HomeMy WebLinkAbout11-12186 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
. (sis)�so-oo20 12186
BUILDING PERMIT
Permit Number: 12186 Address: 5834 5836 14TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-05000-0131
Improv. Cost: 3,527.00
Date Issued: 8/02/2011 Name: CIMADOR LEONARD & ANNE
Total Fees: 82.50 Address: P.O. BOX 1976
Amount Paid: 82.50 LAND O LAKES FL 34639
Date Paid: 8/02/2011 Phone: 8139967770
Work Desc: REROOF SHINGLE / FLAT FL 984-1
��
: ,-- � I
.� �i�
, ,
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site � 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 commenceme "
�
CONTRA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
07/27/2011 16:26 3525674454 MILBAR PAGE 03/05
�����ui�� I1��IY111l1�1, 111i�.
. ,�—
IS911 U.S; 301, Qad� �'i�►, �1. 3352� s� cert kaoter #GGei3Z�52
Ph: 800/56� Fax: �5�/567 ' R�I Reg Rudf Cort�a�tant #�i9
milberl�earthlimf c.net
�ao� PROPas,��. �, � z
DATE: 06128/11
T0: R�NT PRO PH: 813/996-7770
AT'TN; LEt�NARD CIMADdR FAX: 813/998-9968
P. 0, �OX;1976 CELL: 813/503=3692
LAN� O'L.AKES, FL 3�4639
J08: DUPt,�X •
5834-5836 14'� STREET
ZEPHYRH�LLS, �L 33�42
_. ;-��====�_;��__�
SHIMGI,� ANb F�r4T R�-RClOF
(Doos not i�Clude Standing seam meMl roo�
A. SWINGLE ROOFING
9. tear off ��id�haul away #he exisking one-layer shingl� roof"mg system; clean up wark are� daily.
3. Provide arrd install two (2) l2yers of new 15 fb. sat�rated felt p�per dry-in in accord�n�e winc �urr�nt
Florida Building Codes.
�LL W
P,�� �R#S Provide and install new A7LAS "Pinnacle° laminated dimensior121 shingles (algae�resistant) fiberglass
�� IL�� � L.��ps; cn�or to be "Tan Mist". Provide ATLAS �imit�d I.ife��me shingie warrahty.
C �TYpF� 1 9NA ����dl���'�� and heating ventilating, and air condi�aning vents.
Phyb,,_ E� BUI
6. '"��l •�'+�' '��w lead boots for the plumbing vents.
Fte- S existing turbine vents, __
�� ��
7. Provide and install ne�w�sree-�inished aluminum eavednp brown).
, � �� ,
, �ET`y��F 1�,�-� MilBar Ra�fing, Inc. to provide 5-year workmanship warranty to the ong I purchaser that covers shingle
,�� �� � �of leaks;� exclusians: storm damage, woHc done by othe�s, tree damage, a or �tr+�ctural damage to
R
B� wM R�bI�N� � - -- - _ ,
.�
1..--�T"e'�nd dispdse of the old one-layer roo�ing system.
,.. _ �
2. Re-fasten the existing plywood roof deck in a�cordance with the 2007 Flonde �uilding Code. \'�,
8, Provide and mechanically fasten a Firestone MB fiberglass base aheet over the plywood deck pnqr to the
installatiorr of the Firestone roofing membran�.
�.� - Provlde and install a new Firestone APP-780 white granule-surface roofing membrane which-is a torch-
applied fully�adhered modified bitumen roof system that Is heat welded at the s-to m one sheet;
provide Firestone's 12 year "Modi�'ied 8itu�er�- uct Warranty."
5. All metal and cancrete surtaces wi11 be primed with an asphalt base primer prior to�installation of the
Firestone toofing membrane.
