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HomeMy WebLinkAbout18-19627 CITY OF ZEPHYRHILLS 5335-STH STREET (813)780-0020 19627 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION - Permit Number: 19627 Address: 5628 5TH 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-03100-0190 Improv. Cost: 6,300.00 OWNER INFORMATION Date Issued: 4/30/2018 Name: JACOBS CHERYL Total Fees: 112.50 Address: 5628 5TH ST Amount Paid: 112.50 ZEPHYRHILLS FL 33542-3406 Date Paid: 4/30/2018 Phone: 813-602-9263 Work Desc: REROOF TORCH CONTRACTORS APPLICATION FEES A MANOS SERVICES REROOF RESIDENTIAL 112.50 ' /o/ e, �z3� DRY IN ROOF INSP Ins ections Required 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFIgOR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I LUfl1Ufl City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: 4 �.34 8 Site: S(p 7✓ �1 < "" m Permit Type: p Approved w/no comments +� . Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. Kalvin !&Z Plans Examiner Date Contractor and/or Homeowner / (Required when comments are present) }� This space for use by Clerk of the Circuit Court only. I llllll lull 1111611111I1111 Illll lull lull lllllOdell Illl[III 11? 2018067770 Rec: 10.00 - # NOTICE OF COMMENCEMENT Rcpl '1950777 IT: 0.00 DS: 0.00 p t Clerk Permit Nwnber• 04/23/2018 K. M, . p Y Tax Folio No. ? The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the t Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. i? q # I. Le at Description of rpperty(street address 7-required: Z 6��-1 Q t p b3 f d d d t Q �►.2 f� G�7''11 �rJ2�( r, ��E1� t ��Sr r 1!• �J'�J.3 Z• if 2. General description of improvements: •.T., j3a. Owner Name: (/ G `J �J QJ j. Owner Address: "•+6 2 1w 5 57-&e-g-r� ���r t 5- F t �✓� 3b. Owner's interest in site: PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER 3c. Fee Simple Title holder(of other than owner) 04/23/2018 12.17pin 1 of 1 Address: OR 8K 9713 PG 211 3 tM�A30S• ea Lit c.e.5 TnG-J 4. Contractor Name:Address:?DG 5 C-7 0/r.,11L,j f �l) �i ��✓n�(�C Phone: ` S. Surety Name: Amount of bond: Address: Phone- ( ? 6. Lender Name: Contact: # Address: Phone: i 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7,Florida Statutes. Name: Address: Phone Number. 8. In addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Name: Address: Phone Number: 9. Expiration date of Notice of Commencement(expiration date is one(1)year from 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 CHAPTER 113,PART 1,SECTION 711*13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR 1MPROYEMENTS 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. i Signature of Ovlwr or Ace,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office STATE OF FLORIDA j COUNTY OF MLLSBOROUGH The foregoing�ins nt was arc o(w dg�e before me this �_ day „of /"� t' .20 17 t , 'CSZ� CJ�. for C L. l Personally Known OR Produced IdentMeation Type of Identi&cation Produced V tU U 4Z4- s d l.sL. Signature-Notary Public 'Under penalties of perjury,I declare that I have read the foregoing and that tho facts stated in it arc true to,the best of my lmowl a and bell f 1, 1 •4*IM r•'eg.'!.,• 'RONALD H.SMITH tignatureof'Naturalpfisonsi 'ng Above -' ,: MY COMMISSION#GG i921A0 EXP{RES:March 4 2022 _.• JJ ,(A Copy otany bond must be stncbed at the timeermod.mOrhi,Notice ofromraneeneent) •wyr 2�' �,�/�.�s,� Pub!te Utter � o art ••.FOp��• �yy�tiSiM/iaY Nttlaty V 1.