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Home My WebLink About15-16505 / , CITY OF ZEPHYRHILLS t' ., 5335-8TH STREET � �si3��8o-oozo 16 0"5 � PLUMBING PERMIT PERMIT INFORMATION - LOCATION INFORMATION ' Permit#:16505 Issued: 8/10/2015 Address: 6015 9TH ST Permit Type: PLUMBING ZEPHYRHILLS, FL. Class of Work: SEWERLINE REPLACEMENT , Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL ' Lot(s): Block: Section: Sq. Feet: Est. Value: i Book: Page: Cost: 18,700.00 Total Fees: 130.00 � Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 130.00 Date Paid: 8/10/2015 �I Parcel Number: CONTRACTOR INFORMATION � OWNER INFORMATION Name: MR. ROOTER PLUMBING OF TAMPA BAY � Name: GRAY, ARRON Addr: 13655 65TH ST N i Address: 6015 9TH ST LARGO FL 33771 � ZEPHYRHILLS, FL. 33542 Phone: (478)538-0297 Lic: ; Phone: (813)782-0757 Work Desc: REPLACE SEWER LINES AND DRAIN LINES APPLICATION FEES PLUMBING FEE 130.00 � � I � � �' - INSPE �t(� S QUIRED 1ST ROUGH PLUMB 2ND ROUGH PLUMB SEWER � WATER - � FINAL � -�I � i i i I REINSPECRON 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 fl plans not a 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice ofjcommencement 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 and Fee Must Accompany Application. All work shall be pertormed in accordance with City . Codes and Ordinances. i �� _ � , i �� CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTH� W�ITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER r Mr.Rooter Plumbing of Tampa Bay �;. �,; PO Box 1146 �� s . .; :.. New Port Richey,F.L,34656 (727)431-5{}26 Billing Address: Job Address: Stacie Gray Stacie Gray 6015 9tli St. 601 S 9th St. Zephyrhills,FL 33542 Zephyrhills,FL 33542 {813)8b2-7446 (813)862-'7446 Technicia�: Cook. Dell Arrte: 08/0312015 �PL#: � Ticket#: 24352 p�: Trouble Reported: ;. . -----------------=-=-------------;lst Call Work Perfarmed-------;-----------------___-----Cook,Dell-8/3f2015 3:37:24 PMreznove toilet in extra bedroom.attempt to cable thru toilet flange,cable went abaut 11'and baund up.Inserted camera camera is underwater no visibility.located pipe were suspected pipe is.marrked.will cut up area replace braken pipe.in master bathroom.will bust ug concrete and race tc�ilet flanga.Payment Methad=Mastercard,Pay Date=$/3/2015,Amount=1,936.28 ` Description of Work Performed: � later Reeommendations later Ac Qty Task#: Task Descriptinn: Std� Mbr You Save X 23 C1580 Repair drain pipe under conerete slab price per foot $173.36 $157.41 $15.95 (a$er start-up price} X 1 XXO Pilot Hole $878.68 $878.68 $OAO X 1 C1590 3 or 4 inch sewer line repair up to 10 feet long if $2,006.Q7 $1,726.55 `$2?�.52 tractor is needed X 107 C1535 Install additional pvc drainage pip i a8er 5'(3°and 4"} $23:98 $2194 $2.04 per foot X 1 B1Q Advantage Plan Membership-5 Years $19$.I7 $198.1'7 $0.00 X 3 C1550 Install4"plastic-2 Way CleanOut $690.45 $610.69 $'79.7G X 1 C l3 2 0 �Iydroscrub{2 hour minimum) � $1,126.Q9 $949.92 $12617 X 1 XXO Permit ' $225.00 $225.00 $OAO X $ C11029 Backfil!tunnei per foot � $132.94 $113.00 $2994 X 8 C11019 Repiace dram per foot $17'7.25 $I54.b6 $26.59 ', � �� X 8 Cl Ifl09 Tunnel per fflot for up to i0 feet � $2i2.�0 $180.79 $3I.91 X 1 C1230 Cable line#�u�u Toilet f]ange by rerriaving and resetting $408.2'6 $408.16 $OAO � X 1 C1570 Repair drain pipe under concrete slab{any size} $1,6i3.08 $1,613.08 $0.00 equipment and start-up cost i __ . ______ .. . . , i X 1 F4890 �reak up concrete around toilet flange and repIace with $1,106.25 $1,106.25 $0.00 metal ring flange.Includes putting back concrete , X 1 Z10009 25.00 off internet cou on $25.Q0 'j � p ( ) ($25.00) $0.00 Custamer Signature: �� .