The URL can be used to link to this page

Home My WebLink About21-1474 ,4 City of Zephyrhilis PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BAC-001474-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 02/16/2021 :y rl. Permit Type: Add/Alter (Commercial) Property Number Street Address 02 26 21 0010 00900 0011 6900 Gall Boulevard Owner Information Permit Information Contractor Information Name: SPK TAMPA LLC Permit Type:Add/Alter(Commercial) Contractor: DBK INC Class of Work:Add/Alter Commercial Address: 10860 Lemon Lake Blvd Building Valuation:$150,000.00 ORLANDO,FL 32836-5040 Electrical Valuation:$10,000.00 Phone: Mechanical Valuation:$0.00 Plumbing Valuation:$0.00 Total Valuation:$160,000.00 Total Fees:$1,329.00 Amount Paid:$1,329.00 Date Paid:2/16/2021 11:14:07AM Project Description INTERIOR RENOVATIONS-ROSE RADIOLOGY Application Fees Electrical Permit Fee $90.00 Fire Plan Review Minimum Fee $24.00 Building Permit Fee $780.00 Building Plan Review Fee $390.00 Electrical Plan Review Fee $45.00 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe found in the public records of this county, and there may be additional permit 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 add fee 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 PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER DBKJI y POWER OF ATTORNEY Permit#: Site Address: Street City State Zip Description of work:T21+fiur Contractor:-9-'a cbon k Moe le, c� (Print Name of License Holder) Phone#:2No- %A(3- a056 .tcontraEr for the above referenced permit, I hereby authorize n l -anon a5 to sign documents related to the above mentioned address. (Print Name) (Signature of License Holder) State of County of 0 The foregoing instrument was acknowledged before me this day of e('/r]['� 1 -Z& by� omflL) rnY ml Who ✓ is personally known to me or has produced as identification, and did take an oath d' n ke a ath. lr� Notary Public Stata of FkAft Sheila Gomez My Commission GG 383745 n Expires 08/07/2023 398 S SHELL ROAD • DEBARY, FL • 32713 PHONE:-386.860.2050 FAX- 321.414.0201 I INVOICEil►00 . - •FOR CITY OF ZERHYRHILLS BILLING CONTACT BARTHOLOMEW FORMOSO DBK INC 398 S SHELL RD DEBARY, FL 32713 I INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00002643 02/15/2021 02/15/2021 Due NONE REFERENCE NUMBER FEE NAME TOTAL BAC-001474-2021 Building Permit Fee $780.00 Building Plan Review Fee $390.00 Electrical Permit Fee $90.00 Electrical Plan Review Fee $45.00 Fire Plan Review Minimum Fee $24.00 6900 Gall Boulevard Zephyrhills, FL 33542 SUB TOTAL $1,329.00 REMITTANCE INFORMATION TOTAL $1,329.00 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 February 15,2021 5335 8th Street,Zephyrhills,FL 33542 i � Page 1 of 1 813-7e0-0020 City of Zephyrhills Permit Application Fax-813-78MO21 Building Department Date Received phone Contact for Permitting ■aaaaaaa [aaaa Owner's Name Owner Phone Number Owner's Address , �' � Owner Phone Number Fee Simple Titleholder Name JA Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS DD aall BVd h�1' LOT# SUBDIVISION PARCEL-hitb� (ORTAINEO FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN = DEMOLISH e INSTALL C I REPAIR PROPOSED USE Q SFR COMM OTHER TYPE OF CONSTRUCTION LOC = FRAME STEEL Q DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE y�pn HEIGHT J.. E([[(-[(i[[[[(CE([[C[[[([[[E[([[([((C[[(E[[[E[(((([(EC[C E((([([C[E Er BUILDING S VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY . .C. =PLUMBING $ II =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION D� =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y I-K FEE CURREN •I Y/N Address ` '.