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HomeMy WebLinkAbout10-10703 CITY OFZEPHYRHILLS �' 5335 - " 8TH :STREET S , __ (813)780 -0020 10703 _: ' BUILDING PERMIT = - _ - _ zzr 7 _ ... 3 == r ... , 1 , , , - , , rf ,, 7 a � s yet Permit Number: 10703 Address: 6333 MAISIE RD #20 LOT 193 Permit Type: ADDITION /ALTERATION .ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: TOWNHOMES Lot(s): Block: Section: Square Feet: Subdivision: EILAND PARK TOWNHOMES Est. Value: Parcel Number: 03 -26 -21 -0230- 00000 -1930 Improv. Cost: 43,660.00 hv 7 7 _ ; Date Issued: Name: LENNAR HOMES INC. Total Fees: 408.16 Address: 600 N. WESTSHORE BLVD Amount Paid: 408.16 TAMPA, FL 33609 Date Paid: 7/22/2010 Phone: (813)769 -5277 Work Desc: REPAIR/REMODEL SEE SCOPE OF WORK LENNAR HOM IN BUILDIN EE 285.00 L =I AL F 35.00 EDMONSON ELECTRIC INC PLUMBING FEE 35.00 MECHANICAL FEE S T _____35,00,-5/01, BAYONET PLUMBING HEATING & AIR C FIRE INSPECTION FEES 15.00 FIRE PLAN REVIEW FEE �, 3 6` BAYONET PLUMBING HEATING & AC IN pa 7 - ' ' d� r Yva- , Q__ V r Iv •• R 2ND - •U H PL MB MI C IN ULA I•N ILIN FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE -SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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 you property. If you intend to obtain financing, consult with your lender or an attorney before recording you ; y f commencement." 1 2 .111 0INW P- Or o le CONT - — :��GNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Williams $tls•(893)78Q -004 Fax (813)780 FIRE SERVICE USER FEES Occupancy No.: Plan No.: /1-- > Contractor y� ✓ Business Name: L.£/U. JJAfZ / 4.4, e3 Billing Address: .* y (/ h. ' - -.4.?+ea� Business Address: i - i . , .� .i Business Phone No.: Billing Phone No.: 1 Business Fax No.: Billing Fax No.: I Contact: Contact: I _ PLAN REVIEW FEES _ INSPECTION FEES _ PERMIT FEE 1 _ FALSE ALARM FEE _ Site Plan N/C — Annual N/C Sprinkler $50i 1st Alarm N/C _ Multi -Fami marri 06 sf _ 1st Re- inspection N/C —_ Standpipes $50, _ 2nd Alarm N/C ❑ ( mum Charge $2 — 2nd Re- inspection. $100 Fire Pump $50 -- 3rd Alarm N/C isions DBL 3rd Re- inspection $250 _ Hoods $50' !4th Alarm $100 4th Re- Inspection $500 _ . Fire Alarm $50, — 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until _ LP Gas $50, — 6th Alarm $200 — 0 - 25 Heads $50 violations corrected) Natural Gas $50! _ NON COMPUANCE $150 26 plus Heads $100 _ SPRINKLER. SYSTEMS Fuel Tanks- par tank $501 STANDPIPE SYSTEM _ Hydro Undergrounds $45 _ Sparklers $100 0 Per Riser $50 _ Hydrostatic Test $65 persystem _ Fire Works $500 FIRE PUMP _ Acceptance Test $45 p er system _ Camp Fire $25� 0 Per Pump $100 ` Hydrant Flow $75 _ Controlled Bum $100 FIRE ALARM SYSTEM _ Hood/Duct $501 — 0 - 25 Devices $50 _ FIRE ALARM SYSTEM _ Place of Assembly $501 Annual — 26 plus Devices $100 — System Acceptance ' $50 _Fire Protection $251 SUPPRESSION SYSTEMS _ Recall Acceptance pt $ Flammable Application $50 Annual ..