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Home My WebLink About15-15951 T_`, � ' CI OF ZEPHYRHILLS .� ' S335-8TH STREET (ais)�so-oo20 1 1 B ILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15951 Address: 38349 EVERGREEN VILLAGE DR 1-9 Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIA Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-05300-0020 Improv. Cost: 6,900.00 OWNER INFORMATION Date Issuecl: 1/28/2015 Name: Z-HILLS LTD Total Fees: 105.00 Address: 38349 EVERGREEN VILLAGE DR 1-9 Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/28/2015 Phone: (863)647-1581 Work Desc: REPLACE FRONT AND RE R DOORS UNIT 3 & 4 (SEE ADDITIONAL PERMITS) CONTRACTOR S APPLICATION FEES PAUL D.S HAPER CONST U TION INC BUILDING FEE 105.00 � 2 �- �•- / 5� � �� Ins ections Re uired FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING 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 c mply with Florida Statute 553.80 (2)(c) when extra inspection ' trips are necessary due to any one of the foll wing reasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for inspection when called e) permit not post d on job site fl plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this per it, there may be additional restrictions applicable to this property that may be found in the public records of this county, nd there may be additional permits required from other governmental entities such as water ma agement, 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 recordin your notice of commencement." Complete P ns,Specifications Must Accompa y Application.All work shall be performed in accordance with City Codes and Ordi ances. NO OCCUPANCY BEFO C.O. i � } � I CONTRACTOR SIGNATURE PERMIT OFFI R '� , � PERMI EXPIRES IN 6 MO THS WITHOUT APPROVED INSPECTION CALL FOR INSPECT ON - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER :- 3' r � � 81&780-0020 City of ephyrhills Permit Application Fax-613-780-0021 � Building Department Date Reeeived � Z�� phon Contact for PermitGn Owner's Name ��'1( \ L 1 Owner Phone Number � " - y Owner's Address � L,.C� r t„�J Owner Phone Number Fee Slmple Titleholder Nama Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �-1"� G�� `e 1 ,Q ��. V(�I� LOT# � SUBDMSION PARCEL IQ# - / (OBTAINED FROM PROPERTY TAX NOTCE) WORK PROPOSED e NEW CONSiR B ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK � \ � t C C�.�� C�S BUILOING SIZE SQ FOOTAG � HEIGHT QBUILDING $ /� d V UATION OF TOTAL CONSTRUCTION �.1 Q ELECTRICAL $ P SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ QMECHANICAL $ V UATION OF MECHANICAL INSTALLATION � �� '�1 OGAS Q ROOFING Q SPECIAL'fY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO f� � � r. BUILDER OMPANY .-y� SIGNATURE r��is�r�o Y/ N F� w�n /N /.��I� Q ��/ Address �� License# Q 5�U � ��j ELECTWCIAN COMPANY SIGNATURE REGISTERED Y/ N �Cuw2F1. Y/N Address License it PLUMBER COMPANY SIGNATURE r�ciST�o Y/ N r�Wriaen Y/N Address License# MECHANICAL COMPANY SIGNATURE REGI5TERED Y! N �cuttrt�n Y/N Address License# OTHER COMPANY SIGNATURE r�oisrEaED Y/ N �cur�n Y/N Address License# 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 A 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 I RESIDENTIAL Attach(2)Plot Plans;(2)seTs of Building Plan ;(1)set of Energy Fortns;R-O-W Pertnit for new construction, Mfnimum ten(10)working days efter suhmiria date. Required ansite,ConsWctlan Pla�u,Stormwater Plans w/Sllt Fence installed, San'dary FaciliUes&1 dumpster,Site Work P rtnit far subdivisions/large proJects COMMERCIAL Attach(3)complete sets of Building Plans plu a LHe Safety Page;(1)set of Energy Fortns.R-o-W Permit for new construction. Minimum ten(10)working days after submitta date. Required onsite,Construction Pfans,Stormwater Plans w/Silt Fence fnsfalled, Sanitary FaciliUes S 1 dumpster.SNe Work P rtnit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plens. ""PROPERTY SURVEY required for alI NE consVuction. Diractlons: F11 out appliption completely. Owner 8 Contractor sign back of application,notarized If over 52500,a NoBce of Commencement is required. ( C upgrades over ST500) " Agent(for the contractor)or Power of Attomey(for the owne would be someone with notarized letter from ownar authorizing sama OVER THE COUNTER PERMI7TING (F�nt of Application nly) Reroofs ff shfngles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs R W . 