HomeMy WebLinkAbout09-8612 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8612
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
Permit#:8612, Issued: 3/16/2009 Address: 36233 DELTA GOLD CT LOT 1
Permit Type: NEW SINGLE FAMILY DWELLING ZEPHYRHILLS, FL.
Class of Work: 101-NEW CONST/SFR Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 305,885.97 Total Fees: 12,921.53 Subdivision: SILVERADO
Amount Paid: 4,938.54 Date Paid: 3/02/2009 Parcel Number: 04-26-21-0060-00100-0010
Name: WINDWARD HOMES Name: WINDWARD HOMES
Addr: 5439 BEAUMONT CIRCLE BLVD#1050 Address: 5439 BEAUMONT CTR BLVD#1050
TAMPA FL 33634 TAMPA, FL 33634
Phone: (813)885-7744 Lic: Phone: (813)885-7744
Work Desc: NEW SINGLE FAMILY HOME - 2424 SQ FT
BUILDING FEE 1,179.96 ELECTRICAL FEE 247.05 PLUMBING FEE 164.70
MECHANICAL FEE 115.29 RADON 31.59 POLICE IMPACT FEE 254.00
FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FEES SF 769.56
SCHOOL IMPACT FEE-sfr/100% 4,828.00 SCHOOL IMPACT FEE-sfr/1% 48.28 TRAFFIC IMPACT FEE 99% 3,595.68
TRAFFIC IMPACT FEE 1% 36.32 BUILDING FEE iD6 902.70 ELECTRICAL FEE 199.13
PLUMBING FEE 132.75 MECHANICAL FEE ip w 92.93 RADONo� 24.24
cI
H r
FOOTER 2ND ROUGH PLUMB MISC 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.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one 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 rding yo n 'ce of commencement."
CT A RE PERMIT OFFI
PERMIT EXPI ES IN 6 MON S WITHOUT APPROVED INSPECTIO
CALL FO N - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Revision 36233 Delta God Ct It#1-Winward Homes
Prmt#8612
SQ. FEET PRICE
MAIN OR LIVING: 2,424 $ 96.83
OTHER AREA UNDER ROOF: - $ 91.00
OTHER: - $ -
VALUATION $ 234,115.92
FEE SHEET $ 885.00
ADDRESS
DRIVEWAY
BUILDING: $ 902.70 pd ck#1721 $1,179.96
ELECTRICAL: $ 199.13 pd ck#1721 $247.05
PLUMBING: $ 132.75 pd ck#1721 $164.70
MECHANICAL: $ 92.93 pd ck#1721 $115.29
SUB-TOTAL $ 1,327.50
RADON: $ 24.24 pd ck#1721 $31.59 credit revision permit charge$386.85
TOTAL $ 1,351.74
SEWER:
WATER:
IRRIGATION: $ -
TOTAL: $ - n/a
WATER METER: n/a
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ - n/a
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5% $ -
TOTAL: $ - pd ck#1721
aaC�
SUB-TOTAL $ 1,351.74 I
PARK IMPACT FEES $ 769.56 ! ~A'
SIF'S: $ 4,876.28 fr
100.0% $ 4,828.00
1.0% $ 48.28
TOTAL: $ 4,876.28
T I F'S: $ 2,337.15 'd ck#1721 -$908-$3632.00=$2724.00
99% $ 2,313.78 credit$386.85(see above)-$2724=$2,337.15`(--
1% $ 23.37
Balance due
TOTAL: $ 9,334.73 "182
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CEN"RAL PERMITTING DATE: 05Z26Ze? TIME= 15;30
9ASCO COUNTY, FLORIDA PAGE= 1 OE 1
CONTRAC OR # 999999 ISSUE OFFICE: D
NAME: : w ZD HOMES RECEIPT NUMBR; »1139313
ADDR: m ! O TA GOLD CT OFF».CE: DADE CITY
C/ST: y' OF ZHL
FOR: SOLID WASWE FEE FOR CITY OF ZiL CHECK # 12756
36233 DELTA GOLD Cr
BP # 8612
CONTRACTOR; 999999
TOTAL AMOUNT: 37.2!
ACCNT COMPNY ACCOUNT CENTER AMOUNT I>ESCRIPTION/PERMT DATA DR/CF'
114 B4 () - 363000 - 2 37.21 ##*�## SOLID WASTE FEE 60
1)
RECEIVE> BY
PERMIT APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all
approved construction documents,and issuance of this permit is verification that I will notify the property owner of Florida Uen Law
req.,l F.S.713.
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
All work shall comply with the current Florida Building Code,Public Works Design Manual and FDOT Design
Standards(if applicable). (Public Works Design Manual online link:www.d.zephyrhills.fius/public_works.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBLIC.
NOTE: The City of Zephyrhlils is not responsible for maintenance or repairs of driveways. Driveways shall not alter I
Interfere with existing stonnwater treatment and I or conveyance.
PROPERTY OW ERS: By signing this applicatio • certify that I h read and understand the owner/builder disclosure
(!tement. (please initial)
rule mi ____
Applicant Print Name App icant Signature Date
Permit Technician Signature (or)Notary Signature Date
Applicant is( )personally known to me or produced as identification.
(type of identification)
Page 2 of 3
PLOT PLAN SKETCH ONLY SEC. 04 , TWP. 26 S, RNG. 21E.
LOT 1, BLOCK 1 NOT A BOUNDARY SURVEY BEARING BASIS:
SILVER ADO - PHASE 1 A SOUTHERLY LOT UNE OF LOT 1, BLOCK 1 BEING S 89'44'00" W
PASCO COUNTY, FLORIDA.
PRELIMINARY,DRAWING: THIS SURVEY IS SUBJECT TO ANY FACTS THAT
1 @! MAY BE DISCLOSED BY A FULL AND ACCURATE
THIS PLAN'IS FOR PERMITTING PURPOSES TITLE SEARCH. ALSO SUBJECT TO SETBACKS,
ONLY, NOT FOR CONSTRUCTION. VERIFY. EASEMENTS AND RESTRICTIONS OF RECORD.
ALL DIMENSIONS BEFORE ANY CONSTRUCTION. o
' UNDERGROUND FOOTER, STEM WALL, AND
LEGEND: II UNDERGROUND UTILITIES ARE NOT LOCATED OR
= PROPOSED DRAINAGE FLOW SHOWN.
(00.00) = PROPOSED GRADE W DO NOT SCALE THIS PRINT. DIMENSIONS AND
E-00.00 EXISTING GRADE NOTES TAKE PREFERENCE.
O
NOTES: TRACT "A"
LOT GRADING TYPE = A DESCRIPTION NOT CONTAINING PLAT BOOK AND
DRAINAGE OPERATION & PAGE INDICATES THAT PLAT IS IN
PROPOSED PAD ELEVATION = 99.6' I MAINTENANCE EASEMENT PRELIMINARY STAGE AND IS SUBJECT TO
FRONT SET BACK = 20' CHANGE AND/OR REVISION.
SIDE SET BACK = 7.5'
REAR SETBACK = 15' CERTAIN DATA SHOWN HEREON BASED ON
ENGINEERING PLANS PROVIDED BY CLIENT.
I PLAT
BOUNDARY STRUCTURE TIES SHOWN HEREON DENOTES
MEASUREMENT FROM FORM BOARDS/FOUNDATION
ITO PROPERTY LINE.
TRACT 107 * = 10' UTILITY EASEMENT
ZHCCL, P.B.1, PAGE 55 �•• = 10' LANDSCAPE BUFFER/WALL EASEMENT
I
Q7 r �ppF,C'01 PLAT
✓Pf2M(P) 00 '0• 'V, (_—BOUNDARY
N 89'44'00" E 65.00'
2 .80" o p1 —
m
:A P
u TOTAL LOT AREA 7800.00 Q. FT.
�' TOTAL SOD AREA 5327__SQ. FT.
TOTAL CONC AREA =__894 SQ. FT.
Q HOUSE _ 24�SQ. FT.
