HomeMy WebLinkAbout15-16724 CITY OF ZEPHYRHILLS
. 5335-8TN STREET
- (s�s}�so-oozo 167 4
BUILDING PERMIT
PERMIT INFORMATI4N - LOCATION INFORMATION
Permit Number: 96724 Address. 38708 CA1111DEN AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REP�P►CEMENT Tawnship: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivisian: ZEPHYRHlLLS COLONY
Est.Value: Parcel Number: 35-25-2'1-0010-07800-�021
Improv. Cast: 6,200.00 OWNER INFORMATION '�
Date Isstaed: 11J45120"15 Name: DAVIS DEBBIE E �
Tatal Fees: 1 Q5.00 Address: 7349 16TH ST
Amount Paid: 105.Q0 ZEPNYRHILLS FL 33544-102h
Date Paid: 11/05/2015 Phone: 813-469-0022
Work Desc: REROOF METAL
CONTRACTOR S APPLICATION FEES
H MEO ER R ROOF RE�[�ENTIAL 1 5.00
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Ins ections Re uired �
DRY!N R OF INS
TAPE JOtNTS RC}OF INSP
FINAL �1 - 1,�, `"(. J
REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statufie 553.80 (2)(c)fihe
locai government shalt impose a fee of four times the amount af the fee imposed far the initial inspection or
first reinspection,whichever is greater,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additiona! restrictions applicable to this property that
may be found in the pub(ic records of this county, and there may be additiana( permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to awner: Yaur failure to recard a natice af cammencement may result in your paying twice for
impravements to your property. If yau intend to obtain financing,consult wifih your lender or an attorney
befare recordirtg yoar natice of cammencement."
Complete Plans,Specifcations Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEEORE C.O.
NO OCCUPANCY BEFORE C.O.
/ �, � ,
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MCINTHS WITHC�UT APPR4VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
. 5335-8TH STREEf
�sl3pso-oozo 16724
BUiLt?ING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16724 Address: 38708 CAMDEN AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: RQOF REPLACEMENT Township: Range: Book;
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: 5ubdivision: ZEPHYRHILLS COLUNY
Es#.Vatue: Parcel Number: 35-25-21-0010-07800-0021
Improv. Cast: 6,200.00 OWNER INFORMATION
Date [ssued: Name: DAVIS DEBBIE E
Tatal Fees: 1 Q5.00 Address: 7349 16TH ST
Amount Paid: ZEPNYRNILLS FL 33544-1424
Date Paid: Phone: 813-469-0022
Wark Desc: REROQF METAL
CONTRACTQR S APPLICATtON FEES
H EO ER RERO ESI NTIAL 1 5.00
� Ins ections Re uired
DR IN R OF INS
TAPE JQINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
loca!gavernment shall impose a fee af four fiimes the amounfi of the fee impased far the initial inspection ar
first reinspection,whichever is greater,for each such subsequent reinspection.
NQTICE: In addition to the requirements of this perrrtit, there maybe additiona! restrictions applicable ta this property that
may 6e found in the public recards of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning ta awner: Yaur failure to record a notice af cammencement may resuit in your paying twice for
impravements ta your properly. If you intend to abtain financing,consult with your lender or an attorney
before recording your notice of cammencement."
Camplete Plans,Specifications Must Accompany Application.All wark shall be pertarmed in accardance with
City Codes and Ordinances. NQ OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
GONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MONTHS 1NITHOUT APPRCIVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FRBM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: �GZ�/J� � cb�P� 1�j
Date Received: ' � /'— Z—�c�
Site: �� 7 D� ���P�t. �r-'""`�,
Permit Type: ���� �
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.