4.' ' a NOTICE OF DEED RESTRICTIONS: 7he unde igned understands that this permit may be subject to°deed°restrictions" which may be more restrictive than County regu ations. The undersigned assumes responsibility for compliance with any applicabie deed restrictions. UNIJCENSED CONTRACTORS AND CONT CTOR RESPOMSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be req ired to be licensed in accardance with state and local regulations. If the contractor is not licensed as required by law, th the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended con ctor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the P sco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a nVactor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this applica ion for which they will be responsible. If you,as the owner sign as the contractor,that may be an indication that he is ot properly Iicensed and is not entiUed to permitting privileges in Pasco County. TRANSPORTATION IMPACTNTILITIES IMPA T AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees a�d Recourse ecovery Fees may apply to the consUuction of new buildings,change of use in existing buildings,or expansion of existin buildings,as specified in Pasco Couniy Ordinance number 89-07 and 90-07,as amended. The undersigned also und rstands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transp ation Impact Fees and Resource Recovery Fees must be paid prior to receiving a°cert�cate of occupanc�'or final po er 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 i uance in accordance with applicable Pasco County ordinances. CONSTRUCTION UEN LAW(Chapter 713,Flo'da Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that 1, the applicant, have been provid d with a copy of the "Florida Construction Lien Law—Homeowners Protection Guide°prepared by the Florida Depa ent of Agriculture and Consumer Affairs. If the applicant is someone other than the"owne�',I certify that I have obtain d a copy of the above described document and promise in good faith to deliver it to the°owne�'prior to commencement CONTRACTOR'S/OWIdER'S AFFIDAVIT: I ce ify that all the information in this application is accurate and that all work will be done in compliance with all applicable la s regulaGng consVuction,zoning and land development. Application is hereby made to obtain a permit to do work a d installation as indicated. I cerfify that no work or installation has commenced prior to issuance of a permit and at all work will be pertormed to meet standards of all laws regulating construction, County and City codes, zoning re ulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulations of o her govemment agencies may apply to the intended work,and that it Is my responsibility to identify what actions I must t ke to be in compliance. Such agencies include but are not limited to: - Department of Environmental Prote 'on-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WatedWastewater Treatment - Southwest Florida Water Manag ment Disfict-Wells, Cypress Bayheads, WeUand Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, ocks,Navigable Waterways. - Department of Health 8� Rehabilita ve Services/Environmental Health Unit-Wells, Wastewater Treatrnent, Septic Tanks. - US Environmenta!Protection Agenc Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following resfictions apply t the use of fill: - Use of fill is not allowed in Flood Zon "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 sub itted 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 lood Zone °A" in connection with a permitted building using stem wall construction,I certify that fill will be u ed only to fill the area within the stem wall. - If fiil material is to be used in any area, t certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to a versely 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 en ineered drainage plan is required. If I am the AGEMT FOR THE OWNER,I promis in good faith to inform the owner of the pertnitting conditions set forth in this affidavit prior to commencing construction. understand that a separate permit may be required for elecVical work, plumbing, signs,wells, pools, air conditioning, g s, or other installations not specifically included in the application. A permit issued shall be construed to be a license o proceed with the work and not as authoriry to violate,cancel,alter,or set aside any provisions of the technical codes, or shall issuance of a permit prevent the Building Official from thereafter requiring a correction of ercars in plans,constru on or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is co