- Wet $50 OTHER _ — Waste Tire Storage . $50 Annual — Dry $50 ire Wall/Smoke Wall $15 per wan Generator < KW $100 — CO2 $50 LP Gas $25 par tank _ Generator >30 KW 150 _, Other $50 Natural Gas $25 per system _ Bio- Hazard Waste $100, Annual KITCHEN EXHAUST — Fumigation Tenting $501 ❑ $50 — Tent 10'x117 or greater $15 portent Torch Pot/Applied $50 I Hood/Ducts OTHER — I — Fire Pump $45 _ Haz. Materials $1 00; Annual — LP Installation per tank $50 Fire Suppression $30 i _ Fuel Tank Installation $50 _ System Acceptance (Per Tank) $50 _ Exhaust Hood/Duct $30 0 Natural Gas Installation $50 Re - inspection DBL ! (Per System) (other than annual) ■ 0 Spray Booth $50 0 Inspection scheduled DBL and cancelled Tess than ■ 24 hours _ Construction Insp. N/C Emergency Vehicle Aa $50 I FALSE ALARM PLANS TOTAL L INSPECTION TOTA PERMITTOTAL 1 TOTAL 2Z.S ` ;, /`/6---` GRAND TOTAL — _ , D, I Comments: ' 1 Date: 7/f InsR ,e,i „-//1 , ! I Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E-mail: kbarnett@fire.zephyrhills.fl.us Plan Review #: 10 -081 Project: Townhome Renovation (Chinese Drywall) Number of Pages: Scope of Work Packet July 8, 2010 I have received and reviewed the scope of work to remove the Chinese drywall in the units located on Maisie Drive and will allow the project to move forward. Please note that this review does not eliminate any further requirements as the project continues moving forward. By receiving permit, contractor acknowledges to comply with the items listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Firewalls will be required to be looked at prior to any drywall being reinstalled to verify no additional penetrations have been made and if so sealed in accordance to the code to maintain the fire rating. Inspections Required: 1. Firewall 2. Final KERRY BA' , FIRE MARSHAL ** *Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes. This review is not intended to be a final approval of the submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances. In the event that further examination or site inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. 813-78U -UUGU Lily UI _ piiy11nnJ rCI Mill r Building Department 14 01 0 3 ate Received Phone Contact for Permitting 8 / _._ L11 -- 3 ( . 3 � Iwner's Name (,t/ /LG////i9 / /FN/`/ /" /6)„,/,9-- Owner Phone Number ('11 1. f 1 7 q - /1 00 lwner's Address /0 3 3.3 114a/ 4-- . .1 Owner Phone Number ee Simple Titleholder Name Owner Phone Number ee Simple Titleholder Address 1 OB ADDRESS 63 / 4'J /6- /6 i e / I) / 2 "Ai_y /c43 > / 33$ # 0 I LOT# /93 UBDIVISION 1 6/44N4a / ° / 94 * - PARCEL ID #1 03 ' _260-2- 0.23 0- 00000 I 9v30 (OBTAINED FROM PROPERTY TAX NOTICE) VORK PROPOSED ►�� NEW CONSTR ( J ADD /ALT [ [ SIGN MOVE 1 [ DEMOLISH NM INSTALL f 1 REPAIR 'ROPOSED USE [ 1 SFR [ [ COMM 1 1 OTHER 1 YPE OF CONSTRUCTION BLOCK [ [ FRAME ( 1 STEEL [ 1 OTHER [ I >ESCRIPTION OF WORK f trPA //i / R-6 AOD J ht/4-1_-C= FAr� /2 E - S i AWG c' - T,/ ry 1 WILDING SIZE I SQ FOOTAGE (53 1 HEIGHT a s77, icy BUILDING $ 3 // 65-o VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE t PROGRESS ENERGY 1 1 W.R.E.0 PLUMBING $ Y3 .7 .5 MECHANICAL $ I/ .2 5 5-- VALUATION OF MECHANICAL INSTALLATION 77 GAS n ROOFING 1 1 SPECIALTY [ 1 OTHER 7 INISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 YES 1 NO BUILDER CP I COMPANY LE/V/V 4/ NO ,t4 .- S S SIGNATURE REGISTERED l Y / N 1 FEE CURRENT 1 Y / N 1 Address /5 L.[ . 4V1 Ac.42 /0 elm/?wAf ,t,Fl3sno License# C 'c /. 