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HomeMy WebLinkAbout16-17535 CITY OF ZEPHYRHILLS 5335-8TH STREET i , , �sis��so-oo20 175 5 ' BUILDING PERMIT ,r� PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17535 Address: 5212 21ST ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-0010-00200-0030 Improv. Cost: 9,385.00 OWNER INFORMATION Date Issued: 6/30/2016 Name: Y D P PROPERTIES LLC Total Fees: 85.00 Address: PO BOX 1116 Amount Paid: 85.00 DADE CITY FL 33526-1116 Date Paid: 6/30/2016 Phone: Work Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES WIDNER ROOFING INC REROOF RESIDENTIAL 85.00 r � � �/ � Ins ections Re uired DRY IN ROOF INSP TAPE JOINTS ROOF INSP FINAL 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 times 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 maybe 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 Must Accompany Application.All work shall be pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. , .��Q�, , CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . , � IIIIIIIIIIIIIiHllllllllllllllllllllllllllllllllllllllllllll ' 2016102214 Pertnit No. Parcel ID No ��'��v- 02�— O�(O- l00 Z O O—O p3 O bG��//J�� �e NOTICE OF COMMENCEMENT State of- �l.�l/`(7�1 P,A S co County o/ THE UNDERSIGNEO hereby gtves notice lhal tmprovement will be made ta cerlain real property,and'n atcordance with ChaDter 713,Florida Statuies, �he following information Is provided in this Notice of Cammencemenl: 1 Description of Property: Parcel Ident�caUai No. I z"�.6' _ �J�((J- Q�ZOO^ O(J � Streel Address: J�'a-��- Z��� / � 3�'dO� 2. Generel Desuiption of Improvement ��-�`�'�✓i s r �OyWE{� ���...e,�T� � 3. Owner Infortnation or Lessee infortnation if Ifie essee c tratted tarihe impravemenl � � � D P �Ro e�. r�. P (`)NaCS.CY�G /��Ie .0 Address � City Slate Interesl m Property: �-1,��� 335 2� Name of Fee Simple T(tleholder: (If diflerent from Owner listed above) � Address � ' City Slale Conlractor: �Name � � Address ^� �J� Contractors Telephone No. ��� ' / � T��� �� CItY � S 335�3 5. Surety: Name Address City State Amoun(o(BanO: b Telephone No.. 6. Lender � �' � Name �� Address Cfry State �v��� • �O/� Lender's Telephone No. � 1 � � ��� '-e�' 7 ?ersons wilhin the State of Florida desig�aled by Ihe owner upon whom�nolices or other documents may 6e served as provided by � �F ��-/` � �Q Secllon 713.13(t)(a)(7),Florida S�alules: m } .. � c' Name . � ..1 `G ` • � o ` � v� � � � Address Cily ' State ��p m k � Telephone Number of Desfgnated Person: �� q�' 4 • T 3. In addition to himself,Ihe owner designates . o� �<p e�� ' � \4 to receive a copy of the LienoYs Notice as provided in Sectfon 713.13(1)(b),Florida Statules. �'• � Telephone Number of Perso�or Entity Designaled by Owner: Q �' L.LI Y 1. Expiration