� Thank yau for your bus,iness! Sub Total: � $18,736.49 Tax: $0.00 Total Di�e: $18,736.49 Payment Type: + ` MasterCard Check#: Prepayment: , $1,936.28 Today's Paymenl: �8,400.10 Batance Due: $8,4UQ.11 r � ( � I e�s-�ao-oozo City of Zephyrhills Permit Application Fax 813asaoaz� i " BuBding Department � � 3 - i Date Recelved —( phone-Cae#act far Pe�Itttn — Owner'�Name J �� C„�`�'� I Owner Phone Number Owner's Addrass 4/ �� / 5-�"' Owner Phane Num6er � � Fee Simple TlHeholder.Name � � Owner Phone Number. � � Fee Simple Titleholder Address JOB AbDRESS �� ` �''�" r � LOT# �_� � � SUBDIVISION � � PARCEL tp# I (OBTAINED FROM PROPERTYTAX NOTICE) WORK PROPOSED NEW CONSTR ADD/A�3 Q SiGtV Q Q DEMOLISH e INSTALL � REPAIR I PROPOSEQ USE � SFR [� CQMM [I �] OTNER TYPE OF CONSTRUC710N Q BLOCK Q FRAME IC,�] STEEL Q DESCRIPTION OF WORK �4. � �.LC. S P`"'�-� �``� �, ��►'` I c'"`�.S , L� ( ��_____� BUILDING SIZE SQ FOOTAGE HEIGHT �g�I�'��Nfi' � VALUATION QF TOTAL CONSTRUCTION QELECTRICAl. �i —� AMP SERVIGE Q PRO�RESS ENEI2GY Q W.R.E.C. ,�eer�' QPIUMBING $ ';( /�0, �s� � yj��j��', II � � � Q MECHANlCAI $ VALUATION C?F MECHANICAt.lIVSTALLATIOI3 � „ },}�J/"�� I ✓U 1/ QGAS Q ROOFtNG Q SPECIA�TY �� OTHER ��i ��`�-�� FINISHED FLOOR ELEVATIONS FLQOD ZQNE AREA QYES NO +—V � BUILDER COMP� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � � ELECTRICIAEC COMPANYi SIGNATURE REGI$TERED Y/ N FEE CUFtRE� Y/N Addrgss Ucense# � � .....•.•-----._ q� ( � p P�UMBER COMPANY �V 1{', oc12.� t,�.,�•.bt+� cr� � �.� .� SIGNA7URE REGI3TERED Y/ N FEE CUI2RE� /N Address license# � � MECHANICAl. GOMRAi+lY SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N Address � Licsnse# �� pTHER COMPANY SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N. Address license# � � RESfDEN1'IAL •Attach{2)Ptat Plans;(2)sets af Bultding plans;{1)set af EnergjrForms;R O-W Permtt for new constructian, Minimum ken(10)vuorking days after subrrtittat date. Required onsite,ConstrucNon Pians;StormwaterPtans w/.Siit Fence instalied, � Sanitary Facilides&1 dumpster,Sfte Worfc Permit for subdivisionsAarge projects I CQMMERCIAL Attach{3)complete se#s af Ba3tdirig Plan`s plus a lafe Safeiy Page;(1)set of Energy Forms.R-O-W Permit for new constsuctlan. Minimum ten(10)working days'after submittal date. Requtred onsite,Construc#ion Plans,Stormwater Plans w!Siit Fence installed, Sanitary FaciliUes&1 dumpster.Site Work Permit for all new p�jects.All commercial requirements must meet compliance S1GN PERMIT Attacli(2)sets of Engineered Plans. '""•PROPERTY SURVEY required for all NEW construcdon. � Dlrestios►s: j , Ffll out applicaUon completely. bwnar&Contractvr stgn back of applicatlon,notadzed If over 52500.a Notice of Cammencement is�equireil. {AtC upgrades av I r�7540) " Agent(far the conVactot)or Power of�Attomey'(for the itiwner)would be someone with notarized letter from owner authorizing same dVER THE COUNTER PERMI'fTiNG ;` (Fronfiof AppElca6on Only} • � Reroofs if shingles Sewers Service;Upgrades A/C' � Fenaes;(RIoUSu i ey/Footage) Driveways-Not over Counter if an public�roadways..nee�fs`R{}Vft � � ft 1 I�� .. . v 7 NOT'ICE O�DEED RESTRICTIOMS: The underslgned understands:th�t.thls.permlt,may be�subjeat to"deed"restrtctions" � which may be�more-resti�ictive°than County regula#lons. �The undersigned�assumes responsi6iiity far compiiance�wilh ariy appficabfe deed restrict{ons. _ UNLICEMSED C+C�NTRACTORS�AND CClNTRACTOR RESPONStBIL-1TIES�: -If the awner�has� h3red a-cantractor ar aoniraotors to undertake work, they may.be:r�qulred.:to be lfcensed In accordance.with state.and•la�cal regulations. �If the cont�actor is not Ilcensed as requlred'=by law, both the owner and confr�ctat-may be�ctted