HomeMy WebLinkAbout08-7898
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7898
erml umber: 7898
Permit Type: ACCESSORY BLDG.
Class of Work: SHED INSTALLATION
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 4,815.00
Date Issued: 5/28/2008
Total Fees: 82.50
Amount Paid: 82.50
Date Paid: 5/28/2008
Work Desc: INSTALL 12 X 24 SHED
Address: 4828 URT ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 15-26-21-0200-00000-0060
Name: BUCKLEY, PHILIP
Address: 4828 COURT ST
ZEPHYRHILLS, FL. 33542
Phone: 813 782-7719
SHEATHING
FINAL
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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 colTeCtions 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
nWarning 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
befo rdin our notice of commencement. n
CONTRACTOR SIGNATURE PERMIT OFF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Date Received
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
813-780-0020
1696
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
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(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
JOB ADDRESS
SUBDIVISION
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PROPOSED USE 0
TYPE OF CONSTRUCTION 0
DESCRIPTION OF WORK I ;r;..~
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FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
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License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
Address
License #
111111111111111 1I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL 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 on site, Construction Plans, Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsnarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
'-"PROPERTY SURVEY required for all NEW construction.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions:
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 cqntractor) 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 NC Fences (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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, 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 th~ work is commenced: An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty (.90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job 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 YO OTICE 0 OM CEM iT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or haslhave produced
as Identification.
CONTRACTOR
Subscribed and sworn 0 (or affirmtJ before me this ~ "-
by C A", ~ r7S'r~1\
Who is/are personally known to me or has/have produced
as Identification,
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
City of Zephyr hills
BUILDING PLAN REVIEW COMIv.IENTS
Site:
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Contractor/Homeowner:
Date Received:
Permit Type:
Approved win,o con:iments:O
,Approved withe below r=mnents:~
Denied withe below comments: 0
be kept with the permit and/or plans.
yd}-IJ
Date on tractor and/or Homeowner
(Required when comments are present)
"em 'OF -:.:zEPHYRuILLS BUI1..DING .DEPARTMENT
OWNER,
JOB LOCATION
PARCEL I .,D . . '#
SHOlfI\LLEXISTING& PROPOSED STRUCTURES GIVINGJ)IHENSIOHS'& SETBACKS.
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PROPERTY LINE
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION,
FRONT
(~!NCDmE'EOCAMPLE S 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
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10'
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FRONT PROPERTY LINE
10'
10'
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FRONT PROPERTY LINE
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NATIONAL DESIGN, INSPECTION & ASSOCIATES, INC.
P.O. BOX 621
RU$SELLVILLE, ALABAMA 35653
PHONE: 256.~32"'15'T
FAU(:256.332.2808
EMAll: NOI@CHARTER.NET
RE: Man....r.c=tu... Cook PCll"taWt WarehouN
Occupancy: Storage
NOt Plan.: ~2
To Whom It May Concern:
This is to certify that the plana for" referenced modular bUilding have been
revtewed and approved _ being In compliance wHtt the 2004 Flortct. Cocte. and
Standards, with 2001 8upplement, subject to the following limitationa:
1, Approva' eoyera factDry-bU11t structure only.
2. "ma installed at the slta .,. subject to revieW. approval, and
inapctian by the local authority Mvlng jurWCIiOlton.
3. The CtuapIItr 833 Plan Review ancIlnapec1lon tahsil be
c:onducWd bJ ... local fire ..fwty lnapector,
". Signed and _led plan. .hIIll be on file with MOl, Inc.
6. Not approved for High Velocity Hurricane Zone (I..., Broward
and Dade Countl_). ~LT \lrORKSl.I'\Lll~n:\,mlV\l"TP AT'
i"l. '-0 'v,. 1 t\ "\'Vi'lILl v/ulitu.L
Since....y, PREVAILING CODES, FLORIDA BUlLDr;3
CODE, NATIONAL ELECTRiC CODE Al"U
National D8a1gnt Inspection .. Meociatn, Inc. CITY OF ZEPHYP1ULLS ORDINANCES
REVIEVV DATE .5 -iJ) -.() K
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Pasco County Parcel: 15-26-21-0200-00000-0050 001
Page 1 of2
SearchAgain Sb_QW Map Gellecalized J3LtikUogScbematic E:stLmate_Igxes fli!QlLentlyAsked QuS!stions
Other Agency Data: TaxJ::oJle~tQr S~hQQL~()_(:lIJj Supervisor of Elections
Data Current as Of:
Parcel ID
Classification
Mailing Address
BUCKLEY PHILLIP D
4828 COURT ST
ZEPHYRHILLS, FL 335425557
Physical Address
Physical Address N/ A
Weekly Archive - Saturday, May 17, 2008
15-26-21-0200-00000-0050 (Card: 001 of 001)
01 - Single Family
Assessment (totals)
Ag Land
Land
Building
Extra Features
Legal Description (First 4 Lines)
COURT SQUARE
PB 33 PGS 63-64
LOT 5
OR 3859 PG 1926
Total Assessment
Save Our Homes
Homestead Exemption
$0
$28,216
$69,342
$1,709
$99,267
$52,088
- $25,000
Taxable Value $27,088
Warning: A significant taxable value increase
may occur when sold. Click here for details
and info. regarding the posting of exemptions.
