HomeMy WebLinkAbout17-18005 I
CITY OF ZEPHYRHILLS
' S335-8TN STREET
(813)780-0020 � ��
BUILDING M�ERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18005 Address: 5043 9TH ST
Permit Type: MECHANICAL ZEPHYRHIL.LS, FL.
Ciass of Work: A/C CHANGEOUT Township: Range: Boak:
Propos�d Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Squa�-e Feet: Subdivision; ClTY OF ZEPHYRHILLS
Es�. Value: Parcel Number:
Imprav. Cast: 21,460.00 OWNER INFORMATION
Date�Issued: 3lQ912017 Name: MA��.ICK BETTY
Total Fees: 145.00 Address: 5043 9TH ST
Amot�nt Paid: 145.04 ZEPHYRNILLS, FL. 33542
Da�e Paid: 3/09/2017 Phone: (813)317-7046
Wa k Desc: A/C CHANGE OUT 4TON RND 1.5 TON UNITS
CONTRACTOR S - APPLiCATION FEES
AND SE VICES .A/C CHANGEOUT 145.00
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I Ins ectians ired .
DUG S I ALL
DUCTS 1N�SUTATED
FINAL I
REINS�"ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statut�553.80 (2)(c)the
local gs�vernment shall impase a fee of four times the amount of the fee imposed for the initial inspection ar
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTIC : In addition to the requirements of this permit, fihere maybe additional restrictions applicable to this property that
may b�found in the public records of this county, and there may 6e additianal permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Vllarning to awner: Yaar failure to recard a natice af commencement may resutt in yaur paying twice far
impr vements ta your property. If you intend to abtain financing,consult with your lender or an attorney
befare recording your notice of cammencement."`
Compl te Plans, Specifications Must Accompany Application.All wark shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NU OCCUPANCY BEFORE C.O.
i
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MUNTHS WITHOUT APPRt�VED INSPECTION
, CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRt}TECT CARD FRBM WEATHER
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, 5010 N Cortez Avenue
Tampa, FL 33614
� Phone: 813-445-4818
Web:www.comfortiscool.com
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serv � ces
Date March 7, 2017
City f Zephyrhills
5335 , th St,
Zeph hills, FL 33542
Subj ct: Authorization letter for HVAC Permits CAC1816819
Genf emen:
I, Ma ek Stroz, authorize the following individual ( s )to be added to the existing list to pick up
and ign for permits on my behalf
Magdelen Brito
, Should you have any questions, call 813-445-4818
Sinc rely
M re Stroz
I State Of Florida
Cou ty of Hillsborough
The f regoing instrument was acknowledge before me this�day of f'n���20 /`� by
�-S � , who did not take an oath and who has produced
identi ication, Drivers License#
My ommission expires: � '((o r.2� Z-c� --
Notary S' nature
$�� Notary Public State of Flodda
� . Mary V Stewart
� My Commisston OG 002083
�op N� Expirea 07/16/2020
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813-7844020 City of Zephyrhills Permit Appiication Fez'8�3'�80-0OZ�
Building Depertrnent
Data Reeehred � � � � Phone Contect for Permittln r� l��7� - � -6 1 h
Ownds Name 1 1 �, 1�L Oamer Phono Numbv ������� �/�
Ownd�Addras �"� � �i � Owner Phono Numb�r
FN Simple Titleholdo Name Owner Phone Numbar
FN Simp�e Tftleholda Address
JOB ADDRE33 ��� ( S J ��. LOT i1 �/�
SUBDMSION e-� ` '-" �""'�I���{ PARCELIDA I' �P 3� ��lO' (NC ����
loeT�ut�o Faar rrtoaFxrr T�x Monee�
WORK'PROP08ED e NEw CON57R e ADD/ALT [�] SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CON3TRU ON Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF W RK �1 `�—CJ��A.7�� CS1� oZ l.��9 i�S LP 7~b� -�' /•S �Q}� I S S�JZ ��I
BUILDINO SIZE SQ FOOTAOE� HEIOHT �
QBUILDING E VALUATION OF TOTAL CONSTRUCTION
QELECTRIC S AMP SERVICE Q PROGRESS ENERGY Q W.RE.C.