• Z LOT OCCUPIED = 43
0 O 12.50 C/S A/C0 12.50'
NOTE:
LANDSCAPE �LANA 9
I Fs. CONC AREA NOT UNDER ROOF
BUFFER ` J
D O' (99.6.) .1.
o Z 40'-0"
OO
= I PROPOSED PLAN °
SAND KEY ` BLOCK
21
O
0 °o c ELEV "A" N N
° GARAGE RIGHT
0 i II
C
rj 0'
� a o
f 19
99.J.
y3.
I ' IIIIIIJ _______
t2.so' 6�A
.............
16.00' •' 12.50'
� N
N i
1 S 89'44'00" W 65.00'
20.00' •cNn
:S d
PCP(P)
N 89'44'00" E 124.94'
DELTA GOLD COURT
(0.R.7289, PG.1224)
SETTLERS COURT(PLAT) PROPOSED:
(R/W VARIES) LOWEST FLOOR ELEVATIONS:
DESCRIPTION: LIVING AREA: 99.90'
LOT 1, BLOCK 1, MAP OR PLAT ENTITLED GARAGE AREA:
"SILVERADO - PHASE 1A", AS RECORDED IN! ELEVATIONS REFERENCED TO
NATIONAL GEODETIC VERTICAL
PLAT BOOK 61, PAGES 71 THROUGH 75, OFD THE
PUBLIC RECORDS OF PASCO COUNTY, FLORI A. DATUM OF LEVEL= 00.00 F1929T.
MEAN SEA
FT.
APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY PANEL NO. 120230 0298 D EFFECTIVE DATE: 9/30/92
LEGEND:
(C)= CALCULATED DATA, (D)= DEED DATA, (M)= MEASURED DATA, (P)= PLAT DATA, c= CENTERLINE, A/C— AIR CONDITIONER, B/C= BACK OF CURB. C/S=
CONCRETE SLAB, CH= CHORD, CHB= CHORD BEARING, CLF= CHAIN UNK FENCE, CONC- CONCRETE, COV.= COVERED, E/P= EDGE OF PAVEMENT, ESM'T- EASEMENT,
F/C= FENCE CORNER, FCM= FOUND CONCRETE MONUM�NT, F1P= FOUND IRON PIPE, FIR= FOUND IRON ROD, FN&D= FOUND NAIL & DISK, FPP= FOUND PINCHED
PIPE, LFE= LOWEST FLOOR ELEVATION, MAS.= MASONRY, OR4 OFFICIAL RECORD BOOK, PB= PLAT BOOK, PCP= PERMANENT CONTROL POINT, PRM= PERMANENT
REFERENCE MONUMENT, R/W= RIGHT OF WAY, R= RADIUS, SI�2=SET 1/2" IRON ROD & CAP No. 4493, SN&D= SET NAIL & DISK, IBM- TEMPORARY BENCHMARK,
U/P- UTILITY POLE W/F= WOOD FENCE. (R) = RADIAL
JOHN R.BEACH&ASSOCIATES,INC. raw- Y SMS Square Feet: 7800.00 t KHOV
SURVEYORS AND MAPPERS
911 WEST ST, PETERSBURG DRIVE hocked By.
ONE OLDSMAR, FLORIDA 34677 JRB
WAY (813) 854-1276 FAX (813) 855-8370 Scale:
NOT VALID WITHOUT THE SIGNATURE AND Date: PLOT PL 11/19/08 RIM THE ORIGINAL RAISED SEAL OF A FLORIDA SECOND PLOT P AN 2/18/09 JBS . BEACH 'DATE
LICENSED SURVEYOR AND MAPPER ORIDA G. LAND SURVEYOR No. 2984 D X4493
Revisions: �,��
SKETCH ONLY
LOT SEC. 04 , TWP. 26 S, RNG. 21E.
1, BLOCK 1 PLOT PLAN NOT A BOUNDARY SURVEY BEARING BASIS:
SILVERADO - PHASE 1A SOUTHERLY LOT UNE OF LOT 1,BLOCK 1 BEING S 89'44'00" W
PASCO COUNTY, FLORIDA. \T
`� THIS SURVEY IS SUBJECT TO ANY FACTS THAT
PRELIMINARY DRAWIN MAY BE DISCLOSED BY A FULL AND ACCURATE
THIS PLAN IS FOR PERMITTING PURPOSES 1 TITLE SEARCH. ALSO SUBJECT TO SETBACKS,
EASEMENTS AND RESTRICTIONS OF RECORD.
ONLY, NOT FOR CONSTRUCTION. VERIFY b
ALL DIMENSIONS BEFORE ANY CONSTRUCTION. "' UNDERGROUND FOOTER, STEM WALL. AND
A UNDERGROUND UTILITIES ARE NOT LOCATED OR
LEGEND: SHOWN.
__ -,a".= PROPOSED DRAINAGE FLOW DO NOT SCALE THIS PRINT. DIMENSIONS AND
(00.00) PROPOSED GRADE t NOTES TAKE PREFERENCE.
E-00.00= EXISTING GRADE
NOTES: TRACT"A" DESCRIPTION NOT CONTAINING PLAT BOOK AND
LOT GRADING TYPE= A DRAINAGE OPERATION& PAGE INDICATES THAT PLAT IS IN
PROPOSED PAD ELEVATION = 99.6' MAINTENANCE EASEMENT PRELIMINARY STAGE AND IS SUBJECT TO
FRONT SET BACK— 20' a CHANGE AND/OR REVISION.
SIDE SET BACK = 7.5 CERTAIN DATA SHOWN HEREON BASED ON
REAR SETBACK = 15 ENGINEERING PLANS PROVIDED BY CLIENT.
PLAT STRUCTURE TIES SHOWN HEREON DENOTES
BOUNDARY MEASUREMENT FROM FORM BOARDS/FOUNDATION
TO PROPERTY UNE.
TRACT 107 = 10 UTILITY EASEMENT
ZHCCL,P.8.1,PAGE 55 •" = 10' LANDSCAPE BUFFER/WALL EASEMENT
a I 0
047 G� 4'G�.I/ PLAT
0UNDARY
r._PRM(P N 89'44'00" E 65.00' L�
. �1—
(n � 4:�
1 'AJ JI iA• I1 SQ. FT.
n Doi U U t w u; .o TOTAL LOT AREA 5-Z SQ. FT.
=.o TOTAL SOD AREA 836 SQ. FT.
Q HTOTAL OUSE CONC AREA --2361 -50. FT.
O 0 35 X
o LOT OCCUPIED
NOTE:
W 12.50' CONC AREA NOT UNDER ROOF
D LANDSCAPE
o 12.50' 1 C '
Z �.��vy f1n1 c
01
LOT 2
BLOCK 1
rn ci OSED TIN i
V.+ ST AUGUSi1NE I
GARAGE RIGHT
c o
D �Ayµ�
12.50'_ G iz;so_ ��
16.00'
IN Nt• i0- y oift T C�_ u
k
�'�°� .•1s.00' ♦ �� � IN IUD
S 89'44'00" W 65.00' '
PCP(P)-�I N 89'44'00"E 124.94'
DELTA GOLD COURT cQ D)
(0.9.7289.P0.1224)
SETTLERS COURT(PUT) PROPOSED:
(R/W VARIES) LOWEST FLOOR ELEVATIONS:
LIVING AREA: 99.9'
DESCRIPTION: GARAGE AREA:
LOT 1, BLOCK 1, MAP OR PLAT ENTITLED ELEVATIONS REFERENCED TO
"SILVERADO - PHASE 1A", AS RECORDED IN NATIONAL GEODE11C VERTICAL
PLAT BOOK 61, PAGES 71 THROUGH 75, OF THE DATUM OF 1929. MEAN SEA
PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. LEVEL= 00.00 FT.
APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY PANEL NO. 120230 0298 D EFFECTIVE DATE: 9/30/92
LEGEND:
= CALCULATED DATA, (D)- DEED DATA, (M)— MEASURED DATA, (P)— PLAT DATA, E= CENTERUNE, A/C— AIR CONDITIONER, B/C— BACK OF CURB, C/S—
CONtRETE SLAB. CH- CHORD. CHB— CHORD BEARING. CLF- CHAIN LINK FENCE, CONC= CONCRETE, COV.- COVERED, E/P- EDGE OF PAVEMENT, ESM'T— EASEMENT,
F/C= F8WCE CORNER, FCM— FOUND CONCRETE MONUMENT.TIP— FOUND IRON PIPE. FIR— FOUND IRON ROD. FN&D- FOUND NAIL&DISK, FPP= FOUND PINCHED
PIPE. LFE=tOI& ST FLOOR ELEVATION, MAS.= MASONRY. OR- OFFICIAL RECORD BOOK. PB- PLAT BOOK, PCP—PERMANENT CONTROL POINT, PRM- PERMANENT
REFERENCE MONUMENT, R/W= RIGHT OF WAY. R- RADIUS, SIR=SET 1/2"IRON ROD&CAP No. 4493. SN&D— SET NAIL&DISK. IBM— TEMPORARY BENCHMARK.
U — UTIUTY POLE W&— WOOD FENCE. (R) RADIAL
JOHN R.BEACH&ASSOCIATES,INC. fawn Y SMS Square Feet: 7800.00 t KHOV
t
SURVEYORS AND MAPPERS Chocked By.
911 WEST ST. PETERSBURG DRIVE JRB
ONE OLDSMAR,FLORIDA 34677 Scale:
WAY (813)854-1276 FAX(813) 855-8370
NOT VALID WITHOUT THE SIGNATURE AND ate of Survey. H V
THE OR RAISED SEAL OF A FLORIDA PLOT PLAN 11/19/2008 RTM R. BEACH DATE
LICENSED SURVEYOR AND MAPPER FLORI REG. LAND SURVEYOR No. 2984 LI3/4493
Revisions:
PERMIT APPLICATION
OFFICE USE ONLY
P BLICW :Ftl ,'S ON
Concrete (min. 6") N
Asphalt Base(min. 6") Y N
Asphalt(min. 11/2") Y N
Length (min. 19') N '
Width(10'min—20'max) N —
Existing sidewalk. Y
New sidewalk. N
ADA compliant. Y N
Expansion material required. Y N
Contiguous parking pad. Y
Triangular flare(3W x 7'L) N
Visibility triangle o.k.? Y N
Side set back(3'min. R.O.W.) Y N
Plan'Review Fee
Permit application approved by: Date:
Page 3 of 3
PERMIT APPLICATION
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
All information gi be filled-in completely
City of Zephyrhills
5335 8"'Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780.0005
PROJECT/JOB SITE: PROPERTY OWNER
Address: Lt Name: K. Hovnanian Homes
Unit #: ?.c. h \3 fL 33E Address: 5439 Beaumont CentUitBlvd.
Parcel Identification Number: City, State, Zip Tampa, FL 3363Z
4-26-21-0060-OQ I C>3 Phone: 13-425-8764 Fax: 81 - 0-0115
CONTRACTOR:
Company: K. Hovnanian Homes
Name: Paul M. Gregory
Contractor's License #: CRC50241 E-Mail: mr0ss ov.com
Phone: 813-425-8764 Cell: Fax: 813-890-0115
ARCHITECT/ENGINEER:
Name: Tom Miller / Byron AndersoWirm Name: Structural Engineers and Inspections
Address: 0X 1u itvenue City: Lutz
n: 33549
State License #: #56877 / #60987 Phone: 813- 49- 76 State: Zi
Description of Project
TYPE OF DRIVEWAY >LENGTH OF DRIVEWAY CULVERTS NEEDED
A RESIDENTIAL DRIVEWAY I(D.a WIDTH OF DRIVEWAY
COMMERCIAL DRIVEWAY ( )REINFORCED CONCRETE
PUBLIC ACCESS DRIVEWAY R.O.W. EXCAVATION ( )CORRUGATED MATERIAL
DEPTH LINEAR FEET ( )BOX CULVERT
CONSTRUCTION MATE iAL CURB CUT REQUIRED ( )OTHER(EXPLAIN)
ASPHALT YES NO
_L.00NCRETE
HEADWALL EQUIRED' YES NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings
will be required.
UTILITY LOCATIONS REQUIRED CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
PERMIT APPLICATION
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
All information must be filled-in completely
City of Zephyrhills
5335 8"'Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780.0005
.B,Tu a
PROJECT JOB SITE: PROPERTY OWNER
Address:3(oa33 l Name: Windward Homes
Unit#: 1 Address: i #1010
Parcel Identification Num r: City, State, Zip rp 'r 3F4
4-26-21-0060- l'DO— D1O Phone: 813425-8761 Fax: 813425-8706
CONTRACTOR:
Company: wi nriwar-a i-i-
Name: Paul M. Gregory
Contractor's License #: CRC5O241 E-Mail: cbradley@khov.com
Phone: 813-425-8761 Cell: 813-781-3325 Fax: 813-425-8706
i
ARCHITECT/ENGINEER:
Name:Pearman/Berger/Carotti Firm Name:
n mai nia+ri nT£ Test].
Address: 2004 5-jrr3 A rarnaA Fast aty'Bradentou State: Zips g�p�
State License#: 44099/64003/64764 PhoneA41_7 -7-11'1A Cell: Fax:
Description of Prolect
TYPE OF DRIVEWAY LENGTH OF DRIVEWAY CULVERTS NEEDED
RESIDENTIAL DRIVEWAY LIQLWIDTH OF DRIVEWAY ( )REINFORCED CONCRETE
COMMERCIAL DRIVEWAY R.O.W. EXCAVATION ( )CORRUGATED MATERIAL
PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( )BOX CULVERT
( )OTHER(EXPLAIN)
CONSTRUCTION MATERIAL CURB CUTREOUIRED
ASPHALT _YES NO
_X.cONCRETE ,
HEADWALL REQUIRED? YES NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings'
will be required.
UTILITY LOCATIONS EO I D• CALL BEFORE YOU DIG: 1.800.432.4770
Page l of 3
PERMIT APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all
approved construction documents,and issuance of this permit is verification that I will notify the property owner of Florida Lien Law
req.,F.S.713.
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
All work shall comply with the current Florida Building Code,Public Works Design Manual and FDOT Design
Standards(if applicable). (Public Works Design Manual online link: www.d.zephyrhills.fl.us/public_works.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBLIC.
NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter/
interfere with existing stormwater treatment and/or conveyance.
PROPERTY O S: By signing this appli tion: certify that I have read and understand the owner/builder disclosure
ment. LD lease initial)
1-e Cfl . LcAl tj( on
Applicant Print Name Applicant Signature Li Date
Permit Technician Signature (or)Notary Signature Date
Applicant is( ) personally known to me or produced as identification.
(type of identification)
Page 2 of 3
PERMIT APPLICATION
OFFICE USE ONLY
PUBLIC WORKS USE ONLY
Concrete (min. 6") Y N
Asphalt Base (min. 6") Y N
Asphalt (min. 11 ") Y N
Length (min. 19') Y N
Width (10'min —20' max) Y N
Existing sidewalk. Y N
New sidewalk. Y N
ADA compliant. Y N
Expansion material required. Y N
Contiguous parking pad. Y N
Triangular flare(3W x 7'L) Y N
Visibility triangle o.k.? Y N
Side set back(3'min. R.O.W.) Y N
Plan Review Fee
Permit application approved by: Date:
Page 3 of 3
PLOT PLAN SKETCH ONLY SEC. 04 , TWP. 26 S, RNG. 21E.
LOT 1, BLOCK 1 NOT A BOUNDARY SURVEY BEARING BASIS:
SILVERADO - PHASE 1A SOUTHERLY LOT LINE OF LOT 1, BLOCK 1 BEING S 8944'00" W
PASCO COUNTY, FLORIDA.
�T THIS SURVEY IS SUBJECT TO ANY FACTS THAT
PRELIMINARY DRAWING: 1 �L MAY BE DISCLOSED BY A FULL AND ACCURATE
THIS PLAN IS FOR PERMITTING PURPOSES TITLE SEARCH. ALSO SUBJECT TO SETBACKS,
ONLY, NOT FOR CONSTRUCTION. VERIFY. EASEMENTS AND RESTRICTIONS OF RECORD.