. -�"� ""f��"
Kalvin witz — '� s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
Florida Building Code Online Page 1 of 2
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Floritla Department� B�S Home ' Log In ; User Registratlon I Hot Topla ' Submtt Surcharge ! Stats&Fac[s � Poblicatlons � FBC S[aff � BCIS SRe Map � Links ; Search I
Busines � �
Professi �I � �� ProductA roval
PP
USER:Public User
Regulation �11�VLL:��V�A��T1���� ���A��-�a�pLY WTTHALL
Product Aooroval Menu>Produtt or Aoollcation Searth>Aoolication List>Aoolicatlon Hls[orv>Applicati�Detail--�'•`'G CODES FLORIDA BUILBING �
�E,NATI0IV��,ELECTi7IC CODE AND
. FL Jk FL6508-R2 CI�'Y OF ZEPHYRHILLS O�T I��CES
Application Type Revisfon
Code Version 2010
Applica[lon Status Approved
Comments
Archived '�] _
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Product Manufacturer Metal Systems,Inc. ¢���"�� �,-x-E'-•�� -_ / ��/
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Address/Phone/Emafl 3301 Paul Buchman H ,`- 4F F•�''='��-" E;.;�i`;.r�F�$ yr' "'jt-`�=,n `��—
(lan)City,FL33565 � �1!«f�Aa�a�'�•"'a�i���'w'��fff,;3 �;:; ,�_
813 752-7088 �`1 111�} 3�
atfabcutting@hotmail.mm '��j'� ���'��-�_�
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Authorized Signature Steve Waller
a tfa b cu tti n g@ h otm a i I.co m
Technlcal Representative �
Address/Phone/Email
Quality Assurance Representatfve
Address/Phone/Emafl
Category Roofing
Subcategory MeWI Roofing
Compliance Me[hod Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
�._`��.1 Evaluadon Report-Hardcopy Received
Florida Engineer or Architect Name who developed the Samuel A.Greenberg
Evaluation Report
Florida License PE-34245
Quality Assurance Entity Keystone Certiflcatfons,Inc.
Quality Assurance Contract Expiration Date OS/28/2014
Validated By Andrew Lovenstein,P.E.
�� Validation Checkl(st-Hardtopy Received
Certificate of Independence F16508 R2 COI 320858 FL6508 R2 COI Letter of Certification odf
Referenced Standard and Year(of Standard) Standard Year
Florida Building Code 2010
UL 1897 2004
UL 580 2006
Equivalence of Product Standards
Certified By Florida lJcensed Professional Engineer or Archi[ect
FL6508 R2 Eouiv 320858 FL6508 R2 Letter of Eauivalencv odf
Sections from the Code
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqubsyUdumB Sk... 11/3/2015
F�arida Building Code Online Page 2 of 2
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ProductApproval Method Method 1 Optfon D ,
Date Submitted 07/26/2012
Date Validated 07/31/2012
oate Pending FBC Approva! Q8I0912012
Date Approved 10/09/2012
Summary of Product5
FL# Model,Number or Name Descripklan
6508.1 PBR 26 6a.P8R over i5j32"Plywood Non NVH2
tlmfLs oi Use Instatiation Instructions
Approved for use In NVHZ:No FI�6508 R? II 320658 FL6508 1 R2 Installation Drawinos pdf
Approved for use outslde HVHZ:Yes Vertfied By:Samuel A.Greenberg,P.E.34245
Impact Reslstant:NJA Created by Independent Thlyd Farty:Yes
DeS1Qn Pre5sure:+tV/Aj-94.58PSF Evaluatlon Reports
Other:-94.58 psf @ 2'-0"O.C.Fastener Spacing.InSt811 per FL6508 R2 AE 320858 FL6508 1 R2 Enqineerinq Evaluation odf
manufacturers details Not for use in HVHZ Zones. FL6508 R2 AE 32p858 FL65Q8 1 R2 Load Table.pdf
Created by IndependeM Third Party:Yes
6508.2 Rib 26 Ga.3/a"Rib over i5j32"Pl wood Non NVHZ
Limits of Use Installatlon Instructions
Appooved tor use fn HVHZ:No FL6508 R2 II 320858 FL6508 2 R2 Installation Drawinq�pdf
