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08-8239
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8239 BUILDING PERMIT ur Permit Number: 8239 Address: 38735 9TH AVE 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-08100-0120 Improv. Cost: 32,875.00 ; Date Issued: 9/09/2008 Name: SNYDER, STEPHEN Total Fees: 375.00 Address: 38735 9TH AVE Amount Paid: 375.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/09/2008 Phone: (813)361-9323 Work Desc: DEMO 12 X 18 ALUMINUM RM)/ BUILD NEW 12 X 28 RM ADDITION TEDDER CONSTRUCTION INC BUILDING FEE 270.00 ELECTRICAL FEE 35.00 POWERHOUSE ELEC.,INC. PLUMBING FEE 35.00 MECHANICAL FEE 35.00 BUTLER HEATING&AIR CONDITIONIG SHOUPE ROY LEON JR , iflU" ib!3 € € II I! spa :L 11 UI1 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 be ore recording-your notice of mencement." SIGNATURE PERMIT OFFI R ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 09/11/2008 08:45 FAX 3525230434 BAUER & ASSOC, INC. 1 j001 09/09/2008 14:09 3525675480 ROTO ROOTER PAGE 01 Kato-Rooter Post Office Box 2007 Dade City, Florida 33526 352.567-7610 office 352-S67-5480 fax CERTICATE OF I11T$U ANCE RFQIJEST FORM DATE: % D PLEASE FAX A CERTIFICATE OF INSURANCE TO THE POLLOWrNV COMPANY: CEKtOCAYE HOLDER: 64t4 - 2 h DeiO 533 5. . , fl Si PL335#'2-.......... .... ...... FAX#: D DD°.i ATTN: OFFICE# ZoL 09/11/2008 08:45 FAX 3525230434 BAUER & ASSOC, INC. (J002 A R� CERTIFICATE OF LIABILITY INSURANCE DA 09/09/08 PRODUCER Bauer&Associates I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 12210 US Highway 301 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Dade City,FL 33525 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (352)567-3702 Fax (352)5230434 INSURERS AFFORDING COVERAGE NAIC# INSURED SHOUPE, R. LEON INSURER A: SOUTHERN OWNERS DBA ROTO-ROOTER PLUMBERS PO BOX 2007 INSURER B: DADE CITY, FL 33526 INSURER C: INSURER 0: (352)567-7610 INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED•BY THE POLICIES DESCRIBED HEREIN.IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN$R ADaL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE NIMMOM DATE MIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE RENTED ©COMMERCIAL GENERAL LIABILITY 2008068 . 09/06/08 09/06/09 PREMISES O(Es occurenoe 50,000 ❑❑ CLAIMS MADE ® OCCUR MED EXP(Anyone poison) 5,000 ❑ A ❑ PERSONAL&ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 2,000,000 © POLICY El PROJECT ❑ LOC AUTOMOBILE LABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident ❑ ALL OWNED AUTOS ❑ BODILY INJURY ❑ SCHEDULED AUTOS (Per person ❑ HIRED AUTOS C] NON OWNED AUTOS BODILY INJURY (Per accident) ❑ PROPERTY DAMAGE r accident GARAGE LIABILITY AUTO ONLY-EA ACCIDENT [] ❑ ANY AUTO OTHER THAN EA ACC ❑ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE ❑ ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION $ - WORKERS EMPLOYERS'LI B�LI�TYtION AND ❑ W STAT [J OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE SPECIAL PROVISiONS below E.L DISEASE-POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS PLUMBING CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL CITY OF ZEPHYRHILLS 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED To THE LEFT,.BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LABILITY 5335 8TH STREET OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. ZEPHYRHILLS, FL 33542 IZED REPRESENTATIVE 9 FAX 813-780-0021 ACORD 26(20018)OF ®ACORD CORPORATION 1988 09/09/2008 14:05 3525675480 ROTO ROOTER PAGE 01 ® TAILORED PROTECTION POLICY APPLICATION FLORIDA l.rls HaM(gar luNrlMc ,.•.: , .....t.b�:+y .: .�•- ..1.. ^I•. .�:I�Y,�:11i1-..., r.�::%.•.'1..• POLICY r,.�, w:i: .,e,l ,„a,� ,,.: .,.'art. ... :'.,, . .. ,. ,. ,. ... Date: 8/3/2008 ❑Proposal ®Issue ®Bound Rewrite of: 062100724000 Policy Effective Date: 09/0612008 Policy Term: ®Annual ❑3-Year(fidelity only) Agency Code: 12021700 DADE CITY FL 33825 Agency/Address: BAUER&ASSOCIATES,12210 US HWY 301, 01 Auto-Owners [] 03 Nome-Owners ❑ 04 - ❑ -Pro Owns ' an : ❑ - Own Pent om ars 05 rs 0 8 So uthe m- w Hers Account? :Yes No If as 1billln account number: -/ I Add to to Current billing Payment Plan: Agency Bill r`-1 Semi-annual r':EZ Pay Quarterly Initial Payment: 39 -�Y03 No Escrow Pay Full Pay EZ Semi-annual Monthly Copy of Bill to Apency7 to Agenc ? New Bus. r Renewal Nov' ❑At Renewal Three Pay Quarterly •J UPay Monthly Mail Inaured's copy of policy Y --� Method of Payment: ❑Check/Cash ❑Agency EFT(Sweep) , Items e Billing Name and Address: Crime Inland Marne ❑Other(please dese t e • „ ❑Pro General Liability ❑ ❑ I,.A s! pe . . ... :.`I'._ -.t: 'R.i:.':;r,.r:c:<,:. .: -:$.{:r'• ,.., :r'..y.!Y.t;.., .. 'J',( `::w .i.C•�6j..,..;1'_ ii,:,:::,,;::':� '. ::.:,�_,.',; ',:�'s:: -,r:. r::.r:•.. ,:i.::�-::::::••:'.:�< �Applicant: LEON SHOUPE DBA: ROTO-ROOTERS Mailing Address: P.O. BOX 2007, DADE CITY FL 33526 PLUMBERS e site: Description of Business Operations: PLUMBING Year business started: 1996 (New Venture: ❑Yes No If yes, please provide description of owner's experience.) li Inspection Contact(Name and Phone Number): Accounting Records Contact(Name,Phone Number and Address): KIM SHOUPE KIM SHOUPE Phone: (352)667.7810 13710 MOORE DR, DADE CITY FL 33525 Phone: (352667-7610 Ind;vldual Partnership ❑Corporation [J Limited Venture Limited Liability Co. O ❑ ❑ a lows w es.al .:. t'• ' .: Ithln Interest Loci Bldg Program Location Address CI Limltc Yes Owner 1 138-Contractors 3710 MOORE DR, DADE CITY FL 33525 E No Tenant Cumulative Multi-policy Discount(Provide policy numbers of other Auto-Owners policies.indudin life&disability.) Policy Type Policy Number Policy Tvoe Policy Number Special Rating Plan: % Group Name and Number: ..GEp1 Ems. - CXPt AIN ALL"YESrr,..RESPONSES FXPLA1PJf ALL"YES"RESPONSES 1. Is the applicant a subsidiary of another entity or does the X; 7.Any past losses or claims relating to sexual abuse or :X applicant have any subsidiaries? molestation alIeaations discrimination or ne91igent hlrin ? 