HomeMy WebLinkAbout12-13090 CITY OF ZEPHYRHILLS - �
� 5335-8111 STREET
(sis)�so-oozo 13090
' ' BUILDING PERMIT
Permit Number: 13090 Address: 39211 3RD AVE
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: ZEPHYR HEIGHTS
Est. Value: Parcei Number: 12-26-21-0030-00500-0100
Improv. Cost: 53,000.00
Date Issued: 5/23/2012 Name: KEYSTONE CHALLENGE FUND INC
Total Fees: 625.50 Address: 2005 S FLORIDA AVE
Amount Paid: 625.50 LAKELAND FL 33803
Date Paid: 5/23/2012 Phone:
Work Desc: REMODEL EXTERIOR/INTERIOR
ABOVE ELECTRIC LLC PLUMBING FEE 60.00 MECHANICAL FEE 60.00
COVENANT COMMUNITIES
ON�E AIR CONDITIONING&HEAT
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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 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.
"Warning to owner: Your failure to record a notice of aommencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,wnsult with your lender or an attorney
before reoording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
. �(/
CONTRACTOR SIGNATURE 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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2011 CONSTRUCTION WORK CONTRACT
ORK SHALL C0��1PI,Y WITH ALL
PREVAII,IN(7 CODES, FL,ORIDA BUILDING
NAME OF PROPERTY OWNER: Kevstone Challenqe Fund'ODE,T;�ATIJti`AL ELECTRIC CODE AND
CITY OF 7_.EPFIYRIITLLS 0_RDINANCES
JOB ADDRESS: 39211 3'�Ave.
Zeqhvrhills, FL 33542
CASE NUMBER• 10-6477 ��;�t`j������;�t,�.�
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THIS CONTRACT, made this 25th day of Aqril, 2012, is befinreen tf��-��`c�C�&t� _C�iall�e
Fund, and the Contractor, Covenant Communities, Inc. R`�- --- =—�_
THIS CONTRACT becomes effective and binding upon the Contractor and the Owner(s) when the
Notice to Proceed is issued.
Covenant Communities, Inc. Ke stone Challen e Fun
Name of Contractor �. Name of O er(
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Signature of ontractor Signature of Owner
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Title (if Officer of Corporation) Signature of Owner
10339 Kev Lantem Dr.
New Port Richev, FL 34654
Address o Contractor
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Date Date
The Owner and Contractor Agree as Set Forth Below:
ARTICLE 1. - CONTRACT SUM: The Owner shalf authorize payment to the Contractor for the
performance of the construction work, subject to additions and deductions by approved change order, the
Contract Sum of Fifty Three Thousand Seven Hundred Twenty and 00/100 Dollars ($53,720.00).
ARTICLE 2. - THE WORK AND COMPLETION TIME: The Contractor agrees to fumish all labor,
materials, equipment, permits, licenses, and services for the proper completion of the above-identified property
in accordance with the Bid Documents and Specifications. The Contractor agrees that materials supplied are
guaranteed to be as specified. All work shall be satisfa�torily completed within Seventy Five (75) calendar
days after the Notice to Proceed is issued. All work shall be completed in a workmanlike manner according to
standard practices. If the workmanship does not comply with the Community Development Division's
S/Community DevefopmenUHousing Forms Revised 04/26h 1
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PASCO COUNTY COMMUNITY DEVELOPMENT
ADDENDUM #1 TO BID SPECIFICATIONS
NAME: Kevstone Challenge Fund DATE:Auril 12,2012
ADDRESS: 39211 3'� Ave. CASE NO.: 10-6477
Zenhyrhills,FL 33542 DUE DATE:Apri120, 2012
SPEC DESCRIPTION OF WORK LOCATION COST
EXTERIOR WORK
53 ROOFINGROLL ROOFING
Remove the e�sting roofing materials at dead level flat roof
areas. Replace any deteriorated wood framing and sheathing.
(See Spec. No. 28) Re-sheath and install new built-up roof
per specifications. The secondary water barrier is peel and stick.
Flashing installed as required to pitched roof
areas. Re-nail the roof deck to code. Flat Roof Delete
Contractor to notify the Housing Specialist at the time
of roof installation so pictures, of the substrate and water
barrier installation, can be taken to verify compliance of
specifications. Failure to notify could result in the roofing
being rejected.
Info Only Info Only
54 ROOFING- SHEET METAL
Provide and install 12" of flashing over all seams where roof
pans are attached to fascia of house. Screen Porch
INTERIOR WORK
69 INTERIOR DOORS
Furnish and install a new pre-hung hollow core paneled doors,
frame, match e�usting trim, door stop and lever lockset set. (7) Interior Delete
PAGE TOTAL•
CASE #10-6477 39211 3"� Ave. 5/13/2012 PAGE 1
69 ' INTERIOR DOORS CONTINUED
Furnish and install a new pre-hung hollow core paneled doors,
frame, match existing trim, door stop and lever lockset set. (8) Interior
Furnish and install panel bi-fold
doors with track and hardware for the closets.(1) Florida Room
78 ELECTRICAL
Remove e�sting wiring and (2) outlets on exterior of drywall.
Provide and install (2) outlets and wiring to be inside of wa11.
To be installed to code. Florida Room
PAGE TOTAL:
GDR/EP/EF ADDENDUM TOTAL:
CASE #10-6477 39211 3'� Ave. 5/13/2012 PAGE 2
THE STAI�TDARDS AND GUIDELINES SET IN BID SPECIFICATIONS 20ll
UNLESS OTHERWISE NOTED, ALL WORK IN THIS WRITE-UP TO FOLLOW
SPEC # DESCRIPTION OF THE WORK LOCATION COST
EXTERIOR WORK
1 DEMOLITION/REMOVALS
Remove all wood landscape timbers, concrete landscaping
blocks, black vinyl landscape bonder, concrete blocks
and fill holes with clean fill dirt. Exterior
Remove all roll down shutters and brackets on e�erior
and interior of house. E�rterior/Interior
Remove wood shutters. E�erior
Remove shed, clothes line posts, 4" x 4" post, wood
fence and posts and fill holes with clean fill dirt. Exterior
Remove metal pipe and cap end of pipe. Garage
Remove blind rods, blinds, brackets. Front Porch
7 MASONRY WALLS
After removal of old A/C unit, block up wall with 8" CMU.
