HomeMy WebLinkAbout13-14770 CITY OF ZEPHYRHILLS '
5335-8TH STREET
(s13)�so-oo20 1 4 0
� BUILDING PERMIT
Permit Number: 14770 Address: 3509 PERIDOT LN LOT229
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
Est. Value: Parcel Number: 24-26-21-0060-00000-2290
Improv. Cost: 40,000.00
Date Issued: 12/04/2013 Name: BELL, GLENN J SR &TEMPLETON P
Total Fees: 532.50 Address: 2400 LAKE ERMA DR
Amount Paid: 532.50 HAMPTON GA 30228-6083
Date Paid: 12/04/2013 Phone: 770-665-5401
Work Desc: REMOVE LANAI REPLACE W/ ROOM ADDITION 40 X 12 & 3X3
5 . •
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 e�ctra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned 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 properly 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 notice 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.
C RACTOR SI TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
` CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractar/Homeowner: e-- +-��
Date Received: / �- Z ��� -3
,
Site: � 5L'�'� ri
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Permit Type: ��'�Y1�� �(�''�M ---/�GtL't��G��'l �C,�G����'G� �
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.
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K 't r lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permittl� _
Owner's Name -� �-!/ �eCT/"G Owner Phone Number �� Co.�J",,�����
Owner's Address �-�vy perr OT (�� Owner Phone Number —1
Fee Simple Titleholder Name Owner Phone Number --�
Fee Simple Titleholder Address
J08 ADDRESS U� �7 �e1"/ D�'" (.ft� LOT# a�/
SUBDIVISION �d '�� �pARCEL ID# �J'-�6�dG�O-� �Q�(,�- �,�(�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR ADD/ALT C� SIGN � Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION [� BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK 7�-� dCOlV/l �Q�Y�ff L(t�J(�� -. Gc.�I �Q(� {�-�.Qh, ��_/ /�Q/)
aGLT-
BUILDING S12E �d X�d-' 'i � SQ FOOTAGE s�g
HEIGHT
�BUILDING $
VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ '
� , �,..
�MECHANICAL �� `
$ VALUATION OF MECHANICAL INSTALLATION
OGAS f i ��J
Q ROOFING Q SPECIALTY � OTHER ' ` �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � �COMP NY Je�' � l
SIGNATURE �� °, REGISTERED Y/ N FEE URRE� (�J
Addregsr� c�S— /�'��?' D7 �(�2 2 �- �•
License#
ELECTRICIAN . !�,'c-�C iG�CO ANY �W�/'
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addres � License#
L'>�
PLUMBER , � COMPANY d ��'"
SIGNATURE -dl REGISTERED Y/ N FEE CURRE� Y/N
Addres f�e License# �
MECHANICAL �CO PANY l�C�1/� r
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Addres 4.� [�O(J�l-° License#
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building 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,Construction Plans,Stormwater Plans w/Silt Fence instalied,
5anitary Facilities& 1 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 8 Contractor sign back of application,notarized
If over;2500,a Notice of Commencement is requfred. (A/C upgrades over 57500)
'" 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 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
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 appiication 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 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 further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power retease. If the project does not involve a certi�cate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department 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 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 installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of alt 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
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construction, I certify that flll 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 included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such 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 O AN ATTORNEY BEFORE RECORDING YOUR NO IC F COMMENCEMENT.
FLORIDA JURAT(F.S 117 `� f/ ° �
OWNER OR AGENT --�' CONTRACTOR � �
Subs bed and s rn.td(o )b�{ore th S scribed a w t )bef9re me is
�-a-s�l.� . �r �'� � Y G�
Who(slar�er�y known to e or has/have produced Who islarep�onally known to m r has/have produced
as identlfication. /J as identification.
�� � � . �---"L--�-- ���C?� ,
C`=%'��--�.�C�� �_Notary Public � �.J/1 N�tary Public
Commission No. Commission No.
. - � . ��e �� -
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,��'"""k�;_STACIE LYNN HART,NI�
r��""°"e��;STACIE LYNN HAR�'SN`�� �` .
