HomeMy WebLinkAbout18-19346 CITY OF ZEPHYRHILLS
5335-8TH STREEf
(813)780-0020 19 46
, � BUILDING PERMIT
- PERMIT INFORNiATION � � --- LOCATION INFORMATION `�= -
Permit Number: 19346 Address: 7330 LEHIGH CT
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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-005A-00000-1640
Improv. Cost: 3,500.00 OWNER INFORMATION�
Date Issued: 2/22/2018 Name: HUBBARD BELINDA & SHANNON
Total Fees: 90.00 Address: 7330 LEHIGH CT
Amount Paid: 90.00 ZEPHYRHILLS FL 33540-1014
Date Paid: 2/22/2018 Phone: 813-900-9874
Work Desc: REROOF MODIFIED
�CONTRACTOR S " APPLICATION FEES
YOWELL'S ROOFING REROOF RESIDENTIAL 90.00
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Ins ections Re uired
DR IN ROOF INSP
TAPE JOINTS ROOF INSP
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 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.
"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.
� �
C RA TO NA RE PERMIT OFFI R
PER�TT-EJC RES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
���-78o-ao2o City of Zephyrhills Permit AppEication Faic 893-7$0-0021
• . Building Department :��„
Date Received � :p�one Contact(for Permltttng r �:?I ✓ �T V �
Owner's Naroe � 1���'-�c..a' Orwner Phone Plumber ���J 7 �Q �d (
Owiners Aildress �3�� \ Y ' � Owner Phone Number � �
Pee Simpte Tttlefiotder Name�- � Ovirner Phone Number � �
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Fee Slmple Titleholder Address -
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JOB ADDRESS ��� � � 1 � �� LQY# �_�
SUBDIVtS10Pt � � PARCEL-ID# �1—F�S—��---8�3� "''�L?d�� ^'� LI
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(OBTAINED FRQM PROPERTY,TAX NOTICE) �
W4RK PRCIPOSED e ,. N�W.CONSTR°8 ADDtA�.T Q StGN �Q � Q DEMC?LISH
' INSTALL REPAIR
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PRQPOSEp'USE. `� SFR Q "GONIM ��' OTHER
TYPE`OF CONSTRIJCTION Q • BLOCK • [� T FF2AME �. STEEL Q
dESCRIFTION OF WORIC M^ D �� 1C�—C�� �� t'�� � C� C d� .
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B�11Gt}IPIG S1ZE � � 9Q'FOCITAGE I� . .HE[fiaHT •�� �
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BUILQING $ �5--�� �" VALUATION`OF TOTA�Ct3RIS7RklGT.IQN
�ELEGTRICAL �� ANtP SERVICE � P120GFtESS ENERGY Q W.R.E.C.
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QPLUMBING � � �
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OMECHANICa4L $ VAIUATlOfV QF MEGHANICAL INSTALLATION
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Q;CAS Q. ROOFING �_ 3PECIA�TY � QTHER
FINISHED FL.00R ELEVi4TIONS ��� FLOOD ZONE AREA QYES NO
BUIi.DER . COMPANY ,
SIGNATURE REGISTEREQ Y/ N FEe cuw�n Y/N
Address _�License# + �
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.'.° ���cr�i.c..�at� coM�aMr
�:;..SIGNiATURE REGISTERED Y/ N • �FEE%CURRE� ' Y/N.
Adclress ' - '„
License# � �
, � P,E:UMBE,fi;; . 'CG?I�JPANY"
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�SIGNATURE'� '' ` -REGISTERED Y/ N: � ,FEE CURRE� Y/N "
� � Address - License# �— ��
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::'MECliANtGAl:� ., . ' COMPAt�iY
"'SIGNA'PURE'° � � REGISTERED , , Y/. N Fee:cuw�en . .Y/N
Aiiii�ess�,�= - ' - u • r License.# � �.
; ,.om�a=L�. 1�-.. : t � -�coM��ar " � jl'?t�t.�...'.� S � � .
";'SIGNATURE::,,.� :� � , .- ' � REGISTERED' Y/,N FEE-CURREA' Y/N
:`i.'.�=`� `1��.� �.� �::. - .. , - . � � c �s.�-1
Xitdress. �":>,.,'A� ,� i�� ,�v�'2 .'�`.+`lt3 Licerise# ��� ✓�
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�,�;RESIDENTIAl::r >i4::.�.��= _ -,�:, , . . _ .