� License# ELECTRICIAN COMPANY SIGNATURE REGISTERED YIN FEE CURREN Y I N Address License# . PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address• I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address I License# OTHER COMPANY SIGNATURE REGISTERED YIN FEE CURREN LY/N r. Address.; License# � � aa� aa� aataaaaaaaaa � aalaaa�aa �aiaaalaaat��taiatataaaao �aaaaaataa� � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set or Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stonnwater 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 Fences(PloUSurvey/Footage) Driveways-Not over Counter if on public madways..needs ROW / 813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 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 with 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-B47-8009. Furthermore,if the owner has hired a contractor or contractors,he is advised to have the contractor(s)sign portions of the'contractor Black"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 property 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/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 rill: 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 inferm 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 IMPROVEMENT YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR-LIENDER ORAN ATT E RECORDING YOUR NOTICE OF COMMENCEMENT FLORIDA JURAT(FW1103 ti OWNER OR AGE N �- CONTRACTOR Subscribed and sw m to(or affirmed)before me this• Subscribed and sworn�W or affirmed)beef re rya thJq _J by.YYY(f�/�l 6/40e/ Who islare personally known to me r has/have produced Who is/are pall known Ip me or h /have produced sidentification. 42AWid IdWYI ftV s identification. "&4' n Notary Public / Notary Public Cam t ion No. � �'S Commission No. 6 6r3�G3,VS �1ex,e: P riviriell� Name or Notary typed,printed or stamped Name Not y d,prpMIY 1191fF6tats of Florida Sheila Gomez y My Commissmigsion GO 383745 Expires 08/07/2023 �.0"lit. Notary Public State of Florida Jene S Connelly MY Commission HH 042899 ?wn� Expires 0911512024 Permit No. Parcel ID No L � •?Cl' 4 O 'oD•0 O 1 1 NOTICE OF COMMENCEMENT State of 4 w o County of�� THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement 1. Description of Property: Parcel Identification No. '�(O•2( (�� _O[�� StreelAddress: lC!'IOl7 I Dl y� Pz� rho �2Z Z.. 2. General Description of Improvement �/1 �V al'F'►OY�Sr 1�� 3. Owner Information or Lessee information if the Lessee contracted for the Improvement: G N a Addros \ C i N�o41 d 0 stateITY � Interest in Property: II ' Name of Fee Simple Titleholder. N I A7 (If di forent from Owner listed above) Address J3 1_ 10 b City State 4. Contractor: �[ G't.t� '(a(YYtoSt.7 . 2)cLYt,Na3 Sh'_Lk E.Lk TP-10 e:±j Address p . % S� City State Contractors Telephone No.. 5. Surety: /V f Noma Address :PIS TRII 2021024108 aK 10273Pc, 2016 Amount of Bond: S 02/04/2021 11-43a m Page 1 of 1 6. Lender: R,Ht ' 2257476 Rec: 10.00 Name DS- 0.00 IT: 0.00 Address Nikki Alvarez-Sowles, Esq. Lenders Telephone No.: Pasco County Clerk & Comptroller 7. Persons within the State 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: B. In addition to himself,the owner designates of_ to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiration 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 dale 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 per)ury,I declare that I have read the foregoing notice of commencement the facts stated therein are true to the best of my knowledge and belief. (TT ATE OF FLORIDA OUNTY OF PASCO Signature of Owner or Lessee,or Owners or Lessee's Authorized O fficer/D lrector/Partner/Manager Signatory's Title/Office e foregoing instrument was acknowledged before me this 2day of `� AIL InO�by l (type of aulho y,e.g.,officer,trustee,attorney in fact)for na arty on beh If o horn instru was executed). rsonally Known,]OR Produced Identification❑ Notary Signature pe of Identification Produced Name(P int) r / S 6nt�GI �4PP�� Notary Public State of Florida Jene S Connelly My Commission HH 042999 Expires 09115/2024 wpdatalbcs/naticecom mencement_pc05304 B H13.7H0-0020 City of Zephyrhiiis Permit Application Fax-813.780.0021 Building Department Date Received Phone Contact for Permitting If I ♦ t t aItit ttttt I. Owner's Name Owner Phone Number Owner's Address �- Owner Phone Number Fee Simple Tilieholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# C� SUBDIVISION F_ PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q DEMOLISH INSTALL U R PROPOSED USE SF COMM OTHER TYPE OF CONSTRUCTION < BLOCK FRAM STEEL Q DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE HEIGHT it(tttRCt[CCCttCtCCttiC[tl C[✓GtCCCtii