HomeMy WebLinkAbout16-16976 CITY OF ZEPHYRHILLS
_ _,.;, 5335-8TH STREET
' (813)780-0020 1 76
BUILDING PERMIT
_:� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16976 Address: 38323 EUCALYPTUS DR
� 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: DRIFTWOOD
a� Est. Value: Parcel Number: 02-26-21-0240-00000-0140
Improv. Cost: 4,098.00 OWNER INFORMATION
Date Issued: 1/26/2016 Name: OAR ROSS & JOAN
. Total Fees: 60.00 Address: 7458 ELLICOTT RD
Amount Paid: 60.00 WEST FALLS NY 14170-9737
Date Paid: 1/26/2016 Phone: 813-779-8441
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 60.00
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Ins ections Re uired
DRY IN RO F INSP
TAPE JOINTS ROOF INSP
FINAL �.S`-�(�'r'�
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
, NO OCCUPANCY BEFORE C.O.
�� �
�n ,�� ��
C NTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
C�►!LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
' a�saso-oozo City of Zephyrhills Permit Application � Fax-s�saao-ooz�
Buildin De artment
9 P
Date Received Phone Contact for Permitting LJ I� �1�a -��� �� a 5�
Owner'sName `/�� `� I`�� �� OwnerPhoneNumber ������ I - ���'
Owner's Address I��U L�I(��� �� lX�"i5T �(�,i�S uv �� �7�Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3�3a3 �U C�t� US � �Y 11�� 5 �� 3,��1 C/' LOT# �
SUBDIVISION '1���� � PARCEL ID# b a-a���I -���U �VO��- �� �
(OBTAINED FROM PROPERTY TAX NOTCE)
WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL �
�
DESCRIPTION OF WORK �� lT'r �e-i C(.'t" �D �/ Va�eS Q5 hc�.i f-�h I� 'P,S
� BUILDING SIZE SQ FOOTAGE� HEIGHT
y �BUILDING $ (_ O(�(� � VALUATION OF TOTAL CONSTRUCTION
IV
�ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C.
', OPLUMBING $ �(��� �
�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGINATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � License#
IVIECHAMICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER �C Q �I � COMPANY �n I`lXJ��� �nC
SIGNATURE ` 1 '� i'�'�Q� REGISTERED Y! N FEE C RE� Y/N
Address �(D 7 �3 JJ` S�1 � l hi(�s 33Sy) License# CCC I�J o��S�S
s � � � i � � s � � ttss � o � � � � � ii � � � � � � a � � s � � t � t � � � � ai � � � � � � � t � � � � � � � � � � � � � � �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
••"PROPERTY$IJRVEY required for all NEW construction.
■ - .��. -
Directions:• � " - � ' - -
, , _ . ,_, , ��c: _ , ,
Fill out application completely. , , , ,,,;��:i,-•,,.,.,-,n- �. . _
Owner&Contractor sign back of aPplication,notarized - .. .- ,.. ,,. ,, .
If over$2500,.a.Notice.of Commencement is required. (A/C upgrades over$7500) "�`;'��:5 � .. -. � -
•' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing'same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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. ' 2016012440
Pertnil No. Parcel ID No b a -a�-a� - �a y o� ���Q� -����
t
NOTICE OF COMMEPICEME T
State of r I�����l County of ��JC�
- THE UNDERSIGNED hereby gives notice lhat improvement will be made to certain real property,and in eccordance wilh Chapler 713,Florida Slatules,
the following intormation Is provided in this Notice of Cammenc e t: �j .
1. Descriplian o(Property: Parcel Identificatlon No. ���� '��"O��O'������l�
�
Streetadtlress: �83�3 �U��� �S . �, h �ht��� �� 335�ra
2. General Description of Imorovement �eQ��� ��r�� �
¢Z V �
OU` g� � W U
3. Owner I�+p rtnalian or L f in(ortnation i(Ihe Lessee conlracted for the improvement: �2����O �
- l5055 aJd�c�l OQr ���� w N� W
'7 Y 58 "�5 I�c o-H- d I,Q�PS� Ce.�I S N y (`{I 7 0 sa,. ��� cn a a
Address City State O �F Q a �
Interest in PropeAy: • � �y � —
, Name of Fee Simple TiUeholder. � =O O� �
(If diHerent from Owner lisled above) V�'�'
O �a� o Y
� Address City Slate �z O U � W �
� Contractor: Q� � p n �nC• L a${— �J � J
Na �Il �'1�/�����5 �� 33Sy l � LL�U= �� U
Address n Ci ty S ta te P g � � a Z O J
13 -'18a-1�o9� o � � � Q }W
Contractor's Telephone No. r) � U Q O rT Q Z �
5. Surety: LL' �
Name �'a' � � Q �
Address Clly Stale W C� a J w �
Amount ot Bond: 5 Telephone No. Q � ? (i � _
I'-
a" =fYZ —�
6. Lender: (� F- Q }
i-- O � a m
Name
Address , Cily State
Lendefs Telephone No.
7 Persons within the State ol Flo�da designaled by ihe owner upon whom nolices or olher documenls may be served as provided by -`�°� � �
Section 713.13(1)(a)(7),Florida Statutes: ��j� p ' �• �
Name �� �A
o � �
:•� '
Address Cily State �._ L. `••. �'
Telephone Number of Designated Persan: � ,3 ' tb � �
� . � �
8. In addition to himsel(,Ihe owner designates o�— � o � � s �
to receive a copy of lhe Lienors Notice as providetl in Seclion 713.13(1)(b),Florida Slatutes. � � �
Telephone Numher ot Person or Entity Designated by Owner• � �,�b�
9, Eupiration dale of Notice of Commencement(the expiretion date may not be before Ihe completion of construclian and final payment lo lhe �
contractor,bul will be one year from the date of recording unless e diHerent date fs specified): �� � s� �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER7Y. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN AITORNEY BEFORE COMMENCING WORK OR RECOROING YOUR NOTICE OF COMMENCEMENT
Under penaity of perjury,I declare lhat I have reatl Ihe loregoing noUce of cammencement and that the facts stated therein are Irue to 1he best
� of my knovAedge and belief. .
STAT �\
`It
� COU (1�� , ANGEU HAYVYQOD ig�ture O er or Lessee,or er's or Lessee's Aulhorized
='+° F= Not7 Pu611c-S OK rlDirectorlPaAner/Manager
. _ �' tat�ol FIorICo
-' ••` Commisafon�I FF912551
'��� ,o�'My Comm.Explros Aup pq,pp�g I
'Yt°� Slgnalory's Title/Oifice
9adedfha+Ah k�Ond Npfay Aean,
The foregoing instrument was acknowledged be�'or�e nie this��day af��.2a�,by bwu� '�
as (type of aulhority,e.g.,officer,truslee,attomey in tact)for
(n e ot party n behalf of whom i strument was executed). �I
Personally Known�OR Produced Identification� Notary Signature �. �` . � ',
Type ot Identification Produced !V 1 f/L Nama(Prinl) n � ��G �I
Rept:1743295 Ree: 10.00 I�i
DS: 0.00 IT: 0.00
01/26/2016 J. R., DplY Clerk
pRULii 5 0'NEIL�Ph D PRSCO GLERK 6 COMPTROL�ER �
01/26/20 19 3 1 5m 1 of 1
wpAatalbcs/noticecommencementyc053048 OR BK P� 3657
CITY OF ZEPHYRHILLS
5335-8TH STREET
' � (813)780-0020 169 7/
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16977 Address: 38327 EUCALYPTUS DR
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: DRIFTWOOD
� Est. Value: Parcel Number: 02-26-21-0240-00000-0130
Improv. Cost: 4,098.00 OWNER INFORMATION -
Date Issued: 1/26/2016 Name: PATRICK GERALD LEE & ELIZABETH A
,' Total Fees: 60.00 Address: 38327 EUCALYPTUS DR
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-6644
Date Paid: 1/26/2016 Phone: 813-779-8441
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 60.00
\/�
Gl
- Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP_
FINAL 'Z"'� �� ��
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.
