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Home My WebLink About17-18424 ' : . CITY OF ZEPHYRHILLS 5335-8TH STREET �sis��so-oozo 1842 FENCE PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18424 Address: 7135 ASHLAND DR Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS I Est. Value: Parcel Number: 35-25-21-0050-00000-0210 Improv. Cost: 5,412.02 OWNER INFORMATION � Date Issued: 4/28/2017 Name: WATKINS, RICHARD ', Total Fees: 50.00 Address: 38014 12TH AVE Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/28/2017 Phone: (813)862-3824 Work Desc: INSTALL 204 ' X 6' VINYL FENCE CONTRACTOR S - APPLICATION FEES LOWE'S HOME CENTERS INC (407)832-8085 FENCE 50.00 1 �� C � � � � �,z ' ' Ins ections Re uired 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 first reinspection,whichever is greater,for each such subsequent reinspection. '� I NOTICE: In addition to the requirements of this permit, there may be 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. ' The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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 obtain financing,consult with your lender or an attorney - before recording your notice of commencement." Com te Plans, Specifications and Fee Must Accompany Application. All wo all be performed in accordance with City Codes and Ordinances � � CONT C O PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOU1t NOTICE REQUIRED PROTECT CARD FROM WEATHER ; 813:�aaoozo City 'f Zephyrhilis Permit Application Fax-813-780-0021 Buflding Department Date Received Ph ne Contact for Permlttin � 3 2� rn Owner's Name� i C� T'k' Owner Phone Number �/ - (�,2 - -^� � �2 Owner's Addnsss Owner Phone Number Fee Simple Tltleholder Name Owner Phone Number Fee S(mple Titleholder Address JOB ADDRES�i I�3 S A sh �A l�l� (�(Z Z2P�1/� h� 1�S �L 3 3 Sy o LOT# �� SUBDIVISION A IPhA �lIA I PARCEL ID# 35-25=Z�-o0 5p_p0000 - 0 2�o (OBTAINEU FROM PROPERTY TAX NOTICE) WORK PROPGSED B NEW CONSTR ; ADD/ALT 0 SIGN [� Q DEMOLISH INSTALL I REPAIR PROPOSED U5E Q SFR � COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK i FRAME Q STEEL [] DESCRIPTION OF WORK �IJ$l�/4II 2�� O� 6+ � iN L -C�1C iT 2 � I BUILDING SIZE SQ FOOT� GE� HEIGHT � i �IL.DING $ / oz i VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ i AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. QPLUIVIBING $ I I � T � � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `� � OGAS " Q ROOFING SPECIALTY � OTHER � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �, ifi-httttiiii-Ft G�tpi� µJATSe�J BUILDER'�A�� ' COMPANY CG3Te/1 L�L SIGNATURE REGISTERED ' Y/vN FEE CURRE� Y/N Address (3p 6ox7814q3 D21r.w�o F�(. 32878 Ucense# LG � ISd85l/� � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Ucense# II �I II PLUMBER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �iiitt RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building f lans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after subn Ittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Siit Fence installed, Sanftary Faciiltles&1 dumpster;Site Wor�C Permit for subdivlsionsAarge projects COMMERCIAI. Attach(3)complete sets.of.Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after subn,�ittal date. Required onsite,Constructlon Plans,.Stormwater P _s w Sllt Fence_installed; - ---_-- __ .Sanitary-Eac(litles-8-1 dumpster.