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HomeMy WebLinkAbout12-13654 CITY OF ZEPHYRHILLS . 5335-8TH STREET '� ' (si3)�so-oo20 13654 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit#:13654 Issued: 12/04/2012 Address: 38130 PRETTY POND RD Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,013,000.00 Total Fees: 4,552.91 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 4,552.91 Date Paid: 12/04/2012 Parcel Number: 35-25-21-0010-07100-0000 Name: WILLIAMS COMPANY TAMPA Name: LOAN FUNDING SOLUTIONS II LLC Addr: 5402 BEAUMONT CNTER BLVD STE 114 Address: 4600 WELLS FARGO CNTR 90S 7TH ST TAMPA, FL 33634 MINNEAPOLIS, MN 55402-3903 Phone: (813)418-3810 Lic: Phone: (612)851-3026 Work Desc: RENOVATION CONVERT 50% RM TO ADA/CONVERT 2BD TO 1 BD , 5. . . 5 MECHANICAL FEE 284.66 FIRE PLAN REVIEW FEES 486.40 ✓ 3�� �� � �-�_�3 c -� � � � Z ._� � � . �_-1 ���r n � ��- � � � ` �` ��, � � l.e.r C� �f�r 2� ' 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)rnndemned 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 properly. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of wmmencement." Complete Plans, Specifications and Must Acxompany Application.All work shall be pertormed in accordance _ with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. , '�JOr ONT ORS SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , The Commons at Pretty Pond-Williams Company Tampa - 38130 Pretty Pond Rd SQ. FEET PRICE MAIN OR LIVING: 8,106 OTHER AREA UNDER ROOF: - OTHER: - $ _ VALUATION $ 1,013,000.00 FEE SHEET $ 2,711.00 ADDRESS DRIVEWAY BUILDING: $ 2,765.22 ELECTRICAL: $ 609.98 PLUMBING: $ 406.65 MECHANICAL: $ 284.66 SUB-TOTAL $ 4,066.50 TOTAL $ 4,066.50 SEWER: n/a WATER: n!a IRRIGATION: $ - TOTAL: E - WATER METER: n/a IRRIGATION METER $ - n/a FIRE DEPARTMENT FEES PLANS TOTAL: $ 486.40 INSPECTION TOTAL: PERMIT TOTAL TOTAL: a 486.40 PUBLIC SAFETY IMPACT FEES POLICE FIRE 5% $ - TOTA�: $ - n/a Total $4,552.91 PARK IMPACT FEES SIF'S: 100.0% $ - 1.0% $ - TOTAL: n/a T I F'S : n/a SGO� �M�-�'M 3 ,�p�'L ; � � . o�.�° �� G�� � . : . December g,2oi2 CITY OF ZEPHYRHILLS 5335$th Street Zephyrhi lls,FL 33542 RE: Renovatians to The Commons on Pretty Pond To Whflm It May Concern: Please allow this letter to clarify that both the architectural and the engineering drawings wer� compieted in compliance w�ith all applicable CLTRRENT codes,including the�oio Florida Building Code and the zoo8 National Electric Code. Any reference to prior codes in the plans and specifications is in error. Please feel free to contact me with any questions or comments. ��`' Sincere �, k . �,�'° ,> � � r�"�``.._r-=,-'`�-J�.r �r' c•'����� � ,•'- Robert L. Fouse,AIA President 1 �� F� .� ��Po$�� ��.�,�,� . .�'- r` , , 1��••: �--, `� : . r ;�- �-- ��., AR95932 :�U �s�;• 1,2,�.�3,�1�.��� r . ,�^��RE D A4G i iiiiii iiiii iiiii iiiii iiiii iiiii��iii iiiii iiiii iiiii iiii iiii 2012204485 Rcpt:1479081 Rec: 10.00 DS: 0.00 IT: 0.00 NOTICE OF COMMENCEMENT 12/03/12 L. Korb, Dpty C 1 erk Permit No. Property Identification No. 3�'—..~1���/— f)l� �� -� U 7/0 U —'(�U (? � THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. 