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Home My WebLink About07-6455 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6455 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: 6455 FIRE PROTECTION FIRE ALARM SYSTEM NOT APPLICABLE Address: 5344 9TH S ZEPHYRHILLS. FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-15100-0160 Name: KIMLEY HORN & ASSOC Address: 5344 9TH ST ZEPHYRHILLS, FL. 33542 75.00 Phone: COMPLETION OF WORK FROM EXPIRED PERMIT 5451 - FIRE ALARM SYS L..~ ----- 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 requirecl 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." NO OCCUPANCY BEFORE C.O. ~~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ~ Number: nit Type: of Work: sed Use: ne Feet: ;t. Value: av. Cost: t Issued: tal Fees: unt Paid: ate Paid: Irk Desc: - _.~~,.,' .L... CITY OF ZEPHYRHrLLS 7J 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT ./ 5451 5451 COMMERCIAL FIRE ALARM SYSTEM NOT APPLICABLE Address: 5344 9 H S ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26.,21-0010-15100-0160 6,282.00 2/14/2006' 222.50 222.50 2/16/2006 FIRE ALARM SYS INSTALLATION Phone: KIML Y HORN & ASS 5344 9TH ST ZEPHYRHILLS, FL. 33542 L FIRE INSPECTION FEES 50.00 FIRE PERMIT FEES 15.00 ~ l'Js/J t tf"!'f \ttCS~((;\1'll if-fo~~ re ~ ~ rf i \ ~\f-\ \ 'EcnON FEES: Reinspection fees will comply with Florida statute 553.80 (2)( c) when extra inspection e necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting Lllty construction c) repairs or corrections not made when inspections called d) work not ready for 'on when called e) permit not posted on jOb site f) plans not at job site g) work not accessible. In addition to the requirements of this permit, there may be additional restrictions applicable to this property that ound in the public records of this county, and there may be additional permits required from other governmental uch as water management, state agencies or federal agencies. lent of inspection fees shall be made before any further permits will be issued to the person owning same Ig to owner: Your failure to record a notice of commencement may result in your paying twice for ments to your property. If you intend to obtain financing, consult with your lender or an attorney !!COrding your notice of commencement. n NO OCCUPANCY BEFORE C.O. ~~ &. )NTRACTOR SIGNATURE , PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ' PROTECT CARD FROM W~THER CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6455 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: 6455 FIRE PROTECTION FIRE ALARM SYSTEM NOT APPLICABLE Address: 5344 9TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-15100-0160 Name: KIMLEY HORN & ASSOC Address: 5344 9TH ST ZEPHYRHILLS, FL. 33542 75.00 75.00 2/16/2007 Phone: COMPLETION OF WORK FROM EXPIRED PERMIT 5451 - FIRE ALARM SYS . ~~ (-If' -1.1 r 31a-oO " . r ((eY'" 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." NO OCCUPANCY BEFORE C.O. CRM~~ ~-. CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Fire Chief Robert Hartwig