—Site-VVor -Pernit for=all-new�proJects;Att cvmmercial�equirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""•PROPERTY SURVEY required for all EW construction. � Directlons: Ffll out applicat(on completely. Owner&Contractor sign back of appl(cation„notarized If over bZ500,a Notice of Commencement�is requirec:��(A/C upgrades over,S7500) i " Agent(for the contractor)or Power of Attomey(for the o� er)would be someone with notarized letter from owner authorizing same OVER THE CCIUNTER PERMITTING ' (Front of Applicat on Only) � Reroofs if shin��les Sewers Service Upgrades A/C -�-Fences(PlobSurvey/Footage) Driveways-Nof over Counter if on pubiic roadways..neec�s ROW i ; NOTICE OF DEED RESTRICTIONS: The undersigned understands that th s permit may be subJect to"deed" res4rictions" which may be more restrictive than County regulations. The undersigned a�ssumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND COBVTRACTOR RIESPONSIBILITI ES: If thei owner has hired a contractor or contractors to undertake work,they may be required to be licensed in acco dance with.state and local regulations. If the contractor is not licensed as required by law, both the owner and contracor may be�cited for a misdemeanor vlolation� under state law. If the owner or intended contractor are uncertain as to hat licensing requirements may appl;� for the intended work, they are advised to contact the Pasco County Building Insp �ction Division—Licensing Section at i'27-847- 8009. Furthermore, if the owner has hired a contractor or contractors, e (s advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be esponsiblei. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and i�� not entitled to permitting privileges in Pasco County. � TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE REC JVERY FEES: The undersigned und��rstands that Transportation Impact Fees and Recourse Recovery Fees may apply t� the const;ruction of new buildings, cl�ange of use in existing buildings, or expansion of existing buiidings, as specified ir� Pasco County Ordinance number 8�1-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at thE; time of; permittfng. It is further understood that Transportation Impact Fees and R�source Recovery Fees must be paic� prior to receiving a "certificate of.occupancy" 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 permit issuance. Furth�ermore, 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 amende�d): If valuation of work is $2,500.00 or more, I . certify that I, the applicant, have been provided with a copy of the "F orida Construction Lien Law—HomE;owner's� ` Protection Gufde" prepared by�the Florida Department of Agriculture and �onsumer,Affairs., If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above de�cribed document and promise in goo�faith to deliver it to the"owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information n this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning an;d land development. Appiication 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 perfor ed to meet standards of all laws rE�gulating� construction, County and City codes, zoning regulations, and land devei�pment regulations in the jurisdiction. f also certify-that I understand that the regulations of otfier government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. S ach agencies include but are not IimitEd to: - Department of Environmental Protection-Cypress Bayheads, VNetland Ai eas and Environmentally :3ensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cy�ress