HomeMy WebLinkAbout16-17753 ;i CITY OF ZEPHYRHILLS
� 5335-8TH STREET
i � (813)780-0020 17753
� BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17753 Address: 39132 7TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class�of Work: A/C CHANGEOUT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-002A-00900-0010 '�
Improv. Cost: 8,012.00 OWNER INFORMATION
Date Issued: 4/06/2017 Name: McGAVERN, CECIL
Total Fees: 80.00 Address: 39132 7TH AVE
' Amoa�nt Paid: 80.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/06/2017 Phone:
Work Desc: A/C CHANGE OUT 5 TON
! CONTRACTOR S APPLICATION FEES
AND SERVICES A/C CHANGEOUT 80.00
� � 1J0 G �Q "
� � �
�
�Z
�I Ins ections Re uired
, DUCTSI STAL ED
DUCTSI SULATED
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
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
I entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of comenencement 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 Must Accompany Application. All work shall be performed in accordance with
�� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
�G��°�
� ON ACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
�
�
! � ! 3 - " 1�v - �o�l
813-780-0020 City of Zephyrhills Permit Application Fez-813780-0021
` ' Bullding Departrnant
Date Reeehnd � �— ( , Phone Contect for PormNtln � ��7 — /1.�Z
Own�ra Mam� C+ , C Y e�-� Owner Phom Numb�r ��3�7 8 g ��O��(a
Ownd�Addnss � �-3,' , ��-' Owner Phone N�nnb�r
F„Slmple TlUehold� Name Owner Phone Number
FN SImpN Titlehold� Addreu
JOB ADDRESS 35 i 3 Z �1� Y'1�l� LOT� �
SUBDMSION Y�il � �'� PARCEL IDS I 2.-Z�+�Z I�O�2 A '(5D S CS� �60��
(OETAINID FROY PROPEIt}Y TA7(N071C�
WORKPROPOSED B NEWCAN57R8 ADD/ALT � SION 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL Q
DE8CRIPTION OF W RK ��C `�-�'A'� � � S �� ����-�� ��P
BUILDINO SIZE SG FOOTAOE� HEIOHT �
QBUILDING a VALUATION OF TOTAL CONSTRUCTION
j QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.RE.C.
I �\`
I �
QPLUMBING S �
�MECHANIC E �y VALUATION OF MECHANICAL INSTALIATION �
1J
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR EL AT10NS FLOOD 20NE AREA QYES NO
BUILDER COMPANY
SIGNATURE rt�cis�am Y/N �Cuw� Y/N
Addnss License#
� ELECTRICIAN COMPANY
i SIGNA7URE REGIS7ERm Y/N �cuatte� Y/N
Address License#
PLUMBER CONPANY
SIONATURE r�cisrEaEo Y/N FEe cuRREn Y/N
�dar... u�8a n
IHECNANICAL �P/�y `� �2�tC1 C�S
i SIGNATURE REGISTERED Y/N �curwen Y/N
�aaro.. o Lc�rt�� �e_ u�# Ci�G►�1(0�I "i�
I
OTHER. COMPANIf
SIGNATURE r�cistv�o Y/N �cuwie. Y/N
Addnss Lieenae i�
I�IT 1'7'TT I r 1-17 7"I T 1 1'-1-1 f-I fi'17'f TT i I 1 I l r7 7 1 17 1-1'I I'T7 T7 1 1-7 fT 1 1-i l ilTT7 1 7 1'1'1'
RESIDENTIAL ch(2)Plot Plans;(2)sets of Buliding Plans;(1j set of Energy Fortns;R-O-W Pertnft for new eonsVudlon,
' Inimum ten(10)w�rnidng daya efter submftlal date. Requlrod orreite,ConstrucUon Plans,Stotmweter Plans w/Slit Fence Instelled,
! nftery FeeflWes 81 dumpster,Stte Work Pertnit for eubdMiaionsAerge proJeds
; COMIMERCIAL ch(3)eomplete seffi of Building Plens pius a Lifa Safety Page;(1)set o1 Energy Forms.R-aW Permft for new conatrucdon. ,
Inimum ten(10)vwrWng deys after submitfal date. Required or�sfte.ConatrueUnn Plana.Stortmvater PI&ns wi SItt Fenca Installed,
j Ifery FaeOklea 31 dumpster.Ske Work Permkfo�all new proJeda.All commerdal requfremerds must meet eomplience
SIGN PERNR eh(2j sets oi Enpineered Plans. ,
� PROPER7Y SURVEY required for atl NEW conaWdlon.
