HomeMy WebLinkAbout12-13583 CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis)�so-oozo 13583
BUILDING PERMIT
Permit Number: 13583 Address: 3815 PRAIRIE DUNES ST LT 23
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: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 32,000.00
Date issued: 11/06/2012 Name: NHC FL 115 LLC- PARSEL CHARLES
Total Fees: 412.50 ���,1"� y��/ Address: 6991 E CAMELBACK RD STE 8310
Amount Paid: '���.��' � ��"�� SCOTTSDALE, AZ 85251-2493
Date Paid: /'�' 02 � � Phone: (813)783-7518
Work Desc: 14 X 37 RM ADDI ON OOD DECK W/OPEN PORCH 8 X 28 SHED
HOMEOWNER MECHANICAL FEE 60.00
BAHR'S PROPANE GAS&A/C, INC.
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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 aomply 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 wnstruction 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 ac�essible.
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,consult with your lender or an attorney
before recordin your notioe of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� ,
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
FORMS
FLORIDA BUILDING CODE,ENERGY CONSERVATION
FORM 402-2010 Residential Buliding Thermal Envelope Approach ALL CLIMATE ZONES
Scope:Compliance with Section 402 of the florida Building Code,Energy Conservation,shall be demonstrated by the use ol Form 402 for single-and multiple-family residences of three
stories or less in height,additions to existing residential buildings,renovations to existmg residential buildings,new heating cooling,and water heating systems in existing buildings,as
applicable.To comply,a building must.meet or exceed all of the energy efficiency requirements on Table 402A and all applicable mandatory requirements summarized in Table 402B of this
form.It a building does not comply with this method or Aiternate Form 402,it may stiil comply under Section 405 of the Florida B�ilding Code.Energy Conservation.
PROJECT NAME: �j't'�QY� BUILDER: Q� � J
AND ADDRESS: 3�sI I.O�V��Vf����Z3 PERMITTING �
h OFFICE: �(iy ��/
OWNER: � �C PERMIT NO: 3 URISD ION NO.:
G eneral Instructlons:
1.New construction which incorporates any of the foliowing features cannot comply using this method:glass areas in excess o120 pe�ent oi conditioned floor area,electric resistance
heat and air handlers iocated in attics. Additlons<600 sq.ft.,renovatlons and equipment changeouts may comply 6y this method with exceptions given.
2.Fill in all the applicable spaces of the"To Be Installed"column on Table 402A with the iniormation 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 Installed"column information.
4.Read the requirements of Table 402B and check each box to indicate your intent to comply with all applicable items.
5.Read,sign and date the"Prepared By"certitication statement at the bottom of page 1 The owner or owners agent must also sign and date the form.
Please Print CK
1. New construction,addition,or existing building 1 i�d�'�E�
2. Single-family detached or multiple-family attached 2 •
3. If multiple-family-No.of units covered by this submission 3 ,.._
4. Is this a worst case?(yes/no) 4 ���
5. Conditioned floor area(sq.ft.) 5 ��
6. Glass type and area:
a.U-fac[or ,�GJ
6a.
b.SHGC 6b.
c.Glass area 6c. � Sq.ft.
7. Percentage of glass to floor area 7 �O
8. Floor type,area or perimeter,and insulation:
°/a
a.Slab-on-grade(R-value) 8a.R= lin.ft.
b.Wood,raised(R-value) 8b R_�- �S ft
c.Wood,common(R-value) q•
d.Concrete,raised(R-value) 8�•R= sq.ft
8d.R= sq.ft.
e.Concrete,common(R-value) �,R= Sq.n.
9. Wall type,area and insulation:
a.Exterior 1 Masonry(Insulation R-value) 9a-1. R=
2. Wood frame(Insulation R-value) T�- 3�i�-S9•h•
9a-2. R=-1-=z-_ .�r✓i_sq.ft.
b.AdjacenL• 1. Masonry(Insulation R-value) 96-1. R= Sq.ft.
2. Wood frame(Insulation R-value) 9b-2. R-� �sq.ft.
10. Ceiling type,area and insulation:
a.Under attic(Insulation R-value)
b.Single assembly(Insulation R-value) 10a.R= Sq.ft.
10b.R=�� �j(G sq.ft.
