HomeMy WebLinkAbout17-19141 �-�'� CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-00z0 19141
BUILDING PERMIT
PERMIT INFORMATION ' LOCATION INFORMATIO � � �, �
Permit Number: 19141 Address:�4� - D
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: NEW CONST/COMM Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS ',
Est. Value: Parcel Number: 18-26-22-O0000-0000 b
Improv. Cost: 52,000.00 OWNER INFORMATION
Date Issued: 12/21/2017 Name: CITY OF ZEPHYRHILLS
Total Fees: 528.50 Address: 5335 8TH ST ° �
Amount Paid: 528.50 ZEPHYRHILLS, FL. 33542-4312
Date Paid: 3/09/2018 Phone:
Work Desc: CONSTRUCTION 45 X 70 PRE- METAL BUILDING
CONTRACTOR S APPLICATION FEES
TISDALE CONSTRUCTION INC BUILDING FEE 433.50
FIRST CLASS ELECTRIC INC ELECTRICAL FEE 75.00
CONTRACTOR CHANGE 20.00
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Ins ections Re ired
FOOTER 2ND ROUGH PLUMB MISC INSULATIO CEI ING
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 properly 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.
CONTRAC SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Ph}�sical Addresses � 18-26-22-0020-O0000-0000 � Pasco County Properly Appraiser Page 1 of 1 I
Physical Address List for Parcel: 18-26-22-0020-
O0000-0000
' DisplayingView in groups of: 10 25 50 100 500 1000
2 records — — �
Street Number Street Name � Unit
4539 SKY DIVE LANE �
40257 SUNPATH AVENUE
http://search.pascopa.com/parcel-physadd.aspx?parce1=222618002000C000000&eas=288... 3/26/2018 '
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5314 Gulfpvrt Bivd So �
Gulfport, FL 3�7�7
Rhane: 72� 3�0 �.$91 �a�x: 72� 3�� 7�95
�I. Lic #CB -Ct�594�.�
Matianal Assoc�at�on of Hr�m� Builder� �
E-m�il �isdale.eon5truct verizon.net
http,1lwww.tisdai�ca�strucfiian.n�t �
, "t�o it righr the first time�" I
MarcM g, �018
zephyr'hills Building aept,
R�: P�rmit #19141
This is to st�t� we w�u1d lit�e t�a remove Re�s� Electric from the abov�
referenc�d perm�fi as th� Electric Canfira�fior,
Thar�k you
, ' �
JS�Ti�dale
Ti��nk you �ar �hQo��ng T�sdale Constr��r�i�n
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azs-��o-002o Gity of Z�phyrhi!!s Permit Applicatlon FBac-813-?80-QQ21
� Building Departrnent - � h'
_.«rate Reaelved !� � . Rhone Ca�ol�ct for Permtttin — '
Owner's Name /���J`�i f _ /� �C'�Jh�'�h✓l' .��C�'4�' Owrner Phone Numbsar � � "��� '�� ��
qwner's Ad,dress ���..,� t..� ��/� ��� G� • Ow��P�on`tTumber
F�e Simple TttReholder Mame ��/�� /'���� ��/V�+r1�� Owner Phone Numbe� 1 ' �
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Fee Stmple;Titieholder/4ddrs�s �! �G� J"��L'r'�f ��� -G-�"pi�'� t�/'fJ�S �L. �.� 'J'�� `
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WORK PRO,POSEd EW CONSTR .. '- ` ADD/A1.T �� S1G(V [� � Q DEMOLiSH
_ ' e; lNSTAt,:L REPAIR �
� �PROPOSED-U$E Q SFR 'CQMM ' � OTFlER '
TYPE OF CtJUNSTR!lGTION Q ''' BLC)GK " Q FRANIE ��,] STEEC �
DESCRIPTION OF WORK ' y �/�.�� �j� �G�I�/C����!/Z.+l�.u��,I� M�L-' �1.�1�.1��.[��
Bt71LDtNG 812E 'l � �3{ �!� � ��SQ��OOTAGE "�I�� . : . ..HE1CaHT��,/��� .,
�s���"����`' $ �.l"'� v�� VALUATIONYOF T07AL CONSTRIJCTION�• ' -
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�EL.EGTRICA4. . $ � �Q��-, AMPSERVICE �'pp��yt�� PROGRESSENER�Y [� W:R.E.C.
