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HomeMy WebLinkAbout14-15430 � CITY OF ZEPHYRHILLS 5335-STH STREET <sis)�so-oozo '1 54 BUIL�ING PERMIT Pgrmit Number: '15430 Address= 7886 GALL BLV� Permit Type: SIGN ZEPHYRHILLS, FL_ Class of Woric: WALL SIGN Towr�ship= Range: BooK: Proposed Usg: NOT APPLICABLE Lot(sj: Blocic= Section: Square FBgt: Subdivision= ZEPHYRCOMMONS Est_ Value= Parcal Numb@r: 35-25-2'1-O'130-00000-0030 Improv_ Cost= 5,000.00 Uate Issuad: 7/08/20'14 Name= SF ZEPHYR COMMONS LP Total Fees: '150_00 Address: '1-285'1 JOHN ST Amour�t Paid: '150.00 MARKHAM ON L3R SR7 CANA�A �atg Paid= 7/08/20'14 PF�or�e= _ Work Ugsc= INSTALL WALL SIGN 23_6 X 2'1.02 WEST/ 23.6 X 2'1.02 EAST SI�E(S -AT8.T SKYHIGH SIGNS 8.LIGHTING LLC � ` � P` S � `-1 �6 ���,a v ELECTRICAL F20UGH F 1 NAL REINSPECTION FEES: Reinspection fees wiil comply with F�orida Statute 553.80(2�(c)wF�en e�ctra inspection trips are necessary due to any one of the following reasons: a) wrong address b)�ondemned worK resulting from faulty construction c� repairs or correc.-tions not made when inspections ca�led dj worK not ready for inspection wF�en ca�led e� permit not posted on iob site� plans not at job site g�worlc not accessib�e. NOTiCE: In addition to tFie requirements oF this permit, there may be additional restrictions applicable to this property tF�at 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 resuli in your paying twice for ' improvements to your proper[y. If you intend to obtain fnancing�cor�su�t with your lender o�an aitorney before recoMing your notice of comme�cement_" Comp�ete Plans� Specifiwtions Must Accompany Application.All worK sha11 be perFormed in accordance wGth City Codes and Ordinances. NO OCCUPANCY BEFO C_O_ _ c�. " _ _ CONTRACTO ATURE� PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVE� INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRE� PROTECT CAR� FROM WEATHER 07/08/2014 11:40AM 8139078088 WCFPERMITS PAGE 01 � Date: � � To Whorn It May Concern: License Fiolder: Atbert Brown Jr, State License: EG-QQA3179 Firm Address: �624� �r��n Wi[law Run,Wesle�Chaoel. FL 33544 Telephone Number: $13-9Q7-$440 I he�eby authorize the following individuais to act as my ag�nt in all areas of permitting and licensing procedure wfth the municipality to which this Is presented. This authorization is for sign permits at variaus locations and to register the contractor �_ This authorization is for the follow'sng locatian. �"1��tC� ��11�►ti� Stephanie Arce,West Central Florida Permits Bfian Kelleher,West Center Florida Persnits Cindy Evangelista,West Centraf Florida Permits Steven KeEteher,West Central Florida Permits 1im Russell,West Central Elorida Permits Edward Krauss,West Central Flarida Permits Theresa aus W ntr a Permits �� Dat� � �� ' Signed: � Co racto � _ ` CONTRATOR'S SIGNATURE NOTARIZED: State of Flu�lda � t County of r h��t�4�► Subscribed before me on this � �� day of��� ' ,2013 by ,���'V'�-T�w�^Jr� who is personally knov+�n to me. Notary Signature ' � Commission IVumber • �� IYIOTiIY A. My Commission Expires: ��� �ryp����� Gommi�cioM EE� Nlyy ca�a.ex��'.