•: MY COMMISSION#FF06489� ''` ' MY COMMISS�ON#FF064897
:,y�,A�;
+�,g= EXPIRES October 21,2�17 '-'?,�,F,,d,',:,•' EXPIRES October 21,2017
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"^•^��••'• Service.com (407)398-0153 FtoridallotarySer.�'�:�.com
o�)3se-ot63 Floridallotary . , , V , My��M�µ�Y
FORMS
FLORIDA BUILDING CODE,ENERGY CONSERVATION
FORM 402•2010 Residentlal Building Thermal Envelope Approach ALL CLIMATE ZONES
Scope:Cumpiiance with Section 402 of the florida 8uilding Code,EnergyConseroatlon,shall be demonstrated by the use of Form 402 for single-and multiple-family residences oi 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 buildinps,as
applicable.To comply,a building must.meet or exceed ail o(the energy efticiency requirements on Table 402A and all a plicable mandatory requirements summarized in Ta61e 4028 of this
form.If a buildinp does not comply vnth this method or Alternate Form 402,it may still comply under Section 405 ot tRe Florrda Buildiny Code,Energy Conssrvation.
PROJECT NAME: be�L �C� I DY`. BUILDER: ��j� Wy��-
ANDADDRESS: 3SD9 I�et"�C�D�" �• pERMITTING �(
zephyrl�;tils F�. oFF�cE: ('i L'�C �C � r�� ��S
OWNER: �' � �e` PERMIT NO.: �- ' U JURISD►CTION NO.: (�. � � �(�(�
Generai Instructlons:
1.New construction which incorporates any oi the following features cannot comply using this method:glass areas in excess of 20 pe�ent of conditioned floor area,electric resistance
heat and air handlers located in attfcs.Additions<_6DD sq.ft.,renovations and eguipment chanpeouts may comply 6y this method with esceptinns given.
2.Fill in all the applicable spaces of the"To Be Instailed"column on Table 402A with the information requested.Ail"To Be Installed°values must be equal to or more efticient than the
required levels.
3.Complete page 1 based on the"To Be�nstalled"column information.
4.Read the requirements of Table 4028 and check each box to indicate your intent to comply with ail applicable Rems.
5.Read,sign and date the"Prepared By'certification statement at the bottom ot page t The owner or owners agent must aiso sign and date the torm.
Please Print CK
1. New construction,addition,or existing building 1 A.,t.l.� pw
. �c�
2. Single-family detached or muitiple-family attached 2 �'� �
3. If multiple-family-No.of units covered 6y this submission 3 -
4. Is this a worst case?(yes/no) 4 �, 1�
J\J
5. Conditioned floor area(sq.ft.) 5,_�-{aD
6. Glass type and area:
a.U-factor 6a. �.�Jr
b.SHGC 6b. �.3d
c.Glass area
6c. q 1 sq.ft.
7. Percentage of glass to fioor area 7 �3 0/
8. Floor type,area or perimeter,and insulation:
a.Slab-on-grade(R-value) ga,R= lin.ft.
b.Wood,raised(R-value) Bb R_ �.�- �-Sq ft
c.Wood,mmmon(R-value) g�,R_ sq.n
d.Concretc,raised(R-value) 8d.R= sq.ft.
e.Concrote,common(R-value) ge,p= sq.ft.
9. Wall type,area and insulation:
a.Exterior: 1 Masonry(Insulation R-value) 9a_� R_ Sq ft
2. Wood frame(Insulation R-value) 9a-2. R=�� D8 Sq.ft.
b.Adjacent 1. Masonry(InsulationR-value) gb_i, R= sq.ft.
2. Wood framc(Insulation R-value) gb_Z, R=�_ 3 f 5 sq,tt.
10. Ceiling type,area and insulation:
a.Under attic(Insulation R-value)
b.Single assembly(Insula[ion R-value) 10a.R= Sq.ft.
10b.R=� y ao sq.ft.
