HomeMy WebLinkAbout16-17822 P�
� • CITY OF ZEPHYRHILLS -
5335-8TH STREET %
(813)780-0020 �7822�
; BUILDING PERMIT 'f
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17822 Address: 5152 17TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS I
Est. Value: Parcel Number: 11-26-21-0010-19700-0120
Improv. Cost: 5,850.00 OWNER INFORMATION
Date Issued: 10/12/2016 Name: TURGEON SAM '
To�al Fees: 65.00 Address: 5527 16TH ST
Amount Paid: 65.00 ZEPHYRHILLS FL 33542
D�te Paid: 10/12/2016 Phone:
Work Desc: REROOF SHINGLE
" CONTRACTOR S APPLICATION FEES
TLC ROOFING LLC REROOF RESIDENTIAL 65.00
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� - Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS RO F INSP
FINAL
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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
P 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 ma`nagement, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
impr�vements to your property. If you intend to obtain financing,consult with your lender or an attorney
; before recording your notice of commencement."
Comp�ete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
� NO OCCUPANCY BEFORE C.O.
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;CONTRACTO I ATU E 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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! C3�+�e: 352-�3T-��73 Ge11: 352-6�0-7��� ��
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�, PROROSAl.SUBMITTED T� � WURKED T't}8E PERFt'?R[4lEC?AT
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kate � zi�► cl�mer ot P��
hone Nu►tnb�r���3 .��� ..��� � Fax ' Phane Number Fax
le hereby�a�pos�to fumish ail the Fnateriais and pe�form ail the lahior nea�essary for the compi�tion of:
I Remove e�isting shingle roof ❑Repiace bad fascia boards at$ ..�4� per foot
!Rernove ex3�ting b�aift-up roof C!I�stall � fe�t of ridge vents
I Dry-in witF� t�f 5 Ib. O 301b. O lnstaf!modi#ied tiitimen{granulated}torch dawn roofing
1 Instali new g�Ivanized valley met�zl biack,white or other coior
!!ns#al!neyu lead bqots O install 25 yr.fungus resistant 3-tab shingles
i Insta{I new�t ver�fis �lnstaq 30 yr.fungus resisiarrt dimensiona!shingles
�Insiall new drip edge� coior Cy Shingle manufacture� color
�Install new flashing as needed C!instati TPO,white rubberized roofing membranc�}
� i Replace ply�oad at$ � �•6 c'� per sheet �Other. ����4. 5�1� ��'Z, �Y"� `�.�-.
� '�ti r foat 9''N ' ��_
� I�epa�ir rotten trusse�at$ �. p� � r)
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' Woodwork is an adriitianal char�ge,see pricing above
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�!t materiai is gu�r�rtteed ta be as speci#iect;and ih�abave work is to be performed is accardance vsri#h the drawings and spec'rfica-
io�s submitte�ci for above work and compteted in a substantiai uuorlcr�aniike mar�ner for the sum ai$ ��Sd S Q �d
v i t h paymen i�to be ma de as fo l iowrs. P 1 x1�'f e l'1 t d i�� i 1 9 #Ui�_O t 9 C o m p l�,i�e 1, u c e f e� �#h e r v y i s e n o#�o T h a n�e���ao
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Credit cards accepbed,addi�onal 2.8%charge.
4ny aker�tlon or deveaUon fram above speC[N�adons lnvotvin�e�Ara costs ur1l1 �
na executad only upon wrilten ordera,and wiil become an extre�hargo over and
tbove tt�e estlmate9 Aq agreemerrts cecniitigant upon sirikes,aceWenis ctr dstays Q({ICBP'/� E3fit
reyond our coMro!=Orroner to carry flre,lnmado arid other neGe�ary insut�8nc8 9 '
, �sonaoovevwncworaer��com�er+sac�,�rra�,t�r��.��s�yu,suranceanat�e �lote: Tttis proposai may be withdrawn �y us �f not acce�Y�d
, vark to be teken out by Roofing Coatractor.
