HomeMy WebLinkAbout12-13221 CITY OF ZEPHYRHILLS
5335-8TH STREET
�si3)�so-oo20 13221
BUILDING PERMIT
Permit Number: 13221 Address: 5251 5TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcei Number: 11-26-21-0010-13100-0010
Improv. Cost: 9,000.00
Date Issued: 7/06/2012 Name: ROBINSON, KATHRIN
Total Fees: 240.00 Address: 5251 5TH ST
Amount Paid: 240.00 ZEPHYRHILLS FL 33542
Date Paid: 7/06/2012 Phone:
Work Desc: RM ADDITION W/ PATIO COVER 10 X 34 (reprint homeowner contractor listed
HOMEOWNER MECHANICAL FEE 60.00
HOMEOWNER
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7 ,
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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 oonstruction c) repairs or wrrections 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 aocessible.
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 twiae for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recoMing your notice of commencement."
Complete Plans,Specifications Must Aocompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, `��� C�
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: l�;�,� T�-' (.j,.�IiCI��(,Q.
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Date Received: � 'ZZ—( 2-
Site: �'�-�j � �����
Permit Type: _ ��'�'l �C '�r�K C�l'1 ���� 3� ��P�� � �����,
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
,
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Kalvin witze� ans Examiner Date Contractor and/or Homeowner
(Required when comments aze present)
FORMS
� _�
� FLORIDA BUILDING CODE,ENERGY CONSERVATION
FORM 402•2010 ' Residentfal Bulldtng Thermal Envelo e A
Scope.Compliance with Section 402 oi the florida Building Code,Energy Conservahon,shaii be demonst ategd bythe u e of Form 402 for single-a d mguR pIM amEy re�s ences ot three
applica6feiTo comply at�budiidingnmust mee�t or exceed�all of�the energy efffclen�requ,ements on Tableu402A andea I aepp icabf e�man8datory�re�quir�ements summarized in Table 402
form.If a buildfng does not comply with this method or Alternate Form 402,it may still comply under Section 405 of theFlorlda Building Code,EnergyConservatiane��n buildings,as
B oi this
PROJECT NAME: 52 BUILDER:
AND ADDRESS: 5I �� S-�-
PERMITTING f1`
� h rl�� I(s OFFICE: � � � r 1 �
OWNER: Ob(�p� PERMIT NO.: � 32�/
JURISDICTION NO.:
General Instruettons:
1.New construciion which incorporates any of the following features cannot comply using this method:glass areas in excess of 20 pe�cent of conditioned floor area,electric resistance
heat and air handlers located in attics.Additions<_600 sq.ft.,renovatfons and equfpmeni ehangeauts may compty by this method with exeepttons given.
2.Fill in all the appiicabie spaces of the"To Be Instailed"column on Table 402A with the information requested.All°To Be Installed"values must be equal to or more efficient than the
required levels.
3.Complete page 1 based on the"To Be fnstalled"column information.
4.Read the requirements of Table 402B and check each box to indicate your intent to comply with all applicabie items.
5.Read,sign and date the"Prepared By"certiflcation statement at the bottom of page 1.The owner or owners agent must also sign and date the form.
1. New construction,addition,or existing building Piease Print CK
2. Single-family detached or multiple-family attached 1'�
3. if multfpte-famify-No.of units covered hy this submission 2��-
4. Is thts a worst caseT(yes/no) 3•�
5. Conditioned floor area(sq.ft.) 4•�
6. Glass type and area: 5.
a.U-fac[or
b.SHGC 6a.
c,Glass area 6b. t��
7. Percentage of glass to floor area s�' �-�-54•n.
8. Ffoor type,area or perimeter,and insulation:
7.,__---__'/o
a.Slab-on-grade(R-value)
b.Wood,raised(R-vyl¢e) 8a.R=
c.Wood,common(R-value) gb R_r�---- lin.ft.
d.Concrete,raised(R-value) g�.R_ �_sq.ft.
e.Concrete,common(R-value) gd.R� _sq,ft.