� STATE OF FI..ORTDA,COUNTY OF PA^13� THIS IS TO CERTIFY THAT THE FOREGOING IS A :�w-d is; r `Fqr�J TRUE AND CORRECT COPY OF THE DOCUMENT 'k_s` ✓L �I ''T` `' .P3;;. o ON FILE OR OF PUS"LIC RECORD IN THIS OFFICE ti WITNESS MY HAND AND OFFIC L SEAL THIS Z DAY 02 PAULA S.O'NEIL, CL K& OMPTROLLER a � BY DEPUTY CLERK 813-7UU-0020 City of ZephyrhillS Permit Application / -"�" Building Department �,�Lr.� f.-(,(J/1\/ r Date Receivedphone Contact-,for•Permitting ..:• r Owner's Name L LA �4 ,f Owner Phone Number (1 0 �3 Owner's Address: 5 b �� + L /�Xl C Owiner'Phone Number Fee Simple-Titleholder Name' Owner-'Phone Number, Fee Simple Titleholder Address AS JOB ADDRESS S� �c� -I �)L Lf LOT# I is SUBDIVISION• PARCEL.ID# 6i;J*00)O,() O.t7 q4) (OBTAINEO:FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW:CONSTR' ADD/ALT 0 SIGN Q J. DEMOLISH INSTALL 8•. REPAIR E] .PROPOSED;USE- SFR 0. ' :..Cow 0 OTHER '' <' TYPE'-OF 6-ONSTff6CTI6N BLOCK 0 •'FRAME Q, " STEEL 0. DESCRIPTION OF WORK =r��Atvi�/ d'8. 1 BUILDING,-SIZE SQ FOOTAGE LL �. -------------- QBUILDING $ VALUAT:ION'OF TOTAL CONSTRUCTION =.ELECTRICAL $ V . AMP SERVICE -PROGRESS ENERGY Q W.R.E.C. QFLUMBING. $ CIJ.l otL 1vx/)(7s ' I�� MECHANICAL $ VALUATION OF MECHANICAL NGSTALLAMON l /►�J j�� j�G L`O1� QGAS Ef ROOFING Q, SPECIALTY. Q OTHER. FINISHED{FLOOR ELEVATIONS 3d v FLOOD ZONE AREA 0 YES. NO < . :BUILDER: 26 ( COMPANY 1 � � �`�0�- tul SIGNATURE UU t l�V v I J REGISTERED Y/ N.;.' :FEE,,CURREI f Y/ Address 2 S G 'A WV .. :License; . . #' �ri (?Q, G 1?IV f -ELECT RICUIN COMPANY "SIGNATURE REGISTERED Y/ N • FEE cl1RRER,.`• Y/N. Address` License# PLUMBER:., COINPANY::;_ SIGNATURE_` REGISTERED Y/ N: Address. License-4 -.MECHANICAL`'' :.COMPANY:.'. SIGNATURE.` . "REGISTERED Y/.'�N FEE CURREK: . Y//N. License.# .�:.:OTHEFt=::�..,;_.,;;,::- .. r:•.: _ .>. - - . ,:.-.;•COiNPAP1Y... IGNATURE;;t;'„ > _ REGISTERED Y/..N FMCURREK Y/N :. 77 . `_79"-^i„S'.'. - -- - - �t:r �,',�^46 a�C-x:. -.:.ri,..ax`Fg�i�:•:"'+, ,, .�. .. _. E 'ID NTI 2 5PI't'PI"ns `2 s ts:of>Buik Ifs-,``splans` 1 set of Ene Forms R-0�V11 Paemili r.riew construction;, w.:-:; .>_.. .1Wnimurrttenpp(�1Q„,,"CLorkin :ta's afters�bmittai:date'c Re wired'<oiisite`Gonstru'ctlon Plans;Stonnwater'Plri§w/SiltFence installed; ,:�.,:. .-':'•'..a:,y.t:!n,;v:?,:-ag-;�.%Y_w.:%:e.+.�"•`.•. 1•a-•..,c.g. .Y.s�. - q - - - :; Sanita t xrmcilitiesa&r.�lydum ste.+CSIts,,.W.orfc[?ermlt:forsutidiv]siops/a. e`'ro acts'. '"' ,. ;:IOfNMERCIAL Attaich'•2•=edm lete'sets of`Buildlir 'Paris�lus a'life�Safe "Ps e; 1 set of Ene Forms.R-O-W Permitfor=new construction: Minimum ter,(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed, Sanitary Fatuities&•1 dumpster.Site Work Permit fdt4ll=new-projects.All commercial requirements•must meet compliance T=SIGN:PERMIT Attaoli•(27 setsgfEegineeted)Plaptss "•••PROPERTY SURVEY required;gr..aII,NEW,construction.w. �ire6t101187 �'�'"�:``'�F(Ilioutapplication.completely. i4 , Owner.:&"Contractor sigIrtback of application,notarised I1:over:'$2500;.a,Notice;of:Commencement Is required. (AIC upgrades over$7500) gent(for th'ercontractor)tor Povyer-of Attorhey'(for'the owner),would'tie someone with notarized letter from owner authorizing same '01lER TFtE COUN!TAAjP iN TTING:..,..,::..(.copy of:contract�required);.-- Reroofs.ffsfiingles Sewers Service Upgrades.A/C Fences(Plot(Survey/Footage) 'Driveways-Not over Counter iron pUblieroadi ays needs'ROW NOTICE.OF DEED RESTRICTIONS: The undersign�.cF under:.stands ittatthi;;.