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Home My WebLink About07-6594 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 6594 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit#:6594 Issued: 4/05/2007 Address: 37331 LAUREL HAMMOCK DR Permit Type: NEW SINGLE FAMILY DWELLING ZEPHYRHILLS, FL. Class of Work: 101-NEW CONST/SFR Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 333,982.00 Total Fees: 11,351.58 Subdivision: OAK RUN Amount Paid: 4,636.88 Date Paid: 4/05/2007 Parcel Number: 34-25-21-0130-00000-048C Name: HOMEOWNER Name: WILKINSON, STEVEN & LYNN Addr: Address: 37331 LAUREL HAMMOCK DR ZEPHYRHILLS, FL. 33542 Phone: Lic: Phone: Work Desc: NEW SINGLE FAMILY RESIDENCE (3553 SQ FT BUILDING FEE 1,265.64 ELECTRICAL FEE 265.95 PLUMBING FEE 177.30 MECHANICAL FEE 124.11 RADON 35.53 SEWER CONNECTION RESIDENT 1,616.00 WATER CONNECTION RESIDENT 419.00 WATER METER RES 3/4" 180.00 POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FEES SF 769.56 SCHOOL IMPACT FEE/100% 4,314.00 SCHOOL IMPACT FEE 1% 43.14 TRAFFIC IMPACT FEE 99% 1,572.12 TRAFFIC IMPACT FEE 1% 15.88 Re3ewcL slit t-lo-to c'nc c 1 �- L-vc /, , 7(M 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." RACTORS SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER -,.. .... r. -..,. - _ _- - - - - --- - . __ . �. PASCO COUNTY, FLORIDA • Permit No. Date Permitted t4.. Builder Name/Owner Name County Parcel No. -27'-2-J CI3o-(-)O -0S 6C SubDiv: (')QK RlJ-n Address/Location •Lo u re- k-a-r►')tv o Ck Dr Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: `l Sq Ft Unit: 3 Exempt ❑ Yes No How Determined Impact Fee Amount $ /; .S8 • Zone No. TAZ: SCHOOL IMPACT FEE C Account (056) Single-Family Detached House Amount $ `r , 3 3 7. ry (057) Mobile Home (058) Other Residential 123) Collection Fee Exempt U Yes No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ '7(o CJ. 5 Exempt j Yes Q No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt Yes j No How Determined Total Amount _ 14- RESOURCE FEE ERU TOTAL AMOUNT Prepared By Jb Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE . BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY Acknowledgement below does not imply acceptance of concurrence,but simply receipt of a copy of this form,placing the building permit owner on notice of this assessment and thq conditions of payment for same. DATE • RECEIVED BY RECEIPT NO. • DATE BY Wilkinson-37331 Laurel Hammock Dr SQ.FEET PRICE MAIN OR LIVING: 3,553 $ 94.00 OTHER AREA UNDER ROOF: - $ 91.00 OTHER: - $ - VALUATION $ 333,982.00 FEE SHEET $ 1,182.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 r BUILDING: $ 1,265.64 ELECTRICAL: $ 265.95 PLUMBING: $ 177.30 MECHANICAL: $ 124.11 SUB-TOTAL $ 1,833.00 RADON: $ 35.53 TOTAL $ 1,868.53 SEWER: $ 1,616.00 WATER: $ 419.00 IRRIGATION: $ - TOTAL: $ 2,035.00 WATER METER: $ 180.00 IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ - PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 TOTAL: $ 553.35 SUB-TOTAL 4,636.88 PARK IMPACT FEES $ 769.56 SIPS: $ 4,357.14 100.0% $ 4,314.00 1.0% $ 43.14 TOTAL: $ 4,357.14- T I F_S: $ 1,588.00 99% $ 1,572.12 1% $ 15.88 TOTAL: 11,351.58 01-27-2003 13:10 PAGE4 CERTIFICATE OF LIABILITY INSURANCE 411 2008 Pr ducert Lion Insurance Company This ucCSis a twe.d ie a matis►ol luk,mso.i eba.d'Qatar■ito nay do 2739 V.S. HIQrIW21y 19 N. the ~ uir Ttt'Cart/tr�teer tot amend'eoAeeederutt r aorsa0e offotdad by dio pellet'.below. Holiday. FL 34691 ularers Afrorarto coverage Nac in .d: South East Personnel Leasing, Inc. lustier Lim treaaareoaQwrlpant 11075 2739 U.S_ Highway 19 N. teNW6: Holiday, FL 34691 )eeuar t: Ieraer 0: Inver Coverages TIs Mass ceIieonm1Isre bum stuud 5*,,ortd flared Qmu rda pokyperud ptoca.d. utIO59 aMewtimnstt,Wit acomokul any corielsor ra qea e ns cmncete meyoe roeaed or mey pe to n,aie Inures.ertaeee DyUN peeclm:easmoed hum is eebiea b N Iha rem.,eecUelore,ere coneleora otsum pddm: Mares Into anon meyeew been reared Dy pee udms ITR NM6ENWAL Type of Intivarrce Poky NIM11Det di ocolle ce p Daolcy f Powey Units MMIDDIW) M LU&LIT1( te trrttotcial General UaaTity n _ DemeDe b rvreod premises(FA .Came&.) CITY OF BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION ADDRESS DATE "7 —2 O PERMIT# 37331 THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. e a is 91 74 ',] It is unlawful for any Carpenter,Contractor.Builder,or other persons,to AFTER CORRECTIONS ARE MADE ALL cover or cause to be covered,any part of the work with flooring,lath,earth or other material,until the proper inspector has had ample time to approve 780-00 FOR INSPECTION the installation. OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR 01-27-2003 11:16 01-27-2003 13:11 PAGE5 04/16/8009 6111 P1 I1396N669 fin:txtn in 48 to : Page 2 ACORD. CERTIFICATE OF LIABILITY INSURANCE NO i I 04/16/08 PROOUCER P THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Tessler Agency-Clearwater HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR 3165 Worth McMullen Booth Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater FL 33761-2020 Phone:727-726-3317 Tax:727-725-4698 INSURERSAFFORDINGCOVERAGE NAICI //SINN® INIU=A - eocs co�ssu! s+s.rer�e.ee. 33472 INSI. R B. Noble Airs stt LLCdba 960 Ip3 t�oeria! Drivel Taepa INS R D: Tanya FL 33624 - - IN51)* F COVERAGES 11 C POLICIES OF PSLRANCE LISTED BELOW NAVE I FN Is-S U H IME INSURE NNIED ABOVE FOR THE POI u:Y PFHnc.O INDICATED.NDTWm cTAHAXNG ANY RtQUR*-MENT.TFRM OR CONDITION OF A NT NY CORACTOR OT ER DOGAENI WITH RESPECT TO VAICH THIS CERTIFICAIK uwY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFOW)EO BY DE POLICIES DESCRIBED HEREIN IS SLBJECT TO ALL TE TFRLS,EXCLUSIONS AD COIDf IONSS(f SUCI1 POLICIES.AGGREGATE LNI15.