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08-8683
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8683 BUILDING PERMIT Permit Number: 8683 Address: 5712 20TH ST Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: YINGLING ADDITION Est. Value: Parcel Number: 12-26-21-0020-00500-0210 Improv. Cost: 2,400.00 Date Issued: 12/24/2008 Name: TAEGER, JOYCE Total Fees: 67.50 Address: 6831 AXELROD WAY Amount Paid: 67.50 WESLEY CHAPEL FL 33544 Date Paid: 12/24/2008 Phone: (813)997-0880 Work Desc: REPLACE 9 WINDOWS SIZE/SIZE ,a. BLEVINS&SON WINDOWS INC BUILDING FEE 67.50 n 2 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 recording your notice of commencement." CON O SIGN R PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department W Date Received ( —/ - 2,00 Phone Contact for Permitting ( /3 78( ( �--� Owner's Name 1 Owner Phone Number 13 ' 1q 7 7__Q Owner's Address S 7 -T�1 -� L = -Owner Phone Number Fee Simple Titleholder Name A Owner Phone Number Fee Simple Titleholder Address �^ �' y LOT#JOB ADDRESS S 7/'Z � -- �7- !.r_ (- r 3 3' �` SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ® NEW CONSTR e ADD/ALT E SIGN Q MOVE O DEMOLISH INSTALL REPAIR PROPOSED USE SFR E COMM Q OTHER TYPE OF CONSTRUCTION j BLOCK FRAME STEEL Q OTHER DESCRIPTION OF WORK J BUILDING SIZE N ._ SQ FOOTAGE N HEIGHT N BUILDING $ Z 1.100 CiZ≥ VALUATION OF TOTAL CONSTRUCTION 111111 PROGRESS ENERGY W.R.E.C. ELECTRICAL � AMP SERVICE 0 D 0 PLUMBING $ LII MECHANICAL INSTALLATION VALUATION OF MECHANICAL $ Q GAS [ ] ROOFING 0 SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES LINO n BUILDER COMPANY SIGNATURE REGISTERED YIN YINI FEE CURRENT Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I_Y/ NI FEE CURRENT Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED YIN YINI FEE CURRENT Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address r License# /n f OTHER b COMPANY I_ 1 V) ( Zf ) SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I - 3 ? License# 15. ((tJ - RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, Sanitary Facilities& 1 dumpster;Site Work Permit for subdivisions/large 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 Attedti(2)sets of Engineered Plans. ****PROPERTY SURVEY required for all NE 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'SIOWNER'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. ve mit issued shall become invalid unless the work authorized by such permit is commenced within six months of iuce, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after the time e-work i commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed`nine I "ds and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the \ sl ered 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. 117.03) CONTRACTOR � OWNER OR AGENT Subscri ed td sworn to(or ffirm efore me t Subscribed and sworn to(or affirmed)before me this by by VVho Is/ar rsonally nown to me r has/have produced Who is/are personally known to me or has/have produced as identification. as identification. n� Notary Public Notary Public 'PY p4 :=o.• JACQU E 60GES C fission =s Commission No. ^WE_xnAp�ires December 12,2010' OF F�e•` W Thnryn printed or stamped Name of Notary typed,printed or stamped Name of Notary typed,p ACORD -CERTIFICATE OF LIABILITY sINSURANCE Date(mm/dd/yy, 12/22/2008 Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. ROGER BOUCHARD INSURANCE INC THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE PO BOX 6090 COVERAGE AFFORDED BY THE POLICIES BELOW. CLEARWATER, FL 33758 INSURERS V A NAIC # INSURER American States Insurance Company 19704 A INSURER Insured B BLEVINS &SONS WINDOWS INC INSURER OWNER:;HOWARD BLEVINS 9822 DAVIS RD C TAMPA, FL 33637 INSURER D COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE 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 ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY 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 CLAIMS. POLICY POLICY INSR DD EFFECTIVE EXPIRATION LTR INSD TYPE OF INSURANCE POLICY NUMBER MMIDD/YDATE Y MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ A COMMERCIAL GENERAL LIAB 01 CH72154510 2/5/2008 2/5/2009 DAMAGE TO RENTED PREMISES $ 2U0 