HomeMy WebLinkAbout17-19159 CITY OF ZEPHYRHILLS
� ` 5335-8TH STREET
� (813)780-0020 19159 %'�
BUILDING PERMIT
PERMIT INFORMATION LOCATION"INFORMATION°
Permit Number: 19159 �-�" Address: 39431 9TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL. �
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SUNSET ESTATES
Est. Value: Parcel Number: 12-26-21-0300-00000-0160
Improv. Cost: 2,850.00 OWNER INFORMATION
Date Issued: 1/02/2018 Name: OQUENDO ALICIA
Total Fees: 60.00 Address: 39431 9TH AVE
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-4718
Date Paid: 1/02/2018 Phone: 813-618-9275
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
HOMEOWNER � REROOF RESIDENTIAL 60.00
' � �
���-��'
Ins -ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INS
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 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 properly. 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.
�"�^�4 �� �a . tR,.��
CONTRAC�R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� _ �
813aso-ooao City af Zephyrhills Permit Application Fax-813-780-OQ21
, : Building Depatlment '}�
Date t2ecelv,ed = P..hone=CoMact far.PermittFn ��� - ,
Owner's Name T"Y`1�U C�l. O � 2�/1l�W ��N1�1� �0 Owner Phane Humber D (�� ' C¢ � �"'���5
Owner's Address ����� `�'� � � �(�l S �~'L � OwnerPhone Number ���J' 'y(7"Z� ��7 �So.�, .
Fee Simple iTltletiolder Name Y�`��a �� Owner Phane Number �� �
Fee 3lmple Tltleholder Address J�� � . � �,�S C,. �j�J�v 2
J08 ADDRESS ��'{(3 I "�+ I�'� ir'Y��\S �„� ���',�+'( Z LOT# �I �
; � S2 � � /2 �.t - b3o� -�b000-� � te4
SUBOIViSiON St1�Y"} � �1z(�te ..�- PARCE�tD# ��— �� -
' ' , , „ (OBTAINED FROM PROPERTI!TAX.NOTIC@)
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WORK PRQPOSED NEW CONSTR ADDIAL.T �� S1GN � � C] DEMOLtSH .
; INSTALL 8 REPAIR �
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PROP05ED;USE . Q SPR [� COMM �� O'fHER � �
TYPE OF CdN3TRUGTION Q' BLOCK " Q FRAME � STEEL Q - `,
DESGRIPTtpN OF WiJRK' , , O . �-( � ,
� -� � b si�#�'v�, � �,r�` ��,
BUI�DING S1ZE `�+� ' 2,� SQ FOOSAGE �� 4 Q _ � HEIGHi' - j 5-{v 1�" �
QBt!!l.DING $�' ��� VAIUATtdN'.'G'tF TOi'AL CONS7F2UCTION „���
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QE�EGTf21CAL - , �' � AMP SERVIC� � PRO�RESS ENEFlGY`� Q W;R.E:C.
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PLUM8ING ' .
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[�]MECHANICAL ($ �� VALUATION OF MECHAPliCAi.INSTRILATlOi+t, g
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D�S ROQFING :Q SPECIALTY C� = :QTHER� _ - -�
FINISHED FLOOR ELEVATIpNS �� F�OOD zONE AREA QYES .�NO
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B�i�V�R i � � ��MPJ'V7T°� � •
SIGNATURE REGISTERED Y/ N 'h�E cua�n ' Y/'N"
Addres� `J .3� �'1`�'� (�.t t � 3 - ltcense# � �
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ELECTRlCIAN; . � 'COMPAFlY
SIGNATURE � REGISTERED Y/ N FEE CURREK^�'> 'Y/N
Address : " ` Ltcanse# ��.� � �
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PLUMBER '� • COMPANY • „ ,
SIGNATURE ' REGISTERED.~ Y L,N.� ,FeE cu�tEn Y/N•,- >
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Addrass . . , : ' , _ . . : .License,#� - �;� .
