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Home My WebLink About09-9322 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9322 ' • BUILDING PERMIT a a :'',.. $ v ., 4t w a : • :.,', dC & l i k* Es r �.,�� v °' * ` ?y . V 3. ae s r a ma's! �a 1�.� r r,, t � b,�r.�. � a : . Permit Number: 9322 Address: 37418 TEABERRY LOOP Permit Type: RE -ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: WEDGEWOOD MANOR Est. Value: Parcel Number: 10- 26 -21- 0120 - 00000 -0130 Im rov. Cost: 4,800.00 z° 1" ' Date Issued: 7/07/2009 Name: VELEY, RICHARD & BETTY Total Fees: 55.00 Address: 37418 TEABERRY LOOP Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 7/07/2009 Phone: (813)355 -4343 Work Desc: REROOF TIMBERLINE WHITE 30 LB t ` 4S ; " :' 17 s 2" " . � 4:1C 4 :4 a'C. �,: w, .w ev, wy . ''' 4 *' 4r3; .s ' s ''_ M .R. WILSON LLC REROOF RESIDENTIAL 55.00 ,, _ 6 ti. i‘.....Lez5z,,,,2,7,4_._ k 7-3--07 0 /f , c 5:at-di;1 , ie--. 1 cpi l a-Zitd.,“-,-(4-, er.. 1 DRY IN ROOF INSP 3111 TAPE JOINTS ROOF INSP /] , FINAL �' I I` I 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 recording your notice of commencement." ii 1 CONT TOR SIGNATURE PERMIT OFFI or R P ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 10- 26 -21- 0120 - 00000 -0130 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: I Weekly Archive - Saturday, July 04, 2009 I Parcel ID I 10- 26 -21- 0120 - 00000 -0130 (Card: 001 of 001) Classification I 01 - Single Family I Mailing Address Property Value VELEY RICHARD A & BETTY A Ag Land $0 37418 TEABERRY LOOP Land $19,094 ZEPHYRHILLS, FL 335428605 Building $74,714 Physical Address Extra Features $390 37418 TEABERRY LP ZEPHYRHILLS, FL 33542 -8605 Market Value $94,198 Assessed (Save Our Homes) $94,198 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision .' Non- School Additional Homestead Exemption - $25,000 WEDGEWOOD MANOR PHASE I & II Non- School Taxable Value $43,698 PB 27 PG 11 -14 School District Taxable Value $68,698 LOT 13 Warning: A significant taxable value increase OR 7542 PG 1146 may occur when sold. Click here for details and info. regarding the posting of exemptions. I Land Detail (Card: 001 of 001) Line Il Use I°Descriptionll Zoning II Units II Type II Price II Condition II Value 1 II 0100 II SFR II 00R4 II 4,500.00 II SF Q $4.22 II 1.00 II $18,990 I I 2 II 0100 II SFR II 00R4 II 345.00 II SF II $0.30 I 1.00 II $104 I I Additional Land Information I I Acres II 0.11 II Tax Area II 30ZH II FEMA Code II X IlResidential Code I WDGWLP1 I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) I Year Built 1989 Stories 1.0 Exterior Wall 1 Above Average 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 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 I Line II Description II Sq. Feet II Repl. Cost New I 1 II BAS II 1,434 II $82,455 2 I I FGR II 340 I $7,820 I 3 II FOP II 20 I $288 I Extra Features (Card: 001 of 001) I Line II Description I Year II Units II Value I 1 II DWSWC I 1989 II 260 II $390 I Sales History I Previous Owner I ARMSTRONG EARL & LILLIAN I Year II Month I Book /Page II Type II Amount I 2007 II 06 I 7542 / 1185 11 QC I 2007 II 06 I 7542 / 1146 II $0 II TR II $123,000 I 1994 II 07 3314 / 1085 II QC 1 $0 http: / /appraiser.pascogov. com/ search /parcel.aspx ?sec= 10 &twn= 26 &rng=21 &sbb= 0120 &bl... 7/7/2009 � • • �1 , STATE OF FLORIDA _ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION a .. { CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 WILSON, MARK R INDIVIDUAL 12406 TAMPA MARJORY AVE FL 33612 ST IE of Fta�a AC# 3 9 7 7? $ Congratulations! With this license you become one of the nearly one million ,_ Floridians licensed by the Departmer t of Business and Professional Regulation_ 4 D E OF BIfSIN AND . Our professionals and businesses