HomeMy WebLinkAbout17-18544 � � CITY OF ZEPHYRHILLS . •
5335-8TH STREET
,. (sts)�so-oo20 18544
FENCE PERMIT
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� -- ' PERMIT INFORMATION �� - = LOCATION INFORMATION �� -
Permit Number: 18544 ;- Address: 5553 13TH ST
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
Est. Value: Parcel Number: 11-26-21-0010-11600-0050
Improv. Cost: 5,559.40 OWNER INFORMATION
Date Issued: 6/02/2017 Name: RUMRELL CHRISTIE
Total Fees: 50.00 Address: 5553 13TH ST
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-4219
Date Paid: 6/02/2017 Phone: 813-703-4749
Work Desc: INSTALLATION 209 X 6 VINYL FENCE
� CONTRACTOR S APPLICATION FEES
LOWE'S HOME CENTERS INC (407)832-8085 FENCE 50.00
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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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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." '
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be perFormed in accordance with Ci Codes and Ordinances
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CO TRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED �
PROTECT CARD FROM WEATHER
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a�3-�so-oozo City �f Zephyrhills Permit Application Fax-813-780-0021
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Building Department
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Date Received Phc ne Contact for Perm(ttin �613 2.6�! -- c19(o$
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Owner's Name� ��Ri S'f�C. �kM�e,l� Owner Phone Number 8!3 -703 - y�yq
.�5��'I l3�i � / 35y2 �
Owner's Addr�3ss $l �P t1���5 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number !�
Fee Simple Titleholder Address
JOB ADDRES;3 '�'�1'� � _ 1n � �+R� h� ��s L 33 �y� LOT# 5'F 6
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SUBDIVISION G�i � Z-�r/�S i PARCEL ID# ��'26-�'��O�l0 -�l�000 �QO�b
' (OBTAINED FROM PROPERTY TAX NOTICE)
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WORK PROPCISED B NEW CONSTR ; ADD/ALT Q SI,GN Q Q DEMOUSH
INSTALL REPAIR
PROPOSED USE Q SFR COMM � OTHER '
TYPE OF CONSTRUCTION Q BLOCK I FRAME Q STEEL Q
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DESCRIPTION OF WORK �NSTA"�� �'�I , (O ,N/ � � in�yL ��N`e �Tli I �F)T
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BUILDING SIZE SQ F0071� GE� HEIGHT
UIL.DING $ sSq i VALUATION OF TOTAL CONSTRUCTION
/
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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�PLUIVIBING $ I �����
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QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
C]GAS '' Q ROOFING SPECIALTY � OTHER —
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER COMPANY ,�I�.D.W'�S �/-�/►'�'� C�?�e�S G C C
SIGNATURE A� S O IJ REGISTERED Y/ N J FEE CURRE� Y/N
Address License# ��/s�$y/7
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
I
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building f lans;(1)set of Energy Forms;R-0-W Permit for new construction, I�
�_ . __,.__ Mlinimum ten(10)woticing days after subn ittal date. Requfred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facillties&1 dumpste�;Site�Wor�C�Psrmitfior�subdiv!�lons!laFge_pr�jects___----_--__ � - ____ `_
COMMERCIAI. Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new constnictlon.—
Minimum ten(10)working days after sutir��ittal date. Required onsite,Construction Plans,Stormwater Plans w/Sflt Fence installed,
Sanitary Facflities 8�1 dumpster.Site Wor Permit for all new projects,Ali commercial requirements must meet compliance
SIGN PERMIT Attach{2)sets of Engineered Plans.
""PROPERTY SURVEY required for all EW construction.
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Directlons:
Fill out applicatfon completely. '
Owner&Contractor sign back of application,notar!zed ' ,
If over 52500,a Notice of Commencement is requirec. (A/C upgrades over 57500) .
" 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 PERMIITING (Front of Application Only)
Reroofs if shfni�les Sewers Service Upgrades A/�; Fences(PIoUSurvey/Footage) -
Driveways-Not over Counter if on publ(c roadways..neecl s ROW ,� �•
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NOTICE QF DEED RESTR1CT10NS: ,The underslgned understands that th�s perm�t may be subject to"deed�tesitr3ci�ons"
which may be rnare restrictive than County regulations. The undersigned assumes responsibility for compliance with any
appEicable deed restrictloris. � -- .
