HomeMy WebLinkAbout12-12929 ,
CITY OF ZEPHYRHILLS �
• " 5335-8TH STREET
(sis)�so-oo20 12929
BUILDING PERMIT
Permit Number: 12929 Address: 7906 MERCHANTVILLE CIR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CRESNIEW HILLS
Est. Value: Parcel Number: 35-25-21-0120-00000-1370
Improv. Cost: 17,588.00
Date Issued: 5/07/2012 Name: WORKFORCE HOUSING VENTURES INC
Total Fees: 292.50 Address: P.O. BOX 948
Amount Paid: 292.50 DADE CITY FL 33526-0948
Date Paid: 5/07/2012 Phone:
Work Desc: REHABILITATION MINOR EXTERIOR/INTERIOR HOME
RG MCCARTY&SONS INC PLUMBING FEE 60.00
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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 e�ctra 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� 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.
"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."
Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CO CTOR SI NA RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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; �� PASCO COUNTY, FLORIDA
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� �wnm�i��nn�i�����w�nm��� ��m��n
�� 'i DADE CITY (352)521-4274, Ext. 3445 PASCO COUNTY COMMUNITY
' �_ LAND O' LAKES (813)996-7341 Ext.3445 DEVELOPMENT DIVISION
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`� + ' NEW PORT RICHEY (727)834-3445 5640 MAIN STREET,SUITE 200
� � • FAX (727)834-3450 NEW PORT RICHEY, FL 34652
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"Bringing Opportunities.�fome"
REHABILITATION PROGRAM
ALL WORK SHALL COi�IP;LY WITH ALL
Rehabilitation Bid Proposal for: Workforce Housin Ve ��I�G CODES,FLOKIDABUILDING
7906 Merchantville Circ �� ���AL ELECTRIC CODEAND
Zephvrhills, FL 33540 -'��rLr-'IJY�uTT T�p�'��qNCES
Case # 10-6169
Date Due: March 2, 2012
Contractor's name: S.C. Si�nature Construction, Corp. ���t;��ni nn,.,�-y�_L',� ' (�i
Address: 8530 Oreto Dr. Port Riche FL 346 �- � ______„_.
PROPOSAL
�'L�N� E�C�i�Vllyd�� I��
I, the undersigned contractor, having inspected the above referenced property; and '.having familiarized
myself with the requirement set forth in the work write-up, rehabilitation standards, and plans of the
above-referenced; and I understand the extent and character of the work to be performed, propose to
furnish all labor, equipment, and material to accomplish all work as described in the work write-up.
INITIAL PROJECT TOTAL $ 14,888.00
ADDENDUM TOTAL $ 2,700.00
TOTAL $ 17,588.00
OPTION #1 $ t
For the sum of Seventeen Thousand Five Hundred Eightv-Ei�ht dollars
($ 17,588.00 ), with an itemized breakdown on the attached work write-up, to form this
proposaL If my bid is accepted, I will commence work within seven(7)calendar days after the Notice to
Proceed is issued and will complete the work within Forty-five (45) calendar days after the Notice to
Proceed is issued.
Indicate percentage amount that will be used for profit and overhead for allowance items only
20 %.
COMMENTS:
Authorized Signature
Title
NOTE: This sheet must be attached to work write-up with the itemized breakdowns written in their
appropriate spaces in order for us to consider your bid.
PLEASE NOTE: Pasco County Community Development Division will re,ject bids with
inaccurate totals exceeding 2% and line items with no dollar amount.
GDR/EFP/EF/gs
'1r`'asco County—�FCorida's premier county for 6alancedeconomicgrowt(z, envaronmentaCsustaina6iCty, andfirst-cCass services."
� UNLESS OTHERWISE NOTED, ALL WORK IN THIS WRITE-17P TO FOLLOW
� ' THE STA`NDARDS AND GUIDELLINES SET IN BID SPECIFICATIONS 2011
SPEC # DESCRIPTION OF THE WORK LOCATION COST
EXTERIOR WORK
6 STEPS
Replace all broken pavers on entry walkway. Exterior
8 MASONRY WALL REPAIR
Saw-cut grind approximately (30) L.F. of existing masonry
wall cracks to a minimum width and depth of 1/16" X '/2".
Fill voids with a premium quality two-part concrete epoxy
and texture to match existing masonry finishes. Include
texture to match existing masonry finishes. Include texturing
exterior finishes as needed due to removals and alterations.
