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17-18057
i �-- ------- - -- CITY OF ZEPHYRHILLS : `'� 5335-8TH S'fREET t8��>>so-oozo 18057 � PENCE PERMIT PERMIT INF'ORMATION - LOCATION INFORMATION Permit N�mber: 18057 Address. 6767 �ILY JEAN LN Permit Type: FENCE ZEPHYRHILLS, FL. Class o�f Work: FENCE/NEW Township: Rang�: Book: Propos�d Use: NOT APPL(CABLE Lot(s): Block: Sec#ion: Squar� Feet: Subdivisian: GARDEN VILLA Est�Value: Parcel Number: 02-26-21-0010-02700-0000 Impra . Cost: 18,000.00 OWNER INFORMATIQN Date�ssued: 1106/2017 Name: GARDEN VILLAS LLC Tot�l Fees: T5.00 Address: 3807Q DAUGHTERY RD Amou�t Paid: ?5.00 ZEPHYRHILLS, FL 3354Q Da�e Paid: 1/06/2017 Phone: WorOc Desc: INSTALLATION ORNAMENTAL FENCE W/EL.ECTRONIC GATE 6'X 180 FT CONTRACTOR S APPLICATICiN FEES AMERIGAN GATE BUILDERS LLC (813)326-4147 CONTRACTCIR CERTIFICATE 30.00 FENCE 45.00 � � Vf i Ins ections Re uire FI AL I REINSIPEGTION FEES:(c)With respect ta Reinspeckian fees will comply with Flarida Statute 553.80 (2)(c)the lacal government shall impose a fee of four times the artiount of#he fee imposed for the initia! inspection or first reinspection,whichever is grea#er,for each such subsequent reinspection. NOTiCE In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may b found in the public recards of this caunty, and there may 6e additianal permits required from ather gavernmenta( entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person awning same °Wari ing to owner: Your failure fio record a natice of commencement may result in yoar paying twice for impravements ta your properly. If you intend to abtain financing,consult with your lender or an attorney � befare recording your notice of commencement." Comp(ete Pians, Specifications and Fee Must Accompany Application. All work shall be perfarmed in accordance with Ci Codes and Ordinances �� I � C CTOR PERMIT OFFI PERMIT EXP�RES IN fi MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PRCITECT CARD FROM WEATHER ru�rL�t ANu • GAT� VALVE.�' � � —�� o '� NU 1 11Yl:LlJUCv rAp� eir cmr�- -- - ���� -- -- - L _- �UTILt71E�:. � � � ! _ ; �;''� F�(ISTING R/W � � I � �1 �+� `�`4� � �� l Z' � �i (^ V�l r �1—FlRE HYDRANT I�SSO � �I ; �� �l �i �'' � �' s�4:� NorE: � � � _ � r WATER MAIN }N PHASE 2 ?I W� I �� '� �i ��.' ' � T�� --. �='a INCLUDES THE BOIJNTf UU �� I �� + a� s' 1NSTALIATION AND SECONO � � , � � � �g'`°� NOT lNCLUDm ' S Z � I r I� ' ' � � J � � �.i� � � O � � � ' F S' � MH NO.a ' � � � � STA.1+42.Q0-4.4D'RT. ' RIM. 111.45 . � � � � S ��.w,�� i�v. �a�.00 j' I ! 1 f� 'S$�.�a+mea� 32' �F 2" SCH 8Q .�.....�._4..�Q.94� TBb� P Qf I ,y LL.� „ � � OfIST. ,�IH TOP j ' , 2 8.0. EL.i t l �53 ' � � � ' ' , /!l td. INV.�04.80 I � (e ' �./i//,8% ' f!l�'% ' � ,`• ,'! S. 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' ` o � , � ;, �;' . „� � EXiST. s - - --- � a � �' s h�RE � F�iYDRAKY i 1 (�. roa� � ue iw y�� � � j � � M!i H�.3 ! ���..n STA 1+57.82- 8 ' i ' i • RI�A. 1 d6.60 , � INV.N 103.60 � i {HV.NE�a0.3.0 tB � � I � MSTALL A OOG HQUS MANHOLE. N0. 