Pasco County Parcel: 11-26-21-0010-05000-0131 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, July 23, 2011
Parcel ID 11-26-21-0010-05000-0131 (Card: 001 of 002)
Classi�cation 08 - Multi-Family - Less than 5 units
Mailing Address Property Value
CIMADOR LEONARD J& ANNE C Ag Land $0
PO BOX 1976 Land $5,347
LAND O LAKES FL 34639-1976 Building $43,907
Phvsical Address - See All 2 addresses (First Extra Features $0
Shown)
5834 14TH ST Market Value $49,254
ZEPHYRHILLS FL 33542-3759 Assessed (Non-School Amendment
1 � $49,254
Le�lal DeSC�lpt1011 (First 4 Lines)
See Plat for this Subdivision �' Taxable Value ;49,254
TOWN OF ZEPHYRHILLS PB 1 PG 54
THE EASTERLY 64.0 Ff OF LOTS
13 14 & 15
OR 5480 PG 1123
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
�1 0800 MULTI FAMT OOR2 4,200.00 � $1.27 0.90 $4,801
�2 0800 MULTI FAMT OOR2 1,560.00 � $0.35 1.00 $546
Additional Land Information
Acres 0.13 Tax Area 30ZH FEMA Code � Residential Code ZHLHLPl
Buildins� Information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 002)
Year Built 1974 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 BA �- 1,196 $80,084
2 FOA 48 $469
3 F P 230 $3,080
Extra Features (Card: 001 of 002)
Line Description Year Units � Value
No Extra Features
Sales History
Previous Owner CASELNOVA TERRENCE M&
Year Month Book/Page Type Amount
2003 08 5480 / 1123 WD $45,900
1998 —� 06 3952 / 1520 W D $0
1988 04 1698 / 1214 WD $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=11 &twn=26&rng=21 &sbb=0010&b... 7/28/2011
Pasco County Property Appraiser - Physical Address List for: 11-26-21-0010-05000-0131 Page 1 of 1
Welcome : Records Search : Parcel Details : Physical Addresses
Physical Address List for Parcel: 11-26-21-0010-05000-0131
Displaying 2 records View in groups of: 10 25 50 100 �00
Street Number Street Name ♦ Unit
5834 14TH ST
5836 14TH ST
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 1:10:37 PM
The Local Time Is: 7/28/2011 8:10:42 AM
http://appraiser.pascogov.com/search/physadd. aspx?parce1=2126110010050000131 7/28/2011
813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021
• Building Department Lr, r� �C�J
Date Received . %`'� �` Phone Contact for Permitting -
rer's Name ,� �' y c- Owner Phone Number � � .�
Owner's Address u � 1� ��� l�� l.c� v-t- ' 3` Owner Phone Number �
Fee Simpie Titleholder Name 1`S !>- Owner Phone Number _
Fee Simple Titteholder Address �
JOB ADDRESS V _��'u 3 �t �' lOT # C�
SUBDIVISION � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM � OTHER C-Q
TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER �— -- I
, - ��'1 � � � 7 / e Z �' ` `
DESCRIPTION OF WORK rne � � e-
� � „�{ �� 1'-z j��.r
BUILDING SIZE SQ FOOTAGE �} � v c,�=' HEIGHT
�
�� BUILDING $ VALUATION OF TOTAL CONSTRUCTION
� j Z, , ..9��
� ELECTRICAL $ — � AMP SERVICE � PROGRESS ENERGY � W.R.E.0
� PLUMBING � �� Qr
� / Ux�
� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
� GAS �� ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS �` � FLOOD ZONE AREA QYES QNO
� � COMPANY I � II� U� � �
BUILDER -+
SIGNATURE �
REGISTERED / N FEE CURR2NT Y N
Address ��l�� ug �� �e � �) 3��3 License# � 13Z,y�`.1L
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �—
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �—
MECHANICAL COMPANY
3NATURE REGISTERED Y/ N FEE CURRENT Y! N
Address License # �— �
OTHER COMPANY
Siui�ATURc r,����Tec�p Y; N FEE CUP.P,ENT Y! N
Address License # �— I
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans, (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commerciai requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction. ,
.��,
rections:
Fill out application completely
Owner & Contractor sign back of appiication, notarized
if over $2500, a Notice of Commencement is required. (AIC 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 A�plication Only)
Reroofs Sewers Service Upgrades A!C Fences (Piot/SurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
N�TICE OF DEFD R� 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 deecJ restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
confractors to undertake work fhey may be required to be licensed in accordance with state and �oca� regu�ations 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'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicabte 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 Bayhe�ds, 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
,�equiring 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 O�cial for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety /90) c�nser,�,tive dal�s, the;�h is cc^�;dered abar,�oned.
