HomeMy WebLinkAbout15-16810 �
CITY OF ZEPHYRHILLS
5335-8th Street
' � (813)780-0020 16810
ELECTRICAL PERMIT
� � PERMIT INFORMATION � ` �- ' � : LOCATION INFORMATION- � � ' ��
Permit#:16810 Issued: 12/09/2015 Address: 5221 8TH ST/38501 4TH AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 8,000.00 Total Fees: 75.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 75.00 Date Paid: 12/09/2015 Parcel Number: 11-26-21-0010-16700-0110
' - .C.ONTRACTOR INF.ORMATION - • OWNER INFORMATION
Name: MARTIN ELECTRIC Name: C&R HOLDINGS OF ZEPHYRHILLSLLC
Addr: P.O. BOX 437 Address: 5221 8TH ST/38501 4TH AVE
DADE CITY, FL 33525 ZEPHYRHILLS, FL. 33542
Phone: (352)521-3319 Lic: Phone:
Work Desc: UPGRADE EXISTING SERVICE/ INTO 3 NEW SERVICES
� ° " �.APPLICATION FEES � ' � � - - �
ELECTRICAL FEE 75.00
- - J � � - - -INSPECTIONS REQUIRED, -- � -
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METE
F� - � b
�� � `�I
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 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 and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8th Street
� (813)780-0020 16810
ELECTRICAL PERMIT
PERMIT INFORMATION - . LOCATION INFORMATION '
Permit#:16810 Issued: 12/09/2015 Address: 5221 8TH ST/38501 4TH-AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 8,000.00 Total Fees: 75.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 75.00 Date Paid: 12/09/2015 Parcel Number: 11-26-21-0010-16700-0110
CONT.RACTOR'INFORMATION' OWNER INFORMATION � '
Name: MARTIN ELECTRIC Name: HODGES FUNERAL HOME
Addr: P.O. BOX 437 Address: 5221 8TH ST
DADE CITY, FL 33525 ZEPHYRHILLS, FL. 33542
Phone: (352)521-3319 Lic: Phone:
Work Desc: UPGRADE EXISTING SERVICE / INTO 3 NEW SERVICES
• - � � APPLICATION FEES - �
ELECTRICAL FEE 75.00 '
- INSPECTIONS REQUIRED ' � �
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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 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 and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
�
CONT CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
,_ ;
• •
�t�n tr�c nc.
a ec ,
•Insured •Licensed •Bonded
P O Box 437 • Dade City, Florida 33526
14827 10'�'Street • Dade City, Florida 33523
PH (352) 521-3319 Fax (352) 521-0297 LIC#EC13001383 email - john@martinelectricfl.com
PROPOSAL
Date: 12/3/15
Attn: Damon Leblanc
� damon@faithfulfriendscremations.com
Job: Faithful Friends - Upgrade-Seroice
We hereby submif�specifications and estimates for electric as fo(Iows:
1) Build new service on West end of buildirig. Se'rVice to include: �
A) Riser, weather head; and service wire into gutter, gutter with taps
B) 3 - 200 amp meter cans (with b,y pass handles)
C) 3 - 200 amp:enclosed breakers
D) Grounding per code �
2) Run conduit ancl wire fr.om enclosed.:breaker.�to new panel ,upstairs. �supply panel)
A) Add water heater circuit to new panel
B) Move circuits for upstairs from panel down stairs
3) Run conduit and wire from enclosed breaker to panel in church
A) Move A/CJ circuit to this panet .