menced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a peri d of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Building cial for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceas for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWN R: YOUR FAILURE TO ECORD A NOTICE OF COM ENCEMENT MAY RESULT IPI YOUR PAYING TWICE FO IMPROVEMENTS TO YO R PROPERTY. IF YOU IN TO OBTAIN FINANCING,CONSULT H YOU LEND N A ORNEY BEF RE RECORDING YOU N CO ME CE ENT. i FLORIDAJURAT(F.S.'I . � � � OWNER OR AGENT CONTRACTOR ' Subscribed an bswom t or a rtned)bef m this Subscribed and swom t� r ffirtned)befo m this y b ' .. Who Islare personally to me or ha ave roduced Who IsJar�`personally as' t�catio •� �' "�'�QJ'(ANNE ALIEN I ��,SP�v P ��% : Notary Public-State ot Florida ryPubli •�:Q: MY Comm.ExPiN��47015 . r o?,� Commiss Commission No. Co isslon No iF OF F,�� „�� SUZ NNE ALL� .�av Pu"•., lofld3 NameofNotarytyped,print Qi� t°'s Not3ty ��-St��eL�� ,printedorstamped - :Q; MY�omm Expires •+ #EE 131770 .N1yl o�; Commi sion '�''F°i�i"�, CI OF ZEPHYRHILLS . r; ' , ` 5335-8TH STREET (813)780-0020 15952 B ILDING PERMIT � PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15952 Address: 38445 EVERGREEN VILLAGE DR UNIT 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-05300-0020 Improv. Cost: OWNER INFORMATION Date Issued: 1/28/2015 Name: Z HILLS LTD C/O A&M PROPERTIES Total Fees: � Address: PO BOX 5252 Amount Paid: � LAKELAND FL 33807-5252 Date Paid: Phone: 813-782-2740 Work Desc: REPLACE FRONT & REAR OOR UNIT 2 ( SEE BP#15951 FOR COST) CONTRACTOR S APPLICATION FEES P D.SCHAPER CONST TI N I BUILDING FEE 0.00 2 �- � -� � �� Ins ctions Re uired - � FOOTER 2 D ROUGH PLUMB MISC INSULATION CEILING 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 c mply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the follo ing reasons: a)wrong address b) condemned work resulting from faulty construction c) repairs or correct ons not made when inspections called d)work not ready for inspection when called e) permit not post on job site fl plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this per it, there may be additional restrictions applicable to this property that may be found in the public records of this county, a d there may be additional permits required from other governmental entities such as water ma agement, state agencies or federal agencies. "Warning to owner: Your failure to record a otice of commencement may result in your paying twice for improvements to your property. If you inten to obtain financing,consult with your lender or an attorney before recordin your notice of commencement." Compl, Plans,Specifications Must Accompa y Application.All work shall be performed in accordance with � City Codes and Ordi ances. NO OCCUPANCY BEFO C.O. Gt � � , ___--- � E CT R SIGNATURE PERMIT OFFI R ! PER IT EXPIRES IN 6 MO THS WITHOUT APPROVED INSPECTION CALL FOR INSPECT ON - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�a-�eaoozo City of ephyrhilis Permit Application Fax-813-780-0021 • ; . " Building Department Date Received Phon Contact for Permittin �1�- Owner's Name ��V Owner Phone Number V`� ' Owners Address � �•� Owner Phone Number Fee Simple TiUeholder Name Owner Phone Number Fea Simple Titleholder Address f �JOBADDRESS �� i� I n LOT# SUBDIVISION PARCELID# � -��' � ' (OBTOJNED FF30M PROPERTY TAX NOTIC� WORK PROPOSED e NEW CONSTR e ADDIALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK � , �1[J ('QGf' � "Y"'�^ ('S BUILDING SIZE SQ FOOTAG � HEIGHT QBUILDING $ V LUATION OF TOTAL CONSTRUCTION Q ELECTRICAL $ P SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ � ��r� ✓ �MECHANICAL $ V UATION OF MECHANICAL INSTALLATION OGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVAT ONS FLOOD ZONE AREA QYES NO BUILDER COMPAMY \O SIGNATURE REGISTERED Y/ N F E CURRE� Y/N Address `1 �, U License# �� f � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N Address License# PLUMBER � COMPANV ' ' SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE rz�cisr� Y/ N �cuR�n Y i N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address License# � � � i � � e � � � � � i � � i � � � � � � � � � � � � � � � � � e � � � � � � � � � � � � � i � i � � i � i � � � � � s � � � � � o RESIDEPITIAL Attach(2)Plot Plans;(2)sets of Building Pla s;(1)set of Energy Fortns;R-O-W Pertnit for new construction, Minimum ten(10)working days after submi I date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Faciliiies 8 1 dumpster,Site