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QPL'UMBING $ � �
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�]MECHANICAL ` $ � ��� VALUATlON OF;MECFiANICAI.INSTALfRTlON, �'�/L�
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QGAS Q f�00FING Q SPECIALTY;� �OTNEEt - '?j � t'�� .�j
FINISHED FLOOR ELEVATlONS ��,- FLOQD ZONE AREA ;��'QYES NO (� P
Sti�t�W' p'- �-�"i"t .t�� �J-� �.�, � �U►�'`
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�IGN�►TURE � � ttEG�St�D Y! N � F�GURR�t+ Y 1 N
Address {1 p � � Ltcense# ��(�d �� �1r 1 �,7' �
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ELE��i�l1C.lbN _ t� �/y )� ��,,"' �'} ��:COMPANY ` �2�e ���e cr�/�V'Z'"� sl
SIGNATURE J 1V�"'��` �"6 ttE��sre�a Y! N F�ctir���- '" '�Y!N '
c� ces`s - - _ � � , . � � , , , License# � �=G' t S 00'(3 S 3 �
P���� � �C{?MPANY � �y�d F"l� fc� CI�e��nc pf3�
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SIGNATURE' _ . , ��t��isreREa Y,l.N< = - �e cu�c�n • YJ N, �:°
Address r� � ����. - , " Lii�nse# .��a 2 j�..t�,- - � _
MECNANlGAf_ • � � .. � _ ' CCiMP11NY � '"
51GNATURE � � ' ' � ` KEGISTERED .� Y./_N �sE�curu�n-� Y.l�N �
Addreas`- , � _ �:' , x-` . . -, ' License# � - I
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07HER ' . � � � ��COMPANY.. ,
SIGNATlBRE ,. - `:= . . " ` `' 'REGISTEttED"-. Y! N-.:, �e cU�r' Y!N
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I4diU8$$ - , 'S`_. - . ,. . [.iCenSB# � ' ._�; .
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RESlDEPITIAL,',�AttacH"{2)FPIof�.P,laris;.,(2jsets:of+Bullill`ng.Flans;{1j_sef_af-'Energy�Fortns;R�W�PerrriltforrsswconsbucBan, '
,; MlnimumSten°(1.0);working,days';after submittaliiate�:Required cn`sife;.Co`nsiiucdon�Plans;'Stoimwaite�"'Plans w!Sllt'Fence installed,
` .:'�.: Sani'tsry�Facllitle.s;&;,1�cdumpster,,Site-Work;Perrnit far.su6divisions/large p„nbjects�?, �,:i;;.>� . �. ,�" � " ' `' `;
COlVIM�RCI�1L Attach 3�com�!et`e`�seis cf�BiilEilfii�"Piaris liis a�Life Safe 'Fa e, 1 set af Eae Fatms,R-t?-W Perm�t for reeW cor�struction.
O� P 9 A tY 9 't } t9Y
Minimum ten(10)warking days after submlttal date. Requtred onsike,Canstnrcdon Plans,Stortnwater Plans w/SUt Fence lnstalled,
Sanitary FadiiUes&1 dumpster.Site Work Permit far all new+projecfs..Ail commerclal requlremen�.must meet compliance �
SlGN PERMlT Attacti{2)`setis of Eaginee_red;Pians.;:- ��-- ' � ". ' ' - . r .
-�� ""•PROPERTY SURVEY required for_aU„NE",rV gonstc,uction., �
, ,
Dlreciions: , _. � � � . �
Ftll out appllcatlon campletely.