i
DlncUons:
Fln art epptlea eompletery. �
Owner 6 eign 6adc of applleaUon,noterized
M owr f2500, Notld of Comm�neement is requlrod. (MC upgrades over t7500)
" Agent(Tor the VeGw)or Power of Attomey(for the owner)would be someone xrith notarized letter from awner authwtring same
OVFR THE COU R PERNAtTT1NG (Frvnt of Appllcatlon Onty)
ReroofA li ahingles Sewers Serviee Upgrades AIC Feneae(PIoUSurvey/Footage)
, j Drlveways-No over Counter fl on pubtie roadways..needs ROW
i
.
serv � ces
Air Conditioning • Plumbing • Electrical
�•-•-•-•-•-•-•-•-•-•-•-•- ,•-•-•-•-•-•-•-•-•- - -•-•-•-•-•-•-•-•-•-•-•-•-•-•-•- �•-•-•- -•-•-•-•-•-•-•-•- �
'FREE ; ' I ' �37 ;
Service Call' � .
I With My Repair Only • � i I
;FREE2nd Opinions � � OnI �4� ! � �
. , . y , . ,
;FREEEstimates i � ! � i
• Stick It. Save It. Never Expires! 1 • � ' • � I
�•—•—•—•—•—.—•—•—•—•—•—•_ 1•—•—•—•—•—•—•—•—•—•—•—•—•�•�.—•—•—•—•—•—•�'—•—•—•—•— �•—•—•—•—•—•—•—•—•—•—•—•—
� �
�
r � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
, contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanar violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Secdon at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor BIocK'of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
! TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
Ithat Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"cert�cate of occupanc�'or final power release. If the project does not involve a certificate af occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to pertnit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Flarida 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 described document and promise in good faith to
deliver it to the"owner°prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certiTy that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zaning regulations, and land development regulations in the jurisdiction. I aiso
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
- Department of Heaith 8 Rehabilitative Services/Enviranmental Health Unit-Welis, 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 fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a
"campensating volume°will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Fiood Zone "A" in connection with a pertnitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to infortn the owner of the permitting conditions set forth in i
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not spec�cally included in the appiication. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical cades,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any cades. Every permit issued shall become invalid
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 period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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 OBT�N FINANCING,CONSULT ?��,�e
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YmUR NOTI OF COMMENCEMENT. �o,�,�r
FLORIDA JURAT(F.S.117.03)
���oZ �
OWNER OR AGENT CONTRACTOR a �
Suhscrihed and swom to(or affirtned)before me th(s Su scribed and m ta(o effirtned be �e this � �
by �17-by_I�YI�tC,K- �R.�t o 3 <�p
Who fs/are personelty known to me or has/Fieve produced Who Islare personally known to me or hasfiave produced �3�c
as Identification. as fdentification. �o� ci
-- ����
� �
Notary Public Notary Public $ T
Commission No. Commissian No. U(� B����� m a
�s-l���! S 1 e J A�" d
Name of Notary typed,printed or stemped Name of Note typed,printed or stamped
�
� I
,�,
.
serv � ces �
Air Conditioning • Plumbing • El,ectrical� :
, �
��-•-•-•-•-•-•-•- -�-�-�- ,�-�-�-�-�-�-�-�-•-�-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•-•- �•-•-•-•-•-•-•-•-•-•-•-•-
'FREE � ' � ' �37 �
Service Call� . � .
