HomeMy WebLinkAbout05-3746
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3746
Permit Number: 3746
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
10,000.00
1/10/2005
252.50
252.50
5/12/2005
LANAI ON EXISTING SLAB
Address: 3433 Pyrite Dr
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 24-26-21-0080-00000-2960
PAUL WIL 0
3433 PYRITE DR
ZEPHYRHILLS, FL. 33542
Phone:
HOMEOWNER
HOMEOWNER
PLUMBING FEE
ELECTRICAL FEE
52.50 BUILDING FEE
15.00 PLUMBING FEE
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DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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. II
NO OCCUPANCY BEFORE C.O.
O'CC~~ &.
C NTRA TOR SIGNATURE PERMIT OFFI
. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3746
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
3746
ADDITION/ALTERATION
434-ADD/ALT RESIDENTIAL
RV PARK
Address 34 PYRITE DR
EPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
10,000.00
1/10/2005
252.50
252.50
5/12/2005
LANAI ON EXISTING SLAB
Phone:
p-'l-f. 6/YlJJRP 'r/^-
\....--..-----.---
R
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC, MISC.
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3746
ermlt Number: 3746
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: RV PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 3436 PYRITE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
10,000.00
1/10/2005
207.50
207.50
1/10/2005
LANAI ON EXISTING SLAB
Name: PAUL WILCOX
Address: 3436 PYRITE DR
ZEPHYRHILLS, FL. 33542
Phone:
HOMEOWNER
HOMEOWNER
PLUMBING FEE
D H U
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPEcnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
"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 and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~ Wa~~jL ~~
CONTRACTc::1R SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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TABLE 2308 SA
HEADER SPAftSI FOR EXTEttIun BEAMIG WALLS
(IIAXIMUII HEADER SPANS FOR DOUGLAs FIR-I.ARCH,
HEJI.FIR, $OU11ERN PINE. AND SPRUCE PH: f1R2 AND
REQUIRED NUIEER OF JACK STUDS)
...... ....."
28 28 38
........ -"'-1"'- - ..... fU ..... fU ..... fU
Root CeiIiag4 2-2x4 U 1 3-2 1 2-10 1
2-2x6 5-S 1 4-1 1 4-2 I
2-2x8 6-10 1 5oU.. 2 S-4 2
2-2x10 1-5 2 7-3 2 6-6 2
2-2x12 9-9 2 I-S 2 7-6 2
3-2x8 8-4 1 7-5 1 6-a 1
3-2x10 10-6 1 9-1 2 1-2 2
3-2x12 12-2 2 10-7 2 9-S 2
4-2x8 9-2 1 8-4 1 7-ti 1
4-2x10 11-8 1 10-6 1 9-5 2
4-2x12 14-1 1 12-2 2 10-11 2
-
-
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Nates:
HI - NambeI' ofjMt: .... nllpIiIed -1IIJlPOd C8Cb ad.. WIlIR dae __
.... of nllpIiIed)lct.......... I. dae ........., be Ia(lIICldl;d by
· .....1IIIl:IIar........ _..., filii..... ..... ......
I. st-s lie... ia fDet... __ (ft-ill).
2. -.L..... vd.... -.eft Gnlde.......
3. ...... widIIa is -<:fb.1.4 ~ _ dae .... For
widdis betweea ......... ..... may be ............
4.Muimum klIds: Roof drad laid of 20 pIf....1ive ... of 20
pIf, floor: drad ... of 10 psi'" h laid of 40 JIlt MIl wall
dead Ioed of 11 psf.
DATE
BUI!..r'/N
1ILaIItr.. _..,. '__
TABLE 2308.3A - TABLE 2308.3B
TABLE 2308 3B
lEADER SPAJIS1 FOR EXI'ERIOR BEARING WAllS
~ HEADER SPANS FOR DOUGLAS FIR-I.ARCH,
tfEII.FIR. SOUI1ERN PINE. AND SPRUCE PINE FIR"
AND REOUIED ~ OF.IACK STUDS)
...... .....,,,
28 38 38
....... Do l . ..... - ..... fU ..... fU .... fU
Roo( CeiIiDg 2-2x4 3-1 I 2-' I 2-5 1
.t I Carer- 2-2x6 4-6 I 4-0 I 3-7 2
...... JlIoar4 2-2x8 S-9 2 SO 2 4-6 2
2-2xIO 7-0 2 6-2 2 5-6 2.