Fill properly prepared surfaces with an approved 2 part concrete
epoxy filler. Epoxy. To be applied following all manufactures
installation instructions. After allowing for manufactures
recommended curing time, texture finish all affected areas to
match surrounding finishes. Entire Hause
9 CONCRETE SLAB
Replace missing concrete at threshold of front door. Texture
to match existing. Exterior
37 EXTERIOR DOORS
Provide and install new handle set knob. All doors to
be keyed alike. All hardware and handle set knob
to be nickel in color. Front Errtry
Provide and install new lever lock. All doors to
be keyed alike. All hardware and lever locks
to be nickel in color. Garage/:[nterior
Provide and install new side light glass, to match existing one. Exterior
Adjust screen doors so that it slides properly. (2) Exterior
PAGE TOTAL:
NAME: CASE #10-6169 7906 Merchantville DATE: 03/08/12 PAGE: #1
Rev.3/10/11
SPEC # DESCRIPTION OF THE WORK LOCATION COST
39 SCREEN -RESCREEN
Install new dark charcoal fiberglass screen and proper spline.
Mesh size to be 18/14. All windows and sliding screen doors.
Include replacing broken screen frame at front of house. Exterior
72 GARAGE DOOR AND FRAMING
Provide 2 new remotes for existing garage door opener. Garage
78 ELECTRICAL
See Interior spec. #78 for re-lamping information Information Only
87 PAINTING- GENERAL SPECIFICATIONS
Pressure clean, scrape and prepare exterior for painting.
Repair all cracks and holes. Remove all nails, brackets,
screws, etc. Paint the entire exterior of the house and
retaining walls, including all exposed wood, concrete,
stucco, masonry and ferrous metal. All newly installed
wood shall receive one coat of primer or undercoat and
two coats of semi-gloss paint. Color to be Daybreak Sun
ECC-11-1U color off Behr paint chart. Paint to be
Elastomeric semi-gloss or equal paint. Include the
Painting of all exterior doors. Exterior
Include the painting of soffit and fascia. Color to be Pure
White. Info Only Info Only
Pressure clean all sidewalks, walkways, slabs,
aprons, driveway, walkway and front porch, back porch,
wall in back yard, mail box post. Info Only Info Only
Cut crack and epoxy before painting. Paint back porch
with epoxy paint. Color to be light tan. Exterior
88 LANDSCAPING
Install landscaping in the front yard as directed
by the housing specialist. The allowance for this item. Front Y�ard $400.00
Provide inspection of the existing irrigation system to determine
if it is operating properly. At this point, if any serious deficiencies
are found, they will be submitted on a written itemized proposal to
the Housing Specialist. If an approved change order is issued, the
repairs will proceed. This is an allowance item. Exterior $200.00
PAGE TOTAL:
CUM TOTAL:
NAME: CASE #10-6169 7906 Merchantville DATE: 03/08/12 PAGE: #2
Rev.3/10/11
SPEC # DESCRIPTION OF THE WORK LOCATIUN COST
90 MAIL BOX
Furnish and install a new mail box to our bid specs.
White in color, mailbox to match existing ones' in area. Exterior
PAGE TOTAL:
PROJECT EXTERIOR T"OTAL:
NOTE: OWNER WILL PROVIDE A STANDARD BI-WEEKLY POOL SERVIC�;. CONTRACTOR WILL
BE RESPONSIBLE FOR COVERING AS WELL AS MAINTAINING A CLEAN POOL FOR THE
DURATION OF THIS PROJECT. ANY DAMAGE CAUSED WILL BE REPAIRED BY A LICENSED POOL
CONTRACTOR AT THE EXPENSE OF OUR REHABILITATION CONTRACTOR.
INFORMATION ONLY
INTERIOR WORK
19 FLOOR COVERING /CARPET
After the removal of existing flooring, install new carpeting to
manufactures instructions. The carpet shall be (30) ounce, stain
resistant over a minimum of 1/2 inch re-bond, FHA approved.
The installation shall be in an approved manner. All tack strips,
metal accessories, etc., are included in this specification. The
carpet shall be first quality, no seconds will be accepted. Product
documentation will be provided by the contractor prior to Hallway/
installation. Included are all closets opening into newly Living Raom/
carpeted areas. Bedrooms (4)
22 FLOOR COVERING /CERAMIC
Install new ceramic tile floor to manufactures recommendation.
Assume cost of tile to be installed at $2.00 per sq. foot of area.
