HomeMy WebLinkAbout12-13322 CITY OF ZEPHYRHILLS ��-�
' S335-8TH STREET
(si3)�so-oozo 13322
BUILDING PERMIT
Permit Number: 13322 Address: 6220 10TH ST
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: CARPORT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0080-00200-0280
Improv. Cost: 3,237.80
Date Issued: 8/09/2012 Name: SHOULTS, DORIS
Total Fees: 82.50 Address: 6220 10TH ST
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 8/09/2012 Phone: (813 783-1444
Work Desc: INSTALL CARPORT 18 X 20 &//// 12 X 30 RV PORT � ���
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SHEATHING
FINAL 1 2-I �
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)oondemned work resulting
from faulty oonstruction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fl plans not at job site g)work not acoessible.
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 properLy. If you intend to obtain financing,aonsult with your lender or an attorney
before reooMing your notice of commencemen�"
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinanoes. NO OCCUPANCY BEFO C.O.
CONTRACT SIGNA URE 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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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contracto�eown : � �y
Date Received: �� - ,� - l�
Site: (� --�� v � /U� -
Pertnit Type: %� � _j�) � �/ %��--
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 Switzer— Exaniiner Date Contractor azid/or omeowner
(Required when comments are present)
e��-�ea°°2° Ciry of Zephyrhills Permit Application Fau-813-7640021 �
Bwlding Depertrnent
Data Received P�����v��{or PermNtln Q
Owners Nsme e , Ownsr Plana Number "7 �
Owners Addresa �Q r�� � O�ivner Phons�u�r ���� /Q 9���Z9�
Fee Simpk TidehoWer I�me �6 V-�C J�n t.LJT� I Owner Phone Number
Fee Simple TltlehoWer Address Z Z b 6+ ST ( 3 3 S�Z
JOB ADDRESS �•� t�! � � 3 YZ LOT# �O
SUBDIVISION S �� PARCEL IDA� �Z'�L' 'O'O �
(OBTAINED FROM PROPERTY TAX NOTCE)
WORK PROPOSED NEW CoNSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL B REPAIR
PROpO3ED USE Q SFR Q COMM � OTF�R
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DE3CPoP710N OF WORK �� x 3a' y Q
BUILDING SIZE �Z/X 3 O� SQ fOOTAGE� HEIGHT ��
�BUILDING 3/O S O VALUATION OF TOTAL CONSTRUCTION
L
QELECTRICAL a AMP SERVICE Q PRO E�S5 ENERGY Q W.R.E.C.
QPLUMBING $ '. r'v'`/v�. '��C%=���VI�
�
OMECHANICAL � VALUATION OF MECHANICAL INSTALLATION �2� �
� � J
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
� a J t �v�
BUIIDER ' COMPANY �� L✓ �
SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N
�� License#
ELECTRICIAN COMPANV
SIGNATURE REGISTERED Y f N FEE CURRE�. Y!N
A�m� Llcense ik
PLUMBER COMPANY �
SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N
Address u�,$e�r -1
MECHANICAL COMPANY �
SICaNATURE REGISTERED Y/ N FEE CURREA Y/N
Addrest license# �
OTHER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas Lfcense�k -�
IIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllll
RESIDENTIAL Atlach(2)Plot Plans;(2)sets oi Build'mg Plana;(1)set W Enerpy Fams;R-O-W Pertnk for new constnx;tion,
Minimum ten(10)worlcing days eft�submittal date. Required onsile,Constnu:tion Plans,Stormwater Plans w/Silt Fence inatalled,
Sanitary Facillties 8 1 dumpster;SRe Work Permit for subdivisionsilarpe projects
COMMERCIAL Attach(3)complete sets ot Building Plans plua a Life Safery Page;(1)set of Er�erpy Fams.R-O-W Permit for new�nstruction.
Minimum ten(10)waking deys after submittal date. RequNed onsite,Canstrudion Plans,Stormwater Pl�s w/Silt Fence Installed,
Senit�y Faci�ities&1 dumpater Site Wak Pertnit for all new projeds.All commeroial requirements must meet compllance
SIGN PERMIT Ariach(2)sets oT Engineered Plana.
'•"'PROPERTY SURVEY requked for aN t�W conatnx:tion.