2-2x12 1-1 2 7-1 2. 6-5 2.
3-2ll8 7-2 1 6-3 2. 5-8 2
3-2xIO 8-9 2. 7-8 2. 6-11 2
3-2x12 10-2 . 2 1-11 2 8-0 2.
4-2x8 1-1 1 7-3 1 6-7 1
4-2x10 10-1 1 1-10 2 8-0 2
4-2x12 11-9 2 10-3 2 9-3 2
Roo( CeiIiD& 2-2x4 2-8 1 2-4 I 2-1 I
.t 1 ae. 2-2x6 3-11 1 3-S 2 3.() 2.
SpIa JlIoar4 2-2ll8 SO 2 4-4 2 3-10 2.
2-2x10 6-1 2 503 2 4-8 2
2-2x12 . 7-1 2 6-1 3 50S 3
3-2ll8 6-3 2 50S 2 4-10 2
3-2x10 7-7 2 6-7 2 5011 2
3-2x12 1-10 2. 7-8 2. 6-10 2
4-2x8 7-2 1 6-3 2 507 2
4-2x10 8-9 2 7-7 2 6-10 2
4-2xl2 10-2 2 1-10 2 7-11 2.
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Nates:
HI - NlIIIIber of jIct sbIds RqIIired _ SlIpIQt each ead.. WIlen: Ibe IIIlID-
.... of teqaired jIct studs eqaa1s I, dae Iader may be lIaJIIIO$:d by
· fiamiac .....lIII8cbed 10 Ibe fuII-he:iaht wall stud.
1. s.-. IRl 8ivea ia Rc:t ... iIICbes (ft-ia).
2. "DIbaI8fed __ _ f2 Gnrdc lumber..
3. BaiIdiag widIh is ~nmd ~._ dae Jidae. For
widdis betwee& diose..... spas may be iaIeo~
4. Muimam klIds: Roof drad Ioed of20 psfaad m'" of20 !
pst floor drad ... of 10 psf.... mlolld of 40 psf, .... wall !
drad Ioed of 11 psf. =
OAO HALLCOM!'L'iWrraALl..G
- lr Ll- WORKS FLOR1DA~~
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
PHONE CONTACT FOR
! Ii /&S
/ I
p&M<;QfERMIT SERVICE
1-866-824-7894
Toll Free
PHONE 720- JY 9S
DATE RECEIVED
h/; /eox
. /Jjtl"r/t. . /)1'/#.
LEGAL DESCRI PT I ON: LOT ( S ) cl9/P
c) lJ -eJ-~ -02-/- ()(JfO - 00000- t9 9 ~()"
OWNER'S NAME
,IJ at' /
dr3.i
JOB ADDRESS
SUBDIVISION Em/~/d' ~<YnL
BLOCK
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: oNEW CONSTRUCTION
o ADDITION
oALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE:}QSGL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
oMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
vltL6
.
L eLf) ILl
Itl X.3~ ()A- C'JUd l
SQUARE FOOTAGE ,1 fl./ I'
HEIGHT
BUILDING SIZE
J ~ 'tJr)
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ BUILDING
o ELECTRICAL
$ JtJ. aYJ. tfl
VALUATION OF TOTAL CONSTRUCTION
~
/ 2 a . .:J ..
t? 5"'. ~.:>
3L. .,.:>
I ?J.-ik
PERMITS REQUESTED
G-Lf-'-. .
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
tt: . q1V
'3 /,
/Y/
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAo YES 0 NO
BUILDER Q
SIGNATUR .. ~r
lJ~
COMPANY
ho/JC.L <2;Vu2,.
STATE CERT OR REGIST #
******************************************************************
:::::~ ~ ( lA~' \~/7
COMPANY
nolA.l oW/Jr
STATE CERT OR REGIST #
******************************************************************
COMPANY
hlJ~ Ott.)MI
STATE CERT OR REGIST #
****************** ***********************************************
MECHANICAL COMPANY
SIGNATURE STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictior\'3".which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(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 indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
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 cerify 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'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.
Appli~ation 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. 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 & Rehabilitative 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 "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
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 Official. An approved inspection must be logged during each six
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 N VALUE DO NOT NEED TO RECORD AND POST A "N,....D, OF COMMENCEM~T".
I, ~ . (f' O~. /'
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SIGNATURE: CONTRACTOR
STATE OF FLORIDA ~,~
COUNTY OF ...G ~
The foregoing instrument was acknowledged
Bef95e me this..3n:l day of \..TaVI~J ' 200S-
by I aM waco x.