9. Wall t 8e.R= -sq.ft.
ype,area and insulatton: _sq,ft.
a.Exterior: 1. Masonry(Insulalion R-value)
Z- Wood frame(Insulation R-value) 9a-1. R=
9a-2. R= sq.ft.
b.Adjacent: 1. Masonry(Insulafion R-value) --�-�_sq,ft.
Z. Wood frame(Insulation R-value) 9b-1. R=
10. Ceilin 9b-2. R_ _sq.ft.
g type,area and insulatlon: --�-- �_sq,ft.
a Under atde(Insulation R-value)
b.Single assembly(Insulation R-value) 10a.R=
s ft.
11. Air distribution system:Duct insulation,location,Qn 10b.R=
� _sq.ft.
a Ductlocation,insulation
b.AHLT]ocation 11a. R= �_
c.Qn,Test nport attached(<0.03;yes/no) ��b• �'�C. -
12. Cooling system: 11c.Test report attached? Yes �
a Type
b.Efficiency 12a Type;�,'�'(�'
13. Heating system: �2b.SEER/EER•.�_ '__
a�'S'P� 13a.Type: �
b.Efficiency 13b.HSPF/COP/AFUE: -�
14. HVAC sizing calculation:attached
15. Hot water system: 14. Yes �
a Type
b.Efficiency 15a.Type;
i5b.EF: -
1 hereby certify that the pians and specificaUans covered by the calculallon are in compliance wlth the florida Review oi plans and specifications covered by th�s ca�ulation indfcates compGance with ffie Flori
Energy Code.
� I��L��(� Enerpy Code.Before constructfon Is comp eted,�� da
PREPARED BY: V Z �'� accoNance with Section 553.9�� l ��be inspected for comptlance in
DATE:� ( �
I heraby cert(y that th�s bufl�� �I �( �mA��� ��e orida Energy Code: �/y CODE OFFICIAL:
OWNER AGENT• O�F�/e p� / _z
DATE: (0 DATE: ,7 �-
C.4 � �_
, 2010 FLORIDA BUILDING CODE-ENERGY CQNSERVATION
� FORMS
I
i'
TABLE 402A
BUIlD�N6 COMPONENt PERFORMANCE CRITERIA' INSTALLE�VALUES:
U-Factor<0.65 U-Fedor= ��ps
Windows(see Note 2): SHGC=0.30 SHGC=•3S
%ofCFAc=20% �otCFA= '�
S 11 hts U-Fador�0.75
Doore:ExteAor door U-Factor U-Factor�0.65 U-Fedor=
Fioors: Slabon-grade No requirement R-Value=
Wer urxonditioned s ces see Note 3 R-13
Walls—Ext.and Adj.(see Note 3):
Frame R-13 R-Value= ,�
Mass (sae Note 3)
Interior of wall: R-7.8 R-Value=
Exterior of wall: R-6 R-Value=
Ceflings(see Notes 3&4) R=30 R-Value=�� Test report
Reflectance
025 Reflectance= Yttach d?
Air distribution system(see Note 4)
Ductwork&air handling unit: Locetion: Test report
Not allowed
Uncond'�lonedspace Att c,pe�7
Conditioned space Ye�
Duct R-velue R-value z 6 p-Value=�
Air Ieakege�n Qn 5 0.03 q�_
Air condittonin stems see Note 5 SEER=13.0 SEER=
Heating eystem SEER=�3
Heat pump(see Note 5) Cooling: SEER=13.0
Heating: HSPF=7.7 HSPF=��/
t
Gasfumaca AFUE78% AFUE= /4�
Oil tumace AFUE 78% AFUE= /T
Electric resistance:Not allowed(see Note 5)
Water heating system(storege type)
Electric(see Note 6): 40 gal:EF=0.92 Gallons=
SO gai:EF=0.90 EF= �I//1_
Gas fired(see Note 7): 40 gal:EF=0.59 Galions= �`� �"T
50 gal:EF=0.58 EF=
Other(describe):
(1)Each component present in the As Proposed home must meet or exceed each of the applicable performance criieria in orderto comply with this code using this method;
otherwise Section 405 compliance must be used.
