HomeMy WebLinkAbout09-9592 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9592
BUILDING PERMIT
Permit Number: 9592 Address: 5026 17TH ST
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 21400 -0220
Improv. Cost: 5,500.00 *'Ww )7, 7:3. f z, n
Date Issued: 9/30/2009 Name: MARSH, ANDY & AMY
Total Fees: 90.00 Address: 5026 17TH ST
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/30/2009 Phone: (813)322 -5708
Work Desc: INSTALL SHED 12 X 24
W EATH R' N EDS BUILDIN FEE 90.00
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FRAM- V
SHEATHING
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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 re • • • 'ng y • r notice of commencement."
4 /
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�RACTO A IRE PERMIT OFFI #R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Parcel: 11- 26 -21- 0010 - 21400 -0220 001 Page 1 of 2
Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, September 26, 2009
Parcel ID 11- 26 -21- 0010 - 21400 -0220 (Card: 001 of 001) I
I Classification 1 01 - Single Family I
Mailing Address Property Value
MARSH ANDY W & Ag Land $0
MARSH AMY F Land $26,502
5026 17TH ST
ZEPHYRHILLS, FL 335422148 Building $14,590
Physical Address Extra Features $0
5026 17TH ST Market Value $41,092
ZEPHYRHILLS, FL 33542 Assessed (Save Our Homes) $0
Legal Description (First 4 Lines)
Taxable Value $41,092
See Plat for this Subdivision .
TOWN OF ZEPHYRHILLS PB 1 PG 54
AKA CITY OF ZEPHYRHILLS LOTS
22 & 23 & SOUTH 15.00 FT OF
LOT 24 BLOCK 214
I Land Detail (Card: 001 of 001)
Line I) Use I °Description° Zoning 0 Units II Type II Price II Condition II Value
I 1 II 0100 II SFR I 00R2 0 8,400.00 II SF 0 $3.06 II 1.00 II $25,704
I 2 II 0100 I SFR II 00R2 II 2,100.00 II SF II $0.38 II 1.00 II $798
Additional Land Information
I Acres 11 0.24 II Tax Area II 30ZH II FEMA Code II X °Lesidential CodeII ZHLHLP2
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1951 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block 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 Gas Heat Convection
A/C Window Unit Baths 1.0
Line II Description II Sq. Feet II Repl. Cost New
1 1 II BAS 686
I 2 II UGR I) 336 I $3,601
I Extra Features (Card: 001 of 001)
I Line 11 Description II Year II Units II Value
I No Extra Features
I Sales History
I Previous Owner 11 COLE PHILLIP W & DIANNE E
Year II Month II Book /Page II Type II Amount
2006 02 I ) 6850 / 0227 II WD II $71,000
I 1992 II 03 II 3003 / 0881 ( WD II $29,000
I 197 II 01 I 0605 / 0603 1 I $11,000
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http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng=21 &sbb= 0010 &b... 9/30/2009
813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021
Building Department frqet
Date Received q- 25_0 Phone Contact for Permitting (2 3 / 3 7S' 3 -- S�
Owner's Name f ° y AND 1 ) 1 1 R RS 1 ( Owner Phone Number � r / �.:1 3 - 57D •
Owner's Address 50 c26 ' 1 - 71k s77 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5 1 -7- { -1 ' S- LOT #
SUBDIVISION PARCEL ID# 1 L`"'a oZ/Q —oVSd° ago J6)6-(
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT n S IGN I I MOVE 1 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 1 SFR 1 1 COMM 1 I OTHER I
TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME n STEEL I OTHER I I
DESCRIPTION OF WORK � 21- V r j
BUILDING SIZE c,2 x c9,1-/ SQ FOOTAGE °2 F J HEIGHT / c a r
BUILDING $ � ) VALUATION OF TOTAL CONSTRUCTION
I I ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C,
1 1 PLUMBING $
I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION A)d
I I GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES nNO
L M ' ■ l 'If�iQ 5 111Witt n ".
BUILDER 'j !I ' �� � $ ` COMPANY a6 # - 0
L- �� 7 �
SIGNATURE ��I� REGISTERED Y/ N I FEE CURRENT I Y/ N 1
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y N 1
Address License # 1
MECHANICAL COMPANY
SIGNATURE REGISTERED Y / N I FEE CURRENT 1 Y/ N I
Address 1 License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/ N I
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. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large 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 w/ 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.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C 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 (Plot/Survey /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 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU ,k TEND TO • TAIN FINA CING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y •!1i OTICE • , 0 • MMENC : ENT.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR • PIM
OWNER OR AGENT Subscribed and s • to (or afflrme• before me this
Subscribed and sworn to (or affirmed) before me this 9 _2.$ c1 by
by Who is /are ersonally known to me or has /have produced
Who is /are personally known to me or has/ have produced -- —- as identification.
as identification.