Owner&Contractor sign back af applicadon,notarized �
If over�2500,a Natice af Cammencement ls required. (A/C apgrades over�TSOOj
4.�,�„,__, ,., ,
� " Agent(fot the contractdr}or'Pawe�of Atfbmey(for the ownsr)wautd be someone wifh notarized tettet from owner suthotiz{ng same
-...;
' OVER THE COUNTER.PERMITTiHG.. _ ...(Front of-ApPlication-0n{y)_ - _ -
Reroots 1f shingtes Sewers Service Upgrades A!C Fences(PlotlSurveylFootage}
drivewaya-Not over Counter if on pubtic roadways:.needs ROW
. - � `
NOTICE OF DEED RESTRICT10�9�: The underslgned.under�tands�;th�t;thls;,��rmit:mayKb,e:subject to°d�ed"restrictions"'. .� � +���
which may�tie<more'�r.estcictive�th��Co�nty�reg�ilations:=-'The undersigried assumes��esponsibtl(ty'for'compliance'with�any " ��T `
applicable.deed'resMctions. � , ., " � . _ _. . .� 4- �= . __-
UNLICENSED�CONTRACTORS AN� CONfiRACTOR�RESPON$I�ItITIES:•=�If-the�ownerhas'�hired•�a contrac#or or
contractors to undertake work, they�iay-;be:�required�#o�b�.�licensed=ln::a�c:ordance.with state.and.�local_cegulatlons:�:-1f�the�� -� �
contractor (§-not licensed-as'-requl�d;'tiy�law, tiotFi�the owner and conUacto�=mey��be�cited�.foraRmisdemeanor violation
under state law. If the owner or Intended:contractor;are,s.unce�ta9n �s to what Itcensing.requlrements.�may�_epply���for•��the"��� � �- -�
intended"work, they are advlseii to coritact ttie:Pasco County Bullding`Inspection�Dtvislon-Llcensing Sectton at 727-847-
80091 Furttiermore, If the owner has"tiired�a coni�actor o� contractors, he ls adirised to have :the contractor(s);.sign._ _ :.
� portions of the, °conttactor..Block° of..this.epplication-for_.whlch.they.wfll.be�responsible.-._If you,as:the owner"stgn`as`tFie`''-`" �
contractor;-that�may be an indication that'Fie''Is fiot p�operly Iicensed�and��is'not entitled"to pemiitting privlleges In Pasco
, �,;.� ..:..:r .�:-.
COUnIy. , , � = _, ... . ...-„_�.. _. .�•
_._._.
TRANSPORTATIOf�_IMt�ACTIUTILITIES��rMPAC`�ANt��tESOU13CE RECOVERY�FEES:��The unde�signed�understands
that Transportation�lm�a�._�ees:and.Reco.urse.Reco�e.ry�Fees may;�pply.�to:tf�e�constructlon:of new...bulldings��change'of�����`��--��•��'
use in euis8ng buli�la�gs;�or:�expansid�of-:ezistin�'abutldings, as speclfled.in Pasco County O�dtnance number 89-07 and.
90-07� as amended.,;:�,'Fhe undersigned also._understands, th�E:�such fees;�as•�majrbe:�.due;;w,ill:�tie iderifified at the��time;of� -�'�� °`�
perrt�itting. It is fur�Fie�understood that Transportatlon Impact Fees anct`iResource:Recoiiery��Fees:.must be pald prlor to -
rece4vtng-a 'certiflcate=of�occupancy" or��flnal�power.r;elease: :If�the,project�:,does�not�Involve�a:�.certfficate of occupancy=o���==��� '� �'
flnal power release;��:ihe��fees`:mu�t'�be patd';p�tor to;permit issuance. F,titthermo�e;�if:Pasco;County°'Water/Sewer:�impact� ���F��.�;
fees are due,_they,must,be�,paid.:prior�o.petmit.-1's,suance=in_accordance..witli applicable•.Pasco�County�o�dinances. •
CONSTRUCTION LIEN``LAWI(Chapter 713� Florlda$tat�t�8�as amended�: If valuadon of work is$2,500.00,°or-more,:.l�-�;. -:��,:�
certify tFiat I, lhe..applicant,:have,:been provi.ded. wtth-a�=copy�of_.the:"Florida��'�onstructton� Llen�:Law—Homeowner's
Protection Guide" prepared by tFie'Flo�ida Departmenf of Agric.ulture and Consumer.�:Affairs. If the appllcant is someone:� ,: � : ••.-�
, .. .: . ._,.:_,.. .
