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HomeMy WebLinkAbout10-10070 1 CITY OF ZEPHYRHILLS • 5335 — 8TH STREET (813)780 -0020 10070 BUILDING PERMIT to' , ` (6 : a r; V ' "• , iE. n � j r D.E I " a Permit Number: 10070 Address: 4935 17TH 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: MOORES FIRST ADDITION Est. Value: Parcel Number: 14- 26 -21- 0010 - 00400 -0040 Improv. Cost: 5,250.00 ..:: • b"x ,� :... Date Issued: 2/16/2010 Name: MIHULEC, DANA Total Fees: 90.00 Address: 4935 17TH ST Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/16/2010 Phone: (813)783 -2965 Work Desc: REPLACE 2 DOORS/ 2 WINDOW/ ETC SEE WORKSHEET MCNEAL & WH • RA •RS IN BUILDIN FEE 90.00 r‘,046 , 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." i ° - CTOR SIGN RE PERMIT OFFI �R 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 j 10010 Fax -813- 780 -0021 • Building Department U Date Received 1 . 22 (0 Phone Contact for Permitting ..5 3t..0 Owner's Name D UY 1`-A l �} vl -� Owner Phone Number C , - - i9 � U" Owner's Address I ` J ` t'h 2aphui rh tt Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 1 JOB ADDRESS �q 3 S I 1 Y" �� i 1- -epr q rho L 3 3 sy a LOT # SUBDIVISION PARCEL ID# J c (e z I - 00/0 t f b O4 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR n COMM n OTHER 1 TYPE OF CONSTRUCTION n BLOCK 1 FRAME n STEEL n OTHER IReptcx_c_f_. DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE U HEIGHT n e� BUILDING $ I VALUATION OF TOTAL CONSTRUCTION 52_5 p r I n ELECTRICAL $ AMP SERVICE FT PROGRESS ENERGY n W.R.E.C. n PLUMBING $ 64" n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION n GAS n ROOFING n SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES f NO � c_ � BUILDER � I COM PANY mw {� ` � SIGNATURE REGISTERED FEE CURRENT CVl Address Lic)U • 6 �t �v i Deland -QP �� - License # rn ( J5J(0(0 ELECTRICIAN V COMPANY SIGNATURE /lJ ' REGISTERED Y/ N 1 FEE CURRENT I Y/ N Address License # PLUMBER COMPANY SIGNATURE REGISTERED � Y / N 1 FEE CURRENT I Y/ N I Address I License # MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I Address License # I OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N I 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, Stomiwater 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 Attomey (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. 11) �- OWNER OR AGENT CONTRACTOR Subscribed and sworn to i •efore me this Subscribed and sw to (or affirmed) before me this 11 -. by ■ et 'c by Cc -v-&•-•% 8�vivrts- Who is /are personally known to me or has/have produced Who is /are personally known to me or has /have produced c -' � cw.aaw as identification. 'kLh,ow., as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped .................... S rEW ........ EMERY C. STEWART EME IAN Comm# DD0592635 , " corn ART 12r30i2o10 &I. m# DCO592635 spires 12/30/2010 .e• ; nore FioritlaN ••.... __ �"aBn..lrr_ - - 1 City of Zephyrhills BUILDING PLAN REVTRW COMMENTS Contractor/Homeowner: Me , diet 6 ti li ,k (& ''' J Date Received: 1— 7- 3-1 6 � L Site: L [ - ( 7 (`; . / Permit Type: ,w l ace Z, . c. , 3 " etc, a Approved w /no comments: D Approved w /the below comments: enied w /the below comments: j I 1) fV 1 fl , fpD (bu ) * ' ,ci 7s 9 c - i, Gi i n-eer ,pra t:t, \i, 1 r J �� ) mi ire i 41 6(15 _Cie-at- 1 4 , .,,,,,,,,,a- ' - l 4 -)406 a/ ilL zoo? % . 