date of Notice of Commencemenl(the e�iratlon dale may not be before lhe completlon of tonstructfan and final paymenl to the (!J z V � � contraclor,bulwfll be one yearlrom the date cf recording unless a diHerent date fs specfHed): � (' �2 V- �� J U WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT (�ry Z � � � Q J ARE CONSIOERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, ANO CAN 'RECORDED AND PO TEO ON HE JOB SITE BE�F RE THTE FI ST NSPECT ON.RIF YOU INT�END TO OBT�ArIN F NANC NG,CONSULT �" o G� _ ¢ N � n. WITH YOUR LENDER OR AN ATTORNEY HEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT � � � � U) n- O Under penalty of perJury,I declare ihat 1 have read lhe foregoing notiCe of wmmencement and fhatthe faUs sla[ed lherein are true to ihe best � 0 � Q � � of my knowledge and betiel. �/��L�� O �TATE�OFFLORIDA �Y�� � = o �� U :OUNTY OF PASCO � �� � U � �r� ignature ol qwner or Lesseet or Owners or Lessee's Aulhonzed � Q O W � �^' Notary Pudic Stste o!FtariOa KceqDiredoNPartner�M1Aanager � Sherty Widner � d d My Commuabn FF 0757e5 _ ���J Z J ��an d° E x p i r e a 7 2/O B R 01 7 Signatory's Tltle/OKce • 1 � � U m � (� � W�-us'�� � W � O � he foregoing instrument vias acknowledged be(ore me th�2 day of�1-I S M�,20 L�b y .� �. � a ¢z O J n �t�t��, nA b'— as "'�"' �— ` �(_cr�a,¢/l (ry e of a thority,e.g.,oK ,trvs tlomey in facq for _„J � � � 2 Q W W � O O � (n of �Ay o behalf o( ho enl w executed), � U (� � � O ersonally Known�pR Produced Identflcallon❑ Notary Signalure � � Z Q � �pe o(IdenUfication Produced Name(Prinl) ✓ 2 �� W � Q J W g � cn � tiZ — - — � �� 0 � . Q Rept:17B2773 ITeO0.00.00 m D5: 0.00 Clerk 06/30/2016 E. M•, �P�Y �data/bcslnottcecommencemenl_pc053048 ppULR 5 0'IJEIL,Ph.D PRSCO GLERK B COMPTROLLER 06/30'/2016 1@:1 am 1 of 1 OR BK 939� P� 1992 � e�saeo-oo2o City of Zephyrhills Permit Application Fa�c 813a�o-ooz� Building Department - � „ � . Date Recetved .. . � . � -Rhone Goetisat�far�Permittin :;..:.V I3 � j - ��J.3 r i � ' Owtser's Nante '� , ;' ..Cn.Q . . , Owner Phone Number " " Owqer's Address �� � �_� ' f�� � � �Owner•Phone Number �� �, Fee Slmple T18eholder=Name� � ' ° � QwrnerPhone Nuriiber � - « ...�r� _ � ' ' ' � -� Fee Slmple Titleholder/�lddress "' �° - � . JOB ADDR�SS $ a.� o�..� ��� L07'# C�. SUBDIVISION �` , ��. pAFtCEL ID# �a' v�.to` a.1 ` CJ�!O=n O 0 E)`-~ �GA 3 Q - � �• . 4��(OBTAlNED'FROM'PROPERTYTAXNOTICE} ' ' WORK FROFOSEp ,. NEW CONSTR ADD/ALT �' SIGN ,[� Q�; DEMOUSH � .. � e INSTAL•L 8:�- REPAIR . . . PiTOPdSEDUSE. �_� SFR 'Q ,COMM�, �'� QTt=1ER.: :: . TYPE OF CONS7I�UCTION_; 'Q` �BtOCK�' :,Q' A FRAME [� STEEL �C]� "�, f �. DESCRIP710P1`OF WORK X , ' �S � � � ` ' . ' . , . , .. BUILDING SiZE��`� ��86l;FOOTAG�: �3 . S , . ,HEIGHT,,��.. �]BUtIDiNG $ -;}�i:�_._._. _.:,r�� ,.