�._..:.
other than ttie°owner", I cert that�l-have�obtained�a'-'copy,of..the;above;described.docu�ent;and.p.r.omise�:in;good�faith.to . ::t
�h!
deliver it to.,tfie:.:",owne�';p`rioe�:to�commencement:-,, ` ' � .� �' - ..= � .�.
COId7RR,CTOR'SIOWNER'S AFFIDAVIT: I.certify,;that�all;;th�;lnf.ormatlon::in thi� applicatlon is accurate�nd that all work
will'be done in compitance w(th all appitc�ble�I�ws regulating constructlon� zoning and_�land��development. Appltcation is
hereby made to obtain-.a p�rmit=;to�do::wotk::,and<instsllation as indi�ated:.��I certffy that no work'or Installation tias�
commenced prior to Issuance'�of'a permif and that.allwork wili be performed to meet.standards-of ali laws regulating-,
�__ coraRtruction, County and City �odes� zoning regulatians� and land development cegulatlons�tn'tfie :)urtsdtct(on:� 'f��also.� .
certify that I u�derstand that th�-regulations of oQher�government agenctes may�apply�to the.intended.work, and that it Is
my r�sponsibility,to identify•what.actions I must,tak�:Qo be=In:.compllat�ce;.S.uch.agencies include but=are.not Ifmfted to:�_� , � �
- ~Department of E�vironmental>Protectlon-Cyp�ess.'Ba"yhead�; WeNand Areas and Envlronmentaliy Sensitive
- Lands,W�ter/VNaste�r►�at�r Treatment. - �
- Southwest Florida Water Management .I�istrict-Wells; Cypress.} Bay�eads;- -Wetland� Areas, Altering
Watercourses. , ' - , a
- Army Cvrps of Englneers�Seawalis,'Docks, IVavigatile Waterways. -
- Department of._;Healthn,',8�.Relaabilitative,.:3ervlceslEnvironmental<.Health-Unit-Wells�.Wastewater�Treatmenf; � �
Septic Tariks:._` . ' ' ' � � � _ . � - -.. _. _ _:
- _ iJS�ndlronmendai Pcotectloh Agettcy-Asbe�tos abatement. - -- - •� -
Federal Av.latlon_Authorityt=Rurnvays��- � - �� - �� - � • '
I understand that ti�e,following�esttictions apply'to tFie use of flIL• ,
- Use of fill�Is not.allowed 1n:iFlood.Zone"V"unless expressly permitted, � . ,
- If the :flll:.mate�lal=is to'be yused:�In-.��:Flood -Zone. "A", It. is�understood that a drainage plan addressing a r, �
'ccmpensating volume"will b� sutimitted at#ime of�.permittJng which ts prepared by a profess(onal englneer� � � •
Ilcensed by'�he�tate`of FloHda:� " � •-� � � �� � �
- if th��flll�materlal-`6s to-;be used In Flood Zone 'A" (n�con�ec�ion�with�a�permitted building using stem wall ,
� conatruction, I certifjc,th.at flll:w�ll=b.e:used only.to.flll the are�within the�stefn�wall: , '
- If fill material��ls to be �used in any area; I �certify that .use. of'such flll will not adversely affect adjacenf
' p�opertles. If use;of flll is_found to adversely.�fFect adJaEent��pra�perties,.the owner may be cited for vio0ating ,
the�conditions�of.the building;permlt issued�under the`attached�ermit �pplicatlon, for:lots�.less than.one (1)
acre wNlah�are elevafed�by flll;a�r englneered dralnage plan is�equired. . '
If I am the AGENT FOR THE OYYN�R, I�.promise In.good faith to Inform the�owner of�the permitttng condft(ons set forth in
thts affidavit'prior to commer�oing constructlon. I undersfand thafi aT aeparate permit may be required for elecMcal�work, , ,
plumbing,,signs, wells,,pools;. ai�,conditioning,.gas,�;oc_othec Install�tlons not.spec�taally included�tn.the application. .A
permit issued shall be construed to'be�a'Ilcense`-to�proceed vvith tNe wo�k and;�not�as:authocity to::vlolate;�cancel. alter, or
set aside any�provisions of the technical code�s;�nor shall issuance�of a.permit.prevent the Bullding Officia!from thereafter �
. .;�.:, .