4-,,,,/ 20 ' ` ,c This comment sheet shall se kept with the permit and/or plans. Kal if. Switzer — ' ! s Examiner Date Contractor and/or Homeowner (Required when comments are present) 1 • • 1 111113110111111111111111011411111111111111111 • 2010021332 • • NOTICE O COMB NCEM NT • . Permit No. t Rcpt:1288516 Rec: 10.00 Pro p e rtyldii "rcation J�I' - �� -� �� DS: 0.00 IT: 0.00 02/16/10 C. Cook, Dpty Clerk THE UNDERSIGNED hereby give informs you that the improvement UNDERSIGNED will be made to certain real ro Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF CO P Pet'tY and in accordance with 1.Description of property ( legal , escri I •& S I l r7'/_ / ! NCEMENT. a) Street Address: y r U � l7 �% i I y � 34 + , ' 2.General description of improvements: y��1�j���i I�l. • 3.Owner Information � • Dane: &I/ u �c= a) Name and address: • M% r a 3 am 6 1 I) • • • b) Name and address of fee simple titleholder (if other than owner) `�� y c) Interest in property dc . 4.Contractor Information a) Name and address: , ,:tr , it _i �A )i'1C`. / � . 8 b) Telephone No.: 4�7 r j� >�il�i fir 9i.2-0 S.Stmet Information Fax No. (Opt.) � f ii • a) Name and address: b) Amount of Bond: c) Telephone No.: - 6.Lender Fax No. (Opt -) a) Name and address: • 7. Identity of person within the Stat of Florida desi ated b o Phone No. a) Name and address: V, __4_.i. _ �, A - .11 — upon w 0 > oi ces or other docu ments ma b s _, b) Telephone No.: - o 1 1 .. ' !' 1 .1 d_ ■ 8.Im addition to himself owner designates Fax No. (Opt.) UM ' 713.13 (1)(b), Florida Statutes: goatee the following person to receive a copy of the Lierior's Notice as provided in Section .: a) Name and address: b) Telephone No.: - 9 ecif date of Notice of Commencement (the expiration date is one Fax No . • (Opt.) specified): . year from the date of recording unle a diffctant date is NG TO OWNER: WARNING `�NY'pAYA�NTS erg WARM NC$ME T ARE CONSIDERED 5 MADE ER THE OWNER AFTER. TIE EXXIRATION•OF XUR NOTTCE'OF I CEME, TE AND CAN )R PAYMENTS UNDER CTlAiPTER 113, PART I, SECTION 713.13, . F NOTICE OF COMMENCEMENT ES, AND CAN RESULT N RECORDED OU PAYING TWICE FOR IMPROVEMENTS INSPEC IF YOU INTEND TO OBTAIN CN AND POSTED ON THE :COB SITE B EFORE THE FIRST es COMMENCING WORK OR RECORDIN YO UR NOTICE COMMENCEMENT. OR AN ATTORNEY • LENDER RNE`Y' BEFORE STATE 01? FLORIDA CO•CPNTle OP PASCO ■ of owner or Own Author zed Omcer/t)Irector/Parh,er/Maneger • Print erno . - e foregoivag eat waTClcmovt'l before me this \i _ • day of 29"!-__)_, as - infact)for �. by '' C� (name of (type of s authority, - _ . officer, trustee, attorney Party on behal instrument v, ted). Personally now OR Produced Identification Notary Signatur_ i . Type of Identification Produced (print) C. ST D Name (p) Comm# D00592835 VerifSt atio �:p� I � 9 g' s x%312130/2010 MI the facts s n�i! =l � �3e b9ti ; w • * • j ' ,�� Under penalties of perjury, 'I dg � Fonda N. , 41( THIS I •TO CERTIFY THAT THE F*REGOING and belief. ix Ming and that TRU AND CORRECT COPY OF TE4E DOCUMENT • Fow4smoc•n�gpgt OR OF PUBLIC RECORD IN HIS OFFICE • Si gnature of Natural Parson Swung Above JVITN SS MY HAND AN!D OFFICIAL-SEAL THIS DAY OF A_,�9 r j �Lt�_ �( 2 �/ D PAULA S. 0 PRSCO CLERK & COMPTROLLER PAULAhS. O'NEIL', CRC 02 /16/10 10:51a 1 of 1 /f OR BK 8270 PG 876 B' (/ �k 4- , ' r ) • -' .'