HomeMy WebLinkAbout17-19074 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(813)780-0020 19074
BUILDING PERMIT
� - PERMI�' INFORMATION - - LOCATION INFORMATION
Permit Number: 19074 Address: 6413 ASHVILLE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS VILLAGE
Est. Value: Parcel Number: 03-26-21-0200-00000-0230
Improv. Cost: 9,000.00 OWNER INFORMATION
Date Issued: 11/22/2017 Name: FIELDS, TAMMY
Total Fees: 160.00 Address: 6413 ASHVILLE DR
Amount Paid: 160.00 ZEPHYRHILLS FL 33542-4889
Date Paid: 11/22/2017 Phone: 813-780-0973
Work Desc: REMODEL UPGRADES PLUMBING /MECHANICAL/REROOF REPAIR
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 80.00
HOMEOWNER PLUMBING FEE 40.00
HOMEOWNER MECHANICAL FEE 40.00
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Ins ections Re � ired
F TER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WAl'ER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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
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 Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
a ��I �
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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2017187261
Permit No. Parcel ID No
NOTICE OF COMMENCEMENT
Staleof �I Countyof �� .� �J
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accardance wilh Chapter 713,Florida Statutes,
the following infartnation is provided in this No6ce of Commencement: �^��,`,
1. Description of Property: Parcel Idenlification No. /C)%��-�(G�Z�—�6�-�'lAJ���"��b �
� Street Address: `t�� `��r� � `�� �• ` ��� ` —T� l�,�
-�j 2. General Description of Improvemeril � �C� � � �S���S S{�� �' � ` ���w'J G�`"��d�
f' �-k�CLI� C.�?����S"l�7Y1e� �7�C� .S -�r G-'-.
� 3. Owner Iniormation or Lessee infartnation if the Lessee contraded for the improvemenL• ��-15V��l\r�n--� �l P�
N v:a
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l.P �-{`f � "�`S-G,V f ���_��� Z�ph�-�,-r-l'L���j �-� N .. �►I
Address City State ����
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_� Interest in Property: �t+'�� � ��1 9 U1 N��
O O t�+
Name of Fee Simple Tilleholder. J p
(If dif(erent from Owner listed above) W
7� W
Address City State
4, Contractor. '�-��n,f � �f /vr� ��2— ��..�
Name • -��
.. lp
Address City State 3�R
Contractars Telephone No.: � '
B t+
5. Surety: �p ��
Name �« O
� ml
Address Cit� State I
Amount of Bond: $ Telephone No.. �
N I
6. Lender. �
Name �
Address City State �
Lenders Telephone No.:
7 Persons within lhe State of Florida designated by the uwner upon whom notices or olher documenls may be served as provided by
Secfion 713.13(1)(a)(7),Florida Statutes:
Name "�
0���
�N D I
Address City Stale OD N I
Telephone Number of Designated Person: �N o�;
B
8. In addition to himself,the owner designates of_ - ,���I
lo receive a copy of the Lienors Notice as provided in Section 713.13(7)(b),Florida Statutes. �
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Telephone Number of Persan or Entity Designated by Owner. ' (fl�
0
9. E�iration date of Nolice of Commencement(the e�iralion date may not be 6efore ihe comple6on of canstruction and final paymenl to lhe (�N�
contrador,but will be one year from the date of recording unless a d'rfterent date is specified): '"�W N
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRA710N OF THE NOTICE OF COMMENCEMENT � o
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 7, SECTION 713.13, FLORIDA STATUTES, AND CAN �
RESULT IN YOUR PAYING TIMCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE L�r+�I
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPEC110N. IF YOU INTEND TO OBTAIN FINANCING,CONSULT ��
WfTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 1�p �I
Under penalty of perjury,l deGare that,l have read the foregoing notice of commencement and that the fads stated therein are true to the best /��Q°
of my knowledge and belief. V iF,.o�
STATE OF FLORIDA C� � � �� � �I
COUNTY OF PASCO � �� o I
Signature of Owner or Lessee or wners or Lessee's Authorized r-
OfficedDiredoNParinedManager �
m
�
Sign ary's Ti4e/OFfice
The foregoing instrument was acknowledged before me this�day of ���vP +;�201�by /+��'"' '7 / ���1/�
' as (lype of authority,e.g.,officer,ttustee,atlomey in tad)for
(na f party on beF�al(o(wharqlinstrumenl�ras executed).
