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Home My WebLink About20-22458 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22458 BUILDING PERMIT PE RMITINFORMATION LOCATION INFORMATION '='x Permit Number: 22458 Address: 37401 DERBYSHIRE DR 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: WEDGEWOOD MANOR Est. Value: Parcel Number: 10-26-21-0120-00000-0890 Improv. Cost: 4,263.00 OWNER INFORMATION Date Issued: 2/11/2020 Name: HOECKELE STEVEN & DEBORAH &MAR A Total Fees: 97.50 Address: 37401 DERBYSHIRE DR Amount Paid: 97.50 ZEPHYRHILLS, FL. 33542 Date Paid: 2/11/2020 Phone: (813)782-5564 Work Desc: REPLACE 8 WINDOWS & SLIDER DOOR CONTRACTORS APPLICATION FEES HOMEOWNER BUILDING FEE 97.50 ten , / 1 Inspections 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. CONTRACTOR SIGNATURE PERMIT OFFIggR 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 Building Department "Date Received —4,,7,0 phone Contact for permitting Owner's.Name 57��f�{J /i-,. t7Q�� L r✓ Owner Phone Number .;;•'Owner's Address Del Owner Phone.Number �� 46 5 3 Q, 2eph�y V1 I I I s FL 33 LFa, Owner Phone Number �— JOB ADDRESS' e i VL Ze- i I S EL .-LOT# SUBDIVISION Wk �ew00 d tY)G'a�6e PARCEL 10# V ZJ (08TAINED=FROM.PROPERTY TAX,NOTICE)= .WORK PROPOSED NEw CONSTR ADD/ALT . ' SIGN C] DEMOL€SH ®' INSTALL. , REPAIR PROPOSED USE: SFR 0 COMM OTHER TYPE OF CONSTRUCTION Q BLOCK 0 FRAME -STEEL Q fn5-DES b4 &4,We �,�IS okl C8 �(a��r,�-,� WinalalOs 01nA �� (o' S i►Of 61 r>00(Z . DESCRIP IO O..• ORK BUILDING SIZE SQ•FOOTAGE= -HEIGHT] } B VALUATION OF`TOTAL CONSTRUCTION i ©BUILDING $ �y J gCJ i o(lD Q AwSERVICE DUKE ENERGY' ELECTRICAL. $ � Q 0 W.R:E.C. =PLUMBING $' =MECHANICAL $' VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA r]YES NO BUILDER /'L G�%` 'C/" '��l COMPANY SIGNATURE }1 Y i N 1� FEECURREn N .... . ' Address License# ELECTRICIAN' COMPANY SIGNATURE REGISTERED' Y/ N FEE CURR6 Y/.N Address License# PLUMBER COMPANY SIGNATURE REGISTERED • ,Y-/-N' '"FEE CUR'RE`'a Address License# I(; MECHANICAL COMPANY ,. SIGNATURE'. REGISTERED 1, Y/ N FEE CURREN L Address.. License#.,F �. OTHER COMPANY SIGNATURE REGISTERED Y%.N>.,., .FEECURREn. .. Address ,. .License# RESIDENTIAL Attach'{Z)'Piotl?laris;(2)`sets of'Buildirig'Plans;(1)s'et$Energy Forms;`R=O-W.,,ermit far new�ccnstructlon. Minimum ten(IO)working:dElys`after subm ittal`•date:'Required-ons€te;Constnictloii Plans;SiomiwaEer Plans'w%Silt Ferice installed, Sanitary:Facilities k�tdumpster,;Site Work�Permitfor subdiV€sions/large projects" COMMERCIAL Attach(2)complete,sets of•,Bu€lolpg Plans plus a;Ufe:Safety.Page;(1).set of!Energy.Fofts.R-OV Permit f(itn6w:construction. Minimum ten.(10),working)days;after submittal date i Reguired-ons1te;Constructi .Plansl:Stormwate[Ps w/. !an 61itFence installed, Sanitary Faciiities&1 dumpste�:Sit'e'WA P'ermtffar all'oew projects.All comm onercial.requirements must meet compliance SIGN PERMIT Attach(2)sets of-Engineered'Pians. PROPERTY.tSi1RVEY'required forall NEW construction. Directions: Fill out application completely. Owner&.Contractor sign.back of�applicatign,notarized If over$ii ti,a Notice'of Commencementis requlred. (A/C upgrades over$7500) Agent(for