HomeMy WebLinkAbout17-19072 CITY OF ZEPHYRHILLS
� 5335-8TH STREET ,�
` � ' (813)780-0020 � u,L
BUILDING PERMIT
- - - PERMIT INFORFiAATION � � LOCATION INFORMATION�
Permit Number: 19072 Address: 6416 SILVER OAKS DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0220
Improv. Cost: 30,184.00 OWNER INFORMATION - '
Date Issued: 11/30/2017 Name: WATERMAN, KENNETH &TERESA
Total Fees: 345.00 Address: 6416 SILVER OAKS DR
Amount Paid: 345.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/22/2018 Phone: (813)468-8413
Work Desc: INSTALLATION PHOTOVOLTAIC SYSTEM
CONTRACTOR S APPLICATION FEES.
GUARDIAN SOLAR LLC BUILDING FEE 285.00
GENESIS ELECTRIC SERVICES ELECTRICAL FEE 60.00
, � l
. _� , � �
�
����� ��,� ��z3
� fns ections Re uired
FOOTER 2ND ROUG PLUMB MISC. IN ULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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.
G� ������,:� �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�saaaoozo City of Zephyrhills Permit Application Fax-813-780-0021
, � Building Department
i '
Date Received Phone Contact for Pertnitting �d� 1
Ownefs Name } � Owner Phone Number \ �D
Owners Address � r a�l 7 � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �p�t �o �� V� R W Q, \\1` ?j �LOT# �
SUBDIVISION � � �G � PARCEL ID# � "'��� � '� v �V-� �
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW coNsrR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK e � � �
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ ^•�rJ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
V
QPLUMBING $ I � �� rL
�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
� � " '�+'+�3��1376 [ PiPi71d000 '�i..i '
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
ELECTRICIAN'• ` MPAA7�" (� 1 �C��C�� S
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � V, ``\ �'C\'�(� � 3 3 1 b y License# C{ �fl ,
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Pians plus a Lffe Safety Page;(1)set of Energy Fortns.R-O-W Pertnit 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 Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERI'Y SURVEY required for all NEW canstruction.
Directions.'
Fill out applicafion completely.
Owner&ConVactor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
' � , NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
- � which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings,as specified 'in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 773,Florida Statutes,as amended): 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—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document 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 application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, 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 to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered 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 affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuartce of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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 YOU E COM
FLORIDA JUR,4T(F . 17.
OWNER OR AGENT CONTRACTOR
Subscribed and swor �r affiqn d)b Se h' Subscribed and swo to affir d)befor thys
bY 1 by � �
ho is/ace-�e o m r has/hav roduced ho is/ y nown o m h have produced
as identifi on. as identification.
Notary Public Notary Public
Commission No. Commission No.
R � A�1 oe��e. `1� an�
Name of Notary q e I�p�d r ta p d Name of Notary typed,printed or tamped �
.�,av Pue Notary Public State of Florida �
�'���' Angie Bryant ,'� q��R�� Notary Public State of Florida
� u Q4 My Commission FF 163371 '' �� �0 Angie Bryant
'�FQY F�o`� Expires 091251201 B � �����04 My Commission FF 163371
�� s.r �`or s•�� Expires 09l25/2018
t's+�'2r`%o�'��d°�t�'+.i'�i'�R�°'�eS�F
CITY OF ZEPHYRHILLS
� ' S335-8TH STREET
, � (813)780-0020 19072
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 19072 Address: 6416 SILVER OAKS DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0220
Improv. Cost: 30,184.00 OWNER INFORMATION
Date Issued: 11/30/2017 Name: WATERMAN, KENNETH & TERESA
Total Fees: 285.00 Address: 6416 SILVER OAKS DR
Amount Paid: 285.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/30/2017 Phone: (813)468-8413
Work Desc: INSTALLATION PHOTOVOLTAIC SYSTEM
CONTRACTOR S APPLICATION FEES
GUARDIAN SOLAR LLC BUILDING FEE 285.00
�
� �
I l , �
�
b
Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
, Building Department
, Date Received �
�� Phone Contact for Permitting ��— �
Owner's Name Owner Phone Number b� � ��'�'
Owner's Address ( (�}l Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS {1 1y � 3 5 a LOT# � ��
SUBDIVISION S1I � L.Ju1 PARCELID# � I—VI '
(OBTAINED FROM PROPERTY TAX NOTIC�
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK ��/Q , S
BUILDING SIZE SQ FOOTAGE� HEIGHT �
�'E3UILDING $ i VALUATION OF TOTAL CONSTRUCTION
1
�ELECTRICAL $ AMP SERVICE [�i PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � �� �^ ,
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `/
�GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER Sf y�OCOMPANY �IU1'� �/ C
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address �0 1-Ir�C.�O �' ` I 5 �L�U 1 License# U ��]
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED YI N FEECURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Buiiding 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,Stortnwater Pians 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 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgredes 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 (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage)
Drlveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTlONS: The undersigned understands that this permit may be subject to"deed"restrictions"
, whiCh may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contra.ctor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): 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
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner', I certify that I have obtained a copy of the above described document 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 application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of.the building permit issued under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered 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 affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shali be consfrued to be a license to proceed with the v�ork and noY as authority;o violate,�ancel,a!:�r,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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 YO NCEMENT.
FLORIDA JUR.4T(F.S.117.03)
OWNERORAGENT,, � .�r�i,' -L•���`'\ CONTRAC
Subscribed and swo to(or affir�qd)bef re me.thisM� yb ibe�d.�d swom or ffirme t ' `
��—� bv ��, f'rti�� ��— � � , by \\
�o is/arenP���nally known o or has/have produced o's re ersonail kn has/hav produced
as identification, as identification.
