HomeMy WebLinkAbout14-15338 CI OF ZEPHYRHILLS
5335-8TH STREET
(sispso-oozo 15338 �
� B ILDING PERMIT
� ���'�. : v PERMIT,INFORMATION =' LOCATION INFORMATION
, Permit Number: 15338 Address: 39015 CARDINAL AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIA Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: EASY ACRES
Est. Value: Parcel Number: 13-26-21-0100-00000-0130
Improv. Cost: 5;600.00 OWNER INFORMATION� �
Date Issued: 6/03/2014 Name: MARTIN, MATHEW & SARAH
Total Fees: 97.50 Address: 39015 CARDINAL AVE
Amount Paid: 97.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/03/2014 Phone: 813-377-5092
Work Desc: BLOCK ENCLOSURE EXIS ING CARPORT & WIDENING DW (NOT ENCROACH ROW)
` CONTRACTOR S APPLICATION FEES
BOULLY CO STRUCTION INC BUILDING FEE 97.50
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In ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
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 omply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the fol owing reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for
inspection when called e) permit not po ed on job site� plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this p rmit, 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 nagement, 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 int nd to obtain financing,consult with your lender or an attorney
before recordi g your notice of commencement."
Complete Plans, Specifications Must Accom any Application.All work shall be perFormed in accordance with
City Codes and Or inances. NO OCCUPANCY BEFO C.O.
CONTRACT R SI URE PERMIT OFFI R '
PERMIT E RES IN 6 M NTHS WITHOUT APPROVED INSPECTION
I CALL FOR INSPE TION - 8 HOUR NOTICE REQUIRED
PROTE T CARD FROM WEATHER
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.PER.MIT'APP.L7CATIOIV - _
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Ail�fnfarmati n must be-fiEled-in completely
• �.Ci -af:,Zephyrhi!!s
5335:8�' treet,_Zephyrhii}s,:FL�3542 �p���
�4�� Telephone.8i .780.0000 Fax 81�3.780.p005 �'" j���
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; °P°RO]�CT .Ji�B`S�: ��PR�PER'iI��O1IVNER
� Address: 3 0�S �ar;,l;�..r �}v �., t t � Name. �� 1.e�. = �,�.:.k r'+�,r
�Unit#: � Address: 3 4u i 5 C�•r�'"''�( Unit: -
i Parcelldentt�ication�N�tmber: � G13at DL�r��c t�t3ta C! State .Zi �. k;i�s �c 3��" ., ._
' Phone: g f"3--' '1-S� '� Eax:
i :C�l�iTRA�OR:
Corn an � �1 �5 �^'�-
Name: i ���e.( Ju,.�.�s $G� �
Contractar's License#: C.Gc � �5�.. E-Mail: �'keF,�v�� � - ,c�;;�.,�;,,,�
-Phone; - K 3� �CeIE: r� �t3 -�(� �; Fax: �t3--�s�- .
�R�t�ITEC'�/EN�iNEE�: �1��. • -
�Name: ' Fir �Name:
'Address� Ci St�te• Zi
State Licens�#: � Ph ne: Ce!}: � Fax:
- escr" io of R 'ect �
'FYP .OFD I1tEWA . t.EN�ifi{7FDRIVEWAY CULVERTS'NEEDED 1���
' RESIDEM7AL pRNEWAY � DTH OF DRIVEWAY ( )REINFORCEp CONCitEfE
COMMERQAL DRiUEWAY R.o. . ' �XCAVATiohE ( )CoRRUGATED�MA7ERIAL
PUBLIC ACCES5 DRNEWAY DEPTti LINEAR FEET ( �}BOX NLttERT
( )OTHER(EXPLAIN)
C041lSTRUCCIO(�MQTERIAL CU Cl1T R UQ IRED
ASPHA�T YES �NO
�CONCREfE
HFpnwALL REOttIRED? YFS �NO
NOTICE TO APPLTCAfdT: If�ct�a�!work ex eeds scape af this descr6ption,addition�l �ermits or cirawings
�wii[be r�quired. �
UTILTTY LCbC�,TIOPlS RE IFCED: CALL BEFC�i2E'ti''f.�U DIG:1.�00.482.4770
Page-S of 3
1 PEE�f�[IT�PPLICIOTIOiV
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FFICE lJSE OI�LX
PUB IC YVORKS USE ONLY �
Concrete (min, 6'� Y
Asphalt Base(min. 6'� Y
Asphalt(min. 1�/z'� Y
Length (min. 19� Y
Width (10'min—20'max) Y
Existing sidewalk. Y
New sidewalk. Y
ADA compliant. Y
Expansion material required. Y
Contiguous parking pad. Y
Triangular flare (3'W x 7'L) Y
Visibility triangle o.k.? Y N
Side set back(3'min. R.O.W.) Y
Plan Review Fee
Additional descri �ion of wo�lc as:detined b vblic Works Director and.or desi nee:
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Permit application approved by: Date:
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PEF3.F�%Y A�P�LICA'l�I�f�
` UTILYTEES LOC/6TE CONFYttM TION IVUNI�E6t: �
- �EtO\/IDE SICETCF[ IM TI-II� /BPtE�, IF �DD TFONI�L �R�CE I� REQUIt�E�, ll�»TT�1CYi TO THIS
�PPLICA►TYOI�.