1. Description of property(legal description:� The Commons on Pretty Pond a) Stl'e8t AC1diCSS: 38130 Pretty Pond Road,Zephyrhills,Fl.33540 � 2. General description of improvements Rerrovadons PRULR S 0'NEIL,Ph D PRSCO CLERK 8 COMPTROLLER � 3. OwnerInformation 32/03/12 �9 3Ca� PG°3�26 Loan Fundin OR BK ly 8� Name and address: s soi�no�s u,��c,90 South Seventh Street,Minneapolis,MN 55402 b) Name and address of fee simple titleholder(if other than owner) c) Interestin property � 4. Contractor Information 8� N3I71C$11CI 8CI(jl'OSS: �Iliams Company Tampa,5402 Beaumont Center Blvd.,Suite 114,Tampa,FL 33634 b) Telephone No.: 8�a-ais-sa�o Fax No.(Opt.) 8�3-418-3819 5. Surety Information a) Name and address: NiA b) Amount of Bond: c) Telephone No.: Fax No.(Opt.) 6. Lender a) Name and address: NiA 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; 3� Nc1C1le 8C1(I 1d(JTCSS: Virginia Rice,38130 Pretty Pond Road,Zephyrhills,FL 33540 b) Telephone NQ.: 813a�saso� Fax No.(Opt.) 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.]3(1)(b),Florida Statutes: 8� Name and address: v����e R��,38730 Pretty Pond Road,Zephyrhills,FL 33540 b) Telephone No.: a�3a�s-aso� Fa�c No.(Opt.) 9. Expiration date of Notice of Commencement(the expiration date is 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 IPROVEMENTS 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMEN . STATE OF FLORIDA ' � COUNTY OF PASCO Sig e OF Owner or Owner' Authorized O�cer/DirecWr/Partner/Manager �-�� K Ct-,�W rJ Prin ame The foregoing insUument was acknowledged before me this�.��ay of �V �— 20�,by�V �.� � K �(�,J�t/� � v��� ` (type of authority,e.g.officer,trustee,attorney in fact)for N(r"S�D6-tI MS (name ofparty on behalf of hom instrument executed). Personally Known�OR Produced Identification_ Notary Signa � v.��..r�,�. i - Type of Identification Produced Name(print) � �, � Verification pursuant to Section 92.525,Florida Statutes.Under penalties of erji ,I declare at I read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMSMOC.rvsd2007 Signeture N al Person Signin Abo • �f11�1/6MYI1G►��r �v � � � � ���r•� w�o�so+�ur� ��,�q�ci.��,:`�;�,� . � �"� G��► �74�°'��3: ��.��6��, COUiVYY U� F���%� � � �F'1�5 �`J��.i li�F���!'!` �P'i,rii I(�t_ ���F'�aC��t'���J f� •� * TRUE HWL CC'i��?E:.Lj CUi't'��r ;¢-!r�UUVl1i�tENT � � Jrl yod"N'2 Triut\ • oni ����t��. �� �un:_�L.���,��� ��J;F;�s ahF�.,� ' � �,, * �r�i��v�s .� � r,;:�;,�,,��s�E��-T��— * �`;��- �ti;�'_ ��,���" ', ; � �2, � �- �JAv . r � i887 •* � r � C,O�v�'t7TS�OLLt=�' �K . P !�AllL.R., O rv�Vt , ,.,�.ERK� �A�OF�� ��j�°-�-�C�_G'�--r,�r�'�i . ��.�� uv J:�E� _.__�_ City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractar/Homeowner: Date Received: � � 2 ��( Z- � G�i�--�(,t,'�� � �,�GmS llrc c��i f o�-� � �1�� �< Site: 3 � � 30 � y��� Permit Type: � Yl�U C:(�t L� � -� Pi.� �� Approved w/no comments:❑ Approved w/the below comments:� Denied w/the below comments: ❑ "�\ `� � � tr c> � �'�:� `, ti� { '' /� � ( � , ��, � i-- f� t � � �C,,��� � a��,� c�- �����,� � T-. � i ��� f ;1� � ��� �' �—�' � _ � 1 �-- �-i� �Ar,�� �� �(C� ,�� � ��- ^'' �- " :� �� �� � �� ���c�'��,��'� �� `� ��- � I j �y��-�� � - �-�..� ��� Y2.S �' L� 1` `��J�- l.��-- t�l`i i i r�(� � � � w � �� _ 1 1��� L�c��. ��`�- � �� � �� 1t�VFEV�J DAT�:�7 Z � CITY QrF ZEPNYR This comment sheet sha11 be kept with the permit and/or plans. �t IiL�I1VG O�FIC�,a� �r, �i � u L— '� '`� / �- � � � .� -� Bi 1 Burges — uilding Official ate �..