--.. . .. . _ , . . VAl.UATION"a�OTAC'CONSTRUCTION C����T����t �� AMP SERVICE [�' PROGRESS ENERGY 'Q W.R.E.C. QPLtJMStIVG $ � ��/"'� .� ���. ,. � , ,�. [�MECHAi�lIGA� $ ' " VA�.t1ATIC1N;4F MEGHAI�EICAL tNSTALEA'TIOR! � . Q�� � ROORING..� , SPECIALTY OTHER f����� � � ! FINISHED FLOOR ELEVATIONS _.—� FLOOp ZONE AREA QYES. NO .���'�� 8..� � ,���. ..-- - �'�'Y� 5 � - BUlE.DER COMPANY �` " ' - - SIC3NATUKtE REGISTEREQ Y/ N, FEE CURREA` �.. :Y/N.._: , , , Address � . ' �� - ' _ �� 4lcense# �CECTRICIAN=::._ �, ' Cf5MPi4NY ; � . , � . SIGNIATURE - "' REGISTEREQ Y/ N �Cu�n ` Y/N : /1���$$ F . .. . ... -. '���� _ • - , . �.�:�Ce�6@.#-,� ��un�eE� � .. . caMP�►rnc� ' ` , . . ... .. , SIGNATURE - � <REo�S�7ERED� �t.,,::,.,Y/-�N"r. � .,FEE�CURREh, . . Y/N:- `� � Addres� � . . . Ucense#:{ . . `� ,..._,�:�_::. - MEC�iAR+11ClU: : . - , ., �GOMPANY , , . . , a ,. � SIGNA7'URE ' . � , � - REGI�S7EF3aED. , _Y-/=`'N. ,EEE'.CURREk ;Y _ . ��N'• Addre�s�- - . -,,. ` .� ' � , . . . . : " . , � -_ . - - � , Wr�nse# ��_ OTH�R � a7-��E3�..�� " - �-.GO�RPANY ��..c���!L• , . .. ; ;. . SIGNATURE ` �RiEGIs7EREo� _ Y/, N::; ; ;FF6 CUR�n ; ,Y ::�,- . . J&tdreas .�i::`�'.7`�'b:: � , `� i. �Lic�nse# �C�C -�f�s7'� �'�. . R �i.� _ _ - :;��. .;��,.s`"�' - : n''a-'7.r-a.:..�.r.�.•.4 `z'< i�.c •�x.{r": .. _ . _ , , ".. E p N'i1�0.1.;__<Attacti;.(2);,PtokP.,laits;:(2)'sefs:cif,Bu11i�1iig.Plans (1}�set"of=Eiie'.° 'Fariri =it-0-lNsPe i-fqi� t ccnstruction� .� �� r9Y:;; `s�: tiit,t; new;: � c ~;;;�ryMinl,;mumr„ten;(1�O,j,uvoritingrdays;atter,";su�;�lttal'date:;��Required.onslte;-Construc'Non�plens FStormwa`te��Plans w/Sllt Fenc,e Inst'slled, . .. •Sanitary Fes�tides&s��`s���Rsler S}te V11ork��P,emtit�qr su6divf�tqnslta�ge'projects'�;,:�',°a``��*,=�-_�-:.;;<,.• . „•. = -,- .� - = , -� - � COMMERClAt - Attach(3)°coinpiete"sets"ofBu`11�3ng P1ans ptos a''L[fe Safetjr Page;(1}set of Et�ergy Fprms.RA�/V Permit for new conatrucflon. Minimum ten(10)waricing day�'after submittal date. Requlred,pnsite,,,f.;onstrucdon Plans,Stormwater Plans w/Silt Fence Installed; Sanitary Fadiitles�._1.dumpster..Stte-Work-Perntlt for•.�ii_�neitV�p'iujects':-Aii+commerclal.requirements•must meet.compSlance StGN:PERMIT Attacti{2j"sets of'�ngi�;ii�sr!ad�'Platis��:;�^�,��:'::":�.°�. .. , . �. . � , "•••PROFERTY_.SURVEYrequlredw.forall NEW:cons.tcuction..: , , ., - .. � _ r..� _ . Directlons: ..�°-�`� . ,. ° u _ _ _. . __. . _ . . FIII out applicadon completely. tOwner&t�.ontractor stgn badc:of appticatton,notarizad If over$2500,.a�Nottc�,af Commencement ta requlred. (AIC upgradss over.s7500)__ __ �.: . _ " `r;�.,-ii��t:�:.yz;:i:'_ __ '".._. ..., . . _ . ......... ....... .., ., ._.. —._ .. . . .c �� j,.