1 With My Repair Only . � ' 1 •
� , I . �
;FREEZnd Opinions i � On1 �4� ! � �
. , . y � . ,
;FREEEstimates � � ! � i
Stick It. Save It. Never Expiresl I • � • 1
�•—•—'—•—•—•—•—•_'—•—•—•: 1•—•—'—.—•—•—•—•_•— —•—•—•—•_'_'—•—•—'—•—'—•—•—•—•_•- 1•_•—•—•—•—•— —•—•—•_'—•—
�
I ' -
I
I
�
I
�
e\ n � PROPOSAL OOg4
Te1:941-312-7815
s e r v � c e s � �,.endservites.com
AlrConCWonloB •Plumbinp •ElacWcai contaet(�andservices.com
InStallal'IonDate:�/,�/� GC1816B1Y,CFGU)889l,EP1b0]SL
Customer neme: I 1 + �� Date:'1��]r,y
i —7 1��j�
Street eddress of Job location: • q` • � City: '��j FL Zip:?�fj�'�
i
Primaryphone:' � ^G�l Otherphone: Email:
❑ Faclory•match�ed Heat Pump System ❑ Factory-matched Air Conditioning System ❑ Factory-matched Gas Fumace System
❑ O timu�m# ❑ Premium# �Deluxe# ❑ Econom #
-P--- —y----:
�� Up to 20 SEER I� Up to 16 SEER �� Up to 14 SEER ✓ 13 SEER i
� 70 Yeer All Part, � 10 Year All Pa�Y J �� 10 Year All Part � 10 Year All Part Wertanry ,
�� Compressar Life Tima Wertanry 1� 10 Year Compressor Wertsnry __�� 10 Year Compressar Wartanry_�� 5 Vear Compressor Wartenty
— �—�--__—. _ _ _— — __
• •• �• � ❑Rotobrush ducl cleaning_Supply&_Returns
�'Whole HouselBiologic3 UV Sterilization System Stg.� ❑ Whole House Biologic3 Electronic Filtrations System
� • • • � • �
�'Replaceme�jt ❑Add-on Air Condilioning/HeaUBoth � Replacement ❑Add-on Air Conditioning/HeaUBolh
❑ Air Handler�Fumace�❑ Vertical �Horizontal � Heat Pump ❑Air Conditioner ❑ Package Unit
� New Digital TIhermostat L]I Non-Program. ❑ Program. ❑ �_tons ��.SEEji _BTUH
❑ New Dlgital Programmable Therm. with Humidity Control ❑ Model �_�,l�'�
❑ Relocate from to � Hurricane Pad ❑ Plastic Pad
❑ I �k ❑ Reiocate from to
� New AHU S4and:❑ Metal�p,Custom � � New safety disconnect switch
❑ Filtralion: ❑I� Permanent Washable Filter❑ Gr le ❑ New 100%copper,dehydrated refrigerant piping
,� New safety tlisconnect switch ❑ Surge Protection � Fully insulated suction piping
❑ New wire trom breaker panel to equipmenl � New water tight electrical whip
�'VenUFlue: ❑ Complete new J�Use existing ❑
� � � •
❑ Engineered tluct system for tons vents ✓ All labor �
❑ Economy ❑ Mli-Microbial $ ✓ Obtaining permits(where required)
❑ NON-FIBERGLASS-100%Rust Resistant Galvanized Sheet `� New A/C circuit protection Brand=
� Existin size is: , ^
Melal Duct Syslem.Energy Saving Insulalion Included. 9 ��s � Change to: !
❑ Rooms requiring additional airflow: ✓ Heating and Cooling routine mainlenance for � years
❑ New supply vent to: ✓ Check entire syslem for safety and efficiency
❑ New relum venl to: ✓ Shoe covers,mats and drop cloths to be used as necessary
❑ I ✓ Remove existing equipment from premises
❑ Mastic and eal all leaking joints ✓ Clean up
❑ Duct Sanilizing
� • �
• 24-Hour F!�It or Hotel Guarantee:Unlike most companies,we are a service company.We have a steR of qualified service technicians lhat
are lhere to s'�erve you in tha unlikely event your system hes e problem.So our guarantee to you is that when we artive,we guarantee that we will
have your system up and running within 24 hours of our arrival or we will put you up in lhe local Embassy Sultes for the night
• Best VelUe Guarentee:Anyone can make something cheaper by cutting comers and pricing it tor less.So,il's Importanl lo know what is and
is not includdd in any heating and cooling system you choose for your home.Our Best Velue Guarantee is our promise to you that you rannot find
�a.comparable installation for less. or we'll pay you a$50.00 bonus over the difterence.All we ask is lhat it be a'published apples-to-apples'
comparison,��vilhin 14 days of purchase,and have lhe same written installatlon specificatlons as AS.