�� � ��
C � TRACTOR GNATURE PERMIT OFFI R
II PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received (g�3 �7 g�a ��09 y P`��-a��p
Phone Contact for Permitting
a ,�f f �` ,/
Owners Name �'�N�' � I�Z�2-� rT /�-1� Owner Phone Number ��� ����^ �4 I
Owner's Address J v ✓U, �uC�-� TUS �LJ�• I1 ���5 3 7a Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 3s3a �U��� TUSvU�- �h rn���S F'' ����� LOT# �
SUBDIVISION �1� 1�%�� y1'� PARCEL ID# (Jd-�V� -a► -�ay� ��""�� ��I�v
(OBTAINED FROM PROPERTY TAX NOTIGE)
WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN 0 � DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
,DESCRIPTION OF WORK �PQf U�'�" r���DO� I � S L�Qf�'S �-{ ( 1�� ��( �P
BUILDING SIZE SQ FOOTAGE� HEIGHT \
QBUILDING $ l )/��C'�� � VALUATION OF TOTAL CONSTRUCTION
��V I
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C.
l
' OPLUMBING � �(„��
� V
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
' QGAS 0 ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER 'I ' I\ COMPANY an �(�a ��C-
SIGNATURE � � WUV��` REGISTERED Y N FEECb RE� Y/N
Address �(p �� JV( �"I Il � h��� �3�J_1� License# `` ' 3, t7����
a � � � � a � � � � � v � t � � � � � � � ts � � � � � t � t � � � � e � � � � i � � i � � � � et � et � � � � � t � � � � � os �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
. .
Directions: • • • • • • ; ,
' Fill out epplication completely:µ � ' '' � �
Owner&Contractor'sign'back"of.application,notarized - � ,
If over.$2500,a,Notice of Commencement is required. (A/C upgrades over$7500) '- � � ,
" Agent(for�the contractor)or Power;of AtYomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI'fTING ' (Front of Application Only) � ` ' � ' -
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
i iiiiii iioii�iiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iaii
, ' 2016012439
� PermitNo. ParcellDNo l�a-alo-al-oayo� l.��V" ����
r
NOTICE OF COMMENCEME T C
State o1 �I v���� County of �Q`��O
� THE UNDERSIGNED hereby gives notice that improvement will he made to certain real property,and In accordance with Chapter 713,Flarida Statutes,
the following information is provided in Ih(s Nollce o1 Commence n�• �DO�_ y,
1. Descriplion ot Property:2Parcel Identlficalion No. �-L���n���I y���O—D V�30
StreetAddress: JI�J� I �U��1y/.�7US �/(, ���(�hc��5 (-I 335'fa
2. Generel Description o1 Improvement p� Y
�e�c r o �e-roo �z� � w
r�u�cnp w �.
�I - � �tt—J J U
3. Owner Information or Lessee iniortnalion If the Lessee cantrac ed tor 1he improvement: ,V Z�� J �
Gera�d (.ee a E I�zahe�Wi ��►� PQ�k�c(C � —� �n��o �
383a"�1eC'uc�.lvo�-�.� r, '�jh��h�I 5 �� 335`I � � �o�W N � w
�
Address City State � O=Z J a �
Interest in PropeAy: `p. � � � � y,�
Wu- � C� U
Name of Fee Simple Tilleholder: � � � �
(If different from Owner Ifsted ebove)
_
W � Y
Address ,�,�/l Cily State � Q � �..' � �Q..'
� Conlractor: An �/�Ty n � �-• 2 U U W •
Na i � S P l S ���`��hI��S � 3,3 5 y � �'_' F– .J Q V
State � LL W�'� LL
Address ���� z � J
813-�ea-�o9�1 � � � �- ¢ }
Contraclor's Telephone No. o � � � � Q W
J w Q � } p O ` �
5. Surety: � O Q � � a.>(
Name
Address Clly Slate 0 � Z O �� �
Amounl of Bond: $ Telephone No. w � Q J W�g
�"' � W � Z =
6. Lender N a m e N �-�— � 0 � n' m
Address Gty Slate
Lender's Telephane No.
7 Persons wilhin the State of Florida designated by fhe owner upon wham nolices ur olher documents may be served as orovided by s`�� �3 � •
Section 713.13(1)(a)(7),Florida Statutes:
��!) , "• �
Name � �� �
�o
Address Gty State � � �` � �
Telephone Number of Destgnated Person: ��� � " � � �
8. In addilion to himself,lhe owner designates ��— � �w � � e �
to receive a capy of lhe Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. �� � �
Telephone Number ot Person or Entity Designated by Owner• � •�`Q°
9. Expiration date of Notice of Commencement(the expiration date may nol be befare ihe completion of construclion and flnal paymenl to the
�`
t,� !
contractor,but will be one year from the date of recordfng unless a diHerenl dale fs�pecified): V� �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �' �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMEPIT MUST Bt
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty at perjury,I declare lhat I have read lhe foregoing nolice of commancemerd and Ihat the facts staled lherein are true to the besl
ol my knowledge and belief.
STAT � �A1/J-�d.—/�+ � /�
COUN O�,R�ABj"j0 ANGELA HAYWOOD
.w`•"�e'� i natur o Owner cr Leesee,or Owner'�or Lessee's Aulhorized
f `b`s Nolary PuDlic•State o1 Florlda 9
a'. E Oncer/Director/PartnerlManager
Commisilon I FF 912551
•�My Ccmm.Expin�Aup 24,2018
���R�Sp�QpQ�p�►�y.�/yA�i�l, Sfgnatory's Title/Office
The foregoing ihstrument was acknowledged helore me this�a'day ofJan� ,20 f�by ��l
as (lype of aulhority,e.g.,oHicer,lrustee,aftomey in fact)for
(n ne of party on behalf of wh m inslrument was execuled). • li
Personally Known 0 Og Protluced Identificalion CE Notary SignatureG�mc�.2a I�a�a� I
Type of Idenhficafion Produced I l�! Name(Prinp_� Q aV
Rept:1743295 Ree: 10.00
D5: 0.00 IT; 0.00
01/26/2016 J. R., Dply Clerk
PqULH S 0'NE3L,Ph.D PNSCO CLERK 4 COflPTROLLER
01/26/2019315 m 1 3656
wpdatalbcslnoticecommencement�c053048 OR BK P�
CITY OF ZEPHYRHILLS
5335-8TH STREET
' � (813)780-0020 6978
BUILDING PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16978 Address: 38331 EUCALYPTUS DR
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: DRIFTVI/OOD
Est.Value: Parcel Number: 02-26-21-0240-00000-0120
Improv. Cost: 4,098.00 OWNER INFORMATION
Date Issued: 1/26/2016 Name: NOGAR DAVID A& PETROCELLI DORA
' Total Fees: 60.00 Address: 38331 EUCALYPTUS DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/26/2016 Phone: 813-779-8441
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 60.00
��
Ins ections Re uired
DRY IN ROOF SP
TAPE JOINTS ROOF IN P �i
FINAL `Z'�'�Q
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.
,� �y (�t��
ONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �j 3 '�v a _�O�
Phone Contact for Permitting
Owners Name �rQ �'�f 0��� I 1 Owner Phone Number ����7� l—U� I I
Owner's Address �� L vC� TUJ �ll�• � � �1�I S J y�Owner Phone.Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS �J�J�( ���-i TUS � " � � h�llS�l 335�a LOT# �
SUBDIVISION :(T-1 ��� � PARCEL ID# Da -a�-a I-b a y� -t�oc�a-o�a �
(OBTAINED FROM PROPERTY TAX NO7lCE) .
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM 0 OTHER
t`TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
, DESCRIPTION OF WORK eCt.`�Ot'�" ��'"�OU��l��D S UGi�P,� C� �� I �hi� ��P
� BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ � ��(`), � VALUATION OF TOTAL CONSTRUCTION
CJ
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0
OPLUMBING $ �(_� ` V
�(1. V
jc
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COAAPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHAfdICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER ��� �I ��� COMPANY � ,u�f� ` G� ' '�'�'
SIGNATURE ���� REGISTERED Y Z N FEE C RE� Y/N
' Address � ���� SI� `, LQ h (h,I I S 3 35�� License# C �3�S S�S
I � � � � � � � t � i � � � iiis � t � � � � � � i � � � � � isi � e � � � � � � ii � � � i � a � � � � � � � � � � � � � iei �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/Iarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:• . ` . - • ' ` � . - .
