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Home My WebLink About16-17166 CITY OF ZEPHYRHILLS 5335-8TH STREEf (8i3)780-0020 �7�� :. BUILDING PERMIT PERMIT INFORMATI4N LOCATION INFORMATION Permit Number: 17166 Address: 343Q MALACHITE DR Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. Class of UVork: SHED lNSTALLATlQN Township: Range: Book: Proposed Use: NOT APPL(CABLE Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE RV RESORT Es#. Vatue: Parcel Number: 24-26-21-ao�o-aa000-��o Improv. Cost: 3,200.00 OWNER INFORMATION Date Issued: 311512016 Name: CAUDLE TH4MAS Total Fees: 122.50 Address: 3430 MALACHITE DR Amount Paid: 122.50 ZEPNYRHILLS, FL 33542 Date Paid: 4J08I2016 Phane: 336-970-1487 Work Desc: lNSTALL 8 X 18 �HED/ADD ELECTRlC CONTRACTOR S APPL1CATiC1N FEES HOMEOWNER BUILDING FEE 82.50 E[.ECTRICA�. FEE 40.00 � 1ns ections Re uired FRAME SHEATHIRIG FINAL �„r-=-�� FOQTER ��/ � _ REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the loca!government shal! impose a fee of four times the amount of the fee imposed for the initia! inspectian or first reinspection,whichever is greater,far each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe additionaf restrictions applicable to this property that may be found in the public recards of this county, and there may be additionai permits required from other governmental entities such as water management, state agencies or federal agencies. "1Narning to awnerc Your fai[ure to racord a notice of cammencement may resutt in your paying twice for improvements to your property. If you intend to abtain financing,consult with your lender or an attorney before recording your notice of commencement." Camplete Plans,Specifications Must Accompany Application.All wark shall be pertormed in accordance with Ci Codes and Ordinances, NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. �.. � � CONTRACTOR SIGNATURE PERMIT (JFFI R PERMIT EXPIRES TN 6 MGtNTF1S WITHOUT APPRQVED INSPECTION CALL �OR INSPECTI,ON - 8 HOUR NOTICE REQUIRED PROTECT CARD FRBM WEATHER 813-780-0020 City of Zephyrhills Permit Application � � ``�, `� Fax-813-780-0021 , � _ � _ • ___ _,_ , . , Building Departrnent � - - , � —�_.� D�2e Recelved � � -/. ' � ' - - - ;, Phone Contact�f Pe mittin . ..3.�� 2 b L�� , /) � {p � Owner's Name , �, ��S � �-'�''�� Owner Phone Number� �L� Owner's Address �.� � ��- / � �l✓�C:._ . OwnerPhone Number � Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholde�Address ID' , � L � JOB ADDRESS ✓�l� LOT# SUBDIVISION PARCEL ID# , . (OBTAINED FROM PROPERTYTAX NOTICE). WORK PROPOSED °� NEW CONSTR ' �ADD/ALT Q SIGN Q " Q DEMOLISH - INSTALL � REPAIR PROPOSED:USE Q SFR � COMM Q OTHER � TYPE OF CONSTRUCTION' Q BLOCK-�' Q FRAME Q STEEL Q DESCRIPTION OF WORK � 1 � �}CL � BUILDING SIZE � SQ FOOTAGE Z� HEIGHT � l� QBUILDING $ -ti:��:.�- �-= :. --.� `�iY�(� VALUATION'aF;T01'AL COMS1'RUCTION QELECTRICAL $ .��, AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ � -� 1 � �� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��S Q ROOFING. Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS � �1 FLOOD ZONE AREA �YES � , BUILDER r � ` , i �,�/ COMPANY SIGNATURE / .f%" REGISTERED Y/ N FEE CURREA Y/N I - - -l�ddre�s - --I - -- - --- - - - � Llcense# -- - ----—----- - ---- ELECTRICIAN COMPANY � SIGNATURE "' REGISTERED Y/ N FEE GURRE� Y/N Address , � '.License# � � PLUMBER COMPANY • - SIGNATURE � REGISTERED Y/-N FEE CURRE� Y/N, Address � License# MECHI4NICAL COMPANY SIGNATURE � ` � REGISTERED Y:/�N FEE CURRED Y./:N� • Address ' � � � � Lfcense# . OTHER - ' � ,COiNPANY SIGNATURE. '' ' REGIs7EriEo Y/ N .