(2)Windows and doors qualitying as glazed fenesiration areas must eompiywfth both the maximum U-Factor and the maximum SHGC(solar Heat Gain Coefficient)criieria
and have a maximum total window area equal to or less than 20%of the conditioned floor area(CFA);othenvise Section 405 must be used for complfance.
Exception: Additions of 600 square feet(56 mZ)or less may have a maximum gfass to CFA of 50 percent.
(3)R-values are for insulation material only as applied in accordance with manufacturers'instailation instructions.For mass wails,the"interior of wall"requirement must be
met except if at least 50 k of the R-6 insulation required for the"exterior of wall"fs installed exterior of,or integral to,the wall.
(4)Ducts&AHU installed substantially leak free per Section 403.22.1.Test by Class 1 BERS rater required.
Exception:Ducts instelled onto an existing air distribution system as part of an addition or renovation;duct must be R-6 installed per Sec.503.2.7.2.
(5)For all conventional unfts with capacities greater than 30,000 Btu/hr. For other types of equipment;see Tables 503.2.3(1-8).
Exception:The prohibition on elecVic resfstance heat does not apply to addkions,renovations and new heating systems installed in existing buildings.
(6)For other elecVic storage volumes,minimum EF=0.97-(0.00132 x volume).
(7)For other natural gas storage volumes,minimum EF=0.67-(0.0019 x volume).
TABLE4026 MANDATORY REQUIREMENTS
COMPONENTS SECTION RE�UIREMENTS CHECK
To be ceulked,gasketed,weatherstripped or othervvise sealed.Recessed Iighting IGrated es meeting ASTAA E �
Air leakage 402.4 283.Windows and doors=0.30 cfm/sq.ft.Testlng or visual lnspectlon tequfred.Rrepiaces:gesketed doors&
outdoor combuslion eir.
Ceilingallmee walis 4052.1 R-79 spece pertnittl�9.
Progremmable thermostat 403,1.1 Whare forced-afr furnece is primery system,progremmable thertnostet Is required.
Air dstribu4on system 4032 Ducts in etttcs or on roofa InsWated to R-8;other ducts H�.Ducts tested to�,=0.03 by a Class 1 BERS rater.
Heat trep required tor vertieal pipe risers.Comply wfth dlidendes in Teble 403.4.32.Provide swrich or dearly
Water heaters 403.4 marked dreuit breaker(elecMc)or shutoff(gas).CirculaUng system p�pes insuleted to=R-2+accessible manual
OFF switch.
Spas end heeted poois must have vepor-reffirdent covers or a Iiquld cover w dher meens proven ro reduce heat
Swfmming pool 8 spas 403.9 loss except ft 709:ot heat hom site-recovered energy.OffJdmer switch required.Gas heeters minfmum thertnal
e}� a 78% 8296 elter 4/16113.Heat um I heaters minimum COP�4.0.
Sizi�p ca�CUlaECn perfortned 8 atteched Minimum etticiencies per Ta6les 5032.3.Equipment etficiency verlfication
Cooiin<yheating equipment 403.6 ����heePt�at OkW m ist be dNi�ded into twog w more s�e�s�, seperete system or variable capecity system.
Lighting equipment 404.1 At leaet 50%of pertnanentlY instalied IlghUng flztures shall be high-etflce�7l�emps.