4) Run conduit and wire from enclosed breaker to existing service location
A) Remove existing service
B) Install new panel
C) Put existing circuit into new panel
Notes:
1) The service is about 1/2 of the total
2) Per code, all meters are supposed to be at the same location. Bill Burgess may allow 2 locations
for a short period of time
3) Any repairs to roof or walls to be done by others
4) If any concrete has to be cut (repairs by others)
Estimate: $8,000.00 Terms: 40% deposit - balance upon completion
Authorized Signature: Date:
John B.Kinsman
Owner
n--=-�---'_--� r'-----------_-.� r_--7---1---_�
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department � �
, � - s,f�h r .�//15'r�l�v-
Date Received. , .,/� - 'j - /SJ „• °-� 52 ; 2. ��.. -
• Phone>Contact•for�Permittln �i°
Owner'a Name C � a ���0/NGS 0� Z! �. Pltl��S Owner Phone Number
Owner's Address �Z Z( �'�� SfK`'� • - Owner Phone Nuri�ber -
Fee Simple TltleholderName Owner Phone"Numb�r ' ' �
Fee Simple Titleholder/�ddresa _ - I
JOB ADDRESS s o� ��Gi �" �D�C�� (t� �l� ` LOT# � I
SUBDIVISION ~ PARCEL ID# ",�) --Z 6 - 2� � 0,0l0 -.1.6.7 00 - d //0
� � . (OBTAINED.FROIN PROPERTI6 TAX NOTICE)' i
WORK PROPOSED ' NEW'CONSTR ' ' ` ADD/ALT �` SIGN= Q Q DEMOLISH
,8:.1 INSTAtL � REPAIR" -
PROPOSED�.USE • Q ' SFR. Q COMM �< ' Q - `•OTHER ' • � '
� TYPE OF CONSTRUCTION � ;Q ' 'BLOGK" " Q FRAME , Q �' `STEEC "'Q - _ �
.-,.. � , - c -
DESCRIPTION�OF WORK � 'T / �n J .cc \ � ,�tiJ(
:
. :, * , ._ FOOTAGE'� ..;HEIGH7}.. ...� .
BUILDING SIZE' $Q ,��; ,
QBUILDING $ ,-,.__. ..:• ,...._... `� ._, . , ,
, . VAI.UATION'O�`TOTAL�COySTRUCTION
. - ,
�ELECTRICAL $ p0�:pp � AMP SERVICE �QD �'� _ =PROGRESS ENERGY Q W.R:E.C.
D !�
OPLUMBING . -•$ - C(�v
. � , �b
� � � `
i Q MECHANICAL $ ' : VALUATION OF,MECHANJCAL INSTAL�ATION. `\OL �,D`�'.`
., �c� ��
, QGAS .. Q ROOFING _Q SPECIALTY;Q;.,- OTHER �,, ��'O
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. ,NO
��: � � �
BUILDER , COMPANY' �~ � - ` ' - . . .
SIGNATURE REGISTERED Y/ N - �F�cutt�� ` �Y/N' ,
llddress , . ; �.7 License:# ' , �
ELECTRICIAN, , ' 'vCOMPANY'.�! ` cG/'��'J' ,� �'`%G�-11�
SIGNATURE '` ' REGISTERED Y/ N F�;curt�K�}``� ='=Y�6N'- '`'
l�ddress � •X�L-/r �.3� . • . . .� License;#:, ��L✓���.�•3�
,._ - , - - , � � ..., - K. , ..
PLUAABER r.C.OMPANY , - _,• '..:-,.r : ��
SIGNATURE'"", � ' ,REGISTERED, - Y/,.N,,. +
- - - . ,_. <c.�,F.EE GURREA� Y�/N•
Address .. , . _ . . - .�License#� � � � , , .
, . _. • -,
MECNANICAL' .` - . . C.OMPANY ' - .
SIGNATURE� '� ' ` , RE�isTEREo Y,/ N, 5� FE�Cua�n , Y.hN'� - ,
�.- _ . , , , . . - , - � = � , ,
A d -
d re�s~�
:�..
cense#�
OTHER � . _ ` � � `COMPANY � : � I
SIGNATURE. ` ` ` ' ' �" ' � - ` 'REGISTEREDs � -Y/ N:,..; ' FEE CURRE� Y7 N.- ',
,� � . __ _ . , , .. . ..
