HomeMy WebLinkAbout12-13547 CITY OF ZEPHYRHILLS
• 5335-8TH STREET
(813)780-0020 13547
BUILDING PERMIT
Permit Number: 13547 Address: 3505 AQUAMARINE WAY
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: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 2426-21-0020-00000-0860
Improv. Cost: 50,000.00
Date Issued: 10/25/2012 Name: GIOVACCHINO, WALTER
Total Fees: 607.50 Address: 3505 AQUAMARINE WAY
Amount Paid: 607.50 ZEPHYRHILLS, FL. 33542
Date Paid: 10/25/2012 Phone:
Work Desc: SRN RM 8 X17, SHED 6X9, WD DECK , RM ADDITION & ROOF OVER
HOMEOWNER PLUMBING FEE 60.00 MECHANICAL FEE 60.00
HOMEOWNER
HOMEOWNER
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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)wndemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your Aotice 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.
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CONT CTOR SIG URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
FORMS
FLORIDA BUILDING CODE,ENERGY CONSERVATI�DN
FORM 402-2010 Residential Building Thermal Envefope Approach
ALL CLIMATE ZONES
Scope:Compliance with Section 402 of the Florida Building Code,Energy Conseivation,shail be demonstrategd by the use oi Form 402 for single-and multfple-family residences of three
applicable To comply st�bu�ld ngnmust meet or exc ed a I of the energy ff clency requvements on Tableu40�2A and a i aepp,eable ma ndatorywequirhemenrt�s sammariiedXn Table 402�8 oi this
form.If a building does not comply with this method or/Utemate Form 402,it may stiil oomply under Section 405 ot theFlorida Bui7ding Code,EnergyConservation.
PROJECTNAME: GIOVaCGI�(vtp BUILDER:
ANDADDRESS: ,35D5 ua�rinGG�y. w
�un� POik{� PERMITTING Z ►'I r /l�//S
/ OFFICE: {
OWNER: (.IJQ�'{-G• � 7
V� iOVG[[�-��n� PERMITNO.: J RISDICTIONNO.: �` ��(�
General instruetions:
1.New construction which incorporates any oi the foliowing features cannot comply using this method:glass areas in excess of 20 pe�ent of conditioned floor area,electric resistance
2eFf11 n all the applicable spa es of the'To�Be InstalGled"c lumn on Table 402A wi�th�the niormation uequested.Aip!To Behlinstailed�v alu s musPttbe eqgal to or more efficient than the
required leveis.
3.Complete page 1 6ased on the"To Be Installed"column information.
4.Read the requirements of Table 4D2B and�heck each box to indicate your intent to comply with all applicable items.
5.Read,sign and date the"Prepared By"certification 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 Please Print CK
2. Single-family detached or multiple-family attached i� w
3. If muitiple-famify-No.of units covered by this submission 2• s 1�t G
4. Is this a worst case� 3•
. (yes/no)
5. Conditioned floor area(sq,ft.) 4._(�i0
6. Glass type and area: 5•-3 7 � �
a.U-factor
b.SHGC 6a.
c.Glass azea 6 b.
7. Percentage of glass to floor area 6a _ 107�_sq.ft.
8. Floor type,area or perimeter,and insuiation: 7'�°�
a.Slab-on-grade(R-value)
b.Wood,raised(R-value) 8a.R= Iin.ft.
c.Wood,common(R-value) Bb.R-�_ . 7 I sq.ft.
d.Concrete,raised(R-value) 8e.R= Sq�
e.Concretq conunon(R-value) 8d.R- Sq,ft.
9. Wafl 8e.R= sq.ft.
type,area and insulation:
a.Exte_rior: 1. Masonry(Insulation R-value)
2. �T�ood frame(Insulation R-value) 9a"1• R= sq,ft.
b.Adjacenr 1. Maso 9a-2' R° /3 ��- L� sq.ft.
