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HomeMy WebLinkAbout09-9380 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9380 BUILDING PERMIT ' 4K fEC i.,.. Permit Number: 9380 Address: 39516 CHARIOT LN LOT 236 Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: RV PARK Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24- 26 -21- 0000 - 00100 -0090 Improv. Cost: 10,000.00 Date Issued: 8/05/2009 Name: NHC- FL115LLC Total Fees: 155.00 Address: 6991 E. CAMELBACK RD STE B -310 Amount Paid: 155.00 SCOTTS DALE AZ 85251 -2493 Date Paid: 8/05/2009 Phone: (813)783 -3477 Work Desc: CONSTRUCT ROOM ADDITION 12 X 20 w rens 3 „ <` ,. a . . y s'£ a •\� .:x .Sa.�.� ,.., ... s4 a' a ,1 ., .., <v.� . °° e ^ i "� � .. ,.. . . ...r x � SUN STATE ALUMN � INC BUILDING FEE 120.00 ELECTRICAL FEE 35.00 JAMES 0 MORTON ELECTRIC CO.,INC. LrD rom y FOOTER 2ND ROUGH PLUMB MISC - INSULATION k CEILING 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.” / 1 4i,, s CONTRACTOR SIGNATURE PERMIT OFFI F PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813- 780 -0020 City of Zephyrhills Permit Application 4, rax -ts i r , nv -uuz 1 • Building Department / (13 Date Received - 7- - 2.2, -- 0 / Phone Contact for Permitting i- 7fJ -' sV .••• Owner's Name 8t 6 ,L /x C 2 O no-08h Owner Phone Number Owner's Address 3 1574 Cl ./1/d Owner Phone Number I I I Owner Phone Number I Fee Simple Titleholder Name' Fee Simple Titleholder Address I 3 9,51 6 C`! k./YO i Z---4-40 I LOT # 1 02-2 JOB ADDRESS / /, l �+ I /yICf�t �C ddIz 4901, I PARCEL ID#1 o2-y -0 — di— - -ail() SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED F t i NEW CONSTR I I ADD /ALT I SIGN E] MOVE DEMOLISH INSTALL REPAIR PROPOSED USE SFR I I COMM I 1 OTHER [ TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL [] OTHER I I DESCRIPTION OF WORK 1 r0017) .-(M-; I BUILDING SIZE / 0 c )4 02-0 / SQ FOOTAGE I o251° / 1 HEIGHT [ I ntl BUILDING $ G 5'00. Po VALUATION OF TOTAL CONSTRUCTION 4 1 ELECTRICAL $ Qp AMP SERVICE PROGRESS ENERGY n W.R.E.C, I I PLUMBING $o I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' ,.3 i` -a, I I GAS 1 I ROOFING 1 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES ONO BUILDER v e� " COMPANY O4 V C. 4 Yp .4C // C. SIGNATURE ----1- 17-4--e"--- A/44- Y.tV /J REGISTERED Y / N FEE CURRENT I Y / N 1 Address 6,57V / 0/? I4 A_4 G h/ i ,33134 License# ELECTRICIAN �0 COMPANY di E�� " �" SIGNATURE ` d' �" " r "V a �� REGISTERED Y / N FEE CURRENT I Y / N I Address P-0 - &y /S3 ? Z 41/4 33139 License # PLUMBER CO SIGNATURE --- REG ISTERED Y ! -- CURRENT I Y / N :--• Address ... _ -- ' License # -". -'-. / kIANICAL CO NATURE REGISTERED I Y/ N I FEE CURRENT Address _ 1 License # T OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/N 1 Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) 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 all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law— Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'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 wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.0) Atitthj. OWNER OR AGENT `.iJ CONTRACTOR C. CGL Sub f � Subscribed and sworn (or affirmed �be�fof�e,me this ,26).1 cribed and by c swom to o 6 e it affirmed ) be1 m this ,26 -fr Whdris /are personally known to me or has/have produced Wh is /are personally known to me or has /have produced a on. as identification. Notary Public Notary Public Commission o. Commission No. Name of Notary