Work rmit for subdivisionsllarge projects COMMERCIAL Attach(3)complete sets of Building Plans pl s a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submi I date. Required onsite,Construction Plans,Stormwater Plans w!Silf Fence installed, Sanitary Facilities 8 1 dumpster.Site Work rmit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. "•'PROPERTY SURVEY required for all NE construction. Diractions: Fill out application completely. Owner&Contractor sign back of application,notarized - If over$2500,a Notice of Commencement is required. AIC upgrades over$7500) •` Agen[(for the contractor)or Pawer of Attomey(for the own r)would be someone with.nolarized letter from owner authorizing same . � OVER THE COUNTER PERMITTING (Front of Application Only), � Reroofs if shingles Sewers ' Service Upgrades AIC : Fences(PIoVSurvey/Footage) , Driveways-Not over_Coun[er if on pubiic roadways..needs OW, I l IdOTICE OF DEED RESTRICTIOPIS: 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 irnaccordance 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 �i 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- I 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 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 entiUed 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 i 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 Counry Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTIOIV 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—Homeowners 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'S/OWNER'S AFFIDAVIT: 1 certify that all the information in this application is accurate and that ail 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 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,WaterlWastewater 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-Asbesios 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 pertnitting 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,construcfion or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of perrnit 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. WARPIING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO MENCEMEfdT MAY RESULT IN YOUR PAYING TWICE FO MPROVEMENTS TO YOUR PROPERTY. IF YOU INT ND TO OBTAIN FINANCING,CONSULT WITH YOUR LEND AN ATTORNEY BEFORE RECORDING YOUR N I OF COMMENCEMENT. _ FLORIDA JURAT(F.S.1 7 OWNER OR AGENT CONTRACTOR Subscribed and sworn o rtned)b re me this Subscribed and swo o r affirmed)be re this by by Who is/are personally kno n to me or ha have produced Who islare person I r kn wn to e or hasl e uced as ide fl tion. entificadon. � � "".�.-�w°„��%`� � ��. �„" �' '� + Pd'o'tary Public ' "''�--`" tary Public •" "'�• E LLEN � Co �sys�s °�a''�, isgi�p�ds:''��, ( ANNE ALLEN __ � •°_ otary Pu �c- a 015 �� ` x°`' _ Nota Public-State of Florida Na E�' o�P Commiss�on#EE 131770 Na � �c '�M1y�ex� �9�re , '.,;oFf�,.• S� "�rF o;: Commission#EE 131770 „�i i�,,, '��°i i n�,,. I / p � �� , °�= fC�v� . . � r:r� �-' ..S /J r` �?�✓/`�.. � ,� 4 - j �6? �� ' ��4 ` �/'L��r J �°,-:_-.�::_--"�'� � �� ity af Zephyrhills BUILDING LAN REVIEW C011RMENTS . ��j�� 1�� '`"�'� ContractorlHomeowner: � � .— ��1�� Date Received: � �— �C� ,�� Sxt�: I J �'�� Permit Type: r 1�� t�e C�'-�'^��'t-� Approved w/no cornments: Approved w/t e below comments: ❑ Denied w/the below comments: ❑ i � This comment sheet shall e kept with the permit nd/or plaus. � '��.� .�°r- ' Kalvin i — s Examiner Date Contractor andJor Hameowrzer � wz ' (Required when comments are present) � � � � r I � CI OF ZEPHYRHILLS Ii ' � 5335-8TH STREET � �' (sis)�so-oo20 5954 � B ILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15954 Address: 38405 EVERGREEN VILLAGE DR UNIT2 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-05300-0020 Improv. Cost: OWNER INFORMATION Date Issued: 1/28/2015 Narrre: Z HILLS LTD C/O A&M PROPERTIES Total Fees: �P Address: PO BOX 5252 ', Amount Paid: ��"F LAKELAND FL 33807-5252 Date Paid: Phone: 813-782-2740 Work Desc: REPLACE FRONT & REAR OOR UNIT 2 (SEE BP#15951 FOR COST) CONTRACTOR S APPLICATION FEES PAUL D.SCHAPER CONST U TION IN BUILDING FEE 0.00 r �� - / 5 j,� �j� Ins ections Re uired FO TER 2 D ROUGH PLUMB MISC INSULATION CEILING 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 omply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the foll wing reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for inspection when called e) permit not pos ed on job site fl plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this pe