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Home My WebLink About08-7667 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7667 Permit Number: 7667 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: 39512 8TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0310-00000-0670 6,500.00 3/25/2008 Name: ZULLO, JAMES 177.10 Address: 39512 8TH AVE 177.10 ZEPHYRHILLS, FL. 33542 3/25/2008 Phone: 813 788-8794 CONVERT GARAGE TO LIVING AREA REPLACE WINDOWS SIZE FOR SIZE MECHANICAL FEE 35.00 ~o~~ INSULATION CEILING 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. 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." ~LC'- J/ ILL)a~ CONTRACTOR SIGNA RE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER APPENDIX 13-0 Climate Zones 4, 5, 6 TABLE BC-l: PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (600 Sq. Ft. and Less), RENOVATIONS TO EXISTNG BUILOINGS ANO SITE-INSTALLEO COMPONENTS OF MANUFACTURED HOMES COMPONENT MINIMUM INSULATION INSULATION INSTALLED Concrete Block R-5 {<-II (J) Frame, 2' x 4' R.1l -' ..J Frame, 2' x 4' R-19 ~ Common, Frame R-" Common, Masonry R.3 Under Allie R-30 R-30 (J) Single Assembly; Enclosed (!l ~ z Frame R-19 :J Metal Pans R.13 ill <) Single Assembly; Open R-l0 Common, Frame R.l1 (J) Slab-an-grade No Minimum -1!9- a: R-1l 0 Raised Wood 0 Raised Concrete R-5 -' u. Common, Frame R-11 f- In unconditioned space R-6 R-& <) ::;) In conditioned space No minimum 0 EQUIPMENT MINIMUM INSTALLED EFFICIENCY EFFICIENCY (!l Central NC -Split SEER = 13.0' SEER - /3.0 z :J - Single Pkg. SEER = 13.0' SEER - 0 0 Room unit or PTAC EER = 8S EER = <) Electric Resistance ANY 7.7 (!l Heat pump - Split HSPF = 7.r HSPF z - Single Pkg. HSPF = 7.r HSPF - ~ W Room unit or PTHP COP =2.r HSPF/COP =_ I W Gas, natural or propane AFUE = .78 AFUE - <) if Fuel Oil AFUE = .78 AFUE - (J) a: Electric Resistance EF = .92 EF= f-W O!;( Gas; natural or LP-gas EF = .59 EF= Is: Fuel Oil EF = .54 EF= It It TABLE 6C.2: PRESCRIPTIVE REQUIREMENTS FOR GLASS AREAS IN ADDITIONS DNL Y . See Table 13-607.1.ABC.3.2 and 13-608.1.ABC.3.2 Maximum percentage glass to floor area allowed is selected by type, overhang length, and solar heat gain coefficient. Maximum % = 7:Z. Installed % = ~ GLASS TYPE, OVERHANG, AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED .::::::..ue. TO 20% :::> UPT030% UP TO 40% UP TO 50% Single c- Double) Single Double Single Double Single Double OH-SHGC OH-SHGC OH-SHGC OH.SHGC OH-SHGC OH.SHGC OH-SHGC OH-SHGC 1'- .87 ~ 2' - .87 1'. .78 3' - .87 2' - .78 4' - .87 3' - .78 0' - .75 l' - .75 0' - .61 2' - .75 l' - .61 3' - .75 2'- .61 0'- .57 l' - .57 0'. .44 2' - .57 1'-.44 0' - .39 l' - .39 0'- .35 0'- .30 Get certified SHGC from the manufacturer or use defaults: Single clear SHGC = . 7~ouble clear SHGC = .66;>nd single tint SHGC = .64 TABLE 6e-a MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints & Cracks 606.1 To be caulked, gasketed, weather-stripped or otherwise sealed. V Exterior WIndows & Doors 606.1 Max. 0.3 cfm/sq.ft. window area; .5 cfm/sq.ft. door area. V Sole & Top Plates 606.1 Sole plates and penetrations through top plates of exterior walls must be sealed. V Recessed Lighting 606.1 Type Ie rated with no penetrations (two alternatives allowed). - Multistory Houses 606.1 Air barrier on perimeter of floor cavity between floors. - Exhaust Fans 606.' 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 - appliances. 