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HomeMy WebLinkAbout08-7543 CITY OF ZEPHYRHILLS 5 5335 - 8TH STREET (813)780 -0020 7543 BUILDING PERMIT 1: 7: gin :1 Permit Number: 7543 Address: 5814 12TH ST Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11 26 - 0010 - 05200 - 0170 Improv. Cost: 5,000.00 As','-1,z , Date Issued: 2/26/2008 Name: DOROUGH, Total Fees: 559.56 Address: 5814 12TH ST Amount Paid: 559.56 ZEPHYRHILLS, FL. 33542 Date Paid: 2/26/2008 Phone: (813)788 -1576 Work Desc: CONSTRUCT ADDITION OF 756 SQ FT HOMEOWNER BUILDING FEE 375.36 ELECTRICAL FE 82,80 HOMEOWNER PLUMBING FEE 55.20 MECHANICAL FEE 38.64 HOMEOWNER RADON 7.56 BAHR'S PROPANE GAS & NC, INC. G (tai2 .-----, 74 / � e 0 °' s 4- JiavtcY\-- . aSc �l+ e- `4ic)� - a r� FOOTER 2ND ROUGH PLUMB MISC _ ='=' INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER ' MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE -SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." c CONT ctiLs N TURE PERMIT OFFI .1.7 PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF / / / / BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION DO NOT REMOVE ADDRESS DATE PERMIT # . 5 k 4 VZ 9C` i J I<pa 1543 THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be mode before the job will be accepted. CI rI4( MI5 fkrar 1 245 o (-A Z5. (r ° 0 61- ) r v4INu. 'Z6 (2�5 i i t u— cN 6- Oist ik , 2 5TirtiaVs /I tp� w - `--iivi M.ssi... ._.______ a I\M 'L up 3uNtcri 1.1 1 6 sw,..o vr, p .--cri robs (k i D fzAc- \� f c)-0Ltn f�� 0 �, 1 1�11L f daStD� 'bih L i Wk Clk-tnq [el my-co IN S1.x31 ED ivvr.A4>claavAA. 2 ,,_ ,►tc� AT C- t v rta, I xtu.L, . 14s104) II<FIvtAmiscrii4 It is unlawful for any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth 780 -0020 FOR RE- INSPECTION or other material, until the proper inspector has had ample time to approve the installation. `J L OFFICE HOURS 7:30AM - 4:30 PM MON. -FRI. INSPECTOR CITY OF / / / / BUILDING ZEPHYRHILLS ' DEPARTMENT OF ADDITION OR CORRECTION DO NOT REMOVE ADDRESS DATE PERMIT # s$14 IT &'tc l - 70 1 , THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. a u.l Al mi l - .73f-A1A) NT. ANW aNtiff t y.---,i i E._ � cy VV�©t`tl� - 14.A Kr ' 1M Oyes , "r- ___, taro? 1 1 .t i It is unlawful for any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth 780 -0020 FOR RE- INSPECTION or other material, until the proper inspector has had ample time to approve the installation. c � OFFICE HOURS 7:30 AM - 4:30 PM MON. -FRI. INSPECTOR CITY OF / / BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION DO NOT REMOVE ADDRESS DATE PERMIT, r 27 /1 / & -7- 0k 7 . 3 THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. f /�/,4)/C t.) a /4l/ woap T7th ( cir i/es c 3 P, 7r t /e 1 vD _trtit. S iirinS 4' nom s vie M/ :._. 7 - .'19 %v s ie6 /f/e4L E SFr , e . tczoe oz 3i(HLt /3e bo,4 E c1 L 5,b a 41 jitu. if //ILe i) ort It is unlawful for any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth 780_0TEINSPECTlON or other material, until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30AM -4:30 PM MON. -FRI. INSPECTOR 813 - 780-0020 City of Zephyrhills Permit Application Fax -813- 780-0021 21 V b Building Department , J . �) 5(f 3 Date Received ( jl (/ BEMIIIIII Phone Contact for Permitting - J Owner's Name u •. II O f m., = owner Phone Number Is t 3 "Vie 1 5 � 4. . �- ., (•( Owners Address 