` CLERK Jacqueline Boges From: Bill Burgess Sent: Tuesday, February 02, 2010 9:06 AM To: Jacqueline Boges Subject: FW: Your Message to DCA Re. Weatherization Assistance Program - Question Miss Jackie, I have forward this question to DCA for their response. From: NOREPLY @dca.state.fl.us [mailto:NOREPLY @ dca.state.fl.us] Sent: Tuesday, February 02, 2010 9:03 AM To: Bill Burgess Subject: Your Message to DCA Re. Weatherization Assistance Program - Question Thank you for contacting the Florida Department of Community Affairs. Someone will respond to your message soon. Please do not reply to this automated email. If you have any questions concerning your message, please call us toll -free at 1- 877 - 352 -3222. Your message: I am the Building Official for the City of Zephyrhills. Should we be requiring a Notice of Commencement from the contractors performing these improvements (over $2,500.00) for owners? We say yes but the contractors say they are exempt through this program. I do not want to put an undue burden on the contractor if they are exempt through this program. Thank you in advance. 1 02/02/2010 09:20 FAX 3869439434 f!001/002 InWeatherization .Assistance Programs (WAP, WAP- L.IHEAP & LEHRP) Form PwOA.os .Pre-Work Order Agreement Below is a list of the work to be completed on your home. These services are free and funded by the State of Florida and should make your home safer and more energy efficient However, these are not home repair or rehabilitation programs and are (limited in the scope of work that may be perfom ed. Please review the below list and sign to indicate your understanding of the work that will be performed on your home. SPECIFIC WORK TO BE COMPLETED: .. Nr) 1)- Install AC filters install-1 leave -1 (livingrm) 2) —Wrap water heater ( hall) lines W ' 3) — Insulate Oft hot & cold water es (hall) 4) — Replace 2- doors, doorknobs & deadbolts ( front & back ) 6)- Replace 8- windows (3 -NORTH 2-SOUTH 3-WEST Iivirgrm) 8)- Install 10 -CFL;s (4-bedrm 4- hvingrm 2- bathrm) 1/ 7)- Repair flex duct under home, 8)- Seal retum & supply vents with meastic 9)- Replace refrigerator (14 cu ft) no ice maker 19)-Replace heat pump (2 -TON ) 11)- Install 1- CO alarm & 2- smoke alarms 12)- Replace exhaust fan In kitchen 13)- Repair bathrm faucet I acknowledge that I have been informed that based upon the irnaI inspection process, my house appears to have less than two square feet of mold and/or mildew present and that these programs are limited In regard to addressing the source of water Intrusion that may be causing the mold. I further acknowledge that although the services to be performed may not totally eliminate the problem, they will not promote new growth, end that there are health risks associated with mold and mildew if not removed. Therefore, by signing this form, I understand that the Mid - Florida Community Services. Inc. is providing these services In good faith and shall be held harmless If new mold appears. I also acknowledge that 1 have received two pamphlets, 'Renovate Right important Lead Hazard Information for Pen:Mies, Ch/M Care Provides, and Schools" and "Mol4 Afoletru►e and Your Horne ", and a copy of the agency grievance procedures. �' ent Signature Date Agency Official Signature Date i 1 Weatherrizadon Program Work Write-Up/Bid Fonn Client: Linda Rapier Year Built 1982 Phone: 913 - 8624188 Job : 8122 Mineiva.St. Zaohrvhlls FL 33542 p .. am WX Priority Material Labor Measure (terns Description of Work • Location ' Cost Cost 1 2. Re . lace NC filters- iiisteN 1 -leave 1 Kit _ 1 • 1 Inautete.water heater Halt 75 I 1 1 Jnsulate weber iiriee ter hoofer to 5R H 1 5. 