HomeMy WebLinkAbout13-13791 CITY OF ZEPHYRHILLS
5335-8TH STREET
' (si3)�so-oo20 13791
BUILDING PERMIT
Permit Number: 13791 Address: 38921 5TH AVE
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: 11-26-21-0010-14500-0070
Improv. Cost: 3,638.00
Date Issued: 1/24/2013 Name: SWAIN, TERRY& DIANW
Total Fees: 82.50 Address: 38921 5TH AVE
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 1/24/2013 Phone: (813)842-1943
Work Desc: INSTALLATION SHED 12 X 14
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SHEATHING
FINAL I""�
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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, Specifications Must Accompany Application. All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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01/23/13 K Gareia, Dpty Clerk
VHULR S 0'NEIL,Ph D Pi75C0 CLERK 6 COMPTFOLLER
0i/2�,'13 P14:34 m 1 of 1
OP, itK $8�7 PG 1417
NOTICE OF COMMENCEMF,�I'f
Permit No.
Property Identification No.�I"26 '2I�Od lD�' ��(C7/�-�d07p
1'HE UNDERS1GNFV hercby gives notice that improvcments will be madc to certuin real property,and in accordance with Section
713 13 of the Florida Statutes,thc following information is provided in the NOTTCF OF COMMENCEMENT.
� � Description of property(!e a!descripdon1) ���21--?1-��/�`��`����� D� r�
� a) Street Address:�$�Z/ /`/7C"i/J �� ZP,�,�,l;/ � F/. •3 Y��
; Gcneral dcscr.pt:on�f impro.eme:us /n S7"ra/I �'i r�.� Sl..�^-^
}.� Owner Information J'
(" a) Name and address: TPKLi" 5'pF.A/r( .3SS�i?/ S`7/f A��, Zr•p+.y2�/+���5 �� 335�/�
b) Name and address of fee simple tiUeholder(if other than owner) _
c) Interest in property _ _ ______
4 Contractor Information
a) Name and address:��Q.M`2_ Q�j O� f����''
b) Telephone No. Fax A'o.(Opt.)_ ___
5 Surety Information
a) Name and address:
b) Amount of Bond: � � w �
c) 1'elephone No.: _Fax No.(Opt.j � Z (�
6. Lender (, � � � �� �
a) Name and address: _ _ �U z � �� _I U
U --� }
7 a)�Name and address'n the State of Florida designated by owner upon wh�m noti�es or uther documents may be served; �W��� N � a
b) Telephone No. Fax No.(Opt.) � O � = Z J � �
8. In addition to himsetf,owner designates the following person to receive a copy of the l,ienor's Nutice as provided in Section �- � i— ❑ � O
713 13(1)(b),Florida Statutes: F" W � � (� U
a) Name and address: j� � O U., �
b) Telephone No.. Fa�c ho.(OptJ } �'1-
9 Lxpiration date of Notice of Commenccmer.t(the expiration Gate is one y:ar from thc datc of recording unless a dif'ferent date is U� Q O � �
specified): -- — _ ----- Q�� (� z
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WARNING TO OWNF,R:ANY PAYMENT&MADE BY THE OWNER Ar7'F.R'fFII:F,XPIRATCON OF THE N01'ICE OF � � W� � u- V
COMMENCEMENT ARF,CONSIDERED IMPROPER PAYMENTS UNDe.R CtIAPTER 713,PAR'C 1,SECTION 713.13, � F" � d z O "�
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FQR II'RO VF.MEH'CS TU YOUR PROPERTY.A � W � LL = Q W
NOTICE OF COMMENCED4ENT MUST BE RECQRDED AND POSTED ON TAF,30II SITS B�FO!RE THE FIRST �- U U O}, p Z
INSPECTION.IF YOTJ IN'S'EN�TC C1BT�:CI?�:";*'r_':`r•.:,v."���'T_.';•<'::,.;:.:>�.;,iR'v..ru�ra i';Ui:�1EY BEFORE la- Q p � � O
COMMENCING\VORK OR RECORDING YOU YOTYCE OF COD1MENr'F,MENT W � Q � � (n
STATE 6F FLORIUA � �� Q N j � Z �
COUNTY OF PASCO '..� � �O�
Signat� (hvner u:Ucmer s Ainhorvcd Ufficer��)LroctodParmer/Managa (n a }
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Pnnt Nam� * �
The foregoing instrument was acknowledged Lefore me this �J day of�(.i.n l.Lf,�(-1 ���9/3,by * �� • ���y
`�r-r Sca q,Y� as _ 7(t}pe�f authori�oETicer,trustee,attomey'n faci)for {. ��V
----------- —(namc of party un tx;half of whom mshument was executed). ='� (;� "�.y�, �
�n � �,��.�- , r; ,;
Personally Known�R Producecl Identification__ Nctary Signature G"'�,�'�!�� ���t�. � ,�.3 4.1�
T� e of Identification Produced N�me �
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Verification pursuant ro Section 92.525,Florida Statutes.Under`enalties of perjor,•,1 de �.�li��av�1���th••the facts stated
in it are Irue[o the best of my knowledge and belief. :.; :.� COffIfIYSS10(1# #
FORMSN(%'rv�d?OtIJ 2s. ? E.%plf23fl606fl1bef 12,2014 � •
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Bushrteli Shed cc�. �I�1VO�C�E
(Featuring Lark Sheds)
424 Broad St. (SR 48}
�ushneli, FL 33513
(352� 563-001'! Fax (352) 568-3423
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so�d To ���•�y J way:�
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Phone IVo. (home) Zip Code ��.�L
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SOID BY CASH C.O.D CHARGE SERIAL# DATE ORDERED
QUAkTITY SlZFJNOMINAL TYPE OF BLOG PRIMARY COLOR TRIA�S COLOR PRICE AMOUNT
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ADDITIONAL CHARGE� FENCE ETc