`MOWN MAY HAVE BEEN RCOUCCD DY PAID CLAIMS. LTR _ OF S/BURANCE �QL00055992 NUMDHt OA 1 OATS LWS OENSRAL L&5&ITV EACH OCCt N0t a 1000000 A XJFRCIP&GOTNFRA1 IIABILIIT 04/14/08 04/14/09 PR[HMSES(ESticclm22? $100000 CLAIM&MADE X❑ocno MEPFJB 1kwmAUer5o.1) $5000 PCRS PL&AOVINL Y $1000000 GENI,HAL/AGGREGATE $2000000 OENL AoOREOATE L IMrT APPL1bS PER: PRODUCTS-cO i p Ar,o $2000000 POLICY JJECT LOC AVTOMOOIE LIABUTY A X ANYAuro I CA00098392 04/14/08 04/14/09 EDowET)BINCIELMIT $500000 Ee ecaaarT) ALL OWNED AUTOS prrnl Y INJI1Rr $ SOEDLILED NITOS (Per ommm) HIRI D ATIOS BOOII Y IN.L Y NONOVV EDNJTOS (Per eceidei( $ .._.. - PRnPFRIT WIAAGE $ (Per dend GARAGE UABLRY AUTO OILY-EA ACCIDENT $ .iiANY AUTO OTHER TWW EA AM $ _ . MITO ONLY AYI� $ FX LALo*BLrtY EAOIOCCLRRENCE $ ocual f i MAIMS MADE ACCREf,n TF $ DEDUCTIBLE x .. RETENTION $ WORKOU COIIPET5ATION AND TORY LMITS Hit Eb,LOVOW LIABLITY ... ANY PROPRIJ rONUPAR1Nl:ILCXECLRIVE G.L.CACN ACCIDENT $ - OFFICERMEMBERE)CLUDED? I-I I)IIEASE-EAEMPLOYEE $ n yyaexx.mrcflM Irder SPECIAL PROVISIONS bobs E.L.DISEASE-P(R.ICY LIMIT $ OTHER DESCRS 1ION OF OPERATIONS I LOCAMONs r VE BC. S I EX $B..d1T I SPECIAL PROVIBIDNB CERTIFICATE HOLDER CANCELLATION CITYLEP SN01LDANYOFTHEABOVEDESL7IaEDPOLICE$BECANCRLMDBWOR@THEEXPStATON DATE TI OP,TEE OVA4o INIrRM V&L ENDEAVOR TO MILL 10 DAYS VVRRTION City of Sephyrhi l is NOTICE TO TIE CERTcIG1!MOL THE LEFT.NAMED TO T LEA.BUT FALURE TO 0010 SNALL Building Department IMPOSE NO OEUCATION OR LL40LOY OF ANY N!D UPON TIE 0SU fF1 AGENTS OR 5335 8th street Innn$ENrATN�, Zephyrhills FL 33542-4312 ACORD 25(2001/06) , ®ACORD CORPORATION 166s 01-27-2003 10:21 PIGE2 01-27-2003 13:10 PAGE1 813760 W2O City of Zephythills Permit Application Fr'-013780-0021 Brlildeg Deparbnent UslsRcslyeø pp Pheiw cenuA N pr O.W' Near .5 rE V e W i 1� n S d ^ o.ar Plresre Solrdpw Owners Address ' Owner Phone Number �1 Fee SMmpis TltlehMdev Nees I Owner Phone Nun*&I Fee S1mpb Tms no der Adorns JOMADDRESS 3,33r Lnvrr. I 1Tot...f•'1ock De .'v.t j LOTe II SUBDIVISION I I PARCEL 101111 (GBTMMEe rwoel rllaeaA'TY TM IIOnCO WORK PROPOSED B NEW CONSTR B ADDIALT = SIGN = MOVE = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER --I OESCRIPTIDN OF WORK BUILDING SIZ! SQ FOOTAGE I HEIGHT = 0U1(OING S VALUATION OF TOTAL CONSTRUCTION = ELECTRICAL I AMP SERVICE = PROGRESS ENERGY = W R.E.C. PLUMBING s = MECHANICAL l VALUATION OF MECHANICAL INSTALLATION i G.5 9 LY = GAS = ROOFING = SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO 91pDER I COMPANY SIGNATURE I YIN I I Y I N Add. Lmenees F� ELECTRICIAN COMPANY SIGNATURE REGl5TOSI YIN FEE CUnngor Y I N Address Luoennae 0 I � PLUMBER I COMPANY SIGNATURE MMST I Y l N I FE£CUR ENT I Y I N Address /� Lioenwa• NI MECHACAL COMPANY (MPb�1 L- A IiL T.:..bN (� SIGNATURE REGISTNtSD I YIN F_Ct RtB(T I Y I N Address License OTHER COMPANY SIGNATURE 00GI&SI I YIN I cunRErn [_YIN Address Lkeroe fi RESIDENTIAL Aoadm(2)PICT Plane;(2)eels of 8,rild'rg Plume.(1)eat d Energy Fame;R-0-W Permit for new wrglmclion, Miwm an Ian(10)waking days alter slrbrni t l tire. Required ensile,ConMn,dlon Plane,Stsmwebr Plana wl SIT Farce insweo, Senimry Faafiliss&1 dunpsler,Site VlAerk Penns for suedMs10neftrpe pro(ette COMMERCIAL Ruch(3)complete sets d Budding Plans plus a Life Safely Page;(1)set of Energy Fame.RAW Ponmit to nw mrtruc*ion Minimum tan(10)waking days aver ts6mtel dais. Req.wed Chess,ConsUUcllon Plane.Stonnwater Plans wI Slit Farce installed, Santry Feoiliwes&I dumpeetr•Site Wmk Permit for all new pmjeae.Al ccmmertlel requeamame must meet eomphanoe SIGN PERMIT Adech(2)Ile of Enpineered Plane. "PROPERTY SURVEY required for all NEW can vuetio t Fit out apdicai w ow plauy Owner&Camaclor sign bad'of appli Ian,notarized N over$2500,.Nodue ef Conatencen,nt Is requltad. (AIC r,,...S over pope) Agent(tor the consrego)or Power of Ananey(for the owner)would be sonneorn with nolrised bier from owner au or=V same OVER THE COUNTER PERMITTING (Font d Applblion Only) Rerods Sewers Service Upgrades NC Fences(PlVSurveylioolage) Dnraweys.Not over Ceu n r if on public noadways..nesds ROW 01-27-2003 13:10 PAGE2 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 1p undertake work,they may be required to be licensed In accordance with state and local regulations. If the contractor is not l)censed as required by law,both the owner and contractor may be cited bra 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- 9009. Furthermore. If the owner has hired a contractor or contractors, he is advised to have the contraclor�e) 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 property licensed and Is not entitled to perrhilting privileges In Pasco County. TRANSPORTATION IMPACT1UTILITIES 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 exist g buIldIngs,or expansion of existing buildings,as specified in Pasco County Ordinance number 09-07 and 90-07.as amended. The undersigned also understands,that such fees,as may be due.will be identified at the lime of permitting. it is further understood that Transportaton 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 involves certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore,If Pasco County WetwiSawer Impact fees are due,they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinances, CONSTRUCTION LIEN LAW(Chaps r 