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MECHANICEtL' � , COd4fiPANt! - � - . _ ` .�. . . , • -
SIGNATURE� ' �r REGISTERED � ,,,Y/.N.,�. .�,FEE,CURRE�,:: Y:
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Address • �� � , . �- - ' ` � :Cicense# �, .-� � ,
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oT��R ;� � - - , ` � ;co�i�i�+iY � � . � . . ,.
sicr�a�ruR�. ;,,,.: . t , �. ,; .. , .: - ..; :. _
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^ ~ ` ' �"' ' REGISTERED Y/ N;..- FEE CURRE� Y/N.
At#dres� �, �cetise# �_ = r�` �
RE8lDENTIA�:.;; ;Attacti{2}.,PtotP..lans;(2)sets=of=Biilliding`Plaii's;'(1}set"of='Energ}r��aiis�s;:�R-O=W�Perrtiit�ftir�ew construi�tlon,,. T ` .
; N +->-Minimum�:ten.(,1.0)�wortcing,days;,.after:subrinittal d'ate.::Requiired onsite;:Constnictlon=Plans;�Storrtiwate�`Plan's w/Sbt'Fence installed, '
,; �
W �Sanftary`Facllttles;&„1-,dumpster>31te`�Work,;Permitfor;suti:divislons/large,�projects,�.�,s�:�- _ � � `•"�� ;-•4 ,.' "
COMMEI2C4Ai. Attach{3)�ciimptete set's"of Bultiiing Plans plus a I.ife Safeify Page;�{1}set afEriergy Farnts.R-O W Permtt far nernr consUuc�an. ;
Minimum ten(10)worEcing days�af#er submiltal date. Required onsite,CanstrucUan Plans,Stormwater Plans w!SIIfFence Installed, -
Sanitary Facilitles&1 dumpstar.Ske Work,Rertnik foF all new projects.All commercial requi[ements_must meet compllance � � '
SlGN PERMIT A#tach�{2)sets of Engineer.ed:,Ftans.��.-< :�. � - ,,. � . -
"'•PROPERTY SURVEY.required for_all NEW construcUon.., , .
Dtrectlon�: . - ,. �
Fiil out applicaBon completely.
Owner 8�Contractor stgn beck of applfcatton,notarized
1#over y2SO4.a filotice af Commencement Is required. {A/C t1i3g�diIBS OVBt 57500� ,
.» ,�x.:K�:.� _y. .. .. _
Agent(for the contractor)ar'Powe�of Attomey(for�tFie ownerj would be someone with notarized letter from owner authoHzing same
DVER THE CClUNTER,PERMI'f'I1NG -.:{Front of-ApAllcatEon flnly) .; � .
Reroofs If shingles Sewers Service Upgrades A/C Fences(Plat/Survey/Footage)
Drlvewaya-iUot over Gounter if on pubiic roadways..nead's ROW
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iVt?Ti�����E�Q R��TR�GTI�NS: Th�uo�d�t�tgn�d,Under�tar�ds°.:#11�t:#hls;p�rmlf:may,.;be.subjeCfi��;"de�d".�est�ict�ons" . .,
v�hich may be�more.restr(ctNe��tha�Gounty��fegulatfon�:�'TFie�:under�igned��s'§urries re�ponsitilitty�far�co�ptlance with�any ' `
appNc�able desd res#�ictlons. � -
UN�.ICENSED CONTRACTd�RS AN�D CANT6tACTOR FtE�PONSMBiLIT1ES: -�!f-the owner has"`hired��a �contractor or
cont�actors to undertake work, they may:be;ce�qulred.;ta:;be,llcensed in a�cardance.with state.and�local�..regulatla.ns: i#'-the� � �
contra�tor Is not�llcenseif as�requlred_;6y I�niv� both the o�nrner and��contfactc�r-may be��ct'ted�for a�misder�neanor vl�tatfan
under state law. If the awner or Intended:�cont_r;a,�tor;�are{uncertaln as to �sh�t Itcensing.requirements,:Pra�y apply��afor:�the'• -
lnfended�ork,tHey a�e advlsed to coritaot`ttie�Pasc�County Bullding'lrispectlor►,Dlvi�lon--l�Icensirtg��ectfon at 727-8�7-
8�09. Fcirt#iermo're, if the owmer has`tilr�d`� confract�T or.contra�ctors, he is advlsed to h�ve the aontractor(s),:r�ign _
