HomeMy WebLinkAbout16-18020 � ,
4I , CITY OF ZEPHYRHILLS �
5335-8TH STREET
(813)780-0020 18020
BUILDING PERMIT
, PERMIT INFORMATION LOCATION INFORMATION �
Permitl�Number: 18020 Address: 38250 38252 15TH AVE
Per�nit Type: RE-ROOF ZEPHYRHILLS, FL.
Class�of Work: ROOF REPLACEMENT Township: Range: , Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
S u�are Feet: Subdivision: CITY OF ZEPHYRHILLS
pE��t. Value: Parcel Number: 11-26-21-0010-01500-0170
� Improv. Cost: 4,230.00 OWNER INFORMATION
Date Issued: 12/22/2016 12 H
Name: 59 9T ST ZEPHYRHILLS TRUST
Total Fees: 60.00 Address: 2202 DURANT CT
Amount Paid: 60.00 VALRICO FL 33596-5301
Date Paid: 12/22/2016 Phone: 813-205-4362
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
KINGD�� M CONSTRUCTION & DESIGNS, REROOF RESIDENTIAL 60.00
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Ins ections ired
DR IN ROOF IN P
TAPE JOI�TS ROOF INSP
FINAL II
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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
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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
i impro��ements 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 pertormed in accordance with
� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
I NO OCCUPANCY BEFORE C.O.
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CONTRACTOR 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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a� �-�$�0�4 City of Zephyrhills Permit Application Fax 813-780-0021
` � ' Bullding Depa�t►nent
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Date Recelv�d " . `Pho�e=Go»tact'for°Permtttin � -
Owner's Nar�ile ��- � c +'���`� �� . Owrner Phone Number �f� `24,5��.3(�'..{� '
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Owner"s Add�� ss �� �� �� ,�U2T OwnerPh'one.Number
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Fee Slmpie TitleHolder-Name � � I ' Owner Phane Number � � �
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Fee Simple Yttleholder.,Addresa -
J08 ACIDRE��$ � t�.L �� �(� � � � � �t�;,� � �� ~ � �L LOT# C_,�
sueoEv�sio, � . �� �aRCE�..��# °1 f - � �1� � 1S'�ao a/ 7� .
. • (OBTAINED FROM,PROPERTY,TAX NOTICE)
W�RK PROP II SfD .` . ej �,N TALL�� .r,_RERAIRT �� SIGN` `Q ' Q •DEMOI:ISH
PROAOSED�USE � Q 3FR. �J COMM , Q •OTHER a �v� _ '
, TYPE OF CO�STRUCTION � Q� �x��BLOCK ' [� FRAME � .C� `STEEI. `Q
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�$U� 4{ ���' $ L Z,�11. A� VALUATiON3tOF'TO'!'AL CONSTF2l1G'i'ION - � ,
QELE.IGTRiCAC $ ' � AMP SERVICE. �] �PRtOGRESS"ENERGY Q W.R.E:C. �
[�E?LUlVII BING- $ ' . � ' ��
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�„]MECI ANICAL- , .'$ . , VAl:l1A'ClON OF�(VlECMi4N�CAL INSTP+LLATit?N: �"��
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F�NISHED FLOOR ELEVATIQNS ��� FLOOD�4NE AREA QYES. .NO
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SIGNATURE REGISTERED Y/ N �`'EEE CURREK%" ' Y'/'N �
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Ij ELECTRICIAN; . , . , , - `t?CQMPANY' . _� ""3 "}=.i°i?::F- _ , � , '
, SIGNATURE � �t��is7eReo i Y/ N FEE:CURRE�*' � ^��==Y/�.N' ' ' -
� Addre�s' .. _ ., . ' -,. , ._ ;,� . ,-_. . � . . ` .�i..�.s.�Ucense:#,;�: -�: .�: �," 1
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SIGNA'TU1tE°` ftEGISTERED . , ��Y•.-/,.N,a ;:;�.FEE-CU��tREn;•� , . Y�/.IV�
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SiGNA7URE� �''^ ... , � � _ „ • � "'ti� � REGiS7ERED Y„/.N 's.FEE CURREM1.. -Y./:�d �
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OTHER -rr= �- .,_ ' ' - ,COiIlIPAt�l1(` � _�,..... __ .