11. Air distribution system:Duci insulation,location,Qn
a.Duc[location,insulation 11 a. R= �_ �d�d eG�
b.AHU location 1�b
c.Qn,Test rcport a[tached(<0.�3;yes/no) 11 c.Test report attached? Yes @
12. Coofing system:
a.Type 12a.Type:_�Pinf✓'Q.t
b.Efficiency 126.SEER/EER: l 3.p
13. Heating system: 13a.Type• �"�[�'�" pt,ir•�io
a•�'P� 13b.HSPF/COP/AFUE: 7.7-
b.Efficiency
14. HVAC sizing calculation:attached 14. Yes �
15. Hot water system:
a.Type 15a.Type: t�C�-�Y'tC�
b.E�cicncy i 5b.EF: �{D ac I - n.4�
i hereDy ceAify that the f and speciflptions covered 6y the calculation are in compfiance with the Florida Review of plans and specifications covered by this calculation indicates compliance with the Florida
Enerpy Code. Energy Code.Before cronstruction i completed, ui ing wlll be inspected tor compliance In
accordance with Section 553. F.S
PREPAREO BV: ATE:�/�.3 _
CODE OFFICIAL
I hereby ceN1y that thfs 1' s in com i orida Energy Code: G_,� /�� /
OWNEH AGEN �, ' �ATE:� 6`'V DATE: _
C.4 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION
FORMS
TABLE 402A
BUILDING COMPONENT PERFORMANCE CRITERIA' INSTALLED VALUES:
-Factor<0.65
Windows(see Note 2): SHGC=0.30 U-Factor=
%otCFA<=20% SHGC=
S li hts U-Factor<0.75 %ot CFA=
� Doors:Ezterior tloor U-FaMOr U-Faclor<0.65
-Fador=
Floors: Slab-on-gratle No requirament
Over uncondNioned s aces see Note 3 q_�3 Value=
Walls—EzL and Adj.(see Note 3):
Frame
Mass (see Note 3) R�13 R- lue=
Interior ot wall: R-7.8 R-V ue=
Exterior ot wall: R-6 R-V ue=
Ceilings(see Notes 3&4) R=30 R-Va ue= Test re ort
Reflectance 025 Refi tance= Attech d4
YeslNo
Air distribufion system(see Note 4)
Ductwork&air handling unit:
Uncon6tioned space Not allowed Loc tion: Test report
Conditioned space Attached7
Duct R-value F-value 2 6 Ves/No
Air leakage On On 5 0.03 R alue=
Air conditloNn s stems see Note 5 SEER=13.0 EER=
Heating system
Heat pump(see Note 5) Cooling: SEER=13.0 SEER=
Heating: HSPF=7.7 HSPF=
Gas fumace
Oil fumace AFUE 78q AFUE_
AFUE 78% AFUE_
Electric resistance:Not allowed(see Note 5)
Weter heating system(storage type)
Electric(see Note 6): 40 gal:EF=0.92 Gallons=
50 gal:EF=0.90 EF=
Gas firad(see Note 7): 40 gal:EF=0.59 Gellons=
Other(describe): 0 gal:EF=0.58 EF=
(1)Each component present in the As Proposed home must meet or exceed e plicable pertormance criteria in order to comply with this code using this method;
otherwise Section 405 compliance must be used.
(2)Windows and doors qualitying as glazed fenestration areas must complywith both the maximum U-Factorand the mauimum 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 manufacturers'installation insVUCtions.For mass walls,the`interior of wall"requirement must be
met except it at least 50%of the R-6 insulation required for the"exterior of wall"is installed exterior of,or integral to,the wail.
(4)Ducts&AHU installed substantially leak free per Section 403.2.2.1 Test by Class 1 BERS rater required.
Excepfion:Ducts installed onto an existing air distribution system as part of an addition or renovation;duct must be R-6 installed per Sec.5032.7.2,
(5)For all conventional units wfth capacities greater than 30,000 Btu/hr. For other types of equipment,see Tabies 503.2.3(1-8).
Exception:The prohibition on electric resistance heat dces not apply to additions,renovations and new heating systems installed in existing buildings.
(6)Fot other electric storage volumes,minimum EF=0.97-(0.00132 x volume).
(7)For other natural gas storage volumes,minimum EF=D.67-(0.0019 x volume).
TABLE 4028 MANDATORY REQUIREMENTS
COMPONENTS SECTION REQUIREMENTS
To be caulked, askefed,weathersiri CHECK
Air leakage 402.4 263.Windows an d doors=0.30 cfMsq fttl7esttng or�WSUaeinspecte on requi ed.Fireplaces:gasketed doo&E
outdoor combustion air. �/
Ceilings/knea walls 4052.7 R-19 space pertnitting. ✓
Programmable thermostat 403.1 1 Where forced-air fumace is primary system,programmable thermostat is required.