(name of person acknowledged)
owho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this ~day of J~- , 20 oS'
by
(name of person acknowledged)
C1ho is personally known to me, or
'Pa...s c..o
~who has produced D l .
(type of identification)
~id not take an oath
-6~A
~o has produced ~.
(type of identification)
~d not take an oath.
Name typed,
person taking acknowledgement
", , ~')U/~anne Bahr
":..,,,ypu~/, " ., 1~+13'
';!. . . . ,( (Ullllld3318f1 #DD I
print.e(Y\%:i;.~~W~lfllaY 15,2006
-"~~" . . .:.,-J,; Bonded Thru
"/~,~~\r-\.o". ,\\la~'ltic Bondin~Co.. Ine
taking acknowledgment
"r\:~.~'. SllZ>lt:rue Bahr
Name typ~~<f"f)eem\n~n~tmmffi
:.;. \i)'; ~ Expires: Nay 15 2006
~"'?? OF i'~o~-:~' Bonded Thru'
I, \ \ ~ i\t1flntic Bonding Co., Ine.
DJ:SCLOStlRB S"1'.M.~.L .oa OIIBBR
crrr OF ZBPBYJUaLLS B1JJ:L])J:BG DBPAB.'f'IIBII"r
I, fJ (LV / to //~()t have read and ful1y \D1derstaDd and
agree to the provisions of this instrument.
The 1U1dersigned states and affb:ms that he or she is c:lesiroua of constructing,
reuovating, addhlg to or reroof:I.Dg his or her own a.c.ici1e, that he or she
actua11y occupies, or vi11 occ:apy by said Clalldci1e.. and sama is not for
rent, l.e... or sal.e. That he or she sbal.l. ccmpl.y vith the fol.l.owing conditions:
l. . That the owner and he or she a10ne shaJ.l. act as the buil.der for a11 phases of
construction.
2. That the owner wil.1 ccmpl.y with a11 provisions of the City of Zephyrhi11s
ord-l fta1Jces and codes pertiDent to the buil.d:iDg.
3. That in the event various phases of construction are S1Jbcontracted, he wi11
engage on1y proper1y 1icensed subcontractors and vi11 perscmal.1y supervise
such work..
4. That in the event the Bui1diDg' J:Dspector shaJ.1 require corrections to :be made,
the owner vi11 a&8lIIRe ful1 reapoDSihi1i ty to iDBure they are made, aDd upon
COIIIIp1etion wi11 ca11 for a reiDspection before procee4iDg' with the b11i1ding.
5. That the owner sbal.1 as81DDe fu11 respcmsihi1i ty for the construction and wi11
Dot expect supervision of his work from the City of Zephyrhi11s Bui1diDg
:Department.
6. That prior to final. iDapection any additional fees, iDc1udiD.g reinspection
fees, must be paid in fu11. A written request from this office shal.1
constitute an official. notice to pay additicmaJ. fees.
7. That the owner sha11 camp1y with a11 City, State and Federal. 1aws in regard to
socia1 security, workmaD's compensation, 1ien 1aws, etc., where app1icab1e.
8. That the owner sha11 comp1y with a11 the sl!-fety codes issued by the I'l.orida
IDdustr!a1 c:o.mission.
9. State 1aw requires construction to he done by 1icensed contractors. You have
app1ied for a pezmit UDder an exemption to that 1aw. The exemption a110ws
you, as the owner of your property, to act as your own contractor with certa.iD
restrictions even though you do not have a 1icense. You must provide direct
onsite supervision of the construction yoursal.f. You may hui1d or improve a
cm.e-fam:i1y or two-fami1y residence or a fm:m outhui1ding. You may a1so hui1d
or improve a cC8BerCia1 b11i1diDg, provided your costs do not exceed $25,000.
