HomeMy WebLinkAbout14-15578 CITY OF Z PHYRHILLS
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(si3) so-oozo 1 �578
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15578 Address: 6505 HUNTINGTON DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
, Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0830
Improv. Cost: 38,411.99 OWNER INFORMATION
Date Issued: 8/28/2014 Name: STOKOE J H & C M TRUSTEES
Total Fees: 450.00 Address: 6505 HUNTINGTON DR
Amount Paid: 450.00 ZEPHYRHILLS FL 33542-0611
Date Paid: 8/28/2014 Phone: 757-635-7037
Work Desc: INTERIOR REMODEL KITCHEN
CONTRACTOR S APPLICATION FEES
LOWE'S OME CENTERS I C B I DING FEE 330.00 ELECTRICAL FEE 60.00
MARTIN ELECTRIC PLUMBING FEE 60.00
DOLPHIN PLUMBING CONTRACTORS INC
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� Ins ection Re uired
FOOTER 2ND ROUGH PLUMB ISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED EWER MISC.
ROUGH ELECTRIC LINTEL ISC MISC.
1ST ROUGH PLUMB PRE-METER I SULATION WALL MISC.
DUCTS INSTALLED WATER ISC DRIVEWAY
PRE-SLAB SHEATHING ISC. MISC.
CONSTRUCTION POLE FRAME ISC. MISC.
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following r sons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this property that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme , state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your properly. If you intend to ob in financing,consult with your lender or an attorney
before recording your n tice of commencement."
Complete Plans,Specifications Must Accompany Appl cation.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNA RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
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2014130641
• , � ' Rcpt:1622806 Rec: 10.00
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� " � � 08/14/14 L. Serio, Dpty Clerk
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I41Q`�ICE���F CON�I�CElW�P+1�. ' - PAU�A S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
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Ta3c Folio No. �-'1..1`= �3'j 2�.` p tDO�� .g 3 0 OR BK C��72 FG 2J"t�
THE L�NDERSIGNED hereby gives notic.e that_ttie improvements will' e made to'real:properiy,and in accordance with Section 713.13 of -
t1ie;Florida:Statutes,ttie following in:formation is provided in this.NOT CE OF CONIIVIENCE�VlENT,
I.Description of pibperty(legal'descri 4ion): S� ��� - U' I� �h l 2 b ���1' (.oT �"3 .�,2;�`�C� '
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SaniteryFao11111es 8 f dumpsler,Stte Work Permlt forwbdnrlslomllmge proJects
7CdlMERClAL Atlac9�(3}cemplste sals o!B:i"..�Ing Pl�e pla^a LiTe Safety Page;(1�net af Energy F rms. _�•W Pertnll(o�new onashrttbn.
Mln(mum ten(10)worMing days afler auhmlllal date. Requfred nnslte,Canshueilan Pla s,S artnwaler Pans w/Sql Fenca Instaued.
SanitaryFeeU�fles3ldumpater.StteWorkPermitivalnewpmJecls.Apeommarclel W mentsmus[meetoompt�nce
fIGN PERM17 AHeN�(Z}aoU ofEregMoored Wana.
°°PRDPFRTYSURVEY requtred forafl h'EW eonsWCqon.
)froetlne�
FIB outappleaHan complelely.
o�,�ra co��a�s�on eo�oreava��o�,no�.�zed
tt orer SZS00,a Nclloe nf Gomm�ncama»t is requlrsd. {AIC upprades ovef ST500)
' 0.genl(fot Ihe cvnlracto��or Power of Attamey(for th9 ovvher)wodd be someane wRh no�daed Iettar frem wner autho�lzing same
N1ER THE COUNT�PERMII'FiNti iFrontof Appllratlon ardy}
temofs I!shfigles Seweis Servloe Up�ades AiC- Fences{PIoUSLrugylfooTaQe�
flriv�uvay+a-Hot over Courder l�on pubile roedways..neees RbW
I
7X Res.0 lt R port P �
08/28l2014 12:39
Serldl N0. AOmw11001438
TC: 231323
Addressee Start Time Time Prin s Result Note
93525210297 08-28 12:38 U0:01:08 UD1l0 1 OK
TMR: Timer TX.9POL: Poilin ORG: Ori inal ize Setting FME: Frame Erase TX.
Note BND: Double�5idedaBindingADirection1 5Pe Sp ciaisorigina1.FFCODEa.FPcodeC RTX: Re-TX.
RLY: Relay MBX: Confidentiai. BUL: Buileti . SIP: SIP Fax. IPADR. IP Rddress Fax.
I-FAX: Internet Fax
Result OK: Communication OK, S-OIC: Stop Communicat'on, Pw-OFF: Power Switch OFF,
TEL: RX from TEL, NG: Other Error, Cont: Co tinue, No Ans� No Answer,
Refuse: Receipt°Refused, Busv� BusY, M-Full MemorY Full,
LOUR:Receiving len9th Ouer, POUR�Receivin9 9e Over, FIL:File Error,
DC:Decode Error, MDN:MDN Response Error, DS �DSN Response Error.
