HomeMy WebLinkAbout17-19017 CITY OF ZEPHYRHILLS
5 " 5335-8TH STREE7
(si3)7so-oo20 190
BUILDING PERMIT
- - � PERMIT INFORMATION - � � LOCATION INFORMATION "
Permit Number: 19017 Address: 5628 CYPRESS ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: YINGLING ADDITION
Est. Value: Parcel Number: 12-26-21-006B-00000-0250
Improv. Cost: 11,000.00 OWNER INFORMATION
Date Issued: 11/06/2017 Name: ALTMAN ROBERT & DANIELLE SAARI
Total Fees: 90.00 Address: 5628 CYPRESS ST
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/06/2017 Phone: (386)479-3414
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 90.00
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' Ins ections Re uired
DRY N ROOF NSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CON RA OR S GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED '
PROTECT CARD FROM WEATHER
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� � I llllll IIIN IIIII II{{I IIIII lllll IIIII Illll IIIII IIIII Il11111 � - '
� , • � 2017174981
Rcpt:1907088 Ree: 10.00 �
Key No. Permit No. DS: 0.00 IT: 0.00 '
' 11/06/2017 K. R. M. , Dpty Clerk
NOTI.CE OF COMMENCEMENT ppULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
11/06/2017 09:54am 1 of 1
THE UNDERSIGNED hereby gives notise that improvement will be OR BK ��2� P� 3096 �
Made�to certain,and.in accordance vuith Chapter 713,:Florida.State � -- - - -
5tatues,the following infom►ation is provided.in this.Notice af . "
Commencemerrt: -
1. Description af Properfy.: Parcet No.: . . �2� 2G 'Z/ -B 6�13.iOO�bO ^ O ZS�
(Legal descxiption of the praperty�and street address if availaple) �
2,�General Description:;of impro�ement: - - "
FGJ �a�o�'•
3. Owner Information:Name: i✓� 7lt �.,le/% ��r . �
. Address: .SZ28 GYA2E55 .ST City �EP�.{s�R�1/c�S State Fi Zip. 33.Sr�z .
:� Interest in Property: . � � .
� Nari�e and Address of'Fee�Simple Titlehofder(if other.than owner) : �
4. Contractor: Name: TLC ROOFING� f�Hu d LICTSL�VrI,. _L1�tC_ . .
Address: PO BOX 1745 � � City DADE CITY � � State FL Zip. 33526
. Phone No. 352-473-4073 � � Fax No. 352=473-�4073
�. Surety:.Name Amount of Bond:$ .
Address: City . � State_.Zip -
Phone No. � Fax No. � -
6. Lender Name: � �
Address: Gityr State_Zip
Phone No. Fax No. . '
7. Persons within.the State of Florida designafed by�wner upon whoen notices or�other documents may be.
served as�provided by Section 713.13(1)(a)�{� Fiorida Statutes.
Name:
Addre�s:. City Sfate._Zip .
Phone No. ` � Fax No. �� � �
' 8. f n addition'fo himself�or herself,ovvner designates� � �� ' of �'
- "i'o receive a copy of the Leinor's Notice as prov,ided�in Section 713.13('f.)(b), Florida Statutes.
9. Expiration date of Notice of Commericiement(the ezpiration.date is.i year of recording unless a d"rf�erent
date is specified.)