Fill out application'completely: ' � ' : _ ' '
• OwneP&Contractor sign back of application,notarized ' , ',... ' ' • �
If over-$2500,�a.Notice of Coinmencement is required. (A/C upgrades over$7500) , �-:, � ,,t„'-� � , �: �
_ . Agent.(for the contracto�}or Power of Attomey(for the owner)would be someorie with notarized letter•.from-owner.autborizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
. 1llllllllllll!l11111411lIlIIIIIlIlllll!lllllll!!!IIlllllllll �
" 2016012445
' Permit No, ParceV iD No CJ� -� �y��^��`I D �0����^v I!x V
� /''" NC1TiCE QF COMMENCEME r �
State ot 1 ���1"'-\ County of `^J`� �
THE UNDERSIGNEp hereby gives nqtice that improvement witt be made to certain reai property,arn!in accatdance with Chapter 713,Ftorida Statutes, ;
the tollowing informatloo is provided in this Notice at CommenceIm�e /_ -b���a �1
1. Description of PropeAy: Parcel Identifical(on No. f l�.��V�'� � ����� -b�a Q
StreetAddress: �l �7 ����'� �� 'c.��• `�- � f r�t�� �� ��S t�
2. GeneralDescriptionotimprovement {�Q� U'i�T ��`r�d'P` A ���T �
. y � Z� i1'i� -4
3. 4wner iniorma qn or Lessee information if the lessee contracted for the impsovement: rn r �" � �
n e ) u �' �" aao�
ame.r � � ���1 � �'"'�� � (�'j'► "�
383 C�c�.���� r. t� �r h � � I a Z Q o a �
AdaresS �—T c�t'��� staie m „�� S'+'�+%Cl�1 �
, Interest In Property: t�' Q Z C i�TI�
� � �W �� � '
Name of Fee Simple Titleholder� D t'� "'S—{�`
{It diftere�t ftom Owner Ilsted above) ['� (^j�
m � �o�r,
� Address Cily Slete �
Contractor. Na e � ���� ��C ��� �, 3�� � O� �� �'
�it3 5 ZQ.��! � � �,��
Cont actor's Telephone No. V I���������� City Slate � \ � Z���
m -ro
5. Surery: � '"� � =D +� �
Mame C .'0 N p �Q(��'
aadress Ciry State � ��j y p C��
A m o u n t o t B a n d: S Tefe phone No. n r r^�'��
r I T l u� -n f n� C�
6. Lender �' � m-"�D
Name
Address City 6tate
lender's 7elephone No.
7 Persons within Ihe Stale of Florida designaled by the owner upon whom notices or olher documents may be served as provided by y �
Section 713.13(i){a)(7},Ftorida Statutes: "'� y�jj�,,
�i o ,�y,��'
Name � .
.� , +.. . &e�
Address Gity State � � ± r+� �
7elephone Numher ol Designated Person: � yi �„ � • �
� � �, � , � � . s �3
8. In atlditlon to himself,the owner designates �t� , �'�
to receive a capy af the Lienots Notice as pravided{n Sectian 713.13{7a{b),Florida Statutes. �
� w� � `<g' e
� Telephane Number a(Person or E�tily Designated by Owner. �� �a"""� ��
I 9. Explfation date af Notice of Gommencemen!{the expiration dale may nol be before lhe complelion of conslruction and final payment to tbe � � ��
i conlractor,but wiN be one yeer from Ihe dale of recording unless a tlifferent date is specified): � • �' � Q�d�
WARNING TO OWNER: ANY PAYMENTS MADE BY TH�OWt3ER AF'tEf2 THE EXPiRATkON OF TFiE NOTICE OF CQMMERfGEMENT _ � �
ARE CONSIpERED IMPRpPER PAYMENTS UNDER CNAPTER 713, PART 1, SECTION 713.13, FLORipA S7ATUTES, AND CAN
RESULT iN YOUR PAYtNG TWICE F4R IMPROVEMENTS T4 YOUR PR4PERTY. A NO?ICE QF COMMENCEMENT MUST BE
RECORDED AND POS7ED ON THE JOB SITE BEFORE THE FIRS7 INSPECTION. �F YOU INTENd TQ OBTAtk FtNANCiNG,CONSULT
WITH Y6UR LENDER qR AN ATTORNEY BEFORE COMMENGING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
� Under peaalry of perjury,!declare that 1 have read the foregoing notice of commencement and that the facts staled therein ara true to lhe best
af my knovAedge and beUet. -
� S i�i� `
� c N sco Al18Eu HAYWbOD
�p��.���}�S Iyn u of 4wner or lessee,or Qwner's or Lessee's Authorized
������4tZ�y� Officer/Director/PaAner/Manager
i • 41r Capq1.Etptnf Aug ZI,20i8
�� �y� Sig�atory's Tittet0lSice
� The foregoing instrument was acknowledged beforc me this��day oN�A�I�'!� ,20��¢by V"""'^
i as (type af authority,e.g.,officer,Wsfee,attomey in laci)for
i (na e of pariy on b'e1haif of who7'instrumenf was executed).
Personaliy Known O OR Produced IdentiNcation� Notary Signature �� 4' .�^"�^'`
Type of Idantification Praduced��t� _.__� Name tPrfrt) G Cl (a,�,V-�{��
Rcpf.:1743295 Rec: 10.00
DS: 0.00 I7: 0.0@
01/26/2016 J. R., Dpty Clerk
pRULR 5 0'NEIL,Ph D PP5G0 CLERK & COMPTROLLER
030R68K�������m PG ����
wpdatalbcs/notiaecommencement,.pc053048
�
CITY OF ZEPHYRHILLS
5335-8TH STREET
• � (813)780-0020 16 9
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16979 Address: 38213 EUCALYPTUS DR
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-0270-00000-0170
Improv. Cost: 6,404.00 OWNER INFORMATION
Date Issued: 1/26/2016 Name: GARCIA SANDRA
Total Fees: 70.00 Address: 38213 EUCALYPTUS DR
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-6646
Date Paid: 1/26/2016 Phone: 813-779-8441
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES -
RYMAN ROOFING INC REROOF RESIDENTIAL 70.00
� '\,n . �
�( � l
� �
Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP t_
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�� I�' �
CO TRACTOR IGNAT RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�saso-oozo � City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
I Date Received Phone Contact for Permitting �� � � V���Q� l e�� u� � ,
�
Owner's Name n V� ���CI�- Owner Phone Number V r� �� 1-���1
Owner'sAddress ��d �� �UCG-l`j ��S (.1;• �� (h�IIS �:JS} OwnerPhoneNumber
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3�a�3 �-uC Q� }U S �(• 6/�h ( h;��5 F� 3354 a, LOT# �
SUBDIVISION �I�T��O(.J�� PARCEL ID# VG���'(� `a� 'V�� �' v��� �����
(OBTAINED FROM PROPERTY TAX NOTCE)
WORK PROPOSED e NSTALLSTR B REPAIR � SIGN � 0 DEMOLISH
PROPOSED USE � SFR Q COMM � OTHER
. TYPE OF CONSTRUCTION � BLOCK _ Q FRAME � STEEL �
DESCRIPTION OF WORK ��� ��'" �''��U� �.5 S uQr�e 5 Q� j�a,l� s�l n�l� �
' BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ )��O� —" VALUATION OF TOTAL CONSTRUCTION
�
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C.
OPLUMBING $ ��
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l `�'�
�
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPAfdY
SIGPJATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER 1I��p I `, COMPANY � V.���-(� "Ov' '� �nC '
SIGNATURE ��C � I Y�`^-� LL1�� � REGISTERED Yj N FEE CURRE� Y/N
Address � to't(J �J�1 S� �1 � h��� 5 3�J y� License# CCC f 3 a SSU S
� � � e � s � e � � � e � � � � � � e � � � � � s � i � � � � � e � � � � � i � � � ii � � � � � � � � � � � � � � � � i � � � � e �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance I
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERT'Y SURVEY required for all NEW construction.
. . . . .�_.
Directions:.�'. _ -. .. _ , � , -, •..�- , • .- . . .. : .. .. . .. ..
Fill out a lication�com leYel , _ � � ' - ' "
PP. P Y�_; , .