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SiGNA'1'tIRE•: .. � _ ' ,��`- '� � � `RE�is'rE�'` ` ` '`l/'N:w ->�E'Curi�n� Y/N.
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.RESfD�NT1At:' ^ 'fAttacti_ r i •, ..,_ �.. ,,..-..: . .. �; � .,,- r. • .:;>. �.:,:.
_�,�,:, �(2)�fofPiaris;:=(2)selsr�f:BuildfngPlaiis;{�)'set'af�En'ergy:Fo�ns;�R` NtuPeimitEo'r`-new�constriict�ori, `
,_,;���Mlnimum�t�enr(10)>wori�iny�de�y,"s�after,"s`u"briaifta�'dafe:'��Requlred onsiEe;:ConeWction:Pians;Stonnvirate'r'Rians�w/'Silt�Fence"instatied,
"'���!Sanite.`ryFacilttles�&�.�1.;du/�,pster-=Site>Worlc�Perm(t;tor;'suk►�ivisionsAarge;p�rojec"ts�,�`:w:��;��,��'• ";�:�;�y' " - -. ` `
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COM�tEttClAi. �At#ac�{3)�t�in`p18te'setstlof"Bul[�ing Pians'plus a Ltfe Satety Page;{1}set of Energy Fomts.R t?-VY Permit tar nsW:oonstructlon.� , ,
�Minimum ten t10)woricing days after submittal da#e. Raqulred onsite,ConstrucNan Plans,Stormwater Pians w/Sitt Fence instaited,
�Sanitary Faclltdes�1 dump'ster.Site Work Permit for all newtprcjects:All commerclal�ulrements_must meet complfencs �"� �
SlGN PERMIT ' tiacti{2)"sets of�itg,[neeced,t?la�is:�;�,��:'�; R , .. :.._ . _ ,._- t . , -
'°""PROPEFtI'Y SURVEY reyui�ed fnr all NEW corls_.y
II truction...... . _ - _
DIiBCtfotlS' h} •-.-^'�=�$a�"fl. :-
FIII out applicatlon compl�tely.
Owner 8�Conhactor slgn back of applfcaban,notar�zed
1f aver�2Sb0._�.Notles of Comme�c�ment i�rsquired. {A1C upgrades aver$T500} , .
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Agent(for the'��ntractor)"or"Power of Attomey'(fair ttie owner)`would be�someone with natarized letter irom owner autl�orizing same
DYER'TNECdUtifTER.PEttMtTT1NG--�,_..:�-{Front•of•APPlIcatIon-Only)-�---
Reroofs If shingles I Sewers Service Upgrades A/C Fences(PIaNSurvey/Footage) _, ..��
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Orivsways-Nat�over Counter tf on public roadways:.needs ROW ,
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NO'�CE�R DEED RESTRICTIO�fS:.,The.underslgne�t,andet�tands;th�t,thls; �cm[f=.mayA.be�sub ect#o;�"deed";r�st�ctiohs."_��..�. ;��
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.�r_: . •r.�:.•� . t s, f.�,..$_ �;<� �,.. . 3
which m'ay�tie��more�rest�icttve'}t#���i�`Counlji,`�i"regrilatfons�:�yThe`�underslgned assumi�s��espon`sibility:.far"compllance:with any
�ppticsible'.iQeed=rest�(ctlons. ,� =.:ts;:.:��:w�_� :, � • _, . ._ ...,. _._M. , .w..._ _ ._ ;� �,�.�;:;:•. �,,�;�::��,�
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UNLtGENSED��CONTRACTCt�S�:ANb CONTRACTOR RESPONS�81C1TI�S:�=�If-tlie=rowner`fias°'hir�tl��:a":i�ritractor or
contr�ctors.ta undertake:work,:they.may;be�r,,equ�Ired:�to,:1a�611c�ansed:-ln.�accordance:vuith�state,�and:loQaC.cegulaNa�s?�r�if�the�� -. •,�����
�rtitractor tswnot�lti�nse�f:=as��requl�eit.`:•6y�te'w� tiotlt�`the'av�rner a,nii�co�atrac#oi�:may::�encited$;for�,�xrfil�t�emeanor vlola#ion
under state law. If the awner.nr Intended;�,con..tra,�tor.ar�a;.unc��t,atn as:.to�ti►hat Ilcenai�g:requlrements:�lmay��epp)yr-f6rathe»--~���=�7�'�
intended avork tfie are as�vlsetl'�to�c�intactwtlie��Pa�co.Coan 8ulldin� ;Ins�"�ction Q"hr�Eslon--lCcensln 8ection at.727-847-
�. .Y�, _�. . . E.�.:._tY.��.,... ... 9..._,�p!�.�,�,,£,.�M...�- ..., � 8
8009. Fur#herinore, ff�the ovr�rier'tias`�H1n�ii1�a cri�ilracfoT or corifraotors, he is advEsed to have�the cantractot(sj�,�signr�,r��,,�r:t�
portlans otthe:"contcactor.Block".of,.,thts�eppllcattan�for.�whlch�„they:wllt,ab.ew.r,e,sponslble:-,�:lf you,�as::#he own�� et�qn�°as"tFie-`' ''��� ��
contrac#or, th�t�m�y'6e a�n iriilicatiort�t#�at'Fie is iiot.prriperiy 1i"ceiise��ani�'1"s"�nat"eii�er!'to petmtt#ing pi'iulleges ln Pasc� N
Counly. � • ` µ; �..:�,....�...:,°:�:-•:,
7RANSP,.ORTATi�N�IMPAGT/tlTILITIES�l�flt�AC'�AN�°l�����lI�CE RECCIVERY°�FEES;�T�he�ucid"e"rsl�nei�understands
that Transportatton Irripact Feias�and,Recourse.Rec�very.Fees„may;�pply:ta�tfie:=;construction:af new,buil.dings.:�chan�esaf'"�-7`K�`�"u�'�'
use ln eiiisting bulldings;or.�expar�sla�r:of�e�i�ia�tf�i;g:�kaulldings� as speclfled.In Pasca County Or'dlnance number 89-07 and:
90-07� as amended.:;:;�#ae under�lgned a1sa;�understands, t�ait'such fees;�s�s;may�'b�=.due;��w�IF�:be ident�ed a#thez-t�i�e�af����;=��_�"
permltting. It Is iurtlier undersfood thet Tre�sp�ortatlon Impac��Fees art�'��Resou��Rec.c��srynFees',must be pald prlar to
recetvtng.a•cer#�Icat��af�accups�cjr":or�flnal'�.power�elease:<,�:i�the.pro�e�t;.doessno�1�avo{vekta��certificaCe of occupancy=`ot'�t''��`��'�.����'
flnal power�release;�tlie-�fees�;ri�us�t��tiei-patd,Rpe�or#o;permlt Issu�nce. �F��ermore;�i�:P�sco:,:Gounty"1NaterlSew�r:Impact-���:3��>�
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fees�re due�,they_must:be:.pal��p�lor:to...permlt lssyance°�n�accoCr�ance�wlt�r;.app!lcable:Pasco':County�-ordlnance�. •
COt�S�Ti3U�TtON�CtEM�t.A�i1 iCtiep���T13�Fl�rtds��atut�s,aa am�nded): if vaivation of work Is�2,50d.00 Aar�moce;.�1.�.�;. :.<.i;
aer�il`jr that I, the�:appllcant,:-hev.e_<been, provlded �with�;a=capy�;.of<�thei�"I�Io�1da��Constriiakton���Lten�':Law—Homeovvner's
ProtectEan t3uide"prepared by;tt�e Fl��a Depertmerit�of Agrtc�lt�re and Const�m�rt=A.ifalrs. If tt�e appllcant Ia,someane�-;•-;:_.:�--=d
ather than th�'owner", I certffy:th�at I�have.;opta�ined"at�eopy;of:the�abQve::des,c�lbed;ilociihi�ent:and;p:r'��i1se':`:Iri:goodwfatth:.to : .� - :f,
deliver it to:.t�e�'owne�:';pirior�to�'commiericement�``, , _ . . - ,.` � � , , �.' w _ _ . . , , . , .
