HomeMy WebLinkAbout09-9224 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9224
` BUILDING PERMIT
M aR ?.' •, 3K "� �:: sdr € t4 *` s 6 r "" { a 2 "'�:v y r ra �. ' ., r .
Permit Number: 9224 Address: 37541 LAUREL HAMMOCK DR
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: OAK RUN
Est. Value: Parcel Number: 34- 25 -21- 0100 - 00000 -0240
Improv. Cost: 11,300.00 ,,3 <'11
Date Issued: 6/15/2009 Name: SODERSTROM, EARL & MARIE
Total Fees: 197.50 Address: 37541 LAUREL HAMMOCK
Amount Paid: 197.50 ZEPHYRHILLS, FL. 33541
Date Paid: 6/15/2009 Phone: (813)779 -4053
Work Desc: TURN LANAI INTO LIVABLE SPACE
- RYMAN CONSTRUCTION OF FLORIDA IN BUILDING FEE 127.50 ELECTRICAL FEE 35.00
EAST PASCO ELECTRIC, INC MECHANICAL FEE 35.00
BAHR'S PROPANE GAS & A/C, INC.
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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
- r =• ' rding your notice of commencement."
' - • . • TURE PERMIT OFFI rR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Parcel: 34 -25 -21 -0100- 00000 -0240 001 Page 1 of 2
Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: II Weekly Archive - Saturday, June 06, 2009
I Parcel ID I 34- 25 -21- 0100- 00000 -0240 (Card: 001 of 001) I
Classification I1 01 - Single Family I
Mailing Address Property Value
SODERSTROM EARL & MARIE Ag Land $0
37541 LAUREL HAMMOCK Land $29,345
ZEPHYRHILLS, FL 335414254 Building $77,978
Physical Address Extra Features $830
37541 LAUREL HAMMOCK DR
ZEPHYRHILLS, FL 33541 -4254 Market Value $108,153
Assessed (Save Our Homes) $108,153
Legal Description (First 4 Lines) Homestead 196.031 - $25,000
See Plat for this Subdivision
Non - School Additional Homestead Exemption - $25,000
OAK RUN SUBDIVISION PHASE 1 Non - School Taxable Value $58,153
PB 37 PGS 128 -129 School District Taxable Value $83,153
LOT 24 Warning: A significant taxable value increase
OR 5717 PG 746 may occur when sold. Click here for details
and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line 11 Use IlDescriptionll Zoning II Units 11 Type II Price II Condition I) Value
1 0 0110 11 SFR RURAL 0 00R2 11 8,000.00 11 SF 11 $3.64 11 1.00 0 $29,120
2 0 0110 11 SFR RURAL U 00R2 0 625.00 11 SF 11 $0.36 Il 1.00 11 $225
Additional Land Information
Acres II 0.20 11 Tax Area 11 30ZH 11 FEMA Code II -- IlResidential Code') OKRNLP1
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 2003 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line (1 Description 1 Sq. Feet II Repl. Cost New
1 11 BAS 1 1,499 11 $71,547
2 11 FSP 11 168 11 $2,816
3 11 FGR 1 399 1 $7,637
4 11 FOP 1 78 11 $955
Extra Features (Card: 001 of 001)
Line 11 Description 11 Year I) Units 11 Value
1 1 1 DWSWC 11 2003 () 410 1 $830
Sales History
Previous Owner 11 RYMAN CONSTRUCTION INC
Year II Month II Book /Page 11 Type 11 Amount
2004 11 01 11 5717 / 0746 0 WD 11 $148,900
2002 11 10 11 5128 / 1133 11 WD 11 $
11 11 11 11
http: / /appraiser.pascogov. com/ search /parcel. aspx ?sec =3 4 &twn =25 &rng =21 &sbb= 0100 &bl... 6/9/2009
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: 4 /r1al CAS Icy eY( dAC
Date Received: 9-d 9
Site: 3 75 /ai1Pf /4ocI✓ /--
Permit Type: / Z x / V atse / � 7 �,,
Approved wino comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑
f &el �h pro 6, l cc,
This comment sheet shall be kept with the permit and /or plans.
