HomeMy WebLinkAbout15-16026 CITY OF ZEPHYRHILLS
" 5335-8TH STREET
� (si3)�so-oo20 160 6
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16026 Address: 5811 16TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-07300-0140
Improv. Cost: 6,500.00 OWNER INFORMATION
Date Issued: 3/05/2015 Name: HUFF BARBARA E
Total Fees: 105.00 Address: 5811 16TH ST
Amount Paid: 105.00 ZEPHYRHILLS FL 33542-3761
Date Paid: 3/05/2015 Phone: 813-788-4519
Work Desc: INSTALL 13 WINDOWS SIZE/SIZE
CONTRACTOR S ' APPLICATION FEES
BA R' ALUMINUM INC BUILDING FEE 105.00
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� Ins ections Re uired
FOOTER 2ND R UGH PLUMB MISC INSULATION C ILI G
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 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.
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NOTICE: In addition to the requirements of this permit, there may 6e 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
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saao-oozo City of Zephyrhills Permit Application Fau-813-780-0021
' Building Department
Date Received phane Contact for Pertnitting
��-r-i Tr'T-�-r
Owner's Name � � Owner Phone Number �(� "'" �
Owner's Address l � . �/�/I Owner Phone Number �� "'
Fee Simple Titleholder Name Owner Phone Number
Fee Simple TiUeholder Address
JOB ADDRESS V� l �jT � 1� I S �L. 3 S � �oT# �
SUBDIVISION PARCEL ID# 1 � � — ' � � � O��l v
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CoNSTR B ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK YV LV`) ��� ��S � \N�Q (
BUILDING IZE SQ POOTAGE� HEIGHT �
BUILDING $ ' �r^� VALUATION OF TOTAL CONSTRUCTION /)��
C/ �O V�.
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. �`
QPLUMBING $ �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f ��V
l
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
(
BUILDER f �cOIN ANY S l�l.
SIGNATURE � EGISTERED Y 1 N FEE CURRE� Y/N
Address �-1 � �r� (, �� � �MZ License# ` ' S7`i�-i
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N � FEE CURRE� Y/N
Address License#
MECHANICAL COMP/UJY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1 1 I 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 t 1 1 1 I 1 1 I 1 I 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 I 1 l I 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construcGon,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&�dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)comptete sets of Building Plans plus a Life Safety Page;(1)sel of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 81 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.
Directions:•
Fill out application completely. �
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Comr�encement is required. (AIC upgredes O�er$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMII"fING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) I 1_ �
Driveways-Not over Counter if on public roadways..needs ROW �v �V\`�I� ��r✓-1��`-'�
. „ 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 conVactor 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 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—Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owne�",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,WaterlWastewater 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 YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OF ME EMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirtned)before me this Subscribed and swo 1 (or a irmed)before me this
by by
Who is/are personaliy known to me or has/have produced Who is/are personally n t me or has/have produced
as identification. 'dentification.
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Notary Public `��� ;:, "r.i Nota ublic
Commission No. Commission N _ .k� �rl'f'.I11I.;SI•.i;,;��;� 1;IU�3
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Name of Notary typed,printed or stamped Name of Nota , petlR—•f✓�••�-^-a--�•�
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENT�
Contractor/Homeowner: y�!�""`"�� ''s �+<��iy�r`i!�Gi-j
Date Received: z — ����
Site: s�r/ �Cc� �� S/
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Permit Type: l Gt� � /�f�'c� (`(S`�C�
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
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This comme sheet sha � kept ' the permit and/or plans.
