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HomeMy WebLinkAbout05-4164 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4164 Permit Number: 4164 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 37500 LILLY BEA AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): 157 Block: Section: Subdivision: GRAND HORIZONS Parcel Number: 1,510.00 5/30/2005 Name: RYSZ, STANLEY 95.00 Address: 37500 LILLY BEA AVE 95.00 ZEPHYRHILLS, FL. 33542 5/02/2005 Phone: 813 788-4852 INSTALLATION OF WINDOWS IN SCREEN ROOM 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. Mise, Mise, DRIVEWAY MISC. MISC. REINSPECDON 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. ~~~ ~-~ C CTOR RE PERM IT OFFI ---- --. CAt FOR INSPECTION - 8 HOUR NOnCE REQUIRED '- PROTECT CARD FROM WEATHER J> n::1x OJ>J> zr.,.< "':I:J> ~~r.:; ... :I: [] CJ-tO '"' < ~[JtD 1= ~~E~ ~~~~ teN ~~~E J>' "I ~ x ~~~ " "'x '" ): ~ X ZI'1Z . 0 e ~~ 0 Cl Cl 0 Vl ! ..., ... 0< -,.., ~ - 1'1 ~ t' 0 q r z < 1'1 ~zQ:i~8 '~M"'O~~ z ~~~~n e :1>0;;0:1>-< .. II(r""'z...... (I) _ ,..,Z z""Un""t:::I Z t:j~~.,,< ~ ""tlCl)l>~r1 I"'l ~n:~g;~b ~ ~~~~S I "',.., -< l"'1~tD~- ~~ ......::: ,..,_ 0 ,,"" iM "':; 0" '( .+ ",- WOO , .",1 VI- ..,00 3: 'U I ~ ;+- ., ..:r V\ 0 ~ .. "," ~IO~ g j-~ ;8~ ~~~ o g-..... "'n:r ....p :r .. m !._ .. ..,:r:r o Q..~ 2JtJttl "'Ill P ,00 t:d:::5 ~ &'.,'"t) -..0 g,.o' "<::3 (() ~~ ,..,'" 03p "''''" "'''", - .. ~:~ S~i- .. . 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FL 33541 Phone: 813-838.9000 fax: 813.838"9009 http://m2QSTV.0998.lowes.comlm2o/lowesQuoteJsp?projectId=848692: )ave Carlyle ,ales Specialist TE'S HOME CENTERS, INC. #1854 )21 GALL BOULEY ARD EPHYRHILLS, FL 33541 (813)838-9000 Project #: Customer Name: Customer Phone: Customer Address: 94651911 STANLEY RYSZ (813) 788-4852 37500 LILLY BEAA VE ZHILLS FL 33541 Project Name: fla. room windows Line Item Frame Size Product Code Description Unit Price Quantity Total Price , , D - :Division: Millwork: . ' iPro<iuct: Windows; !irype: Single Rungs . \~UfaCturer,: BetterBilt ~Materia1: Aluminum :\product Line: 3740 :)>roduct Configuration: Single jApplication: Flange for Block Construction 'Glazing Type: 1/2" Insulated Glass Frame Size Width: 31" :Frame Size Height~ 61/1 Buck Width: 3_~"/ 'Buck Height: ~ ... (..1" :Glass Width: 28 5/8" ~Exterior Color: White 'Hardware Color: White :;Sash Style: Equal J-ow EOption: Sun 145 Low E :Obscure Glass: No jfrempered Glass: No :(Jrids: No ~Screen: Included :Screen Color: White Wall Depth: 2" ;, ;: :; ~~ "\[ ~ if ': : ~\ . " ;. ii i~~,~~ is 14 Days.: $159.90 4 $639.60 : :PF"'~O{"-"'='~-~'::':;;--'-~'~------~~,~!~~~~~I:!~~~~K::=::::::::::~:~:=:::~:::::~:::::::::'::::::::::::::~::::""""_"'''_'_'h''........'''..''''m'..''..'......,_..,..,....'': · ~,Ire x :?374041 "~FLGEQUAL '" if "; :!Division: "Millwork ~!Product: Windows :rrype: Single Hungs Manufacturer: BetterBilt Material: Aluminum '\product Line: 3740 !product Configuration: Single :Application: Flange for Block Construction $871.00 $174.20 5 ~l\Ole ~ http://m2ctsrv.0998.lowes.comlm20IlowesQuote.jsp?projeCtId=8486923 ~ :Glazing Type: 1/2" Insulated Glass :Frame Size Width: 41" frame Size Height..w IPS" =\Buck Width: 40" :!Buck Height: 68" (~A I' :Glass Width: ~8 5/8" 'Exterior Color: White lIardware Color: White :$ash Style: Equal ~!Low E Option: Sun 145 Low E ~Obscure Glass: No !!rempered Glass: No :Grids: No " 'Screen: Included \Screen Color: White \Wall Depth: 2" :] : :!Lead time is 14 Days. " :~,:._:~",_':______j_._""_"'_'_'U_'_"'___'_'_"___'_."'