8..i1�1..0 fl�P_.b.,se,�
Oat�R�w�v�A f Ptior��Go�b for P�m��l[t g 1 3 (o l�
O�wma�a Nat��a L� �h�L 1 SyTO Ow����PI�o��N�m �7S -� S-�7 O
Ow�Nrs Addtiss OWr��r Phon�Nusn r
R��Q�mpN Tfl��tio/d�r N�m� Ow���Ptie�r Na�m
r�e Slmp��Tt���w�darAdd��s
JOB AOORE�9 I'�:Z l 3s'� LpT�! �
aasewvea�ow� S: 1 p S PI�RGCL f o3-�6-�I-d t-z w�op-p 8'�p
mnr..�..m...o.i. o�w�.,r r..�c..v..ca
WORK rROPO�� B NEW co�LSTR�� AOO/ALT Q 9�ON � Q OeMOLISH
�NSTALL RBPAIR
PROP06lO U'8E Q 6PR Q� COMM � OTNER
rvvs ov co'vn��ev¢�nor� p B� —pRSanr�e---... sre�t Q
OE,CR�PT�ON OP WORK trt c-�+e-�
au��ovao ar� rOOTAOQ NQ�OHT
uoVIL�INO � ��! VALVATON OP TOTAL CONBTR{JCTION
.�\O
CLECTRIC/�L S AMP 9ERV�CE PROO E88 ENEROY Q -♦ W.li.E.C.
�rLUMBIN� �-'�g�;��BO^ OOZ �S��"b
� `
QMECHAN(CAL V/�LUATON OP EGMANICAL iN6TALt./�T�CN �JOp�
�r � [
QO/�8 Q ROORINO Q SPECIAL Q OTMER
F�NISMEO FLOOR ELEVATION3 FLOOO 20 E AfZEA QYE8 NO
R,p �r�
aII�LOER COMP NY �ACwE AJc..� G ��2 ��/�-
afONATllRB 1a�+o�a� via�
iwa.��� G�3 x 8 4 1 .�J',n s�+il�s o�z$�a� �i�a� w� - �
��!�{�n s `�
L�`07'RfCU►N � 'L`OMP NY f���1��� �l � Sk:A�� -'f fci�t
B�ONATYRC
Aeldr��� �o $o � .La_G: L 3 �3 s Z-v Lloan N � L 1 3 po i 3 4'
PIJMBC+R � � ��OMP l7e lPh:N Ol... �ri.JS � T e�+:e. S�oY�c
S�ONATi)RC' RSO�aT�
i.aa�so Z"3$ S ric.- 1.=�i � J. 6a i uoo wy GT�c a�-a-z82ev
MEGliAN�CAt. COMP '
SK'a.NATURB N Y
Add�a�s V �
pT�ypR GOMPA
9�ONATURH F Y
Add�aa U�M��
RH3�OL°NTAt_ Att�Q�(2)Pb[P��r�s:(2)��b M Buildfn0 P�o�o:C'��oet W En �FOrm�:iL-O-W P�m�lt fo� �w ce Vu�tlo�.
Ml�slrffvn!on(1 O)vwrKlnp d�ys aRn�wb�nlHSl dals Raqul Ifs.f:wrretruoLOn Plam.B �mw�E��Plon�w/91H F�fiae Inefat�ed.
8anitery.F¢cilltloa 6 1 daimp��;8�[�WorK Pertnit M�nubAW��oneAarpe p�d� Wa
=OMMERCUlL At[aoh C3)mmPlvta aehs of Baa!ldlnp Ptirm Plaam n Lfb 9�T�fy O�:C1)sot oT E�o�py Pam+o_ -GS-W Fsm�il f �raw oon�b.aclton.
Mlnlmum[en C'�O)ww/�Inp daya aftur submil[al dato. R�q 1 d ors��.Con�truovon Pl�n�.S w�t�r P�ar�e w/91�t Par�na��falled.
Sv�itsry Fad11W�6 1 dur��pstmi.Snm WorK Pam�lt Tor oll n p�oJaOta•/V�oommololel roqYl snts mu�t moat mmpUanc�
���N PiRM�T Atfea��C2)�e0!e1 EI�pII�o��O Pl�n��
'�PROPERTY 9VRVEY�oqulrad fo�a11 NEW oon�truUlon
�FIII o�t�PPl�vatlon oomPl�t�ly_
Owr�er B.ContraQEe��br�badc W�PAn�tlon. tar►Zaef
�I ever�600.�Nelto�o/Gemm��wm��!/s�qY��d- (A/G upprad� wr s7600)
� Agar�t(TOr fh�oonb�aLOr}or Pow�r of Attomay(f�or tho o�Niiar)Would be�o one wlth not�r(s�d l�ttar f m Wrior�utY�ortzlrtg aama
�VER THH COIJNT!'R P�RM�TT�N� (Frof�[o/Appllca[�vn Onf»
ce�oofa 1�01VnploB Bbw'�8 Sprvloa Vpp�adoa iVC ' Fanva�(PIeV urvay/POObOe1
or�wway�-NV!eva'C wler II e�publlo ro�dway����id ROW
7X Re�ult R port
P 1
08I28/2014 12:37
Serial No. Aomw�iooi43s
TC: 231322
Addressee Start Time Time Prin s Result Note
917278696447 08-28 12:36 00:01:D8 001/0 1 OK
N�te gND� DOUb10�Si�edaeindin9ADirectionljsPnaSp CialSOriglinalFFFC DEamFPCOdeC RTX� Re-TX.