WARNING TO OINNER:AHY PA1f�ENTS�tJADE 8Y THE OWldER.AFZER 7HE E7�1RAT10M OF THE NOTICE•OF CONMEMCEAAENT ARE
CONSIDEFiED IMPROPER PAYIMENTS UNDER•CH/1PTER 7l3,PART 1,SEC T13.13;FLORID/4STATUTES;AND CAH RESULT IN YOUR
RAYfNG 7WICE FOR fMPi20VEMEMTS T.OXOUR PRUPEitTY:A NQi10E OF COAADAENCE61lENT EA,UST BE RECORDED AND POSTED�ON THE I
.t06 SITE BEFORE THE FIRST INSPEC'i]ON.IF YOU 9NTEND TO OBTAIN FINAPICING;CONSl1LT YHITH YOUR LENDEit OR"AN ATTORNEY
8EF0� EN/i/'" ORIC'OR RECORDING YOUR F10710E OF�COMlAENCE�ASNT. '
X
Signabue of Owner Owne�s Authorized Officer/DirectoNl?artner/Marrager � Signator�sTiflelOffice
- "'Signature Required by same belaw►tiy'X�maric"• I
�� �l�r1d� .��,►of� 1 ��oro��
The forgoing instrumeM`was acknowtedged before me this C7" day�of���bL by . • � . I
.(Printetl:i�a of person adcnow�iedging) �
s to.r. l - �
o utlm' e. ,o mey In fad) (Name of on behalf of wh�instrument W2s executed� .
n te ,.a
� � �S, �
S atuie of otary Pr� ,,,..
Persor�al knovm-{/ OR Produced•tdentification ;.•,;���•��••. KRISiIN 5 MCKEE �
Ty¢e of Ider�fication P�oduced: � =_�.`",:��::. NotaryPubllc-Stateof Florida
� ;����T, Commissian q GG 14/207
Verifleadon pursuaMto.Section 92525,Fbd�Sffitutss:under PenatHes of pe►jary,I f f � 'i�a�� ° �9'��0��4��an n at the facts
sfated in#t are true t�tfia hest of my knawledge antl�6ellef. .'...'. i
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�„°� ' ° ��, �TA7E�F FLQRIDA, COUNTY OF PAS�O
�j . ;� � THIS I�Td C�RTIFY THA7 THE FOREGOING IS A
�� � TRUE AND CORRECT CQPY OF THE DOCUMENT
� � � �� ` ON FILE OR OF{'UBLIC RECORD If�THIS OFFICE
� I"�°d�v;T�"r'" ' � WITNE MYHANDAND FFICIA SEALTHIS
�'' � ,.,� ��t� � �AY OF Z�
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, {�e ' �' ��� PAULA S 'NEI C4ERK&COMPTROLLE
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Gity of Zephyrhills
BUILDING PLAN REVIEW C4li�IMENTS
Contractor/Homeowner: �'���� ��l �
Date Received: ���2-��/��
s�t�: �3��� ��` ��r�
Perrnit Type: �.-� �•�G��,,.1 ����' �,S
� �
Approved wlna comments: Approved w/the below comments: O Deriied wlthe belaw comments: ❑
This comment sheet shall be icept with the permit and/or plans.
/ ��l 1
Kalvin Sv�Gifzer P s Examiner Date Contractor an.d/or Homeowner
{Required when comments are present}
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E�TIAAl1AATES
Cd![.t IWIICIE'9'NURST�AI
Office: 352-�37-4073 Ceo1: 3�2-650-7101
PROPOSAL SUBMITTED TO WORKED TO BE PERFOFiM�D AT
Name �.�o'�'i �•% Street
� Street � City
City �� � State Zip
Stat� �J Zip Owr9er of Property " •
Phon�NumE�r�r�v 3�q �J �,� 6 Fax Phone Numb�r Fax
We�ereby propose to fumi�h ail the Fnate�al§and perform all the latior necessary for the comp0etion of:
�Remove existing shingle roof �Replace bad fascia boards at$ per foot
❑Fiemove existing built-up roof �Install �i� feet of ridge vents ,
�Dry-in witF� O 15 Ib. �30 Ib. D Install mod'rfied[iitimen(granulated)torch dowrn roofing
�Install new galvanized valley metal black,white or other color
�Install new lead boots ❑Install 25 yr.fungus resistant 3-tab shingles �
�1 Instell new ex�ust vents 0 lnsta119Q�rr.fungus resistarrt dimensional shingles �n�� �'��
�Insfall new drip edge, color ❑Shingle manufacturer ��T color '
O Instal0;new fiashing as needed �Install TPO,white rubbe�ized roofing membrane
�`R`eplace plywood at$ per sheet ��e�
�1 Re�ir rotten trusses at$ per foot / ��1 - �� �� �" �y� '
*Woadwork is an additional charge,see pri�ing above
All mateeial is guaranteed to be as specifiect;and the above work is to be pertormed is accordance with the drawing and specifica-
tions submifted for above work and completed in a substantial vuorkmanlike manner for the sum of$� �v S �
with payments to be made as follows. Paxm�r�t due iro ful� on compietion9 unle� oth��r n�teslo Thank���o
Cr�edit cards accepted,additional 2.8%charge.