AddresB - . .. . - •� . . , • � LlcenSe#: � . . •
, :�.... i - _�,... � -: :�..V,: . ,,, • ._,... -.;'f; . �- '
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RESIDENTIAI;s,a. A�cFi`(2;�Plot�Plaris;-(2)-sets,oft9L�Iding�Plans;�(1):set:of<Energy;Foiins;R=O=W�Pertqlt_farnew'construction, _ " '
. ,..n. .�
:�;,-Mlnimum,ten(1A)iw4rltlng,days,atte'submittel`date ':Required�onsite,Constiuctlon Plans,`Stomiwete�"PlariswfSllt°Fence ins#alled,
��_�'Sanifery F,adlltle.s;8;.�;dump�ste��Site�Worlc,Permlt:for;subdtvislons/large�prujects.;�:,:�.;.=,.:;: _ ' . � �
COMMERCIAL Attech(3)�eoniplete sets'of�8ullding Plans'plus a Llfa Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. _
Mlnimum ten(10)worlcing days after submittal date. Required onsite,ConstrucUoo Plans,Stortnwater Plans w/Silt Fence Installed,
Sanitary_Fadlitlas&_7 dumpster._Site Work Permif for all new projects:AI4 commercial requlrements must meet compllance � -
SIGN PERMIT AttacFi(2)`sets ofEngineer,ed::PlaDs..�,�:_�:�;:�-� �. _- � ,. . ' . , . _
••'•PROP_ERTX.SURVEY required for all.NEW gonstrucUon. • I
Dlreetlons: �• -- . -_ . . • - - - ' - -
FIII out applicatlon wmpletely. ' �
Owner 8 Contractor sign badc of applicatlon,notarized �' �' �` '� r
If over 52500,:a,Notice:of.:Commencement la requlred.'(14lC up�ea�des o�er ST500) _, . ,,
.;:r'.:1:re�;4;.y,1,s:.. .,. ...�.. ..
'" Agent(for the i:ontractor)or Povtiier of Attomey�(for tFie owner)woultl be someone with�notadzed letter from owner authodzing same
DVER THE COUNTER:PERMITTING=• ;�=�=(Frontof=i4'p'p1lcaUon=Only)`-'"�"=:`'��;"`° =':; �.<��� " .� . .�.
Reroots if shingles Sewers S�ice U��rades',A/,C,;'��Fences':(PIoUSurvey/Footage) 9
� _�;\,', .:^.s� � :. ;'._; _ �,a�, ;,.�.:_ :
.. ,, ��, �..�:•. .,. s
Drlveways-Not over Counter If on public.road,'waqs:iieeds,:ROW;� - ; '
k....�.., -. .,....,..,,.�o.�..�-�,,...e. ..�.. ...,_,,..
, � , ,:
. , . ' -. - � :,
OT10E OF DEED�RESTRICTIO�IS:. T,he undersignedvunder�tands.;th�t�tht�,°�I�It�11�L; r'p1 - -
N i may�be;subJe.ct.;to;%"deed":,resUl.c,tloris ' `�'�::°,:
..Z,.s�w��- 'f*•':�!'' ,�..�fur� .;q,: �.t,�c::_: __:.�.: '_r�>";.:;.'.,!.n`S,.w" -;J:�:.,::`..: ,.G.ti:..5-.-`i, �
,...:�-..-.�:... „�..�.�.... .,._. �. . ,,.. . . . . . 1� � - -. : ..: . .. .. � �
�:. • ,...��
,.. ... �.,,,.-_ !... .'�5`F ,�i.
v�rhich may;�:b'e;more'-restrictive�th���•Courity'�regrilatfons:��-Thevunderslgned�a�surriea��respons�blltty for,.compitance with'any=��"
applicabie;deed`-restrictions. - . :�M.:-Y._:,.::i:_�;��� - -- -� ��aLal�a�r+��?t:...be'�' ��•;��k;!`,a�;�i :�± z.:i - -. ~ . .