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AFFIDAVIT: Application is hereby made to obtain a per it to do work and installations as indicated. I certify that all foregoing
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all
approved construction documents,and issuance of this rmit is verification that I will notify the property owner of Florida Lien Law
req., F.S. 713.
The issuance of this permit does not ensure co pliance with deed restrictions and I understand that additional deed
restrictio s may apply to this property.
�90 vvork shall core�epB�y vdith th�caament Florid �uilding Code, PubBic Wo¢�k�DesiQn NGarnuaE an� FDO�Des6g�n
S�n��rc�s(if applicabl�)o (Public Works Design Manual online link:www.ci.zephyrhills.fl.us/public works.asp)
APPLICI�TIOf� IS VOID UNLESS SIGNED W PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNI IAN OR NOTARY PUBLIC.
�OTE: Th�City of Zephyr�i6los is not responsifsl� or maintenanc�or a�epairs of driv�way$. Drivew�ys shall not alter/
Bn��u�e�with existing rmw�ter trea�enent and/or conveyance.
PROPERTY OWNERS: By signing this application: certify that I have read and understand the owner/builder disclosure
statement. (please initial)
Applicant Print Name Appli ant Signature Date
Permit Technician Signature (or) otary Signature Date �i
Applicant is( ) personally known to me or produced as identification.
(type of identification)
�ag�e 2 of 3
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LEGEND BOUNDARY SURVEY CERTIFICATIUNS I
A/C-A/R L17NO/AONER LEGRLDESCIZIP770N.�LOT 13,EfLSY.4CRESSUSDIVISIDN,JiCCORDING TO THEPLRT Tl3EREOFASRECOIZDID Matfhew Martin;Sarah Mar(i�:
e-ceNrx��,wrxe
acx-atorx INPL.4TSOOKIO,P1iGE(S)100,OFTHEPUHLICRECORDSOFPfLSCO CO�''i,FLORID�S.
CB.-G10R0 BEAR/NC In(egrityFirsi 7Stle,LLC,-
GB.S-C0.VCREIE BLOCI(S7RUCNRE
cu.-cavrlt[rr uoHUare�v7 ALLEY FidelityNational Titlelnsurance Compalty;
LVNC,-CONCRE7[
p_�m �ppE}.7� e eral Credi�Union
D.E.-OAA/NACE EAgAlENi SET 1/2"I.R.G SET li2"1.R.C.
F.F.E.-f7�ED ROOR fLEVAPON LB.7589 S:�O°OO�OO��W SO.00� �P� LB.7539 PROPER7'Y,4DDRESS:
fND-Fd/NO ,
ro.-�oeNnncano,v ''' p 390I5 Cardi.�a1 Avenuc
/./l.-lRON RCO c�� � N
LR.G-lRON R�&CAP Zephyiltil]s,�.�33592
c-aac i[ncn� 4.4' �5, / O.R'
LB.-UND SURL£19NG BU57NESS �'
LS-UNO 5f/RYEYOR ET� o LOT 13
N_N�siNUREO ' SHED
NRD-NAIC ANO D/SX 41 FLOOD ZON£lA'FORMATION:
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P.0-PO/NI 0.�NRVANRE ' � 120235�
P.GG-PO/NT Of COMPWND LURVANR£ 4'4� � � P,W[L SUFf)X F.I.R.M.DA7F.•
P.CP.-PERMANENT OON�RLIL POM7
P.L-PROPEATY UNE Er/� o :.. ... ,'.... ..38.6'. . . ...... .. � ���rJ C �2/�7/g�
P.O.B.-PIXNT OF BEpNN/NC SHED -- ' •. X000 zoNe
r.ac-Pa,vr ov carucvccNOVr . - -
P.O.L-PG'NT ON UNE 7 Sr .
