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Home My WebLink About12-13559 CITY OF ZEPHYRHILLS 5335-8TH STREET . (si3��ao-oozo 13559 BUILDING PERMIT Permit Number: 13559 Address: 5339 4TH ST Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. Class of Work: SHED INSTALLATION Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-09600-0040 Improv. Cost: 6,090.00 Date Issued: 10/24/2012 Name: WALTON ROY Total Fees: 135.00 Address: 174 N OFFICE ST Amount Paid: 135.00 BRAIDWOOD IL 60408-1421 Date Paid: 10/24/2012 Phone: 813-713-8348 Work Desc: INSTALL SHED 12 X 24 �7� �r� ��C,'� � ��I �-,��V �i 3 e��a ` �p(;�� _ °� � �� SHEATHIN . 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. "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." Complete Plans, ifications Must Acxompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRACTOR SIGN RE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application �, /�' Fax-813-780-0021 Building Department � I�s �y Date Received Q–�� Phone Contact for Permittfn ��3 7�cSg _ "~j 'T..�9 Owner's Name nd �9 �G-7od�.( Owner Phone Number �� " /�� —� Owner's Address �3 3 GJ � 5 l Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � � � '( S T LOT# � SUBDIVISION � PARCEL ID# � �a� ��C�� l0—� /(Opd—p��b (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH INSTALL � REPAIR PROPOSED USE Q SFR Q COMM �� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �� ST�� c�� BUILDING SIZE � °� X �� SQ FOOTAGE �� O HEIGHT � � [�BUILDING $�, �G�� VALUATION OF TOTAL CONSTRUCTION � QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ � � ��,S Q /Gt�s�l�� / �� a� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION . ��Ii�� I OGAS Q ROOFING [� SPECIALTY [� OTHER (.� Q�U �� u�"f FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO(� 1�� C 3 U y`�' s� BUILDER �� COMPANY p�SOL�rI��TP../� �lY,DIJ$T�i�S SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N Address ��g '��?LL ��y�, Z �� /' �� License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER � COMPANY SIGNATURE REGISTERED Y J N FEE CURRE� Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;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 8 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 wl Silt Fence inslalled, Sanitary Facilities&1 dumpster.Site Work Pennit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Pians. '""PROPERTY SURVEY requtred for all NEW constructlo�. rf�Tr�rrrrrr��fi1111111e��rr��r�r Dlrections. '`y'" " � ��L�� Flll out application completely. Owner 8 Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) " Agent(for the contractor)or Power of Attomey(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(Plof/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 appiy 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 IMPACTIUTILITIES 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, o� 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 ResQUrce Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a.cerkificate 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, Florlda 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 "Flo�ida 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"owne�" 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 const�uction, 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 8� 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 watl construction, I certify that fill will be used onty 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 lhis 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 1 END TO OBTAIN INANCING, CONSULT WITH YOUR LEND OR A ORNEY BEFORE RECORDING YOU N TI F COM NCEMENT. FLORIDA JURAT(F.S. 17. 