6 I ?P7
Kaly n Switz — Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
APPENDIX 13-D
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 11008-08 Residential Component Prescriptive Method B ALL CUMATE ZONES
Compliance with Method 8 of Chapter 11 of the Florida Building Code, Residential, or Subchapter 13-6 of the Florida Building Code, Building may be demonstrai d by the use
of Fonn 11008 for single -and multiple - family residences of three stories or less in height, and additions to existing residential buildings. To comply, a building must meet or
exceed all of the energy efficiency requirements on Table 118 -1 and all applicable mandatory requirements summarized in Table 11 B -2 of this form. If a building does not
comply with this method, it may still comply under Method A of Chapter 11 or Subchapter 13-6 of the applicable code.
PROJECT NAME: Soder5.1-rcm Ad.di'1'toe BUILDER: Ryrn.e ri Cons} l t
AND ADDRESS: 37541 I pure( (•}ci rimxk_ TING
PERMIT
Zephyrhi Us, F I. ?,3541 OFFICE: /7 r or ,�,4f fly ' s
OWNER: Earl Soderst-ro PERMIT NO. a JURISDICTION NO.: rraIII /L:J'lt•C
1 . New construction including additions which incorporate any of the following fe cannot comply using this method: steel stud walls, singly assembly roof/ceiling
construction, or skylights or other nonvertical roof Qle.ss.
2. Fill in all the app5cable spaces of the "To Be Installed" column on "Table 113 -1 with the information requested. M To Be Installed" values must be equal to or more efficient
than the required levels.
3. Complete page 1 based on the "To Be Installed" column information.
4. Read "Minimum Requirements for All Packages ", Table 113 -2 and check each box to indicate your Intent to comply with atl applicable items.
5. Real, sign and date the "Prepared B certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form.
P4esse Print CK
1. New construction or addition 1. f 1dd 14- i o rr
2. Single-family detached or multiple - family attached 2. 5 i n . k.
3. H multiple-family-No. of units covered by this submission 3. -
4. Is this a worst case? (ye o) 4. NO
5. Conditioned floor area (sq. ft.) 5. I/48 ga
8. Glass type and area:
a. U -factor Ba. • 60 S rr,t... -
b. SHGC 8b. -: YY1in•
c. Glass area 6o. . gD sq. ft.
7. Percentage of glass to floor area 7. 1 7 %
B. Floor type, area or perimeter, and Insulation:
a. Shah -on -grade (R- value) ea. R. - IS - I to 41 4 Ila.ft.
b. Wood, raised (R-value) 8b. R = sq.ft.
c. Wood, common (R- value) Sc. R = sq. ft.
d. Concrete, raised (R-value) 8d. R= sq.ft.
. e. Concrete, common (R- value) 8a. R a Sq. ft.
9. Wall type, area and Insulation:
a. Exterior: 1. Masonry (Insulation R- value) 9a-1. R= (7 0%8 sq. ft. ,
2. Wood frame (Insulation R- value) 9e-2. R: sq.ft.
b. Adjacent: 1. Masonry (Insulation R- value) 9b-1. R= (o 1 1 .Z. sq.ft.
2. Wood frame (Insulation R- value) 9b-2. R= sq. ft.
10. Ceiling type, area and insulation:
a. Under attic (Insulation R- value) 10a. R = 30 sq.ft. I 103
b. Single assembly (Insulation R- value) 1013. R a sly $
11. Alr distribution system: Duct Insulation, location 11a. R= (, att it-
Test report required if duct in unconditioned space 11 b.Te.t report attached? Yes'
12. Cooling system: 12.. Type: Centred
(Types: central, room unit, pack 12b. SEER/EER: 1
age terminal A.C., gas, none) Capacity: r { .
