HomeMy WebLinkAbout19-21382 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21382
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21382 Address: 6611 PADEN WHEEL ST
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: SILVERADO
Est. Value: Parcel Number: 05-26-21-0070-00400-0130
Improv. Cost: 8,321.00 OWNER INFORMATION
Date Issued: 6/17/2019 Name: WADDICK, RICHARD & MENDE MECHELI.
Total Fees: 127.50 Address: 6611 PADDEN WHEEL ST
Amount Paid: 127.50 ZEPHYRHILLS FL 33542
Date Paid: 6/17/2019 Phone: 609-456-2323
Work Desc: CONSTRUCT SCRN ROOM 12 FT X 17 FT W/CONCRETE
CONTRACTORS APPLICATION FEES
RON L ALUMINUM BUILDING FEE 127.50
G (�
Ins actions Required
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.
-�7� &--
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INSTR#2019082400 OR BK UUUb PG 1 jbJ Page 1 of 1
05/15/2019 10:15 AM Rcpt:2054747 Rec: 10.00 IDS:0.00 IT:0.00
Paula S. O'Neil A.D., Tasco County CCerk&ComptroCCer
I
'Ibis space for use by Clerk of the Circuit Court only.
NOTICE OF COMMENCEMENT
Permit Number:
Tax Folio No.05-26-21-0070-00400-0130
The undersigned hereby gives notice that Improvements win be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,the followinginformation is provided in the NOTICE OF COMMENCEMENT.
I. Legal Description of property(street address required): 6611 PADEN WHEEL ST ZEPHYRHILLS FL 33541-2553
SILVERADO RANCH SUBDIVISION PHASES 2.3&4 PS 73 PG 059 BLOCK 4 LOT 13 .. .
2.' General description of improvements: So reGtf1 rOO(Y\
3a. Owner Name: Mechell Mende
Owner Address: 6611 PADEN WHEEL ST ZEPHYRHILLS FL 33541-2553
3b. Owner's interest in site: Na
3c. Fee Simple Title holder(of other than owner) nia. Y
Address:
4. Contractor Name: Ronald Allen
Address: 3122 McIntosh rd Dover FL 33627 Phone: 813-661-7255
5. Surety Name:N/A Amount of bond:
Address: Phone:
6. Lender Name: N/A Contact:
Address: Phone:
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(lxa)7,Florida Statutes.
Name: N/A Address:
Phone Number:
8. In addition to himself Owner designates tkte fnk)nwin g petsonto receive a copy of)hc Lienoe.s t3otioe:as p16Vidca inSectioa
713.13(1)(b),Florida Statutes.
Name: N/A Address:
Phone Number.
9. Expiration date of Notice of Commencement(expiration date is one(1)year from date ofrecording unless a different date is
specified). N/A
.WARNING TOOWNEW.-ANY PAYMENTS 111119E BY-THE OWNER AVTER THE EVIRATIONOFTIIE'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 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.
lie
PAULR.BULEY SignatureofO er rLessee,orOwneesort.esseesAuthocizedOfftcer/Director/PaMer/Manager
Commission#GG032478
My Cbmmission ExpNes
January 21,2021
Signatory's Tide/Office
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH a
The foregoing instrument was acknowledge before me Us day of rrAq 20 -1
by I�anf�l._ erd Q as for
for�-
PenionallyKnown OR Produced Identification
Type of Identification Produced
Signature-Notary Public
Under penalties of perjury,I declare tltaLl+have read the foiego'utg aoA that the facts stated in it are true to the best of my knowledge and belief.
Signal a of atural Persor n Sl mg Above
W copy ofmry tlovd nos[Ec eeaAed m r6e t®e ofr¢a+dmi®offhis Naim of Commrneemm,) Updmed 29NOV2012
i
�I
cl��
� • ���° STATE OF FLORIDA, COUNTY OF PASCO .
THIS IS TO CERTIFY THAT THE FOREGOING IS A
o TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
. 4w WITNE fMY HAND AND OFFICIAL SEAL T I
DAY OF 2
g7 �� PA LJLA O'NEIL,CL RK &C MPTROLLER
. DEPUTY CLERK
SKETCH-ONLY SEC. 05 . TWP.-16—S, RNG.--.91—E.