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.Welland Areas and Environmentally Sensitive Lands,VlhderfVYealewater Treatment. Southwest Florida Mister Management District-Wells. Cypress Beyheads, Welland Areas, Altering Weteroourses. Army Corps of Engineers-Seawaus,Docks,Navigable Waterways. Department of Health 8 Rehabilitative Servlces/Environmental Health Unit-VUbtis, 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 NI: - Use of 6N Is not allowed In Flood Zone V urhtess expressly permitted. - If the III 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 IN material is to be used in Flood Zone'A'In connection with a permitted building using stem wall construction,I certify that 1N will be used only to All 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 All 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 then one(1) acre which ere elevated by NI.an engineered drainage plan is required. Ill 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,abler,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiting 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 sit months of permit Issuance,or If work authorized by the permit Is suspended or abandoned for a period of sir(6)months after the lime the work is commenced. An extension may be requested.In writing,from the Building Official for a period rat to exceed misty(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days.the job is considered abandoned. WARMING TO OWNER: YOUR FALURE TO RECORD A NOTICE OF COUNENCEMBIT MAY T IN YOUR PAYING TWICE FOR INPROVE1ENTS TO YOUR PROPERTY. IF YOU ND TO OBTAIN ,CONSULT (F.S.117.RR OWNER OR AOENT CONTRACTOR Suoeaoed end sworn to(or warmed)Damara me dwsewdm 4 0 )loaf a vwmo were pureonewy known to me or neamera p,var ao (Mw islare pit a rae or heallwva pratiiced ae identWiwtion. -„ es idaMiriration. Hoary PUDeo pry PuNk: Commission No. Cottanissien No. Noma of Notw y gpad,prrbd or seeped Name of Notary typed.,pirww�ar slarrpw4�. �/ er ►�' `�1.fI�77��+mmI$5ion*DD410633 EacPlrM Maid+23.2009 v9�or so„ud nor rr,.e..wr,�woaarsao+e Jul 17 08 12: 10p R G Mc Carty & Sons, Inc 727-856-2570 p. 1 FAX COVER SHEET R.G. McCARTY (!c SONS, INC. (727) 80-290 SEND TO b- Date l/ .� c C) Company Name '2Qy19 r h" I i s 7/ / o Attention , Li ee^3' " 5 Fax umber �ui Id(n 17�par+ww* 3 -7 f o b T a.) Phone number Total pages, including cover ? 13 7� c -o 3 COMMENTS G r C ( n � c E I ee r�cc s I Co + o Cfor cls 1L- 'S4( (,� ,a-7 85U 5 7b Flea,-5 e re i 5* 4tr Ins ;(( xtv)4 - ht C Cen-jr. co-4 e s7&orO meCc�-�`t �yo0 R.G.McCarty&Sons,Inc. 10525 Tami Trail Hudson Fl 34669 Phone(727)856-2570 Fax(727)856-2570 01-27-2003 13:10 PAGE3 o .se — ... .I YY.I CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE • FL 32399-0783 NOBLE JOHN E IMPER±AL AIR CONDITIONING OF TAMPA 3829 LOUIS CIRCLE TARPON SPRINGS FL 34688 STATE or FLORIDA AC# 27646 2 S DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CAC057517 00/30/06 060074060 CERTIFIED AIR COED CONTR NOBLE, JOEk 2 IMPERIAL AIR CONDITIONING 'OP TAMP 18• CZRTIFIID caner tRw pzovi.im or ch.`89 rs. I.pis.eim a.e.. AVG 31, 2008 L0606300117e DETACH HERE AC# 276462 h STATE OF FLORIDA DEPARTMENT OF. BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L06083001178 • LICENSE NBR 108/30/2006 1060074060 CAC057517. The CLASS B AIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2008 NOBLE, .7OHN.S IMPERIAL AIR CONDITIONING OF TAMPA 3829 LOUIS CIRCLE TARPON SPRINGS FL 34688 JEB BUSH SIMONE MARSTILLER GOVERNOR SECRETARY ,., . hJ,SPL-1Y AS aEnR"RED a I.AW .._ .....,._ _J f � DATE(MMIODIYY) A �D� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER Blackwell Insurance, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND EXTEND OR Ne w Port Richey, FL.BOX 21 6 3 3 4 6 5 6 ALTER THE COVERAGE AFFORDED.COBY THE POLICIES BELOW. Ne MPANIES AFFO19DINQ CVERAGE_ COMPANY Owners insurance Company #12008( A��.. —.._....._,.., .. -. _-...__�_ COMPANY INSURED B __ --- -- - R.G. McCarty & Sons, Inc• COMPANY ^�^ 10525 Tama. Trail COMPANY --"' Hudson, FL. 34669-3424 D TERM OR CONDITION OF ANY CONTRACT OR OTHER DESCRIBED HEREIN TIS WITH REST T0T TO WHICH TI-US ALLL THE ERMS, TMI9 IS TO CERTIFY THAT THE POLICIES OFIN RANEE iISTEb BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY 7HE POLICIES - EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY H POLICY EFFECTIVECPOLICY EXPIRATIONS LIMITS `H TYPE OF INSURANCE POLICY NUMBER DATE(MWDD/YY) DATE(MMIDDIYY) BODILY INJURY ocC _w s500 _0 0,0�00� GENERAL LIABILITY BODILY INJURY AGO 9 V�^ter COMPREHENSIVE FORM 942312_2051289208 5/19/08 5/19/09 PROPERTY DAMAGE 0 S PREMISESIOPERATIONS PROPERTY DAMAGE AGG $ 500 , 000 UNOEROflOUNO BI A PD COMBINED OCC AEXPLOSION 8 COLLAPSE HAZARD - X CONTRACTUAL PLETBO OPER 918 PD CO�BINEO AGO $ CONTRACTUAL PERSONAL INJURY ADO $ INDEPENDENT CONTRACTORS ] tp '3 000 BROAD FORM PROPERTY DAMAGE PERSONAL INJURY BODILY INJURY (ParILYIN) AUTOMOBILE LIABILITY ..—ANY AUTO BODILY INJURY ALL OWNED AUTOS(Pala Pae0) (Par nx NnIl ALL OWNED AUTOS (OIPnr Ulan PAYeIn Paeeenper) PROPERTY DAMAGE HIRED AUTOS BODILY INJURY 6 NON•OWNED AUTOS PROPERTY DAMAGE $ GARAGE UABILrrY COMBINED EACH OCCURRENCE" S EXCESS LIABILITY AGGREGATE UMBRELLA FORM S OTHER THAN UMBRELLA FORM TPgYb�.1!A IA —lif] WORKERS COMPENSATION AND Et.EACH ACCIDENT $ EMPL0YER9'LIABILITY EL DISEASE•POLICY LIMIT s THE PROPRIETOR! INCL EL DISEASE•EA EMPLOYEE S PARTNERS/EXECUTIVE EXCL OFFICERS ARE' OTHER 'DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESisPECIAL ITEMS CODE# 22478 Electrical work Within buildings A Y OF THE AW" DESCRIBED POLICIES BE CANCELLED BEFORE T City of Zephryhills p DATE THE1i OIF- 7 IB561111G COMPANY WILL ENDED BE TO Mr 5335 8th Street -110 DAYS'rTTEN NOTIICE iME CERTIFlCATE N01�Ik1AIMNElp1T�THE LEI Zep ,r r ,,,. I 33542 _ VIII FAILURE'NAIL SUC1YI aMlml11MiA NiD _.. 