ALL DIMENSIONS BEFORE ANY CONSTRUCTION. o
UNDERGROUND FOOTER, STEM WALL, AND
LEGEND: 4 UNDERGROUND UTILITIES ARE NOT LOCATED OR
f-�= PROPOSED DRAINAGE FLOW SHOWN.
(00.00) a PROPOSED GRADE DO NOT SCALE THIS PRINT. DIMENSIONS AND
E-00.00 = EXISTING GRADE NOTES TAKE PREFERENCE.
NOTES: TRACT "A" DESCRIPTION NOT CONTAINING PLAT BOOK AND
LOT GRADING TYPE = A DRAINAGE OPERATIONPAGE INDICATES THAT PLAT IS IN
PROPOSED PAD ELEVATION = 99.6' I &MAINTENANCE EASEMENT PRELIMINARY STAGE AND IS SUBJECT TO
FRONT SET BACK = 20' CHANGE AND/OR REVISION.
SIDE SET BACK = 7.5'
REAR SETBACK = 15' CERTAIN DATA SHOWN HEREON BASED ON
ENGINEERING PLANS PROVIDED BY CLIENT.
I O NDARYSHOWN DT
B STRUCTURE TIES HEREON DENOTES
�I
MEASUREMENT FROM FORM BOARDS/FOUNDATION
TO PROPERTY LINE.
TRACT 107 * = 10' UTILITY EASEMENT
ZHCCL, P.B.1,PAGE 55 *** = 10' LANDSCAPE BUFFER/WALL EASEMENT
/✓PRM(P)oa .0' F; 0 ,..-8OUNDARY
N 89'44'00" E 65.00' L�
22.80' v �Ol —
' — `� - -'- - - - - - - — iii
W u .
a 7800.00 SO. FT.
ri-H � I _
� TOTAL LOT AREA
TOTAL SOD AREA 5327 SQ. FT.
D I TOTAL CONC AREA -894 SQ. FT.
HOUSE --24.24 QQ. FT.
z LOT OCCUPIED
O o „12.50....` C/S A/C� 12.50'
o NOTE:
LANDSCAPE °f LANAI F 9s• CONIC AREA NOT UNDER ROOF
BUFFER o �99J
O (99.6') y.
z E- 9.° 40'-0" 0
�n
q
_ ( PROPOSED PLAN °f
No SAND KEY BLOCK 21
oO ELEV A" n,
0 GARAGE RIGHT
a
C N
O
0
r n O
m F996
ey .
a° 12.50' 6,e.................... `l�e
0
16.00' 12.50'
Fes° - - s� n_
Plan review Comments 1&2 Family Dwelling
1. F.F.E. Shall be a minimum of 8" above the road elevation and a engineered site plan.
2. Lots shall be graded to comply with 401.3 of the F.B.C.
3. Drainage plan requirements shall be made before pre-slab inspection. Ordinance#974-07
section 6.
4. Compaction test required if 24" or more of fill dirt is brought in at any one place.
5. Tie in survey required before pouring concrete.
6. Driveways require a R.O.W. use permit.
7. All setbacks shall be met.
8. All property markers shall be uncovered and marked at time of first inspection.
9. All A.D.A. requirements shall be met.
10. No electric, plumbing, mechanical, or framing shall be covered without an inspection and
approval first.
11. All garage shall comply with section R309.2 of the F.B.C.
12. Water heaters shall comply with section 607.3 of the M.F.B.C
13. Return air in all bedrooms. F.B.C. M1620.4
14. Smoke detectors are to be installed in accordance with 313.1 of the F.B.C.
15. All glazing requirements are to be in accordance with 308.4 of the F.B.C.
16. All means of egress are to be in accordance with 311 of the F.B.C.
17. Combination-type AFCI breakers are required at all locations requiring a AFCI type breaker
18. Carbon monoxide alarms will be required in new construction that uses fossil-burning heating
or appliances or an attached garage. They shall be installed in accordance with the F.B.C.
19. All plumbing, mechanical, and electrical shall be separate from unit to unit. This includes all
underground plumbing and electric.
As of March 1St 2007 the F.B.C. Will go into effect
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code
R.O.W.-Right Of Way
A.D.A.-Americans with Disabilities Act
WINWARD HOME-36233 DELTA GOLD CT-LOT#1-PERMIT#8612
SQ. FEET PRICE
MAIN OR LIVING: 3,159 $ 96.83
OTHER AREA UNDER ROOF: - $ 91.00
OTHER: - $ -
VALUATION $ 305,885.97
FEE SHEET $ 1,098.00
ADDRESS $ 30.00
( ` DRIVEWAY $ 30.00
E\\/ / BUILDING: $ 1,179.96
ELECTRICAL: $ 247.05
PLUMBING: $ 164.70
MECHANICAL: $ 115.29
SUB-TOTAL $ 1,707.00
RADON: $ 31.59
Jf TOTAL $ 1,738.59
SEWER:
WATER:
IRRIGATION: $ -
TOTAL: COUNTY N/A
WATER METER: COUNTY N/A
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ - N/A
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $ 2,291.94
PARK IMPACT FEES $ 769.56
SIPS: $ 4,876.28 p4w-7
2-i
100.0% $ 4,828.00
1.0% $ 48.28
TOTAL: $ 4,876.28
T I F'S: $ 3,632.00
99% $ 3,595.68 q`�g
1% $ 36.32
TOTAL: $ 11,569.78 I - 8'
813-780-0020 City of Zephyrhills Permit Application / Fax-813-780-0021
JBuilding Department
Date Received —'
O Phone Contact for Permittin
Owner's Name Wiward g I Owner Phone Number 425-8761
Owner's Address 5439 Beaumont Cntr Blvd. #1 0 10 Tampa, F . Owner Phone Number
33634
Fee Simple Titleholder Name IOwner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS J 3(.o33 e kk .- I I LOT# II
�Silverado Ranch 04-26-21-0060-OolOo—
SUBDIVISION PARCEL ID# x .17
(OBTAINED FitOM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR ADD/ALT SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE EZ SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL OTHER
I
DESCRIPTION OF WORK Construct a Single Family Residence GG
BUILDING SIZE 'O"X.k 40.0' SQ FOOTAGE HEIGHT �p ? M It 1 r te\
BUILDING $ ')(4 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ q 1 � AMP SERVICE PROGRESS ENERGY LEEW.R.E.C.
LIZI PLUMBING $ 5i5 O^.
MECHANICAL $ 1 `O . VALUATION OF MECHANICAL INSTALLATION GAS FINISHED FLOOR
ELEVATIONS ROOFING , � FLOOD ZONE AREA SPECIALTY fl OTHER
�YES
BUILDER COMPANY Wi(PWard Homes-
SIGNATURE REGISTERED Y N FEE CURRENT N
Address Tamyr. 3634 License# I CRC5O241
ELECTRICIAN COMPANY
S & S ; Electric Co. S'
SIGNATURE 1 0- REGISTERED N FEE CURRENT /N
Address 105 Douglas Rd. Oldsmar
License# I EC13OO3932
PLUMBER COMPANY R. . Kielty
SIGNATURE REGISTERED / N FEE CURRENT N
Address 9507 SR 52 Hudson, FL 34669 I License# I cFCO20342
MECHANICAL COMPANY SOT_ M_C17aniCal______________________________JSIGNATURE EGISTERED / N FEE CURRENT N
Address 12302 N. Nehrsk Taa FL 33f12 License# CMC05697
OTHER COMPANY
SIGNATURE I I REGISTERED I Y/ N FEE CURRENT I Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C 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 A/C 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, 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 that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit 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 the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days 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 JMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH G YOUR NOTICE OF cpM1ENCErL.-
FLORIDA JURAT .S.11
OWNER OR AG T CONTRALTO
S s nd t before this ubp'bed n to or affir ed) r me
y h y
o' e personally known to me rhas/haveproducedl personally known to or has/have produce
s identification. as identification.