Any alteradon o�deviaUon hom above speciNcadons Inwlving 0atra costs will
he exeatted anly upon w�inen ordera,and wiil become an exva,cherge over and
ahove tl�e esthtiate,Ap agreemertta coridngent upan strlkea,aceiderrts ar delays
tieyond our coritrol.Owner to carty Me,romado and,othet neaesaary insurance O�cer/Agent
upon aeove wonc woricers�Comper�sadon azrd Publtc LiabfHty insura�e an above IVo4e: This proposal may be withd rawn �y us if not acce�f�d
wartc to he mken aut by RooBng Cantracror.
within days.
Client gives permission to drive on driveway to deliver materials.
ACCEPTA�ICE OF PROPOSAL
The aboVe prices,spec�cations and conditions are satisfactory and are hereby accepted.You are authorized#o do the work as
specfied.i have read 4he back of this ProposaUCantract,which contains Florida Statues 713.001-713.37.P ment will be znade as
outlined above.
Accepted � �� Signature
'� Date �' �� Signature
� � °��:,�' -
a`13-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
_ . Bu(Iding Departrnent - '
Date Received Phone Contact for�Permittln �` =
Owner's N�me C( �(., Owner Phone Number
Owner's Address 5�a� l� (�QSS �fi Owner Phone Number
, , .
Fee Slmple;Titleholder Name Owner Phone Number
Fee Simple'Titlehold�r Address
JOB ADDRESS ��-a� �-Q.SS ST 2-2 rl C�' �IXS �I� 335�Z LOT# �
i
SUBDIVISION ' P.ARCEL ID# ��'���� a"� - �U �Q � ' DOC�O~D a.Sa
i . (OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q` SIGN Q � Q DEMOLISH
' �e INSTALL 8 REPAIR �
PROPOSED-USE � Q SFR, Q COMAA "Q �OTHER ' � �
TYPE OF CONSTRUCTION Q� � BLOCK " Q FRANiE ' � `STEEL" Q _
DESCRIPTIOPI OF VYORK r� S �� 0.C(��
i
�UILDING SIZE � � � SQ FOOT�IGE . ,,HEIGHT�
OBUILDING $ � , VALUATION:OF`TOTAL'CONSTRUCTION �
! l' �2�
� , �_
QELECTRICAL $ - AMP SERVICE Q PROGRESS ENERGY Q W.R.E:C.
" .
QPLUMBING� $ ' '
� �� � (q�l�
QMECHANICAL $ � ` VALUATION OF;MECHANICAL INSTALLATION
QGAS Q ROOFING .Q SPECIALTY Q _ OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
BUILDER COMP'14N1f� � - �
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N ,
Addre�s Cicense-# � '
r
ELECTRICIAN: COMPANY � -
SIGNATURE w' REGISTERED Y/ N FEE CURRE�" "Y/N
Address ` � , ; License# �
PLUMBER COMPANY�.;�,l ' .
SIGNATURE` ' � � . �REGISTERED Y:/.•N,= , o;FEE CURREA Y/N. •
. a. _
Address • - - �. � , , � � , - „
, License,#
MECHANICAL' � � COMPi4N1f . - - ,
SIGNATURE ° � � " � REGISTERED, ..Y./ N ��FEE CURREA� , Y/N
;. . ,
Addres�'� �` a � , ; . , � � License.# -
OTHER -- • ` ';COMPANY: �• C�.� d��s
SIGNATURE ': � REGISTERED � ` Y/ N,. FEE C RRE� Y/N-
Address , , : . ,.: , . - ' License# .. . - .