fo� a misdemeanor violation under state law. If the awner or Intended°contraetor are:unce�tain as to what Ilcensing.requirements may appiy�fior the intended wark,they are advised to contact the Pasco County Building-Inspection Dlirislan—Llcensing Sectlon at 727-847- 8009. Furthermore, tf the owner has hired a conh�actor ur contractars, he is advlsed ta have the aantractor{s) sign portians of the "cantractor Blaak" of this appllca#ton for which they will be responsible. _ if you, as.the owner slgn as"the G con#ractar, that-may be an Ind�cation th�t he is-not.properfy Ilcensed and is nat enfitled'to permitting privfleges 3n Pasc� ' County. � TRAMSPORTATtt?N�IMPACTlUTtLlTlES�IMPAC7 ANb RESOURGE RECOVERY�FEE3: The�underslgned understands that Transpartation Impact Fees and Reco.urse Recove.ry.Feas may.:appty�to the consbuc#ion af new buiidings, change of use in existing buildings, or.expansio��•of-�existin�g`�buildings, as specified in Pascv County Ordinance number 89-07 and 90-07, as amended. The unciers�gned atso understands, that-such fees,.as�ma}rbe�.due;,wlll:,be ldenti�ed at ti1e�#ime=af - permitting. It is further understood that Transportation Impacf Fees and�Resource Recovery"Fees must be paid priar to , rece�ving a pcert�tcate of occupancy" ar flnal power-release. ;{f-the projsct daes no�involve a aert�icate of accupancy.or final power reiease, the.fees must b� paid prior#o permft Issuance. Ft�Hhermote;if:Pasco County�iNaterlSewer-�Impact �' fees are due,they�must be�pald prior to permit-Issuancedn accordance with applicable.l?asca'County o�dinances. i CONSTRUCTIaN�.fEN I.AVI►(Ghaptsr 713� Flo:�da S#atutes�as amended): If vaEvatian of work Is�2,500.00 or r�ore, 1 certify that I, �he applicant, have-been provided with a copy- of the "Florida Construction� Lien..Law.—.Homeowne�'s �� Protectlan Gu1de° prep�red by the Florlda Depantnent of Agrta.ult�fe and Consumer�Affairs. !f the appffcant is someone I other than#he'owner"� i certify that i�have,obt�ained a capy;of the above described tlocui�ent�and p,comise in,gaad falth to . �, deliver!t to the°owne�"prier ta=commencement: ' . � CflNTRACTOR'StOWNER'S APftDAV1T: 1 cerfify th�t all the inf.ormatton ln thls applicatlon is accurate and that a0i work will'be done in compliance with all_applicable laws regulating construction, zoning and:land development, Applicatian is ; hereby rnade to obtaln .a permit,Ca da watic.,,and ins#allation as tndE�eted:= '1 ce�tify #ha# no work �ar Instatlatton has commenced prior to issuance"of a permif�and that all work will be perFormed to meet standards of all laws regutating- I� conslruction, County and C�ty codes* zonfng regulatians* and land d$velopmerit regulatlons�ln #he jurlsdictlon. ! also i certify that 1 understand #hat the regul�tions of other gavemment agencies may�appiy�#o the intended work, and that it is �� my responsibility#a Identlfy�what.actions I must take:to be,in:.compliance: Such agencies include but are.nat Ilmited to: , - Depar#men# af Er�vironmentat-Protecfton-Cypress.�Bayhead�, Wetland Areas and Environmen#ally Se�sitive l.ands,WaterMlastewa#er Treatment. - Southwest FlocPda Water M�nagement Qistrict Wells, Cypress. Bay.heacfs; Wetiand Areas, Altering Watercourses. - Army Corps af Eng(neers-Seawa!!s� Docksy Navigable Waterwa�rs. - Department of Health� & Retaabllltative ServEceslErnironmen#at Health Unit Wells, VUastewater Trea#ment, Septtc Tanks: � � . - US Environmental Protection Agency-Asbestos aba#ement. - Federal Aviatton Authority-Rurtuvays. I understand that the following,resfrictions apply to the use of flll:• - Use af fill is not allowed in Flood�Zone"V"unless expressty permitted. - If the fill material is to be used.