Notary Public Notary Public
"�� Com I CAROLE M.BRADLEY
Commission No. = ;: MY COMMISSION#DD 466545
MY COMMISSION#DD 466545 = - EXPIRES:October 8
Name of Notary typ _ ,r___ 8,200rters Name;jf �t FIMIt 'otP goers
City of Zephyrhills, Florida Page 1 of 2
{
Residential Permitting Checklist
ADMINISTRATION
CITY COUNCIL
RESIDENTIAL
POLICE DEPT CHECKLIST FOR NEW CONSTRUCTION PERMITTING
FIRE DEPT City of Zephyrhills Building Department
LIBRARY 5335 8th Street
Zephyrhills , FL 33542
AIRPORT
UTILITIES w Application completed in its ENTIRETY. Ii
PUBLIC WORKS Notice of Commencement certified copy
BUILDING DEPT
Check if contractors and subs are currently registered.
DEVELOPMENT
SERVICES Zc cs J
Florida Ener Efficiency Form completed
PARKS a
RECREATION I Plot Plan. ` ,>
PURCHASING
Property Survey.
DEPOT MUSEUM
VISITOR TWO SETS of Engineered Building Prints with electrical, plumbing
INFORMATION & mechanical diagrams.
Homeowner, check for proper "Homeowner's Affidavit" form.
77 Subdivision Design Review Compliance Letter
R-0-W Use Permit
Give Elevation Certificate, if applicable.
Verify Water & Sewer Service.
Annual Solid Waste Assessment lee must be paid to Pasco County
i Building Department prior to issuance of Certificate of
Occupancy.
I
February 19, 2009
To: City of Zephyrhills Permitting
Attn: Jackie Boges
Re: Request for Cancellation of permit
Lot 1 Block 1 — Silverado Ranch
36233 Delta Gold Court
Permit#8612
Please accept this letter as a formal request to cancel the permit submitted and referenced
above. We do not wish to proceed in building this house type on this particular lot.
If there is any additional information needed, please let us know. Thank you in advance for
your assistance.
Sincere) ,
Paul M. Gregory
K. Hovnanian Windward Homes, LLC
CRC50241
State of Florida
County of Hillsborough
Signed before me this February 19, 2009, by Paul M. Gregory, who is personally known by
m d did not take an oath.
;t �'PU��. CAROLE M.BRADLEY
_,: ,- MY COMMISSION N DD 466545
P, EXPIRES:October 8,2009
Carole M. Bradley— Notary PubliRf,n ° BondedThruNotaryPublicUndewrtters
5439 Beaumont Center Boulevard
Suite 1010
Tampa, Florida 33634
(813)425-8764 PH (813)890-0115 FAX
City of Zephyrhills
. ytT CMEiWF 4g
Building Department
5335 Eighth Street Zephyrhills, Florida 33542 (813) 780-0020 Fax (813) 780-0021
March 3, 2009
W.A."Bill"Burgess
Director of Building
Licensing&Zoning
Winward Homes K. Hovnanian Homes
5439 Beaumont Center Blvd#1010
Tampa Fl 33634
To Whom it may concern;
We have received revision plans for home sites 36233 Delta Gold Court lot#1 and
36253 Delta Gold Court lot#4. Upon plan review of the new square footage for the
homes the permit amount has changed. See list below;
Lot#4 Lot#1
Credit$13.93 credit$386.85
The previous permits will not be closed you will keep the same permit number and
apply the credits to new permit cards. We have applied the credit against balance
left on the previous permit.
Balanced owed on the 36253 Delta Gold It. #4 is $8,355.91 and the balance for
36233 Delta Gold It#1 is $7,982.99.
Thank you
Jackie Boges
Code Support Specialist
30-0020 ity of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received ,/-�
Phone Contact for Permitting (� l — �lll
Owner's Name I Wp H man ipnyOwner Phone Number 425-(j (11 q l
Owner's Address 5439 Beaumont Cntr Blvd. #1010 TaIn Owner Phone Number
33634
Fee Simple Titleholder Name J IOwner Phone Number
Fee Simple Titleholder Address \ �
JOB ADDRESS 3(. a 33 IBC l�� 6-didCC>( l LOT#
it Silverado Ranch I
PARCEL ID# 04-26-21-0060-OO l b0 — (�(�l C�
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR ADD/ALT SIGN = MOVE DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR = COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL OTHER
DESCRIPTION OF WORK `Construct a Single Family Residence }
BUILDING SIZE 0 x 0/ SQ FOOTAGE I) C� HEIGHT aC o'(a '
BUILDING $ 1 '�U I
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 5 3 b PROGRESS ENERGY W.R.E.C.
, AMP SERVICE ITT \\\
PLUMBING I51 n 4 l
f n
MECHANICAL $ !, X VALUATION OF MECHANICAL INSTALLATION
lY ��
GAS ROOFING = SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS O t FLOOD ZONE AREA =YES NO
BUILDER o COMPANY Wl d Hanes
SIGNATURE REGISTERED Y N FEE CURRENT Y/N
Address License# CRC5O241
3634
S & S , Electric Co.
ELECTRICIAN COMPANY
SIGNATURE 1 REGISTERED Y N FEE CURRENT Y/N
Address 05 Do las Rd. Oldsmar
license# EC13003932
PLUMBER COMPANY R Kiel
SIGNATURE a-ol REGISTERED N FEE CURRENT Y/N
Address I 9507 SR 52 Hudson, FL 34669 License#
MECHANICAL COMPANY S _A Mechani
SIGNATURE REGISTERED Y N FEE CURRENT I Y/N
Address I 12302 Tam License# G056976
OTHER COMPANY
SIGNATURE REGISTERED Y N FEE CURRENT I Y/N N
Address I Ucense#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms I
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C 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 A/C 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 "deea iestnctions"
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 reg�'lations. 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 orintended 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,
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 tje 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 that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit 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 the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days 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 FI CONSULT
fH Y F\ EFOIPING YO TICE O EMENT.
FLORIDA JURAT(F.S.117. )
OWNER OR AGENT ONTRACTO
u s before this S a d twcSfn to or affiriye e r me
y by---
o i rep rsonally known to me r has/have produce per ovally known to or has/have produ
as identificatio
s Identification. n.
ry Public
Notary Public L9dLLi
Commission Nn. Commission No.
jy, CAROLS M.BRADLEY y;:y CAROLS M.BRADLE'/ 5
Name of Notary t y i or g>j slp�iOctober 8,2009
*DO 4654]
Name of Notary %) IDQ*ober 8,2009 :y ,• BondedTnre Noury Publb undmvdters
Bonded Thru NMry Public underwriters ,4 c•
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
c r meowner:Contra to /Ho &1,1O,ard
Date Received: 2
Site: 3� Z33 Mkt
ftv Z
Permit Type: �(� f �`F�c)ls �
Approved w/no comments:❑ Approved w/the below comments: Ienied w/the below comments: ❑
This comme t sheet shall be kept with the permit and/or plans.
Kalvin S 'tier—/ is Examiner Date Contractor and/or Homeowner
(Required when comments are present)
FORM 600A-2004R EnergyGauge®4.5.2
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
Residential Whole Building Performance Method A
Project Name: KHOV1716SK-SAND KEY-1716 S.F.L.A. Builder. K HOVNANIAN HOMES
Address: 3C A 33 I-k 6-id ( f-- Permitting Office: Cry q 7ep q,-I%//s
City, State: Permit Number. $,
Owner: ,P �C� � i `� � Jurisdiction Number: ( Ills o
Climate Zone: Central
1. New construction or existing New — 12. Cooling systems
2. Single family or multi-family Single family — a. Central Unit Cap:35.0 kBtu/hr —
3. Number of units,if multi-family 1 — SEER: 13.00
4. Number of Bedrooms 4 _ b. N/A _
5. Is this a worst case? Yes _ _
6.• Conditioned floor area(ft') 1716 ft2 _ c. N/A —
7. Glass type I and area:(Label reqd.by 13-104.4.5 if not default) _
a. U-factor: Description Area 13. Heating systems
(or Single or Double DEFAULT) 7a(Sngle Default)211.0 ft2 — a. Electric Heat Pump Cap:34.0 kBtu/hr _
b.SHGC: HSPF:8.00 _
(or Clear or Tint DEFAULT) 7b. (Clear)211.0 ft' — b. N/A
8. Floor types —
a. Slab-On-Grade Edge Insulation R—0.0, 180.0(p)ft c. N/A —
b.N/A _ _
c. N/A _ 14. Hot water systems
9. Wall types a. Electric Resistance Cap:40.0 gallons _
a. Concrete,Int Insul,Exterior R=4.1,1150.0 ft2 _ EF:0.92
b.Frame,Wood,Adjacent R=11.0,244.0 ft' _ b. N/A —
c. N/A _
d. N/A c. Conservation credits
e. N/A _ (HR-Heat recovery,Solar
10. Ceiling types _ DHP-Dedicated heat pump)
a. Under Attic R=30.0, 1716.0 ft2 15. HVAC credits PT, _
b. N/A (CF-Ceiling fan,CV-Cross ventilation,
c. N/A _ HF-Whose house fan,
11. Ducts _ PT-Programmable Thermostat,
a. Sup:Unc. Ret:Unc. AH(Sealed):Interior Sup.R=6.0, 175.0 ft MZ-C-Multizone cooling,
b. N/A — MZ-H-Multizone heating)
Glass/Floor Area: 0.12 Total as-built points: 22173 PASS
Total base points: 23847
I hereby certify that the plans and specifications covered by Review of the plans and -THE ST
this calculation are in compl' he Florida Energy I I specifications covered by this tio� �rAO
Code. calculation indicates compliance
PREPARED BY: with the Florida Energy Code.
