HomeMy WebLinkAbout21-3025Permit Type: Building General
'g 1g,
"IN
35 25 21 0120 00000 1130
Name: ANITA HOY
Address: 7524 Mt Laurel Dr
ZEPHYRHILLS, FL'33540
Phone:
ENEXE111§290H
ZMMMW=-2
City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542 BGR- 025-2021
Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 10/14/2021
Permit Type: Building General (Residential)
Class of Work: Reroof (Shingle Only)
Building Valuation: $10,600.00
Electrical Valuation:
Mechanical Valuation:
Plumbing Valuation:
Total Valuation: $10,600.00
Total Fees: $93.00
Amount Paid: $93.00
Date Paid: 10/14/2021 9:23:22AM
P
0
............
7524 Mt Laurel Drive
'47
...... ....
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice
improvements to your property. If you intend to obtain financing, consult with your lender or an attorn
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 PEVMIT OFFICEC)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALLFORINSPE TI N-81-1 URN T E
PROTECT CARD FROM WEATHER
pill OUtxO,ppiiosdorl c®rnpleteiys
�wea r r�i r i aba6k'ofsppl3 OOrt;notarized
If over, 500,.s' oboe otComm flooniont_is regdirsd> ( upgrades over,$7500)
• t.
Agent (for the �ntrsctor) or Power of AtOrney (fbr the cwnerywould be someone with notarized letter from owner authdrtt same
OVER THE'CO'UNTER PtAMIVINGReroci
fs if shingles Sewers Servic UOgrades
Driveways -Not over Counter if on public roedways..needs ROW
t,
y Ft tt
OR
INIM
4 }
R
i
,�7� :�i♦ i t,l: ,�: 2� 1 �'t
},
i
unlesswexprVSSlY d.
submitted at t .. T :eiigloear
ermitted building using stemw
�S
�t
e•„
t
exceed nin!t
ejob, is considered abandoned,
Notary PublicCommissht�t ry blip+`
Commission o. k . inn 1 :
���nftVotary. q printedocMP
�+ F���ntotr' . att����,
INSTR# 202122141 9 OR BK10462 PG1065 Page 1-fi
10/18/2021 11:25 AM Rcpt: 2365646 Rec: 10.00 DS: 0.00 IT: 0.00
Nikki All - - -
lidnTllf'r- OF COMMENCEMENT
State of County of s�c-d
THE UNDERSIGNED hereby &as nouce that improvement will be made to certain real prope!�L. and In alu,1481*�Z
1. Description of Property., Parcel Identification No.
Street Address: J91P /—',q)
2. General Description of Improvement
3. Owner Information or Lessee
I
If the Lessee oontracted for the Improvement:
/ .3 .4- Y IL17
Adores$ I
Interest InProperty: OLUAIC—.1--l- state
Name of Fee Simple Titleholder
(if different from
or listed above)
Address
4. Contractor.d®+%Uty 9&t —a
Name
1-t rKt ...'
Address ;), , . . I
Contractors Telephone No,: city state
5. Surety:
Name
Address City State Q�
Amount of Bond:
$ ------- Telephone No.:
6. Lender.
xm
Name
Address City stela
Lender's Telephone No.:
7, Pawns within the State of Florida designated by the owner upon whom notion or other documents may be served as provided by
Section 713.13(1 XaX7), Florida Statutes:
Name
Address city state
Telephone Number of Designated Person;
E
0
8. In addition to himself, the owner designates 0 '2 0 a
to receive a copy of the LI&Ws Notice as provided In Section 713.13(lXb), Florida Statutes, �,o E
CL r-
Telephone Number of Person or Entity Designated by Owner,
9. Expiration data of Notice of Commencement (the expiration date may not be before the MP! 0 f cons final payment in the
e
contractor, but will be one year from the data of recording unless a different data is sp 5:1.
ad
WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, BE( ; THE NOTICE OF COMMENCEMENT ui
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY O713.13, FLORIDA STATUTES, AND CAN 0 a)
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF . A NOTICE OF COMMENCEMENT MUST BE to L)
YOU INTEND TO OBTAIN FINANCING, CONSULT 0 Li -
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, 0 "Q
Under penalty of = declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best t ti
of my knowledge Of. 0 '15
STATE OF FLORIDA O U)
>
1,
COUNTY OF PASCO 0:t-- 0
Signaturere atuof Owner or Lessee, or in 4) 0
Officer/Director/Partner/Manager iE S '-Z om >1
t-- S 0 3a- CO
Signatory's Title/Offics
The foregoing Instrument was acknowledged 6,fore me this J#daY Of 20i4 by
(type of suthorlq, e.g., Officer, trustee, attomey In fact) for
(name of_t on behalf of whom Instrum �Xexecutecl).
Personally Known [I QR Produced Identification Notary Signature
Type of Identification Produca Name (Print) —A�am -Iovry, W6
MARYJANE WHITE
Notary Public
State of Florida
COMM# HH023636
1 11
wpdataftics/noticecomirriencement jm053048
4" 0 A I
licensed under Chapter 468, Florida Statutes as a(n):
Contractor '-'Engineer— Architect— Building inspector_
License No.—LLQ2t
I
On or about--ji:::Z�.. did personally inspect the:
Check: Roof Deck Nailing L,-""' Dry in Flashing and Drip edge
Check which was used: 30# felt— Peel and Stick— Other (List) 6 .
E
Based upon that examination, I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes),
Signature: —4e
COUNTY OF PASCO
Sworn to and subscribed before this day
/7
BY:
Not ublic State of Flo�rida
INGRID ROSARIO
My COMMISSION # GO 987406
EXPIRES: May 12,2024
Bonded Thru Notary Public Underwriters