The URL can be used to link to this page

Home My WebLink About16-17656 ; �� CITY OF ZEPHYRHILLS I - 5335-8TH STREET i _ (sis)�so-oozo 17656 RESIDENTIAL SWIMMING POOL PERMIT INFORMATION LOCATION INFORMATION Permit;Number: 17656 Add�ess: 6535 NORTHLAKE DR Perr�it Type: SWIMMING POOL RES. ZEPHYRHILLS, FL. � Classl�of Work: POOL/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS � Est. Value: Parcel Number: 03-26-21-0120-00000-0800 Impr,ov. Cost: 39,309.00 OWNER INFORMATION Date Issued: 8/17/2016 Name: MAIDEN DAVID Total Fees: 472.50 Address: 7410 BEARFOOT CIR APT 3 Amount Paid: 472.50 ANCHORAGE AK 99502-7116 D�ate Paid: 8/17/2016 Phone:. 907-317-9514 ', ' Work Desc: INSTALL INGROUND POOL � CONTRACTOR S APPLICATION FEES CHALLENGER POOLS BUILDING FEE 352.50 HAWKI,NS SERVICE COMPANY PLUMBING FEE - 60.00 CHALLENGER POOLS ELECTRICAL FEE 60.00 I , � /L� � � Ins ections Re uired POOL STEEL � � POOL DECK & FOOTER - POOL ELECTRIC BOND � POOL PLUMBING/PRESSURE '� FINAL � � � - REINSPECTION FEES: (c)With respect to Rein§pection 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 b°e 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." � CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER o�� ' :�. � ��-� i ..�O.A�DH i� Y- y�- I ' � Sn 4•1T � ' a ,I !� �. � � i ,,� ,. `". b` City of Zephyrhills ! BUILDING PLAN REVIEW COMMENTS ; /� Contractor/Homeowner: ��f 2_� �� Date Received: ��la— �j Site: (�l�� j'4� � Permit Type: �1 /�p�L/�� !�'� � Appro�ved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ � � I, � ��- � F � � �'s ��' � �, � � .� , e � �� i �� 9 � � m This comment sheet shall ke t with.the permit and/or plans. tl, �%��% � Kalvin witzer— s Examiner Date Contractor and/or Homeowner � � (Required when comments are present) �' �' 813-780-0020 City of Zephyrhills Permit Application "" -813-780-0021 � � Building Department ' � Date Received l � r.l�-1 �p Phone Contact for Permi ing a r 3 ��3 - Owner's Namei e�� G ` Owner Phone Number ��J�(_�J� 7 i / Owner's Addre'ss G 3 Sr p� (�r'� �' Owner Phone Number Fee Simple Tit�eholder Name Owner Phone Number � - Vi � Fee Simple Titleholder Address I �^ � � JOB ADDRESS .J 3S �!/�� r' � LOT# � SUBDIVISION �� vCl PARCEL ID# �� 'Z� -�b��-D (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH � � INSTALL B REPAIR PROPOSED U�SE Q SFR Q COMM 0 OTHER TYPE OF CON�TRUCTION Q BLOCK - Q FRAME 0 STEEL Q DESCRIPTION OF WORK � � � /� � BUILDING SI� SQ FOOTAGE D HEIGHT �- BUI�DING $ - VALUATI °OF TOTAL CONSTRUCTION 30 DELECTRICAL $ P SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPL�MBING $ i/ ' t ��I ' � ME�HANICAL �� $ VALUATION OF M�CHANICAL INSTALLATION � / � � �'� QGA� Q ROOFING Q SPECIALTY � OTHER , )t� �v FINISHED FL�OR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER ��I��Y ��1¢l( r- � S SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � Address � �p /(/, � ��Y License,# G O ELECTRICIAN �T ' ��COMPANY �� jc�v�`C � Lia-�" ��^ SIGNATURE � ' REGISTERED Y/ N FEE CURRE� Y/N Address a03 - f7 �,•.e�v:�w �l icen # G ` PLUIWBER V COMPANY / `P/r_ SIGNATURE :REGISTERED Y/ N FEE CU E� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addre§s ' License# , OTHER COMPANY - SIGNATURE- REGISTERED Y/ N FEE CURRE� Y/N Address License# RESIDENTIAL . Attach(2)PIoYPlans;(2)�sets of Building'Plans;(1)'set of'Energy Fo.rms;R-O-W.Permit for new construction, - i' Minimum,.ten(10)working;days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, � Sanitary Facilities&1 dumpster,Site Work Permit for sutidivisions/large projects .COMHf ERCU�L Attach(2)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days_after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMI� 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 Commencement is required. (WC upgrades over$7500) '" Agent(fo�the cbntractor)orPower of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � -- - . ��-.:..