HomeMy WebLinkAbout19-21014 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21014
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21014 Address: 37834 WAVERLY AVE STOP WORK
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 15-26-21-0020-00200-0140
Improv. Cost: 4,405.00 OWNER INFORMATION
Date Issued: 3/25/2019 Name: SCHMIDT, BRIAN &AMANDA
Total Fees: 292.50 Address: 37834 WAVERLY AVE
Amount Paid: 292.50 ZEPHYRHILLS, FL. 33542
Date Paid: 3/25/2019 Phone: (813)713-0072
Work Desc: CONVERT GARAGE TO LIVABLE SPACE 28 X 54 MOVE WALL
CONTRACTORS APPLICATION FEES
HOMEOWNER BUILDING FEE 75.00
HOMEOWNER ELECTRICAL FEE 67.50
HOMEOWNER PLUMBING FEE 67.50
HOMEOWNER MECHANICAL FEE 82.50
V�
Ins ections Re uired
FO TER 2ND ROUGH PLUMB MI C 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 orl
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 OFFICOR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recei4ed
Phone Contact for Permitting
.... ...... ........
Owner's Name T Owner Phone Number
Owner's Address[ toi e0 ke Owner Phone Number
U"k\\S� �L Owner Phone Number
Q
JOB ADDRESS U\,AyeAg L. �3S4=1 LOT#
SUBDIVISION PARCELID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONISTR 17C11 ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE SFR Q COMM O OTHER
TYPE OF CONSTRUCTION BLOCK F__1 FRAME 0 STEEL
DESCRIPTION OF WORK (Ja-cao�t \J PILLVI,
1 -7
BUILDING SIZE L:j� 6'x SCI FOOTAGE A� HEIGHT C�i 3 •�
I I I I I I I 1 14
BUILDING c VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL 1$ _30 0 0V AMP SERVICE DUKE ENERGY Q W.R.E.C.
�Zco
®PLUMBING 4V
lip �d—o
C5;_1_1MECHANICAL VALUATION OF MECHANICAL INSTALLATION 2-s'e-7/lIP-
1' ,2 6 00 "'o 1 '07
OCAS Q ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
<
BUILDER COMPANY
SIGN :URE-. REGISTERED Y/ N FEE CURREN Y/N
Address License# F_
AN �Ao V� Caw
�
ELEC T,RIC
COMPANY
-!AN
SIGNATURE REGISTERED FEE CURREN
Address License# F_
&0-
PLUMBER COMPANY 0 v—
SIGNATURE REGISTERED Y/ N FEE CURREN LYLN J
Address License#
MECHANICAL-a-- COMPANY vim.L 0w
h SIGNATGRE REGISTERED FEE CURREN Y/N
Address License
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j
Address License#
HHH!H HHHHHHHHHHHHH!if HHHHHHH HHHH11H!I! I 11-14-ft"I I I I I I I I I I I I I I H+
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building 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,Stormwater Plans 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&Contractor sign back of application,notarized
If over$2500,a Notice m of-Comencement,is.required, upgrades over$7500)
............
Agent(for the contractor)or Power of AtfdiAiiy{ior:ihe'lowniarl.W601d,be someone with notarizedIdtfee,froniowner au on tng same..,,
OVER THE COUNTER PERMITTING 'pybf,6ontract[equired).-,.,
Reroofs if shingles Sem/6�§. Servide'U grades,NiC F.,.pnces(Plot/Survey/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 wito 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 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 performed 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, 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.
y understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W"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 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 YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
�i OWNER R AGENT - -CONTRACTOR — - - —- --
Sub crib and sworn t (o need)befor a this Subscribed and swo too irmed)b re me this
by �-�a.�.� r.�-..r..:r�tS- l by
WPM/ personally known to me or has/have produced Who is/are pe son II kno Ito me or has/have produced
4 z� c&zsz as identification. F� N � VQe.!<-$Q as identification.
g
Notary Public 2� Notary Public
C mm' sio N Com Is N
0 , JACQUEUNE BOGES 1• Commission#ftBGG 27c,�
*: 645
Name of Nota oF�o,,, �4 12,2022 N457
ame of N BendedrwTroyFain 072
so"857019
Banded it Troy Fain Ind800 xs.7019
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
CNI'If,.-, ,_0 have read and fully understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrh ills
ordinances and codes pertinent. to the building.
3. That in the event various phases of construction are .subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
-constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc. , where applicable.
i
8. That the owner shall, comply with all the safety codes issued by the Florida
Industrial commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $75,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. if you sell or lease a
building you have built or substantially, improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for- sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning re 0
OWNER'S SIGNATURC< DATE
ADDRESS %7Fz,,,'A LQCA.Vt1r1,4
PHONE
WITNESS PERMIT #
CENTR4L AVENUE(PLAT)NAILSKETCj OF SURVEY
TAB Ul/A VERL Y,4 VENUE
TYPEOFSURVEY.BOUNDARY
v EDGE OF PAVFI ENT �
yac
L-4 PD. N L-3 If
2"LP. 112'LP Wtt M.
kRN NOT fD.,j 5O' 25, FD. 112"
f FALLS IN KW/P I.R. /ILS&
S89 39'06V 75.00' (C.)