� C Notary Public
Notary Public l
Commission No.
Co fission ;�t^� fie . JACQUELINE BUGES
h.51 :* Commission DD 621833
y i 'Is - r , 2010
Name of Notary typed, printed or stamped Name of Notary �,,.,q,`, • ri ° ° ,. Insurance M.3804010
CITY OF _ZEPHYRHILLS BUILDING .DEPARTMENT
OWNER lvQ / A-) /_D / Y ,e Srg
JOB LOCATION s �-
PARCEL I.D. f$ / / — � — 34 'v / c/
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING .DIMENSIONS '& SETBACKS.
}
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR—
MATION. FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR R1, R2 ZONING
2. SETBACKS FOR R3 ZONING
60' 60'
10' 10'
—P E
•
X
O
10' P S 10' 10' EXISTING 10'
O T 1 0 '
S 1 1 0'
E N
D G PROPOSED
20' 20'SGL FAM 30'DUPLEX
FRONT PROPERTY LINE FRONT PROPERTY LINE
AUG -05 -2009 11:21AM FROM- REDI -BILT +1 270 623 6054 T -526 P.002/002 F -509
VISTA MARKETING PORTABLE SHEDS '
��� ;' 3161 Hwy 301 South Zephyrhiils, FL 33540 �s �'
fi r,.- PH: 813 -788 -5459 Fax: 888-485-8082 •- .1
SALESMAN: (._,_/...(< L. C S 7JJ DATE:
ORDER _ TR ' TE • -- P""'°°
ON LOT NEW — \ , ruck atter, if needing ire/eatery to replace) PAINTED 1 I Mated (check order, If needing inventory to replac
ON LOT USED
Roof Color
SIZE Side Color
BARN x Trim Color
LOFTED BARN x
SIDE UTILITY x L 1 / 3 f. 3 P Lf 6 °
UTILITY _ x INVENTORY # -
COTTAGE SHED x
GARAGE x OPTION DESCRIPTION 4; L , 8 COST
SIDE- LOFTED BARN x 1 _-
CABIN x 2 _
LOFTED BARN CABIN x 3 -
PURCHASER NAME C= < j4/ 1 41-N
NAILING AppRFSS 52 7 • ! R 9 :IJ2
...•• li y /
HOME PHONE: ( . 3"- -- 3.,_-7-. --- 57g
WORK PHONE;
OTHER:
CASH SALE pEJ4T Td-0WN - . I,E f C
1 SALES PRICE $ 1 SALES PRICE $✓�� F
2 OPTION COST (Describe Above) $ 2 OPTION COST { Describe Above) $ _ ,
3 TOTAL PRETAX COST (UNE 1 + LINE 2) $ 3 TOTAL COST ( LINE 1 + UNE 2) $�� f'
40 STATE SALES TAX 4 POWNPAYMENT AMOUNT $
4b COUNTY SALES TAX % 6 NET DOWNPAYMENT ( UNE 4 1 UNE iic) $
4c TOTAL SALE$ TAX % (UNE 40•UNE 4b) % 6 AMOUNT TO RTO ( LINE 3 • Lino 8 )
3 TOTAL SALES TAX (UNE 3 X LINE 44) 7 MONTHLY PAYMENT ( LINE 6 1 21.6) $OR S 43
6 TOTAL COST WITH TAX(LINE 3+UNE 4c) $ 8a STATE SALES TAX
7 AMOUNT RECEIVED $ 8b COUNTY SALES TAX 9L,
Sc TOTAL SALES TAX % 4°
9 TOTAL, SALES TAX (LINE 7 X LINE 8c) $
1
■
y�
DRAWING 1Q TOTAL PAYMENT (UNE 7 + LINE 8) ! '� /�T//
� 1
11 SECURITY DEPOSIT ($1001 ;1501 ;top) _,.,, - , �
12 TOTAL RECEIVED ( Method ) S '•-•?(' DOORS FACING
DIRECTIONS
Weather King and its agents are= responsible for permits, setback;, restrictions, covenants or anchoring. Please contact your local
cedes depenment or Homeowners Association. n la up to the Customer to decide whether ground conditions era
cuitahln for dollvery. 'Weather King is na
includes °n° tap: additional 1 t b • - • driveway h demise. Fm
1a delivery r od t ono leveling logluo
and null kW may infer .a.�. . Y • . sterner. 1, rrro a:ta ,nova roof gla di
ada°utr **vv. y accept eem�. prow.. - m.A.0 7 6-- nun w..... r.,. e.n.....,.., ... nn.. wft. p...... o,-,
Customer Signature: -% ....l r� e-`^-./
J
e
PMB Rentals, LLC Rental Purchase Agreement FL Page 1of2
P. O. Box 489 - Paris, TN 38242 Mail Payments To: Dat
tr Telephone (731) 642 -0006 Fax (731) 642 -0833 P. o. Box 52333 - Lafayette, LA 70505 -2333 ' "
Renter: R / ,i I at "'xS 5 � y ' i� °
Address ,r — a ;State` r 4 art t�P
Hm - hone -.15 'a* 14 4"- A �►
Own Horne a r 'Rent? Landlord 'Ph L rtdkwrd NarnfY: a
Co Renter: 'Date of BirthSpi"
Cen 1 Employer: Wk Phoney )
Name: ,.-- 4, 4 e_ _.
