIG<JOP
Name
3lf f" H 111- f1 CHI TiS ./JJe I tJE
Address
U:PflY~JH.i.J-), FoL 33~ -?<t'clo
To Whom It May Concern,
Please be advised that:
..
Stacie Hartwig and Deborah Dokendorf of Pasco Permit Service have my
permission lll1til further written notice to act as my agent to sign and pick up
permits.
Sincerely,
~~
,J -/?-o1'
Date
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The ~Oing instrument was sworn to and subscribed before me this 1'6' l"';i;.y
of Ct;J;zrua., , ~g-'.
. Personally known_or Produced identification / ,
~:r~T'\.I\Y PUBLIC,STATE OF FLORIDA
Suzanne Bahr
':"Dlm:<sion # D~)')01110
!':OV } 'j, 2010
.1 ie DO\[;L,G lO,. 1:;C.
~ ~
o~
Commissioned Stamp
and Expiration Date
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPBYRHILLS BUILDING DEPARTMENT
I, &-0 R. Q,/ i!Jono YJ have read and fully understand and
agree to the provision of this 1nstrument.
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 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.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. 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 reinspect ion before proceeding with the building.
5. 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.
6. 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.
7. 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.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. 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
on.ite 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 l...e 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 regu ion ,
WITNESS
DATB ~ -j R'- O~
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(\. OWNER.' S
ADDRBSS
PHONE
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