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Home My WebLink About08-7994 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7994 erml Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 7994 RE-ROOF ROOF REPLACEMENT NOT APPLICABLE Address: 5920 NEWBERRY CT ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: WEDGEWOOD MANOR Parcel Number: 10-26-21-0120-00000-0270 4,995.00 6/24/2008 55.00 55.00 6/24/2008 REROOF 2400 sa 30 YR GAF Name: DORAZIO, ADAM & HELEN Address: 5920 NEWBERRY CT ZEPHYRHILLS, FL. 33542 Phone: / ~lJ~ TAPE JOINTS ROOF INSP FINAL REINSPECTlON 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 im~vements to your property. If you intend to obtain financing, consult with your lender or an attorney befo~ 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 ictX-O 1 "'-/OV-UVL, Date Received ~.19q(l Owner's Name do...l'V\ ~ N Q..\ ~ y~ Owner'sAddress I S~D t\\ rt.wblLn,,/ Z~'1~IIJ.s. Fee Simple Titleholder Namel Fee Simple Titleholder Address I Owner Phone Number :, >~), Own.. Phone Nurnh.. I Owner Phone Number I ~ FL-') -$Nd- LOT # I PARCELlD#1 iO-';)Jo - d-,l --ol~O -CX:X:)C:O-O~'70 (OBTAINED FROM PROPERTY TAX NOTICE) o ADD/ALT D SIGNf'lD MOVE D D REPAIR (Z.e -rOO' D COMM D OTHER I D FRAME D STEEL D DESCRIPTION OF WORK I fje-vCi (J~ ;;l'-l 0() ~. ~ \ + 1L fJ Ii i- hDM JL. BUILDING SIZE I SQ FOOTAGE I _0 _ _ HEIGHT I I 1111""""11"""111111""111111111"11"1111'1111111'1'1"'1""'1'1"1""11111111111111111""1111111""'1"""""'1111111'11""""'1'11 o BUILDING ~ s. ,QQ I VALUATION OF TOTAL CONSTRUCTION 1$ I 1$ I 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNo IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11I11111111111111111111II11I111111111111111111111I111111111111111111I1111111111111I1111I1111 JOB ADDRESS S~J.o tvQWb~ SUBDIVISION WORK PROPOSED B D D NEW CONSTR INSTALL SFR BLOCK DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION OTHER I o D o ELECTRICAL AMP SERVICE D PROGRESS ENERGY D WR.E.C, PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION YI N FEE CURRENT License # Y/N FEE CURRENT License # Y IN FEE CURRENT License # YI N FEE CURRENT Y/N I I I I I I I I I I BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address License # I UCw('\VZ FEE CURRENT ~ I Y/N I I c..cC{ ~:SS05 OTHER SIGN Address License # 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. Requiredonsite, Construction Plans, Stormwater Plans wI Slit Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvlslons/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 onslle, Construction Plans, Stormwater Plans wI Silt Fence Installed, Sanitary Facilities & 1 dumpster. Slle 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 1.1111111111111111111..11..11111111111111111.1111111.....11..11............11111.....1,1111...11..11..111111.1111111111111111111111...1111..111111 DIrections: FiIi 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 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 Constructi.on 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, COl,Jnty 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 offill 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 prio~ to commencing construction. I understand ~hat a s~parate perm~t. may ?e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically In~iuded.ln the application. A permit issued shall be construed to be a license to proceed with the work a~d not as authon~y ~o vlol~t~, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II,dlng