2. Is a formal safety program in operation? XI 8. During the last ten years.has the applicant been convicted I 1 X j_I_4v degree of the crime of arson? 3. Any exposure to flammables explosives or chemicals? X 9. Has the applicant filed bankruptcy within the last ten ears? X` 4. Any catastrophe exposure? X 10. Does the applicant have other locations or operations not !X listed on thispolIcy? 5, Any uncorrected fire code violations? X;11.Any policy coverage declined,cancelled or non-renewed X during the odor 3 years? I 6w Is applicant involved or have ownership Interest in any other X - bu5Ile8 o , ns not indicted on the llcetion7 1:A: ;a'IY, ,..q l ti, .,..r d•r,.. ,J'a .1 .,ta•LK ::qp: .G r, •ra:, 1 '.z -• j,:a;:::;. - .r:'!`' Rte r, �r N �, %M1... f ' r� { �y. AA c + :116 t. :.,.....,:... "+.. •.' v,. r1�t:f.-.:r......nWv. ;r.:' ���•....,.,.:;. . :..:doh,...:, y:: .=.'�7%. - s:' 55221 (11.05) LEON SHOUPE DBA:ROTO-ROOTERS PLUMBS Print Date:09/03/2006 Print Time: 4:47:00 Page 1 of 2 09/09/2008 14:05 3525675480 ROTO ROOTER PAGE 02 PRIOR CARRIER INFORMATION MERm*L.. ::... .-.. ,..:-. .. .1.e t:.n -,;.•. .,.:.� ,r..:•-.:. .::.. .;a�`,•C^. ,:i .^.;S:r_'}' �,'Y., 1 6..::;;.,".;r .r".L':.n C Carrier P II Numb r Policy Type ck On �j Claims Made �f Clelms Made Claims Made Claims Made Claims Made Policy a Chee) U Occurrence UU Occurrence Occurrence Occurrence LJ Occurrence .�J Policy Term Each Occurrence . Carrier Poll Number PRIMT e Poll Term .. ....... .... :...;..; ...... • 'i • .: . .(1� .... ,.,, .. . .r . . .rr._ ..,._ .,..-n,.�. ✓.rx ...t.... d; ,�i� cif.. •�J. '`4[ica.. .... .. .,....�, .I .n.v..,:,... ., r"Ff A,, ....r:.IIJ.._.. fi:: Ji9�,-t:!'•pc .1.. :, -aua,!. ,. ,r.. - F pit°- rF':.-�',( r'+ CI arfler -- - - L Policy_Number Poll Term .. ..-ul�._r.:'! _.....:;... '.:�`........,Ir..,1•• ..I. t•.11 1::.r .•7:: ..1 W'.v •CRIME. ...r.. .... r+:•.I,rr:%•i AIIrx -� . .. ...::... Carrier Poll Num r Policv_T e Limit carriers annual total expiring premium(includes: Property,General Liability, Inland Magna Prior and Crime): i CHECK HERE IF NONE: Q LOSS HISTORY ATTACHED: Q .C... .: .:•'..:..r' ':: • r =?J�'Fa.^.^:udia;:•.^.�.�,F..':•I:;:;,.J�.L.:,i�ir:r:. _•.F.:::•.'. Date of Loss lane Description of Occurrence/Claim Amount Paid Amount Reserved Open/Closed What action has the applicant taken to prevent the type of losses listed above from recurring? APPLICANT'S STATEMENT; I declare the facts stated in this application to be true to the best of my knowledge and request the Company to issue this Insurance and any renewals thereof in reliance thereon. I further understand that: Any person who knowingly and with the intent to injure,defraud or deceive any insurer,flles a statement of claim or application containing an false,incomplete or misleading Information Is uilty of a felony of the third degree. I Applicant's Signature and Date: Agent's Signature,Date&License#: PROX"DESIGNATION(AUTO-OWNERS INSURANCE CO.ONLY)(NOT APPLICABLE IN IOWA)I designate R.L.Looyenga,R,N.Simon,J,F.Harrold,and each of them,attorneys and proxies,with the power of substitution and revocation to each,to vote as proxy at all meetings of the company.and at any adjournments thereof,The powers hereunder @hall be exercised by a majority of said attorneys and proxies so present,but if only one is present,then that one shall have full power to act. Applicant's Signature and Date: Total Policy Premium: $1,171.40 55221 (11-05) LEON SHOUPE DBA:ROTO-ROOTERS PLUMBE Print Date:09/03/2008 Print Time: 4:4:00 Page 2 of 2 09/09/2008 14:05 3525675480 ROTO ROOTER PAGE 03 COMMERCIAL GENERAL LIABILITY SECTION f .. .. ... ..:.i _is .r.,.. ... .... ..• Y....v., .:.:' ('�:'-.M.![ PD General Aggregate General Aggregate s ` ate Products/Completed leted Operations A re ate ProductalCom hated Operations A ,•,,;;,.;,.:';'<_.:•'•-.: Personal Injury and Advertlslna Injury Personal Injury and Advertising Injury ia:a"`,` Each Occurrence i;;;` 'i:;i_• $ Each Occurrence , Damage to Premises Rented to You(Any 550,000 Damage to Premises Rented to You(Any $ One Premises) One Premises) Medical Payments(Any One Person Medical Payments(Any One Person Pro Damage Deductible: $ Occurrence CGL Plus. ❑Yes ®No Property _ ......... ....... ...... ... ,•.,. c„f.. ..,...... .:..a,u.,:., :':K ;Ici'Y� 6 Per y�`i::�;�::,1�E6r ni.....',...,:_.. 1 :"^ti y. `+ii r.%,t• l ,, �. . .�• kli>� .;..:.:'%, .. •`1 l �ah. g7';i:'ty' �. h i.:ralzdr' .1:; , J`r":x:.7w ,'t ^`c`C"„�i:�i�.l•�•-%h,;'� • L'r o nn Class Code and Description Temto Premium Basis Prem/0 s Rate Products/CO Rate 98482 - PLUMBING-COMMERCIALS 6 31,000 17.81 5.73 • INDUSTRIAL; CONTRACTOR'S STORAGE Location#1: 98482 EIFS Exclusion Ilse r., CORP Location: 11 ame and Address: ROTO ROUTERS 300 ASHWORTH,WEST DEMOINES,IA 50265 xp anation of Interest: Grantor of Franchise .., .:. ,..., ..... ... ... .. .J' ,, ..I, ,.. .,-1.�., .,.gip.:, . '� `• .,a:, .rl:i .; ,:-;4�'`.•� ..1, IR PM%: 1SY Credit` Approved dB By: R M,,. ... .... n.J..... ,. ,., .:,��.: :.. .,, Ile :..>,<;:: .r'' •,. EXPLAIN ALL"YES"RESPONSES FOR ALL PAST, Y N EXPLAIN ALL"YES"RESPONSES FOR ALL PAST, Y!N PRESENT OR DISCONTINUED OPERATIONS PRESENT OR DISCONTINUED OPERATIONS 1.Any medical facilities provided or medical professionals employed X 9. Are day care facilities provided? X i or contracted? 