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HomeMy WebLinkAbout07-7082 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7082 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: 75.00 Amount Paid: 75.00 Date Paid: 10/12/2007 Work Desc: INSTALLATION OF 12 X 14 SHED 7082 ACCESSORY BLDG. SHED INSTALLATION NOT APPLICABLE Address: 5205 19TH T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 3,185.00 Phone: t:;.Jl1f~ .AJ \Y~ \'Il/V SHEATHING FINAL 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." CONTRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER .._._ _...._~ .._:_.P....~"._..___.._.. .,__....____..--M--~ '-'" -...-.. ~----_............ City ofZephytbills . BUILDrnG PLAN REVIEW CO:rv.rMENTS . Date Received: . , . Glyt/P ~ M. he l/ , / /) - C)~ () i $US '; t? (fA. <S'T '. j 2-1: /1 .0J&! .ConiractorlHomeowner: Site: Permit Type: ApProv.ed wino c~ents:D Approvedw/the below commonm/G Dem..! ~/the below CODlIIlCllls:. ..0 .. . :J 1./" V-Hlf'~ (k ~ l" '--ft.- ;... I 5 6 ^ ~ bt'_ ~~~.01/~4 VA /~ Sf .. ;:;:>:s." """ , ;- l ./ If) ~ ID-~h/ Date ntra.ctor and/or Homeowner . (RequiIed when comments are present) CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7082 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: 7082 ACCESSORY BLDG. SHED INSTALLATION NOT APPLICABLE Ad ress: 5205 19TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 3,185.00 75.00 BRACKN , C YDE 5205 19TH ST ZEPHYRHILLS, FL. 33542 Phone: INSTALLATION OF 12 X 14 SHED ~tL <5 wJ 6S?j ()t~ SHEATHING FINAL 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." CONTRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 if10tV Date Received / Owner's Name / Owner's Address Is .2..0S-/9 ""'~.57: Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address ,/ JOB ADDRESS 5' .).()5',-/9 -r~ ST LOT # I PARCEL ID#/ (OBTAINED FROM PROPERTY TAX NOTICE) NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH INSTALL REPAIR SFR D COMM D OTHER I '5'#1: V BLOCK D FRAME D STEEL D OTHER I SUBDIVISION E3 PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK" I BUILDING SIZE /' I /,;.'X I c.f. ' I SQ FOOTAGE I HEIGHT I 11111111111111'111111111111.111111111111"'1111111111111111"1111111111111'111111111111111111111"1'1111111'""11111111111111111111111111"'11111 / 1$ 3..1 ~S- I 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 111111111111: I '.' ~I~:~~~II ~';;'.:..!~ IIIII~~~ ';111 ~ I ~5'" 0<1"""" '1'''''''''' *I~~~ 11111:;;;;'::111111111111111111111111111 BUILDER' Dr\ . COMPANY ~ -e SIGNATURE ' REGISTERED Y / N FEE CURRENT Y / N WORK PROPOSED 0 BUILDING D ELECTRICAL D PLUMBING D MECHANICAL VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION 3 /)0.3 - {52$V ~(~ /J~~ Address LIcense # Y/ N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address 111111111111111 RESIDENTIAL License # II11111I111II1111I111111111111I111I1111I1I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMMERCIAL SIGN PERMIT DI~~~ti~~~': . , . . . . , , , , , , , . . , , . , , , , , , , . . . , , , . . . . . , . , , , , . . . . , . , , . , . , , , , , . . . , . , . , , , , , , , , , , , , , . , . , , , , . , . , , . . , , , , , , . . . , , , , , , , , , , , , . , , , , . , . , , , , , , . , . . , , . . Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) .. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) i Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "C1eed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. 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 Pasco County Building Inspection Division-Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the .owner", I certify 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. 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. 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 construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government 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 Protection-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. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the~ob is 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. FLORIDA JURAT (F.S. 117. , I OWNER OR AGENT /-.. C CONTRACTOR Subscribed and sworn to r affirmed Subscribed and sworn to (or affirmed) before me this by CL iL by WhoJ1lilare personally nown to me or has/have produced Who is/are personally known to me or has/have produced U ~ as identification. as Identification. /i*,~:'ft.tf:.. JACQYE~INE. t)uGb commlssi1l;.b:'~':*1 CommiSSion DO 621833 ~.~~~....' ElIplres December I:.::, 20 I U ....'~Rf.~~".. Bonded Thru Troy Fain Insurance 800-385-7019 Notary Public Notary Public Commission No. Name of Notary typed. printed or stamped Name of Notary typed. printed or stamped NOTICE OF-COMMENCEMENT 1/111/1 11111 1111I1111I/1111 11111111I1/1/11111I1 11111111I1111 2007169525 _.___....:....-_H,:_-:--_ 'PeimitNo. Rcpt: 1134447 R 10 00 DS: 0.00 ec:. 10/0 IT: 0.00 9/07 Dpty Clerk Property Identification No. / I .2' .J./ 0 (J It) I 0; ~ '-' 0 () dJ'C _ THE UNDERSIGNED hereby give- informs you that the improvement will be made to certain real property, and in accordance with - Section 713.13 of the- Florida Statutes, the following information -Ui provided in this N<?TICE_ Of COMMENCEMENT; !.Description of~operty (legal d..crplhm:) ;[AU)"':f:J;* ~ p~L. PG;~ l .At- ~ Ii; +il fi JCi'if a)StreetAddress:t5,;205-1j'-' >1.- _~-:-:_I__IS;fL._---:-q")- '. - . _ - 2.General descriptionofimpnJVements: "IE/LA c. '.IL' L .1_) S:;,~ [) "'- - - JED PITTr'iAN, PASCO COUNTY CLERK 10/09/07 01: 55, 1 Jf 1.. - -. ~owner~::~~addreSs:' ilL - De: '- C! - . tJ,(' - ;-<.6. OR BK 765 PG 101:5 . n ' - b) Name and address offee simple titleholder(if other than owner)&' .- - 19 · -7 - _ -. - c).Interest in properly - - ,- -' ' - -. -4.Con:tractor Infoimation _ _ . . 1;1) Name and address: B~AAJ-TJ()".J S~1J5 b)TelephoneNo.:~/~--?.r3-~O? - 5 .Surety Infonmition - , - a) Name and !Uidress: . b) Ariiount of Bond: c) 'Telephone No.: 6.Lender a)Name and address:_ J..;q z. . ".. .8-&Q&-- C411 $L.1I-9 r-ZEt.l'>>1~~; I }~ FL.t}-3 ~'IO -Fax No. (Opt.) . _ - _'. - '.. . " - - Fax No. (OJ?t.) - - - Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and addless: b) Telephone No.: FaxNo. (Opt) - 8.m a:ddi~_ori- to hiinseI:t:owner designates the following person to receive a copy of the ~ienor' s Notice as provided in: Section 713.13(1)(b), Florida Statutes: -. a) Name and address: -b) :Telephone No.: -Fax No.. (Opt.} 9.Expiration date of Notice ofCoIDlllencement (the expiratioI/._Clate is one year froxn. the date ofrecording.unl~s a different date is specified): - - - . '. o- WARNING TO OWNER: ANYPA~NTSMADE -BY THEOWNERAFI'ER THE EXPmATION-OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED Il\fi>>ROPER PAYMENTS UNDER-CHAPTER 713, PART I, SECTION 713.13, _ - FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OFCOMl\mNCEMENT MUST BE RECORDED AND POSTED ON THE JOllSITE BEFORE THE FIRST -INSPECI:ION. IF YOUINTENDTO OBTAIN FlNANClNG,CONSULT yOuR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOuR NOTICE OF COMMENCEMENT. - . - , STATE OF FLORIDA COUNTY OF PASCO S' ofOwnCr or Owner's Authorized OfiicerlDircctorlPartncrlManager _ CLvlJ~- C -llf(ArKIIIEL L Print NBlDe _ _ -The foregoing instnmient was ackilOwl~dged befc:rre me this ~ chiy of - -as ' fu fact) for ' (name of party on -behalf 0 o~ het---. 20-21,.bY (type Of ~ority, e.g. officer, trustee, attorney m instrument was ec1.lted). - Personally Known ~ OR Produced Identification ---,- _ Notary Signature T)1le ofIdentification Produced ~ /~ _ Name (print) tt..t.. _ -- , - . '. ~~q~v.r. '. -. JACQUELINE B S ' - . . . - - [.