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BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
(813) 780-0020
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pJ,..UMaTfJG
1270
Date
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Sewer Conn
Water Conn:
'!l?~(pL:Z{/ fJl!i~.~
Property Owner:
Job Address:
Parcell.D. ,
Zoning:
Descriotion of Work
Water Meter:
T,I.F.'s:
NO OCCUPANCY BEFORE C.O.
Radon Gas:
FINAL
C.O.
,- tf) 2-
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or ~ ~ 92'
Contract Price -..-J j 0
City License Registration #
State Certified License#
~D~
~A~/lLjJ{J~- a~~tp. ~~<1-
DATE
Inspector
Permit Fee
~~~atu!~-'--
Company
Address
~~~.~,~:~~ I'~~{'O - '1 31. (g~ r ("
BUILDING
ELECT.BJ..CAt .
~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
PLUM.BWG-"'.
--
.MI=(,WANICAL'
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
C.lT1 OF ZL.. .,d.Y'RHL,-"J~B PERMIT AP.-;-,..:.,(CATION
BUILDING DBPUTMlnrr 5335 Sth STRBBT ZBPHYRHILl..S. I'L 33540
PhoneaB13-780-0020 FaxIS13-7BO-0021
DATB aBCil:IVlID
PLANS RB'v:IJIW J'SS .
OWNER'S NAME mf}.~ II/IX JlJrr (~l;Vj
.JOB SITE ADDRESS (PI D f1 1J&fJr IJ ~-r; Z#JlydJ/n'<.~ R-. 3 ~ )'10
PHONE CONTACT$/)-/jBh_J6YI
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 It Od- 'd.h ~J 00;;.0 (If}~O[) Ot/) D
WORK PROPSED: ONEW CONSTRUCTION D ADDITIO~
(OBTAIN FROM PROPERTY TAX NOTICE)
DALTERATION
D REPAIR
D INSTALL
OSION
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
D COMMERCIAL
DMULTI-FAMILY
0# OF UNITS
o SWIMMING POOL
~OBILE HOME
o INDUSTRIAL
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
,
))ESCRIPTION OF WORK ;(~~OO~ 51N~ thY H1hJJM.MJI.
BUILDING SIZE /J/){ (., 1-- SQUARE FOOTAGE IJ.,q\
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PlANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PBRMITS RBQU.~TBD
o BUILDING
$
VALUATION OF 'I'O'fAL CONS'I'RUC'TION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECIIANCIAL INSTALLATION
o GAS
~OOFING
o SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
F'INTSHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDBR
COMPANY ;I 1/ Ill' )'\ ~ " b Ie. Ass 0 L
STATE CERT OR REGIST It c <::. c. 0 1..(9 3 b 7
CITY PROCESSING It -3 0 ~
SIGNATURE
..................................................................
BLBCTRICIAH
8IGNA'l'URE
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING #
.................................................w................
PLDHBBR
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING # '
SIGNATURE
HBCIlAHICAL
...........................................*......................
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING It
SIGNATURE
............*....**...........................*.*..*....*..**....
OTHBR
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING It
SIGNA'l'URE
.........*..................*............*..*..*..**......*..*...
CONDITIONS OF PERMIT 1\FFIDAVIT
A. . NOTICE OF DEED RESTRICTIONS
The' undersigned understands that this permit may be subject .to "deed restrlctions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable del!d restrictions.
B. UNLICENSED CONTRACTORS AND CONTRAC'fOR 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, bot:h the owner and contractor may be cited for a misdemeanor
violation under state law. If UlE! owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hirEld a. contractor or contractors, he is advised to have the
contra.ctor(s) sign portions of thE! "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indIcating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPOR'fATION IMPACT FEES AND UTILITY CONNECTION FEES
. D. CONS'fRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construct.lon
lien Law - Homeowner's Protection GuIde" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I eerify 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.
E. CONTRACTOR'a/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 COllstrucU.on, Clty
codes, zon.tng regulations, and land development regulatlons in the jurlsdtctlon. I also
certify that I understand that the regulations of other governmental 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 RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilital:ive Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensatlng volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to pennIt
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, altel:, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the BuIlding Official from thereafter requiring a
correctlon of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is cOlmnenced withJn
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extensIon of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Offictal. An approved inspection must be logged during each s.lx
month period, or the project wIll be considered abandoned.