Owne�.&Contractor sign.back,of,application,notarized � -� �
If over$2500;,a:Notice of.Gommencement is,required. (A/C upgrades over$7500) ' " �•�,; -_ ' �•� . - '
" Agent,(for the contracto�)or Power�of Attomey(for.the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
iiiiii�iiiiiiiiiiiiiii�iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
, • 2016012443
PermitNo. ParcellDNo ba-a�,a I -ba�v -��0 -61�b
/ NOTICE OF COMMENCEMEj�T
State o( 1J I 6���� Caunty of �as c o
THE UNDERSIGNED hereby gives notice lhat improvement wfll be made lo certain real praperty,and In accardance with Chapter 713,Florida Statutes,
Ihe following information is provlded in lhis Nolice af Commen nt:� a i-ba�o -aoo a o -a��0
1. Description of Property� Parcel Identificatfon No. ��- ��
StreelAdd�ess: ���I� �U�fYN��S �' ���/�h��l 1 �� 3.35�fd
2. Generel Description of Impravem nt
-�e�r o� �e-ro
3. Owner Inlormalton or Lessee fntormation if Ihe Lessee contracted tar the improvement: F � Y
U
�
� �,d�r� Gr��c�e� �W,� � W J
3��f3 �cc�I•��t�s ��. ��r h�(I 5 F( 335�a, c'�.9 z��� �� �
Address Cll State � — V�J � �
Interesl In Property: � O�= Q N � n.
Name of Fee Simple Titleholder � W W ~ � 4` �
(If diHerent trom Owner listed above) � �� Z —j
� � � Q �
Address __�+ City Slate � W LL �' U �(�
� Conlractor: �1�n (�1�1 n �C• � 2� O�- otS
Nam���I �� CQ 4 �Tpnh�r hl �I� �I 3354�1 Q �� !11 Q Y
lJl\
AdOress (� p�( Cit Slale � _� U � W �
Contractor's Telephone No. U I�—�A�" �O-1 l Q� � � Q U
� � c� m_o „_.
5. Surety: W� Z O J
Name � f-- Q' aQ �- W
Cil State � � � u'S a Z
Address y � O Q � � � O �`
Amount ol Bond: $ Telephane No.
o � a � ��c�
6. Lender �
Name F _ W —1 W
Address Cily State � _ � z ��Q }
Lender's Telephone No. (n �-- {— �� n. C!l
7, Persons within lhe Stale o(Florida designated by the owner upon whom notices or olher documents may be served as provided by
Section 713.13(1)(a)(7),Florida Slatutes:
Name
����� � �. �
Address City State � �
Telephone Number o1 Desfgnated Person: � , �
8. In additlon to himsetf,the ovmer designates of_ � � � � :a i } �
lo receive a copy of the Lienor's Nolice as provided in Section 713.13(1)(b),Florida Statules. � � `�� � �
Telephone Number of Person or Entiry Designated by Owner:
�'� � �� ' �
9. Explration dale ol Nolice o(Commencement(the expiretian dale may nat be before lhe wmplellon ot conslruction and final payment lo Ihe � , � , �
conlractor,bul will he one year fram the dale of recording unless a ditferent date is specifled): �
�
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �� l�
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN B �
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERN. A NOTICE OF COMMENCEMENT MUST BE �
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT � �
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty o(pe�ury,I declare that I have read Ihe(oregoing notice of commencemenl and that fhe tacts slated thereln are true to the best
of my knovAedge and beUef.
L � �
¢oUN.TY�oFPASCO AN�EUM�YW�OD �����G�� /�-t� �Ld�
� % °`�'' Notuy Publle-SUte ol Flotlda Signature f er or Lesse ,or Owners or Lessee s Authorized
•��
';f Commleaion t Ff 912551 Oflicer/Direclor/PaAnerlManager
�`:;`��• Comm.E�lras AuC 21�2019
�'�P,6� BOId14tl��1�1��y�' Signalory'sTlllelORice
The foregofng instrument was acknowledged before me this��ay of�Q�`�� ,20�,by 6w��
as � (lype of authority,e.g.,oKcer,lruslee,attomey in fact)for
(n me of party an pehalf ol whom inslrument was ezeculed).
—/ � � C��
Personally Known❑O�Produced Identificetion,�" Notery Signature
Type of Itlent�cation Produced F� V� Name(Prinl) e Q a (A��
Rcpt:1743293 Rec: 10.00
DS: 0.00 IT: 0.00
01/26/2016 J. R., Dply Clerk
PFl1LR 5 0'NEIL,Ph.D PRSCO CLERK & COMPTROLLER
01/�R6BK 1�315 m P� 3660
wptlatalb cs/noticecammencemenl�c053048
�
CITY OF ZEPHYRHILLS
5335-8TH STREET
' � (813)780-0020 1698 �
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16980 Address: 38254 EUCALYPTUS DR
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-0270000000-0070
Improv. Cost: 6,404.00 ` OWNER INFORMATION
Date Issued: 1/26/2016 Name: AMBLER CYNTHIA
Total.Fees: 70.00 Address: 38254 EUCALYPTUS DR
Amount Paid: 70.00 ZEPHYRHILLS FL 33542
Date Paid: 1/26/2016 Phone: 8137883539
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 70.00
�
�
��
Ins ections Re uired -
DRY IN ROOF INSP
TAPE JOINTS ROOF IN P •
FINAL �L'"I��� �
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 properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
G� (,{�DOUI
�ONTRACT� R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
euilding Department
Date Received (��3 7�a -�aq� �x� a 5 i�
Phone Contact for Perrreitting
Owners Name � I T`��� ��I�� Owner Phone Number CJ13'�� 1 � U 1_I I
Owner's Address �C����1 � ' � � O+• (�'1i��5 33 � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS , ���� �UC�-� ��-5 � �� ►1 �h(��S �� 3 3 5� � LOT# �
SUBDIVISION ✓����u�� � PARCEL ID# V(����` �( '��7�� CJ��������
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR Q COMM 0 OTHER
TYPE OF COIdSTRUCTION Q BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK C C�-� O�F"t" I �J�Cd�` �S S UQ�eS l�S, ��('q,�+ ��I�I IL'S
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ ��I��I '— VALUATION OF TOTAL CONSTRUCTION
_�
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C.
' �PLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �lll [ �a
�GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER f�"' 1/��� COMPANY /YU�'(� �W'��a �nC�
SIGNATURE `�I�`"-/ �'�''L�� REGISTERED Y)/ N FEE G� RRE� Y/N
Address �lU�l I 3 Sr�, Sy h c h<<I5(l 33591 License# M1CC�J��S�S
� � ii � s � s � � s � i � � t � ies � � sae � s � oso � � � � e � a � � � � s � � si � � i � � � � � � i � � � � t � � � � e
RESIDEIdTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""`PROPERTY SURVEY required for all NEW construction.
. .
Directions: � � � ' `
` Fill out application completely'.`: ' ' ` " - � � .• ,
Owner'&'Contrac4or sign back of application,notarized - "� ' '� ,
' If over.$2500,a Notice�of ComMencement is required. (A/C upgrades over$7500) ';" ,' '
• ":�Agent(for the.contractor)or:Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
i I
.
. � 11111111111111i1111111111111111111111IIIII1111111111I11f 1111
z0iseizaa2
Permit No. Parcel ID No oa-a�-a�- �a�o" bUQ�1�'���
/ �a��ce o�can�M��tcenn�{-���7
' State ot 1 I b�1 l,/�� County of 1 l.���V
THE tINDERSlGNE6 hereby gives notice that imptavemenf wlil be made to certaln reai property,a�d in accordance with Chapter 7f3,Ftattda SKatufes,
the following intormation is provided in this Notice of CommencemenPp� /�� Y� x r7
1. DescrlpNon of Property: Parcel Idenllfication No. lJ�-�l(J`�I-Q�1 V� V�4�b �b� I� -
StreelAddress: �./V�S� ����t��t).� , c�,���!{����.� �t 33'��a
E
2. General Descrip[ion o(Imprpv ment
. �f�tf(}���-(C{J� �i.S ei� � �
I, 3. Owner Informalion or Lessee inTormatlon if the lesaee conlracted far the improvement: ,�z��y J U
��t��t cx� �m�!er �Q ca v��"; o �
� ame���5� C()�(.�' ��pll�5 D�r (.l'p�'��h���'� 1'� 3354d � W �F- �J.I �� W
Address Ci ty S t a t e �(Y 4 L 1 z � n- p
iatereat in Properiy: � 0�� Q
Name of Fee Sfmple Titleholder: � W(��� �
{if diflerent from Owner Iisted abave} � ��ty� o j$
Address �Qn .,„(' Tn�• City State � Q � �� �r
� Contractor � �XJr'� �i /- ^2C
Narr�e`)tU i{� �,.} �� �(.1 t I`���t� J F^� �.1 J�{� ";� y~- h^-�Q U �
Address Q r'� �} �J City�� State � LL W j"� �-i-
Contractor's Telephone No, vI 3� I�d����� I ��'� a� �W
5. Surely I.�t, � a � y. � Z ` } i
Name �y O ,�U, � � � ^�
Address City State � � Q �.�� �
Amount of Bond: $ Telephone No.• � � ��z g
�
6. Lender: 1^ _ (� Z �-
Name td3 F- F- Q� � {Y3
Address City State
Lender'S Telephone No.