mit, there may be additional restrictions applicable to this property that may be found in the public records of this county, nd there may be additional permits required from other governmental entities such as water m nagement, state agencies or federal agencies. "Warning to owner: Your failure to record notice of commencement may result in your paying twice for improvements to your property. If you inte d to obtain financing,consult with your lender or an attorney before recordi g your notice of commencement." Complete Plans, Specifications Must Accomp ny Application.All work shall be performed in accordance with ,� City Codes and Ord nances. NO OCCUPANCY BEFO C.O. � , -� i , � t'- — . � �Q'NTRACTO SIGNATURE PERMIT OFFI R �� PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION CALL FOR INSPEC ION - 8 HOUR NOTICE REQUIRED PROTEC CARD FROM WEATHER s��-�aaoozo City of ephyrhills Permit Application Fax-8'13-780-0021 , 'a �. • Building Department Date Received phon Contact for Permitting - -I'1'IT TI Owner's Name � � Owner Phone Number l �� - V Owner's Address �L.{(, �� Owner Phone Number Fee Simple Titleholder Name Owner Phone Num6er Fee Simple Tideholder Address JOBADDRESS e , �^ • �� LOT# � SUBDIVISION PARCEL ID# � - � ,` �� (OBTAINED FROM PROPERN TAX NO7ICE) WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK � � �C C' C� BUILDING SIZE SQ FOOTAG � HEIGHT ' OBUILDWG V LUATION OF TOTAL CONSTRUCTION DELECTRICAL $ A P SERVICE � PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ �MECHANICAL $ V LUATION OF MECHANICAL INSTALLATION ��/� OGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY vW I SIGNATURE REGISTERED Y I N FEE RRE� Y/N Address ` L License# �� ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y! N FEECURRE� Y/N ' Address License# MECHANICAL COMPANY SIGNATURE REGI5TERE0 Y/ N FEE CURREI. Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# 1 1 1 1 1 1 1 1 1 1 1 f 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building PI s;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submi I date. Required onsite,Construction Plans,Stortnwater Plans wl Silt Fence installed, Sanitary Facililies&1 dumpster,Site Work ermit for subdivisionsllarge projects COMMERCIAL Attach(3)complete sets of Building Plans pl s a Life Safery Page;(1)set of Energy Fortns.R-O-W Permit for new construction. Minimum ten(10)worfcing days after subm' I date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work ermit for all new projecls.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. � ""PROPERTY SURVEY required for all N W construction. Diractions: Fill out appliption wmpletely. Owner&ConVactor sign back of application,nolarized If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) '• Agent(for the contraclor)or Power of Attomey(for the own_r)wouid be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Applicatio Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) Driveways-Not over Counter if on public roadways..needs OW .-� ,. 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. UPJLICENSED 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 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,Fiorida 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—Homeowners 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'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compfiance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and instaliation 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 all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 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 Watenvays. - Depa�tment of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. II - 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 expressiy 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 materiai 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 fi�l,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 C MENCEMENT MAY RESULT IN YOUR PAYING TWICE FO IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN ND TO OBTAIN FINANCING,CONSULT WITH YOUR LEND R AN ATTORNEY BEFORE RECORDING YOUR TI OF COMMENCEMENT. FLORIDA JURAT(F.S. 03 OWNER OR AGENT CONTRACTOR Subscribed and swo t (or affirmed betore me lhis Subscribed and swor o or rmed) ef re me this by by Who is/are personal nown to me has/have prod ced Who is/are personal k own to me or h lhave produced as dentification. identification. - I ' ,_..' / ,•„nY p�e,. SUZAN ALLEN ' /'�PnY�Poa�� U2ANNE A ` P,unr, o �}pTl�a � :� ic =_ � �a �5 pct 25,201 ' W4xR'd� • „ Commission _ • " '= ^ � 31770 Co is ion e,'• "�' ^ fl.EX IfOS OCt 25,2015 ;;s� p°�� Commission ='"; �= 9 �i�FOF Com� ission#EE 131770 Name of Nota typ�Bl �nt�d or sta � Name of No �e CI OF ZEPHYRHILLS �� -�' • 5335-8TH STREET (si3)�so-oozo 159 B ILDIPIG PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15955 Address: 38425 EVERGREEN VILLAGE D. UNIT4 Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIA Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-05300-0020 Improv. Cost: OWNER INFORMATION Date Issued: 1/28/2015 Name: Z HILLS LTD C/O A&M PROPERTIES Total Fees: � Address: PO BOX 5252 Amount Paid: LAKELAND FL 33807-5252 Date Paicl: Phone: 813-782-2740 Work Desc: REPLACE FRONT & REAR OOR UNIT 4 ( SEE BP#15951 FOR COST) � CONTRACTOR S APPLICATION FEES PAUL D.SCHAPER CONST U TION INC BUILDING FEE 0.00 � � � _ � - � 5°" �� Ins ections Re uired FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING 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 c mply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the foll wing reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corre ions not made when inspections called d) work not ready for inspection when called e) permit not post d on job site fi) plans not at job site g) wrork not accessible. NOTICE: In addition to the requirements of this per it, there may be additional restrictions applicable to this property that may be found in the public records of this county, nd there may be additional permits required from other governmental entities such as water ma agement, state agencies or federal agencies. "Warning to ovvner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you inte d to obtain financing,consult with your lender or an attorney before recordin your notice of commencement." Complete Plans,Specifications Must Accomp ny Application.All work shall be performed in accordance with / � City Codes and Ordi ances. NO OCCUPANCY BEFO C.O. i � � � ____.._ I � , CO� TRACTO SIG TURE PERMIT OFFI R �'� PERMIT �IRES IiV 6 MO THS WITHOUT APPROVED INSPECTION CALL FOR INSPEC ION - 8 HOUR NOTICE REQUIRED PROTEC CARD FROM WEATHER � , • e��-�so-oozo City of ephyrhills Permit Application Fax-813-780-0021 � Building Department Date Received Phon ContactforPermittin �rrr Owner's Name � �IJ Owner Phone Number g, � � � Owner's Address Qx � Owner Phone Alumber � Fee Simple Titleholder Name Owner Phone Number Fee Simple TiUeholder Address , ' �JOB ADDRESS � ��I Q� ��(C� 9 1 LOT# SUBDIVISION PARCEL ID# O ° �` _ (OBTAINED FROM PROPERTY TAX NOTICE� WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEI Q DESCRIPTION OF WORK '�C! � (' (� C� BUILDING SIZE �-� SQ FOOTAG ,. HEIGHT � �BUILDING $ � V LUATION OF TOTAL CONSTRUCTION QELECTRICAL $ A P SERViCE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �n�� I QMECHANICAL $ V UATION OF MECHANICAL INSTALLATION OGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEV IONS FLOOD ZONE AREA �YES NO BUILDER COMPANY � � � [�) �!C � SICaNATURE REGISTERED Y/ N FE CURREI. Y(N Address � , � License# �� ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y f N Address License# PLUMBER COMPANY SIGNATURE REGISTERE� Y! N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE � ��is7Eaeo Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# I I 1 f 1 1 1 1 1 1 i i I 1 1 1 1 1 1 1 1 1 A 1 I Q 1 1 1 1 1 1 1 1 1 1 1 1 1 Y 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 A 1 1 1 1 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pla s;(1)set of Energy Fortns;R-O-W Pertnit for new construction, Minimum ten(10)woricing days after submitt I date. Required onsite,Construction Pians,Stormwater Plans w!Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work ertnit for su6divisionsllarge projects COMMERCIAL Attach(3)complete sets of Building Plans pl s a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Permi[for new wnsVuction. Minimum ten{10)woricing days after submitt I date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, i Sanitary Facilities&1 dumpster.Site Work ermit for all new projects.All commercial requirements must meet compliance � SIGN PERMIT Attach(2)sets of Engineered Plans. "•*PROPERTY SURVEY required for all NE construction. Directions: Fill out application completely. �z _�. `'- - Owner&Contractor sign back of application,notarized ..,. If over$2500,a Notice of Commencement is required. A/C upgrades over$7500) � " Agent(for the contrector)o�Power of Attomey(for(he,own r)would be someone