Dlrecdons:•
Fill out appRcaUon completely
Owner&Contrador sign beck a(appRCatlon,notarized
Ii ovsr 52600,a Notice of CommencemeM is rpWrod. (AIC upprades over i7500)
"' Agent(for the conVador)or Power d Attomey(for the awner)wou�d be sameone witli noterized letter irom owner authorizing same
OVER THE COUNTER PERMITTING (FroM at Applicatlon Ony)
Reroofs if shingles Sewers Service Upgrades AJC Fences(PIof/Survey/Footape)
DrivewayrNot over CouMer if on publfc roedways..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�rrtact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor w 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
Counry
TRANSPORTATION IMPACT/UTILITtE3 IMPACT AHD RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansio�of existing buildings,as specified in Pasco Courrty Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
pennitting. 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 dces not involve a certificate of occupancy or
final power release, the fees must be paid prior to permk issuance. Furthermore, if Pasco County WateNSewer Impact
fees are due,they must be paid prior to pertnit 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
certiTy that 1, the applicant, have been provided with a copy of the "Florida Construcdon Lien Law—Homeowner's
Protecbon Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certity 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'3/OWNER'3 AFFIDAVIT• I certify that all the information in this application is accurate and that ail work
will be done in compliance with all applicable laws regulating construction,zoning and land deveiopment. 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
const�uction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agenaes may apply to the intended work,and that it is
my responsibility to identity what actions I must take to be in compliance. Such agenaes inGude but are not limited to:
- Department of Environmental Protedion-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
Lands,WaterNVastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Watervvays.
- Department of Heafth & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental ProtecGon Agency-Asbestos abatement.
- Federal Aviatfon Authority-Runways.
I understand that the following restrictions appiy to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressy permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to flll the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such filt will not adve�sely affect adjacent
proper[ies. If use of filt 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 faiU�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 elecirical work,
piumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be constn�ed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of enors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the wo�lc authorized by such pertnit is commenced within si�c months of permit issuance,or if work authorized by
the pertnit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An entension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESU�T IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
R D R Y DI Y R C NC NT.
FLORIDA JUR/.�I.(E.S.117.0
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OWNER AGEN CONTRACTOR � �I ui/�aP�—'
ubu�pe�_� or eifi before me this Subsixibed arM swom (or effirmed)before me this
�S�7S�4�y by
� P�R � to me or Who is/are personelty known to me a hesfiave produced
f. C s identHica as identlfication.
Notary Public Notary Public
Commission No. Commission No.
1�.c.�r►c.�c. C�,��;� �"c
Name ot Nota t ped,orinted or stamped Name of Notary typed,priMed or stamped
B.��"„��•,,, RICFIARD CUFCTi3,JR.
��:= MY COMMISSl4N A EE 180550
�l4t`�- Bonded ThruS:Feb PuM(cry Undenxiters
t�Tt•. Nola�Y
s�s-�so-oozo City of Zephyfiilis Permit Application Fax-813-780.0021
Building Department
Date Received �, � Y
� Phone Contact for Permittin
Owner's Name e�-i J�e w('�s OwrJ�f phone Number 'l '
Owner's Address Z 26 �a S �� '�` ���� � _
�" � Owner Phone Number 3 ` —.�sZ
Fee Simple Titleholder Name JJ d ��d,,,`�--�� � p�er Phone Number
Fee Simple Titleholder Addresa b Z � � ��f�' —{� � � �,.��� �� �� s' Z
JOB ADDRE3S b Z ZO !�� "�"Z� ' I .3.3,5�2, LOT# Z �
SUBDIVISION o w� �V � PARCEL ID11 C�Z'�� - Z/- O O F'Td- aazaa ' b Z$Q
(OBTAtNED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK l /f��d� � Q
BUILDING SIZE �g� ZQ� SQ FOOTAGE 3 6 O HEIGHT ( �
OBUILDING $ /� �� /,� VALUATION OF TOTAL CONSTRUCTION
7(,J
QELECTRICAL $ AMP SERVICE p G
Q �E9��fNERGY Q W.R.�„G.._,__..�_
/J�l�, t..�,,�",r,�'��7 L l �
QPLUMBING $ �,/ ��
QMECHANICAL a VALUATION OF MECH AL INSTALLATION (3 � ��
�
[�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER ' COMPANY �
SIGNATURE � t' REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# —�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
Minimum ten(10)working days after submlttal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpste�.Site Work Permit for all new proJects.All commercial requiremenfs must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW constructlon.