nry(Insuladon R-value)
2. Woodframe(Hisu]ationR=value) 9b'1• R= Sq,ft,
10. Ceilin 9b-2. R=�_ 00 sq.ft.
g type,area and insulation:
a.Under atlic(Insulation R-value)
b.Single assembly(Insulation R-value) 70a.R-_ ►q sq.ft. J�7�
11. Air dfstribution system:Duct insulation,Iocation,Qn 10b.R= SQ ft
a Duct location,insulation
b.AHUlocation iia. R= (p ky�r�por
c.Qn,Test report attached(<0.03;yes/no) ��b•
11aTest report attached? Yes (1��
12. Cooling system: EK�sT
�'Type 12a.T e: ��2 v�tY'st.,
b.Efficiency YP �
72b.SEER/EER• l 3
13. Heating system:
a.Type 13a.Type: C�w'�fa.�
b.Efliciency 13b.HSPF/COP/AFUE: 7.7 _
14. HVAC s[zing calculation:attached
15. Hot water system: 14. Yes �
b.Efficien 75a.Type: ��G�I �'Y C�
� 15b.EF:_. �92
I hereby certity that the pt s end specificatians covered by the calculation an in compliance with the Florida Aeview of plans and specifications covered by this caiculaUon Indicates compiiance w(th the Rorida
Enerqy Code.
PREPARED BY; ����,�^"L accoMance with Section 5 3 908,�F�'�P�eted,this bundinp wili be inspected for compliance in
DATE: �'IS I�. �
I hereby ceAy thatthis bufl g is in compiiance with the Florlda Enerpy Code: CODE OPFICIAL• ��C � ��
OWNEH AGENT DATE: DATE: ��� l�?
C.4
2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION
FORMS
TABLE 402A
BUILDING COMPONENT
PERFORMANCE CRITERIA' INSTALLED VALUES:
U-Factor<0.65 U-Factor= ��
Windows(see NMe 2): SHGC=0.30 SHGC= • 3 D
�ofCFA<=20% /ofCFA= 9
S li hts U-Factor<0.75
U-Factor<0.65 U-Factor= •
Doors:Excerior door U-Factor No requirement 13
Fioors: Stab-on�grade R-Value=
Over unconditioned aces see Note 3 R•13
Walis—ExL and Adj.(see Note 3): R 13 R-Vaiue= j 3
Frame
Mass (sea Note 3) R�8 R-Value=
Interior of wall: R_s R-Value=
E�cterior of wall: �G� Test repoR
A_30 R-Value= Attached7
Ceilings(see Notes 3 8 4) p 25 Reflectance= Yes1No
Reflectance
Air distribution system(see Note 4) Locatiorr. (�Y1�e( J �Da f Test report
Ductwork&air handling unit: Not allowed Attachetl?
Unconditioned space Yes/No
Conditioned space �
R-value?6 R-Value=
Duct R-value Qn 5 0.03 ��_
Air leakage Qn SEER=
SEER=13.0
Air conditionin s tems see Note 5 ' I
Heating system SEER=13.0 SEER= �3
Heat pump(see Note 5) Cooling: HSPF= 7�
Neating: HSPF=7.7
AFUE 78% AFUE_
Gasfumace AFUE78% AFUE_
Oil furnace
Electric resistance:Not allowed(see Note 5) -
Water heating syslem(storage type) Gallons= �� �
40 gal:EF=0.92 EF= C( �
Electric(see Nole 6): 50 gal:EF=0.90
40 gal:EF=0.59 Gallons=
Gas fired(see Note 7): 50 gal:EF=0.58 EF=
Other(describe):
(1)Each componentpresent in the As Proposed home must meei or exceed each ofthe applicable performance criteria in orderto complywith this code usin9 this method;
otherwise Section 405 compiiance must be used.
(2)Windows anddoors qualifying as glazed fenestration areas must comply wiih both the maximum U-Factorothenvese Sect on 405 must�ibe usedGor compffancet)criteria
and have a maximum total window area equal to or less than 20%oi the conditioned floor area(CFA);
Exception: Additions of 600 square feet(56 m2)or less may have a maximum glass to CFA of 50 percent.
(3)R-values are tor insulation material only as applied in accordance with manufacturers'installation instructions.For mass walls,ihe"interior of walP requirement must be
met except'rf at least 50°k of the R-6 insulation required for the"exterior of wail°is installed exterior of,or integral to,the wall.
(4)Ducts&AHU installed substantialiy leak free per Section 403.22•1•Test by Class 1 BERS rater required.
Excepiion:Ducts installed 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 units with capacities greater than 30,000 Btu/hr. For other types of equipment,see Tables 503.2.3(1-8).
Exception:The prohibition on electric resistance heat does not apply to additions,renovations and new heating systems installed in existing buiidings.
(6)For other electric 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).