UNI.ICENSED,CONTRACT4RS AND CO�VTRACTOR R�SPONSIBILITIES: if #he owner has hired a contractor or
contrac#o�s to undertake work, they may be required to,be licensed in acco dance with-state and'local regulatfons. !f the
contracfor is nat licensed as required by law, both the�awner and contrac ar may be ci#ed for a misdemeanor vEolation�
under state law. If the owner or intended contractor are uncertain as to iiat licensing requirements�may_apply for the
intended wark, they are advised to contact the Pasco County 8uilding Insp c#ion Dlv�sion--Licensing Sectlan at i'27-847-
8009. Furthermore, if the awner has hired a contractor or contractars, e is advised to have the contractor(s) sign
portfons of ths °contractar Bfock" of this appilcation for wt�ich they will be espons{ble. !f you, as the owner sign as the
contracfor, #hat may be an indication fha# he is nof properly (icensed and i� not entitled to permffting priviieges in Pasca
County. .
TRANSPCIRTATIaN IMPACTlUT1�IT1E5 tMFACT AND.R�SQURCE REG�VERY EEES: The ttndersignecf uncl+3rsfands
that Transportation Impact Fees and Recourse Recovery Fees may apply t the caitstruction ofi new buildings, ctiange af
use in existing buildings,.or expans'ran of existing buildings, as speeif�ed ir� F'asea Counky Ordinance rturnber 8�1-Q7 and
90-p7, as amended. The undersigned also understands; that such fees, as may be due, will be'identified at thE� time of
permitting. it €s further understood #hat Transpartation lmpact Fees and R�saurce Recovery �ees must be paic� priar to
receiving a "ce�tificafe of occupancy" or final power release. (f the praject�oes nat involve a certifieate of occupancy or
final power release, the fees must be paid priar to permit issuance. Furth� rmore, if Pasco Caunty Water/5ewer Impact
fees are due, they must be paid prlor to permlt issuance in accordance with�ppllcable Pasco Gounty ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Fiorida Statutes, ag amended): If valuation of wcrrk is$2,500.00 or more, I.
certify fhat I, the appllcant, have besn pravlded with a copy of the °F orida ConstructRon l.ien L.aw—Nam�:awner's�
Protection Guide" prepared by the Florida Department of,Agricul#ure and� ��ronsumer�Affairs. If the applicant ls sameone
other than the"owner", ! cerkify that I have obtained a copy of the abave de•cribed document and prornlse in goo�i faith to
deliver it ta#he"owner"prior fo commencemenf.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify #hat all the infnrmation n this applicatlon is accurate and that all work
wili be done in compliance with ail applicable laws regulating.construcEion, zoning and land deveiapment. Application is
hereby made ta obtain a permi# to do work and installation as indicated. 1:-certify �that� no work or installation has
cammenced pr3or to 3ssuance of a permit and that a0 wark wiii be perfor ed ta��`rtieet standards of al! laws c�3gulating
constructian, County and City cades, zoning regulations, and land devel�pment regula#ions in the jurisdic#ion, i aisa
certify that I unde�stand #hat the regulatians of other government agencies may apply ta the intended work, and that it is�
my responsibi(ity#o identify what actions ( mus##ake to be in compliance. S ch agencies include but are not limifad to:
- Department of Environmental Pro#ection-Cypcess Bayheads, VNetland Areas and Enviranmen#aily ;3ensitive
Lands,WaferltNasEewater Treatment.
- Southwest Florida Water Management District-Welis, Cy�ress Sayheads, Wetland Areas, Altering
lN�t@�GOLlCSBS.
- Army Corps of Enginesrs-Seawalls, Docks, Navigable Waterwa s.
- Deparkment of Hea}th 8� Rehabilitative Services/Environment I Health Unit-Wells, Wastewater Tr�atment,.
� Septic Tanks.
- US Envfronmental Protection Agency-Asbestos abatement.
