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HomeMy WebLinkAbout16-17473 CITY OF ZEPHYRHILLS � ' 5335-8TH STREET �f�' (813)780-0020 1'/4/3 FENCE PERMIT PERMIT INFORMATION LOCATION INFORMATI Permit Number: 17473 Address: 4718 GALL BLVD Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 14-26-21-0100-03600-0070 Improv. Cost: 8,200.00 OWNER INFORMATION Date Issued: 6/14/2016 Name: RDPD IV.LLC Total Fees: 60.00 Address: PO BOX 566 Amount Paid: 60.00 ZEPHYRHILLS FL 33539-0566 Date Paid: 6/14/2016 Phone: Work Desc: INSTALLATION 6 X 405 WHITE PVC FENCE CONTRACTOR S APPLICATION FEES POST R US INC (813)779-7795 FENCE 60.00 _ �G- -�- � � I C`� J��� �� Ins ections Re uired FI NAL REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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 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 and Fee Must Accompany Application. II work shall be performed in accordance with City Codes and Ordinances CONT R PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTIOIV - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , . � ���� h.' ���� ACME FENCE � ACME 5150 Halstead Ln. FE1�CE Zephyrhills, Florida 33541 "Your PVC S�ecialists" 813-779-7795 813-973-0826 888-779-8553 fax acmefence@yahoo.com • LICENSE # 11795 PROPOSAL/CONTRAC� Page � Ol/14/2016 C�t�o�e� In ��t}on: Job Information: � PREMIER HOUSING SOLUTIONS JOB LOCATED IN ZEPHYRHILLS GALL BLVD JEFF DIXON 714-3046 Zephyrhills, Florida 33542 JEFFDIXON57@GMAIL.COM �7t�' ��ll ��� ��,�� Not�s: �,Pu�� P�'��P�����s ��o�� - 405' 6 FOOT PVC TONGUE & GROOVE PRIVACY � �y L��''�S 1 20 FOOT DOUBLE ROLL GATES 24 �� � 30 � � e�l��� � ��ds� , 4 2 1/2" X 9' SCH 40 POST FOR ROLL GATES � 2 1 5/8" .065 GATE FRAMES WAREHOUSE �9(,�iQQ�'t� 1 5/8" DQ40 GATE TRACKS Z�Q� ,30, '21�^�IS b Ra!'Gc`� ' � L��i � 2 INDUSTRIAL TROLLEYS i �,l"S 13' �p� � `� ALL POST SET W/ CONCRETE � S�� l ��fi�J C�� �/ �(nt3 0 1 3/4" X 5 1/2" POCKET RAILS tas� � LIFETIME WARRANTY �p�, T�y�f s�N PERMIT INCLUDED �Z�-���5 ACME FENCE agrees to guarantee above £ence to be job and adjustments for labor will be charged or free from defects in materials and workmanship for credited at the currently established rates. one year. Additional charges for any extra work not covered ACME FENCE shall advise the customer as to local in this contract that was requested by the customer zoning regulations but responsibility for complying will also be added. The full amount of this with said regulations and obtaining any required contract along with any additional charges will permits shall rest with the customer. ACME FENCE become payable upon completion of all mork whether will assist the customer, upon request, in or not it has been invoiced. determining where the fence is to be erected, but A finance charge of 1 1/2� per month (or a under no circumstance does ACME FENCE assume any minimum of $1.00), which is an