� • W(t�11R t�a3�5.
� ;Iien#gaves permission ta drive an dr9veway to deli�er mate�als.
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'� ACCEPTAA�!!CE OF i�fiOPOSAL
T�e above�priees,spe�ifications and conditions are satisfactory and ars hereby accepted.Y'ou are authorized�a da the uvork as
�pecifEed.6 have read�he back of this�'ropasa#lContraci,whioh cor�tains Flot�da Statues 713.QQ1-713.37.Payment will be znade as
outlined above.
Accepted � Signatur�
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Da�e �7�� 7 ��� Sig�ature
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
; Building Departrnent
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Date Receivid �1' �- �i � ("t �Z •
y �- - Phone�Contact•for+Pernilttin
Owner's Name ,1 C(, Owner Phone Number
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Owner's Address Ze {"� Owner Pfione Number
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Fse Simple�Itleholder Name � - Owner Phone Number �
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Fee Stmple Titlehotder Addrass °
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JOB ADDRESS LOT# �
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SUBDIVISIO�N PARCEL ID# � � " Z lt� ' 2 — ����� 197Dv - al2d
� , (OBTAINED F,ROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR ADD/ALT Q� SIGN -0 , Q DEMOLISH
'� �-8. INSTALL 8 �.,REPAIR � -
PROPOSED�USE Q SFR. Q COMM 'Q -OTHER ' �
TYPE OF C�NSTRUCTION Q � BLOCK ' Q FRAME � [,� STEEL Q
DESCRIPTION OF WORK C Gi.r �� � l DI,J 3� l ��I l,� CLC''` i`�i],� 5�a vtq` �j�!`�jql�
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�UILDING SIZE � � SQ FOOTAGE� - _ HEI,GHT .
QBUILDING $ VALUATION�OF TOTAL CONSTRUCTION �
QEL�CTRIGAL , $ " AMP SERVICE
� Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � �
M �C ' 'v ��
Q E HANICAL $ V/1CUATION OF MECHANICAL INSTALLATION � �'
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QG14S Q ROOFING ;Q SPECIALTY �._ OTHER�
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FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA QY�S NO
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BUILDER COMPi4NY�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ,
Addre�a Cicense# �
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ELECTRICIAN: . COMPANY � � �
SIGNATURE �' REGISTERED Y/ N FEE CURRE►�' �Y/N
Address , , , License#. � `
PLUMBER " `COMP.,,ANY � � -
SIGNATURE _ ; �REGI&TERED Y./ N,. .''-FEE CURRE�- ' ' Y.�/N °
Addre� License,# , �
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MECHANICAI: , C.OMPANY
SIGNATURE " � REGISTERED Y.,/ N , ._, FEE CURREA Y/rN ,
Address�'' _ � �� ' License#
OTHER (:- _ , . ' ' � ��C� , �
� ,COM,PANY ' _ �D �✓t C.d yj j J' ,`O v�
SIGNATURE, '." ' - - '' � � � " -REGISTEREO ` ' Y/ N.. FE R�n Y/N
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Address� �f~; �., .d ��,: 0. t� � � � License#' CC
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RESIDENTIAL:., ;-Attacfi'(2),;Plo.f Plans;;,(2-)§ets;of Building�Plans;`(1)`set of-Energy�Fo"rms;'�R-O=W Permif for new constructton, "
� •�: Minimum;tenr(:1,0)�worktng}days;after:`submitital-date._:Requiredonsite;�:ConstrticBon�Pl�ans;Stortnwater'Plansw/SfltFence�installed
���� �SanitaryFaGUUes,&;1,;dumpster,,Slte�Work;Perinitforsubdivislons�arge;pro)ects.-N.." °- _-- '�� '� — — '
COMMERCI�L Attach(3)�oomplefe sets"of Builtlfng Plans plus alife Sefety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
; Minfmum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
i Sanitary FaciliUes&1 dumpster.Site Work Pertnit for all new:projects.All commerGal requlrements.,must meet compllance �
. SIGN PERMI� AttacFi(2)"sets of Engineer.ed:Plans.;:�, ° � . .. � .:- �
;i ""PROPERTY SURVEY required_for all NEW construcUon._
Dlrectlon�: - .. .,. �
F(Il out applicaUon wmpletely.