typed, printed` or stamped Name of Notary typed, printed or stamped APPENDIX 13-D FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 110013-08 Residential Component Prescriptive Method 8 ALL CLIMATE ZONES Compliance with Method 8 al Chapter 11 of the Florida Building Code, Residential or Subchapter 13-6 of the Honda Building Code, Budding; may be demonstrated by the use of Form 11008 for single -and multiple -fatuity 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: fl PO notttk BUILDER: 5u.44. Si -- (G AND ADDRESS: 3c(5iCp /II - > -- ha ( .(R PERMITTING /� ,,, ((( ��, I ze r(1∎ It4,f1. 2 OFFICE: ` i ( `(-t-j D t r. 1 r d. (r i (z5 OWNER: ►phi f'1' l� re,Donatr0I' , EMIT No.r lab 0 1 JURISDICTION NO.: t ( 6 1. New construction including additlo s which incorporate any of the following features cannot compty using this method: steel stud walls, single assembly roof/ceiling constnsctton, or skylights or other nonverticaf roof glass. 2. Fill in all the applicable spaces of the To Be Installed" column on "Table 1113-1 with the information requested. All "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 118 -2 and check each box to indtcafe your intent to comply with all applicable items. 5. Read, sign and date the "Prepared By" certification statement at the bottom of page 1. Ths owner or owner's agent must also sign and date the form. Please Print CK 1. New construction or addition 1. •44i4119 4 i 4 t D t^- 2. Single - family detached or multiple- family attached 2. .1e, mu 3. 11 multiple - family -No. of units covered by this submission 3. 4. Is this a worst case? (yee/no) 4. Vin) 5. Conditioned floor area (sq. fL) 5. c24 O. 8# 8. Glass type and area: a. U -factor 6a. - 65 b. SHGC 8b. - J c. Glass area Etc. .2tt sq. ft. 7. Percentage of glass to floor area 7, ( B. Floor type, area or perimeter, and insulation: a. Slab -on -grade (R- value) ea. R. Iin.ft. b. Wood, raised (R-value) 8b. R= 1 ? i ? qt) sq. ft. c. Wood, common (R- value) tic. R= sq. ft. d. Concrete, raised (R- value) tad. R= sq.ft. e. Concrete, common (R- value) Be. R= sq.ft. 9. Wall type, arse and Insulation: a. Eatertor: 1. Masonry (Insulation R- value) 9a-1. R. sq. ft. 2. Wood frame (Insulation R- value) 9a-2. R. 1 .3 30 sq. ft. b. Adjacent: 1. Masonry (Insulation R- value) 9b-1. R. sq.ft. 2. Wood frame (Insulation R- value) 9b-2. R. ( 2 3 I (, () sq. ft. 10. Ceiling type, area and insulation: a. Under attic (Insulation R- value) 10a. R= sq. ft. b. Single assembly (Insulation R- value) 1Ob• R= I ,Q qt.) sq ft 11. Air dlstributlon system: Duct insulation, location 11e. R= Test report required if duct in unconditioned space 11 b.Test report attached? Yes No 12. Cooling system: 12a. Type: (Types: central, room unit, package terminal A.C., gas, none) 126• SEER/EER: ( 3 12c. Capacity: 4{-7, odo 13. Heating system: 13a. Typo: 14/a f - 5E7 (Types: heat pump, elec. strip, nat. gas, LP -Gas, gas h.p., room or PTAC. none) 13b. HSPF/COP /AFUE: ' 13c. Capacity: t S is 14. Programmable thermostat installed on HVAC systems: 14. Yes No 15. Hot water system: 15a. Type: A. , /- (Types: elec., nat. gas, LP -gas, solar, heat rec., ded. heat pump, other. noire) 15b. EF: 1 hereby candy that the p- specifications covered by the cakuhtion are in compliance with t Review at plans and s•; Illations c• . -• by this akutatfon 4ndicates camphor= weh Me Florida the Florida Energy Code. Energy Code. Before it • a � z •.,, this budding will be inspected for compliance In a •ardancawith • r. PREPARED BY: I ek - -! • DATE: 7 /. 