(Coursing and block patterns to match existing and
interior and exterior walls to match existing.)
Earterior
Repair damaged masonry wall from the removal of shutters and pipe
removed.. Repairs to match existing finishes, including the finishes
on the inside and the outside. Exterior/Interior
Provide and install(as needed)new windows sills. Exterior
28 ROOF SHEATHING
Replace any rotted sheathing andlor sheathing inadequate
for nailing roof covering materials. (Sheathing to be '/z"
CDX plywood). This item is an allowance. Submit pictures
of replaced sheathing. E�erior $100.00
PAGE TOTAL•
�ASE#: 10-6477 39211 3'� Ave. DATE: 05/13/12 PAGE: #1
uP., 3nnn�
SPEC# DESCRIPTION OF THE WORK LOCATION COST
32 WINDOWS-GENERAL SPECIFICATIONS
Replace existing windows with new white vinyl frame, insulated
glass, single hung window with screens. Install windows
to meet the new wind codes. Contractor to field verify number of
window openings. Product approval must be submitted by
the contractor at contract signing. Glass to be Low-E and Energy
Star Rated. Entire House
Egress windows remove e�sting windows. Install new white
vinyl frame, insulated glass, with screens. Windows can be slider,
single hung with hinged door, or casement to meet the fire e}cit
code and installed to meet the new wind codes. Field verify the
number of openings. Glass to be Low-E and Energy Star Rated. All Bedrooms (3)
37 EXTERIOR DOORS
Replace e�sting front entry door with new. The door
frame to be composite material and a 6 panel fiberglass
door and lever lockset and dead bolt. Front Entrv
Replace existing garage/interior entry door with new.
The door frame to be composite material and a 6 panel
fiberglass door and lever lockset and deadbolt.
Change door to out swing door. Garage/Interior
Replace existing Florida room door with new.
The door frame to be composite material and
a 6 panel fiberglass door and lever lockset
and deadbolt. Change door to out swing door. FL Rm/Interior
All doors to be keyed alike. All hardwaze and lever
locks and deadbolts to be polished brass in color. Info Only
39 SCREEN-RESCREEN
Install new dark charcoal fiberglass screen and proper spline.
Mesh size to be 18/14. Rear/Front Porch
42 EXTERIOR SIDING AND TRIM-VINYL
Remove etcisting siding and re-attach a11 plywood. Furnish
and install new double 4" vinyl siding and tvek according to the
manufacturers recommendation. The owner to select the color to
be installed. Vinyl siding to be installed with exterior grade screws. Gable Ends(3)
PAGE TOTAL:
CUM TOTAL.
!'�A CT. Jl. 1 A C A^I�1 RA�11 1 '�� A�... T A TTi. AC/�'2/1�1 n A/�y�. ur�
SPEC # D�SCRI�TION OF THE WORK LOCATION COST
49 GUTTERS AND DOWNSPOUTS
Remove all existing gutters and downspouts, replace
with new 6" seamless gutters. Leaders and downspouts
to be 3" x 4"with splash blocks included in price. White. Entire House
50/51 ROOFINGGENERAL SPECIFICATIONS
ROOFINGFIBERGLASS SHINGLES
Remove the existing roofing material and old felts.
Replace any deteriorated wood framing and sheathing
(see spec No. 28). Install a new 30 year dimensional
shingle roof per all requirements of the specifications
and applicable codes. Shingles to be Tamko Heritage 30
or equal. The secondary water barrier is peel and stick.
Note: Existing 1� drip board may be removed
when new fascia& soffit is being installed.
The contractor to submit the roofing inspection affidavit
upon the completion of the project. Include installing
ridge vents at a11 peaks. Re-nail the deck to meet code. Entire House
Contractor to notify the Housing Specialist at the time
of roof installation so pictures, of the substrate and water
barrier installation, can be taken to verify compliance of
specifications. Failure to notify could result in the roofing
being rejected. Info Only Info Only
53 ROOFINGROLL ROOFING
Remove the e�sting roofing materials at dead level flat roof
areas. Replace any deteriorated wood framing and sheathing.
(See Spec. No. 28) Re-sheath and install new built-up roof
per specifications. The secondary water barrier is peel and stick.
Flashing installed as required to pitched roof
areas. Re-nail the roof deck to code. Flat Roof
Contractor to notify the Housing Specialist at the time
of roof installation so pictures, of the substrate and water
barrier installation, can be taken to verify compliance of
specifications. Failure to notify could result in the roofing
being rejected.
Info Only Info Only
70 SCREEN DOOR ALUMINUM
Install new aluminum screen door. The screen door to be
Comfort-Built, Key West, or equaL (75.00) (White) Front/Back Porch
PAGE TOTAL•
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SPEC# DESCRIPTION OF THE WORK LOCATION COST
CUM TOTAL:
72 GARAGE DOOR AND FRAMING
Remove the e�sting overhead gazage door and replace with new
sectional door to meet current codes. Include a new garage
operator compatible with the new door. (Include 1 remote and pad.) Garage
78 ELECTRICAL
Convert e�sting outlets to water proof GFCI. Exterior
Install a new exterior, waterproof GFCI outlet. A/C Condenser
Furnish and install a new e�cterior light with proper wiring and Back Entry/
interior switch to code. Assume cost of fixture at $20.00 Enclosed Porch
Replace e�sting exterior fan or light fi�ures with new. Garage/Side Entry/
light fi�ures. Assume cost of new fi�ure at $20.00 each. (4) FrontBack Porch
See Interior spec. #78 for re-lamping information Information Only
Remove all e�sting surface mounted electrical work. Terminate
electrical service to original source. Include cover plates as needed.
