HomeMy WebLinkAbout08-8237
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8237
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:
8237
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
Address: 6353 SILVER AKS DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-0120-00000-1091
9,848.50
155.00
155.00
8/26/2008
NEW ROOM ADDITION 168 sa FT
Name: MAUPIN, ROY & EVELYN
Address: 6353 SILVER OAKS DR
ZEPHYRHILLS, FL. 33542
Phone: 813 783-7867
MARTIN ELECTRIC
~f\J
,Q_ I/O
F H
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."
~~_J jd-C-~ ~k~
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 ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8237
9,848.50
155.00
Address: 6353 SIL V OAK DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-0120-00000-1091
Name: MAUPIN, ROY & EVELYN
Address: 6353 SILVER OAKS DR
ZEPHYRHILLS, FL. 33542
Phone: 813 783-7867
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:
237
ADDlTION/AL TERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
NEW ROOM ADDITION 168 sa FT
,
MARTIN ELECTRIC
G/< /)0 '7'<j
€oJ --65~ ~~~~
~..~..~~~.. ~f-
~'fr~~
e. 2LI-ctS
F H LA
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.
REINSPEcnON 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."
CONTRACTOR SIGNATURE PERMIT OFF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Site:
/341tr ~ IJ!lurt {f; c -
{3 '1/- ;)8
{, 35"3 S~/ vu.- Oa/q Zk-
/(PB ~'J-. H- I!/1l Add~~
Contractor/Homeowner:
Date Received:
Permit Type:
Approved wino comments:O . Approved withe below cOmments: ~ Deoied withe below comments: 0
nw-l~e- u.SeD FDR AUCJtf7n ~ cui/
9 ~. chift~ .o~1 e<<~ ~/J\.
This comment sheet shall be kept with the permit and/or plans. .
. .p~' If'rt7-t',s .~~JkLCo(;'
B:" ~ .L... D';,;oI Date . Contractor and/or Homeowner
. kA l Uz, ~ CS iv;..t- VU-.- p~ . (Required when comments are present)
BAHR'S ALUMINUM INC.
6440 Fait King Rd
Zephyrhills FL 33542
(813-782-3513) Toll Free:(866) 296-4316
Invoice No.
IINVOICE
Customer I . f\ .',
Name Evelyn Maupin [.,3? ~ ~J \ vev_O~L:> _ \J.Jy,\'d
Address -~t1FeI ~.'ee~ Drive - Silver Oaks
City Zep!lyrhills-- -----state~ ----zfP33541 -.--=:-
Phone 783-7867
Mise
Date
Order No.
Rep
FOB
7/3012008
-gly
- -urn __[)escription
TRemove-Existing Aluminum Glass Room
I
I
i- Install Frame Walls - 2x4 PT w/ PT 1/2" Plywood
,
. Stucco Finish on Exterior
Interior Finished w/ Beadboard & Fiberglass Insulation
Trim Moulding Around Doors & Windows / Base Trim
4- -+a"x:50 t518" SH Windows Insulated LoE2
1- 36" x 80 HT Entry Door ( $350.00 Allowance ) '~J ~ m~~
-r Unit Price T
_ __+--__ ____---l-
I
TOTAL
Electric Allowance $700.00
Permit & Engineering Included
Comments
Name
CC#
Expires
Agent:
Date: &} _ 11. _ J
Customer: ~
---- p- - -
~~
~. "';' rUBL!~STATE OF FLORIDA
______ ______ _._ Bahr
-: r~( ~..,~ .._.,' ...,' ,~-----
. .- '-.,)LJIJH.,jJI1tDD6nl110
._~"]rf'~~_~___2010
, -, ""j,'0;.,,"~lJ., I~,C.
