HomeMy WebLinkAbout16-17746 CITY OF ZEPHYRHILLS
I 5335-8TH STREET
(813)780-0020 177
' �` BUILDING PERMIT
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PERMIT INFORMATION LOCATION INFORMATION
Permit �➢umber: 17746 Address: 6437 23RD ST
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: . Parcel Number: 01-26-21-0010-07100-0020
Impro�. Cost: 5,000.00 OWNER INFORMATION
Datellssued: 9/21/201�6 Name: HOPKINS JOYCE & DWIGHT TTEES
Total Fees: 90.00 Address: 29010 TUPPER RD '
Amount Paid: 90.00 WESLEY CHAPEL FL 33545-4310 �
Date Paid: 9/21/2016 Phone: 813-210-4368
Wo�k Desc: CONSTRUCT LEAN -TO SHED 704 SQ FT �
i CONTRACTOR S APPLICATION FEES
CROSS'CONSTRUCTION SERVICES, INC BUILDING FEE 90.00
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� Ins ections Re uired
FRAME I
SHEATHING
FINAL I
REINS�ECTION 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
I first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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. !
"Wa�ning 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 recor.ding your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with
� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
'I NO OCCUPANCY BEFORE C.O. ,
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iCONTRACTOR SIGNATURE � PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
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�,i e�isaoa2o City of Zephyrhills Permit Application Fax-813-780-0021
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� � 8uflding Department
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Dale Received .� ' � . P.,hone=Cantactfar�Perml�Eln ,
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Owner's Namle � Owner P�ane Nurobe �61.� Zl �
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Owner's Addrass t'.� � c9 � C�- 33 �J pyvner Phone Plumber , j
Fee Simple T�tleholder Name �� Owner Phone Number � �
Fee Stmple Tltlehalder Addcesa c'� d. ,f,fl � --~' -. �,
� ` ��JOB ADDRE�S , G LOT# J V
St7BDtViSIQNI `! - PARCEt,ID# ��-�_ � r'�t>�7 ( O �O �,''�.•--d��'+ �o
I (OBTAINED F,RpM PROPERTY,TAX NOTICE)
WORK PR4POSE0- �. NEW CONSTR � - ADDIAI.T C,� SIGN C] �Q DEMQLiSH
INSTAI.,L REPAIR �
PRQF08EDF�$E Q SFR � GOMM �� OTHER I
TYPE OF CONSTRUCTION Q` BLOCK '' `[� FRAME � STEEL Q
DE3CRIPTION dF WORK, -;-. ..� t.�G.� � -- � ',� aa c���,t
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BUII.DING�IZE (.� ,,,, ��8Q FOOTAGE �� , HEIt3HT .[^���� �
QBUILDING $ VAGUATtON'OF'Tt31'Al COIVSTRI)CTION '
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QEC.ECTRIGAI $ r ,,��_ AMP SERVECE Q PFtOGRESS ENERGY Q W.R.E.C. ,O
QPLUMBlNG $ ...� � '—'" �L b 7�� �'.. �
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Q M CHANlCAL $� � ' VAi:UATIQN QF;MECHANICAL lNSi"A�LATtON. � �`f���' '"�
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Q�S [� ROOFING Q SPECIAI.TY �� OTHER ��p a�'�
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FI�fISHED FI.00R ELEVATIONS FLOOD ZONE AREA QYES . � ,. ?��
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But�.oE� �! - t� � �
� oM Atav� � 6 r.e:� G, � � `1
SiGNATURE REGISTERED / N FEE CURREP �,Y/N �
Address Ltcense# �— �� .
ELECTRlCl�1N. .- ` :COMPANY ' - �
SIGNATUREI� '' REGISTERED Y/ N FEE CURREk� Y/N �
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Aaa�ss , � , uce�se# - ` '
PLUMBER i CCIMPANY �
StGNATURE " ' � REGISTERED Y./-N�_ . FEE CURRE� � � ' Y-/N �
Addrese � . ' Ucense.# �� � {
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MECNANlGAL" , . . _ COMP.AFIY
SiGNATURE � � � ` t3eG�s7ErteD Y./ N . � Fee cuw�n Y/�N
Addre�s ` ,•' ',. . � .. _ _ ,
License# � �
OTNER - _.. .iCOMPANY � ,
SiGNA7URE� ,'.�' . '"� '"� ' " ' �- -' ' � ` � " �" REGISTERED ' `Y/ N..- FEE CURREh Y/N
Address ' , ` . � . Cicetise# f'' ' 1 -
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��s�a��r� > -- �tra�:�z����ot�Pla�s;R fi2)set's:of�BulldingF Plans;(1)set'of=Enerc,}y�Fortns;;R-O W,Perir�it for new consbuct�on, ,
,._;
;-T:Mtnimum:ien_(:1.0);working days;after;subinittal`d'afe:.Required onsite;;ConstrucNon-Pl�ans;Stormweter'Plans w/Sflt Fence�installed, �
` ��-�Sanitery FacillUas,&a,1,�;dumpste_r,�Stte,Waric:Permit fcr.subdivislo�s/large pro)ects, ' � - `- � � �
COMMERClAt. At#ach(3)coinpiete sets'of Bultdiiig Plaiis'plus a.Clfe Safefy Page;�('!a sei of Eriergy Fotrns,i2-O-W Permlt far newi cans#rvctlan.