2 /0 e t BUILDING OCI =ill ii.. l it . A 'hereby certify t t r - cam wdh Florida Energy Code: OWNER AGENT: D DATE E: 7-o FI DATE: ; I / / ■� 2007 FLORIDA BUILDING CODE - BUILDING 13D.23 Effective 3/1/2009 FORM 1100B -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— • t, 5 SHGC = 0. 35 SHGC= - 3 5 CFA <= 16% % of CFA= 1 D'7, __ Exterior door type Wood or insulated Type: ( MsUL-44 __ Walls — Ext. and Adj. (See Note 3): Fferwe q( u,.s. • R -13 R -value = 13 Mass Interior of wall: R -6 R -value = Exterior of wall: R -4 R -value = Ceilings (see Notes 3 & 4) 1 R -30 R -value = (3 Floors: Slab -on -grade No requirement Over unconditioned spaces (see Note 3) R -13 R -value = t 3 _ Hot water systems (storage type) Electric (see Note 5): 40 gal: EF = 0.92 Gallons = J / 50 gal: EF = 0.90 EF = (/ 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 = 1 3 Heat pump systems (see Note 8) SEER = 13.0 HSPF = 7.7 SEER = HSPF = Gas furnaces AFUE = 78% AFUE = Oil furnaces AFUE = 78% AFUE = Programmable thermostat Must be installed on all HVAC systems Installed? Yes o Ductwork (see Note 9) Location: Unconditioned space' •R -6, Tested Unconditioned space R- value = Cp 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: f J Conditioned space or Unvented attic assembly per R806.4 with No duct test required 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 comply 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 I 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. ( r' Recessed lighting N1106.AB.1.2.4 Type IC rated with no penetrations (two alternatives allowed) Multistory houses 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 Insulation is required for hot water circulating systems (including heat recovery units). Shower heads 1 N1112.AB.2.4 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 N1110.AB. Ducts in attics must be insulated to a minimum of R-6. HVAC controls 1 N1107.AB.2 Separate readily accessible manual or automatic thermostat for each system. 13 -D.24 2007 FLORIDA BUILDING CODE — BUILDING Aug 17 09 01:32p SUZANNE BAHR 8137885314 p.1 • A)JJ /] ; /2CJ8 %SUP: 01:30 Pfd ZEPHYBHILLS BUILDING FAX. N. 813 - 0021 P. 001/C01 e1saeo -0020 City of Zephyrhills Permit Application I� r•ax- 0 ,o- /artuuc Bulldog DepmbnenY • Date RsceIY5d Phone Corlett f o r Permitting 7EM 7f, -. X10 • Owne?sName $ 6 fit 6 4. , � )1 ie C / r _ • 4 • . Owner' Phone Number ik ' Owner's Address 1 3fib`6 C.i.& yS L Owner Phone Number t • 'Fee Simple Titleholder Hemel Qwner Phone Number l ' • Fee Simple l Si OS ADDRESS l 3 ts16' C tiya f Lam 1 LOTII l .L ' 1 SUBDIVISION " 1 x d-^"+ AN A . 1 PARCEL IDE' °2J/ (OBTAINED FROM d FanPearr TAxrano ai' V l • WORK PROPOSED F t ] STR • NEW • I ADD /ALT • [J SIGN MOVE © DEMOLISH INSTALL • f I REPAIR PROPOSED USE SFR n COMM' Q OTHER I` 1 TYPE OF CONSTRUCTION F. BLOCK Q ' FRAME " n STEEL. n • OTHER r I r l DESCRIPTION OF WORK l room Ld4 Oar BUILDING SIZE 1 / et• ` x 02-0 1 . . I , SQ FOOTAGE ba y I HEIGHT I' - • ECI BUILDING l$ G, p I VALUATION OF TOTAL CONSTRUCTION . ELECTRICAL 1$ Sb0- pp AMP SERVICE 1T / \ PROGRESS ENERGY {-1 W.R:E.C. n PLUMBING ' I$ � PASCO PERVIITSEFNICE in MECHANICAL $ ' VALUATION OF MECHANICAL INSTALLATION (813) 788.531 PAX 1- 8664124.7894 _ • GAS . , _ , ROOFING = SPECIALTY I ! OTHER FINISHED FLOOR ELEVATIONS 1 FL000 ZONE AREA =YES NO BUILDER , /p /� /� ' 1: COMPANY `....S d — e SIGNATURE �'�' 1��A -- 1" , i e / � a 7 .