PRM.'PERNANENT R£FERENCE p..� SCREEN' - . �o
McwuutNr - - POOL . u'
P.OL-PqM ON 4NE Q � • � - SUR4£Y N0. �
7ELD DATF.•
P.R.14-P£RLANFNTRFFFRfNfF . � ... ....'....'.'...••.....'•'..• O V738 09/07/08
,uorm,u�vr p
p.T.-PWNT AF 7ANCENT �
/1-RADlUS � ' � O ONC BY.' LHEQfm Bl^
R/W-R/GNT C�WAY � �--'
S/W-9'DEWqIX LOT 1 E 3 � LOT 12 NM Mc
s-soun+ [ 7.9' � q,8' W
O.E-UAGTY EASEAIENT I6.0' ." 12.7' -
w- xrsr 0 . S l3' O
W.F.S- NVOD iRANf SiRUCNRE M ;�C v� M BERRINGSSXOWNHEREONISREBIfSED
X =FouNO Jf'G/T!N Ltt4G '-' J �11.3' O �aNTHE SOUTHLINE OFLOT l3 BEINC
o -�B�nnR�wo caa � ; 16. ' ONE STORY � o N90°00'00'�PERPLAT
O �Fq/hD PFCPfRIY CORNfR O �` C.B.S. �N �
■ =1'x 4'COHCRE7E'NLWUM£NT �i � rj a #{39015 �
� �� '� -`= o CAR �'
�-co�rco�wu ��_ -- - "'PORT I.1'
�6��F � ' 40.0, t�.�� I)fi9 s y Ls based m fhe/egof dncr/pfton os prov,i0ed by
RlplT-OF-WAY UNE
_"_'_ .Li � fhe Client
C£M f7NE ✓ '�-
�F_ v��5 y�y��� � d a 1 S�4 T�eos�mmfs nyn,o�+y a re�r.�cuar�i recadn�A�lor
BU/[D/NC Sl7BACK LINf 1 J > - fV ^ '�
�� moy a/I f fAe llfle v use o/fhe/ond
J)Oo nof iecrosWCf pryoMy!lnaa ham bu➢dinp ffes
qiAM LI fFNLE ` ,�(�'G ;� ' CONC N N ,d'„ t)N,mor;n 9 0.ob�nan ys nov.eron ro�omd erc�e o.,:na�
- � �yL �,�--" DR. f,�' o � �i 5)NO improwmenGa�umru�n�nx,�i,ro�.e.,«Pr m
�D� ` (j , � a K/ N90 00 00 E ,ho.�
80.00� rP� e)mU w y h�f rvne.RAwf Ne s7gnoture a,d th�
L vlgNN rafscd aed o/o RorHo lkmsed Suney and Iloppn
7)The Ilood dofo proNded 6/a fnlamoflrnd puryovaa Wy.
' PND 1/2"i.R. o r ° � FND 12"I.R. me,uM�«md�a,�o o��e�o,ro�n�a��,tty oi
�l�� N90 �� � E 8�,�0 �P� FNll 1!2"LR. �ne lnRvrnol7on proNdM.
v� �.�.p. �i i No�. �-�,� NO llJ. NO ID.
CM7ncetm�:!carf!/y fnof NH e�:�ey wo�mode undd my
dveefi nd fhof If mnb Nv minlmum fecAnim!alwrdord�
SURVEYiPIG �N(• � 1 �e �� �� o t io.fn ey�ne eoo.d eivmmuwna to�w sv��o d
� o Y o '��°o,';�„�'i'io s�i�,iiozid'nwao smiui�.coee.