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-in heat trap required for vertical pipe 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 (including heat recovery units). - Shower Heads 612.' Water flow must be restricted to no more than 2.5 gallons per minute at 80 psig. - HV AC Duct Construction, 610.1 All ducts, fittings, mechanicai equipment and plenum chambers shall be mechanically allached, sealed, insulated and V Insulation & Installation installed in accordance with the criteria of Section 610.1. Ducts in attics must be insulated to a minimum of A-6. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. - GENERAL DIRECTIONS: 1. On Table 6C-l indicate the R-value of the insulation being added to each component and the efficiency leveis 01 the equipment being installed. All R-values and efficiencies installed musl meet or exceed the minimum values listed. Components and equipment neither being added nor renovated may be left blank. 2. ADDITIONS ONLY. Determine the percentage of new giass to conditioned floor area In the addition as follows. Total the areas of all glass windows, sliding glass doors and glass door panels. Double the area of all noovertical roof glass and add it to the previous total. When glass In existing exterior walls is being removed or enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area ollhe addition. Multiply by 100 to getthe pe~ent Find the largest glass percentage under which your calculated percentage falls on Table 6C-2. Prescriptives are given by the type of glass (single or double pane) and the overhang (DH) paired with a solar heat gain coefficient I)HGC). For a given glass type and overhang, the minimum solar heat gain coefficient allowed is specified. Actual glass windows and doors previously in the exterior walls of the housend being reinstailed in the addition do not have to comply with the overhang and solar heat gain coefficient requirements on Table 6C.2. All new glass in the addition must meet the requirement for one of the options in the glass percentage category you indicated. The overhang (OH) distance is measured perpendiculaMy from the face of the glass to a point directly 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 at ieast a 2-foot overhang and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this criteria must be either Single-pane tinted, double.pane clear or dOUble-pane tinted. 4. BUILDING SYSTEMS. Compiy when new system is installed for system installed. 5. Complete the information requested on the top half of page 1. 6 Read .Minlmum Requirements for Small Additions and Renovations,' Table 6C-3, and check all applicable items. 7. Read, sign and date the 'Owner/Agent. certification statement on page 1. 13-D.36R FLORIDA BUILDING CODE - BUILDING I I '- SQ. FEET PRICE MAIN OR LIVING 308 $47.96 OTHER AREA UNDER ROOF - $94.00 OTHER - $- VALUATIOl\ $14,771.68 FEE SHEEl $105.00 ADDRESS DRIVEWA'I BUILDING $107.10 ELECTRICAL' $35.00 PLUMBING: MECHANICAL: $35.00 SUB-TOTAL $177.10 RADON. TOTAL S177.10 SEWER $- WATER $- IRRIGATION $- TOTAL' S- I WATER METE~ IRRIGATION METE $-1 $- FIRE DEPARTMENT FEES PLANS TOTAL INSPECTION TOTAL PERMIT TOTAL TOTAL' S- PUBLIC SAFETY IMPACT FEES POLICE $- FIRE $- 5% $- TOTAL S- I I SUB-TOTAL $177.10 ~ PARK IMPACT FEES~ $_ I SIF'S $- 100.0"1. $- 1.0"1. $- TOTAL: S- I ~ T1F~J ~ I TOTAL: $177.10 I 4._ I City of Zephyrhills BUILDING PLAN REVIEW COMMENTS ~ J/C\4e.. fec.e,W ",Iarnes Z4f I D ,3'15(2- tt540 ~ 3-24--u3 ~ 0o.