TABLE 4028 NANDATORY REOUIREMENTS RE�UIREMENTS CHECK
COMPONEMS SECTION
To be ceulked,geskeled,wealherstripped or otherwise seaied.Aecessed lightlng IGrated as meeting ASTM �
Air leakage 402.4 2&3.lMndows and doors=0.30 cfm/sq.ft.Testing or visual inspection required.Frepleces:gasketed doors&
outdoor combustion air. �
CeilingsAcnee walls 4052.1 R-19 space pertnttting. -�
Programmable themiostel 403.1.1 Where forced-air lumace is primary system,programmebie thermostat is required.
Air distribution sysiem 4032 Ducts in ettics or on roofs insulflted lo R-8;other ducts R-6.Ducts lested fo�,=0.03 by a Cless 1 BERS rater. ✓
Heat Vep requ(red for verlical pipe risers.Comply with eifldendeeRn���5 I�s�uiated to=R 2+ecc ss�b e manual t�
403.4 merked cireuit breaker(eledric)or shutofl(gas).Ciroulating syst P P
Water heaters 0����
Spas and heated pools must hava veporvreterdant covers or e Iiquid cover or other means prwe�to reduce heat
Swimming pool&spas 403.9 loss e�ccePt'rf 70%of he°t from sito-recovered energy.O1Ntimer svvitdi reQuirad•G%5 heeters minimum therma�
B�� =78% 82%eRer M7fiJ13.Heat um heeters minimum COP=4.0.
gizinp ceiculation performed&aGeched.Minhnum etfleiandeeS serparete sys[em orEariable capac ty sys emfication
Coolinglheating equipmant 403.6 required.Specia�occasion codin9 or heeting cepacilY e4
FJectr)c t�eat>10kW must be�ded fito Mro or rtwre s es.
Lighting equipment 404.1 At least 50%of permeneNlY insta��ed lighting fiMures shail be high-eKaacY IamPs•
C.5
201 U FLORIDA BUILDING CODE—ENERGY CONSERVATION
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ���� � �' /
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Date Received: `C� ��__��
Site: 3 S-D �
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Permit Type:
,SC.k� �2, n� ��s��,� ��C�ec� �n� �cao0������� ��c��—
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.
,�' �� -��-��
Kalvin witzer— s Examiner � /l
<<..
Date � Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department;,�,/2l�� ��� ��-� �����
�-� �.r�
Date Received �l � � phone Contact for Permittin ��� ��� __ ���y
Owner's Name �/a 1,�� p GL Owner Phone Number n3 / 7 /
Owner's Address ��p V , Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Tftleholder Addreaa
JOB ADDRESS c� � � ,Z� ' F LOT i� �]
SUBDIVISION �ruLa �OLIC.XL PARCEL ID# °Z7`� "�� ODO�Q� ,(t'�Q'f-Q`�' (�
�v �fQ/� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR 8 ADD/ALT [� SIGN [� Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM [—� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK c�'Gt.QQ� r�T/yI � � �dl /� • � f-��L (f�o
BUILDING SIZE SQ FOOTAGE�� HEIGHT
QBUILDING S ,�j'0� �D b VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
�,r��C� ,/
�MECHANICAL a VALUATION OF MECHANICAL INSTALLATION �� ��ti
QGAS Q ROOFING � G � -�L�,
Q SPECIALTY � OTHER `1 �,� C'r����/.""��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO v V
f
BUILDER � COMPANY O(l1 l�r r � 1�/'- !!-/OY��'G/I/�D
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Addreas 3S�S u�C./�L.Q/'/�IL Z License#
ELECTRICIAN s " �, COMPANY Q�'' �k.-/!L�/� �ioya c�1i�0
SIGNATURE X REGISTERED Y/ N FEE CURRE� Y/N
Address �� �,�X d.i�r(,Q (,(J �'
License#
PLUMBER X � COMPANY 4�.�7�vB✓ 1fP✓ ���D�G(CC��i✓l�
SIGNATURE REGISTERED Y J N FEE CURRE� Y/N
Address ,j�� ,/ a, 1�!//s License#
MECHANICAL � ' ��COMPANY �'�N�� I.va��P� D G/�/ '►'��
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 3-r�v�� �ta fr1 a Y/�✓� u1�t, ,�/��//S License#
OTHER COMPANY
SIGNATURE REGISTERED Y J N FEE CURRE� Y/N
Add�ess Ucense#
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge proJects
COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Faalities 8 1 dumpster.Site Work Permit for all new proJects.All commerciai requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY requlred for all NEW consVucUon.