LB No.7589 ° � (i p';/,/j ��w�.. °�
4583 ST.JOHNS PKWY,STE.232 �'rA�'� '"v'� �
SANFORD,Fl,32T71 ���G-e'��,N q/��64A/�'.Aa ��'°
Office 407-657=0309 ���i� r�� �T��"c �
Fax 407-612-0383 CARDINAL AVENUE CUEL/S. ORTES
WWW.VIPSURVEYING,COM - -�- - - - � -
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PE�F�iT�'°�,�P�YC�YF�� '
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� P��L� �R!(��38(S USE ONCIf
Concrete {min. 6'� Y N
,4sphalt Base(min. 6'� Y fV
Asphalt(min. 1�/z'� Y N
Length (min. 19� Y N
VUidth (10'min—20'max) Y N
Existing sidewalk. Y N
R�ew sidewalk. Y N
ADA compliant. Y N
Expansion material required. Y IV
Contiguous parking pad. Y R�
Triangular flare (3'W x 7'L) Y N
Visibility triangle o.k.? Y N
Side set back(3'min. R.O.W.) Y
Plan Review Fee
Ad��ition�l desce�i tioro�o�woric�s de�eeed b a�blic Wocks Director and oe dcsi nee:
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� Aii Material is guaranteetl to be as specified,and the above v�ork�ras pertormed in accordance with the drawings and specifica�ions pravided for the j �
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at�ve wo�k and�as compteted in a substantial wor�manEike m ner fior�he ag�ed sum af =
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This is a ❑Parkial ❑Fuli invace due and payable by: �
Manth Qay Yeer
in accprtlance-wFth our�Agreement ❑Praposai Nfl. Da�ed i
Manth Day Year
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- ity of Zephyrhills
BUILDING LAN REVIEW COMMENTS
Contractor/Homeowner: �b �� ��' ��������'�
Date Received: J�`� � �
Site: �S � ��i'ta.� 7`�
Permit Type: ,��� �� ��C.[G;$�t�2, � �'�(,t,�r���� ,
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Approved w/no comments:❑ Approved w/ e below comments: Denied w/the below comments: ❑
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This comment sheet shall be kept with the pe it and/or plans.
/��a,a��.�vi�, .�-w�r,.� P�A� - Y �
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Kalvin Switzer—Plans Examiner D te ontractor andlor Homeowner
� (Required when comments are ent)
,
�,�-r�a-ouza Ci#y o Zephyrt�ills Permit AppEication Fax-813-780-0021
Building Department
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[9ate Received Ph ne Conta�t for Permitt(ng �� �l9 -- CSJ��
C1�vnePs R1ame /�ia-i� �ct2,-d+ O�rner Phone fVumber ���' 3���"�1 � d,,,
Owner's Address � / /� �a��1 �f���3S Ovimer Phone tdumber � ��
Fee Slmple Titlehotder t�Fame _ __ __ _ __ _�_Owner_P_hone_tduttobar—�---� - ------�----
Fee Stmpte Titleholde�Address
J�B A�DREs�iS � <��� �tr/�rio-1 � LO?# ��
su�uiv��s�or� �s �``�S PARCEl,1D# � 'j C� 4 UG+G�OC?C? /
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED [� NEW CoNSTR ADDlALt �� SIGN Q [� DEMO�tSH
Q iNSTALI� FtEPAIR
PROPOSED USE Q SFR� COMM C� OTHER
'i'VPE QF CONSTRUC'f10T� � BLOCK FRAME � STEE� Q
` iDIESCtt1�T10N OFlNORK �av�t., �c,�o4v.r� d Exi� , or� � � �:Ntit'ewc�
_ 8Ut[.Dtt�G SiZE ��^�� SQ FOQ7 GEC_� tfE1GHT C.�, �
�SUtLDlNG $ .�r^�1.'��.��� VALUATIONOFTOTA�CONSTRUCTION ;�.' '���
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C]ELECTRICAl. $ AMP SERVlGE Q PROGRESS ENEFtGY Q Vtt.32.E.C.
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��-�� '�Pl`�'�''`�,'�"�
C]PLUMBING $ ���-{ ���-�� �
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QMECHANICAL $ VALUATION OF MECHANICAL lNSTALLATIQN � -{�C�'- ,(�
✓- �
OGAS Q ROOFING SPECIALTY � OTHER � '" ��" Q,�� �I'�U�
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FINISHE4 FLOOR ELEVATIONS F1.00D ZONE AFtEA QYES NO � ���,1" `
"� �
BUlLDER �������� �OM� l�tsvvE �'�5 �t.