1 5 VI N 1 2,11 Sq _ I Owner Phone Number) yf S. - 71 Y 56 5 Y' 141 Fee Simple Titleholder Name I I Owner Phone Number I Sr f 3 ...711 (,5 9 I Fee Simple Titleholder Address I �/ N —JOB ADDRESS 1 swig ( � fp � I r i J R 335`J Z- 1 LOT# I11 18 I+ $4.J�. t , 19 SUBDIVISION 1 PARCEL ID# I I I 2(p'_ 24 - c o o -• O J 2 c (j t 7 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED C NEW CONSTR I ADD /ALT SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR COMM n OTHER 1 I TYPE OF CONSTRUCTION n BLOCK n FRAME n STEEL rI OTHER I I DESCRIPTION OF WORK I A D Q ;MOM I BUILDING SIZE I So FOOTAGE I 7' I.O 1 HEIGHT I BUILDING ( VALUATION OF TOTAL CONSTRUCTION 5vc,6 bo i c.4 ELECTRICAL IS AMP SERVICE n PROGRESS ENERGY Q W.R.E. . L h --r PLUMBING I$ N U C. ,( - rj} MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION f--n'Z ti C -L(Y�I 11 n GAS n ROOFING n SPECIALTY 1 OTHER 2 p r a -/ h5 FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA r1YES QNO LQ, �2 . t,,z. BUILDER rk , � COMPANY Ic,,c�e. C). SATURE / Vr REGISTERED I Y / N I FEE CURRENT 1 Y / N Address 1 1 License # 1 ELECTRICIAN 7 j COMPANY I . 0 L-R. > 1� -- SIGNATURE _ REGISTERED Y/ N FEE CURRENT I Y / N I Address I ���'"� // /� /// 1 License # ) PLUMBER 7 / / COMPANY I 1 ¥ / N J _ CU _`�1� SIGNATURE / ` / REGISTERED Y / N FEE CURRENT I Y / N Address 1 License # I �r MECHANICAL ... ILL.? COMPANY 40.11 .s A/CF a v. �sAS £ A/L I SIGNATURE R EGISTERED Y 1 N I FEE E)RR ENT I Y/ N Address 1 'v A y' /A- y to /#4yd4.. • License# c OYJ? Yst OTHER COMPANY I SIGNATURE REGISTERED I Y 1 N I FEE CURRENT I Y/ N I Address 1 License # RESIDENTIAL Attach (2) Plot Plans (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dwnpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. , Directions: .,. _... x Fill out application completely. Owner & Contractor sign back of application, notarized If over 62500, a Notice of Commencement is required. (A/C upgrades over $5000) " Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be moth 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 contractor(s) sign portions of the `contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a °certificate of occupancy' or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, 1 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 pemiit 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, WaterNYastewater 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, 1 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 ems in plans, construction or violations of any codes. Every pemiit issued shall become invalid unless the work authorized by such permit is commenced within six months of pemiit 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 Braiding 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 AN ATT BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S 03) OWNER OR AGENT R J CONTRACTOR 1 / S • and swoop to ( wm me this Sigoiscribad and sworn (or ��, this by Kvc � ■— C c,:c;�= h L llz/07�by C � t are personal known thine or hasThave produced Who is/are known to me • has/have produced 1 — I) ( "v C L C as identification. ` i DDS. v2 Li C as Identification. Notary Public Notary Public Commix ' ' Commission No. .