✓� �/�/ g R t iGIereRR1 f D _ I� cWRENT 1 Address 1 45 - t�r1I F-[I� /fU4' 2-4V v.+" �' I /}� ,[ F Ucense � ( /���� 1 S GNATURE 1 - Azzi L ip . fa coup Y ! . Y 1 N UR SNT 1 /� /� 4 REGISTERED . 1 Y1 N 1 FffCURRSrrt 1 Y/N 1 Address 1 P. v - deD • /S3) 2 —Xic- J3s31 1 • . lira...# • PLUMBER C' •, • • .' — SIGNATURE __ p ETER fir - CuRREM EMU Add _ , . Llassie IC AL �' 4111; / COMPANY r" ' p r!' '�-w ONATURE REGt5TecttD WAVE FEE ' • f r� l icense# OTHER /_. COMPANY I • SIGNATURE •• - - REGISTEREo 1 Y / N..1 • is CURRENT • 1 V 1 N 1. . • Address 1 • • license 8 ' ( 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of BuMding Plans: (1) sal of Energy Furors; R-O -W Permit for net/construction. Mlydmusn len (10) working days eller submittal date. Required mite, Construci;on Plans. 8tonawater Plana w/ SIR Ferro Installed, Sanitary Facilities & 1.dumpster, Site Work Pemutfor subdMElonsAarge projects COMMERCIAL Attach 13) sets of Building Plans; (1) set of Energy Farces. R-O-W Permit far new construction. Minimum ten (10) working days aftereubmMbl dale. Required ensile, Cons1,000On Plans, St rmwater Plans wf Silt Fence Installed, Sanitary Fedllfes & 1'dumpster. Site Work Fermlt for as new reelects. Alt eommerdal requirements must meet complerlCe SION PERMIT Mach (Z) sets of Einalneered Mans. • 7•rPROPERTY SURVEY required for es NEW ns uelJon Directions: _. • RI out appacation completely. • Owner & Contractor sign back of appacatlen, notarized . If over $2500, a Notice of Commencement Is required. (AEC upgrades war $9000) " Agent (tor the contractor) or Power of Attorney (for me owner) would be someone with notarized Letter from owner authorizing same' OVER THE COUNTER PERMITTING (Front of AppiceOon ONO' . Reroofs sewers Seneca Upgrades • • NC renew" (ProderUvcy/Foerage) - . • Drlwways•Nol over Courtier If en print reedwaye.merd0 ROW • • „;:,,,,,, ,_ 14 ____ ,., „% City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: SI' zotS4 � IT6#& & 'fli Date Received: 7- 22-09 Site: V q s' i 6 L'-XArf D Permit Type: / 2 bV,ii a%i4 Approved w /no commen Approved w /the below comments: ❑ Denied w /the below comments: ❑ This co e • s eet shall be kept with the permit and/or plans. - — y . . . _ ,5, _ , Ka f in Switzer — P . - aminer Date Contractor and/or Homeowner (Required when comments are present) , . 0 Y . i (.) ,-.- - • L_ d r ,23 .,/, / - 1 - -6 0 CC - 06 2U/6 . • ' ' Li I (- :....,3 :-.., .. -,-- - 7s i ) . -... q R _ , 2 .,, 1 i (1 1.- .-..,. ,.. 1:--• - ii.- • . •,,••••,..; •-:: t rz l ., I Adak, / d- , 00 ' v ALL W,,Okg, gli., 'CitviPt..8 'Watt ALL . C 0 D , i N i A L T ° 1 OCN LE:11EFI6TRIORIcDAc013EUIEIIADNINDO CITY OF ZEPHYO-IILLS ORDINANCES , 1 . 1 . " •"'-. ,--, :::YF ,:.,.:"L'..,ilt",!::::::',.i.): -): ' l-...;, 1 i APPROVED PRODUCT LIST 2007/2009 NAME/DESCRIPTION MANUF. PROD. # 3" RISER PAN TOWN & COUNTRY FL 9334 3" COMPOSITE PANEL METALS U.S.A. FL 2291 VINYL SIDING & SOFFIT STYLECREST FL 12231 HARDIE BOARD SIDING JAMES HARDIE FL 10477 WOOD WALL FRAMING: SP1 & SP2, STRIP TIES, H SERIES SIMPSON FL 10456 CONCRETE ANCHOR TITAN FL 2355 WOOD DECKS: JOIST HANGERS SIMPSON FL 10531 POST BASE & CAP SIMPSON FL 10860 WINDOWS & DOORS: SEE ATTACHED Florida Building Code Online http: / /floridabuilding.org/pr /pr app_dtl.aspx ?param = wGEVXQwtDq... vcaatow oear.,arrr�enrr oo . . " ---ti I i ( 1£ Camm Affairs .11. 