-�ontr,�ctor ar�br Homeowner (Reqi4i�ed��v'hen comments are present) - ' , } � ' '� / � �� f �� ! City of Zephyrhills BUII.DING PLAN REVIEW CONIlv1ENTS Contractor/Homeowner: , Date Received: Site: Permit Type: Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑ ' .,� � ��� �'� � ,��'� ;� ��_ � ��3- , , � ; �. �,. � �� � ; ��� �� ' � �� �` ��`�f��� , �1( / � , � , ` � ,� ,�f f ( , r C� ' ..S Jr' � �`' ��G � ��li � , . � 7 � ' h .� f � , < � f� r This comment sheet shall be kept with the permit andlor plans. • •, � � �r �i / , '� f _� Kalvin wi lans Examiner Date tractor and/or�i6meowner (Req i��reds�Yf"en comments are present) e • City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �r �(a�� (l��'i a�� �s'� Date Received: Site: ,j�' �3� �� �� Permit Type: �/''1 T�' T�"/J r( �`eld r Z (�r�7J � �6��Cv� V�y� Approved w/no comments:❑ Approved w/the below comments: ❑ Denied wlthe below comments: ❑ ,; . `� �� fi t'�`// I I'�`f�`�t ��( /Y��7`f�� r'���v'I ��l�,� .) *�r': i!/`!� !'�`����I�l ���f 7�r 1 c.( �`�'/l c,���_i, � �t�' I( ��' ��C'�"1'�_._ � •1 �`f C C f f`�-�e4 ' c �� � c ' ��La� � % �� � � � Eti �'� �Cr (` F (i' C_ .�Ea� �r, o�_( c� ! (�(�c�Q (z _� 12-� /o'`, z 7 g� �4-�;- 7�� c � 1• C�� 't ,� �- This comment sheet shall be kept with the pemut and/or plans. � �, N,.•- `� .�,�' f_� �- � .�---�°`�."".`-� a /-? >/� _ -�°` �..:,,..� �� ,,. ,� � alvin Swit er--PTar�s-�xaminer Date ��tr�ctor�and/or omeowner �__�_� - � (Rec}ui�ed�when comments are present) Jacqueline Boges To: Duane Miller Subject: RE:THE COMMONS AT PRETTY POND PERMIT COST Attachments: Renovations at The commons at pretty pond williams company.xls Duane , Per our conversation I am emailing over the cost sheet for the renovations project at the commons. Permit shall be ready on Monday for you to pick up . Make sure you have check payable to City of Zephyrhills in the amount of $4,552.91 and the Notice of Commencement for the job bring with you we need the seal copy for permit purpose. Or you could pay cash. Whatever is convenient for you. We do not take credit cards. Thank you Duane, Let me know if you have any additional questions. Jackie Boges (ext 3513) What Greater love can a man give...... i SQ.FEET PRICE MAIN OR LIVING: - OTHER AREA UNDER ROOF: - $ gg,pp OTHER: - $ _ VALUATION $ - FEE SHEET $ 2,696.00 ADDRESS DRIVEWAY BUILDING: $ 2,749.92 ELECTRICAL: $ 606.60 PLUMBING: $ 404.40 MECHANICAL: $ 283.08 SUB-TOTAL $ 4,044.00 RADON: $ - TOTAL S 4,044.00 SEWER: WATER: IRRIGATION: $ - TOTAL: WATER METER: IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: s - PUBLIC SAFETY IMPACT FEES POLICE FIRE 5% TOTAL: s - SUB-TOTAL $ 4,044.00 PARK IMPACT FEES SIF'S: 100.0% 1.0% $ - TOTAL: S - TIF'S: 99% $ - 1°k $ - TOTAL: a 4,044.00 ZEPHYRHILLS F1RE DEPpf�Tf�fE�IT � 6907 Dairy Road, Zephyrhills, FL 33542 FIRE SERVICE USER FEES Occupancy No.: Plan No.: Contractor: (,�✓Y\5 r�.L� Business Name: _ �M�M.ar Billing Address: Business Address: Business Phone No.: Billing Phone No.: l3- l &I b Business Fax No.: Billing Fax No.: Contact: Contact: t,vc�u n� PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan N!C Annual N/C Sprinkler $50 1st Alarm N/C ulti-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alam► N/C (Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C � Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alartn $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 a0-25 Heads $50 violatlons corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Pe�cank $50 STANDPIPE SYSTEM Hydro Undergrounds S45 Spa�lclers �100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 Per system Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct 550 8 0-25 Devices $50 FIRE ALARM SYSTEM � ace of Assembly �50 a,nuai 26 plus Devices $100 8 System Acceptance a50 � 're Protection a25 SUPPRESSION SYSTEMS Recatl Acceptance $50 Flammabk AppHcatlon a50 nnnuai Wet $50 OTHER Waste Tire Storage $50 nnnuai Dry $50 Fire WalUSmoke Wall $15 per„�au Generator<KW $100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 Other $50 Neturel Gas $25 per system Bio-HBZerd Weste $100 nnnuai KITCHEN EXHAUST Fumigation Tenting �50 � Hood/Ducts $50 Tent 10'x10'or greater a15 per�ens Torch PoUApplied S50 OTHER Fire Pump $45 Hez.Materials $100 nnnua� 8 LP Installation per tank $50 Fire Suppression a30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 Exhaust Hood/Duct $30 �Nature�Gas Installation $50 Re-inspection DBL (Per System) (other than annual) � Spray Booth $50 � Inspection scheduled DBL 8 and pncelled less than � 24 hours ��[_ i� Constructfon Insp. N/C ��Ji Emergency VehiGe A� $50 FALSE ALARM PLANS TOTAL�j INSPECTION TOTAL� PERMIT TOTAL� TOTAL� GRAND TOTAL Comments: �� �y'�1 -�s-�� ?S �� � �j�,,'�' 2C oU6 T� Date: '�Z Inspector: nm � sisasaoo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone ConWct for Pertnitting (J�3 'f�g �8�0 T OwnersName LOkN WND�NG Spl,ur�oNl YL��GG pwnerPhoneNumber b12�$ 'r'�(" 3�Z6 OwnersAddress �6 Si �TM st. k�NNERpOUS NN � S�T�Z 1 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � I PRE `�1 PON D R D. Z EPNY R Ntu. LOT# � SUBDIVISION PARCEL ID# (OB7AINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTtt� ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK � FRAME 0 STEEL Q DESCRIPTION OF WORK IIE �{I Ip OF M1OpI�S tO A�+e'1 !� GE T � '[p �, BUILDING SIZE SQ FOOTAGE� HEIGHT � �BUILDING $ j D I 2 � VALUATION OF TOTAL CONSTRUCTION � � �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 QPLUMBING $ � r �s C.� � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION OGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER ��Y/A,(,� COMPANY ILUAMS MPRIVY 7AMPA SIGNATURE �%�� REGISTERED Y/ N FEECURRE� Y/N /� —"-� TAN�I,pA� Fl. 3363�{ Address 5402 8�►vnoNT T R Q�I.VD �1�1 License# CVG � 3 ELECTRICIAN '�� y / � r� COMPANY [JC 1" L-G GTI�(L �-l"�L ����- SIGNATURE V V \/ REGIS7ERED Y/ N FEE CURREA Y/N Address �3 �7 �DNCe� B.�s.P�r►C fia.�� L 33G3S License# � ��(7 2�/� PLUMBER �' COMPANY Moat�ry�,�1a:.,.4=••.c. —� SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address ��q� ' p���4'^� �d���''� =wvw�' eK �sy License# MECHANICAL 3COMP NY 1���-����'( �A��-�S SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address ��� ���✓� ��— Q�(.Lds�'N License# GMC�Z4'9�l V OTHER COMPANY —� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(i)set of Energy Forms;R-O-W Pertnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. Minimum ten(10)working days after submittal date. Required onsite,ConsWctian Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&t dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. "'*PROPERTY SURVEY required for all NEW construction. Directions.