Approved for use outside FiYtiZ:Yes Verified By:Samuei A.Greenberg,P.E.34245
Impact Reslstant:N/A Created by Independent Third Party Yes
Design Pressure:+N/A/-243.3PSF Evaluation Reports
Other:-144.58psf @ 2'-p"O.C.Fastener Pattern Type A-243.33 psf @ FL6508 R2 AE 320858 FL6508 2 R2 Enoineerina Evaluation.odf
Y-6"Q.C.Fastener Aattem Type B.Instati per manofaCturers det8it5. FL6508 R2 AE 32485$ F�6508 2 R2 �oad Teble.odf
Non for use in HVHZ Zones. Crea[ed b IndependentThird Pa :Yes
6508.3 Rib 29 Ga.3/a"Rib over 1S/32"Plywood Non HVHZ
Limtts of US8 IRSWilation Instructlons
Approved for use in HYH2:NO F�6508 R2 It 32Q858 FL6508 3 R2 Instaltatian Drewinps.pdf
Approved for use outside HVH2:Yes Verified By:Samuel A.Greenberg,P.E.3a245
ImpaM Resistant:N/A Created by Independent Third Party:Yes
Deslgn Pressure:+N/A/-243.3PSF Evaloatton Reporis
Other:-144.58 psf @ 2'-0"O.C.Fastener Pattem Type A-243.33 psf @ FC65D8 R2 AE 320858 FL6508 3 R2 E�aineerinq Evaivation.odf
1'-0"O.C.Fastener Patkern Type B.Install per manufacturers details.Not FL6508 R2 AE 320658 FL6S08 3 R2 Load Tabie.odf
for use in HVHZ Zones. Created by Independent Third Party�Yes
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ConWc[Us::1940 Nortb Monroe Street.Tallahassee FL 32399 Phone:850-487-1824
The SWte o(Ftortda Is an AAjEEO employer Coovriqht 2007-2013 State of Fiorida. Privacv Statement::Accessi6ifitv Statement Refund Statement
Under Florlda law,email addresses are public reaords.If you do not want your e-mail address released in response to a publirrecords request,da not send electronic
mal!to thls endty.instead,co�tac[the oNlce by phone or by t2dltlonai mall.If you have any questlons,piease contace 850.487.2395.•Pursuant to Settion 455.2�5
(i),Ftarida Statutes,effectWe OcWber i,2012,Ilcensees Iicensed under Chapter 455,P.S.mvst prmide the Department wlth an emaii address iP they have one.The
emalls provided may be used for officla�mmmunication with the Iicensee.However emaii addresses are public record.If you do not wish[o suppiy a personai address,
piease provide the Department wi[h an email address whlch can be made available to the pubila To determine If you are a Iicensee under Chapter 455,F.S.,please
click here.
Froduct Approvat Aeaepts:
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securitvnaE.-r�c�cs
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http;//www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqubsyUdumB Sk... 11/3/2015
t313-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
• Building Department �
Date Recelved -'Z-�� Phone.Contact for Perm(ttin -
Owner'a Name �oG���-� p Owner Phone Number �� `-t-��.P `-t�-�
Owner's Address 2✓'�-1��5 <e,v�. �� Owner Phone Number �
Fee Simple Titleholder Name ��� ��S `a Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION PARCEL'ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED , NEW CONSTR ADD/ALT Q SIGN' Q Q _DEMOLISH ��
B INSTALL 8 REPAIR �f,_.�-- ' ��•�,
PROPOSED USE Q SFR Q COMM Q OTHER ' +
TYPE OF CONSTRUCTION Q BLOCK * Q FRAME Q STEE� Q t _
I ` _\["�
Y
DESCRIPTION OF WORK ��C�0.�� c7� �� ��� /�
� �� � .' r.
BUILDING SIZE SQ FOOTAGE�, HF�I��'P' '�AI-�LfJ ����� ��� rJ�� �/
'� � ��Y,• ;`•: �•
BUILDING $ � � VALUATION OF TOTAL CONSTRCLC?�OI��,`L y} _� !Y_
�,_. - ---- `
ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q _ W.R,E.C.