ZEPHYRHILlS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Bus (813) 780-0041 Fax (813) 780-0044 FIRE SERVICE U~~1.... Billing Address: Occupancy No.: PlanNo.: 07-~/~ Business Name: ~ .'fjti~ BuslnessAddress: Business Phone No.: Business Fax No.: Contact: PLAN REVIEW FEES E Site Plan N/C Building Plans ,04 sf Revision ,06 sf STANDPIPE SYSTEM [] Per Riser $25 SPRINKLER SYSTEMS ~ 0 - 25 Heads $30 D 26 plus Heads $60 FIRE PUMP o Per Pump $100 FIRE ALARM SYSTEM Q.o - 25 Devices 30 ~ ~6 plus Device $60 SUPPRESSIO YSTEMS ~ Wet $35 Dry $35 C02 $35 Other $35 GREASENENTILATlON D Hood/Ducts $35 I- (JV PLANS TOTAL I {Op ( Comments: jJ/t k/f- INSPECTION FEES Annual N/C 1 st Re-inspection $25 2nd Re-inspection $50 3rd Re-inspection $125 4th Re-inspection $250 l--1 5th Re-Inspection $500 W Construction $15 LJ Commercial $25 SPRINKLER SYSTEMS Hydro Undergrounds $45 Hydrostatic System $45 Wet Acceptance $30 Dry Acceptance $45 Hydrant Flow $25 Hood / Booth $30 Grease Duct $15 FIRE ALARM SYSTEM [l System Acceptance $50 D Recall Acceptance $50 OTHER Fire Wall/Smoke Wall $15 LP Gas $25 Natural Gas $25 Fuel Tanks $25 Tent $15 INSPECTION TOTA~ k~RA~TAL -~ C-L JJb- ~71 tv, J./de-6 k ~~ ~/ ~3sP ~/3-~fo- 7~ Billing Phone No.: Billing Fax No.: Contact: PERMIT FEE FALSE ALARM FEE 1 st Alarm N/C 2nd Alarm N/C 3rd Alarm N/C 4th Alarm $25 5th Alarm $50 6th Alarm $75 7th Alarm $100 8th Alarm $150 9th Alarm $200 10th Alarm $250 Non Compliance $150 "Affidavit of Service/Repair" SPRINKLER SYSTEMS o Automatic $15 FIRE PUMP D Fire Pump $15 ill FIRE ALARM ~M, ~etection , 15 OTHER ~ LP Gas Natural Gas Fire Works Fuel Tanks $45 $45 $25 $45 GREASENENTILATION n Hood/Ducts $15 o Kitchen Suppression $15 0 ~ FALSE ALARM PERMIT TOTALL1-:2J TOTAL I I ~/r(tN&.%5 ?k..7~/ Date Inspector: ~ FORMER ZEPHYRHILLS POLICE STATION FUTURE KIMLEY..HORN 8t ASSOCIATES, INC. OFFICE ?GALE FIRE ALARM LEGEND r.'.~)ii' "~ijf~:~~~~~t1 CONTROL PANEL @=t FIRE ALARM SMOKE DETECTOR BEAMS @ FIRE ALARM SMOKE DETECTOR '''ti_'~t~IRE ALARM PULL STATION J ANN} FIRE ALARM ANNUNCIATOR .., It;~... ". '. HORN/STROBE .-FIRE ALARM STROBE ..UGH! ~' FIRE 'ALARM 'SPEAKER!SrRoBt CD FIRE ALARM HEAT DETECTOR ~ FIRE ALARM SPRINKLER TAMPER t-Yi VALVE ~ FIRE ALARM WATERFLOW SWITCH lm DUCT DETECTOR @] TEST SWITCH rnJ FIRE ALARM RTU SHUT DOWN RELAY ~ END OF LINE RESISTOR I DACT I FIRE ALARM DIALER r ANs 1 ANSUL ~ POWER BOOSTER r(E] KNOX BOX @ EXTERIOR SIREN @ INTERIOR SIREN Bit KEY PAD .... I 0 l' 3' 6' ~ 1"'2'''=' ~','., I .:j ~ I '0':'- ""~', ,'~',.",' I Ie, .- :..- -:,-.-::::1 15'.2" ~r.: A'-~' II 7'...1' 13' 9'.10" 11'.10' 15'-9. . RM~! I~ RM 14 RM13 ,~ UNIS" Bftft~~fI 11 .. RM 1 " . 5,'.7" PRODUCTION . FOll RM2 '~ ~ ~ RM 11 .. q. Ii: ~ RMl3 ~ ~ ~ W ~' OFFICE ~ ~ n:: .,... OFFICE "'" '--. ~ RIM 15 ~ ! ~I RM 17m .~ RM12 S.7" ~ ~ 1.4'..4' ./\. ....--- 12'.1" 7~. ~ "- ( LOCATION TO BE DETERMINED BY INSTALLER & FIRE MARSHAL ) ~ ~ ~ ~~ - r- .'.- , 1'!'i'.~" 8'--6' 20'.2' R'..A' - "'. . ~ ..( '~ 1 ; , , . , ! . ' :15'.2.' I RM9 ~ .1 ~ iT ~ ..- iI: RM20 ~; ~ CONFRENCE c.: 7~ RM4 , (.-J OFFICE I ..- CAD ..