2.Any exposure to radioactive/nuclear materials? X 10. Does the applicant's promotional literature make any I X representations about the safety or security of the premises? 3. Any operations involving storing,treating,discharging,applying, 11. Is there a swimming pool on the premises? X disposing or transporting of hazardous material?(e.g.landfills, X If yea,Is pool fenced with self-locking gate? wastes,fuel tanks,etc.)? Any diving boards or slides? 4.Any operations sold,acquired or discontinued In the last five years? 12. Any recreation facilities provided? 5. Any structural alterations contemplated? 13.Any sporting sportIng or social events sponsored? 8.Ant,involvement in joint ventures? 14.Any demolition exposure contemplated? I X 7. is there a labor Interchange with any other busIness? 15.Any leasing of employees to or from other employers? 8. Any parking facilities owned or rented? X 16. Have any crime&occurred or been attempted on your promises I X H yse is a fee c ha ed for arkl ? within the last three years? ,:r ` '•,.:..-o„. �t;..,. •iii°.°i' r."' ,A 1 i'b;•.c.,. ., . ..... . �)`....._.... ,.. .. . (... is,: 1'. '..li•, y,..:�4' J�''4:,'A.* F.i i,:•Ji 1.1'. I';'P, �u•_.. c 4 ...,.1,';:::r.iJ:':.:.%�. i'r`i'.c-6hl'=-'°�w �Ia�:.J`�.. �l 7.•,ra�' ..,i.1G:}, •Ili�;,ri a: 1 Does the applicant in Ists I,service r demonstrate products? X 6, Any productsrecalleddiscontinued,changed? X 2. Foreign products sold,distributed,used as components? �X� 7. Any products of others sold or re-packaged under the applicant X I label? 3- Research/development conducted or new products X 8. Any products under the label of others? X planned/designed? 4. Any guarantees,warranties,hold harmless agreements? I X 9.Applicant covered under a Vendors Endorsement? I X 5. products related to aircraft/space Indust ? X 10. Does any named insured sell to other named insureds? i X T�..., ,.-•,I- - .f„ .....r:.,..•..x _.,• ... Vin.. rrt .. 1 1. Does the applicant draw plans,designs,or specifications for j 4.Any use of subcontractors or subcontracted labor? others? J,X Annual amount paid to subcontractors: $ X 2. Do any operations Include excavation,tunneling,underground work ; 5.Are subcontractors allowed to worlt•wlthout providing applicant with or earth moving? X a certificate of Insurance? X 3. Do any operations include blasting or utilize or store explosive X j 6. Do subcontractors carry coverages or limits less than applicants? material? I. I _J Total General Liability Premium$ 1,i. .O0 55255(5-06) LEON SHOUPE DBA:ROTO-ROOTERS PLUMB Print Date:09/03/2008 Print Time: 4:48:42 • Page 1 of 1 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600B-04 Residential Component Prescriptive Method B CENTRAL 4 5 6 Compliance with Method B Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6008 for single and multifamily residences of 3 stories or less in height,and additions to existing residential buildings.To comply,a building must meet or exceed all of the energy efficiency prescriplives in any or g of the prescriptive component packages End comply with the prescriptive measures listed in Table 6B-1 of this form.An alternative ative method is provided for additions of 600 sq.ft.or less by use of Form 600C.If a building does not comply with this method,it may still comply under other sections in Chapter 6 of the Code. PROJECT NAME: a F2esrde-P. BUILDER: tdStr Con.ir int AND ADDRESS: PERMITTING. •/ CLIMATE OFFICE: Ct /'l ZONE: 4�J 5 [16 OWNER: 0+e.Ve- T PERMIT NO. JURISDICTION NO.: C86i4L(*FECT)ON5 323 1.New construction,including additions,which incorporates any of the following features cannot comply using this method:steel stud walls,single assembly roof/ceiling construction,or skylights or other non-vertical root glass. 2.Choose one of the component packages"A"through"F"from Table 68.1 by which you intend to comply with the Code.Circle the column of the package you have chosen. 3.Fill in all the applicable spaces of the To Be Installed"column on Table 68.1 with the information requested. All"To Be Installed"values must be equal to or more efficient than the required levels. 4.Complete page 1 based on the To Be Installed"column information. 5.Read"Minimum Requirements for At Packages",Table 668.2 and check each box to indicate your intent to comply with all applicable items. 6.Read,sign and date the"Prepared By'certification statement at the bottom of page 1.The owner or owner's agent must also sign and date the form. Please Print CK 1. Compliance package chosen (A-F) 1" 2. New construction or addition 2. Ack�' 3. Single family detached or Multifamily attached 3. 4. If Multifamily—No. of units covered by this submission 4. __� 5. Is this a worst case? (yes/no) 5. //D 6. Conditioned floor area (sq. ft.) 6. 357 7. Predominant eave overhang (ft.) 7. 8. Glass type and area : Single Pane Double Pane a. Clear glass 8a. /b sq. ft. sq.ft. b. Tint,film or solar screen 8b. sq. ft. sq. ft. 9. Percentage of glass to floor area 9. S 10. Floor type,area or perimeter,and insulation: a. Slab on grade (R-value) 10a. R= O 53'1x" lin. ft. b. Wood, raised (R-value) 1Ob. R= sq. ft. c. Wood, common (R-value) 10c. R= sq. ft. d. Concrete, raised (R-value) 10d. R= sq.ft. e. Concrete, common (R-value) 10e. R= sq.ft. 11. Wall type,area and insulation: a. Exterior: 1. Masonry(Insulation R-value) 11a-1 R= 5 y_c sq.ft. 2. Wood frame(Insulation R-value) 11a-2 R= sq. ft. b. Adjacent: 1. Masonry (Insulation R-value) 11b-1 R= sq.ft. 2.Wood frame (Insulation R-value) 11b-2 R= sq.ft. 12. Ceiling type,area and insulation: a. Under attic(Insulation R-value) 12a. R= 35 r7 sq. ft. b. Single assembly(Insulation R-value) 