UNLICENSED`='�CONTRIICTORS �1ND,CONTRACTOR`�R�SPONSIBILITiES: �;1��°t��e�ovmer��has��:htred�.a�-ctlnttgctor or. �
contractors:to undertake work, they may,be>rvqui��:sto,".��be,IicenSed�In�;accordance.wltN�st�t�F�r�d,io�ai_,re��laEloias:��If�the;4;, ,
.,.,-,
contractor=ts�nof��llcensedr`as��required.'tiy IaVir,:botlt=�the-'owner and:�cont�actor4may°'-tie°�cited�fo'r� misdeme�nor��violatlon
under state law. If the owner or Intended,,econ,�,tr;a��tor;_er,"e;:uncertain.as to-,wh�t Itcensing;;requlremenfs may�?eppiy��for�.tiie�= ; • . ,
intended"inior'k,they:are advised to aoritact the Pasoo County Building_Inspectlon}Dhrlslon--Licensing'Section et 727-847-
8008. FurtFiermore, 'if the'owner'has�Fitred`'a contractor or conUacto'rs. �he Is �dvised to�have 'the contractor(s)„sign._ ,.,_ _.
, ,,:,;�:;a.. :. ,�„,.� s
portlons of the "contcactoc.Block_.of....thls�.ap�lication.,tor.whlch_they.:wlil..benr.�sp.onslble..;,lf.you,,.as;the,ovirner_aign''as't�ie'�="�-"'' ,
contractor, that•may�tie�an indicatlon''that`he is�not:properiy`Iicensed'antl"�is�"riot'entiNed`to petmitting`prii►ll�ges'in Pasco
County. ' '����:��-` � � :
TRANSPORTATIQN•IAAPACT/�JTILITIES�r(N�AC:'�tANb�RESOUItCE RECOVERY�FEE3: The undersigned�understands �,
thatTrensportetion Iri�p�ct�ees:and.Reco.uise'RecoveryjFeeslmey�:apply-to:the:constructton of new.buildings,�change��ofh'��'=4�;��°:`.'� F
s.
use In exi$ting buildings, or�2expanslo���of�ezisN��'�buildings��as speclfled.in Pasco County Orilinance number 89=07 and :t
90-07, as amended:r:�he.undersigned also;Wrtderstands, ttialt`such fees;�as��may�.�e�:.due;:�wiIFF�.be.Identifled at the�time�'of:y��~;���°`� �: `
permiBing. It Is iunfier understood that Tra�sp'ortation impacf'Fees ani#-�Resoun�e„Reco�ery�rFees„must'be pald prior to ;
rece�ving a'certl�cate:of occupancy"or��flnal�-power:�celease: :If°ths.proJect�.-does'.no��Invotve<a::certffioafe��of occupancy:�0�,."4F�=•���.a'� : �
final power release�,tiie�;fees�rnu§t'=lie peld�p�io�`•,tofpecmit Issuance. F,��thermore;°ff::Pasco�Couniy�llVate�/Sewer-rlmpact�.,y��.-�,�.;�,a^�
fees are due;they��nust be;patd=prior#o.,permit.lssy�nce=:ln.accordance_wlth,;applicatite.P.asco�-County�ordinances. • �
CONSTRUCTION"LIEN'�LAYV(Ciiapter 713� FloMda 3tatute��s�s amendad):, If valuatlon of work is a2,b00.0_0.�or;more;.l^.�•.. :�,��,:
certify tfiat�l;�=�he,appllcant;:,hav.e�_been=.provided��wttli--a-copy�-of_:the•�"Florida•�Con"struction� Llen`:.L'aw---Homeowner's
Protection Guide" prepared by,tfie FloHda Department;of Agria.ulture and Consum�r,Aifairs. If the appltcant Is someone_., �,,._ :r= -
other than the`ow�er", I certifjrtithat�.l�h�ve,obtained`a�copy.of..the��abQva�.descrlb'ed`tlocuii�ent�and;;promise;.in�;good;�faitFi:to = . .,., .