Price
$4.40
$0,53
II Condition I
1.00
1.00
Value
$26,400
$1,816
Additional Land Information
0.22 I Tax Area II 3Q,ZH II FEMA Code ICTIIResidential cOdel1 WISPLP1
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1964 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
AIC Central Baths 1.0
Line
1
2
3
4
5
6
Description
FEA
FOA
BAS
UOP
FSA
FEj:)
Sq. Feet
208
162
720
56
144
432
Repl, Cost New
$11,334
$3,183
$55,894
$621
$3,882
$23,444
Line
1
2
Extra Features (Card: 001 of 001)
scription I Year I Units
DWC
FIRE PL
1979
1979
1,300
1
Value
$861
$848
Year
1997
Month
12
Sales History
ANDERSON WILLIAM N & THERESA A
BooklPa e Amount
38591 19:26 $55,900
Previous Owner
http://appraiser.pascogov.com/search/parce1.aspx?sec= 15&twn=26&rng=21 &sbb=0200&b... 5/19/2008
Pasco County Parcel: 15-26-21-0200-00000-0050001
Page 2 of2
1997
1997
06
06
37':&J 0443
3759 LQ441
II WD
" WD
$0
$0
Sei'lrcb_Aggin SJloW Map GenecC!liz~(:L6uildlngS~hemati~ Estima~T9xes Freguently Asked QuestiQns
Other Agency Data: Tax Collecto[ S~hooJ SoaId SupeLvisorQtEle~tions
http://appraiser.pascogov .com/search/parcel.aspx?sec= 15&twn=26&mg=21 &sbb=0200&b... 5/19/2008
< COOK PORTABLE WAREHOUSES ORDER FORM
DATE: 5/16/2008
(Urt-U...l: U::;,t UI'l1LY)
SALES PERSON:
VISTA MARKETING
CARL CASTEN
DEALER PHONE #:813-788-5459
DEALER FAX #:813--788-5459
BUSINESS NAME:
ACCOUNT:
ZEPHYRHILLS, FLORIDA
em
93801
USE DIAGRAM BELOW TO SHOW OPTION PLACEMENT
BACK
STYLE SIZE COLOR SHINGLE METAL
BARN X DARK NEW
BROWN
ECONO X BLACK
LOFT BAR 12 X 24 WHITE XX
UTIUTY X CHARCOA
LEFT RIGHT L GRAY
GARAGE X LIGHT
BROWN
LOFT GAR, X
CABIN X RED
xx
xx
FRONT
Y CODE FOR OPTION PLACEMEN,D- SINGLE DD= DOUBLE
DOOR DOOR
S= STEEL
DOOR
F= AlC
FRAMEOUT
G= GARAGE
DOOR
W=
WINDOW
MISCELLANEOUS
PHILIP BUCKLEY
CUSTOMER NAME(S)