� -. , . ,�_, Agent(for tt[e'contraotar)'or:Poiiver'of.i�ttoriiey';{fiirtlie`owne�j"wiould be someone;with notarized tettenfrom awner autharizing same , � ; 'QVER`THE Cf3UNTER:PERMITiING==-�--"�`(Frbnt-of�Application Oniyj� ���, , ' � Re[oafs if shingles Sewers Servlce;Upgrades A/C Fences;;(PIoUSuryey/Foatage) , �� _. ._.. ...-:. ` . - . ' - _ _. �: . _ ., , - - , , - t � . •° � � _ ., r ,; . - .. _ _ �, . Drlveways-Not over Counter if an publlc roadways.:rieeds RC1W" �"` `"' � _. -__ ...,:. , , . - . :°� _ � ., • . iT10E OF DEED.:RES7RICTIONS: The.u�dersl ne.d��undergtands�,�#F��t thls.. rrnit;�,ma be„s �`�'�°p'�'`�"' - � ; , - 9 ,. G .�;1�: f„ Y: ubJectwto_."dee�,d".:1restrlc,tlons;„:,.-�:,, „�4 _ - - .`,"i<. -;;-'r. _i� .a.,: ;t:. :{>dr`:,.��; �,F�.. ?lr.;'t:t: - 'l',,:;,:e� �r�- . tch may,�be�more:restFlctive.��t���i��.Gounty���latf�ris::�The�unders1gned��a��'umes���eep�n�itilli,'tj�for"coinpliance�with any' � , �qcable'•deed;re�trictlons: ' _ .,.�,;-,>_4:;;�.n;;�.. . � . .. :�n,�;�:..- _ _. �.,,.:,.s�__._: . ILICENSED`�`CONTR,AC�:ORS�=AND`�CON'TRAGTOR RES!?OhI�Sf�ll�l`�1�3:���ilf`�:�Fie�owmer��hes��Fitted'=r��"corit'r`actor•or �tractors to.unde'take wo�k�;the -:rine �tie;.r�quiredato:tbe>Itcens:ed':In�accordance.with�state�.anddo�al�renulallons:•,}If<tFie���-�-��r•��'. . ��..�. }sM,y._... . . a' _ -_ ..r _ ::�r.a�.-.c:�;:r�.:i.,-.:,-.:, .r� _ - � (:..:->> � � . .. t'�., : �. -,.. . .-.1`v'?.:yl::'u�:v.v k:-_�..�� r�7.....��, � �tracto� is��not�:licensed;as�requlred�tiy`�law;:tioth�,tf�e,.owner�and:�:contnacto�ymay�be,�citedrfor=���`misden►eanot viailadon , ier state law. If the�owner or intende�r;con#rat�tor��a�e,�,unae�tain,;as,to wfiat'IlcenaingTrequi"re�nents:may�;appl�r:yf,o'�+.t1;ie=:�s-�T;��-�-��:� 'x::'•aF... Er�.�` d,i..�:C/....x. ...,. ., ,-y. t mded`work;'tliey are'advised�to°'cbntact:�the;Fasco:.!County.Building;'Inspection�Dlvlsion,=Llcensing:Section�at 727-847- --- ... _._ ...._._n,... _..�..._ ,_ _a. ._....:. ,.;.:,.,,- :: ; :.>.>�:._v�.., � . :::_. )9. Furthermore; tf=the=.owner�haa'�hi`r�d'-a�contcectoF o��contrectors,"he'is advised to�have,tF�e ,contractor(s);,,stgnY,,,_,,,,.^,_,;,.. a r - _. .,.. &x:a�p..,...,,,yi, , t.;�-. tlons of the contrector Block".of'this_.appllcatiora.:for�whichFthey.:wilL,be:�e.sponsl6le.-..If.-.you;�>:as::.the^'oininer-�.slgri�as::the�" ��`" �� itractor,�tliat��nay-tie�an`indication°th�t�:he�s�notr.properiy°Iicenseit and is�'not"enOtled�fo=pe'rmitting�privileges�in Pasco., . ., . . � • unty. • . . . :_ ..._ . :. ._.,_ .._',.. :. _..:.�. . -. �f ;. ANSPORTa'�ION:IMPACTNTiLI'�'I�S�I�NRlkC'��AI�b<I�ESO�li�CE RECOVERY•FEE3:-Tt��und'ersigned'�ur�derstands f; <:; . . ,,; .; t Transportation Impact Fees:and.Recouree Reccvery,Fees m`sy�yepply>.ta�tf�e constructton..of_new.:buiidings;.