E_ � m���, .v:;.�Attach�{2,};FlatiPlans_2�"'sefs'of�8ultd[n �Plans� '!� setof�Ener �For'iris;sR`-.0,=:t1VPermit,fqr-new.constivct�on,.
,fi „ : ;`{ }; 9 ,{ )� 9y;
orkin da" '
�;,,,_ -���::,,,-;�,�,;-t�;F�:;Minimwm,ten;(;10)Y'v`y,.;r,_;;,g,'' ys;afte�''si�itimitt`al�clate:`:Requiretl'on§Ite;�"Co�istructiori�Plarf's,'Sto`rnnwaterPlanswPSfltFenceinstalled;
�:�.f.5-rt_.. '_� .. . ^ Sanitary,Fac�l�6es&�i dumpster48{te,Work Permit-for�siabdiirls'iansBarge projects � `" _". �._ - � .. .
..C.ONIMEi�ClAl. Attach'(2)coriipiete�"sets of'8uililing Plans ptus a Cife Safetj+�Page;{1}sef of Energy Farms.R-O W Permit for new canstrucfion.
�-"�'_" - Minimum ten(10)working days after submittal dake. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,
�'�'.., - Sanitary Facilities&1-dumpster.Site Wotk Parmit fo�a8=new�piojects.A!i commerclai requirements must meet comptiance
G��SfGN.PER�fIiT "i4ttaeli-{�)sefs;�of;Engineered;Plans:;?.._:.., � � . . � '
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r'`�"'��' "`""PRORERTY SURVEY re wred.,for aII,NEW constructipn._
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f;'�-- -
�^�Directliiiis: �r�;s:._, ... ,��:F=�.. ,__ . _. ..
'`""���'Fill':out�applicatlon completely. ,
'r';`�. Owner'&-Gantractocsign.back of appllcation,notariied
,��,;,..
�� °If ovec.$2Sd0;_a Notice af:Gommencement is required. (A/C upgrades over$750Q)
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..���� AgenY(fdr`�ttie'�conbracto�)°pr.Power•ofAttomey(for the owner)wauld lie someone with natarized letter from owner autharizing sarne
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�:"'�:-..:.�. "]t.:i:n. .�
,,,QV.ER;;i'EtE CQUNTER;'P�RMITTIN.t'a;. _.,� ;..(capy..of<cantraek:reqwlred) `
'�Re�vofs�if:sti(ngles Sewers . 'Service Upgrades A/C Fences.(PIoUSurvey/Footage) „
� DYlveways-IVot over Counterif on pubiic;roadways::neeiis�ROW ,' �
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NOTIGE OF:DEED�RESTRtCTIQNS: The undersigned:.un.de,cstands:,tha#;this;permit may:be subjec#:to_ de.ed r�stnctions;,n:;"�.:;.,
which;ri�ia"::�e�more,.r,esfricti:ve�that�{Ca�iri �re��ui�trons�=�Thetr�rtdersi,`ne�tl�'assuri�es f�s` o7nsibi�i�''for�com`'�ian"ce with��a,ny.,�":; i.
Y... .tY 9 , 9. ,P �Y. ,P,.. ....
MS•;n�;�:=,�r.=szs:�'�`:'
applicaible.deed�restrictions. � . -.t.;.: ._ ,:--� .-... ;,�:;�...,-r:�_: .��X.:. ,
UNL[CENSED'�CONTRACTORS .AND CON>FEtACTOR RESPONSlBIl:ITI�S:��If`�the>>owiter�tsas��hi�ed�'�a,�cb�tractor or :� ;;
contractors ta undertake work, #hey,;may;;be;re�qu.'i�ed;:to be�licensed�in ac.cor..dartce with.state,°and:�local:;regula�ions�:��if:tt;ie��=�." �:� ' .
