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HomeMy WebLinkAbout13-13827 , CITY OF ZEPHYRHILLS � 5335-8TH STREET (si3)�so-oozo 13827 BUILDING PERMIT Permit Number: 13827 Address: 5410 SATSUMA DR Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYR HEIGHTS Est. Value: Parcel Number: 12-26-21-0040-00200-080 Improv. Cost: 4,287.00 Date Issued: �-/.�--/� Name: COLANDRIA, LOUIS J. JR Total Fees: 90.00 Address: 5410 SATSUMA DR Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/13/2013 Phone: (813 715-4353 Work Desc: REPLACEMENT WINDOWS SIZE FOR SIZE 7 i� ���� �i . z _ � 1 � FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REiNSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are neaessary due to any one of the following reasons: a)wrong address b)wndemned work resultlng from faulty oonstruction c) repairs or wrrections 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. "Warning to owner: Your failure to record a notice of oommencement may result in your paying twice for improvements to your properly. If you Intend to obtain finanang,consult with your lender or an attorney before recording your notice of oommencement." Complete Plans,Specifications Must A000mpany Application.All work shail be performed in acoordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. O TRA OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received f���� 3 Phone Contact for Permitting �G j tp �w � __ � � � � � � � � � j 1 1 1 1 1 Owner's Name `�ka�5 �Q C Qn G�Z�.L '7l S—�-(3 J� �T• Owner Phone Number ��3 Owner's Address J � (r3 �'�$t� a Vr. Owner Phone Number � Fee Simple Titleholder Name �— Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS ��� S6�S�'^'C �� LOT# � SUBDIVISION �Q-��`'j f' �Gt�R� �'� PARCEL ID# �2-ZL��-i '�'�'0�[� '- U¢7"ZO�— . O�8 v (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEw CONSTR� ADD/ALT � SIGN Q � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR � COMM � OTHER TYPE OFCONSTRUCTION O BLOCK � FRAME � STEEL Q DESCRIPTION OF WORK '�-Q ��-�.-° �`"L"'� �t�d�-�S S�� 2-� tZof- 5�Z{ BUILDING SI2E SQ FOOTAGE� HEIGHT QBUILDING $ / �,.Z �--��Q VALUATION OF TOTAL CONSTRUCTION _� QELECTRICAI $ AMP SERVICE Q PROGRESS ENERGY � W R.E.0 OPLUMBING $ � � � � � � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �GAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER COMPANY ��� �ll ��5. �c��S� L, �� • SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �— ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREl. 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/ N FEE CURRE� Y!N Address License# Illlllllltlllllllllllllllllllllllllllllllllllllllllllllllllllllllll 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 dumpstei,Site Work Permit for subdivis�or�s;large prcjects 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 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. D�rect�ons.• Fill out application completely Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) '* 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 if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/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 Counry. 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'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 govemment 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 NT D TO O IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING R O ICE O OM MENT. FLORlDA JURAT(F S 117 03) \ OWNER OR AGENT CONTRACTO Subscribed and swom to(or affirmed)before me this S bscribed and swo r affirmed)be r this Z J tCl.