11AlIMM10R UANILT "W° ANY KIRO• ALL IMPOSE'VPOH "AS cvw,r«n+ti, r.o nont�ro on nL►11LOCN'Iwrry AUTHORIXED REP ESUNTATIVE ax: 813 780 0021 Jul 17 08 12: 10p R G Mc Carty & Sons, Inc 727-856-2570 p. 2 G | $9� § ■ — c,, 0 C _m m m / 0 i # o_M m z % m j_j � m -4 n m O k x * k § - n 0 %- e m a 7 / 322 § ; | • -� ' k ■ 7® D 0 2 k m ° \ §_��k� r 0 - r§ m m - § ; q r _ > 2 £ o E�}I■ , Cl) C 2 E z 2 2 � N 0 . CD A m /! {_�} § � t & k m z4 ■ - o » - m m k m K3 » w -I B C m k-' o / - / 2 p m Z-I m p O O C, 2 l>f f\\\\ D k o ZO - - - " - d »$ 2 m In R m 0m \_ 2 55 2 /-, n _/ A E n o $ § 7 w - / . 0 z - * k § ' * Jul 17 08 12: 10p R G Mc Carty a Sons, Inc 727-856-2570 p. 3 Vf N n r NR, !k O �C ou+3 i'. Z C C Z voce 'I Af nGn7CnnQ a T10 �vUii v OxH o i z gyp ' v H <f2Ht+ N Fi _ t O _I I e y HHnK� N A7�C1 1 w -' 1 C Ht+O Un y3 T N �u �C ►�- fA I u „ v O t+ H VJ 1! i iiI sI �. a �n N3 C m ="''►�i �+ ns ' fix az nUT ir,o rN Ct'o i5 w fl �++ rn a m Zrn - -4U r LA 70 N �o F .. 0 is. City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contracto>`__Iomeo l 11 ,r -- n Lti n Date Received: 3- Site: 3 j - Permit Type: 3 ( L2 n:_ �t� - Approved w/no comments:V Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be k t with the permit and/or plans. • Burgess\— uilding Offi a1 Date Contractor and/or Homeowner (Required when comments are present) IFee Sheet ' Comm Res T Square Feet Dollar Amount Valuation (Use System for calculation of fees) Radon '35" 3 Connection Fees Sewer Water W. Meter I . 3/ (180.00) 3 &4 (Contact Louie) (All Residentials-3/ ") 1 (250.00) 1.5 (650.00) 2 (875.00) Irr. Meter Irr. Conn Impact Fees School 7ç-7 Transportation II 3 Park 1(Oct : Public Safety 7 3 , 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received 3 _ai—o / 1 ) Prone cerRtaCc for Owner's Name 1 N AQ`,.L %A) nd�s.I/ Owner Phone Nrm barRi Owners Address TO AIoW V i $Z ^Q Dwner Phone Number13 9V,' S Fee Simple Titleholder Name • Owner Phone Number 3 S i_0130— )PD—QI/S� Fee Simple Titleholder Address (]; JOB ADDRESS /-R#t,d`'tl 11Y1oc- 9371 LOT# SUBDMSION IOh aSt PARCELID# ..ZI -0Y30 (OBTAIIED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = MOVE = DEMOLISH INSTALL REPAIR PROPOSED USE SFR = COMM = OTHER TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = OTHER[ DESCRIPTION OF WORK 11A/Il In G 0.4 BUILDING SIZE SQ FOOTAGE HEIGHT = BUILDING E D VALUATION OF TOTAL CONSTRUCTION = ELECTRICAL i_.30 AMP SERVICE >< PROGRESS ENERGY Q WR.E.C. PLUMBING s 30 // I t oc / = MECHANICAL $t�/_ (/� VALUATION OF MECHANICAL INSTALLATION '-\,Qom, ice v (y(� R-O-W -. e -4-,k shy = GAS = ROOFING = SPECIALTY = OTHER jr _ ) FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ><No BUILDER COMPANY ' � Y�'G�� SIGNATURE REGISTERED Y/N FEE amRerr Y/N lI Address ` M License# ELECTRICIAN COMPANY RyV•e{— SIGNATURE REGISTERED Y/N I FEE cuRREIr I Y/N Address � License# PLUMBER COMPANY SI'NATURE REGISTERED Y/N FEE CURRENT I Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N J FEE CURRENT Y/N Address License# 1 I OTHER COMPANY &A fjA SIGNATURE REGISTERED YIN FEE CURRENT I Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sat 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 requi ements 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 bade 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 lion 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 uftder 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 property licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILUTIES 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 UEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that 1, 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 wail 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(8)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 FINANCING,CONSULT WITH YOUR LENDER OR A ArrORNEY BEFORE RECORDING YO R NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) r OWNER OR AGENT CONTRACTOR _ Su b/e}1Oa�lnd e.(or m,ed) re me this S b alb d and m to or affirm before me thi Rby ✓ ,vim- by `�Vl Yl r� f'i I k1 v o is!re personally known to me or haoAwve-produced IslaI5p�['sonally k to me or has/have produced as identification. H I 1(. L\Lr as identification. In V^ 1 ('L 1 Notary Public a $E .c c n Notary Public Commission No. Commission No. r /-iL A'. tv ore_/ ;-qs . Pcaren L. Miller Name of Notary typed,printed or stamped Name of Notary typ Ssion Expires October 29,2010 Brenda K. Morel a�e.+rnryc.M,"1"w'lMaIK aoo-,a >a,o Commiss,on#00293429 ;= Expires Cetlruard 23 008 ri„ Bonded Troy ran.insurance.Inc.8W-385.7019 NOTICE OI' COMMENC MENT 111111111111111111111 11111111111111111111111111111 liii liii State of li0► 1 b Yt County of 2007050405 THE UNDERSIGNED hereby gives notice that improvement will be 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: Parcel No.34-�S I _ 0,30 00DD 'O G r I jJiwiaeh 2Ih rbih P — (Legal description tifeprcer and str t address if available) Rept: 1084096 Rec: 10.00 DS: 0.00 IT: 0.00 2. General Description of Improvement /f/ 03/20/07 Dpty Clerk JED PITTMAN PASCO COUNTY CLERK 03/20/07 04:36pm 11 of / \ OR BK 7431 PG 352 Owner Information Name '� L/ w'!, k, mi a" Address 8'09 9 V'r�t'1 City 1 A/ O State L J Interest in Property: Ohl rt,vt-' Name of Fee Simple Titleholder: (If other than owner) Address City State 4. Contractor:Name Address City State 5. Surety:Name Address City State Amount of Bond: $ 6. Lender:Name Address City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7),Florida Statutes: Name Address City StateCZJ zo 8. In addition to himself,Owner designates 33 w of to receive a copy of the Lienor's Notice as 2 8 �_ provided in Section 713.13 (1) (b),Florida Statutes. 