5 1 2 Replace (2) ext door with doorknobe/deedbolts M Frontl8ack 4150 350. . 1 1 R Replace-(8) windows (3- North,2-South.3•West) Wing rm q. , . 5 10 InsbaN 10- CFL's (4bdtm, Mlvrm. 2-bath m7) Sdrm,Lvnn,HatNrm a 1 Replace refrlgenator (14 cu,ft) no ice maker Kt 0 I- 1 WX- Tats:. .. His 2 halal, (2) smoke. detectors (1- Living rm,1 -Hall) . Lynn/Hall :6 .25 His 1 Replace exhaust fan KR 60 H/S 1 LSW set-up charge Doors/Windows SO .50 H8S 1 Replace faucet Bathroom :,7. ,--- H/S -T*1• • dez) MATERIAL AND LABOR TOTAL FOR ALL PROGRAMS I L� 2)5 , Accepters Of rk Plan Completion Of Work Contracto . Date:,e,,- ,0Cortbactor. Date: i MFCS: Date: 1 /a MFCS: pate: 600 /ZOOe VC176Eb698E XVJ L3:9L OLOZ /8Z /L0 ■ . , . 5 ■ • t ■ ' . ' ' ■ ' : ,, , , I . i . ■ . i ■ . A .4:' h ‘ • . l i . L , 11.111: ,,, ,, ,, i „ ! „ ,• , 1, ill 1: 1 1 11,11111 1 R-- i i 1 I I, , II i i I 1 1 i 1 ih , , ii, 1 1 , , ; 1 p 1 . 1 ' I 1 1 I I / 1 i 1 1 1 1 11 11 '1 1 I 1 • I I I 1 I I I I 1 1 ACORD,, CERTIFICATE OF LIABILITY INSURANCE MCNEA -1 1 OPID p � DATE(MMWDD/YYYY) 01/15/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Capital Partners Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 298 3 . Nova Road, Suite F ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ormond Beach FL 32174 Phone: 386 -672 -2827 Fax: 386 -672 -5156 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Mid- Continent Casualty Co INSURER B: Travelers 27 998 McNeal & White Contractors Inc INSURER C: Bridgefield Employers Insursnc 420 N Boundary Ave INSURERD: M id- Continent Casualty Co Deland FL 32720 y INSURER E: old Dominion Insurance company 40231 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MK RUM PO EFFECTIVE PO LICY R LTR INSRC TYPE OF INSURANCE POLICY NUMBER GATE (MMIDD/YY) D ATE (M IDDIY`f} LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1000000 A X COMMERCIAL GENERAL LIABILITY 04GL000751398 03/29/09 03/29/10 P MI 8500000 I CLAIMS MADE I X I OCCUR MED EXP (My one person) $ 1000 0 A X Contractual Liab PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGO 8 2000000 — 1 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 B ANY AUTO BA6505M505 09/17/09 09/17/10 (Ea accident) X ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: qGG S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ —) OCCUR I I CLAIMS MADE AGGREGATE $ DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND WC 81 A FU- fH- EMPLOYER$'UA9ILITY X (TORY LIMITS �ER C AN fETOIT/PAATNERIEXECUTIVE 830 -29309 05/29/09 05/29/10 E.L. EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? If yyssa, desaibe under = -� E.L. DISEASE - FA EMPLOYEE $ 1000000 8 ECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER D Inland Marine 04IM32860 03/29/09 03/29/10 Loc. /Dis. 100,000 A Pollution CPL13766144 11/17/09 11/17/10 Pollution 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS Carpentry/Masonry/GC: Residential/Commercial CERTIFICATE HOLDER CANCELLATION C I TYZE P SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN CITY OF ZEPHYRHILLS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL BUILDING DEPT 5335 8TH ST IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ZEPHYRHILLS FL 33542 REPRESENTA ES. AUTHORIZE ACORD 25 (2001!08) ® ACORD CORPORATION 1988 . . I MI CI -Z H 1.4 , ...