..-...'-..-..........";...'".'".-...'"."o..-......"....'".,.-.'".__..._._._~:o:~:...:.:_;;.:.x~:-:-:_:v:-:-;.:_:_:_:_:_:.:-:.,;:.:.:;.x~_:::-:-::o;:.:-:.:.:.:.;~.;.;:-:-:-:.:::_:.:-:v:.:::-:..;:-:-:-:-:.:,::,:",":-;:.:.:-:.:.:-'.:.,:.:-;:-:.::.,;:-:-:-:-:..;:.:~:-:-:.,:-:- :_:-'::_:-:;:_:_:_:_:_:.:~:_:io:.:_:_:_:_:_:-:.:~1-....:'_....-_._....-....-.-.-.:..-----.~.-.._------.--:_--......~.----------.......-.-..-.'".-..... ..'.....- .-......---..... ....: .......-..........; Project Total: $1,510.60 Salesperson: DAVID CARLYLE (SI854DC2) Accepted by: Date: 04/10/2005 mlllk.%g.ii~1 . This Millwork Quote is valid unti14/16/2005. This is an estimate only. This estimate does not include tax or delivery charges. Delivery of aU materials contained in this estimate are subject to availability from the manufacturer or supplier. All the above quantities, dimensions. specifications and accessories have been verified and accepted. I understand that this order will be placed according to these speCifications and is non-refundable. ___._.............._..u....._h...nnu__..__..._..._......_._...__....._.........__.._..._____d__.....~___.._.........._..~..__.~._..__..n_...u.n_._.n.n...___...n......__._.._...._u._____.._...__..._...__....nh...____.__......_....._._.........n...; \f\ ,~ '2 - ~ (L c ~ 2 \-- VJ -' x bl- ~ oa -,<, 1\1, r ..I '\;- , , I~ -- ~ .--~ - - - ~ ~ tI) :3 <), o "2 --- ~ ~ ...'-.Q t'-.... V) "- \f) I -at -.l ~ a ~ ~ N ~ ~ - c:. II; ~ :It. . '::::1:-= -...D ~ 'X ~ ~ !Ql:l ", ~ ... No -x t\. -I ~~'-t- .~. tf , -~1 "' .. dO)-1 \-...l <J} t '.~ ~ l -QJ ::::.. ~ I~ ~- ~ I X ....... ,-.( Cld ~ .......t) --l. ~ ~ - ",' ~ :g ~ ~,loC) "h I:t - r" t'- () ~ Il~ ~ (9 11: '" .. tk CJ '<::l -....t L( ~ ~ ,~ k "-b 1lIIo.. J ~",':~,". . ,\,~ ~' ~- ~ ~ ; A-:: '\4 ~ ~ it ~ A <@:"- ~ -~_.~ ~ ,s ...... \~ i~- oS' 't"'":) ~e ~.,. ~, :1:, lJ ~: , (j ~. ~ CJ '0 '- .' )Jj~!l/i' i ~--~"-,~.' , l' ",., ;. I~-''''''. . 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'. ) ~ ~' ,~ . i ~ <;' .' .:-, ~. + " ~ ". 1 ~ .. ~ ~~'c, ': . ~ ~ :' ~f. .] , ; ~~ ~ 1 fl _ ~~.. ,- L~:: ,. m'd OveNiew Product Search Orglilll~on Product VIew S88fCl'I AppIcaIlOn AIl8chmenl$ User: Public User - Not Associated with Organization _ Application #: Date Submitted: Product Manufacturer: AWhess/Phonelemail: Category: Subcategory: Evaluation Method; Referenced Standards from the Florida Building Code: Certification Agency: Quality As.su:ranc:e Entity: Validation Entity: Date Validated: Autborized Signature: Performance level of the produCt and conditions or limitations of use: EvaluationfI'est Reports Uploaded: Insrallation Documents Uploaded: Product Approval Method; ~!~~. ~!P_? FLoo3 1012112003 BetterBilt 650 W Market St Grat2:, PA 17030 Windows Single Hung CertificatiOD Mark or Listing ~ Standard Year AAMAINWWDA 1997 1011IS2 American Architectural Manufacturers Association ANDREW:emL ABRILL@MIHP,COM Per nwmfacturer"s installation iDst:ructions. More iufonnation , available at: www.mihp.com Method 1 Option A 817:171 'S00L12-1>l~~' , Application Stat\u;: I ""'r-~. ,~. ~:IIttu.,,_ Approved ".""'