Outside of back porch and spotlight on front of house. Earterior
80/81 PLUMBINGGENERAL SPECIFICATIONS
PLIJMBING FIXTURES
Replace a11 etcisting hose bibs with new hose bibs and vacuum
breakers to code. Include a new lever handle shut-off valve at
water service entry. E�erior
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 e�erior of the house and
retaining wa11s, including all exposed wood, concrete,
stucco, masonry and fenous metal. All newly installed
wood sha11 receive one coat of primer or undercoat and
two coats of semi-gloss paint. Color to be elected by owner. E�erior
PAGE TOTAL•
CUM TOTAL•
NAME: CASE#10-6477 3'� Ave. DATE: OS/13/12 PAGE:
#4
Rev.3/10/11
SPEC# DESCRIPTION OF THE WORK LOCATION COST
88 PAINTING GENERAL SPECIFICATIONS CONTINUED
After all repairs to cracks have been completed and the crack
filler material has cured properly, pressure wash the walkways
and driveway, back porch to remove all stains, mildew and any
foreign matter. By following the paint manufacturers preparation
instructions, prepare the surfaces for the application of an epo�
paint. When a11 paint manufacturing preparation instructions have
been completed, apply epoxy paint to a11 prepped surfaces Back Porch/
following paint manufacturers application recommendations. Driveway/
Housing Specialist to review manufacturers spec's prior to Walkways/
painting. Exterior
Pressure clean all sidewalks, walkways, slabs,
aprons, driveway, walkway and front porch. Info Only Info Only
88 LANDSCAPING
Install landscaping in the front yard as directed
by the Housing Specialist. The allowance for this item. Front Yard $400.00
90 MAIL BOX
Furnish and install a new mail box to our bid specs. Exterior
94 MISCELLANEOUS
Furnish and install new address numbers to code. Front
PAGE TOTAL•
PROJECT EXTERIOR TOTAL:
INTERIOR WORK
19 FLOOR COVERING/CARPET
After the removal of existing flooring, install new carpeting to
manufacturers instructions. The carpet shall be (30) ounce, stain
resistant over a minimum of 1/2 inch re-bond, FHA approved.
The installation sha11 be in an approved manner. All tack strips,
metal accessories, etc., are included in this specification. T'he
carpet sha11 be first quality, no seconds will be accepted. Product
documentation will be provided by the contractor prior to Florida Room/
NAME: CASE#10-6477 3'�Ave. DATE: 05/13/12 PAGE:
#5
Rev.3/10/11
5PEC# DESCRIPTION OF THE WORK LOCATION COST
installation. Included are all closets opening into newly Living Room/
carpeted areas. Bedrooms(2)
PAGE TOTAL•
22 FLOOR COVERING/CERAMIC
Install new ceramic tile floor to manufacturers recommendation.
Assume cost of tile to be installed at $2.00 per sq. foot of area.
4' x 6' Entry way, Hallway, Closets, (3)Bathrooms,Kitchen,
Dining Room. Interior
25 BASE & SHOE MOLDING
Install new wood base and shoe molding on all walls
in newly floored areas. When new base is installed
over flooring, no shoe is required. Include new
baseboard where wall is framed to change Florida
room into a bedroom. Tiled Areas
26 WALL FRAMING SPECIFICATIONS
Provide and install new framing for 36" in swing door
opening and frame in opening for new closet 3' x 5'. Florida Room
Frame in opening at hole left from A/C removal. Florida Room
56 CEILING INSULATION
Check e�sting ceiling insulation and add insulation as
required to achieve an estimated R-30 (Minimum 10.375 ")
in pitched roof areas. Contractor to post attic card on site.
Second card to be supplied with final pay request. Entire House
58 INTERIOR WALL AND CEILING FINISH-
PLASTER/DRYWALL REPAIR
Repair all cracks and damaged surfaces to match e�cisting.
See Bid Specs 2011. Apply new skim coat to ceilings and
wa11s before installing texture. Ceilings to have a heavy
knock-down te�ure, wa11s to have orange peel te�ure.
Note; all te�ures to be professionally applied through a
spray te�ure machine, not a hand held hopper. Contractor
to provide sample boards prior to texturing. Interior
Provide and install new drywall for closet addition, A/C
removal, door way azea being framed in. Interior
Remove kitchen ceiling soffit. Provide and install furring
and drywall needed to finish ceiling. Interior
NAME: CASE #10-6477 3`� Ave. DATE: 05/13/12 PAGE:
#6
Rev.3/10/11
SPEC# DESCRIPTION OF THE WORK LOCATION COST
PAGE TOTAL•
CUM TOTAL:
59 INTERIOR WALL AND CEILING FINISH-
PLASTER/DRYWALL REPAIIt CONTIN[JED
Include any damage caused from wall modifications,
removals etc. include any additional damage caused by
building modification, in price. �o p�y
63 INTERIOR WALL FINISH-CERAMIC TII..E (THIN SET)
Remove a11 existing ceramic tile on the walls. Furnish and
install new Wonderboard surround at tub to ceiling. Install
new ceramic tile. Assume"cost of the tile" at $2.00 per sq
foot. Include the removal of all wall tile in price. Color/design
to be selected by the Housing Specialist. Hall Bathroom
Remove all e�sting tile and shower pan. Install new pan,
see spec{80) and Wonderboard to ceiling. Re-tile existing
shower area assuming the cost of the tile to be $2.00 per sq.
foot. Color/design to be selected by the Housing Specialist. M. Bathroom
Install a new ceramic tile backsplash. Assume the"cost
of the tile" at $2.00 per sq ft. of area. Color/design to be
selected by the Housing Specialist. Kitchen
64 FIXTURE SET
Furnish and install a new ceramic fi�ure set. Color to be M. Bathroom/
selected by the owner. Hall Bathroom
67 ATTIC ACCESS
Remove existing trim, access panel and ladder. Install a
ceiling access panel to minimum clearing opening
of 22" X 36". Provide cover, and trim opening. ��e
69 INTERIOR DOORS
Furnish and install new panel sliding
doors with track and hardware. (3) Interior
Furnish and install new pre-hung hollow core paneled doors,
frame, match existing trim, door stop and lever lockset. (7) Interior
Color of lever locks and hinges to be antique brass. Info Only
NAME: CASE #10-6477 3'�Ave. DATE: OS/13/12 PAGE:
�7
Rev.3/10/11
SPEC# DESCRIPTION OF THE WORK LOCATION COST
PAGE TOTAL:
CUM TOTAL:
73 CABINET-VANITY
Remove existing vanity and install a new wood vanity with
a cultured marble top and integral lavatory. Follow 2011 spec.