C" C A - A - �- 1 Nam2: l _
Address: 2 Address: 94 J t '
City State z ip. City State Zi /� G-
a, p. /.. A k< t it ,i7e,„ v� 1 1 l� r
¢ Phone: 4 ) � � -- c Phone: ( 'r�
TERMS OF AGREEMENT
This agreement made and entered by and between PMB Rentals, LLC (or its successors or assigns) having its principal place of business at 309
N. Market St., Paris, TN 38242, in Henry County, Tennessee, hereinafter referred to as "Lessor" and "Renter," named above. As used in this
agreement "you" and `your" mean the person or persons signing this agreement as renter. "We" and "our" mean the Lessor /Owner (PMB Rentals,
LLC). "Lease" means this Rental Purchase Agreement including all disclosures.
RENTAL PURCHASE DISCLOSURES
1. LEASE TERM: The term of this agreement is for one month Renter may renew this agreement for consecutive
terms of one month by making rental paym n s in advance for each additional m nth Renter wishes to rent the property.
The rental payment per month is $ + Sales Tax $ 17/ _ $�? t $. per mont Sales Tax and
total payment amounts may change to reflect any sales tax rate changes enacted by applicable governmental taxing
authorities. The rental sa ment is due on the 1st, 5th,. 10th or 15th cwic uE r�aTE) day of each succeeding month.
2. DESCRIPTION OF PORTABLE W AND EQUIPMENT LEASED:
/. . C 4= 2 1 ✓1( 1#7e '
3. CONDITION OF THE PROPERTY: New Used (check one)
4. INITIAL RENTAL PAYMENT: Your i nitial rental payment will ink ude the following charges:
ent ., ales Tax they �„ Total 1 7
5. OTHER CHARGES:
In -house Collection/T Charge (+ applicable sales taxi Reinstatement/Late Fee (+ applicable sales taxi Max 5 -Day Grace Period
$300.00 $5.00
6. TOTAL COST: If you choose to rent to own you must renew this lease for the following number of months . The Total Cost indudes
all costs included in the initial rental payment but does not include other charges you may incur such as Tate fees, default, pickup or
reinstatement fees, ese charges are explained elsewhere in s a�ggr m-.t. You acquire no o wnersh ip rights in the property until you
36 Months @ � „�, , 4 /m for a total cost of $ r,
`y' - # have made the number of payments indicated herein.
7. OUR CASH PRICE FOR THIS PROPERTY IS: $ plus sales tax
8. EARLY BUY OUT OPTION: If you w to purchase the rental property you may do so at any time by the payment of
60% of the remaining Total Cost calculated at that time plus sales tax and other fees and charges.
9. RISK OF LOSS: You are responsible for the fair market value of the property if it is lost, stolen, damaged or destroyed.
10. REINSTATEMENT: If this le ex pires and you return the rental property upon request, you may reinstate it within 60 days o
t e expiration sate sy paying any rental payments and other charges that are due including a $5.00 reinstatement fee. You shal
have the right to reinstate the agreement without losing any rights or options by payment of all past due rental charges, the rea-
sonable cost of sick -up, re- delivery, and refurbishing, and any applicable late fee within five (5) days of the renewal date.
11. TERMINATION: You may terminate this Agreement without penalty by voluntarily retuming the merchandise at the end of any lease terr
and paying all rentals and fees due to that date.