4I1! _ . rOCA H OME ABOUT DCA DCA PR OORAIda COreTACt DCA "' BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search di! ,, i Product Approval O q .. , USER: Public User Community Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail ∎a>MIMUNtn FL # FL5262 -R1 ii twusiNc; & COMMUNITr ! Application Type Revision DEVELOPMENT l Code Version 2007 ∎EMERGENCY Application Status Approved MANAGEWINT I OFFICE OPTHE Comments SECRErARY Archived Product Manufacturer Therma -Tru Corporation Address /Phone /Email 118 Industrial Drive Edgerton, OH 43517 (419) 298-1740 sjasperson @tttechnologies.us Authorized Signature Steve Jasperson sjasperson @tttechnologies.us Technical Representative Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency National Accreditation & Management Institute, Validated By Ryan J. King, P.E. Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) Standard Year. ASTM E330 2002 TAS 201, 202, 203 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 06/28/2008 Date Validated 10/24/2008 Date Pending FBC Approval 11/11/2008 Date Approved 12/10/2008 1 of 3 3/4/2009 10:12 AM 60.66 "oN ad 1Pluvo6 d vv.P,K1 1 .... —1--- . SNOlS'A3 R t : I .. �'��+a2 � I S31ON lN'J3N30 •9 S3 flSS32fd 1 0 ' '� > "�I -�7 N9I53J 'NOti >n�13 ?d IId U �8 i 31VQ 'ON \ vl t o o l u 24 p 16 '0N uo 40 io.:P.P.0 3 gg 0•5I6U3 04 )0 5 1. 5,005 05505 :nlE1113SSV 110 1SVd 1 I ,) 1 I N i Lt. i L646'569'7 LP :'0N ou 4d 1 C i C0 Z. , vo 1 T 1 1 Sash: oovwn 06Z x06 •O•a 1 d000 SSV70?138I3 _ I o .0u, 'SINYi1l)SN00 01110110 (1' 1 fl J1- VWt1341 I u i VII .ta P..toeud .,tow.,,,0 i . 1On0,ead ! 1 1 _ .._.._ _ 3 6 v o - i 4 s d; f -. _ - -._Y -- . a) co W Q x _ ' _� - -'y o \ 0 , a X M 1 ` V I a f� 4 �. 1� 1 1 , Y Y 1 �\ 1, a tl O + 4 V t o ,.y W 1 co A 2J ° C r� �- L _ - / 1 � to ri p ( R /� z n �7. 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C O 2 0 c m . 0 o c o c U u -.EE - 0 C7 CI o - u6. 3a ±O) >-o) F= a-0 0 o a� °° Z 111 a 0 E c m "0 .N 0 ' 1 1 t — 0 0 za vac , s : u a) 0 y 0 ' F n I I.4. ■ Q ,,, clog 0) -o n m 0 0 2 '2 u o (DD , -=' 1 ) _ I„ CJ -- m' O O L 2 C O 0.' > G N �a F; Z l((5-5 »b, 89-rzgzs-u \ sg-T Fges-u \ seumalo )5iv\U 'O \BUZi id \00£T -TOZT fold \vaploj paroid \spa(md - vUN R: \A - Yiujmiswiufec1 rUIUeIs \YIU) 1LUn-LJUU\pl 12U0 ■D. RVV[N. DI \II-52oh.x-o .I- 5262.1- ba.UW4, WlOUPJ X 2 n 1, C ? Z X O 0 Q-( I f t W z_ O 1 I ( m s.T -j �, i} `. I rt ! - m >�' o- - 1 no . U W ��� I� m m, v I i - xi w .T. -n / O.CO2 ' r - F � rl' , a O , - DW m ,3 tn> lo � Z„ m* � 2C u3 a mg " v I z 23 - 1 n r Z m Z I i L 18.94" MAX. _,I___. —i 4 ° I 1` n. r _ ON CENTER Ly_ Ili I 1 1 i i i ! ?-t( 1 18.94" MAX. ! I 4 7' - ,_I I~ � II ON CENTER " o 3 3 0 0 0 0 a 0 m 7, 'z x o s N O N . a a m; o 3 � 0 - C ^ C 9 0 ' - N w 9 F,3 o N 3 Z f 0 m0 n Z Y Q 0 Z A 0 °o2o n. md30 3 - c n . ° 3 °a , . nO� 1 6 1k .` I. Q. 0 za P. E 0 a `-s) am m:N'c f 1 — i — 1 a _ c a p 0 3 I W R. 2 3 o a R 0 �>0 n O3 B p k — ZZ -- :1.- 1 r - o - 9. Q o' 3. I m o 3 c I, mu � 3 4 m O 3 4 cp cb ? C (1-, ° N 0 (? Z. T O I N cps aa L7 °aaN OC m-- L O a `1, [ p ar, P,, , ' m I Z ° fao0 r I [ 3 3 ° aQ n a z, N' FE m = q oa cc o . z a0-ron9 Q�a m W m ?G N �° O '° 1 i A� g-0o'o' om�8 � m I f l f I [ DcQZ3 ho0. F S?.c i 7 mai 3 L" a a 18.94" MAX. I -I 4" - - 1--- I a s CI) Z° o p ° 3 ON CENTER _ ° ° Sr ti a nl OK 13 01 0 M0 0 " 0 Z x 0-( X ; 1 i L 0 z or) Pi S. � .J� I ? C m ` 1` n z � v G3 -{ Pi c_ � -D 1 1 1 1 1 v) I/ H, — T C m (.0 �- A IG Ui I C I Tl 0 I�z rn I �m � _ ei om - _u, ! mg m0 4 1 rn Ott frl Z O p0 0 0''� zrn � xl J I ;. 0 t m I 1 1 ! 