Owner&;�Contractor sign back of appl(catlon,notarized
If over�2500,a Notice of Commencement is requlred. (AIC upgrades over E7500) _ �
" Agent(for the contrector)or Powe�of Attomey(for the owner)would be someone uvith notarized letter from owner authorizing same
DVERTHECOUNTER.PERMITTING-- --(Frontof-ApplicaUonOnly)— "
Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drivewaya-Not over Counter if on public roadways..needs ROW �
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NOTiCE OF DEED RESTRICTIONS: The undersigned under�tends�;th�t:this:�p�nnif,..may,be:sub)ectyto,°deed",restrictlons"�._.;.:,,::�.,,.:�
which may�tie�moce`-r.estir:ictive�th��'�County��:regulatlons:•'-The underslgned'a�s'sumes=�esp�'n9lbtltty'for"compliance with�any
appiicable..deed-reshictions. �.. :.;� �.: - - `-. ._ • . _ ., _� __ .� ;...:.,-.• .,. .,. ._.
UNLICENSED•.CONTRACTARS AND CON�R�ICTOR RESPONSI�ILITIES: �•If-�tFie� owner'has��htred��a contractor or
contractors to undertake work, they,m�ay:b,e,reiquired:�to.be.licensed�in.accordance.with state:and:locail,regulations:••�If�-thef���' � ��
contractor�ts not Itcensed='as'requlred;,tiy law, both�the owner and-'contractor4may�be=ct'ted�.for�a�misdemeanor violation
under state law. iF the owner or fntended;cont„r;actcr,:ere;�uncertaln as�to what Ilcensing;re,qulrements.jmay�;apply���for:�the�-�.��� - ���'
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intended work,they ace.advised to coritact.'tfie�Pasco County;Bullding'InspectionrDiiiislon�-Licensing Section et 727-847-
' 8009. Furthermore, if the owrier�'has hlred`�a conVacfor or contracfors� �he Is advlsed to have �the conhacto s),_sign_ ._
K_,. :._.
portlons of the "contractor Block" of..thla_application..for_which.they will,.be,r.esp.onslble.-.lf:you,-as,the owne�'stgn`�as`�the � " �
contractor; that�may��be an indication thaf`fie-ls-not.properly-Iicensed�antl�is not entitled"to permitting privileges In Pasco _
County. .. . ; 3�.,;_;..,�;_ . ,
I TRANSPORTATION.IMPie►CTIUTILITIES��IMPAC'��ANb RE$O�JItCE RECOVERY FEES: The�undersigned understands
that Transportatio� Impact Fees and.Reco.urse Recovery_.Fees mey..::apply�to�tf�e,constructton,of new bulldings,�change~'of`-•'�`--�=..':
use in existing bulldings, or.,expar�si�n���of�sezisting:�buildings� as specifled.in.Pasco County O�dinance number 89-07 and
90-07, as amended...The undetsigned alsaunderstands, that:�such fees;�as�tnayr��e�:due„will:;be tdenfified at the�time�of�'�-° ���' �`
permitting. It Is furtlier understood that Transportation Impacf Fees an.��Resource:Recoveryi Fees,.mu�t be paid prior to
rece�v(ng�a 'certiflcate.of occupancy" or��flnal�powec;releaser :If�the.proJeck.does�.not Irnolve�a�:certiflcafe of occupancy�o�=-'=-��=��=�= '
flnal power release;:,the.;fees-mu�t!ie paid,prior to'.permit issuance. Ft��thetmore;�If:.Pasco:,�County�Water/Sewer,•slmpact - .
