HomeMy WebLinkAbout21-3126City of Zephyrhills
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5335 Eighth Street
Zephyrhills, FL 33542
BGR-003126-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date: 11/02/2021
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
may be 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.
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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
01911
FEfFOFFICEU
ITHOUT APPROVED INSPECTION
A 0 . 0 0 1 11.4044; A A " INIIIIIIIII
City of Zephyrhills
5335 W1 St
ZeQrhill
Mtara
Permit No..
P "? , c-'If 64 , IV,,A,,'l - licensed under Chapter 468, Florida Statutes as
Contractor �"4ngineer Architect— Building Inspector
License No, -,L'.'C- CC" —Vi, q
On or about—iLl- —2/ did personally inspect the:
Check: Roof Deck Mailing ---�—"—/ Dry in c--- Flashing and Drip edge
Check which was used: 30# felt— Peel and Stick— Other (List)
At the following -
4
Signature:
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va ERICACHASE
My CommiSSION # HH 167947
EXpIRES: SepWrdw 14,2025
Swded Thm Nokvy Pubk WWeWK$($
813-780-0020 City of ZephyrhillsPermit Application Fax-813-730-0021
Building Department r yol
®ate Received Phone contact for Permittin
Hens WarneOwner Phone,Numbor
j
Owner°a,Addr s .. tta l e rear Phone, � hxrtahar ;
Fee Simple Titiehol4er, Name Owner Phone Nomber
Fee SI ple `ritiahoide'r"Address
J *' � i iWORK
UIL iNC 'VALUATION OF TOTAL CONSTRUCTION
LECTRICAL, $ ,AMP SERVICE � PROGREBSINE14GY
PLi1hA131NC
MECHANICAL
VALUATION OF MECHANICAL
INSTALLATION
=GAS
ROOFINGSPECIALTY
OTHER
FINISHED FLOOR ELEVATION
FLOOD ZONE AiREA
YES NO
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BUILDER
NY
TRE7T:RE
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SIGNATUR
Y'! N FEE'CURR�h., "
Address
License # -
ELECTRICIAW
COMPANY
SIGNATURE
sREGISTFRED
Y'/ N ' 'FEE CURREn-
Address
License
PLUMBER
CbMIPANY ,
SIGNATURE
REGI0
Address
LiaRse
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MECHANICAL
COMPANY 'E
�FEECU�RREIIY1'Pi
SIGNATURE
REGISTERED
Address
License
OTHER' �'
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COMPANY
SIGNATURE
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REWTt RED
Y O N FEE CURREN YJN'
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INSTR# 2029 233500 OR BK 1 43 PG 1 Page 1 of 1
10/29/2021 11:26 AM Rcpt: 2371973 Rec: 10.00 DS: 0.00 IT: 0.00
r Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Permit No. Parhel ID No
NOTICE OF COMMENCEMENT
State of /� ®/ud/IT County of I su
THE UNDERSIGNED hereby gives nofloe that Improvement will be made to certain real property, and in accordance whh Chapter 713, Florida Statutes,
the following Information Is provided in this Notice of Commencement
1. DescripNar of : Parcel Identllication No. 11 "1-4 -�- l - p 6l0 — / b'?UD —DO"y
StreeliAddness: r Q y s .S"L"µ 5r '7-&71)M6L) .1 Z- -
2. General Description of Improvement
Owner Information or Lessee Information If the Lessee contracted for the Improvement
city state
Ingest in Property:
Name of Fee Simple Titleholder:
- (If different from Owner listed above)
Address Al%tti/ /-®d�lAJli
Gty
Sate
4. Conhacmr.
Name P0Address �� l3tfi3
/
S�- sp 7'- 50,E `V
city®��
smote
Contractor's Telephone No.:
5. Surety:
Name �--�
Address --
City
state
Amount of Bond: S
Telephone No.:
v-
8. lender.
Name
Address _•-
City
State
Lender's Telephone No.:
7. Persona within the State of Florida designated by the owner upon whom noloss or other documents may be saved as provided by
Section 713.13(1xa)(7), Florio.SmWtes:
Name <---..-
state
Telephone Number of Designated Person:
r
8. in addition to himself, the owner designates crf-
-- to receive a copy of the Us noes Notice as provided In Section 713.13(1 xb), Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement (tine expiration date may not be before the completion of s nexloh and final payment to the
oontrscl r, but will be one year from the date of recording unless a different date Is specliflady
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OVTHE NOTICE OF COMMENCEMENT
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, t:ON5ULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that 1 have read the foregoing notice of commencement and that the facts stated therein are hue to the beat
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Slg Wre of er Ownor L , or Owner's a Lessee's Authorized
Offlcer/Director/Partner/Manager
Signatory's THWOMo ®® "_ �(
The foregoing Instrument was admowledged before me this day of 's-
0;g by ghAA �� to
85 (type of authority, e.g., office, trustee, attorney In fact) for
(name of party on behalf of whom Instrument was executed).
Personalty Known ❑ 0 Produced Identification 19-1 Notary Signature
Type of Identification Produced ' n d . k5 (n c t nc c' Name (Print)
`., SUSAN A. MORROW
z �.h Notary Public . State of Florida
- y Commission # GG 944754
?c. � ?. My Comm. Ex"'es Feb 25, 2024
^bonded through National Notary Assn.
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