9. Expiration date of Notice of Commencement(the expiration date is 1 year from the date O o W of recording unless a different date is specified.) 0 CLrvl Z3 Signature of Owner: W •� fin : s Sworn to and subsc ' d b fore day of 1 y l n to ,20LD. < W. Notary Public: My Commission Expires: PC93053048/A o�x y wnoxy,n oN .aw.1pN-t'MWI \I 98££��LT7SQQ�JJ Iw^i0StSILl'03 A �l 7 NOXIt1 dl'isall Jand A.5+or _ ._...._.. DISCLOSDRE STATEMENT FOR OWNER CITY j OF ZEPHYRRILLS BUILDING DEPARTM ENT I, `.C// �+'� 4L/. 1�Iih1 have read* and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile,, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of .. construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work.. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will , not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice_to pay additional fees. 7. That the owner shall comply with all City., State and Federal laws• in regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption ,llows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family, residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence. must be for your own use or occupancy. It may not be built or. substantially improved for sale. or lease. If you sell ;or' lease a building. you have built or substantially improved yourself. within 1 year after the construction is complete, the law will presume 'that you built or substantially improved if for sale or lease, which is a. violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regula ns.OWNER'S SIGNATURE DATE 3/'!/Q O ADDRESS 1MJ 0 PHONE , j3 I(.— WITNESS �� Ze PERMIT, # 402 _ « L - TIVOS _1 L \ 'C \( ` / \ rno--m�w0 VrV / y ii I / \ =� ao N tocv ¢[r / Z N li p m / Co - r / o3! 00 • 1 333 f (á tt) �' 4'\ S 0 43'58. E. :Moo, z�. 10wU U �. w it oNQ� c , z W \ Uw�FQoo ,1 N "N Q� UU a FORM 600A-2004R EnergyGauge®4.5 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: WILKERSON 1856 Builder: Address: Isot: 48C-hub:, Plat. 37331 Permitting Office: ---i o 2eph.- rh'i kt5 City, State: ZEPHYERHILLS, FL 'Dk . Permit Number: Owner: STEVE AND LYNN WILKERSON Jurisdiction Number: i lapt� Climate Zone: Central 1. New construction or existing New 12. Cooling systems 2. Single family or multi-family Single family a. Central Unit Cap:36.0 kBtu hr 3. Number of units,if multi-family I SEER: 13.00 4. Number of Bedrooms 3 b. NA _ 5. Is this a worst case? No 6. Conditioned floor area(ft2) 1856 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) 175.0 ft2 — a. Electric Heat Pump Cap:36.0 kBtu hr b. SHGC: HSPF:7.70 (or Clear or Tint DEFAULT) 7b. (Clear)175.0 ft _ b. N A 8. Floor types a. Slab-On-Grade Edge Insulation R=0.0, 199.0(p)ft _ c. N A b.NA A c. N A 14. Hot water systems 9. Wall types a. Electric Resistance Cap:40.0 gallons a. Concrete,Light Weight-Int Insul,Exterior R=4.1, 1410.0 ft2 EF:0.92 b. Frame,Wood,Adjacent R=1 1.0,234.0 ft2 _ b.N A c. NA d.N A c. Conservation credits e. N A (HR-Heat recover',Solar 10. Ceiling types DHP-Dedicated heat pump) a. Under Attic R=30.0, 1856.0 ft2 15. HVAC credits _ b. N A (CF-Ceiling fan,CV-Cross ventilation, c. N A HF-Whole house fan, 11. Ducts PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Garage Sup.R=6.0,275.0 ft MZ-C-Multizone cooling, b. N A _ MZ-H-Multizone heating) Glass/Floor Area: 0.09 Total as-built points: 22093 PASS Total base points: 22587 I hereby certify that the plans and specifications covered by Review of the plans and this calculation are in compliance with the Flor' a Energy specifications covered by this yO4 ST91AD Code. calculation indicates compliance PREPARED BY: cam- with the Florida Energy Code. DATE: Before construction is completed -�-- this building will be inspected for compliance with Section 553.908 1 hereby certify that this building, as designed, is in com P compliance with the Florida Energy Code. Florida Statutes. jcoDv� OWNER/AGENT: BUILDING F CIAL: 1 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) FORM 600A-2004R EnergyGauge®4.5 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot: 48C, Sub: , Plat: ,ZEPHYERHILLS, FL, 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 1856.0 24.35 8135.0 1.Single,Clear S 5.0 6.0 36.0 48.22 0.59 1023.0 2.Single,Clear S 5.0 7.0 7.0 48.22 0.62 208.0 3.Single,Clear S 1.3 10.0 36.0 48.22 0.98 1695.0 4.Single,Clear E 1.3 4.0 7.0 63.97 0.85 382.0 5.Single,Clear N 1.3 9.0 18.0 30.19 0.98 533.0 6.Single,Clear N 10.0 7.5 20.0 30.19 0.68 412.0 7.Single,Clear N 10.0 6.0 36.0 30.19 0.66 712.0 B.Single,Clear W 1.3 6.0 15.0 57.68 0.93 808.0 As-Built Total: 175.0 5773.0 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 234.0 0.70 163.8 1.Concrete,Lt Wt Int Insul,Exterior 4.1 1410.0 0.94 1318.3 Exterior 1410.0 1.90 2679.0 2.Frame,Wood,Adjacent 11.0 234.0 0.70 163.8 Base Total: 1644.0 2842.8 As-Built Total: 1644.0 1482.2 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 18.0 1.60 28.8 1.Exterior Insulated 20.0 4.80 96.0 Exterior 20.0 4.80 96.0 2.Adjacent Insulated 18.0 1.60 28.8 Base Total: 38.0 124.8 As-Built Total: 38.0 124.8 