for Wood Cabinets; Oak or Maple. Drawer glides can be standard M. Bathroom/
e�ension epo�ry-coated, stay-closed type. Doors to be raised panel. Hall Bathroom
74 CABINET MEDICINE
Supply and install new recessed mounted
minored medicine cabinet. Include a new M. Bathroom/
wall mounted minor sized properly to
��ty. Hall Bathroom
75 CABINETS- KITCHEN/COUNTER TOP
Remove existing kitchen cabinets. Install new
kitchen wood cabinets and counter tops with plastic 4"
laminate backsplashes. Wood doors to be raised panel doors. Kitchen
77 CLOSETS
Provide a11 new vinyl metal coated shelves. Include the
removal of all existing shelves and brackets. All Shelves
78 ELECTRICAL
Install new hardwired smoke detectors and
combination smoke/carbon mono�de
detectors. To Code
Convert existing outlets to GFCI. To Code
Install arc-fault circuit interrupters for each bedroom outlet
to code. Include sub-panel and separating circuits if required. Bedrooms(3)
Remove light and provide and insta114 light
bath bar. Bathrooms (2)
Wire new electric water heater to meet current
code requirements. Garage
Remove ceiling heaters, terminate electrical
NAME: CASE#10.6477 3nd Ave. DATE: OS/13/12 PAGE:
#S
Rev.3/10/11
SPEC# DESCRIPTION OF THE WORK LOCATION COST
service. Bathrooms(3)
PAGE TOTAL•
CUM TOTAL•
78 ELECTRICAL CONTINUED
Furnish and install a new ceiling hugger fan with light kit,
proper wiring and switch to code. Assume cost of fan and Living Room/
light kit at $95.00. Include new fan box if required. Bedrooms (3)
Remove ceiling light. Provide and install 1 fish eye
recessed light with using existing wiring and switch. Kitchen Sink
Remove existing light fi�ure. Furnish and install new
ceiling mounted light fi�ure. Assume the cost of each Dining Area/
f xture at $25.00 (4) Hallway
Remove existing ceiling light. Provide and install new
ceiling mounted light fixture. Center new light in ceiling. Gar. Bathroom
Remove ceiling light. Provide and install4 recessed
lights with using e�sting wiring and switch. Kitchen
Furnish and install a new door bell system. Entire House
Furnish and install new switches and re,ceptacles. Include
a11 new switch, receptacle, co-a�al phone and blank plates. Entire House
Remove all e�sting security devices
and ternunate electrical service. Entire House
Re-lamp all new and e�sting fixtures with standard
energy efficient bulbs. Recessed lighting to receive
R-30 energy efficient bulbs. Entire House
Wire new over-the-range micro-wave, dishwasher and range/oven
to meet current code requirements. Kitchen Info Only
Wire new electric water heater to meet
NAME: CASE #10-b477 3"�Ave. DATE: OS/13/12 PAG�:
k9
Rev.3/10/11
SPEC# DESCRIPTION OF THE WORK LOCATION COST
rent code requirements. Garage Info Only
Wire new garage door operator to meet current code requirements. Garage
After removal of existing light fixture, furnish and install
a new 4' energy efficient florescent fixture with light di�'user.
Include new j-box. Garage
PAGE TOTAL•
CUM TOTAL:
78 ELECTRICAL CONTINUED
Provide and install a11 new wiring needed for new AJC unit,
that will be moved to garage on e�erior wall. Info Only
79 H.V.A.C.
Replace existing air conditioner with a new 2 1/2 ton heat pump
central heating and air conditioning system complete with a11
new supply and return ductwork, drops, grills, controls, control wiring
and electrical and copper to code. Minimum SEER required- 15.0,
7.5 KW heat strip. Heat pump air cooled condensing unit set on a
concrete(or equal) pad. A.H. unit to be installed in attic space with
access, to code. Perform proper test and balance at completion.
Contractor is responsible for proper sizing of
all new equipment and
ductwork with the exception of the 7.5 KW
heat strip. Note: New
thermostat to be a programmable, Energy Star qualified product. Entire House
Include eliminating existing wall return ducts and relocating/adding
supply and return drops as required. New
rmostat to be centraily
located between new ceiling returns.
Info Only Info Only
Install new dryer vent to code. Garage
80/81 PLUMBINGGENERAL 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
NAME: CASE #10.647'13"�Ave. DATE: 05/13/12 PAGE:
�10
Rev.3/10/11
SPEC # DESCRIPTION OF THE WORK LOCATION COST
Furnish and install a new tub, drains, plumbing,
and shower head and faucets. Hall Bathroom
Furnish and install new pan, faucet, plumbing
drain, and shower head for the shower_ Master Bathroom
Install a new elongated toilet complete with new
supply line and angle stop with new escutcheon. Bathrooms(3)
Provide all plumbing connections for new dishwasher.
Include a new copper water line complete with Hanson
type shut-off valve for icemaker. Kitchen
PAGE TOTAL:
CUM TOTAL:
8Q/81 PLUMBINGGENERAL SPECIFICATIONS
PLUMBING FIXTURES CONTIl�IUED
Connect new vanity lavatory with new
faucet, trap, stops, and supplies. Include
removal of old plumbing parts in garage. Bathrooms (3)
Install a new 40 gallon up right electric water heater
to code. Protect water heater from vehicular damage.
(If required by code.) Garage
Furnish and install a new 112 H.P. garbage
disposal. Kitchen
Replace e�sting hot and cold supply valves
washing machine. Garage
82 MAJOR APPLIANCES
Furnish and install a new 30" electric range/oven.
The cost of the rangeloven to be $450.00 Kitchen
Furnish and install a new ducted over-the range
microwave. The cost of the new microwave to be $275.00. Kitchen
Furnish and install a new 21 cubic foot refrigerator with
ice maker. The cost of the refrigerator to be $750.00 Kitchen
NAME: CASE #10-6477 3'� Ave. DATE: 05/13/12 PAGE:
Ell
Rev.3/10/11
SPEC# DESCRIPTION OF THE WORK LOCATION COST
Furnish and install a new dish washer.
The cost of the dish washer to be$250.00. Kitchen
All appliances to be of the same brand and energy star.
White in color. 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 TOTAL•
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, patios, and porches, and screen porch.