Minimum ten(10)working days'afler submittal date. Requlred onsite,CanstrucNon Plans,Stornnwater Plans w/Silt Fence installed,
� Sanitary Facllides 8�1 dumpster.Site Work Permit for all naw:proJects.All commerctal requlrements.must meet c�ompliance�
Sl�N PERMIT Attadti(2}'sets'of"Erigliieered�Plans.t;�. ,�~ .- : , . . �
� '""PROPERTY SURVEY reyuired,for all NEW.construcUon. ,
Direcllons: , .-. . - � •
Ffll out a�plicatlan completely. �
Qwner d�Contractoc sign back of appl[caUon,nptarized � ,
If over tti2600,,a Na�ce of Commencemen#is reguired. {AtC upgrades over�7500)
" Agent(for the contractor)'or"Power of Atkomey�(for tFi'e.owner)�wrould be someane with notarized letter from owner authorizing same
VER'TiiE G�OUNTER PERMITiiNG..a.•- ;:{Fronfiof:flppllcatlan-Only} -��,5�., "�u, .
afs if shi�gles Sewers' Service Upgrades A/C Fences(PIoU,Survey/Foatage)
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ivew lya-Not over Caunter if on publia roadways..needs ROW' � N
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NOT1C�OF DEED RESTRICTIO�IS: The undersigned,under�tands;th�t this,°p�rmit,:may,be;subJ�ct;to,�deed".res�•ictlons°'::�r M:_`;r.�
which may tie�more.r:est�icQtve=tha�Cbunry�regulatfons: The.underslgned=�assumes'responsiblitty#or�compllance°v+rith any� ��` "�
appflcable:deed resMctions. - • . , . , � ,_.. • � ����
fl1NLIC�NSED��CONTRACTORS AND CONTRACTOR RE�PONSIBILITIES�:{ �If-tlie �owner has-�htred -a�contractor or
contractors to undertake work, they,may;be�c�qulre.d_.�to._be,licensed in�accordance.with state.and,:local_regulations:���lf�the�- �
contractor Is-not�itbensed as requlred`:tiy�law, tiotti-the'ou+mer and�conVacto��riiay�be°°cited for�a;misdemeanor violatton
under state law. If the owner or Intended;,contractor.ere_,uncertaln as to what itcensing_,requirements�;mayY apply�oc:�ttie'�� -� --��'
intended"work,'they are'advised tb�contact the�Pasco�Counly_Bullding:inspection pivlslon�,-L•icenging Sectton at 727-847-
. ._. - -
8009. Furthermore� if the vvimer has��Filred�a cont�acfo��o� contractors, he is advtsed to have �the contractor(s)._sign_
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p�rt(ons of the "contractor Block° of.this.application_foc:which,they,wilt.be tesp.onsible.-.ff you,=-as.#he ovirner sign°as�the� ` �
contractor� that�may be an indication that fi'e'-is noY�properly Iicensed and�is�not'entitled to perrrifEting p�ivileges in Pasco ,,
County. • ' t .='J,.-_` .. - _ .f
TRANSPORTATION.IMPACTIUTILITIES�rMPAC'��ANb�RESOURCE RECOVERY•FEES:'�The underslgned"understands
that Transportation Impact Feas and.Recourse Recovery.Fees may..��appiy�.to�tf�e:construction:of new buildings,.change of�� �' -� �-
use in exis8ng buildings; oc�expar�si�n•of�ezisti�i���6uildings, as specifled.in Pasco County Ordinance number 89-OT and
90-07, as amended.,:;The undersigned also.understands� that:�such fees;;as>tnay�;be:.due;�will��be tdenttfied at the�time'=of��'� �y=�-� `
permitting. It is furttier�understood that Tre�sportatlon ImpacE�Fees and�Resoucce.Reco�ery=Fees..must be paid prior to
receiving-a'certi�cate-of-occupancy"or flnal-powe,r.,.release. :I��the.proJect,does;:not tnvolve<a::certiftcate of occupanoy�or��=`�=��= ��'"
flnal power release;�,the:-.fees mu§t�tie'paid;pelo�r to;permit issuance. Ft�,tthermore;if Pascc:Couniy"11Vater/Sewer.;lmpact • ... .. .