�change°-of"�F�°�`�'�1;;;'��`, ;; :, � in existfng•buildtngs;��r7expa�ist�n��:of-�xlati��b�ill�ings;a§ specifled.in P�sco Courity Ordinance number 89-07 and '� O7, as amended:,;,�:,�h�_undetsigned also,urtderstands, thgt�such fees;;as�tnay��be:.due'„rwill:;�e iderit�ied at the=time�of��'������"��`° mltting. It Is furtiie�understood'that Tre�isportation.Impa"ct"Fees_and��i�eeoucce�Recovery�'Fees�mu�ti be paid prior to � e4vfng a:"cerfiflcate.�of occupancy"--or�flnal�powsc;release:=-:1#��the.proj��t:,;does:notlpvolve.a;,certificate of occupancy�o�����=��=��="`' � d power.,release,.the:;,feee�:mu�t�,tie':pald�:prl`o..r'to`pe,r,,mR Issu�nce. �Fw�thermore�;`�If.PascmF,Countyr.`Water/Sewer��lmpack;� �r:j�+=� � .._ _::,__._ ,. w:_,.,.. :.�,. .,zµ:: _ ,. .., . - - � ' s are due�,:they_must..be,�pald..pHor to,:permit'-1ss4ance;:�n,accord'ance.<wit�r:appllca6fe�Pasco'�County=o'tlinances. �NSTRUCTION'tIEN1AVIY'(Chaptar�713, FloNda Statutes�a$amended): If valuaHon of work is$2�500:OO.or-more;U�- r�� �:��.- � tify that I,, the..applicant,_�k�ave;been-;,pro.v,ided:with�a°cvpy.of�,the.°_F.Iorida���Constrt�cNon;:Lien�Lauu�---Homeowner's �tectlon Guide" prepared by.:tt�e�FloHda'DePa,rtment�of Agric.ultiire and Cons�m�ar,,Affairs: if the appiicant Is someone.;,,,-,:= ��: � er than the owner", I ceri�►.:th�t_I-.have,obfainedfacopy.of_the above..de,s,cribetl'dticu�i�,ent:and�°p_r.o,mis�:in;good:faith:M. ' _ Iver It to:.thew'owner"�prior��to�ccmi'nenceme'r'iE:�--`'� �tb7. � .. ` . .' .. � : . -. _ , .- `; ..'_ ... . - �• -. �NTRACTOR'S/OWNER'S"AFFIDAVIT: I.cer.tity,�t�i���all��the-:Inf�rmation°In�,thi��applicatlon ts accurat��and that all work �be done in compliance.w(th all.applicable'laws �egula8ng constructlon� zonin8 and�land^development. Applicatlon is eby made;to, obtain�;a-;permit.,.to...do;,;w�tk.:;and:�lhstellation as Indicafed:i.����L.cen�yi �tfiaf no work';oc install�tton�h�s �' nmenced p�lor to=lssuanc� of'a perinit�.'and�that:all work will be pertormed�to meet-:s.tanderds.of:all laws regulating- istruction, County and City codes, zoning regulatlans, and land development cegulatlons=1n�the;jurisdtction.�:::�1-•al'so� � tify that I u�de�stand that#he regulations of other govemment agencies may�apply_to.,the,intended work, and that it is � ,_ responsibility.to identify.what.acttons�I.must�_take.;to�be.,in:.cotrlpilance..Such:agencles-lnclude but�are,not Iimited,to: - � � - Depaitment of E�lvlronmental�'Prote}cHon=`Gypress:'Beqh'ead�;'VVetland?Areas and Envlronmentally Sensltive � Lands,WateNVUastewater Treatment. -, � � ,' - Southwest Florlda Water Managemenk-:::l�istrlct Wells, 'Cypress.��.Bey.Fi�ads�, �Wetland Areas� Altering � .,; �� VNatercourses. � - �- �• , . � - Army Corps of Englnee�s=Seawalls��Docks� Navlgatile Waterways. .