�in- �lood Zone. "A", It. Is understaod that a drainage plan addressing a "cornpensating volume°will be submttted at#ime of permitttng w61ch is prepared by � professional engineer Iicensed by�he State-of Flor(da. - }f the fl!I material ts to be used In filood Zone "A° in�connec�ion�wlkh.a�permitted buliding asing stem waH , � construction, t ce�tify tha#fiH virllt.be used only.to fili the a�ea within the stem wal{. - If fill material is to be used In any area� I certify that .use. af such flll will not adversely affect�adJacent propertles. If use of fill is fot�nd to adverseEy�ffect ad�acent�properties,,the awner may be cifed for�rio�ating � the conditions of the buliding,permit Issued under the attached permit applicatlan, for Iots less than.one (1) acre whtch ar�e elevated�by flil,an engineered drainage plan fs required. If i am the AGENT FOR THE 011VNER, i,:promise in goad falth to l�farm the owner of�#he permitting conditions set forth in this af'fidavit°prior to commencing construction. f understand that a�-separate permlt may be requtred for elecMcal work, plumbing, signs, wells, pools,, air condit�oning, .gas� or o#�ec Installattbns nol,spec�tcaily included�in.#he applEcation. _A permit Issued shall be constcued to be a license to proceed wlth the work and nat as�authority to.violate, aancel, aYter, or set aslde any provlstons of the.techatcal.cod+�s; nor shaii tssuance�of a.permit.pr.event tb�BuiEdirig Ofilclal from thereafter requlring a correc#ion af errors in�p{ans, construction or vioiatlons of any codes. Every perm(t Issued shall become invalid unless the work authorized.by such permit°Is.co�nmenced�withln sfit months of�perml# issuanae, ar !f wark authorized by the permlf is suspended or.abandoned far a°perlod af�six{8}montfis.after the tit�te ths�wartk ts commenced. An extension may be requested, in writing; from the Building.Official for a per(od�not to exceed nfnety�(90) days and will demonstrate Just1#iable cause fw the extens�on: If work ceases.for nir�efy{90}consecutive:day.s�..the Job�is.aonsfdered aba�doned. WARNING TO OVYNER: YOUR.�AlLURE�TO.,REC.OEtD.A NOTIGE OF�COMMENCE NT�NtAY RESE!!T IN YQUR PAYING TWlCE FOR IMPROVElVIENTS TO.YOUR�PR't�PER'f'Y. IF�Y�U�iFI�'�END�� ' � IN�fiNtANC1NG,�CONSULT WIT OU N E O AN TTO N �B F R� CO � G�' OU ' E NT� -- FL4RIDA_Jt1RAL jF.S.t'f Z.03} __ - _ - ________ .��___-- OWNEFL OR AOENT CON?RACTp .� � Subscribed and swom M(or afllrmedj befare me thls Stibscriba,d_a,I',x_!'swo (o at�rmed}� efo'��ne thls �Y .�..�_1�� .bY .�.B2��t_r!L rc�iG��..��„ _ Who Is/are personally known to.me or.has�ave produced Who I��re�pally kno •ttr me or has/have produced as tdentlflr.a8on. _� r it�l�-S�C:ou�-a as iden�f�caUon. - Natery Pablic ��"'� � Notary Pubt(c •''��••'��., JACQUELINE B S Cammisston Na. Com I r� �-. _.: :;; .Q;: Expires December 12,2018 IVame ot Notary typed,ptlnted er stamped IVame at ' t� 7419 it is agreea tnat nnr.rtooter�is not responsioie tor ine Touowing: 1.Damage caused to the customer"s property as a result of obtaining access to and exposing plumbing and drainage systems. 2.Additional plumbing work beyond that speciflcalty mentioned in this estimate and proposal including,but not limited to,that which � ma'y be required because of preexisting plumbing code violations or additional work revealed to be necessary as a result of pertorming the specified work. ' 3.Any repairs,installation,removal or replacement of non-plumbing items or activities including but not limited to:concrete,paving, asphalt,slabs,sidewalks,driveways,patios,pools,shrubbery,grass lawns,fences,electrical wiring and fixtures,painting, decorations,plastering,sheetrock and other�wall coverings,glass,�carpentry,millwork,cabinets,floors,carpeting,floor surfaces and preparation,roofing,flashing,sheet metal gutters,downspouts,brick,stonework,extension walls,steel and other framework. 