the•contractor)or Power ofAttomey,(for the owner):would be som eone4 with notarizedletter from,owner-authorWng.same v.. ' OVER THE COUNTER PERMITTING (capy;;af contract required) Reroofs if shingles Sewers" R'Service.UpgradevWC Fences(Plot/Surrey/Footage) Driveways-Not over Counterlfon pu6lic`roadways..needs ROW F 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 licable deed restrictions. LICENSED' CONTRACTORS AND=CONTRACTOR RESPONSIBILITIES:`"`If the owner"has hired a contractor or tractors to undertake work, they maybe 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 CountyBuilding Inspection Divisioh—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.mayapply 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-.su`ch 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. Furthermoreff Pasco County Water/Sewer Impact "fees are due,theymust be.paid prior to.permit issuance in accordance with applicable-Pasco.County ordinances. CONSTRUCTION LIEN LAW(Chapter 113;:florida Statutes; 1 as amended): If�valuation 6f"Work is$2,5.00.00 or more, I certify that , the applicant, have been-provided with a-copy of the ''Plorida-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=:haV6'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''a;`: dicated. 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'C fy'codes evelopment zoning-regulations, and-, d regulations .0 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/WastewaterTreatment. 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:- I understand.that the.following.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 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, (.certify that fill'will`be used only to fik-til e.area within thestem.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.oWher-may be cited for violating the conditions of the building permit issued underthe 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),co isecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO,PECORD.A NOTICE:OF-COMMENCEMENT.MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO'YOUR PROPERTY, .i0.Y0( .INTEND TO OBTAIN'FINANCING,CONSULT —WITH=YOUfk,,LENDER-OR AN-ATTORNEY BEFORE-RI=CORDING-YOUR:NOTICE.OF COMMENCEMENT-- FLORIDA JURAT(F.S.1117.03) OWNER 9w. 4e�,�e'� CONTRACTOR S f c Ye N 1 /�/ Subscribed and sworn to(or affirmed)¢efore fine t is Subscribed,and sworn to(or affirmed_ e me Is EreZbY Foy ti (/c e c/�e�tby � - / W^ is/ person ill F(y known to me or has/have produced Whay�s/are ersQnil known to me or has/have produced �L '� tLAW-- as identification. i T�'Z5(l7'2 nS-�2 as identification. Notary Public Notary Public Commis ion o. Commis n No. JACQUELINE BOGES Name of :IpdpWds*jd�INfi457 Name of Notary typ or rltp - o`'Expires December 12,2022 Al' GEs I ~'IV., 0"� B,,W nw Troy FWn lnu=ce 800.385.7019 ;: a CO lion t GG 216457 'fE;o ,l' Expires December 12,2022 Bordad TlwlrayFaGllnturanq 800385•7010 ''' DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT A4e_G1ke,1-e_ 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 Zephyrhills 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. S. 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. S. 