i� % �
QPLUMBING $ �(,��0� V� _-G� '���
x� ,�����.��' �����`�� �-���.W�,-�
t���.°�� _ .. ��;�_
QMECHANICAL $ VALUATION OF MECHANICAL INSTALL��(�� �� y�
��.�.����`�1�� 'k"
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � �� i � COMPANY �t-�5�`�-� U �v' t�
SIGNATU REGISTERED Y/ N FEE CURRE� Y/N
Address L`Icense#
ELECTRICIAN y COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addresa License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y:/ N FEE CURRE� Y fN
Addres� License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� , Y/N
Address � License#
RESIDENTIAL: Attach(2)Plot P.lans;(2)sets of:Building�'Plans;(1)set of Energy�Form§;R-O-W Permit for new construction,
_ Minimum..ten(10),worktng:days,aker._submittal date: Required onsite,Construction Plans;Stormwater Plans w/Sllt Fence installed,
Sanitary FaciliUes 8.1.,dumpster SIte,WorlcRertnit for subdivislonsAarge proJects
COMMERCIAL Attach(3)complete sefs of Building Plans plus a Ufe Safety Pege;(1)set of Energy Forms.R-O-W Permit for new construcUon.
Minimum ten(10)working days after submittal date. Re,quired onsite,ConstrucUon Pians,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster.Site Work Permlt for all new projects.All commercial requirements must meet compllance
SIGN PERMIT Attach(2)sets of Engineered-Fians..,, ��
•'•'PROPERTY SURbEY required for all NEW construction.
Directlons: -
Ffll out applicatlon completely.
Owner 8 Contractor sign back of applfcaUon,notarized _ --
If ovar a2500,a Notice of Commencement Is-required. (AlC upgrades over E7500) �
" Agent(for ttie contreotor)or Power of'Attomey(fo�the owner)would be someane with notarized letter from owner authorizing same
DVER THE COUNTER PERMITTING --.,.t:(Front of�Application�Only)=-�-,-� .=�•� ' ' ,', ` ' _, - � ;� -
Reroofs If shin les Sewers �,Service U rades'•AIC .'� �•Fances"•PIoUSurve /Faota e ` ` ��� -= � '•
9 P9 (: Y 9 ) � � ,.
,-, :, � , -,-' , , , . , �,y' ; ;
. ;: ,�,' �_,.;�:,�,:.;. � � _ , ' ,
Driveways-Not over Counter if on pubiic roadways:needs�ROW:' ��;"�;-,• � „ ` ' ' ''ti`` __ '
.'ti..a .�...-. ,.......�..,, ....�:_ ,.-... : ...�. --., �._- -- � _ , _.. .
NQTIGE OF DEED RESTRICTlONS: The undetsignec!unders�tands;th�#<this:p$cnt#t may be.subject to"deed"restrlc#1or�s" `"
which may be.�more�r.est�ictive�th�n Gounty��regutatlons.-'Ttie�under,�iigned•as'surines"re"sponsibillty#or"compitance with�any
applicable.deed restrictions. . .. �
UNLiCENSED Ct}NTRACTORS AND CCiNZRACTOR RESPONSIBIt�IT1ES: -{f the�awnerhas���tiir.ei#��a contraotor or
contraotors to undertake work, they rnay be:requlred:..to:be;licensed In accordance.wtth state.and�local:cegulations. If the� �
can#ractar is nat 1Ecensed`as requlred;by law� both the owner and ctintfactaT-i»ay be,clted�for-a misdemeanor vtolafian
under state law. If the awner ar Intended�contractor;are uncertaln ras to what Iicensing..requlrements;may apply�:�for.�the �
.; ._:..,
i�tended work, they are advised to.cantact the,Pasco County-Building�Inspection,D(vlslon—Ltcensing Sectian at 727-847-
8009. Fu�thermore, if the owne: has hifei# a c4nt�aafar or'conttactors, he is advised ta have the confractar(s), sign
portians of the °cantracto� Black" of.this applicatio� for which they.will.be.responsible. .If you,,as,lhe owner'slgn�as'the'
contraa#or, that�may be an Incilc��on that�1ie.is-not groperly ticensed and Is tiot entitled�to peririlttliig`privileges 1n Pasco
County. � '
TRANSPORTATlON IMPACTlU71GITIES�lMPAC'Y'-ANb�RESqURCE RECQYERY�FEES:�The underslgned understands
#hat Transpartation Impact Fees and.Recourse Reaove.ry.Fees may�ap{iiy�#o tfie consUuction af new buildings,°change of' �
use In existing buildings, or.expansian�of�;existiri�j�buildings, as speclfled-(n Pasco County Or'dinance number 8'9-07 and
90-07, as amendad.,, '�he undecstgned also:vnderstands, tha�t such fees.;as tnay�;be:dae;.�witl:�be tdenttfied at the�tiine°+af ,
permitting. It Is further understaod that Transportation Impact`Fees and�Resource Recovery�Fees,.must be paid priar to
receEvfng a "cer#i�cate of occupancy" or t3nal�pawerEe3ease, :1�the project.daes not tnvotve:a-cert�icate af occapancy.or
final power retease; the fees mu�t be paid prior to permit issuance. Fuxthermore;ff Pasco�.County�llVater/Sewe�-lmpact
fees are due�they�must.be,pald.pNor to,permit-issuance�in accordance with'appllcable Pascv Gour►ty'ordlnances.