po�tions of the:"contract�� Black°_of,this applicatian.fo,r..which they.will,be.,cesponsible. If=y�u, as.#he orniner�`sfgn'�as the �
contractar; that�may be an indlcation that"'he 1s-not.properiylicensett�antl:ls:no#"entltle�! to permitting prlvileges in �asco
County. '` � �
TRAN�PARTAT'ICIN�IMPACTIU3�L17'lE��IOVlPAC�'�ANl�RE�C1UItCE RECQVERY FE�S: The�nderslgn�d�t�ndersta�r�ds
thatTransportation tvnpact�ee�s�nd'Reco.urse RecoveryyFees may�:appiy�.to�the construction,of new_buildings,°change�of"T �
use in existing bulidings,�oc-�expansi�n�of�ei�istiri,g`:�buil�ings, as specifled.fn Pasco County Ordinance noamber 89-07 and
90-07, as amend+�d,,_,The undersigned also;�undetstands, that:such fees;�.a�s=�may�tie:<due;.w.il#.}be identified at#he•�time�of��' -�
permit#ing. It Is hi'rtfier understood that Tra�sporkation Impact Fees and Resource.Recovery�Fees,mu�t be paid prb� to
recelving-a "cerf�icat�.of occupancy"�or�#inal��powec�,release. :1�'the project.does.not tnvolve<a.�ae�tiftcaE� of occupancy or'::�: .
fin�i povvec release;�#he.,fees must'Ue paid;petor #o,.,permit Iss4��nce, F��thermare�if Pasco,County�1NaterlSewer�lmpact �
fees are due,they_must.be-pald.,prior,t�o_permlE:l`ssyance=ln..accordanae witfi:appilcatile:Pasca'.County ordsnances. �
CO�l�T13l�CTtON C1EN`LAW'{Ch�pter 713�Flor��a�tatt�t���aa�mend�dj: if valua#ion of work is�2,50d.00:�r more;i - -,
certifiy tNat I, the. applic�nt;: hav.e.been .provided��with-a�capy of�the� a�lorida� �onstrtaction� Llen :Lau�--Homeowner's
Protectlan Guide" p�epared by tlie Flo�ida Department:o�Agrlculture and �onsum�sr,Affairs. If the appticant ts someone .
other than the"owner", I certKy that_I�have,ob.tained�a�-capy.of.the?above.des.ceibed docuii�ent�and,pcomisi�in,gaod:faith to �
d�lider It to.the.°owner."::prlor to�coriamencer'rterit�:'' .. , ,�� , . . : , ,
�ONTi3A�T�R'S/01NN�R'�A���C►AViT: t.certi[y:,ttiat�ait.#he,inf.ormati�n:,in�thi� appiication is accurate and that aii wor`k
will'be done in compliance with all appl(cable'laws regulating cons#nac8on� zoning and land��development. Appllcatlan Is
hereby made to obtaln .a_perm�t.Co�do_ wprk,.,anti'lnsfella#lon $s Indt�#ed:» .'1 cettity that no v�rork�or tns#atlattoit has
commenced prior #o Issuance� of�a permik"and that.ali work wilE be pertarmed�to meet standards-of �II laws regulaking-
GQT18tt!lCtl4ft, Goun#y and City coQes, zontng regutatians, and land developrnent regtalatians tn the Jurlsdlcffon. t ai'so
certify that I unders#and #haf the regulations of o�her gavernment agencles may appiy�to the.Mntended�a��k, and thak it is
�'�� my responsibillty#o identify�wh�t,actt�ns I must Qake to be<in..corqp!lance; S,uch:agencles Include bu4 are.not Ifmited to: � '
- Departrnent �f Et�vironmentat F'ro#ec#ton-Cypress.`�ayhead�; tlVetland Areas and Envlror�mentaliy �ensitive
Lands,WaterNVastewater Treatment. ,
� - Southwest Florida Watee Management .C�lstrict Welts, CYpress. Bayheads; Wettand Areas, A#tering
Watercourses. <
- Army Cerps of Eng#►�eers-SeawaNs}�7ocks, �4avlgable Wate►vv�y�,
- Department of Heaith;�&.ReMabltita#ive,.S��iiceslEr�vironm�r�tal. Heaith 11hit:Weil.s, Wastev�tater�Tre�tment,
Septic Tanks:. ' ,
, - US Envlr�nmer�tal Pratectlan Agency-Asbesto�abatemen#. � .