�:_.�......�.._<_�,:.., NOTICE Ct�DEED E2ESTRICTI�NS: The undersigned understands tha#this permit may be subject.to"deed"°restricfr.�ns" ` which,may be more-restrictive than Caun#y regulatians: The undersigrted assurrtes responsibi(ity'for corripi'iance with any applicable deed �est�ictions.. � • UNLICENSED CONTRACTORS ANQ GONTRAC70R RESPQNSlBILITIES: !f the owner has hired a contractor or cantractors to undertake work, they may be required to be licensed in accordance with state and loca! r.egulations. If the. contractor is not licensed as required by lavu, both the owner and contractor may 6e cited far a misdemeanor violatian under sfate iaw. If the awner ar intended contractor are uncertain as ta what ticensing requirements.may�,appiy for�the intended work,they are advised ta caritact`the Pascc� County Building�lnspection DiVision—Licerising Secfian at 727-847- 8Q09. Furthermore, if the owner has hired-a contractar or contractars, he is acfvised to :have the cantractar.(s} sign portions of the "contractor Block" of this application for which they will be r.esponsible. If yau, as the owner sign as the contractor, that may be an indication that he is not properly licensed antl is nat entitled to permitting privileges in Pasco County. . - � ` � � TRANSPORTATtON tMPACT/UTILiTtES IMPACT AND RESOURCE RECQVERY FEES: The undersigned understands iha#Transportation tmpact Fees and Recourse Recovery Fees may apply ta tfie construction of new bui(dings, cha'nge of; use in existing buildings, oe expansion of existing buiEdings, as specified irt Pasco Caunty Ordinance number 89-07 and 9Q-07, as amended. The undersigned also understands, that such fees, as may be due, wil!'be�identi�ed afi�khe time'of , permifting. It is further understood that Transportation Impact Fees and Resource Recavery Fees must be paid prior to receiving a "certifrcate of accupancy" or final power release. 1f the project does nat invalve a certificate of occupancy�or. fnal power reiease, the fees must be paid prior to permit issuance. Furthermore, if Pasco Caunty WatectSewer Impact fees are due,they must be paid priar ta permii issuance in accordance with applicable Pasca County ordinances. CQNSTRUG710N LlEN LAW(Chapter 713, Flaritla Statutes,as amended): If valuation of work is$2,500.00 or mare, I . certify that I, the applicant, have been provided with a copy. of�tlie °Florida Construction Lien Law--�Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant;is someone other than the°owner", I certify that I have obtained a copy of the above descri6ed'document and promise in goodfaith to_ deliver it ta the"owne�' priar to cammencement. C4NTRACTOR'S/4WNER'S AFFIDAVIT: 1 certify that ali the information in this application is accurate and that ali work wil! be done En compliance with a!1 applicable laws regulating construction, zaning and land develapment. Applicatian is hereby made to obtain a permit to do work and installation as indicated. I certify that no wark or installation has commenced prior to issuance of a permit and #hat all wark will be perfarmed to meet standards af all laws regulating canstruction, County and City codes, zoning regulatians, and land development regulations in the jurisdictian. I also certify that t understand that the regulations af other government agencies may apply fo the intended wark, and #hat it is my responsibility#a identi�y what actians I must take to be in compliance. Such agenc'res inc(ude but are not iimited fo: - Department of Environmental Protectian-Cypress Bayheads, Wetland Areas