Bayheads, Wetland Areas, Altering Watercourses. i - Army Corps of Engineers-Seawalls, Docks, Navigable Waterwa s. j - Department of Health & Rehabilitative Services/Environment�I Health �Unit-Wells, Wastewater Tr�atment, Septic Tanks. I ' - US Environmental Protection Agency-Asbestos abatement. � - Federal Aviation Authority-Runways. I � I understand that the following restrfctions apply to the use of fill:� � � - Use of fill is not ailowed in Fiood Zone"V"unless expressly per�nitted. - if the fill material is to be used in Flood Zone "A", it is u derstood �that a drainage plan addr�3ssing 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 flll material is to be used in Flood Zone "A" in connect on with a permitted building using stem wall' construction, I certify that fill will be used only to fill the area witMin the stein wail. - If fill material is to be used in any area, I certify that use �f such fill will not adversely affect adjacent� properties. If use of fill is found to adversely affect adjacent p operties, the owner may be cfted for violating, the conditions of the building permit issued under the attache� permit application, for lots less thari one (1); acre which are elevated by�II, an engineered drainage plan is r�equired. i If I am the AGENT FOR THE OWNER, I promise in good faith to inform the��owner of the permitting conditions se:t forth in this affidavit prior to commencing construction. I understand that a separ5ite permiti may be required for electrii;al work, plumbing, signs, welis, pools, air conditioning, gas, or other installations i�ot specifically included in the application. A permit issued shall be construed to be a license to proceed with the work �ind not as authority to violate, cancel, aiter, or set aside any provisions of the technical codes, nor shall issuance of a per�nit prevent the Buiiding Official from thereafter requiring a correction of errors in plans, construction or violations of any co es. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six mont s of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after t I�e 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)consecuti�e days, ttie job is considered abandoried. i • I WARNING TO OWNER: YOUR FAILUR� TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT I!N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU NTEND TO O IN FINANCING, C��NSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC �OF MENCEMENT. FLORIbA JURAT(F.S.117.03) __ i —=—OWNER-OR�GENT— - - --- ----CONTRACT ___ -- - — -__ � — - - ---- -- -- — Subscribed and swom to(or afflrmed)before me thls Subscribed and swom o(or afflrmed� before me this bY - i - Who Is/are personally known to me or has/have produced Who fs/are p sonally nown to me or has/have produced as IdenUflc2tlon. I as Identiflcation. , � i . " i � Notary Publlc � � Notary Public Commission No. Com iss n No 'i� �':�� Commission# 150422 • " ,�;,,``' 9ondodTNulroyFmnlnwrance8003e.�`•10f9 Name of Notary typed,printed or stamped Name of Notary ped,printed or stamped I I I - i �vi;r -v�r--G� t�«t> > r ltS:a4 ls0 t5"i5ti5t�yU(1t3 » 813�b9990i?� p 3�5 " .,.. �r"�'�..., , t.,,� a,,,� .� I,...� ,�� _ _ � • � &310D75328 RftOonnetley4't0t3.Andghtsresaxcd.—�p&67 . • . r . . . . . . . • .. ' ... .. , . .. . .�+---"--^,..:^----^-...-.--�c*.•..^ . . i . . .... ^ . . .. . , . . �,�' i �' '.2ji� .,��W� �,m � �..._ � � ('� �}�y � � II CQNT.RACT t`� �Ll��Ci ll� 1 � �. E �_ •IOWE"S AUfNb 2ED REPRESE ATIVE 'NUINBER:� CUSTOM�R' I -trr �'"Z-'�=F} �� l�r-}��-/Zt.