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 YAUR !_E�l�ER OR �:�! ATT��iT,'�Y BE��R� R�.^.C�:��E'vv Yt'riir'Z fdOi'iCE �F Gu�ii�lli�IVCE�iENT.
FLORIUA JURAT (F S 1?7 03) -,
OWNER OR AGENT �'`��'i' �-?� �,�w-- CONTRACTOR � �
Subscribed and s n to (or ed)�jefore me this Subscribed and swo n to (or affirmed) be ore me this
� bV��l'f�� Ff �Q s by � �-���Q
Who is�/ar"�'e per�fiffy known to me or hes/have produced Who is/ re person� known t me or has/have produced
as identification. " as identification.
` Nota Public
Notary Public
{_ _
Commission No OUVIA A. IOYE?1' Commission No. OUYIA A, l�?bfT �: �
wor�av � _
�� EXPIRES JUl Z� 2012 P EXPIRES JUl ;�� ;y 1� ?�
snaE oF
Name of Notary t e or st� Cqrw�lvr Name of Notary typed, nt ampedu �,�,iq Cp� ;
0f!2812@11 14:45 3525674454 MILBF�2 PAGE 06/06
M�I�ar� ���oatit�a. Inc.
15911 q.S. SDI, Oede (�ry, FI. 335Z3 5tota Cert Ruofer �CCCt$2A092
Ph: 8DD/5BY-Z39� Fex: 352/587-b45�4 � ��otca�.un� �o1ae
milba rC�ea rthknk.n+�t
R04F PROPOSAIL. oaae x of z
bAT�: 06l2$/91
TO� RENT PRO PH; 813/999-7770
ATTN: I.EONARD CIMADOR FAX: 813l996-9966
P. O. BOX 1976 G��.L: 813/503s3892
LAIYD O'LAK�S, FL 34639
Jl'�B: �UPLEX
583A-5$39 14 STREET
ZEPHYRHfLI.S, FL 33542
S'i2_=�aRO� ��_�.^Z�l�_������Ct=�CSL�=_v�=7fsST�--- =^SSi�O�==�e!'� �QCa�4tAf�s�N'=
—33C
8. Prtwide and install new 26 gauge gaivan�Zed metai �eavedr(p eround the p�rim ter af the roof as need�.
C. GEIV�RAf„ CONDRIONS
1 Repalr/Replacerltent of any rot6en o� dsmaged r�,,of dsck, fascia, trim, framing, etc, a re-fastentng af the
e�clsiing roof deck wfA be mmplebed on a cost-plus basis above and beyond th cqntract price.
2, Owner to: a) pravide access for deliveey trucks to allow ronf loedi /unloading for ths aantire
roof area.
b) nsmove existing sakellite dish prior to re-roofing and r instaN an f�scia.