55' I.5/ ELECTRICIAN , `�" GOh COMPANY 2 4) J E Cf4 5o . EG /L .ZN C SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y / N 1 Address /9,3 I/ .5 f F' /e-04P, - Zo 'I,4 f 33 6/ 3 License # EC OD 0.25 79 PLUMBER t" COMPANY B ,qYONET PC Um6 6-, ���m 9 4 C SIGNATURE REGISTERED Y / N FEE CURRENT Y / N Address " 0 80/ 5 8 BAyoafr 35 ' License # C F - G ® a /Z 99 8 MECHANICAL c COMPANY 8�4fai✓FT /4./& /1-4,9774/6', i,4 _ SIGNATURE A REGISTERED 1 Y / N 1 FEE CURRENT I Y / N _ Address , 0. 80)C 5308 34yavEr/' inlr- F‘,...35/67 LIB_.:. - • C dS8 O 6 2 OTHER • PANY C, J ,e4 /4/6- Ai/n/ ry /QooAiu &, ._Zvc. SIGNATURE REGISTERED Y / N 1 FEE CURRENT Y / N 1 Address '/2 1/ 5 /7044 Liz 81- - c5P2 /NG f( /cc, CG3y6o 7 L cen - C 5-7 99 / 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 onslte, Construction Plans, Stormwater Plans w/ Slit 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 Fee,s 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 pald 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 Protectibn - 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 tlf that u within f theh stem w wall. not adversely affect adjacent If fill material is to be used in any area, - 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. condi rth in If I am the AGENT FOR THE OWNER, I promise I iunderstand faith that n a o sepah a te permit may r d for cai this affidavit prior to commencing construction, sins, wells, pools, air conditioning, gas, or other Installations not specifically included in the application. plumbing, 9 er, or permit issued shall construed to a license s, nor shall Issuance ce of a pe mitprevent the Building Official from her set aside any provisions of the technical al cod d requiring a correction of errors in plans, construction or violations of any codes. Every p ermit Issued shall become invalid or if work authorized by in s unless the work authorized e for i a l pe od of six (6) m after the time the permit work a is commenced. An extension may the permit is suspended or abandoned ma be e requested, writing, in writing, from the Building Official for a9 er days, tu ob(is�e s a d e ba l ndoned demonstrate j cause for the extension. If work ceases for ninety ( ) consecutive NOTICE OF COMMENCEMENT MAY RESULT IN YOUR WARNING TO OWNER: YOUR FAILURE TO RECORD A PAYING TWICE FOR IMPROV 0_U TO YOUR PROPERTY. IF YOU INTEND TO B AI FINAliCIN , CONSULT WITH YOUR LEN DER0R ili OR N. Y BEFORE RECORDING YOUR NO p a if l ank h a ■ FLORIDA JURAT (F. 117.03) � �`� 1 1/ CONTRACTOR me this 70N OWNER OR AGENT Subsoribed and sworn to (or a . ,V L � wE « Subscribed and sworn to (or affirms. ore me this av N E 24 IR oy g H 2 , 0 by :J.- o %/.'' L ‘ °.4.1 yyh.� -re personally known to me or has /have produced Who ►s are personally known to m as i has/ ve produced as Identification. Notary Public /M-e ary Public l � DD 7'7g 0 23 Commission No. 7750 2 -3 Commission No. - e • • ranted or stamps ? " = Commission DD 774023 774023 Name of Notary typed, p a � i ; typed, pri ...af, =.P =tmmission DD Expires June 6, 2012 Name of Notary U � ' ' R 2 012 6, 785.7D19 ,n` Expires June For Bonded MN troy Fein in.urona 800 "�`r •• •;;�,,, „' ■; ®„ nnB0fnru Troy aammwro "na SCOPE OF WORK FOR PASCO COUNTY Original Permit # 7101 Home Address 6333 Maisie Road, Zephyrhills, FL 33542 Construction