- i �1' e �as�re. kired`'b''taw tiotFi'�tMe ar`ivr�er�and`'co'Fltractar��ma�'i�b"'`ey�Eited�f6t�=a iaSiisd�tneanor-�iolat�on�� '
contractor s:�not icens. d , qu y , y �, � -�� ,;
under sfate�law. if the owner or,.inte�ded�contFac#or are�uncertain as.to what.(icensing�cequirements;��n'ay�4a�iply�f:dr�the:;F��=:: ;;
z � �.���F �. ..r .. . . _.. . � z�.�� : � �,� � t.�; s;
intended workr.they�are advised�to�con�acf:the Pasco_Couniy'Bi�ii�ing��tnspecfion�DNis�on��L�censing�.Se.ction�at727=847- ti , �;
8Q09: �F�rthermore�, �if the� o�nrner has�filrg�`�a"coiit�actor�or contractots, he�is advised to��have��the..contca�tor(�s;};.;sign�:;;,;;-;_ ;;� ;;
portions of the�"contractor:Block"of this application-.for�which��they wiU-:be��cesp.onsible:��If.you;'as�'ttie�``.o°vii%ier"sign�as�:flie���'`��;;� x;� +
._. - _. . - . ...�..�>: :._ .
contractoc,"tHat-may 6e anlndication #hat he�is nof properl licerised�antl��is not entitfed`�to. ermitt�n� " � " '� �'
Y , P 9 Prlvileges_in Pasco� ..�{. kF i
County. � _ __. �. � .: -. _ � :�{><.�..,_1_��:�� , ;
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TRi4N5PORTATION�IMPACTNT1i:ITtES�tMP�i�T AND RESOURCE RECClVERY FEES:-�Tiie undersigned_under.stands_,.,_, ,:;. `.; j��
that i'ransportation tmpact Fees and Recourse Recovery Fee.sr�may.appfy ta�the.cons.truction_of�new.b.uil.dings,�cFia�ii`�e}of��T�'�°=� ,:� �;1
use In existing,btiiltflitg�,loc�expa�sion of�:e�iistiiig::Eiuiidir�gs, as specified in Pasca Caunfy�rdinance number 89�0� arid. -�� :�;:; �i
� __. _ ,,;-�,.: .... _.;, � ;i
90-Q7, as amended. The�untlersigned�also unders#ands;,that such=�fees;-as;:may,b:e=due;wif!;be identified�y�t:��the�.�im�=:of.�=���_�_�� };;;j �a
permitting. If is further understood ttiat Transportation�Impact•Fee's�and Resource`�Recovery:Fees�must be paid:prior"to 3 '_< ;�
:: e a .:r.,;..i.,, s_.
receiving.a certificate of accapancy o�final.power release:, If the:pmject does nat Involve�:a certificate of:occupancy�o'rti����� =y >` �;
fina(:pawer reie.ase;;the,�fees.must be-,paid prior to permit issuance;,_:�urtlierma�e,.if,Pa�co.Counfy W�ater/S,ewer�,jmpact�::-��';� ' ji
fees are.due,they must.be..pafd pr.ior to.perm�t�issuance in;accordance�with'appiicati(e pasco Coun#y,ordinarices. � �;
C4NSTRU6TlON L•:IEN=LAV�1{Chapter71�3; Flarida Statutes,as amended): tf va(uation of war:tc is$2,50�0,O,O.or.more;,��r.:;,;�; _
certify that l, the•_applicant,.have been_,provided with--a cctpy�_of'�the°Florida' Cons#cuctiori-��ien .�aw Homeowne�'st� ;;,
Protectian Guide" prepared�by the�Florida Department of Agriculture and Consumer�Affairs. !f the applicanti is;someone;: ;
.. ,.._,, ,.,.;..._ ..r
other than the"owne�',;I,eertify that'I.have obtainetl a copy of'the above'�described'document=and pro�iise�;in;good;faith`:to ,
deiiver it.to`tlie>"owner".'p�ior'ta�.commencement: � � �
CONTRACTQR'S/BWNER'S AFFiDA1/IT:,::.I�ertifji�ffia#'all-tfie infor:rnafion in this application is accurate and tliat all`work �
w311 be done in compliance with ati applicabie�laws regula#ing construction, zanmg.and_land�development. Application,is �;
hereby rnade to abtain.a ,permit to-.do�vwork-and. instaffation.as'>indicated. E certify fhat na worlc ar:installafions�has r.
commenced prior• ta issuance of a permit and��th�t al! work wil! be performed to:rneet standardswof a!I laws regulating � ;;
canstruction, County and City cades, zoning regulations, and land d�velopment regulations in�.:the jurisdiction: ��!°�alsv -°� �
certify that I understand that#he regulations of other government agencies may apply to the.intended work, and that it is ; ;%; �.'