•qiC ; erg � � K ,, a ,.. re .1 n L. Miller ,• 1aL4p Karen L. Miller NarD h, ao . w*na wi UI�bUy�4 Nine of Notary typed' .: r (p �: 1 ° .' I Expires October 29, 2010 ,.: : Expires October 29, 2010 ',hie Bonded Troy Fain • loeranse Ins 11100411.7019 ij>f aondud Troy ram • Iowans*. Ins, /tl04111'7019 RUBY DOROUGH-5814 12TH ST- PERMIT # 7543 SQ. FEET PRICE MAIN OR LIVING: 756 $ 94.00 OTHER AREA UNDER ROOF: - $ 91.00 OTHER: - $ - VALUATION $ 71,064.00 FEE SHEET $ 368.00 ADDRESS DRIVEWAY BUILDING: $ 375.36 ELECTRICAL: $ 82.80 PLUMBING: $ 55.20 MECHANICAL: $ 38.64 SUB -TOTAL $ 552.00 RADON: $ 7.56 TOTAL $ 559.56 SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - WATER METER: $ - IRRIGATION METER $ FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ - PUBLIC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ - I SUB -TOTAL $ 559.56I PARK IMPACT FEES $ - I SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - TIF'S: $ - 99% $ - 1% $ - I TOTAL: $ 559.56I Pasco County Parcel: 11- 26 -21- 0010- 05200 -0170 001 -: . , Page 1 of 2 Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: I Weekly Archive - Friday, February 08, 2008 Parcel ID I 11- 26 -21- 0010 - 05200 -0170 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Assessment (totals) RAMEY KRISTI A Ag Land $0 5814 12TH ST Land $45,549 ZEPHYRHILLS, FL 335423736 Building $28,982 Physical Address Extra Features $0 5814 12TH ST ZEPHYRHILLS, FL 33542 -3736 Total Assessment $74,531 Save Our Homes $34,666 Legal Description (First 4 Lines) Homestead Exemption $25,000 CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 17 18 & SOUTH 1/2 OF Taxable Value $9,666 LOT 19 BLOCK 52 Warning: A significant taxable value increase OR 4787 PG 865 may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line I Use IJDescriptionll Zoning II Units II Type II Price II Condition Il Value 1 ° 0100 ° SFR ° 00R2 ° 8,400.00 0 SF II $5.26 II 1.00 II $44,184 2 II 0100 II SFR II 00R2 II 2,100.00 II SF Il $0.65 II 1.00 II $1,365 Additional Land Information Acres I 0.24 I Tax Area Il 30ZH II FEMA Code I X °Residential Codell ZHLHLP2 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1929 Stories 1.0 Exterior Wall 1 Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M) Interior Wall 1 Wall Board or Wood Wall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line I Description Sq. Feet II Repl. Cost New 1 I I BAS II 848 $ 2 ° UOP ° 128 ° $1,082 3 II UDG I 374 11 $6,376 Extra Features (Card: 001 of 001) Line II Description II Year II Units II Value No Extra Features Sales History Previous Owner II RAMEY JEFFERY A & KRISTI A Year I Month Il Book /Page II Type II Amount 2005 II 07 II 6481 / 0204 II QC II $ 2001 II 11 I 4787 / 0865 II FS II $ 1999 07 I 4189 / 0141 II WD II $ Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng=21 &sbb= 0010 &b... 2/12/2008 1111111111111111111111111111111111111111111111111 NOTICE OF,COMMENCEMENT 2008026682 • Rcpt: 1162200 Rec: 10.00 Permit No. DS: 0.00 IT: 0.00 { 02/21/08 Dpty Clerk Property Identification No. k (° 2e-- 2 1 2.0 —p 1 .7 THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal description) C1.11 " /_erkirlak Q b' 1 P66 Lot.. /r?, /k ,. S0 , z o r 1� t1lc S?. a) Street Address:. 581.x/ (24 .St. 2tplvr1 // FL 33 y3 — or 91 1 PC $r4.