Entryway to Living Room, Dining Room, Nook and Kitchen,
Laundry Room, Pantry, Hallway and Hall Bathroom, Kids Bath
Hall Closet. Tiled Areas
Note: Existing ceramic tile to remain, use caution. Information only
25 BASE & SHOE MOLDING
Install new wood shoe molding on all walls
in newly floored areas. When new base is installed Newly
over flooring, no shoe is required. Tiled Areas
PAGE TOTAL:
NAME: CASE #10-6169 7906 Merchantville DATE: 03/08/12 PAGE: #3
Rev.3/10/11
SPF.0 # DESCRIPTI,ON OF THE WORK LOCATION COST
36 WINDOW REPAIR
Repair the existing windows to proper operating condition.
This includes closers, springs, weather stripping, and sashes. Interior
57 WALL AND CEILING FINISH-REPAIR WORK (INTERIOR)
Remove the existing damaged areas and repair to match existing
surface. See Bid Specs 2011 Interior
64 FIXTURE SET
Furnish and install a new ceramic fixture set. Color to be Hall Bath/
match existing. Kids Batl-�
69 INTERIOR DOORS
Adjust all doors so that they open and close and lock correctly. All Doors
Provide and install new door stops. Color to be nickel. All Doors
Provide and install new panel bi-fold door and track. Pantry
73 CABINET -VANITY
Provide and install new pulls and handles. Color to be nickel. All Bathrooms
Re-caulk sinks, counter tops, tub and shower areas. All Bathrooms
75 CABINETS - KITCHEN/ COUNTER TOP
Provide and install new pulls and handles for doors
and drawers. Color to be nickeL Include the removal
of all child locks. Kitchen
Re-caulk counter top. Kitchen
78 ELECTRICAL
Install new hardwired smoke detectors and
combination smoke/carbon monoxide detectors. To Code
Provide and install new switches and outlets, co-axel covers
that are broken or discolored.. Bedrooms
Install a new ceiling fan with light and 12"extension bar .
Assume the cost of the light fixture to be $95.00. Middle Bedroom
PAGE TOTAL:
CUM TOTAL:
NAME: CASE #10-6169 7906 Merchantville DATE: 03/08/12 PAGE: #4
Rev.3/10/i l
SP�C # DESCRIPTLON O�' THE WORK LOCATION COST
78 EL�CTRICAL CONTINUED
Install a new ceiling fan with light and 36"extension bar.
Assume the cost of the light fixture to be $95.00. Living Room
Install a new light kit on to fan.
Assume the cost of the light fixture to be $35.00. M. Bedroom
Re-lamp all new and existing fixtures with standard
energy efficient bulbs. Recessed lighting to receive
R-30 energy efficient bulbs. Entire House
79 H.V.A.C.
Provide standard maintenance/service to the existing air handler&
condensing unit. Include coil cleaning and new filters in price.
Provide documentation if unit needs repair. Interior
80/81 PLUMBING-GENERAL SPECIFICATIONS
PLUMBING FIXTURES
Install a new heavy duty stainless steel double compartment deep
bowl sink. Sink shall be installed complete with supplies, faucets,
fittings, traps, etc.. Supplies must be equipped with stop valves. Kitchen
Furnish and install a new 1/2 H.P. garbage disposal. Kitchen
Clean out all p traps and drains. Entire Ho�se
82 MAJOR APPLIANCES
Furnish and install a new 21 cubic foot refrigerator with
ice maker. The cost of the refrigerator to be $750.00 Kitchen
Furnish and install a new dish washer.
The cost of the dish washer to be $250.00. Kitchen
All appliances to match existing brand and energy star. Info Only Info Only
85 PEST EXTERMINATION
Inspect house for termite and/or other insect infestation.
If active infestation is found, treatment will be completed
by change order. Contractor to furnish a inspection report. Entire House
PAGE TOTAL:
CUM TO'TAL:
NAME: CASE #10-6169 7906 Merchantville DATE: 03/08/12 PAGE: #5
Rev.3/10/I 1
SPEC # DESCRIPTION O� THE WORK LOCATIUN COST
87 PAINTING- GENERAL SPECIFICATIONS
Plug, patch and paint the entire interior of the building
including all walls, ceilings, doors, trim, and baseboard
in accordance with the requirements of this section.