Air dtstribution system 4032 Ducts in attics or on roofs insulated to R-B;other ducts R-6.Ducts tested to Q�=0.03 by a Class 1 BERS rater.
Heat trap required for veAical pipe risers.Comply with efflciencies in Teble 403.4.32.Provide switch or Gearfy ✓
Weter heaters 4D3.4 marked circuit breaker(electric)or shutoff(gas).Circulating system pipes insulated to=R•2+accessible menuat �
OFF switch.
Spas end 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 B 70%of heat hom site-recove�ed ene
efficien =78% 82%atter 4/16/13.Heat um �ol h�eaterseminimumCOP tl4 Oas healers minimum thertnal
Sizing calculation perfortned&attached.Minimum efficieneies per Tables 5032.3.Equipment efficiency verification
Cooling/heating equipment 403.6 required.Special occasion cooling or heating cepacity requires separete system or variable capacity system.
Electric heat>tOkW must be divided into two or more sta es.
Lighting equfpment 404.1 At least 50%ot permanendy installed lighting fixtures shall Ce high-eKcacy lamps.
201 D FLORIDA BUILDING CODE—ENERGY CONSERVATION
C.5
Je(�'r� ��i ,�//
�sd9 �Qr��Q� ��
Address '
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To Whom It May Concern,
Please be advised that:
Stacie Hartwig, Kathy Mims and Spenser Bahr of Pasco Permit Service
have my permission until further written notice to act as my agent to sign and pick
up permits.
Sincerely,
��
�� � _��
�� ignature
_ �—��—��
Date
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
�
The foregoing in trument was sworn to and subscribed before me this o2 y�day
of ��o�e,�� , oz-0� .
Personally known or Produced identification Y
,
NOTARYPI�'r? ,l-�.:::,.0;FLORIDA
''-,�o� �tl'7.2ri�t' }3�1I'
:Comm�s,�o_��`EE044504
�Exn;r�; ',OV 22,2014
ao�-n�n rziU- �
,� �,�,co.,rnc
Commissioned Stamp otary Si ature
and Expiration Date
PA3C0 PERMI'C SEqVICE � 6F� Z-�accdN
� FAX 13-866-E124-'7894 IIIIII�II�II��IIIII���IIIIIII�I�II�IIII��I�II�III�IIIIIII��I
2013192533
Permit No. Parcel ID No a s�-�L -�zi-�rd6 Q- �oOCJo -02,�0
/ NOTICE OF COMMENCEMENT
State of ��Qr! N4� County ot /'���C'U
THE UNDERSIGNED hereby gives�otice that improvement will be matle to certain real property,and in accor0ance w�th,Chap�er 7�3.Ftonda S�atutes.
the following Information is provided in this Notice of Commenceme/nt,:,�/� !��� �. '_/ r�//
1 Oescription of PropeAy Parcel IAenlification No. �--(/T e�bt-Q C-/�clG/b�[Y ��� Kl�
Street Address� c�d�f /�e/j Q �Q�.Q"
2. General Description of Improvement
/'Qa/rI �� /0/1
3. Ovmer Informatfon or�essee nf�rtnation if the Lessee contractetl for the improvement�
1C� �r�e�l +6�e�
a��Name/1„/Y �� � /C� cJ�1 Y�
/���
Address ity State
Interesl in Property
Name of Fee Simple Titleholder
Q z U �
Qf different from Owner 6sted above) d ' � � � �J U
Address Cily Stale � � � � �Q J }
4. Contractor �[t�i�Pl" /Cf �k�� � ""� O �,Uj � —� cv � �
Name
�W G' F�— W F-- w
Address City State �,� � ,z J � O
Contrectors Telephone No. � � � � � Q
5. Surety' Name � F�— a Q LL- Y�
Q�-
Addresa Ciry Stale � � {,� � � �
Amount ot Bond: t Telephone No. Q� �� J Q J
6 Lender � E.z � m L� �- � 3
Name � �— �. � C C� J
� LYtx �y = Q W .