-r~ +v L'v;Y'j tl4P- Contractor/Homeowner: Dat,- R......"i v Gd. <S"; k- Permit Type: Approved wino comments: 0 Approved withe below comments: ~ Denied withe below comments: 0 :CF 8BAJ U ~ erP fJ1Uc,r qJ J Ct S j/YIoJf in hQ{fwJ oufr,jp ('J &f Cf,'r te/vrf\ ql{~ CJ(' <1, <:; q g-ecJ/'()Off\,' JIO U J~f~c;~{ i/1 roorYl ernc/ dl5ol1/!usf adcl ~I Yhet ~ (Of) m r K r If 1/)vnDPr V v ~ up TmSV~ Kalvin Switzer - Plans ept with the permit and/or plans. er Date ~.dt !.itL1 ~/if Contractor and/or Homeowner v (Required when comments are present) 3-/ '-of ~ ~ Z-))'jp 11111111111111I111111111111111111111111I111111I11111111I1111 2008043506 Rcpl: 1169216 Rec: 10.00 os: 0.00 IT: 0.00 03/24/08 Dpty Clerk NOTICE OF COMMENCEMENT Permit No. JEO PITTMAN, PASCO COUNTY CLERK 03/24/08 11: 49am 1 of' 1 OR BK 7792 PG 961 Property Identification No. 1 ~ - ~,(D":' ~ 1- 0310 - 00000 - 0 G. 70 THE UNDERSIGNED hereby give informs 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. l.Descriptionofproperty(legaldescrq,tion:) 5to15eTE"5t-a..+~S #~ PB liD PGS 3+-~ Lot-G.? c:>JC: Ll<go5Prs. a) Street Address: 3951 ~ <g~ Ave., ZephyrhillSo, Fl. 335"tf~ . I <ir'f'f 2.Gene~aldescriptionofimprovements: ~hA-~e ~e.. -ft::, Lt'vt''''j Area... r~plc..c..e.. c:c.tl W(MDW~ I V\ V\DlA..~t'--, -Ft... wner Information W~" a) Name and address: I a.me-s A. ZlA.ll D , b) Name and address offee simple titleholder (if other than owner) c) Interest in property 4. Contractor Information a) Name and address: Owner b) Telephone No.: Fax No. (Opt.) 5.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: Phone No. 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: bj 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~ COMMENCEMENT. STATE OF FLORIDA ! I 1 n COUNTY OF PASCO The foregoing instrument was acknowledg~d before me this {~~day of Ma-V"ek.. , 200 g , by T ant e5 . A-. Zu.-llo as VI 1V)1~el ~ (type of authority, e.g. officer, trustee, attorney m fact) fo, (name of party on behalf OfX_nt wa, executOO). Pmo=lIy Known LOR Pwduced Identific.tiou _ NoWy Signa""e ~ ~ /. Type of Identification Produced Name (print) .5 LA.. 2..4...n.., e.- 8a. h ...... Verification pursuant to Section 92.525, Florida Statutes. Under penaltie of perjury, I declare that I have read the facts stated in it are true to the best of my knowledge and belief. I FORMS/NOC,rvsd2007 ,1.\\'''''.1,,, , C',...ryo',nn:':'\ B"hr ,~\ ,1:f"::. ,-,I ,~tL("~';'.l._:..;..'L C\l : .e; ;Com-; L~5ioZl j';~ r.:,~.).:.';,J ~.j ~ 0 -"" .. .ff' Expin,: NOV. ! S ':) BU<~W THRU AlLmC BO:~lJjl\G CO., L',C. foregoing and that NOTARY PUBliC-STATE OF FLORIDA 813-780-0020 City of Zephyrhills Permit Application if y'l/ ~1 Building Department .. ' ,\P Pa.sc..o Fax-813-780-0021 Date Received Owner's Name '06tme.s A. 2- u..ll Owner's Address /3'1 51:;( <6 ~ Ave..-. Fee Simple Titleholder Namel ~ Fee Simple Titleholder Address I ~ Owner Phone Number ('3 ( 3 ) 7'6?> - 37'1 '-f <2~ l( I () I I Owner Phone Number ~ I 3 ~q - \ t.fLf-'I Owner Phone Number I JOB ADDRESS 13'15 \ ~ 'b~ Av~. I Zeph~rhi II Sf A. 33S-c.{-:l I SU-vt~e.-t ~ ~tlA-+~S ~ ~ I LOT # PARCELlD#lr ~ - ~G.- ,;U - 0 3 L 0 - 00000 - O(P"1 0 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK ~ D g] e -It::> L I.V [. 30'8 c:\1 WORK PROPOSED I I I , I I . . I , I I . I . ~ . . I I I I I I I P I I I I I I I . . I I I I I I , I I , . , I , I . . I I I I I 1 , I . . lIt , . 1 I I I I I I I I I , I . I I I , , I I I I I , I , . I I I I , , I . . I I I I I I I I , I r I I I , I I I I I I , . I I I I I I I I r , , I I I I I I I , I ADD/ALT REPAIR COMM FRAME D D D DEMOLISH I D OTHER STEEL OTHER I DESCRIPTION OF WORK II tf )( a.;2.. Itrea. -.r re 16C.~ nOu.se wl\"dDu.>S-5a.