annual percentage responsibility concerning property lines or in any rate of 18�, shall be applied to accounts that are way guarantee their accuracy. If property pins not paid within 10 days after completion of any cannot be located it is recommended that the work inWoiced. All materials will remain the customer have the property surveyed. property of ACME FENCE until all invoices �ACME FENCE will assume the responsibility for pertaining to this job are paid in full. The having underground public utilities located and customer agrees to pay all interest and any coats marked. However, ACME FENCE assumes no incurred in the collection of this debt. responsi.bility for unmarked sprinkler lines, or any other unmarked buried lines or objects. The customer will assume all liability £or any damage caused by directing AQ� FENCE to dig in the immediate vicinity of known utilities. The final billing will be basad on the actual footage of fencing built and the work performed. Partial billing for mate=ials delivered to the job ' site and work completed may be sent at weekly intervals. Adjustments for material used on this Approved & epted for Customer: �5^� � Contract Amount: $ 8200.00 uso Dte Down Payment: $ 2200.00 Ac pte r NCE: Balance Due: $ 6000.00 �f ! Salespe on . Date 813aeo-ao2o City of Zephyrhills Permit Application Fax 813-780-0021 r ' Bullding Department Qate Received = -� �Phone.Coiitact'for'PerrrtEttln ` Qwee�"s Name � ��� Q�nrner Phoae Number Owner's Address �� '� Cl O`vunerPhone-Number � � Fee 81mple TltleholderName �,_ � � � Owner Phone'Number A I -� . . , ""�;7'�, : Fee 3tmple TltleholderlRddress �" " � � JOB ADDRESS / �p �R(� �U� LOT# �� suaawisio� � �� P�c�t:�io# ��I- :2�-'Z --"D/�' t�3j�--�D 7d ,. � , . � � (OBTAINED EROM PROPEFiTY TAX`NOTICEj � � V{tORK PRGPOSED , NEW CONSTR •', ADDIALT '� SiGN Q ' - Q�, DEMOLISH �, , . .- , e INSTAl;4. - .8=' = REPAIR' � PROPQSED�iJ38. [��� `SFR ""�] COMM� :`[�„� O'THEFt' ' � < . , . ... . • , . TYP6 OF CON3TRUCTION;, '�' :�BLOCK�' ;[�` FRAME. � � STEEL [,�]: �.�. DESCRIPTIQN OF WORK .L •�7 t � c , � 1'� � � - L,. , . . . , BCliLDIFIG$tZE�'�— � �FOOTAGE .��-� ., . : ,:HEIGHT'� , . , OBll{CQING $ , _�;�,:.;:r_-�. :-i-:�=.-,. _�.'.. . < , , , ,�QQ, �'�: VACUATION�`G�"TOTAGCONSTRUGTION . QEI.ECTRICA! $ �� � ���� , , AMP SERVICE [� PR�GRESS ENEI2GY Q W.R.E.C. � : _..�' . � QPl:UNIBING $' _ , x � C���� � � � 7..� Q NIECHANIGAI $ �VAt.Ui4TtO1V.OF MECHANlCA�,IPt3Tl�t.lAT10lV �� � QGAS [,� � ROOFlNG��...Q SFECIA�TY C� 07HEFL , , , FIPVI$HED FLOOR EI.EVATIONS FLOOD ZONE ARE�► �YE$. NO � -.c, ' ' BUIi.DER CQMPANY �' C��L'�. SIGNATURE REC31S7E�tED Y/ N. �ecuRRe�' Y/.N,_.- I , � . �,d�.a� S�sr� r� L�v � . . , u��se#°�� � � , r: EIECTRICIAN�;.:�: : � , � COMPAi�1Y= ' - � . SIGNMTURE �"' REGISTERED Y J N F�cuR�n Y./N :' Address , , ,.•.Ucense'#=f'� ' � � �'' I �LUMBER � GOMBItNY; , - - ' _ . SIGN�►TURE ` � �REGIS,TEREp� -e< '�Y.'