3. MilBar Ro�ffng, Inc. M provide General Liabiliry and Wer4cer's CompQnsetion I surance ($Z,pOp,000) and
re-roo8ng permit,
QG=3=S�' ��=if!lS��►C_=C=�' 37� 4 �lr������.:.�77Lffi�,a�'.�=L�.� se �
Nh prapose to fuMi3h mat�Ma1 #ItCI labor�. ooNlpkb I n aeeoMlinCe wHh sbove speo(floMlono, Mr th� Centrac 9u►n op; ,�� �,2 7 ;�t ! ,r -
?HREE TH4USANp EI�HT HUNDItED THIRTY AND �8N00 DOLLARS-•--- --•-�-..,-_.._....« ...r_..,,..,.� �� �
�aese=�^-�enestle���^M�wae�eo�ee++�-�+e��ee��e�cr�e�sns ���
��v�a�
Paymant to be mads as fbUowg: pue Upon Cemplatlon,
=�_sse====-as:eeacr_�===»oaaaa�s■smseae�e�: ,-�=s=====�= _r.xx�sse�=° s�=ar;saa�e�aaw�:
�naN uT.l 3o P- �n UMINUM�RIt7 .. AD � o �
rc:set_-a�e���a==�==x4�wn���=asCacr>>nsw�e�e�=====aae+w�sssse=====_ _^�=�====G�a�r:'►m==
AU7HORlZED SIGNAT'URE; aG�A O�Q QATE: 06/28/11
DAVI� R. ABIA, PRES ����i' I
ACCEP7ANC� OF PROPOSAL, Signature;
Ths nbev� pAe��� ••PaeiqeMb�M �na condldoa� aia �eMkolery Me hnrny e¢esohd �flht�: �4 /1 /� �}i�/
Yeu m» .wtnenne �e 0e wn wqM �� �peMMd. ItiyinwM wu� ne nMdn ns ey�Mn �0 eibpv�. "—' 7
Inwlwd anauMa i,a ndd Yt ecasMenenvM� a1n w�rne�M lenrs �Irll b. eawiand da1t6:
d�M19NOM RM MM k1MMw�1 e! Ih� rM� d 9 SU AR pEr+�eillh. OwAM �Orwiw q p0y 10!
oa4 b+ew+�d, tueh �s atlaeq.bm, oourt eoW, me.. la eoMNlon ot ss�nqunnt MveMne indudM+p hkro��, WR+nr locAny Ik�. Mmese �n aqv� n
hy Wb�Mnonb COrtlpwMelbn Mm�neO, MI9nr qoaMip, hic, hl nW rappn�bb lot Wrnaper elpb�d by a11toPo. �iOntlflnnlfl. MqNqMip. NO�M4 TRh ���. ����� � ��
orn wi 1. v�opo 1 may b� w1lMlrswn 6y w x ne� n�ce�,bn ey
E'd 8966-966-ETB �'�� o�d �ua� WdGS=�T TTOZ SO I�C
0i/20/2011 07:37 3525674454 MILBAR PAGE 02/04
OT�C� O�'�'O�MENCE��NT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
MRT#4363 2011116018
Permit No.
Tax r�lio No 11-2C-21-0010-05000-013.1. � m v �
TFiE UNDER.SI.ON�'D herel�y �ives notice that improveinents will be made to certain real propeny, and in �ecordance witit Section N N �°
713 13 of ►he �lorid� Statutes, chc following ;nforma�ion is provided in this NO�rcr OF cOMM�,NCI:M.EN?. � m••
1.Dcscription of properCy (lega/de,rcrl�ti�n); TOWN OF l�P.HY.Rf.-(I.LLS PT� I PG Sa �_r rASTERLY Ga p FT pr• LO�ts (3 14 & 15 OR � m�
54R0 PG 1123, SR34-5836 14T�' STRL'GT, ZE.Pi•TYRH.f.LLS, FL; ST:C 11 TOWNSI•lIP 26 RANGT;' 21 m
2.Genctli descriptien of impravementc: ROOfiTNCi ?� W
3 Owncr lnformation �
c�
�)Naine nnd address� CiMADpR, LEON,�RD .1 & ANNis C, P. 0 BCX 1976, 1�AND 0 LAJCES, Fl_ 3q.G39-197G ��-,
I,)Name and address of fee simple title holder (iF otl�e� than owner); N/A �-+ �
... .. �
c)Tntere�t in property; OWNER d e
4,Conr.racter Information
. m..
O m r
a)Nflme and address; MiLBAR ROOPING. INC. . 15911 U S HW�( 301. T�ADr CITY, FT 33523 � ;° m m
b)TcleplioncNo,: 352/56�-0047 1=ax No.(Opt.) � m
S,Surcty Information
c� �
n) Narnc and T.ddresc: �
i
b) A.mounc ofBond� �
c) Telephonc No.: Fax No. (Opt.)