CQNSTRUCTI�N CtEN`L.AW(Chapter 713�Flar�da S#atutes�as arnended): If valua#ion of wark is$2,500.00 or more; 1
certify that I, the applicant, heve.been provided with a copy of the "Florida~Constructian"Llen.Law.:-Homeowner's
PratectEo� Guide� prepared by the Fto�da Departmettt of Agricutture and Consumer�Affalrs. If the appltcant is someone
ather than the"owner", I aertify that I;have.abtained�a copy.of the:ab�ve..described document�and.pr.amiseln,goqd;fafth•to
deliver it to.the'owner"-pcior.:to�commencement: 5� � ' '
CONTRACTOR'SIOWNER'S AF�IDAViT: l ceitity;:that�ail:the4informatlon.,ln:this.appticatian is accurate and that ati work
will�be done in campliance with all.appl(cable laws regulating construction, zoning and•-land development, Applicattan is
hereby made to obtatn .a permit,ta do,work and .Installatlon as indl�eted:�. :1 ce�tify th�t no work�or Inst�llatlon has
commenced p�ior to issuancc� of�a'permit"and' that�:all�work wiil be pertarmed to meet standacds of.ali laws regulating�
construction, Gounty and Gity codes, zontng regulatians, and land development regula8ons�in the��urisdic#lon. ! al'sa�
certify that 1 understand:t�i�tth,e regulations of other gavernment agencies may�appiy�#o the lntended work, and that it is
my responsibility:#o�ldentify•w�iat.actions 1 must take.to bed�:.cotrlpliance: S.uch agencies Include but�are..nat Amited to: '
- Departmerit of Et�vironmental��Protecttori=Cypress`Bayhead�, Wetland Areas and EnviranmentalEy Sensitive I
I.ands,Waier/Was#ewater Treatment.
- Southwest Fiorida Water Management� .�istrict Wells, Cypress. `Bayheads; Wetland Areas� A#tering
Watercourses.
- Army Gorps of Engtneers-Seawalls�Qocks�Navigakile Waterways.
- Department of Health��& ReMabilitative ServlcesJEnvironmenfal Flealth UnitWell.s, WastewaterTreatment,
Septtc Tanks. � .
- US Envlronmental Protectian Agency-Asbestos abatement.
- Federal Avlatton.Auihority-Runways: � ,
I understand that the following:restrletians apply to the use of flll:�
- Use o#filt is not allowed in Flood Zone"V"uN9ss expressiy permitted.
- ff the flil material is to be used_ In �Flood Zone "A", tt is understood #hat a drainage plan addressing a I
"compensating volume°will be submttted at#ime af permtlting wtilch is prepared by a prafessianal engirteer
Iicensed by the State-of Florida:
- !f the �11 materia# is=to be used En Fioad �,one °A" tt�>connec�lon vu9th.a��ecmitted bultd�ng using stem wali
� construction, I certify that fiil:wlll=b.e used only�to.flll#he area withln the�stem�uvait.