/-�N':` • -F.EE.6URRE�' , 'Y/`N:•- - , . .. .� . ` k.c ' . , . , . AEIdTe�B , - ` , , :.UGBnSe#5�"' � . , � ,- :. � � ,, _. , . . MECHAN1GAl: � - . . . � - � ;GQMPANY:. , . : :�.., r - - SIGNATURE ' " ` , � � ' '' REGI'�TERED �..Y./N—,. %:,FEE CURREA '-Y/N>% ' �ddress',.;- �. . . .,: � - - ;:_ - ' ._ ° `Y � Ucense# �. ,. - I . OTHEF� � ;:,,.. 1, . , . . .- � . _ _ , „ . . , __ . :EO PANY :� . , , ,.,. M. SIGNATURE.� ' . � - , r` ' . . � R V_,.REGISTERED , -.Y/ N,� � ��FEE GURRE� ,rYJ=N;.: , . . ... ...� -.� ii?n::.."1 fi Ir`4 � - . . . �' '..� . . , . ���. �lL1L�P8�S _ ' �:£: ..c;. i, n•} , . '- UC�IflS9#'� _ - �;�.»�.., �' _ ,x..i� _ :;�'x'}. ,,;_��, .i,.it.`� . , � ' RESIt}ENTIAL:- �`--Attaati j2{#?to<P.,lans��`2�1�.sets�of8uildtn�''y;;Flan§�,11.\�se't''iif°Eiie��/��{�/:Fornis�.R-0=1tU�Perm1#`:for ner�u�:�nstruc#ion. , . _�... _- ,1 /.,.3_� 1� J -i7 � . 1\,I,�.. �t. . 'i77;. I .. . . � ._ .. _�..�„iy,, ?�,� I � *�' ��,,.,:�Miqlmum,�, m(�10,)2woriting}clay§�atter,;'sua�iilttalidate:�Requlred.onslte-ConstrucNon Plans:�Stormwate�::P.lansw%;Sllt Fence tnstalled, ...� Sanitary�$�14ties;&,�;���t�mpster,ySlte�tiNorkKPertnit.�or.subdivlstonsltaige.projects�;..?�;t;�;'�';-�' .� . - . � . ". . COMMERCIAL Attach(3)Ycoinptete sets af Bsiltding Plans"ptus a'C.`�fe Safeiy Page;(1}set of Energy Farms.R-CI W Permit for new constnsction. Minimum ten(10)working days after submittal date. Requ(red onsite,,ConsUucUon Plans,Stormwater Plans w/Silt Fence installed, , Sanitary Factl�las��1 dumpster..Sife,Wortc Permit foc ati,`newiprojecfs_:Aii�commerda�cequEcements-must meet compllance 3tGN F�ERMIT Attach:(2)set§of'�ngineeired;.Pians::•�Y;�:~�:'r' �� ., . . ,,.' , . •`""PROPERT_Y..SUR'V,EY r�equired�for�all NEW.ccns.tructlan..:� _ ,. ; - _ � , Dlrectlon�: '`.'.>.�:;�., ..: _ __. ,.. ..,._�. . . , FIII out applicatlan complekely. Glwner 8�Confractor stgn Etack:of appltcatlon,notarized if'over�2500,a Notice af Commencement ta requtre�l. (AIC upgrades over S750p) _ _ - � ,..: _ . .._„ .._.. :. . . _ .° .. -::t.�a-°v:s:C�r,;;��:.r.. _ .. . Agent.(for ttie conttaetorj`or`Po`irirer of Attoiney(fiir#tie:owner)woutd be someone with natarized letter fmm owrner authadzfng same O.Y,ER THE GQUNTER.PERMITTING�=- ={Front of�Application Only)`+_ � � � Reroofs'if shingles Sewers Service Upgrades.A/C � � Fences(Plot/Surv_ey/Footage) -`� -- -, - � _-��--:. .- . � -..�. __r.;-�r,::: :,,t�; - �- . .. , Drlveways-Not over Counter if on public roadways.:neecis ROW , , 1 . ,� - : _ „ .. i . ,. .� .... �• ? � .. � � , .... ._ " _ ...�.... .-" "', .. .ykv�;C:• .:� �TICE OF DEED:RESTRICTIONS: The undersigned3 Undergtands�:#�t;thl�::.p�r�nit;may<b,e„sub)e.ct,to;"deed"�rest[ict�,lons"�._:,.; ` _ i. - ,�Y- ��o-� .:'7!s�n.,: - ,.�-. - _ >ar[:..r�w.*�r:.,,.a• .Y�?i:">;x�:�a<i ,.�. - - � ich may;be��moret;resttictive��th����ounty��let�oitis:�The�'ilridecs1gned'�a�'sumes,resp�nsibllity�fo�=cb�mpliance'�with�sny �`� , �licable'.deed:;resMctloris: =:,��',....,.:.s,�.t_:,, i '. .