2010 FLORIDA BUILDING CODE—ENERGY CONSERVATION C.5
Pasco County Parcel: 11-26-21-0010-13100-0010 001 Page 1 of 2
uata Current as Of: Weekly Archive - Saturday, June 30, 2012
Parcel ID 11-26-21-0010-13100-0010 (Card: 001 of 001)
Classifcation O1 - Single Family
Mailing Address Property Value
ROBINSON KATHRIN Ag Land $�
5251 5TH ST ��d $8,610
ZEPHYRHILLS FL 33542-4041
Physical Address Building �23�2�g
Extra Features �12�gg2
5251 5TH ST
ZEPHYRHILLS FL 33542-4042 7ust Value #44���p
LeQal D@SCPIDt10�1 (First 4 Lines) Assessed (Non-School Amendment 1) �44�770
See Plat for this Subdivision,�' Taxable Value $44,770
CITY OF ZEPHYRHILLS PB 1 PG 54
EAST 80 FT OF LOTS 1 2&3
BLOCK 131
OR 8656 PG 2917
Land Detail (Card: 001 of 001)
Line Use Description Zoniny Units Type Price Condition Value
1 0100 SFR OOR3 4,200.00 �F $1.80 1.00 $7,560
2 0100 SFR OOR3 3,000.00 SF $0.35 1.00 $1,050
Additional Land Information
Acres 0.17 Tax Area ZH FEMA Code X Residential Code H HLP
Buitdina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1945 Stories 1.0
Exterior Wall 1 Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interlor Wall 1 Drywall Interior Wall 2 None
Flooring i Pine or Soft Wood Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Llne Descriptfon Sq. Feet Repl.Cost New
1 B� 792 $29,621
2 � 133 $2,506
3 SL2Sz 280 $3,142
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 �W� 1986 261 $333
2 �Q� 2004 244 $6,246
3 � K 2004 345 $1,154
4 PV F SF 2004 1,080 $1,901
5 LFE E 2004 280 $349
6 �� 2011 288
$2,143
� �� 2011 192
$756
Sales History
Previous Owner SPOKAS ADOLPH A&
Year Month Book/Paye Type Amourrt
2012 02 8656/2917 Ap �
$31,500
2012 02 8656/2916 �yp $31,500
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=00.10&bl... 7/3/2012
�ra�osttl Page No. of Pages
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PROPOSAL SUBMITTED TO � ;' PHONE
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CITY STATE and ZIP CODE
JOB LOCATION
ARCHITECT DATE OF PLANS
JOB PHONE
We hereby submit sp 'fications and estimates for
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�P �COpOSP hereby to furnish material and labor— complete in accordance with above specifications, for the sum of•
Payment to be made as follows: dollars(,s _ ����,� t,� 4 ^ )
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All material is guaranteed to be as specified. All work to be completed in a workmanlike ���,,r�'•�" .c'�_._„ � ' ,_, -� -
manner according to standard praciices.Any alteration or deviation from above specifications AUthO�i=y�� - " -`�-==----- - '� �
involving extra costs wdl be executed only upon written orders, and �ydl become an extra Signafyfq �"�� - -� —_.--- -- - -'
charge over and above the estimate. All agreements contingent upon strikes, acadents / ~�-�-�""""� -��r'�J'i
or delays beyond our control. Owner to carry fire,tornado and oiher necessary insurance. � �
7ur workers are iully covered by Workman's Compensation Insurance. Note:This proposal may be
withdrawn by us if not accepYed within _ days.
���IIICP Df �rQ�QS�[I —The above prices, specifications -
s are satisfactory and are hereby accepted. You are authorized Signature ,
�s specified. Payment will be made as outlined above.
,ce:
Signature� � T� �r V,' � , 1 _
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s13-7so-ao2o City ot�epnyrnn►s r�rnu�r�NN���a����� .