my responsibility to iden#'rfy what actions I must take to be;in compliance. Such agencies include.bu#are not;limited;to:. , t°' �
- .Department of Environrrientai:''Pr`.oxect'ron-Cjipress Bayiieads; Wetland Areas and Environmentally Sensitive ;=r �1
Lands,WaterlWastewater Treatment. � �� ��
- Southwest Flor9da Water Manag�ment Dlstrlc#-Wells; Cypress .Bayheads, Wetland Areas, Aitering � ;�`' ;
�;
Watercourses, , ', � �� `- '�
- Army Corps of Engineers-Seawalls, Docks; Navigable 1Naterways. . '°�`Y '�
''.: 1':{
- Depactment,,of Heaith:;.& Rehabilitative.�Services/Enviroamental :Health tJni#=Wells, Wastewater Treatment; , . ,,
Sep�ic=Tanks. � � ''
- US Environmeri#ai Protection Agency-Asbestos.abatement. ' �,�,
- Federal Aviation�Auttior�ty-Runways. '
I understand that-the following�restric#ions apply fo the use af.�ll: ;,
- Use of fi�l is not a(lowed in F.lood Zone W unless expressty permitted. #-.
- if the fiil material :is ta be used in F1aod Zane "A", i# is understaod that a drainage pian addressing a;
"compensating vofume" will be submitted at time of permitting which is prepared by a professianai engineer' '
licensed:by the'State of Flarfda. ; � ,
- !f the fll material is to be used in Flood Zone "A° in connection with a permitted building using stem wail;
construction, I certify.that fill will be used only to fill the area within the stem wall. ; '�,
- tf fifl� materiat is to�6e used in any area, I certify that use of such�fill will not adversely affect adjacent# ;. �';
properties. If use of frlF is found-to ady�rsely affect atljacent properties, the awner may be cited for viaiating; ���: ! �
#he eanditions:�of:Ehe:buiEding permit issusd under=the attached_:petmit-ap.p(icatian, foc iofs�Isss #han one (1); �;` � `
acre which are eEevated by fiiir an engineered drainage plan is requi�ed. € �4 �,�
If! am.the AGENT FQR:THE QWNER;_!�promise in goad faith ta inform the owner of-the�per�rtitting conditians set forth in's � f�; �j
this affidauit prior fo commencing construation. I understand that,a separate permit may be required for electrica! work,.�_ ,:ry �,
plumbing, signs, we(Is,; pools,..ai.r.,uconditioning,..gas,;:.orothe�,ins`�allations not specifically included in the application: A.= :�� ;�; �
permit issued�shati'be�canstrued=to�tie a license''to.procee�`with'fYre warknand nof-as.autfiori�r.ta viola#e, ca�cel,�alter, or; ��� �:�
set aside any prov�sions of tfie'technfica!codes, nor shall �ssuanc�af a permit prevent the Building 4fficial from thereafter t ; ; �
requ9ring a-correction of.er,rors:in�:plans;�cortstr_uction or:violatians of�any.cades.--Eve-ry perm�it iss�red shaif become invalEd; �;:'i �•�
unless the work authorized by such permit is oommenced within,si�c manttis of permit Issuance; oc if work authorized 6y;: 4;; �,
the permit is suspended.or abandoned far;a�p.eriod..of-six(6).�rrion#hs after the time the work i�commenced,JAn extenslon� ;�� I �
may be requested,�.in�writing, fr_'om.tFie Building�C3ffi'ciaF for a period:not to exaeed ninety (90) days and will demonstrate ; ��:=A �.�
just�abte cause for.the extensian. ,;#f work ceases for ninety(90}consecutive days,tfie:jab is considered abandoned. t i; ��
WARNI[�tG"T0 01NNERC� YOl'lR:,�AILURE,��TQ;;R�C.O.,RD�.A-.NOTICE QF C.OMMENGENifNT�MAY=RESUI:T_IN YOUR'`_ �iMr y
PAYING'TVIIICE.'FOR:,;IMi?R,OYEMENTS,�TC)YOUR.�'RQPERTY.; IF YOE�J��INTEND=TO+OBTAIN''FlNANCING;CONSULT � �,: ��
WiTH YG1UR'LENDER�COi�AN ATI`ORNEY BEFfSRE`REC.ORDINGYOUR'�NOTICE'O�`=.CO ENCEMENT. _°�. ;,; ;
. . .. . .. .... :..: . . ±
FLQRiDAJURAT�(F.S.ii7.Q3}-. = � • - • � , �
OWNER OR AGENT CONTRACTOR {:����� ,
Subscr�bed and swom ta{or af�rmed}before me thts b� a wom ta(ar ed}before:mQ'�is��� /� 1 j '
by �by � �G�A--�f �J ��_,GCJ"C,._-t�,l
Wha is/are personally known to me or.has/l�ave produced � Is/ re ersonally known to me or has/hav produced�— �_ �
as idenUBcallon. as identificatlon. '
,.