Stained ceilings are to be prepared properly to insure
coverage of final coat. All wallpaper to be removed,
walls properly prepared and painted. Include the painting
of garage floor. Wall color to be Antique White 1823U,
color from Behr color chart. Garage floor to be light tan. Interior
Remove nails, brackets, hooks, screws not being used. Info Only
94 MISCELLANEOUS
Remove existing window treatment. Patch and paint to match
existing. Furnish and install 2" white wood faux blinds. Nook
Furnish and install 3.5" PVC white vertical blinds. (2) Sliding Glass Doors
Remove shelve and all brackets. Dining Room
Provide and install new toilet seats and covers. Bathrooms (3)
Provide and install chrome curved shower curtain rods. Bathroorr�s
CLEAN-UP
Remove all trash debris left by previous occupants.
Clean house completely ready for re-sale. Entire House
PERMITS AND FEES
PAGE TO fAL:
TOTAL INTERIOR AMOUNT:
TOTAL EXTERIOR AMOUNT:
TOTAL PROJECT AMOUNT:
IF ANY ENGINEERING IS REQUIRED TO COMPLETE THE WORK IN THIS WRITE
UP, OR TO GET A PERMIT, THE CONTRACTOR TO FURNISH IT.
NAME: CASE #10-6169 7906 Merchantville DATE: 03/08/12 PAGE: #6
Rev.3/10/11
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PASCO COUNTY COMMUNITY DEVELOP:MENT
ADDENDUM #1 TO BID SPECIFICATIONS
NAME: Workforce Housin�Ventures, Inc. DATE:Februarv 22,2012
ADDRESS: 7906 Merchantville Circle CASE NO.: 10-6169
ZeAhvrhills, FL 33540 DUE DATE: March 2, 2012
SPEC. DESCRIPTION OF WORK LOCATION COST
87 PAINTING- GENERAL SPECIFICATIONS
Pressure clean, scrape and prepare exterior for painting.
Repair all cracks and holes. Remove all nails, brackets,
screws, etc. Paint the entire exterior of the house and
retaining walls, including all exposed wood, concrete,
stucco, masonry and ferrous metal. All newly installed
wood shall receive one coat of primer or undercoat and
two coats of semi-gloss paint. Color to be Daybreak Sun
ECC-11-1 U color off Behr paint chart. Paint to be
Elastomeric semi-gloss or equal paint. Include the
Painting of all exterior doors. Exterior Delete
PAGE TOTAL: 0
CASE #10-6169 7906 Merchantville 3/8/2012 PAGE 1
SPEC. DESCRIPTION OF WORK LOCATION COST
87 PAINTING- GENERAL SPECIFICATIONS
Pressure clean, scrape and prepare exterior for painting,
by following the paint manufactures recommended
preparation instructions. Apply a primer to the whole exterior
of the surfaces to be painted, primer to be specific to the surface
being applied to. When primer has set, paint the entire exterior
of the house, including all exposed wood, concrete, stucco
masonry and ferrous metal. Paint with two (2) coats of 100% acrylic
elastomeric paint, follow manufactures recommended drying time
between coats. Paint coating thickness shall be a min. Smm per coat.
The roller and brush method of application will only be used on this
building to assure the proper penetration and thickness of the paint
coatings. No spraying will be permitted on the exterior.
Contractor to advise the Housing Specialist of the start time
of this process. All materials must be verified by the Housing
Specialist and inspected between coatings. Failure to notify
the Housing Specialist, 2 days lead time, and starting the paint
process without prior approval, will result in the work being rejected
and the process starting from the beginning at the contractors expense.
Contractor to furnish manufactures preparation and application
recommendation specifications of all products used, to the Housing
Specialist prior to the start of the primer process. Exterior
Color of body to be Daybreak Sun ECC-11-1U and trim
color to be pure white colors are off Behr paint chart.
Include painting of soffit and fascia, overhead garage door. Info Only
PAGE TOTAL:
GDR/EP/EF ADDENDUM TOTAL:
CASE #10-6169 7906 Merchantville 3/8/2012 PAGE 2
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City of Zephyrhills
BUILDING PLAN REVIEW CONIlv�NTS
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` ontra omeowner: . � � �, � � �U .
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Date Received: ,� .�,� ��
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Site: �,��G'C� `�/ 1 v.���"����/� � .
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Permit Type: , - - �
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: �
v� c�,� �111 �
This comment sheet sha11 be kept with the pennit andlor plans.