- 'I '1 fi'.2' CAD .I ! RM10 - " ~ I 16'.2.' RMLftl ~ 1 B'-9" ~f . I ~ ~ @ 12'.7R '. ,.ljJ, ~I .1 ) ~ ~ l I .... . ! r__ .. :;a--- r ~ v-~ ~ ~ v~ ~ OFFICE I RM7 RlW22 ~ ~ PLOTTER ,( ~ [JRM196 ~ '"" , R~ =~ RM21 RM8 @ RM6 RM5 ~ ~ ~ t (.-: ~ 00 MEN', .' ( D WOMSf~ OFFICE OFFICE ,~ , 'j OFFICE .... ..- OFFICE "'" :\1 ..' I SA , ' -=== = '. ;j' 0: ,- ~ a 0: ~ .:::.. J I ~ r:. ~ ~~~Oi Q-3' 8Ilt 1~'.7- ,i, 1(1.1~ ,10'.7' 9'.10 ,', r,:~" QI.1n- 11 '.!)" -, . :"'-!..~ ~. 'I"'i I", "-.. I y~f~ ,~:"""~41 I~~.~;s;t.,~, ~ 3 FA MANUAL PULL STATION-SINGLE ACTION, TOOL RESET 9 CEILING HORN, MULTI CD STROBE 5 CEILING ,STROBE '-I SMOKE DETECTOR, LOW PROFILE, PHOTOECTRIC,PLUG 1 bUCT DEtECTOR ,I, B!JiWin,g shall comply with th~ applicable codes of flpfil.13 Fire Prevention Handbook NfrA ~, tho City of Zephyrhills I -- '-j~$~1e:rio~\(i)RBqU~{ED ItYZ~PHY!-~UI",LS P.D. ~ytlE~~~fJ"CL --- _-:=-::==-~::~=-~~..,..,...-- .,_ _ '-~:" ~_-~.,=~,=--:~"2::::-:~..:..:~:::.~-~-- - FIRE ALARM GENERAL NOTES: '\:;~': /~ ":"A"H'" ... ,', t:L.' .. ,"'AND N .E.C. S CATIONS FOR FIRE ALARM SYSTEMS. 2. INSTALLATION OF ALL FIRE EQUIPTMENT SHALL FOLLOW U.L., N.F.P.A., N.E.C., STATE, AND LOCAL GUIDELINES AND CODES. 3. FIRE ALARM WIRING SHALL BE N.E.C. TYPE FPL, FPLP, OR FPLR UNLESS NOTED AS THHN OR TFFN. THHN AND TFFN SHALL BE INSTALLED IN E.M.T. . 4. FIRE ALARM WIRING SHALL BE: 1490. FOR ALL INDICATING APPLIANCE CIRCUTS, 1890 FOR ALL INITIATING DEVICE CIRCUTS, 14go FOR ALL POWER CIRCUTS AND RELAYS, 18go FOR ALL SUPPLEMENTAL DEVICES, 12go OR GREATER FOR 110VAC TO FACP. 5. All FIRE ALARM EQU1PTMENT AND ITS INSTALLATION SHALL MEET THE AMERICAN WITH DISABILITIES ACT OF 1990. RWISE NOTED MANUAL .i~MOUNTED AT REfERENCE DRAWINGS Dwg. File Name Title REVISIONS No. Date Description Stamp Area,: KIMLEY/HORN 5344 9TH STREET ZEPHYRHILLS FL 33542 FIRE ALARM Fire & Security AOT Security Services, Inc. /54,}1 W. W9ters Ave. Systems Sales & Engineerif'lg Tampa, Flonda 33634 813-806-7000 Drawn By: Checked By: Revision: DWG. Email: Ispencer@adt.com Sales Consultant: LA WRENCE.Q Title: KIMLEY/HORN Scale: NTS 1 of 1 Thr. d..i9ft It\oludin, fll>tCiflc:ations, drawings. and design concepts is the property of ADT ~urity Sylltems. Ine. (ADr). and is fumished on Q confidential basill, with the expressed underst<lnding that it wm not be 9Okl. transferred, copied, 0(' used to the detriment of ADT with<lut Wlitten permission. The recipient further ogre.. not to dltclose the contents to any other Plllrly except fOt the specifIC purpose contracted fOt with I>/)T. /'I)T make. no r~entQtlon. o. to the ~ability Ot ooourocy of ony systems, subsystems, ossembUes, or other informotion contained herein unles. specifically identified for COnstruction. Sheet: , .. \-1 \/J :r J ~ \ o Page 1 of2 Karen Miller From: Kerry Barnett Sent: Tuesday, April 17, 20072:13 PM To: Karen Miller Subject: RE: Information Needed Yes it is completed. It was completed last month but I do not have a date. Kerry Barnett Fire Marshal Zephyrhills Fire Rescue Tel (813) 780-0041 Fax (813) 780-0044 kbarnett@fire.zephyrhills.f1.us liThe only limits are, as always, those of vision. II - James