' Building Deparfinenf
Date Received �� �� phone Confact for Aermitting a�� �� . -- ���
-myy -rrrri-rr►
Owner's Name ��-�`"/J rC./� /�-l�aL�(Q/� • Owner Phone Number � �
Owner's Address so�s� s�� fTCP�T. • Owner Phone Number[
Fee Simple Titleholder Name • Owner Phone Nurriber[
Fee 5imple Titleholder Address ' ' �
JOB ADDRESS S cZSI �5��J /�-e � ' � LOT� ��` ��
SUBDIVISION . � Ze �/�1 PARCEL ID# /l—°L6—°��� 0�/d �/,,�� (f- QO��
• (O�TAINED FROM PROPERTY TAX NOTIC[)
WORK PROPOSED ' NEW CONSTR ADD/ALT 0 SIGN � NIOVE Q DEMOLISH
� INSTALL e REPAIR
PROPOSED USE' • � SFR ' � • COMM � OTHER �
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME � .0 STEEL � O�THER
DCSCRIPTION OF WORK C�,��; � /`�(�r�� `�� �„� � ,/G7 `�i EI `� ��Y� �
BUILDING SIZE `Q X J 7 SQ 1=00TAGE �Y � HEfGHT C�
' � BUILDING $ (�`� O�vt Cl� VALUATION OF TOTAL CONSTRUCTION
/ W
� ELECTRICAL � AMP SCRVICE 0 PROGRESS ENERGY Q W.R.E.C.
0 PLUMBING $ �������8�����,/���
(813)788-53��€
� VALUATION OF MECHANICAL INSTALLATION��1�-�24�7�4�
MECHANICAL $
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0 GAS 0 ROOFING � SPECIALTY � OTHCR
�INISHED FLOOR ELEVATIONS �I �LOOD ZONE AREA [�YES []NO
�
c���.��/; . /'Y�/�L�U ' 1.�'�,' COMPANY �Ct/1 � �7� �� • _.T/1C .
BUILDER E'
SIGNATURE ��-�� F2CGISTERED Y/ N FEE CUI�RENT Y J N
Address � �S� Q�� �« � r' `l � ' ' . License#
ELECTRICIAN �� � � COMPANY
SIGNATURE I �� ��' � REGISTERED Y/ N FEE CURRENT Y/N
Addres� • � License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
� `- �(c�� ` � •Q
MECHANICAL COMPANY ,
SIGNATURE REGISTERED Y/ N FEE URRENT Y/N
Address yyyl /L � � � ' .License# _�
OTHER � COMPANY '
SIGNA'I'URE RCGISTERED � Y/ N PEE CURRENT Y/N
Address License#
RESID�NTIAL Attach(2)Plof Plans;(2)sets of Building Plans;(1)set of Cnergy Forms;R-O-W Permit for new construction,
Minimum ten(10)worl<ing days after submittal date. Required onsite,Construction Plans;Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Worlc Permit for subdivisions/large projects
COMMERCIAL Attacli(3)complete sets of Building Plans plys a Life Safety Page;(1)set of Energy Forms.R-O-W'Permit for new construction.
Minimum ten(10)worlcing days affer submittal date. Required onsite,Consfruction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary f-acilifies&9 dumpsfer.Site Worl<Perm(t for all new projects.All commercial requiremente�must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'***PROPERTY SURVEY roquired for ali NEW construction. �
-I-FFi-�+►a+f-f-�-f-ri-H+I-w-►-f-H-rH-1+H-r�-Hi-H-1-I-1-{-Hi-�-1-1-h►-H-I+H-FH-rI-�+I+Ft-l-1-1-H-1+►-}-I-f-Ia-I-I-H-l-1-H-�-r1+H+i-t-1-M-i°1-f-i;;-i-f-4-�;-H-H-i-1-1-ti-i- ' . ,,�
Directions: ,
Fill out application completely. '
Owner&Con(ractor sign back of application,notarized '
If over$2500,a Notice of Commencement is required. (AlC upgrades over$5000)
** Agent(for the contractor)or Power of P;ttorney(for the owner)would be someone wifh notarized letter from owner authorizing same -
OVCR THE COUNTER PERMITTING (Front of Application Only) '
Reroofs Sewers Service.Upgrades A/C Pences(PlotlSurvey/Footage) -
Qriveways-Not over Counter if on public roadways.:needs ROW
NOTICC OF DEGD RCSTR1CT10 n Cou�nt regulatgons The und�signed lassumes�sponsib Iby for�mpl a'n estw th�any
which may be more restrictive iha Y
applicable deed restrictions.