a`Il- ��'
Kalvin Switzer— �1 s Examiner Date ontractor and/or Homeowner
(Required when comments are present) ,
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GENERALNOTES:
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1)THE ANCHORAGE METHODS SHOWN HAVE BEEN DESI6NED TO COMPLY WITH THE RORIOA BUILDING
CODE FOR THE DESIGN PRESSURES LISTED IN THE APPLICABLE PRODUCT TEST REPORTS. 52-1/8"MAX.BUCK 52-1/8"MAX.BUCK
2)WOOD BUCKS DEPICTEO AS 1X ARE LESS THAN 1-1/2"THICK.1X WOOD BUCKS ARE OPTIONA�IF UNIT 20-1/B" 20-1/8"
IS INSTALLED D�RECTLY TO SOLID CONCRETE.WOOD BUCKS DEPICTED AS 2X ARE t-1/2"THICK OR 6 �— � MAX. � 6"MAX �— � MAX. '
GREA7ER.ATTACHMENT METHOD OF WOOD BUCKS SHALL BE DONE BY OTHERS. MAX
— ---- ----
3)SEE TABLE 1 FOR MINIMUM EDGE DISTANCE FROM CENTER OF ANCHOR TO SUBSTRATE EDGE �2" 12° �
(EXCLUDING FINISH OR STUCCO). � � � Mqx, � � � Mqx, ;
1
4)SHIM EACH ANCHOR LOCATION WHERE THE PRODUCT IS N07 FLUSH TO THE SlI85TRATE,USING I � I I I �
SHIMS CAPABI.E OF TRANSFERRING APPLIED LOADS. �
1 / I � I / I �
5)ANCHORS SHALL BE COATED OR CORROSION RESISTANT AS APPROPRIATE FOR SUBSTRATE
MATERIAL.OISSIMILAR MATERIALS SHALL BE PROTECTED AS REQUIRED TO PREVENT REACTIONS. � � 14-1/4" � � 14-1/4"
ALUMINUM SHALL BE PROTECTED FROM DISSIMILAR MATERIALS AS SPECIFIED IN FLORIDA BUILDING 84°MAX.
CODE CHAPTER 20,
BUCK � I M�• I � I M�•
6)ADHESIVE SEALANT SHALL BE USEO BETWEEN SUBS7RATE AND FLANGE OR FIN.OVERALL I I � I I �
SEALINGIFLASHING STRATEGY FOR WATER RESISTANCE OF INSTALLATIONSHALL BE DONE BY OTHERS. I 4 I BB�� I I ,t
7)MATERIALS USED FOR ANCHOR EVALUATIONS WERE SOUTHERN PINE,2.7 KSI CONCRETE AND I / I � I I � +
CONCRETE MASONRY UNITS COMPLYING WITH ASTM C-90.GLAZING COMPLES WITH ASTM E1300-04. /
I I 14-1/4" � � � 14-1/4"
8)THE t/3 S7RESS INCREASE WAS NOT USED IN THIS ANCHOR EVALUATION.THE 1.6 LOAD DURATION ,
I � I M�. I I MAX.
FACTOR WAS USED FOR THE EVALUATION OF WOOD SCREWS. f � � � � / � i
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9)IF THE EXACT PRODUCT SIZE IS NOT LISTED IN THE TABLES,ALWAYS ROUNO UP TO THE ND(T
IARGER VALUE. MAX, I ' MAX, ' I
TABLE 2:
Size Desl nPressure E�UAL-LITESASHSME ORIELSASHSTYLE
Sash 6 Required Rein- Certiflcatlon 7estq
Style yy�dth Helght (+)psf (-)psf �ocks forcement Number TABLE 1:
38" 84" 50 50 2 (3) 790-781 6397 Min.
62" 45 45 1 (3) 190-723 95227.01 Anchor Type Su6strate Edge Min.
63" 50 50 2 (3) 190-780 6398 Dist,
Embedment
Equal 44" ,75„ 45 50 2 (2) 190-722 g5�7,p� Wood(Souihem Pine) 7/e" 1�/e" ;,
Ute 50 50 2 (2),(4) 180-740 05227.01 Steel Stud Gr 33 3/8" .045(iB GA) �
#10 Steel SMS
84"r ,,, 40 50 2 (2) 'j, 190-720 85227.01 Aluminum�8063-TS 3/8" 1!8"
52-��8� 627 ;��50 r. 50 2 (2) � d90-798 93748.02 Steel,A36 3!8" 1/8"
7�,"�� l3b� 35 2 (2)� _�0.716 93746.02 3It6"Masonry Concrete 1" 1�l8"
;82";,; +'SO�y 50 1 (3):!j ,_190-724 95227.01 Anchor Hollow CMU 1" 1-1l4"
44^ ��84� ��J� SO Z �Z�'� ��BO=IZ'I 9SZZ7.O� NOTE:FORALLMETAl5UB5TRATES,SCREWEMOEDMEN75HALLBEMIN.37FR2EAD5
BEYONO INSIDE FACE OF M14ITERIAL
Orfel ;.6 "�54) 50 2 (2�" , . 190-719 93746.02
52-1l8"r_75�.. �:35;' 35 2 :S2) i � 190-717 93748.02
(2)NumNelnLlnQlf/o�r��sash""mSmtienandFl�dKeeperflail. ` �! �, �
�3)NumRelnLln�,I��R@e�er"NatL � �� ��IIIIII
tti : � ��'� �1 �l/
4 N IonSu ar�Ui ssteachTlll atch /l'7 � � \� N . .. �1 ��� p�� � � �I
UJ � U � T ' \�-�'���`\GENS�'��C�c.Q�� J.ROSOWSKI 08f01113 RIGID PVC ����
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j � %,'O�'••F<oR,oP..••'��' FLCERT,OFAUTH.:28298 SINGLE HUNG INSTALLATION ;
� ,�. ,�S'S� ..... •��G` A.Lynn Mlller,P.E. s'�'a+°°e s�.' s,� °m.ac^' w�° ?
