HomeMy WebLinkAbout07-7115
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7115
Permit Number: 7115
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5902 GREENBRIAR CT
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: WEDGEWOOD MANOR
Parcel Number: 10-26-21-0120-00000-0581
966.00
10/24/2007
35.00
35.00
10/24/2007
HURRICANE SHUTTER 79x84
Name: NEUBECK, WM, BRENDA, & J.JEAN
Address: 5902 GREENBRIAR CT
ZEPHYRHILLS, FL. 33542
Phone:
bV'~
lol"3D/67
I (slA-
REINSPEcnON 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 cordin your notice of commencement."
:l
CTOR SIGNATURE PERMIT OFFI
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
. \ ("t L--\' \'-, '---(1
Date Received:
I .~ ,......".- {
Site:
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Permit Type:
Approved wino comments~
lJ.l.,., --:-'\" ci. \ )l~' .-.f, t,-,,~,--
Approved withe below comments: 0 Denied withe below comments: 0
Contractor and/or Homeowner
(Required when comments are present)
813-780-0020
Datj, Received
Owner's Name I
Owner's Address
Fee Simple TiUeholder Name I
City of Zephyrhills Permit Application
BUilding Department
Fax-813-780.()(J21
I
N eubect
Phone Contact for Permitting D D - I
Owner Phone Number I (R /3 )
d ' Owner Phone Number I
Owner Phone Number I
I
q ~Li -7J/tJ/P
I
;J;""Jean
I ."5QDJ GreeVlbriar
Fee Simple Titleholder Address I
I 5CfOd-
I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE
1$
1$
1$
1$
D GAS D
FINISHED FLOOR ELEVATIONS 1
0 BUILDING
D ELECTRICAL
0 PLUMBING
D MECHANICAL
Green hriar (j ,
I
B
D
D
shu.Hev
I
PARCELlD#IID--.:2{,; - ),1- 010.0 -- OO()OD -OSg /
(OBTAINED FROM PROPERTY TAX NOllCE)
1058/
LOT #
ADD/ALT 0 SIGN 0 MOVE 0 DEMOLISH
REPAIR
COMM 0 OTHER I
FRAME 0 STEEL 0 OTHER I
HEIGHT I
r=1- NEW CONSTR
o INSTALL
D
D
ihllrr{{tLYlt'
I sa FOOTAGE I
SFR
BLOCK
I
I
I
I
CJ
I
DNO
VALUATION OF TOTAL CONSTRUCTION
o
o
WRE C
PROGRESS ENERGY
AMP SERVICE
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY 0
FLOOD ZONE AREA
ROOFING
OTHER
DYES
BUILDER
SIGNATURE
COMPANY
REGISlEREO
Y IN FEE CURRENT U'..!!:U
license #
Y/N FEE CURRENT L:!.!..!:U
LIcense #
YI N FEE CURRENT U'..!!:U
Ltcer\se #
Address
ELECTRICIAN 1
SIGNATURE .
Address I
PLUMBER I
SIGNA TURE
Address \
MECHANICAL I
SIGNATURE .
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
L:!.!..!:U
YI N I
License # I
I ~~ 1,~riURE:f L:!.!..!:U
ltcense# I C f(.~ OStJ;J.3j
FEE CuRRENT
Address
OTHER
SIGNATURE
Address
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
tJR..
AltaC~) Plot I'>la~ (2~s~1 of BUilding Plans. (1) set of Energy Forms
M'irllmum ten (1 O} working days after submittal date, Requrred onsite, Construction Plans, San~tary Facltihes & 1 dumpster
Attach (3) sets of Building Plans. (1) set of Energy Forms
Minimum ten (10) working days after submtttal date Reqwred onsite, Construction Plans, SanItary Facilities & 1 dumpster
AU commercial requirements must meet compliance
Attach (2) sets of Engineered Plans
--'PROPERTY SURVEY required for all NEW construction
Directions:
FIll out appllcahon completely
Owner & Contractor Sign back of application. notanzed
If over $2500, a Notice of Commen cement is required. (A/C upgrades over $5000)
Agent (rOr the contractor) or Power of Attorney (for the owner) would be someone with notanzed letter from owner authonzmg same
OVER THE COUNTER PERMITTING (Front of AppltcaliOn Only)
Reroofs Sewers SeNlce Upgrades Ale
Driveways-Not over Counter if on public roadways..needs ROW
Fences (Plot/SurveylFoolage)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" 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, WaterlWastewater 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 job is considered abandoned.
CONTRACTOR
~UblZ~d and sworn to (or affirme
tU 07 by
~are'l)sonally, known to ~or has/have p~?duced
~ ~..~ '-'- as Identification
("~
7) Dr)
Notary Public
3/3
Commission No
Name of Notary typed. printed or stamned
..i~~~'t~'"
l~I"~\
~. .~j
..l,;,......lJI;".,..