Address City Slate �j �;;t Q y� i� Z
�ender's Telephone No. � �� ;,� � (�
7 Persons within ihe State of Florida designated by the ovmer upon whom nolices or other Aocumenls may be serveA as prowded by Q F-- z �� (n
Sedion 713.13(1)(a)(7),Florida Statutes: W U7 K J W Q
Q U� � � z �
Name (� � � Q � a m
Add�ess City State
Telephone Number of Deslgnaled Person: '
8. In addition to himself,the owner designales °�- G_1`� � * *
to receive a copy o(the Lienors Notice es provitled in Section 773.13(1)(b),Florida Statutes. V ��
Telephone Number of Person or Entity Designated by Owner: �� , 6'
' � �
9. Expiralion date of Notice of Commencement(the expiration date may nol be before lhe completion of construction and final payment to the �/ � � O
contreclor,hut will be one year from lhe date of recording unless a difterent date is specified): 1 ' � �+� � • �
W A R N 1 N G T O O W N E R: A N Y P A Y M E N T S M A D E B Y T H E O W N E R A F T E R T H E E X P I R A T I O N OF THE NOTICE OF COMMENCEMENT �
ARE CONSIDERED IMPROPER PAVMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN I _ � � � • (�
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE �
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT C, � L , �
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCENG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT "� . �
�
Und@r penalty of perjury,1 declare ihal I have read the toregoing notice ot commencement and Inal the facts stated therein are true to Ihe best
af my knovAedge and belief. ��n � �
STATEOFFLORIDATOTP,RY^L'__:=-51'1TF.OFF1,ORtDA � � . *
COUNTY OF PASCO;:,.'.. . �i1C;� 'tI87'twlg
�{ _ na f r or Lessee,or Ovmer's or Le sec's Authonzed
Ccr.�n..'�'ton�`DD926164
`• s`L:c; ,c:.: CT.16,2013 Otnc aMedManager� �
BOND517THRCA7LA:\TICBO\ 'GCO.,�G T�,� �,
� Signatory's T'elOffice
The foregoing inslrument was acknowledged before me thise2-7 day o�u�' i�r2�,by_� � �� I
, a, �Cd/�-��I'� (type of authodty,e.g.,officer,truslee,attorney in fact)for '
T"
{� (name of aA n l�g��f �wo( om i strume was executed) i
Personally Knovm�CLR Produced Identification� Notary Signature /
Type ot Ident��cation Produced � Name(Print) e �
Rept:3562432 Ree: 10.00
�".��:��* DS: 0.00 I T: 0.00
;,.i"�,�,STACIE LYNN HARTWI
� �.D 11/12/13 K. Garela, Dpty Clerk
!,:�1�F4'�• �,Ay COMMISSION�YFF064897
��'``�'� EXPIRES October 2t,2017
��',�,oi F
(ao7)�98-015� F�oACallots Servlce•com
PqULR 5 0'NEIL,Ph D PPSCO CLERK & COMPTROLLER
����z��3 �1957 1 of �
wpdata/bcslnolicecommencement_pc053oa8 OR BK P� 1� '
DI3CL03IIRS STAT�'P FOR 06�1NSR
CITY OF ZSPHYBSILLB BIIILDING DBPASTI�NT
_, ��t/-1Cq �C�� �-�/ have read. and fn7.Iy uaderstaad aad
agree t the provisians of this instrumeat_ -
The uadersigaed states aad affirms tha,t he or she is deairous of canstructiag,
renavatiag, adding to or reroofiag his or her o�va dom3,cile, that he or she
actually occupies, or will occupy by said d�ici3e, aad same is aot for
reat, lease or sale_ That he or she shall comply arith the fo3.Iowi.ag con.ditioas:
1. That the oovaet� aad he or she alone shail act as the bai.lder for all pha.ses of
aonstruction..
2_ That the ooQaer vr3.11 comply with all provisions of the City o€ Zephyrhills
ordiaaaces aad codes pertineat to the bnilda_ag.
3_ That ia the eveat various phases pf ceastruction. ase svbcontracted, he will
E!IIgage on1Y Properly licensed subcoatrac�ors and mill pessoaally supem.se
such �vorlc.
4. That ia the eveat the Buildi.ng Iaspector shall require corrections to be made,
the owaer �rilZ assume full respoasibility ta insnre they are made, and upon
completioa w:ill call for a reiaspectioa before proceediaq with the bnilding.