„ermit ma be sub'ec#to.:"else n Y 1 t1 `r�2Stti,culon,s ".:- •fir. Chi?i.•:"'"u�d`.i "i��:•�9;°:•f".;ls•{vJ: :q'sv"r�;i^.-:l i:',,.a� ":,�•:.:'�'#;;`';� . which . be'more>cestrlctf4 -1 n..z°'tt`'t.';:rye`elation's"r `Tfie�ur decsil'``rte assu es res `b:siti�t3 '4for.<.corh "I.ianc�.v�ri#h==ail. ,rnay,- ;a ..Go r1,Y 9 - g. P n • - P y.:. applicable:deed'restrictions. r, UNIL ENSED`-`CONTRACTORS AND' CONTR ►CTOR RESP:ONSIB'ILITISS If tYtie=owner Yias ontractor,or contractors to undertake work;:=tile .maV:be;:.r.,equired-:ta b6 licensed in accordance with sta#s and=local regulatio s k=ylt tiie4 : contractor.is.not::licensed,as4-e:uired."by'law; both-the, owner'<aiad:contract r rnaysb'eArcifed='foi 5a%trrisdernean6r:•vialation. . 5 , q >.. . understate law. if the owner or;mtendea corAjractor;.are;uncertain as..#o-what=.licensing,requirem'eats:,rrtay�ap�.t,:�i<far�he n; tfid tin t'.R•n{.' 1 '#`.t, "+.•a Intended workr:they:are advised to aoiitact the Pasco Courtty'B.ufitlitig Inspectioi,i�fvislanw - icensing:Sectlon at:727=847 80.09.'•Furthermore, :ff"the- ovyner liar liired`a`coritractar or contractors, he is advised to it`a4e fixes,.coritraotor{sJ`°=sign.::.,r t: portions of the,contractor:Block..of this.application far which.they..wilLbe.responsible - If you, as;tlie-owne�sign as:,the` ' contractor; that may be an indication that fie is-not properly licensed marid is not erititied to permitting pthd eges.^irr4Pasca County. TRANSPORTATION:IMPACT/:UTILIT,IES-*fiNPACT AND RESOURCE RECOVERY FEES: `"fie Urioeit'iJoned.understands .„ 9 , that Transportation Impact Fees and Recourse Recovery F�::es`tray apply to;the;construction.:of;_new.,bulldfngs,.eta-;.gesofk� :° ._ use in;existing�buildlr p, or-Axparisior�=of;ei fstitig,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,d ue, wliC be fdent ed7 atxthe+time: permitting. -�I# is-further-understood thii I"ransportatfon Impact Fees and Resotarci Recovery Fees must be paid`:prior.to receiving a "certificate.ofoccupancy° or fnat,,power release: If the:project:does not=involve.a�ca den of:occupancy :or fnalFpower=release;::the.">fees.must be_,pafd prior..to-perhift issuance._Furthermorex:if Pasco Coetnty Water/Se n+er Impact>:A fees are,due,:they must;be:paid prior topermit'issuance.inaccord'once.with.appiicabfe_P`asco.:County ordinances. COMT'RUCTIOWOIN_L AW(Chapter 7t3; Florida Statutes,as amended): If valuation of work is$2,50O:QO:vr wmore,J.�,.._.; certify that 1, the.,applicant,..have .been:;provided-withLla .copy:_:of:ahe."Flonda.-Construction::Lien ;Law=.Homeotivner"s.} Protection Guide" prepared".by.the•Florida Department of Agriculture and:Constimer:Affairs. If the appltcantis.someone., . other than the owner",;)certify_that,t,have obtained`a copy of the above°descr'ibedMdocument--and:;pr�otnise=in goodfai#hto: delivetJIt.16-the .owner"prior-.sto.cornmericet-nerit CONTRACTOR'S%OWNER'S AFFIDAVIT Itcertify:that:all--#fie iftr',maifoh-in this application is accurate and`that all`work will be!done in compliance with all applkabie'laws regulating construction, zoning-;and,land";development. Application. s hereby' made to.abtain,_a:p.ermit.to do;Work--and.:,installation..as';indicated: 'I'certify that' no work or,_Installa"ilon ;has commenced prior to issuance of"a permit and-that'all work will be performed',to.meets standards-Fof all laws regulating construction, County and City codes, zoning regulations, and land development regul6#ions16,1he jurisdiction: �1�aisb certify that I understand that the regulations of other government agencies may'apply.