'I),Rf..ft'i"\
CHERYL M. SNYDER
MY COMMISSION # DD 275313
EXPIRES: December 15, 2007
Bonded Thru Picl1ard Insurance Agency
Salf's By: ~ Hemando 00521014
- cnrus 99990255147 '
R Pasco 65948
,,~~.
~lt.'''~
PEClALllir5Inc.
~ Contractor: eA.IAL/~ 7U-32&~r'l~
~ L-..JGREG HENRY INC' ""1l Ph: 352-592-2008
Fax: 352-592-2009
CRC050239 Toll Free: 888-592-2008
RESTORATION SPECIALISTS
STREET
JOB LOCATION
ARCHITECT
JOB PHONE
We hereby aubmlt apaclflcatlona and ..tlmatea for:
~
.'
th above specifications, for the sum of:
q~bJ'
tf2)
If ~.tomer fA IItIIeIIed wlltt
anlna to the b Ino dl!IJWlrtmenl.
CUAlnmor noedl!llo..k for r..e Qf lien for mAte'" Md labor before mAking nnN llAyment. If thoy do not alk fOf
re!ftlllo d KfIf1, thoy mfIy ond up pllYtnlil twtce. 8J8. 558 LIEN LAW
An mate"" '" guN'1Int&l!ld to be 8. apeclfted. All work to be compIeled In II workmanllko mannfll8ccordlng to l!andlWd
~MeHr.ftflL Any IIltMftlkJrw nr rtnvtatlon. ebeNo tlpftclllnd Involving oxtrll co.~ wi! bo ftllftCUted ot'lly upon wrtnnn orrtnrll,
.nd wRI become a" IIDIl chM'g8 rMM' And.bow the oseIrMt.. AN agrODmonta contl"Gont t4)OO Ilr1kftS, accidents or
dfMytI heymd our control. Owner 10 CM'fy nm. Ioml'do And oIMr nocelMry "'.ur8nCO. Our wMcor. 11Ift fufty cnvomd by
Wnrtmuo,"'" Cnrnp"nl".lll'ln 'nllUUlnf:n
.&reptmre of Gtontrart - The abova p~ces, specification and
conditions ara saflsfaclory end are haraby accepted, You are 8Ulho~zed to do
the work as speclfled, psyment wi" be made as outlined above,
Date of Acceptance:
Signature:
SMa By: . Hernando 00521014
Citrua 99990255147
Pasco 65948
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~ Contractor:
- L..a..J GREG HENRY INC
RESTORATION SPECIALISTS
I
CRC050239
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Ph: 352-592-2008
Fax: 352-592-2009
Toll Free: 888-592-2008
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Amer i can Hurr i cane S..Fe~~_~.. 3525922009
p. 1
1t13'.7!D-0020
City of Zephyrli* Permit App~lcatifJn
lluildirv Deper\I1'ent
FlIlt-Ejl3-780-OOl), _~
~N'< I(?I~ ~1'
P/toJle COIOtaCtfllr PermftfinV 0 0 - [ I-
Own.,...... Nu...- ~ 13 ) q ~ if - 7 J 10"
OWn., P...... ~ r
Own., "bene Number (
\
J
Dale~d C iD-I~,OI I
ow...~.. ...Ld';- :SeaIl 'v e t,tbecX.
Qwn..,.,AdChn f .~~Da Grl!t:t'1Vdaf Cf.
Fe. SImple TIlWlO1de, N_ r
BUILDING SIZE
fir
o
C1
r-hvrr(cUle
I sa fOOTAGE t
NEWCONSm
1NSlAU
Sl'ft
"OCK
Gretnbt'iay (J'
I ~_W;-J"- J./-O/;;'O -OO~(){)-{).S8/
~1l__TiTAJlNOllCt:'
B. .AODfALT 'OSISN D MOllE 0
flEPAIR
D COMM D OT+'lER I
D ~IWI1E 0 S'TfiEl 0 OTHER I
snu.f(ev
LOT.
J
I
J
I~I :
v1
,.. SlIIIpIe ............. - I
l.5QoJ..
l
J08 MJOllDS
5tIIIOIVlSlON
DEMOll~
WOM PROPOlSEO
DESCRIPTION OF WORK
t ),:
;. ...,.~ ". '
~ . .;
,
.. _.~-"
I
I
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PROPOSED USE
TYPE OF C:ONSTftU(:TION
HElGHl'f
o BUlLOlI\lG \$
o ElWT"RICH. Is
o PLUMBING tl
o MECHANICAl \S
C]GAS 0
FINISHED FlOOR ELEVATIONSl
w.lUAnOlllOF TOTI.I. COt'ISTROCTlON
~-i(...i ,~~,
I
l lIMP 6ElMCE
I
1
CJ SPECUlln' 0
I: l'LOOO Z'OIlE ARE.t.