13. Heating system: 13a. Typo: l4 4 Ca-t r pu w.(7
(Types: heat pump. elec. strip, nat. gas, LP -Gas. gas h.p., room or PTAC. none) 13b. HSPF/COP /AFUE: 7.7
13c. Capacity: ,3 DOT)
14. Programmable thermostat installed on HVAC systems: 14. Yss EA t ST! 1JCo
15. Hot water system: 15a. Typal N/A
(Types: elec.. nat. gas. LP -gas, solar, treat rec., ded. heat pump. ocher. none) 15b. F.F:
t hereby candy fiat the p -j spxfiatbns covered by the calculation are in comptance with 1 Review of plans and spectnations covered by this alcuWfon kdfu45 compliance with the Florid
the Ronda Energy Code. / Energy Code. Before construction s Completed budding will be inspected for compliance in
' -.e ` g OATE t�A /P9 acordance with Sectio k.90a. F. .
PREPARED BY: -
BUILDING OFF a AL II l
i hereby certdy VI- b t m c' gla nce with the Ronda Energy Code:
OWNER AGENT: 1 J DATE: t p1 1,1® I DATE: / r.es
2007 FLORIDA BUILDING CODE- BUILDING 13 -D.23
Effective 3/1/2009
FORM 11008 -08
TABLE 11B -1 MINIMUM REQUIREMENTS (See Note 1) All Climate Zones
BUILDING COMPONENT PERFORMANCE CRITERIA INSTALLED VALUES:
Windows (see Note 2): U- factor = 0.65 U- factor= , (D5
SHGC = 0. 35 SHGC= • 3.5
%CFA < =16% %of CFA= , I 7S
Exterior door type Wood or insulated Type: 6, (,55
Walls - Ext. and Adj. (See Note 3):
Frame R -13 R -value =
Mass
Interior of wall: R -6 R -value = , B Loc i<
Exterior of wall: R -4 R -value =
Ceilings (see Notes 3 & 4) 1 R -30 R -value = , ;D
Floors:
Slab -on -grade No requirement
Over unconditioned spaces (see Note 3) R -13 R -value = - mot. - 19- (3
Hot water systems (storage type)
Electric (see Note 5): 40 gal: EF = 0.92 Gallons =
50 gal: EF = 0.90 EF = N/A-
Gas fired (see Note 6): 40 gal: EF = 0.59 Gallons =
50 gal: EF =0.58 EF=
Air conditioning systems (see Note 7) SEER = 13.0 SEER = (5 ——
Heat pump systems (see Note 8) SEER = 13.0 HSPF = 7.7 SEER = I a HSPF = 7_ 7
Gas furnaces AFUE = 78% AFUE = —
Oil furnaces AFUE = 78% _ AFUE
Programmable thermostat Must be installed on all HVAC systems Installed? Yes c o
Ductwork (see Note 9) Location: 5 f i c.
Unconditioned space R -6, Tested Unconditioned space
R- value = (=
Test report:
Conditioned space NA Conditioned space
Unvented attic assembly per R806.4 with R-4.2 R -value =
insulation at the roof plane (No test report re.uired)
Air Handler location: Location:
Unconditioned attic or garage Requires test report Test report: jJ /
Conditioned space or
Unvented attic assembly per R806.4 with No duct test required I
insulation at the roof plane
(1) Each component present in the As -Built home must meet or exceed each of the applicable performance criteria in order to cornply with this code
using this method; otherwise Method A compliance must be used.
(2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U- Factor and the maximum SHGC (Solar Heat Gain
Coefficient) criteria and have a maximum total window area equal to or less than 16 % of the conditioned floor area (CFA), otherwise Method A must be
used for compliance. Exception. Additions of 600 square feet (56 m or less may have. maximum CFA of 50 percent.
(3) R- Values are for insulation material only as applied in accordance with manufacturers' installation instructions. For mass walls, the interior (Int)
requirement must be met unless at least 50% of the insulation value is on the exterior (Ext) or integral to the wall.
(4) Attic knee walls shall be insulated to same level as ceilings and shall have a positive means of maintaining insulation in place. Such means may
include rigid insulation board or air barrier sheet materials adequately fastened to the attic sides of knee wall framing materials.