and Environmentalfy Sensitive Lands,WaterlWastewater Treatment. - Southwest Flarida Water Management District-Wells, Cyptess Bayheads, Wetland Areas, Altering Watercourses. - - Army Carps of Engineers-Seawalls, Docks, Navigable Waterways. - Department af Health � Rehabilita#ive ServiceslEnvironmentai Health Uni#-Vllells, 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 fli is not allowed in Fload Zone"V"�untess expressly permitted. - If the fill material is ta be �sed in Fload Zone "Au, it is understood tMat a drainage ptan addressing a °compensatirtg volurne" will be submitted at time of pe�mitting which is prepared by a professianai sngineer � licensed by the State o€Florida. - If the fill material is to be used in Flopd Zone "A" in connectian with a permitted building using stem wall construction,�I certify that fill wiil be used only to fill the area within the stem wall. - If flt material is #o be used in any area, I certify that use of such fill will not adversely affect adjacent proper#ies. (f use of fil( is found to adversely affect adJacent properEies,.�the owner may be cited for violating the conditians af the building permit issued under#he attacheci permit apptication, #ar_lats iess than one {1) acre which are elevated by fi!!, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good fai#h to inform the owner of the permitting canditions set forth in this affidavi# prior to commencing canstruction. I understand that a separate permit may be required for electrical work, pfumbing, signs, wells, poals, air conditioning, gas, or other instaliatians nat specificaily included in the application. A - permit issued shalf be canstrued ta'be a license to proceed with the work and not as authority#a violate, cancei, alter, ar set aside any provisions of the technical codes, nor shal# issuance of a perrnit prevent the Building O�ciaf frorn thereafter requiring a correction of errars in plans, construction or viokations of any codes. Every pecmit issued shall became invafic! 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 periad..af six(6) months after the time the work is'commenced. An extension may be requested, in writing, ftam the Buiiding fJfficial for a period not to exceed ninety (90) days and will demonstra#e justifiabEe cause for the extensian. if work ceases for ninety{90)consecutive days,the job is considered abandoned. WARNING 70 OWNER: YOUR FAILURE TO RECO.RD A NOTICE OF CQMMENCEMENT MAY RESULT tN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU�INTEND TO OBTAlN FINANClNG,GONSUL7 WtTH YC1UR LENDER C1R AN ATTQrRNEY BEFl�RE RECORDING YOUR NOTICE OF GOMMENCEMENT._ _ _ - -_ FLORIDA JURAT(F.S.117.03} " �""'"" ,. �'_' OWNER OR AGENT CONTRACTOR�„� . .G�'"'� �`` Subscribed and swom ta{or affirtned}be#ore me this Subscnbed and swom fo(ar affirmed}before me this by bY Who is/are personally known ta me or has/have produced �� Who is/are personally known to me or has/have produced as identlficatlon. ;��< as identificat3on. Notary Public Nofary Publlc Commission No. Comrnission No. tVame of tUotary typed,printed ar stamped Name of Natary Eyped,printed or stamped i � �� u�� ENERC�l�� __ - , � • � � � iQ WR#1290489 4 � �p July 28, 2016 I; �� , � Challenger Pools 6846 N.Dale Mabry Hwy Tampa,FL 33614 813-886-9119 Ida@challengerpools.com � � ��Subject: 6535 North Lake Dr. � "Dear Challenger Pools: � � Thank you for contacting Duke Energy Florida, LLC for a letter of no conflict regarding your pool construction. . ` NO CONFLICT: Duke Energy Florida, LLC has reviewed our existing:facilities at the above eferenced address and has found no apparent conflict at the proposec�pool location. According to the drawing(s) you have provided Duke Energy Florida, LLC has no objection to the proposed construction. Note: Florida law requires excavators to dial Sunshine State One Call of Florida at 811 to locate 'existing underground utilities prior to digging to avoid personal injury and damage to equipment � �Sincerely, � � Rebecca Grenewicz Project Coordinator � � � � � Duke Energy Florida,LLC 2166 Palmetto St,Clearwater,FL 33765 1 � n _ . . � 7/29/2016 �h Pentair TDH Calculator • : � � ' ' . � c� '" ��l��Q� � � �� , T�H CAI.