-to..the.interided work, and_that it is. my responsibility to Identify what actionatmust,take,to.be:in compliance.,;Such-,agencies include but are not;limitedJ9:; Department of Environrrmer tdI;;1Protection-Cypress f3ayheads, Weiland Areas and Eftvfronm6htally Sensitive Lands,WaterMastewater Treatment. Southwest Florida Water Management District Wells;'' `Cypress �-Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers=Seawalls,-Docks;Navigable Wkerways.. - Department:,of.-Health:;_&,•Rehabilitative:.Services/Environmental:�Heaith}Utilt=Welis;rWastew.ater:-Treatment, Sep#ic`Taraks. US Environmental Protection Agency-Asbestos.abatement. Federal:Aviation:Authority-Runways: I understand that.the foilawi4c itrictions apply to the use of.fill: Use of fill.is,nat:altoWed in:Flood Zane"V"unless expressly permitted. - If the tiii'umaterial: 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 erigineer. licensed.byaheSStatw..of Florida. If,the fill'material,it.to be used in Flood Zone "A" in connection with a permitted building using..stem wall. construction, f,certify:that-fill`-'Wll;be used only to fill the-area within the:stem wall. .. if filF`material`is #o be used In any area, 1 'certify that use of such-fill will not adversely a?fect adjacent.:.., properties, If-use of fill:Is found.to-adversely=affect kacent properties, the owner may be cited for vIofating. the conditions.:of�fhe,�,building'permit;issued under the attached::per.mit:application, for.lots•-less---than one,(1) acre wtiieh.are•elevated by fill,an engineered drainage plan is required. If i am.the.AGENT:FOKTHE.:. NER,)":promise in,good faith10 inform.,the owner.of:.the permitting•`conditions`setforth in #his affidavit prior`to•commencing construction:�.1.understand that,a separate permit may be required for electrical.work,;, plumbing, signs,.wells,_pools,..air conditioning,.gas;:..arl ottiet�°ff Mail, not specifically included In the application.; T permit issued,shall, consCrue�tto tie a licenses#o pracseo'with.,th.e wark,and not`as>autftority.to violate,.cancel; altsr,,ar set aside any provisions of`the technical Codes, nor shall issuance of a permit prevent the'Building Official from thereafter. :;. requiring a;correction:.of.,err:ors in plans;construction.orviolations•of,any-codes: -�Every'permlt lssuetlshail'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.nor-abandonedfor:a-period;,of�,six�(6)monflis;after the time the work fs commenced. ,An_extension., may be requested,_.fn=writin ,;.fram..tlle Buildiii {Qifcial fora eriod:not to:exceed riirie 90 days and, demonstrate g' g p fy( } justifiable cause for. extension.,Jf-work ceases for nine 90 consecutive days.,j ninety{ } „ys,the job is.considered abandoned: WARNING`70IOWNER',,;POUR:FAILURE�TO RECOttD=;A..NOTICE-,Ot±,C.OJ.IAMENCEMENT�MAY RESUL-T IN YOUR PAYiNG;TV6QCt'FORAiW" ; 01fEMENTAS��1C¢,YOUR t Rf3PERTY;,;:;IF YOU�y1NTEND�TQ�OB'PAIN��FINANCINIG;'`CONSULT WITH VdWLENDERDR AN ATTORNEY BEFORE�RECORDiNGtYOUlt, TiC `b tCOMMENOEMENT:" FLORIDA JURAT.(F.S:.11:Za?3)., - OWNER OR AGENT._. ._ CONTRACTO - subscribed and'swam to{or affirmed)before me this ubscdbed d to or affirmed)• afore me this; by -L3 r .; y- .; �0_ . . Who Isfare,personally known,to,me.or:has/have.,produced, o W er,, onail own.to me•ouhaslhave produced: as ldeatlficaffon. It'd as identification. _. 