Broughton Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic e-mail to this entity. Instead, contact this office by telephone. From: Karen Miller Sent: Tuesday, April 17, 2007 10:58 AM To: Kerry Barnett Subject: FW: Information Needed Kerry: When you get a chance....I don't recall seeing a response on the below. If you did respond I didn't update the information. Appreciate it. Thank You. 7(flren From: Karen Miller Sent: Tuesday, April 10, 2007 11:33 AM To: Kerry Barnett Subject: Information Needed Kerry : I have another permit in question. Permit 6455 for the location of 5344 9th Street, Kimley Horn. This was a 2nd permit for acceptance testing. Can you advise: Is this completed? Date, if completed? If not completed....do you have a contact name and phone number? Thank you. 4/17/2007 Page 2 of2 Karen Miller City of Zephyrhills - Building Dept 813-780-0020 ext. 3513 813-780-0021 Fax kmi lIer@ci.zephyrhills.fl.us 4/1 7/2007 ~LTY OF ZEPHYRHILLS PERMIT APPLICATION BUILDINC3 DBPARTMENT 5335 8th STREET ZEPHYRHILLS, PL 33540 Phone 1813 -780 - 0020 Fax 1813 -780 - 0021 l.JQ ~ D7 DATB RECBIVIID ___~___. PLANS RBVIBW FBB I OWNER'S I~AME I( I m/e y Ht>rn ~ A..>'.5oc/aCe .:s -The.. PHONE CONTACT ~ JOB SITE ADDRESS S3 '1~ 'f Tn $[:, LEGAL DESCRIPTION: LOT(S) // BLOCK ot~ SUBDIVISION c:<../ PARCEL 10 # //-.24 -c1/- POID -/S//)O - C? / r; 0 (OBTAIN F'ROM PROPERTY TAX NOTICE) WORK PROPSED: []NEW CONSTRUCTION [] ADDITION []ALTERATION 0 REPAIR ~TAJ-,L DSIGN [] MOVE D DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING ~ERCIAL [JMULTI-FAMILY .[J# OF UNITS [] SWIMMING POOL []MOBILE HOME [] OTHER o INDUSTRIAL o RESTAURANT & HEALTH DEPARTMEN'r APPROVAL DESCRIPTION OF WORK CompleTe t"ie work YI rot/e) 017 Jr/tJ'r 1'''' rm/r. BUILDING SIZE SQUARE FOOTAGE HEIGHT [] BUILDING 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. PROPERTY SURVEY REQUIRED FOR AL!, NEW CONSTRUCTION. - Re,5ubrri.-4- ~ Ru-(l\~-\- S4-5\ PERMITS REQUESTED -~-9-ow~6rcKe -+oC!.hcu-\'1 e.. 1-\. NJUta, - c.u.{"('~ c<'~';f VALUATION OF TO'fAL CONS'l'RUCTION 0(' ~.. \...., -A.. ' \ fA <;1 i .. \ E.\-. ~c. a,o.cso AMP SERVICE 0 F!.ORIDA POWER [] W . R. E . C .W\ l\ ca..il.Q.<:3.. ~. $ 0,00 [J ELECTRICAL [J PLUMBING o MECHANICAL $ [] GAS [] ROOFING [] SPECIALTY VALUATION OF MECHANCIAL INSTALIIATION ~~(2.('2.e... .fur"", [] OTHER TYPE OF CONSTRUCTION: 0 BLOCK [] FRAME [] STEEL [] OTHER FINISHED FLOOR ELEVATIONS I S PROJECT IN FLOOD ZONE AREA [] YES [] NO BUILDBR COMPANY STATE CERT OR REGIST # crfY PROCESSING # SIGNATURE ****************************************************************** BLBCTRICIAN SIGNA'l'URE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNA'I'URE MBCHANICAL ****************************************************************** COMPANY S'I'ATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY..:1))r 5 e[ur;2> Servl ces TATE CERT OR REGIST It ' EFOC)CJ//~.3 CITY PROCESSING # 30C1..D *~!.:;: ::~?:~*:*~* t ~ *~ C~~~~J** * * * *** * *** ** ** ** * **** * *** * SIGNATURE A. NOTICE OF DEED RESTRICTIONS The 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 CONTRA.CTORS AND CONTRACTOR RESI!?ONS I I3IT,I'fIES 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 regulat~ons. 