� �/� by �� f by � � . Who islare personally known to me or has/have produced ho is/are pe sonally known to me or has/have produced as identification. as identification. Notary Public � Notary Public Commission No Commission Na I1��G`�D V��� r"1 . I I'Vl S Name of Notary typed,printed or stamped Name o Notary typed,printed or stamped �••••••••••••KRISTIN�SIMS••••+••� .•�""""�•, Comm#DD0860537 �:��F�Yl,;,,:�i'.. �j T7 � _ Ezpires 311512013 : ''•.'„�'�;�,'�.�`' Fbrida NotaryAssn.,Inc = i.n� �...................................•...u...i .-r- l%� C � — � � - -- £ � � � � 'N r� �` � '�. J � � -'� J ST _k � � \� �� \� N h U �-, M �,,, `'� li --�' ( ; � k � �� - " `'� �, w ,�1 a t" � -5+ S& � �- �y a i`L' - `' $ •i ` `��„� �T m � m � n�' � � � 7 � \N �11 0 � � � ` � � (�' /V • ��Ji S `�1.,. =k �1 � �' " \� �� ' �r M � � a _ � � x T � N _ t'� �� N � ; N (�y' `�(^1 O� O � / ^V ' � N N `� � 1 � � r� � � � _ ` � � � _ � 5 � N a r � � �.J� � r' �. �� � �/1 (� 1- t . , 5 � � � J � a L N � � p' r � 1 3 P "4 & ; ° �����i �onr„ u;;,;, BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links f Busines rt Professi��la� ��Product Approval '� USER. Public User Re;,.,iati��, Product Aoproval Menu> Product or Aoolication Search>Apohcation List>Applicatlon Detail �,�� �; FL# FL163-R4 Application Type Revision Code Version 2010 Application Status Approved Comments Archived Product Manufacturer Custom Window Systems Inc. Address/Phone/Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 mlafevre@cws.cc Authorized Signature Michael LaFevre mlafevre@cws.cc Technical Representative Brian Tenace Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352) 368-6922 E�291 btenace@cws.cc Quality Assurance Representative ]eff Thompson Address/Phone/Email 1900 SW 44th Ave. Ocala, FL 34474 (352) 368-6922 Ext 221 jthompson@cws.cc Category Windows Subcategory Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensec Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who developed Lucas A. Turner the Evaluation Report Florida License PE-58201 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 03/OS/2014 Validated By Steven M. Urich, PE Validation Checklist- Hardcopy Received Certificate of Independence FL163 R4 COI EvalRe�CWS-466A(SH-3500).pdf Referenced Standard and Year(of Standard) Standard Yea ANSI/AAMA/101/IS2/A440-05 200 ASTM E 1300-04 200• Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 11/14/2011 Date Validated 12/04/2011 Date Pending FBC Approval 12/15/2011 Date Approved 01/31/2012 Summary of Products FL# Model,Number or Name Descri tion 163.1 3500 Single Hung 3500 Sin le Hun Limits of Use Installation Instructions , Approved for use in HVHZ: No FL163 R4 II CWS-466A(SH-3500).qdf Approved for use outside HVHZ: Yes Verified By• Lucas A.Turner 58201 ', Impact Resistant: No Created by Independent Third Party Yes ' Design Pressure: N/A Evaluation Reports Other: 3500 Single Hung Equal Lite H-C35 56"x 91", 3500 FL163 R4 AE EyalRep_CWS=466A_�SH-3500) pdr Single Hung Oriel H-C35 56"x 91" Created by Independent Third Party Yes �_ ::a�P --'� I'--Ne�t--'� Contact Us 1940 North Monroe Street Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer CoDVriqht 2007-2010 State of Florida. Privacv Statement Accessibilitv Statement Refu Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request, send electronic mail to this entity Instead,contact the office by phone or by treditional mail.If you have any questions,please