75.00' (D.)
S89:57'07"E 7515' (C.)
L-4
150 00' (D.) 1. 4'� '>a,a""' "0 ,;�'
S89 26.51"E 149.93' (M.),, p
L
L-5 �. �- ` t sT Y! 4
�o SING F�tLY Ad
25.00' (D.) p o REW N Q.:
N0045103T 24 52' (M.)
54.0'
LOT :Z
15 v°, LOT 1.O POR770N OF
BLOCK'7 .}a 64*b 14 VACATED RIDGE o
BLOCK' STREET (r�
Legal Description:
Lot 14, Bloch 2, also following �
3 described parcel: Commence at 25.0'
the SE- corner of Lot 14, Block °
a 2, thence run East 25 feet, =N Ai!?AGE N
North 140 feet, West 25 feet,
South 140 -feet to Point of �2&.0'
Beginning, being a portion of CORNER NOT FD.1 a
Vacated Ridge Street, all being FALLS IN DWRIS PILE� �--2.5- Fa
4W��OBSi i i i �1.1'S� 0.in SHAD'S ADDITI(7N TQ GARDEN r — — — — — s•- ' .
COURT, of Zephyrhills, as per 58831'34AE 75.00, (C.) � fp 1 1
f plat recorded in Plat Book 3, 75.00' (D. I.R.sow' f
Page 109, Public records of POINT 4F
Pasco County, Florida. BEGINNING
Sr CORNER
Property Address: LOT 14 BLOCK 2
37834 Waverly Avenue
ZEPkIYRHILLS, Florida 33542
GENERAL NOTES
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TO WORK
By Order of the Building Official: WiCCuam.A. Burgess
All Building, plumbing, electrical and mechanical work
shall cease at the below mentioned property.
Address: n� kid V:Kl_ Av -
®ate: j ='
Code Enforcement Officer: fv
Contact the
Zephyrhills Building Department
5335 - Sth Street
813-750-0020
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3/1/2019 15-26-21-0020-00200-01401 Pasco County Property Appraiser
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Due to a software conversion, changes in ownership and sales may be delayed.
Data Current as Of: Weekly Archive - Saturday, January 12, 2019
Parcel ID 15-26-21-0020-00200-0140 (Card: 001 of 001) j
Classification 01 - Single Family
Mailing Address Property Value
SCHMIDT BRIAN &AMANDA Ag Land $0
37834 WAVERLY AVE Land $10,150
ZEPHYRHILLS FL 33542 Building $49,201
Physical Address Extra Features $238
37834 WAVERLY AVENUE
ZEPHYRHILLS, FL 33542
Just Value $59,589
Legal Description (First 4 Lines) Assessed (Non-School Amendment 1) $59,589 !
See Plat for this Subdivision Homestead 196.031 - $25,000
SHAW'S ADDITION TO GARDEN Non-School Additional Homestead Exemption - $9,589
I
COURT PB 3 PG 109 LOT 14 BLOCK
2 & POR OF VACATED RIDGE ST - Non-School Taxable Value $25,000
ADJACENT TO SAME DESC AS COM School District Taxable Value $34,589 j
Jurisdiction
I
City of Zephyrhills
Land Detail (Card". 001 of 001
Line _- Use _ _ Description_?Zo___g-_Units Ty_pe --1Price - Condition Value !
