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HomeMy WebLinkAbout17-18450 . CITY OF ZEPHYRHILLS f,.�� 5335-8TH STREET � (813)780-0020 18 0 FENCE PERMIT , - PERMIT INFORMATION - - - ' LOCATION INFORMATION / ° Permit Number: 18450 Address: 38635 EVELYN LANE Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: OAK CREST ESTATES Est. Value: Parcel Number: 02-26-21-0230-00000-0260 Improv. Cost: 4,300.00 OWNER INFORMATION Date Issued: 5/04/2017 Name: STRODE WILLIAM JR & BERNADINE Total Fees: 50.00 Address: 38635 EVELYN LN Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542-1689 Date Paid: 5/04/2017 Phone: 303-517-5782 Work Desc: INSTALL 208' X 6' WOOD SHADOW BOX PRIVACY FENCE CONTRACTOR S APPLICATION FEES BIG D,OG FENCE INC (813)907-9877 FENCE 50.00 O �i ! " •- n Ins ections Re uired FINA 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 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 ilure to record a notice of commencement may result in your paying twice for improvements to your� e . If you intend to obtain financing, consult with your lender or an attorney l efore recording your notice of commencement." / lete PI Specifications and Fee Must Accompany Application. AI rk s be ertor d in accordance with City Codes and Ordinances C CTOR PERMIT OFFI IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � �� , • a��-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 I Building Departrnent Date Recelved phone Contact for Permftting T1T1- ! Owner's Name � � laC Owner Phone Number ,/���J� J 7'G Z Owner's Address c7�� J P.I ��.. Owner Phone Number Fee Simple Titlehoider Name Owner Phone Number ' Fee Simple TitleholderAddress JOB ADDRESS tre ' G � Ff �I �J T Z LOT# 21r SUBDIVISION l, d7G PARCEL ID# dZ`����D�B—6600� " Oµ�O (OBTAINED FROM PROPERTY TAX NOTIC� WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM O OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK ��( � �!! �/!"iSr BUILDING SIZE SQ FOOTAGE Z�C HEIGHT � f � � ��� 77 i�tf7 �� � rr� n QBUILDING S VALUATION OF TOTAL CONSTRUCTION �O Di 0'D QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � QGAS Q ROOFING Q SPECIAL7Y Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO II BUILDER •COMPANY• • • • . . • . • • li SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N Address License# � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Llcense# PLUMBER COMPANY , SIGNATURE r�cis�Reo Y/ N FeE cuRaen Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREn Y/N Address License# OTHER COMPANY , � rG . SIGNATURE �clsrEa� Y! FEE CURRE� Y/N Address -�i�.�. License# �/�C., p G,v � tlllllllllllltltlllllllllll IIIltlttllllllltltltlllllllllttlllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permft for new construction, Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, ' Sanitary FaciliGes&1 dumpster,Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consWction. Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW consWction. Dlrectlons:• • • • • • • • • • • Fill out application wmpletely. • Owner 8 Contractor sign back of applicatian,notarized If over 52500,a Notice of Commencement is required. (AlC upgrades over§7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same OVER THE COUNTER PERMITf1NG (copy of contrad required) ' Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) i Drlveways-Not over Counter if on public roadways..needs ROW 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 worlc,they may be required to be lice�sed 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 contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Biock"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 properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may appiy 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 permit issuance. Furthermore,if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with appiicable 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',1 certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"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 work or installation has commenced prior to issuance of a permit and that all work will be performed 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 responsibiliry 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,WatedWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand 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 Authonty-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood 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 pertnitting 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 wall 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 fill 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 condiGons of the building permit 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 inform 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, or other installations not specifically 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 provislons 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 permit 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 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)consecutive days,the job is considered abandoned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN T MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEN T IN FINANCI ,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO C M NC NT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirtned)before me this Subscribed and s m ar ft' before me this 6y b Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identificalion. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed ar stamped 3111 b ELOIAN DRIVE Date: �j I l �! / � 7 ContractFT: `' � o � " � WESLEY CHAPEL, FL 33545 Tel. (813) 407-9877 Hm: cell: ��3-51� `S-I��� � � Fax. 813 994-7827 Bus: � ( ) Fax: EmaiL• serviceC�bigdogfence.com Emait: h S��^O c� �S� � `` �m P��J c�.0 . d�r", <on--� www.bigdogfence.cam NolCut�: �Z 3�'03s�� .,�'�e.. ��r .. �� t�°i�'%�'�. . ��V ix PRt�POSAL/CONTRAC`T Buyer. �i 1 � y� (��.,r,i� _S`F",�j� d� Subdivision: �Cc�C, C';�S f" FS�Cc��e� Maiiing Add: � d l% 3 � Cv� I,� �1 L.L1.