con[act 850.48 *PUrsuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide[he Dep with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addres� public record.If you do not wish to supply a personal address,please provide the DepaKment wi[h an email address which can be made avail the public.To determine if you are a licensee under Chapter 455,F.S.,please click here Product Approval Accepts: �� H;'ieck � �lirlll � •� F LL ~ � W Z (�j II O � � � • 3 ¢ z c?o � � � � � � v� LL ' "' ° W� J � �- � z g o � 3 ° J � W ` 0� � Q o W Q � � o U � m Q W� H � � � � 2 0 � Q N � W U_' W W Q oZ � � L� Z Q � � U U� m W W �� ? ¢ 5 S o J Z oO y � Z ZC� � orn �� cn o a' W (A Q Z W � �y W Z � � w v�Z w Z < ❑g a �W a o � � a �-vi � a co ¢q2 t�i �`a u7 1- ¢ � H Q a w � w�o w w '� �� X �� acn > u� ¢ z � �„ � a� M u� J Z � � � � a'�< o � ° �°° ? �¢ �g i" o m � Z (n � ~W J d' � N Y� *J �C� J 1-- � W � Z�U a W J W j� � p� �� Q ; S w W w �Z J f- (/7 H ❑p]W J W� � w Q Q > aZ � d 2FU a Z Z ffl W li � �LL �J } U� W � v O ,�W � W�� � O � p�p J �Q J LL � v af °wF v� F v��o J � �'�� _ �� ap� a o $ v � C�� Hr w� �mZ ZO � M Z�Z � aZW wOW N N `�y w� O Z v�F- wZ �� UZ¢ Q- ° °o �Q�C� O °'Ow x 2 Z O �¢ Z � Z O W � O� Z�� (nw a' J C1 2'N W � x�U7 ��� O ~ � a� J w �� � wuwi wrn w�� w�n x U cn °�� ¢ „'¢oF o�mo � � g a� w o C7 � u'U w �m mw v�~i�o� �°�° w Z o aiao � �aiw a�nw W o � �� w � z �ui x �� o Uw (7 �i U p aWLL �w� � m in W W� (n Z❑ �m e�LL QO O � �Q ��� � �NW ZN� � j �� � w � 0-' Z� W j( �Q Q Q M W� aw O Z ��= Z Z(��' �� � O V F � � U 3C� � O �� �v� Mx� �� � w � UQ� X O�� ��<n � ¢ ^'O _ w O Q OZ W Z Z!n M(n O�1 W � W m 2 Q Z 2Q} NO Y F- � Z �.� o o v�W w� �<n3 w°z u�i FN W ozo> � ¢jZ uQi>Q � � ,J•``a�R,*'a��%y�4 cnJ � 2W¢ � � � OLL Z p� � � �� W¢ ���ti �? �Z zv`�i � X�m N2 zN> jO? 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OY w? w> WY ?} �Y SY �nm wm mm �m am �nm am �m wm �nm .'� r � i.=- �H..tj�, � l� . ��,'t�1 ��M�r • � 9�M 1 � ' Data Current as � � °` Of: Weekly Archive - Saturday, January 12, 2013 , j � . - ParcellD 12-Z6-21-0040-00200-0080 (Card: ; I ���` 001 of 001) ; � �;'�" Classification 01 - Single Family , � , Mailing Address Property Value f COLANDRIA LOUIS J JR& Ag Land $p � DARLENE M � Land $11,200 5410 SATSUMA DR Building $33,860 ZEPHYRHILLS FL 33542-4670 PhysiCal Addre55 Extra Features $1,504 5410 SATSUMA DR Just Value $46,564 ; '` � ZEPHYRHILLS FL 33542-4670 � �� ASSessed (Non-School Amendment 1)$46,564 - Leaal Descrintion (First 4 Lines) , See Plat for this Subdivision Taxable Value $p � ;i ZEPHYR HEIGHTS 1ST ADDN PB 8 PG 21 LOT 8 BLOCK 2 ' SUBJECT TO EASEMENT OVER SOUTH I � 10 F7 THEREOF PER OR 7896 Land Detail (Card: 001 of 001) ' Line Use Description Zoning Units Type Price Condition Value j � 0100 SFR OOR2 7,000.00 SF $1.60 1.00 $11,200 � Additional Land Information Atres 0.16 A ea 30ZH Code �Residential Ced ZHLGLP3 � i Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1969 Stories 1.0 � Exterior Wall Concrete or Cinder Exterior Wall 1 Block Z None i Roof Gable or Hip Roof Cover Asphalt or Composition -- Structure Shingle Interior Wall Drywall Interior Wall None 1 2 Flooring 1 Terrazzo Monolithic Flooring 2 None Fuel Electric Heat Forced Air- Ducted A/C Central Baths 1.0 Line Description Sq. Feet Repl. Cost New 1 BAS 910 $38,038 2 EEA 120 $3,511 3 FG R 338 $5,643 4 FOP 80 � $836 Extra Features (Card: 001 of 001) - .' � � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: `Jl�� �`�( �✓'� -r �S ` �`G(/� Date Received: ���/3 Site: �S��lJ �'/�-/-.