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HomeMy WebLinkAbout10-11098 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 ' 11098 BUILDING PERMIT { : , a 8 a F '�"w i 4 a . �i Permit�Number: 11098 Address: 6 �i ` 10 BRENTWOOD DR Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: NC CHANGEOUT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: BRENTWOOD FIRST ADDITION Est. Value: Parcel Number: 04- 26 -21- 0040 - 00000 -0020 Improv. Cost: 5,362.00 3A.h..,. Date Issued: 10/28/2010 Name: BRADLEY HW & VM LIVIN TRST Total Fees: 65.00 Address: 6533 BRENTWOOD DR Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/28/2010 Phone: (813)788 -2767 Work Desc: 2 TON AC CHANGE OUT WITH CONDENSOR 7tt k-Yti �w R•N -fA •• 'A •U .5.00 I 4' DUCTS INSU 1 TED FINAL " ( 17 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." CONTRACTOR SIGNATURE PERMIT OFFI �R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER HILLSBOROUGH COUNTY BUSINESS TAX RENEWAL INSTRUCTIONS Chapter 205.0535 (5) Florida Statutes requires one of the following: FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER 1. SIGN and return entire form in enclosed envelope. Your validated Business Tax receipt will be returned to you. 2. Business Tax receipts expire midnight, September 30th. Failure to display a valid Business Tax receipt after September 30th is a violation of Hillsborough County Ordinance 95-4, as amended by 02 -5. MAKE CHECK PAYABLE TO: DOUG BELDEN, TAX COLLECTOR P O Box 172920 TAMPA, FL 33672 -0920 2010 - 2011 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9-30 -2011 FOUONO. 0 0 0 118483 H. WASTE TAX CATEGORY CODE BUSINESS TYPE SURCHARGE • 090.001 AIR COND. CONTRACTOR 40.00 18.00 • Bus Tax Hazard Waste - *RAID* Doug Belden, Hillsborough Counts Tax Coll Batch T: 36796 004 duran BUSINESS 19121 HWY 41 Trans 4: 11 Receipt 4: 017862 LOCATION L 133 • Acct: 118483 Pas Code: 4206 '?. f" 09/17/2010 MT03 2011 $312.00 NAME IER� -�.� • Chanter 322, Florida Statutes, remt.ires MAILING R IE H N & C7C IN " the department to collect social ADDRESS 1 41 security numbers for the issuance of LUTZFL33549 Business Tax receipts. BUSINESS TAX 0352 Surcharge :4` . 00 0351 Business Tax $1(.00 DOUG BELDEN, TAX COLLECTOR Check Tendered: $312.00 HAS HEREBY PAID A PRNIL OE TAX TO ENGAGE 813 -635 -5200 BIWBdEss, PROFESSION. OR OCCOPRSION SPECIFIES) HEREON. THIS BECOMES A TAX RECEIPT WHEN VALIDATED. 4206 11848300007 000018002 000040006 ACORD CERTIFICATE OF LIABILITY INSURANCE o9rz7rzo1 o "''" PR0euc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Swofford Insurance Services, Inc. ONLY AND CONFERS 110 RIGHTS UPON THE CERTIFICATE W Ave HOLDER. THIS CERTIFICATE DOES NOT EXTEND OR Tampa, FL 33618 ALTER THE COVERAGE AFFORDED BY THE PO ES BELOW. INSURERS AFFORDING COVERAGE NAIL # INSURED INSURER A: The Hartford insurance Group Ron lamas Heating & Cooling, Inc. INSURER It 19121 US HWY 41 N INSURER c Lutz, FL 33549 License # CACI 613676 D' INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE PCRTHE POLICY PERIOD