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 o7; improve a one-family or two-family residence or a farm outbuilding. You may alio 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 I 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 regulations. OWNER'S SIGNATURE DATE Z161z 0 ADDRESS PHONE f WITNESS PERMIT # a � - r Plan Review Windows & Doors 1) Need.manufacturing installation specifications: 2) Must meet.seictidns.R308 and R612 of the.201.7 F.B.C. 3) If windows are to be installed inside_ the historical district,they,will need to be approved .by the historical committee. -4) No other work shall be permitted (framing, plumbing,and mechanical) unless.otherwise specified. 5:) This is for replacement (glass for glass) only, If you wish to change from screen or vinyl windows-to glass,then additional information is required. 6:) All windows:to wall connections shall be left visible for inspection. 7) All labeling and stickers shall remain on windows until final inspection. 8) :No work shall start without permit.first. r Last Modified Date:01/30/2020 1701:26 P0#:DIY BAHRS. Job Name:Hoeckele Job Address:37401 Derbyshire Dr Z-Hills(Wedgewood), Aluillinum & Construction Quote# 6039626 Ship Date: > ^ Customer Copy Sales Person:Marty Monbarren Line#_ Item Description Quantity Line Pricing 0001 SH5400 VINYL SINGLE HUNG 5400 Ordered: Sell Price Ext Price (1.00) t IIfQ.r = $288.40 $288.40 Certificaton Type:AAMAA440 Frame Type:.625FLANGE Vent Configuration:EQUAL Window Style:STD Size Selection:CUSTOM Size;Ref...ACTUAL 'itilrd ti 5f:314 ;Fte#Bttt;49 718: .. aatuat'S(Ze'S1 314 X 49 7!8 RougtiTA'asonry:531/2 X 50 7/8 Wood Frame Opening:52 X 50 1/8 Egress Opening:47 1/2 X 20 5116(6.6904 SOFT) Frame Color W -'White Balance Type:CONSTANT ITH pRIVAILING Glass Family:IG -Insulating Glass Makeup:IGA208A2'��C COMPLY Glass:3/4"I0,(1/8 AN-1/2 AIR-1/8 AN) Does unit need top g1 }6a� WUILDING.000E+ Glass,Color..CL -CLEAR Low E:ENERGY FLOW Ardi;id s:NONE: Privacy Glass:N TI�� L CTRIC CODE, PHYRHILLS Grid Type:GBGF,0563 �9/16"Flat'GridBETWEEN. GridStyle:STl7 &OvRGrid Location UNIT Summary.Top:4A4i } ARS) Summary.Bottom:-4A2D,LITES;(3V1H BARS);, '.Reinf:Upgrade,yN0} FEI?I {�I ... Screon Type,,1816k'", 1816 Charcoal Screeri.F[ame Type .ROLL FOR . Vent Latgh:.N. v tEVQGD,-N..r2: i Lock Type:StiNEEp.;:Sweeps!afch:.. . lJpgiade_Hacd_w_are.Finsh:N; Comfort Lift..i . rift Ril'Nr Lock Quar►tity:2,000o Boxing Options:,N„-.None. IEvV DA,'T .m; Acc Glass Breakage:N Dectalite N RE Vent Ht 24:5805 CAR#:190-1021 01" PositiveDesignpre'ssure:50.0000 Negativ4besignPressure:50. � �� R PANtimber:,FL 1435 EnergyStar NONE ConaensationResistance:56.0000 UF:0.3300 Solarkit atGainCoefl`:0.2800 VT:0.4900 vrcoG:0.7200 Location:Living Room Notes: 0002 MULTI-PART MULTI-PART UNITS Ordered: _ ;:..,, =<' : ,8611,Price Ext Price (6.{)0). r :tfQ g..;_ :}'.