, Feder�)Aviatton_Authori,ky-Runways:� � �
' !u�ders�and.that the.iolloav�ng:restrlcElons appty to`#Fie use e�f fl14:• r
- Use affilt is not ailowed in:Fiood�Zone"V"unsess expressty permitted. •
- If the�flll mate�lal-is to-"be u�e��In:�Flood Zone. "A"� It. is und�rstood th�t a dr�inage pla�n addtesstng a
°compensating valum�°will be submitted a#time of;permifting whiah is prep�red by a prafe�sianai engineer
Ucensed by'�he-State of'F�orida: �
- tf the fitl matertal•Is to�be�us�d In Ftood �bne °A" in�conn�c�fon�vtirlth�a permltted b�ildlrag using stem wait
� constructton, I ce�tify.that fiil�.wall:be-used oniy.to.fill the area within the stem�wall:
- If flA materlal-is to be used 1n .�ny area� I ��rklfy that .use of such flll wl!! not adversely �ffect adJaaerat
propertles. If use ofi fi19 is f�nd:.to adversely:�ffe�t ad)acerdt�pr�perties,.the oevner may be cited for vioTaling
the canditions-of the building�:pecmit is"sued�under the.�att�ched_�ermit application, for.lots-.I�ss_than one (1;)
acre�tcti aire elevster��tiy fl11,��er�gtneered dralnag�ptan!s rec�uired.
If I am the AGEN1'FOR THE OWNER; l,�promise In good faith#o Infarm the owner of°the.permitting condi@�ans set forth in
thls a�davtt`prior !a commencing cortatructton. 1 underst�nd that a=��parate:permlt may be requtred for electrtcaf woek.
p#umbing, signs,we#9s,.pools;, air canditioning,.gats, oc ot�rec instaR�i#tons not spec�(calty included�in.th� appiication. .A
permlQ issued shall be canshued to'6e a'license'ko�proceed vulth ttie work�nd nat as:author.iqr;to.vlolate;"cancel� alter, or
set�side ai�y"provisfons of ttie techiilcal cades;�nor sh�lt fssuance�of a.permit.preuertt#he Bulldlrig Of�clal from thereafte�
requiring a correction af eRors in,:ptans.; constructian or violatirans of any codes. �very�p�erm(t Issued sliall become inv�lid
un{ess the work authorized.by suah permlt:�ls-comrvtenced�wi#hln sF�t.months of p�tmlt i�suance, or if wark authoclzed by
#he permit is suspended�ar:ab�ndoned�for a�period of si�r�(8)mo�fhs:after,the time fhe�wo�ic is commenced. An extension
may be requested, in writing; ffom.tHe.�Butlding,Offlc(al for a perlod-not.to,exc�ed'�nlnely�(90) days and�will demonstr�te
�ustlfiable`cause for.�the extensian: 1f work ceas��:for nlnety.{90}cons.ecut3v�day.s�._the�ob-is co�sEder�d a�a�doned. ;
�tlARNlMt� TQ�VltN�R; YOUR.FAIl.URE TO.RE..C.Ult�A>NA�Tt�E:QF aC�MMEMCEMENT_.MAY-RE�U�T IN�YC�tlR
I�AYtNG TWIC@;��iR�iM�ROVEMEN.TS�TU YOUR;P#tClPERTY:�_�.1�°.YO.U{I�1'�END:TQ�J�TAIN��FIN�AT1ElNG;'CONS�JI.Y
WIT UR D �O AN�TTO N FORE�. ECOR�d G%� OU ' �� 'O `� `�' E T'
F�aR�a,a�uRn�-{�;s.�.�7.os) .._ . . . -- . . . - _ __ -
, OWNER OR A�3ENT���„�..�.hl , r)C�� L '1;�� G'ONTRqCTO .-- � � ,O
Subscribed and swom (ar�fltrmed}bef 1? me thls tibsctl and'swo �#o{o�afflt't�ted)'b te me'ftit� �
ft �r~
by `�l r1 l r� r. �.�4{51�1 .�I� 0 _2�f� .b`_ � _�.. G S I .q O
Who fs/are pe�sonally known b.me or asJhave proc�yced Who.is/ re persona lyknown•ko me,oc haslh�ve•�mduced • v
�s td'enUBca�on. �L•��-�r-� �,ea� as idetf�fication. _ .