• ` �E Cur�n , Y:/.N.. Addre�s �. - ° ' � ' License#• � RESIDENTIAL� �Attacii,(2):PIof;P..lans•,.:(2)sef§�:of�BullBfng`Plans;(1)sef of�Energy�Fortns;;R-O=W°Peririit for new„constnicUon, �C:�'"��ti : >�Minimum�.tena(10):.Working;daysyafter:'sutiinittal"d"ate:�.Requlred onslte,�ConsViicdori�Plans;=StormwateF`Plans w/Silt Fence installed, � � �$anitary�Faciliftes.&�1.;dumpster;-Site^Wark;Permitfor_sutidiv_istons/large_projects`:��:-:��:_ `;. ";.�� - 'f , i: . .: ..Z«:.... ... .Y�.. .. COMMERCIAL Attach(3)'�corriplete sets'of Builtling Plens plus a Lffe Safety Page;�(1)set of Energy Fortns.R-O-W Pertnit for new construcUon. f Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Sflt Fence Installed, Sanihary Fadlitles 8 1 dumpster.Site Work Permit for all`newiprcjeots':-All commercial.requlrements must meet compliance SIGN PERMIT Attacfi"(2)set"s=of Engineer,ed::Plans:';:;;,:;�;; .. .- ,.. : "'•PROPERTY SURVEY reguired,for:all.,NEW.construcdon.,_ Directlons: ::;7 . Flll,out applicatlon completely. - Owner.&Contractor sign back-of applica8on,notadzed If over.S2500,a Notice of Commencement Ia requfred. (AIC upgrades over 57500) _ _ i ' ::i.;;,t.:-�;.;rt.. ' _ - - ._ _._ ___ " Agent(for ttie contractor)or:Power�of Atfomey"(fo��tlie owtier)would be someone with notarized letter from owner authorizing same DVER'THE COUNTER.PERWIITTING �-� -•{Front:of;Application Only)• � � " ' Reroofs if shingles Sewers Service Upgrades A/C Fences(PlobSurvey/Footage) Driveways-Not over Counter if on public roadways.:needs ROW '� ,� Y ■ n .. NOTiCE OF DEED RESTRICTIONS: The undarstgned under.�tands;th�t.this:permif,may_be.subJect_to deed restrictions which may be.more�r,est�ictive>than County��egulatfons:�'The�undersigned�`assumes`responsibllity�.for compliance`witFi'any � �� applicable.deed.rest�lctions. , . - , . _ �� UNLICENSED: CONTRACTORS AND CONTRACTOR RESPONSIBIL-ITIES: �If the owner has �hired�a contractor or contractors to undertake work, they may be required:to.be-_Ilcensed In accordance.with state�.and,local regulations. �:If�the- - contractor ts not�licensed as requlred'tiy law, both the owner and cont�acto��rriay be-cited�for�a`misdemeanor violation under state law. If the owner or Intended contraetor�are:�unce�tain as to what Iicensing.requirements:may�_appiy.�or-�the� ° � intended work, they are advised to contact`tFie Pasco County Building'InsPectlon Division—L•(censtng Section at 727-847- 8009. Furthermore, (f the owner has hiPed a contracfor or contractors. he is advised to have the contractor(s), sign . _ portions of the "contractor Block" of thls applicat(on for which they wilt b.e responsible.-.If you� as..fhe owne�'sign as tfie' contractor, that may be an indication that�he is not.properly Iicensed and-is not entitled�to permitting privileges in Pasco County. ' ' --�-i�ii��'Q�aOld-IE�l��CTldJTl�l'�IES rMRACT_ANb RESOURCE RECOVERY FEES:�The undersigned understands that Transportatfon Impact Fees and.Recourse Recovery.Fees may;apply�#o�the construction of ri��v_bu!ld6e�g��cha�g�qf ___ __ use in existing buildings,�or:expansion��of•�existin:g'�buildings, as specifled.in Pascv County Ordlnance number 89-07 and 90-07, as amended.; The undetsigned also�:understands, that�such fees�-as�tnay_�tie�.due;:,will:�be ideritified at the�time=of-' permitting. tt is furtFier understood that Transportatlon Impacf Fees and'Resource Recov.ery'Fees must be paid prlor to rece�ving a "certificate�of occupancy" or flnal-power release. :If the project:does:not Involve�a-.certiftcatie of occupancy or� final power release�the�#ees mu�t be paid prior to permit issuance. Futthermore;�if:Pasco,County�Water/Sewer•:Impact � fees are due, they�.must-be�pald.prior to permit-Issuance-in accordance witii applicable Pasco�.County ordinances. CONSTRUCTION LIEN��LAW(Chapte�713� Florlda Statutes,as amend�d): If valuation of work is$2,500.00,:or.more; I . certify that I, the._.applicant,. have.been provided with� a copy- of the °Florida Construction Lien :Law .