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Kal ' Swi ans Examiner Date ontrac and/or Homeowner
(Req ed when comments are present)
Pasco County Parcel: 3$-25-21-0120-00000-1370 001 Page 1 of 1
r Data Current as Of: Weekly Archive - Saturday, March 24, 2012
Parcel ID 35-25-21-0120-00000-1370 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
WORKFORCE HOUSING VENTURES INC Ag Land $0
PO BOX 948 Land $15,561
DADE CITY FL 33526-0948 Building $63,724
Physical Address extra Features $950
7906 MERCHANNILLE CIR
ZEPHYRHILLS FL 33540-2073 )ustValue �80,235
L@Oal D@SCCIDt1011 (First 4 Lines) Assessed (Non-School Amendment 1) $80,235
See Plat for this Subdivision ��'" Taxable Value ;80,235
CRESNIEW HILLS
PB 53 PG 124 LOT 137
OR 8466 PG 1404
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�1 0100 SFR OPUD 6,300.00 � $2.47 1.00 $15,561
Additional Land Information
Acres 0.14 Tax Area OZH FEMA Code -- R�sidential Code CVHLLPl
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 2005 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wali 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Ceramic Clay Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 3.0
Line Description Sq. Feet Repl. Cost New
1 BAS 1,808 $62,647
2 FOP 156 �— $1,351
3 F�,R 380 �— $5,267 �
Extra Features (Card: 001 of 001)
Line Description Year Units � Value
1 DWSWC 2005 478 r $950
Sales History
Previous Owner PASCO COUNTY
Year Month Book/Page Type Amount
2010 11 8466/ 1404 W D $107,000
2010 05 8441 / 1741 WD $107,000
2010 03 8297/0783 �� $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=35&twn=25&rng=21&sbb=0120&b... 3/27/2012
eis-zaaoozo City of Zephyrhills Permit Application Fax-813-780-0021 �
, Building Department
, Date Received � � � ^�
r� r� � � r� Phone ConWct br Permittin /�7 ya -s� 3
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Owner's Name `�, -bwner Phone Number '
Owners Address �N(, 94 � Z� Owner Phone Number ��
Fee Simple Titleholder Name Owner Phone Number ��
Fee Simple Titleholder Address �
JOB ADDRESS l/�/� (I�. Z I{► LOT# [ (��
SUBDNISION �,W � PARCEL ID# �L � 1 � OIZ,V ' �J�
(OBTAINED FROM PROPERTV TAX NOTICE)
WORK PROPOSED B NEW CONSTR n ADD/ALT O SIGN Q Q DEMOLISH
INSTALL S� REPAIR
PROPOSED USE � SFR Q COMM � OTHER �
TYPE OFCONSTRUCTION BLOCK Q FRAME � STEEL Q �—�
DESCRIPTION OF WORK �C�v� �����oY� �
BUILDING SIZE SQ FOOTAGE� HEIGHT ��
�BUILDING $ 'G. // (d, � VALUATION OF TOTAL CONSTRUCTION
aJ 1{alJ
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
.W
�PLUMBING $
��.c�; �r 2Ci"�Uf
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
'1
�GAS 0 ROOFING Q SPECIALTY O OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER � � COMPANY � .C. ��� '(,(�Y-�, ��K����� QY,j).
SIGNATURE � REGIS7ERED Y/ N EE CURRE� Y/N �
Address License# �{�'� ,�/�'� �3
ELECTRICIAN � � COMPANY �.Cf, mC�� � ���j��. Ot�
SIGNATURE REGISTERED Y/ N FEE CURRE Y/N
Address `� AYI�\� ✓OU..1 d �F�. 34t�b9 License# Cj'� � �`�
PLUMBER � COMPANY � S��/�� IL�Y� 'fl��� l���\
SIGNATURE REGISTERED Y/ N fEE CURREA Y/N
Address rp/ r �, 31c+.�np License# �d
MECHANICAL COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address �
License#
OTHER � COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construdion,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans wl Silt Fence installed,
Sanitary Facilities 8 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 len(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faalities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compli:3nce
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for a�l NEW construction.
Directions:
Fill out application completety
Owner&Contractor sign back of applica[ion,notarized
If over E2500,a Notice of Commencement is required. (A/C upgrades over 57500)
'" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovuner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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 undersignsd 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 identifieti 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-Welis, Cypress Bayheads, Wetland F�reas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastew<�ter 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"�nless 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 profes:sional 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, welis, 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,�;ancel,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 O�cial for a period not to exceed ninety(90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER R A TORNEY BEFO ECORDING YOUR TI O C MENCEM T.