QPLUMBING S
�MECHANIC E�)L{�� VALUATION OF MECHANICAL INSTALLATION
1
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR AT10N5 FLOOD ZONE AREA QYES NO
BUILDER COMPANY
g�GNATURE �cisT�eo Y/ N �cura� Y/N
Addross lJeense#
ELECTR�CIAN COAAPdWY
g��,N/►7URE REGISTERED Y/N �cu� Y/N
/�d� Llcense#
PLUMBER COMPANY
$�(;��� REGISTERED Y/N FEECURRET Y/N
Addnss Llcense#
MECHAMICAL CONIFANY �-�"�`�"1e�
SIGNATURE REGISTERED Y/N �cunrt�n Y/N
�d� ��o +� Ca�� � u�� � I�1(v�'I �
OTHER. COMPANY
SIC�NAiURE REGISTERED Y/N �CURtta� Y/N
Addfqs License#
t-�"f�'7'1 Tf f- 17-1"1"1'i 1 f7"17-1-f"TT(TTT�I l'il 1 77 f Il I-t-f'fl"7 Tf ITl f T l 1-TTT77T7'i i"7"1'i'
RESIDENTIAL ch(2)Plot Plans;(2)sets oT Bullding Plans;(1)sat M Energy Forms;R-O-W Pertnil tor new construcUon,
Inimum ten(10)working days elter submitlel date. Requirod onsfte,Constructlon Plens,Stwmuveter Plane w/SIR Fenee Instetled,
itery FeeflNles&1 dumpster,Site Work Pertnit for subdhrisionsAarge projeeta
COAAMERCIAL eh(3)complete seffi of Buftdinp Plens plus a Life Safety Pege;(1)aet of Enerpy Forms.R-4W Permft fcr new consWctlon.
inimum ten(10)vvaidng days after submittal date. Requlred u�slte,ConatrueUon Pians,Stormwater Plans w/Sift Fence instelled,
itary Fac➢Poes 81 dumaster.Ske Work PermR for all new proJecfs.AII commerdal requiremerds must meet eompltance
31GN PERNR eh(2)sets of Engineered Plens.
I OPERTY SURVEY required tor all NEW ca�atrut�on.
DUretlons:
Flq out appliea eompletety. i
Owner 6 sign badc of epplimtlon,notsttred
M over i2500, Notleo of CommeneemeM is rsqulred. (AfC upgredes over s7500) . .
" qgent(tor the tractor)or Power of Attomey(for the ownar)would be someone with nofarized letter from owner autl�wiang same
OVERTHE COU R PERMITTIN6 (Front of Appllcetlon Onty)
Reroot6 H ahingles Sewers SeMce Upgrades AlC Fences(PIoUSurvey/Footage)
Drlvmways-Na over Counter H on publie roadways..needs ROW
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Air Canditioning • Plumbing • Etectrical
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, ` 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 misdemeanor 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 Section at 727-847-
8009. Furthermore, if the owner has hired a contractar or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block°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 properiy licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that 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"certificate of occupanc�'or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to pertnit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit 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—Homeowners
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 capy of the above described document and promise in good faith to
deliver it to the"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify 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 wark or installation has
commenced prior to issuance af a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
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,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, 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 Flaod 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
"compensating 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 Flood Zone "A" in connection with a permitted building using stem wail
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 fili 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 pertnit 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
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, ar other installations not specifiqlly included in the application. 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 codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every pertnit 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 eMension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrete
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
WITH YOUR LENDER OR AN AlTORNEY BEFORE RECORDING Y UR NOTICf�OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) �
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or effirmed)before me this Su scri ed nd m ta(or eftirtned)be me this
bY 3 l by_ YYl l��C�i< S TrLr']�.
Who islare personally known to me or haslhave produced Who fs/are personelty known to me or haslhave produced
astdentlficatfon. asfdentlfication.