\1' I' b"4 ' ( '~ Page 1/2 II. Product Model N or Name 165 165/3000 16513000 16513000 ~ 1: ' ~ ~ ~ ~~ . CopYl'ight and Disclilimltr; 02000 The SIBle of Florida. All rights l'8iefVed. ~ .lo L m 11 ... , http://www ,floridabUildin,g.or2lDr/nr detl.a~n?1P'T'=hI\1.l'.4W._Dl"\tl_~ L c0'd 817:17l ~0~LlC-~d~ EB~ FLORIDA PRODUCT ApPROVAL NUMBE S FOR SERIES 740/3740 To view the applications. go to WINW.floridabuildina,ora. Pick the Product Approval icon (along the left side of screen). Piclc Product S arch tab (at the top of the screen). In the Product Manufaclurer drop down box, find and select BetterBilt. In the Appl;cation/Seq #: box, ty In the App/$eq # (shewn below), then pick the Search button, Scroll down and the InformatIon is Usted at the bottom of the screen. m'd Category: Windows I SUbcategory: Single Hung ADPlSeQ # Product Model" or Name Model DescrIption 663,18 74013740 Fin Frame 39x90, R-35, OP +35.3/-47.2 663,17 74013740 Fin Frame 47x89, R-35 DP +35.3/-47.2 4029.1 74013740 Fin Frame 52.)(71, R-35. DP +35.3/-47.2 663.12 740/3740 Fil Frame 52x71 R-45. Of +45/-45 663.16 74013740 Fin Fmme 52x71 r R-45 DP +45/-471 663.13 74013740 Fin Frame 52x72.R-45. DP +45/-45 663.11 74013740 Triple with Continuous Head and Sill 106x71 , R~. DP +31.5/-39.7 663.19 74013740 Flange Frame 47x89, R-35 OP +35.3/-42.7 663.20 74013740 Flange Frame. Oriel 47x89, R-35, DP +35,3/-42.7 663,15 74013740 Flange Frame 52x71, R-45, DP +45/-47.2 4029,2 740/3740 Flange Frame 53x72 R-25, OP +25.9/-34.7 4029,3 740/3740 Range Frame ~ Oriel 53x72, R-4S, OP -t45/-47.2 663.14 : 74013740 Flange Frame 53x73, R-45, DP +45/-45 Category: Windows I Subcategory: Fixed ~SeQ ## Product Model t# or Name Model D on 676.15 74013740 F'1fI Frame ~n, R-45, OP +45/47,2 676.16 740/3740 Fin Frame 71x71, R-45. DP +45' -47.2 676.17 74013740 Fin Ftame 108x52. R-40, DP +40 , -40 676.13 .'74013740 Flange Frame 59x72, R-45, DP +45/-47.2 676.14 74013740 Flange Frame 71x71 , R--35. DP +35.3/-45.3 676,12 74013740 Flange Frame 109x53. R-40. DP +40 1-40 I ~j:-- 8t:>:t:>l ." . .' . . . . '. . . - . . .,. '" USer: Public User - Not Associated with Organization. Application #: Date Submitted: Prdduct Manuracrurer. AdtlresslPhouelemail: FL676 1012112003 BetterBilt 650 W Market St Glatt, P A 17030 NeedB~? Category: SubCategory: WindoWs F:ed \)l~\.~~ -- EvalUation Method; Ref~ St.al1dards from the Florida Building Code: Certit"lCatiOq Mad or Listing Section --- Stand8l'd 'Year ~A 1997 101/182 Certification Agency: American Architectural Manufacturers Association Quality AssUl'aQce Entity; VaJidation Entity; Date VaIida~: Perfonnan.ce level of the product and conditions Or Per manufacturer"s installation limitatiOns of USe: .instructions. More information available at: WWW.D1ihp,cOIn Bvaluati(JDlTest Reports Uploaded: Installation DOcUttlent$ Uploaded: PrQduct Approval Method: Method I Option A , , httpfIWWw.f1oridabuilding.org/pr/Pr.det1.asp?ll"J>.676&/in';ROSreh 170'd '2 I"'", 11'\.. 817:171 S00 -lc-~~ . ,. ,." fl. .." p... ... I" . ." . p , . ,.. " - . ApplicatiQD Status: . .. . .. '" ... .".....#.. Approved Page 1/1 ~ :~ - ~ . """':iihl "" """""'s -. Tho SOlo of """'. AI _ ......... ~ ~ i http://WWw.floridabuilding.ori;!pr/pr det1.88n?TPT::zfi7t\..(l, h-n::iD r.~.....J.. S0'd 6v:vI S0 -Ic-~d~ 90"d User: Public User . Not Associated with Organiution . 