-b�:( �!C�, ! ��t�'�+'ti S es� a�� - �� r�� - S'fURE NO� S EEY ADDRES;i STREET AODFtESS �, s�� 7 �r��r��3r�,� . r��s A��,� �J�. ��: CI'IY ' ST'ATE ZIP CITY STA7E ZIP �e ��,rh,�l5 ��, " 3 ��tl �� Y�,.11.s ,�(.,_ �3 S� aE"i3",�' ��"'E^��a.n+1r.�,=y� . _ �. .._ . , . .3"'f"'_!'n�nt�'�".'�.. - T1clEPNONE I YELEPHtJIJE �8,�- 8'3g_ ��,��'� g�3 � �zy� 91�� s . �� . � �� , DA'l GQWE'S CON"fFtAG74R Lt i Et3SE N!)MSt:R ' Cetsw atwtc ' y~ tcC y REO �•� "Z,.� �1, CGC'ISO&�17 � Cna� i ' CHARGE SO& � � , �j 9 � f �� _ � _� INS"fP11ATION STREEi ADpRES4 � CITY � � STATE ZIP S-�r�� 5 �4 �v� � � a�- - -=<s��: - �� - -�;��-.�-mF L0��1`C� tv� � ��(�^ I ./. _ . _ �' _ �ot..l�.� L �l ! 5-�!1-.-.• .. )� Iv�S�4� � �' � � Gvh�-�'P v�n�� QftVR�t�I �nC�., �� T '�"_�"_`1 ; _ Lt jfr LJR� �.,___I_t�t'�'`�,a.�V��.1NA1�C ��#9'P• �caL.x�.'� lNl�._._�_,��,Il �r'�!}�'� _ � � J�_.___ � : NOT7t,�70 CUS'i4NiEF2-PRtCE C;A1.CU. i i'(ONS:ln order to properiy perform the installation of c.erfain Goods,the Contract Price may include mare Goods than ac{ually wiU be installed•based on the measured square footage of the ProJect Arpa.As a result, the parties agree tha�the lump-sum Prir,e state.d in this Contract is calcu(ated upoal.both tt�e va4ue of esiimated Goods required!o fulfiA thf;Contr�ct{inclt�ding waste},which may exceed the aatual squar�e footage of the Psaject Ares,and the(a or which may 6e estimated based on the amou��t af Goods required fa fulfill the Confract(including waste}. ( By sir�ning this Contract b�low, Custnm�ar ack�nwledg�;s.receipt of this notfce and agrees and undc3rstands th� the Price includes theae costs which may not lie refu�ded once the Installation S��rvices ere perforrned. �. NOT3c:E TO CtlS70i41EE2: Federa!Iaw�requic�s Lowe's to pravide you wifti the ^� � pamphlet Renovate Rlght By signing this�^pntract, Customer acknowiedges " i Contract Tota1 � having recetved a copy of this parrrpFilet bc:fa�re work laegan informfng Customer � �„� ��• �Z pf fFi{:potentlal risk o#the tead hazart�exp�sure frcm renovailon activity to be *a�}��licebie taxes;inc(uded 1 performed in Customer's dwe(ting un(t, j w ; ^ ' NO'f'I�: tf rotted wood is dlscov�ered d¢ac•ing inst��llation additional charges wiH �igpiy: You will be given a quot� and a c:hange orda , mu:�t be cocrt�leted and signecl �y th�� custarner far an}/additiona! charges. __� Cust�omer must initiai. 'Any work or matenai not specified is not inciuded In,this r.ontract.Any changes or additions wiN be.�t an addltional charge for the matetia}�arrci iabor. i �dOTlCE TO QWN�R: -- AC�+�()RDIt�fG "f0 FLOR{DA'�S CONSTRUCTION I_IE;N LAW (;SECTIONS Z13,(IQ1-713.�7, Fl.(�RID , ST�T'UTES}, �F[OS�WNC� 111�'Q#2K C�4� YC}UIR PROPER�'`l�4E2 PRC}V1[IE M,4TE:RiALS A.ND SERV��S h�t�i3 AR��10T PAID I FUiLL HAVE A RIGF3T T'U ENF�ORCE,'�'HE:IR CII.A{M�FOR PAYMENT AGAIN;a'f YOUR PRtJPERTY.TH(S GL.�IM IS�NOWN AS CQt�STRUCTlt}N �„IEN. IF Y'OUFt C(}I�TFWCTQR 4R A SU�CONTR;A(�TOR FAILS TO Pf�Y S!lBCONTRACTOR; StlEI-SUBCONTRACTt31�S, CiR MA'i�'RIAL, S�t7RPl.lERS, THOSE PEtJPLE Vlll-(4 ARE OWED NtONI?Y NIAY�LOCtK TO YOC1 RR�C�PERTY FOR PI�YMEN7, E1/EN nf"Y(:)U H��1VE ALREADY PAID YQUR C�f)NTRA+CTOf2 IN FULL..IF YCiIJ FAIL T�1 PAY YOU CO�ITRACTOR,Y4.UR�Ct3�TRr�CT{)1��i1AY A�LSt?fiAVE.A LIEN ON YOUR F'R4�PERTI'.TN1S MEA�f�IF A,I.IEN IS FiLED YOU ' PRUP�RTY COUL[J BE SOL1��AGAIPISl'Yi�lfR WILL TO PAY�OR.LABOFtq MATERIAI:S, OR OTHER SE;(�V10ES TNAT YOt1 � GONTftACTOR OR A S(1BCt)NTRAC�TOR tVi��Y HAVE�A1L�[}70 PAY.7C► P�OTLCT YOURSELF,YOUI �HOULCI STIPIlLAl � iN�rHis CON�'FtAC�'THAT B1=FOR��:�,NY PA`(MENT IS MA�E,YOt3R CON'TR�iC'TOR i�(REQUIRED'1'0 I�F�OIJIDE YOLi VVITH WF;CTTEN RE�.EAS� 0�.LI��J FROI� ANY pE:RSON OR COMAANY THAT h{A� PROVlbED TO YOU A "�1C3TICE'I'0 OV'4'NER F�.