fees are due�..they�,must be;pald.:prior to permit_,issuance�in.accordance with��pplicable-Pasco'�County-ordinances. •
CONSTRUCTION'L"IEN'LAW"(Cliapter 713� Florlda Statutes�aa amended): If valuatlon of work is$2,500.00.•.or:more��-1 �;. -•�._.
certify that•-I, the. applicant,�: have-been pmyided�with--a-copy�of•the�"Florida� �onstFuct(on Lien;Lav+F—Homeowner's
Protectlon Guide" prepared by the Flo�lda Department�of Agric.ulture and Consumer.�.�ttfa(rs. If the appllcant Is someone� ,. . ,
�.:�.� _ _ , .� .,
other than the"ovmer", I c�rtffy�..that l�have.ob.tained�a�copy.of:the:abave.�.descrlbed�docuiiaent-and,p.r.omis��:in,good;_faith to -
deliver It to:the<.`•,owner"�prlor:�tofcornmencement:�' ' � � =^ � -� ' - .
CONTRlICTOR'SIOWN�R'S AFFIDAVIT: I.ce,rtlfy��:ttiat.ali�.th��lnf.ormatitm:in•thi�applicatlon is accurate.and that�II work
will'be done in compliance with all appllcable�laws regulating constructlon� zoning and land�development. Appltcation,is
hereby made to obtain-.a pecmit�,Co�:do_work;.,and instellation as indt�afed:- �.�:I certffy that no work��:or Installatton Fias
commenced prtor to Issuance of a permif"`and that.all work wlll be perFormed�to meet standards�of all laws regulating-
construction, County and City codes, zoNng regulatians� and land development tegtalattons�in tFie .jurtsdictlon. �l��al'so _ .
certify that I understand that the regulattons of other government agen�les may�apply�to the intended work, and that it(s
my responsib8ity to identify�what.act(ons I must•take:to be�in:.cvmplfance; ,S.uch agencles include-but=are-.not iimtted to: � �
- Department of E�1v(ronmental.�Protection=Cypress�`Bayfiead"�; VIIeNand Areas and Ernlronmentally Sensitive
Lands,WatedWastewater Treatment. �� �
I - Southwest Florida W�ter Management-:Dtstrict:Welis;' Cypress.�Bayheads;- Wetland Areas� Altering
Watercourses. - , ; - •
- Army Corps of Engineers-Seawalis, Docks, Navigatile�W�terways. "
- Department of_.Health,;&.s,ReFiabllitafiv,e:,,SenrtceslEnvironmenCal._H�alth Unit Well.s� 1Nastewater3Treatment, � +
Se�tic Tanks:_.' , � . � _ � _ .� :
- US Environmental Protection Agency-Asbestos abatement.._, �
Federel�Avlativn-Authority,=,Runways. �
, 1 understand.that the following..�estrlctions apply to the use of flIL•�
- Use of flll Is not allowed in;Flood;:Zone"V"unless expressly permitted.
- If the flll material�-fs to b.e used`'In.�Flood Zone. "A", It. is understood that a drainage plan addressing a
°compensating volume" will be submitted at#ime of:permitting wfiich is prepared by a profess(onal engineer_ �
Iicensed by�he State of�Flo�da: -
- If ih� flll material�is to:be used In Flood Zone 'A" in�connection�wlth�a�permltted building using sfem wall;
� construction� I certify that flll:wall:be-used only.to.fill the area within�the�stem�wall. � -
- � if flli materlal ts to be used in any a�ea, i �certify that .use. of such flli will not adversely aftect ad)acent
propertles. If use of flll Is found;to adversely.�ffect ad)aEent��presperties�.the owner may be cited for viofating �
the conditlons_.of the bi�ilding�permlt Is'sued�under tlie�attacfied permit��pplicatlon,..for:lots�:less�than one (1)
acre virhicH are elevated�by flll,a�engineered dralnage plan is requtred. , •�
If i am the AGENT FOR THE OWNER,.I;.promise In good_faith to Inform the owner of-the permitting condftlons set forth In
this affidavtt`prior to commencing constructlon. �1 understand thet�a separete�permit may be requtred for electrical work, .