RLY: Relay MBX: Canfidentiai. BUL: Buileti . SIP: SIP Fax. IPADR• IP Address Fax.
I-FAX: Internet Fax
Result OK: Communication OK, S-OK: Stop Communicat'on, Pw-OFF: Power Switch OFF,
TEL: RX from TEL, NG: Other Error, Cont: Co tinue, No Ans: No Answer,
Refuse: Receipt Refused, Busy: Busy, M-Full MemorY Full,
LOUR:Receiuin9 len9th Over, POUR:Receiuin9 9e Over, FIL:File Error,
DC:Decode Error, MDN:MDN Response Error, DS :DSN Response Error.
Haall�irip aAarfmarat
C . q
O�W R�n��v�d J� Ptiorw G fa�-:lor �Wr� g l 3 0 �.�
ow.»r�w��...� G- �1.�z i S''To owr��r Ytion�Num 7S -� -7 0
Qwna�s AdO�sa� Ow����Pi�on�N�m�
F��9�mp��T�t��tiWA�r Namo Ow��r Ptio��Numb r
F�o S�mpla T�l��tio)d��Add���
�06�oorc�an 2 h�ll ��'Z �o-r r �
auaorv�s.ow� S: 1 p !cS vwsac��o a3-��-2!-o�� -00000-O8�0
�oor..u.m r..ow� n ..x..oiscw
WpRK PROPO�pp B NsTR� A�O/ALT Q S�mN Q � OCMOLI8H
IN8TALL REP/V,2
PROP09E�UBE Q OFR Q COMM .� OTHER
1YPE OP�GON9TRUGT�OIV Q BLO --TK2/kME---- HTEEI_ Q
OL3CRtVTION OF WORK "�t-r NE�/�1
�Y�LO�NO 8�E FOOTA06 N6��NT
UoIJILO�NO � 6 ��! VALI.lATfON OF OTAL CONSTFtUCT�ON
�b
ELECTFi1CAL 5 AMP BERVECE (� PR00 88 ENEROY Q W_R.E_C.
�rLtJMBINO ffi �• �, CJL-r�BO- OOZ ����
�T �
QMEGHANICAL 6 VALVATON OR EGHANIGiLlNSTALLAT�ON � /JOp�?
J�(�i�� -/ (
O�-`� O Roo�NO p BPEC�sa�Tr Q OTHER
F�NISHEO FLOOR ELEVATIOfYS FLO00 ZO E AREA QYE3 NO
G F+'�!-O TTT�
BU���6R COMP ���^Q He�+ C +�T� Z' �N�
BtONA�1RE Y F Y/N
wa�.�om o C3 4 1 .�Y'w.�[�+f o o�a �e 53�a- ,...e„o ��..ose ♦
���CWN '�o O"�OMPA Y Pr��1R.'T: 1 '�l - SL.:iil�.V T cl�e_�
BtONATilR6 GuRA��`
Adc��a�� �o �B `-1 I�.Ls.-G: L "3�Sz f� 1..1s�ria M � �- �3!��3E'
PL MO@R � � ��NPA Y l7v�rH�w1 n�r. jaJ��s y � T��+i� S�r+Y t�
��ONATt1RH Y�
aea.�r '2 3 d S�.s-:�..+ 1.:�a c -�. 6 a � ucer+na�s G Pc ��t z..8 2�a�
MeGMAN�GA< CO MPA '
S�0llATal�ee � Ta Y r
wsfar�v uoens 'e
OTHER COMP Y
B\ONATURE - Y F W Wa¢w
wdd.��� um..aa a
RCe��L^NTWL Al�d�(2)Plot Pla�a:(2)oote o/BaallDlnO P�a�a:C7)bl oT En roY�o�mo:R-O-W Po�ml!/or Wotlor�.
Mlnlmum tan(70)�niorWnp tlnya sfter suWnlHal�fala R9qW o Ita.ConaWOLOn Plnna.8 tar Plans w/911t Fanoa i�o�lled.
9orMfary F��Jllfbs 6 7 dumpatar:Sito V V rfc Pam�lt Tor�ubdlv�IO�Narpa P�1m�«
=OMMERClM[_ A!latl�(3)oomplo[e amts or Bueia�r,a P�e�v p�um a LITa 9eTab a�a%����at o1 Enorpy Fonna. -O-W P�m�lt for naw uorvb.sctlon_
9aNfary Faolllllaa�6 d�ma��eRe��a+bmltfal daala. Ra9u1 o Ila.Co�laaWOtlon Pla�.H tar Plano w/Sllt Fanoa I�tallo0.
pata�-81ta Wot%Paim�t ior eN proJaot�.All oommoralal�aqul ants mual maat aompllarfaa
f�ON PERM�T A�tt�d�(2)��b ef E�fpin����d Plars�.