—.Homeowner's � Protectio� Guide" prepared by the Florida Department of Agric.uiture and ConsumerAffairs. If the appl(cant is someone _ other than the"owner", I certify that I�h�ve.obtained a�copy.of the above..rJescribed�docurnent�and.promise in,good faith to , deliver It to the,°owner"prior.to�commencement: ' , CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify-that.all the Information In this appl(cation is accurate and that all work will'be done in compliance with all appqcable'laws regulating construction, zoning and land�development. Appiicatton (s hereby made to obtain .a permit to do work and Installatlon as indlcafed.� °I certify that no work or (nstallation has commenced prior to Issuance of a permlt'and that.all work will be perFormed to meet standards of all laws �egulating- construction, County and City codes, zoning regulatians, and land development regulations�in the jurisdiction. I also �, certify that I understand that the regulations of other government agencies may apply�to the intended work, and that it is my responsibility ta(dentify�what,actions I must take to berin:.compllance: Such agencies include but are.:not Iimited to: - Department of Environmental-Protection-Cypress.Bayheads; Wetland Areas and Environmentally Sensitive Lands,WateNWastewater Treatment. - Southwest Florida Wate� Management. -District-Wells, Cypress.�Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health� 8 Rehabllitative Services/Environmenfal Health UniRWells� Wastewater.�Treatment, Septic Tanks. , ' � _ - US Environmental Protection Agency-Asbestos abatement. - Federal Aviatlon Aulhority-Runways. ' I understand that the following:restrlctions apply to the use of flIL•� - Use of fill is not allowed in Flood Zone"V"unless expressly.permitted. - If the flll materfaF is to be used: in Flood Zone. "A", It. Is understood that a dralnage plan addresstng a � "compensating volume" will be submitted at time of per:mittfng which is prepared by a professional engineer Iicensed by the�tate of Florlda: - If the fill materlal.is to_be used in Flood Zone °A" in�connection�with:a�permitted building using stem wall construction, I cenify that fill�:w111=b.e�used only.to.flll the area w(thin the stem•wall. - If fill material is to be used fn -any area, 1 certify that use of such "flll wlll not adversely affect adJacent p�operties. If use of flll is found to adversely:�ffect adJacent��properties,.the owner may be cited for violating the conditions of the building,permit issued�under the:attached �ermit application; for:lots less than one (1) acre which are elevated�by flll�an engtneered drainage plan is required. . If I am the AGENT FOR THE OWNER, I;promise In good faith to inform the owner of-the permitting conditions set forth in this affidavtt prtor to commencing constructlon. f understand that�,a_separate permlt may be required for electrical work, plumbing, signs, wells, pools; air conditioning, .gas, or.other installatlons nol spec(ficaily included-in.the application. .A permit lssued shall be construed to be a'Iicense to proceed with tNe�work and not.as-authority to.violate,cancel, alte�, or Y set aside any provisions of the techn(cal codes; nor shall issuance�of a.permit.prevent the Bulldirig Official from thereafter requiring a correctton nf er�ors In.plans, consfruction or violatlons of any codes. Every permit.lssued shall become invalid unless the work authorized.by such permif ls:commenced�wlthin-sCx m.onths of permit issuance, or if work