7 Persons wilhin fhe State of Ffodda designated 6y the pwner upon whom notices or other documents may be served as provided by ��� �, � �
Section 713.13(1)(a)(7),Florida Statutes: ���� m � `0 ' �
Name �-. �
Addtess City Stale �° h�.,�� �
�
Telephone�Number of Qesignated Person: � ° � �� � �.i
� O � 88„
8. In addition to himself,the owner designales of� � CT '"9 s �
to rece'sve a copy ot the lienpr's Noiice as provided in Section 713.58(t)(b),Ftortda 8tatutes. '� ` �
Telephone Number of Persan or EntNy Designated by Owner: ���� � I`Q`
9. Expiration date of Nofice of Cammencement(the expfratian date may not 6e before the completian of constructlun and final paymen(to!he � �
contractor,but will be one year from the date ai recording untess a diBerent dafe is specified): �t' {� �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER 7HE EXPIRATION(JF THE NOTICE OF COMMENCEMENT
ARE GONStDEREO IMPROPER PAYMENTS UNOER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT !N YOUR PAYING TNltCE FOR lMPROVEMENTS TO YOUR PROPERTY A Np710E OF Gt)MMENCEMENT MUST eE
RECQRDED AND POSTED ON THE JOB Si7E BEFORE 7HE FIRST tNSPECTiON. (F YOU iNTEN6 TO OB7AiN FINANCiNG,CONSUIT
WITH YOUR LENOER OR AN ATfORNEY BEFORE COMMENCING WORK qR RECOROING YOUR NOTICE OF COMMENCEMENT
Under penatfy af perjury,i deciare th8t i have read the faregoing notice ot commencement and that the facts stated thereln are true 10 the 6est
ot my knowledge and beliet.
� I
STAT �� �
COU ��,�"��0 AN6ELA MAYW4QD
3 ���,y�4+§ NOtaty PubAC�State cf FIptI4a Signat e of er ar essee,ar Owner's ar Lessee's Authorized
+�q�y CommU�IpH 1 fF p12551 Omcer! IrectoriPartnertManager
;:i�����My Comm.Ezpire�Aup 2�,2019
•�� 8ond8dthraugStNatipt�t{ot3ryAssn. Signatory'sT"�iletOffice ,
t sa
The toregoing inslrument was acknowtedged betore me lhis a d�day ofJ�n��,20��,by 1ktJR+.�
eg (type oI authority,e.g.,oKicer,Wstee,attomey In facp far
(n e af pacty on.qehatf of whqm tnstcument was executed}.
Persanally Known�O�F Produced Itlentificatlon 8� Notary Signalure �4.. Y ���-
Type af fdentification Produced ��- �y� Name(Ptint� �.
Rcpf.:1743295 Rec: 10.00
dS: 0.00 IT: 0.00
01/26/2016 J. R., Dpt,y Clerk
PAULB 5 0'NEIL,Ph O.AASCO C6ERK S COMPTftOI�ER
01/26I201�315 m � 3659
wpdatalbcsMolicecommencemeM�c053048 OR BK PG
CITY OF ZEPHYRHILLS I�
5335-8TH STREE7
• � (8i3)78o-oozo 1 81
BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 16981 Address: 38250 EUCALYPTUS DR
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: DRIFTVI/OOD
Est. Value: Parcel Number: 02-26-21-0270-00000-0060
Improv. Cost: 5,891.00 OWNER INFORMATION
Date Issued: 1/26/2016 Name: TRAEGDE CRYSTAL
Total Fees: 65.00 Address: 38250 EUCALYPTUS DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-6645
Date Paid: 1/26/2016 Phone: 813-779-8441 '
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 65.00
�
�
' �Ins ections R i
, e u red
DRY IN ROOF INSP
TAPE JOINTS ROOF IN P .
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 properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
, "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain f nancing,consult with your lender or an attorney
I �
before recording your notice of commencement.
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
' NO OCCUPANCY BEFORE C.O.
� � lV
C NTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
_ �
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Reeeived �l '��a ��� � �
Phone Contact for Permitting
Owner's Name '�� C�, I �Q� (�lJ�_ Owner Phone Number V I���� -V�1 I
Owner's Address ��Q��� 1� vC�� �S�/r -I1 I1��IS � � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �v�S� ►/�U CCf.� �"l�� �'1 �hl I I S r � ��S�f V' LOT# �
SUBDIVISION �If I�l.�-�(� ,j� PARCEL ID# L�� -d b-a I -ba"7b -���b -(�(�0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK eCi'.�U� �e-�ec-�' �,� S cx�.rPS C�s� h�.lf�h�� ��e
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ � �C�(' — VALUATION OF TOTAL CONSTRUCTION
�i r
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C.
OPLUMBING $ ���/
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��
QGAS 0 ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED , Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER n \� , I, COMPANY ►° �4n �6�n —Y� '
SIGNATURE � I ���I Y WUO O� REGISTERED �/ N FEE Ctl RE� Y/N
Address (p �� � � P� i��, � 33 ��� License# ��CC i3a 55aS
IIIIIIIIIIIIIBIIIIIIIIIIIIIIIIIIIIIIS11111111111111111111111111l111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/Iarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans. '
•"•PROPERTY SURVEY required for all NEW construction.
. . . . . . .
Directions:• � ' �
Fill out application completely. �, � , .. �� ' •
Owner&Contractor,sign back of application,notarized --� -, , , ,_ �
' If'over$2500;a,Notice=of Commencement is required. (A/C upgrades over$7500) �• , , , . �
•', Agent(for the contractor),or Power of Attomey(for the owner)would be someone with notariied letter frbm�oinrner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
�
�� . . IIIIIlIIINIIIIIIIIIINIIININIIIIIIIIIIIIIIIIIIINIUINII
2016012qqq
Pertnit No. Parcel ID No ba-a�-a I - �a�4 -Oc��ab '����
NOTICE OF COMMENCEMEN�
State oi V I b����- County oi a 5�o
THE UNDERSIGNED hereby gives notice lhat improvemenl will be made to certain real propeAy,and in accordance with Chapter 713,Florida Statules,
the following infortnalion is provided in this Notice of Commenceme�a_a�-a�� 6a�o '����U — 6�1D�
1 Descriplion of Property Parcel Identification No. �7"
Streel Address: JU�SO �U CCL I�� U S �(• UGp �/(�t ��S F I 3 35`f a
�pJ,� Y
2. General Description oi Improve�^ent ��U � W
����_ , J �
' TP�� 6�F �e-�oo� .`?
Z� p�� �--
' 3. Owner Information or Lessee In(ormalian i11he Lessee contracted tor the improvement: �— U(n J Q �
C� S�al �� e de. ��o� W N� W
�WZ� o
Address 38��� ��cq lypf /J�. �7�6�. (h, II S F 1 335yd State � o� o Q o
�� U U
Inlerest in Property: � W�Q �
�
Name oi Fee Simple Titlehalder � ~ a W � Y
(It different from Owner listed above) � Q �p� �
Address ,�/� (' City S ta te = V V' � • W '
� CoNraclor• I'IQ ��1—�n �n C• � ~ ~ �Q J
Nam � Ump �U
13 SR 5 �h.�r h�IS FI 3354) �� �� zo �
Address ���—�S�_ f_O�� City Sfate � � � � = Q �J,J �
Contractor's Telephone No. ��� � �O O o O ^
s. s��e�Y �- O a p � �
Name � � Z �
Address City State � � W J w g
Amount of Bond: 5 Telephone No. � _�z I_'_V a }
� F--F-.O� n. W
6. Lender•
Name
Address City State
Lender's Tetephone No.
