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BCP2011-06392~ vY. ~ LL ~~ ° Development $ Neighborhood Services Department ~~~~~~~ 100 S. Myrtle Avenue, Suite 210 ~ Clearwater, FL 33756 Telephone: (727) 562-4567 Fax: (727) 562-4576 www. myclea rwater. com BUILDING PERMIT APPLICATION PARCEL NUMBER ~~ / a~/~/ 13757 / (~U / r~b~ U PROJECT PROJECT/JOB NAME ~p'n ~ ~0.1t'1 `J~ 11 C, LOCATION PROJECT ADDRESS L •LS ~4f 11nc~ m ~ ~' ZIP '~ 3~~~ BUSINESS NAME LEGAL DESCRIPTION OF PROPERTY )NE ct r Sic 1~°S PROPERTY OWNER NAME I'fi 11 t't Ty~ Y1 1J CL r q `/ PROPERTY OWNER ADDRESS ~ r~ 5 'e. Ct r ~ ~1G: YYZ (must have phone CITY ~~~ CJL r ~~0. ~ STATE ~~. ZIP ~ ~~ b number) PHONE'L1 - ~ ~ ~ ~ I ~ ~ ~ FAX o DO~~O cn ~ ~ . ~ V7 . Z _ o r" C ~ ~ ~ Z or C'1 ~G N '~ D v m N OD D NAME ARCHITECT/ ADDRESS ENGINEER CITY STATE ZIP PHONE FAX Office Only E-mail: NAME OF COMPANY ~fOni C4.~ ~pp~ G,,, ~ [n~ P0.U-e ((S L(~ LIC. HOLDER (Zo 1'l4 ~ n t y• L aL f SO r PHONE ~ ~ ~' - ~ l ~(, T ~` CONTRACTOR , ADDRESS T ~ aJ OX ~~~ ID ~ FAX (please print dearly) CITY G` W STATE ~_ZIP ~ 3~ b STATE LICENSE # _ L P L ~ ~ ~ 3 ~ PCCLB # ~ s ~ 3 3~ ContractorE-mail: ~~nrtt-e c• ~f0 (~1 L.f.~~ ^QQ~IS ~ n~ Pa~~ers ' ~o Contact for this project a-mail: EXISTING BUILDING USE PROPOSED BUILDING USE tyZg '~~' GENERAL NUMBER OF STORIES BUILDING HEIGHT NUMBER OF UNITS '~" =' = PROPERTY INFORMATION CONSTRUCTION TYPE: I II III IV V VI; P OR U ~ ,~! ~ ' ` ~~ n~4 SQUARE FOOTAGE: LIVING GARAGE/CARPORT _ OTHER TOT, PLEASEF/LL OUTBACKPAGE-APPL/CAT/ONMUSTBECOMPLETE COMMERCIAL .---~. ~~ ._ _... C ~,~- Z t "~~^S o ~:... ..c ~, . . ~~. a~~ ,; ~: ,i IF FAX PERMIT, PLEASE ENTER PROPERTY ADDRESS HERE: NATURE ~mlBUILpING ~~~'~ELECTRIC °~: :.~~PLUMBING OF WORK (CHECK -~,iMECHANICAL i:r'GAS _ ~~: 1FIRE ALL THAT =tROOFING '__~ENGINEERING ?~~~~LAND RESOURCES APPLY) ,~ILANDSCAPING `:.UTILITIES I .'NEAR WETLANDS y!TRAFFIC OPERATIONS ' .:CLEARING & GRUBBING (:'OTHER TYPE OF WORK: ?'`NEW 'ADDITION REMODEL L ;REPAIR G'DEMOLITION ',.:OTHER VALUATION: $ ~~I k p~ O ' ~ (THIS MUST BE FILLED IN, PLEASE PRINT CLEARLY) BOARD REVIEW REQUIRED: ?, .j DRC DATE: CASE (circle one): FL OR FLS # CDB DATE: APPROVED ;_. DENIED Anyone planning to do excavation work, must notify the one-call "CALL SUNSHINE" Notification Center at 1-800-432-4770 prior to any excavation work being done, in order to prevent underground damage. Federal D.O.T. Regulation Part 192, Sections 192.614 and 192.707. Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be pertormed to meet the standards of all laws regulating construction in this jurisdiction. CERTIFICATION: I HAVE COMPLIED WITH ALL THE FEDERAL, STATE AND LOCAL ASBESTOS REGULATIONS CONCERNING NOTIFICATION OF THE PROPER AUTHORITIES OF THE PROPOSED DEMOLITION AND RENOVATION PROJECTS. 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. am aware of Florida and Federal Accessibility Codes, and I certify that I have met the requirements of both. certify that, this application together with any plans submitted is accurate and represents all work being done at this time. All work will be done in compliance with all applicable laws regulating construction and zoning and if not I realize I am responsible for the removal of any construction in violation of these laws or regulations. Any deviation from information submitted, unless approved by the Building Official will render this permit Wulf and void. IS THIS APPLICATION THE RESULT OF A STOP WORK ORDER OR NOTICE OF VIOLATION? YES NO PAYMENT METHOD: h.a CASH h_ CHECK '. 'CREDIT CARD - If paying by credit card include authorizaltion form. Signalu~ofLicenseHo/derOR udh~e~arPersonne/ pew clZ~t~~ ~.