CJ
"OGlllESS ENERGV
o
W.RE c.
IlALUATlOH OF ~1'lAN~ INSTALl4TICfl
FtOOFJlIIG
O'llER
CJve~
DtlO
. 1.,/:~'~/ -.:7-:,:' .'~: '':':'~:
"-~_:r-;7'."1 ,'."
BUILO!R r
SIGNATURE i
I
COIIPANV
.RBlIS1&lED
'I J HFliiE ~REOIT
U!!'LJ
lIcense "
~s
G:OlIIPANY l
f\EGISTEREl1 L.!.!.1LJ FEE cuRRENT.
COMPANf
..-
I Vi N I lOa CUIIRM1
larin' I
~J~!i~~ UL!LJ
tjce......." I (I(~ 0 S(J~a?
L:illLJ
I
J
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ELECTRICIAN t
SIGNA TUite l
Addre" r
PLUMBER I
SIGNA'l\JRE. .
AdcIr... ~
MECHANICAL I
SIGNATURE
L:!.!!Ll
License ,
l
COIIf'i\NY
_n:_
VI N
FEE~EW'/'
L!!!:!-J
I
LlOlInSe .
Add.....
OTHER
SlGNATURE
Add"",e
/Jl.
II ( I' t>ta!(2~7~:Bui~~ (l)':Of~~OI:~:'
MW..._ _"l)I~<j"'Y.IIIIer--&IIIle. ~.., ensile, eonelruc:liOn P1_. $elMtKy FaOlilies & 1 ~
_ (3Il_""-.gPans; i'lsetDf~F""",,
Mtnim....lIoll <1Dl~ <tap oitle1-.ldale, ~ <lOIiKt, C....- ~....., SaniWy FaOlitiOll & 1 """""""
AlI",,",~~1!lUSl""".~
AlI&h (2) _ 01 Eng.......c PIaM.
-__OPE,"" IUAVE'f ~"" l!IIl ~WCOllStfUCliOn,
RESIDENTIAL
COMUEACIlU.
SIGN P~RIIlT
Dlreclion5;
Fill DLll8W1iclliOn ~
0_ & eonu_ &igrlbKlt oI.,pIic:aIiaf>, naIII'iII:~
. _$2ll-." N......c-.ol>......_-_..-. (A1C ........-..-1
Agenl (Iar~... c:<>ntradD1'l or "- '" ~y~'he ~ would 0...__ wit/\ _ell_ fmm ow,"'" ....horlling ..-
oVEII THE COUNTE1\ PERUI'TJUllG IF11>MI "" ~1Ot1 Only)
Rmoob _.'""""...~. /lie FeN:8S{PICl/Sul'll~DOWgI!I
Dri_ys.NoI 0VfI( C_ ~ on.llUbIie.'~.."- PDW
Oct 18 2007 11:01AM
American Hurricane Specia
3525922009
p.3
NonCE OF DEED RESTRICTIONS: The undersigned understands that this pennil may be subject to "deed' restrictions"
which may be more restrictive than County regulations. The undersigled assumes resJXlnsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CON'TRACTOR RESPONSIBIUnES: If the owner has hired a con1ractor or
contractors 10 undertake work. they may be required to be licensed in accordance with state and local regulations. If the
contractor is nollicensed as required by law, both the owner and contractor may be cited lor a misdemeanor violation
under state law. lIthe owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact \he Pasco County Building Inspection Division-Licensing Section at 727~847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advisee! to have the contraclDr(s) sign
portions of the "contractor Block" of ttois application for whiCh they w~1 be responsible, If you, as the OWller sign as the
contraClor, Ihal may be an indication thai he is not property licensed and is not entiUed 10 permining privileges in Pasoo
County.
TRANSPORTATION IMPACT/UTlUTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpor1ation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing bLildings, or expansion of existing bLildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended, The undersigned also understll'lds, thai such fees. as may be due, will be identified at the lime of
permitting. It is further understood that Transpor1l11ion Impact Fees and Resource Recollery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certHicate of occupancy or
final power release, the fees must be paid prior to permit issuance, Flnhermore. if Pasco County WaterlSewer Impacl
lees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordi nances,
CONSTRUCTION LIEN LAW (Chapter 713, Florida SUtut.., as amended): If valuation of work is $2,500,00 or more. I
certify that I, the applicanl, have been provided with a copy of the .Florida Construction Lien L.<M--Homeowner's
Protection Guide. prepared by the Florida Oepartmenl 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 dOClnlent and promise in good faith to
deliver illo lhe "owner" prior 10 commencement.
