HomeMy WebLinkAbout20-22471 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22471
BUILDING PERMIT
PERf#1IT INFORMATION LOCATION INFORMATION
Permit Number: 22471 Address: 6836 WAGON TRAIL 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: 05-26-21-0100-01100-0100
Improv. Cost: 14,995.00 OWNER INFORMATION
Date Issued: 2/13/2020 Name: SMITH, ALBERT & YVETTE
Total Fees: 172.50 Address: 6836 WAGON TRAIL ST
Amount Paid: 172.50 ZEPHYRHILLS, FL 33541
Date Paid: 2/13/2020 Phone: 917-697-5473
Work Desc: CONSTRUCT SCRN ENCLOSURE W/PAVERS & FOOTERS
CONTRACTORS APPLICATION FEES
SIGNATURE SPECIALTY CONTRACTORS BUILDING FEE 172.50
n
,S,
Ins ections 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.
Al NO OCCUPANCY BEFORE C.O.
O TRA IGNATURE PERMIT OFFI R
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
Dale'Received -Phone.Contact for-Perrnittin 7
„t,Owner's:Name "1 r `d ner-Phone Number �'
Owner's AddressUfiA6 �h r I Owner'Phone'.Number
Own eePhoneNumber
77�
'SOB ADDRESS' Olt I �•i 1 LOT# 0� '
suebtu<sioN ( �i lh�v Ja .PARCEL `.-t l.0o...� -d0.41 Co.
(OBTAIN ED<EROMP.RCPERTY3AX; OTICE)
WORKPROPi}SEQ .. iVtW_CONSTR -.ADD/AGT._.' SIGN � "'DEMOLISFt':.
i"�- ----ma�yy
:.- ice!'
f.,
e INSTALL. REPAIR
PROPOSED USE. Q' SFR -Q .COMM: OTHER::: 7777771
,..
: .
TYPE OF CONSTRUCTION jQ BLOCjK FRAME'`` STEEL `,Q -� -
DESCRIPTION OF:WbRK •l:"'0AW .\ '�S r 1 m V e'S C, &ICAMAJff av, 11RIVI✓ Y 1
•
2 s�BUtLDiNG,StZE SQ•.FOOTAGE•
, ��X.�j tiL�
i
.rIW. BUILDING VALUATION CiF TOTAL'CONSTRUCTION;
.
=ELECTRICAL. $. AMP'SERVICE DUKE'ENERGY'
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION syp
=GAS 0 ROOFING ,Q: .:,St?ECIA4TY.. OTHER .
FINISHED FLOOR ELEVATIONS SAFLQOD`20NE^AREA: QYE&. NO
t/OA
.
BUILDER �J � COMPANY, y n�i S !
SIGNATURE / REGISTERED :FEE: URREN;•,.
Address' t 47 _ V u ,U License# .�tii✓�3,11 �; i
ELECTRIt:iAN° . .cOMPANY ;.,
SIGNATURE REGISTERED' Y/"N:. ;'FEE CURR.EN.
Address' -Lionse# 1
PLUMBER COMPANY
SIGNATURE REGISTERED Y:/=N ayEECURR .'.Y%iNk:`
Address
• Licens1'''=`;':.`-
MECHANICAL COMPANY
SIGNATURE': . . REGISTERED' • Y/ N'' .. FEE CURREN. . 3 '•Y'/=N
Address: License#:
OTHER., COMPANY:
SIGNATURE: REGISTERED .. Y,.7::N;,..:
Address UceRse#:
`of' ul iiin 'Plans 1;set bf Eire '>=orins R=Ottif Pe i for'new•corisiiuctioiir
RE81DENrtAI' Attack(
I I <...':;
iUliriimum ten(1`0);inioriiirig dais'site'r`stitsrfii#tat:datea�:RgSii�ed onsite' nstriiction:Ptans;''Stormwater Plans vi+/' lit Fe_nce'iristaited;
Sanitary:Fecilities.8;l.Wumpster,;Si(e Wtirk!Pemtit-'focsUbdiVf'sionsgarge proJeots'
COMMERCIAL Attach(2)complete,sets.ofiBu3lditig Pians,,plus:a UW afety Page;,(1.)'.set-of!Ertergy.Famis.-R-O=W Permit for,!rtew;construction.