(A~1 Commission 00'621833- - - Verification pursuant to Section-9.2.525, Florida Statut:es.Under penalties ofpCIjmy~~~ Hmir!Sl:QaQeWlel'lll,e2f.t:tt}:gomg and that - . . . . - ".,0' ",...' Bdnded Thru Troy FMlInIu ,,",,0.. . the facts stated in it are true to the best of my knowledge and belief. ...... - _ -...........7019 Signature ofNatura1 Person SigningAbov~ FORMSINOC,rvsd2007 DISCLOSURE STA:rEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING 'DEPARTMENT 'I, CLYDE t!. 'Ste/k::.KAlEtL have read and 'ful.ly understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, .renovating, adding to or reroofing his or her own domicile ,that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or saJ.e. That he or she shaJ.l comply with the .following conditions: ~. That the o'll!1Iler and he or she aJ..one shal:1 act as i:he builder for aJ.l phases of construction. 2. ,That .the owner wiJ.J. comp1,y wii:h aJ.J. provisions of the City of ZephyrhiJ.J.s ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he wiJ.J. engage only properly licensed subcontractors and willpersonal.ly supervise such work. 4. That in the event the Building Inspector sha1.J. require corrections 'to be made, the ownerwiJ.J. assume ful.J. responsibiJ.i ty to insure they are made, and upon compJ.etion wiJ.J. caJ.l for a reinspection before proceeding with the building. 5. That the owner shaJ.J. assume fu.J.l responsibiJ.i..ty for the construction and wilJ. not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to finaJ. inspection any addi tionaJ. fees, including reinspection fees, must be paid in fu.J.J.. A written request from this office shaJ.l consti tute an officiaJ. notice to pay additional. fees. 7. That the owner shaJ.l comply with aJ.l City, State and FederaJ. laws in regard to sociaJ. security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shaJ.J., comply with aJ.l the safety codes issued by the Florida IndustriaJ. Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permi. t under an exemption to that law. The exemption aJ.lows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may aJ.so build or improve a commerciaJ. bui..J.ding, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantiaJ.ly improved for saJ.e or lease. If you sell or lease a building you have built or substantiaJ.ly improved yourself wi thin 1 year after the construction is complete, the law will presume that you built or substantiaJ.ly improved if for saJ.e or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipaJ. licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not J.icensed to perform the work being done. Any person working on your building who is not J.icensed must work under your direct supervision and must be employed by you, which means that you must deduct F. I . C . A. and withholding tax and provide workers' compensation for that employee, aJ.J. as prescribed by law. Your construction must comply with aJ.J. appJ.icabJ.e J.aws, ordinances, bu:i.J.ding =:: S ::~:; r~e~iiO~S'*~ 6& DATE /d ~ '1- t? 7 ADDRESS i60b:l~ T; 7~__._ NJi L<;lJ1- PHONE rJ_=-~ -__ WITNESS l?E:RMIT# CITY OF ZEPHYRHILLS BUILDINGDEPARTHENT OWNER CLyDe c.. 8tficKIJELL' .,.,..,. , JOB LOCATION 5'.2()S- -/9 5'7./ Z7111~J-I111'l/t... ~ 3542- PARCEL I.D.'# SHON ALL EXISTING << PROPOSED STRUCTURES GIVING DIMENSIONS << SETBACKS. (51€P~.J 0U>'-~ , /:;.X 1'-', D ; "J~ , ~~ r/Lbf \ ~~'\ r-h _~ \~tu~- 'If ',V.,) I ' \7'1"'~~'(1;:" E:'" \,.1 (, .<\ fyt l).... ---......... r .fX 1'?1';;~t I I I - UTILITY BUILDINGS 'MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl,R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' p E R X 0 I 10' ' P S, 10' 0. T S I E N D G 10' 10' EXISTING 10' 1 a', 10' PROPOSED 20' 20'SGL FAM 30 'DUPLEX FRONT PROPERTY LIRE FRONT PROPERTY LINE ~~s STATE OF flORIDA o E PAR T MEN T 0 F C 0 ~,1 ~A U NIT Y A F F A IRS "Dedicated to making Florida'a better place to call home" JEB BUSH Governor STEVEN M. SEIBERT Secretary MEMORANDUM TO: Building Officials, Manufacturers and Agencies Ila Jones, Department of Community Affairs ~ \~ Requirement for Raised Seals for Manufactured Buildings/Sheds FROM: RE: DATE: March] 5, 2002 The Florida Building Code does not require original signed and sealed plans be submitted tathe local building department to obtain a permit for installation or erection of a closed structure manufactured in a manufacturing facility. The insignia issued by the State verifies the plans have been reviewed and the buildings inspected for compliance by the State and dete.rrni.ne.d. to comply with applicable codes. 