�.�' City%---�{��1��^�Z r 1 I ,S State r L 2ip �S� S�f"L �� Job Site Add: 5 C�--bi� City State Zip Cro5s St: ���C b��S t Q��, v___ Lot 1# �� B(ock Prooerty Owner.�Yes _No Units h�ateriat;an�/or Services I�:� .__. E 9�,�,����L� ,�, � �: �, � . ' � i �� �:Sn �C��.t)i.� ..'1C, , �'�' i �.�7 S�'c;.,��`fi C3�J t.� I ' � f ��t -�' X� ��`� ��� z Urr��-�i�SCt,�. —t� � � �.� ��-c.W 4 _.___. �'o.s-I. .y. �, � y vJ16� �� i b o:s;; � �----- f- ` . :u � � � f C c:a.c�..ll Rs1-n J O:Se � !$,Pi'`c'! Z ` "„ .{' • 2��"'oc•, r 7 1� �/ �..,o F�..x' 4�, �` I � Go r l;�l\- C-c�t'- �c, Ol �_ v �� f i i i 1' � = — C` 5 R..- s^ n ..:o�d l�-K�\ $ �. �� Sr i� )C f t�0^ CCJ' � S'-ti�l S ' � +l �i �.��:�.,-s c �3c c.��Y� � �' ���� ' os�'' `�X ?�. ' � 1 e �T-�1� �1✓l � v\ �L �`�` I �1� � � ! � %5,5� � E �.�, o � occC _� ; ti z. 1 L'r . -' � � Cl�r� � Oa j a,� � � � I _Visa MC_Amex,_Disc _PayPal 5 5 D�� Daaace i i � � t , ! Price . . . . . . . . . . . . . . . . . . . . . . S�—����'�— � i ( _ � I . . . . . $ hcca.m:N�cnne: -Inct�x au uumxrs � PermitFee. . . . . . . . . . . . . . . . . . . .$ c�FQU7 �'� v lAnn[h YAir 3.aDi?itLeJ_ BiIL:�g2q�usdc r -- 3�Credit Card Process Fee. . . . . _ . . .$ � ; �� � ; � E Totai Price. . . . . . . . . . . . . . . . . . . S��_�•_� cxoxac�n oa:e 54�Down Payment. . . . . . . . . . . . . . $ :� � �i�Q� Credit Card FtnanCed Pfite. . . . . . . . .. . . . . . . . $ Authorized Signature: / / a� so. G J :�ti Satance Due on Comptetion. . _. . . ..$ •� $�,��Sa'=. Quote good for 30 days_This P Sigri�_�, /��� �� ropow(shal(becamc a 6indirrg contract �,,,, vpon acceprance.See Reverse Side For Contract Terms. Sellers (� `� � " Seller. BiQ DoQ Fence, Inc. Agent: 7�X.Civti '�C.C:� �?n. L/"��`"/7 - �.� •.._ . —•40'(EN[E 'y SECIIOIV L, TO�INSi-fiP 26 SOUTH, RANGE 21 EA5T Q tr.n, -�0'�En•_E L°r 2s j'u,�°z"' ^ ---.`— - PASCO CQUNTY, F'LORIDA o ( w r��zvE��r sa.ao' �L_ :- ; I A 1!2'IN PU. �AD•,�-,_i_, M iM�a ��' "' 7Ldfi47 =�,1 p�.._ II —�_ '5 . 5-- - t— ° �---"_�- A'OTE5 � ;?� �� -.-..————.-`�. ' ' ' - �: l._,�O.' �, �7{IS 6lAP REPRESEN75 A BDUNDARY SURVEY. FlXED IMpROVEMENTS L6G57ED. � a � Q��' '"• �07�' '�S3ie° -P �_:`^�-'''"2, tdOT VAIID W�TFiOUT 1NE SIGt4ANRE ANp hiE OWGINAI RAISE6 SEAI.OF A Ft.oRI�A L�CENSED � •' � 4 �M� ^p vqJ� L••••-•�-•u � o;se• ,'__ - SVRVEYOR AN� MPPPER. PDDITIONS OR D0.ETi0N5 70 SURVEY MIVPS OR REf'OfiTS 6Y OT}iER � R� '��'•"i`• �';�nAaii`E�:�� &.�i �� � 7HAN THE SIGNING pN7f1'OR PN27I�S IS PRONI81iE0 WIThIdUT WRtTTEN CONSENT DF TF1E '::���.i��,•'��. y. ,.oa�,nY;'..: SICHINC PArZn QR PARTIES. W ' � � ' ' " ' �a 3. ND APAARENt SURFACE ENCRQACHMENTS OfCF:P7 nS SHOWN HEREON, uNoERGRQUNO 1 � �;W 2t.�ll t53 o ENCROACHMENTS OR Ui1LITIES (IF AN� NOi LOGTfD IN CONJUNC710N WI7H THIS SURVEY, � 5.r �p 4. OESCR1pTI0N SHOWN HER"cON fURhiSHED BY PREMIUM iRLE. INC, � a ' 9. BEARINGS SHOWM H[REON ARE B�SED ON rSSUA�ED OANM ANQ ReFERENCEO TD THE � o r `� 1 M� "'�o��, NORiH R/W UNE OP EYELYi4 11dVE AS BEARINC N� 89'58'35' W. (PER RfiCORD PWT). 