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 1856.0 2.13 3953.3 1.Under Attic 30.0 1856.0 2.13 X 1.00 3953.3 Base Total: 1856.0 3953.3 As-Built Total: 1856.0 3963.3 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 199.0(p) -31.8 -6328.2 1.Slab-On-Grade Edge Insulation 0.0 199.0(p -31.90 -6348.1 Raised 0.0 0.00 0.0 Base Total: -6328.2 As-Built Total: 199.0 -6348.1 INFILTRATION Area X BSPM = Points Area X SPM = Points 1856.0 14.31 26559.4 1856.0 14.31 26559.4 EnergyGauge®DCA Form 600A-2004R EnergyGauge®/FIaRES'2004 FLRCSB v4.5 FORM 600A-2004R EnergyGauge®4.5 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot: 48C, Sub: , Plat: ,ZEPHYERHILLS, FL, PERMIT#: BASE AS-BUILT Summer Base Points: 35287.0 Summer As-Built Points: 31544.5 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 36000btuh,SEER/EFF(13.0)Ducts:Unc(S),Unc(R),Gar(AH),R6.0(INS) 31544 1.00 (1.09 x 1.150 x 1.00) 0.260 1.000 10252.4 35287.0 0.3250 11468.3 31544.5 1.00 1.250 0.260 1.000 10252.4 EnergyGaugeTM DCA Form 600A-2004R EnergyGauge®/FlaRES'2004 FLRCSB v4.5 FORM 600A-2004R EnergyGauge®4.5 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot:48C, Sub: , Plat: ,ZEPHYERHILLS, FL, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X WPM X WOF = Point .18 1866.0 9.11 3043.0 1.Single,Clear S 5.0 6.0 36.0 9.90 1.70 606.0 2.Single,Clear S 5.0 7.0 7.0 9.90 1.57 108.0 3.Single,Clear S 1.3 10.0 36.0 9.90 1.00 355.0 4.Single,Clear E 1.3 4.0 7.0 12.37 1.03 89.0 5.Single,Clear N 1.3 9.0 18.0 15.07 1.00 270.0 6.Single,Clear N 10.0 7.5 20.0 15.07 0.99 297.0 7.Single,Clear N 10.0 6.0 36.0 15.07 0.99 534.0 8.Single,Clear W 1.3 6.0 15.0 13.25 1.01 200.0 As-Built Total: 175.0 2459.0 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 234.0 1.80 421.2 1.Concrete,Lt Wt Int Insul,Exterior 4.1 1410.0 2.72 3828.2 Exterior 1410.0 2.00 2820.0 2.Frame,Wood,Adjacent 11.0 234.0 1.80 421.2 Base Total: 1644.0 3241.2 As-Built Total: 1644.0 4249.4 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 18.0 4.00 72.0 1.Exterior Insulated 20.0 5.10 102.0 Exterior 20.0 5.10 102.0 2.Adjacent Insulated 18.0 4.00 72.0 Base Total: 38.0 174.0 As-Built Total: 38.0 174.0 CEILING TYPESArea X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 1856.0 0.64 1187.8 1.Under Attic 30.0 1856.0 0.64 X 1.00 1187.8 Base Total: 1856.0 1187.8 As-Built Total: 1856.0 1187.8 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 199.0(p) -1.9 -378.1 1.Slab-On-Grade Edge Insulation 0.0 199.0(p 2.50 497.5 Raised 0.0 0.00 0.0 Base Total: -378.1 As-Built Total: 199.0 497.6 INFILTRATION Area X BWPM = Points Area X WPM = Points 1856.0 -0.28 -519.7 1856.0 -0.28 -519.7 EnergyGauge®DCA Form 600A-2004R EnergyGauge®/FIaRES'2004 FLRCSB v4.5 FORM 600A-2004R EnergyGauge®4.5 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: Lot: 48C, Sub: , Plat: ,ZEPHYERHILLS, FL, PERMIT#: BASE AS-BUILT Winter Base Points: 6748.3 Winter As-Built Points: 8048.0 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 36000 btuh,EFF(7.7)Ducts:Unc(S),Unc(R),Gar(AH),R6.O 8048.0 1.000 (1.078 x 1.160 x 1.00) 0.443 1.000 4460.8 6748.3 0.5540 3738.5 8048.0 1.00 1.250 0.443 1.000 4460.8 EnergyGaugeTM DCA Form 600A-2004R EnergyGauge®/FIaRES'2004 FLRCSB v4.5 FORM 600A-2004R EnergyGauge®4.5 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: Lot: 48C, Sub: , Plat: ,ZEPHYERHILLS, FL, 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 3 2460.00 7380.0 40.0 0.92 3 1.00 2460.00 1.00 7380.0 As-Built Total: 7380.0 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 11468 3739 7380 22587 10252 4461 7380 22093 LIJ PASS O4 TI4E ST.'� t st COD EnergyGaugeTM DCA Form 600A-2004R EnergyGauge®/FlaRES'2004 FLRCSB v4.5 FORM 600A-2004R EnergyGauge®4.5 Code Compliance Checklist Resi,dential Whole Building Performance Method A - Details ADDRESS: Lot: 48C, Sub: , Plat: ,ZEPHYERHILLS, FL, 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/sq.ft.window area;.5 cfm/ .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 corners;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 circuit breaker(electric)or cutoff(gas)must be ovided.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-1 9.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'2004 FLRCSB v4.5 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 86.6 The higher the score,the more efficient the home. STEVE AND LYNN WILKERSON, Lot: 48C, Sub: , Plat: , ZEPHYERHILLS, FL, 1. New construction or existing New 12. Cooling systems 2. Single family or multi-family Single family a. Central Unit Cap:36.0 kBtu hr 3. Number of units,if multi-family 1 SEER: 13.00 4. Number of Bedrooms 3 b. N A 5. Is this a worst case? No _ 6. Conditioned floor area(ft2) 1856 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) 175.0 ft' a. Electric Heat Pump Cap:36.0 kBtu hr b. SHGC: 1l HSPF: 7.70 (or Clear or Tint DEFAULT) 7b. (Clear) 175.0 ft2 _ b.NA 8. Floor types a. Slab-On-Grade Edge Insulation R=0.0, 199.0(p)ft c. N A b.NA c. NA 14. Hot water systems 9. Wall types a. Electric Resistance Cap:40.0 gallons _ a. Concrete,Light Weight-Int Insul,Exterior R=4.1, 1410.0 ft2 EF:0.92 b. Frame,Wood,Adjacent R=11.0,234.0 ft2 b. N A c. NA 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, 1856.0 ft2 15. HVAC credits b. N A (CF-Ceiling fan,CV-Cross ventilation, c. N A HF-Whole house fan, 11. Ducts PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Garage Sup.R=6.0,275.0 ft MZ-C-Multizone cooling, b. N A MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) O4 ST'tTA in this home before final inspection. Otherwise,a new EPL Display Card will be completed � ,°x " based on installed Code compliant features. ,,r �t='_'. .d Builder Signature: Date: Address of New Home: City/FL Zip: �'epp *VOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating.If your score is 80 or greater(or 86 for a US EPA/DOE EnergyStarf designation), your home may qualify for energy efficiency mortgage (EE )incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www.fsec.ucf edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. 