OffiCial from the~eaft~r requiring a correction of errors in plans, construction or violat~o~s o~ any codes. Every ~ermlt Issued. shall become. invalid unless the work authorized by such permit is commenced Within SIX months o,f permit Issu~nce, 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 Official for a period not t~ exceed n1n~ty (.90) da~s 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 Y UR LEN R OR AN ATTORNEY BEFORE RE ORDING Y UR NOTICE OF CO NCE ENT. FLORIDA JURAT (F S. 7.03) Notlry Public State of Florida Christian Ryman My Commission 00751610 Nota Public otary Public Commission No. Commlsslo C~~~ jrl\A. p.. ~ CAI\ Name of Notary typed, printed or stamped C,,^l'\~i.\ v~ I\..~!\I'\ Name of Notary type'd, printed or stamped 11111111111111111111111111I11111111111111111I111111111111111 2008093194 Rcpl : 1188296 Rec: 10. 00 O 00 IT' 0,00 DS" , , Dpty Clerk 06"/24/08 NOTICE OF COMMENCEMENT JED ~ITTMAI~ PASCO COUNT~CLERK 06/24/08 0 :4111' 10ft 17 OR BK 7 6 I PG Pennit No. Property Identification No.j 0 ~b -,a l - 0 l~ 0 - Oc.xx:o - oa 10 THE UNDERSIGNED hereby give illfonns you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following infolluution is provided in this NOTICE OF COMMENCEMENT. UJ .D~h QWu:d ~Dv- PhQ.~~ l ~ll P I.Description ofPMperty (Jeffl' description:) 6- i~ b a) Stl'eet Address: ~( a. N 2.GeneraI descriwon of improvements: ,,, Q.. -rrn-P ~ 4 oD 3.0wner Infoffi1ation a) Name and address: L. "- \-..t Q 0 r 2... S b j Name and address of fee simple titleholder (if other than owner) c) Interest in property 4R.actor Information . a) Name and address:e..\.\~~ b) Telephone No.: :5 I ~~ 5.Surety Information r r,lA. a) Name and address: VV \ b) Amount of Bond: c) Telephone No.: 6.Lender a) Name and address: ~ltl~ -S">J<{s.... -~(~ o,,?;\.s Sf< f:tc 2{>~'f,.J,IIIS Ft.. >~Jlf,,-- ~ l'JC1'f Fax No. Opt.) Fax No. (Opt.) Phone No. 7. Identity of person within the State of Florida designated by owner Upon whom notices or other doclUnents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8.1n 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 St,atutes: a) Nan.e and address: b) Telephone No.: Fax No. (Opt.) 9.Expiratiol1 date of Notice ofConmlencement (the expiration date is one year from the date ofrecordil1g unless a different date is specified): W AImING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFI'ER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT,ARE CONSIDERED IlVIPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, Ij'LORlDA STATUTES, AND CAN RESULT IN YOUR P A YI;NG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JO:Q, SITE BEFORE THE }j'IRST INSPECTION, Iii' YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, STATE OF FLOlUDA COUNTY OF PASCO x Signature of Owner or Owner's Authorized Officer/Dil ctor/PartnerlManagcr - /;7 <P /7.0 ,(,...I) 0 /? ~ "/, I 0 Print Name The foregoing insmmient was acknowledged before me tl1is~ day of ~ ,20<!}j> ,by ~ . DOlO.ZJu . . ., (Jype of authority, e.g. officer, trustee, attorney !n fact) for (name of party 011 behalf of whom ~t was executed). ~ersonally Known ~OR Produced Identification ~ Notary Signith~---.' ..... ..... ... .... .. ~~ ['ype of Identification Produced Name (print) C\.-r~\'~R ~""'. lerification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that le facts stated in it are, true to the best of my knowledge and belief. )RMSINOC.rvSd2007 1/) Nota ry Public State of Florida . . Ollrillla" Ryman . ~c .