7 Persons within the State o(Florida designaled by lhe owner upon whom nolices or other documenls may be served as provided by �p��� �Q � �
Seclion 713,13(1)(a)(7),Florida Stalules: ��
Name `�� �� :' �
� � � ��
� q �
Address City State �"' � � � �''�� o �
Telephone Number of Deslgnated Person. � • � � o �
8. In addition to himself,the owner desfgnates o�_ `� � �
to receive a copy of the Lienor's Notice as provided In Secllon 713.13(1)(b),Floride Statutes. � � ' �
Telephane Number of Person or Entity Designated by Owner: � • �
0
9. Expiretlon date o(Notice of Commencement(the expiratfon date may not be before the compielion oi consiruclion antl final paymenl lo ihe ��� � �� �
conlractor,bul will be one year tram the dale of recording unless e different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMEtJTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of pery'ury,I declare that I have read the toregoing notice of commencement and lhal the tacls stated iherein ara Irue to the besl
of my knowledge and belief.
O��pf PASCOANGELA NAYWOOD ' � " " ' " � `" 'Q—�
��� nti��
`Ar'�• ignature o er or Lessee,or Owner's Lessee's Aulhorized
� a� Notary Public•State of Fbrlde
Commiulon s FF 912551 orrceno e or/Pariner/Manager
•_My Comm.Espirce Aup 21,2019
'Pi'7uit�` BondOdtlm�NitlonalNatarYAsuL Signatory'sTitlelOffice
The foregoing instrumen!was acknowledged before me this��day of (1 UQI� ,20I�,by nW�+u
as (type ot aulhoriry,e.g.,oificer,trustee,atlomey in fact)for
(na e ot party on beha�i of whom fngtrument was eaecuted).
Personally Known 0 OR Produced Itlentlilcalion�" Notary Signature i N C.����
TypeotldentificationProtluced I/L �l� Name(Prinl) !0. '`W W�
Rcpt:1743295 Rec: 10.00
D5: 0.00 IT: 0.00
01/26/2016 J. R., Dpty Clerk
PRULq S 0'NEII,Ph D PpSCO CLERK B COMPTROLLER
01/26/2016 11:30am 1 of 1
wpdala/bcs/noticecommencement�c053048 OR BK g315 P� 3661 ',
f ,
CITY OF ZEPHYRHILLS I�
5335-8TH STREEf �
' � (813)780-0020 1698
� BUILDING PERMIT
' PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16982 Address: 38319 EUCALYPTUS DR
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: DRIFTWOOD '
Est. Value: _ Parcel Number: 02-26-21-0240-00000-0160
Improv. Cost: 5,891.00 OWNER INFORMATION
Date Issued: 1/26/2016 Name: BERNOSKY, ROSE & GERALD
Total Fees: 65.00 Address: 38319 EUCALYPTUS DR
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/26/2016 Phone: (813)715-6215
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 65.00
�
�
Ins ections Re uired
DRY IN ROOF INSP '
TAPE JOINTS ROOF IN P
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 properly that
' may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properLy. 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� �t,�b�
C TRACTO SIGNATURE PERMIT OFFI R .
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, s�3-7go-oaza City of Zephyrhills Permit Application Fax 893-T80-Oa21 '
Building Department
Date Received Phone Contact fpr Permitting (�I� � ( l;J�—lC�`I �'� ���
-I""1-7TC"
l� ���l l�l ��� �51� Owner Phone Plumber �IJ ��� �1�� j
Owners Name � e� (� 1
Owner's Address � ��t ����-� l���` ' t�2 �}�;(lry�il�� �Owner Phone Atumber � � I
Fee Simpte Titiehalder Name 4wner Phone Number �— _�
Fee Simpie Titlehoider Address
JOB ADDRESS 3 g3i`? �U cai �,j ��, � � ��IS I�� ✓ �S�a• LOT# ��
SUBDIVISION ��f�11,(,�L`d 1_-- PARCEL ID# lJ����'��'��`f�9 bL,u-lJ""���?�
{C}STAINED FROM P120PERTY TAX NQ110E)
WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISN
INSTAI..I. REPAIR
PROPOSED USE 0 SFR Q CCJNiM � OTHER i
TYPE OF CONSTRUCTION � BLOCK FRAME � S7EEL �
DESCRIPTION OF WORK �C�a� �`� I �� i C..Y,�� CV�S (:Dr�S �lcSi I 1�L1 T 1,����'I�S
BUILDING SIZE � � SQ FOOTAGE C� MEIGHT [��
�BUILDING �?i���T""�'�—�"�S �3rq UATION QF TOTAL CONSTRUCTION
��� � �
0 � � ANtP SERVICE � PRQGRESS Et�3ERGY 0 W.R.E.G.
E�ECTRICAL $ ....�.....
�PLUMBING r> � � 7��
L �� j
�MECHANIGAL $ VALUATION t7F MECHANIGR�ft�{STA�LATION I (
OGAS 0 ftOOFING Q SPECtALTY 0 QTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO
BUI�DER � � GOMPA�1lY
SIGNATURE REGISTERED Y/ N FEE CURREA Y I N �
Address License# � �
ELEGTRICIAN � � COMPANY
SlGNATURE REGISTEREQ Y I N FEE CURRER Y 1 N
( Address License# �—
PLUMBER �� � COMPANY
SIGNi4TURE REGISTEREd Y 1 N FEE Ct1RRER Y 1 C�I
Address Lice�se# �` �
I
MECHANICAL � COMPANY
SIGHATURE � ftEGISTERED Y J N FEE CURREh Y J N
Address License# � �
OTHER �� n � �, y�v�p COIVIPANY j��C(� G(��r n� --1-�.
StGNATUk2E ��1� ����� �'�•� ���" REGISTERED Y�/ N FEE CURREt1 Y/N
Address 7 , � � �) (�� � ����� License# ,(,.,lr�+J��J�V� �
v1l1lllit / t1 / � llt ! l0111 1lII ! lt11 / 111 / 111 / 111 ! ! l / Iit / i1111 [ ti � itlii
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;Ft-O-W Permit for new construction,
Minimum ten(10)working days after submittal dete. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence i�stalled,
Sanitary Facilities&1 dumpster,Site Work Permit far subdivisionsilarge projects
COMMERCiAL Attach(3)complete sets of Bui�ding Pians pius a�ife Safety Page;(1)set of Energy Forms.R-Q-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Faciiities&1 dumpster Site Work Permik for at!new pro}ecis.Ail commercial requiremenYs musf ineet camptiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*'•'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Gontractor sign back of appticatian,notarized
if over$2500,a Notiae ot Commencement Es reqnired. (A/C upgrades aver$7500}
" Agent(for the contractar)or Power of Attorney(for the owner)would be someone with natarized letter from owner authorizing same
OVER THE C4UNTER PERMiTTfNG' {Front of Appiication Only} •� • . �. .. . , _
Reroofs if sliingles Sewers � Service Upgrades A/C Fences(PIoUSurvey/Footage); ,
, , � . - ::��
Driveways-Not over Counter if ori�publ3o roadways..needs ROW `_ ' ' , -� �
. iiiiiiiiiiiiiiiiiiiiii�iiiiiiiiiiiiiiiiiiiiiiiiii�iiiiiiiui
• 2016012441
Permit No. Pa�cel ID No o a-a�-a i �d a�o - oo�o ^ ���O�
_I NOTICE OF COMMENCEMENTn
State of �1����`"L County of I Q 5��
THE UNDERSIGNED hereby gives notice Ihat Improvement will be made to certain real praperty,and in accordance with Chapter 713,Florida Statutes,
the following informatlon is provided(n Ihis Notice of Commencement: ^� u
i, Desuiption of Property: Parcel Idenlificatian No. ��{��a�~�I� �� I�'�D�v� - 6 f(�a
SlreelAddress: �JS�19 �UC���II�S VJ�' CJ1J/t'J���I�IS F� ��5�'�
2. General Desc�iption of Improve enl ��`/ / ��/�
��� UT'r 1 l ��VU'r' ¢Z V Q' L�11
� �� � W J
3. Owner Information or Lessee infa atian i(the lessee contracted for the improvement: � � �V„— J U
6eia-I c(. �. �v5e �ei�OsK� � z� �J �o �
3 3'��'� C-�cal y pf�s (��- ZTh��h��i 5 FJ 3354a a � o � W N � �
Address City Slate �, w W � p
� Interest In Property: � Q �p Q O
Name ot Fee Simple Titlehotder• � w � � V V
(If diflerenl from Owner Iisled above) � Z� �LL„ �
Address � Clty Siate � � Q. W Q Y _
� Cantrector• mQn n �n C- ,r V Q ��p )
Name3(��{�3 SU` � �nI'��hil 5 �� ��JS�1� ���JZ W
Address ��3_��a_��q� Cit State � �W�Z O J
Contractor's Telephone No.