with notarized letter from ovmer authorizing same OVER THE COUNTER PERMITI'ING (Front of Applicatio Only) I Reroofs if shingles Sewers ,Service Upgrades%VC Fences(PIoVSurvey/Footage) f� . � Driveways-Not over Counter if on pu6lic roadways..needg OW ° , F 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. TRANSPORT.4TION 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 I 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 Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with appiicable Pasco County ordinances. CONSTRUCTIOPI 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'SlOWNER'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 ceftify that no work or installation 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 appiy 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,WateNWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand 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 walt construction,I certify that fill will be used only to fill the area within the stem wall. - If fifl material is to be used in any area, I certify that use of such fiil 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 pertnit 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 O�cial for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If woric ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWN R: YOUR FAILURE TO RECORD A NOTICE OF C MENCEMENT MAY RESULT IN YOUR PAYING TWICE FO MPROVEMENTS TO YOUR PROPERTY. IF YOU IN ND TO OBTAIN FINANCING,CONSULT � WITH YOUR LEND AN ATTORNEY BEFORE RECORDING YO R T OF COMMENCEMENT. FLORIDA JURAT(F.S.1 7 OWNER ORAGENT CONTRACTOR Subscribed and swom t med)be re me this Subscribed and swom o or aTfirmed)bef ine this by by Who is/are personally n wn to me or ha/have produced Who is/are personall k wn to me or has ave produ tl as identification. ,,.,,, identifi on. �� S �NE ALLEN . B'.,,, . lorida c -t�tal$�b�ic 2015 NR�.�..'}�u6lic 'i` `� ' ires Oc[25, .,.�pY PV�.,, Commissi +'= "'om •EXP 770 ommission No. •b~P .��'s -State ot Florida iNl,qr o�e� Com sion � " �'; My�omm.Expires Oct 25,2015 Name of ary pEd;�rinte Name of Notary typed, ` e p2d CORI(T1ISSIOf1 .,,�oF��,.� , �'� ' y . r R � R W uilding Consultants, Inc. . B Consulting an Engineering Servic�s far the Building industry C P.O.B� 230 Valrico,FL 33595 Phone 813.659.9197 Florida Boani of P fessionel Enginecrs Certificate of Authori�a6on No.9813 I :�. Product Category Sub Category Manufa turer Product Name Swinging Piastpr Inc. Glazed Fiberglass Single Door Exterior Exterlor poor 5200 W.Cen ry Bivd. t w/or w/out Sidelke(s) DO°� Los Mgel s.CA ��t�� nswtng Outswing Assemblies ��`��g Phone 440. 69.9T73 (; � "I pect Scope: Product Evaluation report issued by R W B ilding Consuttants,.lnc��d,en �Sc m��Y�tg�n 98)for Plastpro Inc.,based on Rule Chapter No. -3,Method 1A of the State of�io�i�ai$j��rovat`�ept f Business 8 Professional Regulation. ��j' RW Building Consultants and Lyndon F.S hmidt,P.E.do not have nar will acquire financial interest in the co pany manufacturing or distributing the product o in any other entity involved in the approval process of the product named herein. LfmPtations: 1. This product has been evaluated and is in compliance ith the 2010 Florida Building Code(FBC)structural requirements inGuding the "High Velocity Hurricane Zone°(HVHZ).See the Ce ' cation Agency Certificate for sizes,specificatiuns and ratings. 2. Product anchors shall be as I"�sted and spaced as sho on details.Anchor embedment to base material shall be beyond wall dressing or stucco. 3. When used in the"HVHZ"this product complies with S caon 1626 of the Florida Building Code and does not require an impact resistant covering. 4. When used in areas outside of the"HVHZ"requiring nd bome debris protection,this product complies with Section 1609.1.2 of the 2010 FBC and does not require an impact resistant co ering.This product meets missile level"D"and includes Wind Zone 4 as defined in ASTM E 1996 and Section 1609.1.2.4 of the FBC. ' 5. For 2x stud framing construction,anchoring of these u its shall be ihe same as that shown for 2x buck masonry construction. 6. Site condiGons that deviate from the details of draw ng FL-16094.1 require further engineering analysis by a licensed engineer or registered architect. 7. Outswing configuraBons meet water infiltration require ents for°HVHZ".Ali other configurations do not meet the water infiltration requirements for the"HVHZ"and must be installed onl in non-habitable areas or at habitable locations protacted by an ovefiang or canopy such that the angie between the edge of cano y or overhang to sill is less than 45 degrees. 