(5) For other electric storage volumes, minimum EF = 0.97 - (0.00132 *volume)
(6) For other natural gas storage volumes, minimum EF = 0.67 - (0.0019 " volume)
(7) For all conventional units with capacities greater than 30,000 Btu /hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with
capacities less than 30,000 Btu /hr see Table 13- 607.AB.3.2A of the Florida Building Code, Building, or Table N1107.AB.3.2A of the FBC- Residential.
(8) For all conventional units with capacities greater than 30,000 Btu /hr. For Small -Duct, High - Velocity units, Space Constrained units, and units with
capacities less than 30,000 Btu /hr see Table 13- 607.AB.3.2B of the Florida Building Code, Building, or Table N1107.AB.3.2B of the FBC- Residential.
(9) All ducts and air handlers shall be either located in conditioned space or tested by a Class 1 BERS rater to be "substantially" leak free.
"Substantially leak free" shall mean distribution system air leakage to outdoors no greater than 3 cfm per 100 square feet of conditioned floor area at a
pressure differential of 25 Pascal (0.10 in. w.c.) across the entire air distribution system, including the manufacturer's air handler enclosure.
TABLE 11B -2 MINIMUM REQUIREMENTS FOR ALL PACKAGES
COMPONENTS SECTION REQUIREMENTS CHECK
Exterior joints & cracks N1106.AB.1.2 To be caulked, gasketed, weather - stripped or otherwise sealed. ✓
Exterior windows & doors N1106.AB.1.1 Max. 0.3 cfm/sq.ft. window area; 0.5 cfm /sq.ft. door area. ) ,...-
Sole & top plates N1106.AB_2.1 Sole plates and penetrations through top plates of exterior walls must be sealed. ,/
Recessed lighting N1106.AB.1.2.4 Type IC rated with no penetrations (two alternatives allowed)
Multistory houses 1 N1106.AB.1.2.5 Air barrier on perimeter of floor cavity between floors.
Exhaust fans N1106.AB.1.3 Exhaust fans vented to unconditioned space shall have dampers, except for combustion
devices with integral exhaust ductwork.
Water heaters N1112.AB.3 Comply with efficiency requirements in Table N1112.AB.3. Switch or clearly marked
circuit breaker electric or cutoff (gas) must be provided. External or built -in heat trap
required for vertical pipe risers.
Swimming pools & spas N1112.AB.2.3.4 Spas & heated pools must have covers (except solar heated), Noncommercial pools
must have a pump timer. Gas spa & pool heaters must have minimum thermal efficiency
of 78 %. Heat pump pool heaters shall have a minimum COP of 4.0.
Hot water pipes N1112_AB.5 1 Insulation is required for hot water circulating systems (including heat recovery units).
Shower heads N1112.AB.2.4 1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 psig.
HVAC duct construction, N1110.AB All ducts, fittings, mechanical equipment and plenum chambers shall be mechanically
insulation & installation attached, sealed, insulated and installed in accordance with the criteria of Section r/
N1110.AB. Ducts in attics must be insulated to a minimum of R-6.
HVAC controls 1 N1107.AB.2 1 Separate readily accessible manual or automatic thermostat for each system.