Tax Rate(s)
I
$8,550.00 I $ 8,550.00 I
1____ . .L--------J
SubTotal I $ 8,550.00 I
r-----------c
Shipping d_ ..__-_~
7.00% i $ 598.50 I
-.-.-1----- -'-'1
TOTACl $ 9,148.50 I
r
~t41 )
~----
tf~~J
I
Payment l
1_. .--- -----
Office Use Only
I
l
We guarantee all material used in this contract to be as specified above and the entire job to be done in a neat,
workmanlike manner. Any variations from plan or alterations requiring extra labor or material will be perfonned only
upon written order and billed in addition to the sum covered by this contract.
-t 3[~
(j) ~IIJfP) - olIY)Oil
. --------, -- ~--1~7-- - SrJ l ~ ~)
, /(. ~ - ::p
Pasco County Parcel: 03-26-21-0120-00000-1091 001
Page 1 of2
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of:
Parcel ID
Classification
Mailing Address
MAUPIN ROY C & EVELYN C
6353 SILVER OAK DR
ZEPHYRHllLS, Fl335424814
Physical Address
6353 SILVER OAKS DR
ZEPHYRHllLS, Fl33542-4814
Le9al Description (First 4 Lines)
SILVER OAKS PHASE ONE
PB 26 PG 46 SLY 35 FT OF lOT
108 AND NlY 30 FT OF lOT 109
OR 4105 PG 502
Weekly Archive - Saturday, August 16, 2008
03-26-21-0120-00000-1091 (Card: 001 of 001)
01 - Single Family
Property Value
Ag land
Land
Building
Extra Features
$0
$49,320
$126,049
$1,026
Market Value
Assessed (Save Our Homes)
Homestead 196.031
Non-School Additional Homestead Exemption
$176,395
$118,497
- $25,000
- $25,000
Non-School Taxable Value $68,497
School District Taxable Value $93,497
Warning: A significant taxable value increase
may occur when sold. Click here for details
and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
IIDescriptionl Zoning I
II SFR I OPUD I
II SFR I OPUD
Line I Use
I 0100
II 0100
Additional Land Information
Acres II 0.21 II Tax Area II 30ZH II FEMA Code 1u::J Residential Code SIV
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1993 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
1
2
Line Description Sq. Feet epl. Cost New
1 BAS 1,792 $131,891
2 FSP 168 $4,342
3 FGR 420 $12,365
4 FOP 60 $1,104
Extra Features (Card: 001 of 001)
Line escription Year I Units Value
1 DWSWC 1993 I 714 $1,026
Previous Owner
Year Month
1999 02
1993 03
Sales History
WILKE BETTY R
I
I
II
Book/Page
4105 / 0502
3135 / 0406
Amount
$122,500
$89,900
http://appraiser.pascogov .com/search/parce1.aspx?sec=03 &twn=26&mg=21 &sbb=O 120&b... 8/20/2008
SILVER OAKS COMMUNITY ASSOCIATION
DESIGN REVIEW COMMITTEE
DRe
/ 3 '- ? .\' /.., vz;c. t/ -ft )CJ' [l{(.
ADDRESS: 0~' ';'-../ -/ '" r n
ZEPHYRHILlS, FLORIDA 33542
I CONTRACTOR
. BrJHA /-) LUkl,
I DRC INSPECTION REQUIRED
;tIn
Anyone who intends to excavate (disturb the surface of the earth) in Aorida unless a speciIic exemption listed in Florida
State Statutes 556.108 applies. A minimum of two fuD business days is required before digging, call Sunshine State One
Call at 811 to request a locate ticket so that SSOCOF members that own or operate underground facilities can locate and
mark their underground facilities near you dig site. You must obtain a POSitive response ticket local law enforcement
and code enfoR:ement officers may enforce this law. Any damage or disruption may potentially result in fines and high
repair costs.
httD:/Iwww.callsunshine.comlssocof/index.ntm
NOTES:
// ~ VI.~' .r-/
DRCl c~If;~~Sb~
/1 I) <; I d-. !' c; .5'-
DATE
'I: DISPLAY PERMIT IN FRON.T OF RESIDENCE )(
/ ' PROTECT CARD FROM WEATHER
This permit is official approval correspondence from the Silver Oaks
Community Association Design Review Committee/Board of Directors.