��JLAT�� %��✓�� . ,d ,; G�� a��tiu�� . Flow Rate: 30 GPM Total Piping Lengfhs: Gy Inlet Side: 37 Ft � Suction Lift: _ 0 Ft Discharge Side: 71 Ft Maximum Pipe Velocity t411owed: Piping Sizes: (consult your local code) Inlet Piping: 2.052 In �Branch Piping: 6 FUSec Discharge Piping: 1.592 In � Inlet Piping: 6 Ft/Sec pop�ng Head Loss at 30.00 Gal/Min: Di�charge Piping: 8 FUSec (not incuding fittings or vaives) � Inlet Piping: 0.58 Ft Discharge Piping: 3.81 Ft , For advanced pools that confain multiple suctions, this program may be inaccurate. Consu/t a hydraulics engineer. This program is for single pump sytems with a single body of water. f��9'��0 �a`�� e��l ��9��i�u�� Suggested Minimum Pipe Sizes: t� Flow Rate: 30.00 GaUMin Branch Piping: ��-a�ki � :� Your Head Loss: 9.63 Ft Inlet Piping: .151n � Maxir"num Flow Rate Discharge Piping: 1.5 In at Maximum RPM: 69.89 GaUMin � Head Loss at Maxi�um Flow Rate: 51.06 Ft � System Head 6�ressure Curve A � 20 . � .--.15 - - - , O ' - -_ _ . � . 2 - , 0 � V �10 _ 5 � ' '-�SuperFlo VS-1600 rpm Clean System � _, ' i ___ _�Desired Operation Point 0 0 10 20 30 40 Volumetric Flow Rate(GPM) https:!/www�pentairpartners.com/marketing/td�ndex.aspx 1/2 7/29/2016 Pentair TDH Calculator ��c��'�,c�9�a'J��;��`:w � Component� Name Head Loss at Quantity 30.00 Ga11Min IntelliChlor IC-20 1 0.38 2"x 2.5"3 way valve 1 0.04 1.5"x 2"2way valve 2 0.17 Main Drain 1 0.31 Clean and Clear 1 0.49 3/4 inch Return i 3 0.83 , Skimmer 1.5" - 1 0.72 Piping Inlet Discharge Head Loss at Name Quantity Quantity 30.00 Ga1/Min 90 degree elbow 5 7 1.95 Tee Through 1 2 0.35 Pumps Name Quantity SuperFlo VS 1 AI!Penfair trademarks and logos are owned by Pentair,Inc.IntelliFloO lntelliCommO,EasyTouchO, IntelliTouchO,SunTouchO,and Eco Se/ectT'"are regisfered trademarks and/or trademarks of Pentair Water Pool and Spa,Inc.and/or its affrliated companies in the Unifed States and/or ofher countries. Unless express/y noted,names and brands of third parties that may be used in this document are not used fo indicate an affiliafion or endorsement between the owners of these names and brands and Penfair Water Pool and Spa,Inc. Those names and brands may be the trademarks or registered trademarks of those third parties.Because we are continuously improving our products and services,Pentair reserves the right to change spec�cations wifhout prior notice.Pentair is an equal opportunity employer. https://www.pentairpartners.com/marketing/tdh/index.aspx � y2 — --r- � , � I �.t h� � , ' �� Iii AIVSIjAPSP/tCC 25 ElVERGY EFFICIE(�CY COMPL]ANCE INFORMATiON FQR RESlDENTIA�SWIMMlNG POO�S i� Component Section Bequirements Check � 4.4.1.1 Heater has no pilot light � � 4.4.1.2 Readily accessibie on-off switch movnted outside af the heater � �' Hea'ters No electric resistance heating uniess for ingeound spa with tight fitting cover with R-6 insulation, ❑ (' 4.3.1.3 E� or for pool with 60%of dacumented pool heating from on-site solar or recovered energy. � 4.3.2 Heater efficiency:gas/oil fired heater efficiency at least 78%,heat pump CdP at least 4.0 � 5.1.1 Pooi filter pump listed in database � 5.3.1 Paal filter pump with total harsepower 1.0 or mare is multi-speed � � Multi-speed pump controller programmed