�IGNATURE REGI9TERED Y/ N FEE CURRE� Y/N
�,�a�s� c'.�v�t u��1� US-�. � o,��,�. ��a-7 �.T���SQ# �GG tS��a3to �
IEILEC�'RiGtAi+t , COMPANY
StGMATURE REGISTERED Y/ IV FEE CURRE� Y/N
Address !.'scense# �� ��
PLUMBER COMPAF�Y
StGIVATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� � �
M�Ci1AMiCA�. - COMPAtdY
SiGMAYURE REGISTERED Y/ N FEE CURRE� Y/N
Addtess LPcense# �� �
07NER C�MPAMY
StGMATURE REGISTERED Y J PI FEE CURRE� Y/N
Add�ess �Icense# �— �
RESIDElVTIAL Attach(2)Plot Pians;{2)sets of Building lans;(1)set of Energy Forms;R-Q-W Permit tor new consVuction,
Minimum ten(10}working days after sub ltfal date. Required onsite,Ganstruction P1ans,Stotmwater Pians wJ Sitt Fence+nstatied,
Sanitary Facilitles&1 dumpster,Site Wo Permit for subdivisionsAarge projects
CQMMEi2CtAL Attach{3)compiete sets of Buildfng Ptan pRus a�ife Safety Page;(1}set of Energy Forms.R-t?-W Permit tor new constcuction.
_ Minimum_ten�10j_working days after sub ittat date. Required onsite,Canstruction Plans,Stormwater Plans wl Sitt Fence instailed,
"-� ��� Sanitary Facilities&1 dumpster.Site Wo Permik for all new projects.All commercial requirements must meet compliance
SIGTd P�R1UtlT Attach{2)sets af Engineered Plans.
""*"PROPERTY SURVEY required for aii NEW consVuctian.
Directians:
Fill out applicaUon comptetely.
Owner 8 Contrackor sign back of applfcation,nokarized
!f aver i250Q,a Natice af Commencement is require . {AIC upgrades over�TSQO}
«« Agent(for the contractor)or Power of Attomey(far the wner)would be someone with notarized letter fram owner authorizing same
Ol�ER TFiE COU�1i'ER PERM11TtMG {Front af Appllca ian Only} �. ' -
Reroofs if shingies Sewers ' Ser'vice Upgrad"es A/ � � �F�nces(PIoUSurvey/Footage)
�riveways-Nat over Counter if on putitic roadways..ne s FdOW.. �
!
NOTICE OF DEED,RESTRICTIONS: The undersigned understands thaY 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 CONTRACYORS �►ND CONTR�4CTOR RESPONSI�ILUTIES: 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
County.
TRANSPORTATION IMPACT/UTILITIES IMPAC'T AND RESOURC@ 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 LI�N LA{N(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'SIOWfVER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all wbrk
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 jurisdicfion. I aFso
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 & Rehabilitative Services/Environmental Nealth Unit-Wells, Wastewater Treatment,
Septic Tanks. � ,_
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. -
1 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 permifted 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 Iots 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: YOUft"FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUIZ
P�IYING TVVICE FOR IMPROVEMEN7S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, COfVSUL.T
WITH YOUR LENDER OR AN ATTOFZNEY BEFORE FZECORDING YOUR NOTICE OF COIIAMENCEIIflENT.
FLORIDA JURAT(F.S. 117.03) _�
OWNER OR AGENT ' CONTRACTOR
I Subscribed an bsworn to(or affirmed)before me fhis Su�c�e� nd s�orn o(or affirme�i)befor me s
y b �Gt�e.� �1
Who islare personally known to me or has/have produced Who a\e er�on�l� rio�to me or has/have produce
as IdentificaUon. .&i �� .YS CIG�,�'�- as identificatio .
�
Notary Public Notary Public
����°: Commission#EE 0 0520
Commission No. Co I sfAU� _
�• :,: pires ecem er ,
'' ��� gund¢d7lvuTioyFelnlnsurance8U0-38S7019
��i„p•F;.°•••`
Name of Notary typed,printed or stamped Name , i or s mpe
I
This space for use by Clerk of the Circuit Cou only. I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII II�I IIII i I
.
2014073498
' � - Rcpt:1601507 Rec: 10.00 i
� DS: 0.00 IT: 0.00
' ' 05/08/14 S: Shultz, Dpty Clerk
� � - NO ICE OF COMMENCEMENT .
I Permit Number•
Tax Folio No.
� The undersigned hereby gives notice that impra ements will be made to certain real property,and in accordance with Sechon 713.13 of the
Flarida Statutes,fhe following information is pr vided in the NOTiCE OF COMNfENCENIEN'T.