r � �,>. ., �,� ...r...Y�...,:,.. . .
deliver It to:the�'owne�"p�io�ito��aommencemenE. '`h` ' '.-� `..` ." ... , . �
CANTRACTOR'S101NNER'S AFFIDAVIT: I.cei�tliy<;;tli�ttall.�the�:,lnforrr�atlon:�l��•thla'appllcatlan is accurate.and that all work
will'be done in compliance w(th all.appltcable�laws regulating constructlon� zoning and�land�development. Appllcatlon Is _
hereby made-to.:obtatn..a:permit:,to;;.do_�w�tk�.and�ltisfallatlon as Indl�afed:��.��`I�.cert�that;.nQ-wo[ksor; Ins�llafton'has � -. _
commenced p�lor to Issuance ofi a pertrilt`an`d�that:all work wlll be pertormed�to meet_standaid's�'of all laws regulating�
construction, Cdunty and:City.,,codes, zoning regulatians� and land development tegtalatlons=tn th�"-)urtsdlctton.��: I�:a1'so _
certlfy that I undersfend that tfie regulatlons of�ther�government agencles m�y�apply:;to the„Intended work, and that it Is
my responslbility td id��tlfK,�uyhat,acNons I must•,teker;b,beFln<tcorr�pllancs,.Such,a8encles lnclude�but•-ace.not Ilml�ed,to:,.� � .
- Department,'•of Ei�Glronmental'�Protectton-Cypress.�BeyFiead�, VrleNand Areas and Envlronmentally Senstttve '
Lands,Water`IU.Vastevi►atef Treatment. ,, :,K �
- Southwest Flo�lda;��Water Management�:�tstrict VUells, Cypress• Bey.�eads,� Wetland Areas� Altering ?
Watercourses. ' ` � �
- Army Corps of Englnee�s=Seawalls,�Ddcks, Navlgatile.Waterways. �
- ,_Department of,�Health�;.&,.Ret�abllltative;.,S�r.vlceslEnvtronmental;..Healtt�-Unit-Well.s� Wasteu�tater�Treatment, , ' ;
S`eptic Tanks: � � . _' _ _. _ • ,
- US Envlronmental Protectlon Agency-Asbestos abatement: •
- Federal Avletlon,AutMo�Ity=Rurnvays:" ` '
t understand-.that the�following;rest�lct�ons apply to"tfie use of flIL•• �
' - Use offill Is not allowed.tn:'Fl.00d�Zone"V"unless expressly per�ltted.. ,
- - If the��II mat�Nal�ls��to�'b.e�used.�`In:��Flood Zone.'"A", It. Is understood �that•a dralnage plan�addresstng a
� °compensa8ng volume"wlll be submllted at#ime of�p,ermitting whlch is prepared by a profess(onal engtneer -
Ilcensed by'tlie�`�tate of.'flotlda:. • � � `
- If ih� flll materlaF°.Is�to;be�u�ed In Flood Zone 'A° In�connec�lon��wlth�a•�permltted bulldlhg using stem wall
� constriiction, I certJfy that;flll':vVlll:tie-used only.to illl the:area wlthln th��stem�wall.
- IF ffll mate�lal Is to be used'In any Yarea;��I'�certlfy that .use of such flll wlll not adversely affect adJacent
propectles. If use of.flll Is,,tound�.to:.advetseEy:.afiect adJaEent"praipertles,.the owner may be clted for vlolating, ' '
the-condlllons�..of the bulldtng':permit.-Issued-under the��itfacfied�ermlt appllcatlon, for.lots�.less=than:one (1)
acre wF�lch are elevated'�tiyflll;a�r englneered dralnage plan Is requlred. • •
If I am the AGENT�FOR THE OWNER;,;14pr`omise,ln„good falth to I�orm�the�owner of•the permltting conditlons set torth In
this affidavtt'prtor to commer�cing constructlon. f uride[sta�nd thet&a:sepyerate permlt may be requlred for elecMcef work, _ -
plumbing,�signs,wells,.p.00ls;, alr condltloning,-,geis,�;;;o;�:,otMe�_InsteO�tlons not,spec�lcally lncluded�In.the application. .A� , , _
�,...r- , �, ,........ . ., .