� �,..�,�:°?::. :-.,.4. : , ILICENSED�:;G:ONTRAC'FORS=AND`CONTRACTOR RESPOW�Si�141T1�$':���I#�-�he�ovi►ne���has�fitred�ya�-"i;dritractor�or �tractors.io undertake'wock,;the mey.-;b.e:;r�q�i�d�to.,b.e:,�llcensed,�:in:accoedance.with,state:and�;lo�l�;rpv/a�ulallo_ns-,r%If�-tFie��F � . � ; �. . �. `.,.-'.:. :" �� ' ��i.' 3, _"-. �.. �:iie:%i:_:i::..�:.y:.e.i...-�'.*;. - _ •_ ', .. ..i ..�.Y:.�i . {"' _' . ..w,:L.t..._..,:�r: ..r';: :. ..�..�.�..... . ... ''"'_'.,...�. . itractor:ts_not��:licensed='as=reqtilred.tiy Iaw;.tioth=tNe.owne�.and��ccintcacMr�may�be=�cited�for-.a�misderrreado�ytolatlon , . .... ier state law. If the owner or intended?,co.nt,r,a�tor�e�e�uncertaln.aa to=what�:llcensing.requlrements;may�;apPly�:fior.�tlfie��;-x�°r*.=��x��� . mded work, they are edvlsed�to�c+ontact�.the�Pasco�.County,;Bullding:,'Inepection;;Div,l'slon,==Llcensing.Section et 72T=847- �� )9. Funherriiore, �tf�th`e�.owne��fias'`hir�d'`a��conhacto'r`o��conti�ac7ocs, he is advfsed to 'have;.tfte conhacbr(s)„sign, .,,,:. ;� , tions of`the "contrector Block"of.�thia.application.�for;;whtch.they wifl,,be.:re.sp,onsl6le.. Af..y.ou;���as:,fhe'�oiivne'r stgn:'a's"'tiie Y�'��''� ° ' itractor;that`�iiay.be=an'"indicatton�tligt�he-ls'not".propeHy�licensed"�nd�'is��not�enfltletl-fo�pe'r"mitting�privlleges��in Pasco '� .. unty. . _ „ ; ; ...,.-��.:a,. .;,,..., , :' ,; ANSPORTATIONxiMPACTNTILITIES%I�IIRI4C'�:AI�b'�I�E�O�l�tCE�RECOVERY�FEES:Th���undersigned`:understands ;�; tTren`.sportatlon Impact Fees:and.Recoutae Recovery.Fees.m�ay��apply�:to�the construcBon..of_new_buildtngs;�change°of�'�����'f�-.�' � � in existing buildings;;��cyezpa�isi�n�of-��iitsti�b�iiltlings� as'specfffetl.in Pascq County OPdinanc� number 89-07 and : O7, as amende,d.:,;�h�.undetsigned elsa-urtderstands, th�t`such fees;�as,tnajrbe:-due;;wlll:,be identffied at the�time�Vof-=°��������`'�� �� mitting. It Is turtfier understood that Tra'n�portatlon`Imp�ct`F�es and��:Resoutce Reco�ery�'Fees_mu�ti be paid prlor to , __ elving a_.".:cer�fflcate.�.of�occupancy"�or-final�.power:-,release: :l�'•the prvJ�t:,;does:not-lnvolve.�a=.cert�icafe of occupancy-o��ry���•��?"`' . -. p , _ , � p" p _ pe�mit Iss��nce. -I�,t��tk�ermore;;;�if PascmkCounty_`Water/Sewer�lmpack�a-=� ���-�: � d owec:release�the'�fees;:.musit�be°"`aid'�`�clo�,to � . s are due,,.they must,.be�pald-prfor to;permit�•Issuance:in,.accordance.wit�i.applicatife�Pasco'�County�oi�tlinances. �NSTRUCTIONIIEN�AIN jCfiapter 713;Flortda'St�tut�s�as amor'rded); (f valuation of work is$2;500:00'or��mor,e; l; =�,_�� .::., � lify that I, �he..,applicant,_.have<-been��providetl-�.with.-a �copy;-;of`.�the -"Florida�-Constivctton:��Llen:�Lav�Homeowner's �tection Guide° prepared by;tFie Flo�ida DeP�rtm�nt�of Agric.ult�re �nd Consr�m�er;affairs:_ If the applicant is sotneone-,:,.,�.;�,-:�, , � er than the"owner"� 1 certffjc;th�t-l-hav.e.obta�(ne��a��eopy;of_the�abQv�.:�escrlpe�tl°dbcu��ent�and p.r.or�i.s�;tn;gQo;d;:faith;-to; � .