Directions: � �
Fill out applicatfon completely.
Owner&Contractor sign back of appiicaUon,notarized ` '
If over i2500,a Notice of Commencement(a required. (A/C upgrades over 57500)
"' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authqrizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon 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 responsibitity for compliance with any
applicable deed restrictions.
UNLlCENSED 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 RECO V�ER onstrEuation of neweb 9de gsnchange of
that Transpo�tation Impact Fees and Recourse Recovery Fees may app y
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 u�derstands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "ce�tificate 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 Depa�tment 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 appiication 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 instailation 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
ce�tify that I understand that the �egulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depa�tment of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of flll is not allowed in Flood Zone"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certiy 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 flll, an engineered drainage plan is required.
If 1 am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such pe�mit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demvnstrate
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 NOT{C€ OF COMMENCEMENT MAY RESULT tN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCtNG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.0 _ 'J
OWNER OR AGENT� CONTRACTOR� ( � �•���
Subscribed and swo or aHirmed)before hlg, Subscribed and swom to r a rme )be re me this
p . 01 by c ` b
o is are persor�all knovm to me or h�Q�vA orod� d Who is/are perso ally known to me or has/have produced
�L l7C"Wtt s � t�1c as Identlflcatlon.
as idenBficatlon.
Notary Public Notary Public
Commissfon No. �� � Commfssion No.
� �',,,� �'c .
Name of No Name of Notary typed,printed or stamped
RICFIARD CUFTTIS,JR.
?�: :ie MY(AMMAISSION�EE 180650
'= D(PIRES:Febrwty 13,2018
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NOTICE OF COMMENCEMENT
State of Counry of_ /— s� �c
THE UNDERSIGNED hereby gives natice 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. Descxiption of P�operty: Parcel Identification No.�7-,�G-Z I — Od�4 -� G16ZdO � OrZ�0
Street Address: �Z�� /0� 's.yt � s�/ 3��/�Z
� � � �
2. General Description of Improvement X � �z��. 3� �v�r�
/
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
__ a rc�s Sf�� « /-�S
N� �
GZZa ia�'�3r� / J
Address � ��^�r�� /r.�
/ State
Interest in Property: �d� (b .,���y�
Name of Fee Simple TiUeholder Repf.:1432306 Rec: 10.00
(If different from Owner listed above) DS: 0.00 IT: 0.00
Address ��ty 08/03/12 E. Mungula, Dpty Clerk
4. Contractor: n t�+r�� �a �-�f-�C'
Name �
L Zzo �a'`l �'S',F ����
� Address ��r�s•..S
a � C�� State
Contractor's Telephone No.: �3'�O�`�� �S�7
5. Surety•
f—
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender: Pau�a s o'NEIL,Ph D PqSCO CLERK & COMPTROLLER
Name 080R3BK2 �7�� PG�3147
Address City atace
Lender's Telephone 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:
.
Nam
_�G4�0 5-F.� (e.�/ $�/ Z ���,r ��/�< �[
Address City State
Telephone Number of Designated Person: ��J `�S�-���.s
8. In addition to himself,the owner designates of
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. iF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA r
COUNTY OF PASCO
`
Sign of Owner or Lessee,or wners or essee's Authorized
O r/D'ector/Partner/Manager
�i�i��
Sign+ 's Title/Office
The foregoing instrument was acknowledged before me this�day of�,z0�2r by ^ n 4
�U+C�Op� �V a t�C� �� (type of authority,e.g.,officer,trustee,attomey i ct)for
��.5 � �,�« 4 1—i-t' (n me h of om instr ment was executed).
Personally Known�QR Produced Identification� Notary Signature
Type of Idsntification Produced_�-L��Y�('��L1GeC1 Name(Print) l. �r
' �: �awna�rns.,►R.