1 Predominant glass type.For actual glass type and areas,see Summer&Winter Glass output on pa s 2&4. EnergyGauge)(Version: FLRCSSB v4.5) Project e:Summary Job: Yiflt.KERSON 1866 Dat Mar 01,2007 Entire House By: Tom Tatum IMPERIAL AIR CONDITIONING OF TAMPA 16204 N.NEBRASKA AVE.,LUTZ.FL 33549 Phone,813-962-6072 Fax:813-960-8859 Web:www.imperial air conditioning.com For: STEVE AND LYNN WILKERSON LOT 48 C,ZEPHYERHILLS, FL Notes: w' r Weather: Tampa, Intl AP, FL,US Winter Design Conditions Summer Design Conditions Outside db 40 °F Outside db 95 °F Inside db 70 °F Inside db 75 OF Design TD 30 °F Design TD 20 °F Daily range L Relative humidity 50 % Moisture difference 62 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 26966 Btuh Structure 20721 Btuh Ducts 2272 cfm Ducts 3758 Btuh Central vent(55 cfm) 1826 Btuh Central vent(55 cfm) 1217 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 31063 Btuh Use manufacturer's data n Rate/swing multiplier 1.00 Infiltration Equipment sensible load 25696 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 3613 Btuh Ducts 675 Btuh Heating Cooling Central vent(55 cfm) 2321 Btuh Area(ft2) 1856 1856 Equipment latent load 6609 Btuh Volume(ft3) 17261 17261 Air changes/hour 0.45 0.20 Equipment total load 32305 Btuh Equiv.AVF(cfm) 129 58 Req.total capacity at 0.70 SHR 3.1 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond Coil Efficiency 80 AFUE Efficiency 0 EER Heating Input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 1309 cfm Actual air flow 1309 cfm Air flow factor 0.045 cfm/Btuh Air flow factor 0.053 cfm/Btuh Static pressure 0.00 in H2O Static pressure 0.00 in H2O Space thermostat Load sensible heat ratio 0.80 Bolr/ltagc values have been manually ovanldden Printout certified by ACCA to meet all requirements of Manual J 8th Ed. Wrightsoft Right-suite Residential 5.9.51 RSR32186 2007-Mar-2308:2945 k-(.A Projectl.rrp Caic=MJB Orientation=N Page 1 PERMIT APPLICATION DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY All information must be filled-in completely City of Zephyrhills Pd 3 /aq,/07ll� 5335 8"'Street,Zephyrhills, FL 33542 Telephone 813.780.0000 Fax 813.780.0005 Dats of application: (gmyror r usr xY PROJECT JOB SITE: PROPERTY OWNER Address: L. Name: )lktiaan7 Unit# Address: B ow ! lDA�llnit• Parcel Identification Number: -O730- City,State Zip , 33570 ODODO—D C Phone: I 5 ax: CONTRACTOR: Company: Name:Contractor's License#: E-Mail: Phone: Cell: Fax: ARCHITECT/ENGINEER: Name: TdL. Sod' Firm Name:TL )4fWSQAJ ' - SOcq,IcTIc. Address: ne Ci State: - Zip: State License#: J Phone: 5 II: Fax: Oescriotion of Project TYPE OF DRIVEWAY 3S-LENGTH OF DRIVEWAY CULVERTS NEEDED _JfSIDENTIAL DRIVEWAY WIDTH OF DRIVEWAY ( )REINFORCED CONCRETE COMMERCIAL DRIVEWAY R.O.W. EXCAVATION ( )CORRUGATED MATERIAL PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( )BOX CULVERT ( )OTHER(EXPLAIN) CONSTRUCTION MATERIAL OJRBCIJ _________ AS YES CONCRETE HEADWALL REQUIRED? YES 4/NO NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings will be required. UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 PERMIT APPLICATION UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. t4L 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.fLus/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 OWN ES: By signing this application: I certify that I have read and understand the owner/builder disclosure statement. (please initial) Appl nt Print Name pl nt Signature Da ac 3/23?1O 7 Permit Technician Signature (or)Notary Signature Date Applicant is(►.%ersonally known to me.e .p edaeeQ— as identification. (type of identification) ba ' Brenda K. Morel Page 2 of 3 Commission#DD293429 Expires February 23,2008 Bonded Troy Fan-inuxaax,Inc 8W-395.7019 PERMIT APPLICATION OFFICE USE ONLY :PUBLIC 1'WORKS J5E ONLY Concrete (min. 6") Y N " k '. Asphalt Base(min. 6") Y N Asphalt(min. 1½") Y N Length (min. 19') Y N 35 ' Width(10'min—20'max) N ap Existing sidewalk. Y N New sidewalk. Y N (.c, e AX t.tt..(4iT ADA compliant. Y N Expansion material required. Y N Contiguous parking pad. Y 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 Additional;descrlption of work as defined .Publi WorkssDir+ector<anddor.'designee: i Permit application approved by: < Date: Page 3 of 3 402 _ « — T1V3s LO / / \ O�0. \ co04� . // \\ / \ Z \ N p � Tz / \ \ tflNQw W t� oo �t`� / V \ U Z N it a m d' Z $z/ , J ' ? ( T I o Iii ________________________ 4' S 0343'58 C7 WF---�(COMQ a , m ��j \ • mZII �m W d \ \ <ckcooU Cv2�, Co`.b sbt,DTc, c cvv,t- &TatT2(�►.