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HomeMy WebLinkAbout17-18935 CITY OF ZEPHYRHILLS � ' S335-8TH STREET (813)78o-oozo 18935 BIJILDING PERMIT "� PERMIT INFORMATION � � � LOCATION INFORMATION '� Permit Number: 18935 Address: 5925 9TH ST Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: PLUMBING RENOVATIONS Township: Range: Book: Proposed�Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-00700-0110 Improv. Cost: 8,080.00 OWNER INFORMATION Date Issued: 10/13/2017 Name: JOHNSON LAWRENCE Total Fees: 195.00 Address: 5925 9TH ST Amount Paid: 195.00 ZEPHYRHILLS, FL. 33542-3530 Date Paid: 12/15/2017 Phone: (813)440-1866 Work Desc: SHOWER PAN REPLACED CONTRACTOR S APPLICATION FEES � SEARS HOME IMPROVEMENT PRODUCTS BUILDING FEE 120.00 SAFEWATER PLUMBING INC PLUMBING FEE 75.00 Le'�'1�1� YL�— � �� ° , � � , �, � � � Ins � tions 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � � � CONTRAC R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�aaso-oozo � Cify of Zephyrhilfs Permit Application Fax-813-780-0021 , , Build(ng Department DateReceived `� `� � phoneContactforPertnitting ��3 �7 WSz6 Owners Name �4 tv/' -n C • �d�t vt S D✓i Owner Phone Number G 3 -�y�� � Owne�'s Address f Z� �'F�' s � aE CL 3 3 L Owner Phone Number Fee Sfmple Titlehoider Name Owne�Phone Numbe� Fee Simple Tltleholder Address JOB ADDRESS ST � 7 �k S T LOT# /U t/ SUBDIVISION L 6 �� V�����f PARCEL ID# 1 I yCo Z(dU O V G �� v ( (OBTAINED FROM PROPFRTf TAX NOTIC� WORKPROPOSED e NeVJtoN5TR8 ADD/ALT [� SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSEDUSE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK �FA N 1C I70YIC' �t! �C fC►410V``�` �ft '�%� .� rCG�K IE /? BUILDING SIZE SQ FOOTAGE� HEIGHT TlTrrrR�[�ITTTrR9T[�R�l'7TT1"ITlTfrrl"ITITTrI�rl'R'79'R�lTrrrlTt�T{Ti�rrT" QBUILDING $ �0��,� VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ � �Q(/ OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � QGAS Q ROOFING Q SPECIALTY � OTHER ��� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO TlT���TiTr�TT�T�i"�iTl����TliTT�i'����Ti�T1Trtl�rTrin�T�TriTTT�rr�T� BUILDER �..� COMPANY S CQ r�f dI''t C �La"� rOf/'C/�"��K SIGNATURE REGIST� o N �cuaaen Y/N Address OL � C ��o�Pau� �, Lfcense# (il9 Gd����� le7Kf WON �t- � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N F�cutu�n Y/N Address Llcense# � PLUMBER ° � COMPANY �`'��/ �� , '�SIGNATURE � �� REGISTERED Y! N FEECURREA Y/N � �l �0 �� r /'O�j l � License� C .(� ��(O� Addreis MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEECURRE� Y/N Address Llcense# OTHER COMPANY SIGNATURE REGI3TERFD Y/N �cuwzen Y/N Address Ltcense� IIIIIIIIIIIIIIIIIIIIl1I111111111I1t111t1t1111111t111111I11111illllt RESIDEN'f1AL Attach(2)Piot Plans;(2)sets of Building Pians;(7)set of Energy Fortns;R-O-W Pertnitfo�new consWcUon, Minimum ten(10)working days afler submittal date. Requlred onsite,ConsWction Plans,Stormwater Plans w/S(It Fence Instalied, Sanitary FaciliQe's&7 dumpster,Site Work Permit for subdlvislonsAarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new canstruction. Minimum ten(70)woridng days after submittal date. Requtred onsite,ConstrucHon Plans,Stortnwater Plaits w/Silt Fence Installed, Sanitary Facilitles&1 dumpster.Site Work Permitfor all new proJects.All commercfai requtrements must meet complfance SIGN PERMIT Attach(2)sets of Engineered Plans. �r� '',• ' ""PROPERTY SURVEY required fo�all NEW consttuction. , � ,. �. -1-1-1-1-1-I-4-I..i-i-t-F-1-1-N-f-.L..I-1-.i-4-1-1-N-6.a..I-1..1-i-4-1-F-1-l-1--1-4a-i-4-1-4-1-1-R-f-i-1-1-i..i-1..1-1-F-1-1-i-i-1�-1-4=4•�; ': - ;Directlons: • ' ' , -FIII out applicaUon completefy. , �Owner&Contractor sfgn back of applicaQon,noterized , -If�oSer$2500,a Notice of Commencement is required. (AIC upgrades over$7500) ' , � � " Agent(for the contractor)or Power ofAttomey(for the owner)would be someone with notarized letterfrom owner authorizing same • OVERTHE COUNTER PERMIITING (copy of contract required) Reroofs if shingles , �-.Sewers Service Upgrades AIC Fences(PIoNSurveylFootage) ' _ Driveways-Not over Counter if on publlc roadways..needs ROW " . . ; . "air..� NOTICE OF DEED RESTRICTIONS: The unders(gned understands that this permit may be subject to"deed"restrictions° t which may be more restrictive than County regulations. The unders(gned 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 confractor(s) sign portions of the"contractor Block°of this application for whfch 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 Couniy. TRANSPORTATION IMPACTIUTILITIES 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 WaterlSewer Impact fees are due,they must be paid prior to permit issuance in accordan�e 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—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 thls 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 pe�mit and that all work will be perFormed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdictibn. 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,Wetland Areas and Environmentally Sensitive Lands,WateNWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Watenr�ays. - Department of Health & Rehabilitative Setvices/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - - US Environmental Protectfon Agency-Asbestos abatement. - Federal Avietfon Authority-RuFlways. I undersfand that the foilowing 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 sfem wall. - If fiil 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 requ(red. If 1 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 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. M 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 YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNERORAGENT `� CONIRACTOR Subscribed and suom tg19r affirtne )befo e this Subscribed and svom to(o�affirme�before me this G-J-/ bv f�/z.�/ �C-�/t•S /a_J-/7 by � N� lar�pers cno o me or as/have produced Who Islare per w • or haslha e produced � ' as identificatfon. as iden6ficatlon. 0��.g��►� � �4�- � �I o�'��� y�,�'�`�,. ' ��,� � � �� � ��5��p�: � y^' otary Publfc Notary Public G��e�� ��,� Q �0 ����o�ssion No. Commiss(on No. ����� � �p���� � ..u�e a� �Q��;� +F � Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped �it�.•• '� � �'• °� � o' � s� � y * Q� '�e�a��` �` CITY OF ZEPHYRHILLS ' 5335-8TH STREET (813)780-o0zo 18935 BUILDING PERMIT - PERMIT INFORMATION �� LOCATION INFORMATION Permit Number: 18935 Address: 5925 9TH ST Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: PLUMBING RENOVATIONS Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-00700-0110 Improv. Cost: 8,080.00 OWNER INFORMATION Date Issued: 10/13/2017 Name: JOHNSON LAWRENCE Total Fees: 120.00 Address: 5925 9TH ST Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542-3530 Date Paid: 10/13/2017 Phone: (813)440-1866 Work Desc: SHOWER PAN REPLACED CONTRACTOR S APPLICATION FEES SEARS HOME IMPROVEMENT PRODUCTS BUILDING FEE 120.00 Ins ections Re uired FOOTER 2ND ROUGH PL MB 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 properly. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. I NO OCCUPANCY BEFORE C.O. � � CONTRACTOR SIG ATURE PERMIT OFFI R PERMIT EXP S IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 5.08ft ij`�-'�i�'�?13'i,�i*; ,.�3:j,:�;;;.�.`,-;,;,�.a,:.. :';��; B a �h�roso 1 � :a,;,,,�_ =�,�: N � -;;t;�-' I� 3i,'',�.f;°"'- ii�'fi-_' - _ 5.08ft � $ft � � , i iiiiii iiiii iiii�iiiii iiiii iiiii iiiii iiii�iiiii iiiii iiii iiii � - 2017161305 tcpt:1901310 Ree: .10.00 I )S: 0.00 IT: 0.00 . l0/13/2017 K. D. K. , Dpty Clerk �RULR S 0'NEIL,Ph D PRSCO CLERK 8 COMPTROLLER � Permi(Number 10/13/2017 11:59am 1 of 1 ParceIlDNumher �( 2fo�,/ �fOp07o06/f0 OR BK ��1� PG Z�23 NOTICE O COMMENCEMENT Stale of Florida S�C7 �r�s ,-� ^s_;�fi,•_c-_-,.__�.,,-.,�.:.:;�;;- .;:;r•��r.,,. , County of THE UNDERSIGNED ereby gives notice thal improvements will be made to ce�tain real properly,and in accordance with Sectiun 713.13 of�he Rorida Statutes,the following informafion is provided in this NOTICE OF COMMENCEMENT 1.Description of,property(legal descriptronJ: ��Ef /O�// Q/J� 7 pQ� p�s a)Street Qob)Address: S9 zS f 4 Z Q- �. r�•� S L 3?S L 2.General description of improvements: j3�,.�-(�,��tl�..� Q��p �a( 3.Owner Information or Lessee information if the Lessee contrected for the improvement: a)Name and address: (,awl'c•�ee ��+Kjo.+ S9 zs y F`^ i� z[��Yr����s� rG' 3�s�Z b)Name and address of fee simple titleholder(if d'rfierent than Owner listed above) c)Interest in property� (�..�.�e r 4.Contractor Informatfon ./ / a)Nameandaddress:SC4tS H-bwr 1.,provFrr►Ewf /OL5//�L Le�Yct�rrL( P�wv��s✓��_r'L 3Z7So b)Telephone No.: y�+7-sfY-G aD Fax No..(oplional) 4l0 7• 70 7-�Ss'J G S.Surety('rf applicable,a copy of the payment bond is attached) a)Name and address: b)Telephone No.: , c)Amounl of Bond: S 6.Lender -- a)Name and address: — — - b)Telephone No.: 7.Persons within the State of Florida designated by Owner upon whom nofices or other documenis may be served as Provided by Secfian 713.13(i)(a)7.,Florida Statutes: a)Name and address: b)Te(ephone No._ .Fax No..(uptional) 8.a.ln addiBon to himself or herself,Owner designates of to receive a copy of fhe Lienor s Notice as provided in Section 713_13(1){b),Rorida Statutes. b)Phone Number of Person or enfiiy designated by Otvner. 9.Expiration date of notice of commencement(the expiration date may not be before the completion of construc5on and final payment to the contractor,but avill be 1 ear from the date of recordu�g unless a different date is specfied): ,�d WARNING TO OWNER:ANY PAYMENTS MA�E BY THE OWNER AFTER THE EXPIRATION OF THE NOTECE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART l,SECTION 713.13,FLORIDA STATUTES,AMD CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMEh1T MUST BE REGORDED AND POSTED ON THE JOB SITE BEFORE THE F[R5T INSPECTION. IF YOU INTEND 70 OBTAIN FINANCING, CONSULT WfTFt 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 facts stated therein are true to the best of my knotvled and befief. / � /� ��iiQr�/—�n��_Q.� � [_�S�/l� ignature of Qxner or Lessee e- or essee's(Authoi¢ed OfficerlDireclojlP�artrierMiartager� P[Na`�and P vide 3ignatory's Ti9elOffice) The r/egoing instrument was a o�viedged before me�his � day of 7'(.�r!�(� ,20 - by (i..C��l1�@,nCF ,3'�jJ�,�sahas �nf —r J (rypeofaulhoriry,e.g.officxr,Wstee,attomeyinfacq for ,as �Plame of Person) e a hority....e.g.a er,Wstee,attomey in tacq for (name of p riy�ehalf wh instrume executedj"" � Personally Known ❑ Prod ced ID Type of ID �/'j Notary Signature �C, Print name ,`�P?��?