12b. R= sq. ft. 13. Air Distribution System: Duct insulation, location 13. R= (� Test report(attach if required) 14a. Type: .C.en+ 1 14. Cooling system: 14b. SEER/EER: /57 (Types:central,room unit,package terminal A.C.,gas,none) 14c. Capacity: 5&, 5 15. Heating system: 15a. Type: ' (t, "r I4MP (Types:heat pump,elec.strip,not.gas,L.P.gas,gas h.p.,room or PTAC,none) 15b. HSPF/COP/AFUE: .5 _______ 15c Capacity: 5'15 16. Hot water system: 16a. Type: (Types:elec.,nat.gas,L.P.gas,solar,heat rec.,ded.heat pump,other,none) 16b. EF: I hereby certify that the plan d s t ations cover the I anon are in compliance with the Review of plans and specifications covered by this calculation indicates compliance Florida Energy Code. with the Florida Energy Code. Before construction is completed,this building will be E. Q_// Q� nspectetl for compliance in accq(da ce nh lion 553.908.F 5.PREPARED eY: U �f- t/' I hereby certify that is building,as designed,is in compliance with the Florida Energy Code. BUILDING OFFICIAL: OWNER AGENT: DATE: DATE: TABLE 6B-1 MINIMUM REQUIREMENTS Climate Zones 4 5 6 COMPONENTS PACKAGES FOR NEW CONSTRUCTION TO BE IN TALLED A B C D E F / Max.%of glass to Floor Area 15% 15% 20% 20% 25% 25% u) Type Double Clear(DC Single Tint(ST) ouble Clear(DC) Single Tint(ST) Double Tint(DT) Double Clear(DC) DC: ❑ ST: (3' g O Overhang 2' 1'4" 2' 2' 2' 2' FEET EXT: R: Masonry EXTERIOR AND ADJACENT MASONRY WALLS R-5 ADJ: R= J COMMON MASONRY WALLS R-3 EACH SIDE. COM: R= 3 Wood EXTERIOR,ADJACENT,AND COMMON WOOD FRAME EXT: R= Frame ADJ: R= WALLS R-11 COM: R= CEILINGS CEILINGS UNDER ATTIC R-30. FRAME COMMON CEILINGS R-11. UNDER ATTIC: A: (NO SINGLE ASSEMBLY CEILINGS ALLOWED) COMMON: R= ¢ Slab-On-Grade R-0 R= 0 Raised Wood R-11 (ONLY STEM WALL CONSTRUCTION ALLOWED EXCEPT PACKAGE D) A: LL Raised Concrete R-5 R DUCTS R-6 R-6 TESTED R-6 R-6 TESTED R-6 R-6 TESTED R= COND. SPACE COOLING(SEER) 10.5 10.0* 11.5 12.0 PT 10.5 10.5 SEER= /5. 7 Elect. 6.9 6.8* 7.4 7.9 PT 7.4 6,9 COP= = Gas/Oil(AFUE) MINIMUM OF.73 Direct heating)or.78 Central AFUE= Electric EF.92 EF.88 EF.92 EF.91 NOT ALLOWED EF.92 EF= w Resistance" (SEE BELOW) Gas&Oil" MINIMUM EF OF.59 NATURAL GAS ONLY EF= =- N (SEE BELOW) Other Any of the following are allowed:dedicated heat pump, DHP: EF= heat recovery unit or solar system. HRU: ❑ SOLAR: EFL/ SirxJle padrage urns mirinun SEEP,9 7,I- PF=6.6. Mnimum effidenaes fir gas and electric hot water systems apply to 10 40 gallon water heaters. Peter to Table 612.1.ABC.3.2 for nirimum Code efficiencies for oil water heaters and other sizes. DESCRIPTION OF BUILDING COMPONENTS LISTED Percent of Glass to Floor Area:This percentage is calculated by dividing the total of all glass areas by the total conditioned floor area. Overhang:The overhang is the distance the roof or soft I projects out horizontally from the face of the glass.NI glass areas shall be under an overhang of at least the prescribed length with the following exceptions: 1)On on the gabled ends of a house and 2)the glass in the lower stories of a multi-story house. Wall,Ceiling and Floor Insulation Values:The R-values indicated represent the minimum acceptable insulation level added to the structural components of the wall,ceiling or floor. The R-value of the structural building materials shall not be included in this calculation. Convnon'components are those separating conditioned tenancies in a multifamily building. "Adjacenr components separate conditioned space from unconditioned but enclosed space."Exterior"components separate conditioned space from unconditioned and unenclosed space. Floor,Slab-on-grade floors without edge insulation are acceptable. Raised wood floors shall have continuous stem walls with insulation placed on the stem wall or under the floor except Package D. Ducts:'TESTED'shall mean the ducts have less than 5%leakage based on a certified test report by a State-approved tester. Space Cooling System:Coding systems shall have a Seasonal Energy Efficiency Ratio(SEER)for central units or Energy Efficiency Ratio(EER)for room units or PTACs equal to or greater than the prescribed value. PT'requires installation of a Programmable Thermostat Electric Space Heating Option:Heat pump systems shall be rated with a Heating Seasonal Performance Factor(HSPF)equal to or greater than the prescribed HSPF. Heat pump systems may contain electric strip backups meeting the criteria of section 608.1.ABC.32.1.2. No electric resistance space heat is allowed for these packages. "PT requires installation of a Programmable Thermostat. Electric Resistance Hot Water Option:For packages designated Not Nknved",an electric resistance hot water system may be installed only in conjunction with one of the"Other Hot Water System Options".See below. Other Hot Water System Options:Any dedicated heat pump,heat recovery unit,or solar hot water system maybe installed.Solar systems must have an EF 01 1.5 or higher. Electric resistance systems having an EF of .92 or greater,or natural gas systems with EF.59 or greater may be used in conjunction with these systems. TABLE 68-2 MINIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS SECTION REQUIREMENTS CHECK Exterior Joints&Cracks 606.1 TPdevices b aulked,gasketed,weather-stripped or otherwise sealed. Exterior Windows&Doors 606.1cfm/s .h.window area;.5 cfmis .ft.door area. Sole&Top Plates 606.1 plates and penetrations through fop plates of exterior walls must be sealed. Recessed Lighting 606.1Type rated with no penetrations two alternatives allowed). Multi-story Houses 606.1er on perimeter of floor cavity between floors. Exhaust Fans 606.1 fans venled to unconditioned space shall have