UNLICEfVSED CONTRACTORS AND CONTRACTOR I�ESPONSIBILITIES: If the owner has hired a contrac or or
contractors to undertake work, they may be requfred fio be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both ihe owner and contractor may be cited ��or a misdemYan�opyiolation
under stafie law. If the owner or int�nded contractor are uncerfiain as to whafi licensing requirements ma a I for the
intended work, they are advisecl fio�contact the Pasco County Building Inspection Division—Licensing Section at 727-8�7-
8009. f=urthermore, if fil�e owner has hired a contracior or coniractors, he is advise.d to have fihe contractor(s) sign
portions of'the "coniractor Block" of ihis application �for which ihey will Ue responsible. If you, as the owner sign as the
contractor, that may be an indication thafi he is riofi properly licensed and is noi enfiitled to permilting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RCSOURCE REC�OV�CRconst ucti nl,of neweb gd'gsncleange of
that Transportation Impact Fees and Recourse Recovery Fees m�y app Y
use in existing buildings, or expansion of existing buildings, as speci�Fied in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also undersfiands, fihat such Fees, as may be due, will be identified at the time of
permitting. It is �Furlher unclersfiood that Transporfiaiion lmpacfi f=ees 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 issuanc�. Furthermore, if Pasco Counfiy Water/Sewer Impact
fees are due, they must be paid prior to permifi issuance in accordance with �pplicable Pasco Couniy ordinances.
CONSTRUCTION LICN LAW(Chapter 7'13, Florida Statutes, as amended): If valuafiion oF work is $2,500.00 or more, I
certify ihat i, the applicant, have been provided with a copy o( the "Florida Consiruciion Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. IF the applicanl is someone
other than fihe"owner", I certify thafi I have.obfiained 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 cerfiify that all the information in this application is accurate and that all worlc
will be done in compliance wiih all applicable laws regulating construction, zoning and land developmenfi. Application is
hereby made to obtain a permit fo do work and installation as indicated. I certiFy thafi no worlc or installation lias
commenced prior to issuance of a permit and thafi all worlc will be perFormed to meefi standards of all laws regulating
construction, Counfiy and City codes, zoning regulations, and land d�v�lopment regulations in the jurisdiction. I also
certify fihat I understand that fihe regulations of otl�er government agencies may apply to fihe intended worlc, and thafi it is
my responsibility to ide�t�of Efnv�ontm nfal Pr tecltion�Cyp ess 13ayheads SWetland Areas alnd EnvironmenfiallytSensitive
- bepartmen
Lands, WafierM/asiewater Treatment. ress Ba heads, Wetland Areas, Altering
- Southwesi Florida Water Management Disfirict-Wells, Cyp Y
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Deparlment of Health & Rehabilitative Services/Environmental Health Unii-Wells, Wastewater Treatment,
Septic Tanks.
- US Env.ironmental Protection Agency-Asbesfios abalement.
Federal Aviation Authority-Runways.
1 understand that the following restrictions apply to the use o�f fill:�
Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
If the �fill maierial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at fiime oF permitting whicli is prepared by a professional engineer
licensed by the State o�F Florida.
If the fill material is to be�used in Flood Zone "A" in conneciion with a permitted building using stem wall
construction, I cerfiify that fill will be used only fio�Fill fihe area wifihin i:he stem wali.
If fill material is to be used in any area, I certify fihat use of such �fill will nofi adversely afFect adjacent
properties. If.use of fill is �found to adv�rsely affect adjacenf properiies, ihe owner may be cited fior violating
the conditions of the building permit issued under the attached permit application, for lots less than one ('I)
acre which are elevafied by fill, an engineered drainage plan is required.