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$?ATE OF FLUR►DA,COUN �
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GOVN�fS� �' ,
THIS ISTO CERRECT C4�' pF���OCUME�T
TRUE AND COR SHI�qF,�10E. `�,
ON FILE OR OF PUBLIC R����S�AtT _�
W�-(N SS M Y H A N D N D 2�-D�I�- :
�_DAY OF �.�C. M �'R,Ott.q� �
PAULA S� ,- * pEPUTY�i+�K
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Pasco Coun�y Parcel: 02-26-Z l-0080-00200-0280 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, July 21, 2012
Parcel ID 02-26-21-0080-00200-0280 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
SHOULTS DORIS L LIVING TRUST Ag Land �p
SHOULTS DORIS L TRUSTEE ��d $15,120
6220 lOTH 5T Building $50,596
ZEPHYRHILLS FL 33542-3546
Physical Address Extra Features $3,265
6220 10TH ST Just Value $68,981
ZEPHYRHILLS FL 33542-3547 Assessed (Non-School Amendment 1) $68,981
Legal Description (First a �ines)
See Ptat for this Subdivision.�"
Taxable Value #6g,gg1
TYSON SUBDIVISION
PB 4 PG 109 LOT 28 BLOCK 2
OR 3409 PG 1601 &
OR 7770 PG 1839
tand Detail Card: 001 of 001
Line Use Descrl tlon Zonin Units T Price Conditlon Value
1 0100 SFR OOR3 9,450.00 SF $1.60 1.00 $15,120
Additional Land Information
Acres 0.22 Tax Area 30ZH FEMA Code X Residentiai Code TYSBLPI
Buiidin Information - Use 01 - Sin le Famil Residential Card: 001 of 001
Year BuiR 1972 Stories 1.0
Exbarior Wall i Concrete Block Stucco Exterfor Wal1 2 Concrete or Cinder Block
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
interior Wall i Drywall Interior Wall 2 None
Fiooring i Carpet Flooriny 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repi.Cost New
1 � 1,306 $60,337
Z FSA 180 $2,911
3 FG R 252 $4,666
4 FOP 80 $924
Extra Features (Card: 001 of 001)
Line Descri lon Year Units Value
1 DW S W C 1972 200 $150
Z UDU-M 1977 1 $76
3 PVCF SF 2007 1,200 $2,22p
4 UDU-M 2006 i, �glg
Sales FIIStO
Previous Owner SHOULTS DORIS L
Year Month Book/Pa e Amount
2008 02 7770/ 1839 � $�
1995 03 3409 / 1601 W D $54,000
19�2 01 0592/0319 $3,500
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0080&b... 7/24/2012
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS- BUILDING DEPARTMENT
� i
�, . have read and fully understand and agree to the
provisions of this ins rument.
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the following
conditions:
1. That the owner and he or she alone shall act as the builder for all phases of construction.
2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will engage only
properly licensed subcontractors and will personally supervise such work.
4. That in the event the Building Inspector shall require corrections to be made, the owner will
assume fulf responsibility to insure they are made, and upon completion will call for a
reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will not expect
supervision of his work from the City of Zephyrhilts Building Department.
6. That prior to final inspection any additional fees, including reinspection fees, must be paid in
full. A written request from this office shall constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to social security,
workman's compensation, lien laws, etc.,where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida Industrial
Commission.
9. State law requires construction to be done by licensed contractors. You have applied for a
permit under an exemption to that law. The exemption allows you, as the owner of your
property, to act as your own contractor with certain restrictions even though you do not have
a license. You must provide direct onsite supervision of the construction yourself. You may
build or improve a one-family or two-family residence or a farm outbuilding. You may also
build or improve a commercial building, provided your costs do not exceed $75,000. The
building or residence must be for your own use or occupancy. It may not be built or
substantially improved if for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person to act as your contractor or to supervise people working on your
building. It is your responsibility to make sure that people emplo�red by you have licenses
required by state law and by county or municipal licensing ordinances. You may not delegate
the responsibility for supervising work to a licensed contractor who is not licensed to pertorm
the work being done. Any person working on your building who is not licensed must work
under your direct supervision and must be employed by you, which means that you must
deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all
as prescribed by law. Your construction must comply with all applicable laws, ordinances,
building codes, and zoning regulations.