��RIDA'S CC}NS7RU�3'14NI I�IEi�t��W 1S C{�MP�EX,AhID 1T lS RECflMM�N[�ED TKAT YOU G{}N84�L1_,�H ATTC►RNEY_+. PH()'f0 RELEASE:Cus#omer grant:�tci Lowa;'s end Low�s•employees and independent contractors the right.t�o take pfiotographs of the Premises where � Installation Services wi14 be performEtd�nd atI wari<pE:rfosmsd at the Prerriise�relat@d to this C:ontract, and irrevocably grants to Lowe's al!right, title and interf;st in•and to the phatographs for u,�e in a{1 markets end media,waridwide, in perpetuity.Customer authorizes Lowe's fo capyrtghf, use and pubiish the photographs in print and/or efectronically,andj�grecs tl�at l.owe's may use such photographs fur any lawful purp�ose,including,hut noY limited to,marketing, adv�ltising, publiclty,illustraf�on,tralnin��and Web cnnten4.Sy initaaling here,Custocner agrees#.o tha foregoi�g�_________{Custamer.to initia!to the(eftJ� Wo1'k ls to c menqe upon reasa�na�bfe av�ilataiitt;y�af•Gontractor and/or any special o �der orc�u stome� made Good(s)whii,h is antiaipated ta be w tPh�� dut�S �._jfii(.�n date�. Estimafed campietiors dats is W�h tr1 b 1v10/>�,_,.,_[FN in date;�. Sa(d esfimated substantial compieticm date is nat of the essence:R statement of.any contingencies that waiiltl materially change said estimated substantia l com��letion date is as follows: _ ' .—._.._ _— ' ---- — �_ � �� _.._ (if app}i��ible, ir�sert a statement of such coniingencies). This l:antract provides that all claiim.,by Giistomer or Lowe's wfll be resolved by SINDIW�3 F�RBITRATION. Customer and l_c�uvo's GIVE?UP THE Rl( - -r.�.=<,�rn.r..nrYw-r.rn„:,t�r��.•th3s.Ca,ntcact,6FJC�:�E''t'..for.matters that.rr#ay:be:taken to.SApALl�CLAIMS�CO.URT}+�.owe's,ar}o!4:ustomet's.ctg�tfs..Y�,i� - -=-- •=--...,.:-, :,... .�_ _.:.,;._.. � 1 cv � c -�uw••�� i��:u� �I u54 i so ti'I StSStiyUUti » 8'I 3��69990�?I P 5/5 , - ;� i Page 1 of 1 j � ! � LeYs Build Something Together" PSE C)r��wing Worksheet - F��encing ' ' (Complete and Fax to Insta�ler) i c::ustomer ; �►c..�1 WA-� ,,, -�._ store: IgS`7` --' I ; -- F��hone (home), $/3-6Zy� 9!l�� F'hone (cell);�03-'bL�- 2.qlD_ I�hone (other}: � --� - lnstall Address:__�/3 s��li�c�nC1� Jr �ph��-h�11�s�_�L. 3 3 ��-f 1� --.--- I��irections: -�� -- � --• � :L. Walk the fence (ine after disc ssing property boundaries with the cu;�tomer—ind'icate any obstruc:t:ions as you measure j 2. Imagine what tl�e fence looks like from a "bird's eye" view i ;3. Sketch the fence with these details: ; • Mark whE�re the fence �buts,attaches to or is buift around any structure or,obstacle • Mark whE�re gates will be located as well as gate type (drive or w��lk gate) , • M r b a k est access r�ute fr�m rnaterial drop-off point to construction area � 7�- , i I � � I i � ' (/ � � $L � i i `� 6��-N.. ' I � � � { I I� �- — � -- -- � ►� � 6afe. I' w,��-r' � ' ;/O � � I _.