Additional Dermits may be reauired from other aovernmental entities.
2008-2009
APPROVED BY SILVER OAKS BOARD OF DIRECTORS 0512008
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
NEW CONSTR
INSTAll
SFR
BLOCK
I
B
o
o
a-rI /iI-I diJ
PARCEL ID#I
J
$ . .3Sjj off
L~! ~O ~ -+- ii:) 9
us - c).~ -(:;.-/ - () / ~ - oanJ - lOti /
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
Fee Simple Titleholder Address
SUBDIVISION
I w G..-/N. (bf dOte
ISf/Vir rJ~iY pA- J
19
PROPOSED USE D
TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK I
JOB ADDRESS
WORK PROPOSED
ADD/Al T
REPAIR
COMM
FRAME
D
D
D
OTHER I
STEEL D
OTHER I
BUILDING SIZE
I
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 . I . . . I I . . . . I II I I . . . . . . I I I I I . I . . . . . I I . I . , .,. I . . . . . . , . I . . I . . I .
r()(}/I)
/(j'Ylr!}..-'
sa FOOTAGE I
/~/~
HEIGHT I
E1J BUilDING 1$
[$J ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS 0
FINISHED FLOOR ELEVATIONS I
ROOFING
I
I
I
I
o
I
AMP SERVICE
rn
PROGRESS ENERGY
D
W.R.E.C
9/ /'12. SO
70o.cp
VALUATION OF TOTAL CONSTRUCTION
PASCO PERMIT SERVICE
(813) 788-5314
VALUATION OF MECHANICAL INSTAlLATIO'*AX 1-866-824-7894
SPECIALTY 0 OTHER
FLOOD ZONE AREA DYES
DNO
Address
. CL /Jevl/u;i
(,ljfj() J:brf b/J
~LtLc~ /kiwi)
III I tl7 Id~ vf. Oa..~ ~
I &-,,? I' If ~kR1.
I Y / N I FEE CURRENT
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
l/J7a/',L{~
I Y / N I
...I:A ~ .
I Y /N I
License # I CI3CO~O 77
? fte/l'~
BUILDER
SIGNATURE
FEE CURRENT
I Y /N I
I ECC" IJcJ:J/JI'..J
Address
Fl.
License #
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y / N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y / N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
OTHER
SIGNATURE
Y/ N
FEE CURRENT
Y/N
Address
License #
11I1111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111II111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Pians; (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) complete sets of Building Plans plus a life Safety Page; (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.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 i
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A1C 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 AlC 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 offill 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 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 ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically In~luded. In the applicatIon. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authofl~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, c~n~truction or violat~o~s o~ any codes. Every ~ermlt Issued. shall 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 th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty ~90) da~s and WIll demonstrate
justifiable cause for the extension. If work ceases for ninety (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 FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117'E.3} ~. J /" k'
OWNER OR AGENT 0J-o..C~ ;j Wt /tv i~ CONTRACTOR C t.<.- fV-'IA-. .t.f A-
Subscribed and sworn to (or affirmed) before me this ?f"'.-"FA"$. Subscribed and sworn to (or affl~med f~fore m,; thiS 7 of .....:1.
::u::>o ~ by S-to:c<<....- ~tw,~ e200 1 by -$ tlc I -L TGC-r
Who is/are ~rsonally known to me or has ve produced Who is/are eersonally known ~to me or has/h~ve . odu?ed
as identification. as Identificatron.
l1?::Y~TF;~:::;i'
, <.' < _ Suzanne>
Name of Notary typed, Pi!l.}t@?,::~eiL:' ;+ l' , ()
-""1\'- .
/~~~
CommiSSion No. 'JVC'~" YT. ' C'.
. .....:. .,dLIC-::.m r;DFL9RIOA
". . .~, ., SII / . , .