54 '
Minimum ten;(10),woiid.Mdays;afte utSn�i t�(;daf e:.;Require�K$ronsite:Constnictiorr;Ptanst Stbrmwater°Plans w/:S�it Fence',instalI d'
SanttaryFacllftres 1 duriipstr.Sife�Nork Permit for altnew:proJects.All cammercial.requlrementsmust meet compliance
SIGN PERMIT Attach(Z)M1sets:of E»gineeieii:Ptans,:...
....PROPERTYS;URVEY'required for all NEW construction.
Directions:
Fill out application completely.
Own6r;;&':C004ctor sign:back of application,notarized.
'if over$2$0t1;a N61:1"-bf Conintencer»en!Is requtied. (M. upgrades over$i7500)
•` Agent(for the,contractor.)or.Power:of Attomey.> r the owner).would`be someone:with notarized-letter from'owner authorizing Same
OVER THE•CQUNTER,P..ERMITTING. _•(qqp.jof.Qritracf,required). ,
Reroofs if shingles Sewers Service..Upgrad6-:A/C ' Fences(PIoUSurvey/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-,responsibilityfor,compliance..with,.any
applicable deed restrictions.
U.NLICENSED:vCO'NTRACTORS=',AND=,CONTRACTOR RESPONSIBILITIES:' if fhe`oWrier has"hired'a con trap
tor or
contractors to undertake work,ahey,rnay be.•requiredto be licensed in,accordance.with state..and_locaI regulations:°If the
contractor is_-not4licensed:as required by law, both the-owner and-contractor maybe°cited fora misdemeanor violation
under state law. If the owner..or::intended-contractor are uncertain as to_what:licensing, requirements:mayapply=for the
.intended,work,=they:are•advised to contact the Pasco:County Building-lnspection'Dividion 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.10 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`eiiisting buildings, as specifiedIn Pasco County Ordinance number 89-07 and
90-07,, as amended. .The undersigned-also_understanft;"-that`'tsuch fees,,as:may-be:due;.-.will�be:.identified'at`thb time of
permitting. It is.fudher urderstood that`''i iportation.Impact.Fees and Resource Recovery Fees must be paid•prior to
receiving..a="certificate of.occupancy", or finalnpower.release.-•,,If tfie project,does,.r%ot�involve:a certificate--,of>oecupancyor
final power release, the fees must be paid prior to permit issuanbe. `Furtherrnore A'Pasco County Water/Sewer Impact
fees are due;they.mustae_paid=prior fo;:pserrn'it:issuance in accordance with applicable:Pasco,Countyordinances •
Y CONSTRUCTION LIEN`LAW(Chapter7T3;+Florida=Statutes-,.as,amended):,:,If;valuation°of,-work�is:i$Z5.004G onmore, I
certify _that_I; -the ,applicant,. have:�been: provided with a.;copy of-•thee'>'Plorida--Construction-Lien Law—Homeowner's
Protection Guide" prepared by the Florida.:Department of Agriculture-and:Consumer Affairs.�:If the;:applicanti,Js:someone
other than.the"owner";.:l..certify that"I t aveFobtained-a-copy_of.th'e<above ddidd6 d document and-promise in good faith to
deliver it to the
CONTRACTOR S/.OWNERrS AFFI[IAVITmI'certify..that eill,the-'yin ttm� ,ation,
p
' y z Y.,' in;;thisap`plication;.is-accurate.and..that alhFwork
�-4ri':•h4 er�J—ar.p.�c.��.^fiti;•cY'Y,(.i_..._...
will-be done in'compliarice With'all applicable:laws regulating.construction =zoning;and•land-developmeril;.o;Application is
hereby made to obtain a permit toO d,installatior asKindicated: I certify that no work or installation has
commenced prior to issuance of a permit;and.,that all work wil(be.performed to.meet.standards of all laws regulating
construction, County andlCify codes;.zoning-regulations, a6dlfand development regulations in the jurisdiction: I also
certify that I understand that the regulations of other.government agencies=mayapply,to;Ahe-!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/Wastewateffreatment..
Southwest Florida Water Management District-Wells, Cypress .-Bayheads, Wetland Areas, -Altering
Watercourses.