�ANTRACTOR'S/CfWNER'�AFFiDAV,iT: t.ce�°#t:i;a#>.ali��the�•�i�rmation:,l�ti�thts applicatlon is accuret�.�nd that�afl wark
., ,.
will'be done in compliance with all.appllcabla laws regulat(ng constn�atlont zontng and��lan�'�develapm�nt. Appltcatlon.(s
hereby made_ta:abtain:a.permit�,�fo:Fdo:;;w�f,I��;and`�=thst�llatian as ini�i�eted:�==-�fi�certtfiy th�t no work��ar tns#altatton �Fias'
aommenced prlo� to Is�uanc� of.a permit"and th�t�.all �rork wlll be pertormed�to meet=standards-af=all laws regulating-
cons#ruc#an, County and Clty cades, zoning.regatat�o�rts� and I�nd deveiopment regtila�ons'�`In-t�ie;Jiarlsdtctlori:='��I;af'sb� -
ce�lfy that I under�tand that the regulations of ather�government agenctes may�apply.:.#o.,the.�lntended.work� and#hat It is
my responslbll(!y#o ldentlfy•wh,at.acttons I,must�take;#ot be{�ln�conlp!lar�c+a;R;S,uch:agen$cfes�lr�clude bu#=ate.:not Ilmlted:ta. � -
- Department of E�vironmentat'��hiotection=Gypress.'•'E�ayiiead�`�;`VVedend Areas_,and Envtronmentatly Sensitive
Lands,WaterMlas#ewater Treatmen#. . � ,t ,- " -� �
- Sauthtnr�st Ftorlda Water Management��:t�ls#��t-Vllelts,`''Cj►ptes.s.°:Bayhead��� 'Wefland Areas, Aifering
Watercaurses, ::�r�, _ �. .. ; .,.:;,,:,; :,3 ,� _�A=;��� - "" ,. . .
- Army Corps of Englneers=Seawafls,'.Docks,Mavlgatile Waterways. � :
- Depar;t.ment-..of;Heatth�:&,,xRei�alallitative�,;ServiceslEnvit�anmen#'al<.�ea�tn�"v�,tt we�r.$;;wast�wate��Treatment; '
S�ptic Tanks::_� ._ .�. � ,. �. .__ : ' -. - � .. �
- US Envlronmental Pcatec�on Agency-Asbestos�batemer�: �
Federal AvlaUon�Autho.r,liy,-�,tunways:� �
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1 understand.that�therfo!lawing:{`restr.l�d"ons appty to tF�e use o#flll:•
- �Use of fill is not a0owed in:PFtoo�.Zone"V"unless expres�ly permitted.