PROPHiCTY BURVEY�aqu��d b�et1 NEW�onaWOLOn.
���ooa�o�sc
FIf1 o�st aPPlloatlon oompletetY.
Owr.ar�Contraofnr slgn badc o/appi/oadon.rrotartzad
r i�a�.�Nol���of Com�n�e�um�r�!�s�qW�A. (A/C upQradae r f7600)
� Agant(for Mo mnfsuola�)•or PoWBf o/AHOmay(! lf�o o"wria�)Would b�oo vne wlth noWr7zed Ie[ter hom own�r�uMiorizing�am�
)VER T1�L COUNTL�R PaRM�7T�NO (Fron!of/Wpllaotlor�Only,)
iaroofa 1/ahinplar Bawaro SBMOa llppradaa A/C Ponona(PIOV rvay/POO[apa)
O�iwway�NOt ova�Counb�If o�publ�o�o�dway����faeCO f30W
\ �
Building epartment ��J�'_ � {.}-i�
� �
Date Receiveil �� ��-1 g.
Phone,Contact for .ermittin �`3 h - �� �S
Owner'�Name L{��n(L 1'�- S`ra ��� Owner Phone Numb r �S ^�'3 5 -7 O� _- "
Owner's Address Owner Phone Numb r
�
Fee Simple Tttleholder Name � Owner Phone Numb r
Fee Simple Titleholder Address
�
JOB ADDRESS S � �-t� � ^ -- Z2�'►R` I'1�I�S F�, ��z LOT# ��
SUBDIYISION S� i l}-C.�'.�. O��CS PARCEL ID O3-?�o-�I�d I�� '�Q���''Q 8��
'_ ' (OBTAINE�FROM P OPERTY TAX NOTIC�)
WORK.PROPOSED B� NEW CONSTR e ADDlALT� Q SIGN [] � DEMOLISH J �
INSTALL REPAIR
PROPOSED.USE Q; SFR Q COMM � OTWER -
TYPE OF CONSTRUCTION Q I BLQ .h1E-- STEEL Q
DESCRIPTION OF WORK J` 4 �"���c.I�2rJ � �9(,}�L.. .
�
BUILDING 31ZE �— i � S FOOTAGE HEIGHT
� BUILDINO ,' $ �(' f �� ZS VALUATION OF OTAL CONSTRUCTION
10 10
ELECTRICAL $ ' _ , �` AMP SERVICE PROG ESS ENERGY Q W.R.E.C.
,; P)
�LUMBING $ �C��l7O� ODZ' S�'�,`'b
� � �
� OMECHANICAL $ VALUATION OF� ECHANICAL.INSTALLATION �
��' `���2
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS ' FLOOD ZON AREA QYES NO
�' � � G r�-�.a :�'
.. .�
BUILDER COMPA Y �L bw-eS. l�aM�, CeNT�2s � �!c-;
SIGNATURE REGISTE ED Y/ N FE CURRE� Y/N
Address O QO u � G��J 2�A��'y 3�'$7"� Licens # G6G f Sc� ��I 7
;� �`£ �
E,C'I'RICIAN �A ��OMPA Y , ��►6�.� aJ �l � � S�i 2ee�( ""r'�.�,z(cGlt
SIGNATURE REGISTE ED Y/ N FE CURRE� Y/N ;
Address �o r�c�X �f 3� �A�C: FL '3,'�5'Z� Licens # � (- ���0 13 B'3
PL MBER / �COMPA Y �o l��t+aJ Pl�, �iks� ry "Tqr+�� i�oy de.
51GNATURE � REGISTE ED Y/ N FE CURREA Y/N
Address O �d7< �23� S P�.��9j'►: 11 '�'L '3' .(a� � Ucense# �PG �`-t Z�'''�.,:�4
MECHANICAL. , COMPA �
51GNATURE REGISTE ED �/ N FE CUitRE� Y/N ' .
,
Address ' I License#
i
OTHER COMPA Y ;
SIGNATURE ' REGISTE D Y/ N FE CURRE� Y/N .
Address � License# '
�
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Pians;(1)set of En rgy Forms;R�O-W Permit for ew consUuctlon,
Minimum ten(10)-working days after submittal date. Requlre onsite,Cons�ctlon Plans,S ormwater Plans w/Silt Fence installed,
Sanitary,Facllides 81 dumpster;Site Work Permit for subdlvl fons/large prdJects
-��*!M��G@A!: - Attacti-(3j ca^;�fetg s�to o`Su'.!dfng Plans plus,�Llf�r Safety-�.a�s;(-1}-�st-af-Erie�y Furtns. .-t�-�1V-Germlt f�rne���,c��st,��tian—-_--=------
Minfmum ten(10)working days after submittal date. Requfre onsite,Const�uction Plans,S ormwater Plans w/Silt Fence lnstalled,
Sanitary Facflities&1 dumpster.Site Work Perm(t for all new projects,All commercial requir ments must meet compllance
31CiN PERMIT Attach(2)sets of Engineered Plans. �
"""PROPERTY SURVEY requlred for afl NEW construcUon.