- 1 , r.• • . 4 _, : 0 Ifl g ti t i,ai,1,1 I II , rs... -4 t cr Cr 10- k ft4 m 'lib 14 ts1 la` 0! ID ■ O' -, 0 ak P..! : • o . : trJ74t1I417' 0 =0 *co'. " 1I- d,...-. 0• ..,-.. • :„ • ItIA:.,r,,i,„ - .-. , g9",,:,.., k . r . . /11 1.11+q', • 11. a' _... t t• r , m• , II 4 tri of o n - .:- . 0t. :, x =v r-t-..-f. '7 . • ww- , - t •• w e/ z i.. .. . ; sld : - '',.:).• • Pi OM I-I 0 .,._., ti .., : 2 H -, 0 ' 0 Lai ri)_ , o 0 0I a So .., tn ,, - , . Pc/0. I .; : t GO t " .. '",:t013" act - •al t,:.: ---., 0: • i, NJ ' ' 01 I'D ..crI c74" • ., -• , c)03 ' ri ik 1.) -- ' ' --IHH C (A)til Z 41. -< - , , • to 0 l id rn H I- 4 m 0 r 6- Otti . 4°. MO) Zrn LOH HO ZZ 0 0 IV 004 Ootli WC) 0 tio cam H tli L H OM 0 XI tn Z Di 0) H m XI e .4e, r. g . . u I--. h.) 0 W 0 0 0 0 co THIS RECEIPT IS FURNIS1'a- IN PURSUANCE O .......,‘MTY ORDINANCE 79.51 FLORIDA LAN REQUIRES TANGIBLE PERSONAL PROPERTY TAX RETURN PRIOR TO APRIL 1ST EACH YEAR. STATE OF FLORIDA VOLUSIA COUNTY BUSINESS TAX RECEIPT LOCATION . DUE SEPT. 1st. This receipt represents a business tax only, it is not a com- gti petency card and is not meant to be a certification of the holders abil- 'cull ACCOUNT NUMBER ity to perform the service in which he is licensed, i§ The Individual or firm named below is hereby authorized to engage in the business, profession or occupation at address --...T.° SECTION OF LAW stated for period ending on the 30th day of September, The issuance of this business tax receipt does not constitute a permit to act in violation of any county codes, regulations, or - ILI ordinances. Its WI .4 4vt , X14 V5' 0.3 IME NUMBINIS COUNTY NUSWERS AREA CITT NUMBER ,,. 1 , ... Pasco County Parcel: 14- 26 -21- 0010 - 00400 -0040 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, January 23, 2010 Parcel ID 14 26 - 21- 0010 - 00400 -0040 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Final 2009 Value MIHULEC DANA E Ag Land $0 4935 17TH ST Land $18,612 ZEPHYRHILLS FL 33542 -6021 Building Physical Address $12,681 Extra Features $881 4935 17TH ST ZEPHYRHILLS FL 33542 -6022 Market Value $32,174 Assessed (Save Our Homes) $25,100 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 MOORES ADDITION Non- School Additional Homestead Exemption - $0 PB 1 PG 57 LOT 4 BLOCK 4 Taxable Value $100 OR 3416 PG 135 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. I Land Detail (Card: 001 of 001) Line I Use (IDescriptionll Zoning Ir Units _II Type II Price 11 Condition I Value 1 0100 SFR 00R3 1 6,600.00 II SF I $2.82 I 1.00 II $18,612 Additional Land Information Acres II 0.15 I Tax Area I 30ZH I FEMA Code I X I Residential Code I ZHLGLP7 I l Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1930 Stories 1.0 Exterior Wall 1 Above Average 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 Pine or Soft Wood Flooring 2 None Fuel Gas Heat Convection A/C Window Unit Baths 1.0 Line II Descri II Sq. Feet II Repl. Cost New 1 II 888 I I $47,490 I I 2 (I FOP II 96 I I $1,284 I Extra Features (Card: 001 of 001) Lin a 11 11 Description 1 1 1 1 Year 2002 11 Units II Value U 11 $313 I 2 CLFENCE I 2003 II 396 11 $568 1 Sales History i I Previous Owner 11 MIHULEC DOROTHY Year II Month 11 Book /Page II Type II Amount I 1995 11 04 II 3416 / 0135 11 Qc II $0 l 1978 12 lI 0982 / 0705 1 I $ ( I 1973 II 01 II 0695 / 0494 I I $13,200 I http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 14 &twn= 26 &rng=21 &sbb= 0010 &b... 1/25/2010 01/28/2010 15:57 FAX 3869439434 006/009` ALL WORK SHALL COMPLY WITH v > : , r ; , U 10 ` 'L DABUILIING a a F c . 