�/YI� / ,E, Permit Type: � �/�'1G(d(,(} ��C��f��'f� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This co ent sheet shall be kept with the permit and/or plans. s'� r �� � Kalv' S it r lans Examiner Date Contractor and/ar Homeowner > (Required when comments are present) / � ,�n.��.,� b7 � 'Tac.k �-�.0 �-�. �+s� � ,41��. s�H J IlllllllllllilllllllllllllllllllllllllllllllllllllllNllllil 2013027136 Rept:1496619 Ree: 10.00 DS: 0.00 IT: 0.00 02/13/13 D. Bonilla, Dpf.y Cle�k PRULii S 0'NEIL,Ph D PASCO CLERK d COMPTROLLEF S?A?E OF FLp ,� NOTICE OF COM]yENCEMI�N7' 02/13/13 9:3 a 1 o f 1 COUNTy OF aS�Ga j �: OR BK �$�� P� 2340 T��ed as Owner,notifies all paraes that ImProvements wi11 be ��a w�h Section 713-13,Flotida Statutes,the follo ��O��PiOpert�'.and In �8�osmation is s1ated am this Nofioe of Cocnm �tion oFPropaty. �'L'�Z(r — 2 c - d o 4� - a o�Z� -- �o g,> �nama►t �ex�� S ��u.,o(.r�`k �r i StE(D So.-t-s�,�..� �,�, 1� I Z��,7 rM�t� s 1F�. 3�s�-Z General Description of Iraprovements: ���.�.� ,���a� �� P��-,v , o��►a o����: ��� s C�IG-,�R�; a ��. St-icro Sos�-s�.�.,..p. �r. ; Z�,���;t 1� 'n. 3 3 S4 Z � o��s�r«�c��u��v�i�a� d�.c,- . , ' ���,a c��r$Aa�,�: �--� �..��C( �'r,, C�,s�. � /�tw�.. i, a� {� ���_..�.G� � �� , l.��c�.� �'Z ��0-3 y �Y e�anr�ar,�a s�recys Ad�: � Amonnt of Bo:d;S , N°��nd addn�as of Lender�if any)a�aldng losa for coru � Natne of perspn R►imut ths Srate of Floci,da �ucaon of the lmprovements: 'I ��'�d�ates t!►e following���,���P}'o�I noaces or other doc�er►ts maY�servcd ...................................... ........ senor s Notice as provi��m�n 713.13, KRISTIN SIMS ,aw,u,,, `���r�4 Comm#DD0860537 '��t��= Expires 3H5l2013 ,�p : ��,�`F;��`�`` Fbrida Nosary Assn.,Inc �� i+�n w..•........ ........•........uu•.........i r,� Swom to and subscnbed bef ine this�7 r� �I aay oe 3 !� . Zo� ,i ,� .� , � ,+ i : , . _ , � ����vo � , � ' �'P� STATE OF FLC3RinA, �OU[VT4'OF PASCCI THIS IS TO CERTIFY ThiAT THE FOREGOING!S A � � • ':�1 TRUE ANQ CORR�CT COpY QF THc pOCUMENT # • 'n�'�Q� : * C}N FILE OR UF PU���C R��p�p IN THlS OFFICE 'k �:-�-,..,5 � WITNESS MY HAND A�)�,�� q�,�AL THIS . * —.._�.� l7A,Y�I= 2� �f° �8g� �A PAULA K�, �OMW7ROLLER \�,��,��q�t1C3►� '' BY ° ---..... •_._--'' �t=u?. , _; . • . � • . . . � � • • � I � License #CR-0058237 Date: 1/23/13 To: City of Zephyrhills l, Jack R. Hall Jr. with Jack Hall Jr.'s Construction and Aluminum, License #CR-0058237 would like fo request that you allow Daniel Johnson to pull and sign permits with Zephyrhills Building Department. My Social Security number is 310-68-0324. 1 accept full responsibility for all work ne. � ' �� ��.� i y�,, �„r L � �r Jack R. Hall Jr., President Jack Hall Jr's Construction and Aluminum. State of Florida City of Zephyrhills Before me personally appeared Jack R. Hall Jr., to me well known and known to me to be the person described in and who executed the forgoing instrument, and acknowledged to and before me that he executed said instrument for the proposes therein expressed. Witness my hand and official seal, this �3 �� day of . 2013 , � 1�c. � istin Sims Notary Public �.............................o�ea,...��..��.Y KRISTIN SiMS State of Florida ;.�;;��N�-'� �amm#D�086Q537 _� �;=. ' � Expires 3/15/2013 ����'V�;'�`� Florida Notary Assn.,lnc n.ia,• n.....u•.......................e......•...•.i 3616 Waterfleld Parkway ♦ Lakeland, Florida 33803 Phone: (863) 667-0068 ♦ Toll Free in Florida� 1-800-741-0068 visir us ar: www.jackhalljr com