8. When used in the"HVHZ",all system members in co tact with masonry/concrete or exposed to the environment shall be treated with an approved preservative per FBC Section 2326. � 9. See drawing FL-16094.1 for slze and design pressure imitations. Supportfng Documents: 1. Test Reaort No. Test Standard Testina Laboratorv_ Sis�ned bv CTLA-924W TAS 201,202,203-94 CTLA Ramesh,Patel,P.E. 2. Drawinq No. Prenared bv Sl4ned&Sealed bv No.FL-16094.1 RW Building Consultants Inc.(CA#9813) Lyndon F.Schmidt,P.E. 3. Miami-Dade NOA No. Materials Testinq 11-1198.03 PVB Interlayer by Dupon " 4. Calculatfons Preaared bv Sipned 8 Sealed bv Anchoring RW Building Consultants Inc.(CA#98'13j Lyndon f.Schmidt,P.E. 5. Qualitv Assurance � Certificate of Participation issued by National Accredi tion and Management institute,certifying that Plastpro Inc.is manufacturing products within a quality assurance pro ram that complies with ISO/IEC 17020 and Guide 53. ^ . L�--�� Lyndon F.Schmidt,P.E. FL PE No.43409 1/3/2013 PF 1704 Sheet 1 of 1 I ( ! I' . � - . NOTICE OF C(�NIlV�NCEMENT �' State af FLURIDA County of PASCO �� Property Identificatton No:02-26-21-001 -05300-0020 m� THE UNDERSIGNED hereby gives notice tha improvement wii3 be made ta certain real pmperty,and'us i= accordance with Secrion 713.13 of the Florida S te Statutes,the following informatian is pravided in this Notice pt �� Commencement: 1. Descriptian of praperty(legal cripdon):ZEPHYRHILLS COLOIVY CO LANDS PB = ' 1 PG 5 N 273.81 FT'OF TR 53 = E7tC 15.00 FT FOR RD WW � R 2Q2$PG 1394 = � � Street Address 2. General Description of Improvement:Replac g Frant and Rear Entry Doors _ 3.Owner Information: a)Name and address: Z HI�LS �.Td C K}A&M PROPEFtTIES PO BOX S252 lAKELA D FL 33807-5252 — b}Name and address of fes simple tizle older(if other than owner):N/A � � c)Interest in praperty:Owner 4.Cantractar: Paul Schaper,8949 Galt Btvd., ephyrlulls,FL 33542-Ph:{813)782-0920,Fa�c:($13}715-4875 5. Surety: Bauer&Associates, 12210 Highwa 301 N.,Dade City,FL 33525-$5,000 bond ' 6. Lender: NameJAdtiress: N/A 7. Identity of person within ths State of Florida designated by owner apon wham notices or other documents may be served:NIA a) Name and _ � address: �cpt:165B423 Rea: 1@.00 b) Telephone No.: � DS: 0.00 IT� �•�� (�pt) 01/27/2015 D. 8. , Op1.Y Clerk 8. In addition to himself,owner designates the ollowing person to receive a copy of the Lienor's Notice as provided in Section 713.13(I}(t>),Fiorida Sta es: ' Paul Schaper,8949 Gaii Blvd,Zephyrhzlls,FL 3354I-Ph:(813)782-4920-Fax:($13)715-4875 9. �xpiratian date af Notice of Commencemen {#he expiration date is one year from the date of recording unless a different date is specified): WAItNING Td dWNER: AIVY PAYMENTS MADE Y TI�E t7WNER AFTER'PHE EXPIRATiOlY QF'I'HE 1VOTICE C1F COMMENCEMENT ARE COPHSIDERED IMP'ROPE PAYMFNTS UNDER CIIAPTER 913,PART 4 SEC'i'ION 713.13,FLORIDA STATUI'ES,AIYD CAN RESUi.T IlY XOUR PAXING CE FOR ri�'Ll'ROYEMENI'S TO YOUR PROPERTY.A NOTICE OF CUMMENCEMENT MUST BE REGURI?ED AND P STED ON THE JOB SiT�BEFORE THE FIIiST INSPECFT4N.IF YQU INTEND TO OBTAl1V F�IANCIIVG,C4NSULT YO LF.ND�R OR AN ATTQRNEY BEFORE COMMENCING WORK OR RECQRDING YOUR NOTICE OF CUMMENCEME . STATE OF FI.ORIDA • COUNTY OF PASCO � �._._�. z - �. Q KEIL Qn B P�g�p GIERKa f�i PTROLLER Si pf Owner ar Owner's Authorized pfficer irector/PaztnedManager aau�a 5 03�'� m PG �,L�� .v�a"5 � l�.,a a,S,�/ � 01 a��K01�1�,� .. Print Name--�— I The foregoin insmiment was acknowtedged fore me this�day of _„_,_,20�by i ,�OS ^ as (type afautharity, . officer,trustee, � attorney in fact}for (name of party on alf of wham instxument - � was executed). -�"�� , ..... _ , � Personally Known OR Praduced Identi�cation � No ign , i SS{p��'�r i�'��5 Tyge of Identificatian Praduced 'J ' �<Psl� � � ��r�s �.{�Ir�-�� , _ , +f��P'.w�;�kb fG � i � * '`'}�Y�Bb..�S:� 18 � � ' �'4 md�UAl4 � , - . - , . , , ._ ' - -- ------� - ----' __._ � ._ . F - � ,. � � !- - k , � I � � S-��E pF FLQF�lDA, C4U�ITY OF Pl�SCf� ��C� �� TF11S!�Td'CcRT4FY TNP<T TI-IE FOREGQING lS A ,�� . ; $�''/� TRUE ANQ GORRECT COPY OF TNE DOCUMENT �,'� , �� ' pN FfLE OR flF PUBLlC RECORD IN THIS OFFIC � , ,�d� � WiTNES Y HAND AND OF�ICIAL SEALTNIS , , ., � � DAY OF_�_.u� 2 �' ° !�i 5o�tivn.7,�u�t � PA �A S.fJ'NEIL,CLERK& TROL�ER � • :V°�°�: � Y GLER � �� BY� ,.......— � , i88T � ��.,,�',�,��_�_��p,