• /nsta//allor� Wo�kmanshlp Guaiantee: Our instellation technicians ere the best In skill,attitude and workmanship.Theyll cere for your
home and complete lha Job wilh speed and precision.They wear Floor savere,clean up when they are finished and take personal iesponsibility for
your satisfacEion:They will not smoke or swear in your home and they are polite and courteous.If,when lhey have finished in your home,lhey
have not pe ortned in accordance with these high standards,we'll refund whatever amounl o(ihe purchase price yau feel to be falr.All wa ask is
that our offi�be notified of eny level of dissatlsfaclion before the technicians leave the home so that any Issues can be addressetl accordingly.
• F�ccluslve I"No Lemons"Guarentee:II the Compressor(the heart of your system)in your Air Conditioner fails during the first five years of
ownetship we will ramova the enlire outside unit,ralher than Ihe camponent,and install e wmpletely new one,if you've ever bought a'leman'
before,you[�uly appreciate our commitment to your long-term satistaction.
• No Mo/d Gua�antee:We are so confident In the B(ologic3 UV Sterilizadon 8 Eleclronic filVatlon sys[ems ebility to keep your system Gean that
we guaranlee with proper ennual maintenance your system will be mold Gee for life or we wili pertortn any necessary cleaning to the air handler to
remedy the pro6lem at our expense.
• •
Total Investmerjt $ �� (-) Rebates$ (-) Service Repair Refund$
Net Total InvesVnent After All Discounts Including Power Company&Manufacturer rebates$
This High Efficiency Home Comfort S� is available ' 100%bank financing with no money down for$ per month
(mU appmvatl cretlli).'I
AS Representafive � Date of proposai�/�/'�
Cusfome�agreaa Io p'Ce fiea access to I�a wa�ic azae enC e aale wo�kiig emlronmanl Tte eEove prime,epetlfifahons,le`ms,eM conditlona e�e eaYstepory eM hereEy agread to In lull.
1 glve eNho�imtlon Io�N foremen� tl work.You em eutMnzeE to Ao�he wo�k aa cpaGfieA.Peyment will be(naEe es aW ined.I uMarstand Ihet you ere�rot responalEle fot evBnb ot Celaye
beyoM yow ca�Nol.Ovrtb B e atlepuete fre, tam,entl o�rer asary Insivarun All al ow worketsAvork b wvere0 Ey Woiknen'a Compenaetion artl e Two MIILon Ganetal LieGtiy
Irowxnca.IlcollecUon�a 5.C��¢8reea t peY n �ys a IMeresL
o `
Customer Apprl I Date:�/ � /�
� 01995 SeMcas^'
. �
.
serv � c � s
Air Conditianing • Ptumbing • Electrical
,._._._._.-�-•- ---•---._ �._....-�-•-•-�---�-�- -._._._._._._.-�-�---�-•-�-•-• ---�--- -•-•-�-•-�-�---
i :' '
�FR�� ' �3T �
Service Ca11; ! ; ! � �
I With My Repair Onty . � ; �
i •
;FRE'E2nd Opinions i � an/ ��T � i !
;FREE � . y , . ,
Esfimates i •` � ! ,
• Stick it. Save IL.. tlever Eupires! t � 1 � '
�._....._._._._.._._._._._...: �._._._...._., _ _....._._.... �
.—•—._._....._....._._._ _....._._ I....—'— — —....._....._.,._._
From: 04/�3/20'17 �1:07 #826 P.002/002
� � � � � � i liiill Illlllili(Ililllllll il1f111i1!Illli lilll Illi!IIIIII�I
2017P154963
Rcpt:1854390 Rec: 10.00
, DS: 0.00 YT: 0.00
-�t ,,, NO'TYC�O�'COMMF.N�NT 04/12/2017 C. F. ; bPty Clerk
P�rmit No. t S°S PRULp S.0'NEIL,Ph D PaSCO CLERK 8 COMPTROLLER
/� ���f-��� _� S'� -�/v 04/12/2017 03:2 m 1 of 1
ipvty 1de,n�fic�tionNo. OR BK �52� p� 3�7
THE IJNDERSIG1�TEi)hereby givts aotice thet improvements wlll be made to ce;tain real Pmperty,and in accordanoe with Sedion
713.13 ofthe Florida S�tes,the following infoanation is provided in tha NOTICE OE C�NkMENCENIE1PdT.