0100`! SFR_ ; v 7,000.00 SF — $1.30 j 1
OOR2 .00 $9,100�
2 ; 0100 �� SFR _0OR2 -3,500.00 SF $0.30 } 1.00 I $1,050
Additional Land Information
-Acres-f 0.24 l Tax Area 30ZH FEMA __ ! Residential Code SHWTLPI
i Code 1
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1971 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
/C Central Baths 1.0
Line - _ - Description !Sq. Feet lRepl. Cost New
1 BAS 1,176 ! $58,212
2 FOA _ _ 60 _-- $743 _-
-------____3 -- ----.FOP_-_-__.__ ---_ -------------84 $1,040
------_------ -i----__-._ -------------
FGR
__-...-
5 UDG ______------.-.._____-------592----_---._..._.__�--------_----- 8,514 j
Extra Features (Card: 001 of 001)
Line Description Year - _- -- ;Units
Value
-� 1 T- 1--- DWSWC 1975 300 i $238 I
Sales History - See All 4 sales
Previous Owner: SCHMIDT RUSSELL• L& DONALEE
Month/Year .Book/Page �YType _ - 'jDOR Code Condition Amount
11/2018 1 9814 / 3287� Warranty Deed _ 01 l Improved I$115,000
11/1993 13223 / 0347 Warranty Deed _ i--�� *Improved1 $50,000
02/1988 1 1681 / 1106 Executor's Deed (Personal Representative's) Improved $0
I
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LOT � W
15 (In, /✓W A LOT lPORnON OF Qe
1 ( VACATED RIDGE BLOCK 7BLOCK"2" STREET m
Legal Description:
Lot 14, Block 2, also following ~
described parcel: Commence at o: l 2s D'
the SE corner of Lot 14, BlockQ WILE2, thence run East 25 feet,
North 140 feet, West 25 feet, 7.2'
South 140 feet to Point of 2-'�'�"
Beginning' being a portion of GORNER No.T FD. Q
FALLS IN DEBRIS PILE PD 41W,
vacated Midge Street, all being cr 25'
in SHADS ADDITION TO GARDEN D.ss-� 1.1V. ejs o.3sJ
COURT, of Zephyrhills, as per 58851'34"E 75.00' (C.)� 1 ;W'.2�91'
plat recorded in Plat Book 3, 75.00' (D.� Sao'
Page 109, Public Records of POINT OF
Pasco County, Florida. BEGINNING
SE CORNER
LOT 14 BLOCK 2
Property Address:
37834 Waverly Avenue
ZEPHYRHILLS, Florida 33542
GENERAL NOTES
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SOH INSTR#2019O4OZ94 OR BK 987O PG 3311 Page 1 of 1
03/11/2019 12:03 PM Rcpt:2035309 Rec:10.00 DS:0.00 IT:0.00
Paula S. O'Weit,, Pfi.D., Pasco County CCerk&Comptrolrer
1
Permit No. Parcel ID No
NOTICE OF COMMENCEMENT
State of Tj rt C[4— County of PAY co
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and In accordance with Chapter 713,Florida Stables,
the folowing frrformation Is provided in fhb Notice of-Commence nt
1. Desaptlon of Property:Paarcel Identifcaftn No. per•2 f O6 2b�' O�O�b�`IO
Abw Address: 1-M4 UJ^*.,/er1 Y lava Z�l�ti.11s f FL !)5st
2. ,(�enerd Description of Improvement �0►�8� COwVt rS 1e+n I Ln,4tio 'l 4uat1i f 4migg L1lu�MA/
3. Owner Information or Lessee MormaUon if the Lessee contracted for the Improvement:
� 3trca..r. �1wrr...ylT
'?�']�'�U1• �fe►JY1�`' 1�uQ Cfty .Aliwrh�ll4 State
Interest in Property.
Name of Fee Simple Titleholder.
(K different from Owner listed above)
Address City State
4. Contracts.
Name
Address City State
Contractors Telephwne No.:
5. Surety:
Name
Address City State
Amount of Bond: t Telephone No.:
6. Lender.
Name
Address City State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other doc orients may be served as provided by
Section 713.1311)(a)(7).Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
B. In addition to himself,the owner designates Of—
to receive a copy of the Liences Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. E*ratbn date of Notice of Commencement(the espvedon date may not be before the completion of construction and Brrel payment to the
contractor,but wla be one year from the date of recording unless a different date Is spedfled►:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1 SECTION 713.13. FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPI`_RTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT j
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of pedury.I declare Brat I have read the foregoing notice ad thersin are true to the best
of my knowledge and beget.
STATE OF FLORIDA
COUNTY OF PASCO
Signetae ssee,or Owners or Lessee's Authortmd
Olfrce MfrectodPartnedMen er
I
Ign a
The f going hmbume wee`�a owledped before me do of 2d_/by
r 1 ail, l as (type of®uthodty,e.g.,olBeer,trustee.atiomey In feet)for
(narnertriparty on behalf•of whominstr instrument was emauted).
Personally Known O 211 Produced Ider;tifficattiioo )� Notary Signature 1C.✓i�
Type of Memificeflon Produced p• r+ lame(Prhd)
OLQUELINEBOGES
WftMftT"F*hMM8*z$-"19
�Degel Wi2,20
wpdaWraWr4UcewmmencemenLpco53t146
rCpeiun
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
,6
Contractor/Homeowner: i a t t �j fy I�
Date Received:
Site: 3-7 b 3 V
`v 6�e sre�
Permit Type:
28;?c S ('
Approved w/no comments:❑ Approved w/the below comments: Y Denied w/the below comments: ❑
M/4
co
!
i
i
i
This comment sheet shall be kept with the permit and/or plans.
I
I
MAR;"2 4 201
i
Kalvin - itzer—Plans Examiner Date Co and/or omeowner
(Required when comments are present)