requiring a conection a�f enors in,plans;-con's.tiuctlon._or_vlolations of-any.codes. Every�permit=lssued�sFiall-become invalid
unless the work authoNzed.by sas�h permit:�is.commenced•withln st�c�months of�perm(t Issuance� or if work authorized by
the permtt is suspended:or:aba�doned:for-a:;period;of six(�)months:after.the titne the�work�is commenced. An extension
may be requested, In writing;�f�om.tHe.Building,Official for a perlod�:not.to.exceed��nlnety(90)`days and-will demonstrate
justifi�ble cause for.�the extension�. If work_ceases:for ninety.(90)cons.ecutive:day.s�..the Job,ls.considered.abandoned. -
. , . . . -, .� �
WARNING TO OWN�R: YOUR.FAILIJRE�,Tt�,R�EC.ORD,A:.NOTIGE:OF�COMMEMCEMEMT.MAY�RESULT IN YAUR-
Pd4Y1NG T1NI_C,E;FOlt.I��1IIPR0.IVEMENTS-,Tfl,YOUi.t>:PRI�PER-TY:'�IF�.YO.U<I�V'�EIjID��T�°�BTAIN•�FINiA1�1E1NG;'C.ONSULT
WIl H YOUR LENGER�OR AN r4TTORNEY�EFOR�+RECOR�IMf'YOUf�'NO'�i�E'OF'CO�'YIl111ENC�E`I�lENT' `'`
, .,.. , .,�..._ . ... _ _. .....,. .
FLORIDA JURA�;(F:S�1.17:03}., ..- ,t , . . . , ._ . _
OIARVER.�DR AOENT , CONTRACTOR ' . - � -
. Subscrlbecl anc➢swom ta(or aHirtned)before me thls Sabscrlbed'and'swom�to(ot aflirmedpbefore me'ttitg. j
Mlho Islare p3��o ally-�nown fa.me or haslhave prod�ccsd Who.ls/are p.er�on�own•tej me.or has/have�produced � �
as identlflcatlpn, as Identlflcatlon. _
Notery Publlc , � Notary Public_ .
Commisslan No:` Comr�leslon.No. ,,
.
Name ol Notary typed,printed or stamped Name of Notery typed,printed.or stamped
,t�
CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)78o-0020 19141
BI��LDING PERMIT -
PERMITi INFORMATION - LOCATION INFORMATION
Permit Number: 19141 Address: 4539 SKY DIVE LANE
Permit Type: COMMERCIAL ZEPHYRHILLS, FL. _
Class of Work: NEW CONST/COMM Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 18-26-22-O0000-0000
Improv. Cost: 52,000.00 OWNER INFORMATION
Date Issued: 12/21/2017 Name: . CITY OF ZEPHYRHILLS
Total Fees: 508.50 Address: 5335 8TH ST -
Amount Paid: 508.50 ZEPHYRHILLS, FL 33542-4312
Date Paid: 12/21/2017 Phone:
Work Desc: CONSTRUCTION 45 X 70 PRE- METAL BUILDING
CONTRACTOR S APPLICATION FEES
TISDALE CONSTRUCTION INC BUILDING FEE 433.50
REESE ELECTRICAL INC ELECTRICAL FEE 75.00
ef�� 3�7
Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CE LING
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.