TREE
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PLEASE READ BEFORE S�GC�fNG
1. Price of building includes normal delivery and anchoring.
DE LiV E RY z. �ustomer assures eushnell Shed Co.there is adequate access to the site where the shed
is to be placed and accepts additional charges that may be necessary for removal of
fences,trees,old shed,etc.
3 If delivery requires crossing surrounding/neighboring property,customer is responsible
QATE for permission and/or damages.
4 eushnell Shed Co.is not responsibie for damage to u�derground utilities,overhead lines
8AL DUE or sprinkler systems.
5 Sushnell Shed Co.will set the shed once as per customer's site plan. Any adjustments
thereafter are done at the customer's expense.
PD.BY 6. Orders cancelled are subject to deposit forfeiture.
X
X ACCEPTED BY CUSTOMER
Customer Signature
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DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS- BUILDING DEPARTMENT
� e�� s�,g t,� have read and fully understand and agree to the
provisions of his instrument.
The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or
reroofing his or her own domicile, that he or she actually occupies, or will occupy by said
domicile, and same is not for rent, lease or sale. That he or she shall comply with the following
conditions:
1. That the owner and he or she alone shall act as the builder for all phases of construction.
2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will engage only
properly licensed subcontractors and will personally supervise such work.
4. That in the event the Building Inspector shall require corrections to be made, the owner will
assume fufl responsibility to insure they are made, and upon completion will call for a
reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will not expect
supervision of his work from the City of Zephyrhills Building Department.
6. That prior to final inspection any additional fees, including reinspection fees, must be paid in
full. A written request from this office shall constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to social security,
workman's compensation, lien laws, etc.,where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida Industrial
Commission.
9. State law requires construction to be done by licensed contractors. You have applied for a
permit under an exemption to that law. The exemption allows you, as the owner of your
property, to act as your own contractor with certain restrictions even though you do not have
a license. You must provide direct onsite supervision of the construction yourself. You may
build or improve a one-family or two-family residence or a farm outbuilding. You may also
build or improve a commercial building, provided your costs do not exceed $75,000. The
building or residence must be for your own use or occupancy. It may not be buitt or
substantially improved if for sale or lease,which is a violation of this exemption. You may not
hire an unlicensed person to act as your contractor or to supervise people working on your
building. It is your responsibility to make sure that people employed by you have licenses
required by state law and by county or municipal licensing ordinances. You may not delegate
the responsibility for supervising work to a licensed contractor who is not licensed to pertorm
the work being done. Any person working on your building who is not licensed must work
under your direct supervision and must be employed by you, which means that you must
deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all
as prescribed by law. Your construction must comply with all applicable laws, ordinances,
building codes, and zoning cegulations.
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OWNER'SSIGNATURE �� -�`�--'�-'� DATE G `-C�-.ZL`�l3
ADDRESS � 8 g Z.� � r 2 ea .c !.� � S5Y Z
PHONE S�'i�- S�/Z- / S y '�
WITNESS PERMIT
1/Masterfo�s/OwnecssAff devit/Nov07
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner: ��,�� �w/� f�"�/
Job Location/Address: __'��C� �/ ��"��f-�' ��, �_ ���,,�; �;, �i =°
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Pazcel I.D. #: `�" 2� - �� �- fan /��' __ �Y.'�EY� - DO 7 D C riKD��t�t� /tp��` ��,� �
SHOW ALL EXISTING&PROPOSED STRUCT[JRES GNING DIlvIENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE &FOUNDATION INFORMATION
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(NOT'E EXAMPLES 1&2)..
Example 1. Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning
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Pasco County Parcel: 11-26-21-0010-14500-0070 001 Page 1 of 2
Data Current as Of: rc - October 06, 2012
Parcel ID 11-26-21-0010-14500-0070 (Car<3� 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
SWAIN TERRY&DIANE Ag Land $�
38921 5TH AVE �nd $8,453
ZEPHYRHILLS FL 33542-4627 Building $22,535
Physical Address Extra Features $7�2
38921 5TH AVE
ZEPHYRHILLS FL 33542 )ust Value �31,690
Leaal Descriution (First 4 Lines) Assessed (Save our Homes) $31,690
See Plat for this Subdivision Homestead 196.031 - $25,000
TOWN OF ZEPHYRHILLS PB 1 PG 54 Non-School Additional Homestead Exemption - $0
LOTS 7,8 &9 LESS NORTH 55' OF Taxable Value ;6,690
BLOCK 145 Warning: A significant taxable value increase may occur when sold.