- If fill material is to be used in a�y area� 1 �certify that use of such flil w!!I not adversely affect adJacent
propertles. 1#use of fill is fonnd ta advetsely:�ifect adJacen#properties,.the owner may be`cited far viorating
the canditions of the building-.permit issued under the attacfied�permit applicatian, for Iots less than one (1) ;
acre which are etevated�by fll�,an engineered drainage ptan is requlred. .
if I am the AGENT�OR THE OV11NE�t, i;promise in goad faith to�nform the owner of-the permitting aonditions set forth tn
this a�davtk prtor to commer�cing canstruction. I unde►�tand that a-aeparate permtt may be required fvr electricaf wark,
plumbing, signs, welts, poots, air conditioning, .ga;s, or ather. #nsfaiia#tans nat,spea�cally inaluded�in the�apptication. .A
permft Issued shall be cortstrued to be a license ta�proceed with tlie work�nd not as:authority to..vlolate� cancel, alter, or
set aside any provisfons ofi the technlcal cod�s; nor shall tssuance�of a.permE#pcevent the BulEdtrig C�tcla!from thereaf#er
requiring a co�rection.nf errors In pians, construction or vlolatfans of any codes. �very permit Issued shall become invalid
unless the work authorfzed.by such permlt.�#s-co�nmenced�wlthln sGc mor�ths af p�rmlt Issuance, or Pf work autharized by
#he permit is suspendad ar.abandoned for a periad af�s�C¢8}montF�s.after tize time the�wotfcts commenced: An extension
may be requested, in writing, ftom the Build(ng,Official far a perlod not�to exceed ninety(90) days and wlll demonstrate _
- just�iabie-caus�-for.the extensior�:`If�wark cease�;for nlnety�{90}consec��lve dajrs;..the joE���s con�`sitlered a6a�nc oned:�
WARNING TO OWNER: YOUR.fA1LURE�70..REGOttD ANOTIGE Q��CQMMENCEMEMT�MAY�RESUl:T IN YCtUR
PAYING'iWICE.Ft1R�iMPROVEMEN'�S TCt YOUi�:PROPERTY.-I��YOU�I�iTEMD'TQ'OBTAIN�FIN�iNE�NG;'CONSULT
WITH U L D �O AN fiTORNEY� FORB� COR�U �� OU ` O� �G -°O �' � E E E T'
FLORIDA JU 5.117.0 _ . -
OWNER OR A�� �� CONTRACTO
Subscribed and swom to(or�fllrmed)before me fhis Subscrtbed and'swotn-#o{at af�rmed}•before me tfi�ts
by •by
WFio is/are persa�ally known to me or has/have produced Who Is/are personelly knovm•ta me or has/have�produced
ss IdenURca@on. as tdentNicattan. ,
Notary Pubtic . - �� Notary Publlc
Gommis kan No:,-. Comn�issta o.
��,1Y p��� OEL E.BACON "'Y�F'��•. J EL E.BACON
Nam at Notary _,., , �i€� Name o Nata ._t�B�au�p��F 137073
�. :a: Expires,1une 29,2018 ;;: o�: Expires June 29,2018
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; R�.�P`, Bpoded Ttw Tray Fain Inautance BOOa651019 �l�j',AF,�k�`� Bonded Tluu Troy FaUi Insuranca 804385d019
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' 2015176652 ,
'Rcpt:1724727 Rec: 10.00 �� ,
D5: 0.00 IT: 0.00 �
11/02/2015 B. M. , Dpty Clerk
PAULA S 0'NEIL,Ph D PASCO CLERK 8 COMPTRO LL ER�
11/02/2015 03:36 m 1 of 1
OR BK 92�� PG 320�
NOTICE OF COMN�ENCEMENT " - —J
Pcimit No.
Praperty Identification No. �r•aJr'07�• a1l'd'�7�?•OQ.'+��
'I7iE UND�RSIGNED hueby give informs you thet the improvement wiU be made to cermia rcal property,end'm accordance with
Secaon 713.13 of the Florida Stewtes,the fol owing informedon is provided in this NOTICE OF COM2YIIiNCEMENT.