NO OCCUPANCY BEFORE C.O.
�
CONTRACTOR SI NA UR PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I IIIIiI I!!II IIIII IIIII IIIII lllll Illli Illli Illlililli IIII I�lI
2017200431
'�i�i�, +� -
PermR No_ Parce!ID No f�M�� ~�`' OD G�� �' C�t�C OO�"�OO�
�/� NOTICE OF COMMENCEMENTy� C �s�,
State af �i�.•v/��'�/`7 CauntY of /'`J"�G:/
�-+O.�
THE UN�ERSIGNED hereby givas rtotiee that improvement will he made to cartain real property,and in acrnrdarice wiffi(�a�ter T13,Ftorida Stalutes, N(/1 O
the foUowir�g irdarma6on is provided in this Natice ot Cartvnencement 7` � •. II
1. Descriptlon of Property:�arcel Identificatian Nn. �i�'�G�P"Z�" C�O�O-dl.�C'!9G-- c��oU m m�'
SUeetAddress: ����• SJ�iCI �i�'� J�G�r ��h��'Rf�ILL.���L �35���� ��o
2. General0esaipUmailmprovement �,� K 7O �/-7�T/lLC7/T� ���/�� J l�~O
c.� �a
3. Oumer IMormalion w Lessee infortnadan if the Lessee contraded forMe improvement: �;�..�
Tf�'���iq �ffY�d�i�/R/l'y ��/�'�/ ` �e
.���"'a..5r�.e/P•f� .4�/E Z��y,�'�i�L5 �L �m..
Ad ress s�.��� Ciry state c�e r
Interest in Property: � � / � �'�
Nffine af Fee SimP�e T�11ehWder � ��' G/'� 7C/7�i i � � �
�nd�► t � z�'�v�/�2�iLL5 .�L '°
- � ,
Address City State �
4. �,�«or g�✓E �/5f�,�1�'
�3�s-,�. C7��L1�i�o�2T �3L-1�1� So ���/L�F'�+�`T �L
ContadorsTelePnaneMo_.�•��� �ff+U �1��� ari �a�
5. ��,,:_�O.clE'
Neme ,
Address �Y �e N c
Amount of Band: S Telephoire No.: �N D
8. Lender. I��l��`�� W�tn
Name � �N o
a Z
Address Cily State r+m
Lenders Tdepfione No.: `��
.�~�
7 Persons within fhe State of Florida designeted by the owner upon wham noNces or oiher documents may be served es pmrided by ~
SecUon 713.13(7)(a)(�,Florida Statutes: � •�N o
�•� ns� ��,e�.,�rr���e ,�N a
a �,
�'���Z� .�i�.v r�-rh� .�t✓� �r�'h��/�2��t.LS �G -�3 �
Address City '/7 Stete �~"'m
Telephone Nanhm of Designeted Persan: ��� ��"� ��Y / x
i2 fV�� /�!"J1�it/!�t'/l�ST�i� w° °°
B. In eddition to hunself,the oxmer designatrs af_ �
r/��S to receive a copy�of �LieJnar's Notice as pro,vi/ded in Secbon 713.13(1(b).Florida Statutes. ;�l1~3
Telephone N�unber af Person or Entity Oesi9nated by Owna �f�� __�n Y''����� �; �
W
9. E�iration date ai Notice d Cammencement(fhe e�iration dete mey not be before the�ampiation oi cor�strudion mid fmal payment to Uie �
contractor,but w11 be ane year from the dafe o!recmding uNess a diftereM darte is speafie�: N��J� � '
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWt�R AFfER THE EJ�IRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SEC710N 713.13 RORIDA STATUTES AND CAN �
RESULT IN YOUR PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTIC�OF COMMENCEMEN�' MUST BE
RECORDED AND POSTED ON THE J08 3fTE BEFORE THE FlRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENGNG WORK OR RECORDING YOUR NDTICE OF COMMENCEMENT.