- If the.z�ll- mate�al="�Is fo�'b.e used:`ln.:fbod zone. °A", tt Is understood that�a dralnage plan addressing a
`campe�sating volume";will be subr�i#ted at#me af�pemtiftl�g which is prepared by a professtonal engineer•'-
Ilcenseal.by_the-�taterof'Fl6flda: . - :;� .� � _
- tf th� fllf�materla}�:1's`#o tie�used tn Flo�d T�ne °A" in�cnnne�lon�wlth�a���ermltted b�ilding e�sing s#em wa1t,; ,
' �onstruation,.l-ce�ifyxtFiat;flll:a�rall:be.used only.to.flll#he.area�wlthln�the��tem�wall:
- If flll 'make�la!"Is-�to be uaed-In.any area; I �ceKlly.that .usa of�.such flfl w111 nat adve�sely afFect adjacent
properties. If.use:_of fill Is;fot�nc��#o-advetseiy.�fFect ad)a�ent��prc3perties,.the owner may be ct#ed for vfiolating -
the condl#Ions:.of�tHe.bi�lldtng�permtt��is��ea.�u�,aar�n�'�aittacfiedW;permlt_appllaatlon��for�:lats`less than:'�one (4)
�cre wlitcli ai�elevated��tiy flll;.��t engEneer�ed dratn�ge plan is regulred. •
If I�m#he Af3ENT FOR TNE•OYiFNER,.l;proiitlse.ln,good.f.alth to Inform`the-awner of-the permltttng condittons set forth In
thls aftidavtt'prlor fo commeracing conshuotlon. �i unae�st��;a tnat a=sep�rate°perrnit may be requtred tor etectrfcal�work� . �
plumbtng,,stgns� we11e�;poots,�eir`�conditloning;�:gas,�_or;o„thet iristalt�t�`uris nat�speciftcaily inctuded�in.the apptication. .A
permlt Issued�hall be conshued to`'b�e°Ilcense5.to"pi�aceed wlth`'�e,�,wo�k and:�not-as:authoHty��.to:'vlol�te;�cancel��alter, ar
set aslde artji�provlalons of#he tecli�tEcal.cade�;;nor shall fssusncs�of a.permlE.p�everft#he 8ulldirig Ctt�felal irom theceaftc�r
requlrin,g a:correctlan-af;etro,rs.lrn;pl�ans, const'ructlan_or_�lolatlons bf-anycodes:��'�very�p'�rm(t=�l.ssued-stiall�6eaonie�invalid
unless !Ma wcirk authortzeil.by sucla permlt:�s-commencec��wlthln s:t�cAmonths of-petmlt tssuance, or it wark au#horized by
#he permit is�suspended�oc;a6andonedifor:a;period;taf;s�c;�Bp�mantfis:;.afite�:the#trr�e the�work��ts commenced.. An e�ctenslan°
may be requested,.In,wrlting��fiam,tfie�Bullding,Offlclal=for a perlod..not.to exceed'�ntne�i�(90)`��ays e�id�uirlll�demonstrate
us#�Iabfe'caase f�r:•the exten�lon: t�work ceases:for nlit 9Q con�+�c�fl�e:da _��
j ety.{ } y.s.._th��ob�ts..canstdered aba��doroe�. _. __ �
' WARNING Tt? OWNEI�: YQUl�_FAlUJRE:iTC�.:R�Ct!ltQ.A,,NGT�GE�:QFTaCOMME�IGE'sNlEN�T�:MAYrREStlRT`!N`YOUR �
PAYING TWICE;FOR-�IMP�t01'IE1YiEN,�'��.Tfl;nY;OUR�PR1��?ER7Y.>��i�-YO.Uat�".�E�11�T0'��18a''IKIN�F1NNMfIN�C;,'C.CINSULT
WIT �O I� TTO 0' L� `L - �. . „
F[.Oi210A dURAfi'�(FsS:.t! . , ,�- . �� ��:.- �,. _:-.:. . • - �
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n t� ,
qWNER i1R AOBNT •. �. _ CC�NTREIGTO
Subscrlbed arsd swam fo{ Sitbsaf6ed snd`swam�ta ` e•$ii{�'
by .by�•
Who Islare perscmelly knawn to.me�.or�hes/have pr4duc�d . Who.ls/ace;p.eraon�lly knnawn�to�.me;or.tle�lt+av produced- •
�s�d�»Bftcatlp». . as tdenll�caUori.