dampers,except for combustion with integral exhaust ductwork. Water Heaters 612.1 Comply with efficiency requirements in Table 612.1. Switch or clearly marked circuit breaker(electric) r cutoff must be provided. External or built-in heat trap reguired for vertical d e risers. Swimming 612.1 Spas&heated pools must have covers(except solar heated). Non-commercial pools must have a Pools&Spas _______ pump timer.Gas sna&pool heaters must have minimum thermal efficiency 0178%. - Hot Water Pipes 612.1 Insulation is required for hot water circulating systems(including heat recovery units. Shower Heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. HVAC Duct 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached, Construction, sealed,insulated and installed in accordance with the criteria of Section 610.1. Ducts in attics must be Insulation&Installation insulated to a minimum of R-6. HVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each system. 2 ............ .. . ................ :: City.of Zephyrhills BUILDING PLAN REVIEW COMMENTS C ontractor/Homeowner: a 6V2( C'� C5\- Date Received: t4 Site: Permit T e: 38 '73 5 Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ OJ r e-c r{te( p w► - 4 k(1 k i (/4 I ©D GJJ2 [/ q3 16 /Sfo("( &'-/'° I"1. • I of c� / of a c-e -e a lbvJ (V i '°'7 12%/ 4 This comment-sheet shall be kept with the permit and/or Kal Switz —Plans Examiner ate • C a d/or Homeowner (- Requirecl when comments are present) 09/09/2008 12:39 FAX 3524650666 z 001/001 A— or. CERTIFICATE OF LIABILITY — PaoDIA�.R INSURANCE DATEIMMIppryy�ry) THE POINT AGENCY, INC. X7"403-9470& THIS CERTIFICATE IS ISSUED A8 A MATTER OF INFORMATION BOX 3075 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DOX 3075ON, FL 34430 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURio —------- ---- INSURERS AFFORDING TEDDER CONSTRUCTION, INC- COVERAGEINBURERA AMERICAN VEEIICLE INSURANCE CO. NAIL#_ JOE TEDDER,OWNER INSURER 0: -- __ 37420 MOORE DRIVE INSURERC. ---'--- - DADE CITY, FL 39525 INSURER D: ---- __ COVERAGES INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB ANY REQUIREMENT,TERM OR CONDITION OF ANY CO BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO THE TERMS, ABOVE FOR THE POLICY PERIOD INDICATED.NOTVIAT►{STANDING NTRACT OR OTHER DOCUMENT WIT? O ALL CT TO WHICH THIS CERTIFICATE MAY POLICIES.AGGREQ TE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i B DDTYP5 op —— —-- __ EXCLUSIONS AND CONDITIONS SUCH GMNERALIIAIILITY POUCYN4J $!R POWJCYlMECTTyE PO EIIWRA N X COMMERCIAL GENERALLIAMILIIY r, GL-0510028260-pp EACH OCCURRENCE 6 300,00o CLAIMS MADE U OCCUR 06/17/08 o6/17/09 � ,__1 00 MED EXP 000 _ PERSONAL 6 ADV INJURY $ 300,000 OEN'L AGGREGATE LIMIT APPLIES PER: OENEgALgGOREGATE X POLICY s _600 0 LOC PRODUCTS-COMP/OPAGG S spp'000Q0 AUT'OM081LS LVSILITY _ ANY AUTO COMBINED� SINGLE LIMIT S ALL OWNED AUTOS ) ALLOW SCHEDULED AUTOS HIRED AUTOS BODILY INJURY - HIRED A ED AUTOS BODILY INJURY (Per ecclSent) $ DARAGlLIABILITY PROPERTY DAMAGE(Per eccldent) $ ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EAACC S iX0EB91YMBRiLL uABILJIY AUTO ONLY: AGG i OCCUR L7 CLAIMS MADE EACH OCCURRENCE $ AGGREGATE 3 DEDUCTIBLE i RETENTION S i WORKERS COMpjIISATKMI AND i TORY EMPLOYERS'LIABILITY ATU- OTM ANY PROPRIETORIPARTNER/EXECUTIVE OFF'ICERIMEMBER EXCLUDED? E.L.EACH ACGDENT If yyes Eeeeribe under S SPEdIAL PROVISIONS below E.L.DISEASE-EA EMPLOYEE i OTHER E.L.DISEASE_POLICY LIMIT OSHCISPITON OP OPERATIONS I LOCATIONS I VBHICLEM/6KCLUSKJNS AD06D BY EIIDORSEMENT I SPECij.PBOVIBIONS REMODELING/CONSTRUCTION CERTIFICATE HOLDER CANCELLATION SHOULD ANY OP THE ABOVE OEBCP J8E0 POLICIE B,CANCELLED BEFOR!THE MWIRATION CITY OF ZEPHYRHILLS BUILDING DEPT, DATE TNEREOP,TME Rleuwo INSURER WILL BNOEAVOR TO MAIL 30 5335 EIGHTH STREET NOTICE To THE CW'nFICAT!"01 NAMED TO THE LE".BUT FAILURE To 0050 UNA ZEPHYRHILLS, FL,33542 IMPOSE NO OBLIGATION OR Lu►BI,ITY OP ANT KIND UPON THE INSURER,ITS AGENTS OR FAX TO:813-780-0021 wPRESENTATwEM. Au ACORD 25(2001108) OACORD CORPORATION 1988 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-b021 Building Department z.y Date Received Phone Contact for Permitting —2 Owner's Name Te h€h) A C Owner Phone Number E'/3 � GP/` 23 Owner's Address I_3 873S/ ,5 13'i AQ Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address � JOB ADDRESS C� /J j? � AV C.. LOT# �� SUBDIVISION PARCEL ID# f/"Z-d' 2/ -OO/o ` 081o0 0l (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR ADD/ALT [ J SIGN MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR 0 COMM Q OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME Q STEEL Q OTHER DESCRIPTION OF WORK 1\00 A dd i C' Ce ill e"' ' a' -&i 'h BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ 29, [/aO VALUATION OF TOTAL CONSTRUCTION Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. PLUMBING $ 1/c'0 1111111 MECHANICAL $ e VALUATION OF MECHANICAL INSTALLATION:icGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO BUILDER � yJ COMPANY / /�CL� �r t1S /�JLU�� - C SIGNATURE z+7�/ �, REGISTERED Y/ N FEE CURRE�NaT�rr Y/N Address `J /7 Doe E J/� > �' License# C&126 C>Z1 ELECTRICIAN ( COMPANY 1/t3 tT tc — ^f SIGNATURE J REGISTERED N FEE CURRENT /N Address 2 ST '�13ZLFLI 3 3 License# �� PLUMBER COMPANY SIGNATURE V REGISTERED Y/ NI FEE CURRENT Y/N Address , O C. ^ ,,QQ License# C 1¼ MECHANICAL COMPANY &W SIGNATURE z-- REGISTERED Y/ N FEE CURRENT Y/N Address 3/3'_/He 4iøl/ sr _ c l / License# eA / OTHER P COMPANY SIGNATURE 1 REGISTERED I_Y/ NI FEE CURRENT Y/N Address I License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)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,Stomiwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets.of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. 