Value: $30,478.00 Pre - Demolition • Disconnect electric panel from home • Keep one (1) GFI outlet in garage only for irrigation, pool (if needed) and power for repairing home • Turn off gas line in home (if needed) • Remove existing outlets and switches from electrical boxes Demolition • Remove selected drywall • Remove insulation (except foam insulation against block wall) if any • Remove/Repair any damage to existing studs • Remove cabinets, countertops and fixtures as necessary • Remove tubs, commodes, sinks and hot water heater • Remove all appliances as necessary • Remove all duct work and air handler, refrigerant lines and HVAC grills • Remove flooring -tile, carpet, hardwood, etc. as needed • Remove all interior doors and trim, mirrors and shower doors as needed • Remove /repair any copper damaged by drywall • Remove all switches and outlet plates • Note: during demolition we will bring home back to rough -in mechanical, electrical and plumbing stage. No structural changes will be made in home. Mechanical Scope of Work • Re- install all new trunk lines and duct work per what is in existing home including bath fans • Replace interior compressor unit ALL W'ORI ; MGt `LY WITH ALL PREVAILI'M ::ODES, FLORIDA BUILDING Plumbing Scope of Work CODE, NAT 0i ,AL ELECTRIC CODE AND • Repair and replace any damaged copper CITY OF LLr'l'ItHI1 L 5 ORDINANCES • Install new copper after removal as necessary • Install new tubs and fixtures as necessary • Repair and replace any damaged copper • Install new copper after removal as necessary IF1I1/ DATE' 7-C(� CITY OF ZEPHYR HILLS Page 1 of 2 PLANS E X 4 MI NER_�� ` 600 N. Westshore Boulevard, Suite 900 Tampa, FL 33609 •• Phone: 813 - 882 -4663 • Fax: 813- 884 -2082 • -. LENNAR.COM orromucm Plumbing Scope of Work (Continued) • Install new tubs and fixtures as necessary • Install new commodes and fixtures (at finish) as necessary • Check for any damage after demolition and repair as needed • Install new hot water heater Electrical Scopes • Repair damaged ground wire in switch, outlet, and light boxes • Keep existing recessed cans as necessary • Keep all light fixtures and ceiling fans, reinstall at finish • Install all new outlets, switches and trim plates • Install all new recess trims • Install all new light bulbs throughout homes Insulation Scopes • Install new insulation to match or better from whatever was removed during demolition • Check and install any fire stopping as needed Inspections (rough in) • Mechanical • Plumbing • Electrical • Insulation Inspections (final) • Mechanical • Plumbing • Electrical • Insulation • Final C/O Page 2 of 2 600 N. Westshore Boulevard, Suite 900 Tampa, FL 33609 • Phone: 813 - 882 -4663 • Fax: 813- 884 -2082 I2 LENNAR.COM „� „ Repair to Building 20 1) All work shall be in accordance with 2007 F.B.C. and 2008 N.E.C. 2) No work shall be covered without inspection first. 3) Any work done on any firewalls shall be inspected by the Fire Marshal. 11111111111111111111111111111111111 !1111111111! 