3) r OWNER OR AGENT CONTRACTOR S/ub rib a�d s � ar 8 efore me th�s Subs �b and sworn t affirm )b is ! y �� _^_ o i / persona y known to me has/have produced � re p ally known to or has ave produced � as identlficatlon. - as identiflcation. � ! - 1 / �� , Publlc ' � � ry Public Commission No. Commission No. ,.� "�� BOBBIE S.SYJETLAND Name of No r � � �qp]pg Name of Nota t � �F �,�16 , �� Expires e ruary 22,2016 w 9olkltldThNTtqRn� MertsaeE06385-7019 �••Q►�� Bondad7txuTroyFalninswance80o-38S7019 o � � � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS �j , Contractor/Homeowner: � `�G�� t�/l Date Received: � �-� �(�; -� �— Site: JY�,J � `7 � �� Permit Type: �SI�e`� �G�GI �� 2 � Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comme �heet s all e kept with the permit and/or plans � , � ja -� . Kalvin S itzer— lan xaminer Date Contractor and/or Homeowner (Required when comments are present) ^_�.�---------'CIT'Y -OF ZSPHYRHII.LS BUII.DING .DEP21RTtiSNT OWNER v uJ L�O.�11 - JOB LOCATION � J � / ( � S � PARCEL I.D. . � I ' '�� " �` `. Cx`-'�/O — �� C�j U'`" � -- ��iT � SI�Di+1 �1LL FI%IST'ItiG b� .PRUPOSQU STRUC'T11RBS GIVING .DIHSNSIONS b� SBTBACRS. � ! � j��T , � ) � \ � .�- ��, ` / 4 `! `� \\ � v �# Y v f `�, ��j /C�, � � � . � �` . ��i�� / UTII,ITY BUILDINGS �� MUST SHOW SIZE & � /. FOUNDATION SNFOR— MATION. FRONT PROPERTY LINE (NOTE E%Pi�MpLES 1 & 2 ) STREET I . SETBACKS FOR R1, R2 ZONT_NG 2 • SETBACKS FOR R3 ZONING 60 ' 60' ' 10' 10' ' P R g O I 10 � P s �Q' 10 ' EXTSTING 10' � T 1 0 ' s r . 1 a ' E N D G PROPOSED 20� 20' SGL FAM 30'DUPLEX FRiDIZ'7f' PROPSHt'Ty LINS P'RpNT PROPSRTY LINS Pasco County Parcel: 11-26-21-0010-09600-0040 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, October 13, 2012 Parcel ID 11-26-21-0010-09600-0040 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value WALTON ROY C Ag Land $0 174 N OFFICE ST Land $15,120 BRAIDWOOD IL 60408-1421 Building $13,867 Physical Address Extra Features $0 5339 4TH ST ZEPHYRHILLS FL 33542-3938 Just Value $28,987 �egal Description (First 4 Lines) Assessed (Non-School Amendment 1) $28,987 See Plat for this Subdivision Taxable Value $28,987 CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 4&5 BLOCK 96 OR 6653 PG 994 Land Detail (Card: 001 of 001) Line Use Destription Zoning Units Type Price Condition Value � 0100 SFR OOR3 8,400.00 SF $1.80 1.00 $15,120 Additional Land Information Acres 0 19 Tax Area 30ZH FEMA Code �Residential Code ZHLHLP2 Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1926 Stories 1.0 Exterior Wall 1 Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Pine or Soft Wood Flooring 2 None Fuel Gas Heat Convection A/C Window Unit Baths 1.0 �- Line �� Description Sq. Feet Repl. Cost New � 1 �� FCP � 200 $1,623 Z BAS 740 $24,013 3 UST 35 $454 �- 4 � FOP 210 $1,720 5 FDU 180 $2,336 Extra Features (Card: 001 of 001) Line Description Year Units Value No Extra Features Sales History Previous Owner WINTER RACHEL A & Month/Year � Book/Page Type Code Condition Amount 10/2005 6653 / 0994 Warranty �� Deed Improved $111,700 12/2002 5205/ 1b53 Warranty �� Deed Improved $0 12/2002 5189 / 1428 Warranty �� Deed Improved $29,000 http://www.appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=... 