�° ��= - Department, of,.Health;.B;,RetaabllltatWe.,Servtces/Errvtronmental;;Health,�,Un1t=Wells;-.:Wastewater�Treatment, � �Se�tic Tanks.. '' � ' ' ,' ' � ._ • � . . � - US Envlronmentel Protec8on Agency-Asbestos abatement.:. - Federal Avlatlon:AutMo�lty;Runways: -� - - _ . � �derstand that:the.follow�ng�restrlctlons apply�fo'the��t�se of flll:• - Use of fill Is not�allowed tn Flood;Zone"V"unless expressly permltted. - If the flll-mate�lal_.`Is`�fo`:be:;usetl:=ln:flood -Zone. °A",'It Is�'understood{that�a`dralnage�-plan addresstng a "compe�sating volume"wlll be submltted at#lme`of permltt)ng whlch ts prep�red by a professlonal englneer" Ilcensed by�he��tate�of;Flotlda: � ��� - If tfi�.flll.�materlat":Is�to::be=used tn �lood'Zone 'A" in5 connectton�wlth�:a���ermitted bulldlr�� using stem wall � conatniction,,l;certiry that fill:viclll:be:�sed only,.to..illl the..are.a.wlthln�the:stem�wall.- - 1f flll=materlal��ls�fo�tie��used�`ln any-ar�a;��=1'�certlfy that .use. of sucFi'"flll wlll'.not adversely affect adjac:ent propertles. If_use:of,fill is found to_adyerselyr.,�ff�ci''adJaEent�>propertles,.the owner may be clted for vioCating• , , � the condWons'�of..�tFie bulldl�ig:�permlt Issued:under the=�at�a�hed_.permlt._�ppltcatlon, for��lots less_1han.one (1) acre whlch ere�elevafetl'by,illl;��r engtneered dralnage planYls requtred. • . . •� _. � - :. � �m the A6ENT;FOR..THE�O.WNER;;I,�iromise'In. ood.fatth to�lnform the�ownet:of:the:,pecmltting condfttons set forth In �- ..9. . ;, aifidavlt`�prlor to��commenoing�conshuctton:""1"un.derstand"tFiet a�.ee,p,�arate permlt may be requtred for elecMcal work�; . - � �� nbing, signs� wells,,:p.o,ols�,:alr.cond(tloning,.:gas,;;or:,otMer_Inst�l�'a�tlon"s nct•spec�lcalty lncluded�In.the�appllcatlon. .A ; - , ;�� +; 7"i'a.•,,•T• . nft Issued`s1iaA tie�:consitcued;to'`be;a�llcense:to:•proceed wlth`�tfie vi►o�k and nok:as�authoNty_to•�ylolate,��cancel;�alte�, or ;'; " :� �; aslde any provlslons�of'tlie':tecfirilcal:cqdeg;�nor shall Issuance�of�a.permlt:prevent the 8ulldlrig O#ficlal from thereafter - ,Y ;, - - ,..:. �.. ,, ilring a correction-.ad errors;ln:;pl.;ans�,,constii�ctlon.or vlolatlons:of°any codes:,:•Eyery_.pertnit Issued-shal4:become lnvalld y:"� �, iss the work��authoNzed�by`��ucH permlt>�Is-coiiimenced�wltF�In sUc..months:oi�-permit Issuance, or tf work authorized by . '' r r..��;. 1 �e �: permlt ls suapended�or..abandoned:fo�a�:�etlodrof;;slx::(8):montF�s;aftertHe:N�e the�work��ls commen�ed. An�extenslon , -;: ;, � be requested, In vvrlting,.irom the BuIlding;OfflElal:�for�a peNod not;to.�exceed�nlnety{90)�:�ays�a�id�wlll'deinonstrate ;,� !� fiable cause'for.�the"extenslor�. If�work.ceases,for nlneqr(90)cons.ecutive:day.�...the Job�ls�consldered aba�doned. • :,{ ` _,� . : - .. _ :: , . . .. �: . . ...: . : :........•. . .. . : �.- :��-.