��`� .. .�: .-.. ::Y z',r... . . . . � .
RESIDENTIAL:; - �Attach'(2)�PIof.P:la`n's•;.'(2)seEs=ofBuilding��Flens;'�(1)sefof'Energy�Forms;�R=O=W�Perrriitfornewconstruction, '
- s•Minimum;ten;(:1.0):working+days,efter;submiftal dafe.:?Requir'ed onsite„Constiuc8on Plans;Stormwate�`Plans w%SIItFence installed,
^Sanitary�Facilttles�&�1,;dumpstertStte';Worlc�PetmitforsubdiVlsionsAarge:proje'cts ;,_.�:.;:� ' ' ' " '• �
COMMERCIAL Attach(3)�complete sets�of Building Plans�plus e Life'Safety�Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Requtred ons(te,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilitles 8 1 dumpster.Site Work Pertnit for all new projects.:All commerGal requlrements_must meet compliance
SIGN PERMIT Attacti"(2)"sets of'Engineer.ed;Flans:,,�:.�.�, .. �• '� •� � �
;
"'•PROPERTY SURVEY required for all IVEW conshuction., "
Dlrections: -� _ • '�
Fill out applicadon completely.
Owner 8 Contractor sign back of applfcatlon,notarized
If over�2500,a Notice of Commencem�nt is requlred. (AIC upgrades over 57500)
...:�<>�tr�:`%"�': �;
" qqent(for the`cantractor)or Power of Attomey-(fo�:tFie owne�)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER.PERMITTING-� -,,;(Front of-ApplicaBon•Only)Y- � � "
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drivew�ya-Not over Counter if on public roadways:,need's ROW" �
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�NOTiCE OF DEED RESTRICTIONS: The undersigned�undergtands.;th�trthis,;p�rmit'.mayybe,,sub ect.to:°deed"_restrlctions";,..�.. '':"
which may�be^more:restt(ctive�thai�County:�.regui`atfon'"s:YTNe`:undersigned=as`sumes'r'esp�nsibility�for�"compllance with any`' `�' �.
applicable.deed resMctlons. � � - , ,. ; _ . _
UNLICENSED� CONTRACTORS-AND CON�RACTOR�RESPONSIBILITIES:• �-1f�tfie=�owner has���htred� a"contractar or
contractors to undertake work, they may;be;c�qulred:to.:be�llcensed In accordance..with state�.and�local;regulatlons��.�If`the�• ='� ��
con�ractor ls-not�l(censed=-as required.',tiy law, b'otfr the owner and=eonVacto��may be�cited°f'or�a�misdemeanor violatlon
under state law. If the owner or Intended;:contrat�tvr;_are,;uncertaln as to what Itcensing;requlrements,`;may�,applyi��for':�the' � •,=°�--��
t,w,,,, , �l
..�.
intended work, tHey are'advised to contact ttie Pasco County_,Bullding:Inspectiori,Diiiislon-Licensing Section at 727-847-
8009. FurtFiermore� if the ovmer�has�hired a �contracfor o� contractors, he Is advlsed to have �the contractor(s),sign , ,,
•� .