1. Descriptiop ofgroperty(legal des�n: !v �� Ar�� �P� a PG/� ����.s 9 �,� ���-�,�
a) S�Addr�ss• -
2, Geaeral descxiption of improv�
''.1 � �A'►��� -
3 Owner Tnformstion �'l�C c.� �� � C`�4i�1 P� 3 � � ��YC' ��i? �
i a) Name and add�ss• S�, S�3 �7 �i� ��/ls 33S�t a-
b) Name sad�of fee si�le titleholder(if other than ovmer)_,,._ _._�._
c) In�erest in propcxty� ��S i��ac� ,^
4. Conuactor Iaf�on �a ' I .�b fu �J CU��t�� N�� / ���9 �3Co I`-(
) �12u' c'C'S
, b) Telephone No.:,�3-'`I w 5`�9�� Fax No.(Opt.)
5. Sw+�ty Iaformabon
a) Nsmc ead sddress• � I �-
Ib) Amount of Bond•
� c) Telephane No.: Fax No.(Opt.)
6: Lenda
I a) Name and addnss: i� 1 A r ^�
7. Id�tity of peason within the State af Flarida drsignafed by ownea►tpon whom aotices or a2ber documents may be secved;
i i a) Name and address: N 1 �
� b T e h o n�N o.: Pax No.(U P t-)
) �P
,
g In a t i ditia�,t�h i m s e l�owaer d e s i g n a t e s t h e fo Qowing p a s o n t o c+e a e i v e a c o p y o f t h e L i�o r s N o t i ce�s p r a v i d e d'm S e c�i o n
, 713.13(1)(b),Fla�ida Statuoes:
' a) Name end sddtess:„ rJ �f1
� b) Telephone No.: Fax No.(Opt) '
9'. F.xpitation date of Notice of Commenc�tent(the expitation daLe is one year from the date of recording unless a diffrt+ent date is
I ��: ,
WA1tNQiG TO ORTIEB:ANY PAYIVIENTS MADE BY THE O�VNE�AFPER T�1E EXPIBATiON OF THE NOTICE OF
' f,'jpMMENC�N�N'I'pRE CpNSIDERED IlVIPROPER�AYMEIV7'S ONDEIt CHAP1'EIt 713,PART 1,SECIYON 713.13,
i�?LORIIDA S'Y'ATUTFS.9sTTD CAN IiESULT IN YOUR PAYIIVG TVVICE FOI�IPItOVEMENTS TO XOUIt PROPERTY.A
I�O�'ICE OF COMIV�NCEMENT MUSI'BE RECORDED AND POSTE�ON THE JOB SITE BEFORE THE FIR�S7'
, INSp�GTIQN.�t+'YOU INTENb'i�OBTA�i RIIYANCff+IG,CONSULT YOUR I.ENDE[t�f AN ATi'ORNEY BEP�ORE
COMIVVIENCING Vi'OCtIC O�RECORDIIYG YOU N07ZCE OF C�IR�E1V NT. I
/ c
s�w�o�e�[.oam�� ,
C'�UNl'Y OF YASC.'O i
' S' Ownaror 's �
� ' Print TTame . ,
3" ��.--F' .zo/�,�, C�ec� l /1c C��'�
�T'�Poregoimg iostn�ment was aeimowledgcd��th�s �3'°f ��of a�osity,e.g.affioea,trusta:,S�omeY in fad)for
I ' t= C � � MC C�--fl�[P�2� (name of pa¢ty an behelf of whom mstrmneat wes �-
P�y Knoan�OR Pro�ced Idmtific�� Notffiy 5igne�ue �
�ype of ldmtifieehon Prod�oed��--b (...� Name(print) ��'�.-�, V S T�i..��� - ;
�e:ifit�m p�suau�t tn Sa�on 92525,Fiorida St�_Undea'Qenaldes ofptrjury,I declaie tLat I have read the foregom8 ead�t the fsc�s stffied '
i n,i ri me fi�c to the best of my l�nowlodge end belie�
FORMSR�(OC��7 gi�aye ot1L�i lasm S�se�Abore
�.�o� NoWY P+��ta of f4orida
� . Mary V Stewart
� My Comm{ts[on GG 002083
�a�d� F.xpites 07116120Z0
I