HomeMy WebLinkAbout15-16492 � ; � CITY O� ZEPHYRHILLS ;'
= 533�-8th Street
, (813)780-0020 16492
- � " ELECTRICAL PERMIT
�
PERMIT��VraRMATION LOCATION INFORMATION
Permit#:16492 Issued: 9/18/2015 Address: 38444 5TH AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 127,053.70 Total Fees: 80.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 80.00 Date Paid: 9/18/2015 Parcel Number: 11-26-21-0010-16700-0010
CONTRACTOR IIdFORMATION OWNER INFORMATION
Name: RAPID SECURITY SYSTEM CONTRACTOf Name: MOSS S ARDELL
Addr: 1920 NORTHLAKE BLVD SUITE A-9 Address: 19469 COUNTY ROAD 460
SARASOTA FL 34234 MOULTON AL 35650-7339
Phone: (941)219-4190 Lic: Phone: 855-777-7998
Work Desc: LOW VOLTAGE -CCTV-FLORIDA PHARMACY W/ INSTALL 20 AMP TO EXIST PANEL
APPLICATION FEES
ELECTRICAL FEE 40.00 ELECTRICAL FEE 40.00
INSPECTIONS REQUI D
ROUGH ELECTRIC ,.z�-
CONSTRUCTION POLE n ,� �
PRE-METE �-� ��
FINAL � -(. �
�O "Z� -d-�
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REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four time�the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit,�there may be additional restrictions applicable to this property that
, may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
, improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompa�y Application. All work shall be perFormed in accordance with City
� Codes and Ordinances.
7
C N CTOR PER OFFI
PERMIT EXPIRES IN 6 MON IHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� �
i _ ..._ -
j .: • � OR BK ���� PG `t��
' 2 of 2
NOTICE OF DEED RESTRICTIONS: 7he understgned understands that lhis permit may be subJect to'deed"restrictions"
' whlch may be rttore restrictive than County regutations. 'fhe undersi�ned assumes responsihitiiy for compfiance with any
applicable deed restdcqons.
UNUCENSED CONTRACTQRS AND CONT12AGTOR RESPdNSIBiLITIES: II the owner has hired a coMractor or
coniraaiars to undetWke work,they may be required ta be fiCensed in actordance witn state�nd IoGaI reguiaiiona. tf the
contractor fs not licenaed as required by law,both the owner and contractor rnay be cited for a misdemeanor violation
urrder state taw !t the rnmer or Intended contractpr ere uncertain as to what ticensing requirements may appty for ihe
(ntended wQrk,they are advised to contect the Pasco Counly Building Inspectlon Oluislon—Licensing 5ectlo�at 727-847-
SOq9. Furthermore, it the owner has hired a wntraCtor or contractars, he 1s advised to have the contractor(s) sign
portions ot tha"contractor Block'flf this appOcatlan tor�which they wili 6e responsibfe. if you,as the flwner sEgn as the
contractor,ihat may be an indication lhat he Is not pro�erly Ilcensed and is not enlilted ta permitting privilegas in Pasco
Gounty.
TRANSPOFiTA710N IMpACT1UTILIT'IES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understends
that 7ransportation impact Fees and Recourse Recovery Fees may appy ta the cansiruciion oi new buiidings,change of
I use tn existing buitdfngs,or expanalon of extsitng buildings,as specitied!n Pasco Gouniy Qrdinance number 89-07 and
90•07,as amended. Th0 unders(gned aiso understends,that such fees,as may be due,will be identified at the time of
perm!!ling. I!Is tuRher underafood tt�at Transportetion�Impact Fees and Resource ReGOVery Fees must 6e patd priar io
receiving a°certificate of oscupancy"or final power releese. I(the project does not fnvolve a certfficate ot occupancy or
flnai power release,the feea must be paid prior to perrn{t issuance. Furthermore,if Pasco Caunty Water/Sewer impact
' fees are due,lhey musl be paid prior ta permit issuancelfn aCCOrdanca wilh applicabla Pasco County ordinances.
CON8fiRUG7tON EtEN Ll1W(Chapter 713,Florida 3tatutas,as emended): tf vafuation otwork is$2,500.00 or more,I
certify that I, ihe applicant, have been provided wittt a copy ot the "Florfda Construciion �ien law--Ftomeawner's
Proiectian Guide"prepared by ihe Ftorida Depa�tment of Agricuiture a�d Consumer AHairs, If the applicanl is someone
other than th8'aumer",t certify that!have obtatned a copy of the above described docume�k and pfamise in good taith to
deliver it to Ihe"awner"prfor to commencement.
CONTRACTOR'510WNER'S AFFtDAViT: i certify that aIt the information in this apptication is accurate and that ali work
wfll be done in ComplianCe with aU applicable laws reg�latinq conatrustion,zoning and tand development. Applfcation is
herEby rnade ta obtatn a perm+t ta do work and insteiiation as indicated, i certify that no work or installation has
commenced prior to issuance o!a permit and tha2 al!�work wil!be performed to meet standards ot a[3 lav+s regutating
construction, County and City cotles, zoning regulationa, and land develapment regulations in the jurisdiclion. I alsa
( certity that!understand that the regufatEons ot othes ga�remment agencies may apply ta ihe intended work,and that it ts
my respansibility lo identlty what aclions I must leke to 6e in compliance. Such agencfea tnclude but are not limited lo:
• DepaRment oi Ersviranmentai Protec#ion-Gypress Bayheads,Wetiand Areas and Environmentatty Sensiiive
Lands,WaterlWastewaler Treatment.