~e. 5 I "Z. (:. HEIGHT I "B I BUILDING SIZE ~ BUILDING 1$ fRS-DO. 00 ~ ELECTRICAL 1$ D PLUMBING 1$ rzI MECHANICAL 1$ D GAS D ROOFING FINISHED FLOOR ELEVATIONS I I I I I D 1 AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY D D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION JJbQ; SPECIALTY D OTHER FLOOD ZONE AREA DYES i~, N FEE CURRENT License # COMPANY 1~/N REGISTERED FEE CURRENT License # COMPANY * REGISTERED Y I N FEE CURRENT License # l{i~ I Y / N FEE CURRENT License # BUILDER SIGNATURE PLUMBER SIGNATURE Address MECHANICAL SIGNATURE Address OTHER SIGNATURE COMPANY REGISTERED DNO Y/N Y/N Y/N Y/N Y / N Y/N FEE CURRENT Address License # 1111111111111I1111I1I11I11I111111111III111111I11111I111I111I1111II111111111II111II1111I1I11II1111III11I11111II11I111111111I1111111111I11I11111I111 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 subdivisionsllarge 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 wI 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. Di~~~i: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 A1C Fences (Plot/Survey/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 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 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, 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 "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, 1 certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, 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 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 separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not specifically in?luded. in the application. A permit issued shall be construed to be a license to proceed With the work and not as authonty 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 codes. Every permit issued shaH become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Officia~ for a period not t~ exceed nin~ty ~90) da~s and will demonstrate justifiable cause for the extension. If work ceases for mnety (90) consecutIve days, the\.Job IS conSidered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE F R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LE ER OR AN ATTORNE BEFORE RECORDING YO NOTICE OF COMMEN E ENT. FLORIDA JURAT (F~S. 17.03) . l ! fI, OWNER OR AGENl I. Subscribed ~~r' t or affirmeCl e ore e this I 'D 1 YY\a..,...ch.~ . Who Is/are ~ me or haslhave produced as identification. [8, Notary Public 2i~::!:::-:FFIORmA Notary Public l' ..1""'{ FlJSI .lCS'TATF OF fiT nPIDh . . r..1-:- ._'J.t " Name of Notary typed, printed or stamped I ;. ~ rJ Name of Notary typed, p!lnted or stSmpe&:j: DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, Iall1A.es A - Zu....-Ilo have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domici1e, that he or she actua11y occupies, or wi11 occupy by said domici1e, and same is not for rent, 1ease or sa1e. That he or she sha11 comp1y with the fo11owing conditions: 1. That the owner and he or she a10ne sha11 act as the bui1der for a11 phases of construction. That the owner wi11 comp1y with a11 provisions of the City of Zephyrhi11s ordinances and codes pertinent to the bui1ding. That in the event various phases of construction are subcontracted, he wi11 engage on1y proper1y 1icensed subcontractors and wi11 persona11y supervise such work. That in the event the Bui1ding Inspector sha11 require corrections to be made, the owner wi11 assume fu11 responsibi1ity to insure they are made, and upon comp1etion wi11 ca11 for a reinspection before proceeding with the bui1ding. That the owner sha11 assume fu11 responsibi1ity for the construction and wi11 not expect supervision of