1 1 f Il 1- _- 1 5.15" MAX 1 4" f--- 1 -(• i ON CENTER 1 i i f ill 18.94" MAX. 4" —I 1 - N r ON CENTER - r 1 o m n yy l PRODUCT: Cccuente Prepared By: I I hl THERMA -TRU BuitoiNG CONSULTANTS. iNC. Cn I pf 4 /P .O. Box 230 Valrica FL. 33595 N N ''__,C) FIBERGLASS DOOR 1 WP al z0 L Phone No.: 613.659.919/ N " F i 1 Florida Board of Professional Engines,. _ I -f W PART OP. ASSEMBLY: �+ O N I I 1 Certificate 0 Ayythenzatfon No. 9513 [n I = o BUCK ANCHORING 1 / ^'- i ' _ !h _ _G a, I m N0, DATE I BY 1 �1-f CO I I REVISIONS 1 Lyndon E. chmid;, P.E. No. 43409 r• "J.UUFi P.w B1_11:_DING• CGiv.ULTYNTS If. c. K:\-." roj_LLtwr0_1 t' }U r .1rOl1z .7 1... b.I. H !JH, Jfa'i.0 . : ',t f hl,;_ 04_ ■ �- ? ?? n n rl w y y �,p G J n I: o e 2 to o n .n „ ! A m _ 5 _ t - o c G Q Q' n l O C D. O C) O - =mm— n no > -nm, 3o nn n A E D M o m . 3`.. (b ? M o p — - -- =_ { _. { - -- -= -- - - -- - � < ' 0 30, 9- n ' =t Tm m ° o m_ ash 0- .aa a, I,_ '6 n0 o3oQ - (7.)-®<-;"--:;;.: 1 oo - ° � -zn c ° 3o 9 onR0 i * i (1 @ n 0 O ( a 10 w a ll o 0 co 0 . O WI 8- x x r)`' 0 D mQa - nWQ 5' m mNn A rr-n -, C fi*K _ oao� a og ° G�3amoo 0 �z ° x 71 _ d zc � OQQ n�o xn0� � mn�� m rn >a m xiZ t` �; 3, m3o 3 m oa - �' > � : _ m 3 c3 3 Q Sm c ' °_ — cm� �3 ' m oo m � � o c 3 o o o _ ili o FlZ z z T w o a3 m' g. moo - =, � I�4 I 1 I 1 g=' a1- , Q- i oar .ca 5 9 aa o c• ® ON CENTER w o r ' , 3c o . 0 o2vao ?g 23 m rn ID sp Qa3 "n g i sf , a3 vtn Ti .� � o 1) > c r rn rn 3 0 3 m N o m a 5. 3-'. w Q. •N m�ao(mn m 3 3 , q m an 6\ a 80 9. 9 m 3N I' u u n fl= n l.) a ° &w 9.25 " --i .. . F m - & o y �� 29.25" NP. < 5 .5" 39.375" -1 1 .. >® • it = 0 1 c _ n _ cn m ax >x m 14.0 MAX z r o w w r y oS ON CENTER -��c _IC m,0 On ci e 1 w O �1�- OA` X X 0 � m -�.� -I � 1�ta77 - o ©e m Sr z m n r GI i o e l i z � m zZ I O y CO r' m n m %IF n I m n m � I a i _ I I 1 z 1 °z 1 I . IT - -- 7 O g 5.5" .39.375" 1 m 0,-..., N� D (.4 z r>' > X 1" m 14.0 MAX o m II' 1.i ON CENTER pi-lo -ic -I__ CD m m D pp - i PI N MI � !_'.'. J I I I I I rn 11 >� I 1 c Fr. m m O D ® 29.25" TW. 9.25" ® t- ., 4 PRODUCT: THERMA TRU Documents Prepared By: ' c5 UILDING CONSULTANTS. INC. • Oz g T ° FIBERGLASS DOOR P.C. Box 230 Voldco FL. 33595 I w IV o z - • Phone No.: 813.859.9197 Z Florida Board of Professional Engineers 0 S y w PART OR ASSEMBLY: -1 Certificate Of/ 9—S-- tlon No. 9813 h I o FRAME ANCHORING l// 77 ✓F /+ (, V m w N O. DATE B f CO REVISIONS Lyndon F. Schmidt. P.E. No. 43409 .:l 2006 R.W. OL,1LO1NG CONSULTANTS INC. R: \A - Projc Folders \Proj 1201- 1300\pf 1208\D. RWBC Drwiogs\f1- 5262.1 -68 \fl - 5262.1- 68.dwu. Model - O) W N W N--h co D 3 G -Iii. p -` OO) ?-0 ?eX 00000 I ' X X X X -1 A X Az X X X X X N), Cu .. N r) I D 1 0 1 W w W 1 N a -N N , A 0� a \��- n' r G.,x - 14.9 MAX I 1--- 6" _ix Isj ■ a 4, a = a 0 , . O CENTER m =o=_ " riwillgililliiillgt A ; x 0000,0 A 0- X 000A: 53 NOZ' 0000 O co - p�Z'� 0Z0O 00 zoo (�00 AZC) OA zoo to EjAq t 0 ti A AZ AO o D A - I -r A Z m MI I A O 0 Ac)AA _ co ;12-5312>°P;3 o <mAr wm v c 1nZ w �� d :, f o 3 R -np m w 0 y j © e -i O m Z c m "j --7 v w � Z7r D 11 > En 000 F. ‘14:-=3-Li 0 m A Z w N 0 2m x M ( / ) ∎ . � W "1 Z C) rrIMC- 00Fill Z '-I- 1- iyti -i0 - IZ ,- x x oo rm- q Al rr r rm r r - r r c i ("m w m 0 QCCi m 0 Z Z D 0 � m (n fn Z* {" x mw�uf f )J mmDX � = • • w 0 � 00 � m = 9.25' -1 'j -1 c -lc oi I -- 29.25 TYR -=Z Z 8 0 0 1 1 1 1 1 1 0 ....01._ 0 — ..1111111b. cn co (III' �� ©e�z M 0 - - + .TI Z W a NIP W m o mo> w 0 ` _ �� -< r - 111 111 �� m ��\ \ - -i PC - a GI 1 �v v m y D N CO 0 ,...MM Z Z ^gm �c - �W CU on 0 u) u, z* z* w-, w�rn z�c m m m m ➢ X D X D' 1 1 -v O O 1 D= M Z I- r I 1 1 1 I D 0° Oz I I 14.0 MAX rn col N e © ON CENTER xiO x cn r1 m T 0 �a a O r- a� ? = mA 0 • m y I— 29125* 7 1P. • 9125 --1 • 1- 0 1 — y rP- gg 2 }T) PRODUCT: Documents Prepared By I� I g Is THERMA -TRU (1 � - , �II WING CONSULTANTS. INC. N E g g 0 FIBERGLASS DOOR e.