If I am the AGENT FOR Th1E OWN�G-R�t�p ti nIS i�u ders�tandltl at a�separai �ermifi may u�equg ed �or'electr cal�work,
this affidavit prior fio commen g
plumbing, signs, wells, pools, air conditioning, gas, or other insfiallations not specifically included in ihe application.
permit issued shall be constru���h bcal c'odesenorp hall ss�'nlcehof a pe miaprevent thehl3 ilding Officialefrom thereaffer
set asicle any provisions o�F th
requiring a correction o(errors in �lan�r�fi ssrcotmmenced'within s'x�months of �erm t pssu'nce,uor�if wolrk authoeized by
uniess the work authorized by such p
the permit is suspended or abando fihe,Buildp g'Of(�ial fo6a pertod nofi fio exc'�din ne yr(90) days andewill demonstrate
may be requested, in writing, from
the ob is considered abandone .
justifiable cause for the extension. If worlc ceases�For ninety (90) consecutive days, �j
WARNING TO OWNER: YOUR.f-AIL�U TO YOUR PROpERTY.T11=YOL1 INTE D�TO OBTA NM NANC NG C'ONSULT
PAYING TWICC FOR IMPROVEMENT
WITH YOUR LENDER�OR AN ATTORNEY f3EFORE RECOI�DING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(I":5.117 ) ��\�(,J' p, Cc.... /���[�
�c ('����_ l�(,t.�JL_ CONTRACTOR Y��"'
OWNER OR AGENT Subscri ed and sworn to o rmed)befo e t is
Subscribed and sworn to,(,o affirrned)b e m thrs �` _� by ��'C/t � C�//S
(a /9—��bY `� ��e � Who is/are personally I<nown to me or haslhave produL'�d
Who is/�re oersonallv known fo me or haslhave pro ucecf �--- as idenfification.
as identifcation.
� Notary Public
Notary Public
Commission No. -
commission o. Su�anne B3hr
Suzanne Bahr ' �` .: �� .
' Name of Notary typed�printed� ,P Xplres: :�CV,22,2014
Name of Notary typed� xpire' �OV.22 2014 " '� T .��c co,r.+c.
. : , so���Tx�r�.�.��,��t,,�,
BOSDED'1'I-[RC.4?L.�1.\1':t L'�\"])LVGCO.,INC.
t�ASCO PERMlT 8ERVICE
(813)786-5314 C�-S� 0� Z;�/.l,
, � FAX 1-$�-g247s� C
3�3s/ C� .53� ������
�,�,�„���f �/ .3��-- IIIIIIIIIIIIIIIIilllllllllllllllllllllllllllllllllllll
2012103986
Permit No. Parcel ID No �� p�y o1,� �����- ��/Q�—��
,7— NOTICE OF COMMENCEMENT
State of J"�/����� /], _e
County of /"�CFI Q
THE UNDERSIGNED hereby gives notice that improvement will be made ta 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: Parcel Identification No. dF z°�Cl� OQ / .0�,$�r �, �v ��� � � �f.� ,Q����/
s o2,S�/ �
Street Address: � �f ' �, fi� • 33 ,-y/� � �� P��9��
v 7�
2. General Description of Improvement
�G�in a� ��� � � �� Qv�
3• Owner Information or Lessee information if the Lessee contracted for the improvement:
���r�n /�,��/,t�'4/J
S�S'/",�"'�it J-�. .