portlons of the_."contr�ctor Block° of thla_application._for:which.they will..be r.esponslble.. If=you,:as..#he owne�'`sign'�as�the - '� '
contractor, that tr�ay be an indication that`tie��is nof prope�ly licensednand�is not entitled to pemiitting�privileges In Pasco
County. ' � � .. � ��-,. . -.. , ._,
TRANSPORTATION.,IMPACT/UTILITIES�(MPAC��ANb ItESOU�tCE RECOVERY�FEES; The�unde�signed understands
that Transportation Impact Fees and.Reco.urree Recove.ry:Fees niay:applycto:the:constructton,of new buildtngs��change`of'-'f � �� ''��
use In existing buildings,•or_,ezpar�sio��of�ezisti�i,g'�6uildings, as specifled.in Pasc4 County Ordinance number 89-07 and�
80-07, as amended._.The und,ersigned also.untlerstands, that:-such fees,�;as,majrbe�:.due;:wlll�?be idenNfied at the�time-of� �_ � -
permitting. It Is ftirtHe�understood that Traiisportatlon impacf Fees and{Resource�Recovery=Fees,must be paid prior to
receEving a 'certl�cate=of-�ocxupancy" or-flnal�powerGelease: :If Ehe.proJ�ct..does,.not�involve.a�.certfftcafe of o�cupanby.-�or�=='�°��� �"
final powec release;�-.the--.fees mu�t'�be�paid��pr�or to.permft Issuance. Fu�thermore;if:Pasco.County�1Nater/Sewer��lmpact � :,,•,•��
fees are due,,.they_must.be-paid-prior#o petmit�:issuance�in accordance.witfi.appiicabte Pasco�.County,ordtnances. -
CO(dSTRUCTION'LIEN�LAW"(Clibpter 713� Florlda Statutes�as amended): If valuadon of work ts$2,500.00�or more��i -�;;.: �
certify that I, �he -applicant,--have=been prov.l.ded�with�-a-copy<of_the._�'Florida�°Constructlon� Lien :Law—Homeowner's
Protection Guide" prepared bytFie Flo�ida Department�of Agric.ultur� and Consumer,./kffairs. If the appl(cant is someone . ,
other than the"owner", I certlfy-that i�have.,obtained-a�=copy.of..thetaboye.;des.c�ibeddocu`ment;and;prorxiis�;tn,good:faith�t'o
deliver it to:the:`ownec"'.pi�ior�to•commencement:'•� ` - ' � - � "�` = �. � . , - �
CONTRACTOR'SlOWN@R'S AFFIDAVIT: I.ce.Mify,:.thak all�:the�information:;l��thi�appllcation is accurate and that all work
will'be done in complfance wfth ail appllcable laws regulating construction� zonfng and_land,development. Application is
hereby made to,obtain-.a.permit;Co do_=woi`k;;and 4lnstallatlon as indicafed:>��.�I, certffy that no work�or tnstallatton Fias
commenced p�lor to Issuance of`a perrriif"and that`.all work will be�peoformed�to meet.standards-of all laws regulating�_
construction, County and City codes, zoning regulatians� and land development tegulations�in the.Jurtsdtction.- I��al's.'o;
certlfy that I u�derstand that the regulattons of other�government agencies may�apply�to.the.intended_work, and that it is
my responsibility to ident(fy.what.actlons I must�take:to be=ln:.compliance,,S,uch.agencles-include-but-are.not Iimited to:.� ,�
- Department of E�vironmental�Protectton=Cypress.`Bayfieads; WeNand Areas and Envtronmentally Sensitive
Lands�WatedVNastewater Treatment.
- Southwest Florida Water Manage�nent:Dtstrict Wells; Cypress.��Bay�eads; Wetla�d Areas, Altering
Watercourses. �
- Army Corps of Englneers-Seawalls, Docks, IVavigable Waterways.
- Department of:Health.;�..ReMabilitativ,e.,ServiceslEr�xtronmental. Health Unit Well.s, Wastewater�Treatment,
Septic Tanks:� � � - - _
- US Environmental ProtecBon Agency-Asbestos abatement.