INDICATED, NOTTMTHSTANDING4 ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO 1MdCH THIS CERTIFICATE MAY TIE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLIOIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND COMMONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID pp CLAIMS. pL LTV J TYPE OP INEM wMCE POUCV NOON oN110M�NM p d1T[ � LIMITS CONIERAL LIAIN EACH OCCURRENCE $ 1.000,000 x c:aMMeN:w,r�Erem.uASlurr 01 SBM AK8044 09/16/2010 09/16/2011 m L s 300,000 A I CLAIMS MADE 13 OCCUR MED ExP (Any ow Im o s 10,000 _ PERSONAL S ADYINJURY $ 1 =000,000 Ge1eIALAGGREGATE = 2 — OENt AGGREGATE LIMIT APPLIES PER PRODUCTS - CCMPIOP ADG $ 2000.000 7 POLICY n IR.% Floc AIRWOMEN UASIUTY COMBINED _— ANY AUTO 11GlEl LIMIT — ALL OPINED AUTOS BODILY INJURY _ BCHEDuLED pio Pm* HIRED AUTOS BODILY INJURY r- NOW -MANED AUTOS (Par W PROPERTY DAMN (Pm welded) GARAGE LMMUTY AUTO ONLY. ISA ACCDBIT S _ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGO $ ALA UANLITY EACH accuRRBMF s OCCUR a CLAIMS MADE AGGREGATE R DEDUCTIBLE _ $ - RETENTION IRONER, COMPENSATION AND HNC $ TA X1 1 EMPLOYERS' LIANUTY ANY PROPRI El EACH ACCIDENT S _ OPnC I IMIMSER OCCLUDED? EL DISEASE - EA EMPLOYEE S ttyo r b nndn SAL PIRDMISIONSIw10w EL DISEASE- POLICY OMIT S OflER • DUSCRPTON Or DiERA110Ne/ LOCATIONS l VIRRCLas ►ENCLNNDNS ADOW KBNDOSI IT/ SPECIAL MIONBQNE Thos pertaining to the usual operations of the insured. CERTIFICATE HOLDER CANCELLATION IN01NDANYOPTNEANOVEOwgROOD POEMS wd1MCIRLIDfo 011[n1EEXPIRATON 5 �y 33 p yrhilis - Building Dept. DATE TNERITEIJF. THE M$I$$G INSURER MELL UIE VOR 70 MAO_ 30 DAYS MMRIrTIN Zephyrhills, FL 33542 NOTICE TO THE MTIPICATE HOLDER NAMED 10 THE L@T, BUT PALINE 10 DO SO SWILL IMPOSE NO OSLOATION OR UAELJTY OF ANY MIND UPON 71E POURER, RS AMTS OR RORESORATP1d. /WTIIDRI>lSP RIPROATNE w Linen ,Ant 41e1111k Ron Iema's Heating & Cooling, Inc 19121 US Hwy 41 North Lutz, Florida 33549 www.I ernaAir. com To Whom It May Concern: Please update your file's to show that only the following list of employee's are authorized to be able to pull permits and schedule inspections for Ron Iema's Heating and Cooling. This updated list will take place of any other list you show for us, effective immediately. Our license number is CACI 813676 and should you have any questions please contact me at 813- 948 -6355. Authorized Employees: Charlene Ierna Deanna Williams Charlie Rogers Jamie Portell Joseph Massa Ro ald F Ierna State of Florida, Hillsborough County The Foregoing instrument was acknowledged before me this 1 day of July 2010 by Ronald F Ierna, who is personally known to me. N Sign e o uxr ► Notary Public State of Florida . Joseph L Massa M Co mmission DD942937 %pop "' Expos 11/29/2013 Iema's Heating & Cooling, Inc. www.IernaAir.com License# CAC1813676 Tele: 813 - 948 -6355* 866 - 323 -COOL *Fax: 813- 949 -9266 )uar!■rr ;TIM ORPiRi DE nO •J I: x ., ,a• null iel11Q a iiv it111g sow, <.VVallig, iaaa.._ •. M Ellt I-i .' = a.Y�� 41"..•U" 19121 US Hwy 41 North • Lutz, FL 33549 *42.5...k9 Mae. Local (813) 948 -6355 • Fax (813) 949- 9266 '=� vii' lid.