- Federal Aviat3on Autharity-Runways. ,
I understand that the following restrictions apply to the use of fili:�
- Use of filE is no#allowed in Flood Zone°V"�nless expressiy per�ltted. ' �
- If`'the fll rnaterial is #o be used in Flaod Zone "A", it fs u derstood thaf a�drainage plan addr��ssing a
"campensating volume" wil! be submitted at time of permitting which is prepared by a professional �engineer
licensed by the State af Florida.
- If the fill materfal is to be used in Flood Zone "A" in connect on with a permitted building using stem wall�
construction, I ee�tify that fill will be usec3 only to fll the area wit��n the stem wall.
- 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 Es found ta adversely affect ad�acent p•operkEes, the owner may be cfted far violaf9ng;
the conditions of the building permit issued under the attache permit application, for lats (ess ti�ari one (1)'
acre whlch are elevated by fill, an engineered drainage plan is r� qulred.
. If i am the AGENT F�R THE OWNER, i promise in good faith ta inform fh�awner cif the permit#ing condifians seyt forth in
this affidavit priar to commencing construction. I understand that a separ ite permit may be required for electrii:al work,
plumbing, signs, wells, pools, air canditianing, gas, or other installafsons�lot specificalEy included in the applic�ation. A
permit issued shaii be construed ta be a license to proceed with the work �ind not as aukhority to violate, cancel, alter, or
set aside any prov�sions of the technical cades, nor sha11 issuance of a per n1#prevent#he Buildirig Officia!fram thereafter
requiring a correction of errors in plans, construction or violations of any co es. Every permif issued sha11 become invalid
unless the work authorized by such permit is commenced within six mant s of permit issuance, or if work authorized by
the permit is suspended or abandaned for a pariad of six(8}months affer t��e time the wark ts commenced. An�:xtensiori
may be requested, in writing, from the Building Official for a period no,t to exceed ninety (90) days and wili demonstrate`
justifiable cause for the extension. If work ceases for ninet}r{90)conseautl�e days,the job is cansidered abandoned.
WARNING TO t}WNER: Yt�UR FA[LUR� TO RECQRD A NOTICE 4F CCtMMENCEMENT MAY RESULT IN YOUR
PAYING'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU NTEND TO OBTAiN FINANCING, C�aNSULT
WITN YOUR I.ENDER OR AN ATTQRNEY BEFORE RECORDING YOU NOTIC� OF GOMMENCEMENT. �
_�~--~FLORtDA JURAT(F.S.117.03)- - - �-
OWNER di2 AGENT CONTRACTOR � �._,,,� —
Subscrlbed and sworn ta tor affirmed}befare ma thls Subscr(bed and swom o{or a ed}before me this
by bY
Who is/are persanaity known to me or hasthave produced Who Is/are persona!!y own to me or has/have produced
as(dentl8cation. = as tdenttBcation. ,
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:�''�°��`` �''�: ;;� Notary Public � Notary Public
Commission No.`°i;`�. Cornmisslon No. �` ' �
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i Name of Notary ryped,printed or stamped Name of IVotary fyped,printed or stamped
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��tdSt'At.LAT70M�S1'REL7 A6DR�S5` '� C�TY BTAT� �ZfP
;��� .�� d�>v� �
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t�c,a�^� •�, �L;��` ,,, � � 7�;.� � ,, _.�..� ��, �-�c v»�1 ��r,��.rc � �Cnce.. . G.. ,!J r���ai'--
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NC)TIGE TO CUSTQMER--FRECE CALCUE,ATtOhIB;Irt ord��r to prope�ly�er�orm the instal(afion of ce�ta'tn Ga�ds,the Canfract t�rice may includc rtrore�__.._._
Gnods Ih�n actuaily will ba install�td based on th� measured square footage of the Project Area, As a result, the parties agree ttr�t the lump-sum Price
sttate;d in Ihis Ccnir�ct ia calculatcd upaii both ihc�valuo af estimated Goads required fo fulfiil the Gantract(including�vasie),which may exceed the actuai
squa�e}fontac�e of thc�Project Ar�a,ancl tha labot whicf3 may t���stimateti based on the amaun!of�oods requir+,d ta ftxi('sil t}�a CantracE{inc(uding w�ste}.