range from architects to yacht brokers, from PROFSSSTON"I, REGULATION boxers to barbeque restaurants, and they keep Florida's economy strong CRC003682 0 08600 Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. CERTIFIED RESIDENTIAL CONTRACTOR There you can find more information about our divisions and the regulations that NILSON, MARX R ' impact you, subskxibe to department newsletters and lean more about the INDIVIDUAL Department's initiatives. - miSsion at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! IS CERTIFIED under tho provisions of - cn 4s9_ rs axpiratim dace: AUG 31, 2010 L¢80905014Z9 , DETACH HERE Au. 397778 FL ORIDA - DEPAR ¢ o. r _ + -tom is PROFESSIONAL REGULATION s ' 4 a,rt Y - LICEN ING : BOARD a, • r SE LtF$t1905d1429 DATE BATCH NUMBER LAC- -.0 5 2:0:08 0860 2 - 23 f: R 03682 ,The RESIDENTIAL C" - - _ , 3` Named below 15 CERTIF Under Expiration date: AUG 31, 2010 - e.-ELaaSON , MARX R t �c 't s s a � 3:21)05'- HOPE - - z ! f v • a f TAMPA F 3 F HARLIL -GRIST - _ •. CHARLES W. DRAGO GOVERNOR ate; , ` SECRETARY ::, UIRED BY LAW • M.R.WILSON LLC 218 E. Bearss Ave. Suite 332 Tampa, Florida. 33613 State Licensed Contractors and Consultants CRC 003682 Since 1972 To: Whom it may concern.. Building Departments Re: Authorized signers Two persons are authorized to sign any or all documents, contracts and company checks as follows: Mark R. Wilson 218 E. Bearss Ave #332 Tampa, Florida..33613 FDL# W425556443300 Richard L. Bray 218 E. Bearss Ave. #332 Tampa,Florida..33613 FDL# B600752480130 �.....C. Mark R. Wilson i ---) —' Notary Tereza P. Garret �� , -� • DN. � Seal: ;; '"';; TEREZA P GARRETT . MY COMMISSION* DD6352e2 ' ' �- EXPIRES November 03, 2012 (407) 398 - 0153 FloridallotaryService.com Phone 813 - 404 -4952 Fax 813 - 354 -2779 Bob Vila approved contractors ACORD CERTIFICATE OF LIABILITY INSURANCE DATENAVCONY) 04/17/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ace Underwriting Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5305 W. Broward Blvd. ALTER TIC COVERAGE AFFORDED BY THE POUCES BELOW. Plantation, FL 33317 954-581-0202 INSURERS AFFORDING OVERAGE INSURED M. R. WILSON LLC INSURER A SEMINOLE CASUALTY INSURANCE CO INSURER B: 218 E BEARSS AVE, #332 INSURER C: TAMPA, FL 33612 INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREMI IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ASR POLICY EFFECTIVE POLICY EIMNA110N LTR TYPE OF INSURANCE POLICY NUMBER DATE IMPDDIYYI DATEISINENNYYI LIMBS GENERAL LABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Net one RN $ 100,000 CLAIMS MADE I X OCCUR ,,,ED EJRP (A we sweat) $ 5,000 A SCL- 000304106 -0 03/10/09 03/10/10 PERSONAL SADVINJURY $ 1,000,000 GENERAL AGGREGATE s 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 )-1-1 POLICY n PRO- n LOC — — AUTOMOBILE UABERY COMBINED SINGLE LIMIT ANY AUTO (Es accident) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (P° 1OAdent) PROPERTY DAMAGE (Per accident) GARAGE UABEITY AUTO ONLY- EA ACCIDENT S ANY AUTO OTHER TWIN En ACC S AUTO ON .Y. AGG S EXCESS LIABILITY EACH OCCURRENCE OCCUR I I CLAIMS MADE AGGREGATE S S DEDUCTIBLE $ RETENTION S S WORKERS COMPENSATION AND I T ORY LIMBS I I O R EMPLOYERS' LIABU TY EL EACH ACCIDENT S E.L DISEASE - EA EMPLOYEE S EL DISEASE -POLICY UNIT S OTHER DESCRIPTION OF OPERATIDNSUOCANC EVER IE EXCUJSIONS ADDED BY ETBORSEAEMEPECIAL PROVISIONS Residential Contractor CERTIFICATE HOLDER I 1 ADDITIONAL INSURED; INSURER LUTE CANCELLATION SHOULD ANY CF 11E ABOVE DESCRIED POLICES BE CANCELLED BEFORE THE IDIRBAT10N DATE THEREOF, THE ISSUES INSURER EMI ENDEAVOR TO ME 30 DAYS YBSTTEN City of Zephyrhills- Building Dept. 5335 8 St. NOTICE TO TIE CRW 1$ ICA1E HOLDER MANED TO 1$E LEFT, BUT MLURE TO DO SO SHALL Zephyrhills, Fl. 33542 MESE NO OBIOATION OR LUBIITY OF ANY KED UPON THE INSURER, ITS AGENTS CR REPRES AMES. .1 BIT AIWE 813- 780 -0020 ACORD 25-S (7/97) ® ACORD CORPORATION 1988 A m . 