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fees are due;,they_must�,be�pald pri0r to permif iss4ance=ln..accordance w1tFi:�appilcatile Pasco�.County�oriJinances. �
CONSTRUCTION"LIEN�LAW(Cliapfer 713,Flor�da$tatutes�as amended): If valuatlon of work is$2,500.00�or�more, I :;,.
certify thaf I, the. applicant;-have� been provlded -with a-copy of�:the�"Florlda� Constructton�'Llen:.LawF—Homeowner's
Protection Guide" prepared by�tFie�Floi�ida Department�of Agriculture and ConsumerAffair`s. if the appitcant is someone; , �-. ,.
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other than the"owner", I certffy that I�.h�ve:.ob,talned�a�`copy.of.the.aboye•.des,c�lbed�docuri�ent-and:ptomise�:.in,good.faith to ,:
deliver it to.the'owner°=pHor�:to�comri�encement:�� � , � . - . � , -
ONTRACTOR'SJOWNER'S AFFIDAVIT: I.ceitity:�:that.all..thg�,lnformation:in:thi�applfcation is accurate and that all work
111'be done in compitance with all.appHcable laws regtilating construction� zoning and��land°development. Application,is
reby made to obtatn .a permit=.to,do.,-work,,,and�Installation as IndiCefed:-: =:i certify that no work��or tnstallatton has� .
m�nced prlor to issuance'of a permit"'and thaf�.all work will be pertormed�to meet_standanis of all laws regulating� _
construction, Caunty and City codes, zoning regulatiQns, and land development regulatlons�in the .jurtsdlctton.- I al'so _
certify that I uaderstand that the regulations of other government agencies may�apply�to the.intended work, and that it is
my responsibil(ty to identify.what.act(ons I must•tgke:to be,in�carrlpllance: .S.uch:.agencles Include-but�are.not Iimited to:
- Department of Environmental>�Protectton=Cypress.`Bayh�ead�,�Wetland Areas and Envfronmentally Sensitive
Lands, Water/Wastewater Treahnent.
- Southwest Florida Water Managemerit:":Dlstrict-_1Nells; `�Cypress.��Bay.heads; Wetland� Areas� Altering
Watercourses. � - ; . .
- Army Corps of�Engineers=Seawalls� Docks, iVavigatile Watenivays.
- Department of;Health;;B,.Rehabllitative: Services/Environmental=Health��Unit:Weil.s,.Wastewater�Treafinent,
_ `- -SepticTanks._' � ,- - _
, - ` US�Environmental Protection Agency-Asbestos abatement. :
� Y Federal�Avlatton:Authority=Runways. . _ ' •
I understand that the.follovir�ng.restrlctions appiy to the use of flll:�
- Use of flll is not allowed In;Flood;Zone"V"unless expressly permitted.
- If the .fill mate�lai�ls`to�"be used:.`1n.��Flood Zone. "A", tt Is understood that a drainage plan addresstng a
"compe�sating volume" will be submitted at�ime of°:permitting which is prepared by a professlonal engineer ' -
licensed by�he SQ�te'of Flo�ida: � � ���> , - -•�
- If th� flll material�.is`to be�used tn Flood Zone 'A" (n�connec�ion�wlth�a��permttted building using stem wali
� construction, I certiry that fill�vvall=b.e�used only.to.fill the area within�the stem•wall.
- if flll material-is�to-be used in any area; I �certify that .use. of'such flll will not adversely affect adjacent
properties. If use of fill is,found to adversely,�ffect adJacent`�praiperties,.the owner may be cited for vtol'ating,
the conditions.of the buildtng'.permit issued�under the_�.attached,permit application,=for_:lots-less,than.one (1)
acre whicFi are elevated`tiy,f111,��r engineered dralnage plan is required. •
If I am the AGENT FOR THE OWNER; I;promise in._'good_falth to inform the�owner of�the permitting condftions set forth In
this affidavtt�prior to'commer�cing construction. �I understand thet a-separate permlt may be required for elect�ical work. - .