�5.2ots ' ' 813-780-0020 City of Zephyrhills Permit Application Fax-813-78Q0021 . Building Department �°�°R°�°~°d Phone Contact fw Permildn r� r0! _ ���� 'I"�r_ _T-�-�_ Ownar's Name ` Owner Phone Number _ � i.32 5�'1 C'�Yt"�c Ownsr's Addroas Ownsr Pha»Number Fea Simpla Tfdaholder Name � � Owner Phone Numbar Fae SImpN Tltlsholder Addross JOB ADDRESS ( l0T�k � SUBDMSION �� PARCEL IDA " " � � �._ _ , (OBTAIqED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW CoN57rt B ADDlALT Q SIGN � Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BIOCK , Q FRAME Q STEEL Q , M S rN� K�y ��/. M e. �l C DESCRIPTION OF WORK [/ ww<��.q frr% [( S f CYZS-1`�A- t ty - tt. `P4St S�UILDINO SIZE d ^ t < < �t SQ FOOTAOE Y{3.S� ��q NEItiHT �I/��L,� � 1(,j'3`� ti � �BUILDING E � / ,�q� VALUATION OF TOTAL CONSTRUCTION �� J C! C���J/"`r- �ELECTRICAL $ AMP SERVICE Q PROGRESS�NERGY Q W.R.E.C. � �l �V. �V �PLUMBING $ � � � �1� � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION N�� Oa QGAS Q ROOFING Q SPECIALTY Q OTHER �, `I/'��Q/ h��'"1 FMIISHED FLOOR ELEVATIONS FLOOD ZONE Af2EA QYES 3 �����si�� �aP PG��'�'"' BUILDER \``'�� � � COMPANY � CCc�11-L,L<D �-�° - SIGNATURE REGISTERED Y/ N FeE ctxtaEn Y/N Address License# � ELEC7RICIAN ` � COMPANY � I T]11s1 f� <�I C-;�S � SIGNATURE REGISTEREQ Y N FEE a1RR Y/N Addrcsa � � license# 1�'"(�-��I� t I PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addnss License# MECHANICAL � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N qddress License# p7HER COIIIPANY � StGNATURE rtEOISTEREO Y/ N FEE CURREA Y/N /�d� License# IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111I1 RESIDENTIAL Attech(2)Plot Plans;(2)sets ot BuNding Plans;(1)set M Energy Fams;R-O-W Permit for new consVudfon, Minimum ten(10)working days atter submittal date. RequM�td onsite,Cm�sWction Plans,Stormwater Plans w/Sitt Fence installed, Sanitary Facilides fl 1 dumpster,Ske Work Permit fa su6diyisionsllarge projects COMMERCIAL Attach(3)canplete sets of Building Plans plus a LNe Sefety Pege;(1)set W Energy Forms.R-O-W Pertnit for new construction. Minimum ten(10)working days after submittal date. Raquired onsite,Construction Plans,Stormwater Plans wl Sitt Fence installed, Sanitary Fadlities&1 dumpster.Site Wak Permit for all new projeds.Atl commercia�requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. •"•PROPERTY SURVEY required for all NEW conatruction. Dlroatona: Fdl out application completely. Owner 8 Contrector sign beck ot epplication,notarized If ovsr 52500,a Notles o/CommenesmsM Is requlred. (A!C upgnde�ovx 57500) " Agent(for the contractw)or Power of Attomey(for the oNmer)would be someone with notarized letter from owner authaizfng same OVER TME COUNTER PERMITTINti (Front of Application Onty) Reroois if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) Drlveways-NOt over Counter if on public roadways..needs ROW . � , ' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnit 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. UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake wotic,they may be required to be licensed in accordance with state and local regulations. If the contractor is not Bcensed as requhed by iaw,both the owner and contractor may be ated 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 worlc,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, ff the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions oi the"conVactor Block"of this application for which tl�ey 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 Pasw County. TRANSPORTATION IMPACTNTILITIES 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 Counry Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be idenUfied at the time of pertnitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupanc�'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 pertnit issuance. Furthermore,ff Pasco County Water/Sewer Impact fees are due,they must be peid prior to permit issuance in accwdance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutea,aa amended): If valuation of work is 52,500.00 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"owne�',t cerdfy 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: t certify that all the informativn in this apptication 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 wo�lc and installation as indicated. 