4828 COURTSTREET.
ADDRESS
HOME
~~~K 813 -625.-0010
ZEPHYRHILLS FL
CITY STATE
33542 PASCO
ZIP COUNTY
HOME
WORK
CELL
NAME OF EMPLOYER
SELF
DELIVERY ADDRESS IF DIFFERENT THAN MAILING ADDRESS
SOCIAL SECURITY
NUMBER
002-28-5196
AT Y
RD R
CITY
STATE
ZIP
COUNTY
DRIVER'S LICENSE
NUMBER
8240-664-39-383
)ATE OF BIRTH 10/23/1939
E-MAIL ADDRESS
SALES PRICE
SALES PRICE
$4,645.00
SECURITY DEPOSIT
$200.00
DISCOUNT
DISCOUNT
SERVICE FEE
OPTIONS TOTAL
OPTIONS TOTAL
$170.00
DELIVERY FEE
$235.00
SUBTOTAL
SUBTOTAL
$4,815.00
TAX ON DELIVERY
$16.45
STATE TAX_%
OPTIONAL DOWN
PAYMENT
LOCAL TAX_%
TAX ON DOWN
PAYMENT
TOTAL DUE FOR DEUVERY
TOTAL DUEl $451.45
INGLE USE TAX (TN)
MONTHLY RENT
$243.18
SERVICE FEES
MONTHLY STATE
SALES TAX
OPTIONS
PRICE
DELIVERY FEE
MONTHLY LOCAL
SALES TAX
$17.02
TAX ON DELIVERY
TOTALr--""----""""-h---"""-h------"""---""---"""--!
MONTHLY RENTL____,______l?~Q:_?Q____'"______J
TOTAL DUEl
OPTIONS TOTAL
AMOUNT RECEIVED BY
DEALER
$451.45
CHECK NUMBER OR
REFERENCE NUMBER
#3419
COD AMOUNT
HWY 301 NORTH TO CHANCEY ROAD. TURN LEFT. TO AUTUMN PALM DRIVE.
TURN RIGHT. TO TUCKER ROAD. TURN LEFT. TO COURTSTREET. TURN
RIGHT.
FOR DELIVERY STATUS, LOG ON TO COOKPORTABLEWAREHOUSES.COM
HOW TO LOAD THE DOORS?
TOWARDS THE CAB XX
BACK OF THE TRAILER
DRIVERS SIDE
PASSENGERS SIDE
ALL WEATHER DEUVERY?
YES HARD SURFACE XX
NO SOFT GROUND
FOR CUSTOMER
(PLEASE PRINT)
These questions must be answered for all orders!
1 Is there clear access to the desired delivery location?
(i.e. is the area clear of trees, overhead wires,
ditches, and enough room for a 30' trailer, etc.)
Yes
No
Initials
7/~
1M
[ill
D
2 Will driver need to cross property other than your own?
(If Yes, the adjoining property release form must
be completed before delivery can be scheduled.)
3 Do you own the property where the building will be placed? [ill D
(If not, do you have owner's permission to place
building on the property?)** D D ....
** A signed document from the property owner granting Cook Portable Warehooses or
its agent access to his property to deliver and/or retrieve the portable warehouse must
be ob'.;oed befoee delive", will be scheduled, j J::?
4 Is there a fence** around the property? ~ 00 ..f2&-
** Unless there is a gate wide enough to accommodate our truck and trailer a~1I as
the width of the building, the customer is responsible for removing the fence to ailow for
> How wide is the gate opening? I I
5 Will the customer be available to sign for delivery? ~ D
(If not, the customer must add an authorized person to the account before delivery will
be available,)
D
@J
jJI/Z1
A Delivery includes a one time building placement and leveling (up to 6 inches).
B If the customer requires the delivery driver to perform duties that make the delivery longer
than 45 minutes, the customer agrees to pay a charge of $40,00 per hour.
C The customer may incur an attempted delivery fee if the answers to questions 1-5 above
prove inaccurate and the driver is dispatched but cannot deliver the building.
D The customer must pay all deposits, fees, delivery costs, and applicable taxes before the
scheduling of Lease with option to purchase orders,
E The customer must pay a non-refundable deposit (amount to be determined by
management) on special built buildings prior to the order being processed for construction,
F Cook Portable Warehouses carry a lifetime warranty against termite damage and decay.
Therefore, it is not necessary to place them on blocks. However, at the customer's request
at the time of placing this order, the driver will block the buildings no more than 1 concrete
block high provided the customer has the blocks on hand at the time of delivery. There is a
charge of $30.00 for buildings up to 16' and $40,00 for bUildings up to 24', Buildings
longer than 24' must be placed on level ground,
G The Lease with option to purchase program has been explained. The customer understand
that the term of the agreement is for 36 months and that 55% of each rental payments
(excluding taxes, fees and other charges) will be applied towards the purchase price if the
option to purchase is exercised.
H The customer understands that all rental payments are due on the last day of each month,
Also, if the building is delivered between the 1st and the 15th of the month, the first rental
payment is due by the last day of the same month. If the building is delivered between the
16th and the last day of the month, the first rental payment is due by the last day of the
I Any permits and/or compliance of local or state regulations, as well as the anchoring of the
building, are the customer's responsibility.