Directtons:
Fill out applicatlon completety.
Owner 8 Contractor sfgn back of applicadon,notarized
If over S2S00,a Notice of Commencement is requlred. (AIC upgrades over s7500)
`" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited fur 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 Buflding Inspection Divislon—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 responsibie. If you, as the owner sign as the
cont�actor, that may be an indication that he is not properly licensed and is not entiNed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees arid Recourse Recovery Fees may apply to the const�uction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "ce�tificate of occupancy" or final power release. If the project does not involve a cert�cate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewe� Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LI�N LAW(Chapter 713, Florida Statutes, as amended):. If valuation of work is$2,500.00 or more, 1
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'SIOWNER'S AFFIDAVIT: I certify that all the informatfon in this application is accurate and that all work
will be done in compliance with all appticable taws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or instailation 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 regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental P�otection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Fiood Zone"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fiil will be used only to fill the area within the stem wall.
If fill material is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adJacent properties, the owne� may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set fo�th 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 shail 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 Buiiding Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permft issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR�OR AN ATTORNEY B FORE RECORDING YO RI NOTICE OF CBTAIN NNANCNT, CONSULT
WITH Y�UR LEN�ER
FLORIDA JURAT(F.S. 117.03 ' �
�WNER OR AGENT ! �ONTRACTOR q�����
u bed and s m to or a �)b� b in is,b
ub b and swom to or ed) efore me t ��✓ � by���� �.
��—��i� by c��,� �ior�.�c i�a
Wh D��e personally known to me or has/have produced Who is/are pe�nally known to me or has/have produced
as identlflcadon. as ide�tlficatlon.
� , � ,` .
[ Notary PubUc �� Notary Public
�
_ 'V;,�+�,; , , ;,;,
Commissfon AJnr��• � �-���g�,�---- Commission No.
,,� ' ` ,.jv ,..., , .,
Name of No p�tl;Q�inted or stampe ',}i� Name of Notary typed,Printe or§ ►►i{�ed
>u�.._„ �,�_
� �A�CO PERMIT SERVIC� �-� � �;�F�j
' (813)788-5314
�� ��4-� IIIIIIIIIIIIIIIIIIIIIIIIIIIII�II (I�IIII� IIIIIIIIIIIIIIIIII
` .3�35/ GP � � 2012173199
Z-eJ�hyrh�((s, F/• 3 3.sz/
Permit No. Parcel ID No eZS�`-�6 d/- 4�Od0-ad'CK�'�4�'6d
, NOTICE OF COMMENCEMENT
State of ���• County of ��� C J
THE UNDERSIGNED hereby gives notice that improvement will be made to certain r�al property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement: � �.-/ nO�L � ���
1 Description of Property� Parcel Identification No. 7� / Ait �� ��� ��
_ ` Q ,—
Street Address: 3Sa� �-
2. General Description oi Improvement
�'Ol.►��x�'" /` G� Q�!�/4/I cf'l�/l /' Iri- f J �`�cJlfO"c�
3. Owner Information or Lessee information if the,Lessee contracted for the improvement:
Gv�./,�r �/�'�l��ccc/�t�o
3SOS Na�4 u.a/K2./'Gt¢ 1U�1 �¢ /3� /�� ��
Address Ci State
interest in Property
Name of Fee Simple Titleholder•
(If different from Owner listed above)
Address 0��� �, �� /__ _ /_O�, City State
4 Contractor� Y/lteT
Name
Address City State
Contractor's Telephone No.. _
5. Surety�
Name
Address City State
Amount of Bond: $ Telephone No..
6. Lender•
Name
Address City 5tate
�ezdcPs Te9ephone l�e.. _�a_�__
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 State
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 1'rom the date of recording�nless 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 'NVICE 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
W�TH 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 ° /�. � �
COUN i Y�F PAS�yQ+n•_,,r--,�-�_�� ,-c r; i'I.O;,iDA (/LLCP' ` � ./7
,�� ;_.�?-���i� Signature of Owner or Lessee,or Owner's or Lessee's Authorized
= �� �,,` �1�?9?b164 OfficeNDirec or/PartneNMa�ager •
.�v ., �i�:: 16,2013 �G��r ���QL'Ch//?D
r.�'�Lt._� .- t.._ . , �C�tiUCO,L\C.