13 -D.24 2007 FLORIDA BUILDING CODE — BUILDING
, 813 - 780 -0020 City of Zephyrhills Permit Application 4. Fax -813- 780 -0021
Building Department ! v
Date Received • _ 9 -Qq Phone Contact for Permitting 81 1S2 l 0825
d
Owner's Name MR- EARL, SoDERS?Rc A Owner Phone Number
Owner's Address 31S4C 1 -1 / Agfel- 4 K O tK 1 2. ' 4 ' 33-5 4 % Owner Phone Number 25t3 /'113 " 4os
Fee Simple Titleholder Name SAME. {�S OW h E9... Owner Phone Number
Fee Simple Titleholder Address SA/•r& RS OWN 14£1L
JOB ADDRESS 37541 - A`'Rk►. N RO-K1/140.* - CZ ik, 33541 LOT # 24
SUBDIVISION OIN1t IN 1 PARCEL ID# 34.-2 -at 0 1°a - Oooc,cs - 0240
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR jj ADD /ALT n SIGN n MOVE 1 1 DEMOLISH
—
INSTALL 111111 REPAIR
PROPOSED USE ® SFR ( I COMM n OTHER 1 1
TYPE OF CONSTRUCTION ® BLOCK I I FRAME n STEEL n OTHER ( 1
DESCRIPTION OF WORK ` ++ 1 4 €.`�1 S h ntks tA.l — KQ � "
L - I la
BUILDING SIZE 12. x 1 `t- SQ FOOTAGE 1 (dCQ Q ) HEIGHT f7
BUILDING $ IO Sap. VALUATION OF TOTAL CONSTRUCTION
4°J ELECTRICAL $ 5M AMP SERVICE 2009 ® PROGRESS ENERGY n W.R.E.C.
PLUMBING $ LioAE_
x MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION 6 103 / C l.� j Q
c ll
1 GAS 1 1 ROOFING 1 1 SPECIALTY n OTHER e (
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES CS:INO Pe
gy.ts rcc r ;?
BUILDER • 1 ‘C COMPANY - 9-1 t rv5`
kfkiA G°r ttaIVI A t . �`- • „/
SIGNATURE � CG Q`�' ! REGISTERED n Y / N FEE CURRENT Y / N
Address I ( 0 4 T13 SR- 54, ZE41 , • 3 I-1 License# .St- ®35 13
ELECTRICIAN p 4� COMPANY T2
SIGNATURE l �re� 'bi - .- ` ,T REGISTERED I Y/ N 1 FEE CURRENT I Y / N r
Address 1 4b4.1 r -- I ZEQK 11 1i-is,: • 33541 1 License # 1 et- (3
PLUMBER 1 1�._ COMPANY N
SIGNATURE REGISTERED ( Y/ N I FEE CURRENT I Y/ N 1
Address .) 1 License *
u
MECHANICAL R COMPANY 19.446s C PC) P111 tot( otilaroriG-
SIGNATURE �� REGISTERED 1 Y/ N I FEE CURRENT I Y/ N
Address 4441 1 - ZCPI{yp.l 1u.S '33S''1-1 I License ft I oNC'. -� 0LI--492
OTHER No 14 COMPANY R01
SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N
Address I License #
I
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, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
*** *PROPERTY SURVEY required for all NEW construction.
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 NC Fences (Plot/Survey /Footage)
Driveways -Not over Counter if on public roadways..needs ROW i
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 RESPONSIBIUTIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection- Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers- Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency- Asbestos abatement.
- Federal Aviation Authority - Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. 1 understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER • R AN ATT • RNEY BEFORE RECORDIN YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) _
OWNER OR AGENT ek c. " �(� �,r a-w� • CONT - ; — \
Subscribed and sworn to (or affirmed) e re me this Subscri •'. = • • .. o y,. affirmed) before me this
by Jr
Who is /are personally known to me or has/have produced Who is /are personally known to me or has /have produced
as identification. as identification.
G /- Notary Public ' 6F ' -,•_— / Notary Public
Commission No. _ Commission No.
• ANL - - - ANL - -
ANNA MARIE LYNCH -TERRY
Name of '•t . , • :' , • ; - • Apr 4, 2012 Name of Notary too - , • .v • r $E9tbblic - Stab d Florida
Commission • DD 740169 I • f, My Commission Expires Apr 4.2012
4 . r Through National Notary Assn I V , _ Commission 1 DO 740169
••a _ '' •,••.,• Bonded Through Hsional Notary Aso.
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PASO C0UNT BusINESS TAX RECEIPT 2008 -09
Issued pursuant and subject to Florida Statutes and Pasco County Ordinances. issuance does not certify compliance with
zoning or other laws. This license must be posted conspicuously in place of .business. Expires September 30.