, �
OWNER'S SIGNATURE ° DATE✓�� c� J�--f'�
ADDRESS ✓
PHONE v'' �
WITNESS � r ' ' � �' � PERMfT
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'�°� � PREVAILiNG ODES,FLORIDA BUILDpVG
"`'� 4 CODE,NATIO AL ELECTRIC CaD�AND
�" CITY OF ZEPI� RHILLS ORDI�iANCES
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B en n e tt 55 Order Form 1 2
Steel Structures Division 1660 Dixon Airline Ro d
Bennett Building Systems, i�c Sales Order Form Augusta,GA.30906
Toll Free 1-877-830-7 86
Fax:1-877-880-0048
Buyers Name(s) �j r {s �, o a��.�
Address � 2ZCS /D'`� �'-�.�-,p�-� �ate -/� %�
City � State� Zip ��'�l�Z Retailer OUTDOORSTR CTURES-2H
Phone g,�-- /y �{ Evening serial No
e-mail Cell �( � 90�- � $�'Z°�' Run
Installation Site�If different from above)
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ar Ground Black � Black B ck Black
Gara e � I f r
g (� Z„� �G� � Cement es Yes Blue Blue ue Blue
Barn Asphalt No No Bright Red Bright Red Brig t Red Bright Red
RV Cover Other Brown Brown Br wn Brown
Utl�lYy (Description)
Burgundy Burgundy Bur undy Burgundy
Other Burn. Slate Burn.Slate Bur Slate Burn.Slate
Charcoal Charcoal Ch coal Charcoal
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Clay Clay ay Clay
Standard Carport S, �(S Galvalume Galvalume Galv lume Galvalume
Optional RoofStyle Q Boxed Eave �" Vertical Green Green G en Green
12 Gauge Framing Upgrade Ivory Ivory Iv ry Ivory
Certified 130 mph/30 psf � ��n Light Gray Light Gray Ligh Gray light Gray
Extra Bracing: 2' 3' Light Stone Light Stone Ligh Stone Light Stone
"J"Trim Red Red d Red
Side Height � �6 Tan Tan n Tan
Close Both Sides hite White it White
End(s)Closed Certi�ed 130 mph/30 psf Zinc Gray Zinc 6ray Zin Gray Zinc Grey
Frame Outs: Window Door Garage Door
Header l.ocation NOTE:INSTALLATION ITE US VEL.
Window 24 x 36 Standard Location CUStom2Y�niti Is � S_
Walk-In Door 36 x 80 Standard Location
Roll-Up Door Size X �ocation INSTALLATION WILL BE 4-5 EE
Roll-Up Door Size X location FROM SALES DATE(EXCLU I G
Wind Anchors PERMITTING TIME): t`�
Extra Panels CUStOmer Initial D -J .
40 Yr Metal upgrade
Other(Specify) ! ��
Other(Specify)
Other(Specify)
NOTICE TO BUYER:This order shall only become effective upon ezetution and acceptance by Seller-8ennett `,Z,Zd ,Q C� Sa I es Tota I
Buildmgs Systems at its offices in Augusta,Georgia and upon acceptance by Setler shall tonstrtute the contrect
between Seller and Buyer,subject to the Terms and Conditions on the reverse side hereof. Dealer is an ��
independent contractor,and not the agent of Seller,except for receipt ofthe deposit described above,and no �sl y� Sa les Tax CaSh
representation of Dealer shall be binding on Seller urrcil and except to the e�Rent accepted in writing by Seller �
This contrac[indudes cost of installation of the Unit at the address of Buyer indicated above upon receipt of �i /� Financed
they full purchase pnce;provided,however,Buyer shall be responsible for properly prepanng the site for �� ���(..J G ra nd Tota I red it Ca rd �
installation,o6taining any required permits for insiallation of the Unit and all other terms mntained on the /� Debit Card
reverse side,which Buyer hereby acknowledges by its signature below to having read and understood, �ZZ � d l,�
including without limitation,any mnd7tions of site preparaLOn,permits,warrantees and d 't�onal charges ana { � � Deposit —
responsi 'ities. � v �
�� s f t�' , � dalance Due °
Bu er s nature Date �`
. � _ _�
2t2i e�'S gneture Date ACCEPTED by Bennett Building systems LLC. Date
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ADDRESS
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CITY
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STATF ZIP CODE
TO WHOM IT MAY CONCERN,
PLF,ASF BE ADVISED THAT:
GARY MA1ZI��AM AND/OR TY SCHOENIG OF OUTDOOR STRUCTU S
OF FLURIDA, LLC HAVE MY PERMISSIUN UNTIL FURTHER WRI EN
NOTICE TO ACT AS MY AGENT TO SIGN AND PICK UP PFRMITS.