- . �. iver it to::the,'owne�"prior-'ito�commencemeriE:'. , , . ,`;`� -- • - -. _� . ' -- ' � .. `' ,_ _.�.. _ ' . �NTRACTOR'SIOWNER'S AFFID'AVIT: I.ce':_�tlfy.;:tk�at;alF:�th�-,Informa4lon�in�thi.s appitcatlon-is accurat�;�nd that a�ll work 'be done in compliance.with all�appitcable'laws:regulatlng construction� zoning and�landv development. Appilcatlon is, eby made, to, obtain�;a:,.permik.to��do�=,w�:�and: litistellatlon as indlcated:4: :I certity`�tFfa't no iniark�:or Installatlon`fias � nmenced p�lor to'Issuance of'a pemift�"and thaf:all`work will be p�rtormed�to meetwstandards:of_.all laws regulating- istruction, Cvunty and City codes� z.oning regulaNans, and land d4velopment tegulattons�'in��the�;ju�isdiction::��I_�also � tify that I uade�stand that the regulattons of other�govemment agen�les may-appl'y_�:to„the.intended:work� and that it is - responsibility to identifj�l•what.acttons I,must�take;b be.,in:.cotrlpilanc�a: Such-agencies include�buttare:not limited.to: ` - Depa�tmen! of Erlvironmental>�Prote'.c�bn`=C�ypress'`Bayfieed�;'Wetland�Areas and E�vironmentally Sensttive Lands,WatedVllastewater Treatment. � ; - - , - �outhwest Florida Water Management:�;.:l�lstrict Welis, -Cypres:�.`�BayFi�ads,���Wetland Areas, Aitertng � �� � Watercourses. - , �- ' - Army Corps of Englneers=Seauvalls,-�Docks, Navigatile Watecways. �� - Department of .Health.:$,,Rehabllit,atiye„Servlces/Environmental_;hleeltFi.,Unit:Well.s; Wastewater�Tre�tment, - � Septlo Tanks:;'�' ,, ` ' .. . � - -. - US Environmentai Protectlon Agency-Asbestos abatement. - .Federal�Avlatton:Authority:Runuvays: ,- �. � - � �derstand that the�follou�iing;restrl'ctions:apply fo'the°t�se of flIL•• - Use of fill is not allowed in F<,Iood�Zone"V"unless expreesly�ermitted. - If•the_flll;,materfal_'is:=to"be':used:=ln:flood Zone. °A"� IE Is understood�that�a`drainage plan addressing a - "compeFlsating volume"wlll be submitted at#ime of. permift�ng�`vFiich ia prepared by a professional englneer� Ilcensed by��he��tate�of;FloHda: � � - If th�.flll.mate�lal`:ts�_;to>be us,ed�tn �lood'Zone 'A" tn5 connec�lor�•writh�a'�permitted bulldir�g using stem wall conatrvctton, l cerHry that fill:�illl.b.e��used only.to.illl the.area within�the:stem��wall. . � � - If flll mate�lal'1"s�fo-�be��used'in�any°area;-1'�+certify t#�at .u�e. of sucFi'�flll'�will�no3 adverseiy affect ad)acent propertieg. If use�of fill is found:.to adyereel�r.