11. Air distribution system:Duct insulation,location,Qn
a.Duct location,insulation 11a. R= CL
b.AHUlocation �1b 1�-�"X�g,r
c.Qn,Test report attached(<0.03,yes/no) 11 C.TeSt report ettaChed? Yes �
12. Cooling system: �
a.TYPe 12a.Type: L.T�VU V
b.Efficiency 12b.SEER/EER• /,'�
13. Heating system: 13a.Type:
a.Type 13b.HSPF/COP/AFUE:
b.Efficiency
14. HVAC sizing calculation:attached
14. Yes N�
15. Hot water system:
a.�YPe 15a.TYPe�-
b.Efficiency 15b.EF• �
I hereby certify that the plans and spedfications covered by the calculation are in compliance wfth the Florida Review of plans and sp ' cations covered b his culation indicates compliance with the Florida
Enerqy Code. '�` / Energy Code.Before co ction is com uilding will be inspected for compliance in
IN ,�C���� � accordance with Secti 3.908, .
PREPARED BY��!" � L�yl�� DATE: O Z9
` CODE OFFICIAL.
I here certi at 5 1'n is in com li 'h ri�a�nerqy Code: /O .�Q !'_
OWN R AGEN • ���►�1 P 1 DATE: O����"r
DATE: i
C.4 2010 FLORIDA BUILDiNG CODE-ENERGY CONSERVATION
FORMS
TABLE 402A
BUILDING COMPONENT PERFORMANCE CRITERIA' INSTALLED VALUES:
U-Factor<0.65 U-Factor=�p.�
Windows(see Note 2): SHGC=0.30
%ofCFA<=20% SHGC=.'3$
%of CFA=ZDe�
S li hts U-Factor<OJ5 �
Doors:Exterior door U-Factor U-Factor<0.65 U-Factor=
Floors: Slab•on-grade No requirement R-Value=
Over unconditioned s aces see Note 3 R-13 _
Walls—Ext.end Adj.(see Note 3):
Frame R-13 R-Value=��
Mass (see Note 3)
Interior of wall: R-7.8 R-Value=
Exlerior of wall: R-6 R-Value=
Ceilings(see Notes 3 8 4) R=30 R-Value= 1a Test report
Reflectence 025 Reflectance= Yet�ho ?
Air distribution system(see Note 4)
Ductwork&eir hand�ing unit: Localion: Test re ort
Unconditioned space Not allowed ����� Attached?
Conditioned space Yes/N�
Duct R-value R-value 2 6 R-Value=�
Air leakage On On<_0.03 Q�_
Air conditlonin s stems see Note 5 SEER=13.0 SEER=
Heating system
Heat pump(see Note 5) Cooling: SEER=13.0 SEER=17j
Hea6ng: HSPF=7 7 HSPF= '7�.
I
Gas furnace AFUE 78% AFUE_� I
Oil furnace AFUE 76% AFUE_
Electric resistance:Not ellowed(see Note 5) I
Water heating system(storage type) i
Electric(see Note 6): 40 gal:EF=0.92 Gallons= �
50 gal:EF=0.90 EF=
Gas fired(see Note 7): 40 gal:EF=0.59 Galions= �/�
Other(describe): 50 gal:EF=0.58 EF= !
(1)Each component present in the As Proposed home must meet or exceed each of the applicable performance criteria in order to comply with this code using this method;
otherwise Section 405 compliance must be used.
(2)Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U-Factorand the maximum SHGC(solarHeat Gain Coefficient)criteria
and have a maximum total window area equal to or less than 20%of the conditioned floor area(CFA);otherwise Section 405 must be used for compliance.
Exception: Additions of 600 square feet(56 m2)or less may have a maximum glass to CFA of 50 percent.
(3)R-values are for insulation material only as applied in accordance with manufaciurers'instatlation instructions.For mass walls,the"interior of wall"requirement must be
met except if at least 50%oi the R-6 insulation required for the"exterior of wali"is installed exterior of,or integral to,the wall.
(4)Ducts&AHU installed substantially leak free per Section 403.2.2.1 Test by Class 1 BERS rater required.
Exception:Ducts installed onto an existing air distribution system as part of an addition or renovation;duct must be R-6 installed per Sec.503.2.72.
(5)For all conventional units with capacities greater than 30,000 Btu/hr For other types of equipment,see Tables 503.2.3(1-S).