J The customer releases Cook Portable Warehouses and its agents or employees from any
and all claims of damages to property (e.g, shrubbery, trees, lawn, fences, driveways,
septic tank, overhead, underground utilities, vehicles, children's toys, etc...), and any other
personal property associated with moving a portable storage building on-and-off the
K In the event that the delivery driver attempts to install the portable building and becomes
stuck, the customer agrees to pay any and all associated costs, including, but not limited to
I have read and understand the above items and have reviewed the diagram on page 1 of this order
fo'm fo, co"ect placement of all options Indudlng doo,(s) a~d W,ljd"!"(S)__ Illl ~
Date Print Name '>(.L~ ~
Customer Signature K1/k,r /' /fo cle/ e- /
Date Page Dealer CARL'CASTEN Revision /08
COOK PORTABLE WAREHOUSES
RELEASE FORM - DELIVERY
As the undersigned has guaranteed, in writing, dear and unobstructed ingress and egress to the
delivery locatjons~ the und.ersigned hereby releases Cook Portable Vlarehouses and it's agents
or employees from any and all claims of damages to sbrubbery, trees, ia\\'n, septic tank,
overhead and underground utilities, 3l1dJor other personal property associated \\oi.th installing a
portable storage building on the undersigned's pre!nises, and agrees to hold Cook portable
\Varehouses harmless for any claim of damages by reason of such instaUation.
If the undersigned has a fence around the delivery location, or installs a fence after delivery, the
undersigned agrees to ma..l,;:e the property ac.cessible in the case of a default on the lease andlor
Cook Portable \Varehouses must rettieve the building. The undersigned also hereby grants
pennission for Cook P0l1able Vlarehouses to remove the fence or similar structures to gain
access to the portable storage building and, in doing so, agrees to hold Cook portable
Warehouses harmless for any claim of damages by reason of such removal.
In addition, if, at the insistence of the undersigned, the driver attempts to install the portable
storage building and becomes stuck, the undersigned agrees to pay any and ail associated costs,
including, but not limited to. tow truck fees.
Np (36 ~. -
CllSI/js:gnaul~e .0 .
GL&9r,~
WjlneSS;;~ /~:~ i
Date
F-5
COOK PORTABLE WAREHOUSES ORDER FORM
DATE:
BUSINESS NAME:
ACCOUNT:
SALES PERSON:
(UI"t"-lLI: U~t: UNlY)
E-mail orders to:
orderentry@cookstuff.com
DEALER LOCATION:
USE DIAGRAM BELOW TO SHOW OPTION PLACEMENT
BACK
VISTA MARKETING
DEALER PHONE #: 813-788-5459
CARL CASTEN
D~~R~x#:813-788-5459
STYLE SIZE COLOR
BARN X DARK NEW
BROWN
ECONO X BLACK
LOFT BAR /..2... ~ tf- WHITE
UTILITY X CHARCOA
LEFT RIGHT L GRAY
GARAGE X LIGHT
BROWN
LOFT GAR. X
CABIN X RED
FRONT
Y CODE FOR OPTION PLACEMEN- D- SINGLE DD= DOUBLE
DOOR DOOR
MISCELLANEOUS
cusIL1~M'/; f f/
BucJ::j,~y
,
J..k? ;:l q Co u ~S~
ADDRE6 0 _
~jJ 111('11-1 ~ J!1/ ?~IP 5 ftf;<
DELIVERY ADDRESS IF DIFFERENT THAN MAILING ADDRESS
CITy
STATE
ZIP
CDUNTY
E'MAIL ADDRESS
S= STEEL
DOOR
F= AIC
FRAMEOUT
G- GARAGE
DOOR
W-
WINDOW
NAME OF EMPLOYER
SOCIAL SECURITY
NUMBER
DRIVER'S LICENSE l?..., / Jo-/ / / ~
NUMBER ~ 7 ( (ofO 7....
JATE OF BIRTH
lo~ :;)..3~
....::J /~<::
/
y~
~--'
SALES PRICE
Jb cJD
SECURITY DEPOSIF ~ tPV,... -
DISCOUNT
DISCOUNT
SERVICE FEE
DELIVERY FEt d g;;: / c::::5!=?