PLOT PLAN NOT A BOUNDAibr SURVEY
LOT 13, BLOCK 4 BEARING BASIS-
SILVERADO RANCH SUBDIVISION NORTH BOUNDARY OF SEX OF(15-26-21 BEING N 89"25*01- E
PHASES 2. 3 ,& 4 THIS SURVEY IS SUBJECT TO ANY FACTS THAT
PASCO COUNTY, FLORIDA. MAY BE DISCLOSED BY A FULL AND ACCURATE
TITLE SEARCH. ALSO SUBJECT TO SETBACKS.
[EASEMENTS AND RESTRICTIONS OF RECORD.
PRELIMINARY DRAWING: ON LOT AREA CAII-CuLA-nom
UNDERGROUND FOOTER, STEM WALL, AND
THIS PL
AN IS FOR PERMITTING PURPOSES LOT 719.63--SO. FT. UNDERGROUND UTILITIES ARE 140T LOCATED OR
ONLY, NOT FOR CONSTRUCTION. VERIFY LIVING AREA FT. SHOWN.
ALL DIMENSIONS BEFORE ANY CONSTRUCTION. ENTRY =--23 so. FT.
GARAGE FT. DO NOT SCALE THIS PRINT. DIMENSIONS AND
LEGEND: COVERED.LANAJ 153 c o. Fr. Q NOTES TAKE PREFERENCE.
,—= PROPOSED DRAINAGE FLOW PATIO =_-N/ASO. FT.
(00.00) = PROPOSED GRADE CONC. DRIVE =--A2§----SQ. FT. DESCRIPTION NOT CONTAINING PLAT BOOK AND
E-00.00 EXISTING GRADE A/C do CONE PAD =—!---SO. FM + PAGE INDICATES THAT PLAT IS IN
PRIVATE SIDEWALK = 40 _--SO. FT. PRELIMINARY STAGE AND IS SUBJECT TO
IMPERVIOUS =-AL-7. CHANGE AND/OR REVISION.
NOTES: =-J�; o. FT.
LOT GRADING TYPE- 8 SOD = IR17 So. FT. CERTAIN DATA SHOWN HEREON BASED ON
PROPOSED PAD ELEVATION 10&7' ENGINEERING PLANS PROVIDED BY CLIENT.
FRONT SET BACK = 20' OFF LOT AREA CALCULATIONS STRUCTURE TIES SHOWN HEREON DENOTES
SIDE SET BACK = 7-5* RIGHT OF WAY = 1148-92 SO. FT. 'MEASUREMENT FROM FORM BOARDS/FOUNDATION
REAR SETBACK - 15* DRIVE APRON --ASDSO. FL TO PROPERTY LINE.
PUBLIC SIDEWALK n 325 sn, FT.
SOD 473 stl, FT. = 10' U71UTY EASEMENT
TOTALS PC(P)--\
AREA SQ. FT
DRIVEWAY 976 SQ FT.
SIDEWALK =--36-SS0. Fr
SOD. =--IA29--Sp. FT.
o
LOT 14
BLOCK 4
0 89*57'13" E % 116.06'
3io.00 I#
uj
LLj
O 77 ........ .. . ry
13 2o.fo!
0 615V�
IE\1 t X--Z ...... Low.
TRACT J w L Lo
DRAINAGE AREA on
>
Nola
0
L w M
0
0 CL
0 uj
z 29ZY
.............
EL
N 89-57'13" W 123.61'
12 LOT 12
0 BLOCK 4
DESCRIPnON: PROPOSED:
LOT 13, BLOCK 4, MAP OR PLAT ENTITLED -SILVERADO LOWEST FLOOR ELEVATIONS:
RANCH SUBDIVISION 'PHASES 2, 3 & 4", AS RECORDED IN LIVING AREA: 109.40*
PLAT BOOK 73. PAGES .59 THROUGH 65, OF THE PUBLIC GARAGE AREA:
RECORDS OF PASCO COUNTY, FLORIDA- ELEVATIONS REFERENCED TO
NORTH AMERICAN VERTICAL
I CURVE I RADIUSDATUM OF 1988. MEAN SEA
-L CO --1 337.01 24"6' N 2073'0;E 47*4&N===� LEVEL= 00.00 FT.