�i���NA�i,`�� P.E.#58705 SH4200 NTS 1 oi 3 1031511JR
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EDGE '
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INSTALLATION NOTES: � � j
7 W0 TECHNOLOGY�RIVE
1)SEE SHEET 1 FOR ANCHORAGE,SUBSTRATE AND SPACINO REOUIREMENTS. NOKOMIS,FL 34275 T� ��
2)MAX.SHIMTHICKNESSTOBEI/4°. FLCERT OFAUTH. 29298 SINGLE HUNG INSTALLATION
3)ANCHOR MAY HAVE ALTERNATE HEAD TYPES FROM THOSE SHOWN. A.Lynn MIOer,P.E. 6rbtlA1od°° 5°i"' s�c °""'m^" "°"' �
P.E.#SB705 SH-2200 NTS 2 of 3 1031511JR
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DISTANCE
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EXTERIOR EXTERIOR EQUAL LEG FRAME. ;
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(DIRECTLY TO SUBSTRqTE)
EQUAL LEG FRAME. EQUAL LEG FRAME,
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HEAD INSTALLATION EXTERIOR �
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EQUAL LEG FRAME. ;���.��� • :��CF��� '
JAMB INSTALlATION . �..'''�IGENSF •. ,P . .
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WOOD � :
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INSTALLATION NOTES:
1070 TECHNOLOGY ORIVE 1
1)SEE SHEET 1 FOR ANCHORAGE,SUBSTRATE AND SPACING REOUIREMENTS. NOKOMIS,FL 34z75 �
2)MAX.SHIMTHICKNESSTOBE114'. FLCERTOFAUTH. 292B6 SINGLE HUNG INSTALLATION
� . 3)ANCHOR MAY HAVE ALTERNATE HE4D TYPES FROM THOSE SHOWN. A.lynn Miller,P.E. s°`"°i"�°°°r s°'� m"� °""`gN'' R°" +
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� Pasco County Property Appraiser
Page Layout Modified: 9/6/2013 8:36:26 AM
, The Local Time Is: 1/30/2015 11:04:03 AM
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1/30/2015 Pasco County Property Appraiser-Map
� , : - Pasco County, Florida �
Section 11, Township 26, Range 21, 0.7 miles ENE of Zephyrhills
Prepared by the Office of Mike Wells, Pasco County Property Appraiser.
Map Created on 1/30/2015 at 11:08:50 AM.
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• 2015034328
Permit No. Parcel ID No ��(�� �^af�—' Ob��� ����a
—��
N0710E OF COMMENCEMENT
51ate oC,._���`�� County of�,sl {/ )
THE UNDERSiGNED hereby gives notice that improvement wiii be made to certatn reat property,and in accordance with Chapter 713,Fiorida Statutes,
the following infoP atian is�avl�ed In lhis Nolice ot Commence�entl��D� ^� ����— ���Q� ^ ���
t Descri qan o!Pro ert: Parcel lde_n�ificaUo��1 lNa�. 4 �
Street Address: � � c�..�ti-� r . �. `-t 4�
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2. Ge�eral Descripfion of lmprnvemen!
3. Ownaer�Infortna1tion or Lessee information I ifie eR�s�e wntraded for the fmprovement:
b�i�l�� �Y�Cit�1 I
S�l, l(� S�-�e.e� 2��rh��l� ��sya
Address y� y�q Ctty State
interest in Property: i J�I V �
Name of Fee Simple Tilteholder.