1111111111111 2010097445 Rcpt:1314596 Rec: 10.00 DS: 0.00 IT 0.00 07/08/10 C. Farrington, Dpty Clerk PAULA S.O'NEIL,Ph D.PRSCO CLERK & COMPTROLLER NOTICE OF COMMENCEMENT 07/08/10 O BK 8371 1PG of 616 Permit No. Property Identification No. 03- 26 -21- 0230 - 00000 -1930 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. I . Description of property (legal description :) Lot 193 EILAND PARK TOWNHOMES PB 60 PG 102 a) Street Address: 6333 MAISIE RD ZEPHYRHILLS FL 33542 2. General description of improvements: Repair / Remodel Single Family Residence 3. Owner Information a) Name and address: MEDINA WILLIAM PENA 6333 MAISIE RD ZEPHYRHILLS FL 33539 . b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 4. Contractor Information a) Name and address: LENNAR - 15550 Lightwave Drive Ste 210 Clearwater, FL 33760 b) Telephone No.: (727) 479 - 1700 Fax No. (Opt.) 5. Surety Information a) Name and address: N / A b) Amount of Bond: N / A c) Telephone No.: Fax No. (Opt.) 6. Lender a) Name and address: N / A 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: N / A 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: N / A 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 ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO -) 7( Signature bt'Owner or Owner's Authorized Officer /Director /Partner /Manager MEDINA WILLIAM PENA Print Name The foregoing instrument was acknowledged before me this Z y'' day of lvAie , 20 / , by ki cc rqr* 7 E04 ME Pie-14 as Owner (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom ins ument was executed). Personally Known OR Produced Identification X Notary Signature Type of Identification Produced Name (print) Fwf/ e 4 Drivers License # - d - 0/-4 -c >t Verification pursuant to Section 92.525, Florida Statutes. Under penalties o €perjur , 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. ? N ' • Signature of Natural Person Signing Above FORMS /NOC,rvsd2007 ELISSA M. HOLLERAN Commission DD 774023 � r Expires June 6, 2012 `'7�PF Bosdid ThN7roy Fain lnauranse ®00.255.7019 • '* ,'. "7"- w. r STATE OF FLORIDA, COUNTY OF PASOO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMt.NT ON FILE OR OF PUB 'ECORD IN THIS OFFICE WITNE Y HA " AND 21F, CIAL SEAL THIS 2 a / PAU S. O'NEIL % 2 " ) i1 V •TRO,L ` ± BY / bEPUTY CLERK US HOME CORPORATION CENTRAL FLORIDA / MANAGERS ACCOUNT 7246 r 4, Os 0 b, O f 7 0 4 :4 ' . 1, 0 t \t\t- /4( k, 1 1 _ V 3 5 „ pe i-- Ci) ' „el) `( ... r -- /o7 d ..." - f � i US HOME CORPORATION CENTRAL FLORIDA / MANAGERS ACCOUNT ? , 1 __7246 //--------- . • 593549 (3/101 LENNAR TAMPA DIVISION BANK OF AMERICA 7246 MANAGERS ACCOUNT 32-1 /1110 . 15550 LIGHTWAVE DRIVE, SUITE 210 CLEARWATER, FL 33760 7/14/2010 PAY TO THE City OfZephyrhills I $ * *3,245.00 ORDER OF T hree Thousand Two Hundred Forty -Five Only********************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DOLLARS kV `M` 4489587- 1513052 - Multiple '''007 2461'' I:LLL0000 L21: 375 2L6 746311' US HOME CORPORATION CENTRAL FLORIDA / MANAGERS ACCOUNT 7246 0 (1A1/(i? 4:4 it 44 0 I " eit) US HOME CORPORATION CENTRAL FLORIDA / MANAGERS ACCOUNT 7246 • • • Jacqueline Boges From: Jacqueline Boges Sent: Monday, July 12, 2010 10:16 AM To: 'jlively713 @yahoo.com' Subject: permit cost Hello John, Listed below is total cost for permits Building #20. Total $3,265.00 Building department fee $3120.00 Fire Dept. fee $145.00 Just need NOC for the permits . Thanks Jackie Boges Code Support Specialist ext. 3513 1