plumbing, signs, wells,.,pools; alr condit(ontng,.gas, or..ott�e� instell�ttons not,speciflcally inclu�led�tn.the application. .A
permit Issued shall be conshued to be�a�license'�to�proceed with`tF1e;work and�not-as:authority:.to,violate;°cancel, alter, or
set aside any provistons of the technical.cod�s;�nor shall issuance�of a.permtt.pcevent the Bulldirig Officialfrom thereafter
requlring a correction af errors In.plens; constructlon or vlolations of-any codes. .Every permtt Issued sfiall�become invalid
unless the work authorized by such permit:�s-commenced�within sGc.months of�pertnit issuance. or if work authorfzed by
the permit is suspended or:abandonedifor.a:period_of�six��)�montfis:efterthe time the�work is commenced. An extenslon
may be requested, in wrlting,from tfie�Building,Official for a perlod:not=to exceed`ntnety=(90)"days a�d-will'demonstrate
justifiable'cause for:the extension�. If work.ceas�es;for ninety{90)cons.ecutive day.s�..the Job�,is considered aba�doned.
WARNING TO OWNER: YOUR.FAILWRE�T�.R�EC.ORD A.NOTIGE:OF��COMMENCEMEMT:MFAY�RESULT IN�YOUR
PAYING TUYICE;.FOR.�IMPROVEMENTS�TO:Y-t4Ut�:P�tL�PER-TY: �I�°YO.U=1_ �Et�lD:TO'�OBTAIN��FI `�1E1NG;�C.ONSULT _ _
�. WIT D A NEI� FORE�t �ECOR� G:� pU- ' - - -- - — T.--.—_ - - _-�- .
FLORIDAJURA�•(F.S:1.17 3) . _ . . . � . . .
OWNER OR AOENT � C�NTRAGTO ~ � `-
Subsalbed and swom to(or aNirmed)betore melhis•�., Subscrlbed and'swom'to(ot a rmedpbefore me'tfit�-
by by . .
Wfio Islare personally k�ovm to.me or hasfheve prqduced Who.is/are p.er�onallyknown to me or heslhave-produced
� as IdenUflcatlon. " es tdenBftcaUon.
Notery Public . Notary Public.
Commisslon No:� Comml9sion No. •
i
Name of Notary lyped,printed or stamped Name ot Notary typed,printed or stemped
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�� • I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
� 2016160378 I �
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Ke. No_�' p���t�o. Rcpt:1807382 Rec: 10.00 -'
Y DS: 0.00 IT: 0.00 �
10/12/2016 K. D. K. , Dpty Clerk
AlQgICE.�F COMI�iE�ICEti�Ei�T PqULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLEFc
TfiL�.Ut�1FJEtZStG�fE�hereby gives notice that impre�e�±+�^}M^!►� 10/12/2016 09:13am 1 of 1 i
Macieto certain;and in accarclancewith Chapter713,:FloridaState - _ OR BK ��4� PG 2��� i
Statues,�the following information�ispravided intfiis_Nofice.ofi
Comrr►ericemer� �` -`�(�'2�'d 014 l �(,�0 v O l2 a -
1. D e s�'p t i o n�o f�P r.o p e r l y::P a r�e l N o_:. .5�52__ �1�' S�,�� 7�r I�,.��.n 5 , F.� 335�Z . �
� �(Legal descripfion�ofthe=property-and s�i�et;address if a�aiiable} �
^ ^-�°•-al C�scription of(mproverraerit
G. �:/GI IT.� . .
Q.a'�� '{�o�fi.,CQ_MG�
3. Ov�►rier 1nfoRnation: Name: 5� `s�� , ►�
kdtlress: ..5 5 2� � ��" �"� -•- - - _ C�tv--�'�=�``.,�;hs -- - Sf� �—�p ,�3�'y2
. ----..._ _,....... _ -- - - --
tnter�st in P�perly: awNF2 . .