OUO CLAIMS MADE70CCUR - MED EXP(Any one person) S PERSONAL&ADV INJURY $ J GENERAL AGGREGATE $ GEN'L AGG LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY PROJECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY - NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC$ AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE $__________________ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION$ $ WORKERS'COMPENSATION& WC Statutory Limit Other _ EMPLOYERS'LIABILITY EL EACH ACCIDENT $ O�fYFFICER//MEMBEORddEXCLUDED- ECUTIV EL DISEASE-EACH EMPLOYEE $ SF)M(AL c(2WVIS�ONS below EL DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS s , :CERTIFICATE HOLDER -CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 • DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE City of Ze hyrhills LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION 53i5 8th St. OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- Zepherhills, Fl 33542 SENTATIVES. AUTHORIZED /J(� ACORD 25 (2001/08) Insurance Visions,Inc. 0 ACORD CORPORATION 1988 HILLSBOROUGH COUNTY BUSINESS TAX RENEWAL INSTRUCTIONS Chapter 205.0535(5)Florida Statutes requires one of the following: FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER 1.SIGN and return entire form in enclosed envelope. Your validated Business Tax receipt will be returned to you. 2. Business Tax receipts expire midnight, September 30th. Failure to display a valid Business Tax receipt after September 30th is a violation of Hillsborough County Ordinance 95-4, as amended by 02-5. MAKE CHECK PAYABLE TO: DOUG BELDEN, TAX COLLECTOR P O Box 172920 TAMPA, FL 33672-0920 2008-2009 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9-30-2009 FOLIO NO. -- FAC:ILIT- IE��MACHI M A 0 EMPLO E 10 1 255955'2 0 0 H.WASTE TAX BUSINESS TYPE SURCHARGE OCC.CODE 40.00 18.00 090.002 CONTRACTOR-ALUMINUM BUSINESS 9822.PAVIS RD LOCATION TAMPA 33631 NAME BLEVINS HOWARD R MAILING BLEVINS&SON WINDOWS INC Bus Tax Hazard Waste ADDRESS 9822 DAVIS RD Doug en 1 5 9 Tax 0 TAMPA FL 33637 5008 Batch *: 20183 ON arias BUSINESS TAX T»512 6 Receipt t: 017386 DOUG BELDEN,TAX COLLECTOR 07121 105950 P20 Cade: 4006 HAS HEREBY PAID A PRIVILEGE TAX TO ENGAGE 813-635-5200 03521/00+ur ars 2049 f116.00 $` IN BUSINESS,PROFESSION.OR OCCUPATION SPECIFIED HEREON. THIS BECOMES A TAX RECEIPT WHEN VALIDATED. 0352 Surcharge 40.00 Check Tendered: $116.00 4206 12595200002 000018002 000040006 / P\ STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 1 CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET •,.T�y.fOD µE�TM� TALLAHASSEE FL 32399-0783 BLEVINS, HOWARD R BLEVINS AND SON WINDOWS INC 9820 DAVIS ROAD TAMPA FL 33637 STATE OF FLORIDA AC# 381455 Congratulations! With this license you become one of the nearly one million DEPARTMENT OF BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation. PROFESSIONAL REGULATION Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque restaurants, and they keep Florida's economy strong. RX11066970 06/12/08 070449104 Every day we work to improve the way we do business in order to serve you better. For information about our services,please log onto www.myfloridalicense.com. REGISTERED SPECIALTY CONTRACTOR There you can find more information about our divisions and the regulations that BLEVINS, HOWARD R impact you, subscribe to department newsletters and learn more about the BLEVINS AND SON WINDOWS INC Department's initiatives. (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR Our mission at the Department is: License Efficiently, Regulate Fairly.We TO CONTRACTING IN ANY AREA) constantly strive to serve you better so that you can serve your customers. HAS REGISTERED under the provisions of Ch.489 Thank you for doing business in Florida, and congratulations on your new license! Expiration data: AUG 31, 2009 L08061200149 DETACH HERE F AC# 3 814 5 5 3 STATE OF FLORIDA DEPARTMENT BUSINESS AND SEQ#L08061200149 i - LICENSE NBR 06/12/2008 070449104 RX11066970 The SPECIALTY STRUCTURE CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2009 (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) BLEVINS, HOWARD R BLEVINS AND SON WINDOWS INC 9820 DAVIS ROAD TAMPA FL 33637 CHARLIE CRIST CHUCK DRAGO GOVERNOR INTERIM SECRETARY nIRPI AY AS RFnUIRED BY LAW 04-07-2008 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 04/07/2008 EXPIRATION DATE: 04/07/2010 PERSON: BLEVINS HOWARD R FEIN: 200482755 BUSINESS NAME AND ADDRESS: BLEVINS & SON WINDOWS INC 9822 DAVIS ROAD TAMPA FL 33637 SCOPES OF BUSINESS OR TRADE: 1- WINDOW INSTALLATION IMPORTANT: Pursuant to Chapter 440 . 