9 1: 1. .' H G C CODE is ?rJ o e a N a te a A'a 71 o i . • • +,n a 1R DINANC VERSION -2007 3' _ II g . R - , - � q h 1 4a e z rt p I L r g i ;. : �, a ak C i. T p 4 ; 'B k '�J 13,i II 1!. 1 li i 2• _ � m s V - I1�III . : 1 t CI p . - YR " m co 3740 ALUM SINGIg . -4.."211 ' TI7.17! ':.M afl F11i LIIIJU1Lf■ = 8 f . +4 0 Flan . " � 111 - ii k� td' U LLI1LI1 , — `> 0l -47 ; ". �� ; N 740/3 In f- 1011iIi i i 1 ■ Tl L 11111 m z 8455.1 +asl 7 4 0 '•rle r � - -.r m 845 ;40/ 740/3 : o L1iii 555.4 1740/3740 r le m ' S m z o 84 +3 sr -4n a m f N. m I o 8465.5 ' 740/3740 c � rle� � , e IkI Ii i il hII II N! UIII ' D +301 -30 ,- 11527.1 740/3740 Fin rr* • 2 I�fi�_s�r nrra�i7 i �' m 7ic�m■ z : m °° +35145 ? _ Healed Sash 9 ` ' 1, zc» 740/3740 Fin Frame Oriel �0Single Glazed 3116" Annealed " "' z a c 11827.20 �, ,., _ +40/-40 soled Sash v o r g v r` 74013740 Finless Frame Inautated 1i8 Annealed c3 11827.3 +45,45 ... 11827.4 740/3740 Finless Frame Oriel • ? 1 Insulated 1/8" Annealed +40/40 11 927.6 740/3740 Flange Frame Oriel 48 Insulated fir Annealed +301 -30 11827.6 - 740/3740 FInless/Flange 62x 1 Insulated 1/8" Annealed +40/40 see ttachmsnt AAMA Certification +401 -47.2 3740 Picture Window AP Sp/ eq* - Product Model # or Name Mod Description 11825,1 740 Fin Frame 73x7 • Single Glazed 3/16" Tempered +60 / -a0 11825,2 740 Flange Frame 73x71 Ingle Blazed 3/16" Tempered *50/ -50 7092.1 740 Aluminum Window 73x71 Ingle Glazed 3/16" Tempered Fen Frame 7092.2 1 740 Aluminum Window 73x71 - ngle Glazed 3/16" Tempered ,Flange Frame I Technical Documents Required by , e Florida Building Code 1 1)Struetural- The strength of the product. - ries,type,sizo, and application of window will effect Florida Approval Number. =far to Model # and Description 2) Installation Certification- Installation R • uirements to pass inspection. 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SaderillblitHilithiseidal BNder eftd.FIxed Windows • Series MO Hadiginbil Siderand Pined Windows NOTE; SEE INDNIOUALTEST REPORT(8i FOR OP R PII SAIND MMIMUM ALLOWABLE SIZES. t a �_ rr Better fit Windows 8. Doom appreciates your recent purchase of a maintenance free pdrne window, which will not rust, rot, mildew, or warp. This is a quullty productrtbst left oar factory in good condition - proper handling and installation are just as important as good design end workmanship. Please follow these recommendations 10 ollevithis product to complete its hmction, 1 Handle units one at a time In the closed and locked poslikin and take nare not to scratch irate* or glass Or to bend the nano Iln. Place a , ontInuuus bead of calk on the backside of nail fin (mounting flange). 2. Sat unit plumb end square into opening and make sure mat there Is 3/18" + 1/1e" clearance around the trams. Fasten unit into opening in the cooed and loomed position, meeting are that fasteners are screwed_ In straight in order to avoid twisting or boating at tits frame. Make sure that sill Is straight and level_ Check operation:of unit frequently as fasteners ana set. 3. Use # 8 sheet metal or wood screws with a minimum of 1`. penetration into ale framing (stud) Place brat screws (Iwo at each corner) 3' from end of fin. For positive and negative DPs (design pressures) up to 35, do not exceed 24" spacing of additional screws. For DPa from 3b:1 to e0, do not exceed 18" spacing. 