4.Damage caused to customer's plumbing system by sewer and di ain cleaning equipment when such is caused by pr�existing defects in such plumbing systems. Customer accepts full responsibility for the prompt payment of all costs of this agreement even though customer may intend to obtain reimbursement from others such as landlords,tenants,insurance companies and tort feasors. This proposal and said specifications shall not be altered or modified except by written agreement between the parties hereto and verbal understandings and agreements with representatives shall not be binding unless set forth herein. LIMITED SERVICE WARRANTY Mr.Rooter warrants,to the extent stated herein,the plumbing repair service and drain cleaning services fumished by it.The stated period of warranty commences upon installation or repair of plumb'ing or upon cleaning of drains. Purchaser understands that Mr.Rooter's liability under this warranty is limited to repair,replacement,recleaning or refund of purchaser"s money,and does not extend to property damage resulting from drains which become clogged or obstructed or from plumbing work which fails during the agreed upon warranty period.l This warranty gives you specific legal rights.You may also have other rights which vary from state to state. NOTICE TO OWNER I THE LAW REQUIRES THAT THE COI�TRACTOR SHALL SUBMIT A SWORN STATEMENT OF PERSONS FURNISHING ' MATERIALS AND LABOR BEFORE ANY PAYMENT IS REQUIRED TO BE MADE TO THE CONTRACTOR. 1 Do not sinn this contract untll vou read R or If arn spaces Intended for the as�reed terms, exceot as to urmvallable Informatlon. are blank. I 2.You are er�ltled to a coav of this contract at the tlms vou slgn�R. 3 You mav at any tlme aay otf the full unpald balance due unde�this contract. and In dolno so vou may recelve a�arUal rebate of the service chame. 4 You may cancel this contrsct If R Is sollc�ted In person and vou slan�.at a olace other than the sellei's buslness address. by sending notice of cancellatlon by certifled mall retum reauest recelot reauested to the selles at his address whlch noUce shall be postmarked not later than mldNgM of the thlyd day(exdudinp Sundavs arsd hdldavs) following your sismino this contraat. If vou choose to car�cel thls contract vou must retum or make avallable to the seller at the alaoe of delivery arry merchanmse. In Ifs original condNlon. received bv vou under this contrad. j This contractor is registered to do business in the state in which this work is performed.(See registration number on the front side of this contract.)Where required,this contractor has posted with the State all necessary bonds or cash deposits for the purpose of satisfying claims against the contractor for negligent or improper work or breach of contract in the conduct of the contractor"s � business.This bond or cash deposit may not be sufficient to cover a claim which might arise from the work done under your contract. If any suppiier of materials used in your construction project or any employee of the contractor or subcontractor is not paid by the contractor or subcontractor on your job,your property may be liened to force payment.If you wish additional protection,you may request the contractor to provide you � with the original"lien release"documents from each suppiier or subcontractor on your project.The contractor is required to provide you with further information about lien release documents if you request it.General information is