Exception:The prohibition on electric resistance heat does not apply to additions,renovations and new heating systems instailed in existing buildings.
(6)For other electric storage volumes,minimum EF=0.97-(0.00132 x volume).
(7j For other natural gas storage volumes,minimum EF=0.67-(0.0019 x volume).
TABLE 4028 MANDATORY REOUIREMENTS
COMPONENTS SECTION REOUIREMENTS CHECK
To be caulked,gasketed,weathersfripped or otherwise sealed.Recessed lighting IC-rated as meeting ASTM E
Air leakage 402.4 283.W�ndows end doors=0.30 cfm/sq.ft.Testing or visual inspection requiretl.Fireplaces:gasketed doors& /
outdoor combustion air. �
Ceilings/knee walls 4052.7 F-19 space pertnithng. � Y
Programmable lhermostat 403.1 1 Where forced-air fumace is primary system,programmable thermoslat is required. FiY��b •
Air disMbution system 403.2 Ducts in attics or on roofs insulated to R-8;other ducts R-6.Ducts tested to�,=0.03 by a Class 1 BERS rater _
Heat trep required For vertical pipe risers.Comply with efficiencies m Table 403.4.32.Provide sw�lch or clearly
Water heaters 403.4 marked circuit breaker(electric)or shutoff(gas).Circulating system pipes insulated to=R-2+accessible manual
OFF switch.
Spas and heated pools must have vapor-retardant covers or a liquid cover or other means proven to reduce heat
Swimming pool&spas 403.9 loss except if 70%of heat from site-recovered energy.OffRimer switch required.Gas heaters minimum thermal
efficien =78% 82%a%er 4/16/13.Heat um ool heaters minimum COP=4.0.
Sizing calculation peAormed 8 attached.Minimum efficiancies per Tables 5032.3.Equipment efficiency verification
CoolingR�ea[ing equipment 403.6 requfred.Special occasion cooling or heating capacity requires separate system or variable capaaty system.
Electric heat>tOkW must be divided into two or more sta es.
Lighting equipment 404.1 At Ieast 50q of permanently installed lighting fixtures shall be high-efficacy lamps.
2010 FLORIDA BUILDING CODE—ENERGY CONSERVATION C.5
813-780-0020 City of Zephyrhills Permit Appiication ����%� Fax-813-780-0021
Building Department � �-
Date Received �'�'�7/ Phone Contact fo�Permittin O J �ap -- �
Owner's Name C f �/'� Owner Phone Number S� ��7 7��
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Addresa
JOB ADDRESS ���E G J ""V OG� — 3���7 r/Yr//'(J� - (f LOT# ��
SUBDIVISION �,[�- ' � �/�J PARCELID# a-�"ol-� "31�—�Q^�(J0'` �(I/OO— Ol�I�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK � ��� � l�/�i �iU 'C� ''L-O�n �O/�
BUILDING 31ZE �� x 3 / f�X o� gq FOOTAGE 7ra- HEIGHT
�BUILDING s 3� dG� °�a VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
—�—
OPLUMBING a PASCp PERMIY�����
(813) �8g-5314
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION F,v(���_�24_7$�
7�..
QGAS Q ROOFING Q SPECIALTY Q OTHER ,N S.�(���
J
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER ` 'w `�� �7/, `''� �COMPANY ��41 -�C
SIGNATURE C\��GC•� ���%��'�` REGISTERED Y/ N FEE CURRE� Y/N
Address �0� �d/1� ` � � ^� I��° License# 6�����
ELECTRICIAN �COMPANY C`�W J�t-� ✓
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �/� ����'e �-��J� � ' Z �✓ �( ' License#
PLUMBER COMPANY
SIGNATURE � �- REGISTERED Y/ N FEE CURRE� Y/N
Address Lfcense#
MECHANICAL � 1,/'���"'�' \� COMPANY � �f � �
SIGNATURE aL V�+ REGISTERED Y/ N FEE CURREA /N
Address T 7 T� Z License#
OTHER COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address License# � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Fadlitles&1 dumpster;Site Work Permit for subdivisfons/large proJects
COMMERCIAL Attach(3)complete sets of Buildfng Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'"PROPERTY SURVEY required for all NEW consVuctlon.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of applicatlon,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500)
•" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
cont�actor 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 Buflding 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 Biock° of this application for which they wiil 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 IMPACTIUTILITIES IMPACT AND 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 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 fu�ther understood that Transpo�tation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or�nal 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 appifcable Pasco County ordinances.