The hui1diDg or residence auat he for your own use or occupancy. It My not
he bui1t or suhstantia11y improved for sal.e or 1ease. If you sal.1 or 1ease a
. bui1ding you have bui1t or suhstantia11y improved yourse1f within 1 year after
the construction is camp1ete, the 1aw vi11 preSU1118 that you bui1t or
suhstantial.1yiDlproved if for sal.e or 1ease, which is a vio1ation of this
exemption. You may not h:ire aD UD1.iC8lUled. persOn to act as your contractor or
to supervise peop1e working on your hui1diDg. It is your reapcmsihi1ity to
make sure that peep1. emp10yed by you have 1icenses required by state 1aw and
by county or DlUDicipal. 1icensiDg ord-lu4ilDC"es. You may not da1egate the
respcmsihi1ity for supervising work to a 1icensed contractor who is not
1icensed to perfora the work heing done. Any person working on your bu:UdiDg
who is not l.icensed 18WIt work UDder your direct supervision and JDUSt he
emp10yed by you, which ___iii that you must dedtl.ct I'.I.C.A. and withh.o1d:i.Dg tax
aDd. provide workers' comp--ation for that emp1oyee.. a11 as prescribed by 1aw.
Your construction JDUSt camp1y with a11 app1icah1e 1aws, ord-lft~I''Q(''es, bui1diDg
codes, and zcming~atiODS.1' ~
O'IIIIBll'S s:a:~~~r-:or ~ r~L--1 /\( ~-L~ DA7B /J -tJ7-vY
AJ)J)'D'RQs.3 /l 'f1 J _ _
PBORB 7 - (PI /
WIT.HBSS \:::Si~('-.)k I L PBRIIJ:T t
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Name
.5 'It, '1
alJdft:, ~ P!fl' pie {)r/u
Address
ZefJ~rL-lh ;=/, dJNO
To Whom It May Concern,
Please be advised that:
Stacie Zullo, & Debbie Dokendorf of Pasco
Permit Service have my permission until further written
notice to sign and pick up permits for me.
Sincerely,
\~( LJLr'
signature
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this <~jJ. day of cr:~ ' ;;)005"' .
Personally known or Produced identificat:1on ~
"'~~';YU~". Su~a!lne Balu .
g:~~'~:~ Com.mls~lon #DD157131
:;.~. ~.,;<::: ExpIres. Nov 15,2006
--;~~ OF f~O~ ,,' Bonded Thru
'..", I \' Atlantic Rnndini Co Inc
Commissioned Stamp
and Expiration Date
~~
~tary s gnature
Page 1
111111111111111111111111111111111111111I1111I111111111111111
2005003357
NOTICE OF COMMENCEMENT
.
F to 1'[ r! 0.-
County of
jJCtseo
State of
THE lmDERSIGNED hereby gives notice that improvement will be made to c2rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencemcnt:
2 .
General Description of Improvement
LaI7CL;'
~'l-~ -~ J-l- 00 f ~- tlt.nXJ - (;l 9" ()
a </,dfp . .
-ffd:3 A r. k_ IJrJ t(.
address 1 avallable)
J 1L X'3rJ.... b!\ ~XI{l. \ (' t4-6
1.
Description of Property: Parcel No.
Lbf J-9& C/>Lff'a/d tJ//lie
(Legal descrlptlon of the property and street
Rcpt: 844344
OS: 0. 00
01/06/05
Rec: 10.00
IT: 0.00
Dpty Clerk
R3.
Owncr Information: Name
.]YJ~
Address .-Hd.3
Pa.ul
~CllyiL- IJr.
v
tv /IeO)L
ZtfJ~ r,/ullr
Statel1 33S~a
City
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
~190~~~!MA~: rc;~o fOUNToYf C1ERK
OR BK 6181 PG 10
Address
City
State
4.
Contractor: Name 17()/u. OIOM/'
Address City State
Surety: Name
Address City State
Amount of Bond: $
Lender: Name
Address City State
5 .
6.
7. Persons within the State of Florida designated by 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
8. In addition to himself, Owner designates
9.
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Expl.rllLion d8te or Notice of Commencement. (the expiration date is 1 year
fr0m the date of recording unless a different date is specified.)
...----..
( ,
S t f 0 ,,-:~) 1"
igna ure 0 wner: . -->/' t.'~_\
i\ r.
:'1' ~.
l.l./' .\..... ~~/ _
./
this ~~3rd day
of
Jan tUL'J
Sworn to and subsc~ibed-before me
:t:~llb~iC: y~ ~
My CommissiohEkpires: '. -
r".:"" , >112a1Yl~ Hat .
.........0."':.. .~~....:~.:..,...., " 11
~:.~..:"*-= com.mlsslOn #00157131
~~. ''-fJ.~",; ExpJres: Nov 15 ?OOf.
":70FF\.O~,,' Bonded Thru
"'" ,,' Atlantic Bonding Co., Inc.
PC93053048