itCtC[tCCCCtt[tt Li[ ttCCCt itCCtr =BUILDING IS VALUATION OF TOTAL.CONSTRUCTION ELECTRICAL AMP SERVICE 0 PROGRESS ENERGY W.R-E.C. PLUMBING =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO -0-0 0 0" BUILDER COMPANY SIGNATURE REGISTEREO YIN FEE CURREN Address �— License# F_ ELECTRICIAN //A�- COMPANY },/ I nc- / SIGNATURE V ppt�`\ { - NEOIaT`EERRjED �N_ - I'LL CURREN Y I N Address _3 arC�10atir�. �+-1 r�"' rJx-m-6 icense If PLUMBER COMPANY SIGNATURE REGie(EREO YIN FEE CURREN Y/N �( Address License# F_ ) MECHANICAL COMPANY I SIGNATURE REGISTERED l Y r y FEE CURREN Y/N Address Lccnse# F OTHER COMPANY —�! SIGNATURE REC,ISIERE0 YIN FEE CURREN Y!N Address License# tttttitttt tttttttttitt! (itttt } tilt} } {lt ttittttttttt tttttttttttitttt• RESIDENTIAL Attach(2)Plot Plans;(2)sets or Building Plans;(1)set of Energy Forms;R•0-W Permit for new construction, Minimum ten(10)working days after submittal date.Required ensite,Construction Plans,Stormwater Plans wl Silt Fence Installed, Sanitary Facilities&I dumpster;Site Work Permit for subdivislonsirarge projects COMMERCIAL Attach(2)complete sets of Building Plans pfus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal dale,Required onsde,Construction Plans,Starmwater Plans wl Silt Fence installed, Sanitary Facilities&1 dumpster.Site Waits Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. —'PROPERTY SURVEY Iequired for all NEW construction. Olrocttans: Fill out application completely. Owner&Contractor sign back of application,notarized If over S2500,a Notice of Commencement is required.(A/C upgrades over$75001 Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing some OVER THE COUNTER PERMITTING (ropy of contract required) Rercofs if shingles Sewers Service Upgrades AIC Fences(PIOUSurvey/Foolage) Driveways-Not over Counter it on public roadways.,needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-B13-780-0021 Building Department NOTICE OF DEED RESTRICTIONS:The undersigned understands that this peril may be subject to"dead"restrictions"which may be more restrictive than County regulations.The undersigned assumes responsibility for compliance with 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 slate and local regulations.If the contractor is not licensed as required by law,both the owner and contractor may be cited(or a misdemeanor violation under slate 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 property 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 peritting.It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"cerlfftcale 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/Server 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'SIOWNER'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 or a peril and trial 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.f 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"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 p8rmil 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 lime 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 T OUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN FLORIDA JURAT(F.S.1 TA)) sµ OWNER OR AGENT 1117 CONTRACTO Subscribed and sworn lo(or affirmed)before me this- . S r , bad and sworn t fnr rmadl hnfore me lhLgr, by by—i.r...,w _ o .... ho islaar parso IyrmnVlnn 0 mar has/have produced Who is/are porsonally wlwn la me or ho `evo produceo- 'Is identification. identification. ` _ ✓'� _ ubljc __Notary Public Com ssion � 41 [ q Commission No. . .� � Call_ _ n ne Na a of Not typed,printed or stamped Nam Notary Public Sorts of FW & S Gomez MyY C Commission GG 383745 �apr Expires oaJ072023 Notary Public State of Flon/1a Jena S Connelly • My Comrrtssion HH 042899 �Oa n� Expires 09/15/2024 STO WORK By order of the Building Official: Wirrixam x. (Burgess All Building, plumbing, electrical and mechanical work shall cease at the below mentioned property. Address: t 00 CACA- 13Lt9 j) Date: 2oZ/ -r . Cade Enforcement Officer: 31ACC) AJ Contact. the Zephyrhilis Building Department 5335 - 5th Street 813-780-0020 15' j 5 Zc ( Z 05 m_q,; 1 , c c.1�.�n ti� (%�,,v,•�c i-t- 1�� 7 2.7 - t��S' - 7 :�� Z, "y�t 7 8 S' L G