After primer coat, Housing Specialist needs to inspect
work. After second coat, Housing Specialist needs to
approve the work before painting the final coat. Interior
Remove nails, brackets, hooks, screws not
being used. Info Only
94 MISCELLANEOUS
Furnish and install heavy duty spring door stops (All doors). Interior
Furnish and insta112" white wood faux blinds. All Windows
Remove old caulk and re-caulk around shower area. Interior
NAME: CASE #10.6477 3'� Ave. DATE: OS/13/12 PAGE:
`12
Rev.3/10/11
SPEC # DESCRIPTION OF THE WORK LOCATION COST
Provide and install new curved shower curtain rods. Bathrooms(3)
Provide and install new toilet paper holder. Gar. Bathroom
CLEAN-UP
Remove all trash debris left by previous occupants.
Clean house completely ready for re-sa1e. Entire House
PERMITS AND FEES
PAGE TOTAL:
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 FUR1vISH IT.
NAME: CASE #10-6477 3'�Ave. DATE: 05/13/12 PAGE:
`13
Rev.3/10/11
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,��'°�'�.a: S7ATE OF FLORIDA
�' - _-- .�'a DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
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` Y ' CONSTRUCTION INDUSTRY LICENSING BOARD ($50) 487-1395
�`•:;,ti = �:_' 1940 NORTX MONROE STREET
''�-���:!�F°° TALLAHASSEE FL 32399-0783
WILLIAMS, SCOTT M
COVENANT COMMUNITIES, INC
15741 LANCER RD
SPRING IiILL FL 34610
STATE�FLORIQA ��� �6 3 4 8 6
Congratufations! With this license you become one or the nearly one miAion ' ���� DEPART�SNT OF BIISINSSS ANU
Floridians licensed by the Department af Business and Professional Regulation PROFSSSIONAL REGT3LATION
Our professionals and businesses range from architects to yacht brokers,fram -
boxers to barbeque restaurants. and they keep Fiorida's economy strong. CFC1428449 46/27/11 1OQ470420
Every day tive work to improve the way t��e do business in order to serve you better
For informati�n about our services please tog onto www.myfloridalicense.com CERTIFIED PLiJI�ING CC7NTRACTOR
There you can finc+ more informat�on about our divisions and the reg��lations that V�ZLLZAMS, SCQTT M
impact you subsc�ibe ta depa�kment newsletters and leam more abau#the COSTENANT C�hflKUNITIES, INC
DepaRment's inrt4atives.
Qur mission at the Department is. L�cense EfficientEy. Raguiate Fairiy VVe
eonstanfly s,rive to serve you better so that you can san�e your customers IS CERTIFZED ;ss�der :ne prav�>-;.�ns c- �n 489 Fs
Thank you for doing business in �lorida. and congratulations on four ne�v hcense! �xF_�ary�n �ata: AUG 31, 2ola ��i.os21 oola�
DETACH HERE
�� !� �� STATE OF FLORIDA
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DEPARTMENT OF HUSINESS AND PROFBSSIONAL REGULATIC3N
CONSTRUCTION INDUSTRY LICENSING BQARD
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s• - LICENSE NBR
Q6j27 2011 10047442Q CFC1428449
The PLUMBING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS .
E�cparation date: AUG 31, 2Q12
WILLI.AMS, SCOTT M
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CC?VENANT CQMMUNITI�� :LAIC
Z5741 LA2�iCER RD
SPR�iJG HILL �'L 3451�
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Ccngraiulatioris? With this ticense yuu becoi�ie onc of the near-ly�o�e�i�illion �r!.- ��p�R����� �g g�SIi�ESS �1i�1L'
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CBC1256438 JS/22J?U 1080�k'?�}:7.8
Every�fay wP,r,rork tc>irn���r�ve the way we do business in i�rder to serve you b�tter
For intormation about our services,please tag onto roarww.myfloridalicense.com CERTIFIED BUILDING C�NTRACTOFt
Ttiere you can (ind m��rP ir�formatiori aboui c,ur divisians and th�regulations that WILLIAMS, SCCfTT M
im�act yn�t s�ibscr�f�e ta clFpartment news{ette+:s and leam more abe,�t the COVENANT CC}PZI�![L7N�TIES �NC
De�arinient s ir�itiatives '
Our msssion at the Ue;��irt�nrset is t_icense Efficie��t4., Re«ulate Fairl;� We
constantiy stnvc tr�serve you better so ihat you r_an serve your Cusfanzers
IS CEF?TZFIED �r.o-�r tt�N ;co_•�sicn:: oe �t,.485 F:
Thank yo��#or doiny 1�usiness ii� Fl�rid� and conqratulations on yot�r nevl Ilcense': �a.��r.at.:..:� a,�z: �L'G 3� , 2oz2 L�coaz2oe�s2
DETACH HERF
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:• - LICENSE NBR
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`I'h� BUZLDIN'+G C0�7TF2ACTOR
Named b�low IS CERT��'`I.c.D
tJncier tl2e provisic�ns ot Chapter 489 FS e
Expira�ion date< AUG 31� 2Q12
VIILL�AMS, SCGTT I*�
CQVENANT COMMUNITIES INC
10339 KEY LANTERN DRIVE
NE[RT POR'?` R�'CHEY FL 34654
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Pasco County Parcel: 12-26-21-0030-00500-0100 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, May 12, 2012
Parcel ID 12-26-21-0030-00500-0100 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
KEYSTONE CHALLENGE FUND INC Ag Land $0
2005 S FLORIDA AVE Land $13,559
LAKELAND FL 33803-2657 Building $58,165
Physical Address Extra Features $1,702
39211 3RD AVE
ZEPHYRHILLS FL 33542-5273 Just Value �73,426
Leaal Descriution (First 4 Lines) Assessed (Non-School Amendment 1) $73,426
See Piat for this Subdivision�"' Taxable Value �p
ZEPHYR HEIGHTS
PB 5 PG 50 LOT 10 BLOCK 5
OR 8476 PG 103
Land Detail (Card: 001 of 001)
L�in�e �Description Zoning Units Type Price Condition Value
1 0100 SFR OORl 7,000.00 �F $1.91 1.00 $13,370
� 0100 SFR OOR1 700.00 � $0.27 1.00 $189
Additional Land Information
Acres 0.18 Tax Area 30ZH FEMA Code �Residential Code ZHLGLP3
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1978 Stories 1.0
Exterior Wall i Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Duded