Name of Notary typed, priflled.,or ~l5mW~d
Notary Public
f)
-", ,.
G..-'':J () ~ Z - M<./IJ
111111111111 11111 11I1111111111111111111111111I1111I111111111
2008115364
Rcpl: 1196449 Rec: 10.00
os: 0.00 IT: 0.00
08/06/08 Dpty Clerk
NOTICE OF COMMENCEMENT
JEO PITTMANJ PASCO COUNTY CLERK
08/06/08 1... : 06am 1 of 1
OR BK 7899 PG 1719
Permit No.
Property Identification No. {).3 - J~ -cJ..J - 0/ c)...tJ - () dOOd - J 0 1 /
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.Description of property (legal descnption:) Sf i~r ()...K..r '" J -I ,~ ell, JJt 9'~ .J L 1/ .iI cJf- /af /(f -I fJLlj Jo J
a) Street Address: (,JS-J J j /u r cJ6.L.t LJr. Zl!.p1jrJuI/J ,PI. .:J.JJ"-Yu-- bP- to/- lot tJL <fIGS
2.General description of improvements: ' /l6-.sv~
3. Owner Information
a) Name and address: ..J- EN '11 /)7"-// //J 'J.r3 S / j oer cJtkr LJr. Z.e
b) Name and address of fee simple titleholder if other than owner)
~..., c) Interest in property
.Contractor Information
. .' a) Name and address:.8o..hl' ~ AkA Lt. yfJVd Fir! ~(1
> b) Telephone No.: Fax No. (Opt.)
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
'?f r/
.Jjjp}-
~ J 2;p J:/r.)J!J PI. MrtJ-
Fax No. (Opt.)
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:
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(1)(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 Tm~ 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 COMMENCEMENT.
'}
'Si ature of 0 er or Owner's Authorized Of fie
Euc:.luY'l La:
Print Name .. l
The foregping instrumen~ was acknowledged before me this fit J... day of ~Il...JUJf , 20 CJI , by
[(,f.t../!J11 1'fY:t..v}//J as olVl..J.r (typeofauthority,e.g. officer, trustee, attomey
in fact) for ~~jf- (name of party on behalf of whom instrument w~~xecuted).
Personally Known I OR Produced Identification _ Notary Signature ~Ct..C! U Al-u Yw(!
ST ATE OF FLORIDA
COUNTY OF PASCO
lDirectorlPartner/Manager
Ma U.r {n
Type of Identification Produced
Nanle (print)
sllie/f
;!a /'.Jw i'l
~
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are trite to the best of my knowledge and belief. y
..
FORt.:.i:l/NOC,rvsd2007
NOTARY PUBLIC.. STATE OF FLORIDA
""'''''''''' Stacie Hartwig
f W kommission #DD652189
....,~l Expires: OCT. 16, 2009
BO~E~ THRU ATLANTIC BONDING co., INC.
Signa
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 Systems
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-instalied components of manufactured homes, and renovations to single- and multiple-family residences. Alternative methods are
provided for additions by use of Form 600B-04 or 600A-04.
I"'"
i vef
~ r hi 1I.s
OWNER: 'R of- ~ ve { Ma
SMALL ADDITIONS TO EXISTIN RESIDENC S (600 square feet or less of conditioned area). Prescriptive requirements in Tabies 6C-1, 6C-2, and 6Go3
apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency ievels must be met
only when equipment is instalied specificaliy to serve the addition or is being instalied 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 only to the components
and equipment being renovated or replaced. MANUFACTURED HOMES AND BUILDINGS. Only site-installed components and features are covered by this
form. BUILDING SYSTEMS. Comply when complete new system is installed.
PROJECT NAME:
AND ADDRESS:
CLIMATE D
ZONE: 4 5
JURISDICTION NO.:
1. Renovation, Addition, New System or Manufactured Home
2. Single-family detached or Multiple-family attached
3. If Multiple-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: 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: 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' (Yes/No)
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. f<'pnnva.-+iny....