1 pc�sr. H � � � RIN. 107.4St WATER INFORMATION TOP EL�102.20 � � . � INV. S 1 Q1.26 D(. ON SITE � N. INV.94.15 { , � INV. E f Q2.60 �. 81�.59' SAY B40' OF 6" PVC PFIASE TWO S. INV.�4.10 ,,,,.r,,.,,,,� �' 157' - 5AY 180' OF 4' P1IC DOUBLE SERVICES- ���� _! 1�BX4" TEE SINGLE SERVICFS - t_ � 4-6� 6V 'C (L,,, 1-4" G1/ VARIOUS flELO BEl� � ���/ � /�,/ �.� 1-4'XZ' REDUCER �USS BLOCKS PEI , .� . � 1-2' 80 BY CftY UTIi.IIY QE � (� l31 � � , • , • �, 1-Fl� ►rrowurt�sEum-Y 2-8" TAPPING SLE � � BUIlDINGS WtTH1N PHASE N0.1 P�� Q�E 2-6' GV i, �(�� � DOUBLE 5ERViCES-7 ��� gLQCKS PE p� � SINGLE SERVICES -3 � � � �� � �' � � � . ��; ; � -, ,. .. ' � _ � ,_..�. �.. ,' � . �, . , ' _ � .;. � „ , i , . - � �r�; ,; " , ,` ' i i , ; , . _ ,,. ,�, , _,. .� � , ii '� ',:. � _ , , y ! , � _ �� :; •� AEVi�W DATE: � �,,� .� :•.�;s.1TE: I, . ' ' ' . :',' , �C1TY'OF ZEI'HY � C�'• ' �?�YItFIILL� - , ... , °� - ;,. _ _, �UILDING OFFI.CIA BUit,;: . . ."1AL � ,� � . � 7. ��/. � �.:- � �^ ; ` � -, . . E" ��� :f?=�,�' . .� .r��--��-�-� , S l�R-'' ; , :���,� f � �- � � '' , �. , , . "t �-=''f _ � �„ � ( ���u� c� . � �. , , - { t�,.S��� c c�� „ . ,� ; . . �.. ; .�� . - � �.,; � � �- � a�saeo-oo20 �\ City of Zephyrhills Permit Application Fax-813-780-0021 � � Building Department � ,. ' �Gl V�►= Date Received � . � Phone-Contact for Permlttln 1,� �.G_ - �-/�� � Owner's Name cz�c�-c..� �\ � ,� Owner Phone Number g�� � g� Z �� Owner's Address � D� � ,!� . � Owner Phone Number� �^�!��� ,V�� �i�-� !� ' � , �a Fee Simple Tltle6older Name Owner Phone Number �� ,r.;� _ . , ' ' � Fee Simple Titl holder Address � JOB ADDRESS �v��-/�'I n;n � Z . �J � ( , LOT# ' SUBDYVISION - PARCEL ID# � � :, ` . , , �r (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPO�ED- NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH B:' a INSTALL 8� REPAIR � PROPOSED�USE, Q SFR Q COMM '- -` OTHER �G � TYPE OF CON I TRUCTION � �Q ' BLOCK ' Q FRAME �Q STEEC 'Q DESCRIPTI�N OF WORK ,� ' ' , � �, �.� -. � _ � � BUILDING'SIZ � �SQ�FOOTAGEC�� � ...HEIGHT ?� � t � � QBUIL ING $ '� ��� VALUATION:OF`;tOTAL CONSTRI'ICTION ' � . , � ' , (V: QELECTRICAL $ - AMP SERVICE, Q PROGRESS ENERGY Q W.R.E.C. `� QPLU BING $ ' � � - � 1 QMEC ANICAL $ ' VALUATION��F:MECHANICAL INSTALLATION � L(„_��,��Yl.� -"- ` /� ��cir .. �� QGAS Q ROOFING ,Q SPECINLTY � OTHER� - l� -- FINISHED FLOOR ELEVATIONS FLOOU:ZONE AREA QYES NO BUILDER -` - - - - - � �OMPi4NY� --- - - --- --- - - - SIGNATURE �� R�GISTERED Y/ N FEE CURRE� ' Y/N . Address - - � � Gcense#' ELECTRICII'.!d_ . �COMPANY� � �- � ' SIGNATIDftE � REGISTERED Y/ N FEE'6URRE�' ' Y/N - , :�.,. �. � , , Address � ' ,i ' .. License#� � . � , , � . PLUMBER ' , � . � . COMPANY . , � ' � � SIG�ATURE` ' � `; ' _REGiS.7EREo X./ N .F.EE Ci1RRE� " Y.-/N ' Address License,# - ; MECHANICAL` , �` � l` COMPANY e SIGNATURE� � ' � � � `��, . REGISTERED Y,/ N FEE CURREt� Y/�N ' • . �_ • Addreas� = � ' �� ° � ' Lfoense# . ;N;. OTHER „ ./�. . , :�,�--• �'COM,PANY. - ��+`���-�.. Co� � ��:',lc►��-f. SIGNF�TURE `1 �/ s- ` - ' `REGISTEFtED ' `, u ` Y/ N... FEE CURRE�• Y/N � �'• Address l ':�f�� '::�.