plumbtng, signs, weils�.pools;,air conditiontng�-.gas,�.;or.other install�tlons nol.spec�tcally Included�tn.the application. .A •
permit issued shall be construed to�!i'e�a�Ilcense'to�proceed with'�ttle_work and not as.authoHty�to:violate�"cancel, alter, or
set aside any provisions of the.teclinicai codes;�nor shall Issuance•of a.permit.pcevent the Bulldirig Official from thereafter
requfrin.g a.correctton af errors in.ptans; conshuction.ot violat(ons of�any�codes. Every•permit issued�sfiall-become invalid
unless the work authorized by such permlt:is.coRnmenced•withln sGc..months of�permit Issuance, or If work authorfzed by
the permit is suspended�or.aba�doned;for a:period,of six��(�)�montFis..eftec:the'time the�work�is commenced. An extension
may be requested� In writ(ng,f�om the Building,Official�for a perlod:not-to.exceed�=ninety(90);days and-wlll demonstrate
Justmable'cause for.�the extenslon�. If wock ceases.for ninety.(90).cons.ecutive:day.s...th�Job�is considered aba�doned. �
WARNING TO OWNER: YOUR..FAILiJRE;TO..RECORD;A::NOTICE OF;COMMEiVCC�IIAE(�tT:MAY�RESULT IM�YOUR �
PAYING TWICE,.FOR IMPROVEMEN�S�TO�:YOUR:�PRt�PER-7Y::�IF°YO.UiIiVTE�ID�T����OBTAIN�FINAR�EING;�CON�ULT
WITH YOUR LENDER�OR AN AiTORNEY$EFOR��RECOR�ING��OUR'NOTICE'OF Cd11AMENCE�VIENT' ` `
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FLORIDA JURA�(F.S:1.17.03) "- ' . . . ,
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OYNNEROR�ifiENT ' ----------.__�_-- - - CONTRACTORr__���/ /r . — ---
Subscribed and awam to(or aflirtned)bafore me thls Subecrlbed and'sw�o(ot aflirtned)•befo�r .�m�a'tlif�
by �i- 2�1b .•bv�/t.��E�s�v �6;lCf`F�ft�%o.cJ
Who Islare personally knovm to.me o,r-.hasAiave.produced Who.,ls,fa�re- .ers nalIy known�.lo.me or has/have•produced •
as Identlflcatl4n. Ft•��(i�, . as idendflcatlon.
Notery Public , �"�'� Nofary Public
Commisslon No: Commi on
,�o;,.,n�.ev��.,p: Co Y�miseion#FF 150422
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Name oI Notary typed,printed or stamped Name of Not r�° •�fN '
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e�.�.aaa n,u ro,� �r�,��'oass-7ois
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�oss c�NS N S�R�G� ;
TRUCTIO
25221 Wesley Chapel Blvd.
Lutz,Florida 33559
Phone:(813)907-1013 •Fax:(813)907-0297
CITY OF ZEPHYRHILLS
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TO WHOM IT MAY CONCERN,
' PLEASE BE AD�JISED RICK THORNTON IS GRANTED THE AUTHORITY OF
ACTING AGENT FOR RUSSELL E. ARNEY (LICENSE #CBC059838) "OR"
ETHAN T. LILLIBRIDGE (LICENSE #CGC1505176), AND CROSS
j CONSTRUCTION IN Mf�►TTERS INVOLVING PERMITTING. �
' SINCERELY, / _
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� HAN T. ILLIBRIDGE -VICE PRESIDENT
; CROSS CONSTRUCTION
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SWORN TO AND SUBSCRIBED BEFORE ME THIS 21 ST DAY OF SEPTEMBER, 2016.
I � Q,(.� MY COMMISSION EXPIRES:
TAMARA JA
,,,���,,,,
' ,,�1.�:ecr�;,^ T!1[e9AR1a JAMES
� NOTARY PUBLIC, STATE OF FLORIDA, PASCO COUNTY =�� 4: �ornmiss�on#�FF 116224
��A;: Expires August 24,2018
' X PERSONALLY KNOWN TO ME. -�Pf;;�,' 9und¢dThmTroyFein6rsu'e�a80p385•7pig
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City of Zephyrhills
BUILDING PLAN REVIEW C4MMENTS
Contrac'orlHomeowner:
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Date Received: L��l� -
Site: ( , � ��"7 �j�'� '
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Permit Type: � �-"U
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Approved w/no comments: Approved wfthe below comrnents: ❑ Denied wlthe below comments: ❑
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This camment sheet shall be kept with the permit and/or plans.