0 0 m ` = o n N N :•& 7 o m a C > Z r_ m o n . O CO Q Ui a U v< O r - - K n u CD n ' O CO TS CD C" 5 m • D s sr m Zm 1m _ 0 c) 5 Z _ N w ca Zu' m 0 a r 0 0 D jx y� z 0 w w FD - = m - O z • m - m � -u .� in -5 = _ � O v o > >u, n N. 73 O C a O w at W 0 m r- w-- Cw- 8i,› -i W o °C m -w m n G, xr0 tt,v� w n 3 a O z (n r. !n Z • = O 3 - *Ti ' 0 0 O z w C (.. C7 = Q N C o m m o O = o +n o CO - w i j f c a' i ? n O o _ cr Co S N N 1 Z 0 0 0 I Z to N C•3 O 0 C 0 ?m cn c 0 3 m o 0, m Z a m m c m s -< O - M CD E -p[' e C m O ` m t Cl •rs 73 w_ - yy • WZn c.- .. , q q m CI Of X r x 7C m w ii p -+ on M w- p E < r a, .e m -' m 4► o� iop 0 r � CO m a r a m m Da Nna al o t ✓ -t -� v to 1 r a . a 0 0 D T w x i • m x; i71 oa ° 1O ® < O 0 O 0. m 0 y 3 X a s as F a a W -I u) O •< w x m o — N 3 C § Z M . to 0 - -I X * Z C c 0 N m o0 Co X Z _ � w e CO op C it 3 g i O a. c.) N c C m v aC a to m = m - o o z o ° Employer Detail Page http:// www. myfloridacfo. com/ WCAPPS /Compliance_POC /wScripts /... ." EIC)RI[)A .. .w 4� FINANCIAL SERVICES Alex Sink Chid Financial O1learrufFlorida FLDFS HOME CONTACT US SEARCH BY SUBJECT HELP EN ESPANOL SEARCH FLDFS GO Workers' Comp Home About Us Employer Detail Page Assessment Rates Return to Query Form Benefit Delivery Process j Employer Information Centralized Performance System (,Employer Ch. 440 FL Statutes !Name !M R WILSON LLC Contact Us address X3218 E. BEARSS AVE. SLATE 332 !City !TAMPA Databases !State !FL !Zip 33613 !County liiMsborough Directory ;Employer !LIMITED 'NAICS Type ILIABIUTY CO. Code District Offices EDI Frequent Questions Exemption Listings History Name Memoranda /Bulletins MARK WILSON Publications Related Links Rules & Forms Safety ; Employer Name History Statistics Employer Name Name Type I Change Date What's New ! M R WILSON LLC I Legal I Current MY ffofa:rocen Return to Query Form TM Florida Division of Workers' Compensation - 200 East Gaines Street - Tallahassee, Florida 32399 -4228 • - Legal Notices A Under Florida law, e-mai addresses are pubic records. If You do not wait you e-rnad address released in response to a public records request, do not send electronic mad to this entity. Instead, contact this office by phone or in writing. 1 of 1 3/23/2009 7:00 AM Exemption Detail Page http://www.myfloridacfo.com/WCAPPS/Compliance_POC/wScripts/... ;X PARitt,f,NT w i 0 F 1 NANCIAl. SERVICES Alex Sink A ( hiefFinancial t )tliocr of Florida .. FLDFS HOME CONTACT US SEARCH BY SUBJECT HELP EN ESPANOL SEARCH FLDFS GO Workers' Comp Home out Exemption Detail Page Ab Us Assessment Rates Return to Query Form Benefit Delivery Process 1 Exemption Details Centralized Performance System 1 I i !Name i Title i Effective Date 1 *Temination Date I Exemption Type Employer Name i I Ch. 440 FL Statutes H-- , 1 M6RK WILSON i LE I lAr 17 2009 I Mar 17 2011 ■ 1 Constudion M R WILSON LLC Contact Us - 1 cm ma; oe :17 mra : ci :he ex,_.rr p:ica explial,or: cl! :re -;,-;.:11p:;: ,-,-,- o-n.:71a1■ by •E::;;:le 1:) ; ;5.31..a 11 .., i c-:xemp0 Databases Return to Query Form Directory District Offices EDI Frequent Questions History Memoranda/Bulletins Publications Related Links Rules & Forms Safety Statistics What's New M My F50,10. OOM TM Florida Division of Workers Compensation - 200 East Gaines Street - Tallahassee, Florida 32399-4228- - Legal Notices i. Under Florida law, e-mail addresses are pubic records. II you do not want your e-mail address released in response to a pubic records request, do not send electronic mail to this entity. Instead, contact this office by phone or Wanting. 