his work from the City of Zephyrhi11s Bui1ding Department. That prior to fina1 inspection any additiona1 fees, inc1uding reinspection fees, must be paid in fu11. A written request from this office sha11 constitute an officia1 notice to pay additiona1 fees. That the owner sha11 comp1y with a11 City, State and Federa1 1aws in regard to socia1 security, workman's compensation, 1ien 1aws, etc., where app1icab1e. That the owner sha11 comp1y with a11 the safety codes issued by the F10rida Industria1 Commission. State 1aw requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption a1lows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourse1f. You may bui1d or improve a one-fami1y or two-fami1y residence or a farm outbui1ding. You may a1so bui1d or improve a commercial bui1ding, provided your costs do not exceed $25,000. The bui1ding or residence must be for your own use or occupancy. It may not be bui1t or substantia11y improved for sa1e or lease. If you se1l or 1ease a _bui1ding you have built or substantia11y improved yourse1f within 1 year after the construction is comp1ete, the 1aw wi11 presume that you built or substantia11y 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 peop1e working on your building. It is your responsibility to make sure that peop1e 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 bui1ding 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 1aw. Your construction mu;t comp1y with a11 a p1icable laws, ordinances, bui1ding codes, and zoning!r~9u1ations. J . OWNER'S SIGNATURE l' I DATE .3 /~ / () 9 ADDRESS 345\ ;( -g +'- , , PHONE _(~13) 7'3'3-157"14- '~ b-slwir 2. 3. 4. 5. 6. 7. 8. 9. WITNESS PERHIT # I aV\'\.e S A _ Z/A...llo Name 3CJ fJ l;( <3'P- Ave.. Address 2ephyrhi lis) FI. 3354;2.. To Whom It May Concern, Please be advised that: Stacie Hartwig and Deborah Dokendorf of Pasco Permit Service have my permission until further written notice to act as my agent to sign and pick up permits. Sincerely, yC\ Signa 3Jrf3 JOB ( Date' NOTARY STATE OF FLORIDA, COUNTY OF PASCO t":- The foregoing instrument was sworn to and subscribed before me this .J.L day of rYl o..-r c.t- , Mo 8'. . Personally known ~ or Produced identification NOTARY PUBLIC-STATE OF FLORIDA Suzanne Bahr Lpires: ~ BO\lJLD lL:~L AlL .,ill C')':~JJTl'==ic'~--" r :)~;6:,=." ., J ~ ~aA ~otary~ Commissioned Stamp and Expiration Date k , .... .........i ~I . i ~I "I f I I I I I I I I I I ~ I ''\ '~ \ l_l' .:::;: "':'-h '\ ~ }.. ~ ill. ~-l i ~;:~ I~ I I Run.'''' I ~ i f - i i I J() .QO' , I I ! i ! 0f. 00 } :1 I - ! ~I 'J, 0-. i ! I I / f '~,-----~.--.~--~"4- j.:... ---+- i- J I 81 ~I "" j Bi 'I ~I ~~~:~ I WM~I SI.,,I}.B \ -i I 1 .4 Oi JP,OO' ~y' I I _.' I i / / '-<I - fJ R.. OIN ( D - /=-/Vc LMF G;1I2,9(';[ 70 LZf/IIJ6- A-12.E1f BI , j '<.;:) ~ I I .~ / I 1- ~ ~-- '-------------- {' IJd/I/)/J (.n01//('7 ~~ C"-. "I ","" '3 D it:: , ; ;Q r', - .,) , '-7 <() ':5 ~ ~ i I........? f", ~ I '\;)j;: .........1 ~ I~ ('oJ 'tJ "0 ( ------- rJ, r,:::) --.J ,'>,. <:::3--.. ~ i..,.) ~ - ~ N~: ~ S6 ----... ~ ~ "... ~. E-p,,"'~1 ,/};-14-."t>S R. . ~ P.:.~ V J .'>i--" ,:;c:~ ,:;Ti'~- \'.....ar'i\( i-~-"'r<~''''''~'~ r\.~I~Ll*.~ ' Jt, ..-.... rs- '.h ~ ',~~ \:.~"" l #? ;':', p;, ~\ ~,\'::r~1 pl 1,:I,i\.i,i'" ": )\t-.i..";-"\:.'''''- I .- . L..,J" \.~ <. ,",,"'-' ._.....,~'" - ........__......-t... }\LL V\ aRK SHALL CO'v;PLY \V1T11 ALL FREVAlUNG CODES, FLORIDA bUlLDr<'J CODE. NATiONAL ELECTRiC CODE AN" (.' ..J'V c.). F ZFPFYR Hl1.LS~ ORDJNANCE~, _ _I. J. \ L..J~,. ..-/ , .'0 ~ .-- ,::",",:-it ~ l. l.J "-! ~ '-' '-0