5. Tha,t the ownex shall assnme ful.l responsibility for the coastruction and ovill
not expect supervision of his work from the City o£ Zephyrh:i.11s Bnilding
Depa�ttmeat.
6. That prior to final iaspectioa aay additioaal fees, includiag saiaspectioa
�ees, mv.st I�e pa.id ia ful,l. A v�ritten, reqaest fr� this office sha.11
coasti.tute an official notice to pay add:itioaal €ees.
7. That the oNaer shall comply wi.th al.l City, State aad Federal lav�s ia regard to
sociat security, arflrlanaa•s compea,sation, lien la�vs, etc., �here applicable.
$- That the owss.er shall comply v�ith all the safety cades issued by the Florida
Industrial Commi.ssioa.
9. State ].aw requ:i.res construction to be done by licen,sed coatractors. You have
applied for a permi.t under aa exemptioa to that law. The eaemptioa allo�s
you, as the owner of yonr property, to act as yonr own coatractor mith certaia
restsictions evea thongh you do not have a liaease. You must provide direct
oasite supervision of the coastruction yovrself. You may build or improve a
one-fam:i.Iy or tzao-family reside�ce or a farm outbuildiag. You may also build
or imprave a coaomercial bvi.ldi.ag, provi,ded your costs do aot exceed $25,oao.
The 3�ui.lding or resideace mnst be Eor your owa use or occupaaay. It may aot
be bu3.lt or substantially improved for sale or lease. If you sel.l or lease a
-hui.ldiag you have built os substaatially iarpsoved, yovrself wi.thia 1 year after
the canstructioa is compl.ete, the Ia�v �vi.11 presume that you bui3t or
snbstantially improved if for sale or lease, �vhich is a vialatioa of this
��P�ZOII- y�� �Y �t �e aa unliceased persoa to act as yeur contractar or
to supervise people ovorking oa yous bviidiag_ It is your responeibility to
�aa,ke snre that people employed by you have licenses required by state law and
by cpuaty or mnai.cipal licensing ordinaaces. You may aot delega�e the
responsibility for stxpervisiag work to a licensed contractor who is aot
licensed to per€orm the �vark beinq doae. Aay persoa workinq oa you� bui3diag
who is aat licensed must ovorlc nader your da,rect supervision aad must be
employed by you, which meaas that yon must deduct F.I.C_A. and vrithhelding }�Y
aad provide workers' coaapensatioa fer that employee, all as prescr3bed. by lam_
Your constructioa must corygly �vith a11 applicable lams, ordinaaaes, bn,i,Zdi.ng
aades, aad zoaa.ag regu�f j'� �
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Plorida Building Code Online Page 1 of 3
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-�;}�,,,����e�kj�;i!'")j�. BCIS Home Log In User Registra[ion Hot Topics Submit Surcharge StaLS&FacLS Publications FBC Staff BCIS Site Map Links Search .
Busines ����
Professi�nal �:� ' Product Approval
�USER:Public USer
Regulaiion
Product Aooroval M n >�oduct or Aoohcation Search>Aoolication Lis[>Application Detail
E:i�"s"' .��.',� �'a'�
. � FL# FL239—R17
i d: r�'+�.�,-`sMi �'
�� � Application Type Revision
�'��•�+ � Code Version 2010
_���'��:�
" '"`"`s��" �'"`'°'"' Application Status Approved
*Approved by DCA.Approvais by DCA shall be reviewed and
ratified by the POC and/or the Commission ff necessary
Comments
Archived
Product Manufacturer PGT Industries
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext22318
druark@pgtindustries.com
Authorized Signature Jens Rosowski
j rosowski @ pgti nd ustries.co m
Technical Representative ]ens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext 21140
jrosowski @pgtindustries.com
Quality Assurance Representative
Address/Phone/Email
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency Miami-Dade BCCO-CER
Validated By Miami-Dade BCCO-VAL
Referenced Standard and Year(of Standard) Standard Year
TAS 201, 202, 203 1994
TAS 202 1994
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
http://floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquS 1 Bu8CAEmBE70C... 4/9/2012
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Application Status Approved
Com ments
Archived
Product Manufacturer Therma-Tru Corporetion
Address/Phone/Email 118 Industrial 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
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 Expiratfon 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
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