1 of 1 3/23/2009 6:47 AM JUL -6 -2009 09:36A FROM: WILSON 8133542779 TO:3542779 P.1 M.R.Wilson LLC Roof and Repair Contractor 218 E. Bearss Ave. Suite 332 Tampa, Fl. 33613 Phone 81 - 404 -4952 Fax 813- 354-2779 State Licensed CRC003682 slime 1972 /6 /epBonded and Insured j E, /2 aOe 7 Shingle Reroofing a 9 y/ l ry t■,4f# At /J5 _3.1-f - f Effective October 2007 Code changes are included in your estimate/contract as detailed below: Shingles are to be completely removed including old felt to expose wood deck. Wood deck must be renailed using ring shank # 8 nails 6 inches on center. New 301b. felt or approved equal must be installed using approved fasteners. New pre painted eaves drip metal in choice of color. New 26 gauge valley metal. New lead flashings on all vent pipes. New attic vent system. Requires one per 1000 square feet of roof. Shingles are nailed using 6 nails per shingle. c w4 All projects are c upon complefion including use of nail magnets and haul away of all debris from this construction. Permits and inspections as required are provided. Manufacturers and contractor warranties are provided at completion with final payment. Wood in need of replacement is additional charge of S _ lit : ° per sheet plywood and $ per lineal foot of rafters or fascia. Wood replacement requiring removal \ + , Aluminum or screen roof attachment will be charged time and materials. Initial Myr 4); a°1 M JUL -6 -2009 09:361 FROM:WILSON 8133542779 TO:3542779 P.1 M.R.Wilson LLC Roof and Repair Contractor 218 E. Bearss Ave. Suite 332 Tampa, Fl. 33613 Phone 81 I • 952 Fax 813 - 354-2779 State Licensed CRC003682 sly= ; 972 4e/e and Insured ,.. e . � zoo 7 Shingle Reroofing a j) � ��' x dr J, t > Js _rat- Y.2 Effective October 2007 Code changes are included in your estimate/contract as detailed below: Shingles are to be completely removed including old felt to expose wood deck. Wood deck must be renailed using ring shank # 8 nails 6 inches on center. New 301b. felt or approved equal must be installed using approved fasteners. New pre painted eaves drip metal in choice of color. New 26 gauge valley metal. New lead flashinglss on all vent pipes. New attic vent system. Requires one per 1000 square feet of roof. Shingles are nailed us 6 nails per ear shingle. All projects are d e upon completion including use of nail magnets and haul away of all debris from this construction. Permits and inspections as required are provided. Manufacturers and contractor warranties are provided at completion with final payment. Wood in need of replacement is additional charge of S _,C. f.7°° per sheet plywood and $ , per lineal foot of rafters or fascia. Wood replacement requiring removal \ t Aluminum or screen roof attachment will be charged time and materials. Initial ao JO Cd dex- d1 T /2 9 40.1< 813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department Mod 3 Date Received 6 -1 V t Phone Contact for Permitting St 3 "i'o"c -- " j'4Sa- Owner's Name Richt/Kb t PLey Owner Phone Number &J JFF '043 3 Owner's Address ,39Y18 7 4I e4€i€/ Zt, Owner Phone Number Fee Simple Titleholder Name / iC/944 20 Ve.ey Owner Phone Number Fee Simple Titleholder Address 3 7//5 �� Lev/ .p2hlyivzis 6- 3FS32 JOB ADDRESS 371//g 7464-13eAity teof LOT # .(3 SUBDIVISION Wed. ,W4DQr /1/446•4 PARCEL ID# 4-46 – 4j..