G. Lender
T.) Name and address;
Phone No
7. Identiry of person within the State of Florida desi.gnated by owner upon wl�om notices or other documents may be served:
a) Nemc and address:
b) Tclephonc No,� Fax No. ('Opt�) o � �
8 In nddition to himself, owncr designaces the following perso�, to receive a cb}�y ofChc l.ie.nor's Noticc as pr�vitled in Section � N D
�
713 13(1)(b),.Florida Stahitcs� � � o
a) Name and address: � Z
b) Tciep.honc No,: T�x No. (1�pt.) . � �N �
9.L-xpir�tio» d�te ofNotice ofCommencemcnt (tl.ie expiration date is one yeFrr from th.e date ofrecording unlesa a �in ?
ditrcrent date is specificd):__ �oo 0
�� N
WARNING TO OWNCR: ANY PAYM�NTS MAD.E BY THE OWN�R AFTER THE CXP.I.RA?TON OF THE T�IOTICF pI+ ,r o
COMM�NCLMF.NT �RF. CONSTDERCD IMPROPFR.PAYMFNTS UNA13R CHAPTLR 713, PART 1, S�CTfON 713 13, � �
Fi.ORIDA STATUTFS, ANn CnN RESUI.T IN YO11R PAYTNa TW1C� T�OR [MPROVEMENTS TO YOUR.PROPERTY, A °+ �
NOTTC� OF COMMI;NCLMFNT MUST �3E RGCORDLD nND POSTED flN TH� JOB SiTL BFFORF THE �'IRST �,.. �
INSPFCI"TON, IF YOU INTEND TO OflTAIN FTNANCING, CONSUI.T YbUR.L�NDF,R OR nN ATTORNFY BEFOR� o
COMML• NC)NG WOR1< nR RLCORDTNG YOiTR NOTJCE OF OMMEt�CEMBNT. ��
�
v A
STnTF Of pI.ORIDA � °
r
/ r
COUNTV 06 _ 7„ :, ` I, �i CZ/1 ' d �^
�
� i �re of Owner or Owner' thorize fl.icer/Di�ccror/Pnrtne � nnager
t1 C�..��C. . ���P ��-�'e'-��
Print Na�uc �nd Tirlo
� The forcgoing in�trum w�s �cknowledged Ucfore me this �_ day of _ J„�� , 2p� �
`�--�+.,+=-�.�-.�s.,._ �s � (rype of nu' •ity, e.g. aff.cer, trusree, attorney in fact) fo.r
'' (namc ofpariy on belielf of wliom instr executed).
Pcrsonally Known OR Produced .f.denti�ficatio.a Notary 5ignatttrc —
Type of Identific�tion r�roduced Name(print) ^ OUVIA A. IOVETT
��y '�IONNSSION il DD807426
--- nr►n --- „°�'� �es�u� se 2ois
eor�c n�ouc�
Veciticae.iou pursunnt M Section 92.525, Florida St�►hitec. Under pcna ' of perjury, f decler t��•e�� �
the facts stflted in it are tn�e to the best of my )mo��lcdgc an elic
S� nl.ur ofNnt� nl Pe� o i Si mg (in linc N 10 ) Ahnvc L '� !' /
rauav�NOC.rv«iaooi �� � �'
S7aTE OF FL�R�DA,
COUNTY'OF PA�C�'
THIS IS Np GQRRE�T CaP- . Y Q� T� E Q�C MENT
- r�u� �
ON FIL�. 4R QF PU '�IG R��ORL'��it�:CH1f� OFFICE
WITN� MY HAND ANp �FICIAL-SEALTHIS
2` .�/
p �' Y � � & OMPTROLLER
PAULA S O'NE . CLE
��� EPUTY CLERK
F3Y =--T�7� _
r, � .1
��� S � -�
� ��' C�y'
. ' *�
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�
��
Contractor/Homeowner: �
Date Received: � r Z�� � f
Site: �� �� �� 3� � ����
Permit Type: -� CL � � r
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sh t shall be pt ' h the permit and/or plans.
���//
Kalvi - witzer — Pl xaminer Date Contractor and/or Homeowner
(Required when comments are present)