�t. . ,Lo a S'; L.'t �'C�'f - � Llcense#� � " RESIDENTIAL:;;":�Attacfi'(2),P..lo.t%P,laris;,.(2)setsFof:Bullding�Plans;'(1)set'of=Energy�Foirns;R=�O=VV`Pennit for'new construction, =� -� ,.�, � Minlmum;�ten°�10;workln �da - . .. . . ` ` , . . '� , - ` , . „_„,,_(„_) ., , „g' _grs:after.;submlftafdat�::Requlred on`slte,_ConsUucdon-Plans;Stormwater Plans�w/SIIt Fence lnstalled, �� ���Sanita''ry FacI�llUes-&-1�dumpsterQSlte Wo�lc,Permit#or_subdiylslons/large;projects._ • ' '� COMMERCIAL Attach(3j complete�sefs'of Building'Pla.ns plus a Ufe Sefety Pege;�(1)set of Energy Forms:RA W Permit for new consUuctlon. Minimum ten,(10)worktng days after submlttal date. Requlred onslte,Constructlon Plans,S4ortnwater Plans w/Silt Fence fnstalled, � Sanitary Facflitles 8 1 dumpster.Slte Work Permlt for all neuv projecfs.All commerclal requlrements.must meet compllance SIGN PERMIT Attach"(2)"sets"�of�Eng,i'neered�Plans.::� ��- - � - �.- - ••"•PROPERTY SURVEY required for_all_NEW constructlon.. _ Dlrectlons: � �. - ' FIII out applicaUon completely. Owner&Co�tractor slgn back of applfcaUon,notarized If over S25 0,a Notice of Commencement Is req�alred.� (AIC upgrades over;T500) , - ' ��"a;.:«.::'; ' " Agent(for e contraotoc)or Power of Attomey(for the ovmer)would be�someone with notarized letter from owner authorizing same �VER THE COU TER PERMITTING --�---(Front of-Appllcation Only)- � . , Reroofs If shingl s Sewers Servlce Upgrades A/C Fences(Pl�dSurvey/Footage) ' ` , Drlveways- ot-overCounterif�ts�"pnbllc"rti8tlupays..needs ROW� �-...-.�-------•-----.__.....,.._,___�_.._w.__�.�--_...,._. �_ ; .. � o�i:_i��.i�7'� 6e �..r?:.:>'.7�;i�i1 ^..�" .. } � E ��5.., S .�i�t t_, �,� Ra:a:=4.i� _ �;:�",,�,rt<p % �, Y �•p{,i f -1�,. :'i�� �°i.ih'f.•� .) ��I:h � �tri F I i' ,. _ � r:� ,. , , I.; _i�� .. ,1 ils' � +,�4. � _� — . � !ii'`��` .ill` II'it;� _ii?i`�)::.1 ''•�' ,,T ; �'�'.�_ � t'�' 1 .=iiliZ�'- "'• _ • , , � ' �,„ • '-..�....,_...—.�. .....,....r...._(i..,���T�».i�.�.J : 1 � -�___�...... - ._-"" '.. , i I �i�•• :!cetlP,tJiltNl� 1'.r ' coi+• j,f�., •R,. 'LL`;•r �.. � �...��.. ��.{,. . .. '_......._.._..� .�...� . . _ .. ,.. _... � I � , � ,.,����.�. . :.:,, ._ . NOT'iCE OF DEED RESYRi�TIONS: The undersign�d;under•.stands;:th�tPthE�;p�rmif,may,.be;subject.to.,,"deed"_cestrictlons"� '� _ which may be<more�rest�dctive�th���County"fegrilatioi�s: �The underelgned'as`suriies���esponsibillty`for compliance with"any�''"""`s��" applicable:deedrestrictions. , ...�r..;-� �-._ ..,.. : - ,. ..... .�. . _. .,. ;`�: . . . � l3Q�LICENSED• CONTItACTORS,AND CONTR�4CTOR RESPONSIBILITIES:� -°If�the 'owner-has��hicetl-�a�'cantractor or contractors to undertake work; they may.b.e.;reiqulre:d:to.:be�licensed In•�c�ordance.with;state.and�local__regulations:�If°the•=��� ��- contractor ts not Iicensed=as'requlred"tiy law, 'bottr�the owner andreontracto�smay�be�ctfed�for°a�misdemeano� vtolatlon under state law. If the owner or Intended:scontractor;;ar,e,:uncertaln as to what Iicensing.requiremenfs;may=:apply:ior'�the`- �����=-'��°' . _ , ...