{tf ditfetenk Srom Owner fisted above)
Address ��Y���y��m111�A ('1/�,,,i'`� �ty�,� y",,Y'Ir'P�� • Stale �
4. ConUaclpr j_Yx�"}�� I 1 FJ�,�fy�_(
Name J t,j /} '
Address T C��fJ��J� � Stat���fi�
Contractor's Telephpne No.: — �
5. Surety: W��
Name �••'O
N 61.� '
Address Ciry State �@�w '
Amount of 9ond: S Te#ephane No.: m@ tA
� N I6. Lender. � �
Name �1"'� �' �[
Address Ciry Stale . �.� • � 8 1Q`
Lenders Telephone No. �
Fr
O e� �� �
7 Persons within the 5tate ot Florida designated by the o++mer upan whom notices or other dacuments may be served as pravided by ��r �' � , �
Secfion 713.13(1)(a)(7),Flodda Slatules: `� �61 �„
hlame � � � � � .��GOn` � 9L
m
F �ro �y, � • �
Address ' City Stale � .^ • �
Telephpne Number a1 Desig�ated Person: 4�� °���Q°
B. In addilion to himselC,lhe owner designates o�� ��� �
to receive a copy of the lfenofs NoGce as pravtded In'Section 713.f 3(t j{tr),Florida Sialutes. � •� �
Tetephone Number oi Persoo or Eniiiy Dosignated 6y Owner: _ -
61 T�
9. Expiralion date of Natice of Commencement(the e�lretion date may nol 6e betore the complellon ot canstruction and final paymenl to Ihe o�@ p ;
confracior,but witt be one year hom the date af reeardirrg nntess a different da#e is specified}: �N
WARNING TO OWNER: ANY PAYMEN7S MA�E BY 7HE OWNER AFTER THE EXPIRATION OF 7HE NOTICE OF CQMMENCEMENT x�a Q f-- El1 Y
ARE CdNSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 7, SECTION 713.13, FLORIDA STATUTES, AND CAN �..�n � U � w
RESULT IN YOUft PAYlNG TWlCE FOR IMPROVEMENT5 TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE �t71'-� �f3
RECOROEQ AND POSTED ON TNE.108 SITE BEFORE 7HE FIRST INSPECTION. IF YOU{NTEND TO OBTAIN FINANCING,C6NSUlT � � � O� �� —�
WITH Yt7UR LENDER OR AN RTTOftNEY BEFORE COMMENCING W4RK OR RECOROING YORSR NOTICE C?F C6MMENCEfaiENT EI"�1'tJ+� U` � --� �
Under penalry of perjury,I deGare that I have read the foregoing notice qf commencement and that the facts stated therein are lrue to the best _'""'b „�i� Q � � J N � �
ot my knowkedge and trehef, �3 0 ' Q, (�{� � � � �' �
STATE�OF FLORIDA �� L� � � ��� ='t' � LLl z ����- Q
COUNTY �qRDAN MONBAAREN ignature o�'pwner or Lesse g,Ovr`ners or Le s Authanzed �o � � � �� � 4. ��
=�j�``•,'4„ t,4'{(;dMMtSSl6H#FF2Q23ff4 �(�cerlDlrectorlPartaerlMana er
4la.f FXPIRES:FEB23.2Qi9 ��, Z = O CJ �y„
�'a� BondedlhroughlslStatehuw�nee
° � F— i- V L�. �°tf
Signatory's TiUelOKce �R`'
h,, � Y 1}��t��S�_� � Y��X�L�--�---{�;���t' r S C..7 {.? �
The toregoing insirument vias acknowiedged betore me this da of 2a b �+- � � O ¢ � � � � , �
as - XX .(type of BUlhorily,e,g.,aNCer,lrustee,ettorney in faclJ for z ( 'Q � I-- J C[ � 1�
h Q� [nam! f party a 6ehaif of wh Inst ent was exewted). � t}i. �y � � u-
t. � l— � � � O_l
Personally Known[]OR Praduced Identificatio� Notary Signature � � � � � >"
�I � J W Q � S Q Z
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Type of Identification Produced y'� N2me{Pdnt)
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wcn =c � w�rg '
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wpdaCalbcs/noticecommencementyc053048 �
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