permlt Issued shall be constiued to be����Il�en�e-fo�proceed wlth the;wo�k`and�not�as:authodty:;to,vlolate; cancel;alter. or '
set aslde any�provlslons of the technlcal;code�;�nor shall Issuance�of a.permlt.prevent the Bulldtrig Offictal irom thereaRer,.
requiring a�coRectlon,af:erro[s In�:pfans;-conshuctlon.oc viola8ons of•any codes, .�very��p�ermtt�;lssued shall�became�lnvalid"
unless the•worlc authoNzed.by such permlt:�ls-commenced�wlthln slx;,moMhs of�permft fasuance� or tf work autho�ized by
the permit ls suspended�or•:eba�doned;f.or;a;perlod„of�slx�:�)=montfis�.aRei�the tline the�work��s commenced. _An extenslon
may be requested,_In wrftliig;�from tFie.�BulldUg,Offlclal��for a pertod.not-#o.exceed�-nlneqr.:(80)��days a�d=virlll�.demonstrate
justlfiable cause tor.�the extensior� If work ceasea�for nlnety.(90)cons.ecutive.day.s...the job�ls�consfdered aba�doned:'
� ,. . .
;.. . .. . .
.. �.,.. . ,. , .
WARNIIVG TO OWNER: YOURs�AILIJRE_�Tta,R�EC.OR�A:MOTIGE::�OF��COMMENC�MEI�T;AIFAY°:RESUCT IN�YOUR
PAYING TWICE,FOR�IMpROVEMEI�S�Tfl�XOUR�:PR�PERT�1f.:��IF�.YO.t1�IN�'#E�IDv`TAF�TAIN�'FINi�pE1NG�:C.ONBULT �
WIT . � Af� O 0'R i OR� �� OU { ' � E ' � _ - - ---------
F�QRIQA=SIDRC4��(�:5:.41 T:Q3}--- -_�..:——:.._:�--.- :. , �---•--_-:: �.-- - --�
_. .. .-- -- .. ,�..__ : - -- � _ _ - - ---- -- -
OWNER OR AOENT -. CONTRAC�TO
Subscrlbed and swom M(or afllrtned)before me thls Subscribed'and' �to(ot'afArmed)�before•ma ttit� .
by - - - -- <b . .
Wlio Is/are personally,known to.me..or haalhave produced ' Who.le/are p.eraonallyknown•to.�ne:or.haalhave�hroduced • -
ae Id'enBBcaBqn. � es"tdentlflcatlbn.
Notary Publlc . Notary Publlc '
Commlaslon No-:''"' Cam s I � �
,•ti:����i%s••. JOEL E.BACOfV� �
o�''•••fc+:
Name of IVotary typed,printed or etamped N e of N ' ,o� of �p 8
;;. d,:,. �
''��`,�,p�F�,. 8onded Tlw Troy Fain Insunnee 8[q385•7019
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
2015195852
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PertnitNo. ParcellDNo��•'l.�o•Z�� 0�10- I�o��-O�10
NOTICE OF COMMENCEMENT
Stale of fl o c��a. County of �QSCo
THE UNDERSIGNED hereby gives notice lhat improvement will be made to certain real property,and In accordance with Chapler 713,Florida Statutes,
the following infortnation is provided in this Nolice of Comm n��ce�me��nt:�� _I , C/�
1 Description ol Property: Parcel Idenlificalion No.�_i��gp�aC�Q��S� �}5 ����Z �bC1G.��7C�'/0�""'�g��5�01
� �`�S �l. 3'�5'�2
street Address: 5�� 43�^ � ��•�C�� � .