Notary Public Notary Public
Commisslon No. Commission No._('rU�����
I�-A� �( .ST�,�►zT
Nam�of Natary typed,printed or stemped Name of Nota typed,printed or stemped
aq���i� NcteM rY��Pu�bllc 3tete of Floride
. Mary V Stewart
'� � My Commission OG 002083
'Eo'vn� Explros07H6/2020
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serv � ces
Air Conditioning • Plumbing • Electrical
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Estimates i •' � : ,
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• Stick It. Save It. Never Fnpires! 1 • � • �
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, Tel:813-445-4818 ',
" � ' ' 6359 Tei:�z��ss-ia�a `•.
PRO�POSAL Te1:852-058-4181 '�
, ` ' _ TeL'863-228=5588 '�
S.e,�'� ''�'C��'e:,s�� www.andser4lces.wm
AlrCondWoning •Vlumbing•Ele�triwl `.J/ /7 confaCt(d.811dSBN7CBs.tom +'�
, , InstallationDate: (73 /=L , ' :�,,c,a,�,s.�,.:��,ec,�oous.
Custortier name: � = �'�Dale: ' - '-
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StreetaddressofJob cation: p . . .- . . . . _��y. . .-- :. �-'..F�.-,Z�P��33Tr/)
Primary phone: � �Other phone: �� Email:""'��s���-'����•*"
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� �� U' p to 20 SEER �! Up to,�EER - � .! Up l014 SEER�. . ✓ 13 SEER - ,__: � � �
I� 10YearPJLPart � •� � �,10YearAllPart � � 10Year,AllPart , , ✓ 10.YearAllPartWartaMy� �
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Q �Whole House 8i logic3 UV Sterilization System,Stg.�"�° �,,VUhole,House:Biologic3 Electionic F.iltrations System:
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I ❑`AirHandler/Fu ace . "�_`�'S❑ Vertical�Horizontal O HeaYPump O AirConditioner �.� Package'Unit
� NewAigitalTh rmostat❑'Non-Program: .❑ Program. ❑ �/.ftons..�� SEER _BTUH
❑ New Digital Pr graminable Therm: witfi Humidity Control �" Model,, -��td�..�" `
❑ Reiocate(rom to ❑ Hurticane Pad ❑Plastic Pad '
❑ 0 Relorate from ,� � to -
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❑ 'FiltFationi`� ermanentWa'shableFilterO Grille`,'''"=' ,'❑`°New"100%°oopper;:dehydrated'refrigerant'Piping.`..�" '
O New safety dis_nnect switch'`,,� .❑ Surge�Frotection �."Fully insulatetl suc{i6n piping-.,`-' '- , ` - � _ -
❑ New wire from reaker panel to equipment � �' New watectighYelectrical whip =•�- =.., k•
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�. VenVFlue: ❑ Complete�new� � ❑.Useexisting� . ��$ .��V�S�(MA�`s .`, � ��
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Engideered duc system for ' -tons�I S vents ✓"All lsbor�' ' `'"' - ''' `'^'' ' ' ` ' '�
' � Economy - ❑ Anti-Mic obiaF$ � ✓' Obtaining permits.(where,required)
� ��'� �� � � � ✓ New.,NC.circuit rotection Brand=
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Metal Duct Sys em.Energy§aJing Insulalion lnclude�d. ' Existing"§ize isi:"'.�"'/""''"°'.`Change to:''''-" 7 '
� Rooms requirin additionai airflow: ✓ Fleating and Cooling rou6ne maintenance for�years
❑ New supply ve t to: ✓ Check entire systertt fo�safety and efficiency ' "'
❑ New retum ven to: ✓ Shoe covers,mats and d�op cloths to be used as necessary
❑ - ✓ Remove exisling equipment from premises
❑ Mastic and seal all leaking Joints � _ � Clean up
❑ Duct Sanitizing '
• • �
' • 24-Hour Fix/�or Hote!Guaranteet Unlike most companies,we are a service�company.We haye a stafiof qual�ed service technicians Nat
are lhere to serv you in tha unlikely event your system has a probiem.So our guarantee lo�you is that when we errive,we,gua2ntee that we will
have your syste_up_end running within 24 hours of our artival ar we will put you up in the lopl Embassy Suites for the night.