Notery Public . Notary Publlc
Go�nmtsston No:` Comn�isaton-hSo. �
Name ot Notery typed,Rttnted or atamped Name of No#ary iyped.Pdnted or alampsd
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� 2016198783 ,
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. I PertnR No. � Parce!ID No_I I 2� �l�V V I O D�v � � Q�� Q
� NOTICE OF COMMENGEMENT
SNata ofF--►"�r.r1,n_ County of 1rt`,11��(�--� -
THE UNDERSIGNED hereby givas�rotica that improvement w10 6e msda to certffin real property,and In aaordar�ce with Chaptar 713,Florida Statutes,
the fo�owing Irdormetion Is provided in lhis Notke af Commencement '-
1. Descriptlon of Prtfperty: Percd IdeMiflqUon No.
s�c a�a�: � � 2 L 3�i'J��=Ll 7/F, n/ I
2. General Descatptlon af Improvement � . �Q�✓l. 0 . �7 .-ri �/t�V j
� ltiQ���G f� : f nt� O✓��W ifGC 12 SO��� o"�� /✓P f•�' 3 ��s�GfvL�.
3. Owner Infortnetton or Lessee informatlon ff the Lessee coMrected for tha improvemer+t:
{�Q-�1\2 ��7�J�}�C' �
�� Ad�'C�a. L�[�rt"�.n-t- Gn�,cZ-t- ���1�s.� � 335q� I�
I Interest in Property: �K�1 1,�� I
Name of Fee Slmpfe Titleholder.
(If dlfferent ftom Owner listed above)
' 4. �naaaor. �f1 L f�. �s Pl itJO?A- �f.P.B.r► GBaa S �/LI.Q��D��1 S :7.'$i�''•
'lOt.�s.L�u.. ���
dress c�ry s�a e
' c��ra Teieon�,a No.: - N�—=E D�a
s. s�ty: �— .�o�
I Name N(A�
Address � Clty State (~p m�
Amount o�Bond: S Telephone No.. �' ~
N�CD
6. Lender. N�(N
, Name � � tJl
" i W
� _. Addreas � Clty Sfate � �
Le�els Telephone No.:
W M
' 7. Petsons within the Stata of Florida deslgnated by fhe ovmer upon wttom no8ces w dher dacuments may be sarved as proWded by � �(p�
Sectlon 713.13(1)(a)(7),Flor(da Stetutes: � A
- . ��•-
Nam6 e'���+
� � mB
Addraes Ctty s State .-�.. p
Telephone Numbet of DesignateE Person; — J �
Z
8. In additlan to himseH,the ownv designates � - of_ �
to reeelve a copy of ihs Uenors NoBce av provided In Section 7�3.73(1)(b),Ftnrfda Statutes. N c
Telephone Number of Person ar Entity Deaigneted 6y Owner. ���
� 9. E�iratlon dete of Notlee ot Commencemanl(the e�Iratlon dete may not Ce before the eompletion of eonsVuctton and firtal peymeM lo fhe ��°1
N�
contrador,but will be one year from the date of recording untess e ddfererrt date is specifled): ��Z
WARNING TO OWNER: AM(PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMEp(T //�~'m
I, ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.73, FLORIDA STATUTES, AND CAN �{y/�r
RESULT IN YOUR PAYING 1WICE FOR IMPROVEMENTS TO YOUR PROPER7Y. A N0T10E OF COMMENCEMENT MUST BE �,,�
I RECORDED AND P0.STED ON THE JOB SITE BEFORE THE FIRST IN5PECT10N. IF YOU INTEND TO OBTAIN FINANCING,CONSULT ��
i WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. o
Under penalty of perjury,I dedare that I heve read Ure foregdng notice of commencement and that the facis stated therein are We to the best �wW�
of my knowledge and beliet : ' N N
. - 3 c�
STATEOFFl.ORIDA �A � I� n o
COUNTY OFrPR3CO 1\���y��� C�1 F..�
Slgnatu r e,orOwnera or Lessee's AWrorized � m
\'�113�''-'�S'"' Oflicer/Directw/PertnedManager x
_ � ,",°y,�
` , Slgnatory's lltle/Oflice" ' I�+3
� (� V� v
The foregaing insWment was acknoxAedged Defwa ma tlris�day of� Q ' ' 20��by`�� � `�`'7x� . 1
�. �
as "_.,�ti� ' (type of eutho ,e.g.,afllcer,trustee,aftomey in fact)fw r
' � " ( me of party on f whcm Instrument was execuled). m
Perso�elly own�QQ Produced Iderrtiflcatlon Natary Slgnature
Type af Identlficatlon Praduced��.: � �l�.J�r'-f ' Name(Pri �� �
, � .