A/C Central Baths 3.0
Line Description Sq. Feet Repl. Cost New
1 BAS 1,287 $65,122
2 SZ 392 $7,944
3 � 128 � $2,277
Extra Features (Card: 001 of 001)
Line Descriptfoo Year Units Value
1 DWSWC 1978 360 $351
2 LFEN E 1978 880 � $310
3 FIRE PL 1978 1 $735
4 UDU-M 1983 1 $198
5 D F N E 1995 288 $108
Sales History
Previous Owner PASCO COUNTY BOARD OF COUNTY
Year �— Month Book/Page Type Amount
2010 —�� il 8476/0103 WD $50,500
2010 09 8432/0043 WD $50,500
2010 09 8432/0042 WD $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21&sbb=0030&b... 5/14/2012
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �(,������ ��} yvlM Ce n� �F�� �� ��-L
Date Received: �— ` ��( Z
Site: ���2 1 1 3 rc{ �"v`'�—
`�� '�� ICCM G C�E-�-- �c S,'�e�`�-+�ce�
Permit Type: , �
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
..5=2-c� -/Z
Kalvi Switzer— s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-��� City of Zephyrhills Permit Application Fax-81�780-0021
Building Departmerrt
Date Received � "�� �Z Phone Contact for Permitting ��7 a�� - a�a 6
OwneYs Name S j�ti� � � �fQ,, �(/ LA.� Owner Phone Number
Owner's Address ��''.� �, ��d:el/��/�U�. L�7'�/�'� Yr� Owner Phone Number �-
Fee Simple Titleholder Name � Owner Phone Number �-
Fee Simple Titleholder Address
JOB ADDRESS � � � � � �eP� y�fh�.5 LOT# ��
SUBDIVISION �� �y� lfe i��S PARCEL ID# ,�^ —o� o� Gb30�-�oS00 -f) D o
(08TAIN�FROM PROPERTY TAl(NOTIC�
WORK PROPOSED e NEW CONSTR 8 ADQJALT �� SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL �
�SCRIPn�oF wor�rc G'S e,v / ,ee VI'!0 (:L
BUILDING SI� SQ FOOTAiGE ���7 HEIGHT
�BUILDING 3 ���� VALUATION OF TOTAL CQNSTRIJCTION �( �J��O
�
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W R.E.C.
QPLUMBING a �\�r)
t ;�41,
V �� ��,�Z�����—
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � /Y�•
� �
c�s �) ��'S� �,��a � �� n..
Q Q ROOFlNG Q SPECIALTY Q OTHER D �C:1/� ��tiw�'
FINISHED FIOOR ELEVATIONS �/ f L � ���,�✓� P
FLOODZOTlEAREA �YES NO�, 1.51 5�5�`"" _ IbU
�L� �x
B���R ��Gf/(�/ �"���, ��,�,r Co e�v�-�vr C�rnv�r;tPS ; �
SIGNATURE R[�isrpzm / N FEECURREN Y/N
Address l�j�� �-��' Nie,�y�,� �/ �L. 3 License# �d,� ����d 3�
ELECTRICIAN � COMPANY �I/�'- ��C�t� t�r� L/
SIGNATURE RECtsr� N F�cuatte�t Y!N
Address 7 "7 C o�t�r�sv�.O�r�e Sr./�al� License# l����y6�3
U�
P�UMBER �/,�,,- / COMPANY CC���LO�1/1!/1T(�il/! 1 I�S��
SIGNATURE �"`"( !/v. w � � aEGlsifftm Y/ N FEE CURREN Y/N
Address �D3.5x[ ' G4�� p . /V'/•��.�.��bJ T License# c�C��'a ��y9
MECHANICAL �.,� (�i\/�� �� COMPANY O� .Tl� A7� �fJd/�7 T BiVi�/
SIGNATURE tt[�isrEam Y/ N FEE CURREN Y/N
Address "1�6� Yt�°u(iGV L /V;f��T" �`1�s License# (ci4c/�-/�a�6
onieR �; 1}'16 r�G'f/�.J�� , cawPa�n I
SIGNATURE REGisTex� Y/ N FEE CURR@�1 Y/N
Address ��.�t
1111111111 / IIIIIIIIIIIIIt111111111111111111111111I11111111I11111111
RESIOENTIAL Attach(2)Plot Plans;(2)sets of Biilding Plans;(1)set of Ener+gy Fortns;R-0-W Pertnit for new cor►struction,
F�linimum ten(10)worldr�g days at�er submiltal date. Required onsibe,Cor�struction P1ans,Storrrrvrater Plans w/Sitt Fence installed,
Sariitary FaciliGes&1 dumpster;SRe Work Permit for subdivisionsllarge P�1�
COMMERCIAL Atiach(3}complete sets of&ilding Plans ph�s a Life Safety Page:(1)set of Erergy Forms.R-aW Pem�it tor new construction.
Miner►um ten(10)worldrg days aRer submiltal date_ Required onsile,C.or�stnx:tion Plar�,Stom�weter Plans w/SiR Fence installed,
Saroitary FaciNties&1 dirnpster.Site Vlfork Permit tor all new projeds.A!1 corrnnercial requiremeris rt�t meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERN SURVEY required for aN NEW constructiwi.
D�recUons:•
FdI ait appfication camaeteN
Owner 8 Cortrador sign back of application.ratar¢ed
If over S2�',�00,a Notioe of Commencert�nt is required. (A!C upgrades over 57500)
'"' AgerY(for fhe conb�acto�or Power of Attomey(for the owner)waild be someone with notar¢ed letter from owner autl�or¢ing same
OVER THE COUNTER PERMITTING (Front of Application ONy)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/SurveylFootage)
Driveways-Not over Counter if on public roadvrays..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more �estrictive 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 ovmer 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 Divisior}—Licensing Sedion 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 property 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 appty 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
y0-07, as amended. The undersigned also understands, that such fees, as may be due, wilt be identified at the time ot
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 pawer 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 Cor�truction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departrnent of Agricutture and Consumer Affairs. If the applipnt 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 taws regu4afiing constructiar►, zoning and fand devetapmerlt. Application i�
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 pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land devebpmerrt regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may appfy to the intended work, and that it is
my responsibility to identify what actions 1 must take to be in compliance. Such agenaes indude but are not limited to
- Department of Environmental Protec�ion-Cypress Bayheads, Wettand Areas and Environmentally Sensitive
Lands,WaterlWastewater Treatment
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watervways.