to default to the filtration flow rate when no auxiliary 5.3.3 poa)(oads are operating within 24 haurs and programmed with temporary override capability for � � servicing. Pool systems 5.3.4 Single-speed pump controiler capable of operating pump during off-peak electric demand. � I� � � 5.5.2 Pipe before pump has at least 4 diameters af straight pipe. �� System installed with solar,or setup for the future addition of solar heating equipment by � 5.5.3 instailing 18 inches of horizontal ar vertica(pipe after the filter and before a heater,ar built-in or � built-up connections,or dedicated pipe to and from the pool. 5.6 Directiona(inlets for mixing pool water. � � � � � 3j3.7/15 ANSIJAPSP/ICG 15 Standard Writing Committee Form 2 of 2 � � � � �I �� The Association of �� Pool&Spa Professionals� ANSVAPSPACC 15a ENERGY EFFICIENCY COMPLIANCE INFORMATIOIV FOR RESIDENTIAL SWIMMING POOLS PROJECT NAME: Malden CONTRACTOR NAME Challenger Pools AND ADDRESS AND ADDRESS: 6535 Northlake Dr. 6846 N. Dale Mabry , Zepherhills,Fla. Tampa,Fla.33614 owNER:David Maiden CONTRACTOR PHONE:�8,�3`886-9,�,�9 DATE:7�28�20�6 i This information sheet was prepared by the APSP-15 Residential Swimming Pool and Spa Energy Efficiency Standard Writing Committee of the Association of Pool and Spa Professionals(APSP). It is not part of the American National Standard ANSI/APSP/ICC-15a 2011 but is included for information only.Contrectors should acquire and comply with the ANSI/APSP/ICC-15a 2011 standard which can be purchased at www.apsp.org. 1. §5.2.1:Calculated pool volume a. Gallons: 11,444 �or 1, 11,444 gallons b.Calculated Gallons: 340 (surface area)X 4•5 (average depth)X 7.48 (gal/ft^3J = 11,444 2.§5.2.1:Calculated filtration flow rate 2• 36 gpm (Pool volume=360 or 36gpm whichever is largerJ 3.§5.5.1:Pipe sizing: a.Minimum suction pipe diameter 3a. ��5 inches (Enter the smallest pipe size from Table 1 with a 6fps flaw copacity the same ormore than item 2.J b.Minimum suction branch pipe diameter 3b. 1�5 inches (Calculate:Item 2. 36 (gpm)=eranch Pipes � (quantityJ=branch flow rate 36 (gpm). Enter the smallest pipe size from Table 1 with a 6 fps flow capacity the same or more than the calculated suction branch flow rate.) c.Minimum return pipe diameter 3c. 1•5 inches (Enter the smallest pipe size from Table 1 with a 8 fps flow capocity the some or more thon item 2.) d.Minimum return branch pipe diameter 3d. �•5 inches (Calculate:Item 2. 36 (gpm)=Branch Pipes � (quantityJ=branch flow rate 36 (gpm). Enter the smallest pipe size from Table 1 with a 8 fps flow capacity the same or more than the calculated � return branch flow rate.) 4.§5.4.1:Filter type and size: a.Filter type:(Cartridge,DE,SandJ 4a.Cartridge b.Minimum filter area 4b. 96•0 sq.ft. — (Calculote:item 2. 36 (gpmJ=filter factor 0.375 �9Pm��t�2�� Filterfactors:Cartridge=0.375, Sond=15,Diatomaceous Earth=2 5. §5.4.2:Backwash valve: � Yes, 0 No? 5. Z inches - (When using a backwash valve,enter result of item 3c or 2 inches whichever is largerJ T,able 1 � (when used) ' Pipe Size: 1.5" 2" 2.5" 3" ,3.5•' 4" 5•, 6•• Nominal GPM @ 6 fps_ 38 63 90 138 185 238 374 540 Nominal GPM @ 8 fps 51 84 119 184 247 317 499 720 6.Single-speed pump selection(when used): §5.1.1,53.1:Forsingle-speed pumps with a total horsepower 0.99 or less,find and enter a compliant pump from the Pool Pump Database. a.Pump model 6d.PentairSuperFloVS b.Total horsepower 6b.1.5 7.Multi-speed pump selection(when used): §5.3.2.1:Poo/s 17,000 gallons or less,se/ect pump`from the dotabase with a Curve-A gpm flow equal to item 2 or less. §5.3.2.2:Pools 17,001 gollons or more,select pump*from the datobase with a Curve-C gpm flow equal to item 2 or less. Or *Multi-speed pumps must have one speed listed thatsatisfies this requirement. a.Pump model �a.Pentair SuperFlo VS b.Pump flow 7b. 29 gpm (§5.3.2.1,5.3.2.2:Applicable Curve A or C gpm flow listed in databoseJ 3/17/15 ANSI/APSP/ICC-15 Standard Writing Committee Form 1 of 2 �p _.V ---____.