- intended"work, tliey are'advls�dfo contact.the'Pasoo County,Building`Inspection_Dhilslon-,-Licensing Section at 727-84T- . ....._. :_.. ._. -�._,. _ 8009. Furttiermor�,�ff the owner'has�hlred'a confracto�`or contractors. he is advised to have �the contractor(s),ysign. ; .,, � portions of the:."contractor.,Block" of this.application�for.which.they,.will,.be-.r.esp.onsible:-.�-If=you,Yas-;fhe o�ivner`stgn'as�the'-" ' ' contractor, that�may be an indlcation thaf'he�-is•not properly`Ilc�nsed"and"is not entitlea to petrriitting'priitileges In Pasco , L'OUllhl. i S:;,;�:t : � TRANSPORTATION-IIVI�ACTlUTILITIE$IMPAC'1=�ANb�RESOURCE RECOVERY•FEES:` The�undePsigned understands that Transportatlon Impact Fees and.Reco.ur$e.Recove.ry_.Fees may��apply.ta tF�e_:construction of new buildings�::change�of'°"�==�`"� use in existing buildings�or�expansi�rt�of=extstin,g'�bulldings; as specffied.In Pasco County Ordlnance number 89-07 and 90-07, as amended.,. The undersigned also.understands, th�t'�such fe.es;�,as�tnay::�e�<due;s.wlll�.be identi�ed at the�timeiof� �w ° permiNing. It Is furttier understood that Transp'o�tation Impacf Fees and`,Resource:Reco�ery=Fees..must be pald prior to eecetvtng-a"cerEf�cate of�ocxupancy" or fln�l�power.release:-�,:If the.proJ�ct::does•;not involve:a�certtficafe of occupanoy'or�"��_��'��=` flnal power-releas�;:the-;fees mu�t:be pald,p�lor to,permit lasuance. Fu,�thermore;if Pasco:�County"Water/Sewer,�;lmpact� �- ����•:K� fees are due,_they_must.be.paid-pelor�o permit�lssuance�:in:accordance-wittf.:appitcabte_Pasco'�County ordinances. • CONSTRUCTI�N"LIEN'LAW(Ciiapter 773� Elorlda Statutea,��s�meaded): if valuatlon of work Is.$2�500.00,or:more,'-i� :�;��. certify tFiat -I, �G�e applicant,:-have-been provided �with�-a�copy.of.the°�"Florida- �onstitictton�-Lien�..Lav�—Homeowner's Protection Guide" prepared bytFie Flo�ida Dep�rtmenC of Agric.ulture and Consumer,Affa(rs. If the appllcant Is someone ,. � . ..; - � a - other than the'owner", I certify�that I�have.:ob.tained°areopy.of..the:abovaaies,cribed.document°and,;promise�in,good'faith_.to . , deliver It�to.tEie:'owne�'�.p�ior-to�cornmencement:`•' � � ' ��� ` � - � - , - CONTRt�11�'fOR'S/OWNER'�AFFIDAVIT: I.ceitify:that�all:.the:ilnf.ormation:ln�thi�appllc�tion is accurate and that all work will'b� done in compliance with all.appltcable laws regulating construction, zontng and�land°development. Appitcatlon is hereby made to obtain .a permit��to do;;woric,�;and�instellatlon as indi�ated:.