- -.512x0- C"1.30 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT SIGN I I MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE SFR I I COMM n OTHER I I TYPE OF CONSTRUCTION [ BLOCK -raw FRAME 1 1 STEEL n OTHER DESCRIPTION OF WORK Rera 0OF "' - 761-a. 1—a. OE --- kreu.S sj-t i 1SCCL S BUILDING SIZE i SQ FOOTAGE 4itte7 HEIGHT / 5m - r i BUILDING $ i O^O VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I I W.R.E.0 PLUMBING $ I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 GAS ilf ROOFING I I SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES LINO BUILDER /� 9 11/4! COMPANY P) R. W Wood SIGNATURE • K r1 /�, REGISTERED I Y / N I FEE CURRENT I Y/ N I Address a« E & S -#3 �I} v 4 336/3 License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y / N I FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address 1 License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I Address License # I 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 A/C 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 . Iae 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 INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.E OWNER OR AGENT r CONTRACTOR , � Subscribed and swo to o affirmed • - • re me this Subscribed and om to • r affirm • • efore me this b Q LL • 7 - 7-0 9 by ,'/Cd't +4O ,IVA o is are personally known to me or has ave produced Who is /a e,personally known to me or has /hav r oduced L. , C ) - as identification. �{ as as identification. 'P Y JACQUELINE BOGES Notary Public Notary Public s' �. JA m m D 62 1 833 ry u Commission : *�-: E.X•'res fission December 12. 201 i} Commission No. ":' . ,; . "16d •_ Commission DD 621833 Name of Notary typed, printed or stamped Name of Notary t • ?� or <.�" } cry Fa;n,ny„rancn wn - Sea -,r 11111111111111111111111111111111111111111111 NOTICE OF 'COMMENCEMENT 2009104759 Perm No. �� t • d.. Rept :1255686 Roc: 10.00 DS: 0.00 IT:0.00 Property Identification No.,10 A -Al- O / ), . o eoo0 - O / 07/29/09 Dpty Clerk 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. 1.Description of property (legal description:) We� , i ; rte. 074404 1 .2" _ 1 LoT 13 8&7 I(..,i' a) Street Address: : - . - - _.� , _ �S Z 2.General description of improvements: fe eooF 3.Owner Information / a) Name and address: R Q' 124 ✓e feY 3Tf* 7 Z wP Zee!. /L J15 2 b) Name and address of fee simple titleholder (if other than owner) _ c) Interest in property 4.Contractor Information • a) Name and address: M /+4K u)JC Sev✓ of /J9 E geitltd. rAmpf 3 3to13 b) Telephone No.: en ' `f ' feKi- Fax No. (Opt.) er 3 3 pi 779 5.Surety Information • a) Name and address: • • b) Amount of Bond: pAuca s. O'NEIL, PRSCO CLERK & COMPTROLLER c) Telephone No.: • Fax No. (Opt.) _ 07/29/09 09:35g 1 of 6.Lender OR BK 813 PG 1 560 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: R, Ml. 4,0 VeLdey 3141, reit &MAY 100 Zeva• - • b) Telephone No.: 113 J 9 JJ a. Fax No. (Opt.) •---- 8.In addition to him' elt 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: T aidoip O Bp4A.y P.o. 6cac 9725' I AH'1#" 1 331e" ' b) Telephone No.: f13 yi914 'J9r .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): 4f.cd m.k y ,4'7t. f' /S./ fl. D •e .Tc1t)' :ay 2:4= 0". WARNING TO OWNER: ANYPAYMENTS 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 ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE. OF COMMENCEMENT. . STATE OF FLORIDA �y COUNTY OF PASCO 4 �.I11 `-4 • 7 / -- Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager gle/34MD t/euy Print Name The foregoing instrument was acknowledged before me this 1/ day of t/10 t by A/L I 4 �P.LR as Ociadve e. • type of , ority, e.g. . fficer, trustee, attorney in fact) or . (name of party on behal of w)o , •.., ecuted). • Personally Known ✓ OR Produced Identification Notary Si:. , ature h t . G , ;: TEREZA P GARRETT : ' e MY COMMISSION # 352 Type of Identification Produced Name t) Tare zAa. A Go-Ada r ember 03, 201 (407) 396.0153 FlorideNotaryService.com 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. � V • FORMSMOC,rvsd2007 Signature atural Person Signing .Abov STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITN S MY HAN►- • OFFI . IAL SEAL THI . : DAY OF 'I , / *. .. ,= a P' ' ER & C' PTROLLE" • UTY CLERK