~ MYCommlssionDD751610 ~o,...d'" Expires 01124/2012 Signature of Natural Person Signing Above ... /'~ ~~~ ~tfmatt ~(J(J~'tt9 A Division of Ryman Construction, Inc. 37325 SR 54 * Zephyrhills, Florida 33542 Phone: 813-782-6094 Fax 813-783-2645 License #CCC 1325505 :Jbb :t\ ~'-\ ?4oo Sora,Pt. <>d- ~ bui \+ hOh-1~ Customer:~ Dof'l:A 2,'0 Address: c.,-"9~O IV d.U ~~)-( c-\-. Home Telephone: ~3- 1131 Alternate Phone # ~ Complete tear off of existing shingles lB Roof dried in with # 3a- felt o Install new valley metal with galvanized metal [J' Re-secure all loose roof decking as needed u;r Install all new lead boots 88 Medea G;Y Install all new drip edge aa l.!ululS' \ Lvh,-k-. ~ Install all new 30 year fungus-resistant shingles ~ Shingle Color(;A-r/E.\ K S\o-.\..L GY All debris removed from the job site ct"" All materials, labor and permits furnished Zip: Business Phone # Additional Items: .::tr..)~\\ Llo IF ~o..\\ Itti.u- ~~f"\~ ~ V~~' ~l~\ lAP -to ()) S~\5 e>F- PI,,! ~t7&. S 1<.cAr Le-.h:n- ~~~1 Extra's (E( Bad plywood replaced at a cost of $ 4~. .00 per sheet in the roof field. All other wood work, such as valley rebuilding or rafter replacement, will be at a rate of $ ::;-Y'..oO per man hour plus the cost of materials. 4,1 - 00 Total bid price $ "115 I THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT. 1, All material is guaranteed .to be as specified and completed in a substantial workmanlike manner, 2. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, hurricane and other necessary insurance upon above work. 3, Labor warranty does not cover damage to roofs caused by lightning, hurricane, tornado, hailstorm, impact of foreign objects or other violent storm or casualty damage to roofs due to settlement, distortion, failure or cracking of roof deck, walls or foundation of a building, 4, Workmen's compensation and public liability insurance on above work to be taken out by RYMAN ROOFING (a subsidiary of Ryman Construction, Inc.), or it's sub-contractors, 5, RYMAN ROOFING, INC is not responsible to provide any materials or to perform any work other than what is described above. Replacement of deteriorated decking, fascia board, is not included and will be charged as an extra unless otherwise stated herein, 6, This contract is subject to final approval by RYMAN ROOFING, INC, and is the entire agreement of the parties and no other written or other forms will be recognized, 7, A charge of 1,5% will be made on all unpaid balances after 30 days plus charges incurred for non-payment procedures plus attorney's fees. Ryman Roofing, Inc, will not be responsible for any septic tank, sod, shrubbery or paint damage. Payment due upon completion ofjoh, Acceptance of Proposal The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. P"'ch'se~/frl ;.Jt><-.......~;, D,to: 6--1~N:8 Esllmator: .-,-----=" = . Date: ~/L:S/t!)?f ~ Pleased note: A charge of 1.5% will be made on all unpaid balances after 30 days, which is an annual percentage rate of 18% applied to past due balances. STATUTORY NOTICE REGARDING CONSTRUCTION LIENS: ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.27, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER". FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. I HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT. .Purchaser: t<J/-;~ ,/' "~,"}.-(i,) By: 6//3/08 Date Q..<..Ifl.L.)