> �:I certffy`that no work=:or (nstallatton fias' commenced p�for to issuance of'a permlf"and� that.all work will b� pertormed to meet.standards•of ali laws regulating� constructlon, County and City codes, zoning regulatians, and lar��i.development regulattons�in the.jurtsdlctton:� =1��also. _ certify that I u�derstand that the �egulations of other government a���ctes may�apply�to the_Intended.work, and that it is my responsibil(ty to identify.what.actlons I must�take.to be.in:.compliar�ce;;S,uch.agencles include but�are-.not Ilmited to: � � - Department of E�lvironmental>�Protection=Cypr`ess'Bayhgad�; Wetland Areas and Environmentally �ensitive � Lands, WateNWastewater Treatment. " " -. ' - Southwest Florida Water Managerrment� .Dtstrict-Welis,' Cyprsss.��Bayheads�- Wetland Areas, Altering Watercourses. - - - - ' - Army Corps of Englneers-Seawalls, Docks, Navigable Waterways. I - Department of Health'.8 .ReMabllitative.;Services/Ertvironmental:.H�alth Unit:Well.s� Wastewater Treatment, ' Se�tic�Tanks._. ,�'_ : . . . . . - - -- - -�- � - ---�-------�9��i'rii��o"iicPi����e�i�Q{t�61�ig�li�Cjf-e�s����a�abai�m�nt.- � -- __ _ .. ---- ---,---_. -- - -- -.�-. -_: -- - - � - Federal Avlatlon:Aut�iority-Runways. , ;'•,,; � �� � 1 understand,that the.following;�estri'cttons apply to the use of flll:• � � � . - Use of�_flll is not allowed in;Flood;Zone"V"unless expressly pePmitted. ' , � - - � - If the :flli matenaf=ls �to- b.e usetl;�ln.�Flood Zone. "A", It. is understood that a drainage plan addr��stng. a � °compensating volume" will be submitted at�ime of,permifting which ts prepared by a professionai eri�in�c�r- ' Iicensed by.#he�tate of Florida: � � , _ � � � - If the flll materlal-.is to be used fn Flood Zone 'A" tn�connecaiun�with�a permitted building using stem �rall � construction, i certiry th.at fiil:wlll:be used-only.to.flll the area within�the�stem�wall: ��- - - � If fill materlal,_is to be used in any; ar,ea, I� certify that .us�. ofi such flll will not �dve�sely affec►�ad)acent '�� , properties. If use of fi11�9�,found.to adversely:.�ffect adJa�ntpra�perties,.the owner may be clted for violating � - the condi#lons of the b�ildtng'perrtiit iss�ed�under tha'attacFied�ermit application;°.for.lots-:less�.than.one (1) ' acre whtch are elevat�d�tiy flll,�n engtneered dralnage plan Is required. , If i am the AGENT FOR THE OIMNER, I;promise In goAd faith to fnform the owner of•the permitting condifions set forth In thls affidavtt�prtor to commencing constructlon. I understand that a�separate permlt may be required for electrical work, plumb(ng, signs, wells,.pools;, air condttioning,..gas, or otMer install�tlons noE,spec�ically included�tn.the application. .A permit issued shall be conshued to be�a-llcense'to�proceed with`tFie work and not,as:authoNty.to,vlolate;.`cancel, alter, or set aside any provisions of the teclinical.codes;�nor shall issuance�of a.permlt.prevent the Bulldirig Offlctal from thereaftee - requiring a correction af ercors in•plans, construction or violatlons of-any codes. Ev6ry�p�ermtt�issued�;s�iall��become�invalfd unless the work authorized.by such permit:�ls.comm�nced•vulthin sfx,mAnths of permit Is�u�nce,.or if vNork authorized by the permtt is suspended�or.aba�doned�for.a;period_of six;�)monfiis:aR�r ti�e ti�e:the�wo�k�is corrtmenc�d. An extenslon . may be requested, in writing, from tfie,Bullding,Officlal foc� period.