�� - � - , . = ,._�... .;. � -.,. .. _ . . , , , RNING TO�OWNf�tc `YO�UR;_FAILIJRE�TQ:;R�EE:O�t�;A�:(±107�1.GE:.OF�=COMMEMEEMENT.;,MAYrRESFJLT.IN YOUR - ; : �: hNG TWI.CE;FOR.IMPROVEMEN�B�rTO:.YOUtt::PROPEI�TY:r:1��YO.tIaIN��D�Ttfl°;�iB3?A1N�,FIN�Ai�IEiNG;�CONSULT � `� ' H Yt9UR�C:Ek�DER�Ofr�AP�-A�POR@�EY� F�R�,fi�OR�I�iG�]�011l�`NO��,'��Ii�EP1C��— ----- —----- . tIDA JURA�(F.S:_1.17. , } , " , � �, , � � � . . �• . �� IER OR AO@NT ' C��Rq�pe`.';;l 0 0�~ " . cxlbed and swom to(or alflrtned)b'efore me fhls � " Subs�lbeti'and'svwm=to(or afl1rtned)�before�me�thl� ;.. ,_ Is/are ersonelly kn to.me or�haslhave prvduced Who�l's/a .personal .knoum�to me:oc;Fla�lhave produced • -- ae�Iden6fli�Upn: � - ' � � �' '.,�s ld'entlflca8on. � � � , � �~� ` . No , � X Nofary Publlc Ill Sf0 0:' •"'+'o"'••, � QUELINE BOGES ""'�� ' � �• - 4�� Com Ion.N .••'�ti'.•'�PY�''••. JACQUELIN OGES :*; '•;:= ommis :.: :.: ��n • . :�; :,<: Ex ires December 12,2018 9 :;a; .:�: Expires December 12,2018 - !oI NOtQry lyped p ' � s Ide1118'Of R�OtBry � In:uranee 800•385.7019 — - -- _r.... :�r - �.-r•. __.s�i!r —^=r- x-r'�'�'=� �,r,." ••-'�-Y:' -- `���. - :r,.-^...m��m�.p�,.:��7syv:�..x;';�s:�t?T+�•.�-st ::'r:• - .."'�°` _ ""`'� �>� _"i...,�..�;`_., y��4 :4-y' ,;�•a°;`" - ,z,,_""��-- � i� _y,";,.. ."-��.? =n:�. - : '4i.?'_."' 'J •�n. :�9 . . .. . . , -- "r�e . . .., . . . _- �-x:...:,,; _ i , . .. .... , . .. .._ -., _ . .. r�«-;,.;• _ , . _ .spr.,,,,..�..., . - . . . .. . . . -. � • . � .. �' ' . n:yj} ` < +M?� , � g .";t�+t`���1I,.l j�'�w�^,+}�/�q( - '-' ' u a c'+�kr`'i)L"�`""'t,'j_ya �;s',^+i - SO�.D TO ! � (;� - SNtP Td • '� 1 � �:� �� d � /� r ! J fi, f: _ � -2,n ��� .e_ �t,�4,2 ,...�t 1'. !� l+ ^.�',/`�—. E f�t ..P.,lti..: �J+.e%�.....r? :i ADpRES ° ADDRESS `� � '�� �� s�- � � � ����' j '� '� ��2� � ��` ��.. .� ,� "- CITY STATE�ZIP � � � CITY STATEr ZIP ^ �� _` _.���. � T �.�� � � � �... ;'� `,� GUST4MEft ORDER N0. � SOID Y, ��RNiS F.O.B. DATE - �.� �. ��y �� � r ! � " t� ��,l /� - ORDERED . SHIFPED DESGRiPTION �.PR10E UNit ` AMOUN7 - :� -�... ` r � �.�_ ' ° .� .rr ,.� .�,,�� :'� - � �° r � �; � _ C--� ✓l t.,�'l. ;� ,. f''.�^"?. •_¢,S� �s.c� �-a� � (�' G`'� �.- -,,,} ../J ..'? � �e ,�' r ,+�Y r :� ,.c. ..� � ��+t„;'t 9r �.��-,� -��i � / , ` � }� ,.er�'�"� �€. .c 4'".:..�t, ..� "��i, � ' � - ..>'��. l2� �C��' ` � i �� 4 3�" �`L�Q?�'J "'�� ' .�;� ( f f ✓+.e�. �+'��, 6� �� . i � �..�. .('�s" '�5 , ,�, -� �' °'� ..,y `''��,.,' ie„�: o ?4 � ,3ke.wrm-eeao ,z-aa '� , ' . _ , �� . ,, " !. .:4 '.�io-:,. .�,.�..:�.�.• .. .. .. ...�.� 4!.,,... � _ �... �:=.d:„.�.. �,. ...:<..«._ . ��t;a.,: . 3__....�_ ...r ._- ,?s._..�..A'�.--..........:.i,...,,..: .: .s , ..v._..�a....._.,.�.. ...-_:.i� _. , _> _ _... . -_ -= _ .. �., r_. - _.__ ,.-<..._L., .� ..s�> ._.__: „K.._ . ._.__ .;t.,: ��� '''`''' I « o , � � I , . 0 (I i ` II . � � I � � ' ` 'e I