�e��, Paul Giansiracusa �24�� `�'= Commission�GG137269 . =��• "= Expires: August 29, 2021 � e� �9TfOFFI.��� Bondetl thru Aaron Nota ��-,����„�� N ,�D�C ,�� o �� �� STATE OF FL(?RI[�e�, Ct�U�97'�f Q� �.����3 �o"�" � ��a� THIS IS T0 CERTIFY TMAT�`M�FO�EGOING IS A � TRUE AND CORRECT COPY OF THE DOCUMEl�!T �t a ' . !� ON FILE OR OF PUBLIC RE�QRD IN THIS OrFiCE j»Go� , fi '� WITNESS MY HAND ANp OF�I�IAL SEt��TNIS � � �eTn,<ct m ,, e � �DAY OF��� ��1� � , � ,�$g��� e � PAULA S O'NEIL, CLERK& COMPTROLLER , 7 /�jJ�� ' �P�,��°� a �1�� � BY �C"�"'"" DEPUTY CLERK ��0 - - —__ . --- - - - _ �,s^�''�j o__ � ' o.l5'-?" r,.,l._a_Aiva� ( ;�.��• f�� � - '"-\ ¢ . �`g ��. '�:.„�, ___ City of Zephyrhills BUILDINC PLAN REVIEVV C014�'vIENTS Cantractor/Homeowner: ��,q/�v /f DIYIE .7�'rZ�iF'D"(/�1�� Date Received: ' �D( S��� � Site: ��v�.� �� �� Perrnit Type: �/.cJ�'/� //77�/�L3��.'��J� Approved w/no comments: Approved wlthe belaw cornments: L7 Denied wlthe below comments: ❑ � � Thi.s comment sheet shall be kept with the permit and/ar plans. l`�1�1- � Kalvin S tzer lans Examiner Date Contractor and/or Homeo ner {Required when comme are esent) I . . i? .F� a{7 i .. � � .: � . 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(;ightfng �� y FqfICF� 7owe1 Bers ��`��� �— Type �� Towel Rings �xhaust.►'an� ColorJ�intsh Robe Hooks GFCI, �` Fl�'TnlRES �m��s Shower Ro � � Q�t�� • Rfaln + � �,.� qsJ Shower Seat �'����I I TI�I����1�� AAp7"L L9ne� Vaive ( . Soap Dish fl�tlR1NG •� TP Holder Sq.Ft 3� .R&l� r New Tolle TUB/PAN 51Y1E J '(`YPE� /2JY�Z� Ype IYPE ' �9'�t✓ �� Base�oar.d/Quarter Rour.� Coiof(Finish Color «c. Backet8oa�d� r St�bftoor ' SNQIPVFR DpQR- ' / lide y�r Rod Mudset Removal Style F' Re ove&Replace Drywalt 3/2015 � . i • Glass Type [" �S'Lrb/�l ; . C ��'r- CC���' 1 � . t � �i. ,, r ; . .. .. .. .. ;r.ri r�.�. . � .1. ,i�:�to . , � . .� .. •Y ... . . ' ' . .. ... . . .. ... . 1 � � ����S 1024 Florida Central Parkway,Longwood,FL 32750 PH:407-551-6000 September 27, 2017 LETTER OF AUTHORIZATION I, Alfred W. Nyman, Jr., Assistant Secretary and Florida State Qualifier for Sears Home Improvement Products, Inc., grant permission to Gulf Coasfi Permitting, Phil Reyes and his associates, Bruce Reviere, Doug Burlett, Catherine McCarthy and Christina Doyle who shall be deemed to be the signer of any such applications and documents to submit permits and licenses, pick up permits and licenses, make changes to permits, licenses and plans and initial changes made by the building department on behalf of Sears Home Improvement Products,Inc. I also grant permission to Gulf Coast Permitting, Phil Reyes and his associates, Bruce Reviere, Doug Burlett, Catherine McCarthy and Christina Doyle to purchase permits and/or licenses with a company check,personal check,personal credit card or cash. I certifiy that the above information is true and correct. Alfred W. Nyman,Jr., ssistant Sec and Florida State Qualifier (CGC012538,CM�5�10, CCC1329316) Sears Home Ixnprovement Products,Inc. _ STATE of Florida COUNTY of Seminole SWORN TO AND SUBSCRIBED BEFORE ME THIS 27th day of September 2017,by Alfred W. Nyman,Jr.,Assistant Secretary for Sears Home Improvement Products,Inc. and who is X personally know to me or has produced a valid Drivers License. Seal: /:lC_, �- a Print Name: Deborah P.Philli s ,,��"'�y'�,� pEaoRaH P.P�uwPs Notary Public,State of Florida ;.; ;*� MY COMMISSION ri FF 219986 Corrunission#: FF 219986 ;�•, 'a,` EXPIRES:August 13,2019 � �;r;:��' Banded Thru Nolary Pub�C Underv,riters My COMMISSION EXPIRES: Aug. 13,2019