°. Boa 230 van L. oo FL 33595 P Phone No.: 813.659.9197 q N y w PART OR ASSEMBLY: C.,td rd of P6on No. 9813 i cm o y co N0, DATE BY FRAME ANCHORING ---1.----- /0. 2.0. ' j 00 REVISIONS do BILL OF MATERIALS Lyndon F. Schmidt, P.E. No. 43409 0 2008 R.W. BUILDING CONSULTANTS INC. R:\A - Projects \ Project Folders \Proj 1201- 1300 \pf 1208 \D. RWBC Drawings \8 - 5262.1 -68 \8- 5262.1- 6B.dwg, Model ('dui t du) X -- •• - ••3003A21NOSVW 3003A21NOSVW - - WO21Z'NM „l WO213'NIW „I Z n 7 . . • 4. , 0 1, .., ° / O ,„ I D N rfl . MIl ii„,■•■■■■ c it x o: il, 1 i • . 2 2 2 m r.. 73 MEM n) pr �O I � � Z 5n ti 3 <. me L t P, - o 0 ' � co' °° Unlit N A rn .v - 25' MAX. I I— a y N O SHIM SPACE O - } 1 .25' MIN. v A z N.) O T EM B. TYP. m m m W o 73 0 s jo I 1 Z Z m O D p m t 1 1") X I I I Z = — m A v `` S - it y RBI R .25'MAX. � - rA ir, AI m SHIM SPACE 1 P 0 3 m y f , s ! m K o = m EMB. I j 1.15'MIN. I m 1 ?-- y 1.25' MIN. 1.25' a 0 EMB. TYP. m • n 1 -1/4 "MIN. 7N z EMB. (TYP.) Z m Z A y tn� 3N O ®_ �J utw O N ., O 3 re z e , \ a � ` .s � v3 l M U \ \ g jav y n K MIME .r- m0 p oD �� T m 0.15 MIN. y ^ rn O C -SINK y 0.25' MAX. _ O N O SHIM SPACE Z - w .2 • '.. e 1.15' MIN. { ' EMB. m T D A m O 4 1- 1 /4'MIN. 2 le { ® '1 ) _ _EMB. (TYP.) _ xi 1 -1/4 "MIN. a a A 3 rr a • ro EMB. (TYP.) Z B < • D � AZ • 8© 70 a m2 A ! 1 \ n � ° �, \\ f7r Oa Z z m ? m O _ �\ 0 , n 70 m e 411 ow .., . 1st rrl N 2t N ' • i O V 73 ? O N N O 0^' �er^ir� Z � z �� 025 A P AZ gib m 0 z +C'SINK 1 -1 /4" MIN. m 3 0 IT EMB. (TYP.) i2 11 e g . PRODUCT: Documents Prepared By: 9 , s THERMA -TRU . 2 FLING- FIBERGLASS DOOR P.D. Ba. 230 valflca 33 I T Z \ Phone No.: 813.659.9197 N . ti V PART OR ASSEMBLY: Florida Board of Profee.lonai Engineers o 0 \ Certificate Of Authorization NO 9813 I 0 ,_ > _ --I 5 a m NO, DATE BY ANCHOR do VERTICAL CROSS L - �_ /p r Z0 al. REVISIONS SECTIONS A�ISONRY/WOOD /STL Lyndon F. Schmidt. P.E. No. 43409 l� 2008 R.W. BUILDING CONSULTANTS INC. Florida Building Code Onliale http: // floridabuilding. org /pr /pr_app_dtl.aspx ?param= wGEVXQwtD... • ..: Cor r faiiity Affairs ' s .,11 jib ,..,: IMWO rOCA NOM ABOUT DCA DCA RAMS COIKTACT DCA `° .:''''` "' l BCIS Home Log In User Registration Hot Topics Submit Surcharge I Stets & Facts i Publications FBC Staff BCIS Site Map Links Search I 111 I I Product Approval USER: Public User nn i 'Community I Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail . 0 CONalAUNTY PLANNING FL # FL163 -R2 le HOMING ICOIAtlutTV Application Type Revision Dessaionwr Code Version 2007 *INEERGENcv Application Status Approved AolovvumENENt , o Comments ':-'-' ' ''' ' Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368 -6922 Ext 207 MLaFevre@cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368-6922 Ext 208 Ralph @cws.cc Category Windows Subcategory Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Roberto Lomas the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL163 R2 COI 510510A (Eng Eval Reo SH- 3500).odf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101/IS2 -97 1997 Equivalence of Product Standards Certified By Sections from the Code 1 of 2 3/4/2009 9:53 AM Florida Building Code Online http : / /floridabuilding.orpr /pr_ app _dtl.aspx • ?param= wG>✓VXQwtD... Product Approval Method Method 1 Option D Date Submitted 11/10/2008 Date Validated 11/10/2008 Date Pending FBC Approval 11/14/2008 Date Approved 12/10/2008 Summary of Products FL # Model, Number or Name Description 163.1 3500 Single Hung 3500 Single Hung Limits of Use Installation Instructions Approved for use in HVHZ: No FL163 R2 II CWS -268A (SH- 3500).