Signatory's Title/Office , �
The foregoing instrument was acknowledged before me this�day oT(���,ye 0?-by G�-�7�� ��d r�C��//n�
as ��Wi�!-�� (type of authority,e.g.,officer,trustee,ariorney in fact)for
��Je (name of behal�.of who ' strume t was executed).
Personally Known❑OR Produced Identification� Notary Signature
�
Type of Identification Produced �� Name(Print) Cle �)
Rcpt:1467516 Rec: 10.00
DS: 0.00 IT: 0.00
10/12/12 K. Garcia, Dpty Clerk
PRULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
wpdata/bcs/noticecommencement�c053048 10/12/12 10:42am 1 of 1
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RPA8C0 PERMIT 3ERVICE �� � Z��
(813)788-b314 II�IIIIIIIII�IIIIIIIIIII��IIII�IIII�IIII�III�I�I�IIII�III��I
� FAX t-896�824
.3Q�S� G'R � 2012173199
Z.G�ohy.ti,rr�, Fi• 3��L
�ParcellDNo �7��� w��Q�'D�'6�
Permit No. -
NOTICE OF COMMENCEMENT
state ot �.��� _ Counry oi r �`3 C J
THE UNDERSIGNED hereby 9ivea notke that improvement wlil be made to certe�rpal property,and In accoMance with Chapter 7t 3,Flwitla Statutes,
the falbwing iMormation ia provided in this NoGCe of Commencemenl: � _ i_/ p0�. � ��.�
�lA�
� Desaip8onotPropeAy' PareelldentificetionNO. Y _ � � '_
Street Address: �
2. General Deacription ot Improvemerri ���.�/
�'AOC�" /'6CS/» C��i /Q/) cf�/t¢2/t_ /'G0'"/n f `!' , j �
3. Ovmer Information or Leasee infortnatian ii the.Lessee contracted for the improvoment: �
(,V�,/ �%OY2CC/�r%!0
Name �� ��
c3S�.� �I�C���� ��r--- �. state
Address
Interest In PropeAy:
Name of Fee Simple Titkholder
(If d'dferent irom Owner listed a6ova)
City State
Address � ��.�0/�
4. COOffBdW:
Name
��� State
Addresa °
Contractors Telephone No.
5. Suroty: �
Name
�iry State
Address
Amaunt ol Bond: S Telephone Na..
g, Lender
Name
��h, State
Address
Lender's Telephone No.
7 Persons wilhin the State ot Florida designated by the owner upon whom nofices or other documents may be served as provided by
SeU1on 713.13(1)(a)(7),Florida Statutes:
Name
��ry State
Address
Telephone Number of Designated Parson:
of_
8. In addition to himself,lhe owner designates
to receive e copy of the Lienofs Notice as provlded In Sectlon 713.13(7)(b),Florida Statutes.
Telephone Number of Person or Entiry Designeted by Owner.
g. � E�IroUon dale oi Notice ot CommencemeM(the ezpiraGon date may not be before the canpleUe�af co^sUucllon end final payment to the
contredor,but will be one year from the date o(record'm9 wAess e different date Is apecNfed):
WARNING TO OWNER: ANY FAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNOER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STA7UTES, AND CAN
RESULT IN YOUR PAYING NACE 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
VNTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Undu penally of pa�ury,I deGare thal t have read Me foregoin9 notice o►commeneement e�d that lhe facts slated therein are true to the best
ot my knowledge and bellef. _
STATE OF FLORIDA /�- - ��' �2�i
COUNTY OF PA��+,gy p(JBLIGSTATE OF FLORIDA f4.�^'�� �' � � �
St:.cie Hartwig Signature of Owner or Lessee,or OuXiers or Lessee s Authonzed
^ Coei�iissioII#DD926164 Otficerroke odPaAner/Mtyiager •
�`- /� hino
:�"�+�:'e.:;pires: OCT.16,2013 (�J�y�lr Y��
aa�venrxFUnn.n.vnceo�nthcco_u+c. Signatory'sTitle/Office � �
� �.z�a-br �./y�r �/dy2C��1/AD
The foregoing irulrumeM was aclmo�Med9ed before me thia day of �
as (lype of authoriry,e.g.,olflcer,trustee.otlomey in fact)for
' Je (name of behaKof who �j^strumej t waa executed).