SECURITY DEPOSIT: At the time of the execution of this agreement, the Consumer shall pay us a security deposit in the amount
$ , r- to be held by us as security for the performance of all terms of this agreement and including, but not limited to, the payment or
redelivery charge. Such deposit (or such part thereof that has not been applied to remedy defaults of you) shall be refunded, without intere:
only on the expiration of the term of this lease, if all obligatons of you have been performed or discharged and you exercises option to purchas
There is a charge to pick up or redeliver the property. We from time to time use the proceeds of the deposits to apply towards any breach
you of the terms of this lease and, in the event of such application, upon demand from us, you shall restore the deposit to the original amour
NOTICE TO LESSEE:
(A) DO NOT ; gn t ' Rental -Purr se Agreement before you read it or if it contains any blank spaces.
(B) You are ti o an exa py of thee Purchase Agreement you sign. Keep it to protect your legal rights
RENTER: '' r � jr' -�� - e .. ,, . to CO- RENTER: Date
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111 111111111111111111111111111111111111111111111111111111111
2009136844
Rcpt: 1265404 Ree: 18.50
DS: 0. IT: 0.00
09/25/09 __ Dpty Clerk
PAULP S. O'NEIL, PASCO CLERK & COMPTROLLER
09/25/09 0 1 o 2
NOTICE OF COMMENCEMENT OR BK P6 30
Permit No.
a Property Identification No. 1 ( /0 — .Z /1/4:%C) / 1-0 c 7 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 inform on provided in this NOTICE OF COMMENCEMENT.
Art Q D _
1 .Description of property (legal description:) (� �i y ZP,Oht /r /fi /6 P9 / �� 5 LO /S a 3 l Ka
a) Street Address: �j O 6 17 - r z / . j oi j Jl rj1 ( 1(S 1- - - "4 V <5 �
2.General description of improvements:
1-'t D PI T i o itl `� �c >�'l 57- ��1�
3.0wner Information
a) Name and address: AND A \ �Y G ? II Ie s 6 Z _ /'�� S.
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
' N4.Contractor Information 3 / ( o / E3 .E 0J? k F -7)/1,-//5 /. (4i-z_ 8 /1!i) ,3"5".
a) Name and address: lam/∎/ . 61 Lrk l / t� /VQ L 5 t/ — w� / �'t� r �Z/
b) Telephone No.: 13— 1-6 9 - ‘7 Fax No. (Opt.)
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and address:
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):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE 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 THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN AT RNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ,s � tas,rtrry .��� 5„
STATE OF FLORIDA " � * 4° COUNTY OF PASCO i " ^* >';f
Signatur of Owner or Owner uthoriz d Officer /Oijrctor/P'a erI1 pa •�.� ��
4 , L
Print Name w r
The foregoing instrument was acknowledged before me th is d �J day of cc:C PTc#2l 6 '� 20C)7, b f
l4 - r' -( as a of authori ty, e.g. of
in fact) for (type tcer, trusf�e } tey
(name of party on behalf of whom instrument was executed): '
Personally Known OR Produced Identification Notary Signature C e „..e 4.4
Type of Identification Produced Name (print)
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
FORMS /NOC,rvsd2007 JUNE C sum= Signature of Natural Person Signing Above
4 MY COMPAIS *
sown
-,::',"177` ' ---- °.
j
1
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: Cvdk Skterl
1
Date Received: QJ - z5' o
Site: I J 21, / 7 c. S7'
Permit Type: \4 / Z-x Z)/
Approved wino comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑
I it Se-,- S 4tigk.0 60 mat.
. - it a i ,.i A + .. A./ / 1/ r 1
a e't c 0 sip
1
3 ) 04 Alt
5k0/
1 P
LI) Ito
tteCJfi fl 4 4 ' ar �„ 6' „ tc dee e
to 44 00 I /J-efol IA
This comment sheet shall be kept with the permit and/or plans.
���� , /�
7 - 1 7 1 ,,,,
Kalvin witzer — P1 aminer Date tor . - ' omeo e
(Required when comments are present)
1
CITY OF / / OT10E" BUILDING
ZEPHYRHILL'S DEPARTMENT
OF ADDITION OR CORRECTION
DO NOT REMOVE
ADDRESS DATE PERMIT #
.Sa , g4 /7 ,I- 4 /3- 6 7 s 9a--
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
, p40,-- c,0 ,
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered, any part of the work with flooring, lath, earth 780 -0020 FO - INSPECTION
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON. -FRI. INSPECTOR --1