�not=to exceed��ninety(90)�days a�d-viiill`demonstrate Justifiable�ause for.�the extenslon�: If work,ceas�es.for nlnety.(90)cons.ecutive:d�y.s,..th�job�is considered aba�do�aed. ' WARNING TO OIIVNER: YOUR..FAILIJRE,:TQ..R�EC.ORD A:,M�TIGE:OF.�COMIIdIENCEMEMT:MAY RESULT IN YOUR � Pds1YiNG TWICE,FOR.IMPROVEMEN�S�TO;YOUE�.;PRC�PER'�'l.��oF�.vO.t1,�IN'�E1�4�"TO'��OB7'AIN�FiNFAP1EING,'CONSIILT WITH YOUR LENDER OR AIV ATTORNEY�EFORE�R�ECOR�lQ���;YOUR'N��IC�'��CdrYll111ENC�E`NI�T�.-. ; _ - _ FL�RiDA JURA�(F.S:i17.�3) " - ' ' � OWNER OR AOENT- i �- _ .. CONTRA�TO = j '� - c�, Subsarlbed an�navw or affl ed) efore e Is Subscribed and'swom to(of alflrm d)�before me�ftits_� .da J�G'��,p�lxl'���Y - . � � . 02$ ��PJe�s�3'�l14by � " h1„ti!-rQ �� . � ����rw'► Wh�o!�/are�ersonellv known to.me or,haslh .e produced Who.ie��e p.ersonally known•to.me or heslha e:produced • . � - es Id"entlflcetlan. � �[��tS�S-}7D�(�f-- lD7� as Identlficadon. � . �l n�� �� _ • Notery Publlc . • L� �A-�'Y+ Notary Publlc CommisslonNo� ' � Commisslon.No. � � �D � - � �-�A. ���-� L��-�. t � � � Name of Notary ed,printed or stamped ame ot Notary ed,p�inted or stampe _, ���'"��°e��:; BEVERLY J HILTON ==�°`�Y��'��; DEVERLY J HILTON ' '= MY COMMISSION#FF113541 ' '-' �� MY COMMISSION#FF113541 ��. ' � • � y��,'+�"�•--�'d�"'�� EXPIRES A ril 16 2018 '••'.'�or�Rd!:�� EXPIRES April 16, 2018 ( �..a n,..• ; rP , . .,,,.• / .., 407 398-0153 Flaridallote yrService.com �����3�-��� FloritlallotaryService,com ,r r- _ City af Zephyrhills � ' BUILDING PLAN REVIEtu COR�:MENTS Cantractor/Homeowner: Date Rec ived: Site: Peimit Type: Approved w/no comrnents:❑ Approved w/the below comments: �f�, Denied w/the below comments: 0 r � � C�......��-SS ��--1� ��,�� '�`o((t- �✓Uc..��'-1t-��„S`��-''� ���l�--1�--� ���-�— I � � � �� � � � � � ��� ( � � � � � This co�ent sheet sha11 be kept with the permit andlar plans. � � � � l� l B Burgess uilding Official Date Contractor and/or Homeowner (Required when camments are present) C � _- — , �—___. � , � � � �Y � �����i«�»i��«i����»ili�i�ii�ci�i�i�����i��1s����1i������ 2017000245 . .. - Rec: 10.0� RcP�:1826582 i�, q�,OB� Y Clerk DS: Qi.00 01/03/2017 K, D. K• � �' � NOTIC.0 OF CONLMENCEMENT � ' ppULA S 0'NEIL,Ph D PRSCO CLERK & GOMPTROLLER i 01/031201 10: 2am 1 �f�� , PermitNo. OR BK ���g pG - ' ', Proputy Identifrcat3aa Na.t9a-?CB-�I-c�Zt}- C71Z{Y3-CD�j 7I�iJlJD�1Ci1VED haeby ave inSormv you that the improvemrni witl 6e mede to ee�in n�ai pmperry,end In eccordsnoe with Section 713.23 ofthe Fiozida Sistntes,t�e foitowiag iafarmation 3s pmvided in this PIpTICE Og CpMMEKCEMENF. X.Description ofPs"dP�h'��Sal dycdt�rtfon.) � U 1 0 � C a)StceetAddiess: � ' L 2.{3eaere!descri{rtiaa ofimpravemea�s: - � i 3,Owner Iafo�mapon a}Nemo tmd addtess• o � l • b)Neme aad address of fee siu►pte titlaholdu(" otbei than ocvner) -7 ; 33�',�yU � a)fntwtst ia ProPaty' O u�MR1" 4.Eana�etinInfarmaiiDfi �/� f J /� /_ � a)Name mid ad8sess'. ��r+f.