2. ~V\<jl~
3.
4. I fa 'b tP
5. l'
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 =
~~.ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
9a-1 R=_ 604 sq. ft.
9a.2 R =----'---L- sq. ft.
9b-1 R= sq. ft.
9b-2 R=~ l12 sq. ft.
9c.
10a. R=~ I Go <6 sq. ft.
10b. R=_ sq. ft.
11.
Type:
SEERlE~R:
Type:
HSPF/COFl AFUE:
12.
13a.
13b.
14.
/
/
TY":
EF:
s and specifications covered by the calculation are in compliance with
DATE: tlr/tIt
Review of plans and specifications covered by this calculation indicates compliance with the Rorida
Energy Code. Before construction is compieted, this buiiding wiii be inspected for compliance in
accordance w~h Section 553.908, F.S. *~ /J
BUILDING DFRCIAL: /1_~
a nergy Code: t. l:- _ AY (/ 'I 0- i?, X.
DATEc<1 -~. (.(I DATE: tL. IL V
FLORIDA BUilDING CODE - BUILDING
13-D.35R
APPENDIX 13-D
Climate Zones 4, 5, 6
TABLE 6C-l: PRESCRIPTIVE REQUIREMENTS FOR SMALL ADDITIONS (600 Sq. FI. and Less), RENOVATIONS TO EXISTNG BUILDINGS AND SITE.INSTALLED COMPONENTS OF MANUFACTURED HOMES
COMPONENT MINIMUM INSULATION
INSULATION INSTALLED
Concrete Block R-5 R-Il
(J) Frame, 2' x 4' R-ll
..J
..J Frame, 2' x 4' R-19
~ Common, Frame R-l1
Common, Masonry R-3
Under Attic R-30
(J) Single Assembiy; Enclosed 311
CJ
z Frame R-19
:J Metal Pans R-13
m
() Singla Assembiy; Open R-10
Common, Frame R-l1
(J) Slab-an-grade No Minimum ~
0: R-11
a Raised Wood
a Raised Concrete R-5
..J
LL Common, Frame R-11
ti In unconditioned space R-6 Q-&
::J In conditioned space No minimum
0
EQUIPMENT MINIMUM INSTALLED
EFFICIENCY EFFICIENCY
CJ SEER = 13.0' SEER -
z Central AlC -Split
:J - Single Pkg. SEER = 13.0' SEER =
a
a Room unit or PTAC EER =6.5" EER =
()
Electric Resistance ANY
CJ Heat pump - Split HSPF = 7.7" HSPF -
z - Single Pkg. HSPF = 7.7" HSPF =
~
w Room unit or PTHP COP =2.7" HSPF/COP =_
I
W Gas, natura! or propane AFUE = .78 AFUE =
()
it Fuel Oil AFUE = .78 AFUE =
(J)
0: Electric Resistance EF = .92 EF-
>-w
at;;: 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 ONLY
. 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 % = "-L.lnstalled % = ;15 LOt:. pL
GLASS TYPE, OVERHANG, AND SOLAR HEAT GAIN COEFFICIENT REQUIRED FOR GLASS PERCENTAGE ALLOWED
UP TO 20% UPT030% (UP TO 40% ) UP TO 50%
Single Double Single Double Single ~bla.J Single Double
OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC OH-SHGC
1'- .87 0' - .78 2' - .87 l' - .78 3' - .87 2' - .78 4' - .87 3' - .78
0' - .75 l' - .75 0' - .61 2' - .75 q#~ 3' - .75 2' - .61
0' - .57 l' - .57 - .44 2' - .57 l' - .44
0' -39 l' - .39 0'. .35
0' - .30
Get certified SHGC from the manufacturer or use defaults: Single clear SHGC = .75, double clear SHGC = .66, and single tint SHGC = .64
TABLE 6C-3 MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior Joints & 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 cfmlsq.ft. door area. ...,-/
Sole & Top Plates 606.1 SoJe plates and penetrations through top plates of exterior walls must be sealed. ----
Recessed Lighting 606.1 Type IC rated with no penetrations (two alternatives allowed).