` .ter, � s l �, A. 19 \ Toll Free (866) 323 -COOL • Lakeland (863) 859 -0062 eqW S ' I 1 • u al l C J #CAC1813676 • Qualifying #QB26202 • Licensed, Bonded & Insured 1111111M �S_.�i «e s www.IernaAir.com a° Ids, , . N I� _ maai- � m � fa !@ -�\ - 66 661* \' � �s Mt �j♦t ' DATE D 1 - 1, . 1MEr\ �M SURV MN DATE SCHEDULED • M , i MODEL SERIAL NUMBER 1617 0 ` t '= 1 I C&K, • 0 ; %--i . J ORK PHONE w 1 44 ( 2-L C ( ) 'la ` CELL PHONE SUBDIVISION r • � ` ' • `t ' , A OW ; ❑ PROGR 11115 17,111111b• y ORIGINAL COMPLAINT lit ENERGY • \' .1111 S �t CTRIC ADDITIONAL PARTS LISTING TOTAL PARTS 9 , • v- - ON BACK OF PART 3 • • R ❑ COMPRESS* .' ������``` ��� y - , DESCRIPTION OF WORK PARTS ❑SUCTION PSI t . t,� �u1 + t OHEAD PSI O ELECTRICA CONNECTIONS ` Q�l `! ,` - " " '�' ' t - \ ' L •_ ❑ OIL LEVEL : CONDITION (^��+ per- _ 46 340 (00 r ❑ SUPER H • 1 i t X11 jr Y 1 V , �� ❑ SUB COOL G Ilik ❑ LIQUID LIN TEMP. ❑ STAT C N SURE MP i POS. _ NEG. ` � '' ❑ REFRIGE - • T � � � # �-- M ; [6i / 16 �1 _ V ❑ LEAK ❑ HARGE T - / � ` ate �'{ J ❑FANBMO •R /0 ��' ' is % L ' � MEM r ❑ VOLTS AMP ❑ ELECTRI • • • On .s� S ❑ CONTAC • TA' ,& CLEAN CTIONS •.•• '� r .,3 ❑ FAN PUL 3❑ CHECK L ip. ' r 9i� 1 + . E Q0 1 • ❑ EV • COIL tl _�' _ �i -_.1, tJ l 1 , �, ^ \ 7, . • ' • s • • 1 ' • le 0 ❑CLEANC•.L _ ❑TEMPDro. • 44 �7 ❑ CONDENS COIL �• .� 7 ----- , t- ` .- ' ❑CLEANC•L &C KFINC• B. Tv" N ❑ CONDENS • ±=J� EAS a `� II ❑ INSPECT •.. f• 0 . - • � - __�� ∎C SP � aw�1: ❑INSPECT & : • N , ❑ AIR FILTER' • ❑CLEANED • REP4 D i ` i-k q ` , • ii , / ■ -,ej FILTERSI E E 7 • M ❑ HEATING A :EMS EMB ' -T'C + n V© �J 04 Jr / ss' lirab ❑ BURNER & EAT EXCHANGER LI Y �� ❑ FUEL SUPP & PRESSURE PARTS WARRANTY ARRIVE = I DEPART ..r - ❑ PILOT ASSE SLY ALL PARTS AS RECORDED ARE WARRANTED AS PER ❑ FLAME ADJ - TMENT MANUFACTURER SPECIFICATIONS. 1A...."••• _ Rio � - r I4. ❑ PRIMARY - = • Y & FLUE LABOR GUARANTY * CANCELLATIONS * IM ❑ FAN & LIMIT ITCH OPERATOR THE LABOR CHARGE AS RECORDED HERE RELATIVE ❑ BLOWER • • EMBLY TO THE EQUIPMENT SERVICED AS NOTED, IS GUARAN- ❑ STRIP HEAT TEED FORA PERIOD OF 30 DAYS. ALL CANCELLATIONS ARE SUBJECT TO ANY PERMIT 111P5SO, ❑ DEFROST C LE FEES INCURRED BY SAID COUNTY. APPLICABLE FEES j DIRTY/CLOGGED AIR FILTERS, TRIPPED BREAKERS ❑ ELECTR • • - • • ' ' S AND CLOGGED DRAIN LINES ARE NOT WARRANTY WILL BECOME THE FINANCIAL RESPONSIBILITY 0 , +- ❑ RE • 'S ❑ ONTACTO: ISSUES. PURCHASER AND / OR PROPERTY OWN - ❑ OVE - • • AD • PRES ITCH WE DO NOT, OF COURSE GUARANTY OTHER PARTS / P •` • . '— • ❑ THERMOS • T THAN THOSE WE IRS SUPPLY. W REPAIRS LATER BECOME - ( ❑ OK El NECESSARY DUE SUPPLY. OTHER REP LATER PARTS, THEY �( �,• / JR±r� OF ORELOCATE WILL BE CHARGED SEPARATELY. � � t 1 .� — LOL' 'r.IlF -% i HECK - TERMS: DUE UPON COMPLETION - • , �' TYPE SYSTEM C HANGED 1 ' I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO 1 • POS 0 t OUT (OR ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL _ REFRIG QTY. REPLACED) YES RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL 1 � W1 1 ,/. 