• Best Value G arentee:Anyone can make something�cheap`er by cutting comers and pripng R for less.So,IPs Important to know what is and
is not included in�� n'y heating and cooling system you choose foryour home:Our Best Value Guarantee is our promise to you that you cannot find
a comparable in tallation for less. or we'll pay you a$50.00 tionus oJer the dif(erence.All we ask is that it be a"published apples-to-apples"
comparison;with 14 days of purchase,end have ihe same wriflen installation specifications as AS.
• /nsta//afion fkmanship Guarantee: Our installation lechnicians are the best in skiil,attitude and workmanship.The�Il care for your
home and'compl te ihe Job with speed and preGsion.They wear floor savers,clean up wlien they are finished and fake personal iesponsibility for
.,your setisfaction:They will not smoke or swear in your home and they are polite and courteous.If,when ihey have finished in your hame,they
have not pedorrq d in accordance with these high sfandards,we'll refund whatever amount of tha purchase price you feel to be fair.All we ask is
ihat aur oKce bei otiFied of any level of dissatlsfaction befoie the technicians Ieave the home so ihat any issues can be addressed accortlingly. '
• .Exclusive"N Lemons"Guarantee:If the Compressor(the heart of your system)in yourAir Contlitioner fails during the first five years of �
ownership we vril remove the entire oulside unit,rather than the wmponent,and install a completely new one,If you've ever bought a'lemon"
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• No MOId Gua/antee:�We are so�confident in"the"Blologic3 UV Steril¢ation�&Electronic filiration sy,stems;abifity to keep your system clean ihat
we guarantee proper annual'mairitenance your system will tie mold free for IHe or:we�will peRorm any necessary cleaning to the ai�haniller to
remedy,the pro61 m at our expense. _ _ •
• �
Total Investment $ � �-/ Rebates$ (-) Service Repair Refund$
Net Total Investme t After All Discounts Including Power Company 8 Manufacturer rebates$� y6�� p[�
This High Efficienc�Home ComfoA System is available with 100%bank financing with no money down for$ per month
�wm�eowovea aean). /�
AS Representative /�t�.'e1G�� �U�3. Date of proposal��/ 0� /��
cusrom egreea io v�aa a ma wo��k eree end'e eatewwwn¢em�ro�mam.me eeo�v��.weaemno�,ee�s,a�d w�sewn are�u:r�aory a�d�reey�reec m io rwi.
i e�a�o�r�eoo io omer 8 nboned xrork.You em eNlnriaG to do Ne work as apeufietl.PaymeM will be matle as oWI�reO.I uMetslentl Ihat you ere not respotsible br everRs or Eelayrs
tryaM yoim m�trol:Ow�rer rees N carty etlequate fim,amrm,aM o1Mr�ssary Iwuanm.M of ow wo�kers/work is covare0 by Woilmian'n Camper�saGon end e Two M�Pon Ganarel Llabiliy
Wivance.II mltaction ia ry,b et agree b pay'eli cdleclio cosls aM IMuest '
CustomerApproval Date: 23 / �y (��
m1995ArqServices"'
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' 2017033667
NOTICE OF COMMENCEMENT Rcpl.:1844423 •Rec: 10.00
Pennit No. DS: 0.00 IT: 0.00 II
�,,—� a/��������,��� 03/09/2017 J. R. , Dpty Clerk
' Pro Ideatific�ion No.
'IT� ERSIGNED hereby gives notice that improvemenu wip be made to cestain real property,and in accordance with Section
713.1 of the Florida Statutes,�e following information is provided in the NOTICE OF COMIVVIENCEMENT.
i. U�iption of property( al descnjpt�nn: .�-'� �o���c�:.lL�n �a l PG 5`� 4�-1 S 5'� �� ��o c� L5�
a) Str�eet Addr�ss: �D�/3 �{� S`Tae�T �-e„�,D►�.. ��2�4 33S�f a
2. G�description of irnprov�m�nts ��e
h��C
3. er Infatmation
' a) Name and addness: ��w m A-�I I �C.. S 04 3 ��'^S'�' �e�,.�1�.�=Q.4� � 33 S Y Z
b) Name and addreccs of fee simple titleholder(if other than owner) �-= 1 �-
' c) Interest in property I�e s,�e,,.�ce_
4, nUactor Information •
a) Name and address: l�� .�P.�►!i ce S .�o�v til Co+�e� �re T CC.-33�to�`{
b) Telephone No.: 813 4 y S�! Fax No.(OpL)
S. S Information
t� {.�
a Name and address• �
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b) Amoant of Boad:
c) Telephone No.: Fax No.(Opt.)