I'ke Oise
ACCOUNT NO= 027282 TAX COLLECTOR TYPE OF DUSINESS
SIC CODE: 1731.02 ELECTRICAL CONTRACTOR
PASCO COUNTY :FLORIDA
• 1 E STgTE •'•. - LOCATION ADDRESS.:
1041 1 CONNERLY ROAD
• " DADS CITY
'EAST PASCO:ELECTRIC.INC : "V
10411 'CONNERLY ROAD . ,' •
DADS CITY FL 33525-1603 COD WE 19'3‘;‘ DATE RECEIPT AMOUNT
t 1 1[[ 1 1 1
07/10/08 546504 31.25
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OR SEMCO TAPR 216 0
END OF TRUSS
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END CAP W/1 COURSE 4" OR 8"X16' `?nlg =na utp 3x•. SEMCO i
CMU KNOCKOUT W/ 1--#5 CONT. me n:eu e: 210 -' OR $IPSON WNP21O -2 •
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ALL WORK SHALL COMPLY WITH ALL �D c,
P REVAILING CODES, FLORIDA BUILDING • ,.. 1 F ;..,... 5 t$ • _ __
CODE, NATIONAL ELECTRIC CODE AND :. r'd = E ... "®f rIL._ �.
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1111111111111111111111111 1111111111111111111111111111111111
2009083058
Rept:1248551 Rec: 10.00
NOTICE OF COMMENCEMENT DS: 0.00 IT: 0.00
06/15/09 Dpty Clerk
STATE OF yLOR1DA COUNTY OF PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance
with Chapter 713, Florida Statues, the following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. 34-25-21- 01 - O0000 -O240
014_111LA sue. Pltem t ; "?s1 - 7 , 12.2.-M9 1 L2dT 2A, OR 7 4a
(legal description of the property and street address) 3754-1 t 44.KL- 140fmtmoc.I4 ∎ 1W144IM&
33542,
2. General Description of Improvement: EAG► -C' E.X1ST1 KI. ASR 1-AI
3. Owner Information: Name: 2ALL tr10 SODSISt'R4M
Address: 37541 LA.u.kit. I m40.41c i. ltMvt
City "2,Sc.Ohie.4I1�S State F►.. Zip code 33<<i41
Interest in Property: bwI.1E1LS
Name of Fee Simple Tittleholder: SANE
If other than owner: Address:
City State Zip Code
Contractor: Roman Con of Florida Inc. _(813-782-0825) PAULA S. 0' NEIL, PASCO CLERK & COMPTROLLER
Address: 36413 S.R. 54, Zephyrhills, FL 33541 060/R15B/09 E 1 PG 1
5 Surety: Name N/A Phone # 1 i
Address
City State Zip Code
Amount of Bond: $
6. Lender: Name N/A s Phone #
Address
City State Zip Code
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 N/A Phone #
Address
City State Zip Code
8. In addition to himself, Owner designates: N/A
of Phone # to receive a copy of the
Lienor's Notice as provided in section 713.13(1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is one (1) 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,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
1
Signature of Owner: _ �/ ,a A ,, �� ' rinted Name ( 01 12 1°5
STATE OF FLORIDA
COUNTY OF PASCO
ti
The foregoing instrument was acknowledged before me this ._ day of -_� - Zoe, '7
2007, by as for
Notary Public:
ANNA MARIE LYNCH -TERRY
My Commission Expires: ' Nolary Public - Rate of Florida
iikir • it Expires Apr 4, 2012
ti Commission 6 00 740169
i. •sudsd Through NarsMl Noisy Assn.
Under penalties of perjury, I declare that I have read the foregoing Notice of
and that the facts stated in it are true to the best of my knowledge and belief.
(Signature of Owner Signing Above)
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND • OFFICIAL SEAL THIS
DAY OF
-,
P A LER 4 : COMPTROLLE'•
g1 _ ■ 'REPUTY CLERK