- Southwest Ftoride Water Management Cisfrict-Weiis, Cypress Bayheads, Wetland Areas, Altering
watercourses. ��.. tu ` Y
- Army Corps ot Engineers-8eawalls,Oocks,Naviga6le Waterways. � �'U � a �
- Department of Heaith & Rehabilitative Seis+lcesiEfsvironmentai Heaittr Unit-Welis, Wastewater Treatment, ("j —' �� ��"'t11 �
Septic 7anks. I � ��p Q O �
- US Environmentat Protection Agency-Asbestos abatement. U �
Federa!Avietion Authorily-Rurnvays. ( � a Q z� �s � �
i understand that ihe totiowing restrictions appty to the u�5e of fiii: � w 0 F— w f-- w
• Use af fsil is not aeowed in FRood Zone'V untess expressty permitted. � � � � � �- O
• I f t he fi l l ma ter ia l is lo be use d in F b o d�2one 'A", i t is un ders tao d t ha t a dreinage p lan a d dressing a � O �� �
"compensating voturtte"wili be subm+tted a time of permitting which is prepared by a professionai engineer S—• W "- � C.7
Ifcensed by the State of Florida. � � = O � �
- Ef the 6II materiat is-tu be used in Fiood Zane"A"in connection with a permitted buiiding using stem waii � �-- y- l.L
consVucdan,I eertify that fiA wil!he used qn!!!�yyy to fiU the area within the stem wa11. � Q 0 � Q
• fi fiIi materiai is to be used in any erea,� certi(y lhat use oi such fill will not adversely afiect adjacent
propertfes. kf use of fiit is found to adverse y atfect ad}acer�t praper2ies,the owner may be cited tor vioiaGng ,�j-Z.. � �
the condilions of the buitding permit issued under the attached permit appiicalion, for lots Iess than ane(1) � >- U qp U
acre which sre elevated by fifi,an engineere�d drainage pian is required. �r � � � � �-�j _j
If I am the AGENT FOR THE QWNER,I promise tn good taith to inform the owner ot the permitting conditians set lorth in ,� � � � a„�
this affidavit prior to commencing construction, i understand ihat a separafe permit may be required for eieciricai work, ._,I w O � •'� 2'�
plumbing,signs,wells, pools, air conditioning,gas,or(olher installations not specifcaily inctuded in the appticalion. A �-�- C.? C_� � a O
permit issued shaU be construed tp be a Ilcense lo prooeed with the wark and not as authority to violate,cancel,aller,ar �-�- p p Q
set aside any provisions of the technlcai codes,nar sha�i iss>�ance of a permit prevent the Buiiding Otftciai from thereafter � �-- Z w Cr3
requiring a correClion of errors in plans,consWCGon or violations of any codes. Every permit Issued shall become invalid � � 4 � w
un3ess the wortc authorEzed by such permit is rAmmenced within siz months of perrnii issuance,or if work auihorized by � cq � Ii ,�,,,"�1 �
Ihe permit is suspended or abandor�ed for a perioA oi siz{6}months after the time the work is commenced. An extension f-- � � � r"� � Q �.
may be requested,in wriiing,from the Buiiding Oificia��for a period not to exceed ntnery(90)days and vrill demonstrate � I— h- O �. 0. �p
justifiable cause for the extension. If work ceases for n�i ety(9Q)conseculive days,the Job is consklered abandoned.
WAl2NiNG TO OWNER: YOUR fA1CURE TO RECORD A NOTIC6 OF COlNMENCEMENT MAY RESUl.T tN YOUR %p�
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO Q9TAIN FINANCING,CONSU�T �b� ":.B�� �i
Wl7Ft YQUR CENdfR AN ATTOR EY BEFORE RECdRDING YQUR NBTICE OF COMMENCEMENT. � a
FLORIDA JURA7(F.S,117 J) �� �
\
QWNER 0 OEN Y ✓ � CONTFHCTOR �` � � � �"�
�SubsCrtbed n to{r affim�ed bef�this� Subscri6ed aM�m to(ar atfumed)betme me shia '� ,� .(,,�� � m�
2 7, � . . '..
lstar t me or haYhave prpduced Wtw tetara petsona6y knmm to me or harJhava producesf ,�. �
as klenGficat(on. a�ideNifiaalian. (� ��rs,, ''.� � w �,
. �s,y �� . t°r" 0�
4 `� ' •' ,t„�'
' �Wary Pubkc No�ary Pubiic �9 �,
Commiesian No,_, �,� ._,_ Commission No.
' Uez `���° ,� ' �c �
Nartw of Nal ed, dnl Nsme of Notary typed.printetl or slampetl
�'"•'"� W61�DY RODRIGUEZ ,
�'" �
+��}` �.MYCOMM�SBION#FFt7�632
' '''�►a.��� �Pi���
NoVe����8,20t8
(d47)388-0t63 F(4��.:..�Y'YI,N `��
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City of Zephyrhills `�'�6•�
Unifo m Notice of a Low-Voltage Alarm System Project
Owner's/CustomerName �T MOSS #��
Address384�+4 5th AVE ZEPHYRHILLS FL 33542
City ZEPHYRHILLS St FL Zlp 335 �
Phone�.5 5—]I]]—]QA R E-mail
Contractor ! ID SECURITY SOLUTIONS EF20001276
Lic.#
Address 1 � NORTHG TE BLVD
ciry st FL z�p 34234 �
, Phone 941-219-4190 DateProjectComplete
� Scope of Work� �t�Q�-s-a ��J���. C`�l /�'C'..C$S Gd�'V�771�CSL�
��U���t��14� �0�3i ��//� rv�i)��.� �
IC /'� I
• I
Signature: ;
Owner or tenant or contractor or authorized representalive
' Notice is hereby gliven that a low-voltage alarm system project has been completed at the address
specified above.I certify that all of the foregoing information is true and accurate.
10/1/13 section 553.793 FS
,
e�s•7eo�aoza City of Zephythilis Permit Application FaX.a+a.��o-o�z�
, eiMlding Departme�l
Date Roco{vod �2'Z "�� iL )S_ .��
� � � � � � � � Phono Coniact tor Perm{tting `�l
.ILLI_I!.LJJ��1 1 i 1
Ownor'a Namo �'�� �j� I I dy�r Phorro Numbar 7l��
Ow�ar's Addrofs `?� � � �� /C� I Q�yry��phoRO Humbar �
Foo 6implo Tftmholder Namo �_ I � Qw�r phona wumhor � ��
I
Foo Slmpto TitWholdor Addrosa �
J08 ADDRESS r,)t1`ll•\1^� `��1�����i1\.�r r�,���� t""� '� j_}�'I t!� LOT Y �
SUBDMS�ON � pq ICEL 16A 1,+0�� O�'�'�����p1 Q�' ���
WORK PROP0.SED e NEtM CONSTp 8 R �p RT � SIGN NEO FROOY PROVERN i��EI�EtAOLISH
INSTAL!