4. Caulk entire perimeter of fin to mounting surface jt'ltrtt and c atclk over screw heads. Nate: this step can be elimineted It 4" wide adhesive type:fleshing is used (911l 1., jambs 2 head 3 5. Fill voids bebeeen frame and Construction with loose beaten type in.uteeon or non aerosol roam specifics/Ay fo muliatad for windows and doors to eliminate Matte This use of memedbg aerosol type insulating foam, which can bow the frame, waives situated warranties. 8. Remove plaster, mortar, paint, and debris that has Collected on the unit and make sure Mat aash/vent tracks and Interlocks are also dean_ Do not use shrew*, solvents, ammonia, vinegar, alkerine, or acid solutions tor clean -up. tiePeCidly Veith insulated glass trilbies emir use could cause chemical breakdown of the glass seal. Take care nat to scratch glass; sataches severely weaken glass and it could eventually break from thermal won and ooncradlon,:Cloen units with wetter and mild detergent. • • CAUTION - Banwr ilt Windows & Doors or hs representatives are unable to consul and cannot assume responsibikly for the seieceon and plummet of their products in a busdmp er liftable in a monger required by Iaw$. st kdtes. endlor binding codes, The purchaser Is solaly responsible for of and adhere= to the same, Bastille window products are not pro ided with sNfely glazing unless � ordeeadwlt such. Many laws and codes reguim safely glazing (tempered glass) near doors, bathetic,. led ehnwar NrMgsures. Aioa be aware of otter cods requirements such as eglerpinvy egress end structural / enlaewep!Aa 1e , . Corporate Heodquartera; , ca' . ► FrC : www.mihp.aom Mi. Horn Pr •4r s i i l7 et. • 850 West Market St 'b ' No. 5 779,5 : i• Great, PA 17030 -0370 � d,h 2 � �- F,: >a (717) 385.3300 •e : STATE OF, R••. �,nY zq atty.. s .0 •, xE a tip; •�,�'� • 01/28/2010 15:58 FAX 3869439434 11008 /009 m • - N itt 1111 1 P1 12 IQ t r i ' 121E1 a i! :I: li Fill 1* ti a 41 s , _ lit . I 1 1 - • fri 1. - T i ! 4 i x ''.-':'. r- l' s . - isi . -t- st • ,t: 4 ' ' - 10'd - 1:11U1 R r g R� i : ' 13E1 _ _ _ _ ' *-i A J //yy ��•• r N u �5y R � ; �� i € rr 3 ,. , _ . _ _ �. _ ' , , VIE; ti rinks ,Nrl� J : `. • . 1 . -1 .� ' ' R r - _ -• .. .. r 1 t ,.11._ 1, .,• i al . It! - ,i - A : -IT 1 i '" 1171 V11;1 _z - '''' • • 1. '.• ' 4 • • • ' � 1 / will not -� � ' �t �s hand •_erf[I CO .. . ., ---. • - • elyt • • . .. 1 I. - Reese . i . , .. .. Kt these at 1 Han • � z T p : • . . - . . . � , ►r .. ' fra o or glass Hell fin (Mounting flange). 2. Set Plum' ands p • _. T e surr'ttiat tr I� 3/�8� Ma Fasten unit irhto opening in the - od and lotted - to to tens the 4 "' • - straight in order to a ' A= that fasteners are • level Check • • .. t>e Astl �- r • - nets attest e. Moles sure that i straight and 3. use 0 e sheet metal or wood - with • m • -, of 1 penetration into the framing (stud) Place first screws (two at each comer) 3' • rn and • fin, For and naiades DPa (design pressures) up k3 e xceed 24" 'peeing • a • • r • 1 stews. F. 1 P. from 36a to 50. do not exceed 18" spacing. 4. Caulk entire perimeter of fln to • • Surface jolrlt and - over screw heads. Note: this step can be slim - - • It 4" adhesive type , nQ is used (eMI l jambe 2"„ head 3".). . 