$ 2.General description of improvements: 3 3 be lreoMS 4- o ne b•. fi, 3.Owner Information a) Name and address: x " 17 . r rsi i Ds rov5k 681Y 12 54. Z.c, 4. l )I 4'1 33.CV Z b) Name and address of fee simple titleholder (if other than owner) c). Interest in property 4.Contractor Information {? : Oo �5 a) Name and address: 610'1 '� Z-t:4 St: 2-e ( r i,; ��s , A :3 5/- 2 b) Telephone No.: S-r 3 - 7 >r it - , S'� L. Fax No. (Opt.) 5.Surety Information JED PITTMAN PASCO COUNTY a) Name and address: 0 2/21/08 0d : o f C J ERK b) Amount of Bond: OR BK 7766 m 1 c) Telephone No.: Fax No. (Opt.) PG 864 6.Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address:' .J.. D.., ,� sts/N 12 Si-. Ze 4i, r 4( //s A� 33Sy2 b) Telephone No.: fi 3 - ? f ]I 1 Si 1. Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section - 713.13(1)(b), Florida Statutes: , a) Name and address: krt3 fl Pot,' .. SSW /2L' Sf. Z4 A, /A r FL 3 3 5 c b) Telephone No.: • ', .Fax No. (Opt.) - ' 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE. OF COMMENCEMENT. . STATE OF FLORIDA COUNTY OF PASCO 41 DIANN KLIMPEL W . MY COMMISSION # l)D573400 Signature o • or 's ... Officer/Director/Partner/Manager d • BJ(P1RBS: July Ill 2010 rJ �' d ry : Maly Now Asa co. v � . r Y . .. Print Name The foregoing instrument was acknowledged before me this • S day of . 200 g , by�c.A_C.t Ci )O f Ca) as ! (type of authority, eb ty, e.g. officer, trust ,attorney in fact) for . (name of party on behalf of whom instrument was executed). n . Personally Known OR Produced Identification Notary Signature Type of Identification Produced � Name (print) 101()-e..-4 Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Signature ofNatural Person Signing Above FORMSINOC,rvad2007 - _ 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 PUELIC RECORD IN THIS OFFICE, \ITNESS MY HAN■ fFFICIAL SEATHIS DAY OF JED jar ° ' . CIRCUIT COURT B 1. ` :• PUTY CLERK 'DISCLOSURE`STATEMENTFOR OWNER CITY OF.ZEPHYRHILLS,- :BUILDING DEPARTMENT D r n �, ``L have read and - fully understand and agree to the provisions of this instrurt eht. o or The undersigned states and affirms that he or she is desirous of constructing, renovating, adding toad reroofing his or her own domicile, he or she actually occupies, or will occupy by 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 all phases of construction. 2. That the-owner will comply with all provisions of the City of Zephyrhills ordinances and codes perti the 3. That in nent th e event building. 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 allows 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 $75,000. The building . or residence must be for your own use or occupancy. It may not be 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.LC.A. and withholding tax and provide worker's compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. 2/.7 ka " e OWNER S SIGNATURE � f/. , ,,, DATE Z ! ADDRESS 5 "'i' i2 4 sv, l/ , P - �sL/ PHONE. fir? 76 ------ 7 P s6 WITNESS PERMIT I/Mast rforms /OwnersAffidavit/Nov07 February 12 2008 I Kristi Dorough give my husband Rudy Dorough permission to pull permits and sign on my behalf. Thank you, kl;eitt r Nly / k Kristi Dorough r �1 GF_op IA M ROBBINS ' 4 SSIQN # DD416912 fie'" Air. 10. 2009 Fief uyfa. Cern r'KVUUt.CU 0 T AN AU 1 VUCWN CUUI.A 1 IVI IAL r'KVUU.