authorized by the permit is suspended or.abandoned for a period of six(8)monttis.after the time the�work Is commenced. An extension may be requested, in wrlting, from the Building.Official for a period not to exceed nlnety�(90) days and will demonstrate justifiable cause for.the extensior�. If work ceases.for ninety(90)cons.ecutive day.s..the job�is considered abandoned. WARNING TO OWNER: YOUR.FAILURE�TO.,R�C.OltD.A-NOTIGE:OF��COMMENCEMEMT;MAY°RESULT IN YOUR � PAYING 7WICE;FOR IMPROVEMENT3-TO YOUi�<.PROPERTY. IF°YO.U�IMTEND�'T�`OBTAIN��FIPtANC1NG;'CONSULT WI7H YOUR l':ENDERiOR AN ATTORNEY�BEFORE�RECOlt�'11NG YOUR'NOTICE`OF COMIWENC�NfENT� FLORIDA JURA'�(F.S.117. ' ' - � OWNER OR AOENT� Aro�lN ��,,c�/ CONTRACTOR��''�'�.gr,� /'N �.(s� Subscrlbed and swom M(or aHi�ned)befor me thls Subecribed and'swo�n to(Qt a(flrmed)�before e'tlils 3-1�f-L�b by �Th��A s c,J �,A u fl L.0 �'�S�-1,b .byx r !n o�:r.�s ci:l A c:.�� Who re,pejsonally�Cnown to me or has/have produced Who.ls/are ersonellyknown to me or has/have•produced • ��dJ��k+1�2�2 l.p Q� as Identlflcatlon. � �L;��rs l.i cen�.� . as IdentlBcaOon. r LPS!J�� • Notery Publlc / Notary Public Commi on N : Commis on Qi.,� ��, �2' '''� OGES ' � ��""o�-. UELINE BOGES =": :f= Commission#FF 15 Name ot Notary typ ��kl c��er�on# F Name of N = Expires December 12,2018 , � ondedThruiro 12,2018 ��e� Y fein Insurance 80p-385-10f8 ��""�°. Bonded Thru Troy Fain Insumnce 800�385d�19 . %,�'�pF��• og /��Q _ - �1'�,QlitOA`. ' `.';V ,_ ��:i��`' j � �.,y�,�' . �. � �,• ':�-._ City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ��c�' ��i(�� Date Received: ��7'—G� Site: � T� �d/�C- �� Permit Type: �^�-�l � j� �� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. 3-�'-( � Kalvin witzer— ans Examiner Date Contractor and/or Homeowner (Required when comments are present) � I{Illll IIIII111II IIIII IIIII IIIII IIIII IIIII i1111 IIIII IIII IIII 2016039724 ' � _ Rcpl:1755248 Rec: 10.00 , D5: 0.00 I7: 0.00 03/15/2016 E. M. , Dpty Clerk NOTICE OF COMIVQ�'.NCEMENT Pf3ULA S 0'NEIL�Ph D PRSCO CLERK & COMPTROLLER � 03/15/2019337 m P� 1753 P�N OR BK o. Property7deMificationNo��ZE�'Z�-��^D��-�7-(� 17�UNDERSIGNED hereby give iaforms you that the improvement m'll be mede to eertain real property ead m��c�y� Section 713.13 ofthe Floride Smtrrtes,the following mfvrmatlon is provided'm tlris NOTICE OF COM2I�NCEMENT, 1.Description ofPr�P�Y��SaldGscitpllon.�F �'l�'^�q�.� �CJI�N.�.d��r Zl��V�� L ` 1-�"�� G Z I `N S� �a)StreetAddress: � 5' 3�� i - C.f � �2.Qeneral crtption ofimprovemeats: , � 'Sj S ° ,� + lL T� A u./m c �.vwnerlIIIo�manOn L / ' a)Neme and addtess: o•+r.a (,�1.C,aor,p� 3 0 • � � r ��-s �� I • b)N�e and eddtess of fee simple HtIe6older(if other t}�owner) � c)Interest m proP�Y � 4.Eonh�actbr Informatiofi , a)Name and eddtr.ss:. ..,•t C.J � u D� U. �I l.. �R t. (�� b)Telephone No.: Co v _Fax No.(Opt.) � S.S�uety Infom�et(oa , � a)Name end'addrrss: � b)Aaiounf ofBoed; • c)Telcphone No.: ' Eax No.(Opt.) 6.Lender a)Neme and ed�cs; 7.IdenHry of person wzthin the State of Florida d Phone No. • � * eaigneted by owner upo�whom notices or other documents mey be sen-ed: J� �� a Name and address: • e �� , 1 ♦ � b)Telephoae No.: � Fax No.(Op�) 8.In addition to himsel�owne�designates die following person 4o receive e cppy ofthe Liennr's Notice es�provided in Seciion u /'� � � 713.13(1)(b�Florida Stabrtrs: o ( � e)Name end addcsss: �, �` � � — � ga. b)TelephoneNo.: �. . .FaxNo.