also available from the licensing board in your state. , The specifictelephone number and address of your governing agincy can be found by calling 1-800-583-8003 or by writing Mr. Rooter Corporation,P.O.Box 3146 Waco,Texas 76707. CALIFORNIA RESIDENTS iONLY NOTICE TO OWNER "Under the California Mechanics'Lien Law,any contractor,subcontractor,laborer,supplier,or other person or entity who•helps to improve your property,but is not paid for his or her work or supplies,has a right to place a lien on your home,land,or property where the work was performed and to sue you in court to obtain payment. � This means that after a court hearing,your home,land,and property could be sold by a court officer and the proceeds of the sale used to satisfy what you owe.This can happen even if you have paid your contractor in full if the contractor"s subcontractors, laborers,or suppliers remain unpaid. To preserve their rights to file a claim or lien against your p�opertyl certain claimants such as subcontractors or material suppliers are each required to provide you with a document called a"Prelimina'ry Notice."Contractors and laborers who contract with owners directly do not have to provide such notice since you are aware ofltheir existence as an owner.A preliminary notice is not a lien against your property.Its purpose is to notify you of persons or entities that may have a right to file a lien against your property if � they are not paid.In order to perfect their lien rights,a contractor,subcontractor,supplier,or laborer must file a mechanics'lien with the county recorder which then becomes a recorded lien against your property.Generally,the maximum time allowed for filling a mechanics'lien against your property is 90 days after substantial completion of your project. TO INSURE EXTRA PROTECTION FOR YOURSELF AND YOUR PROPERTY,YOU MAY WISH TO TAKE ONE OR MORE OF THE FOLLOWING STEPS: (1)Require that your contractor supply you with a payment and performance bond(not a license bond),which provides that the bonding company will either complete the project or pay damages�up to the amount of the bond.This payment and performance bond as weil as a copy of the construction contract shouid be filed with the counry recorder for your further protection.The payment and performance bond will usually cost from 1 to 5 percent of the contract amount depending on the contractor°s bonding ability.If a contractor cannot obtain such bonding,it may indicate his or her financial incapacity. (2)Require that payments be made directly to subcontractors and jmaterial suppliers through a joint control.Funding services may be available,for a fee,in your area which will establish voucher or other means of payment to your contractor.These services may also provide you with lien waivers and other forms of protection.Any joint control agreement should include the addendum approved by the registrar. � (3)Issue joint checks for payment,made out to both your contractor and subcontractors or material suppliers involved in the project. The joint checks should be made payable to the persons or entities which send preliminary notices to you.Those persons or entities have indicated that they may have lien rights on your property,therefore you need to protect yourself.This will help to insure that all persons due payment are actually paid. (4)Upon making payment on any completed phase of the project,iand before making any further payments,require your contractor to provide you with unconditional„Waiver and Release"forms.signed by each material supplier,subcontractor,and laborer involved in that portion of the work for which payment was made.The statutory lien releases are set