�ffecf'�adJaEer�t�?prajpertfes,.the owner may be cited for.viofating. the condWons�:of�tFie:tidildingr>p�rmit Issued�.under the'alla�hed_,permit�eppltcation;for:lots less=than.one (1) ; � acre-which are elevafetl'tiy;illl;��r engtneer•ed dralnage plari'fls requlred. ' , � �m the AGEMT FOR�THE-OWNER,�°I�roiaiilse'In.good falth to�lnform the�owner,:of•the_permitting conditlons set forth In . aifidavit'pr(or to commenoing consfrucfi�n. �"1"understa�td-ttiat:a�,separate permit may be requlred for electrical work� .. ' ;, nbing, signs, wells�.:pools+,�.alr..co.ndltioning,.,gas;:.or�.othec ins#�atio�s not.spec�ically Included�in.the�application. .A �. � .,.., : ; �, nit issued"shalf tie,.coristrued to'tie:�a`Iicense�to��proceed with'`tNe wortc and no.k�as:authoNty�.to_violate;�cancei� aite�, or . `- ti� aside any provtslons of the:tecfiniaal.codes;�nor shall Issuance�of-a.permif:prevent the Bulidlrig Officlal from thereafter � ilring a correctton-.a�f errors ln;plans;`conshuc�lon or vlolaUons of'any�codes:. �_Every p�ermit�_Issued�shalfbecome�invalid � `' ;' �ss the work aut'hoNzed:tiy such pe�mlt��is-co�ir�ienced�with(n; .sUc�momths of;permit fssuance� or If work authorized by - pemtit i;s suspended�or..abar�doned=for�a�:p.eriodYof;six::f8)�montfis:.:aRe�the#IriAe the�wor�k��fe commenced. An�extension '� ,.... . � be requested, In-wiiting;::from'the'Building.O(f�lai�for a perlod::not�4o.°exceed"ninety�{90):�lays:a�d wilC demonstrate >� +� fiable cause'for.�the'exten'slon. If�work.ceases,for ninety(90)cons.�cuttve:day.�...the Job�is�constdered abandoned. . :� ; _ . . ' ,_ _ ��:- �.�., ... : :._.. •� , _ ._ . .. ::. , �,;, ,;, ,,;,,; , , ,.. ._ _ ,... . . _. . -. ., . � ;.� � �.., RNING TO�OWNE�t:�'YOUR.:FAILIJRE�TO_.'R�EC:ORq.rA,�I�lOTIGE:�F�,COMMEMEEMENT�NFAY�RE�ULT�IN�YOUR � , 'INGTWI.CE;FOR;IMPROVEMEN�'�r}Tfl:YOUEt�:PROPEI�T;Y:�•�I��;YO.tJ{I��EI�ID"<� ='�• •.��►1N�=FIN�ANEiNG;�C.ONSULT ' ., , ,..... _ ;.. --: ,• �. . . .. .. . .,.. OU D O. 'A - �TTOR ,�� F _ . -O D f'� O. � F�: � .� - - � - tIDA JURA'�(F.S.1.17:.03} , . . . . IER OR AOENT" C�NTRACTO� •. ' aibed an bswom to(or a�lrtned)betore me ihis � utis�ibeEd'end` -to(ot aflirtned)�before:me�tlti9 ; . Islare personally known to-me or�haalhave produced 411ho Is/eri9 p.erso. I knowrf•to me.or.�haslheve�produced • as;ldentlflcatl4�: � - � � � ..,'as ItlendBi�don. � . , �� � Notary Public . Notary Publlc nlsslon No:' m asl . :���;�,�?yq''�c� JACQUELINE BOGES ' . 15U422 �of IVotary lyped,printed ar atemped Name ; �pp��gm�r1� �%;F °�� Fond¢d Thm Troy Fein Ins��ranco 600J85•7019 P;����� Y L � 111111111�111fllllllllllllllllllill11111111111111111111119lI 2016091742 Pertnit Na. Parcel ID No � / NOTICE OF COMMENCEME stete oi �(O���� Counry a( �C-�S C� — 7HE UNDERSIGNED hereby gives notfca that improvement wlil be made lo certain real property,and in accordance with Chapter 713,Florlda Slatut�s, Ihe(oilawing(nformatlon Is provided in ttds Notice ot CommencemenL• . �tij'/bi��f �p�o�1�/ , 1. Desuiptlo�of Prnperty: Parcel Identificatlon Na !���6`������—03 6�'���� �(�_"l_ ��.- wd}-�,sp��' � s�ea�a�d�a�: �l7!�'1 G a�l 6(�d s �31.os aF nl�.