��e►Pe�f'a P�I�Y.I dedare fhat I have read ihe taregoing notice mertcement ttiat facLs stated there'vi a�e true to fhe best
af my knmMedga and belief. -
STATE OF FLORIDA
COUNTY OF PAS@@
�SOTA- StgnaWre af Owner a Lessee, eYs ar Lessc�s AWhm¢ed
Offcer/DiredodPartnedManager
��PE�/'��l T TaSS �,C�£�.S�
+►, 5����r5,-�«��
The foregang instrument xas a�luawledaed befarQ me t�is�day of��,20 q,by �Qy �.Q�
�O�n:n�S��r as �•�'cS G�l.r�'� (iype M authaity,e.g..afficer,trustee,eltomey in tad)far
T�SS (name of p n behaH ci whom instnuneM was e�mcuted).
Personaly Known�Q@ Pro�oed Identifkatian�J Notary Si�e2iae c'�
Typeofldenlifica�onProduced�:�e�5 �.rin� Neme(PriM) S>CiQ�12 ...ao���l� r�e� ,
�:►a�'�e'a BRIELLE SOLLENBERGER
� �'�: Notary Public•State o1 Florida
�? Cammission p 6G 017609
�'�%�OFf��P� M Camm.Ex ires Au 1,2020
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� � THIS iS TO�CERTEFY TNA7 THE FOREGOiN�a i�A�
� • � TRUE AND CORRECT COPY f3F THE QOGUMENT
�^ � In Gat�v��'*�u�t • ,� ON FlLE OR OF PUBLIG RECORD lN THIS OFFIG`E
• WITNESS MY HAIV NQ 4FFIGlAL SEAR7NlS ��
. ,�� `'�,�; � �-{-�-��DAY OF C '���2 ���.. '
� � - �� � PAULA 5. O'NEIL,CLERK&CdPJtPTRtJLL�R �
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City of Zephyrhills �
— BLTILDING I'LAIV I�EVIEW COMMENTS '�
� �.l� ��c.-�G��I-��tk. .
Contractax(Homeowner: �
I3ate�eceived: l� ' � " ( � �,� '
Site: ` � / �.
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Pemait Type; _ �a11�'15`i�t;c-c%7" �tS/���4.�2. —f�'t�_� ��t�r
m.i .�2 ��
Appraved w/no camments:� Approved w/the below comments: ❑ I)enied w/the below comments: ❑
i
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'This comment sheet sha11 be kept with the permit and/or plans.
' � �
Z�'� �
Kalvin witz� —Flans Examixier I7ate Contractor and/or I�omeowner
� {Required when comrnents are present)
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� �-��'��� SCALE 1" = 40' �
tP, iR = IRaid r iP��-IRON ROC3
CAh = COPlCRETE MONUMENJ'
F) = FIEL� OEF2IVED MEASUR£ME(VT 0 ZO' 40� SO'
P) = Iv�EASUREAAENT PER PLAT
05 = A+4EASUREMENT PER DESCRIPTION
� CE = PROPERT;` LINE, �EN'TERLINE
R/W = RIGHT OF WAY
O.�C. = OFFICIAL RECORDS BOOK APP �O �C? U�,��T C� AaTTiACWED GOND!T109d$
PG, = PAGE
�� _ ����-�a� 1 ���� __
I.�, = INVERT ELEVA�ION
F.F. = FINISHED FLOOR ELEVATION
RCP = REiPlFORCED CONCRETE PIPE
C(vIP = CCRRUGATEQ METAL PIPE
PVC = POLY—VlNYL—CHLORIDE PIPE
HDPE = iilGFl—DENSITY—PQLYETHYLENE PIPE ----�-----
T.B.M = TEldPORARY BENCHMARK �l�� P����� l���� � �
O = FOUND tR (SIZE dc REGISTRATION
NUHiBER AS NOTED)
QO = F4UPID IP (SIZE & REGISTRAl10N
NUMBER AS NOTED) .