10/16/2012 �` :aM; �°z Vista Marketing 3161 Hwy 301 South Zephyrhills, FL 33540 �' � Phone 813-788-5459 Fax:vistamart@msn.com -._ Vista Authorized Agent of Weather King Buildings (CARL) ISELECT ONE O CASH SALE o REr,Tro owr, �— BUILD AT MONTEZUMA GA PLANT SALESMAN _ CARL CASTEN DATE. 'I O 15 2012 Choose Building Sale Type INVENTORY# New-On Lot Sale _ �IPlease Select One Of The Building Types �Treated Econ o Buildings RTO HOIDER Consolidated Rentals ' O Painted O Vinyl (�Treated C Metal � Q STV�E OF BLDG Choose S�Ze �.Gige' SIDING COLORS. TRIM COLORS. ROOF COLORS. IBARN I:ustcm Size � — - --- CABIN , _ COTTAGE SHED J "EXTRA OPTIONS"DESCRIPTION COST GARAGE � $0 00 �LOFTED BARN � $O 00 ILofted Bam Cabin 12x24 Side LBC $0 00 ,Side Lofted Barn _ $0 00 �UTILITY � _ $O OO IUtility 8'Walls i $0 00 Side Utihty 8'Walls --rt $0 00 --- —-----�-- — -� �SELECT YOUR PAYMENT DUE DATE n ly� �y7H n loTH ___ Q 1srH __ __j TOTAL $0 00 PuRCHASER NannE CHRISTINA TRACEY CO/RENTER CO-Cell CO-Employer CO-Wk Ph MAILING ADDRESS DELiVERY ADDRESS 5339 4TH STREET 5339 4TH STREET City ZEPHYRHILLS ❑Exempt State State: Florid2 Zip: 33542 County PASCO ❑Exempt County County Pasco State Florida ZIP: 33542 ❑ ExemptCity City ZEPHYRHILLS HOME PHONE 813-377-5199 owr, /Rent: Land� WORK PHONE Landlords Phone. �e1� 813-713-8348 Landlords Name: Employer ' CASH SALE RENT-TO-OWN-SALE LBC-12X24 1 sa�ES PRiCe $O 00 1 SALES PRICE $6,090 00 2 OPTION COST(Descnbe Above) 2 OPTION COST (Descnbe Above) $0 00 3 TOTAL PRETAX COST(LINE�+�iNE z� $0 00 3 TOTAL COST (LINE 1 + LINE 2) $6,090 00 SALES TAX BREAKDOWN 4 Cost Reduction AMOUNT 4 SALES State TAX(LINE 3 x o os � $0 00 5 NET Cost Reduction(LINE 4=1.0+tax rate 1 07000 $0 00 5 Co Code O Line 3x Rate 0 01�00 $�00 6 AMOUNT TO RTO(LW E 3-Line 5) $F),�9�� 6 City Code #N!A Line 3x Rate 0��00� $0 00 7 MONTHLY PAYMENT(LINE 6=21.6) $281 94 7 TOTAL SALES TAX(LINES 4,5 8 6) $O OO SALES TAX BREAKDOWN 8 TOTAL COST W/TAX(LINE 3+7� $�� 8 M/State SALES TAX(LINE 7 x 0 06) $16 92 9 CASH RECENED 9 CO Code 0 Line 7x Rate ��0� $2.82 �0 NETAMOUNT DUE(LWE 8-LWE 9) $�� 10 City Code #N/A Line 7x Rate �� $�.�� FOR ALL REPAIRS FAX 88g_695-7616 _ _ _ �� TOTAL SALES TAX(LINES 8,9&10) $19 74 DRIVER TO PICK-UP REMAINING "BALANCE" i2 TOTAL PAYMENT(LINE 7+LINE 11) $301 68 DUE AT DELIVERY OF "BUILDING"," LINE 10 ° �s TotalCost36MonthsputonContrad(Line12x36) $�o,sso.as ESTIMATED DELIVERY DATE 14 SECURITY DEPOSIT $200.00 10 TO 15 WORKING DAYS FROM PURCHASE DATE. 15 TOTAL RECEIVED(Show Method,Ck#-CC-Cash. ��JO� 6S OPTION DRAWING.SHOW STANDARD"DOOR(Sl"THEN PLACE YOUR"OPTIONS" PENCIL in WHERE&give Measurements from END or SIDE ot BLDG.to PLACE options. DOORS FACING �----_-- __ PREFERRED DELIVERY TIME DIRECTIONS �_ I Weather King Portable Builtlings and its agents are not responsible for permits,setbacks,restnctions,or covenants.Please contact your local codes department or Homeowners Association.It is up to the customer to decide whether ground conditions are suitable for delivery Weather King Portable Buildings is not responsible for yard or driveway damage Free delivery and set up includes one trio additional trips may incur charqes to the customer I,the customer,have read the disclosure above, and fully accept the terms provided therein Customer's Signature. F�rst 50 miles Free Delivery From Lot Thereafter$3.00 Per Mile. 3 a�iI V'iy'..