C160 337.01 Is -
T APPARENT FLOOD HAZARD ZONE- -X- COMMUNITY PANEL NO. 120230 0455 D EFFECTIVE DATE 09/30/1992
:r• VT
e
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: 10 Z
1 t11�/j
Date Received: 5Z1 7
Site:
Permit Type: X 7 Sc yt n Yn L m c v 1 h
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall p with he permit and/or plans.
JUI 1 '0 2019
uilding Official Date Contractor and/or Homeowner
i� (Required when comments are present)
i
Ron L Aluminum j
3122 McIntosh Rd Dover FI�3 y22
Ofce:813 661-725-
Fax: 81 3-661-2Q22
Ronla luminum Cad ao 1.com
To whom it may concern,
I Ronald Allen of Ron L Aluminum allow the following agents to pick
up my permits of any papers that deal with Ron L Aluminum
Nettie Allen
Christine Allen
Thank You
Ronald Allen
OLX-
PAUL R.BULEY Ron L Aluminum
` Commission#GG032478
My CommissionExpTreS S.
landw 21,zui1
j
I
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received "l r 9 Phone Contact for Permitting 13 - S
Owner's Name j, L� Owner Phone Number
Owner's Address wit t Owner Phone Number u)
^' ( Owner Phone Number
JOB ADDRESS l0 JQ&nS� Z �1 33 sy I LOT#
SUBDIVISION PARCEL ID# ��0� 02 I — �� ' oOL(UQ — VI 3D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = _ DEMOLISH
INSTALL e REPAIR
PROPOSED USE = SFR Q COMM ® OTHER I 19X 1 5C I r
TYPE OF CONSTRUCTION = L-eeK--Q_FRAME = STEEL =
DESCRIPTION OF WORK
r _ ,
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ I VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL ` $ AMP SERVICE Q DUKE ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED =1Y/ N FEE CURREN
Address License#
i
MECHANICAL COMPANY
SIGNATURE 4REGIED Y/ N FEE CURREN Y/N
Address / License#
OTHER - COMPANY L- 6
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
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&1 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 of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(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.::• :F.erices';(OIot/Survey/Footage)'
iT�j�i:i•I
roa Driveways-Not over Counter if on publiciiways,.needs
+�. ,_y::a,sac:••'
TICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions.
ch may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
ilicable deed restrictions.
LICENSED CONTRACTORS AND CONTRACTOWRESPONSIBILITIES: If the owner has hired a contractor or
tractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
tractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
er state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
nded work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
9. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
ions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
tractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
nty.
WSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildin:gs,l change of
in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number.89-07 and
17, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
rlitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
iving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
ISTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
Fy that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
action Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the'applicant is someone
-than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
er it to the"owner"prior to commencement.
TRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
ie done in compliance with all applicable laws regulating construction, zoning and land development. Application is
)y made to obtain a permit to do work and installation as indicated. I certify that no'wbrk or installation has
nenced prior to issuance of a permit and that,all work will be performed to meet standards of all laws regulating
truction, County and City codes, zoning regulations, and land development 'regulations in the jurisdiction. I also
y that I understand that the regulations of other government agencies may apply to the intended work, and that it is
-sponsibility 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, Weiland 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.
.rstand 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 c'onnection 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 violat'ing
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.
the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
ridavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
ng, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
issued,shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
de any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
ig a correction of errors in plans, construction or,violations of any codes. Every permit issued shall become invalid
the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
-mit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
)le cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
ING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
6 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
(OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
N JURAT(F.S.IIL-03J
OR AGE CONTRACTOR
ed and sworn to(or affirmed)before me this S bs -to--Cor--affirWbedYbefore-med IS=
.�ribeo and sworn I zz==�-"
C8� ry- AV\oeJ-- —1 fil L4 Ve
re personally known to me or has/have produce Who is/arelgrsonally known ffi-e-,Or---has/hava-.,produced----.'�,
as identification. ----------- as identification.