1 certify that no work or installation has commenced prior to issuance of a pertnit and that all work will be performed to meet standards of aII laws reguladng construction, County and City codes, zaning regulations, and land developme�t regulations in the jurisdiction. I also certify that I understand that the regulations of other govemment agencies may apply to the intended worlc,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, WeUand Areas and Environmentally Sensitive Lands,WaterNVastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wel�s, Wastewater Treatment, SepHc Tanks. - US Ernironmental Protection Agency-Asbestos abatement. - Federel 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 filt 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 filI is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the 6uilding peRnit issued under the attached pertnit 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,1 promise in good faith to inform the owner of the permitting conditions set forth in this atfidavit prior to commencing construction. I understand that a separate permft may be required for elecVical worfc, plumbing, signs, welts, pools, air co�ditioning, gas, or other installations not specfically included in the application. A pertnit 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 technlcal 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 pertnit issuance,or'rf 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 tor 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 T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WRH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S 17.03) � OWNER OR AGENT� � CONTRACTOR ��' `\�A Ct//� Subscribed e�d swom to(or a firtned)before me this T Subscribed and swan jo(w aifimred)t�fore me this (��/fo'ZG4-by 1 6-1t�-2��`! by Tht';c:.r. 1(..c_11 r{tin,✓ Who is/are a iuw me a has/have produced Who is/are�o me or has/have produced as identification. as idendflpdon. �� �, `-��^"""' Notary Pubbc �� J� v��`-�'�1�'� Notary Pub4c Commission No. Commisaion Na `,.��"'t6 Poul A S 0'ROURIGE '° `�' Notary Public-State of Florida . .��= ,.►� �CNo�ary Name of Notary N� os , o�m. xpires Aug 22,2014 ;z°„ .`�; Notary Public-State of Florida 9, P: Commission#�EE 19776 _ : : :My Comm.Expires Aug 22,2014 ���'��'��',�'�� Bondetl Through NaUOnal Notary Assn. '= `o" Commission�EE 19776 ''�""' %�F%°���P�'` gonded Through National Notary Assn. � P AI I cA GROUP ONE, INC. June 3, 2014 Pasco County Building Department 4111 Land O' Lakes Boulevard Land O' Lakes, FL 34639 RE: SF ZEPHYR COMMONS LP/ZEPHYR COMMONS SHOPPING CENTER LAKEVIEW WIRELESS, LLC DBA AT&T MOBILITY 7890 GALL BLVD.,ZEPHYRHILLS, FL, 33541; FOLIO #35-25-21-0130-00000-0030 To Whom It May C,oncern: As agent for the subject property, I hereby authorize Skv Hi�h Signs & Lightin� or their authorized Agent to secure a sign permit for our tenant, "AT&T Mobility". Thank you for your assistance. Sincerely, ��-��� Z _ Donva K. Beckman Direct�r of Property Management As Agent }or SF Zephyr Commons LP State of'Florida County of Hillsborough �worn and subscribed to me this 3rd dav of June, 2014 by Donya K. Beckman who is personally known to me. Signature of Notary Public (seal) ,' cMa.s�ar Noqry P�bNc•sw.a Rorid� • • M�►Coa�.E�qka Au�1S.Z015 Coiamb:bn I►EE lOS00 � loed�d TlroupA N�Mo�I Nohry llaa. 3629 Madaca Lane, Tampa, FL 33618-2048 • Phone: 813.933.0629 • Fax: 813.935.3420 www.primericagroupone.com • Date: � � "��' �> . To Whom it May Concern: License Holder: Albert Brown Jr. State License: EC-0003179 Firm Address: 26241 Green Willow Run, Wesley Chapel, FL 33544 Telephone Number: 813-907-8000 I hereby authorize the following individuals to act as my agent in all areas of permitting and licensing procedure with the municipality ta which this is presented. This authorization is for sign permits at various locations and to register the contractor X This authorization is for the follawing location: � �7 � `1' o Q � �,� � W,c� G ����.