CONSTRUCTiON LIEN LAW(Chapter T13, 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 1 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 information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or 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
certify that i understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navigable Waterways.
- Department of Health & 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 fill is not allowed in Flood Zone"V"unless expressly permitted.
If the fill material is to be used in Flood Zone �A", it is understood that a drainage plan addressing a
�compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Fiorida.
If the fill material is to be used in Flood Zone "A° in coranection with a permitted building using stem wail
construction, i certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of�II is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, 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 e�rors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building O�cial for a period not to exceed ninety (90) days and will demonstrate
justiflable 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
PATH Y UN'LE F ER OP AN ATTORNEY BEFORE RECORDING Y UR NOTICE F CB M' ENNEMCNT.� CONSULT
WI •
FLORIDA JURAT(F.S.117.03) ` ,
OWNER OR AGENT�� -��� CONTRACTOR `l�
Subscribed and swo 'or a rmed) efore thls Subscribed and swom r ajflrmed��e this
/0—ds`��- by �O-.2�s�oZ by ��il !�
Who isl�ye personally known to me or has/F►ave aroduced Who Islare perso_ nal___ly knovm to me or haslh iae��ficatiO�n.
�c•c.. as Identlflcadon. �
Notary Public
Notary Public
Commisslon No. Commisslon No. ., �, ,
5uzannc; Bahr
, Suaanne Bahr = �= •
� - � Name of Notary tYped,Printed, (A `'`"
Name of Notary typed,p�J xpi es: NOV.22 2014 -•., ,.• xpires \OV.22,2014
• •� � BONDFSJTifAL'Yi'.'\T!�";\)::`G t'fi,?FC.
BO\'DED THRC ATLA.\"TIC BO\D[YG CO.,INC.
pASCO�ERNtIT SERUIC� �� �oG Z i�
(81�� 788_5314 II�IIIII�I�IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII
�AX 1-866-f324-7$g4
2012185372
Permit No. Parcel ID No � 5�-�-d a�d��XI- O�s�G�Q�
NOTICE OF COMMENCEMENT
State of �/d��� County of " / �w
THE UNDERSIGNED hereby gives notice that improvement will be made to certain rea�property,and in accordance with Chapter 7t3,Florida Statutes,
the following information is provided in this Notice of Commen ment: � . � �l, �_ �� /
1. Descripdon of Property: Parcel Identification No. ��� �`� �� ����� !� ��
Street Address: �
2. General Description of Improvement / w� �� � � �/�
� ��� ��d .
3. Owner Information or Lessee information ff the Lessee contracted for the improvement:
C k�..`-�J /��tCe.�
3 �l.r �J'�r'r•i e C/�ee�C- J' � F/ ,�a-
Address Ci State
Interest in Property:
Name of Fee Simple TiUeholder•
� (N different from Owner listed above)
Address ,� (�,. _ � ��Q/ / __ y —y–�C + City State
4 Contractor: �'�!! �[.�!'� �L..�[
—��Name�/'� /vcrY' `� cJv"�
Address y State
Contracto�'s Telephone No.:
�e �
5. Surety: ��7� '
Name
THAT PART OF EAST 80.00 FT OF NW1/4 &THAT PART OF WEST 1/2 OF
Address NE1/4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EASTAND :ate
AmountotBond: $_ LYING WEST OF MAJESTIC OAKS COMMUNITY-PHASE ONE AS PER PB 35
PGS 107-112 EXC NORTH 20 FT THEREOF FOR RD R/W& MAJESTIC OAKS
s. �ender COMMUNITY PHASE ONE PB 35 PG 107-112 LOT 1 THRU 16 INCL& LOTS 19
Name
THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87
Address ate
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.
Name Rcpl:1472148 Ree: 10.00
D5: 0.00 IT: 0.00
Address 10/30/12 D. Bon i 11 a, Dpty C 1 erk - State
Telephone Number of Designated Person:
8. In addition ta 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. Expiratfon date of Notice of Commencement(the expiration date may not be before the completion of constniction and final payment to the
contractor,but will be one year nom the date of recording unless a diiferent 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, SECTIO.N 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECOROED 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 pe�jury,I declare that 1 have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and betief.