`` � � �1 ►�1�
2. General Description of Improvement �W �cl �J NLSA �D o-O�v�p 2 (�t n � e � M�S�+ C 1
3. Owner Infortnation or Lessee Informalion if the Lessee contracted for the improvement��csr�.,d�p��L Y
\ W
C� U� � � C �`LS U-C_ � � W t1.. tA W w
�22 '� `7� �<<:;11s ��5�2. o —� �. — � �
Address City State � z U � F-y- O Q �
Interesl in Property:Ow��f Q � 0 = Q N � �
Name of Fee Simpie Titleholder. ,y„ W w ~ � d p
(If diNerent from Owner lisled above) O �' =Z J �
Address � `-- T, [ . �� City State � � �� U �
4. Conlraclor: CT�Y� GSR C�c('Lc --s L Z = � � � �
� PO.�D"�'�-► `1.�,.C,�� �L_ � �- � O
Address Ciry State � Q O � p W
Conlractors Telephone No.,��'�� ��l'��4 r U U
Q � F— JQ J
5. Surety: � )- U 00 p � U `
Name u- W� Z pJ
Address Cily State � � � � _ ¢ w
Amount of Bond: 5 Telephone No. � �� �� � z
6. Lender '�o z O � O
Name
Address City � Slate }�— � W LL,Z„�� ?
Lenders Telephane No. a—' = z �- Q �'
7 Persons within lhe Slate of Florida designaled by the owner upon whom notices or other documents may be served as provided by �� � � � a m
Section 713.13(1)(a)(7),Florida Statutes:
Name
Address City Stale .!
Telephone Number of Designated Person: ��e � �
8. In addition lo himself,the owner designetes a�— �G ' , * •
to receive a copy of lhe Lienors Notice as provided in Seclion 713.13(1)(b),Florida Statules. �� �O
Telephone Number o1 Person or Entlly Designaled by Owner• � `.�� o
9. Expiretion dale ot Nolice of Commencement(lhe expiration date may not be before the completion of construclion and final payment to the ��� � � � �
conlractor,but will be ane year from the dale of recording unless a different date is specified): � ' F. � {d
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT � � � O
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN �
RESULT IN YOUR PAYING TWICE FOR IMPROVEMEN7S TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST HE � `' • �
RECORDED ANO POSTEO ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT y ' ��`
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty o!perjury,I declare thal 1 have read Ihe foregoing natice of commencemenl and lhat lhe faUs slated lherein are lrue lo lhe hest l� �
of my knowledge and belief. �v_ � •* �
STATE OF FLORIDA ��,�,,,� /y�����
COUNTY OF PASCO �� ��
Signature o1 Owner or Lessee,or Owners or Lessee's Authorized
OKcedDirecloUP a rt nerlManager
Mp nA p.✓
Signatary's itle/OKce
The loregoing inslrument was acknowledged before me this��day of U�. ,2dS,by�Qmbl-� 1': �JJ 1Q ht__.
as Ma o:s.� (typa of aulhority,e.g.,oKcer,Irustee,attomey in(acQ for
f pady on beha who Irument was executed).
Personally Knowr�OR Produced Identificallon❑ Nolary Signa
Type of Identificalion Produced Name(Print)
Rcpb:1732593 Rec: 10.00 """"'�. SHIRlE1'A7UCKER
DS: 0.00 I T: 0.00 ��•�` MY COMAuss�ON�FF 238543
12/08/2018 E. M,, Dpty Clerk �?'•�-` �IRES:AuAust3o,2o19
e,�,$!,F�•. BondadThrvNotuYPuefcU�demi�sn
wpdata/bcslnoticecommencementyc053048 pAULR 5 0'NEIL,Ph.D Pq5C0 CLERK 8 COMPTROLLER
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