�,. .?'w.- .''A, ;i: `�`i. � 'R} STATE OF FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS "Dedreated to making Florida a better place to call home„ RICK SCOTT Govemor Mdreh 09, 2011 Matt Barnes Consolidated Industries, LLC 3322 Mennonite Scool Road Montezuma, GA 31063 RE Manufacturer Certification,ID MFT-7345, Expiration Date March 18, 2014 Dear Matt Barnes It is my pleasure to inform you that Consolidated Industries, LLC, located at 3322 Mennite School Road, Montezuma,GA 31063, has been approved under the Manufactured Buildings Program, as provided for under Chapter 553, Part I, Fiorida Statutes,to manufacture Storage Sheds for installation in Florida Construction or modification on a manufactured building cannot begin until the Third Party Agency has approved the plans in accordance with the current Fiorida Building Code. Your Third Party Agency is a contractor for the Department and has statutory authority and responsibilities that must be met to maintain approved status. You may expect and demand quality plans review and inspections Each Code change wiil make your plans obsolete until they have been reviewed, approved and indicated [on the cover page of the plans]for compliance with the Code by your Third Party Agency for plans review Please ensure that your plans are in compliance and are properly posted on our website. Ali site-related installation issues are subject to the local authority having�unsdiction The Department's contractor will make unannounced monitoring visits at least once each year You must grant complete access to your manufacturing facility and records to remain in compliance with the rules and regulations of this program Your certification is approved for three years from this date.You will receive a renewal notice by Email generated by the BCIS(�.v�r��,v.flondacut�cinq.ar�)for online renewal If you have questions you may contact me or Leola Baidwin at 850-921-0956 or our FAX at 850-414-8436 Please visit our website at vv��r;w.F:or:daouildir�.ora to see valuable information on the Florida Manufactured Buildings Program A copy of this letter must accompany appiications for local building permits. Sincerely, �—�`�' � `�f C� Robert Lorenzo Manufactured Buildings Program cc National Design and Inspection, Inc. 2555 SHUMARD OAK 80ULEVARD ♦ TALLAHASSEE FL 32399- 2100 850-488-8466 (p) ♦ 850-921-0781 (f) ♦ W e b s i t e: www.dca state fi�s ♦COMMUNITY PLANNING 850-4884356(p) 850.488-3309(f)• •HOUSING AND COMMUNITY DEVELOPMENT 850-688-T956(p) 550-9225623(f�• -_._. u<III .''t'r .• :- ' -��G = _ - '� � ..,. K�,� 1=' � ��1 -� _ �-' �4 ' _ -Lr�u-_I� - � _e.�__ '. 15•1�-'icr 1��- _ . _.. ' ,.. < 6 r - �� _ - _ - __ ldill r=' J �h'J1- � =t_�i: I - ' � ia-��:-dr,:.��a.� ="_. ., :._��i- _ -` - - - '+ - _ - �r��11'�i;�_arr=y�r��. ; .1y=9:i�__9_�53� ;=�� . _ V ,, ' ar � :'1;'�`�,i�lyL'h�f�: .��w _ 47E w � �-�.,' I�I�JXI C' �C'r.10�'. 