� � 7'l C 2iJ�°Wm lNG U o Z�'; aC"c-b�STQ-t q o P-pvTE S 4�-� 4b4 Parcel Information for: 34-25-21-0130-00000-048C Card: 001 Page 1 of 1 Search Again Show Map Building Schematic Unavailable Estimate Taxes See Tax Collector Information -Current/Delinquent Taxes The online search system is currently unavailable. Information displayed below is from a weekly archive. SOH and Taxable amounts may not reflect current values. Parcel ID 34-25-21-0130-00000-048C (Card: 001 of 001) Classification II 00-Vacant Residential Mailing Address Assessment(totals) WILKINSON STEVEN &LYNN Ag Land $0 809 BAYOU VIEW DR Land $48,513 BRANDON, FL 335102092 Building $0 Physical Address Extra Features $0 Legal Description (First 4 Lines) Total Assessment $48,513 OAK RUN SUBDIVISION PHASE 2 Save Our Homes $0 PB 48 PG 108 LOT 48C Taxable Value $48,513 OR 7228 PG 939 Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price II Cond Value 0 0100 SFR 00R4 H 8,000.00 SF II 5.60 II 1 $44,800 2 II 0100 SFR 00R4 116,751.00 SF .55 1 $3,713 Additional Land Information Acres 0.34 II Tax Area 30ZH Fema Code II Res Code IIOKRNLP1 Building Information Unimproved Parcel 0 Extra Features No Extra Features Sales History Previous Owner HUANG GANGYU & Year Month Book/Page Type Amount 2006 10 7228/0939 WD $56,900 2004 01 5874/0481 WD $0 -� 2004 01 5719/0700 WD $32,500 Search Again Show Map Building Schematic Unavailable Estimate Taxes See Tax Collector Information -Current/Delinquent Taxes. http://appraiser.pascogov.com/search/offline.asp?sec=34&twn=25&rng=21&sbb=0130&bl... 3/28/2007 Map - Pasco County Property Appraiser Page 1 of 1 Pasco County, Florida Section 34, Township 25, Range 21, 2.4 miles NNW of When I click on the map: fl Quick Info O Full Info* Zoom In 1.5x Choose Layers: Parcel Lines(Default) L8C--Parcel Labels(Automatic) j .................. _..-- -- Street Names(Automatic) IJ 2005 1 ft Color ... Select Additional Layer ate,Select Grouping � iLwIH1!2Ti111 Image Size / Quality: 0000 ` (Quality applies if imagery is selected) -t Low Quality(Fast/JPEG) ', �TI7 51'0 ............ Links of Interest: �� 1cn L5q Recent Sales in this area Search for property in Pasco Map Search MapID# 17964776 467 Feet http://maps.pascogov.com/maps/showmap.asp?Name=PascoMap_New&mdi=17964776&... 3/28/2007 Mar 28 07 04:03p P•1 ■mama/Luurincu uc.,J rm Lcrnianiu.. OU1LWIVI. rRi h0, 0IJ-/tlU-UUZ1 F.UUl 4. ici:7fi: U., :alit:i:r Vii: City-of Zephyrbills—Building Dept Phone:(813)-780.0020 FAX:(813)-780-0021 fWW :Judy �U Karen -- FAX#. 727-815-7000 FAX# 813-780-0021 DATE: 3-28-07 #OF PAGES: 3 MESSAGE: .We need an address for the below property. If you have any questions, r � please contact me. Thank you. Parcel: •34-25-21-0130-00000-048C Type: • Single Family Residence Lot#: 48C FacingLaurel Hammock Drive ----------------------------------------------- ----- ----------- i I • • i , t cn u to e r / . / i 4 f J/ , I J�. t [ it \ _ j�• _ I � _ I J ,�/ F.A i`Y ' ��`}- � llsi �S.+' 4 f'"'� l � ✓"1 ,r" � `+�` ,�./ j � ,6'� (. Cr;Ui L`} U.i! c: V. C C C CC cv clic II No Text IP City of Zephyrhills — Building Dept Phone: (813)-780-0020 FAX: (813)-780-0021 TO: Judy/Gail FROM: Karen E i FAX#: 727-815-7000 FAX#: 813-780-0021 DATE: 3-28-07 #OF PAGES: 3 MESSAGE: We need an address for the below property. If you have any questions, please contact me. Thank you. i € k E Parcel: 34-25-21-0130-00000-048C k i Type: Single Family Residence Lot#: 48C Facing: Laurel Hammock Drive I E I k k ! [ I E i k p k E i I ! ! I k I i € i I ! I g k ! I I € g 3 I 6 ! ! i I I I q k t I E k ! k k I i i I PERMIT APPLICATION UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. eA 4FaL 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 I interfere with existing sbormwater treatment and/or conveyance. PROPERTY OWNS: By signing this application: I certify that I have read and understand the owner/builder disclosure statement. (please Initial) �_ ., ► 1. �kl •�� 3 Appl cant Print Name pf nt Signature Date oflA 3/ /o7 Permit Technician Signature (or)Notary Signature Date _T_ Applicant is( rsonaly known to me-eraeed- as identification. (type of identification) b "� Brenda K. Morel Page 2 of 3 Commission#DD293429 =-� Expires Gebr iary 23,2008 i' ,Bonded Troy Fain-Inswatre,Inc a0i1385-7019 PERMIT APPLICATION OFFICE USE ONLY PUBLIC,VVDj KSlUSEIONLY Concrete (min. 6") Y N Asphalt Base(min. 6") Y N Asphalt(min. 11/2") 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 AddiitionaF-de�cxi 'on�wa�rk��lefined Putilic�lllorics�Diraecbor-and9or; rtes.: Permit application approved by: Date: Page 3 of 3 PERFORMANCE BUSINESS PRODUCTS.INC.813-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS,FLORIDA S. ♦ WATER ACCT.NO. DATE_ 4 51 G 3 OWNER/ RENTER t I_L2 I r �> t; 1W nm: .. Ls.t,n Y1 MAILING QOc EXA=9_a GLi_ \[1. Lr: L� SERVICE ADDRESS_3"733 LCW.XQJ K rr rnoc.Ktr (L EATER SHUT OFF SERVICE ❑ ❑ SEWER TURN ON SERVICE ❑ GARBAGE INSTALL METER LlY L�J IN CITY READ METER 0 ❑ OUT CITY CHECK METER ❑ No.OF UNITS OTHER 0 DEPOSIT AMOUNT It f I I LL . ► o Est x u AMOUNT LAST BILL Itrr�l.. — Co6 g 4 DATE MISC.CHARGE WORK COMPLETED BY ORDER TAKEN BY {{f &DATE COMPLETED ORDER GIVEN BY Retain white form in office at all times. Send pink&yellow forms to Water Service Dept. Water Service Dept to sign yellow form&return to office. { PERFORMANCE BUSINESS PRODUCTS.INC.813-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS,FLORIDA WATER ACCT.NO. DATE OWNER/ RENTER f`4 Q _I Y 1� � rrti d. n n MAILING O \(1 Qi c L\T) ► 1�.r,drr,_r, i r(Cm SERVICE ADDRESS 3-7 33 ( LcxireJ m moc K cgs D' WATER SHUT OFF SERVICE ❑ ❑ SEWER TURN ON SERVICE L� ❑ GARBAGE INSTALL METER LIY L�J IN CITY READ METER ❑ ❑ OUT CITY CHECK METER ❑ No.OF UNITS OTHER ❑ ' , DEPOSIT AMOUNT 14 I I \w AMOUNT LAST BILL lS3`i L f DATE MISC.CHARGE WORK COMPLETED BY ORDER TAKEN BY &DATE COMPLETED ORDER GIVEN BY Retain white form in office at all times. Send pink&yellow forms to Water Service Dept. Wlaber Service Dept to sign yellow form&return to office. n '/_c-ø