• 1 .1- A1�J -S -,11 co o N r 1 1 I I 1 I 2 i 1 I I U � _� 1 i 0 • 0 D i 1 �- � O i i I C Ce i i m \k J I r 1 i " m 0 i 1 ( 1 I i al Z Si I I i -< D Z Q i °„ - -- 1 1 ' 1 > > D I _1 1 I i i Q W C\ i i i i \` D 1 I i 1 N 171 i 1 to i i i i , co o o IIIIIIIIIIIIIIIIIIIIIIIIIII J o z I c a 1 i v i 1 Z ! i I Q 1 • i I I 0 m I 1 D I i z 1 1 1 i i I r W i 1 I U 1 I 1 . /1 1 1 , I 1 v I 1 1 1 ; ; I c O i 1 I I C) 0. I \ i I I I I I 1 I 1 I i ›- i i 1 1 i i 1 c/ 1 1 I 1 i 1 1 1 I 1 1 1 I i 1 I 1 1 I I 1 I 1 a3f.1aolid 1VNOLLVOf1O3 mS3aoinv NV AS a30f1UO21d Plan Review Comments — 5814 12 Street 1. All setbacks shall be met. 2. All property markers to be exposed before first inspection. 3. Return air in all bedrooms. F.B.C. M1620.4 4. Ground mounted A/C units shall be anchored per F.B.C. M1307.3.1 5. Lot shall be graded as to comply with 401.3 of the F.B.C. 6. Smoke alarms to be installed per code 313.1 of the F.B.C. 7. All glazing requirements to be met per code 308.4 of the F.B.C. 8. All means of egress are to be per code 311 of the F.B.C. 9. Combination -type AFCI breaker is required at all locations requiring an AFCI. F.F.E. — Finished Floor Elevation F.B.C. — Florida Building Code R.O.W. - Right Of Way i i • I i APPENDIX'13 -D FLORIDA ENERGY EFFICIENCY CODE II.D NG B CONSTRUCTION CENTRAL 4 5 6 1 FORM 6008 -04R I Residential Compoefeet Code may be demonstrated by Os use d Form 6008 for single- and multiple- tandly,daaxs of three stores or less m height, an addMo wth Method B Bdental buildings. 6 n gs. com y, arb e Hng must in any ens Mlle prescriptive component packages and comply with the and cal p ti es to Mating this form. An bindings. Te t od a vide s of 600 agIWe lest or � by prescriptive a 0 d0eS not comply with this method, it may still comply under • preacriptives listed listed in this Corm. An alternative method i provided ffa other sedans in Chapter 6 m the wade. . 1 rbv BUILDER: a O.u-. PROJECT NAME: PERMITTING C IT 4 OF CLIMATE , AND ADDRESS: W. {i 1 OFFICE PF W RN tu- ZONE: -4 ' 5 6 2r� /c FL T55 • //�� I / PERMIT NO.: 7j JURISDICTION NO.: (0 t (i (D I O 1 CA OWNER: .. ,14 ( /I �J -�-w- ,,- �G7.�� 1. New construction including additions which incorporate any den teeming features cannot comply using this method: sled stud walls, single assembly mottceamg construction, or slrylghts or other nonvertrrl roof glass. p " C' ham Table 66-1 IN which you intend to comply with the code pole the column of the package you have choose. 2 Moe all piths com space s pada0es requested. NI `To Be Installed" values most be equal to or more efffdentthan the required levels. 3. PoI In all the applicable spaces Mahe Be installed' column on "Table 8 &1 with the Hannigan sq 4. Complete page 1 based on the 'To Be Installed' column Herniation. 5. Read 'Minimum Requirements for All Packages", Taiga Statement at bottom page 1. The owner er OWIr comply Went must ales a date the form. 6. Rani, don and date the "Prepared By' ear lbn I Pease Print CK 1. Compliance package chosen (A-C) 1. .2. t - 2. New construction or addition 3. 3. Single - family detached or multiple-tinnily attached 4. 4. If multiple- family -No. of units covered by this submission 5 Ail, 5. Is this a worst case? 6 . - ( • 6. Conditioned floor area (sq. ft.) 7. 7. Predominant save overhang (ft. 8a. fl�G7 8. Glass type and area: N 8b. +a a. U factor (or D tic. 7.-sq . R I - I b. SHGC (or DEFAULT) FAULT) ..1-.4Z c. Glass area 9, q6 - - 9. Percentage of glass to floor area 10. Floor type,area or perimeter, and insulation: 10e R = 0 9 lin ft a. Slab -on -grade (R -value). 