1 1 ( 1 DISMANTLED? I FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT ' I I i' ,� � • R RECOVERED? YEs No on,. YES MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE � / ,, E I , REFRIGERANT DISPOSAL RESULTING FROM THE REMOVAL WILL BE HELD THEREOF PAYMENTS NOT REC DAMAGE " i -P � I'l F RECYCLED? YES • QTY. WITHI 70 DAYS ARE SUBJECT TO A SERVICE CHARGE OF 1.5% ON iC j IL , C R I 1 • OUR PERSONNEL RECO UNPAID BALANCE. RETURNED CHECKS SUBJECT TO ALL APPLIC . G RECLAIMED? YEs N QTY. or- 4 . / FEES. 0 R MIMS R RETURNED TO I 1 •, X A THIS SYSTEM? YEs X QTY. ii' N AUTl10RIffD �• . T DISPOSAL ABO OR• - • •R AS BEEN COMP J ED A ' i OWLEDGE RECEIPT OF MY COPY. NON USABLE YES QTY. DISPOSAL • ' r t li - r - A - I 813 -780 -0020 City of Zephyrhills Permit Application . s Fax -813- 780 -0021 Building Department - l Date Received Phone Contact for Permitting -- Owner's Name 130 y 4 " Ltvt0 It.UST Owner Phone Number E13=7n` a - 7(,7 Owner's Address CpS3 3 C3reln x or-- 2e0t44\uts nrtZ Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address r^� JOB ADDRESS (DS v Bfeur\W3Ddi tX. 2ePhyCMOs 335 --42 - LOT# �I�1 SUBDIVISION �reln ood� PARCEL ID# 09 -Z( — ` _ COL( - ` _ 002 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR I I ADD /ALT I I SIGN 1 I MOVE 1 I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I 1 OTHER I GK.GUItg tom I TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL FT OTHER I I DESCRIPTION OF WORK e &UAL tc CA ANG€ -A' ` ID 1 " - OE MA i COI 0(... Z ICYI BUILDING SIZE SQ FOOTAGE HEIGHT I BUILDING $ VALUATION OF TOTAL CONSTRUCTION I ELECTRICAL I$ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. I I PLUMBING $ MECHANICAL $ s •p es VALUATION OF MECHANICAL INSTALLATION I 1 GAS I I ROOFING I 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES V NO BUILDER COMPANY SIGNATURE REGISTERED L Y/ N I FEE CURRENT I Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address License # r MECHANICAL /'-is) CkAL-C CO MPANY *` r1 S -4 3 G t n SIGNATURE V M C lll ' �� ''-- \ •• .. 1.11411-1. C � REGISTERED l� Ci / / N N I FEE CUR NT ` � Y N l Address rt' a1 (As thAilf lit Ail Lt 33 � -1L4 icense# QAC,t t &D OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 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 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, 1 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. 17.03) J r� '� CONTRACTOR k PoLf2 0 OWNER OR AGENT � Subscribed and sworn o (or affirmed) before me this Subscribed and ssw rn to (or affirmed) before me this b by Who is /are • -rsonall known to - or has/have produced Who is /are • •na y nown to me • r has/have h erp identification. as identification. i Notary Public ( Notary Public Com fission No. Co mission No. 'VI. Ai. .i. IL .11.. . ` 1 ` l Name of No � prig e• or stam �e: Name •t N pe tQ UbliP�tate i�rid 4 , 4, r 4, N otary Public tate of Florida ? r: Joseph L Massa , Joseph L Massa A My Commission DD942937 .; ,; My Cs o m,ss on D13942937 v'1'et,:cf Expires 11/29/2013