�:'I t s, FC. Stephanie Arce,West Central Fiorida Permits Brian Kelleher, West Center Florida Perm+ts Cindy Evangelista,West Central Flarida Permits Steven Kelleher,West Central Florida Permits Jim Russell,West Central Fiorida Permits Edward Krauss, West Centra) Fiorida Permits Theresa Kr ss est Centr rida Permits � � / Date � ' � J � signed: 1�.. Contractor CONTRATOR'S SIGNATURE NOTARIZED: � State of Florida t County of "tMt$�[�S r� /, Subscribed before me an this � � day af lv�t� � 2013 by �1�$�"��+� �+ who is personally known to me. � Notary Signature Commissian Number ��'� p� Notary Public.State af Florida MyCommissionExpires: �'� GommissionttEE853498 My com�.expires Nov.25.2018 .�.�....,.,�. . ...� ... —^� i �~�M�1W,� �� �rw*'"e�w,�r�� a �s wwr wy�'n° r» _,,,,,,�. 1]�qw ���r,��N�•�y wr t�� �����MT/rm�1M�� ✓` � �, �� ai y���MM��� Z � J� ��;�y1Si1K ��aw�+�Mrr�w+ Q ���� �:31M6 y �P'� I1dYµ'� S� _`��� � �,pyuv � l�tltl "�+' , _ .r � y+�ea��p�;µW�� � �?�,�,,,�''�'z �,'� �'�� , '. - ,,�`�ti�,°,��''"�ua�o r,t �, �, ,a�.'�`j �►"�g� "�'� " �',�' _ ," o�s lz)a�w 11� Z j ,,.,.�-��� �.� z.�.�ti.�n �„�,���� �; :� g�zl�LS'��' '� ' ., �� � . 1�u��� _ _ �� ��.,� ���� � � �— - � t3.� �' .�,�5�6�� �--1 � �. � . � fi� � � '�- '�s t.w�:� d � � U7 .� t�C! w I,.,� �. j � ' �� � � � .� �a���e� � �- R, . _� �,�, � ..� -� �s.; ..,� � U �, � �Z�ao�1�C1� � ,���� r, � �' �C'� � '° �1�r,r y,c�t► R� �— J � � Q ����ap'1O�'itl�4 ZL��'��wg � - ° r�: a�n°W usn�a 1, '� � �,� � �u��'�!�� ".� �» _,� � ���� � ..w� .°'"y"�"" ,.'°�,ww ��„�,,,,,�.�rr�' �/.,,,.�+I�� �■„aw o „�.,,�,.,.. .9�� �.�� �* ..o".�r" ��;.a+u � � ���p�Y��� Cr.s ��"�� �`�� ,������� � . � � � �i ' . . � S �'� �� �''"� . � . 1 � � �� � � G��I?'"�`� G�M �%" � v�rv�v�uoweNSroMSrnnuwer.aauRVersrvorte �� MANU�ACTURIN6.VER�1f ALL NA7�IW,p pEFORE MANUFACTVRFO � ) `�. � V� . �,�'� ��r a�� ..'�'� �y .kr;�s '° w � � \ `��S`y'� ���, �-�"���� � �Y� !il rrrrr rwrMrrwi.9 �1_ ` v ' � � �'a i .4,�,y�x,"�'4�C.t.�4k` �'� �� , o-.t� J ..a / p �� Z'f 4:i�'^. � $,s,. �►wwr /�r "y\ � ��'�.Y�*�� ° '4& �,,�S�4r ,,�,�t .6�'Ly. :( �" rl�b�Y1 wlbl�r� a� �� � i�.., Yy{Y ' V �..� ,��.�, a�� � k���V �,: 3'; . , � `"r.�wo..w� kp�0'\ /� •(/' ;��',,`- ' �,:9 4;r ����A�',�^;'' '.iEt'' srr+r's�. /L7 C *r9; ��'.a�,, ' �J �",5_ www.rww o .aw�� �s�eewa�a R011l1 N � N�NMYIIIl�.1{f1�t{lI�IL Mi , Flush Mounted , �� ■ 3M 3635-2222 DUAL COLOR BLACK �ra vr 7-6 U6' S SPo' 4'-11716' �:1West Elevatla► " s�.w:us-r-o� � � Authorized �� � Retailer u �`�'d`' Scope OfMlorlc Mxiuhctu2 and install one(2)set of illuminated channel letters UF-AR-WHT 24V-STK 2'-8118"GLOB ,"'� ,�cn Fco kece►s►e�e�,y'AutMorized Reqikr' � � 17.94 SQ FT. ` a..w.,«,wrws.w.c aitiC es.,ue�. e�ArrRavEO�r riass�wwiarrww�+r� AT&T � REVISE l 1�lAMT nit wwE •, r��ioo�sixwao,w��atvRSr SAL[f�R:1�+Mhr�RrmNV IIlYIlIOII OME: � O �AS IIOT�D 0.V Qi�n� S ZJL � MM�Mrr��rtwwrt�wm�n �/ �6'YV��YIM�'( r�i.a�aw�n��s��w°�t�a�w MSI6NER IIW �t ���0 �; � _�_plw�lM osi►N .�..�., �.: rrraartriruwwnawoKrwi y �, RafkkM.lIM1�3M �w.