• Fill out application completely Owner&Contractor sign back of application,notarized If over E2500,a Notice of Commencement is required. (A/C upgrades over 57500) *' Agent(for the contractor)or Power of Attomey(for the owner)v✓ouid be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Appiication Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) 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 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 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 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 does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer 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 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'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certiTy that no work or installation has commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land 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-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,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 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 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 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 inGuded 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 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR � ' Subscribed and swom to(or affirmed)before me this Subscribed and sworn to a irmed)before m s bY f�-ZfS-IY bY � � C Who is/are personally known to me or has/have produced Wh '/are personally nown to me or has/have produced as identification. t� as identification. Notary Public E BOGES ta �br� Commission No. Commi sio '' 'r I�MSg� " 4 "%?„ 0.�� ewaeatnNT�oyFanu��gaeo-�as-7o�s Name of Notary typed,printed or stamped Name of Nota , Jacqueline Boges From: Duane Miller[dmiller@williamsco.com] Sent: Thursday, November 29, 2012 7:59 AM To: Jacqueline Boges Cc: 'Melanie Rambeaux' Subject: The Commons on Pretty Pond -Zephyrhills Value Jackie: Total value is$1,013,000. Duane Miller � Project Manager Williams Company Tampa 5402 Beaumont Center Blvd., Suite 114, Tampa, FL 33634 Phone: 813.418.3810 Fax: 813.418.3819 Client service rs the foundation of our business � www.williamsco.com From: Jacqueline Boges [mailto jbogesCa�ci.zephyrhills fl us] Sent: Wednesday, November 28, 2012 4:04 PM To: Melanie Rambeaux Subject: RE: INFORMATION REQUESTED FOR REGISTRATION/CITY OF ZEPHYRHILLS Thank you . Company is registered . Did you by chance get the valuation of the project? Need to finish up permit. Jackie Boges (ext 3513) What Greater love can a man give...... --_ --- - -- - - _� - - - -- From: Melanie Rambeaux [mailto:mrambeauxCa�williamsco coml Sent: Wednesday, November 28, 2012 3:48 PM To: Jacqueline Boges Cc: dmillerCa�williamsco.com; johnsonCa�williamsco.com; richsCc�williamsco.com; terrie(a�williamsco.com Subject: INFORMATION REQUESTED FOR REGISTRATION/CITY OF ZEPHYRHILLS Jackie, Attached is documentation requested for registration: 1. Business Tax Receipt(Hillsborough County) 2. State Certified License 3. Workers Comp&G/L Certificate Business information: Williams Company Tampa 1 c� � O N � N .-., �--i .--� .,., � � � � c� a� � N o �,-, N � O � � O .,+'y '-' N U � N Z �' � H � '� � ¢ � A Q z F Q � Q p� O Q � z O � A v� ° �' � � N a N � � F� � �. � ►-� w O c� U �: ~ � U � d � �' �' � Q pq x � Q � °o � o � G� x E.w.,, -� � ,� w �' � N o ° � '� a N 00 � � � U �° o o � o � v M �' � � ' � 00 � � �''� � � a o � � � p O F-' � � � � ° � � � � w � .� � U U � N " `° � � z °�,' �n x ,� 'v '� � a� A 0 0 �n � � p�q �, � U � � z � pq � m � Q � � .� A � � W � � a pq � � � � � � A U W � � � x a ,� z A a � a � �q