Before construction is completed
DATE: `� — p.—�-� 9 j this building will be inspected for c�
I hereby certify that thi ding, as desi d, is in compliance I ; compliance with Section 553.908 'r
with the Florida Enei Co I ! Florida Statutes. COD We��
OWNER/AGENT: i , BUILDING OFFICIAL:
DATE: DATE:
1 Predominant glass type. For actual glass type and areas,see Summer&Winter Glass output on pages 2&4.
EnergyGauge®(Version: FLRCSB v4.5.2)
FORM 600A:-2004R EnergyGauge®4.5.2
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
( ADDRESS: , , , PERMIT#:
BASE AS-BUILT
GLASS TYPES
.18 X Conditioned X BSPM = Points Overhang
Floor Area Type/SC Omt Len Hgt Area X SPM X SOF= Points
.18 1716.0 24.35 7521.0 1.Single,Clear E 1.0 5.0 13.0 63.97 0.95 790.0
2.Single,Clear S 11.7 9.0 64.0 48.22 0.53 1641.0
3.Single,Clear N 9.0 7.0 38.0 30.19 0.69 788.0
4.Single,Clear E 13.0 9.0 48.0 63.97 0.45 1382.0
5.Single,Clear W 1.0 6.0 48.0 57.68 0.97 2681.0
As-Built Total: 211.0 7282.0
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adjacent 244.0 0.70 170.8 1.Concrete,Int Insul,Exterior 4.1 1150.0 1.18 1357.0
Exterior 1150.0 1.90 2185.0 2.Frame,Wood,Adjacent 11.0 244.0 0.70 170.8
Base Total: 1394.0 2355.8 As-Built Total: 1394.0 1527.8
DOOR TYPES Area X BSPM = Points Type Area X SPM = Points
Adjacent 18.0 1.60 28.8 1.Exterior Insulated 48.0 4.80 230.4
Exterior 48.0 4.80 230.4 2.Adjacent Wood 18.0 2.40 43.2
Base Total: 66.0 259.2 As-Built Total: 66.0 273.6
CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points
Under Attic 1716.0 2.13 3655.1 1.Under Attic 30.0 1716.0 2.13 X 1.00 3655.1
Base Total: 1716.0 3655.1 As-Built Total; 1716.0 3655.1
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Slab 180.0(p) -31.8 -5724.0 1.Slab-On-Grade Edge Insulation 0.0 180.0(p -31.90 -5742.0
Raised 0.0 0.00 0.0
Base Total: -5724.0 As-Built Total: 180.0 -5742.0
INFILTRATION Area X BSPM = Points Area X SPM = Points
1716.0 14.31 24556.0 1716.0 14.31 24556.0
EnergyGauge®DCA Form 600A-2004R EnergyGauge®/FlaRES'2004R FLRCSB v4.5.2
FORM 600A-2004R EnergyGauge®4.5.2
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - Details
ADDRESS: , , , PERMIT#:
BASE AS-BUILT
Summer Base Points: 32623.0 Summer As-Built Points: 31552.4
Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
(System - Points) (DM x DSM x AHU)
(sys 1:Central Unit 350o0btuh,SEER/EFF(13.0)Duds:Unc(S),Unc(R),Int(AH),R6.0(INS)
31552 1.00 (1.09 x 1.150 x 0.85) 0.260 0.950 8329.6
32623.0 0.3250 10602.5 31552.4 1.00 1.069 0.260 0.950 8329.6
EnergyGaugeTm DCA Form 600A-2004R EnergyGauge®/FIaRES'2004R FLRCSB v4.5.2
FORM 600A-2004R EnergyGauge®4.5.2
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
ADDRESS: , ,
PERMIT#:
BASE AS-BUILT
GLASS TYPES
.18 X Conditioned X BWPM = Points Overhang
Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF= Point
.18 1716.0 9.11 2814.0 1.Single,Clear E 1.0 5.0 13.0 12.37 1.01 162.0
2.Single,Clear S 11.7 9.0 64.0 9.90 2.03 1287.0
3.Single,Clear N 9.0 7.0 38.0 15.07 0.99 565.0
4.Single,Clear E 13.0 9.0 48.0 12.37 1.23 729.0
5.Single,Clear W 1.0 6.0 48.0 13.25 1.00 637.0
As-Built Total: 211.0 3380.0
WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Adjacent 244.0 1.80 439.2 1.Concrete, Int Insul,Exterior 4.1 1150.0 3.31 3800.8
Exterior 1150.0 2.00 2300.0 2.Frame,Wood,Adjacent 11.0 244.0 1.80 439.2
Base Total: 1394.0 2739.2 As-Built Total: 1394.0 4240.0
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
Adjacent 18.0 4.00 72.0 1.Exterior Insulated 48.0 5.10 244.8
Exterior 48.0 5.10 244.8 2.Adjacent Wood 18.0 5.90 106.2
Base Total: 66.0 316.8 As-Built Total: 66.0 351.0
CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = . Points
Under Attic 1716.0 0.64 1098.2 1.Under Attic 30.0 1716.0 0.64 X 1.00 1098.2
Base Total: 1716.0• 1098.2 As-Built Total: 1716.0 1098.2
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 180.0(p) -1.9 -342.0 1.Slab-On-Grade Edge Insulation 0.0 180.0(p 2.50 450.0
Raised 0.0 0.00 0.0
Base.Total: -342.0 As-Built Total: 180.0 .450.0
INFILTRATION Area X BWPM = Points Area X WPM = Points
1716.0 -0.28 -480.5 1716.0 -0.28 -480.5
EnergyGauge®DCA Form 600A-2004R EnergyGauge®/FIaRES'2004R FLRCSB v4.5.2
FORM 600A-2004R EnergyGauge® 4.5.2
WINTER CALCULATIONS
Residential Whole Building Performance Method A - Details
[ADDRESS: , , , PERMIT#:
BASE AS-BUILT
Winter Base Points: 6145.8 Winter As-Built Points: 9038.7
Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating
Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points
(System - Points) (DM x DSM x AHU)
(sys 1:Electric Heat Pump 34000 btuh,EFF(B.0)Ducts:Unc(S),Unc(R),Int(AH),R6.0
9038.7 1.000 (1.078 x 1.160 x 0.87)0.427 0.950 4003.7
6145.8 0.5540 3404.8 9038.7 1.00 1.093 0.427 0.950 4003.7
EnergyGaugeTM DCA Form 600A-2004R EnergyGauge®/FIaRES'2004R FLRCSB v4.5.2
FORM 600A-2004R EnergyGauge®4.5.2
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
ADDRESS: , , , PERMIT#:
BASE AS-BUILT
WATER HEATING
Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total
Bedrooms Volume Bedrooms Ratio Multiplier
4 2460.00 9840.0 40.0 0.92 4 1.00 2460.00 1.00 9840.0
As-Built Total: 9840.0
CODE COMPLIANCE STATUS
BASE AS-BUILT
Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total
Points Points Points Points Points Points Points Points
10602 3405 9840 23847 8330 4004 9840 22173
PASS
�O4TtIH ST,v� .
fq i'a ya`
� o
EnergyGaugew DCA Form 600A-2004R EnergyGauge®/FlaRES'2004R FLRCSB v4.5.2
FORM 60,0A-2004R EnergyGauge®4.5.2
Code Compliance Checklist
Residential Whole Building Performance Method A - Details
ADDRESS: , , , PERMIT#:
6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST
COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK
Exterior Windows&Doors 606.1.ABC.1.1 Maximum:.3 cfm/ .ft.window area;.5 cfm/s .ft.door area.
Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall;
foundation&wall sole or sill plate;Joints between exterior wall panels at comers;utility
penetrations;between wall panels&top/bottom plates;between walls and floor.
EXCEPTION:Frame walls where a continuous infiltration barrier Is installed that extends
from,and Is sealed to,the foundation to the top late.
Floors 606.1.ABC.1.2.2 Penetrations/openings>1/8"sealed unless backed by truss or joint members.
EXCEPTION:Frame floors where a continuous Infiltration barrier Is installed that Is sealed
to the perimeter,penetrations and seams.
Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases,
soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate;
attic access.EXCEPTION:Frame ceilings where a continuous infiltration barrier is
installed that is sealed at the perimeter,at penetrations and seams.
Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a
sealed box with 1/2"clearance&3"from Insulation;or Type IC rated with<2.0 cfm from
conditioned space,tested.
Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors.
Additional Infiltration reqts 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA,
have combustion air.
6A-22 OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences.)
COMPONENTS SECTION REQUIREMENTS ( CHECK
Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2. Switch or clearly marked cir
breaker(electric)or cutoff(gas)must be provided. External or built-in heat trap required.
Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools
must have a pump timer.Gas spa&pool heaters must have a minimum thermal
efficiency of 78%.
Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG.
Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically
attached,sealed,insulated,and installed in accordance with the criteria of Section 610.
Ducts in unconditioned attics:R-6 min.insulation. _
HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system.
Insulation 604.1,602.1 Ceilings-Min.R-19.Common walls-Frame R-1 1 or CBS R-3 both sides.
Common ceiling&floors R-1 1.
EnergyGauge^'"DCA Form 600A-2004R EnergyGauge®/FIaRES'2004R FLRCSB v4.5.2
Job: SAND KEY-1716 S.F....
4 wrightsoft° Load Short Form Daft: yo
Entire House By: TRH
SIMPSON MECHANICAL
12302 N.NEBRASKA AVE.,TAMPA,FL.33612 Phone:(613)558-0068 Fax:(813)668-8578
•7 [I. lrnt.iiuifflut.1I
For. K HOVNANIAN HOMES
� • L!l IU flDiiiitu LIII
Htg Cig Infiltration
Outside db(°F) 40 92 Method Simplified
Inside db(°F) 70 75 Construction quality Average
Design TD(°F) 30 17 Fireplaces 0
Daily range - L
Inside humidity(%) 50 50
Moisture difference(grub) 26 52
HEATING EQUIPMENT COOLING EQUIPMENT
Make Goodman Mfg. Make Goodman Mfg.
Trade GOODMAN Trade GOODMAN
Model GSZ130361 Cond GSZ130361
ARI ref no. 1381448 Coil AR*F36361
ARI ref no. 1381448
Efficiency 8 HSPF Efficiency 13 EER
Heating input Sensible cooling 25900 Btuh
Heating output 34000 Btuh @ 47°F Latent cooling 9100 Btuh
Temperature rise 26 °F Total cooling 35000 Btuh
Actual air flow 1200 cfm Actual air flow 1200 cfm
Air flow factor 0.040 cfm/Btuh Air flow factor 0.045 cfm/Btuh
Static pressure 0 in H2O Static pressure 0 in H2O
Space thermostat Load sensible heat ratio 0.85
ROOM NAME Area Htg load Cig load Htg AVF Cig AVF
(ft2) (Btuh) (Btuh) (cfm) (cfm)
FOYER 95 2591 1324 103' 60
DINING 156 4227 . 2554 168 116
KITCHEN 215 2201 3289 87 149
GREAT ROOM 256 5842 7967 232 361
HALLWAY 56 61 112 2 5
B.R.#4 4 143 4370 3877 174 176
POOL BATH 91. 1069 63$ 42 29
S.R.#3 154 3492 2157 139 - 98
B.R.#2 2 175 2386 1826 95 83
MASTER BATH 99 108 • 199 4 . 9
MASTER CLOSET 52 57 104 2 5
MASTER B.R. 225 3800 2439 151 111
Bold/Italic values have been manually overridden
Printout certified by ACCA to meet all requirements of Manual J 8th Ed.
- +j+ wrightsoft- Right-Suite®Universal 7.1.06 RSU07852 2009-Feb-05 15:10:31
Z:1Tommy HVAC1KHOV1716SKJ8.rup Calc=MJ8 Orientation-SW Page 1
Entire House 1716 30204 28485 1200 1200
Other equip loads 1321 766
Equip,@ 0.97 RSM 26543
Latent cooling 4884
TOTALS 1716 31525 31426 1200 1200
Bold/Italic values have been manually overridden
Printout certified by ACCA to meet all requirements of Manual J 8th Ed.
't '+j wrlghtsofV Righ-Suite®Universal 7.1.06 RSU07852 2009-Feb-05 15:10:31
Z:1Tommy HVACIKHOV1716SKJB.rup Calc=MJ8 Orientation-SW Page 2
813 855 4284 S&S Electric 09:53:49 a.m. 12-05-2008 1 /3
Company .S' S'Air d ring
Hi9Th:LANG C0NFIDENCE S E1847'"' ''' NYD"AlaiCQMI0RTANDQUALITY"
105 Douglas Road East I O(dsmar, Florida 34677-2911
FACSIMILE TRANSMISSION
To: Jackie From: Julie Garafalo
Can , Zephyrhills Building Dept Phone: 813.343.6544
Fax: 813-780-0021 Email: jgarafalo@ss-electric.com
Phone: Date: December 5, 2008
Re: WC&Liability Form Renewal Pages: 3 (including cover)
❑Urgent O For Review ❑Please Comment ❑Please Reply O Please Recycle
e Comments:
Hi Jackie,
Please find attached the updated WC&Liability Form for S &S Electric.
Can you also check to make sure all our license info is updated for 2009—Shawn Smith is
the license qualifier >> EC13003932 (Electrical)and CAC1814177 (Mechanical)
Thank you Happy Friday!
Julie Garafa/o
Licensing Coordinator
(813) 343-6544
www.ss-electric.com
(P)813.855.6692 - (F)813.855.4284
S&S Electric Co.,Inc.-EC0002779,EC13003932,CAC1814177;
S&S Etedric Co.,LLC-ES12000372,ES12000420;
S&S Air Conditioning,LLC-CAC 1815359
813 855 4284 S&S Electric 09:53:59 a.m. 12-05-2008 2/3
ACORD CERTIFICATE OF LIABILITY INSURANCE OPID DIJ
DATE(MMIDD(YYYY)
S&SEL-1 12/05/08
PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION
Bouchard-Clearwater ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
101 Starcreat Drive HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
P 0 Box 6090 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clearwater FL 33758-6090
Phone:727-447-6481 Fax:727-449-1267 INSURERS AFFORDING COVERAGE NAJC9
INSURED INSURERA: 20141
NitlOnsl Tru.t Insuranq Co
S&S Electric Co Inc INSURERB: FOCI Cawureial In.ur.ne.Co 33472
S&S Electric Co LLC
S&S Air Conditioning Co LLC INSURERC: rFVA wutual Insuranw Coy 10385
105 Douglas Rd E INSURERD: Ansrioan Intl epsei.lty Lin.. 26883
Oldsmar FL 34677
INSURERS:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSUREDNAMEDABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEDOR
MAY PERTAIN,THE INSURANCEAFFORDEDBY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS.