PROPOSE�USE Q S�R Q C4r�A � OTkER —�
TYPE OF CONSiRUCTidN [� pI.qCK Q FR�MF � gT���, �
DEBCRIPTION OF WORK �Y�{ LJ�r�;�C.Y.,'� -° ��;(''ty`?� �'(_.� �y1
___�
BUIL�ING fi�2E ��9( �� $p FOOTAGE�J(�.�lJ� HEIGHT ��
�
r� � nTI'rr'r�-�-r�--r'rTm� � � � � �-r
QRUILDING S VALUATtON DF TOTAI.COl�S7RUCTtO�d
QELEGTRtCRt S��,-�G.��,..,� qtAP 5[I ViC[ Q PROGRE55 ENERGY Q vJ.R.E[;
QPLUMBING s
QMFCHANICAL $ VALUATION OF EdECHANiCAL tNSTP.IIliTiOU (��� �
GAS I �
L� Q ROOFlNG Q SS?CCtAl7Y�� Q�HER
FINISH60 FLOOR�LGVAIIUNS � FL 0 ZQNE AREA QYES NO
BUILOER � COYPANY
SiGNATURE flEG151EW[D V/N f G[CUNpF� Y 1 N
Addroas I 4cense Y��-��
ELECTRiC1AH � �� i'(Y� I coaePrwr 1.,1t_� �(( ���l:�t"ti. �i .�L;�� tf��5
SiGNATURE �@Gt51EAF.0 Y!N PE6 cuqnr(r. /N
Addmss Gr��,� ���'k��a.- :�.i('_ t=°�� �
UC.erur S f'1;".'e4r-�_�)t°-."�6�„/-7
PLUMBER COMPANY
31GNATURE HEGtSt[rtC0 Y t tJ re[c�apen T 1 N
Addross I L�cense x ,
MECHANICAL I COMPANY �
StGNANRE qEr�SrEar:o Y t N oEr cu�m n Y 1 N
Addroea I
Licer�e#
OTHER COfAPANY � ' P G�G77lC.
SIGNATURE �� �:5casiEaeo Y 1 N FFF ctmr,en y!N
Addrass I I.icense!1 �
1 1 1 1 1 1 1 f 1 1 1 1 1 ! t t 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1�I1 1 1 1 1 1 1 1 1 1 i 1 1 1 1 1 t 1 1 � 1 1 t 1 1 1 1 ! 1 1 1 1 1 1 1 1
RESIDENTFtL Fittach(2!P1ol Pians:t2)se2s�o-f t�uitlig Plar�s;(1)set of Ertergy Fomu;R-O-W Rcrmsi tar neci e�snyhucl�on.
h4�nhnum ten(107 vmrkmg dgyg afler submiryai daim. Re�µd�l onsitc.Cortstruc0an Plans,Slormwater Ptacrs vx Sd�Fe�e instancu,
5an�tary FaaGAes 8 1 dumps(er,Site Wwic permi(�Itnr subdnn5i0tnAarge pro�eds
C4MMERC�AL A1tacA(3)complefe sets W&ntdmg Plans plus g Lifa�Safely Pagc;(1)9et bt Energy Formg.R�0�4J Renrnl lot nC+,v cOn^,irUCtioq.
Minimum Icn(10)workiag qays aRer submitlai dele. Requiretl onstle,Cmutrodmn Piam,Srormwatr.r plans wt Sdt Fence inslaik�l,
SarntBry Faaltties 8 f ducn�star,Site Worfc perm�llfor ati opw prp�octs.M c4mmeraal requitemaMS mus!mem complianctr
StGN PERMIT Allach(2)sets of EngineerMl Piam,
""PROPERTY SURVEV requ+red fw ap NEW canstruction
Dtreetlons:
6ip Oul epp8cnti0n comptQlcly,
�vner&Conlractor s�gn back o1 appNcatw�,rtotar¢ed
If mor 52500,a Notico of Commancemcnt ia roqv7rod, (A/CI PBreday umr 57500)
" Agent(lor lF�e ew��racror)or powet ofAtlniney(tqr(he avnex�vmyid pe semcora:vrith nofenzed IelMr(rom Ovmer nuihontirip eame
OVER 7HE COUN7ER PERMIiTING (Frunt crfAppRCatio�Onty+
Reroofs if shhigks Se,r�ery g��Upgrades NC Fe 5(PIaVSurveylFpatageJ
Drivaways.Nm ovar Counlet U on puhkc raAdways..needs ROW
, NdT{GE OF pEED t3E5TRkCTtQNS: The unda�s�g d understands that this permit may be sub�ect to`deed"restrictions"
which may be moro rest�ictiva than County regulatla s. l'Ae underaigned assumes respansib�iity tor campiiancci with any
appficahie deed restrictions.
UNCiCENSED CQNTRACTORS AND CONtRAC'�OR RESPONSI81z4TiE8; !i the ownet has hlred a c�nfraCtar or
confractars fo u�dertake work,ihey may be requi�er�to be Itcensed in accordance wiih state and local�eguiations. If the
contractor is not Ncensed as required by faw,bath the owner and contractor may qe cited tor a misdemeanar vio}ation
under state law, tf the owner or intended eontractar are unce�tain as to what liccnsing requirements may appiy tor the
intended wock,they aro advised to contaci the PBSCb Coutity Huilding InSpeation Division--l.icensing Section at 727-847-
8009. Furthermore, it the owner has hired a Co�f ractor or contractors, he is advisod to have the contractor{s) sign
portions af Rhe"COnttactar Btocic°of this appiication Ifai whicti fhey wiii be responsi6le, ii you,as th�awner sign as the
Coniractar,that may be an lndicetipn tt�t he is not{)s'oparly Itcensett and is nai entiifed ta penniiting priviteges in Pasco
County.
TRANSPORTATlOH IMPACTlUTCLITIES IMPACT ANQ RESOURCE RECpVERY FEES: 7he undersigneci understands
that Transportation Impact Fees and Ftecourse RecOVery�ees trsay ap�ly!a 1he constructinn of netiv 6uildfngs,change of
use in existing buiidings,or expanslon of existtng b�itdinga,as spacifled in PesCt�CQUr�ty Qrdinaace number 89-4?and
9t3•07,as amended. The undersk�ned afso unde�st�nds,that.such tees,as may be dus,rvil!be identified at the ifine aS
perrt�itiing. It is furfher understaad thel Tra�sportatio�Impacl Fees a�xl Resource f2ecovery Fecs must be paid prior to
teceiving a^certtCcste ot occupancy'ar finai pawer eiease. tt the prdject does not invowe a certificate of oecupancy or
(�na!power telease,She fees musl be paid prior to.�8rmit Isauance. Furthemtore,i(PasCO County WatedSewer impact
fees are due,they nausf Ge pasd prior 2r�pecmit issuat�ce!n accordance with appiicabte Pasco County ordinances.