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Kalvin Sw ' er- Ians Exanainer Date Contractor andlar Hameowner
� {R.equired when comments are present)
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2016140535
' R�pt:1798935 Rec: 10.0k7 ��``
• ` ;D5: @.00 IT: 0.00
�'@910612016 K. R. �1. , Dpty Clerk
PermitNo. I Parcel tO No 1�,-,�4!1���e����-'2��� �'��jC7 � �
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I NOTICE OF COMMENCEMENT
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Skate of ! I �'��-/ � County of ��' S �;C-� r, �
THE UNDERSIGNED hereby gives notice khat improvement wili be made to certain reai property,and in accardance with Ghapter 713,Florida Statutes,
the following infofmatio�is pravided in tfiis Notice of Commencement: - ^ � c- '
1. Description of Prope y: Parcel Identification No. /9 � "`� !
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Street�ddress: r" '�lr �- �G �J S f �
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2. Generat Description of tmprovement � �'�"� � a-
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3. Owne i information or lesses info atio ,ii tlie Lesses cantracted for the improvement: '
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�,� � � �- � �,''
Address � City 5tate �3���j
(nterest in Property� I
�' ry—
Nam i oi Fee Sirnple Tikleholder. ' �
I {If different from Owner listed abave)
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Addr�ss Ciry Skate �-�D
4. Gontr�actor. �
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a �"� j ��n
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Addr ss City State � �N o
Contractor's 7ele hone No,. �. /n�"
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5. Sure y: � `''� � ��w s
tJame
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Add,'ss Clty State �,�,�
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AmoGnt of Bond: $ Tetaphone No.: � � �
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6. Len er: I
' Name � �
Add�Iess / City 5tate ����°
Len i er's Telephone No.. 1'�✓ �.. �-+3
7. Pe �ons w#h'tn the State of Florida esignated by the owner upon whom notices or other documents may be senred as provided by �� o
S �' n 713.43(1}(a)(7),FRorida atu s: � ;' '-
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iJame
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Rdd'ress Ci y State
Teiephone Nurnber of Design e Person: """
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3. 4n ai ditian to himseil,the owner designates �'- � of
Ea receive a copy af the�ienor's Notice as provided in Section 713.13(1)(b),Flarida Statutes.
Telephone Number of Person or Entity Designafed by Owner:
). Exiiration date ot Notice of Comme�cement(the expiratian date may nat be before the compietion of canstruction and fina)payment to the �
cor}tractor,but wili be one year frum the date ot recording unless a different date is specified): _ �
WARNtNG TO OWNER: ANY PAYfviENTS MADE BY THE OWNER AFTER THE EXPlRATION OF THE NQTIC�OF COMMENGEMENT
ARE CONSiDERED IMPROPER PAYMENTS UNOER CHAPTER 713, PART 1, SEGTION 713.13, FLORIDA STATU7ES, AND CAN
f2'ESU�T IN YQUF2 PAYING TWICE FOF2 IMPRQVEMENT5 TO YOIJR PROPERTY. A NOTICE OF COMNtENCEMENT MUST BE
RECORDED AND POSTEO ON 7HE JOB SITE BEFORE THE FIRST iNSPECTION. iF YOt3 tNTEPfb Td OBTAtN FINANCING,CONSl1LT
WITW YOUR LENDER OF2 AtJ ATTQRtJEY BEFC3RE COMMENCING Wt3RK OR RECtJRDitdG YdUR NqTlGE QF GdMMENCEMENT.
Un�der penalty af perjury,t deciare tfiat i have read ihe foregoing notice of commence �k and that�he fa ts stated therein are true to the best
of{ny knowtedge and belret, `1� �
�TATE OF Ff�.oa��rA �, ��----
:dUNTY dF pASCO '
Signa of t7wner or essee,,or t?wne s o Lss e's Authorized
OfficerJDirectorfParknerlManager
Signatory's TftielO�ce
he faregoing i�strument uvas acknowiedged betare me this�day of,�� Ct +;2q 11.�,by �U,�� L �YJ��t� � �
I .�.--. �5 �}i�c��- (type of aukhority,e.g.,atficer,trustee,attomey in fect)for ,
��,�{�_t,(�,;.,?�'" S`'�-cV i C�. C; {name of Ky o hatt f om instrumenf was exeautei!), _ . __
e r s o n a l l y K n o w n(]O R P r a d u c e d I dentiflcation I�' Notary Signature
,�pe of Identification Produced��L.---- Name{Print) � � ;
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>d ataPocslnoti cecommen cement_p c0530b 8
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