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: 3500 Single Hung Equal Lite H -050 55x91; 3500 FL163 R2 AE 510510A (Eno Eval Rep SH- 3500).pdf Single Hung Oriel H -C45 55x91 Created by Independent Third Party: Yes Back! [Next) DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. 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Fa- QOaONS _ 0 ,- X wz C7 WZO -WX° m�Ogi U'¢OMW? G`' Z - THAT PART OF EAST 80.00 FT OF NW1 /4 & THAT PART OF WEST 1/2 OF NE1 /4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST AND LYING WEST OF MAJESTIC OAKS COMMUNITY -PHASE ONE AS PER PB 35 PGS 107 -112 EXC NORTH 20 FT THEREOF FOR RD R/W & MAJESTIC OAKS COMMUNITY PHASE ONE PB 35 PG 107 -112 LOT 1 THRU 16 INCL & LOTS 19 THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87 NOTICE OF COMMENCEMENT 111111111111111111111111111111111111111111111111111111111111 2009108904 Permit No. " Rcpt :1257013 Roe: 10.00 l / p DS: 0.00 IT: 0.00 Property Identification No. 0l- V-04 —' / — 00d COMO id 08/05/09 Dpty Clerk THE UNDERSIGNED hereby gives notice that improvements 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 ) LDy� L 1.136 'k o2 , / 4 / /ej a a) Street Address: d 9S1 /Of Z e6rh 2. General description of improvements: rOWY/ G d Si'A I et_ a o/ a4 did 3. Owner Information . � a) Name and address: A.,041/4* `j?C 4!>/1Or�Ai ..3K176 C� ndf �k- ' J /- , d3J $ R b) Name and address of fee simple titleholder (if other than owner) c) Interest in property } 4. Contractor Information , // G/ .- p _� / / // a) Name and address:■SaA 64../e .+Y14t • —Tice . 6 /SY Peti - ,`""y i` 4 !t , , L i A ,??5 b) Telephone No.: Fax No. (Opt.) ✓✓ 5. Surety Information • a) Name and address: PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER b) Amount of Bond: 08/05/09 1452 1 of c) Telephone No.: Fax No. (Opt.) OR BK 8 4 PG 1 6. Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is Specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA ._� COUNTY OF PASCO ���� �J S�nature of Owner or Owner's Authorized Officer/Director/Partner/Manager /CodF,�ri l�c l�ont -4 Print Name 1 The for going instrume�ntw acknowledged before me this Sw day of 11dl , 20 e, by _ J Q /y- C ICY _ as OW Ate' ( type of authority, e.g. officer, trustee, attorney in fact) for e/1 (name of party on behalf of whom instrument was executed). • Personally Known OR Produced Identification !/ / Notary Signature X41 Type of Identification Produced Q-- Name (print) ati. C/'e iciarkailj 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. k i g , /L Signature of Natural Person Signing Above FORMSINOC,rvsd2007 NOTARY PUBLIC - STATE OF FLORIDA ' • Stacie Hartwig uIk Commission #DD652189 D pires: OCT. 16, 2009 BONDED THRU ATLANTIC BONDING CO., INC. 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 WITNES MY HAND AN OFFICIAL SFALL_a THIS - DAY OF & M TROLLER PAULA S CV-NEIL, C .: BY , tPUTY CLERK — 12' L2 7' "H ,__1 -4 ' ' '--� 0 --- �-- H - �CO r� Ci7 d LTJ LTJ 4=. 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