CpNSTKUCTtON LlEN!AW{Chaptsr 713,Ftorida SteEtutes,as amended): if vatuation ofiwork is 52,500.00 or more.i
certify that I, lhe appticas+t, have heen provided+A�ith a copy �f !he "F3orida Cansiruct+on Lien Lav,r—Hvmeavrner's
ProteCUon Guide"prepared by the Florida Department a!Agricuflure and Gonsu��et Affairs. it ihe appiicant is someone
ather than the"owner",I certify that 1 have ablained a copy of the abave descritaed document aE�d promise in good iaith to
deiiver ii to ihe"owner"priar to commencement. �
GONTRAC30R'S10WNER'S AFFIDAVIT: I eertity that ail fhe information in this application is accurate and thal al!work
wili be dpne in compliance�viffi aifi appticabie laws rggutatin�conshuctipn,zoning and land develppmenl. ApplicaUon is
hereby made to obta'sn a perm)t to do wark and i taitation as ind�cated. 1 cehity lhal na work ot instaliation hes
cammenced prlot to issuance ot a permit and#hat�il work witl be pertorrned to meet standards o#aIi laws regulating
construction,County and Gity castes,zaning regutat{ons, and land development reguiations in fhe jufisdiciio�. i aiso
certify that!understand that the regulaGans o!otherlgnvemment ageneles may apply to the in#ended work,and lhat it is
my respo�si6ility ta identity what acf+oszs!must take t�a be in compliar�ce. 5uch agencleS incTude but are no!limited to:
- Department ol Ernri�onmentai Protection-Gyp{ess eayheads,INetland Areas and Environmenia#3y Sensitive
Lands,WaterNYastewater Treaimeni.
- Soutfiwest Fiorida Water Manageme t District-Welis, Cypress Bayheasls, Wet(and Areas, Alieiing
Watercourses.
- Ariny Gorps oi Engineers-Sea�vatts.Do hlavigabie Waterways.
- f�epartmei�t of iiealth & RehabititaGve Senrices/Ernironmeniai Iieaith Unit•Wells, Wastev�ater "freatment.
Septic Tanks.
• US Envlronmantal Pratection Rger�cy-As�estos aba2emc�n#,
Federat A+riation Aufhority-Rurnvays.
I understand that the(oilowing reslrictians appty to thg ase o(f+lf:
- Use oF fill is not ailowed in Flaod Zone�unfess eicpress(y permii4ed.
� if ihe fiii matenai is to 6e used in F►ood �one 'A", ii is uaderstoad that a drainage plan addressing a
`compensating votume°wiil be submillec�at tims of permiUing whiCh is prepared by a pro(essiona!engineer
licensed by the State of Fiarida. i
- if!he ftll m8teriai is ta be used in Fto�Zqne°A'in conneCtian with a permitted quilding using stem wall
conslruction,t certiiy that CtEI wiii tfe used bniy to fiti the area within the siem waii.
- !t fil! rnateriat ts to he used in any area, t ceRity that use af sucri fi#i wiit not adverseiy affect adjacent
praperiies, !4 use Qf C!!is found to aGversely-af€ect ac[jaceni praperties,the avrrser may be cited for viofating
the candflions oi the building permit isst�ed undet the at€aclled permlt appHCafion, Eor lots fsss than one{t)
acre which are elevaled by fiU,an engineered drainage plan!s cequFred.
if i am ihe AGEMT FOR THE OWNER,i pramise in good faith to intorrrt the qwne�of the psrmitting cond�i3ons se#torth�n
this affiidavit prior io commencing canstruciion. I un�lerstand ihat a separate permit may be requi{ed toc.electrical work.
plumbing,signs,welis, poois, air canditioning, gas,Or otfier instaflations nat spec�ficapy included in ihe application. A
permit issued shaif be construed to t�e a iice�se#o p�ocead with the wCrrk and not a5 authorily to violate,cancei,aiter,or
sei aside any pravisions af the€�chnicat codes,nor shaii issuance of a permit prevent the 8uiiding Ofiiciai firom thereatier
requir+ng a comection of e�raes in plans,cor�struclian ar violaiions af arry codes. Evety permif issued shaii become invaiid
uNess the work auihorized by such pemlit Is com�nced within six monihs ot�sermtt issuance,.or if work auihorized by
the permit is suspenQed or abandaned Eor a period o�siat{U)mQnths afler the time ihe work is commenced. An extenston
may be requested,in writing,trom ttie Buildirty d�c�al Co�a periad not to exceed ninety{90?days and u+ii!demtznslrate
justiOable cause for the exiension, if work ceases for�i�ety(90)co�tsecutive days,the job is constdered abandaned.
WARNING Td dWNEit: YOtiR FAi4UitE TQ RECORD A N0T4GE OP C4MMENCEMENT MAY RESULT IN YOUR
PAYlNG TWtCE FOR iNIPROVE3�ENTS T4 YOEttt AitQRER7Y, iF YOU tNTENB TO QB7AiW FINANCi G,CONSULT
WlTN YOUR LENOEt2 F�AN ATTt712 EY SEFfiRH RECORDiNG YOt3R tdOTiCE QF COP�SMENCE T.
fLORIDR JURAT{f'.S.11? 3 .