�ic zg�.cg� 2. General Dascrlptlon of Improvement 6 � v� �L�� r ����� .36 Lyi:7� �� �j. 3. Owner Infarmatlon a Lessae Infortnafion N lfie Lessae contraded fw the improvemant: R D �!� 7�' �ce ti"��� ��l a��c1 ZtPf�y���lU � Address City �—� Stete Interest in Property: Neme of Fee Simple Titleholder. (If dit(erent Irom Owner 1lsted abova) � Address C�� �Cl`1G� City State Cantreclot 1 r �La � .,9 /� I �+� ?� 1 Name r��� /'i-Q/ST tNQ c-I✓• Z���1✓l�t� f-t• �7�l �7 Q/ -7 p N CII State Conrtrecfors Telephona No.: V/3'� /�/ r�7�J y 5. Surery: Name Aadress Ciry stete Amounl of Bond: S Telephone No.: 6. Lender. Name I Addrass Ciry State Landera Telephone No.• 7, persons wilhln lhe State of Fbride designaled by ihe awner upon whom noUces a olher documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City Stete Talaphona Number o(Designated Person: , 8. In addi�an lo himsefl,the ovmer designeles °f— to receive a copy ot the Lienors NoUce es provided in Section 713.13(1)(b),Flodde Stalutes. i Telephone Number of Person or Entity Deslgnated by Owner. , 9. E�Iratio�date of Notice of Cammencement(lhe e�iraUon date may nol be befwe Ihe completion of wnsWdlon and final payment to Ihe � conVectar,hut w(II be one year irom the date of recording unless e dHterent dete is speclfied): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF TNE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPRQPER 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 WfTH YOUR NDER OR AN ATTOR EY BEFORE COMMENCING WORK OR RECOR�NGIYOUR NOTICE OF COMM NICEINENTSULT Undar penalty of perJury,I dedare lhat I have read the for�going notke af commencemant and that lhe facts stated therein ere We to the best of my krwwledge end bellef. STATE�OF FLORIDA COUNTY OF PASCO n Signature o er r e ee,o s r Les ee's Autharized OlficerlDlrectodParfiedManager Signato�e TIUalO(fice ` - I ,'�j't� C W�OW,GIG ��4���0 The toregdng insWment was ecknovAedged befare me thls �day of�,20��7,by y�--�-�—�—� (type of authwlty,e.g.,officer,Wstee,attomey in fed)far (��..`n i1'�.L L (name of part n ehalf o whom insWment was executed). -F-' �� �,�.irr`i"-IrJLI1J Parsonalty Known 0 Q$Produce�tl(�Identlticatlon� Notary Signeture 6I _ Type of IdenlifiraUon Produced Y�r,�1�f� ��� •rt�H Name(Print) ��G�y1^�'' �M1��'1 X Rcpt:1778302 Ree: �O.�V `�•"'pyp"'•.,, '�4P'��ue TABATHA N WRIGHT ' D5: 0.00 YT: 0.00 � =�° `��: _ 06/14/201fi J. R. , Dpty Clerk ` ' MYCOMMISSION#FF33a90 =,,, ,;_ 4��'�EOFFti�?�' EXPIRES July 4 2017 = PqULR S 0'NEIL�Ph D PRSCO CLERK 8 COMPTROLLER (q07)99&ot53 FlorldalloleryService.com 060R4BK01�3$1 m PG 214� , , _. ,, y I JV����c� STATE OF FLORIDA, COUNTY OF PASCO �,��2` • R�'� THIS IS TG CERTIFY THAT TH�FOREGOING IS A � TRUE�,ND CORRECT COPY OF THE DOCUMENT � ' ON FILE OR OF PUBLIC RECORD iN THIS OFFICE � � m Go�,We��� �' * WITN '�MY H�AND A D OFFICIAL SEALT,H,�IS� �� :_�� ' � �_���—BAY OF 2� ir � PAULA S_0'NEIL,CLERK&COMPTROLLER � a887 •� g � ! DEPUTY CLERK d'}� ��O � '��OF�-� �