05114), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover henefits or compensation under this chapter. Pursuant to Chapter 440.051121, F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.051131, F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation il, at any time alter the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES *" _ DIVISION OF WORKERS'COMPENSATION //�' F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY (W^ elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS'COMPENSATION LAW D chapter. EFFECTIVE: 04/07/2008 EXPIRATION DATE: 04/07/2010 Pursuant to Chapter 440.05(12), F.S., Certificates of election to be PERSON: HOWARD R BLEVINS H exempt... apply only within the scope of the business or trade listed on FEIN: 200482755 E the notice of election to be exempt. R BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt 9LEVINS & SON WINDOWS INC and certificates of election to be exempt shall be subject to revocation 9822 DAVIS ROAD if, at any time after the filing of the notice or the issuance of the TAMPA, "rL 33637 certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this I WINDOW INS rALLATION section. QUESTIONS? 1850) 413-1609 CUT HERE Carry bottom portion on the job, keep upper portion for your records. DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 1+� M W a WW Q Icl W i ..U H Ic U ULc. d E, W C7 Z U _ _ Q iii QcrZa '' a W W 3 } Ln > Oo 4 Jy D UCQ � Imo: C U 15 U try °�t C3 r o I' W F- C Udlt C) N _ a - I � E l-- 4 f% p Z f ro w W }-. w Z C ' Z O r ₹ F Q 0 CSC UZw 0 d 5r Z w �� ZZZ 5O cM ) z çp rz °JZ ¢ CVO F }- �E r �QO ZCC M. 0 �W .� waa LwZu Z � OU ww0 L :E0 w =YZ OUw mW Li H Q tw U ; t W, �w i O ¢ IH w J w U ; L_ 0Cw_J i Q Z 9: 1 2M 1=J¢ n Pasco County Parcel: 12-26-21-0020-00500-0210 001 Page 1 of 2 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: Weekly Archive - Saturday, December 20, 2008 Parcel ID 12-26-21-0020-00500-0210 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value TAEGER JOYCE P Ag Land $0 6831 AXELROD WAY Land $62,871 WESLEY CHAPEL, FL 335443527 Building $75,421 Physical Address Extra Features $2,246 5712 20TH ST ZEPHYRHILLS, FL 33542-4443 Market Value $140,538 Legal Description (First 4 Lines) Assessed (Save Our Homes) $83,030 YINGLINGS ADDITION PB 2 PG 16 Taxable Value $58,030 LOTS 21 22 23 &24 LESS WEST Warning: A significant taxable value increase 15 FT OF SAID LOTS BLOCK 5 may occur when sold. Click here for details &WEST 20 FT OF VAC 21ST ST and info, regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use IlDescriptionhl Zoning Units Type Price IlConditionhi Value* 1 0100 SFR 00R2 hI 22,060.00 SF $2.85 1.00 $62,871 Additional Land Information Acres 0.51 Tax Area II FEMA Code X liResidential Codell ZHLGLP3 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1966 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Built-Up Tar and Gravel Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Terrazzo Monolithic Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted A/C Central Baths 1.0 Line Description Sq. Feet Repl. Cost New 1 UEA 320 $12,696 2 FGR 286 $9,046 3 BAS 962 $76,335 4 FOP 120 $2,381 5 FCA 180 $3,571 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWSWC 1973 420 $394 2 LC 3 1973 1 $90 3 UDU-M 1992 1 1 j $228 4 UDU-M 1997 1 $835 5 CLFENCE 1997 960 $699 Sales History Previous Owner FINANCIAL&LAND MANAGEMENT Year Month Book/Page Type Amount 2008 07 7880/ 1218 WD $129,000 http://appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21&sbb=0020&... 12/23/2008 LICENSED • BONDED • INSURED /// " I1 // 1/ TO / BlEvito DATE 7� 1 - ' S / &sm f/,/ , / "/4_ 19 ' 319?P 9822 DAVIS ROAD TAMPA, FL 33637 (813) 988-1335 its QUANTITY DESCRIPTION AMOUNT (a..Ar S leS 7Soc N -2M PR c7 Lii i fsc _ C`} l4yCc H • Li L k S—d% U6 .r" 1 t\ " crt-) D C5 7ct 4,�., ô -- -J a- ,�.gip "po- 0t i=kmI t- It/y/; act vi . Telk# 713 ;�2c�4 I !