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 ject to"deed"which DEED RESTRICTIONS: The undersigned regulations. The undersigned this responsibility for compliance restrictions" any which may be more restrictive than County g applicable deed restrictions. the owner has hired a UNLICENSED CONTRACTORS AND 1 CONTRACTOR Rbe licensedE OSiBacicoEdance with state and local regulations, lithe or contractorcontractors to undertake e ask, they mayrequired contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation undercontact under state law. If the owner or the Paso County Building contracr are uncertain cs to what licensing requirements may apply Inspection Division—Licensing Section at 727-847- intended work, they are advised to 8009. Furthermore, if the owner has of this aPPpplicationtractor or for which theyractors, he is advised will be responsible. If to have the contrctor(s) as the owner sign ass ign portions of the "contractor Block" the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY construction T of new undersigned b n undderstands ange of that Transportation Impact Fees and Recourse Recovery Fees may apply to the and use in existing buildings, or expansion of existing iii that such fees, as may be due,s, as specified in P asco County Olldbe dentifi d at the-time of 90-07, as amended. The undersigned also understands, be permitting. t is further understoodthat Tranfinal ion Impact Fees and release. If the project doesrce Recovery Fees not involve a certificate tof occupancy pancy or o receiving a "certificate of occupancy" power 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. 500.00 or more, I CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as of the a de e):If Construction ono r i La,500Homeowner's certify that I, the applicant, have been provided with a copy is someone other than Guide""owner", prepared erti y the that Ilhave obta ned a copy of thea Department of tabove described docuure and Consumer ment and prors. lithe miseintgood faith to other than the"owner", Ice certify deliver it to the"owner" prior to commencement. CONTRACTOR'SIOWNERIS AFFIDAVIT:applicable laws regulating construction, zoning and land development I certify that ale information in this application and Application is l work will be done in compliance with al 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 case zoning t regulations,egulatio s that all �andrk ill be performed to meet land development egulationsin thrds e juri laws sdiction.ction regulating laalso construction, County and City cod I to the intended work, and that it is certify that I understand that the regulations of other government agencies may apply my responsibility to identify what Such agencies mental Pr tection-Cyp ess Bayheads, W tlad A eas and Environmentallyt Sensitive - Department of of E nvn Lands, Water/Wastewater Treatment. Bayheads, Wetland Areas, Altering - Southwest Florida Water Management District-Wells, Cypress Y 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 understod that a be submitted at time of permitting which i drainage s p epared by a rprofessionalengi engineer "compensating volume" w 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 tanith that toinform osepah ate permit may be required for e owner of the permitting conditions electr electrical forth this affidavit prior to commencing construction. application. A plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the r, or permit issued shall be construed to be a lodes, to proceed nor shall issuance th ofof a pemie work tp event th not as e Building Official ority to from ther, cancel, eafter set aside any provisions of the technical codes, t requiring a correction of errors in plans, constructionviolations six amonths of perm p suany codes. Every ince uordif work become authorized by unless the work authorized by such permit is commenced k is commenced. An extension the permit is suspended or abandoned for a periodO cal for a peritod not to exceed the n ninety days and will demonstrate may be requested, in writing, from the Building gf job is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the j WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT N MENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND E OF MME CEMENT. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO FLORIDAJURAT 17• CONTRACTOR OWNER OR AGE Subscribed and to r rmed)before me this Subscribed and swo o(or�f ed before me this 1(0I by od 2,,delFv �Q by ��Q n� %`7. xJd�2✓ Who is/a personally known to me o as/have produced Who Is/ar personally known to me or has/have produced �, r�yt�r L,Ce.zl� asiTrition. i✓c + UreH t� Identification. ` Notary Public Notary Public Lt Sl elf Commission No. Commis N . m . tTe tary yped,printed or stamped Name of Notary typed,printed or stamp tom" JANICE M.HELMS a�° �"vor,; JANICE M.HELMS MV^0MMISSI0N#DD 451295 0MMISSI0N#DD 451295 yl k- E;PIKES:September 10,2009 MIRES:September nde 2009 y 0andetl Thru Notary Public Undaiwritere °F c°p Ucnded Thru Notary Public Undenvnters 9f„td{ to 0 o tU a o w ; - ,c o z -I- 0- C- I 111111 11111 11111 1111 1111111111111111111111111111111 I I I I I I I I 2008130074 Rcpt: 1201654 Rec: 10.00 DS: 0.00 IT: 0.00 09/05/08 Dpty Clerk JED PITTMAN PASCO COUNTY CLERK 09/05/08 0J:08 m 1 of 1 OR BK 792 PO 102 NOTICE OF COMMENCEMENT Permit No. Property Identification No. THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. l.Description of property(legal descri tion:) Z// i''8 / P& 3"y LoiS /24/3-B1kg!or /95/ P6 677 a)Street Address: 3 '73ç 87 s 9 ' A / r z ejo,I,,.