By signing this C�ontract bai�w,Cusiomer acknowiedges rece'spt of this noiice and aflrnos and undersiands that the Price inciudes ihese costs wi�ich rnay
nat be refun�fed once the InstallaUon 5eroices are perfomi�d.
NG+TIGE TO t;USTt3MER: Federa!ia�v'requires Gowe's to}�ravids�you w3th the �
pamphlet Renovate R/ght.By signinc�Ehis Contract,Customer acknowiedgos t '7 `-7'U
Contract Total `j�
havin�recei��ed a copy of this pamphtet Uefora work began tnformirig Customer a� i
of ihe potex�tial risk of tho fcad haxard�exposure fram ranuvation activity to be *��RllCabl� lBX�S ltlGlUdBd
po�formed in C�a,tomer's dwelCing unif, _
NCiTE:•If rofted wood is discqvcred d n,u�g instatlafion additional charges will apply. Yau will be giv�n a qucite and a change order��
i must be completed and sfgned hy the c�as£omer faE•any actditionai eharc�es. Cttstarner must init4ai.
'Any work or rnatertal ncrt,�}eciFet�is nat in'fi,ICiciec€in this contract.Any chanpes or�ddit3ons wi1!be�t an racicfitianfli Chnrgcs for th�ma(erlat aiid labar
�1C?7(�� T�D QWNER: – ACCO C11NG 1'0 FLOFtIDA'S Gt�NST�tUC"�iON LIEN LAW (S�GTIONS 713.ft0�-713.37, �LORIpA
ST'A�'UTE�> , 1'N(?SE WHO W{} �K QN Y(3UR PRt?P�RI''( OR PROVILaE MATERIAl.S Al�E} SER1llGES AN�}ARE NC}T' PAfC} IN
�ULL NAV�l��Z(G�4T TO EtVFd�CE TtiE6R CLAIM FIJR F,�YMEt�T AGAiNST YOUR 1�R4�'ERTY.7NiS CL.AIM iS KN01NN AS A
CC�N;>TRU�C7'I(7N LI�N, 11= Y4UR t;�NTRAC'TOR OFt A SUBCONTRACT`�R FAIt.S TCt PAY 5klBCONTRACT4RS,
SI�B-�UBC.O�TRA�T{3RS, OR �IAT�F�1�L SUPF�LIERS, 1"Ff{1SE PE(}PLE WNO ARE {11�VED MC}NEY �1lAY �.t30K Ta YC�t1R
PRO�'ERT`f F�4R PAYMENI", EW�N IF YOU HAVE ALRE�4C�Y PAID Y�UFt C4NTRACTOR IN FULI.. IF Y�11 FA!!.TO PAY YC�UR
CGN1"RAC'TC�R,YQUR C4t�TRA�"fOR 1V1t�Y ALSC!HAVE��.IEN QN YC�UR PROPERTY.TFIlS MEANS!F 1�LlEN IS FlLED YC��UR
, PROPERTIf t:CIULD BE SC2�.D��GAiNST YOUR U111LL TO i�aY FC1R i�BOR, MA3ERiALS, dR OTNER SGR�ICES THAT YOUR
! CC1N1'RAC'fO�R QR A SUBGt�NT�'tACY()�',MAY H,4VE FAlLED TO F'AY,TO PROTECT YQ�IRSELF, YOU aHOULD STIPUL�!iTE
�E (i�TN[S Ct}��'RACT THAT E3EF�JFtE A�Y PI�YM��tT!S�1�aDE,YOUR�;ONTRAGTOR IS RI�Q1lIRED T4 F'I�fl111DE YOl3�NI�'I-3 A
1�lFtITTEN RELEAS� 4F LfE:N FRt�M ANV PERSC)N 4R C4�MPANY TWAT HAS PROVIDEi7 TO Y(JU A"P�OTIC� TO OWN�R."