10b. R = sq. ft b. Wood, raised (R- value) 10e. R = sq. ft c. Wood, common (R- value) 10e. R = sq. ft ii Concrete, raised (R- value) . e. Concrete, common (R 11. Wall type, area and Insulation: 11x-1 R = sq. ft - a Ezterior: 2 . Wosomy ( en Rn R-value) 11 a -2 R = • (( ? SD sq. ft 2. Wood finale (insulation R-vahre) - b. Adjacent: 1. Masonry (Insulation R-value) 11b-1 R = sq. ft • 2. Wood frame (In=utation R- value) 11 b-2 R = sq. ft 12. Ceiling type, area and. insulation: • a Under attic (Insulation R- value) b. Single assembly (Insulation - value) 12a. R =_3.12_ sq. 11.. 114 - 13. Air distribution system: Duct insulation, location 12b. R -Ir- 1 SD ft Test report (attach if rearmed) I 13. R = t/" , . 14. Cooling system: I • 14a Type: OS^" r L g ' A ( Types: central, room mni ;page terminal A C ,gas none) 14b. SEERIEER: i 3 15. Heating system: 14c. Capacity: �-- (Types: heat stump, elec. strip, mat Bas, LP -Gas, gas h P., room or PTAC, none) 15a. ' type: i- Iran - 'u rvq • 16. Hot water system: 15b. HSPF/COP /AFUE: - (Types: elec., Dar gas, LP-gas, solar, heat rec., dad. beat pump, other, none) 15c. Cepecity: P / are in =p a with Review at piens and specifications coveted by this calcalagen indicates � s compwe with the Ronda . I hereby cettlt ••, • • ere.. . _ens . . - i '-f -0� spy Code. Before construction • s • • . inspected for compliance in Sy .siirmil the Florida , � l whir Section =ti tit raEraam eY: . ` 1 • I hereby certify that this needing is In compea ca'AMthe Florida - L'' ^ 0 11Te - , • / - . tnn� AGENT: I • 13 -D29R FLORIDA BUILDING CODE - BUILDING • • • APPENDIX1 gNaate Zones 4 5 8 WNW R�UNB19(l3 70 BE INSTALLED TABLE 88 -1 PACKAGES PACKAGE C ++ COMPONENT PACKAGE A 5 18% glens to floor area GFA % 5 18% glass to floor area 5 18% Dle68 to floor area 5 overhang required OH 1r,. Glees 2' overhang required O Overhang 2 actorrtg U -factor O 9 Double pane (Default) SHGC: SHGC r 0 Clear (Default) Soler 0.40 SHGC Exterior Admit Soler Heat Gain Coefficient ant) SHGC R = Wells (exterior or adjacent) R-vatue R-13 R-v0We R-11 R =-.�-- R -11 R = Woad itframe R-ve ue R v �� R-4.1 R = G R•4.1 R -value R-7 insulation on interior of well R-value w Solid wood or insulated Solid wood or insulated Doors Slid woad or insulated R -value I R-30 R"vaWe R-30 R_vakre • R-30 R Under attic/single assembly R-0 R = Floor_ R -vdue R-0 • SO' R-0 NOtaBowed Not allowed Slab-on-grade Raised floors Not allowed I Not allowed Not SEER 15.0 SEER ° ( SEER 13.0 SEER Quoting system SEER HSPF = Heating sysystem HSPF 7.7 • HSPF 8.1 Nat gas AFUE 8. AFUE HSPF Electric hest pump Nat gas 0.78 Nat gas AFUE 0.78 AFUE = _ Gas 111111203 e LP 905 0.80 LP gas LP gas 0.80 a Water heeler - 092 EF 0.94 EF /t EF 0.92 EF Electric wrier tarter 0.59 EF =.- - --- Gas water heater 0.59 EF 0.59 EF = • LP gas Gas EF 0.59 EF 0.63 EF 0.83 • LP gas Other (see below) Air Duds inter system R value R-13 Ft-value or inside R-vS ARUM ro the garage or pride Location:________ AHU In the garage or inside AHU In the garage opera conditioned Air handler location corontlaned apace space . DESCRIPTION DP BUILDING COMPONENTS LISTED areYS total conditioned floor area Percent of Mu to Floor Area: This percentage Is calcub la by dividing the total of all glass with the Mooing Ovattaeg: The ovarian is the distance the mot or soffit out harotdaly from the face of the data. All glace areas shall be meter an overhang of at least the prescrlee d length =pitons: 1) glass on the gabled ends of a house and 2) lh, glass In the lower stoves of a multistory hmpe' d the wall, ceiling or lino[ The R-value Mlle Wall. Gelling and Floc Mulatto Vance The R - wallas n indicated represent insulation level added to the structural components structural building materials shall not be included in this daimon• "Common' eoel5anwds meth= d � end y building. 