forth in exact language in Section 3262 of the Civil Code.Most stationery stores will sell the,Waiver and Release"forms if your contractor does not have them.The material suppliers,subcontractors,and laborers that you obtain releases from are those persons or entities who have filed preliminary notices with you.If you are not certain of the material suppliers,subcontractors,and laborers working on your project,you may obtain a list from your contractor.On projects involving improvements to a single-family residence or a duplex owned by the individuals,the person signing these releases loses the right to file a mechanics'lien claim against your property.In other types of construction,this rir��..M:�n w.....M:II h�imr��.1...�I I+��1..+�+.,nr.1 1��.�a�i.�.v�.�ir.1� 'Waiver antl kelease'torm.Ii a mechanics'lien has been tiletl against your property,it can only be votuntarily released by a recortletl 'Release of Mechanics'Lien'signed by the person or entity that fled the mechanics'lien against your property unless the lawsuit to enforce the fien was not timely filed.You should not make any final payments until any and all such liens are removed.You should , consult an attorney if a - , lien is filed against your property." � ' I . � ' Ill�lllllllllllllllllllllllllllllllllllllllllllllllillllllll ,,, , 2015127283 i Rcpt: 1704165 Rec: 10.00 D5: 0.00 IT: 0.00 � 08/10/2015 J. G. , Dpty Clerk � Permit No. Palcel ID No V � ^ � �� l �U'�� Ul�� – NOTfCE OF COMMENCEMENT Gl�� State of F�O,Q,lQq. Co I nty of �/��'� THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement: 1 Description of Property� Parcel Identification No. Street Address. roOl,� � Sf- �f/�Aytt.1.S I /�. �/',��`�. � � PAULq S 0'NETL,Ph D PqSCO CLERK & COhIpTROLLEk 2. General Description of Improvement ��TcW►:� �l� F , 08/10/2015 I OR BK ��,iam �G �f'3�'1 3. Owner Information or Lessee infortnation if the Lessee contracted for the improvement: �'�� S 41J�2 � ,r c� lod�s �t1.Narp.�-�. I l��f� �� r�1i �Itis � J Address ^ ' j City—� State Interest in Property� �+1�� I I Name of Fee 5imple Titleholder � (If different.from Owner listed above) I Address �� \, , 1� Ci y f� �� 5 State 4. Corltractor "�'�`"`r � f�,��P f–t� � �(' Y Name � /�d,2� SuNSO_� �r- �. cl��.� �"I �� c�-� Address �//� 7�� — City State Contractors Telephone No.: �� " � o b ' � � ' ,' 5. Surety: Name �i I Address City State Amount of Bond: $ Telephone No.: 6. Lender i Name Address i City State Lender's Telephone No.� 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Fiorida Statutes: I I Name � � Address City State � Telephone Number of Designated Person: ' 8. In addition to himself,the owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner' i 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 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 OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST�INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. I STATE OF FLORIDA �I_ a, COUNTY OF PASCO GU+u�Cc– S gnature of Owner or Lessee,or Owner's or Less s Authorized OfficedDirector/Partner/Manager � Signatory's Title/Office � The foregoing instrument was acknowledged before me this�day of�,20f;��by �r?rv�� /–�� V°C�/lt•�2 S as �'L'�_cH-r�–��– � (type of authority,e.g.,officer,trustee,attorney in fact)for f�r�D�`7o9– i (name of party on behalf oi whom instrument was executed) ' �l---P �. �� Personally Known OR Produced Identification❑ � Notary Sig'nature Type of Identification Produced _ Name(Print) �ir �NZL c� �i�c«� � I � -MICHAEL DAVID HIXSON t+orxav COMMISSION#FF110359 PUBLIC �XPIRES April 7,2018 STATE OF wpdata/bcs/noticecommencement_pc053048 fLORIDA BONDEDTHRQUGH RLI INSURANCE COMPANY �