Nola S' natute �"�� ��" ---"/�
Perso�alty Known O 4S P�uced Identlficatlon� �N' �9
Type o(Identification Produced � Name(PriM) C�� ��-----
' Rept:1467616 Rse: 10.00
DS: 0.00 IT: 0.00
10/12/12 K. Gareia, Dpf.y Clsrk
PAULii 6.0'NE1L,Ph.D PiiSCO CLERK L COMPTROLLER �
10/iZ�iZ 0' i 1 Of 1
wpdata/bulnollcecommencement�c053048 OR BK ����?�1_31_6_�
STATE O�FLQRIDA, COUNTY 0�PASCO vp� . �"��
THIS IS TO CERTI�Y THAT THE FOREGOING IS A � .
TRUE AND CORRECT COPY OF THE DOCCIMENT ��
ON FILE OR 4F PUBLIC RECORD IN T H I S O F F I C E �.
�dITNESS MY HAND AND UFFICIAL SEAL THIS .�
�_DAY OF_�C��Y 2 Li c_ # '' '
PAUI.A S O'N IL, R COMPTROLLER ��� � *
�Y ��� � DEPUTY CLERK �58� �'
• �
OTr�'
' DISCL03IIRS STAT�T gpR �6�pgg
CITY OF Z$P8YR8II,L3 HIIILDING DBPARTMSNT
I, I.JAL Pc�� �S�o��g c���A>� have read aad fn1ly tiaderstand aad
agtee ta the provisiam,s of this iastromeat. -
The uadersigaed states aad affi.rma tha.t he or she is desirous of coastrneting,
reaovatiag, addiag to or resoofiag his ar her owa de�.i,cile, that he or she
actnally occnpies, or vrill occupy by said domicile, aad same ia not for
reat� lease or saie. That he or she shall comply with tiie followa.ag coaditioas:
I. That the ovoaer and he or she aleme sIiall act as the bailder £or a1Z phases of
aoastruction.
2. Tiiat the o�araer ov3.11 comply v:i.th aIl provisions of the City of Zephgrhills
ox�d.i.a,ances and codes pertiaeat to the bnildia,g.
3. That in the event variovts phases of construction ase subcontracted, he �vill
eagage oaly properly liceased subcontractars aad mill personal3.y supervise
such worlc_
4. That ia the eveat the gu,i.idi,ng Inspector shall requa.re �orxectians to be made,
the owaer wa.Il asaume fnll respoasibility ta insnre they, are made, an,d upoa
ca�pletioa ovili call fer a re3.aspectioa before proceediag w�,th the bn33ding.
5- Tha.t the owne� shall assvme fu11 respoasibility for the construction and will
aot expect superv3,sion of hi$ �ork fram the City of �ephyrhills Bniid;i,aq
Dep��e.,�-
6. 1`hat pxiar to fiaal i.nspeatioa any additioaal fees, iacludiag reinspeation
fees, must 3�e paid ia full. A �rritten request from t,his office sha1l,
constitute aa official notice to pay adda,tion.al fees.
7. That the owaer sha�,l comply r�vith, a�,Z Cg�,. State aad Fedexal las�s in regard to
social security, �,rorkmaa's compeasation, Iien lams, eta., arhere applicable.
$- That the owaer shall conap].y w9.th a11 the sa€ety codes issued by the Florida
Industrial Commission_
9. State law requires coastruct3an to be done by licea,sed coatractors. You have
applied for a permi.t under aa. exen�ption to t,]tat la�. The ex�mpt3oa al,Zows
I►ou, as the owner o£ your Px'oP�tY, to act as yonr owa coatsactor wi.th certain
restsiatians even though you do not have a ].icease. You must provi,de direct
oasite supervisioa of the construction yottrself. You may build or improv� a
oae-family or two_fam:i,ly resideace or a farm outbuild�,aq. You may also build
or imprave a commerciaZ bni.ld�ng, pravided yvur costs do aot exceed $25,OQ0.
The building or resideace mnst be for your owa use or occupaaey. Tt may aot
be built or substantiaily improved for sale or lease. Zf you sell or lease a
_buildiaJ You have built or substaatially impsoved yourself ooithin I. year after
�he aoastx�nction. is complete, the law will presume that you. bui,it ar
S'�bStaatial1Y impzo�ed if for eale or lease, ovhich is a violatioa of this
exemption,. Yrns may aot h�re � ,,,,�i��8� p�s� to aat as yonr coatractor or
to supervi.�e people aQOrkiag oa yonr building- It is your resprnnsibil.ity to
sQake svre that people employed by yeu haye licenses reqnired, by atate lax aad
bY aauaty or mnai,cipal liaeas,iaq ordiaa��@8. yau anay not delegate tlie
reapansibility far supervisi.aq work to a liaea.sed coatractor who is not
liceased to perfoxat the ovork beiag dan�, ,Aay pe=soa workiag Qa you� buildiag
who is aot licensed must �vark nnder your direct supervision aad mnst be
�PIOY� bY Y�, mhich meaas that yon must deduct F.I.C.A. aad ov�.�hholdiag tax
aad provide morkers' coanpensatioa, for that emplayee, a1.1 as presaribed by iaw_
Y°� Constructi.oa must ca�ply with ail applicable lams, ordinances, buiZdiag
codes, aad zoaiag regulationa.