r
Personalty Known❑OR Produced Identification❑ Notery Signature u.Q.�l{� L��J
P� �
Type of Identifica6on Produced T�%��5��'s'� Name(Print � � �
,�.�.�':y�,, JACa�ELINE BOGES
°�: Commission#FF 150 2�18
"` ` Expires December 12,
;,y. •'o- ,uBeoo-sas'to�9
.+r • be� BondedThtu7rayFainlnsur
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wpdata/bcs/noti cecommencem ent�c053048
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r���p� ��`ATE C�F ��.G�F�BD.Q� COUNTY(�� �'f�S'�`o
����' ; 0 ,� ��'j. fiHIS I�TG Cc��T'I�Y�'NI/�T`�WE�Of�EC01NG IS A
//� *0w � ; � TRUE AND�ORRCCT CGPY OF THE DOCUMENT
� ON FILE OR OF PUBLIC RECORD iN THfS OFFICE
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p����'q �� �'����,. , 9 � WITNE�`SyS f��Y HAND AND OFFICIAL SEAL THIS
t"*u • `�:��9;�+��+„����R�<!'. 1� F 1 ,, L
I� '�����,' '"` � �_DAY 0,� 1P�'1.C�� C11�
` ` '� ��" ,, �,��*�' i� � PAULA 'NEIL, CLERK&COMPTROLLER
�\\\�\\\ ��"'' ������'`� .. ���' DEPUTY CLERK
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8�3-7aaooaa City af Zephyrhills Permit Application Fax 813-780-0021
� • Buiiding Department '�
Date Recelvsd � � r'c�'� `'-'� `t Phone=Contaa#•for Permt#in ' -
Owner's Name l �� � Owner Phone Number � �� 1 ��'"` t '�
Owner's Address �-c `r'�J.> �'���1�"�-� c1J� C.4. * �ner Phone Number� ��� 3`�'� � ( ' I
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Fee Slmple�Tltlehold�r Name �� " Owner Phone Number
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Fee Simple lTltleholder Address �
JOB ADDRESS LOT# C_,�
SUBD1ViStON �1,����t.���! 1�"�j PARCEL Id# •�
: ' _ , (OB.TAINED F.ROM.PROPERTY TAX NOTICE)
WORK PROPCtSED _NEW CONSTR - � ADD/ALT ��� $IGiV 'Q ' Q DEMOLISH
' �•e. INSTALL 8 REPAIR ^
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RROPQSED=USE • � SFR. Q COMNi ' �] QTHER ' '
TYPE OF CONSTRUC'M'ION Q' � BLOGK " Q FRAME ' � STEEL Q
pESCFtIPT10N OF WORK . ��`�"Q��� � `��'"� C Y�� ' � �'-�`� t� '
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BUILDING$!ZE � �`'SQ fOOTAGE -'`��� _ , HEIGHT ��_� „
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OB[lll.t}I�,� � oD1� e'�'. .�_.
: . VALUATION�`tOF TOTAI'CONSTRt1CT10N
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i QELECTRICAC $ � AMP SERVICE Q PROGRESS ENERGY ' [� W.R.E.C.
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QPLUMSlNG $ �..�
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[�MEChtANlCAL $ � � VALUATIQN C}F MECHlWICEiI ENSTR�LATfON �V��
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C]Gl0.S Q RQOFlNG Q SPECIAI.TY � OTHER 4
FINISHED FL40R ELEVATIQNS FLOOD ZONE AREA QYES. ,NO
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BUt�DER � �-���� C�MPANY�. �-��'���`���-
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address �c���-{ � �t Ctcense# �Z'�i Z�? Z-���
j EIECTRtC1AN- �. - . ,,.COMPANY • .
�� SIGNATURE � REGISTERED Y/ N FEE CURRE��' ' "'Y/N '
' Addre'�ss ' . .. . �� - , � � _ � License#��������������
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PLUMBER { . �(�,Q ��,/"� COMP.ANY • , � �: :
SIGNATURE � � ��J ""��"""". ; , ,REGISTERED; ;. , YL.N�• ;�, ,s�FEECUFtRE�� ': ' Y-/N. ✓ '
Address L.� t� r! kS�1-�l�1�= �� - � ,uceriset.# ,�.,�``�-�S`Z_r2 a -��1�
MECNANIGAL � _ COMP�WY � , }_, ` '-�?1,.�-X1.��-.. ,1
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SIGNATURE � � ��1�� `�"�. REGIS7ERED , . „..Y L N . : ..;,FEE CURREP �. Y„/�N
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Addre�s'~ � �' 'T {� �' � ���' � ` ` , � Li ~ ��-{��--'' �� ,
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03HER ; 1 ?�v�.�;.�-�-- �� „ �CQ�111PANY � ,
SIGN�,TURE •- " " �Y" �t REGISTERED �; 'Y/ N,,�:' ':FEE cu�n Y/N .