FI.C?RI[3A'yc CONSTRUGTIC}N Ll�N LAW la CflMP�EX,ANI3!T IS ErEC�MMENC}ED TNAT YC?U CC}NSULT E1N ATT00�NEY,
�PNOTC7 F2ELEASE:Customer grants to L�t��we's ancf Low�'s emplayeas ancf independent ccantractars the right to take photographs c>f the Premisr,s where �
Inslallalion Services will ba performed and all work perfonned at the Premises related to this Contract,and irrevpcabiy grants tn 4.owe's al!right,liUe and
irifca�esk in�and to the photogra�hs:fqr us��in ali markets anc!m�:dEa,warlcfwide,In parpetulty.Gustomer aufhorizes Lcswe's!a capyrigh#,use�nd put�ish the
pholographs in prinl and(pr electronically, nd agrees ihat Lowe's may use such phatographs for any lawful purpose�,induding,buf nat limited�to,marketing,
adv�rtisii7g, pubiic:ity,i(lustrati�n,training�nd Web content. By initialing here,Custamer agrees to the forec�oing._ (Custamer lo initial to 4he le(iJ. �
Work ir>ta convnenco upon reasonable availabil�ty of Contrackor andlor any speclal o� er or ustomer ma,de Good(s}which is anttcipaked to be
���, �` ' _ �(�11 in dat�J. Estfmated compietton date is �^'���'�� � �^"�"�7�h� (�II in datnj.
Saiti estimated ssabstantial completion da#q is not of the ass�nce.A statertterrf o€any contir�ger7cies fhat would m�terially ch�nge sald estimafed sut�stanti;al
Ct�mplelion dale is 2s fnllows:_.,,,,,__._..�..,_____.,,,.,.. -- ______.—
._._.,.�._._._.__.__...,_.._— .� � ._._ (it applica6le,insert a statompcik ot such conUngencies).
_ �,_.__._J e*f� W'r. r ct4i'=�: '!.ra"r Y'a's m"i=!??;tz J�^�� ,;.�.s: 'xg'i��;��, t.,;xx�`4�v� ���+;^r,>p,,v�a, c-m}�.�. __^r.,,�,..' .`n:{ar,:>Ss"+,: '_'.""'-�
Tfiis Contract`prov`i`des`ttiat al�c��trri&`Iiy�C�Ss�o+rr�er�o'r'!'o�re'�sr_wti be'.resoi`veii°tiy`F�ti�DING"Af2�1TRA1'�Ol�f'?'�ustoirie and`t»owe's�iVE UP TME RIl'>HT
TQ GO 1'0 COURT to enfarce thls Contraot{EXCEPT for m�tters that may bo taken ta SR4fALL CLAtMS CdURT}. Low¢'s and Customar's rights will bo
determined by a NEt3TRAL ARBlTRA'i'C}R and NOT a Judgn ar jury. Lawe`s and Castom�r are eat#tled ta a FAIR HEARING. But the arbitration
procedures�aro SIMPLER AND MQRE l_ik'IITEb 7MAN f2ULE:�APPUCf1Bt�IN COUR7.Arbkrator decisions aro as�nforce�blo as any court order and
are sub}ect to VERY LtMI"f�D.REVIEW�Y A CQU12T. FOR h70RE DETAiLS: Review the sectton titted AR81'PRATfON AGREEMENT,WAlVER OF JURY
TRtAC.RNp WRIVER 4F CLASS A�TlO ADJU�ICATILIN faund!n the Terms arad Canditions af this�an#rttct.
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1
PSE Draiwing Worksheet - Fencing
(Complete and Fax to Installer)
1 ; /
Custamer ; ����s��S-f't C. ���+��'' c' ): Store: / �� �l
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►�h��ne (home): 6+��'���� �I�l/� Plione (cell): Phone (pther): _
Install Address: _.�,s`5� '� l��1'�� ;, ,,���� �I�S �1.,- 3�`'�IZ
_� � �^ ` � _
Dir�ectians: �� 3
1. Walk the fence line a rer discussing property boundaries with the customer—indicate �ny obstructions as
yc�u measure �
2, Irr�agine what the fence looks like frqm � "bird's eye"view
3. Sketch the fence wit these details; �
� Mark where tl� fenr_e abuls,ati:aches�o or is t�i�ilt around any strucCure or obstacle
• Mark where ga es will be loca�eci as well as gata type (drive or walk gake)
• Mark best acce�s r•outc from rr,'�atcrial drap-off�oint to construction are7 '
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'� � , Rcpt:1868216 ITeC0.00•00
DS: 0.00
� 06/02/2017 K. D. K. , Dpty Clerk
Permit No_ Parcel ID No ���2•�/b�.� '����-���a�^{�(��]�
NOTICE OF COMMENCEMENT -
�� Florida �,,,�y,� j�q-5 Lo
THE UNDERSIGNED hereby gives notioe that improvemeM wll be made tn certain real property,and in axordance with Chapter 713.Flori�Statutes.