1 J~ HI Apqlication #: Da~ Submitted: Product Manufacturer: Address/PhonelemaiJ: Category: Subeategozy: EValUation Method: Referenced Standards from the Florida Building Code: CCrti6.cation Agency: Quality Assurance Entity; Validation Entity: Auth4)rized Signature: Evaluationtrest Reporrs Uploaded: Installation Documents Uploaded: Produ<:t APl'roval Method: Application Statu5: Date VaUdated: FL670 10/2112003 BettetBilt 650 W Market St Onltz, P A 17030 (717) 36.5.3300 ~_~,C! He~p_J Windows Horizontal Slider Certification Mark or Listing Sutton Standard Year A.AM.AINWWDA 1997 IOllIS2 AmcriClUl Architectural Manufacturers Aasocilltion ANDREW BlULL ABRILL@MIHP.COM Method I Option A Approved 6v:vl 900 -lc-~d~ J:'age 2 of2 Page III Product Model 1# Or Nallle Model hcrlption Limits oClJse 168/3168 Fin FI'lllDe 72x63 C-30 DP+30/-30 o Fin Frame 125x64 -30 DP+30f-30 Fin Frame 72x59 -40 DP+40/-40 Fin Frame 71x71 -30 DP+30/.34.7 ~; t TI :~ -~ J - . ~."" ~".~,;""'oo Tho.... "_. AI -.;.._, ~ - I - :~ ~ Jri http://www.f1oridabuildina.oflyotlnr nP.tl ::l1:t'l?Tb'T'=-4I:"1(\ Q.m ,_"" ,.. L.0"d --- - 6"" ""J- 'e-><dO .. . I - . .. ~ .'. .. . .- . ,. . .. I . User: Publi<: User . Not Associated with OrganiratiOJ1- Application #: Date Submitted: Prtxluct Manufacturer: Aadres5lPhonelemail: Clite,gory: Subcategory: Evaluation Method: :Referenced Standards from the Florida Building Col;le: Certification Agency: Quality Assurance Entity: Validation Entity: Da1e Validated: Authorized Signature: Performance level of the product and conditions or limitatiom of \lSc: EvaluationITest Reports Uploaded; wtalIation Doouments Uploaded; Product Approval Method: . "" ~~d Help? FL561 10/08/2003 MI Home Products INC 6S0 W Market St Gratz, PA 17030 Exterior Doors Sliding Certification Mark or Listing ~~CtiOD Standard Year A.AM.A/NWWDA 1997 10111.8.2 American Architectural Manufacturers As&ocilltion 1213012003 Andrew Brill abrilI@mihp,com Per manufacturer""s installation iD8tmctiona, MQre infonnation available at: www.mihp.com Method 1 Option A "'.........""'...,,,""1', .f1^..;A^k....;l~:"""_ ___1__/__ ~....",1 --_t')'ITV1'I_&'.;-, '" "". "''''''''I''''t i 80'd - ~- - , 6v:vl S00 -lc-~d~ 60 . d 'ltll,Ol. . . . . - I I' ~ . , ,.,. ..' I . I . ~. .. , Application Sratus: . .~ . ~ ..,. ~ Approved Pagel/l Pr-oduc:t Model # or NIn1e : II ~- 1 ~ n 70HP/452HP 10/3910 1013910 n l n :~ ~ j COPtrigl1t and'p.!.~irner: Cl2000 The Slale of Florida, All righls reserved. '4f ... httn:/Iwww,florirl.!lhniJrlin'cr nT'o/nr/nr nptl ~C!T\?m'l'"",~i;1 i'P+...._nnc--.1. 60'd ~ '^_'^.J 6v:vl S00 -IG-~d~ CITY OF Z~J:'t1~~n.J.~.u..I'" ... ------ BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 PHONE GONTACT FOR DATE RECEIVED '/~Z 2- .:is- C..1ft-tf 'I ~2JA5 PERMITTING OWNER'S NAME _ cSf ~~ Ley rt;Jh VAl' (' J?ygZ JOB ADDRESS ~_ 3'7SM !--Jill jkI'J /9V LEGAL DESCRI PTI ON: LOT (S) -:If:/-h-7 BLOCK PHONE 7 J' j -Jf~.!;;:J.... SUBDIVISION 0J.y<f~)) J!()tJ/~"x/ ~ (OBTAIN FROM PROPF.RTYTAX NOTICEl o SIGN o MOVE ~TERATION o DEMOLISH o REPAIR o INSTALL PARCEL 10 # WORK PROPSED: ONEW CONSTRUCTION o ADDITION PROPOSED USE:~GL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY D INDUSTRIAL 0# OF UNITS D SWIMMING POOL o MOBILE HO~ D OTHER c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL DESCRIPTION OF WORK JiJ..2TI9J,.L loi)J.]X)tv..s IV S'C'ReeXf /r?oO?? BUILDING SIZE JJ/''i}3 I SQUARE FOOTAGE HEIGHT \gJ BUILDING o ELECTRICAL o PLUMBING o MECHANICAL ENERGY FORMS. (-----_______ PERMITS llEQUESTED i"/tJ .