l,�.r�
Kymbedy J.Carey
NOTARY PUBUC
STATE OF FLORIDA
Cortun�FF958328
� EXpires 2/15/2020 �
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� ��, j�' STATE OF FLORIDA, COUNTY OF PASCO
TNIS IS TO CF_RTIFY THAT THE FOREGOING IS A
�"} • m yo�1ve rrusr •' � TRUE AND CORR�CT COPY OF THE DOCUMENT
' ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
;�;•,, �
. � � WITNES MY HAND D OFFICIA SEAL THI�
/.:;�
� f�87 - •� DAY OF � 2
� A LA S. ' LE &C ROLL
' • •
����0 F1.�� : BY DEPUTY CLE�='
�• � y� • /\ 0021
t / \
��..�.--`" � KINGDOM CONSTRUCTION & DESIGN, INC.
��� 4303 Fox Glen Lane, Tampa, FL 33624 (813) 846-4080
kingdomconstructiondesign@yahoo.com
li INGDOM State of Florida Certified Contractor
CO15STRUCTION&DESIGNS,�xc Building License: CBC125-7682 Roo�ing License: CCC1330-300
r
O Iwner: �,(/.� �Gi 1 UvS�K� Date: j�� '1�
Otiier: Date:
I
StreetAddress: �j$a--S� �j-38 �-Sa- IJ�" �n�.�,�•.��--
Ci Ity: l�,l State: �� Zi 3 3 S`�1�'
_ , _ p:
CONTRACT .
CALL CONTRACTOR TO VERIFY SCHEDULE
Kin dom Construction and Designs,Inc. agrees to do the following work:
Remove old shingles, nails and felt paper on wood deck
�.1�^ ���..��,7�
Re-nail deck sheathing. Dry in with self stick membrane. ,�,p
Twenty-six gauge six inch metal drip edge 2-1/2" face. Color: l,��-(-1� '
Apply dimensional or 3 tab Class A fiberglass asphalt shingles. Brand: ��,�o � �� •
� year manufacturer warranty. Color: L(/ c�� Six nails per shingle.
New lead boots. � new roof jacks.New valley closed: /IJ'p�'
Starter felt on top of drip edge on edges. Cement plasti on gable ends and valleys.
Install new aluminum roof vents and/or other: __ '��`�e- ' 'of ridge cap.
�— All shingle mildew resistant -AR
Wood Rate-Extra:
II" Rate per fascia boards to be replaced not included in this contract and 1 ood will be
II P YR'
repla�ed at a rate of$50 per sheet.
Notesll
��j�v/ A� � rTM '
/-V'� ` 1 'G���'�Gi4�� S�
I
The fPregoing constitutes the entire contract between the parties and there are no guarantees or
agreements except as set forth herein. Any payments not made in accordance with payment schedule
will b� subject to Lien.Workmanship guaranteed 5 years, shingles guaranteed by Manufacturer.
Contr ict Price: `7 2��
Downli -��> I
Payment: �_�,�� 2,�
Balan�e on Completion: �� /2cr
�
Ownerc �hr�c.c_ � ' Date: /��-d-a-�-��
Other: Date:
Contractor: �,t/' %/✓ Date: �'�-^ 2Z�-Ff�
. I �