Address � ����'i � . ,' �license# ! ' � �
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E2ESlDENi1At,;�� Atta'cii 2 Plot��Plaiis;:'2 sets�ofBul!`tlin zPtans;{'I)_sef cf Energy;For'ms;:R=O=W`Pemiit tor-�ew cQnstructicn, _. - � "
-, ;� Minimum:kenc(:1.0);working;days;after,:"submiEtai d"ate.:.;Required onsite;�Cbnstructlon=Plans;Storinwater'Plans w!Slit Fence instalisd,
'�,��� Sanitary Faclllyes;&t,1.,,dumpste,r,,Site��Work,:Permit for su6divisions/Iarge�proJects ,_�_�..�;_ _. � �" ��
C4MMEftCiA1. Attar,h{3)�abiiiplete sefs`of�Buildiiig"Plaiis plus a`I.ife Sef�ty Page;{1)set o#Energy Fatms.R-Q-W Petmit far nerni canstroction. �
Minimum ten(10)working days�afker submlthal dete. Required onsfte,Canstructlan Plans,Stortnwater Plans w/Slit Fence installed,
Sanitary Facilitlas&1 dumpster.Site Work Permit for all naw�projects.All commercial requlrements.must meat campliance �
SICN PERMFT Attach{2)"sets of'Ei►glneered�Plans:,.,., ,.,' . =� .. �
••""PROPERTY SURVEY required for.all NEW constructlon. .,
� Dlrectioas: �:-.:�.; . , �
Ffll out applicadon compietely.
Owner 8 Contractor sign back of appltcatlon,notadzed
[f ovar ffi2.rit30,a Notice oE Cammencement[�reqaired. {AtC upgradea aver�7500)
.. .:� f�;,f.,,,
Agent(for the cantractor)or Power of Attomey(fra�tFie owner)would be�someone with notarized letter from owner autha�izing same -
DVER THE CCIUNTER,pERMITFING.._ __ .{Front of-APPIIcatiart�Only)_ . � . _ .
Reroofs if shingles Sewers Service Upgrades �A/C Fences(Plot/Survey/Footage) ' , -
Drivaways-M1tot over Counter tf on public roadways..iieects ROW -
( . .{ . =
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. „�.�,•�t
NO'T10E OF DEED RES.T.RICTIONS: The ur�decslgned,unders�,tands,rth�t=thl�.°p�arm,i#may,be,sub�ect to"deed"restrtctions"_�... � �_�,
which may be;mone'�r.estFictive�th+a�t Caonty��i�egrilatrons. Ttie un�erslgned�assumes�responsibilt'ty.for�rcomplience'witFii'airiy'"' � ..
appilcable deed�restrlct{ons. . ...:.. t:,,. ._ ,. - ; - . . _ - ._. ° .� . . _ -
UNLtC�NSED=CONTt�ACTORS �AND CON�RACTOR�RESPQNS181t1T1ES:•-�If=fhe=°awner�has�fiire�fY�a:contractor ar
contractors #a undertake work, they niey:be,.re�qulred�to.;be;llcensed�ln acc.ordance.with state.and,local�regulatlons:��If°the�•-�� �=-
contfactor Is-nat Ilceriseil=as�requiced:'tiy faw� bo#h=the awnet and�cont'r`actcir�riiay�tie=ctted�for a'misifemeanar violat{on
under state law. If the owner or Intended�;,con,,_tr;actar ene,,�ncertaln as to what Ilcenaing.requlremen#s�may�:epply���for=the`�� • �� -
, ,.,.,_ .,�.,, .
intended�work�"they aie'addl'sed fo:cotitact the-,Pasco Courity_Bulliltng YnspecttonrD[vlslqtt-l:icensing Seatlan at 727-847-
� 8009. FurtFie�rnore, if the awner`tias'Nired�a contractor oT;contractors. he Is aclvised ta have -the contractor(s)„;sign. ,; _
' portlo�s of the:."contrackar..Block° of thls_appllcatlon.for_.whlch'they wlll.be.cesponstble.- If::you;:as.#he owner�'stgn`as the'�� �
contrac#or; that•may-be an ind�cation that'�ie=is no#.prop�t�y flcensed atid'Is��riot eti�i�eil tb permlt�ing priulleges In Pasco
� County. � ; .�"� . ..