-Notary Public Notary Public
Ion No. Commis on No.
Votary typed,printed or stamped Name of Notary typed, 1*av" ,tar ELINE Bocts
GG 2764S7
!K-Sotes De"
flZ204
INSTR#20191 35682 OR BK 9954 PG 1009 Page 1 of 1
08/12/2019 10:17 AM Rcpt:2080320 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller,ad Interim
This apace for use by Clerk of the Circuit Court only.
NOTICE OF COMMENCEMENT
Permit Number:
Tax Folio No. 05-26-21-0080.00600-0310
The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,the following information is provided In the NOTICE OF COMMENCEMENT.
1. Legal Description of property(street address required):6597 WAGON TRAIL_ST ZEPHYRHIU.S.FL 33541
SILVERADO RANCH SUBDIVISION PHASES 6.8&9A PB 75 PG 075 BLOCK 6 LOT 31
2. General description of improvements: _.WC A f 00M r"Ofe s•
3a. Owner Name: Bill&Susan Price
Owner Address: 6597 WAGON TRAIL ST 2EPHYRHILLS,FL 33541
3b. Owner's interest in site:.nla
3c. Fee Simple Titleholder(of other than owner) We �,� �® Al 1
Address:
4. Contractor Name: Ronald Allen '�t
Address: 3122 McIntosh rd Dover FL 33527 Phone: 813-061-7265
5. Surety Name: NIA Amount of bond:
Address: Phone ` _•ti, `� � o °i
6. Lender Name: NIA Contact: —A
Address: Phone: = -A ^f
r
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(l)(a)7,Florida Statutes.
Name: NIA Address:
Phone Number: Q Z U
8. In addition to himself;Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section C0 W LL W
713.13(1)ft Florida Statutes. ( z Z) O }
0 co F
Name:__N/A Address: O - N Ir �
0 I¢U w
f- a-
Phone Number. E W 03 O
9. Expiration date of Notice of Commencement(expiration date is one(1)year from date of recording unless a different date is :Y- OL F- Q < O
specified). WA z W 0 0 U U
W
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMIENCEME:91T ARE . O
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1.SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
LU
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE .4�l-F J Q U
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY 10 >- U OD Q
BEFORE COMMENCING WORK OR RECORD URN CE OF COMMENCE Q Z O
aim
Signature of Owner or Lessee,or Owners or Lessee's Authorized Ofl5cer/Director/Panner/Manager D- O Of
O P bZ17 `'73`6- 42-mot-0 0 1—� W P�1�
Signatory's Title/Office = W
E-
- = � zSTATE OF FLORMA d!J k- F- O m
COUNTY OF II.ISBOROUGIH
The foregoing insrumeot was acknowledge before me this J-1, day of utd .20 14%
by WAWLM "VriU ,as OWAM for
Personally Known OR Produced Identification
Type of Identification Produced
Signature-Notary Public ,
Under eS pe' ,I declare that[have reEad o u�,and that the facts stated in it are true to the best of my knowledge and be
Cj
Sigastare of aUu Person Signing Above
(A copy ofmy 600dmuAbemmhed anthetime ofteom I wer"NofiwofCommeocrmeoo Updated 29NOV2012
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
r= 1
Contractor/Homeowner:
Date Received:
Site:
Permit Type:
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
This comment sheet shalYbe kept with the permit and/or plans.
Sep tQ9
Kalvin itzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
Ron L Aluminum
3122 McIntosh Rd
Dover FI 33527
Office:813-661-7255
Fax:813-661-2922
Email: Ronlaluminum@aol.com
To 2ephyrhills Permit Office
I Ronald Allen of Ron L Aluminum give the following agents to pickup and sign permit for my place of
business.
Nettie Allen
Christine Allen
Thanks
Ronald Allen
PAUL R.BULEY
Commission#GG082478
My Commission Expires
.lanuary 21,2021
C