6. Fill voids batman frame and -• n . • r • with loose team inaulstion or ran Yearn specifically formulated • wino- - and doors to etintlnate • rafts_ Thar u.. of aerosol type insulating foam, which bow , : frame. waives stlfsfated noes. B. Remove piaster, mortar, paint and • - • '- that has cotes on the and mate Sure that sash/vent tracks and Interlocks are also • - , • not use a braslMe4, solvents. '- . vinegar. alkaCrne, or acid solutions for then-up, _ ' • - • with insulated glass onuses their use cool • — - thorniest breakdown �e east Horn ire not • scratch glees; scratches Severely -.- ksn glass and it could • and oontraellor ,.Giant units with water • mild detergent. CAUT1ON — J C B atisrBUt Windows & Doors or Its repo - . - are unable to control and cannot assume re3 selection and piecemeal of their produces a bui pat+ us% For the eultding codes. The purchaser Is sot wilding or s in a manner required by laws, stsfiulec, Mfd/or solely ptattsible for b� ��r f and adherence to the same, Better8ilt wlnddw products are net pro e : d • glazing unlace ardsradvwifb such. Many laws and codes regular safety glazing (tempered a r doors, bathtubs, lid shower acres. 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It 'T *- %ri• trr Irs_t 4t Ear N • i w Ili rr ..t 1 11 a I • i{ i . _ ► ii h i • :RI' ,,.;� _ 91 1 I .! • i i TOTAL P. 4.14. 4 nt ;cl. 22 -LO -OLOZ 01/28/2010 15:57 FAX 3869439434 2006 ALL WORK SHALL COMPLY WI T AL L PREVAILING CODES, FLORIDA BUILDING CODE, NATIONAL ELECTRIC CODE CITY OF ZEPHYRHILLS ORDINANCES VERSION -2007 BETTER GILT WINDOWS AND DOORS FLORIDA BUILDING APPROVAL NUMBERS 1100A141 ' 11 1 I REVIEW DATE CITY OF ZEPHYRHILI 3740 ALUM SINGLE HUNG PLANS EXAMINER fr Ap . : _ , Product Model it or Name Model Description i ' 40 Flan Frame 62x71 Single Glaze 4 Tl990 +401 -47.2e 8466.1 740/3740 Finless Frame 367102 insulated +451-50 740/3740 Oriel Fin Frame 48x90 single Glazed 3116" Annealed I +40/ -40 _ - 1740l3740 Oriel Fin Frame 48x00 Insulated $do6.4 .36/ -40 84b8.5 740/3740 Oriel Flange 45x50 Insulated +30/ 74013740 Fin Frame Oriel 48x90 insulated 118" Tempered Fixed 11827.1 +35/45 Annealed Sash 11827.20 74013740 Fin Frame Oriel 49x90 Single Glazed 3/16" Annealed Annealed Sash 11827.3 740/3740 Finless Frame 36 x62 InIul*ted1/8" Annealed +451.4b . 11827.4 740/5740 Finless Frame Oriel 62x71 Insulated Ur Annealed +40/40 11827.6 74013740 Flan a Frame Oriel 4800 Insulated li r Annealed — - +301 -30 740/3740 Finless/Flange 62x71 insulated 110" Annealed 11827.6 +40 %40 see attachment LAMA certification +401 -47.2 3740 Picture Window Product Model or Name Model Description 11825:1 740 Fin Frame 73x71 Single Glazed 3/18" Tempered +60/ -60 740 Flange Frame � - 73*71 Single Glazed 3/16" Tempe 11825,2 +50/-50 7092.1 1740 Aluminum Window 73x71 Single Glazed 3!16" Tempered Fin I Fm 740 Al Window 73x71 Single Glazed " Tempered 7092.2 Flange Frame Technical Documents Required by the Florida Budding Code 1)Structural- The strength of the product Series,typersizo, and application of window will effect Florida Approval Number. Refer to Model* and Description 2) Installation Certification- installation Requirements to pass inspection. Additional information may be found at MIWD.corn or tiorldabuilding.org Page 1 of 4 4 7/L d 62:S1 9Z_LO-QWZ