(,,/f 2.General description of improvements: �Je ,>,iç iaia ti 3.Owner Information a)Name and address: f'T A�r wi 74e 38 73,f 7" _qt/e eaiy.i.I j f s b)Name and address of fee simple titleholde (if other than owner) c)Interest in property At'i'Iee 4.Contractor Information �, Pa) Name and address: t≥I�D € �c.tfsT�ac ivy/ 1,�e �7efzej mo ee Lie XL C b)Telephone No.: Fax No. (Opt.) 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No. (Opt.) 6.Lender a)Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a).Name and address: b)Telephone No.: Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY 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,CONSUL 0 ENDER 0 ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF C NT. STATE OF FLORIDA COUNTY OF 1AUCO L- 6/ Signatu or Own th Offtcer/Director/PartnedManager 471 9 Print Na Me The foregoing instrument was acknowledged before me this oa iay of 20 �-+ as 3Z b yQ�QJ`f1 in fact)for (type of authority, e.g. officer,trustee,attorney (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identificationx Notary Signature Type of Identification Produced ` `O `Y�1 �'f�l'�p \ 1 Name(print) �,`� �. Ot-s . Verification pursuant to Section 92.525,Florida.Statutes.Under penalties of p I d e that I hay ad the foregoing and that the facts stated in it are true to the best of my knowledge and belief. /' j . FORMS/NOC.rvsd200 """"' RUTH I DIONNE Signature of atural Person Signi Abov .`t Pity PVe. ?r°. Notary Public-State of Florida =MVCommission Expires Nov 7.2008 , d:= . Commission#DD 363036 � '°�'�" Bonded By National Notary Assn. STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CER !F'Y IHT THE FOREGOING IS A TRUE AND CORRECT COPY O l HF DOCUMENT ON FILE OR OF PUBLIC RECORL) IN ( H OFFICE WITNESS MY 11HANLTtOFHCIAL SEAL IRIS DAY OF 7� 0 l J �TfTN!���%-,CL OF CIRCUIT COURT BY �,_D� EPUTY CLERK CONTRACT PROPOSAL Proposal submitted by: TEDDER CONSTRUCTION INC. Date of submission: 12-18-07 37420 MOORE DR. DADE CITY FL. 33 525 (352) 567-6064 Prop osal submitted to: STEVE S EVE PAGE AND BOB & PHERIBA SI�YDER Job information: 38735 9TH AVE ZEPHRHILLS FLORIDA. 33.542 Scope of work: BED & BATH ADDITION Plans and Specifications: DRAWN BY RANDY WATSON {Proposal is based on the submitted plans, with revisions as indicated.,} Tedder Construction. Inc. proposes to furnish the aforementioned material and/or labor in accordance with the above conditions for the sum of$37,880.00 Proposed price shall remain in effect for a period of six months from the clate of acceptance. Any work required under this proposal after this date is not covered within the scope of this proposal. Payment Schedule: $6,232.00 upon acceptance of proposal. $12,708.00 fc completion of slab poured. $12,708.00 for completion of drywall hung. $6,232.00 All payments to be received within 3 working days of written pay requests Payments to be made as listed above. Payments not received by invoice due date shall be considered past due. Past due accounts will be charged an interest charge at the rate of 10%per month until the balance is paid in full. No release of lien shall be s' un ess s are p -dI in full. Tedder Construction Inc SignedThis is your authorization to complete t e work as outlined above according to conditions on 6?- e�Acceptance signed by: lj -__-- Date: Print name: When both parties sign this proposal, this instrument constitutes a legal and binding contract between the parties. This proposal may be withdrawn if not accepted within fifteen (15)days from date of submission. 1 NON-COMPETE CLAUSE: Owner and all authorized representatives of Owner are not to contract or employ any contractor employees for a period of one(1)year from the completion of any work performed by this Contractor with said Owner/Agent within an area of fifty(50) miles radius from this job site. PERFORMANCE: TEDDER CONSTRUCTION. INC. agrees that where a written construction schedule is provided with the signing of this proposal and fails to comply with said schedule,TEDDER CONSTRUCTION. IN(,shall pay all overtime cost necessary to complete construction in a timely manner. If a written construction schedule is not provided with the signing of this proposal,TEDDER CONSTRUCTION INC. shall not pay for any overtime to complete project and any overtime required shall be considered an extra and authorization shall be required according to CHANGES AND EXTRAS referred to belalw. Reasonable time shall be given to TEDDER CONSTRUCTION. INC.to complete each phase of the job. MATERIALS AND EQUIPMENT: All material and equipment shall be as warranted by the manufacturer and will be installed in a manner consistent with standard practices at this time. It is agreed that title to all material required(for the purpose of this proposal)to remain the property of TEDDER CONSTRUCTION. INC. until paid in full. It is understood that TEDDER CONSTRcflONjr.ç shall have the authorization to enter upon owner property for the purpose of repossessing material and equipment whether not installed without liability to owner for trespass any other reason. EXCLUSIONS: This proposal does not include, Fill dirt , Rut repair, separate electrical service , heat or air. CHANGE ORDERS: Any deviation, alteration or changes from this proposal will be executed only on reddeipt of written Change order. Said charges shall in no way affect or make void the proposal. Charges for changes or modification to this proposal will be based on the change requested plus an additional $1 50 change order fee. TEDDER CONSTRUCTION. INC, must receive written authorization by any of the individuals listed below prior to commencement of the work. NO WORK SHALL COMMENCE UNTIL THIS CONTRACTOR RECEIVES WRITTEN AUTHORIZATION. Individa thorn to sin ritten ch ge orders shall be: NATIONAL AND LOCAL CODES:Will be followed according to the standard practice. FIXTURES AND EQUIPMENT SUPPLIED BY OTHERS: Will be their responsibility to w;trranty and pay additional charges if reinstallation is necessary. 