c -
Notary PUbilc , ° � — Notary Publ(c
,� `�ti�:Y ev��, J UELlNE BOGES
Commtsslan No: Commtss o F�%» _
;�;, �a;; Expires December 12,2018
Mame ot Rlatary typed,printed or stamped Name of Natary typ
t�,
E
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DISCLOSURE STATEMENT FOR OWNF'R
'� ' CITY OF ZEPHYRHILLS BUILDING DEPARTMENT �
I, � ( I Z � j� have read aad fully understand aad '
agree to the provisions of this iastrumeat. I
The undersigned states and affirms that he or she is desirous of coastructiag, I
� reaovating, addiag to or reroofiag his or her owa domicile, that he or she '
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the followiag conditions:
� l. That the owaer aad he or she alone shall act as the builder for all phases of
' coastruction.
2. That the owaer will comply with all provisioas of the City of Zephyrhills
ordiaances and codes pertiaeat to the building.
3. That ia the event various phases of construction are subcoatracted, he will •
eagage oaly properly licensed subcontractors and will persoaally supervise
such work.
4. That ia the eveat the Buildiag Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reiaspection before proceediag with the building.
5. That the owner shall assume full respoasibility for the construction and will
aot expect supervisioa of his work from the City of Zephyrhills Building
� Department.
6. That prior to fiaal inspection any additional fees, iucluding reinspection
fees, must be paid ia full. A written request from this office shall
constitute aa official notice to pay additional fees. -
' 7. That the owner shall comply with all City, State and Federal laws in regard to �
social security, workman's compensation, lien laws, etc. , where applicable.
, 8. That the owaer shall comply with all the safety codes issued by the Florida
Iadustrial Commission.
9. State law requires construction to be done by� licensed contractors. You have
�� applied for a permit under an exemption to that law. The exemption allows
you, as the owaer of your property, to act as your owa contractor with certaia
restrictions evea though you do aot have a license. You must provide direct
oasite supervision of the constructioa yourself. You may build or improve a
one-family or two-family residence or a farm outbuildiag. You may also build
or improve a commercial buildiag, provided your costs do not exceed $75,000.
The buildiag or residence must be for your own use or occupancy. It may not
be built or substaatially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself withia 1 year after
the coastruction is complete, the law will presume that you built or
substaatially improved if for sale or lease, which is a violatioa "of this
exemptioa. You may aot .hire an unlicensed persoa to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have liceases required by state law and
by couaty or municipal licensing� ordiaances. You may not delegate the
respoasibility for supervisiag work to a licensed contractor who is not
licensed to perform the work being doae. Aay person workiag on your building
who is not licensed must work uader your direct supervisioa aad must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your constructioa must comply with all applicable laws, ordinaaces, building
codes, and zoniag regulatioas.
OWNER'S SIGNATURE ��A-e.1..01, � DATE?�02/��j
ADDRESS T �- 3 3S�a
�
Pxor� - � i.� - r' i�,' -- `)� '1 5 ,
WITNESS � PERMIT #
II I
r � i iiiiii iiiii iiiii iiiii iiiii iiiii ioiii iiiii eiiii iiiii iiii iiii �
2018000594 ,
Pertnit No. . Parcel ID No ! �` ' ��C' ^��^� ��� " �Q(�Q� r/✓���
NOTICE OF COMMENCEMEN�
•.( /}�
State of �Y'�(A[L County of_ �s l.V
THE UNDERSIGNED hereby gives notice that improvement wi716e made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Cammen menL• f� � _�
1.� Description of Property: Parcel Identification No. !yY) !d�$ '�,y� �Z 2'�� I
�SVeetAddress: � �� � �" i�� � �3s 2
2. �General Description of Improvement �T Y A/� Y� �a(�_ (�,(,�� S--+e, �(�'
. �1�t in�,1 eS ���
�--�
3. �Owner nformalion or Lessee infortnation if fhe�j e�ssee contraded forthe improvement: � � I
� ` � U�{�(J�%tJ N B..