� = SET 5/8" IR "D.C. JOHNSON LB 4514"
❑ = FOUND CM (SIZE & REGISTRATION
NUFABER AS MOTED)
� = SET 4"x4" CM "LB 4514" Gi'f�'�f��ph�l�4 -
� = FOUND RAILROAD SPIKE �1 pj�R�,��„�} ,
� = FOUND SCRIBE
4 = FOUND NAIL dc DISK (REGISTRATION
NUNlBER AS NQTED) "
e = SET 5;8" IR REFERENCE CORMER � _�ti,�I���� `�
"LB 4514 REF. COR." ' /
= FOUND LiGHTER WOOD HUB �� �
� = A!R EtELEASE VA�LVE
eF = BACK �LO�► PREVENTER Dir�ectar af D���elopment
e
ev = BL01M OFF VALVE ����� �i��g,�
o = SOLLARD
cs = CABLE TELEV1Si0�i BOX
V = CABLE TV UNE MARKER ���p� $`.����Pgg�
� = CLEANOUT q�
m = COMMUNICRT{ON �QUIPMENT BOX �'dYg�"-�� C�tit _
Ee = ELECTRICtiL EQUIPMENT BOX
E = ELtGTRIC LINE MARKER
PB = ELECTRIC PULL 9OX�... ^�s_..
Er = ELEC�RICAL TRAN5FORMER
u7t l:nap'Ger �a�—1 r r a�i�ur� �.;....s..a�_._,._._ ____
_, .
s prepared without an abstract of title; therefore the undersigned makes
or representatians regarding information shown hereon pertaining to
ats—af—�ray� setback lines, agreements� reservations, or other sirnilar
�. insta�lations, ianprovements or encroachments, have been located
hown hereon.
� o� record retlecting easements, right—of--ways andfor ownership were
�.e und�rsigned except as sho�a►n. .
i hereon are based an the Fiorida State Plane Goordinate System, West
(2�11 ad2u�tment}� with the South boundary of the Northwest 1 j4 af
-2� bea�rar�g �T Sg•38�38" W.
�tg araap contain lands that are subjeet to jurisdiation or restriction by
af the follo�ng ageneies: Army Corp. of Engineers, Southwest Fiorida '
nent District (�.W.F.�B'.M.D.) ar Florida Department o! Enviranmental
),E,Pa�.
�nee 6cies aaidica#.�es the darection fence lies in relation to the boundary.
�isteraces sho�a herean ar� fisld measur�d� unless otherwise indicated.
I�c��e c�i� Fieid Survey: �-14-1?
4 ��
For Ja n & Assacic�#e , 1 .
Danie G. Johnson
Flarida Registered Land Surv yo No. 36a3
Florido Licensed Business Nu er 4514
Not va/id without the signotu�e and the originol roised seo/ of a
Florldo licensed surveynr ond mopper.
� BC}U N DAF�Y �lJ RVEY
�
* � ����I� PREPARED FOR
�' j ��TY OF ZEPHYRH1LLS�
�4�`�+c�a:/A TE�°
�R��j�►� .�� �.���� AIRPORT TBSS LEASE
one: (3s2� 588-27ss
3Z 1 South �urley S#reet.
�n P,ntonia, Floridcs 33576 PROJECT NO., 2015--Q8$.AQ1 SCALEc 1" = 40'
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