�
)irect(ons: ,
Fill out application completely. _. ,
Owner&Contractor sign back of application,.notarized
If over 52500,a Notice of Commencement is requlred. (A/C upgrades; ver ST500) �
' Agent(for the contractor);or Powe[of Attomey(for th'e`owner)-would be so eone with notarized letter from owner authorizing same
. ..
)VER THE COUNTER PERMITTING_= (Front of Application Only)
teroofs If shingles Sewers ,� Service;Upgrades WC. ':: Fences.,(Plot/ urvey/Footage)
a:.. _,...-,.r ... _..4 : . _ ,.
Driveways-Not over Counter if on public roadways..needs I#OW
. �
�
� �
NOTICE OF DEED RE$TRICTIONS: he undersigned understands that this permit may be subject ta"deed°restrlctlons"
which rnay be more res.frictive than Co nty cegulations. The unders(gned assumes responsibtlity far compliance wffh any
appiicable deed restrictlbns,
� UNLiGENSED GONTRACTORS AN CdNTRACTOR RESPONSIBILlTlES: !f the awner has hired a c�ntractor or
contractors to undertake work, they m y be requlred to be licensed in accordance with state and Iocal regu(atlons. tf fhe
� contractor is not-licensed as required by law, both the owner and confractar may be cited for.a misdemeanor vioiativn
under state law. If the f owner or inten .ed contractor are unaerfain as to whaf ticensing requirements may apply for the
intended work, they are,advised to con act tha Pasco Counfy Suild3ng Inspecfion Dlvision--Lficensing Section at 727-847-
8009. Furthermore, if the owner tia hired a confrac#ar ar contractors, he is advEsed to have the corttractor(s) sign
port3ons of the °can#ractor Block" of th s appllcation for which they wlll be responslble. If you, as the owner sign as the
contracEor, that may be an indlcation t at he is not properly Ilcensed>and is not entitled to permitting privileges in Rasco
County. � '
TRANSPORTATION IMPACTIUTILITI S IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and ecourse Recovery Fees may apply to the canstructian af new buildings, change of
use in existing bulidings, or expansia. of existing buildfigs, as speciz"ied in�Pasco Caunfy �7rdinance ntr�tber 89=07`aci�!
90-07, as amended. The undersigne aiso understands, that such fees, as may be due, wA! be �den#11�ed a# the kims o#
permitting. It Is further understaod th t Transportatlon lmpact Fees and Resource Recovery Fees must be patd pridr to
�ecefving a °certiflca#e of occupancy" r flnal power release. �f the project does not invalve a certificate of occupancy or
fina! power release, the fees must be paid prior to permft issuance. �Furthermore, if Pasca County Water/Sewer impacf
fees are due,.they must be p.ald prior t perm(t issuance in accordance wifh ap,plicable Pasca Coun#y ordinances.
CONSTRUCTI4N LiEN LAW(Chapt r 7�i3, Florida Statutes, as amentied): if va(uation af work is$2,50pA0 or more, 1
certify that I, the applicant, have b n pravided wi#h a copy of fhe °Florida Constructian Lien Law--Homeov+rr�er's
Pratection Guide" prepared by the FI Ida Department o#Agriculture and Gonsumer Affalrs. !#'the applicant is someone
other than the uawner°, I certify that! ve abtalned a copy of the above described document and promfse in good falth to
deliver It to#he"owner"�prlor to comm ncement. _ ,
CONTRACTOR'SIOWNER'S AFFID IT: f cer#ify thaf all fhe information (n this appiicafion is accurate and that ail wark
wiil�be done in compliance with all ap (icabie laws regulating canstruatian, zoning and iand_deveiopment. Appiicatian is
hereby made fo-abfain a permit to o work and installatian as indicated. 1 cert3fy that no wark or installatlon has
commenced priar ta issuance af a p rmit and that a!1 work wli! be performed to meet standards of ai! laws regulating
construction, Gounty and C�ty codes, zoning regulafions, and land development regulatians in the jurisd(ctCon. ( also
cerkify that I understand that the regu! tions of otiier gavemment agencies may apply to the interided work, and�tliat it is
my responsibfllty to(dentffy what actia s I must take to be in compliance. Suah agencfes include but are not limited to:
- Department of Enviromm �tai protection-Cypress Bayheads, Wetland Areas and Environmenfal)y Sensitive
Lands,WaferlWasfewater Trea#menf,
- Southwest Florida Wat r Managemenf Distrlct-Weiis, Cypress Bayheads, iti►et{and Areas, Aitering
Watercourses. w �
- Arrny Gorps of Engineers eawa!!s, Docks, Navigable Waterways. '
- Depa�tment of Health & Rehabilitative Services/Environmental Health Unit-Wells', Wastewater Treatmenf,
Septic Tanks. , -
- US EnvironmenEal Profea on Agency-Asbestos�abatement.