- Title Purchaser: Pasco County Parcel: 10-26-21-0120-00000-0270 001 Page 1 of2 Sei"lLcb Again Show--"1aQ Generalized Building Schematic Estimate Taxes FreQ.!.JJilltly Asked Questions Other Agency Data: Tax CQllector School BO.ard Supervisor of Elections Data Current as Of: Parcel ID Classification Mailing Address DORAZIO ADAM L & HELEN & TRAINA DEBRA A DORAZIO 5920 NEWBERRY CT ZEPHYRHILLS, FL 335427935 Physical Address 5920 NEWBERRY CT ZEPHYRHILLS, FL 33542-7935 Weekly Archive - Saturday, June 21, 2008 10-26-21-0120-00000-0270 (Card: 001 of 001) 01 - Single Family Assessment (totals) Ag Land Land Building Extra Featu res $0 $17,934 $97,578 $400 !..~D~scription (First 4 Lines) WEDGEWOOD MANOR PHASE I & II PB 27 PG 11-14 LOT 27 OR 4121 PG 1267 Total Assessment Save Our Homes Homestead Exemption Non-School Additional Homestead Exemption $115,912 $82,134 - $25,000 - $25,000 Non-School Taxable Value $32,134 School District Taxable Value $57,134 Warning: A significant taxable value increase may occur when sold, Click her_e for details and info. regarding the posting of exemptions. Acres 0.18 Building Information Year Built 1989 Exterior Wall 1 Above Average Roof Structure Gable or Hip Interior Wall 1 Drywall Flooring 1 Cork or Vinyl Tile Fuel Electric A/C Central I 30ZH II FEMA Code I Use 01 - Single Family Residential (Card: 001 of 001) Stories 1.0 Exterior Wall 2 None Roof Cover Asphalt or Composition Shingle Interior Wall 2 None Flooring 2 Carpet Heat Forced Air - Ducted Baths 2.0 Line 1 2 3 4 Description FSA BAS FGR FOP Sq. Feet 84 1,434 340 20 Repl. Cost New $2,118 $104,725 $9,932 $365 Line 1 Extra Features (Card: 001 of 001) Description Year I Units DWSWC 1989 I 260 II II Value $400 1999 1992 03 10 Sales History BILLINGTON MARGARET TRUST Book/Page 412U 1267 3080/ 1598 QC ount Previous Owner Year Month http://appraiser.pascogov . com/search/parcel. aspx?sec= 1 0&twn=26&rng=21 &sbb=O 120&b.. _ 6/23/2008 P~sco County Parcel: 10-26-21-0120-00000-0270 001 Page 2 of2 1991 04 2005 I 0933 WD $66,500 Search Again Show Map Generalized Building Schematic Estimate Taxes frequentlY_Asked Questions Other Agency Data: Tax Collector School Board Supervisor of Elections http://appraiser.pascogov .com/search/parcel.aspx?sec= 1 0&twn=26&rng=21 &sbb=O 120&b... 6/23/2008 .JlJRfSDIcnON:iOF yOUR jCBOICE~' . . :_BlJRi~.t)EP.ARrMENT . RE: JimDit# 'lClcj1 ' ' . , ' 9/17/07 .r , ' JnsDectioD AffidaVit. .1 .J<,v,,, ~-I~ (plaseprmt1l8mc3Dd cin:1eLic. Type) ,liccmsed:"as a(n) Coritractor* lEngineer/.AIchitect, , ,: 'FS 468 Building Jnsp~=~ License' #; (" ~ L \~;) ~YT'l~ On or-about ~~:Joor /~' \~: .aoP"", , I did ~,~y inspect-the rIJ!lf' , , . .. (Dato&1ime) .' ! " .. ' " I . water barrier. werle at . . . , ~~O N~ ...Rorl CT.' " (lab Sita Addnsl): <.~~L\~ , , Bucd upon that AYSI'I1:IUuttion I have c1mmImed ,the installation ~ done according to the H~~MamJal~01\S53.844F.S.) . ~ ~ : .. . STATE OF FLORIDA COUNTY OF' : Swam to ~ subscribed b~ me ~day,of ~LMD ~ ,. . , , ~-.' ;., .' y ,.' , .,; Notary P1lblic, State ofFlf?rida .200.3. ,,,~~ NOllIIy PUDlie s~ 01 FIClrtcla . . . . Cllftllllll A""." ~c '8 MyCommIlltonDD7!l1Cl'O ~ at ",Q'" Eapinls 01/24/2012, , :, G~~. ~~ i ~ type or stamp name) CommissiolL No.: Pcnlcmally known or Prodnced IcJmtificati.OJ1 Type of i4e:r:rti5caticm produced. ~ ~ Buildm.. bidIIItia1. or~ CcmIrIcIDr ~ auy iDdividua1 catlfiecl ~468 i.S. 1D JDIIlmSllCh III :mspoc:llcrll. ~ ~fDSlIIJIbI of aIlI:lhp1ac oltbe NOfwiGl t1Ja pamit lllor ~# c:1111Dty 1daowIi.:mmkt;d 011 the dec:k; 1br r::adI.UIlipCl:Ucm. " I I' I Goonoo If) X~j ll:Pl 8002:/9G/90