/ Notary Public Notary Public
ICommis ion Na. � Commission No. ��`
� � ' ��
�o�l p , ri e or st m ed N� o a e rinted or stamped
=o�°�� Nctar�f�ubiic•Sc�;e of Florida � ;o�°�q�� Notary public State of Florida
. � A�gi�E3r}��nt e , Angie Bryant
'9. �'� My Gemm�ssian FF 163371 `�� � My Commisslon FF 163371
�or��� Expir�:s^gr2 y;;;pt g �`OF f�� Expires 09/25/2016
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� 2017180812
- �ermit No. Parcel ID No���,W�(h\�� l�"9�V�O O p�V�
NOTICE OF COMMENCE
State 6f �� . County of ���� -
, THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 7-13,Florida Statutes,
the following infortnation is provided in this Notice of Comme�nce ent 1 ''')r, (�(�('�r\ /�
'I. DescripGon of Property: Parcel Identification No.C l�����0�—��I O V^�\.J�J\JV—1 )��
StreetAddress: ' � �J 2 h rh��Is FL � �
2. �General Description of Improvement vV 1 ��� �V' i
� Rcpt:1909356 Ftec: 10.00
DS: 0..00 IT: 0.00 �
3. Owner Information or Lessee infortnation if the Lessee contracted for the improvement: ].�.�ZS�Z01�I L. K. , �pty C 1 erk
�.erv�,��1� UJc�,�i^r�ar� —�-
�jll� �t�veirOb..��.��': ^ °Z�.Pl�u�'�11S � �
, Address /� �,-,,/� City State
" Interest in Property �,o)��'C 1
Name of Fee�Simple Titleholder. .
(If different from Owner listed above)
Address _ ` City ` State
, 4. Contractor: �`��.I�UX��1�'n �C�1Q.r� L�C
- -- 7(0�11�'r�c�lp�e �.ca- l�.n�-�- �- ---- - `T-O.rrxrl Sp,r�r�aS �,�. -
Address �'��^��1 I City State
Contractor's Telephone No.. � PRULA S 0'NEIL;Ph D FASCO CLERK & COMPTROLLER
s. surery� 11/15/2017 1��0�3am 1 _�o��
- Name OR BK� .,�� (�, PG r�
, Address - City � a e ��—
Amount of Bond: $ � Telephone No.
6. Lender.
Name _ _
J Address City State
Lender's Telephone No..
7. Persons within the-State of Florida designated by the owner upon whom notices or other:documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes: _
Name
Address ' City � " State -
Telephone Number of Designated Person:
� 8. In addition to himself,the owner designates of_
to receive a copy of the Lienor's Notice as provided in Section 713.'13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner. '
9. Expiretion date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,'but will be one year from the date of recording�unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER713, PART'I, SECTION713.13, 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,I declare that I have read the foregoing notice of commencement and that the facis stated therein are true to the best
of my knowledga and bzlief. " '
STATE OF FLORIDA . 4.� � ���
COUNTY OF PASCO ��/yf� , '
Si�atura oi OT wnerToTssee,or Owners or Lessee's Authorized
- _ OfficerlDirectodParner/Manager -
� Signatory's Title/Office
The foregoing instrument was acknowladged before me this�day of U ��0��,.by� Ql� �
s� - (type of a e. mcer,trustee,attomey in fact)for
0. an (name arty o ' ,� whom instrument was executed).
Personally Known OR Produced ldentification❑ _ �otary Signature '
_ Type of Identification Produced Name(?rint) 's
- ., ��� '
' � ,�,�Y PU Notary Pubtic State of Florida
- , �,,..�� `�o Ang�e.Bryant _
, � �r� o My Commission.FF'963371
�•�.oF�°� �cpires0 912 512 01 8
wpdata/bes/noticecommencement�c053048 ' _
� � • _ � .
�TA7E�F FL��?fDA, COU�lTY OF PASCO
.,_ THIS IS 70�CERTIFYTHATTHE FOREGOING I,SA �
7RUE AND CORRECT COPY OF THE DOCUMENT e���� o �
_.----�''� ON FILE OR UF PUBLIC RECORD IN THIS OFFICE '� � ,�,�
`T�11._,E�pS MY HA AND OFFICIAL SEAL THIS � • . . .
'�,
� T�`— DAY dl/� �—rJ' v 2 G r / 1# • r,�
. '�- �� . g�
PAULA . O'NEIL,CLEf�K�E�MP7R�6l��R � ` _ r`�"��,�P; � ,���
BY � /��'1��{�U�Y CL��K . ..�,+
0 � �
� � . d�� m
`?�� B o �. �
�Q��d3iDA �
. • �{n\'S7, �o�-�.,� __
`-V' u��'J���..,.,•-,,�'�
<c'� ;�,. .s*
"�-�l�iFq_- f;'�'_
. �74 r'.+..�-�" � .
� ��, `'��" `.R,
'+.� -
' City of Zephyrhills
BUILLIING PLAN REVIEV�T COMMENTS
Contractor/Homeowner: ���,��G'!.,!/�-L �5�',�.�-�
Date Received: /r t 6'"f 7
S�te: � �f� c�`��-�-- ����.��.
Permit Type: ���G�/'T��G `��
Approved w/no comments� Approved w/the iaelaw comments: ❑ Denied w/the below comments: ❑
i
This coz�nent sheet shall be kept with the permit andlor plans.
._- ��v�'�l�
Kalvin Switzer ans Examiner Date Contractor a.ndlor Homeowner
(Required when cornments are prescnt}