-1L /.t / Y:5
TAX ON DELIVER't'
OPTIONS TOTAL
t;. 00
OPTIONS TOTAL I 701" ,~
SUBTOTAL
.J:;/ / c? ot::;>
{SUBTQTAL /( V /5__ ---
STATE TAX ~%
OPTIONAL DOWN
PAYMENT
LOCAL TAX _DID
TAX ON DOWN
PAYMENT
TOTAL DUE FOR DELIVERY
TOTAL DUt '1s/.,I 1-5
INGLE USE TAX (TN)
4; J ~)
MONTHLY RENT ;;{ t..f ,,( '!5
DELIVERY FEE
MONTHLY STATE
SALES TAX
MONTHLY LOCALfJ; /?: o::z-.
SALES TAX
MONTHLyT~:~~~?~~.~::~~]
OPTIONS
PRICE
SERVICE FEES
TAX ON DELIVERY
TOTAL DUEl
OPTIONS TOTAL
AMOUNT RECEIVED BY
DEALER
CHECK NUMBER OR
REFERENCE NUMBER
COD AMOUNT
FOR DELIVERY STATUS, LOG ON TO COOKPORTABLEWAREHOUSES,COM
HOW TO LOAD THE DOORS?
TOWARDS THE CAB XX
BACK OF THE TRAILER
DRIVERS SIDE
PASSENGERS SIDE
ALL WEATHER DELIVERY?
YES HARD SURFACE XX
NO SOFT GROUND
FOR CUSTOMER
(PLEASE PRINT)
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'11111111111 1111111111111111111I11111111111111I1111I 11111111
2008076843
Rcpl : 1182009 Rec: 10.00
OS: 0.00 IT: 0.00
OS/22/08 ______ Dpty Clerk
~~92~~~AM~:~R%C01CO~NTI CLERK
NOTICEOFCOMMENCEMENT OR BK 7843 PG 718
Permit No. /, --.C' JI '\
/ - /-' - CCX:O-c00.$'O ~ (!^,r tJ (!;:X9/ J c::YO '..J
Property Identification No.1 I;; -J,~ /).... O.....z<!?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 is provided in this NOTICE OF COMMENCEMENT.
(,
I.Description of property (legal description:) C-l C.
a) Street Address: <:6..t.. 0 /' r-
2.General description of improvements: '" L
Ad. ell -t j ON of ~!] Q_J:J
3.0wner Information (J I,.., V i...bJ
a) Name and address: ph ILL fJ D, B Uc.K:-~ T'6~<g
b) Name and address offee simple titleholder (if other than owner)
c) Interest in property
~ontractor Information
.' a) Name and address: f2.cvK PO/'1A1oIfC?. t;; ~<;
b) Telephone No.: ~/ <3 - '7 '3''5 - 5"fL. ~9
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No,:
6,Lender
a) Name and address:
Bi'-~I " /q;Ojl/I'~I/S
~, @.v C;7 ~ ~7. b;9t(
31 c. 1 H U/ Y 30 (s: Oct tJtk.r h J 1/ 5/ n.
Fax No. (Opt.) SA 1'1 e... ., ,
Fax No. (Opt.)
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 address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor'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 of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
Type of Identification Produced
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF mE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER 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 OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE mE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING W~~ OR RECORDING YOUR NOTICE OF(2ENCEMENT'Q
STATE OF FLO A~,a. 1I~ JUNECBLEDSOE . /7 ~
COVNTYOFPAS o~~~ MYCOMMiSSION#DD462628 ~ ~~
. ~ Of l\.1'l" EX PIRES: Aug, 17. 2009 Signature of Owner or Owner's Authorized OfficerlDirectorlPartnerlManager
(407) 398-0153 Florida Notary SorvicQ,com CI\ RJ_ AJ.. C It <.>7 ~ IJ
Print Name
The foregoing instrument was acknowledged before me this ~1ay of rn A Y , 20~ by ~ pJ
,C-A:5>TEjU as (type ofauthority, e.g. officer, trustee, attorney
m fact) for (name of party on behalf of whom instrument was executed).
Personally Known J' OR Produced Identification _ Notary Signature L c- ~)t'
{7
if (/r..J E
Name (print)
C- 8t-{j)tE{Jt::~
", , n'L':,' ,
...." .... '~'I" f". ,
V erification pw:s~t to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read ~ fot:eg~itig ~~~.\ ,> ~
the facts stated m It are true to the best of my knowledge and belief. : :~!.: : , _ > ',: 'v c. ~ : ~ '..
~ c :'" ",~' i,~: ,,).-' := v; .-
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