TRANSPQRTATIONAIMPAGTIUTIL{TlES'�MRAC`��AND-ttESQURCE RECOVERY�FEES;��T'he undetslgne+d uridet�tands
that Transportation Impact Fees and.Reco.urse Recovery�Fees msy-�.apply^ta ti�e'canstruc#ion of new.buiidings��change'of"����`��' �'
use ln existing bulldings;or:r.exparislon��-of�+extsti�ig',buUdings, as specl�ed.in Pascc� County Or'dlnanae number 89-07 and
� 90-07, as amended,_.�'�he underslgned also:understands� thaifi�such fees�.jas�may:`�e�:d�e;:�will;�be identifled at#he�time�of�`� �-�-� `
l permftting. It Is furtfie��understaod that Transp�ortatlon Impacf Fees and�Resourae;RecoVery���Fees,must be pald prlor to
rece�ving�a°cecftficate-of occupancy"�or�flnal��pawer:�etease: :I��the proJect..�loes�.not involveta�cert�fis�te af occupancy,ar-<>`���. ',
, ...
flnal powec.retease, the';fees�mu�t�tie patd;p�ior to.permit Issuance. Ft��thermore;°lf Pasco,C,ounty�Water/Sewec�lmpaat� •� ��.��,• ;
fees are due,.they.must=be;pald,.prlor to.permit�lss�ance=lnraccardance wlth�aPPltcable:Pasco'�+Gounty�afdlnances, •
, CONSTRUCTlON'ClEN'�1.AYV'(Chapte`r T13,Flo�tda S#atut�a�as amended�: If valuaHan of work is$2,500.00,:or more, l . :��
' certify that I, the-appllcant,::have-been .proylded��wlth �a-copy of`.the•:".Flortda� �onstructton'�Llen .Lav�-=-Homeowner's
Protectia� GuEde" prep�red by t�'ie.Floi�da Depa�tinet�f of Agricultu�e and ConsumerAt�ics. tf#he appticartt Is someone- . ,:
other than the"owne�", i aert�y.that i=.h�ve.obta.lned°a�c'opy.of..the:abova,des.crlbed�`�iocun�ent�and.p.r.or�ilse�ln,gootl':falth to �,3
deliver It to.tfiex-",owner"�:prior.to�commencemerit:-" .. - . . _.. .
CONTRACT+DR'S►OWRIER'S ARFiDAViT: L c�arti�yc:#hat�all�the��inf.ormation::in�this appHcallon is accurate.and tfiat atl wark
w111'be done in campl(ance with all.appllcable�laws regulating constructlon� zontng and�land��development. Appllcatlon Is
hereby rr�ade_to abtaln-.a permi#;�to-.do.:wor,`k:�and�Insfalla�on as indt�eter�:�=:1. ceitify that no work`br instatla#tan h�s
I cammenced p�lo� M Issuance of'a pemitE`"and that�.all wotk wlll be pertormed�to meet standards of all laws regula�ing-
; C4flStfttG�I4f1, Gounty and Cfty codes, zantng regulatlQns, and land developme�t regt�laitions�tn the jt�rlsdiction.� 1 a1'so _
certify that I understand that the regulations of other govemment agencles may�apply�ta the.lntended work, and#hat 1t (s.
my respansibllity to Identlfy what.actlons!musGteke:to,berin:.c4ri�pllar�cs. $uch agencles include but�are.r�at llmlted ta:. � ;
- Depa�tment of Er�vironmental=Protection'=Cypress.`Baj+tiead�,�1Ne�and Areas and Environmentatly 5ensitive,
Lands,Water/Wastewater Treatment. �
- 3outhwest Ftartda Wa#er Nlanagement- :I�tstrtct�Wetls� CyPrass.,+8ayheads, �Weftand Areas� Altering
Wateroourses. ' . "
- Army Corps af Englneers�SeawaAs.Dacks,tVavlgatile Waterways.