Army Corps of Engineers-SeeiWblls,:Docks,-Navigable,Waterways.
- Department of :Health::8s}Rehabilitative•.,Services/.Environmental Health Unit=Wells -Wastewater-Treatment,
Septic Tanks..
:US:-Environmental-Protection Age.ncy=Asbestos°abatement:
Federal Aviation Autliority=lRunways:•
understand thaLthe.-following`restrictiops,apply to.:the use-of fill:
Use':of,fll:is nofr liovi�e`d`in Flood Zone"V'-unless-expressly.permitted: : r
- -if the-fill matettal:is to.be-used in flood Zone °A'', it is understood that a drainage plan addressing a
compensating=volume"''w ll..besubm tted atitime,,of permitting.;which..�-.is,.prepared t)y=a professional engineer
licensed by the State of Florida.
- . . If the fill..material.<is:to-be<,used�.in�Flood Zone;;"A";`rr connection With a permitted building-using"stem.:wall.-
construction, (.certify that fill wih5't a=used onf 't"IlJh,6.ar,e.a,,W1thJm theatem wall-. .
If-fill.material is to .be used in•any area, I certify that use.of-such.fill'will not adversely affect,,adjacent
properties: df-use of filC: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, :prorriise in good faith:#o-infor-m=-the,-owner-.of.:the-.perm itting,conditions set forth in
this affidavit.prior to commencing,construction. I understand.that a separate permit may be_requiredfor electricalwork,
plumbing,..signs-Wells;-.:pools;-air,conditioning;:.,gas,.or other installations-not specifically..included1n.-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-anyprovisions-of the4echnical.,codes,nor shall:issuance of a permit prevent the-BuJlding Official ffrom•thereafter=
requiring a-correctionof;errors=in plans, construction or violations-of anycodes. Every:permit-issued shall'become invalid
unless the work authorized by such.permit is commenced within six months.of,per.mit issuance,_or.if work;rauthor1;t4d,!by
the permit is-suspended`or-abandoned for a period of,six(6)months after the.time-the.Work is commenced'.I extension
may be requested, in writing,,from the Building.•OfFicial for-=.a,,p`e-iod not to exceed ninety(90) days and wilLdemonstrate`,
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-RESU.LT•IN YOUR. .
PAYING''TWICE`FOR IMPROVEMENY'S_TO YOUR'PROPER7`Y: IFYOU'INTt=ND'TO'07AIN:FINANCING'CONSULT. ..'
WITH-YOUR.:.LENDER OR=,AN;-ATTORNEY.BEFORE"RECOIZDIN:G'.YOUR°N.OrtICE`'OF.`COMMENCEM.ENT.
.. . . .
FLORMA JURAT(F.S.'1'17 03) —
OWNEWORMENT CONTRACTOR ' _
Subscribed and•swom=to(oraMrined)before me�this:- 1 Subscribed and swom to`(or-af ft"e )06f6re.me thls '
-by: by,
Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/haVVproduced•
as identification. as identification. '
Notary Public :Notary.Public-;
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of:Notary:typed,printed>or-stamped
BOUNDARY & AS-BUILT SURVEY
DESCRIPTION:(AS FURNISHED)
LOT 10, BLOCK 11, SILVERADO RANCH SUBDIVISION PHASES 7, 9B, 11A & 11B
AS RECORDED IN PLAT BOOK 77, PAGE(S) 79-86, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
�PT v
0
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-. GRAPHIC SCALE
z /� 0 15 30
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30 Ds£ LOT
/y ° BOCK 11j 5r-P,to
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41
TREES SHOWN HEREON WERE 6 �/ z
IDENTIFIED AND POSITIONED BY THE
CLIENT AFTER THE COMPLETION OF �RqO/q/24" °&� �a V o�
THE LANDSCAPING, AND NOT BY ���cc Q
OR AT THE TIME THAT -6
THIS FINALTHE SSURVEY WAS PERFORMED
IN THE FIELD ON 05-28-2019 &4 OT 9
77
ADDRESS: g93
#6836 WAGON TRAIL STREET
ZEPHYRHILLS, FLORIDA 33541 Curve Table /
FOR THE BENEFIT AND Curve y Length Radius I Delta I Chord Bearing Chord /
EXCLUSIVE USE OF: C1 32.20 1 260.00'1 7-05'42' N19.53'46-E 32.17'
ALBERT JEREMY SMITH
YVETTE M. SMITH Line Table
DHI TITLE OF FLORIDA, INC.