OWNER6Wnc�ENT'� •^ L"?✓ CONTi2ACiOR��r\����L�✓t/V�
Supscribed rn Ea{ r affumed ttQlote tsm iivs Suhsuibed ard sveom a(ar atfamecf)be�•us
�Y.��_�I:�._br_.%'�'.>� ���"va,c.> u`t Zs..�S er��. 2 o_t��l l
Nfia istare porsonatiy know»sa me or irasthava produced Whp islare persoaaity knsnm So me ha av rodu d
__ as WtMzfecat�n. � C� s i nti[ � n
,�-� �' '�,�ary Pub6c Not2ry Pub€tc
GOmm�St�n No.,_,. �, COt�Mtti+SS�on t1u.�,`,�_tJV `� CO
,�L1 � � �e� _,_. "C�`'�"' �,r�.'�cs,,.�►���
tJBme otlJOt ry 1+L{tfsd, Me r Name ol idutary typaU,pnnted or slampeA
�:*"�"'�, WE[VDY E��?DRlGUEZ
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���. AAY G{7QV�411S310S1#F�i77632 o��,av��e� �flf��@�SOlT
��;� p(�{�{F»�S NqVemEset S8,�o�a r � State of Fiarida
.Smo�?ssa�ots� F�ot tf;5t�tota' rotce.com �,�a�My Commission#EE 853493
, _ . , _ • � 'r�`°F FL°Q' �cpires:November 25,2016
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-� sis•7eo.0020 ' City of Zeph rhilis Permit Application Fax-813-780-0021
Buiid�n8 De�ertme�t
Date Recelved Phone Conta t for Permitting
_ ,._I°e. "���
Owner's Name C7$rj G I Owner Phone Number
Owners Add�ess I I O�vncr Phone Number
Feo Slmple TlUeholder Name � � Owner Phone Number
I
Fee Slmple TlUeholder Addross I
JOB AODRESS p �7 Jt ZG� f� i S �L �j S Z LOT# �
SUBDIVISION l.� O� �P�'�IrYli S RL�R�E61Dr� ��'�`�°-�'�D�O-/67d���0�p
—r�— (09TAINED FFtOh7 PROPERTY 7A%NOTICE�
WORK PROPOSED NEW CONSTR AQD(ALT � SIGN Q � DEMOLI$M
INSTALL REPPIR
PROPOSED USE Q SFR � .OMM �� OTHER �
TYPE OF GONSTRUCTION Q BI O�K Q FRp�VI� � STEEL Q
DESCRIPTIONOFINORK TMS�SI� �DuJa� �r �lr� l� � S
BUILpING S{ZE �'�� SQ FqOTAGE�� HcIrH7 �
�BUILDING v VALUAT�ON OF TOTA�CONST�UCTION
�ELECTRICAL S 58p�' AMP SERVICE � PROGRESS ENERGY � W.R.E.G.
�RLUMBING � � �� ) � /� i
�------.-a � �.� �,
QMECHANICAL 5 VALUAT ON OF MECMANIC�L,INSTfaLLATION �� �
[�GAS �] ROOFING C] SpECIAI.TY � OTHGR
FINISHED FLOOR ELEVATIONS FL�QD ZONE A.PEA �YES NO
S S 5 ^�v-�� -°—r=.-�g -- �-� '-+� �'. ' °,�' '—R—"r w'
BUILDER � Cpt,�Rqf�Y
SIGNATURE f(kBISTEREp Y! N Fe�cuRaEn Y/N "
Addmss ���r. , - Llcense# f ��
ELECTRIGIAN CpMP�1�lY ��1' ��eGl(�L
SIGNFlTURE R[GISTERED Y/ N_� FEE CURRLR �I Pl J
Address �c �or; G�e-. T N�� t�tcensa# EC O('>o I�/$g
PLUMBER CppAPANY ��
SIGP1A7l1R� � REGI�TEREA Y!W ' Fe€c�RRE� � Y/�N
Addross ��� .��~� �Icense� I �}��
MECHANICAL ��� COh9PAtd'f I ��
SIGNATURE REGISTFREU Y/ N FEE CURF.E� Y/N II,
Address I License# � '
OTHER � COMPANY I
SIGyATURE � REGI3TERED Y/ N FEE CURRE� Y I N
Address � License# ����
Y119i1111ii00 ! l1114111@171ili1�B�I1a01914oeeaalB1Yi18lIIIIIBIIIOILl11
R�SIQENTIAL Attach(2)Plot Plans;(2)setc of Building f?ians;(1)3et of Energy Fpnns;R-O-W Permit for new wnstn:ction,
Minfmum t�n(10)working(iays after submlttal dat�. Requ(red onsite,Cqnstructlon Plans,Stormwater Plans w!Silt Fence installed,
Sanikary Facilities&1 dumpster,Site Work Pormit�or suGdiWsiunsgarge prajects
CdMMERCIAL Atlach(3)comptete sets Of 6uilding Plans plus a LIFa Seteiy Pa2e;(1)set of Enerc3Y Forrns.R-O-W Rermit for new censtruCion. I
Minimum ten(10)working days after suumittal dote. Required onsitQ,Construction Plans,6tormwater Plans w/Silt Fence Installed,
Sanitary I?acilities&1 dumpst�r.Sits Vt�o;k Rerrpitlfor al�nsw projests.All commercial roquiramenRs must meet cnmpiiance
SIGN I'ERh11T Attach(2)sets of Engineered plans.
"'"'PROPERTY SURVEY required for all NEW conslruClon.
� . . .,'�„��e= 1�.� '-.:,�° '._ 'i�'- �.�'�' ' '�'*�i� _ .
Directions:
Fill out applicat�on complotely
Owner&Conlracior sign back of application,notarized
i If over$2b00,a Notico of Commcncoment is requlred. (A1G pgr�des ove�y7500)
" Agent(for the conlractor)or Power of Attomey(for the ovner)w� Id be someone wllh notarized;etter fro�n ovmer aulhqrizing same
OVER THE COUNTER PEP.MITTING (Front of Application Only�
Reroofs ii shingles Sewers Servic6 Upgrades fVC F@N�e:(Pbt/Survey/Footag�)
1]r4�ewqys•Nol ever Counter If on pu611c roadv.rays.,needa RQW
„ _ < , �
t��T�CC t3F D��D F�ES"Yfi�iC'�i0t�s: 1"he undersign�d understands that this pcPmit may be subject tp"d�ed”restrictions"
which may be more restrictive than County regulation�. The undersign�d assumns raspcsnsibility for cornpiiance witn any
appfic�bie deed restrictlon5.