6. THIS SURVEY PR�PAREU WRHOUT TrIE BEt9EFIT OF A Tli'I.E COM6tfYMENT THIS SURVEYOR � d' � NOi Rf5PON51BLE FOR Fi1SEA1£N75, ADQITIONAI. RIGHTS-Of-WAYS OR OTHER a '•� � 1 STpRY MASONRY ENCUMBRANCES OF R£CORD NOT FURNISNED TO THIS OFFlC£. o � � RESIDENCE fJ38835 r I� 7. ANY REPROQUC110N OR DISTRIBUTIDN OF THlS SURVEY MAP OR REPORT VYR}iDUT THE $ •:� �-�----��.w N F�CPRESS WRITTEN CONSENT OF SIMMONS dc BEALL, INC, f5 SfRICSLY PROHIBREA. Tt{IS ' SURVE7 MAp OR REPORT IS VALJD 6N�Y TO THOSE INDMOUALS OR E•NiR1ES NAIAED - ' "�' AC �n �' HERfON. SJMMONS k BEPLL, INC. AND/OR 7HE SIGNINCa PAfZfY ASSUMES NO s� N , ����- a , . :V � RESPOMSI811.f1Y TO ADDITIONAt AARTIEa FOR RS UMAUTHORI'LED USf. �` pp� '� ct , �j 9. THE [ANO SHOWN NEREON APPfARS TO BE LOCATED IN FIDOD ZONF "?("ACCORDING TO � �{ F100D INSURANCE RATE t�AP COAIMUNIIY PANEL N0. 12101C-0293F,IIA7ED 09/28/261h� � :}�• �,� vo.r� :tS,Y a 9. FENCE 1pCATI0N5 SHOWN HEREON MhY HE ENLlJ2GED fOR CIARYfY ANO At�Y N�7T 8E I ;j � :':�'�;�: .; Z DRAWN i0 5CA1.E. i. . •.�':G S�:`. ,..rc,.r„ .��N:. ry i'i� ' �! 5/0'IA S[i � �1°$`d�'ri n � At9e3a� 3, ;�';.o�.,. +so.oa'IPSFI 5/a'in vo. ' •� f � �;... N 89' � ' uoarN r�/w�w� i s3e. r i - VIC� � � .'�. . �<.,.,. � , 2;, ,_.. , �..---.--�-.��AO�CflUUNO 17 � ':1•••�•�?••�.•,:SNCW.V.It".'i'•;rt.f;d�;" � �ELECOiAifllNICA710�19 N9X .r - (� /��� r7.�."'•� FUWID A7cOPNEN ^n:�;'"`-v__"Y`�, �''a�' CJ-^L` ..eVIL4'"�i'Zi�S:-.a� � •?•lt.v�,•"::�r� 1/7�TIRNID.y�18/0T- ' . ... . _.... . . `.: _ ..._ ... 050'^OUT�i �_ _ .. - ._. CDCC O R(VD � - - ^ .. _—._ -�'{��YY�'��C��_.__ � (60.0' It/W 2U'0.SPFN�1 HDAD) I DESCRIPTION LOT 26, OAK CREST ESTATES, PMASf. QNE, A SU801VISIQM1f ACCORDING G N ^ �G- S(MM0�1� & BEALL� INC. 70 TH� PLAT TNEREOF RECOROED IN PLAT BOOK 32, PAGES 47 AND (o) -paed or Dewrlptlon 48� PUBI.IC RECORUS OF PASCO COUNIY, F10RIQA CM -cuncre�a uonumcnt SURVEYIhfG & MAPPfNG PDB -Potnt ot Beginnina P,C.P - Pomwnanl CoM+n�t Po1M P.q.AI,- Pnrtnanan!Re(oranea kowhmnt . R/W -piqht of Mloy P.O. BOX 1297 FtRS. - Roqrood Sake � 38730 S,R. S2 MarD - Noh and�IaM �' DAGG Cf1Y, FLORI44 33526 CURVE TABLE {C) - Computed.Doto � ( 352 2 587 - OD48 P.C. -Polnt of Curvdure FNZ ( J62 ) 587 - 0675 CUfiVE RAOIUS WiC CHORD C}jORD BEARIfIC DELTA ANGLE P.i. -Pofnt ot Tangoncy LB �NMBER 6382 � C1 15.00T 23.70� 21.37� N 44'42�41° V 9tY3��k8� +-�y�.]��1 � IP. -Iron Plpo (�') -�cld Paio �� �~ (P} - r�m itt, -hon Rod oao of Suney f D2-01-201� Orown by ; Mly,� .,,,�/� I{1 q�' _ ��� �� � R�bj� Oota o(Plal r D2-03-2017 Chaeked by� �$ ' PREPAR� E31':...LL.1�''�• `-'��-f` J`� AC_.____.,'vr Cwnd{tbnw NR-Plo�Rodlal �oy Nvmdor �93g55-y& 5neot t,Q,C�Q�„_Q�� i �� t� MkURICE W. BEALL REVISIO�IS DFlEO T0:WILLUM L STRODE,dR, k BERNAOINf S7RODE OENOTCS 6' 80Aq�pRMACY FEYCC PIo106r330no1 $VrYeyor 1 Fiorldo fiogia�rotion Num4or 4?.et , JP MORGAN CHA5E BANK N,A. PREMIUM 11TL� INC. , NOT VALIO UNL�SS IMpRl�����ISEO SE4L "�' PU LIC il N I��� G � h� � � � � iiiiiiiiiiiiiiiiiii�iiiiiiiiiiii�iiiii�iiiaiiiiiiioiu���iii . 