Address � �� �� 3,��
City State
Interest in Property
Name of Fee Simple Titleholder: Rcpt:1443034 Rec: 10.00
DS: 0.00 IT: 0.00
(If different from Owner listed above) 06/20/12 E. Mungu i a, Dpty C 1 erk
Address �� � City
4. Contractor• � /yt �ZJ(C_ State
CQ!�e �O/`�' �t/►S � � � �.�.53�-"
Address City
Contractor's Telephone No.: 5tate
5. Surety:
Name
Address City
Amount of Bond: $ State
Telephone No.:
6. Lender:
Name
Address City 5tate
Lender's Telephon2 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:
Name
Address City —'— �
Telephone Number of Designated Person:
8. In addition to himself,the owner designates of
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: _
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, ANO CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE J08 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITN YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA �OT7^'::����^ -- � •
COUNTY OF PASCO ,,,�°, ' ' -r%���ORIDA �j ��� )l M �.�
' �'�'"�^ "`"�```12�' Signature of Owner or Lessee,or Owner's or Lessee's Authorized
�•,g'. -� '"��926164 OfficeNDirector/PartnedManager
B01L6;.,. � ., �.'i,d �.J�2�1.3 // ' ,�J / •
.... ...�..s.,;:�Lo.,vL.cco.,�c. �C (�`1�/�/'/l) /C-dQL/JJd/�
Signatory's Title/Office
The foregoing instrument was acknowledged before me this�p day of �.�[ ,2p�OL by �C1���j/`//J ��,�[�f0/�
�as U�U/�-e � (type of authority,e.g.,officer,trustee,attomey in fact)for
�Je (name of party n behalf of who instru ent was executed).
Personally Known�OR Produced Identlficatfon� Notary Signatur ` ��
Type of Identification Produced DC— Name(Print) �/'� (�I' �{J�
PRULR 5 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
060R BKZ ��'�4 PG�3424
wpdata/bcs/noticecommencement pc053048
STATE OF FLQRIDA '� � � ~~r�
THIS IS TO CERTIFY ����S�C �
TRUEAND CO �' �E FOREGOIN�,�"�,,q
RRECT C�bPY•OFjTFiE OCUMEN�
ON FILE OR OF PU UC RECORD IN'1�lg OFFICE
�WITNES MY HA►�+�`jp FFICI SEA THiS
DAY d� ;• � � �
PAULA S O NEIL, C RK C
R
BY ,__-�` .
� ` � DEPUTY CLERK
s, . . .
7 T� �%�/�✓��
�'''6, C� _ , ��4. �!�.��'�'���'��L�W�TH A�L
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REV�f EV1/ DATE ����
a E-xz�r, �� �, ' -
iCITY OF ZEPHYRHILl,3
� ����� � �' EXAMINER �
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Flnrida�ep�rmelij� BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&FacTS j Pubiications FBC Staff i3Ci5 Site Map Links Search .
Busines �"??
rofessi�r�al :� PERduc tUApproval
Regulation
�� Product Aooroval M nu>P�uct or Aooli�*� n S ar h>Aoolica_ tion List>ppP�i�ation Detail
� ,�R, , FL# FL5891-R2
Application Type Affirmation
• '�-�� � Code Version 2010
Application Status
Approved
Comments
Archived
Product Manufacturer Therma-Tru Corporat(on
Address/Phone/Emaii 118Industrial Drive
Edgerton,OH 43517
(419) 298-1740
sjasperson @tttechnologies.us
Authorized Signature Steve Jasperson
sjasperson@tttechnologies.us
Technical Representatfve
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Exterior poors
Subcategory Swinging Exterior poor Assemt>Iles
Compliance Method Evaluation Report from a Florida Registered Architect
or a Licensed Florida Professiorial Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed the Wendell W. Haney
Evaluation Report
Florida License PE-54158
Quality Assurance Entity National Accreditation and Man�3gement Institute
Quality Assurance Contract Expfration Date 12/31/2012
Validated By L.F. Schmfdt, P.E.
Validation Checklist- Hardcopy Received
Certificate of Independence FL5891 R2 COI CERT OF INDEPENDENCE.odf
Referenced Standard and Year(of Standard) Standard
Year
Accepted Engineering Practice 2007
SSTD 12 1999
TAS 202 1994
Equivalence of Product Standards
Certified By
Sections from the Code
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