�� —_.._- -- � . i ,I S j o!L� /g S�/ —�..,._ ._,.... i _., � i � . � i iiiiii i�iii iiiii i�iii iiiii iiiii iii�i iii�i iiiii iiiii iiii iiii � 2017118388 • � PermitNo. Paroel IDNo 35-�5 Z{- b(�Sb- bC�bbC7�' C�a.IC� NOTICE OF COMMENCEMENT � �� Florida �„�y� ��3(�� THE UNIDERSIGNED hereby 9��veiProremerR vn71 be made Lo oertain real pmperty.and'm aocordance wiih Chapter 713.Florida Statides. the foiawug inbormation is provided'a�thiv Notice af Commencemert � ' 1. Desa�tion of PropeRy: Paroel Identifirdliort No. _ . sa��: �713`s' �shlC�.n�! l�. Z�-�ur�illS �L 3�v5�Q(� z. c,eneraf oesaiption of unpoveme�t 1�nG� ��5-�-� 3. o�Irdamatian or L.e�ee inform�an iF the Lessee contraded for the improvement: l°�►c.ln. �lx'�►.-�- 1G c n.s .. '1 �3 5 '�'h.�c�.n.d �� - � . Z�h�-c�(�l 1� �'� ' i�x��P�y: �.�h�� '' ' s�t3 3��-PO 9 Name oF Fee Simple Tdteholder. . (H d'dferent hom Owr�fisted above) I J f�A n a. c�� PeterA.Cafaro Iil-Lowe's Home Centers LL� #1854 S�e N�� m•- Pn Rnx 78199� Orlando FL 32878 �� s�� „��T��bre�.: 407-393-9161 � .+ � 3 Of 5. Suety: • Name .�w - �� Address ' City State • .. lp Amount of eord: b Tefeptwne No.: • p m n 'O - 6. LCnder. � �C B m Name • ' n � q,�� Cdy ' � State � � l.attters Telephone No.: ' '1 7�' 7. PerEors witiai the State of Flaida designated by the owner �on whorn notices or other doctaneNs may be served es provided by � seceon 718.13(�)ta)Cn.Floriaa satriDes: • Mame , q�� Ciiy State v c Telephone Nunber of DesignaEed Person: . �N a B. In addiDon to himseH,the owner des�gnatps ot_ ��v' 0 .. to�a copy aer,B u�,ors n�oo�e as pro�dea�,s�no��s.��)cn).F�o�;a�s�ana�. �a z R, �+m Telephaie Munber of Psson or ErARy Dee,igreted by Owner: I�d� 9. F�iraGon date of Notice of Commencement(tlte e�iratlan date may not be betore the oanple�on of cor�trtxtion aM firel paymerd to the �M s oortractor,bt3 wiil be one y�ear from the date of rewrding�a diRerert date�specified): iM�N o WARMNG TO OWNER' AN1f PAYMENTS[UU1DE BY THE OWNER AFfER 71iE EXPIRATION OF THE NOTICE OF COMMENCEMENT I�D ARE CONSIDERED IMPROPER PAYfd�NTS UNDER CHAPTER 713 PART 1, SECTION 713.13 FLORIDA STATUTES AND CAN 3 0 RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOIIR PROPER7Y. A•NOT1C� OF COMMENCEAl�N'I' MUST BE RECORDFD AlJD POSTED ON THE JOB SITE BEFORE THE FlRST INSPECTION. IF YOU iNTEND TO 08TAIN FlPIFWCING,CONSULT �r� WfTH YOUR LENDER OR AN ATTORNEY BEFORE COMmAENCING WORK OR RECORDING YOUR N0710E OF COMMENCEIN�NT. m � Under penariy ot perjury.I dedare that I have re�fhe faregoueg notice ot er�t artd tliat the lads stated therein are trts to the best � p �` oT my belief. , �w Q° STATE OF FLOR µ�►„�� LAURENCE IZZO :,�~3 COUPITY OF PA '�' � ' MIY COMMISStON#►F�103051 ' � 7�'� IXPIRES:.MAR 17,2018 ' ��°f.0�""er w l.essee.or Owners ar Lessee's A�ahor¢ed o odPartner/Marrager r �' Banded throuph 1 st State Insurance ' ' m � - ' � � , Sigretorys TiHeJOffice ' d'1- �- �ing ir�tnane1n't.vras acknrntiledged before me this�O daY of y�(.c_ ��,,,,,20 j?by �C.� �A�'F�''� as �l�5�� (type of authority.e.g..a�Cer.tnistee.attomey in faet)for ' (reme t an b haf ot wtnm irstr�anerrt was exeated). PcsoreUy Known 0 OR Produced Idertification❑ Notary Sigreture � Type d Ida�tion Produoed Name(Print) ��-'rY� �2Z� I i ��6aYJ�6�� i �' S7P.iE CJF C��-�R.IDd�,COU6�T�'OF PA�CO � p � ' � �RTIFY THAT TME FOREGOING IS A �, • � �� • THIS IS TC G— � , �`,#<�s� ��`�t e �c TRUE ANU GORRECLIC RECORDHN TH S OFF CE � � '`T=5..,,`�s#�j C`�'� ..,.,. �-��.�! g ON FILE OR OF PUB 'i��'�\i �" �- �r S MY HAND AN OF �,\1� FICIAL SEALTHIS � � —�,.,.,� ��; .. WI N DAY OF 2�J�— � .,�`�� ,N�� CL RK&G MPTROLLER ��., —� �� PAULA � � � •�� @ �,� � � DEPUTY GLERK ��'�a`i��F B i