Multistory Houses 606.1 Air barrier on perimeter of floor cavity between floors.
Exhaust 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 -
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 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 psig.
HVAC Duct Construction, 610.1 All duels, fittings, mechanical equipment and pienum chambers shall be mechanically attached, 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 R-6.
HV AC Controls I 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 ievels of the equipment being instailed. All R-values and efficiencies Installed must 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 glass to conditioned fioor area In the addition as follows. Totai the areas at all glass windows, silding glass doors and glass door paneis. Double the
area of all nonvertical roof glass and add tt to the previous total. When glass in existing exterior walls is being removed or enclosed by the addition, an amount equai to the total area of this glass may be
subtracted from the total giass area. Divide the adjusted glass area total by the conditioned fioor area of the addition. Muitiply by 100 to get the pecent. Find the largest glass percentage under which your
calculated percentage fails on Table 6C-2. Prescriptives are given by the type of glass (single or doubie pane) and the overhang (OH) paired wtth a solar heat gain coefficient ~HGC). For a given glass type
and overhang, the minimum solar heat gain. coefficient ailowed Is specified. Actual glass windows and doors previously in the exterior wails of the housend being reinstalled In the addition do not have to
comply with the overhang and solar heat gain coefficient reqUirements on Table 6C-2. All new giass in the addttion must meet the requirement for one of the options in the glass percentage category you
indicated. The overhang (OH) distance Is measured perpendicularly from the face of the giass to a point directly under the outermost edge of the overhang.
3. RENOVATiONS ONLY. Replacement glass needs to meet the foilowing 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 crrteria must be either single-pane tinted, dOUble-pane clear or double-pane
tinted.
4. BUILDING 5Y5TEM5. Compiy when new system is installed for system installed.
5. Complete the information requested on the top haif of page 1.
6 Read 'Minimum ReqUirements for 5mall Addttions 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" ~-)
1'1 ~
"'~
~~
"t:: "', )
<:WJ
~
'-.J
N
~
'~"L\
"'
~
'0
~'^
~
"-
~ ~_,_C~)
'\::):::';-) ~
"' -'. I...,;
. ()
t,,_ <:::)
j,,", ,,=:. \
~ ,J "0
~ ~,
<J
( ~-;;;
~"01
, "-
- ~
L- '0 \
) 0,,,
~, )~
J ~
~~l
0J
'C)
(P3 S 3 .s I L LJ E R rJ/;J ~!)/-:' -7 I//:
''--'-~-~---------------y--
T ---
<'---"~-~'--_._-----~~'---'---
.
I
j
1
"8'
c;,1
~I
~ --i-
, O(J fro . 5'6',
.... j ;
gf;tlZlfl1J ~ i
. ~i
J5Xi, ;; i
!
I 09 '!-(:O
L
-.-.--...<,
D;;)
(:;-.,
(l!!
YJ~
tt'='
,~
l\J
~\
~!
"J! -
""
"-
,,-'
. 1 .
, '
, '
. .
I i
r- __n____~_ ____ i
:.' SJ 'N \ - r ^. ,~- .
! ( ~ I'^~ \
j \ tQ
i t ,"'f' _i
, V\Q,/ ~
~j / '
I ~ ~ (-~OOXI-1
I \j~~ I
k. ~ v\ -
, YJ ,<.l:' ->: () I
I li~I4::J.C) '0'
x G II" -I
lU 'U " "1:; L...,
I ~ ~ ~ ~ 'ill
I '" ~:J
~~ -1
. "--'~"~~ ~- -,~
iflS _ O() I
'(;- f9-o~
It5
~
'""::6
II
""
"
\..l;
'-..J
~
~
l...-,
'"