2 WARRANTY: Warranties shall apply exclusively to the installation of the natural, fixtures,equipment,and other items supplied by the contractor. Warranty does not apply to.. 1. Material, fixtures, equipment and other items supplied by others. 2. Extensions or additions to the original installation if made by others. Warranty shall commence from the final inspection date for a maximum period on one(1)year. CONTRACTOR SHALL NOT BE LIABLE: For failure to perform if prevented by strikes, or other labor disputes, accidents, acts of God,governmental or municipal regulation or interference, shortages of labor or materials,delays in transportation, non-availability of the same from manufacturer or supplier,or other causes beyond contractor's control. lr no event shall the contractor be liable for special or consequential damages whatsoever or however caused. OWNER DEFAULTS: Owner will be in default if: 1. Any payment called for under this proposal and all authorized change orders becomes past due. 2. Any written agreement made by the owner is not promptly performed 3. Any conditions warranted by the owner prove to be untrue. 4. Failure of owner to comply with any of the conditions of this proposal. Contractor's remedies in the event of owner defaults, contractor may do any or all (f the following. 1. Suspend the work and remove its material and equipment from the premises. 2. Remove any Contractor-supplies, material and equipment,whether'or not it has been installed and whether or not is has been placed in operation. In this regard,owner agrees that contractor may enter upon owner property for the purpose of repossessing such equipment without liability to owner for trespass or any other reason. 3. Retain all monies paid hereunder, regardless of the stage of completion of the work and bring any appropriate action in court to enforce Its rights. The owner agrees to pay all costs and expenses, attorney's fees, court costs, collection fees(including fees incurred in connection with appeals) incurred by contractor in enforcing its right under this proposal. Contractor carries Workmen's Compensation and Professional Liability Insurance covering its work on this job. Owner agrees to notify his/her insurance company of the commencement of work. Risk of loss due to fire, windstorm,vandalism, or other casualty shall be upon the owner. SIGNED BY-/-- tra 01 4h \ - -------- - --- - DATE:..1 -----eWM 3 GENERAL CONDITIONS: 1. Provide all necessary permits. 2. Provide adequate supervision to insure the job will be executed correctly and timely. /1 3' I.. 3. Remove all construction debris from the site as it accumulates. 4. Provide a limited warranty on the soil poisoning. 5. There will be approximately 336 square feet under roof. 6. Al! materials and labor shall have a one year warranty. 7. Insulation installed as per plans. EXCAVATION: 1. Existing trees to be removed by owner if any. 2. Scraping of lot area as needed prior to construction. 3. Supply clean compacted fill as needed. 4. All back fill and leveling owners responsibility 5. Contractor not responsible for ruts due to concrete trucks or work vehicles. CONCRETE& MASONRY: 1. All footings are to be 8 x 16"with two*5 rebar continuous and 3(y00 psi concrete as per plans. 2. 1/2"x 8"anchor bolts spaced every 4'o.c. per engineering as per flans. 3. All foundations of block construction are formed and poured on a monolithic slab as per plans. 4. All flat work is to be 4"thick 3000 psi concrete and have fiber mesh as per plans. 5. All wall heights will be as indicated on prints 8', 6. Exterior walls 8"xl 6"standard block as per plans. FRAMING: 1. Provide and Install pre-engineered trusses 24"on center as per plans. 2. All trusses shall be anchored with hurricane straps as per plans. 3. Soffit and fascia installed on exterior of addition as per plans. 4. All framing members that are in contact with the masonry shall be pressure treated. 5. All windows to be single hung, single glaze aluminum white. 6. All exterior doors to be steel insulated& bored for deadbolt 7. All interior wall framing to be 2"X 4"construction as per plans. INTERIOR FINISHES: 1. Bedroom orange peel texture on walls knockdown on ceiling. 2. Smooth finish on bathroom walls and knockdown on ceiling. 3. Carpet on bedroom floor$20 per yard allowance. 4. Tile on bathroom floor$2.50 per sq. foot allowance. 5. Tile shower$2.00 sq foot allowance. 6. Bath Vanity w/Top and Mirror 5750.00 allowance. 7. Install two grab bars in shower. 8. Interior doors hollow core panel type. 9. Trim standard colonial type. 10.All painted areas primer plus two coats. 4 EXTERIOR FINISHES: 1. Painted block to match existing home as close as possible. 2. Shingles demensional 30yr fibreglass type. 3. Gable end to match existing home as per plans. ELECTRIC: 1. All electric work to be done to all southern standard building codeslas per plans. 2. Install lights$25 allowance each as per plans. 3. Existing service to be utilized 4. Install 110 volt electrical outlets as per plans. 5. Install light switches as per plans. 6. Install smoke detector as per plans 7. Install exhaust fan as per plans. MECHANICAL: 1. No air or heat included in this bid. SIGNATURE:1 Z:► I'J ' ----- -------- ---- -----� - DATE: 5