____. ____� �--- �� - ---- ' II I�IIIIII�IIII�I��II�IIII�I�III��I � II��IIIIIIIl�9065 Rept:179402P� Ree: 10.00 DS: 0.00 IT: 0.00 08/16/2016 fC. M. , Dpty Clerk pRULA 5 0'NEIL,Ph D PRSC� CLERKof C1M TP RO�L.Ek 080R K la�� i�m PG �� i� NOT'ICE OF COMM[E1�1ClElVYEN'T Permit o. Prope IdentificationNo.�--�Q�-p�'-n��-('��'�')(�—��) THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with Sectio;� 13.13 of the Florida Statutes, the followin information is provided in this NOTTCE O�F COMMENCEMEN'Y'. �+,u�. eA�s�A� 1 ��,2� �Pi55 �-tiv-4`i� �c�r�o�Gt�n,1 DF7�?�1tLt, 1.Description of property(lega!description:) la) Street Address: 5 33 2.Generlll description of improvements: ' 3.Owne"Information a)Name and address;��J�(, �� (0�5 ►Jl�(:T�1L1�1�� ., 7�0�A�.�,�15� ��c�10� b)Name and address of fee simple titleholder(if other than owner) {\5� � c) Interest in property ��E �t�h.t'Pl_.t 4,Contractor Information /� ' . �a)Name and address: l; �" " � � � •��, '�q'y�� '�jj�(`i�� b)Telephone No.: �� ;�?`��r �111� Fax No. (Opt.) • S.Surety Tnformation w � �4 , a)Name and address: ��+ � V \ b)Amount of Bond: c)Telephone No.: Fax No. (Opt.) i 6 Lender i � � n ' . �a)Name and address: t� �C 1'Itone No. 7 ldent ty of person within the State of Flo ida designated by owner upon whom notices or other documents may be served: �a)Name and address: �� - b)Telephone No.: � � Fax No. (Opt,) - 8.In add�tion to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13( )(b), Ftorida Statutes: � a)Name and address: b)Telephone No.: —� Fax No. (Opt.) --- 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specifietl): � Ik � WARN�TNG TO OWNER: ANY PAYMENTS MADE BY T]HfE OWNER AFTER TI�[E EXPIRA'TION OF TH�NOTYCE OF COMM;ENCIEMENT ARE CONSTDEREF)IM�ROPER Y'AXMENTS UNDER CHAPTER 713,P�ilaT I,SECT$ON 713.13, FLOI2TDA STATUTES,AND CAN RESULT IN YOUR PAYING TWIC�FOR IMPROVEMEIVTS TO YOUR�'ROPE]E2TY. A NOTICE OF COMMENCEMEIVT MUST BE RECORDED AND POSTED ON TY��JO�SIT�BEFOR�THE F'1RST IIVSPECTION. IF YOiJ TNTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR A1V ATTORNEY BEFORE COMMIENCING WORK OR RECORDTNG YOUR NOTICE OMMENC � EN"T. �. _ u STATE OF FLORIDA COl1NTY OF PASCO � Si{�na[ure o ner wne s Authorized Officer/Director/Partner/Manager __�l(J c� IP�.n�n Print Name The foreu�oing.instrument was acknowledged fore me this d� day of (�A��_20 ��0,by ��''lJ �(��O� as �1(��-�, (type ofauthority, e.g. officer, trustee, attorney in fact)�'or (name of party on behalf of whom in was executed). R Person I11y Known OR Produced Identification� Notary Signature --I;- - --- --: Type of Tdentification Produced i �� !�`�� v�U/,��ne(print) ��A,l.� -- � Verification pursuant to Section 92.525,Flor'- tatutes.Under penalties of perjury, ,eclare that I have r d�the f ro egoing and th the facts stated in it are true to the best o my knowledge and belie �' rJ.. Si nature o atural so� mg o e FORMSlNOC,rvsd2007 IDALMIS PENELLA �Y�� MY COMMISSION#FF980379 � � EXPIRES:APR 10,2020 � Bonded through 1 st State Ineurance 4 ��,�;,�� - _� 6y `�'��L � STATE OF F�4RIDA,COUNTY�F R�A�� = o �' THIS IS TO CERTIFY THAT THE FQR�GQING I�A � `� . � � ' 4.��., > TRUE AND CORRECT CQPY�F TM�DQCUMENT � ` :�h��'r o � . k^��.��'��rt-\ � ON FILE OF�CF PUBLIC RECQRD IN THIS OFFICE �-�� WITNESS MY HAND AND QFFICIAL EAL THIS � "„��' /•g.pj�� , ��- DAY OF 2� � �� ls�� . � u'�'�;a- � .•,.e.�� PAULA S O EIL,CLER COMPTROLLER �° � ;��4��;`� ,� ��, S� EPUTY CLERK �t- �r��a.��f