(Opt) . • . -: ,� � � 9-Expiraflon dete ofNoflc4 ofCommencement the ""' ' ' or �"'��•Q ( expuation date i�one ytar from the dare of record'mg uniess a diffetent datc is:� �, ;e2:,, , � speci5ed)• - . �� ,, � WARNItYG TO OWNIER: ANY PAYMENTS 1ViAD$$Y TRE OWNER AFTER T$E�XPIRATTON OF THE N09TG�OF`��, � • � af�, COMMENCEMENT ARE CONSID$RED IIKYROPER PAYMBNI'S UNDER CHAPTER 713,PART I,SEGTION TI3.13, � FtiORIDq STATUTES;AND CAIV RESULT IN YOIIR pA1'II�Id's TWICE k`OR�VIPROVEMENTS TO YOUit pROPERTY. A NOTICE OP COMMENCEMENT MUST BE RECORDED AND pOSTED ON THE JOB SITE BF.FORE THE FIR'ST �� INSPECITON. II?YOU TIVTEND TO OBTAIN FINANCIIVG,CONSUL YOIl�LEND$R OR AN ATTORNEY BF.FORE CUN�i1SENCING WORK OR RF.CORDING YOIIR NOTICE OF CO NCEMENT; bTATE OF FL07tIDA � a Z V �' W COUNlY OF PASCO �- iJ � GGt/ 0 � � � _, J U � ofOwac orOwaaY Authmfrcd Offiar/Di�saor/Parrt�c/M�egc C� � 0 J � l�.�.... a c.J C�J�-ta LC' nQ. �p = Q �� a Rim�Neme / W � ~ W ~ W The f�going;n�s�ument wav ac�owledged before me this L�dey of ��r� . .20�,by M Q �=z J � � —1'�(l (type of e;tthorjty,e.g.officer,trustee,ettomey � ��U O ia fact)for ' (name of p a�y on b e h n 2 f o f om fnst:vment�av ezec Z ="O O � � Personally Known�OR Produced Identificetion_ Notmy Signat�e __ � ~a W O � �'" _ / C� = � Vz W TypeofIden6ficationProduced�'L•�21 Ve�J LFC�/(� Nametp;mt) QG (.(. /�� . � � ~ ~' � U � � wmz o � �J VerlficetIoa ursueat to Section 92.525 Florida Stawtas.Under malties of � � � � = Q� � P . P perjury,•I declaze that I have read the foregoing and thet _; � O Z the facts stated in it�e uue W the best of my Imowledge end belisE u- C.� U � � � O O � Z � ��`�1 Signsnue ofNrhual Pason Sig�InE Above lJ.I � d J W W � Fow�w+oc.rv.amm � U1 � V- � _ :q""''• JACQll�LINE BOGES �'- 2 �z Q } s+'� �':` Commission#FF 150422 � �' �' � � a m - '��a: Expires f�ecember 12,2018 �'%k oJ Fy?P'�� Bonded Tiw Tmy Fem Insurenee 80DJB5.7019 . 1 DISCLOSIIRS STATEMENT FOR OWNER II CITY OF ZEPHYRHILLS BIIILDING DEPARTMENT �"� n �r I, �.D�}' [/� ��(/ �� have read and fully uaderstand and ' agree to the provisions of this iastrumeat. The undersigaed states and affirms that he or she is desirous of constructing, renovatiag, adding to or reroofiag his or her owa domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for reat, lease or sale. That he or she shall comply with the followiag coaditions: 1. That the owaer aad he or she aloae ahall act as the builder for all phases of coastruction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertiaent to the building. 3. That ia the eveat various phases of coastructioa are subcoatracted, he will engage oaly properly liceased subcontractors and will persoaally supervise such work. 4. That ia the event the Building Iaspector shall require correctioas to be made, the owaer will assume full responsibility to iasure they are made, and upon completion will call for a reiaspection before proceediag with the building. ' S. That the owaer shall assume full respoasibility for the conatruction and will aot expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection aay additional fees, including reinspection fees, must be paid ia full. A written request from this office shall coastitute an official aotice to pay additioaal fees. 7. That the owaer ahall comply with all City, State aad Federal laws ia regard to social security, workman's compensation, lien laws, etc. , where applicable. S. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires constructioa to be doae by licensed coatractors. You have applied for a permit under aa exemptioa to that law. The exemptioa allows you, as the owaer of your property, to act as your owa contractor with certain restrictions even though you do aot have a licease. You must provide direct onsite supervision of the coastructioa yourself. You may build or improve a one-family or two-family residence or a farm outbuildiag. You may also build ' or improve a commercial building, provided your costs do aot exceed $75,000. The building or residence must be for your own use or occupancy. It may aot be built or substantially improved for sale or lease. If you sell or lease a buildiag you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violatioa of this exemption. You may not hire aa unlicensed persoa to act as your contractor or to supervise people workiag oa your building. It is your responsibility to make sure that people employed by you have liceases required by state law and , by couaty or municipal liceasiag ordiaances. You may aot delegate the responsibility for supervisiag work to a licensed contractor who is aot liceased to perform the work beiag doae. Any persoa working oa your building who is not licensed must work uader your direct supervisioa aad must be employed by you, which meaas that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your constructioa must comply with all applicable laws, ordinances, building codes, and zoniag regula 'oas. OWNER'S SIGNATURE K/ ��if�� DATE � ��/� � � �- �. I ADDRESS O r G, �� PHONE fv �j �S �8 � WITNESS PERMIT # � _3b' ermrt o i , . �� `, L � 1 _ � ' ��;c��`�� Ex,�-¢�� '� ft setback �J ,�v �� j��' ,v �t '• 11 t��. , C i�' W¢CC.' l � �� ',► � +� e �' _ c,v� �r� C"�e�� , _ � -. . 3,' .�N� �a� � ! ' _- - - - ��,� � ��a� 117��u �� t $ � X � �Q� � ��,,,�.ls �31,�► � �t. �,� �., ► � �� i� u{L u�� — �`� �a e�'"�' �� , �� L . I ALL�NORKSHALLCOMO DA�DING t ��f� r pREVAILING CODES,F E AND �t� � � ELECT ��CES CODE,NATIONAL ILLS 0 5��3�r CITY OF'LEPKY� .� �_� � v . _ Sft Setbac ,i�. Sft Setback � � `G 68' REVIE�U DAT `�' �S � , ST� CITY O�F �EP Y LLS . . �LP+NS EXP,iV� f�EIR � �`— i � �� , �.KrS��w�j N�� Lot� aaaress: � Owner. Date: s � �/ 1 �� d �w '� ,��. � � ` a T - - � � � � 1. ' L�, l-}t 5 e` � L � �t � � � � 7 � �t�� •I,� •l. �a 7 . � P Z. �Pt,S � � � � _ �� I'age 3 of 3 n- �tLayout 2015-01-12 __.__._.. -.- _-- - - - �--=----� �1;+ Ptz^t,'a�u:riE;:-ws�a�rc.7cam , ;96�':Gil�::•.Cn'CC ti4Cc'e; Bu��nes� . . 5�:��H + Professi�n�al T�:�,�� ,��'�G3��3•D77Z . ?t:�r.r 850�$7 lfi?,� i•ax R5l�!:f3,;?�; . Ken Lawson�Secretary Rick Scott,Go<<emor - )uly 31,2015 -� • Metissa Srnith Smithbilt Industries,Inc. 1061 Highway 92 West Auburndale,F1.33823 , • RE: Manufacturer Certification,ID MFT-208;Expiration Date: October 08,2016 _- Dear Melissa Smith • It is my pleasure to in�orm you that Smlthbilt Industries,Inc.,tocated at 1061 Mwy 92 West,n/a, � Aubumdale,FL 338Z3,has been approved under the Manufactured Bu[Idings Pragram,as �, _ ' provided for under Chapter 553,Part I� Florida S�tutes,to manuFacture Storage Sheds, �� • � Manufactured Buildings for installatioo in Florida. Construction or modiftcation on a manufactured building cannot begin until the Third Party Agency has approved the ptans in accordance with the current Flarida Building Code. Your Third a Party Agency is a contractar for the Departrnent end has statutory authority and responstbitit(es ' that must be met to maintain approved status.You:may expect and demand quaUty ptans review and inspections. - have been reviewed a roved and Each Code change will make your ptans o6solete unt�l they , pp indic�ted[on the cover page of the plans]for compitance with the Code by your Third Party � Agency for plans review. Please ensure that your plans are in complfance and are property _ posted on our website.Ali stte-related[nstallation issues are subject to the locai authorlty - � ' having jurisdicfion. , I The Department's conlractor will make unannounced monitoring vis(ts at least once each year. _ ' You must grant camplete access to your manufacturing facility and records to remafn in compifance with the rules and regulations of this program. � " Your certiflcation is approved for three years from this date.You wilf receive a reaewal notice by I . , Email generated by ttie BQS(wv�,rw.floridaBuildin�a.oral for oniine renewai.If you have questions .