U�3i.tCEidSED Ct�idTF2dCTQr"�,S �?�Q C�N�'R�.CT¢Fi RESPQ�dSt�iLtTSES: If the �vm�r has hired a contrac!or ar
, contracfors to undertake�vork,they may be required��be:licensed in accordance vrith state and local rEgulatians. If the
contractor is nat licensed a�r�qt�irsd�ay faw, bath t e o�riner ar�d contrac#or ma}� �e cit�d for a misdem�anar violation
under state Iaw if the�owner or intencieci contru�tar�ra�incQ��in as to ti�hat iicensing requiremznts rnay appiy for fhe
intend�d work,they are advised to cnnk�Gt tflE Fasco Cnunty Quiiding Inspec:iion Divis(on--I_icensing Seciion at 727-847-
8U09. �urthermnre, IF tne outn�r has hir�:�f � c9ntr ctQr ot cc?isttacfor5, he is �dv't5ed to h3��F tha Cot�tr2Ciaf(s} sign
gortior�s of ftic�"cor�tractar 81o�k"c��ti�is ap�Zlicatictz€�r�thictt they v�iii t�e responcib;t,. If yau, as thz ou��ner sign 2s the
contractor,that may b�;�n indicaffor!that F;e ia no4 p�o�erly licer�s�d�nd fs not entit!ed to permiYting privlle;ges in Pasco
County.
7'�i1�PdSP{}EtTATIf?N I�tfi��C't7U7'tE,�T7��i��IP�+.'F�5��€��S�tSRG�F��G�V�#�Y����z: Tne undersign�a understands
thai Transportation Imp�act���s ar�d Recours��uco�epy Feea may a�ply ta th�cqnstructi�n of:�=�v bui{dings,chanye qf
use in existin� buildin�ts, o�exoanslon Uf existing bu�ldin��,��specifi�t!ln f�a;aco Caur��y drdinas�ce nurttiber$9-07 and
9t�-t77,as arr�nded. Ttse undersigned�iso und�rsfa ds,ihat�u�ri fees,sy may b2 due,will 6e id�s�ti=te�#a#the ti�e of
permi#ting. It is fuRher ur,derstood th�f Trdnsp�sRati �Impaci�ees and i�esource ftecovery Fe�s mu5t bs paid prior to
receivin�a"c.�r4sfic�ite af oceupancy"ar:�nal�aw�r r (c�asa. If t1�e�roj�ct doas not invaiv�a c�r3ificate of occup�ncy or
fsna#paWer re(eas�,the fLes r�ust���cslcf�;inr fo rrnit i�sz:�ncP, Furthe�ar�, (f P�s�o Gc���nty WatertSewur Impact
fess are due,they must b�paid prior to permit issuen in accardan��vith�pplicabie Pavra Caunty oruinances.
�4f�STRUCTICI�!L.l��1 t..Al,�(Ch�iptwr 713,Flardd;��t�itutas,�.s a�ra�s7cG�c�}: if valuatipn of work is�2,5o6.Ot�or mare,!
cec-4ify that i, thm �pplVcan�, haue besi7 pr�vide� 1 ith � ctrpy Qf ih� "�=lcrida Constr�uci[�n l.ian Lavr-•-1-lc�m4owner's
�rottcti�n Guic3a°�re��are.i k�y tha Flori�ia C�Yartrne�t oi AgricullurQ sr�d Gnnst�m�r Aifairs. If the appNcant is som�on�
nii�er than tho"c��,���er',I eyrtizy tha(I h�v�ob:alned W crapy of th�ak�ove aescnbed docurnent and promise in goo:i faith to
d�liuer ii to the"ou+n�r"pri�r io oommencer�s�nt,
CQNTFtAC7tlR'�1C3Wd�l�R'��FFiF��V,t'� (cw�tify tl��t R�il the i�formatic�n in this appliCati�n is�r,curate�nd th�t a�l�:ork
- _ - •- �r,rilf b�clone in com�.>lianue�vitf5 ail a�plicable ianv4� �;tU�ting e.onutrueiion,z�n(n�ard tand deuelopmeni. P.pplir,aiion is
� ` • herebp t����ie tc c�btait� a �ern1lt to da w�rr �r� I s#all�tf¢5; as 3n:3ic�ted. ! c�s�i�r that ��o wor�: or instal2�tio� E;as
;' oerr�menead prior #a ie,suan�� 4#v p;w�mit�rd th�`s�il warl:w�i� f�d ;;�t'fc�rrz:�� tq �e�;t �fandard� cf ali {aNia r�:quiatinc�
canstrur,,L�n. �ounty a�r� Cfty co�c:a, ws�nEng re�c�ufa ic3na, an� Iw�d c.'e4c-!opm�rrt re�uiuti;ns in tia ji�risdiction. I af,c�
ce�ify iha?!�:nG�r.st�z�u f}z¢�thes r��ul�iions ei o#'3er��`P?a�r�tttl°rsi�g�r,wles¢n.�y rx{��ty t�ih�IrSt�rt�i�c;v�csr"r;,��d Ehai it is
rrty��:sracar;sl�ilify tn i�#�i?tif�j v���t acii�;t�`i t1.�sr#£�4�ty�!��1�r�,r�t�,Iiarrev, S��ch��eri4ies ir,eiG�;�bu?ara rti�i iimited to:
- w��;��rtii1�^FI�r:i ont�,�I,,vi�an,rten#u! �rot�^r.tion'•�y�r�ss �ayhr.��5, ���tls,rid ,�„�„s �nd �r�vdronmeni��Iiy S�nsitive
:..�:�''�$�VYS�S��'ItYVC`t�tU���.�i 1��i�t�fi4(���
' ::GfJt�tl�."i,'.�i� ��02'IfSc'1 �/V��t.f �u^(io�12Y31�} tSE�tfFCf-�4ft?��:� ti}'(i(GS5 g3jiit?iiC�3, �/la�@�i3t?t� r`;t'$�S, /��tt(iit�
W�tercaursc:s,
, Arinv Cat�s at cr,ginc-.era-�G�4vr,;is,Dac';>,td�viy`r.,�l�`-1slat�?n�?�ays.
- ��(���'ttsla�r�t {3� f7�:.aiEh � }�i��3il;,ati�;� ��;s�,!;rrt��,<is±;s;n3�;titui F;r u3#4 t�nii-4�,'�?IS, V�'�st�w�ier Tcaatt���n#,
�rs�?tiC T;�nk�,
US Ei7�+ironmont�i�rotc:ctioi�F.yenc�-�.�e�f4�at�wtcrn€�nt.
- Fe�eral Avl�i#�,�r'k�t€�os�ly-F��sr�tiray3.
i und�rstand tMat ii�e i�ri�t;c�ing r�sYr;etiar9n�appiy ia in ta�at f�li;
- U�e c�#fiil i:�nnt ailt�vre�in i�l��d e�'�n�"��i�r�l�sss�xprassly�-iwrn;itt,d.