�-��c o..-�. (� �--r� +".,��.c . J �J"r �' I S�� E�2—p c...,� Lo o� I I �i b)TeIcphone No.:„ �t 3 ,��.2 (F,,.._C..�r ��Fax No.(Opt) '—! � S.Surety Taafoswelian , �<r l=s l.-�� ' ; � N�e�d�: p �L- 3 3 r� � �, b),4nioapcofBona: O'C'�� � � I � c)Telephane No: ' Fax No.(Opt) � t 6.I.endc � a)Neme end ed�ess� �i ' . Phoiu No. .. Q . G . 7.idenHty afpeisoa wiYhin the Stats ofFiarida de.afgoa#ed by owner�ap whom aorices o�othts dnc�eats may bc served: a)Name aad addross: ' b)Telc�hona No.: ' Faz No.(Opt.) 8.1n additTon to htm.vol�owner d4siignztes tfis fallowirig p�raon W rzccipa a c.oPY ofihe�.ieaar's Nonce as'pzovided 3n Searaa 7i3.23jI}(1s},FIorida S�: e)Name�ui sdd�ess: ' b)Telephoao No.: '� � ' .FaxNo.((7pk) ` 9.EacpuaHon dste ofNatrcp of�aaunencement{t3te exgaefian dafe is one ytaz from th�dsie otrecord�ng untess a dff�'ctent daic is srocifred); WARNIhtG'I`O OWNEIi: A�IY PA'YM&IVTS It'iADB BY THR OWNSR AFT�R�TfiE�XPIRATLOhT OF TbTR TiOTICE OF COMMETiCEM�NT ARS CONSID�ItED IM,�'ROPER PAYbiEl�2TS i7NI/ER(�APII'ER 7'13,PART I,SSC'I'ION 913.13, PT;ORTDA STATUTES;A:NY)CAN RESUL?TN YOUEt.PAYIIQG TWIG'E FOR IMP'ROV$hIENTS'1'U YOUtt PROPER'FY. A NOTiC�QF COMh3�EN�LMBNT 1ViI7ST BE RECt>RD�D AN'D FOSCED ONfiHE 30B StPE BE1K?�2&TE�FIRS7' INSPEC'�TON. Il?'YOTT INTEND TO UBTALtV FINAN:CUVG,C(�NSOLT YOU�t LENDER OR A1V ATTORIVEY BEFORE CQMMENCIIVG WOBK OR ItECORAING YOUR 1�CITICE OF COM14/EIVCEMEN'I: STATEBFFI,ORIDA COl1N1'Y OF PASCO • S1�queoSOanerosOwna'a Offica/L)IneetavlPcMalMmnga �),1tG.�1 S �/��yC��� ,/�c-rFr�i',� PriotNamt �� e foregoing' uumert wes eclmow]ed�d befcue me thts ,vF�day of��:�af�i�,.�-.-�2Q�,tsy �p Z�t C�('Y1 - es ;il"�t Y"�{tlet'! {typ of suthority,e.g.afficer,t�feq e#tarney ia fact) r - L-.��fpaRy on bebelf of ham fastnmteat we�auurtec[). Pessonsl2y Known�ORProduceci Ideatificatfon� Notary Signaftue �:� � � .�,�,� . Type of Ideafificatioa Produced Narat{psmt)_r�a.�`Q,�n ! t ���-- t � . j Verification pursueat ta Section 92.525,Flarida Stat4tes.Undar penaltias ofperjury,I declace thst I6ave re oing and tLat the fscts statad in R ara�ue to dse 6est ofmy Imow2edgc and beIfe£ , i � 3ignatucxofN Fenan9ig7slnyA6ovo' . F'6RM�JNOCfxd7pQT ....�.��,,,�• �r,,g�'=`"P"°��,. BEVERLY J HILTON � *� )'� MY Ct}Mtv1lSSlt}N#FF113541 - �`�`"r���;': EXPIi3ES April 16,2018 ' . �,,a�.,,.. 44 349-ot5;1 Flo�ldallota Service•Wm � � � i _ � . � � '� � � � ' ��t,,..�._.,... _ ���J`�'�� �"B'1�E'E b�' ��,G��t117�,GOI��l�'Y OF�'ASCC3 ,,'�� m �3 :_ e��. fiI�IIS IS 7Q C��f�T1FY TfiATI'hiE FORcG01NG ISA TRUE AND CQRRECT COPY QF TNE DQCUMENT �,'' �, -f,'�'�;��`��j �� � �� • �.���s;a;=�3, ON FfLE OR tJF PUBLI�REGORD IN THIS OFFlCE �'�` � NE S E�Y HAND ND�FFICIAl.SEAL THIS n� ,y?�rr,nA�i �I e i,.��:� +�n���� � DAY OF�rith.C�. 2� �, -:>��i ^ . � �AUL.A 5. 0 NEIL, CLERK&C PTR4LLER � ��q �_ �,/ �3 � °, . M���a ������ i�Y �v"``-` DEPUTY CLERK , ���