STATE OF FLORIDA � � D
CQUNTYO�`���'L�?.r�T,,T�^^FI4RIDA JP .C�.��/�r.y�/BiC�G�G�
,.��""� � -;�.;;ja Signature of Owner or Lessee,or Owner's or Lessee's Authorized
'��,%�, �'��?����c:��,�., ,?1.��?5164 Officed irectoNPartner/Manager
��j -". ,. .- '. i6,2013 �/BJ' ���/
aotiv��-:�� s.�.t �.....��.,_���:co..rnc. � Signatory'sTiUelOffice
The foregoing instrument was acknowledged before me this � day of 1e���20�as by L'/C�'�� i �r�/
eS W�� (type of authority,e.g.,officer,trustee,attomey in fact)for
�f��� (name of arty n behalf of whom ins ument s,executed).
�
Personally Known❑QR Produced Identiflcation� Notary Signature
Type of Ident�cation Produced (JL Name(Print) � •
PAULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEk
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Majestic Oaks RV � �V�7-����-- -
3751 Laurel Valley Blvd - -
Zephyrhi-ll-s, Fl 33542 � - — - - - _ _
Lot 23 3�-15 Prairie Creek St- — - - •- -
�013 Jacobsen imperial Ser# 31265
File- # J51531315 . _ _
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Florida Building Code Online Page 1 of 3
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F�Of!�����J('�J3�;IT�Cit� BCIS Home Log In User Registration Hot Topics Submit Surcharge S[ats&Fac[s Publications FBC Staff BQS Site Map Links Search
Busines ���
Product Approval
Professi �nal +��.° USER:PublicUSer
Regulation
Product Aooroval Menu>Produc[or Aoolication Sear h>Aoolication List>Application Detail
� ��,r�� II ' FL# FL993-R8
! _'��= Application Type Revision
• _ + Code Version 2010
6yv•. �
Application Status Approved
*Approved by DCA.Approvals by DCA shall be reviewed and
ratified by the POC and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Kinro,Inc
Address/Phone/Email 4381 Green Oaks Blvd. W
Arlington,TX 76016
(574) 533-8337 Ext 271
rmanthey@Icil.com
Authorized Signature Rob Manthey
rickw@rwbldgconsultants.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Emaii
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By Ryan J. King, P E.
Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/I.S.2/A440 2005
AAMA/WDMA/CSA 101/I.S.2/A440 2008
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 02/SO/2012
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: `�L,S`�`�2 7`t` ��� ua-'�''� �--�C
Date Received: ��- ;�Cj -/2
Site: ���5 /OrGL��r N �re� lC s'l
Permit Type: ���C �j � -��e� ��k Z� �'� �c��'��� /,c,�JV�G�ec�.
�^�Y�
Approved w/no comments: Approved w/the below comments: � Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
� --�3 - Z
Kalvi Swi Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
DISCLOStTRB STAT�ENT F08 09�tiSR
CITY OF Z$P8YR8ILLS BIIII,DING DBPART�NT
_. c lt�G�.r �°a�/
agree to the ��►e read and fnlly uaderstand aad
provisions of thi.s instrument. •
The uadersigaed states aad affa.rms that he or she is desirous of constrneting,
ren.avatiag, addiag to or reroofiag I�i.s or her oora @omi,cile, that he or she
actually occupies, or vrill occupy by said daaciciie, and same is not for
reat, lease or sale_ That he or ahe shall comply witii the follow5.ag conditions:
I. That the owner aad he or she alon.e shall act as the bai.ider for all phases of
coastruction.
2_ That the omn.er a�i,Zl comply �vith all provisioa.s o€ the C.�.ty of Zephyrhills
ordiaances aad codes pertineat to the buildiag.
3. That ia the event various phases of constructioa are subcontracted, Ise voill
eagage only properly li.ceased subcoatractors aad ovill persoaaliy superri,se
such work.
4. That ia the event f.he gn,�,ldi.ng =�pector shall require corrections to be made,
the owaer will assume full respoasibiZ3ty to iasnre they, are made, aad upon
completioa will call for a reiaspectioa. before proceediag w1,th the buiidiug.