=.. .:.. . .' w;: ...:.: . $672 39. $672.39 BEGIN MODEL SET 006::....r.r................. Series:5400.0000 Combo Config:TW -Twin Factory.Mull:Y. Unit„1,(Bottom Left.Unit)~8H6460;FM UnitZy'.H54.00;FM. Cori inuoiis,Shape Muni-Part,.,N Frame T pe:,;625FLANGE / Assembly Qp066-FCTIWL4 . : Widtli,E uaI o_Wklth-EQUAL Mul�?art,Selection:MULIJCVR%CLPS Size;Selection ACTUAL mM Vertii !Mull:125?C$.25X.10FM Fram6-,-16F'W -White Glass Color.CL -Clear Boxing Options:N -None vocation:Living Room a Notes: y )002 SH5400 VINYL SINGLE HUNG 5400 Ordered: Sell Price Ext Price 7.00) 1.00 . $0.00 $0.00 Certification Type:AAMAA440 Frame Type:.625FLANGE VanfConfiguration:EQUAL Window Style:STD Size Selection:.CUSTOM _ . Size Ref:ACTUAL .-. __... Actual Size:35 1/8 X 49 7/8 Rough Masonry:36 7/8 X 50 7/8 Wood Frame Opening:35 3/8 X 50 1/8 Egress Opening:30 7/8 X 20 5/16(4.34 SQFT) , Frame Color.W -White. Balance Type:CONSTANT Glass Family:IG -Insulating Glass Makeup:IGA208A2 Glass:3/4"IG(1/8 AN-1/2 AIR-1/8 AN) Does unit need to meet Turtle Code:NO Glass Color:CL -CLEAR Low E:ENERGY SHIELD Argon Gas:NONE Privacy.Glass:NONE -NONE l Grid Type:GBGF0563 -9/16"Fiat GridBETWEEN Grid Style:STD Grid Location:UNIT Summary Top:3A2D LITES(2V1H BARS) Summary Bottom:3A2D LITES(2V1 H BARS) Reinf.Upgrade:NONE -None Screen Type:1816K =1816 Charcoal Screen Frame Type:ROLLFORM Vent Latch:N WOCD:N Lock Type:,SWEEP -Sweep Latch Upgrade.Hardware Finish:N B '-Comfort Lift:-Y' Lift Rail:N ` Lock Quantity:2.0000 Boxing Options:N -None I Acc Glass Breakage:N Decralite:N Vent Ht:24.5805 CARM 190-1027 PositiveDesignPressure:50.0000 NegativeDesignPressure:50.0000 PANumber:FL1435 EnergyStar.NONE CoridensatioriResistance:56.0000 UF:0.3300 SolarHeatGaindbeff:0.2800 VT:0.4900 j VTCOG:0.7200 Location:Living Room Notes: 0002 SH5400 VINYL SING_ LE HUNG 5400 Ordered: Sell Price Ext Price I (8.00) 1.00 $0.00 $0.00 Certification Type:AAMAA440 Frame.type:.625FLANGE Vent Configuration:EQUAL Window Style:STD Siie Selection:CUSTOM Size Ref::ACTUAL �A ctua pie: Rough Masonry:36 7/8 X 50 7/8 Y ra :35 3/i3 X 50 1/8 Egress Opening:30 7/8 X 20 5/16(4.34 SQFT) ' ! 4y Frame Color.W -White Balance Type:CONSTANT Glass Farnily:IG -Insulating Glass Makeup:IGA208A2 Glass:3/4"'IG(1/8 AN-1/2 AIR-1/8 AN) poes-unit.need to.meet Turtle Code:NO Glass Color;CL'=CLEAR Low_E ENERGY SHIELD Argon Gas:NONE;= j ,Privacy.Glass:NONE -NONE !'. Grid-Type:GBGF05631:-9/16"Flat GridBETWEEN -,Grid,Style:STD _ g Grid Location:UNIT Summary' Top:3A2D LITES(2V1H BARS) Y Summary Bottom:3A2D.LITES(2V1H BARS) Reinf:Upgrade:NONE.-None Screen Type:1816K"-1816 Charcoal _Screen-Frame_Type:_RQLLFORM Vent Latch:N WOOD:N Lock Type:SWEEP..-Sweep Latch:._,. ,Upgrade Hardware Finish:N dbinGt,Lift:Y::::. Railt,;N:: Lock Quantityr2.0000 Boxing'Optioris:N -None j Acc Glass`Breakage:N Decralite:N ! Vent Ht:24.6805 CARM 190-1027 PositiveDesignPressure:50.0000 NegativeDesignPressure:50.0000 PANumber:FL 1435 EnergyStar.NONE CondensationResistance:56.0000 UF:0.3300 SolarHeat(5ainCoeft:,0.2800 VT:0A900. VTCOG:0.7200 Location:Living Room Notes: y� xa ° )002 IMULL MULL BARS ` Ordered:' Sell Price Ext Price 9.00) 1.00 $0.00 $0.00 Product Family Series:5400.0000 Certification Type:AAMA Part Selection:MULUCVR/CLPS -Mull,Ext/Int •Frame fype:.625FLANGE Mull Bar"type:1.25X3.25X.100 Mu'll;Clip Type:UNOTABS/UNOTABS Size Selection:CUSTOM Frame Color.W -White Assembly Options:FCTRML Boxing Options:N _None l END MODEL SET 006: .ocation:Living Room a Notes: 1I Me 1003 MULTI-PART MULTI-PART UNITS Ordered: Sell Price Ext Price 10 00) j 1.00 $672.39 $672.39 a IBEGIN MODEL SET 010:::::::::::::::::::::::::::::: Series:5400.0000 ''Combo Confi :TW -Twin Factorv,Mull:Y INSTR#2020021681 ORBK10049 PG3638 Page 1 of 1 02/07/2020 16:21 AM Rcpt:2133264 Rec:10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller No—WE OF d pl�CE Permit No, x Propedy]identification No.