~r~~ln LJ- Ursa,-~ ~~ P/e+ase Pnnt N®me Hem / Tigre in Finn arHomeowne~ „n,Junp~~. y2~' 1 , 9: ~,~'AM~ESvt `o; i oa.l ,Yoo' ~ and vNavo r5 _ . No. $633 F. 1 w~~ ~~~ June Z1, 2011 Anhtu~n Dar~g Tropical Pool and Pavers, Inc fits ~atlha~aa JRz Clearwater, ~'Io'rida 33765 ~6C Pao~)-oc~3~ ~ Subject; Na Caz>Xlict Paul Lettex- 92S 1rarlham X]r Dear Anhtizan Dank: ~~~ ~ L~, ~ ls' ~~.i a ~~ JUN 2 3 2 ,1; ~ ~~, ~ir~ o>: y~~vrc~s ,~~ ~;~ CLEA~~,~gT T'h~.k you ~a cvc"~iiag Fzogress ,Cnezgy faz a fitter ~f no llict Y~ constn2ction, NO Cf91`r7>r'7[.,x= Progress Fue~gy has reti-iewved a~ i.~ at the above refe~~ced address and ha$ found no appar~,t conflicE at the pmpaged pool ~o~ Acooxdnng'~o $~ dxawing~s) yQU have pzovzded I'zagress Energy has np abjedic~ ~ ~ pa~apasad c~(roctia~ Note: Florida law requires excavators to dial Snnsl>i~e State Q~ CaII of Florida at ~~ to Iocate existing underground utilities prioz to digging to avoi¢ipet5anaii~jjury and damage-ho meat Siz~cezely, ros~ph ScarseIla Dis~ibution Project Designer Progress Euer~ Florida ~` 2166 Palmett~5~ ClearuC,FL 33T6S 1 I#: 2011165532 BK: 17283 PG: 1622, 06/22/2011 at 01:22 PM, RECORDING 1 PAGES $10.00 KEN BURKE, CLERK OF COURT PINELLAS COUNTY, FL BY DEPUTY CLERK: CLKDMC8 STATE OF FLORIDA-PINELLAS COUNTY ... i*'1 ~~, I he-eb ee that the to ohr is a true NOTIG'E OF CONIlVIENCEMENT :-,t~`~. #.~ Dopy as recorded tn~ op~~ r~rds o ;~j1as~C~ou~ Permit No. - O'C ~ ~ - ~~~~i=s BURKE Tax Folio No.Q'j ~ Q - l le ~ 9,,,~ ~ S l.7 bb 00~ ~ C ~ ~ ~" clock oI c+~,lt c n THE UNDERSICiNIID hereby gives notice that improveme~s will be made to oertsin real propcriy, and in a~'i+e ' 713.13 of the Florida Statues, t$e followutg information is provided in this NOTICE OF COMMENCEMENT. ~~' ~* 1.Dacriptioa of property (l~rrl a) Street (jam) Address: 2.Oeneral description of improv Vf~ 3.Owner Iaibtmatlon ~ a) Name and address: A n N tU a r-s 'D4na ~ 'Chr.~~{ ar ~-~ 9 zS e Ar I ha n+ Dr C l t.J ~ ~' ~ b) Name surd address of fee simple titleholder (if er theses owns) n / a s s ~ ~ S c) Interest in property Sim 1 e .CoattaaWrIafozmatioa (Rona W. arson a)Nameaadaddrea: ols and Pavers LLC PO BOX 1786 FL33762 b) Telephone No.: 7 2 7 - 4 7 4 - 21 4 2 Fax No. (Opt.) - - - '"""•~•-~~~..,,._,_~~ • S.S1ady Information ~ j ~ (~ a) Name end address• N"A t=J/ !.C ' b) Amotmt of Bond• • ` 6c) Telephone No.: N A Fax No. (Opt) N A ~ ZU11 ; I ~ i; a) Name and address: N A ~ ! .~ ~ IE 7. Ide~ity of person witltizt the State of Florida designated by owner upon whom notices or other doctrm °"~ n N 14)E~a, ~~pT a) Name sad address: N / A CLEgi'?wgTiAp b) Telephone No.: N ~ A Fax No. (Opt) N A _ _ 8.Ia addition to himself, owner designates the following person to receive a copy of the Lienor's Notioe as provided is Sec~on 713.13(lxb~ Florida Statutes: a) Name and address: b) Telephone No.: N f A Fax No. (Opt) A 9.Expiration date of Notice of Commencement (the e~rpiration date in one year from the date of recording nnleaa a dNferent date is speclfled}: pi, f n WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER T'BE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IIYIPROPER PAYMENTS UNDER CHAPTER 713, PART li. SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR ]QVIPROVEMEN75 TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST IIVSPECTION. IF YOU INTEND TO OBTAIIV FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. aTwzzorFr,otamw COUN'[YO1r0~*~! ~e ,gJ"'"•~e,<a;; =•~ *" LAURA L DAVIS MY COMMISSION # EE06684 '~+~Q,F ,.~` EXPIRES February 22, 2015 (a07) 39E-~' ~'.1 FlodEaNOteryServke.com _ The foregoing iastnunmt was aclmowledged before me this ~_ day of 5 V ty..t~ . 2U l l . by R nh~+r. ~a nr. as b w rt-e r' (type otauthority, eg. oi3icer, trastee, attorney in tad} for ~ I~ (name of party o behalf ofwbom instrument wan executed). personally Known OR Produced Identification ~ Notary Sigo_~ 1 Q ~J~ Type of Idamtificxtion produced Name (print) 1-a r) t- 0. l.. - ~ 0.t) •S OR Veri5lcation pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare thsd I have read the foregoing and that the &txs stated in ft tare fate to the best of my laaowledge and belief. O~ ~osearatocawawio Sipmnae ofNatual (saline / i0J Above