1.Description ofproperiy(l�ga/descr Non:J +e �AW�� 2�
a)Sri�eet Address: g -t�i
2.Oeneral desaiption of improv ents: ' '
3.Owaer Information
a)Neme aad address: � � �l t L
b)Name and address of&e simple Htleholder(if other thaa owner) S at�v� }l� �1����$ '��
c)tnterest iu property '���/O
4.Contractbr Infotmatioa • Y
a)Nemn aud address:.��� 1 �/�S
b)Telephoaa No.$I'3-'�'1�./f _�-nD 2�_� Fax No.(OpG) �
S.Surety Informetion � .
a)Name end eddress:
b)Amount of Bond:
c)Tetephone No.: ' Eax No.(Opt)
6.Lender � � w �
e)Neme and ad�ess: � w � cn W �
Phone No. ' . Q — � LL, — J U
7.Identity of pecson within tha State of Florida deaIgnated by owner upon whom notices or other docamenu mey be served: C, z � O �� J >-
a)Name and address; � � . � � � _ �� � a
b)Telephonc No.: Fax No.(Opt.) �.. C� p w F- w
8.In addition to himsel�owner designates tfie following person to receive a copy ofthe Lienor's Notice as�pmvided in Sectioa ti. W � ~ vJ �- C�
713.13(1)(b)>Florida Stsdrtes: � � S z � `�
e)Name aad address: >- � ~ Q �
b)Telephone No.: �• '� .Fax No.(Op�) . • —�"""�, = p p � V
9.Expiratioa dau ofNodce of Commencement(the expirerion date ls one year from the date of recording imless a different data is = F- } �U � Y
speciHed): Q F— p �
' . � � UC� W
J
WARNIIVG TO O WNER: A7VY�PAYMENTS MADT BY THE OWNETi AFTER THE EXPIRATION OF TfiE TiOTICE OF p >- U m p �U
COMMENCEMENT ARE CONSIDERidD IMPROPER PAYMENTS UNDER CHAP7'ER 713,PART I,SECITON 713.13,• � � � � Q � J
PtiORIDA STATUTES;AND CAIV RESiJLT IN YOUIt PAYIIVG TWICE FOR IMPROVEMEI�ITS TO YOYJ12 PROPERTY.O � � ti = ¢ �
A NOTICE OF COMlVII,+NCEMENT MUST BE RLCORDED AND P05TED ON THE JOB S1TE BEFORE THE FIRST LL �; � � � � Q
INSPECTTON. IF YOU WTEND TO OBTAII�1 FINANCING,CONSULT YOU�i LENDER OR AN ATfORNEY BEROFtE
COMME , _ @��p,f!ORIC�ORR�`.C�ORDINC�YO � N MMENCE . , � � � �
3CATEOF;�7ZIpp�(� ��TRICIA L.JOMJSON� w � Q � J—''
��Y O �o f R�'�p�1�91SSION#FF185�47 Q c/) w u- �
-•c.>v E`LyIR�S:pecc,S�a28.2018 }� _ � Z — 7"
�� SipiehtreofO�merorOwna'� wiaedO�cc/DfRetodP a � � � � � � fll
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Priat Nmce
The forego3ng[nstivment wes acirnowledged before ma this oj dey of_NbY6MB6R, ,2p__15•yy OF.80RAN
D RJIS es � (type of nutharity,e.g offixr,t�ustee,attorney ��'` � �
in fact)for (name ofparty on behalf of whom instrvmeet wa9 executed). �� � • 'o �
Personslly Known_OR Produced TdenHScetion '� Notary Signature �d�t�ei...�O��•QDRDa- ���� , �.
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� �:. � ��0 �
Type of Ideatification Produced D.�• Name(print) PnrRre�q. L . JOH e�lrtJ� �� � �s� m �
Q�o�'� ' �� �'G ���� � , � • �
Verificatiou pursuaat to Section 92.525,Floride Sta�trs.Under penefties of perjury,I declare that I have nead the fmsgoing ead tha��`e � .� ; �kI
the facts stated in it�e hve W the best of my Irnowledge end belie£ `�► ' ��3`
�,�• e . �
Sigfuwre ofNeWral Prnoa 3i�lne Abovo � 7Q. �^y( �
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