� ACCEPTED G�s.c 'S7��i ! 'ems LICENSED • BONDED • INSURED 1/ TO __ Ai'S C / BkmNs DATE Ph',, 7 -°° — / / &soly /// -7,'o _CO 9822 DAVIS ROAD TAMPA, FL 33637 (813)988-1335 QUANTITY DESCRIPTION (� /l AMOUNT �r'QCtb?�, , + C - J/WG /7Gl IJ GZ N ?Z t mI Nu,n NG i (3T� - (to C ilaS� IJ — 7ui G-USS ' Tt i 7s oc S � 6 �Qa�2� � 7 tD S4- / - - Ni 7-48 " /nhi,i SO ct x �-- 3//6- &6eo,J:- i 7tO s N --�-- � ' i6 BktlO 7soo SH $- S R Qty d p&�q f -eL u /i. '/21O 4 1 ô2O ACCEPTED BY Ax LICENSED • BONDED • INSURED r , Ifr'/i C A i / BLEVINS DATE o t�1 rRff /Ø 9822 DAVIS ROAD TAMPA, FL 33637 {813) 988-1335 QUANTITY DESCRIPTION AMOUNT V4 J X 'F- J W 90 J F) Nei N UL p l2. Ai V+ �pJJp�' CO Dl L%S i�j 37.11 Lv v�"°. S� V U4 W0Q N a 7 a ACCEPTED BY BCIS Home Log in Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search Product Approval +__-� USER: Public User • c .-- .> __�__�� __> - _ > Application Detail FL # FL6649 Application Type New Code Version 2004 Application Status Approved Comments Archived Product Manufacturer Lawson Industries Address/Phone/Email 8501 NW 90th Street Medley, FL 33166 (305) 696-8660 ext 226 torn@lawson-industries.com Authorized Signature Thomas Sotos tom@lawson-industries.com Technical Representative Thomas I Sotos Address/Phone/Email Lawson Industries 8501 NW 90th Street Medley, FL 33166 (305) 696-8660 tom@lawson-industries.com Quality Assurance Representative Bernard Gomez Address/Phone/Email Lawson Industries 8501 NW 90th Street Medley, FL 33166 (305) 696-8660 bernard@lawson-industries.com Category Windows Subcategory Single Hung Compliance Method Certification Mark or Listing Certification Agency Miami-Dade BCCO-CER Referenced Standard and Year(of Standard Year Standard) TAS 201 2004 TAS 202 2004 TAS 203 2004 Equivalence of Product Standards Certified By Product Approval Methoc Merhon 1 Option A Date Submiittei 04/11/2006 Date Validated 02/2:;/2007 Date Pending FBC Apprcv. i 02/20/2007 Date Approved 03/28/2007 ary of Products 11Model, Number or Name Description 6649.1 117500 Non-Impact Flange 7500 Non-Impact, Flange Frame, Single Hung Frame Single Hung Window Window iii1is of Use Certification Agency Certificate Approved for use in HVHZ: Yes Approved for use outside HVHZ:Yes Installation Instructions Impact Resistant: No Design Pressure: +70 /-80 Verified By: Thomas 1. Sotos, P.E. 55225 Other: 6649.2 11 7600 Non-Impact Fin Frame 17600 Non-Impact, Fin Frame, Single Hung Window Window Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes Approved for use outside HVHZ:Yes Installation Instructions Impact Resistant: No Design Pressure: +70 /-80 Verified By: Thomas J. Sotos, P.E. 55225 Other: 6649.3 117700 Impact Single Hung 7700 Impact Single Hung Window Window Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes t _ Approved for use outside HVHZ:Yes Installation Instructions Impact Resistant: Yes rt Design Pressure: +90/-90 Verified By: Miami-Dade BCCO - CER Other: DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee,Florida 32399-2100 (850)487-1824,Suncom 277-1824,Fax(850)414-8436 ©2000-2005 The State of Florida.All rights reserved. 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SHOULD THE WINDOW BE BUCKED AT THE SILL, OR YOU ELECT TO POUR A SILL UNDER AN INSTALLED WINDOW, LAWSON REQUIRES A SIGNED WAIVER DISCLAIMING POSSIBLE INTERIOR DAMAGE FROM WATER PENETRATION. Revision Notes: 1/ i ON 8501 NY,II 90th St. MEDLE FL0RIDA 3,3166 WS (305) 696-8660 ND15 'r I iES" INc _ wzvw.taw9on_—iflL Ustraes.co?n. MANUFACTURER OF QUALITY ALUMINUM WINDOW'S AND CLASS DOORS Draw C auc Purl£7.u. Prod caf jam 8wiq/Y.i.L ia+n: slvwk alkeek d �X Da4 cheoksd LAYOUT s.,..,. Tom Soto a P TYPICAL SILL INSTALLATION Sam Part s.,.a.r, sr Nruui.r, A.oarrw.L4v.TL NTS • MIAMH #DE MIAMI-DADS COUNTY,FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603 PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563 (305)375-2901 FAX(305)372-6339 NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/buildingcode Lawson Industries,Inc. 8501 N.W.90 Street Medley,FL 33166 