- If ;he ili n�3t�;ial i:; icr �s� ����.;3 i�� E=1� d �csn� "fi,", ii [, ur;��rsiac�ci t��t �. �r,4Fi�Ge �,an adGr�;�sin� �
C„t1F�tiu;`s1ii1C,J VCJILHt1e�"v�il) o�sula;�i��; �t li���,��t a�r i�ic#!nu s°r�,iGl7 �S �r�;��ar:;� i�y s: �ro€�;;r;ion�i�:r,�}�r�,�er
iia;�ns�d r,y t;:?�j��u ot FI���;��..
- ?�;i�� fc!! rnat�riai 'ss tc� �S� �s�� isj �1an� �'�n� "�" !t� cvs;ncctlen u�i.l� � a�rr,i;tud i�u#i:�is?� i��ir,J st€=ni tivgS!
can�trt��ti�n,!cer�ify iii�t i'iil`�°�ili be t3s�J �nt!�ir��i1 li;v�re��,r�,�itl�ifz t�ie si��r�,v;1l.
- li iill maks�i'i�l i:• t:� �i� �:.��d �i: any ui�-a, 9 :.c�r(;nr ;n:�t u��: o! s>uch t;lf vall! ;iai �eivc��ef;� �f3t;c, c�dj�:,e;nt
prc+�e�i�s. f;tif�,e�P i!{��faur��e,����;�;cYf��i�.�cfi a:tj�e�r�t�[�,a�cii�;v-,tt��saw,�w�r m�v b�r cil��!f�r vi�#�t�nc
ftk�c�z��itions of tI1� t�vifiaing p�nv7it ir��eri Un�lot�3�:x�ttach�d��rmif rp�;i'sc;�;ic�n, `ur ir�ts i�s•a tY��n or�2 (1)
acrq avhir.h�r�^tle��ated�iy flll,�r�cngi�a� rc�d drain���e�!t:n Is re�ulr�:ci..
If!arn the IaC�k�tT F�#";'i'H�t>31��7d��,i�r;;misr�tn�aoc!z3ltf;to ir}f=_�r�rt ih�s�v�:s�r caF the��err��ittir��conditi�rgs�et fc��h i��
�11i5�(�7�C��Vfi�(tG+'�L7 CfSfAtFt�i;Gltlf��il�tt°tAC�{f)�i. #U�3 7.'^^P',�'[�Itii Y�'f��rl���i�Czii��c tz'?'}(f!??t'3�s�1P i'vt�{,i)tf:(.f i�kf E'Et�iP1CQ�v14fk.
plumbinn, slgns, ����IB� PQOf� �it crartcJ�Eac,r�t.ng, q:�w, or��ii�nt irl�ta�l�!i�n.� nc�; �!;�c!Eea!I)' tnt�lu��.a ir: th� ar�pllnailcn. ,�
�?eemR ls�u}:a shall he�e=r�strt�c-4i to�G ea iic:w.nsw to,��4���c��;dii�th;;vr�rk�re:;i�ai s:a�.th�r,ty�a v�olat�,car�c�t,altcr,€�r
set:�;:i:f�art�r�arv�Iislc�r.��a�ih°ieel�r;:.�,I.evc�:;�.t��r_!-t�ll I��it�n�e ni��,u;ir„t;?r�:v4:�i[;t��suiSdit��}t3i1�t�,l ft�m ihLr�a�;�r
r'eq�ir;nc��corr��.tion vt erms:.En taf��s,�onsfrucEio�i�x�ia+latierr�e*any c:��le,y. �.,��r,+pva'rnii.is5�.�:�shcli k��co��e invalid
unless fh�tyork�ukhc�:i2��c1 t,y���;Ch pc;rri�U is Gcirr�n:.nr,�d U:i4�1r;sIx ot�ari4hs uf�ern4i's�ssuane�,sr it wt�rk au!hori.:,ad t�y
th���rn�ii Is�Ei,p€�n����r���nd�sz��:€i#ci����;rlc�� �4x{�}�:czt�Ehs�€:��th�!�s�,�i`:�tr�c�rh 1;�cprnmez�c�d. ��exic�r�sion
i�7ay b�requ�sk�,d, in writing, from the (:3��ilding�fit�al Pet��pvriad nc�t kU�xc��d r,i;�et�,r (&tl} �inys�nd Svill dernanstrate
justiti�ble cau�¢for th�:�x:ensior�, if wark erasea iar nin�ty jGU}i;���3-zeutive cieys,,h�jou is eorjsicEred aban�o�ed.
J�BA��#IP3G i�i t2�tr3�c; 'c'OJ�:c��lt-t„}R�i Q kiC�"4'Ft�3 A ��t`IC�G�° 4�3�N.",��I����E;�"t' t4�AY r,�SllL.Z fhd `:'UUfi
�AYEN�'ilt'�;���=OFt 9319EiliC?`J�Pd��ts!"i:�.iG YOUF�2�f;�?�'F`�."f`t'. iF s`�}l.3 ffti7�'riJ�i��[�i'l�tiV Fi��at�GtE�d�,CC1ittSU�.T
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, , fr.��/r�y=��,'-���J3 ,..G�,p�0.. /� �Y ._.� _ �.�..L,5._..._.
1h9i9 icJar�°c aont;ifl hncnF.n rr, ,a or hn�s'f��4�prq;iac�d V`{,��i'rg;�ra p�rsan,� ,..,oxr'ia�n� �tyWsrr,���produccd
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lw` ___._I�C��S!C? ,4�. "���� '�`fie� _+J�!``-_�=>' - � ---- ;osr• oe�:'�...-.-.� JO ANNE SHARP
nfnm.�flf hfptat��yFxtG,��:r;tczc! st�;.spect \�J ti1�' � h�:��,�c�N�?�;�:��r,d.�'iae:�t�,���i=tiR�d �_ .