OR 3260 PG 305 Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
� 0100 SFR OOR2 4,200.00 �F $1.80 1.00 $7,560
�2 0100 SFR OOR2 2,550.00 � $0.35 1.00 $893
Additional Land Information
Acres 0.16 Tax Area 30ZH FEMA Code X Residential Code ZHLHLP2
Buildina information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1949 Stories 1.0
Exterior Wall i Above Average E�cterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl.Cost New
1 I�CR 280 $2,957
�-2-� � 870 $30,624
3 � 108 $563
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DW WC 1974 160 $132
2 LFEN E 1994 �720 $254
3 � UDU-M 1998 1 $316
Sales History
Previous Owner SWAIN TERRY&
Month/Year Book/Page T1�pe C de Condition Amount
05/2007 7512/ 1501 �Q�D eldlm Improved $0
12/1999 4286/0477 Warranty � Improved $0
Deed
06/1992 3260/ 0305 Afo�ep�dt� Improved $37,000
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=... 10/12/2012
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �-f r �� �
Date Received: / ��'�`-3
Site: � �' �Z� 'S
�2-� ` d��'
Permit Type:
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comm t sheet sh e kept with the permit and/or plans.
r/ '/
Bill ge s ' ing Official Date Contractor and/or Homeowner
(Required when comments are present)
a io-iov-uu�u C;ity oT Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Da3e Received - � 3 Phone Contact for Permittin -- 'y
Owner's Name v �(/� �� Owner Pho�e Number v�3'� $y Z� � �l y J � �
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Owner's Address ''r J� 1 2-J c3'TN ��.°, Owner Phone Number g�3' �$�6- 13 ��
Fee Simple Titleholder Name Owner Phone Number
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Fee Simple Titleholder Address '�•--_
JOB ADDRESS 1�J S�i Z �'C.- LOT� �
SUBDMSION �`PARC � - 2 - -� S� O �- aD ZZ�
�r—r ' (OBTAINED FROM PROPERTY TAl(NOTICE)
VYORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK '��/1STA�� S� � /`�/
BUILDING SIZE SQ FOOTAGE�� HEIC3HT
UILDING S g, VALUATION OF TOTAL CONSTRUCTION
3(�3 DO.
QELECTRICAL s AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING a . � � � I ��,�.�'�
QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION 2 ' �
� �C
[�GAS Q ROOFING �Q SPECIALTY Q OTHER ��3 ���
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER ��L COMPANY i�-lTdy'i°�re��
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address %/f License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address License#
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License f�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Fortns;R-O-W Permit for new construc6on,
Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Fadlitles d�1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set af Energy Forms.R-O-W Permit for new conshuction.
Minimum ten(10)workfng days afler submittal date. Required onsite,Construdion Plans,Stonnwater Plans w!Silt Fence installed,
Sanitary FaciliHes 3 1 dumpster.Site Work Permit for all new projects.All commerc(al requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'•PROPERTY SURVEY required for all NEW constructlon.
Directlons:
Fill out application compietely.
Owner&Contractor sign back of appllcatlon,nota�ized
If over 52500,a Notice of Commencement Is required. (A!C upgrades over sT500)
"• 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 ApplicaUo�Onty)
Reroofs ii shingles Sewers Service Upgrades A/C � �ences(PIoUSurvey/Footage)
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Drivewaya-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 rest�ictive 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 focal regulations. If the
contracto� 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 unce�tain as to what iicensing 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 entiNed to per�nit#irrg 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, wili be identified at the time of
permitting. It is further unde�stood 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 appllcant 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 AFFtDAVIT: 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 tand development. Application is
hereby made to obtain a permit to do work and installation as indicated. 1 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 unde�stand that the regulations of other government agenciss 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 Flo�ida 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. tf use of�II 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 flll, 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 vf 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 pe�mit 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 YOU12
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSU�.7
W17H YOUR LENDER R AN ATTORNEY EFO E RECORDING Y U TIC F T.
FLORIDA JURAT(F.S. 117.03)
( WNER AGENT� CONTRACTOR °
�'�-Stibsc�ibed and swom to(or aHi d�.,peforeme this Subscribed and swom (or a(flrmed)_before me thls
/-/7-(3 °by �Tert�y 5�,�a� �.J I����3 by '�r.r,*;� ��rs- "i
Who is/arg persq�ally known to me or has/have produced Who 1s(�re personally novm to me or has/have produced
(�( . (/` pn„�3-2 as Identlficadon. f Y. �, C c�it S-� as identlfication.
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Commtssi �'Y""� JACQ�1�� B�'�S `� Cojnm�on •, JACQUELINE BrJGE �
- _•: °k= �m�g�ecember 12,2014 � `: '" ��r�p��r 12,2014 �>
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Name of Nota nt w Name of No `ri � �
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