'Adlaa»d' components separate conditioned apace from unconditioned but enclosed space.'bdedor' components separate *1 Racer. Slab -on -grade floors without edge Insulation are acceptable. Raised wood floors are not allowed when complying by Method 8. Elects: ' its ittf shaft mean the ducts have lass than 5% leakage based an s certified test report by a state- approYed tester . Spate Coollag Sash= Cooling systems shall have a Seaso Energy EfMarJ Ratio (SEER) for cetera unite or Energy Efficiency Ratio [ER) for room urtita or PTACs equal to or greaterthau the • prescribed value. m or greeterthan the prescribed HSPF. Heat PdmP systems may contain Gad* Space Nleatlog OFtlon Heat pump ated systems shell bar r with a electric Seasonal Pa heat aYOrrs tor these packages• electric strip backups meeting the criteria of of Section 808.1 A No electric raWa ce apace • Other Hal Water System Oadans Any dedicated test pump! heat recovery unit or solar het water system may he installed. Solar systems must have an EF of 1.5 or higher. FJechic resistance systems having and EF at .92 or greater, or romral gas systems with i .59 or greater may be used in conjunction wkh dace Mtem • TABLE 88-2 MINSIUM REOUIREMENTS FOR ALL PACKAGES . REQUIREMENTS CHECK • . COMPONENTS SECTION 1 - . 606.1 To be ewllo,d. gadratad, areetlrratripPad Q 011larhrrlee sealed. . Exterior Joints & Cracks R door ehse Exterior Windows & Doors 606.1 Mai( .3 dmlagft. window area: .5 dnrloq• Sole & Top Plates 606.1 Sole plates and penetrations through top Plates of aderior walls mot be ceded. Recessed Lighting 606.1 Type IC rated with no penetrations (two alternatives allowed). Multistory Hoses 808.1 Air 6enler on estimator of floor cavity between floors. Exhaust hats warded b uhmrhrlltiorrd space shell have dampers, except for combustion devices .110 integral aetrtst Exhaust Fare . - 606.1 dudovork Water Heaters Card* with dlidency requirements ti Table 812.1.ABC.32 d Switch or early marked dmcrdt breaker electric or cutoff 612.1 (gas) must be provided. Extern! or bullt•km heat trap required for vertical pipe rises. • 6 12.1 Sp & healed pools must have covers (except folar heeled Noncommercial pools Oast rave a pump timer. Gies • Swimming Pools & Spas apt & pool heaters must have minimum exerted efficiency 612.1 Initiation Is required for hot water circulating systems (including heat recovery ). _ S Hot • Shower Heaeds ds 812.1 Writer flow must be reminded to ro more then 2.5 gallons Per minute at 80 pain. HVAC Duct Construction, , All buds. goings, medterk ( equipment end plenum drmbers'shell be mechanically attadrd, sealed, insulated and 810. d in arx with the criteria of Section 610.1. Dud Ducts in attics must be insulated to a minimum d R Insulation & Installation HVAC Contras 807.1 S.uuraie readily accesdbie manual or auto medic t hennrrtat for each system. • • ' FLORIDA BUILDING CODE - BUILDING 13 -D2OR