SINCEREL Y,
r1
[G ATURE
� - 1,�2"� ��
DATE
NOTARY:
STATE OF FLORIDA, COI�NTY OF PASCO
The foregoiug instrument was sworn to and subscribed before me t6is �� day
of �v ti.� , ��-l%I�--
Personalty Known or Produced Identification �'L �L- ,
w►u��n�s
Noqty P�MC-3Ut�M florida
� M�i'Co�+m.Exptns Ma1►Z�.201•
Cown�o�I EE�02�
Commisssioned Stamp tary ' ature
a�nd Expit-�non Date
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v �;��,_ ';� �� ''�CODE,NATIONAL ELECTRIC �BUILDII�G #
�° ' .e.� ,,� �' CITY OF ZEPHY CpDE AND j
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Benn e tt SSOrderForm 1 2
Steel Structures Division 1660 Dixon Airline Ro d
Bennett Building Systems, i�c Sales Order Form Augusta,GA.30906
Toll Free 1-877-830-7 86
Fax:1-877-880-0048
Buyers Name(s) 8�f � ��� u (-f—�
Address _6 z�t7 /�� �'f.r � f Date -- �� �
City ' � State�
� Z�P ��s'��_ Retailer OUTDOORSTR CTURES-ZH
Phone R 3. --��'�_ �5l��,C Evening serial No
e-mail Cell ��3_�a � ,�5Z `� Run
Installation Site(�f different from above)
Co r
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Carport � � , � Groun
�� �� Black Black B ck Black
Garage � �� Cement �r-�� �
�TlS.� Yes Blue Blue B ue Blue
Barn Aspha�t No No Bright Red eright Red Brig t Red Bright Red
RV Cov Other Brown Brown Br wn Brown
Utility (Description) Burgundy Burgundy Bur undy Burgundy
Other Burn. Slate Burn.Slate Bur Slate Burn.Slate
. " r,e,,,-, ., , Charcoai Charcoai Ch coal Charcoai
`'��` � ,.-� . Clay Clay C ay Clay
Standard Carport (a Galvalume Galvalume Galv lume Galvalume
Optionai Roof Style � Boxed Eave �Vertical Green Green Gr en Green
12 Gauge Framing Upgrade Ivory Ivory Iv ry Ivory
Certified 130 mph/30 psf Q . Q �j Light Gray Light Gray Ligh Gray Light Gray
Extra Bracing: 2' 3' Light Stone Light Stone Light Stone Light Stone
"J"Trim Red Red R d Red
./ Side Height 2� b � Tan T n Tan
Close Both Sides White White W ite White
End(s)Closed Certified 130 mph/30 psf Zinc Gray Zinc Gray Zinc Gray Zinc Gray
Frame Outs. Window Door Garage Door
Header location NOTE:IN TALIATION ITE B EVEL.