��,�.�` �,v�k�,e�� _,� �:=, Notary Public-State ot Fiorida
ypUgllC `t�'�CQ\`���aQy�� :��+ +r. My Comm.Expires Jan 3,2018
�": �� Gommission#FF 0T0924
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City bf Zephyrliills
BUILDING PLAN REVIEW CQMMENTS
Contractar/Homeowner: �
Date Received: . d � �_
—.��� �-
Site: 3 � ; ,���
Permit Type: I �G ��
�
Approved w/no comments:❑ Approved w/the bElow camments: ❑ I7enied wlthe below comments: Cl
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This comment sheet shall be kept with the permit and/or plans. �
Kalvin Switzer–Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
i�
� .- � � � lNllllQllllllllllllllllllllllllllllllllllll!!N!!!llllllll
' 2015122017
"• PermilNo. Farce110No �1"a7L-al-�D/D- IG?(}f�- ODlt�
NOTICE O� CpMMENCEMENT
' State of ��Q►'%aCaw County ot p��
THE UNDERSI�NED hereby gives notice that improvement will tre m8de to certa�f rea!property,and 3n accordence with Ghapter 713,ftonda Statutes,
; tfie totlawing tnformatton is provided in this Notice ot Commerrcemerrt:)
t Descriplian of Property: Parcei tdentification No. F� ! PG 5y L oT5 1-Z-.3 9� �/3.{X��T�t,o i�J �G K /G�a e-
Street Address: _ 38 yy4„St�h f}ve. �e p jt�i 1 t S $83�PC
� 2. Generat Descriptian oltmprovement yi'1�'L✓+a✓ �C'�D✓Q-Y�'ieAS 1�✓ywQ Il H�►�'A-C. �/2�rI L J=1 ourir�
! � 1
3. Owner Information or Lessee informatlon H!he lessee cont(cted for the improvement:
' S . Arz��u. �1 msS �
� /9HG Nam�t�0 �'lULtLTON f#L
' Atltl�eSS City Siaie
incerest in Pfoperty: �� r't' �1�.r
Name ot Fee Simpie Titleholder.
{li ditierent fram CMmer lisfed above}
� i
AGGress • Ciry Stete �
� 4. ContraCtor: �-'Q5'-5 NS Bte eI" �(✓ P AJY C.
Name I
�5�a� Lues�rcr CP�a�! !3lt�(. Lt.�'� FL
Address —�—' City State
Contractars 7e�eptione Na.: _ ?�� L!'813.�8to�
.-� . I
' S. Surety: .
Mame —
� � Rcpt:1702173 Rec: 18.50
Address � DS: 0.00 IT: 0.00 -
Amountol9ond: s •0713212015 D, W. , Dpty Clerk
6. Lender, ( pqULA S 0'NEIL,Ph.D PFi5C0 GLERK 8 COMPTROLLER
Name I 071311201 0:07am 1 �jf
Actdress � QR BK ��34 PG 'T�� ..e
Lenders Tetephone No.: I
7, Persons withi� the State ot Florida designated by !he er upon wham notices ar oiher documenis may be served as provitled by
Section 713.13(1)(a}{7),Florida Statutes:
i
Name
Address City State
7eisphone Nu�nher oi Deslgnated Person:
8, hti addition to himseii,ihe rn+mer designates I of,^„
to receive Capy of ihe lienoPs Natice as prov�ded in Section 713.i 3(1)(b),Fiorida Statutes,
Tetephone Number of Person or Entity Uesignated by O+rm
9. Expiration date of Notice ai Commencement(the errpiration date may not be before the compietion a(construction and finai payment io the
contractar,but wili be ar�e year fram the date o(recording e�n�leIss a diHerent tlate+s specified}:
WARNING TC?OWN�R: ANY FAYMENTS MADE BY TNE OWNER AFTER 7HE EXPtRATtdN 4�TNE NOl'iGE QF COMMENCEMENT
ARE CpNSiDERED IMPROPER PAYMENTS UNDER C TER 713, PART t, SECTION 713.13, FLORIDA STATUTES. AN� CAN
RESULT !N YOUR PAYlNG '(WIGE FOR IMRROVEME TS TO YOUR PROPERTY. A NOi'fCE OF Cf}MMENCEMENT MUST BE
REGORDED AND POSTEO ON THE JOB SiTE BE�ORE TNE FIRST WSPECTION. IF YOU INTEND TO OBTAIN FINANCING.C4N5UL7
WITH YQUR LENDER OR AN ATTOftNEY BEFORE CdMMENC4NG WORtt OR REGORQiNG YOUR NOTIGE QF GOMMENGEMENT.
Under penalty of perjury,!declare that 1 hav8 read Vte foreg ing no8ce gf corrsm c ent ar�d that the acis s ted therein ate true ta ihe best
ot my knawiedge and belief.
S7ATE OF FLORIDA � �;,
COUNTY 4F PASCO
, �ignature ot er or(,essee,or Owmers ar l.essee's Authorized
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��'*��,�P�� EXPiflES November 18�2018
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' � ��� RAPID SECURITY 50Lt1TlON5
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Peace af Mind. Delivered.
I, Denver Stover ITI, of Rapid Securi�y Solutions, LLC, do hereby authorize the followin�
to act as my agent(s) in submitting p rmit applications and obtaining permits under
Iicense number EF20041276.
` 1. Charles Ebanks
2. Ronnie VVithrow
3. Harry Brztton
I understand that I, as the license qua�lifier, am solely responsible for my application
submitted or obtained by rny agent(s).
X l ' � Date � � � I J
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2920 Nortt�gate Bivd. STE A9 m Sarasota. FL • 34234 • 941.219.4190 • Fax 941.866.0439 � info@rsecurity.net � www.rsecurity.net
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August 14, 2015
City of Zephyrhills
RE: PERMIT AUTHQRIZ4TION FOR LICENSE # EC0001-958 • _ .
To Whom it May Concern, •
I would like to add Eric Dowling, Phil Reyes, Brian Buttafuoco, Bruce Reviere,
Catherin McCartney and Mitch Bocook as a signing agent to allow them to pull permits under
my Electrical License # EC0001958.
Please call with any questions.
Sincerely,
Jeff riede '
President
Signed before me,on the 14th of August,2015, by Jeff Priede, President,who is personally known to me.
. I
NwY o�/�
, ;o,P �e;;,,l JO ANNE StiARP
=2:'U:°� Notary Public-State ot Florida
:r: +ar� My Comm.Expires Jan 3,2018
�":; p 1 Commission # FF 070920
NOTARY: Jo Anne Sharp , EOF F`O`,`I
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660A N �lor°dda �1ve., 4a�tp�, F'i. 33f04 � Ph �e ��234-4004
Fax: �1 3-2 36-03�4 � jdErine@t�mpabay.Pro�om