- Department of Health & Rehabilitative ServicestErnironmental Heaith Unit-WeNs, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection 1�qency-Asbestos abatement.
- Federal Aviation Authority-Ruriways.
I understand that the following restrictions apply ta the use of�ill:
- 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 v►fiich is prepered by a professional engineer
licensed by the State of Flonda.
- If the fill matenal is to be used in Flood Zone "A° in connection with a permitted building using stem wall
construdion, I certify that fill will be used oniy to fill the area within the stem wail.
- If fitl material is to be used in any area, I certify that use of s�h fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the awner 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 prom�e in good faith to inform the o�nrner ofthe 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 specificafly induded 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 technica#codes, nor shatl issuance of a permit preverrt the Suildirtig Officia4 irom thereafter
requiring a correction of errors in plans, construction or violations of any codes_ Every permit issued sha{{become invalid
unless the work authorized by such permit is commenced within suc morr[hs of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of suc(6}morrths after the time the work is commenced. An eutension
may be requested, in writing, fram the Building Officiat 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 c�nsidered 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, NSULT
WITH YOUR LENDER OR AN ATTORNEY BEF RE RECORDfNG YOUR NOT E COMMENCEM NT
FLORIDA JURAT(F.S.117.
OWNER OR Af3ENT o .,(J CONTRACTOR " i !�'�
Subscribed and swurn to(or affim�ed)before me is Subsaibed a�d swom to(or afBnne�before me this
S(�f"� bY �'i�f�Z by
Wtw is! re perso�aNy krawn to me or hasThave produoed yylw' perso��py known�O me w ryayhave p�o�luc�
���CPr �nLLe,f as ide�0on. �til�Lc u�a S'rt as ideMifir,ation.
N �� Notary Public
comm � :�_ �mmission#E 0520 � "_ •�_. JACQUELIN
�A... BorMed Thru Troy Fdn huua�ce 804385-71N9 � ' ° �p���on#EE 040520
Name of otary type ,pnnted or stampe Name of N
�eoa�as-�ots
..�-�"'1 OP ID: TM
A��RD CERTIFICATE OF LIABILtTY INSURANCE DAT05/09/12�'
j TNIS CERTIFICATE'IS ISSUED AS A MATTER OF MIFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
i CERT{FICATE DOES NOT AFFIRMAT{VELY OR NEGAl'NEI.Y AMEND, EXTEND OR ALTER THE CAVERA�E AFFORDED BY THE POUCIES
I BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTiTUTE A CONTRACT BETWEEN 7HE ISSUNG MISURER�S), AUTHORIZED
� REPRESENTATNE OR PRODUCER,AND THE CERTIFICATE HQLDER.
IN�ORTANT: fl the certificabe holder is�ADDITiONAL q�fStIRED,the policy(ics)must be endorsed. i(SUBROGATION IS WANED, subject to
� the tenns and cw�itions of the poGcy certain po6cies ma�►�quire an endorsernerk. A statement on th�oertificaM does not confer rights to the
� certificate holder in i'ieu of such endorserner�t(s).
��� 727�'76-0030 �
�Rce Ir�urance,lnc. 727-376-2262 �E - i� � --
885 StaRe Road 54 N° -°-�------ -- -- ----L-�---1--------
New Port Ric�ey,FL 34655 - -- ---- -
,Gregory G,Rce A224149 �
---------- -----------
cusroMeto�COVECOM -- ------ -
� msur�qs�,�awwa�e wuc s
;------- - - --- �------
��o Coven�t Communities, Inc. x,sur�xn:Southern Owners Insurance Co. '10190
' ----------- ------- --- -- --- -- - -� -----
. t0339 Key Lantern Dr. �e: ��
i New Post Richey,FL 34654 ----- - -- ----------- -------— ------
iNSUr�c:
' INSURER D• —----- --------
INSURER E
INSURER F:
COVERAGES CERTIFlCATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFIf THAT THE POLIGES OF INSURANCE LISTED BELOIN HAVE BEEN ISSUED TO T)f INSURED NAMED ABOVE FOR Tlf POLJCY PERIOD
i INDICATED. N011MTHSTAPDING ANY REQUlREI1IlEM,TERM OR CONDRION OF ANY C)OIYiR/1CT OR OTl-ER DOt:UWENT WITH RESPECT TO WHICH THIS
; CERTIFlCATE MAY BE ISSUED OR MAY PERTAIN, Tl-E MISUR/UJCE AFFORDED BY TFE POLK'.IES DESCRIBED FEREIN IS SUBJECT TO ALL THE TERMS,