O�PNS&'S SIGI3ATIIgg � /'�C/'Y�1' � , ovl n-.. .�� D�►TR �O =��/o�
�na�ss 3�v; .�q v�.�P�,��� �.�� .<
PHOl� o7n ? � �� x/'�Q '�
��'
l� P�IT # �0- ��°L
Florida Building Code Online Page 1 of 2
� �
' ; ' � � ' . � �
�����
Florida Depar`unent� BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts �Publications 'FBC Staff BCIS Site Map Links Search
Busines �
Professi��al '" Product Approval
� USER:Public User
Regulation
Product Aooroval Menu>P�uc[or Aoolication Search>Aoolication List>Application Detaii
�� , . FL# FL163-R4
y�, Applicatton Type Revision
-• + Code Versfon 2010
- • �� �
Application Status Approved
Comments
Archived
Product Manufacturer Custom Window Systems Inc.
Address/Phone/Email 1900 SW 44th Avenue
Ocala,FL 34474
(352)368-6922 Ext207
mlafevre@cws.cc
Authorized Signature Michael LaFevre
mlafevre@cws.cc
Technical Representative Brian Tenace
Address/Phone/Email 1900 SW 44th Ave.
Ocala,FL 34474
(352)368-6922 Ext291
btenace@cws.cc
Quality Assurance Representative ]eff Thompson
Address/Phone/Email 1900 SW 44th Ave.
Ocala, FL 34474
(352) 368-6922 Ext221
jthompson@cws.cc
Category Windows
Subcategory Singie Hung
Compliance Method Evaluatfon Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
�' Evaluation Report- Hardcopy Received
Florida Engfneer or Architect Name who Lucas A.Turner
developed the Evaluation Report
Florida License PE-58201
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurance Contract Expiratfon Date 03/01/2014
Validated By Steven M. UHch,PE
�' Validatfon Checklist-Hardcopy Received
Certiflcate of Independence FL163 R4 COI EvalRe�CWS-466A f H-3500)odf
Referenced Standard and Year(of Standard) Standard
Year
ANSI/AAMA/101/IS2/A440-OS 2005
ASTM E 1300-04 2004
Equivalence of Product Standards
http://floridabuilding.org/pr/pr_app_dtl.aspx?param�vGEVXQwtDquJBMjgU 1 j 3NOXQj... 3/30/2012
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�dud Ao�roval M n >product or Aooli ar��„cear h>Aoolica[ion List>pppry�tion Detail
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°_,_� Application Type
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•,�y,,;-*� Code Version 2010
`'�"`' Application Status
Approved
Comments
Archived
Product Manufacturer Therma-Tru Corporation
Address/Phone/Email 118Industrial Drive
Edgerton,OH 43517
(419) 298-1740
sjasperson@tttechnologies.us
Authorized Signature Steve Jasperson
sjasperson@tttechnologies.us
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Exterior poors
Subcategory Swinging Exterior poor Assemblies
Compiiance Method Evaluation Report from a Florida Registered Architect
or a Licensed Florida Professional 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 Management Institute
Quality Assurance Contract Expiration Date 12/31/2012
Validated By
L.F. Schmidt, P.E.
Validation Checklist- Hardcopy Received
Certificate of Independence FL5891 R2 COI CERT OF INDEPENDENCF odf
Referenced Standard and Year(of Standard)
ndard 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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PRODUCT: m BUILDING CONSULTAMS. INC.
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� � � � � A FIBERGIASS DOOR J�'VY phone No. 673.839.9�97
I� Florida BoaM ot P/olassian Engineers
Cn o Z n�i PART OR ASSEMBLY: certtfl<a:e o�a ho�iZatio ND. 9813
° � � y �o TYPICAL ELEVATION, DESIGN $-/-�'�
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