- Federal Aviafion Authority Runways.
I undacstand fhat the foilawing restrlct3 ris apply ta the use of fiN.�
- Use of fiil is not allowed in Flaod Zone"V"unless sxpressly permftted.
- � If the fll! materla! is to 'e used in Flaod Zone "A", (t is understood that a drainage plan addressing a
°compensating volume" ill be submitted at tf'me of permi#ting which is prepared by a professionai enginaer
licensed by the State of F rida. `
- (f the fill material is to b used in Fload Zone "`A" in connection wi#h a perinitted buiiding using stem walf
� constructfon, t certify tliaf tll wifl b�used anly ta fil!the area within#he stem wail.
- 1f fil! material is ta be u ed 3n any area, { ,certify that use o.f such fil! wlll not �adversely affect adjacent
properkles, tf use.of fill i found to adversely'afifect�adjacent propertles, the owner may be cited for violating:
the cond!#lons of khe buii ing permft lssued under�the attached permit application,_far (ots less fhan one (1.}
acre which are elevated b �II, an englneered drainage pian is required. �
If i am the AGENT FOR THE OWNE , 1 promise tn good fai#h fo inform the awner af the permif#ing eandltions set for#h in
fhis affidavit prior to commencing co struction. 1 understand fhat a separate:permiE t�ray-�be required for eleatr(cal work,
piumbing, signs, welis, pools, air co.ditioning, gas, or other Insta!lations not speci�cally included in the appRcatlan: A
permit issued shaif be construed to b a Ifce�se tv proceed wi#h the work and not as author(ty;to.utolate; cancel, alt�r;�or '
set aside any provisions of Ehe techni a) codes, nor shall Issuance of a permit preven#the Buildirig Official from thereafter
requfring a correctlon of�rrors in pla , construction or violations of any codes. Every permit (ssued•shali become invalid
unless the work authari�ed by such ermit is commenced within six mon#hs of permi# issuanae, or if wark autharized by
the permit Is suspended or abandone for a per(ad of six(6) months affer fhe time the work is commenced. An extenslon
may be requested, in writing, from th Building,Offlciai for a petEad not to exceed n9nety {90) days:and.wlll demonstrate
)ustifiable cause#or the extension. If ark ceases for ninety{90)consecutive days, th�Job is considered abandoned.
WARNlNG TQ OWNER:. YO.UR FA LURE 7'O RECORD A NOTICE OF COMMENCEMENT MAY RESULT tN Y,OUR
PAYIIVG'fWICE FUR IIViPROVEME '�� �"L=YOCl13 6"���'ER-'�'°�'. t�1lOU:tN�'�ND TO O�TAiN FtNANCiN�, CONSU�T
WITH Y� UR��LENDE, .t�R: N A O NEY.BEFf3 E � ORD NG YC1U OTIC OF C MMENC�M NT.
FLORIt7R Jt9i2AT(F.S;1'{7:03} � �
OWNEtt oR AGHNT CONTRACT.OR __1�f l,�_{?�
Subscribed and swam fo(or afflrmed)before e thls � Subscrlbed and sw to{ar afftrmed)bafore me thls ,
by bY
Who fs/are personally known tb me or haslhav' produced Who islar - onally known'to me or haslhave.jprodueed
as idendfica8 n. � as ldent#flcatipn.
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• Notary Public ""'"°'� E�' ' Notary Public�
�M. �k= .
Commission No. Commisstan �°�• '�_ �Pires June 29,2018
.* . ..�,' 7ma
Name of I3otary typed,prin#ed or stamped tJama af N typed,pdnted ar stamped ,
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1X Res.ult Re rt P �
08/20/2014 D9:10
S0Yld1 N0. AOm4411001438
TC: 229955
Addressee Start Time Time Print Result Note
92699902 08-20 09:10 00:00:30 001I00 OK
Note MIX: Mixed Originai_Txll'ca�L:�Manuai'TX�aCSR ZeCSRCtg1FWD:FForwardmePCraPC-Faz.
RLYi Relay1e-MBXedCOnfidentieleCBUL��BUlietin jSIP r3IPnFax,FIPRDR:FIP pddress�Fax,TX.
I-FA X: IIlt0YflBt�FcIX
Result OK: Communication OK, S-OK: Stop Communicati n, PW-OFF: Power Switch OFF,
TEL: RX from TEL, NG: Other Error, Cont: Con inue, No Ans: No Answer,
Refuse: Receipt Refused, Busv: Busy, M-Full: emorv Full,
LOUR:Receiuins length Over, POUR:Receiuin9 9e Ouer, FIL�File Error,
DC:Decode Error, MDN:MDN Response Error, DSN:DSN Response Error.
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City of Zeph rhilis .
BUILDING PLAN REVI W COMMENTS
Contractor/Homeowner: � (�'����'
Date Received: �� � � ,J .