'r , ""'-' The State ofF]orida maintains a set of sealed plans reviewed and approved by a F]orida licensed Modu]ar Plans Reviewer and inspection reports conducted at the manufacturing facility by F]orida licensed Modu]ar Inspectors. The manufacturer should supply a copy of the approved plans with the permit application. You may also review the approved plans by accessing the F]orida Bui]ding Code Information System website ate W\vw.floridabuilding.org), Manufactured Building Program. Site-related installation requirements (foundation, etc.) are specifically and entirely reserved to the local authority If you need additional infomlation, please do not hesitate to contact me at 850-922-6091 or e-mail: ila.iones({vdca.state.f1.us 2555 SHUMARD OAK BOULEVARD. TALLAHASSEE, FLORIDA 32399.2100 PI-one: 850.488 8466/SuncofT' 278 8466 FAX: 850.921.0781/Suncom 291.0781 I r. I e r 0 f-! I d d d res s: h I I P : II www.dca5Ialefl.us CRITICAL STATE CONCERN fIElD OffiCI -,,~. U\{'fs.eas Highway, 5uilc i 1-; ^',;,nlholl. Fl 33050-2227 005; 289-240? COMMUNITY PLANNING ZSSS Shumard OClk Boulevard 1<Jlla;I..)~e. fl )})99-]IOO 15501488.])5& EMERGENCY MANAGEMENT 25':>5 Shumard Oak Boulevard Yi'II.1ha!.see, J.l 3::399.2100 (850) 413'Y769 HOUSING & COMMUNITYDEVHOPMEN1 2S55 Shumard Oak Boulevard Tal1dha~.~ee. H )2399.:?100 (850) 4B8.79S~ STATE OF FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS "Dedicated to making Florida a better place to call home" JEB BUSH Governor THADDEUS L. COHEN, AlA Secretary Certification Number: MFT -114 Manufacturer: Lark Builders, Inc. Address: P. O. Box 629 Vidalia, GA, 30475 Expiration: December 16, 2007 Certified for Manufacturing: Storage Sheds This will confirm that Lark Builders, Inc. is certified to manufacture manufactured (modular) buildings, as defined by Rule Chapter 9B-l, F AC, and Chapter 553, Part I, ,FS, for location or sale in the State of Florida. The condition of this certification is limited to authorization specified in the above references. Each building shall bear a State Insignia located on the electrical panel box cover. This certification renewal shall be for a period of three years, as indicated above. The manufacturer will receive a renewal notice by E-mail, generated by the Building Code Information System (BCIS) 90 days prior to expiration of this notice. The manufacturer must submit the information required in s. 553.381 F.S. and Rule Chapter 9B-1.007 FAC online at www.floridabuilding.org. .. , If you have questions regarding licensing requirements for site-related permits for installation of manufactured buildings, you may contact us, your local building department or the Department of Business and Profession Regulations at (850) 487 -1395. Sincerely, b6~ Michael D. Ashworth Program Manager Manufactured Buildings Program Building Codes & Standards Phone: 850-922-6075 FAX: 850-414-8436 cc:NDI 2 5 5 5 S HUM A R D 0 A K B 0 U LEV A RD. TAL l A HAS SEE. F LOR I D A 3 2 3 9 9 -2 1 0 0 Phone: 850.488.8466/Suncom 278.8466 FAX: 850.921.0781/Suncom 291.0781 Internet address: http://www.dca.state.fl.us CRITICAL STATE CONCERN FIelD OFFICE 2796 Overseas Highway. Suite 212 Marathon, FL 33050-2227 (05) 289-2402 COMMUNITY PLANNING 2555 Shumard Oak Boulevard Tallahassee. Fl 32399-2100 (850) 488.2356 EMERGENCY MANAGEMENT 2555 Shumard. Oak Boulevard Tallahassee. FL 32399-2100 (850) 413-9969 HOUSING & COMMUNITY DEVELOPMENT 2555 Shumard Oak Boulevard Tallahassee. FL 32399-2100 (850) 488-7956