the fa8owug mfortnation is provided"m ttis Notice oF Cammerxemer�
1. DesaiptionofProperty: ParcelldentificationNo. Gl�o�-2�hyrrh�llS 1�8� �[�5�-I L.c� 5d-l. �l� Il� fl2 �tSZg
sa�c aaar�: � l� �95
2. Generai Desaiption of Imorouernert �21.3 _
3. Owrer I�ama6an or Lessee infortnation iFtlie Lessee contraded for the improvem�l:
� ss��"'i��,.� S�- �.-e_.�hurh�ll,� �
Address � a� City ��' State
Interest in Property: �511'el� �3��,�
f�me of Fee Simple Trtleholder:
(H d'rffererd from Owner listed above)
"� ':a. co�a: Peter A. Cafaro iII-Lowe's Home Centers LL� #1854 smte
PO Box 781993 Orlando FL 32878
nddre� cay sraee
Contr-acta's Te�ephore No_: 407-393-9161
5. Siretyr:
Name
Address ' City State
Amotxt[aF BoM: 5 Telephone No.:
6. Lender. '
Name
Address City ' ' Sfate
Lendefs Telephone No.: '
� . Persons wiG�n the State of Florida designated by the owner whorn notices or other documerds may be served as provided by
o j Secbon 713.13(1)Ia)C�.Florida StahRes: .
�
� �
a ��
E��; ,
O
V ,
ad 4. � {�fPSS C.ity $1'd�
W ��� Tel�Mne Nunber of Desigrated Pers«r
J�..�
� � �8. In add�on to himself.the owner designates of_
0
N E ' to receive a copy of the LienoYs Notice as provided"m Section 713.13(1)@),Florida Stah�tes.
a tl7�. Telephore N�mber of Per�,,on ar Erd'Ry Desigreted by Owner
o�
r��i9. F�irafan date of Notice of Commencemerrt(the�iratian date may noi be before the completion of corstruction and finai paymerrt to the
a""��� oortracDor.but will be one year from the date of recording unless a differerti date Ps spedfied):
,� /�
w tivlj - WARfJING TO OWNER: ANY PAYMENTS MADE BY THE OUVNER AFTER TNE EXPIRATION OF THE NO110E OF COMMENCEMENT „
z� ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FIORIDA STAMES, AND CAN � Q'
RESULT IN YOUR PAYING 71MCE FOR IMPROVEMENTS TO YOUR PROPER7Y. A NOTICE OF COMMENCEMENT MUST BE a� �
o N m i RECORDED AND POSTED ON THE JOB Sfi E BEFORE THE FlRST INSPEC110N. IF YOU INTEND TO OBTAIN FlNANCING,CONSULT � � 3
¢N�� � WfTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEM'. �� �
�
¢�� � Under p e n a l t y o f peryury,I d e dare t h a t I h ave re a d t h e foregoing notice of commencement and that the fads stated therein are tnie to the best '+�Z'-
a� - of my knox�ledge and heGei. �q��
STATE OF FLORID � _ (A � ��W �
COUNTY OF PA ��� t.AURENCE IT10� `��� �°C�
rrn� F'' • "^N#fFF10� S� of Owner or L.essee.or Owneds or 's E4rthor¢ed �
.��� (1/!2�C� �''j,2018 or�e�io�eo��c�,e�mrt�y� � �
��
°r Eo,:•iu: idt8105UrdI1C0 �� I
- ' ' Sg r}rs TNe/Office
The itxe�oing irstnanent was acknowle/d�ged before me this�"✓ day of 2(7��by �
as l�. l (type of authority.e.g..officer.trustee,attomey in f�t)for
' (reme rty on whom instrirnerrt was execited).
Pasonally Known Q OR Pradueed Idertification Nptary Sigr�aqrre
Type of Id�rtifi�icn Produced'I-� J� Name(Print) ��!'r� '+b