Site: �� 7�r� ���-�
Permit Type: �;��Gf�(` �
,
�` ���6��.!A �, �c..�o�-� ,
Appraved wino comments: Approved wlthe below ca ents: ❑ Denied wlthe below camments: �
�
. �
�
�
This comment sheet shall be kept with the permit andlor pl s.
��:,���r,� ,,..��,�c}z.'��`" AU+� � 9 z0��
I�aivin Switzer—Plans Examiner Date Contractox and/or Homeowner
(Required when comments are present) �,
i '
�^Lawe's Praject Profile Re or� - .
- � L�D�I��'�
Project Type; interiors Cus rrter: stokoe,ca#herine
Praject 5ubtype: Kttchens Cus mer Phane: (813)7 5-2115
' Stare: 1854 Emp oyee: Shamp ne, Kyle
Project ID: 2602456 1'rin Date: 7l28f9 2:34 PM
, General
Ki#chen Shape 4.Sh pe
Ki#chen Style �, Trad tionai
Budget $20, p0-$25,Q04
Installati n
Notes: Cabi ats,oourstertaps,and lig ting... Glient wanfs two
row of upper cabinets.
Structur I
Notes: Re ve existing drap down d co�ative shelving in
kitch n area.
Cabinet
t�otes: New cabinets, upper and Eouve . Island to be replaced
with larger option, Kraftmaid/Pebbie Grey/Gentry
Map e 5quare.
', Backspla h
�
I Notes; Fte ve exis#ing and repair wa 1, no new backsplash
bein insta3led.
Counterto s
Nates: Con idering QuarEz for NewJlar ar isiand,trying to keep
iden ical footprint for base cabi ets in order to keep
ex�st ng counters fF�era Lyra Si estone.
Flooring
Notes. Non .
Pase 9 or 2
r,r � � �............, .. ...._._..._ _ _ . _ .-�__. --- -
` Applranc s
Notes: OT microwave and range o ly.
Miilwar
No#es: Pos ible framing at camer un's area for deeper cabinet
inst II.
Paint
Notes; Kitc en and parEia!haN/�R.
L.ighting
Notes: ' Ceili g fan w/light, and 2 pend nt lights.
Plumbin
i
Notes; Enla ging cctrrent size of islan meant some plumbing
work at this location. Insta!!of ew Garbage disposal.
Wi�dow Treat ents
Notes: Nan .
Electrlca
NoEes: LEght ng and outlets, also cann ction of garbage
disp sal.
O#her
Notes:
Page 2 af 2
AJtS .! �nl�tn-ir�n . . .........��..� � . _ .J__.
STORE COPY �
INSTALLATION SERVICES C[1ST�MER CONTRACT ,
i
LOWE'S OF ZEPHYRFiILLS, FL,S70RE#1854 STORE PHONE:(813)838-9000 i
I 7921 GALL BOULEVARD SALESPERSON: :
EPHYRNILLS, FL 33541 SALESPERSON lD:806407 '
Document Print Date:07/10/2014
This is only a Quote for the merchandise and services printed below.This becomes an agreement upon payment and issuance of a Lowe's receipt, upon which the entire agreement,including the
spec'rfically completed pages of this documen[,the Terms and Conditions induded with thfs document,the applicable portion(s)of Lowe's receipt,and any other addenda or attachments hereto,shall
be referred to herein as this°Contract°PLEASE READ THIS EN17RE DOCUMEM'.INCLUDING THE'TERMS AND CONDITtONS."BEFoRE SIGNING.
Lowe's Registration or ConE�actor License Number/Lowe's Contractor Name •
Fforida Contractor License Number CGC1508417
Customer Name Horne Phone
SOLD JAMES/CATHERINE STOKOE 757-635-7037 �
Customer Address Other Phone
TO City . State/Province Zip/Postal Code
� ZEPHYRHtLLS FL 33542
PROJECT SUMMARY
Category Comments/Scope of Work Amount Addendum Reference Barcode
PROJECT SELLING None �2�gg,g� 412606542 - PSI/STOKOE
CAB1 NETS
PROJECT SELLING No Comments $ 942.71 412671594- PSl/STOKOE F
ELECTRIC
PROJECT SELLtNG $ 593.00 412671490 - PS!/STOKOE F
PLUMBING
PROJECT SELLING No Comments $ 4037.00 412605910- PSI/STOKOE
GS
PROJECT SELLING No Comments � 97g.dp 412676273- PSI/STOKOE
PAINT/MILWORK
�.Store 1854 Project Summary for JAMES/CATHERINE STOKOE Page 1 of 6
STORE COPY
� PROJECT SELLWG Na Comments $ 801.00 412675932 - PSf/STOKOE R
_ E�ECTRIC
' PROJECT SELUNG ��move and re-install existing dish- � �321.05 412447543 - STOKOE APPLI-
� washer. ANGES
KITCH-CTOP-SILE- Cabinets in about 5 weeks 412328319- STOKOE
, STONE $ 5635.65 GOUNTER 3
Materials Price $2�069.4
i Note:Please see Can#ract Addenda far a more de#aiied merchand"sse and ins#alEatian description. bar Charges $ 9539.8
Detail Deduction -$ p.0
PH{3T0 REI.EASE: Custamer grants ta C.owe's and Lowe's emptoyees the right to take phatographs of all work performed at the Premisis re(ated to this Con-