� l. Legal Description of roperty(street add ess required): � � � ��`��r �f �� ��V� r,�J1�
3�v l� CFF��'�a� a(�1U e n u.e �t h � .�lS t 33S`-t 2
l.ok I 3 �S �zrtJ S�bd��isix GCc.,rd;n N f-�,z �c.k Y(.,��ror c� r�c�r ��
Igr (3 t� ytr�p �_ •,rJ << . c:�y o- sco s�n{� �ur,c�11-
_ 2. General description of improvemenfs�.T ' cri - b
, �!�� - -
3a. OwnerName: 1ri�1t,J �.S r``hC�Gf h�n /r/f/'�'T��v
OwnerAddress: �'1�1'S CAr �,�� '}�Qn�e �,] � ��V �( �(
3b. Owner's interest in site: Fee SilT�ple
N/A PRULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER'
3c. Fee Simple Title holder(of other than o er) .
� � 05/08/14 12:25 m 1 of 1
Address: ����
OR BK P� 133
� 4. ContractorName: SalCO Sc�eens,IIl .
Address: 3433 Lithia Pinecrest Ro d#328 Valrico,FI 33596 Pl,qne: �813)689-8252
5. Surety Name: RLI Surety Amount of bond: �5,000 \
Address: P O.Box 3967 Peoria,II 61612-3967 Phone:_ �309)692-1000
6. LenderName: N�A Contact: - .
Address: Phone:•
i � 'i,�..
7 Person within the State of Florida design ted by owner upon whom notices or other documerits may be served as provided by
Section 713.13(1)(a)7,Florida Statutes. �
Name: Salco Screens,Ine. Address: 3433 Lithia Pinecrest Rd#328 Valrico,FI 33596
PhoneNumber: �813)689-8252
8. Tn addition to himself,Owner designates he following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes.
:��
Name: Salco Screens,Inc. Address: 3433 Lithia Pinecrest Rd#328 Valrico,FI 33596
PhoneNumber• �813)689-8252
9 Expiration date ofNotice of Commence ent(expiration date is one(l)year from date of recording unless a different date is
-specified).
' WARNING TO OWNER: ANY PAYMENTS DE BY TFIE OWIVER AFTER TftE EXP7RATiO1V OF 7"fiE NOTiCE OF
COMMENCEMENT ARE CONSiDERED IMP OPER PAYMENTS UNDER CFAPTER 713,PART 1,SECTTON 713.13,FLORTDA
STATUTES,AND CAN RESULT 7N YOUR PA G TWICE FOR TMPT20VEMENTS TO YOUR PROPERTY. A NOTTCE OF
COMMENCEMENT MUST BE RECORDED A POSTED ON THE JOB SITE BEFORE TAE FTRST INSPECTTON. TF YOU
iN"CEND TO OBTAIN FINANCING,CONSUL WiTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCTNG WORK OR
RECORDiNG YOUR NOTICE OF COMMEN MENT.
Y b• � _
; Sign ra etu of Owner or Owner's Authorized Officer/Director/Partner/Manager
� STATE OF FLOR7DA
COUNCY OF ATLLSBOROUGH
�3'�. � I���c�r (I
'I'he foregoin mstrument was acl5r�`owledge before e this day of � ,20 ,
by � �" G'� \`� ,as for
Personally Known OR Produced Tden[i ication
! `
TypeofidentificationProduced_�� ' - ^ 1.����' �
��� '� �
S�P„�f,��, ". � � J
Y�� �� =o�pRY PVB4� N tary Public State of Florl � —'` �JJ' —J
C eryl Saladino ignaNre-NotaryPublic
��� � o M Commission EE045220 �
Under penalties of perjury,T de re{��'��Ve r� �}�g�opj�Qisyggqa�that the facts st d i ' re[rue to Ihe bes[of my knowledge and belief.
�
„cSignature ofNatural Pcrson Signing Abovc
, (A copy of any bond must bc attachcd at thc timc of record timi of this Noticc of Commcnccmcnt) Updatcd Fcbruary 20D8
:
i.
_ �,
+0�A�1G9�. �o�
�� � aJ . �°�
�,'� ,�,► �°1'�,7���° �L04�IQ,4, ��UPJTY OF PA�CO
� . THIS IS Tu C�4'TIFY THAT TNE FOREGOIf�1G IS A
. '� TRUE�N�Ct�fiRECT COPY OF THE DOCUMENT
�. " InG��''Y��-`t, ° � ��1 FILE OR Oi=Pl)BLI�;:RECORD IN THIS OFFICE
. �,�;� , WITNESS Y HAND HND FICIAL SEAL THIS
'�• � � _�DAY OF �- 2�O�
� � ��$7 PHULA S O'v , CL K& C �VIPTROLL�R
m � ���''
��'�����,°�� BY �U�TY CLERK