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 \-lork, they are advised to contact the City of Zephyrhills Buildi.ng Department, 013-788'-6611. Furthermore, if the owner has hired a contractor or contractors, he is advlsed 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 i.ndicating 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. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUC'fUION LIEN LA.W (CHAPTER 713, FLORIDA S'fATUTES, 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 ced.fy that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prlor to commencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT 1 certify that all the information in this application is accurate and that all work will be done .in compliance w.ith all applicable laws regulating construction, zon.ing, and lRnd development. Application is hereby made to obtain a permit to do work and installation as lndicated. I certify that no work or installation has commenced prlor 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 tc the intended work, and that it is my responsibility to identify what actions I must take t-.. be in compliance. Such agencies include but are not limited to: *Department of Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensi.tive Lands, Water/Wastewal:er 'freatment *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 Tre.tment, 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 hy 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 ~he 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 silt months of issuance, or if \oj'ork 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 tirite may be allowed for the permlt with fe's charge of $15.00. 'rhe extenslon 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 '1'0 OWNER: YOUR FAII,uRE TO RECORD A NO'l'ICE OF COMMENCEMEN'l' M1\Y .RESULT IN YOUR PAYING TWICE I!'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL'I' WITH YOUR LENDER OR AN A'r'!'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VAI,UE DO NO'r NEED 'fO RECORD AND POS'l' A "NOTICE OF COMMENCEMENT". ~\.JJ.'lUJ_TJ.UN:i (JH' PERMIT nFFIDAVIT SIGNATURE: OWNER OR AGENT ~~ SIGNATURE: CONTRACTOR r- S1'ATE OF FLORIDA COUN'l'Y OF The foregoing instrument Mas Before lIIe this __ day of by --, 19_ STATE OF FI,QRIDA II . /I.:S h f) r e> t{ e>h COUN'rY OF I The foregOing instrument was ac~ogedged Before mh th% ~day JId/:tf ' ~1>L27 by C at" Ot{:e.. e... (name of person acknowledged) [1ho is personally known to me, or ~WhO has produced &. L'~ (type of identification) and who Ddid "PUd not take an oath ackno~rll.cdged (name of person acknowledged) Dwho is personally known to me, or o who has produced (type of identification) and whoD did Ddid not take an oath. g acknowledgment' Signature of person taking acknowledgement Name typed, printed or stamped Name . S t ~ :p. t:ClotrImidiolll>QO &a1"ed ~. .~l ExpireS December 12, 2010 ~"',i;" t~~'" iGndN Tl1I1f Troy Fmn lhauNlCt 1OQ4IIo.701G ........'L..'