� �� ls2 QW II
s. surery: � � IJJ Q Q} p Z
Name U C}� � �
' Address City State (�] �z o U? (�
Amount af Bond: S Telephone No.: � (�Q�W '¢
� N�lL,2 J
6. Lender. �g�Z F= Q }
Name
�e—FO� o. a]
Address Cily Slate
Lender's Telephone No.
7 Persons within lhe State at Floritla designated by lhe owner upon whom notices or other documents may be served as provided by
Seclion 713.13(1)(a)(7),Florida Stalutes: ��'� � � '
Name ��� ' B �
Address City State �� � [a ^, �
Telephone Number af Designated Person: �•• Z.�
d �
r I nates o� `s' ° � ��� 0 �
8. In addition to himself,the owne des g —
to receWe a capy of the Llenors Nolice as provided in Section 713.13(1)(b),Florida Statutes. �, m � T � o �
Telephone Number of Person or Enlity Deslgnated by Owner: � '� � �
9. Expiration dale of Notice o(Cammencement(the expirat(on date may not be befare lhe complelion o(conslructian and final paymenl to the ��. �,��
cantractor,but will be one year from the dale of recording unless a diHerent date is specified): � Q
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT j�. •* �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,1 declare that I have read the foregoing notice of commencemenl and Ihat the•facls stated thereln are true to the best
of my knowledge and belie(.
ST TE OF FLORIDA ��
CO NTY�„
.o.a, ANGELA HAYWOOD ignature of Owner or Lessee,or Owner's or Lessee's Aulhorized
:r°. `4's_ Notafy PubIIC-State ol Floridt OificeADireclor/PaAnedManager
` Cammlatlon p FF 912551
�j��r My Comm.E�tplreD Aup 2I,2019 Signatory's 7itle/Office
lY,�;1'� ��py�lj�lfOfl�HChIyAt9�r
The toregoing instrument was ac nowle ge b o me thls ��day o n�r .20�,by d��
as (typa of aulhority,e.g.,oKcer,irustee,attomey in lact)for
(name of party on behalf of whom instrument was executed).
Personally Known O 03 P�oduced Identificatlon�� Nolary Signature ��"`
Type of Identification Produced I/L r G— Name(Print) �C �L f W
RcpE:1743295 Rec: 10.00 �
DS: 0,00 IT: 0.00 •
01/26/2016 J, R., Dpty Clerk
PRULfi 5 0'NE1L,Ph D PRSCO CLERK 4 COIIPTFOLLER
wpdata/bcs/noticecommencemenl�c053048 01'26'Z019315 m PG 3658 I
OR BK
�i ,
Ryman Roofing , Inc .
36413 SR 54 Zephyrhills, FL. 33541
Lic. #CCC 1325505
8]3-782-b094 PH. 813-788-6773 FAX
Customer: Driftwood I-fOA Date: 12/17/IS Code#•
Address:38254 Eucalyptus Dr.Zephyi�hills FL 335�12
38319 Eucalyptus Dr.Zephyrllills FL 33542
38213 Eucalyptus Dr. Zephyrhifls FL 3�542 ,
38323 Eucalyptus Dr.Zephyrhills FL 33542' ,����;y„� �l� G��
38327 Eucalyptus Dr.Zephyrliill"s FL 33542�
38331 Eucalyptus Dr.Zepl�yrhills FL 33542
38250 Eucalyptus Dr.Zephyrhills F.L 33543
Contact Numbers: 813-779-8441 Bob Rothgeb
Job Description: Re Roof on 7 units
f Complete tear off of existing Asphalt shingles.
2, Secure all loose decking according to Florida Building Code.6"on center
3. Roof dried in_with synthetic underlay.ment per Florida Code.
4. Install new lead boots � �����
5. Install new general roof'vents to n�atcH existing. - :i„yk�'�i Q��i�
6. Install new 6"drip edge. Color: VJhite•. , ,
7, lnstall new 30yr Dimensional Shingles ',,% �
8. Manufac�u+•er:GAF � '
9. Color:__-�r}ate :n``.. •�� $�'���t� .
I0:All-roof``related,debi-is:renio'ved'forni jobSite, Pick lip all loose nails using co►nmercial grade
magnet.
l l. All material,labor,permits furnished.
12. Provide:a 5 year labor warranty
Extra's:
2'x2' GMA Skylight $450
2'x�t' CMA Skylight $550
Tube skyligl�ts 10" $650
"fube skylight 14" $750
Ad�iition�i'items,if applf�able:;�insuf�i�i�rit,.niissing���tidlc�,r.'i�c►tten'''.�."pl}!�v�vd:,�v,i�l;be replac�clai�n;
additional cost of$1.95 per sq. ft.(includes labor and matei�ials) in the roof field.All other additional labor
such as_but not limited too,raftei'replaceme»t, fascia board replacement,etc.will be charged at$5 PER LN
FOOT (�_-___ �)''(. __. ---)
Service calls are fi�ee under warranty and out of warranty are price based depending on tlle issue.
I'age I u1'3
Payment Schedule:50% Down and balance upon completion( - )( �)
Total Bid Price:S37,d00.0U ` ,U�_U�.
THIS SECOM.ES A BINDINC CONTftACT UPON ACCEPTANCEOF PROPOSAL. PURCHASER
ACKNOWLEDGES RECEIPT pF A COPY OF THIS CONTRACT. i ACCEPT THIS PROPOSAL AIVD
HERESY CERTIFY I HAVE READY AND FULLY UNDERS'i'AND THE PROVISIONS ORTHIS CONTRACT
Signature: � 1��i,��� � 7L�L(�� Date: `J I._l =7:?J I
Signature: Date:
I All mxteriul is guara�i(ccdto be as specilied and cuiiipletcd in a subslmniul workmanlikc mwmcr.
2,All��greenunls contingcnt upon strikcs.uccidenu u�delay's beyimd our controL Owner lo carry fire,hurricane and u[her necessary
insurance upoii above work.
3 Labor warranty clucs nut cover danuige tu rool's caused hy lighting,hurricxne.t�rnaJo.hailstorm.imp�ict uf forcign objecls ur uthcr
viulent storm or cesualq�da�uagc to roofs duc lo setllemznt.distorlion,t:�ilure or cra�king uf roof deck,���alls ur fuundation ol'a
UuilJing,h�t�7iitr.++nfcr:d:mi�c,tirill hr cixti�crld=lqr;aperiai nf kz n,t�nm�r��n►,�»e.or��,n�t,u��ieii��n.
4 Workmen's compensation auJ public liabiliry insiirance on�bovc��'ork tu be taken oul by RYMAi�!K[)OPING iii ils sub;
CUI1lf8ClOf5.
S RYMAN ROUFIN(i.INC,is nol responsible to provide any materials ur tu perl'onn any work alher than�vhat is described abuve.
Replaccment oFdeteriPruted decking.I'ascia buard ur any olher addilional materials/I,�bor that mayfie ne8ded.md is not described
aboye�vill be charge ss_an extri unless o►hern�ise stated herein.
G.'I'his contract is�u6j�ct to linal approval by RYMAN ROUI'ING._INC.and is lhe entire agrcement of the parties and no other
��'ritteii ot other f'onus���ill be recogni�ed.
7 A charge of I.�°/y�vill be madc un all unpaid balan�cs aDer 30 days plus atrorncy's fees.
R.A�l°/a processing fce�i�ill be addcd tu all credit card orders.