DHI MORTGAGE COMPANY, LTD. Line g Direction Length
OLD REPUBLIC NATIONAL TITLE L1 I N16-20-55-E 15.37'
D•RHOMN'„
f omwi aa'swi"w
NOTES:
I. ALL DIRECTIONS AND DISTANCES HAVE BEEN FIELD
VERIFIED, INCONSISTENCIES HAVE BEEN NOTED ON THE IRON ROD AND CAP
/2 SET,LEGEND: •SURVEY, IF ANY. ® LB $/2
CENTERUNE
2. PROPERTY CORNERS SHOWN HEREON WERE RIGHT OF WAY LINE FOUND NAIL AND DISC
SETJFOUND ON 05-28-19, UNLESS OTHERWISE DRAINAGE FLOW LB Q7013
oO FOUND 1/2'IRON ROD AND CAP
SH WN. 1 EXISTING ELEVATION LB#701
C AIR CONDITIONER (P) PER PLAT
3. THE SURVEYOR HAS NOT ABSTRACTED THE LAND A/ PC POINT OF CURVATURE
SHOWN HEREON FOR EASEMENTS, RIGHT OF WAY, CONCRETE PCC POINT OF COMPOUND CURVE
RESTRICTIONS OF RECORD WHICH MAY AFFECT THE PCP PERMANENT CONTROL POINT
TITLE OR USE OF THE LAND. Caw CONCRETE BLOCK WALL PI POINT OF INTERSECTION
CNA CORNER NOT ACCESSIBLE PK PARKER KALON
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN CP CONCRETE PAD POC, POINT ON CURVE
LOCATED. CS CONCRETE SLAB POL POINT ON LINE
C/W CONCRETE WALK PRO POINT OF REVERSE CURVATURE
F.EM.A. FEDERAL EMERGENCY MANAGEMENT AGENCY PRM' PERMANENT REFERENCE MONUMENT
5. BUILDING TIES SHOWN HEREON ARE NOT TO BE F.I.R.M. FLOOD INSURANCE RATE MAP PSM' PROFESSIONAL SURVEYOR AND MAPPER
USED TO RECONSTRUCT THE BOUNDARY LINES. ID IDENTIFICATION PT POINT OF TANGENCY
LB LICENSED BUSINESS SQ. FT.SQUARE FEET
6. ELEVATIONS ARE BASED ON PASCO COUNTY LS LICENSED SURVEYOR S SIDEWALK
D&AE DRAINAGE&ACCESS EASEMENT WM WATER METER
BENCHMARK # P 678 , ELEVATION 99.82' NAVD 1988 PDE PRIVATE DRAINAGE EASEMENT TB TELEPHONE BOX
DATUM. PUE PUBLIC UTILITY EASEMENT LP UGHT POLE
NAVD NORTH AMERICAN VERTICAL DATUM EB ELECTRIC BOX
FLOOD NOTE:
1 HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO288F, I HEREBY CERTIFY, THAT THIS SURVEY, SUBJECT TO THE
DATED SEPTEMBER 26, 2014,AND FOUND THE SUBJECT PROPERTY SURVEYOR'S NOTES CONTAINED HEREON MEETS THE
APPEARS TO LIE IN ZONE'X',AREAS DETERMINED TO BE OUTSIDE THE APPLICABLE'MINIMUM TECHNICAL STANDARDS" SET
O.=ANNUAL CHANCE FLOODPLAIN.THE SURVEYOR MAKES NO FORTH BY THE FLORIDA BOARD OF PROFESSIONAL
GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE SURVEYORS AND MAPPERS IN CHAPTER 54-17, FLORIDA
LOCAL F.EM.A AGENT FOR VERIFICATION. ADMINISTRATIVE CODE PURSUANT TO CHAPTER 472.027,
FLORIDA STATUTES.
BEARING BASIS:
Digitally signed b lames W.