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. ,JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POS'f A "NOTICE OF COMMENCEMEN'f".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STA'fE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 1!L-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
Chho is personally known to me, or
o who has produced
(type
and whoD did Odid not
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid DUd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed" printed or stamped
J70ff~~r
(\JJ4 bEL f.Jvrtl #" 3l/D - Z OGo 05.3'. 'f-\ '
~ INVINCIBLE@~
J.t ,~~,
t~!~~~
Cooley( Building Products
.' J' 1/25/02
~Zi
We Sell
~AR
INVINCIBLE ASSOCIATES, INC.
10931 75TH ST. · lARGO, Fl33777
727/545-1800 !, 800 /937-6635 · STATE CERTIFIED LICENSE #CCC049367
MAKING FLORIDA A BETTER PLACE TO LIVE SINCE 1987... ONE HOME AT A TIME
Name(s): m&;,. (\(\ClA-~.ffi.~ m'\\O-N. Phone: (H)fi"J-73Y-31..'11 (W) -
Mailing Address: GIOg fiAt-II ST City: 2"f~1~//vIJ.county /i..fC D State: ,c/Zip: 33& ()
(If Applicable) MHP': OAKo} wE Lot #;
Alternate Address:
City:
State: Zip: ~hone:
IrNe. the owners of the premises described below, hereinafter referred to as "Purchaser" offer to contract with INVINCIBLE ASSOCIATES, INC.. herinafter
referred to as "Contractor" to furnish. to deliver and arrange for installation of all materials necessary to improve the premises located at:
JobsiteAddress: :&l\-m'\?... V\-s ~~e<JL. City: State:_Zip:
according to the following specifications:
G~VENS WHITE EP) STEVENS TAN EP · STEVENS LIGHT GRAY EP · EREZ TAN · EREZ WHITE · EREZ GRAY
COOLEY TAN ILLUSIONS · COOLEY GREEN ILLUSIONS · COOLEY CHARCOAL ILLUSIONS · COOLEY WHITE TPO
CIRCLE MEMBRANE TYPE:
1. PROVIDE ENERGY-SAVING INSULATED WATERPROOFING SYSTEM FOR THE FOLLOWING AREA(S):
f-' \ \LOOM.
EI\7f I f2.- f: ~ N\~ - 'f-
2..!Fj.CLUDE ENERGY-SAVING DOUBLE-FOIL FACED INSULATION AS INDICATED:
AGOLD: DELUXE 1-1/4" INSULATION 0 SILVER: 3/4" INSULATION 0 BRONZE: ~
3. INCLUDE NEW SPUN ALUMINUM VENTS: ---K-SMALL -LLARGE
4. INCLUDE UP TO 100 SQ. FT. OF NECESSAR'Y-6EiCK REPLACEM~NT. ADDITIONAL DECK
REPLACEMENT TO BE INVOICED SEPARATELY AT $2.00 PER SQUARE FOOT.
5. INCLUDE ALL REQUIRED PERMITS,
6. CLEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOB SITE.
7. MAIL OUT LIFETIME, NO-LEAK, NON-PRORATED, TRANSFERABLE WARRANTY FULLY COVERING ALL LABOR AND
MATERIAL, INCLUDING ALL STORM DAMAGE FROM RAIN, LIGHTNING, HAIL AND WINDS UP TO 170 MPH.
· E TE I LA 1 N RE EI'" 1- E LEA R
ITIONAL INFORMATION:
JJ1 Xc IJ
'cu 0 ER
INITIALS FOR
SYSTEM
~NV'\\\.JL 'Y"-JS,r-\LL ON
UNDERSTOOD THAT THE FOLLOWING AREAS WILL NQI
BE INCLUDED IN THE COVERAGE PROVIDED BY
THIS AGREEMENT (See Drawing at Right):
CV\\L \-)0 Q.) t SV\'E:.D,
~.l.j )\j E-
Tn
~
\
!\
SHOW ALL AREAS OF HOME. DRAW ADDITIONS AS
NECESSARY. WRITE "YES"IN AREAS TO BE COVERED.
WRITE "OMIT" IN AREAS NOT TO BE COVERED.
/
,
rJ'D
OTHER NOTES:
V'S
\ t:..
'm i~
CUST MER
INITIALS
~ S "f'-
NOTE: RETAIL SALES TAX MUST BE CHARGED UNLESS THE CUSTOMER SIGNS THE FOLLOWING:
I certify that I own the land on which the structure I am improving is permanently affixed. Furthermore, I have filed a
declaration with the Property Appraiser requesting the structure be assessed as realty and it bears an "RP" decal.