FederaFAvlativn:Authority-Runways:� ��,
I understand that.the,following:�estrictTons apply`to tFie use offlll:•
- Use offlll is not allowed In;Flood;Zone"V"unless expressly permitted. •
- If the'.flll��material-is to,be usetl:.'in:�Flood Zone. "A", It is underetood that a drainage plan addressing a
"compeFlsating volume" will be submitted at t(rne of;permttt)ng�nrh(ch is prepared by a professfonal engineer-
Iicensed by-the State of Flo�da: - � � - �
- If ih� fill material=.is to•be-used tn Flood Zone 'A" Im connec�ton�v+rith�a�permitted building using stem wall
� construction, I certify that flll�:wJll:b.e-used oniy.to flll the area within the�stem�walL . �
- If flll materlal is�to be used 1n any area, I �certify that .usa of:such flll will not adversely affect adJacent
propertles. If use of flll is found�to adversely.,�ffect adJaeent propertles�.the owner may be clted for violaQng ,
the conditions_..of the building;permit issued under the�at�ached_permit applicatlon;�for.lots.less�than.one (1)
acre whicfi�are elevated�by f11t,a�englneered dralnage plan fs required. ,
If I am the AGENT FOR THE OWNER; I�promise in.good faith to inform the�owner of the permitttng conditions set forth tn
this affidavlt�prior to commer�cing constructlon. I understand thata-separete permlt may be requlred for elecMcaf work, . .
plumbtng, signs, wells,.pools;. air.conditioning,�.gas,�;or ottjer. install�tiqns nol,spec�tcal�y Included�in.the�application. .A .
permit Issued shall be const�ued to`b'e��a'license'to�proceed with"ttie work�nd�not�as:authority..to:vlolate;'cancel, alter, or
set aside a�y provistons of the technical.codes;�nor shall tssuance�of a.permlt.prevent the 8ulldirig Otficial from thereafter
requiring a correction_af errors in;plans;_consttuction..or violations of-any codes:� �very��permit lssued sfiall-become invalid
unless the work authortzed.by such permit.ls.commenced•withfn sUc_months of�permit issuance, or if work authorfzed by
the permlt is suspended or:abandoned.�for�a:perlod�of�six:f�)�moMiis,:after.the tirne the�work�ts commenced. An extension
may be requested, tn writing;�.from the.�8uilding,Official for a perlod.,not-to.exceed�ninety�(90)=days a�d will demonstrate
justifiable cause for.�the extension�. If wotk ceas,es.for ninety.(90)cons.ecutive:days...th�)ob�,Ps.considered aba�doned. �
, , :.; , . . . .
WARNING TO OWNER: YOUR..FAILURE�Ttl.�R�EC.ORD.A�MOTIGE.OF,°COMMENCEMEMT NIAY�RESULT IN�YOUR
PAYING TINICE:.FOR:IMPRO�IEIIfIENTS-Tfl,YOUE��.PRL�PER7Y.�•�1�°.YO.U�IN'�EWD:°TO�i0BTA1N��F1N�P1EING;'C.ONSULT
WITH YOUR LE D@R OR At�ATTORNEY�EFORL�R�OR�IING:YOUR�NOTIC�'OF`��MII�IENC�Ef�IENT'' "� ; .
_ _ FLORIDA JURA�_(F.S+_117.03)----- - -- - - - --- -- � -- - — �- -- - —---- -
OWNER OR AOENT CONTRACTO
Subscrlbed and swom to(or aflirtned)before me thls Subscrlbed and' m to(- �e ' t+s me tlii�
by ,b � -
Who is/are personally known to.me or has/have.Qraduced Who.is/are person, wn•to rtte�or aslheve�produced •
as IdentlBcatlon. ' as IdentlficaUon.
Notsry Public . Notary Publlc �
,
Commisslon No: Co mi sian. ,,,,,,, . E BOGES
:'z�' '`;';: Commission# 8 •
_"� cember 12,2�1 �
Name of Nolary lyped,printed or stamped Name of Notary ; „ �ta�mp�F��^90fa"`B
",A��;;• .
.�-
CITY OF / / / / BUILDINa
tEPHYRHILL3 DEPARTMENT
OF ADDITION OR CORRECTION
� � • • - •
ADDRE55 DATE PERMIT�/.
s� � � � ��, � 1��y � `� a �
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
�'� (' f�4J r�l c �
It is unlawFul tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
' cover or cause to be covered,any paR of the work with flooring,lath,earth 780-0020 FOR E-INSP N
or other material,until tha proper inspector has had ample time to approve
I , the installation. �'
� OFFICE HOURS 7�30AM-4:30 PM MON-FRI. INSPECTOR