LTR SR TYPE OF INSURANCE POLICY NUMBER DA MMIDDIYY DATE IUWO LETS
GENERALLIABLrTY EACH OCCURRENCE $-1,000,000
B X COMMERCIAL GENERALLIABLITY GL00064341 11/17/08 11/17/09 PREMSES -RERIEenoe $100,000
ITIICLAIMS MADE O OCCUR MED EXP(My one Person) $5,000
X Contractual Liab PERSONAL&ADVINJURY $1,000,000
X XCU 10 DAY NOTIC! root NW-PAY GENEPALAGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT.APPLIESPER: PRCOUCTS-CDMPIOPAGO 32,000,000
POLICY X JECT LOC
Emp Ben. 1,000,000
AUTOMOBILE LIABILITY OM
A X ANY AUTO CA00066953 11/17/08 11/17/09 (EaCaa denEDtINGLEUMIT
)BIN S 1,000,000
ALL OWNED.AUTOS BODILY INJURY
SCHEDLLEDAUTOS 10 DAY NOTICe FOR NW-PAY (Perperson)
HIRED AUTOS
NOUOWNEDAUTOS BODILY INJURY
(PeraondenQ
PROPERTY DAMAGE
(Peraoddent)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHERTHAN EAACC $
AUTO ONLY: AGO $
EXCESSANe ELLA LIABILITY EACH OCCURRENCE $5,000,000
A X OCCUR [j]CLAUMSMAOE 014800011665 11/17/08 11/17/09 AGGREGATE $5,000,000
$
DEDUCTIBLE
S
X IRETENTION $10. 000
WORKERS COMPENSATION AND X TORY LIMBS I I ER C EMPLOYERS'u RJPAR
ANY PRCWRETOR/PART'NERAcXECUTIVE WC84000117262008A 01/01/08 01/01/09 E.L.EACHACCDENT s500,000
OFFICERNEMBER EXCLUDED? to DAY NOTICE e1711 NON-PAY describe E.L.DISEASE-EA EMPLOYEE s500,000
it yyeess u dar
SPECNL PROVISIONS balow E.L.DISEASE-POLICY LIMIT I f 500,000
OTHER
D Pollution Liab CPL1443644 06/30/08 06/30/09 Occurrenc 1,000,000
10 MY NOTICS FOR NW-PAY I Aggregate 1,000,000
DESORPTION OF OPERATIONS I LOCATIONS I VEIMCLEE!EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Laverne Smith - EC0002779
Shawn Smith - EC13003932; ES12000202;ES12000372; ES12000420;CAC1814177;
CAC1815359
CERTIFICATE HOLDER CANCELLATION
CITYO SHOULD ANY OF THE ABOVE DESCROEDPOLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUNG INSURER WILL ENDEAVOR TO MAL 30 DAYS WRITTEN
CITY OF ZEPHYRHILLS NOTICE TO THE CERTIFICATE HOLDER NAMEDTO THE LEFT,BUT FALURETO DO SO SHALL
BUILDING DEPARTMENT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
5225 8TH STREET
ZEPHYRHILLS FL 33542 REPRESS .
AUTHTIVESSENTA
ACORD 25(2001108) 0 ACORD CORPORATION 1988
813 855 4284 S&S Electric 09:54:19 a.m. 12-05-2008 3/3
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may
require an endorsement.A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it
affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon.
ACORD 25(2001108)
Page 1 of 1
Jacqueline Boges
From:' Jacqueline Boges
Sent: Friday, December 05, 2008 9:09 AM
To: 'Bradley, Carole'
Subject: DELTA GOLD COURT HOMES
Attachments: Delta Gold Ct-36233-Iot#1.xis; Delta Gold Ct-36253-lt#4.xls
GOOD MORNING
I AM WAITING FOR THE DRIVE WAY PERMIT APPLICATION FOR 36233 DELTA GOLD CT
LOT 1 & 36253 DELTA GOLD CT LOT 4 BEFORE THE PERMIT WILL BE READY FOR PICK
UP.
I HAVE ATTACHED THE FEE SHEET SO THAT YOU WOULD KNOW THE COST OF EACH
PERMIT. I AM ALSO IN NEED OF THE ELECTRICIAN LIABILITY INSURANCE IT HAS
EXPIRED. SO IF YOU COULD HAVE THEM TO FAX OVER TO OUR OFFICE 813-780-0021 I
WOULD GREATLY APPRECIATE IT.
ONCE I RECEIVE THE DRIVE WAY PERMITS BACK OUT OF REVIEW I WILL LET YOU
KNOW .
THANKS JACKIE
12/5/2008
Prf:Pdre�j y and Return to:
Paul Corac,,V.P.of Land Development for
K.HoBeaum BWeaumont
Center
Homes,LLC (IIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIIIIIII
5439 Beaumont Center Boulevard, #1050 iI
Tampa, Florida 33634 2008179139
Rcpt: 1217941 Rec: 18.50
DS: 0.00 IT: 0.00
12/18/08
Pt Cl
NOTICE OF COMMENCEMENT -- Oy erk
JEJ PITTMAN PASCO COUNTY CLERK
Permit No. #8612 12/18/08 0$:49am 1 of 2
OR BK 7985 PG 899
Tax Folio/Parcel ID: State: Florida
04-26-21-0060-00100-0010 County: Pasco
The undersigned hereby gives notice that improvement will he made to certain real property
and in accordance with Chapter 713, Florida Statutes, the following information is provided
in this Notice of Commencement:
1. Description of property:
Street Address: 36233 Delta Gold Court
Lot 1 Block 1 of SILVERADO,PHASE 1A, according to t;-�e Plat thereof as recorded in Plat
Book 61, Page(s) 71, of the Public Records of Pasco County, Florida.
2. General description of improvement: Construction of Single Family Dwelling and
Pool and Pool Enclosure.
3. Owner:
a. Name and Address: K. Hovnanian Windward Homes, LC, 5439 Beaumont Center
Boulevard, Suite 1050, Tampa, Florida 33634
b. Interest in property: Fee Simple
c. Name and address of fee simple title holder (if other than owner): n/a
4. Contractor:
a. Name and Address: K. Hovnanian Windward Homes, LLC, 5439 Beaumont Center
Boulevard, Suite 1050, Tampa, Florida 33634
b. Contractor Phone Number: 813-885-7744 '
5. Surety:
a. Name and Address: n/a n/a
b. Phone Number: n/a
c. Amount of bond: $ n/a
6. Lender:
a. Name and Address: n/a
b. Lender's Phone Number: n/a
7. Persons within the State of Florida designated by Owne,:•upon whom notices or other
documents may be served as provided by Section 713.1,'? 1 a 7, Florida Statutes:
a. K. Hovnanian Windward Homes, LLC, 5439 Beaumont(.: n ter Boulevard, Suite 1050
b. Phone numbers of designated persons: 813-885-7744
8. In addition to him/herself, Owner designates the following persons)to receive a
copy of the Lienor's Notice as provided in Section 713.1:i(1)(b), Florida Statutes:
a. n/a
b. n/a
9. Notice of Commencement expiration date (one full year from the date of recording unless
different date is specified):
OR BK 7985 PG 900
2 of 2
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 WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCI G WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Paul Corace, Vice President of Land Development Date
State of Florida
County of Hillsborough
adi g instrument was acknowledged before me this ��,,,,��.��,,
nt of Land Development for K. Hovnanian Windward Homes, LLCa'Fllorid LLmited Paul orace,
Liability
Z� Pti'•.. CAROLE M.BRADLEY
._ MY COMMISSION#DD 466545
Notary Public EXPIRES:October8 2009
of ` Bonded Thru Notary PW*Ur4oragm
My Commission Expires:
(SEAL)
Personally Known X -OR- Produced Identification
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 true to the best of
4my wledge Andlief.
Paul Corace, ice esent of Land Development
K. Hovnanian Windward Homes, LLC
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT TRUE AND CO THE FOREGOING IS A
RRECT COPY OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFIC ITNESS MY
HA OFFICIAL EAL T IS
DAY OF
JED P t2
LE K F CIRCUI CO T
BY
EPUTY CLERK