Window 24 x 36 Standard Location CUStomel'initl IS •��
Walk-In Door 36 x 80 Standard Location
Roll-Up Door Size X �ocation INSTALLATION WILL BE 45 EEKS
Roll-Up Door Size X �ocation FROM SALES DATE(EXCLU IN
Wind Anchors PERMITTING TIMEJ:
Extra Panels Custom2r initial ,. ���
40 Yr.Metai upgrade
Other(Specify)
Other(Specify)
Other{Specify)
NOTICE TO BUYER:7his order shall only become effective upon eaecution and acceptance by Seller-Bennett `9C l,J •�� Sales Total
8uildings Systems at its offices in Augusta,Georgia and upon acceptance by Seller shalf ronstiwte the mntrac[
between Seller and euyer,subject to the Terms and Conditions on the reverse side hereof. Dealer is an / /'� �i
independent mntraccor,and not the agent of Seller,except for rxeipt of the deposit described above,and no / ��, �L) Sa les Tax Cash
representation of Dealer shall be binding on Seller until and except to the e�c[ent accepted in writing by Seller �
This contred indudes cost af instailation of the Unit at the address of Buyer indicated above upon receipt of /�y� Fi nanced
they full purchase price;provided,however,Buyer shall be responsible for properly preparing the site for ���� , ��J G rand Total Credit Card �
mstallation,obtaining any required permits for installation of the Unit and all other terms contained on the .�7 �j �{ Debit Card
reverse side,which Buyer hereby acknowledges by its signature below to having read and understood, / 77( �/� DepO$It
induding without limitatfon,any conditions of site preparation,permits,warrentees nd addit charges and �� � V V -
responsibilit'µ�
l n �y
�o� � / �� , a Balance Due
��
uyer s Signa re Date
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Retai er 5 Sig�W Date ACCEPTED by Bennett Building systems LLC. Date
INSTALLATION PLANS 8c DETAILS �
FRAMING 8c FASTENER SPECIFICATIONS REGULAR PARTIAL ��`°
METAL CARPORT STRUCTURES '� °°M
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ENCLOSED BUI �DING �� ' w
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1,YAND IXPOSURE CAiE6pRY C �IYPICAL SIDEWALL FINISH ELEVATIONS a;
2. BiISIC NAND SPEm 3-SECOND GUSf OF 100 TO 130 IApH: S�.O SCALE. N.T.S. Q
MAXIMUM RAFTER/POST AND END PoSf SpAGNC�5.0 FEEf
3. fl4SIC WIND SPEm 3-SECpNO GUSf OF 130 MPH: �o
WUCIAIUM RAFfIIt/POST SPACINC AND END POSf SPACING�4.0 FEET �
4.AVERAGE FASfENER SpqCING ON-CQdfERS ALpNG RAFfFRS OR PURLINS, Y c
AND POSIS(INrEqIpR OR END)� 6 INCH6 0
5. SPECIFlG7pNs MPLICABLE Ta 29 GAUCE(100 TO 130 MPH) MEfAL pANpS 4j�o
(WffF1 hl'�BOKSI,MNN PoB H�GHf OF 7/8',GAL,VANRm OR PNMm SfEE1) �
FlSfENED DIREC7LY TO 12 G4 5fFEL 7UgE pAF7Qt fRAlA6/W1T CFW�NELS �Y�
6. F/SfENERS CONSISf OF i/4'- 14 X 3/4'SELF-DRIWNG SCRENS ��Q
N7TN COMROL SEAL WASHERS U U o
7 SPECIFlCATIONS APPLICABLE ONLY FOR MEAN ROOF H�CHT OF 20 F'EE7 OR LE55
AND ROOF SLAPES OF 11' 3:12 PffCH.SPACING REQUIRF71ENf5 FOR OTHER
8.GROUND ANCHOR REqUISRDAINfS�v��AT EACH CORNER AND EVE7iY OTHFR �
INfIIiIOR RAFfER PoSf LOCA710N,AT A MAXIMUM OF 10' O.C.,AND BO7H SIDES �+1
OF OPENINGS WHERE BASE RNL IS ABSENT, Q �
9. GROUND ANCHORS ARE NOT REQUIRm WffH CONCREfE SLAB CpNSfRUCT10N. � �
DESIGN CRITERIA. o
— �
COOE. FBC 2010 NOMINAL DESIGN WIND SPEEO: 101 MPH w J
CERTIFICATION: � �
GROUP USE: U (CMPORTS &BARNS) Q
COMPONENTS&CLADDING - 28.40 PSF Z =
ULTIMATE DESIGN WIND SPEED:130 MPH PRESSURE WALLS + 25.90 PSF � 0
THE CALCUUTONS/SPECIFICATiONS CONTNNED IN THESE�RAWINGS � 0 �
ROOP DEAO LOAD 2 PSP MAVE BEEN PREPAkED IN ACCOR0,INCF.WI?H THf RFOUIREMENTS OF � ao �
ROOF L�VE LOAD: 20 PSF COMPoNENTS a�CLADDING. - 26.00 PSF SECTION 1609 OF THE 2010 FLORI0.4 BUILDING CGDE.
PRESSURE ROOF + 13.90 PSF 1 d � �
LOAD COMBINA710N5� COMPoNENTS de CLADOINC - 56.�0 PSF �� ���//� N
DL+LL, O.60L+WL PRESSURE ROOF OVERHANG
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