FLORIOA JURAT(F.S.117. )
�' )
OWNER OR AGENT CONTRACTOR
Su scr ed and swo t r a irme before e t ' Su scri ed and sw (or ffirme bef ine t is
�
13 YL bY � �2 by -
Who�/are personall o n to r has/hav produce Who is re erso �kn�w�n D�m�or has/hav produced
as e tificahon as identiflcation.
- �N P����hc Nota Public
ommission No' �� NOTARY PUBLIC ommission No fs CHRIS�fINA PETRULLI
�-�STATE OF FLORI A BLIC
> o ,,,.,i
Name of Nota�� ci t �eam Name of Nota c LORIDA
ry yped,printed or stamped
yCE 19� Expires 12/20/2014 � 2 Cnmm#EE049411
�r:�9�� Expires 12120/2014
Pertnit No. . Parcel ID No.35-25-21-0120-00000-1370
, State of FLORIDA NOTICE OF COMM�NC AMC�NT �IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
2012040734
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accorclance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement:
1. Description of Property: Parcel identification No.CRESNIEW HILLS.PB 53 PG 124 lOT 137
Street Address: 7906 Merchantville Circle.Zeohvrhiils FL 33540-2066 Rcp4.:1421381 Rec: 10.00
2. General Description of Improvement: Minor Rehab DS: 0.00 I T: 0.00
03/13/12 5„ Pelt, Dpty Clerk
PRULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLEi
03/13/12 ���� 1PG� ����
3. Owner Information: Workforce Housina Ventures Inc a Florida not for orofit mm�r tion OR BK
Name
P.O.Bax 948 Dade Citv Zin Cod 33526 FL
Address C
� State
Interest in Property: Fee Simale
Name of Fee Simple Titleholder.
(If other than owner)
Address City State
4. Contractor: S.C SiQnature Construction Corn Mark Conner/Jce Matissek
Name
8530 Oreto Drive Port Ric:hev Zio Code-34668 FL
Add�ess City State
Contractors Telephone No.: 727.842.5163 Fax No• 727 A74 0009
5. Surety:
7Jame �
Address City State
Amount of Bond: $ Telephone No.
6. l.ender:
Name
Address City State
LendersTelephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Pasco Countv Communitv Develooment Attn• Ed Pfliener
Name
5�40 Main Street New Port Richev Zi�Code-34652 F�
Address �
�' State
Telephone Number of Designated Person: 727.834.3445
8. {n addit�x�to himseEf,the owner designates Ed Rftieaer andlor Eric�etroMr ot Rasca Cour�fy Cor�nun�y pev�op�t
9• to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner: 727.834.3445
10. Expiration date of Notice of Commencement is one year from the date of recording unless a different date is spec�ed:
WARIVING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTiCE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RE�ORQED A�lCI oOSTEn ON THE JOB SITE BEFORE TH ST INSPEC N. IF YOU INTEND OBTAIN FINANCING,CONSULT
WfTH YOUR LENDER OR AN ATTORNEY BEFORE C NCIN O ECORDING YO O IC F COi41MENCEMEiVT.
TATE OF F R ����P�e�,,� KARtN M.LLOYD
�� � '`��? Notary Public-State ot Florida
.
:�, o�; My Comm.Expues Nov 2,2014 Sign re of ner or Owners Autho' OfficedDirectoNPartner/Manager
�':;FO��.d;�•'� Commission+�EE 39453 C,�� ff L�
.,,.. GL� /Y�L`l�j
Signatory's Title/Office
he foregoing instrument was acknowledged before me this ��day of�y��L�Z�) ,20�2 by ('rl.t r D�c� �� S Q.i"Yl��
as �,�.QG1.Lfl I�'f �cr�c=t-�r (type of authority,e.g_,officer,trustee,attorney in fad)for
��� � r`x- �.z u s rn ��n`����� -��� ' (name of party o behalf of whom instrument was executedj.
ersonally Known �OR Produced Identification Notary Signature ;�1,y� �� . /��d
ype of Identification Produced Name(print)
erification pursuant to Section 92.525,Florida Statutes, Under penalties of pery'ury,t declare that I have r �d'fi'�fo 'ng and that the fads stated in
' are true fo the best of my knowledge and befief.
EPARED BY&RETURN TO�
P sco County Community Development Signature of atural Person Signing Abo
5 0 Main SVeet
N w Port Richey,Fl 34652
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