4 Notay Public Notary Public Commission No. mi n +_ {;4UQUE IINEB©GEC Name of Notary typed,printed or stamped Name of al. ondod iliru Tfoy FMn Iflslllae' ,_ . Florida Building Code Online Page 1 of 2 WE BCISuHome4 I Log In I User Registration Hot Topics I Submit Surcharge Stats&Facts ` Publications FBC Staff I BCIS Site Map Links Search Florida Product Approval X�t r a USER:Public User 0.r��.Cy:urr Product Approval Menu>Product or Application Search>Application List>Application Detall cm °_ r ', FL# FL11288-R17 qr, Application Type Revision ALL WORE{SHALL COMPLY WITH PREVAILING Code Version2017 Application Status Approved CODES FLORIDA BUILDING CODE, NATIONAL ELECTRIC CODE, Comments AND THE CITY OF ZEPHYRHILLS Archived ORDINANCES Product Manufacturer CertainTeed Corporation-Roofing Address/Phone/Email 20 Moores Road "EVIEW DATE -4—3o- / Malvern,PA 19355 � (610)893-5400 CITY()F R ®�v 7g � � mark.d.harner@saint-gobain. � ppY �U_ Authorized Signature Mark Harner utl�R mark.d.harner@saint-gobain.com Technical Representative Mark D.Harner Address/Phone/Email 18 Moores Road Malvern,PA 19355 (610)651-5847 Mark.D.Harner@saint-gobain.com Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer . Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 03/09/2020 Validated By John W.Knezevich,PE 2 Validation Checklist-Hardcopy Received Certificate of Independence FL11288 R17 COI 2018 01 COI NIEMINEN.odf Referenced Standard and Year(of Standard) Standard Year ASTM D1970 2015 ASTM D226 2009 ASTM D4601 2012 ASTM D4798 2011 ASTM D4869 2016 ASTM D6163 2008 ASTM D6164 2011 ASTM D6222 2011 ASTM D6757 2016 FM 4474 2011 https://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgs6WGOndIU... 4/30/2018 Florida Building Code Online Page 2 of 2 FRSAITRI April 2012(04-12) 2012 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 01/24/2018 Date Validated 01/29/2018 Date Pending FBC Approval 01/30/2018 Date Approved 04/10/2018 Summary of Products FL# Model,Number or Description Name 11288.1 CertalnTeed Roof Roof underlayments for use below Approved prepared roof coverings. Underlayments Limits of Use Installation Instructions Approved for use in HVHZ:No FL11288 R17 11 2018 01 FINAL ER CERTAINTEED UNDERLAYMENTS FL11288- Approved for use outside R17.pd HVHZ:Yes Verified By: Robert Nieminen PE-59166 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-555.0 Evaluation Reports Other: 1.)The DID In this application FL11288RI7 AE 2018 01 FINAL ER CERTAINTEED UNDERLAYMENTS FI_11288- pertains to a particular application for R17.od use in adhesive-set tile applications. Created by Independent Third Party:Yes DP Is N/A for underiayments installed beneath mechanically attached prepared roof covers.2.)Refer to ER Section 5 for other Limits of Use. -F5-1 F-i-R, Contact Us::2601 Blair Stone Road.Tallahassee FIL 32399 Phone;850-487-182 The State of Florida Is an AA(EEO employer.Copyright 2007-2013 State of Florida.::Privacy Statement::Accessibility Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released In response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.-Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address If they have one.The emalls provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply apersonal address,please provide the Department with an email address which can be made available to the public.To determine If you are a licensee under Chapter 455,F.S.,please click hiiM. 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