� • you may contact Robert Lorenzo at 850-717-1835 or our FAX at 850-414-8436. • � Piease visit our website at vJw�nr.floridabuiidina.ora to see vaivable information on the Florida ' Manufactured Buildings Program.A copy of this letter must accompany applirations for local building permits. , Sincerely, �"�v' Robert Lorenzo Manufactured Buildings Program cc:Professional Service Industries � ,�'' -._ ; �,;', _ � �i . �� , i iiitii iiiii iiiii iiiii i�iii iiiii iiiii iiiii iiiii iiiii iiii iiii ,r<n , � � � 2016039196 � � /"✓ ' ��iRRP�NTY DEED .. THIS WARRANTY DEED, made this ��' day of March, 2016, � between Robert A. Miller, individually and as trustee of the +.�� Robert A. Miller Tru�`t, joined by Karen A. Miller his spous�, whose address is 12546 W. Bajada Road, Peoria, Arizona 85383, hereinafter called the Grantors, and Ti�omas W. Caudle, a single man, whose address is 414 NW Knights Ave, Lot 524, Lake City, Florida 32055, Grantee. WITIVESSETH, that said Grantors, for and in consideration of the sum of $�31, 000.00 (thirty one thousand dollars and no cents) and other good and valuable consideration to said Grantors in hand paid by said Grantee, the receipt whereof is hereby acknowledged, have granted, bargained and sold to the said Grantee and his heirs and assigns forever, the following described land, situate, lying and being in Pasco County, Florida, to-wit: Lot 141, Emerald Po�inte RV Resort, Phase II, According . R�_...�. to the Plat Book 35, Page-127, 128, and 129, inclusive, Public Records of Pasco County, Florida. PARCEL ID: 24-26-21-0040-00000-1410 � Subject to covenants, restrictions and easements of record. Together with •all the tenements, hereditaments and appurtenances thereto belonging or in any wise appertaining. For the Grantee to have and to hold, in fee simple, nevertheless, for himself and his heirs, successors and assigns ' forever. Grantors do hereby fully warrant the title to said land and i will defend� the same against the lawful claims of all persons � whomsoever and represent that said land, is free of emcumbrances except for covenants, restrictions and easements of record and for taxes accruing subsequent to January 1, 2016. IN AITNESS WHEREOF, Grantors have hereunto set their hands and seals the day and year above written. Signed, sealed and delivered in our presence: ' �Yz l�-�1��-S N .YG cl N� a �..��c� 7� ow� V , Witness Robert A. Miller, individually and as Trustee of the,.ROBERT A. �t��:e,��ern�n�►nc��c_ MILLER TRUST, Grantor: ' ,, M� . !!� ��.R��--�,� � , Witness Karen A. Miller n�� s CULLEN D. K LLE ER S TAT E 0 F ' Notary Public-state af Arizana COUNTY OF ��nv`.A� My Ca�mmPssioo Expires �"eLd�'`' �� August 14,2018 � _ _ _ _ _ _ The-; foregoing instrument was acknowledged before me this, � '�a�" day of March, 2016, by Robert A. Miller, individually and as Trustee of the Robert A. Miller Trust and Karen A. Miller his spousep w`hIo ar/e� personally known to me or who produced Dr L"�- �1�'l'La�.. ��— aS identification and who did not take an oath. � ��4,_..,�:�.,�:t. : ' . �. _. ,.,,�..r�^`�,�, Notary Public ��;�.�.,- Prepared by: ��' � • �.:`:�: '� . fi� �`�t�lir3t3l� �Fa`$�l�sE .;� �, ,5„ ��Y�t�,� f Rept:1755063 Ree: 10.00 �f �� X q�� ;'�� DS: 217.00 IT: 0.00 :� Dade Ciry,FL��C� �.�.'� � 03/14/2016 K. D. K• , Dp�y C 1 erk � " r�.:.... :-. . .._ . . .. .;. . ' , ,.... :.� �•' , ._... �._y�...•.. ;. ' ' � ' ppULR S.0'NEIL,Ph.D.PRSCO CLERK & COMP7ROLLE . , ,.. -- - ._,.... A, .e�..M i of �