2017067013 NOTICE OF COMMENCEMENT Rcpt:1860567 Rec: 10.00 Permit No. DS: 0.00 IT: 0.00 05/04/2017 K. R. M. , Dpty Clerk � Proper[y Identification No. 02-zs-zt-oz3o-00000-ozso - - -- - THE LJNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713 13 of the Florida Statutes,the followmg information is provided in the NOTICE OF COMMENCEMENT. �D ' 1. Description of property(lega!description:� OAK CREST ESTATES PHASE ONE PB 32 PGS 47-08 LOT 26 OR 9494 PG 2479 ��� 8� StI'EEt Add[CSS: 38635 EVELYN LN ZEPHYRHILLS FL 33542-1689 ��N ' 2. General description of improvements REMOVAL OF OLD 6'H WOOD PRIVACY FENCE 8 INSTALLATION OF NEW 6'H WOOD SHAOOW BOX FEfVCE , ��p i 3. Owner Information �t�'�� � a� N2[riC 3RC1 8(1dI'eSS: BERNADINE R STRODE -38635 EVELYN LN ZEPHYRHILLS FL 33542-1689 �V,N S b) Name and address of fee simple titleholder(if other than owner) wm� c) lnterest in property OWNER I��N ' 4. Contractor Information 3 0 S� NBRle 3RC1 3ddI'eSS. BIG DOG FENCE,INC.-31116 ELOIAN DRIVE-WESLEY CHAPEL,FL 33545 � : ��� b) T e l e p h o n e N o.: 8�3 s o�-s a�i F a x N o. (O p t.) � 5. Surety Information - - '�""�y,� a) Name and address: N�•3 b) Amount of Bond: � � c) Telephone No.: Fax No.(Opt) o 6. Lender � m a) Name and address: � 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: b) Telephone No.: Fax No.(Opt.) 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided m Section 713.13(1)(b),Florida Statutes: , a) Name and address: , b) Telephone No.: Fax No.(Opt.) 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unles�a different date�s specified): I WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER TI3E EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CI-IAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TEIE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT. STATE OE FLORIDA ��• � COUNTY OF PASCO ature OF Owner or Owner's Authorized Officer(Director/Partner/Manager ���n��/�e � �T/�D�G� Print Name The foregoing instrument was acknowledged before me this �3 day of ��r 1 L ,20 L,by�Y 1'1l1C�+IM � rj�r`�Q � ('����p�( (type ofauthority,e.g.officer,trustee,attorney in fact)for (name of party on behaif of who strument as exe ted). Personally Known_OR Produced Identification� Notary Signat e(���/ 1-L_Q � Type of ldentitication Produced���] ��C?f1r"JP Name(prin[) � Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that 1 have read the foregoing and that the facts stated -- " � � in it are true to the b st of my know�led e and belief. ;l r-oKMsa+o e�nn� /�,�s—� ���J I 'e �•7f�j,� BRq{�[�Y NIE70 Siyi ufNaturalPusonSigningAMwc - :f� -�"� � =•. •'i MY COMMISS�ON�FF907199 - _ . ��A��� EXPIRESAugust05.2�19 � taa»3�EFo+S� fbNeaMaterySnMce•c�!_ �-' " - � . ` I ���A���� ��'��'��� �l��B�ipA, COUNTY OF PASCO ,�� e� ` Q �� THIS IS TO CERTIFY THAT THE FOREGOING IS A � � TRUE AND CORRECT COPY OF THE DOCUMEN � ' ' ON FILE OR OF PUBLIC RECORD IN THfS OFFI E� . ', � JVITNE'ySnMY HAND AN OFFICIAL SEAL THIS � InGoQti+'E rYusr o S`K AY OF 2 O , �...� � PAULA 'NEIL,CLERK COMPTROLLE � o ,# � ' 18S/ � •� BY /�r�DEPtJTY CLERK �'�. � � p �o�� �����a�,