5. �`�at the owne� sha1Z assnme fu11 respoasibility for the coastt�netion and wi],I
not expect supervis3on of his work fram the City of Zephyrhills Bnildiaq
Departmeat.
6• That prior to final ;*+Rpectioa any add:i.tioaal fees, including reinspectioa
feea, must be paid ia fu11_ A �rritten request from r�.;8 offiae s3iaa.1
coastitute an of€icial aotice to pay additional fees.
7. That the oevaer shal3 comply raith al]. City, State aad Federal laws ia regard te
social security, worl�n,aa�S ���ation, liea la�vs, etc., v�here applicable.
$- That the av�aer shall comply miti= all the safety cades issued by the Florida
Iadusfisial Comm�,ssioa..
9. 3tate ].aw requ:ires coastruction to be done ]�y ].iceased contractors. You have
applied for a permit uader aa e�[emptioa to that law. The eaemptioa allows
you, as the owner of your praperty, te act as yonr owa contsactor w:i.th certaia
restsictiosts evea though you do aot have a licease, you mnst p=ovide direct
oasite supervision of the coastructioa yourselgy ouu may buiid or improve a
one-fami.Iy or two_g�•++;ly reside�nae or a farm ov.tbuiy
diag. Yon may also build
or improve a coiomercial buildiaq, provided your costs do aat exaeed $2S,OQ0.
�`he buildiaq or resideace must be far your own use or occupaacy. It may aot
be built or svbstaat3,a1,13, impr�ved for sale or lease_ Sf you se11 or lease a
.building you have built os substaatially improved yourself wit�+;n I, year after
the coastructioa is complete, �he laov �vill presume that you built or
substaatially improved if for sale or lease, which i.s a vialatioa of this
e�cemption. You may not Tiire � �,iceased person to aat as yonr contractor or
to supervise people avorking on your bua.ldiag. It i.s I,a� re�p�nsibility to
make sure tha,t people employed by you have licenses s�+,;red by state la�v aad
by couaty or muaicipal licen.siag ordinaaces. You may not deiega�e the
z'espoasibility for snpervisiag work to a liaeased coatractor who is not
licensed to perform the ovork beiaq don�. ,Aay persoa working on yotir buil�.ag
�rho is aot Iicensed must ovork uader yenr d;i,rect supexvi.sion aad must be
empioyed by you, �hich meaas that yon must dednct F.I.C.A_ and wi�hholcli.ag tax
and provide workers' caopeasation far that employee, a11 as prescribed by Ia�v.
Youx� construotioa must comgly v►ith aI,7, appZicable Iams, ordinaaces, bui.Zdti.ng
codes, and zoaing regulations.
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�y��� Product Aooroval Menu>Product or Aoolication Sea��n>Aoolicahon List>Application Detail
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FL# FL5891-R2
_- i Appiication Type Affirmation
°+ . Code Version 2010
• Y"'�`'' Application Status Approved
Com ments
Archived
Product Manufacturer Therma-Tru Corporation
Address/Phone/Email 118Industrial Drive
Edgerton,OH 43517
(419)298-1740
sjasperson@ritechnologies.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
Compliance 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 INDEPENDEN E odf
Referenced Standard and Year(of Standard) Standard year
Accepted Engineering Practice 2007
SSTD 12 lggg
TAS 202 1994
Equivalence of Product Standards
Certified By
Sections from the Code
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I! Phom No. 813.639.9797
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o po � F ? w PART OR ASSEMBLY: Certii�cate of hortxotio No. 9873
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J __ a � FL# FL13744-R1
� - Application Type Revision
. « , � y Code Version 2010
�� Application Status Applied For
Com ments
Archived
Product Manufacturer Elixir Industries Georgia Door Division
Address/Phone/Emafl 1215 Pope Drive
Douglas,GA 31533
(770)459-8183
bpowers@elixirind.com
Authorized Signature Robert Powers
bpowers@elixirind.com
Technical Representative PTC
Address/Phone/Email 1535 N. Cogswell Street
Ste. C25
Rockledge, FL 32944
(321)690-1788
info@ptc-corp.com
Quality Assurance Representative
Address/Phone/Email
Category Exterior poors
Subcategory Swinging Exterior poor Assemblies
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Association
Referenced Standard and Year(of Standard) Standard Year
ASTM E-330 2002
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 06/06/2o12
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