1 EXCLUSlONS AND CONDITIONS aF SUCH POLJqES_UMlTS SF�ONM MAY HAVE BEEN REOl10ED BY PAID CLAIMS.
�R TYPEOflISURAqCE �y� POIICYH-F FOLICYEf� -------LIMRS- -- -- --- -
I(i@IHiAL I..MMLIfY � EACt1 OCCXJRRE1rCE �S 1,��0,000
�A X CNYMAERCIALGBdERAL L1ABI�fTY ' � �20140894 � o3nv�2 f 03/�/7$ ! 5���
PRB�SES t6 oaurtence) S e
{ �cwMSMnoE I X;o�uR I � � i kiEO ocF(Any w,e peraon) -�5----- 5,000
� ! i ; ; � � '; - - ---- ---
�-� - - - ------ � � ; ; ( ', �sorlu snoviruuRV—�s— --1,000,000
I ; ;CE/�B2AL AGGREGATE 'S Y,OOO,OOO
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� !GENL AGGREGATE L1MMT APRIES PER: : � � i ;PRODUCTS-CAMP/OP AGG `S Y�OOO�OOO
i F---� r �Q �—; ( � ; � � ------{- ---- --
c��cv i � �oc i ' � IEmp Ben. s Excluded
AIJfOMO81LE LM9LfTY i % �COMBINED SINGLE LiMIT I,a
� � �ANY AtfiO ' � ! :(Ea acciAa�rU -- - ----- -
!--� t I � � !BODILY INJURY(Per Pei`'.,on) `;S
I � �SCH�UIED AUTOS i ; ' � ! PROPER DAMAGE - �- - ---
I ' � i i -fS
I � ;HIRED AUTOS , i I � (Per xcde�t) (Per acadent)t --- —-- - - -
� $
' I .�NON-OWNED AIJFOS � ' . --- --- ---- -----~S- -------
i � FS
'; , UMBRaLA LY1B : i OCCUR � � ; � ' EACH OCCURRENCE �y S
; ' � I--7 i : i ---- ----- ----, ---------
, � �DICESSLYI6 L-- CLAIMSMADEi i � �� ' � ------ -- - S -
--- ---- 1---------� i � �AGGREGATE ----
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i DEDUGTIBLE j � . � ?s
r-� ; � ; : ----- ----. .---'- ----------- -
� RETENiION S I � � S
� MOORIC6tS COI�BISATION i, j ; ' WC STATU- ',OTH-I
; �AND 6NPLOYBt5 LUIBUTY Y J N ! ( i � TORY LIMITS_�---: ER ti---- -
I A ���������R�T-��ECUTiVEl��µ/A' IWCYOO6SZ7G�M � 04/14/12 � 04/14N$ . E.LEACHACGDENT $ - --- 'IOO�OOO
�(Ma�Matwy in NH) ; El pSERSE-EA EMP�OYE�S_ _ �OO,OOO
��sc,�i�oF o�,rioros n�, � � � E�asEnsE-�icr utirr a 500,000
i � i i I i
;
i DESCRIPfION OF OP@tAT10NS f LOCATIONS/V@i1CLES(/dlach I1COftD 701.MdiUorwl R�Scl�ed We.�7 more spaas ia requira�
t
CERTIFICATE HOLDER CANCELLATION
CITYZEP
SMOULD/tNY OF THE ABOVE DE�PoBED POLICIES BE CANCELLED BEFORE
CITY pF ZEpHYRH1�LS THE EXPtRAT10N DATE THEREOF, NOTICE WIIL 8E OEUVERED IN
� FAX#813 780-0021 ACCORDANCE 1NfTH Th�POUCY PROYI.SIONS.
ssss sni s�er
�PHYRHILLS,FL 33543 aur►+ort�rt�sBrrwmre
i
� l�
m 1988 2009 ACORD CORPORATION. All rights reserved.
i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
2012081354
This Instrument Prepared by 10,00
And Return To: t:1434'1�0 Rec:
Yvonne Whealton 00
Keystone Challenge Fund, Inc. 05�14�12 J, Farias, DptY ��erk
2005 S. Florida Ave
Lakeland, FL 33803-2657
NOTICE OF COMMENCEMENT
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Description of Property:
a. Legal Description: Lot 10, Block 5, Zephyr Heights, PB 5, Page 50, Pasco County, FL
b. Address of Property: 39211 3�d Avenue, Zephyrhills, FL 33542
Parcel I D# 12-26-21-0030-00500-0100
g, COMPTROLLEh
2. General Description of Improvements: pqULA 5 0'NEIL,Ph D PASCiCLOf 1
05/14/12 10:02am P� ����
Rehab Existing Structure �R BK ����
3. Owner Information
a. Name and address: Keystone Challenge Fund, Inc.
2005 S. Florida Ave., Lakeland, FL 33803-2657
b. Interest in property: fee simple
c. Name and address of fee simple titleholder(if other than owner):
4. Contractor(name and address): Covenant Communities
10339 Key Lantern Dr.
New Port Richey, FL 34654
5. Surety: N/A
a. Name and Address: N/A
b. Amount of bond: $0
6. Lender information: N/A
a. Name and Address: Pasco Countv Communitv Develoqment 5640 Main Street New
Port Richey, FL 34652
b. Designated Contact: Telephone 727-834-3445
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1)(a)7, Florida Statutes:
Pasco County Communitv Development 5640 Main Street New Port Richev FL 34652
Telephone 727-834-3445 Fax 727-834-3450
8. In addition to himself, Owner designates Ed Pfieger of Pasco Countv
Communitv Development Dept 5640 Main St New Port Richev FL 34652 to receive a
copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes:
9. Expiration date of Notice of Commencement(the expiration date is ne ( ear from
the date of recording unless a different date is specified).
Other expiration date:
J
_ E• , anager
� natttr�`of Owner
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged before me this 26th day of A ril ,
20 12 by_ E. Wayne Jenkins , who [�I] is personally kno to me or who [ ]
has produced N/A as identification and w o did n e an oath.
Affix Notarial Seal
BETH A t�ENIEYER ° Pu i
My Commission Expires: �.� ,� ��������115
: D(PIPES:Nwerober 13,2015
�.R�,�y� 8onded TMu Nda�l�Unde�wnlers
STATE G� FLORIQA, ��U��TY�F �ASG�
TNIS iS TG CcR i ii=y �Hr;T ;-i�. i��:)r��'°.���i'di=� ;�,"
TRUE l;,�.1G CC�:R�=_" .,,:� ��� 7"--?.;!:';�u{�,nE"�i��
c�N FIL"e .3�;Cr_ �� ;�;�,,��. ;r.r r,,',>�; ;,r; , ..a,:a:;FFiC�
WITN�54 �d�� t tU,!',�_',-�''�'J vi'rIC>''�.!. .�C�, ��'tl:�
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j�L '0 ,L
?All�)���t=1L� ���'c"�` t��,P,,.'s��`�•�':ri�'_�R
�__ __`/i`-.".``�� _`�� r �� n rv K
BY _ ' �
Bu��o�Na
CITY OF I I , I DEPARTMENT
ZEPHYRHILLS
, ITION OR CORRECTION
OF ADD
� • • ' •
DATE PERMIT f
.�Z�1 � �, � � ���
AS NOT BEEN COMPLETED. The foliowing additions or corrections shcll be made before the job
THIS JOB H will be accepted.
`�'' [Sil�; C_ r �- �
�
L'i n`-
l�
G �, t�-- C,�
AFTER CORRECTIONS ARE MADE CALL
�t is unlawFu�tor any Carpenter,Contraccor.Bui�der,or omer persons,to 7g0-0020 FOR RE-INSPECTION
cover or cause to be covered,any part of the worfc with flooring,lath,earth
or other malerial,until the proper inspector has had ample time to approve �
the installation.
OFFICE HOURS 7 30AM-4.30 PM MON-FRI
INSPECTOR �