' 6. nder �
s) Name and address: � �'�" ,
7. I tity of pesson within the State of Florida designated by owner upon whom nodces or otber documents may be served;
a) Name�d address• ,.3 T/a
b)', Telephone No: � Fax No.(Opt)
8.� In'addition to himself,ow�designates the following pe�s�on W receive a copy oftt►e Lieaor's Notice as providefl in Section
71 .13(l)(b),Florida Stadrtes:
a) Name and addresss: � � �
b) Telephone No.: Fax No.(Opk)
9. E�irakion date of Notice of Co enoement(the expiration date�is one year from the date of recording unless a different dabe is
): Yrl�1-a-c�, ��i 2o i�7 •
W G TO OWNER ANY PAY1ViENTS MADE BY'CHE OWNEB AFI'ER THE EXPIRATION OF THE NOTICE OF I
CO CEMENT ARE CONSIDERED II1�PROPER PAYMENTS D1vDER CHAPTER 713,PART 1,SECTION 713.13,
FLO A S'I'ATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMIIVTS TO YOIIR PROPERTY.A
NOTI� OF CONIMENCEMENT MUST BE RECORDED AND POSTED ON 7l�JOB S1TE BEFORE T�FI�ST
INSPE�CITON.IF YOU IIVTEND'PO OBTA�1 FINANCIIVG,CONSULT YOUR LENDER OR AN AT'T�ORNEY BE�ORE
COMII�NCII�TG WOItK OR RF,CORDING Y4U NOTICE OF COMIV�N
STATE F FLORIDA
�OF PASCO
SigieRure OF or r's A ar/Direcoor/Pattrier/Menegcr
1a/ �
� Prmt Name
(� , l I'�7a�l�c,�.
'ihe fa oing ia�ent was aclmowiedged before me this ! day of �i4"�C•� .ZO ��.bY
as 6�-��,s�a— (type of mrthocity,e.g.of�oer,trusoe ,attnmcy in fad)for
�'. • � (nmme of party on behelf of whom iastnmieut was e� ed). _
P Knmvn_OR Produced IdentiSc�tion� Notary Si�atwe,�,L�.�. �
� �
' Type of�dentific�tion Ptn�uced T"1-1��— Name(print) ��}'�9 V S T�U�"z�—
Verifi ' p�to Section 92525,Florida Sisdrtes.Unda penaldes'of perjury,I declere Wsi I have read the focegoing and that the facts staied
in it are to the best of my 3mowledge and belieE � �� , , . ' � '
FORMSlN m�7 ' '
� Sigixnve ofN+Laal Pasm Si�ro�p Abare' - ,
PAULA 5.0'NEIL�Ph D PRSCO CLERK S COMPTROLLER o�o Notary publlc State of Ftodde
03/09 201 01:19 m 1 of 1 =� �`+; Mary V Stewart
OR K �50� P� 1617 ����'� p.M,cyp�re o�iiei2o2o oozoes .
���-�eR��� S'��aTE C3F FLQ��A�,H OUHE FOREGO N�o �T
�� , �' THIS IS i�C
� m a • � TRUE ANpR OR PUBLIC RECORD IN THIS OFFICE
��' .r; �°}�, m ONFILEO
� . � . ,';,�Q4�`"``.,,... WITN S IViY HAND AN OFFICIAL SEA2 TH�f,�
� '��`�'°d D , � __��----0'NE OF LER &COMPTROL�E
. � PAULA S
�r ��^ r� �, p pEPUTY CLERK
�'
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� 0 � o�-
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