—/4L 0/420 0674000 01M) THE UNDERSIGNED hereby 91"informs You that the improvement will be made to certain real pro",end in ageordaree,With Section 713.13 of the Florida Statutes,the following filftmation is provided in this NOTICE OF COMMENCEMENT. LIDescriptiou of prop"(kpi descriptiml -5kahe,n /v -rglansk;e jp t,r Aalf?yz Q1 �'?S4- 10 Street Address- 2.0eneral description of VIA, /1401.S C-&e evvdi 4 7 3.Ownevileforma6on d- o)Nam end address: E>r4et(eri .4, 1Jv en e-ke,/—,- 5-)4 4 2 CA I b)Name and address of fee simple titleholder—rIf other than owner) 0)interest in prop" b)Telephone No.; Fax NO.(Opt) 5.Surety Information 0)Name and address! b)Amount of Bond: o Telephone No.: Fax No.(Opt.) 61ander a)Name and address: Phone No. 7.ldeatiFofp==within hate ofFlwida designated by owner�.pon whom notices or other docmocrn may be served: 8)Name and address: b)Telephone No.- Fax No.(Opt) 8-TO addition 10 hbasd&Met designates the following person to receive a copy of the LicuneswoticaLs provided inSection 713.13(1)(b),Florida Statutes, a)Nome and address: b)TeIe0czLeNo.: 4 �FAX No.(opt) 9MV'ratlon dsm of'Notice of Commencement(the expiration date Is one year from the date of recording unless a diffetcat date Is specified): WARNING TO OWNER. ANY'PAYmZNU MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCRY[ENT ARE CONSIDERED VdPROPKA PAYMMTS UNDER CHAPTER 713.PART 1.SECTION 713.13. FLORIDA STATUTES.AND CAN RESULT IN YOUR PAMG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTKON.IF YOU MEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE or FEMMA COUM OF PASCO .5woturs oroww orownee C- A— Tb=t* rl va?acknowledged befbm me this day of going In 22::ry �20��,by �k� as (41A of authority.e.g.offices,trusted,att-key in for (name ofp"on behalf o w u7ntr oteVA4, Personally Known Notslysimeare All Type of Identification Produced R, ome(p ")I'- e- V Verification pursuad to Section 92M5,Florida Statutes.tindiep'-m.1fics of perjury,I declare that I have read the foregoing and that theft=stated in li are 6e't6 thibest of my kwiOidgs and beHeE JACQUELINE BOGES COMMMMOG0276M IMP; E*wDmeMW12,2022 S*udsd1t4TWjFsbbw&in04*7019 State Of Florida,County Of Pasco This is to certify that the foregoing is a rue and correct copy of the document rt "`r�ti ^© file or of public record in this office. 7. ��,...,. tos my hand and official seal this day of q ,Cl k&Comptroller ' kki AN ek9owles,Es asco Co ty,Florida co •r�.,fi.;i r. ®B ,Deputy Clerk y City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: Site: 971101 Permit Type: Approved w/no,comments:El Approved w/the below comments: Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. FED Kalvin er—Plans Examiner Date Contractor and/or Homeowner r (Required when comments are present)