SIGNATURE:
The CASH CONTRACT PRICE for all Labor & Materials (including any applicable discounts) is $
OL 1~'#}'f<-711dlw
_,.,... (""A : u chaser
I
05/05/2002 00:28 7275417575
PAGE 01
,.~
. [!WINCIBLf ~
Making Florida a beffer place to live since 1987... one home of 0 time.
Contractor's letter of Authorization
I hereby authorize the below named individual to act as my agent to
obtain all necessary permits for residential roofing work for:
.-
Owner ~A~i ~~~,./I~~
at this location: ~/() ~ Pt!~ S I- .
This person Is also empowered to obtain, complete, and sIgn all
forms, applicatIons, registrations, and documentations, with this lim-
ited power of attorney, on behalf of me that may be required to
accomplish the Issuance of any permits that may be required In any
JuriSdiction throughout the State of Florida,
Authorized Person:
D.o~ !3'.i"uAc.d
AuthorIzed Person's Signature:
~ /U--
~.
Brian Stover
State LIcense #CCC049367
~~;.:~~'<- IiIONALBlITlER
...'bi." MY ~ ICC961647
~ EXPIRES: AlOJIt 18, 2004
"#.,...~' ~ TIMv IlUClaol",..,. s.......
INVINCIOLE ASSOCIAfES. INC.
10931 75THST. . lAI~GO, Fl33777 .727/645.1800 .800/937-6635
STATE CERTIFIED LICENSE If CCC049367. CRCOl5276
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TO BE COMPLETED IF CONSRTUCTION
VALUE EXCEEDS $2,500.00
111111111111 1111I11111 11111111111111I11111 11111111111111 I11I
2002087760
Permit #
Tax Folio #
Rcpt: 594246
DS: 0.00
06/06/02
Rec: 6.00
IT: 0.00
Dpty Clerk
OFFICIAL NOTICE
OF COMMENCEMENT
State of Florida
County of 13; C; L D
JED PITTMAN PASCO COUNTY CLERK
06/06/02 12:3!pm 1 of 1
OR BK 497l!J PG 611
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 the Notice of
Commencement.
1. Description of property: 110 '!1: ~r "I () 8.. P./!/JeH <;r. Z~;~ y ,1/'; .. < /t . ~"J sY (J
lJ~ac ~l 'LIJJf o:z. aft ~1 . o~o 0 D 3f2D 12 eLLD
I
2. General description of improvement: &JtOOL~ S/;YG/~ .tJLj J1'J#JIf~lIIE
3. Owner Infonnation:
A. Name and address: f}1IJtly t1/V IMJllAJi (p 10 8 l1iKfJ .<';r: 2#/JJ.y,LI/I/lfP{{, ~.:r5 '/ 6
B. Interest in property: (JWN~il
C. Name and address of fee simple titleholder (if other than owner): .111 /p
Contractor name and address: 'IN L)/ '" t Ix' fJ' fi ~ s 0'" ,
I " 9' '1 ) 7 r;..-L!: ~ r ~ 1. AL'~:4 . "3.l7'Lt
5. Surety (if required)
A. Name and address
B. Arnowlt of bond $
~/Q
N/h
6. Lender name and address:
7. Persons within the State of Florida designated by Owner upon notices or other documents may be
served as provided by section 713.13 (1 ) (a) Florida Statutes.
Name and address: ~/.4
8. In addition to himself, Owner designates ~ IJr/1l.LJ/fUe ()...CC;;OL. to receive a copy of the
Lienor's Notice as provided in Section 713.13 (1) (b) Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of
recording unless a different date is specified)
,20_
Signature of Owner or Authorized Agent: V !JJ(JJ;fY-lnG~~~
" (\)~~ ML S Lj- 5'7'2 -/~~ fY:r 0
SWOll} and subscribed before me this
'1-- day el () NC ,2002..
Notary Public
My corpmission, expir
lI'MyC~~~
~~~7 Expires May 22,2005
LEGAL DESCRIPTION FOR PROPERTY ID: 02 26 21 0020 00300 0010
SC TP RG SUB BLOCK LOT
* * * *
SUB w1/2 OF SE1/4 B 2 P 6 LOTS 1 4 5 8 BLK 3 & LOTS 123 4 5
6 BLK 4 & LOT 1 BLK 5 EXC PCL 20 FT BY 20 FT WHERE LIFT
STATION IS LOCATED OR 1981 PG 205
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