Notary Pu4!!c �-' �-� Notary Pub}Ic
Commisston tVo. Co sion No. �
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I
Name of Notary typed,Pr�nted or stamqed Elame of ` � ��i��6 ,
' `� o�o' Expires De�mb�12¢0!8
� '•:�P;;;:»° aoa�,rnn�r Ce � .
T +�yFainlnsvrance8p�,3g�r•70f9 �
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�OWe���S �OO�Ii')� �O. Commanding Excellence
�� ' 1635 IV.Dale Mabry Flwy,Suite 15,Lutz,Florida 33548 Since 1964
(813)949-4561 Fax(813) 575-9200 Repairs&Reroofing
License No.CCC-057952
YowellsRoofing@yahoo.corn
2/22/18
I John C Yowell authorize lohn Yowell Jr & Kari Yowell to pull roofing
perrnits �n o�ny behalf at City of Zephyrhills.
_
� - __
:
Signature of License Holder
This foregoing instrument was acknowledged before me this�02 day of F�b , 2018
Personally Know_or Produced Identification�
Type of Identification Produced �lc�;c;�� 'Ds'„�e�s t-� «`�-
Notary Signatur
Name C���1 (Z. ��,�, e��
:�:�v�;: CM�itYL R RILEY
;�. •'° MY COMMISSION#FF914888
•.,��y� .•� EXPIRES September0l,2019'
Wo7139t-O�S3 Soaiw.�am
Quality and Integrity from people you can trust.
1
„ Florida Building Code Online Page 1 of 2
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� �s a �" Product Approval
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Produd Aooroval Menu>Product or Aoolication Search>Aoolication Ltst>Applicatlon Detall
�:� FL# FL1654-R22
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived ❑
! /aL�bv���.; :�4-i�.�;�L.�}i�t��.:�;i��`�"�H PREVAILING
Product Manufacturer POLYGLASS USA CODES�l.c��1C�A BUIL�1�lG CODEy
Address/Phone/Email �111 w. NewPort c��p1�¢�ELECTRIC CODE,
Dee�eld Beach,FL���.H�CITY OF ZEPhiYR!'ll�,,$
(954)233-1378 E
a lender@ polyg lass.��p�NA(�(dE�
Authorized Signature Ariel Lender
alender@polyglass.com �� ���
Technical Representative Maury Alpert ������� �-�����t� �t�1�t,
Address/Phone/Email 1111 W.Newport Center Dr���'�d���►=T►i��`��
Deerfield Beach,FL 33442 ,���Lt
(912)429-8610 ���rJ C�YlP'�t�C����"�
MAI pe rt@ po lyg I ass.co m
Quality Assurence Representative Ariel Lender
Address/Phone/Email 1111 W.Newport Center Drive
Dee�eld Beach,FL 33442
' (954)233-1230
ALender@polyglass.com
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
❑ Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
' the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quaiity Assurence Contract Expiretion Date 10/06/�018
Validated By John W. Knezevich,PE
❑� Validation Checklist-Hardcopy Received
, Certificate of Independence FL1654 R22 COI 2017 O1 COI Nieminen.odf
Referenced Standard and Year(of Standard) Standard Year
, ASTM D6162 2008
. ASTM D6163 2008
ASTM D6164 ,2011
ASTM D6222 2011
ASTM D6509 2009
FM 4470 2012
, FM 4474 2011
UL 1897 2012
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvqqu2w%2bn... 2/22/2018
�, Florida Building Code Online Page 2 of 2 I
:
� � Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 09/14/2017
Date Validated 09/15/2017
Date Pending FBC Approval 09/22/2017
Date Approved 12/12/2017
Summa of Products
FL# Model,Number or Name Description
1654.1 Polyglass SBS and APP SBS and APP modified bitumen roof systems
Modified Bitumen Roof
Systems
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL1654 R22 II 2017 09 FINAL A1 ER POLYGLASS MODBIT FL1654-
Approved for use outside HVHZ:Yes R22.odf
Impact Resistant:N/A Verified By: Robert Nieminen PE-59166
Design Pressure:+N/A/-622.5 Created by Independent Third Party:Yes
Other: 1.)The design pressure in this Evaluation Reports
application relates to one particular assembly FL1654 R22 AE 2017 09 FINAL ER POLYGLASS MODBIT FL1654-
over concrete deck. Refer to the ER Appendix for R22.odf
other systems and deck types.2.)Refer to ER, Created by Independent Third Party: Yes
Section 5 for other Limits of Use.
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Under Florida law,emaii addresses are public records.If you do not want your e-mail address released in response to a pubiic-records request,do not send
electronic mail to this entity.Instead,contact the office by phane or by traditionai mail.If you have any questions,please conUct 850.487.1395.*Pursuant to
Sectian 455.275(1),Florida Statutes,effective Octaber 1,2012,Iicensees Iicensed under Chapter 455,F.S.must provide the Department wi[h an email address if
they have one.The emails provfded may be used for official communiqtion with the Iicensee.However email addresses are public record.If yau do not wfsh to
supply a persanal address,please provide the Departrnent with an email address which can be made available to the pubiic.To determine if you are a licensee under
Chap[er 455,F.S.,please clidc here.
� Product Approval Accepts:
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Credit Card
' Safe
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https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqvqqu2w%2bn... 2/22/2018
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� ; � ti �2/22/2018 C. F. , Dpty Clerk
Permit No Parcel ID No 35-25-21-005A-00000-1640
NOTICE OF COMMENCEMENT
State of FLORIDA County of PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement:
1 Description of Property Parcel Identification No.ALPHA VILLAGE ESTATES PHASE 2 PB 23 PGS 8-9 LOT 164 OR 9326
StreetAddress: 7330 LEHIGH CT, ZEPHYRHILLS, FL 33540
2. General Description of Improvement REMOVE AND REPLACE FLAT ROOF MODIFIED
AULR S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER
�2/22/2018 09•21am 1 of 1
3. Owner Information or Lessee fnformation if the Lessee contracted for the improvement: _ OR BK ���1 PG �122
SHANNON & BELINDA HUBBARD ___--____—___ ___
Name
7330 LEHIGH CT ZEPHYRHILLS �L
Address City State
Interest in Property: 100%
Name of Fee Simple Titleholder• NIA�
(If different from Owner listed above)
Address City State
4. Contractor• Z'OWELL'S ROOFING COMPANY
1635 N DAL��ABRY HWY,SUITE 15 LUTZ FL
', Address City State
Contractor's Telephone No.. 813-949-4561
5. Surety N� '
Name
Address City State
Amount of Bond: $ Telephone No..
6. Lender: CALIBER HOME LOANS
Name
Address City State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
N/A
Name
Address City State
Telephone Number of Designated Person:
8. In addition to himself,the owner designates N�A of
to receive a copy of the Lienor's Notice as provided in 5ection 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner•
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified)� N/A
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NbTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN -
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowiedge and belief.
STATE OF FLORIDA o1�,RY P(iy,� gRENDA PETITT
COUN-TI=OF-P-ASCO-2 :"'•.=�- - < - -- - — -
MY COMMISSlON�FF 194394
,r * Signature of Owner or Lessee,or Owner's or Lessee's Authorized
sr � EXPIRES:June 28,2018 OfficedDirectodPartner/Manager
�TFOF F��P�� Bonded Thru Budgel Notary Services
OWNER
Signatory's Title/Office
The foregoing instrument was acknowledged before me this�day of �G ,20�,by BELINDA HUBBARD
S OWNER t e of authorit e.
(yp y, g.,officer,trustee,attorney in fact)for
���1N � � �� r � (nam�of p ehalf of whom in�trument was executed).
Personally Known�OR Produced Identification❑ Notary Signature �
Type of Identification Produced Name(Print)
renda Petitt
- r ,
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wpd ata/bcs/noticecom me n cement_pc053048
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STATE OF FL.ORID,4, COUNTY OF PASCO
THIS IS TO CERTIFY 7HpT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC REC IN THIS OFFIC�
WITN S MY HAND AN F A EAL THIS
PAU�, Y F 2
NEIL, RK&CO PTROL R
BY
DEPl1Ty CLERK