CONTRAClOR'SfOWNER'S AFFIDAVIT: I certify that all lhe information in this application is accurate and that aD work
will be done in compliance with all applicable laws regulating eonstruction, zoning and land development. Application is
hereby made to oblain a permit 10 do work and inslallation as indicated, I certify that no work or inSlallation has
commenced prior to issuance 01 a pennil and that all work will be performed to meet standards of all laws regulating
construction, Coll1ty and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government lIgencies may appty tD the intended work, and that it is
my responsibility to identify whal actions I musllake to be in compliance. Such agenCies include but are not limited 10,
Department of Environmental PrOlection-Cypress Bayheads, Wetland Areas and Environmentally Sensilive
Lands, WaterNoJastewaler Treatment
Southwest Florida Water Management Oistrid-Wells, Cypress Bayheads. Wetland Areas, Altering
Watercourses.
Army COfllS of Engineers-Seawalls, Docks. Navigable Waterways,
Department 01 Health & Rehabilftative ServicesJEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks,
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authortty-Runways,
J understand Iha1the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V unless expressly permtted_
If Ihe fill material is 10 be used in Flood Zone "N, il is understood that a drainage plan addressing a
"compensating volume" will be submitted al time of permilling which is prepared by a professional engineer
licensed by the Slate of Florida.
If the fill malerial is to be used in Flood Zone 'W' in connection with a permitled building using slem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is 10 be used in any area, I oertify that use of such fill will not adversely affect adjacent
properties, If use of fill is found to adversely affect adjacent properties, Ihe owner may be cited for violating
the conditions of Ihe building permit issued umter the attached pennit allplicalion, for lols less than one (1)
acre which are elevaled by fill, an engineered drainage plan is required.
III am the AGENT FOR THE OWNER, i promise in good faith to inform the owner of the permitting conditions set for1h in
this affidavit prior to commencing construction. I understand lhat a separate permil may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or olher installations nol specifically ii'lCluded in the application, A
permil issued shall be construed to be a license to proceed with the work and not as authority to vielllle, cancel, alter, or
set aside any provisions of the technical codes, nOr sh811 issuance of a permit preventlhe 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 woltt authori:zed by such permit is commenced within six months of penni! 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 requesled, 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 ninely (90) c:a'lSeC\Jllve days, lhe job is considered abandoned.
CONTRACTOR
Sub.crlbed and _Ofn 10 (or atlirmOO) ""lore melhis
by
Who Is/are personally known to me or ,asihave proo..ced
8S iden1Wication,
Notary Public
CommllIStO!'1 No
a. Inted or Slam
Name 01 Notary :yped, printed or stamped
Q)~ CHERVLM.$NVOER
'*, :wl tIY COUMl. SSION, DO 275313
" :' EXPIRES: Dealmber t5, 2007
J/f.. ecn..dTlvuPi_...........Agonqo
Oct 18 2007 11:05AM Am@rican Hurrican@ Sp@cia
3525922009
p. 1
&llllli By. - . HlII1Indo 00521014
. CN 99990255147 '
IRI PaKD&5~8
'(e..
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811DAL1SJ5Jn1:.
CRC050239
e}.,IJJ/~ W-3~-3t'~
c; " ,., 11. Ph: 352.592-2008
Fax: 352-592-2009
Toll Free: 888-592-2008
""I!el
CITY.IQn.
JCl8 LOCAlJON
"RCMmICT
.101I PItONI!
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abaft speclflcatlGna. for the sum of:
9 LJ/J. tfV
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Cale 01 Acceptance:
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10/17/2007 15:22 FAX 7278631169
OCT 16, 2007
GREG HENlY, INC
8718 CASPER A VENUE
HUDSON, Fi 34667
PHONU 727-862-9448
FAX# 727.863..1169
UaMSEI CRCOS0239
TO WHOM n MAY CONaIlN:
GREG HEHRY IHC
~ 004/007
THIS A UrrEIl OF AUTHORIZATION GIlANnNG I'RMlSSION FOil THE FOUO 7NG
INDIVlDlJALS TO UPON MY 6EHA TO pua PERMITS.
DENNIS MAllnN
CElESTE HENRY
TRACY HE6RT
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IF YOU HA VE ANY QUESTION; 'lEASE FEEl FREE TO CONTACT ME.
DATE: jO) / 7)/)4
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NOTAIY: J Uf) r7, 70 tt.cJ:oI..IY't->
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MY COMMISSION U/lJltES:
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~ HUDSON,FLORIDA 34667 FAX: 863.1169 ~
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