w�__... ..-,�:i A:S.i�...._-s:F-�� " �C:w+..{ T
___: - ___..:::-�-s-_�.. : _�s:�„�.�-�2t�older�tf�other�an.owrie��.:
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4.�Cor�actor.Name_�TLC�ROOFING LLC ._
� Aiidrnss: PO BQY 1 Z45 . . _ . -- City DP►DE�CtTY. . . . S`�ate FL ?Jp 33526 -
:.Pho�ne No_ 352-�#73-4Q73 Fa�No..=352-473=40�3
5_ Sur,eiy_ Name� -. _ . Amount of�8ond_� .. .
..
Adc�ress• . City . .__._ . . State .._�p. .
Ptiane.No.. . . Fa�.No. - . - . -
6:Len�der. Name: � � �
� Add�ess: - - City S'i�te=Zip
Phone tio_ - Fax�No: ...
7_P .er`soris wi#hin�the S�afae o�Flodda des"igna�eii by Ownei-upon wl�om nvtices oT otF►er documer�s enay.be
ser°ved�as provided by Sec�ion�13:'13(1;�(a}(� Fiorida-Staiutes.
�Narr�e: - -
Address_ . . _ City� .. . State�=ZiP.
° � � . � . Fax Nii �
Rhone_No. _ . -
. . .. . .. .. . - � oz
, 8: [ri�cidifion�to hirciseif or-tiecself*Owrser-designates
To receive a copy of the Leinor's Notice as provided:in Section 7'13.13('i).(b);.�(orida Statutes.
9. Expiration date of�oti�e of Commericement:(#fie�eXpirat'ion.ciate-is�1 year of record'.mg untess a different
da�is specined_j
`lLtRRNlidG TQ.OWNEE�ABiY PJ4Y11flEHTS li9liuE^oY T'r�.0i�'?��"��+.��•'i i�'w i"':."..'`.�:.`5':. --�R::�'�L:G�$�&SE�lCEl4�ENT Al2t
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paglly�°'l1flpCE fOE�'(MpBpVEMENT9 TO�0liR PROPERTY A-N01GE�OF G�`�P�ENC�ECJ7'�AllST BE RECOF{DID taiilEl P05'�ED•ON 7HE
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CrYPe bf authorily�g,o attnmey in€act � (Name af party on:betiaif o mshlm�ecrtwas e�d} .
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Signatiue of Notary Pimt + " ", ".". - �- Tjrp. r Stamp Name:of Natary
Personafly.knovm OR Produ �Id " caEion 1+i , .
Type of lder�tification Ainduce�: � � , �
- � er PenatH�aF i declar�fhat l iiave read the fo oi�eg and�thatfhefacts I
Venfica4ton pursua�tn:See�ion 92525,Flo�Ida Sia�Ees:nnd perl�Y. . �9
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� ...�►��'a"e'• . BRITTANY B.MILLER
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r." ;�'= Notary Public-5tate ot Florida
_� : �' Commission#GG 012779
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B �',,�o���d;°'` My Comm.Expfres Jul 18,2020
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STATE c�F FG�RiDA, COUNTY OF PA�CO 3������
THI�IS TG C�RTIFY THAT THE Ft�{��CC�ING ISA �C°� ' � � ' ���
TRU�AND GURRECT COPY OF THE DOCUMENT ��", �`h
ON FIL���2 dF PUBLIC RECORD IN 7HIS O��ICE
WITN�S�,J,VIY HAND AND -FFICIAL SEAL THIS �: ; �c
Y'`�DAY OF 2� '� "�� a�t r'u�r '
PA LA S,d' EIL,CLERK COMPTROLL�R � � *
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BY r DEPUTY CLERK
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