--------, ~ ;: _ " ~LUATION OF TOTAL CONST -~-- AMP SERVICE D W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY D OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO COMPANY BUILDER SIGNATURE .. STATE CERT OR REGIST # ************************************************** COMPANY PLUMBER STATE CERT OR REGIST # SIGNATURE ****************************************************************** COMPANY MECHANICAL STATE CERT OR REGIST # SIGNATURE OTHER ************************************************ C> COMPANY STATE CERT OR REGIST # d$..t; \)i t'\/~j) . '^''' ~V\ ~ fiA s ~r(')':'R J t,...{j/ ~ ~vJ,) '':> '21- '2. I' 2::;. f' ~ A. NOTIGE OF DEED RESTRICTIONS Th~ undersigned understands that this permit may be subject to ~deed restrictions" 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 po+tions 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~i6n 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. CONSTRUCTOION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, haye 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 instaliation 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 , :[ also certify that, ,if fill material is to be used in Flood Zone ~A" or ~A, etc.", lt is understood that a drainage plan addressing a ~compensating volume" will be submitted wh~ch is prepared by a professional engineer registered in the State of Florida prior to perm1t issuance. ' A permit issued shall ,be construed to be a license to proceed with the work a~d not as authority to violate, cancel, alter, or set aside any provisions of the techn1~al 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 permi~ . issued shall become invalid unless the work authorized by, such pe~it is commenced w1th1n \ six months of issuance, or if work authorized by the perm1t is suspended or a~andoned,fora eriod of six months after the time,the work is commenced. One 90 day extens10n of t1me ~a be allowed for the permit with fee charge of $15.00. The extension shall be requeste~ inYwriting to'the Building Official. An approved inspection must be logged during each S1X month eriod, or the project will be considered abandoned. , WARNIN~ TO OWNER" YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ,MAY RESULT IN YOUR PAYING TWICE FOR' IMPROVEMENTS ~O YOUR PROPERTY'G ~~U~O~Oi~~~N~FT~O~~~~~~~~~C~~~~ ~~~~~LT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN CEOF COMMENCEMENT" $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A ~NOTI . SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2CL- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me, this _day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this_____ day of by acknowledged , 20_ (name' of person acknowledged) Owho is personally known to me, 'or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and wlioO did Odid not take an oath. o who has produced , (type of identlficat10n) and who Odid DUd not take an oath f person taking acknowledgment Signature 0 Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped f:J ~ ";:j5 ~ ~ C") ... ~j ~-- ,,> ~,.", ".''t i (-, \;.J) r--~ ~ D ~ ;:, 'i- <;:1 ~~<S: C"l ~/'-- '" r- ,.....,. '<. f'..! ~ ~ r::' ~, D't ~ t'J '\ t'J ..." ~) "l) -c '-..." i)1 s,':' '- ... 0<::1 --- (lO ::: ?i ~ (7) f)t; b ~~~ ~ "- ... I I~ I - ,--~--T )..J ~ x. 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