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF WAGON Bclema.
TRAIL STREET BEING N16-20'55-E, PER PLAT. A `r`'�+ao� DN:m=James W.8oleman,
AMERICAN
� o=AmedanSirey+ng&
REVISED: Mapv+n9.Inc.oudl9,
(FIELD DATE:) 02-07-19 email=Jboleman@asmouporate.
SURVEYINGcon,S
SCALE: T�=30 FEET ,`"""'� Da[e:2o19.0Q17143135-0a'oo' FOR
Se M A P P I N G INC. Adobe Avobal-Won:11.a]3 THE
APPROVED BY: '� FIRM
1SM20 LOT 10, CERTIFICATION 06-14-19 TDB CERTIFICATION OF AUTHORIZATION NUMBER L8#6393 ,LAMES W. BOLEMAN PSM# 6485 DATE
BLOCK 11 3191 MAGUIRE BOULEVARD, SUITE 200 THIS BOUNDARY& AS—BUILT SURVEY IS NOT VAUD
d06 No. FINAL OS-28-19 RCS ORLANDO, FLORIDA 32803 WITHOUT THE AUTHENTIC ELECTRONIC SIGNATURE AND
DRAWN BY: 1FORMBOARD 02-12-19 AAW 1 (407) 426-7979 THE AUTHENTIC ELECTRONIC SEAL OF A FLORIDA
PLOT PLAN 10 29 18 RUB WWW.AMF-RICANSURVEaNGANDMAPPING.COM LICENSED SURVEYOR AND MAPPER.
INSTR#2020015910 OR BK 10044 PG 1892 Page 1 of 1
01/29/2020 01:02 PM Rcpt:2130257 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowies,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel 10 No V 7� Q:/ 14'D tW 0100
1 - NOTICE OF COMMENCEME�jT `,
State of Gn Act County of Y ' (10
de to
THE UNDERSIGNED hereby gives notice that Improvement will be ma certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information Is provided in this Notice of Commen meat:
1. Description of Property: Parcel Identification No.
Streel Address: Ft ViV1 1`f t t
2. General Description of Improvement Vo.Aw,
a v L
3. Owne 1 rmation or Lessee Information if the Lessee contracted for the improvement
1 s �
" aW► r 1Oh�rl�r 'L
Addresscity stale
Interest in Property:stS I U jvvk
Name of Fee Simple Titleholder:
(If different from Owner listed above)
Address Michael Gigante City State
4. Contractor.
Name Riverview FL
t1Y1�(1Mda IW,
Address 813-672-8147 City State
Contractor's Telephone No.:
5. Surety:
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender.
Name-
Address. city State
Lender's Telephone No.:
7. Persons within the Stale of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates ot_
to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. E-Viretion date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the 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 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.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and h acts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signature oJoWer or Lessee,or Owners or Lessee's Authorized ,
OfficedDir orlPartrtneer//Manager '
Signatory'sTille/Offl�icc�a /�
The foregoing Instrument was acknowledged before me this�day'of War 20)by AAW.� S CV, 'r 7 l
as U&.,� ( e of authodty,e, officer,Wstee,attorney in fact)for
/ IT l 1 ,-(name I o ment was executed).
mac'
Personalty Known Produced Identification 0 Notary Signature
Type of Identift ation.Produced Name(Print)
Notary plublio State of Florida
�P Heidi Gigante
` My commission GG 174068
�aua Expires02/102022
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
it WITNgS MY HAND IND OFFICIAL SEAL THIS
j DqQF (M WX 2 O'�
CLERK&CQWTFZOL,LER
BY A,J DEPUTY CLERK
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received:
Site:
Permit Type: A&n 6rA pUer-S 6JO�—
Approved Who comments:
Y Approved w/the below comments: 0 Denied w/the below comments: 0
This comment sh t all be kept with the permit and/or plans.
FEB 12 2020
Kalvin S4t#—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
CITY OF " NOTICE / / BUILDING
ZEPHYRHILLB DEPARTMENT
OF ADDITION OR CORRECTION
® • NOT REMOVE
�A[ RESS DAT�6 2- 4-E j 5 PERMIT z 1 r 71
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
///-7 Citera S7-'
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-00 0 -R RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR