HomeMy WebLinkAbout10-10659 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10659
PLUMBING PERMIT
Permit Number: 10659 Address: 5434 7TH ST
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 10000 -0130
Improv. Cost: 989.00
Date Issued: 6/30/2010 Name: McLEOD, DONNA
Total Fees: 52.50 Address: 5434 7TH ST
Amount Paid: 52.50 ZEPHYRHILLS
Date Paid: 6/30/2010 Phone: (813)334 -6417
Work Desc: ADD URINAL, 3 COMP SINK, HAND SINK, MOP SINK & MOVE WATER CLOSET
Iv, Walk Lie
RITE -FLO PLUMBING CO TAMPA PLUMBING FEE 52.50
111
vA
11
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL - 7-7-10
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 a 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
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
ik 410
CONTRAC • PER OF I • =
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO ►
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARS FROM WEATHER
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.CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER Ka(' /,-) Ovi•N
JOB LOCATION - k - 1 kG. -
PARCEL I.D. " #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
Fl
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Jam' �.. �i ! �'
EX ‘-‘61-'ri. 2 . .
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i
UTILITY BUILDINGS 9
MUST SHOW SIZE & l
FOUNDATION INFOR- Ex , '�
MATION. F T PROPERTY LINE
(NOTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR R1, R2 ZONING 2. SETBACKS FOR R3 ZONING
60' 60'
- 10 ' 10' •
-P E�
R X •
O I
10' P S 10' 10' EXISTING 10'
O T 1 0' 140'
S I
E N
D G PROPOSED
20' REVUE'
20'SGL FAM 30'DUPLEX
T E _ - �10
FRONT PROPERTY LI WTY OF ZEPHYRHILLi - FRONT PROPERTY LINE
PLANS EXAMINER <<)
813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021
Building Department
Date Received f - 2 4 - 1 0 Phone Contact for Permittin. 8 t3 Z (o --
Owner's Name . �.�.N .a3 N N -C C . Owner Phone Number / l v " 1 CLk 2f
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address C
JOB ADDRESS 5 � S I A LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR IF1 ADD /ALT I I SIGN f] n DEMOLISH
INSTALL REPAIR
PROPOSED USE I I SFR ® COMM I I OTHER 1
TYPE OF CONSTRUCTION ® BLOCK I I FRAME I I STEEL I-1 I I
DESCRIPTION OF WORK A 4A, r ^+tt+. -` t 3 C.), - ip j��` �flo.a� 5 :t a�C Acy 61\■•• , (ACu't, 4 01 -
BUILDING SIZE SQ FOOTAGE HEIGHT
1 (BUILDING $ VALUATION OF TOTAL CONSTRUCTION
41////
(ELECTRICAL IiiIIIMME1111 AMP SERVICE" :` I I PROGRESS ENERGY I I W.R.E.C.
(PLUMBING $ 1111 p9 t Cpc-e)Accu-r
1 (MECHANICAL $ Y ' UATION OF MECHANICAL INSTALLATION I SL1
t- s ^
�j
nGAS I 1 ROOFING [ SPECIALTY I I OTHER c �CerrLi 9 H
(p
to
FINISHED FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO r
QGt. hfi , ?5 "i
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N 1
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address License # I
PLUMBER COMPANY � rG F D QAu NvbT� l� , �a ✓�QA.
SIGNATURE / \ REGISTERED I Y/ N I FEE CURREI I Y/ N I
Address License # I C F 1, 1'{ 2111 I
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address License # I
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURREN 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 $7500)
** 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 if shingles 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. 1 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. 117.03)
OWNER OR AGENT CONTRACTORL
Subscribed and sworn to (or affirmed) before me this Subscribed and swp� y ffirmed) before me this
by , Zr f (O by Who is /are personally known to me or has/have produced Who is /are p rsonally o me or has /have produced
as identification. L - i t e- 0(.Se.- as identification.
Notary Public
)
AL,(41., Notary Public
Commission No. C ssion o.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
f .1-1/
City of
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: '-'�i 4 76 PAGfAk1/217
Date Received: _ ZJ _ / 0
Site: q 3 (L 7i 7
Permit Type: f ,YlcC k-i 73dJ11 re 21w
Approved wino comments: ❑ Approved w /the below comments: ❑ Denied w /the below comments: ❑ F-Qc.k &Atm., s fa be 'I/1-D ir 3 ii4p144/7.
l)
ok) Gr� rn CiOar s i Sco to 04rl
Lo Lill Q &e f tc de) S in l'e
2) M\fo0vYi hp vp _a erg 11\c ju ;31
1 0 -( PIG' 1 ik ( " I A e
Ge AcCcxdp C -�
&oo :13C,
ST) /1-11 Concr [c 6r L'e op s tc, j ( 6-P
for crki - PS q (- - i.PI E4j(J1) Pks+rc
3 co nip (AA ( Lave a_ s Ali r —
This comment sheet shall be kept with the permit and/or plans.
Kalvin S 'tzer — P1 xaminer Date Contract and/or Homeowner
(Req ed when comments are present)
JUN -24 -2010 22:04 FROM: TO:7800021 P.1'2
(0 °V.°
kite- Flo "Plumbing Co. Tampa Estimate
315 :Brandywine Dr.
Valrico, FL 33594 Data Estimate
6/22/2010 3434.10
Name / Address
Derrick Sales
5434 7th St.
Zephyrbills, FL.
Project
Description City Rats Total
Provide and install urinal and slush valve in miens bathroom. 0.00 0.00
Re loans toilet in Mane bathroom
Install 3 comp sink
Wall hand sink
WW1 mop sink
Pall plamibng permit
urinal 1 125.00 125.00
flush valve 1 99.99 99.99
mice materials for job miss pvc fittings, pipe, and cpve pipe and 1 35.00 85.00
fittings
labor rata fox 2 men 8 35.00 610.00
permit for job 1 100.00 100.00
'Authorize tba above workto
# Via
Thank you fbryour business. Total
Page 1
..- _ ,_,.,. • LL 1 -tarty4 on :AG1
JUN -24 -2010 22:04 FROM: TO:7800021 P.2'2
Rite-Flo Plumbing Co. Tampa Estimate
315 .Brandywine Dr.
Valrico, FL 33594 Date Estlmata#
6/22/2010 5434.10
Name / Address
Derrick Saks
5434 7th Se.
Zepbyrhillc, FL
Project
Description Qty Rate Total
I Agree to woil
Brice
'!Thank you for your business.
Total rS ,oa9.99
Page 2
iiT 7011i3O0_11 ■UnR4 ZR:AR RC,- b7. -PR
a13 -780 -0020 City of Zephyrhills Permit Application - ax- o,s- rou -uu21
7� Building Department
•
•
•
Date Received Q V Phone Contact for Permitting 4313 'k Z (o - 1136
Owner's Name . �e>J �( �� N ' C. n ' Owner Phone Number /1 - Z IS4
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �1 C
JOB ADDRESS \ 5A- LOT #
SUBDIVISION PARCEL ID#I
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ® ADD /ALT 1 I SIGN n n DEMOLISH
INSTALL n REPAIR
PROPOSED USE n SFR ® COMM I OTHER
TYPE OF CONSTRUCTION ® BLOCK Q FRAME I I STEEL n
DESCRIPTION OF WORK Q 1, ^ l.) , r"m r tc \ S�^' / �A' b "' k • AK) , CnOU'G
BUILDING SIZE SQ FOOTAGE HEIGHT
[]BUILDING $ VALUATION OF TOTAL CONSTRUCTION
[]ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. IBC D lArt!,141
PLUMBING f.,
I 1MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (fir Dru411 ^ yy
,V er sc�G G�
1 I GAS n ROOFING n SPECIALTY 1 $ OTHER / p
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA []YES NO N 1
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N 1
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURREI' 1 Y N
Address (� License #
'k
PLUMBER COMPANY ';^c: - F a nrVb)w
SIGNATURE i �J / REGISTERED 1 Y/ N I FEE CURREI I Y/ N I
Address License # UPC, 14 Z
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREI' I Y/ N 1
Address I License #
OTHER COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURREtS I Y/ N 1
Address I 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.
" SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over 82500, a Notice of Commencement is required. (A/C upgrades over $7500)
" 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 If shingles 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 "heed" 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 1, 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. 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. 117.03)
OWNER OR AGENT CONTRACTOR I I
Subscribed and sworn to (or affirmed) before me this Subscribed and swoft, to ,.r affirmed) before me this
b 6--2/40 by / - Tnc� - St - aO?E
Who is/are personally known to me or has/have produced Who is/are personally . own to me or has/have produced
as identification. Gl1€tt 3e._ as Identification.
. � ' '
Notary Public Notary Public
Commission No.
C ssion
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
2
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Jacqueline Boges
From: Jacqueline Boges
Sent: Tuesday, January 18, 2011 8:56 AM
To: Todd Vandeberg
Cc: Bill Burgess
Subject: FW: Cloud 9
Attachments: CLOUD 9 LLC PERMIT.pdf
Greeting Todd,
Per your email to Bill see the attachment.
Jackie
From: Bill Burgess
Sent: Tuesday, January 18, 2011 8:22 AM
To: Jacqueline Boges
Subject: FW: Cloud 9
Can you please provide this info for Todd, Thanks
From: Todd Vandeberg
Sent: Thursday, January 13, 2011 8:51 AM
To: Bill Burgess
Subject: Cloud 9
Bill,
Do you have the permit issued for Cloud 9 in what was done and total cost? Thanks,
Todd H. Vande Berg
Director of Development
vandeberg@ci.zephyrhills.fl.us
813 - 780 -0006
1