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials.The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction(AHJ). This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control Division(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code,including the High Velocity Hurricane Zone. DESCRIPTION: Series"SH-7500"Aluminum Single Hung Window(Flange-mounted)-N,I. APPROVAL DOCUMENT: Drawing No. L7500-0401, titled "Series SH-7500 Single Hung Flange Window", dated 09/20/2004 with revision"B"dated 08/06/2007, sheets 1 through 5 of 5, prepared by Lawson Industries,Inc., signed and sealed by Thomas J. Sotos, P.E., bearing the Miami-Dade County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING:None LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT:The NOA number preceded by the words Miami-Dade County,Florida,and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises and supersedes NOA#06-1129.06 and consists of this page 1 and evidence pages E-1 and E-2,as well as approval document mentioned above. The submitted documentation was reviewed by Jaime D.Gascon,Y.E. NOA No.:07-0925.11 o f Expiration Date: September 01,2010 Approval Date: December 27,2007 Page 1 Lawson Industries,Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No. L7500-0401,titled"Series SH-7500 Single Hung Flange Window", dated 09/20/2004 with revision "B"dated 08/06/2007, sheets 1 through 5 of 5, prepared by Lawson Industries, Inc., signed and sealed by Thomas J. Sotos, P.E, B. TESTS 1. Test reports on: 1) Uniform Static Air Pressure Test,Loading per FBC TAS 202-94 2)Forced Entry Resistant test per FBC 2411 3.2.1,TAS202-94 along with marked-up drawings and installation diagram of aluminum single hung windows (Fin/Flange mounted), prepared by Fenestration Testing Laboratory, Inc., Test Reports No, FTL-5283,dated 08/24/2007, signed and sealed by Carlos S. Rionda,P.E. 2. Test reports on: 1) Air Infiltration Test, per FBC,TAS 202-94 2)Uniform Static Air Pressure Test,Loading per FBC TAS 202-94 3)Water Resistance Test,per FBC,TAS 202-94 4)Large Missile Impact Test per FBC,TAS 201-94 5)Cyclic Wind Pressure Loading per FBC,TAS 203-94 6)Forced Entry Resistant test per FBC 2411 3.2.1,TAS202-94 along with marked-up_drawings and installation diagram of aluminum single hung windows (Fin/Flange mounted),prepared by Fenestration Testing Laboratory, Inc., Test Reports No. FTL-4324 (04112),4350(04117),4346(04116),4363(04120), 4323(04111),4406(04189 all dated November 08,2004 and 4405 (04190)dated November 12, 2004, all signed and sealed by Edmundo Largaespada, P.E. (Submitted under NOA#06-1129.06) C. CALCULATIONS 1. Anchor calculations and structural analysis, prepared by Lawson Industries, Inc.,dated 08/13/2007, signed and sealed by Thomas J. Sotos,P.E. Complies with ASTM E1300-98 D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office(BCCO). E. MATERIAL CERTIFICATIONS 1. None. Jaime D.Gaston, E. Chief,Product Control Division NOA No.:07-0925.11 Expiration Date: September 01,2010 Approval Date: December 27,2007 E-1 Lawson Industries, Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED F. STATEMENTS 1. Statement letter of conformance and"No financial interest",dated 01/15/2005 and 11/15/2004 respectively, signed and sealed by Thomas J. Sotos, P.E. (Submitted under NOA#06-1129.06) 2. Laboratory compliance letter, as part of the above referenced test reports, issued by Fenestration Testing Laboratory, Inc.,dated 09/11/2007, signed and sealed by Carlos S. Rionda, P.E. G. OTHER 1. Notice of Acceptance No. 06-1129.06,issued to Lawson Industries, Inc. for their Series SH-7500 Aluminum Single Hung Windows(Flange-mounted), approved on 02/08/2007 and expiring 01109/01/2010. Jaime D.Gascon, E. Chief,Product Control Division NOA No.:07-0925.11 Expiration Date: September 01,2010 Approval Date: December 27,2007 E-2 --a ..L O ! 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City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �� S /�� GAG Date Received: Site: Permit Type: lee e GcJi�f Si S Approved wino comments: Approved w/the below comments: El Denied w/the below comments: ❑ This co t herhalj be kept with the permit and/or-plans. / 3 Kalvin Swi ex` 1 Examiner Date . Contractor:and/or Homeowner (Required when comments are present)