tract, and irrevocably grants to Lowe's ail right, title and interest in and to the phatographs for use in all markets and media,woridwide, in perpetuity. Customer , I
authorizes i�owe`s ta copyright, use and publish the phatagraphs in print andtor electror�ically, and agrees that Lowe`s may use such phatographs for any lawtu� {
purpase, inciuding, but not limited to, marketing, advertising, publicity,iltustration, training and Web cantent. By initialing here, Custamer agrees to the forega �
ing. [Customer to initial to the left]. �
Additional Spec�Fications: Federal law requires Lowe`s to provide you with the pamphlet Renovate Right: lmpartant Lead Hazard Informafion far Families, �
Child Care Providers and Schools. By signing this Contract, Customer acicnow(edges having received a copy of this pamphlet before work began inforrrting
Customer af the potentia!risk of the�ead hazard exposure from renovation activify#o be pe�€ormed in Customer's dwelling unit. ;
A N AGR �MEN R
This CQntract provides that ali claims by Customer ar Lowe`s will be resoived by BINDlNG ARBITRATION.Customer and �owe's GIVE UP 7NE RIGNT TO G{3 '
TO G(3URT to enforce this Cantract(�XCEPT far matters that may be taken to SMALL GL41MS COURT). Lowe's and Customer's rights will be determined by �
a NEUTRAL ARBITRATOR and NOT a judge or jury. Lawe's and Customer are entitled to a FA(R HEARING.But the arbitration procedures are 8!NlPLER ARlD ;
i�ORE LIMITED THAN �tULES APPC.tCABCE EN CO�1RT.Arbitrai4r decisions are as enfarceab[e as any caurt order and are subject#o VERY L.iM(TED RE- c
VIEW BY A COURT. FOR MORE DETAILS; Review the section titled ARBITRATIGIN AGREEMENT, WAiVER OF JURY TRIAL AND WAIVER OF CLASS AC-
TlON ADJUDfCATIQN#ound in the Terms and Conditions of#his Gontract. '
c
. i
r
c
.
TOTAL CHARGES OF AI,.L MERCHANQlSE ANQ SERVlCES ,�,,,���a�p,;cat�,8 ;
�
SU�-TOTAL $36609.2 �
*TAX $ 0.0
DELIVERY $ 0.0
aRDER TtJTAL $3660g.2
BALANCE DUE
,
, Work is to commence upon reasonable availability of Cont�acior and/or any special order or custom made Gaod(s)which is aniicipated to be(��Q t U� t ��_ff11E in date]. �
�.
_ �
��Stare 1854 Praject Summary forJAMES/CATHERINE STOKOE Page 2 of 6
STORE COPIf
Estimated completion date is fiil in datej.
Said estimated substantial completion date is not oi the essence_ A statement of any cont+ngencies that would materiaAy change said estiinated subsiantial completion date is as fol-
lows•
('rf applicable,insert a statement of such contingenaes).
NOTICETO CUSTOMER
All items listed in this conhact and specification sheet(s)are to be installed under condtlions agreed upon at time of purchase and at the price appearing on this contract form.This assumes sound ex-
isting substructures,superstructure and points of attachments.Extra labor or material incident to installation necessitated by defective substructures,superstructure,points of attachment,or the moving
of fixtures or appl'�ances to be billed at extra cost to customer.DO NOT StGN THIS CONTRACT UNTIL CONiPLETE AND YOU HAVE REAO THETERMS AND CONDITIONS OF THIS CONTRAC7.
BY SIGNING BELOW,YOl1 ARE ACKNOWE.EDGING THAT YOU HAVE READ,UNDERSTAND ANp AGREE TO"THE TERMS AND CaNDITIONS SEf FORTH ON THIS COM'RACT.YOU ARE
ENTITLED TO A COPY OF T CONTRACT AT THE 71 OF SIGNATURE.
WITNESS QUR H ND(S)a d SEAL(S)B �BW THIS DAY OF ,
Lowe's Hom nt ,LLC � .
By: - (Seal) Ovmer: (�a�)
Print Name: s�tl�i c� Print Name•/� � 7`�'�Y/'`"'��v /�� �I ��\ ��
Address: '( / Z� �•l�LL ��/�- � , f'y• JJ�/ Co-OwnedWitness: (Seal) .
ciTV: �G. {'Ft�1�1'�'�2�lz5 State: C.� Zip: T�',� Print Name:
Customer aclviowledges receipt of a true copy which was completely tilled in prior to Customer's execution ereo. ou t e customer may cance t is ransaction at any ime prior to mi n g on
the third business day after the date of this transaction.See the attached IVotice of Rlght to Cancel for an explanation of this right. ,
i
I
I
I
'°Store 1854 Project Summary fo.r JAMES/CATHERiNE STOKOE Page 3 of 6
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