9.'It)•nrin:ltiiutiilg;`Ittt:��'ill u«I bL_9�rIJ respv�sibi�d'.nr_•�at}�sc�s�ic,t�ittk��sixl,=sltr'ydihdr)�,-�nve�1'�ty;:��Dii�tetr;�itlrti+�tk;pi�ini�nl'=w�j i
t��pc lhat may occur I�om thc referred job.Not responsible Cor satellite signal loss. ` � �
IU.Ryman Ruoling,hu:is not responsi6lc for the painting uftmy repla�ecUnon-replaced items such as,but not limilcd la 1'ascia i
Ixiurds<rafir�s;,nly;.itiv„utt;�lilin�,�`tc. i
1�I.1;1�is;j�riipotizd,u_subjcy-t fn,hiiiJilhi�:ilupaitiiuti�t upproiyd uiid ti��ul��tciil�;ginrirvcd Hy R�n>un.Rik�fing,-hic_miil mn}fircamecl�cc� '�
'l�y�ij�maii-ltciufci�4:lii�:��t ai�t�tiiiic'I'diaui�?r�a`snn hef�rc�oamn�v�cmcnt of'tiy�irk•,
I Z,:AII�lif.i::i�.S�t�s���le.-.cimilit;uns,�ri�tll°bu iit IIiC_uui�4milUt'$tlisccc�iii�i�3u��lu�vuiiuUtes ii�qnBtcliiitg��i3ting cimdiliun}_ ,
I�:L'in�ttui;t�r"4�p�rsses'iiii�gutir►ii���:�iii:scEte�luling:i;;cc'�i[(liat:t�ll'cu�tumers;���i[I'lic.trcui���n u i�i�i;6wqr linl scrti�e:6nsi,•s�iil I
�:uiun«,n�r can�iiit 1rc rr�pi�u�i�lc t�r.'ifcqniz.�ii�In u��ii_�ip��'cr riirily�al dcliyvas futi4114+,r ti���Uici l`I1111IlI!(iRS,tlnt�N�uj�ul�s�lsincil
iuillauu�ii.pr'tigr_��iti'i�9f�sci;Rltiti i�ii;i,siiiUl��,a�ts��s;t�i91;6c o�a�sda;wiiil'prt�jtie�ci}n��leaii�i�, . . .
I,�oE�UlCfth5lrt5}Jtef�C(5];IU ItI�V�1��IL�7itIt13 KROfq�L�Ilfl';dFC�yl����ulcr.aidl�IlUUSC,(�micF on sile Iur:il�ir�iCisi�ti'ul,-tllc_6}i1>j�ct
I ]�.rlii}�i�pprci��,l���UJ1tIfC�h} llll Eltllqt(111114f5 t��iltClllllll[l°�S.lI1l•3UIl'fCS�l�lts'161II14 ul'll�c puirli�it{s�� I
(t�.I(y��lruuGc�iliuiip lrnilcrs_�ti`i11.rc3siasu on site mqel.ull�•�i�otk,is cc�.��p1�tiRl.'If pui:lui,scr Rqliucs tli��dump�rniler.ta hc rc-lcxa�cJ u�.
i�mo►�id bcf��rr the.�u�yipictiiiri ol"ILc'�t�ur6;'.11i�c����ll be an Hdditional chargc ol'$19>,OU per move added to the a�ntract price,
U.All pemiits must remain pos�cd at job site and must remain accessible to iiispcc:tors to allo�s sign uff ol'.ull iiupec:lion5.�lf
pap�nvork is remuved bcl'orc all inspectitms li�rve becn completed lhere�vill be a�100.00 R-inspcction 1'ce usessrd to thc propert��
o��ncr.
I 8.All additionul work required will be submilled in u changc order and must be approved in writing beii�re commencemenl ofsaid
��'url;.all change oiders nuist be paid in fiill upon immediale completion ol'said wurk.All ch�uige orders���ill be subtnitted in a timcl�.
manner tu eliminatc deluy oF�cork..uiy changc orders��hich are not uddressed 6��thc purchtueqs)in-a limely manner may result in x
, ilclay of�vurk chxrge uf$2SO.UU.
, I�).F:sisting damages such as but nu�limited tuu screen Jamage.paiqt.lflndscaping.pavement.etc.���ill bc idenlitied wilh phutos.
Ityman Rooting inc.�vill not be held liable 1'ur existing damt�ges
I'ugc 2'of 3
�iunature: � I.�:� f—'f 1 �G�c�� Date: // '��?.c',I/'�t����,
Si nature: Date:
ACCORDING TO FLORIDA'S CONSTRUCTiON LIEN LAW (SECTIONS 713.001-
713.37, FLORIDA STATUT'ES), �THOS:E WHO WORK O.N YOUR PROPERTY OR
PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE�A
RfGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY.
THIS�CLAIM�IS KNOWN AS A CONSTRUCTION LI�EN. IF YOUR CONTRACTOR OR
A'SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SU¢-
SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE
OWED MON.EY MAY LOOK T.0 YOU.R PROPERTY FOR PAYMENT, EVEN IF�YOU.
HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR
CO.NTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A�LIEN ON YOUR
PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE.SOLD'
AGAINST YOUR�WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES
THAT YO.UR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY.
TO PROTECT-YOURSELF, YOU SHOULD STIPULATE IN THIS.CONTRACT THAT
BEFORE ANY PAYMENT �S MADE, YOUR CONTRACTOR IS REQUIRED TO
PROVIDE YOU�WITH A WRITTEN,RE�LEASE OF LIEN FROM ANY PERSON OR
COMPANY THAT HAS PROViDED TO YOU A "NOTICE TO OWNER�" FLORIDA'S
CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU�
CONSULT AN ATTORN�EY-.
CHAPTER 558, FLORIDA STATUTES, CONTAINS IMPORTANT REQU.IREMENTS
YOU MUST FOLL"OW BEFORE_YOU MAY BRING ANY LEGAL ACTION FOR AN
ALLEGED CONSTRUCTION.DEFECT'IN�YO.UR HOME. SIXTY DAYS BEFORE YOU
BRING ANY LEGAL ACTI,ON, YOU MUST DELIVER TO THE OTHER PARTY TO
TH,IS CONTRACT=A WRITTEN NOTICE, REFERRING TO.CHAPTER 558, OF ANY
CONSTRUCTfON CONDITIONS YOU ALLEGE ARE'DEFECTIYE AND PROVIDE
SUCH PERSON THE OPPORTUNITY TO INSPECT THE ALLEGED CONSTR_UCTfON.;
DEFECTS AND TO CONSIDER MAKING AN OFFER T0 REPAIR OR PAY FOR THE
ALLEGED',CONS.TRU.CTION DEFECTS. YOU ARE:NOT OBLIGATED TO ACCEPT
ANY:OFFER WF�1CH MAY BE MADE. THERE ARE STRICT+DEADLINES AND
PROCEDURES UNDER THIS FLORIDA LAW WHICH-MUST BE MET AND
FOLLOWED TO PROTECT YOUR INTERESTS,
Signature' -- �4�''' ` �'• 1:T�r��..�:-��- - - Date• i � ?�; ;! ''/��,.
,,v�:.
, Signature: Date:
Page: 3 of 3
�INA�. RE�.E/�l►5E OF LlEN
I�WOW ALL.MEN BY TMESE PRE�ENT�
Th� undersigrzed - - . - _ -
for and in considera#ion of the sum of.. , - _,
and_.�,�../�00 Doilars t$ �,) an�other good and valuable c�nsideratior�s paid to the
und�rsigned;. the �eceipt of which is acicriow�edged, waiaes, releases, remEses# �nd rellnquish�ss the
un�ersigned's rigitt#o ctaim, dem�nd, or ir�ipi�se a lien or iiens.for work done or materials fumished; ar any '
other kind or class of lien whatsoever on the fotlowing described property:in Pasca Coun�y, Florida:
.Address af"Propert}r: 38213 Eucalyptus Drive - 3832'7 Eucalyptus Drive - --
38250 Eucalyptus Drive , 38331 Eucalypt�.is Drive � -
38254 fiucalyptus Drive �� _ _ - Y�"
38319 Eucalyptus Drive -_ _ . - , . � , - - -
38323 �Eucalyptus Drive, - -
T�is agreement cons�Ifut�s a c�mpl�te as�d ,Fiiial'Release of Ven by the undersigned on acccoun#of
�iabor-perfarmed anol/or mate�ials furnished for the construction of any improvemerrt thereon.
Done andresotved this.. - . day of. . - _ __ _. _ :
Ftep�esei�tative's Sigr��ture
'STATE OF FLURtDA
iCOUh{TY OF.-
The fareg+�ing instrurn�rrt was ac�now(edged befor� rne�this. : - - -- .-= , -_ __ ._ , (d��), �Y
{name of parson acknarru�edging�;�wht�is persorially kiiawn to me 4r who�as praduced�. �: - - -
(type ot identifica�don)as identificafion. -
Seat: -- - _ - - �
:i�C3i'ARY;
or�ta+eiiiacmttl
I