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Miner, Dpty Clerk PRULq S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLE� 10/19/12 10:06am 1 of 1 OR BK ��Z P� 1�� NOTICE OF C011�IIVIENCEMENT Permit No. PropertyIdentificarionNo.l�=oZ(p'°'Z/ ��'�ylp Ir.JQ— ��C�1°Q��V � � l� Tf�UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,snd'm accordance with Section 713.13 of the Florida Statutes,the foliowing informatioa is provided in this NOTTCE OF COMMENCEMENT. 1.Descriptionofproperry(lega[description:)C.fT�o f'�p,ph %r��l(Sl'l L.F'ls � �� plU� � Cd��%3��f� a)Street Ad�ess: � '�%�GI L�(7'�t 'S� Zf� 2.deneral description of improve— ments. T 3.Owner Information '!" ' ,�� a)Name and address:�y LV A L.%O/�L .S�.3� ��S� ��(//'�� I"�..3'�1�f1� b)Name and address of fee s�mple htleholder(if o�er than owna) c)Interest m property �tractor Infomiation �t� �-,L �t-r ,/ a)Name and address: � � ��('il LL f�L!i%� Z ,�'r�i�� /'�3�.5�� b)Telephone No.: � Fax No.(Opt.) S.Surety Information a)Name and address• b)Amount of Boad: c)Telephone No.: Fax No.(Opt.) 6.Leader a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.; Fax No.(OpG) 8.In addirion to himsel�owner designates the following person to receive a capy of the Lienor's Notice as provided'm Section 713.13(]xb),Florida Statutes: a)Name and address; b)Telephona No.: '-- Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expirarion dau is one year from the date of recording imless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFI'ER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED Il1�ROPER PAYMENTS UNDER CHAP7'ER 713,PART I,SECT'ION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR II�IPROVEMENTS 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 FINANCIIVG,CONSULT YOUIt LEND OR AN A ORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF C NCEME �� SfATE OF FLORIpA �.�G KORI N.SPEEQLE COUNT'1 OF PASCO ' �~ `� Notary Public,State af Fbrida Signm�ve of Uwer or 's A ' . cedpirecror artr�ed�qmag Commiss(on#�EE 114626 �A,., L G �, S-�'�� My comm.expires July 21,2015 Pnnt Neme �� The f�{egoing}'nstrumeut was acimowledged before me this �� day og ��C// 20��by � l ��7`��.�J � /`.,,�. ,�— in fact)for �- ��_- (tvoe of authority,e.g.offic hvstee,atto ey (name of party on behalf of wh instivment was exec �). � Personally Known t/ pR Produced Identification_ Notary Signatufe--� 1 Type of Identification Produced /� p Name(print) IC��.-( �`- �_ Verificatioa pursuant to Section 92.525,Florida Statutes.Under penalti f erjiay,I dec ave read the foregoing and that the facts stated in it aze true to the best of my lmowledge and belief. FORMSmOC�rva�ou7 Si anual Persoo S� ' g Above STpTE QF FLORIDA,COUN7�n� PASCC� �V�� cj �� t� � � �C THIS IS Tt�GERTIFY THA?THE FOREGOING 1S A G TRUE AND CQRRECT CUPY OF THE DOCUMENT �� ON FILE OR Q�FtJBLIC RECORD IN THIS OFFICE ' ' JVITNE�S MY HAND AND FICIAL SEAL THIS * • In G�we�sr � * �r1 DAY 0 2�— .y., . PAULA S O'NEIL, ERK&COMPTROLLER * � � O � * DcPI:T`/CLERK * • 1887 * BY ' ' �°��OF'F40��P CITY OF / / / � BUILDINGI ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION � • • - • ADORE55 � DATE� PERMIT�, � `�� S� �-�.� -13 - S S�y THIS JOB HAS NOT BEEN COMPLETED. The fol lowing additions or corrections shall be made before the job will be accepted. -�' C�'1.P �t is un�awfu�tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth or other material,until the proper inspector has had ample time to approve 780-��2 FOR R -INSPECTION the installation. OFFICE HOURS 7.30 AM-5 PM MON.-FRI INSPECTOR