- Department of,.Health;�.8 .Rehabllitafive,.Serviaes/Envitonmental•:Health�Unit Wetl.s, Vllastewater�Treatment,i
Septic Tanks._. � �. - - - • _
- US Environmental Pro#ection Agenc�r Asbestos abatement. .
Federal Avlatton_Aulho�(ty=Runwa,ys;-� , � - , ;
1 understand.that the�.foNowing=reslrl'Etions apply to ttie use of flll:
- Use of fi{t is not allowed in;Ftood:Zone"V"uniess exptessly permitted. 4
- If the.:fill-mate�fal'Is'to��'b.e-used.`In��Flood Zone. "A", tt Is understood that a dr�lnage plan addcessing a;
°compensating volume*will be submitted at�me of.penr�ltt�ng which is prepared by a professianai engineer�
Ilcensed by'the State of;FloFlda: , !� ,�; _
- tf th� #11! matetlaF_!s'to-ba�used in FRood yana 'A",In�cortnection�wlth�s���ermitted bulidi�ig ustng stem wall�
canstructlon, i certify.that flll:wlll��b.e-used only.to#111 tiie area withln the stem•wall:
- If flll materlal Is to�be used In any area; I �as�tlfy;that .use of,such fll! w!!! not adversely afl'ect adJacent4
propertles. !t use of fill is fovnd�.to advetsely:�ffec#`,ad)aae�nt properties�.the owner may be cited for viotattng`
the condl#ions.of the b�llding:permtt_Issued under th��attacfied�permit applicatlon��for:=lots�-less:than.one (1)�
acre wlitch sro efevatect�#iy flll,a�t engineer-ed dralnage plan is requlred. . ;
If I am the.AGENT�OR THE OIMNER, I;.promise In.good f.afth#a Inform the awner af�the permltting candlttons set forth(ni
this affidaVtt`p�lor to aommencl�g constr�ctlon. �I understEind that a�s�parate permlt may be rsqulcec!for efectrlcal work,
plumbing,.signs,.wells,.poots;,alr condlttoning,.gas, or atMec insfallaitions not�spec�tcatty inctuded-in.the appiication. •A�
permlt Issued"shall be coi�shued to be�a`Itcense to`proceed wlth1tNe�wark and not as.authoNty;to.vlalate;�'cancel, alte�. ar;
set aside anjr�provEsions af#he.teicFintc�l codes;�nor shall lssuance3of a.permi#.prevent the Bulldirig O�ficlal from thereafter�
requlrtng a correctlon af errors in;plans; cons#Fuctlon.or vlolatlons of�any codes. .Every petmlt�ls�ued sliall beaome�invalid;
unless the work authorized.by such permlt:is.co�nmenced�wlthln sf�c.�nonths af pennit Issuance, or If work authorl�ed by;
the permit is suspendad or,.abaRdonedMfor a period;nf�six��)�mant�s;:after ti�e time the�wc�k�ts commen�ed.. An extenslon i
may be requested, In wrltlrig,.from tNe:'Ruilding,Offlclal for a perlod�not to exceed ntnety�(90)-days a�d-wlll'demonstrate;
Just�iabie'cause for�the e�ctensiat�: 1#work ceases:for ninepr.{90}cons.�cutive�days;..th��ob�is.conslderad abac�do�e�. �
V4IARNING TO OWNER; YOUt�.�A1LtJRE�.T4.1��.CQt2D,A.MOTIGE�:OE:�COMMENCEMEI�T�,MAY�RESU�T IM�YOUR1 !
PAYtNG TWiCE;�OR=iMPROVEMEN..T,S>Tfl;af'OUR�:PROPERTY.:-�IF�YOU;iN"�E�iD�'TQ'+08TA1N��FIN�`►N1EiA1G;'C.ONSULT; �
WI7H U D �O /�N� O FOR � OR� f� OU ' �C `.� r� ` � ;
Fi.ORIQA,lURA�(RS:�1Z:03j � _, , ... - - ; -�,-.,,-.; - — . .�_. . _. ----—--_-- — --. __--__ _ '
OWNER OR AGENT� � l� Y� �j
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Subsr,rilbed a d swom fltm�ed)before s Subscr�bed and'suwm= (ot a�f�mn )�befora�ie � � .
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