°Y�'imiw •rrwra+i.wrw+rnnrws*w+ �W�MAGlIt Reb�tca Cia�Ad + � Z���� ❑ �� �'� � � �, �� rwerwrw�ww�ars�r+rarw T_ 1 1— i i � II , I I II 1 l I i -- .._. I I � p -------------- �"�, - I I .. � � I j o 1 I �� � i i � ii o - � ii a a � � � � _� —r-- i � � �, ` 1 fl ° o � �x � � -� � �� 0 ,;`;` �' ' I a ' �' 9 1�� �� � � W � t I � � � O � � i Q � � a � 1��i�iiiiii���_;_ o � o , , � ° --;-- i � — o , � � � . � .-------- � . � � � ° - ° � � ; �o a � � , � � � �� � , �, , � � o ; I � a _ 1 i � y��� �wcrn uavm.orvx: � (� � � � ¢ {�Q� � PROPOSED RETAIG HUILDING 4 � ��•i �.� �� c ,� AT tRM1HAi�lICANO8V0a1Q�M6pOUP. � Q�CKL� � � � TbPalncPT.OiONSSHOnPtNOCffi+TE/t a°a*mw�wuon�a�. ` 'R ��� � U'J.lil6liWAY JOI!PRtTI'Y p09VD RSYAD z { � b y� 8 � ` �f � IBltlYPUlC4i YEpRaL.a?}�! NOTICE OF COMM�NCE��T IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII � 2014108705 PermitNo. Rept:1614691 Rec: 10.00 DS: 0.00 IT: 0.00 TaxFolioNo. 3a-3S—ZI - ��i3r�-CX���crJ�-003� 07/08/14 L. Korb, Dpty Clerk TI�IJNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT Z-�i�11�t. �o>-,n m��r.o �h A�� I �!o �y ,�;J � 3 2 1.Description of property(legal description): � _ � � ` - ' ' °� `�` .3 �� �� ��U � ��� a)Street(job)Address: ')�1(� C�t,r l I F3l v cl��y r'l��I�S, l=� 33s y/ 2.Genera.(description of improvements: in��,/ �,�a�.�/-��� 3.Owner Information a)Name and address: 3� � h r' �a m��n,� L-l� b)Name and address of fee simple titleholder(if other than owner) � �t �/� c)Interest in property 33 y v� 4.Contractor Infortnation a)Narne and address:5 I 5 i � � � � iF 2 rt �� t (e Chc� �� � 3�s y y b)Telephone No.: I - Fax No.(Opt.) S.Surety Information - � a)Name and address: b)Amount of Bond: PAULR S 0'NE I L,Ph D PRSCO CLERK & COMPTROLLER c)Telephone No.: Fax No.(Opt.)_07 R8 BK ��5� 1PG� 5� 6.Lender 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.(Opt.) 8.In addition to himself,owner designates the following person to raceive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Sta.tutes: , a)Name and address: I�r�me r«a� �rv:.�.p Dne. T��. 3�7-�'i Ms�(ac.�. Lv�.. 'Tu T� /�L���vl� b)Telephone No.: r3i 3-�13 3-vlv Zsi x�- ZD!o Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPiRATION�F THE NOTICE OF COMMENCEMENT ARE CONSIDERED IlVIPROPER PAYMENTS UNDER CIIAPTER'713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYIl�IG TWICE FOR IlVIPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED QN THE JOB STTE BEFORE THE FIRST INSPECTION. IF YOU 1NTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OK AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA as a.r�f n� �� COUrrrYOF �'�rs�q,p� 10. sr 7� ,r Gcrnmrxs Signature of Owner or Owner's Authorized OfficedDirector/Partne anager 17o,,Ya K• 13z�(c�-r�ar7 Print Name The foregoing instrument was acknowledged before me this 1� ��day of �(,(,J')c� ,20�,by /L� ����r ►�(,/� as (type of suthority,e.g.officer,trustee, attorney in fact)for �� Zt�ln�le �M�1'1DNS L�name of party o ehatf of whom instrumept was executed). -r._ Personally Known�OR Produced Identification Notary Signature c_- � Type of Identification Produced Name(print)�Q./ZI�� J'�1 /Q�G�C/ '�-==;�T1�..�-. Verification ursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that th knowledge and belief. NM�ry'iNo-tdM N FNA� ��, Fo c Mr c.�.e�.�u.t�t: Cp����� Si�ahue of Naturai Person Signing(in line#t0.)Above �/ �MM�MM. � �-� t' � City af Zephyrhi3ls BUILDING PLAN REVIEW COMMENTS Cantractor/Homeowner: ��� �� � `Scr .� Date Received: �j -- L�r j� s�t�: '���� ��-I`� $��'?� Permit Type: �G��'� �i ,�Y`� -� Approved w/no comments. Approved w/the belaw comments: O Denied w/the below cornrnents: O This comment sheet shat] be kept with the permit andlar plans. /lia.��r�v» ..�.c�;r��� .1UN 2 3 2014 Kalvin Switzer—Plans Examiner Date Contractor andlor Homeowner (Required when comments are present)