N m(~O
"���-`�3- N�-r�' !4�-? Y l�. S ���' �
( Address
�l �L o� a
Interest in Property: ��ty State 3 N
Name of Fee Simple Titleholder. ��.y
Qf different from Owner listed above) • ��
. . .. lp
rf� ,_./� City n
4. ��entrador. ll\Ct Q l /(� ()�l�-l� State ,QO m••
`�,� Name r.B F,.
� mm
_ Address City ' State A m
Contractors Telephone No.: •- B
10
, 5. Surety: _
i Name �
Address City Sfate
Amaunt of Bond: $ Telephone No..
6. Lender.
Name ��
�,,.a
c
Address City State ��D I
Lenders Telephone No.: N I
i W��
7. Persons wifhin the State of Florida designated by the owner upon whom notices or other documents may be served as provided by �p� ''
Sedion 713.13(1)(a)(7),Florida Statutes: �m
' ' �
Name '�/� � . �
V,w� I
� �
� y`�, v '
Address City State ���� I
Telephone Number of Designated Person: � I �
3 c�
8. In addtion lo himself,the owner designates o
of � �
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes. ��'`�
m
Telephone Number of Person or Entity Designated by Owner. �
I�O �
9. E�iration date of Notice of Commencemenl(lhe e�iration dete mey not be before the complelion of construction and final payment to the ����
, • contrador,but will be one year from the date of recarding unless a dif(erent dffie is specfied): .(/tiF"��
" WARNING'TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE 0 �`i�, �
ARE CON F COMMENCEMENT �
SIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 7, SECTION 713.13 FLO D A
RI A STATUTES, AND CAN �1
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE �r
RECORDED AND POSTED ON THE J�B SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
r
, WITH YOUR LENDER OR AN A7TORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENi. � �
Under penalty of perjury,I declare fha4�have read the foregoing notice of commencemenl and that the fads stated therein are true to fhe best
' of my knowledge and beGef.
STATE OF FLORIDA r ___��� D� � 1._P
COUNTY OF PASCO ��,
�-.%�ignature of Owner or Lessee, r Owners or Lessee's Aulhori d
OfficedDiredor/PaMer/Manege '
. Signatarys TillelOifice
The ore�ing ins�en��ras eFknowledged be(o2 me this ��ay of�i2'��,20`�,�=by '
as (type of authority,e.g.,o�cer,Wstee,ariomey in fact)for
(ne e f party on be f ofavhom i strument was executed).
Personally Knovm�OR Produced Ide tification� Notary Signature � -
(,� �_`',, �,C�� � l
Type of Identificalion Produced_ 1 V �V�^+'"��e.s��_Name(Print) � '�
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.aPFY°�:�;: JACQUELINE BOGES
I - =2� := Commission#FF 150422
;� •o: Expires December 12,2018
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' � �'•;p�i(;,°.` Bonded Thm Tmy Faln Insurenae 800385-7018
tvp datalbcs/noticecommencement�c053048
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��e���.�, � STATE OF FLORIDA, COUNTV OF P�SCO
����• g •o � THIS IS T0 CERTIFY THAT THE FOREGOING IS A
�� �''�^ TRUE AND CQRRECT COPY OF THE DOCUMENT
`� m ;�;�,. ; :�r�``e- � � ON FILE OR OF PUBLIC RECOC�SEAS OFSICE
� � ����ti � ° WITNE MY HAND ND OFFI
P� �r ���:,� � � ' Z�
=� � ' DAY 0
��� l� •�-���'l � � PAUL 'NEIL, ERK&CO TROLLER
�� � �� t�� • F DEPUTY CLERK
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