HomeMy WebLinkAbout18-19397 CITY OF ZEPHYRHILLS
• � 5335-8TH STREET
(813)780-0020 '�97
BUILDING PERMIT
� �
PERMIT INFORMATION�- - � - = - LOCATION lNFORMATION �� � - _ ,
Permit Number: 19397 Address: 38549 ALPHA 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: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-005A-00000-1510
Improv. Cost: 2,622.79 OWNER INFORMATION
Date Issued: 3/02/2018 Name: EMERSON ROSS A SR & CATHY LEA
Total Fees: 55.00 Address: 38549 ALPHA AVE
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/02/2018 Phone: 813-780-7460
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
, HOMEOWNER REROOF RESIDENTIAL 55.00
✓
� (����
� ��
_ J�-- �P
�� �-�,..�'
��►�
Ins ections Re uired
DR I ROOFINSP
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
>
��C1 L--- �'� ���or
CONTRA OR SIGNATURE � PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
• Building Department :;;-
Date Received '��
� Phone Contact for Permitting ~ -
OwneP's Mame �� l�. ��-����-ti Owner Phone idumber ��� - ��6 -��'`��
Owner's Address �.�� �T�ph`��v�'n"'-e Ouvner Phone Number
Fee Simple;Titleholder Name � ' Owner Phone Number
(
{ - ,.
Fee Simple�Titleholder Address
JOB ADDRESS 8-� � ��P�"`' �U�'---��-�- LOT# �
� ,y� n
SUBDIVISION - �9'i,� p` • °`�9 � PARCEL ID# ��`����2'�� ���'+� �d����S� �
i
4`� � (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q � Q DEMOLISH
; INSTALL REPAIR
i
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE'OF CONSTRUCTION d BLOCK • Q FRAME � STEEL Q
. 4, .
DESCRIPTI�ON"OF WORK `'� C��
\ BUILDING SIZE (� (�� :�� SQ FOOTAGE . 2-Z S� HEIGHT � �
_. \ t , . .
QBUILDING , $ /'_ �+�� VALUATION'OF TOTAL CONSTRUCTION �
lS�
QEL•ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
. �
QP'LUMBING __ $ � �/�n
: -- .� � �"/ I
QMECHANICAL $ VALUATION OF MECHANICAL INSTALWTION
�
QGAS � O ING SPECIALTY 0 Ol'HER
' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I
1 I
, �
i
,BUILDEFt 4 ,` a ����_ COMPARIY �����- ��`n�--� �
SIGNATUR� C��r ��•-• �� REGISTERED Y/ N FEE CURRE�. Y/N
Address License#
;�'ELEC7'I21CI� ; COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
s '
� +.i"r-- �? .
- Address License#
{
PC�IMBER�j COIIf1PANY
SIGWATURE REGISTERED Y.�/'N; FEE CURRE� Y/N �
},.,
Address. - License#- � '
"'.MECH{1tdICAL' � COflNPANY -
`�" SIGNATURE'' � REGISTERED , Y/ N _ .FEE cuw�en . . Y�/-N -
Add'ress�-'° ` � � " ' Licens,e.# I
%;;_:;�,:: - .. .
- OTHER�' " " COflAPA1dY
��SIGNATURE-��: •�._ . - REGISTERED Y/.N. FEE CURREK Y/N -
;,y,r:;,.,� ; � .. . : ,. ' � �
Address,�.. - - License#
:{.,..• ..
�.._;. , .
`":RESID.EN71Al.",� .Attach;,(2);,Plot'.P.lans;;(2)ysefs�of=6uilding�Plans;(1•)`sefof�Energy:Forms;R=O=W.Pertnit,for new.consVuction,.'f ,.
,. -;,;�•;;a,,.,,,-;,;Minimum;�ten,(;1.0)_.working'iJays afte��sutimittaladate..`Reqiii�ed�onsite;GoristrucUon Plans;Stor,`mwater Plan"s w/Silt F.ence installed,
:;_.,; �� �. � Saqitary,Fac�llt�es„&1=�dumpste�;;Site.Wor,k Permit for.subdi"visions/large:p�ojects� � ` : _ °� - ' = -
�::.:,COMMERCIAL Attach(2)acomplete'sets of'BuilBing Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuction. �
: - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
=="`� Sanitary Facilities&1 dumpster.Site Work Permiffo��all•new�piojects.All commercial requirements must meet compliance
:�='�$IGN�PERMIT �Attach(2)'sets:qf;Engineered�Plans:�� ' _
�;:,, *""PROPERTY SURVEY required fo[.aII.NEW construction.. ,
'�f�•Dl�ecticns: .•Si:_ .
s•
' �-��Filf�out.application completely. �
"" OwnetB�Contraotor sign back of application,notarized,
'� If.over$2500,a.ldotice.of•Commencement i�required. (A!C upgrades over$7500) ,
''�+., .�.:T ., ,.
- Agent(for the°cont�actor)or'PowerofAttomey(for'tFie owner)woulcl6e someone with notarized letter from,owner authorizing same
':=,OVER°THE COUN7'ER-�PE_RMIT•.CING. ;...,,�.(copy.of contraet<required) ` ' � " � - ' • - • - ,
;-°Re�oofs.if sFiingles � �Sewers Service Upgrades�A/C Fences(Plot/Survey/Footage) .,
- ' ..�. ...�. _..,.,. ...r . ..__. �. : , _ . ' . • , ; .
- Drivev+rays-Not over Counter if on public roadway§..needs ROW . - .--., _. _ . '
— ,..,
_. _ -�-������.��
� .x
,
. , �
' " " �
;�:.�
NOTICE.4F DE�D R�STRIGTif3NS: The undersigned understands that.this;permit may be subject:to,".deeti",resfnction;s"�.°r�;r;
which;ma :be�more cestrictive;�#han�Count; cegulations:-Therundersi"nediassumes=�es,onsibliif 'for com'�liance`with=an ':�,
Y . Y 9 ' '� p Y p Y
- aPplicalale deed�estrictians. - - ..;=1=t=;::� :�`=:<.�::m:`'�w�
UNLlCENSED-GONTRAGTQRS ANC?' CONTIZACTt?R RESP:QNSIBIl:ITIES:- 'If itfie=owiierrv�lias��hiretl��a���contractor or ��
._ . . _
contractors ta undertake work; they,may:be re.guired.to be�licens�d in accordance.with_state;and=local--regula�tons:.���lf�#Fie.``��,;�
contractor is not licensed�as reqwred by'I`ainir both the owner�:and`canfraetb�;map�=6e citedb=far�a misdemeanoc violation• :,_�
under sta#e�law. �tf the owner or intended:contrac#or are uncertain as to wha#.licensing.requireiinents:;maytapply:for�`;the;�.�;-�:�`?
,.,.-;;t.�.. .....::�,,.: - - .�
intended work,-they.:are=advised to cdntact"tiie`Pasco.Counry;Builtling tnspecfion�Division=[.9censing Section at 727=847=
8009. Furtherrnore, if the owner has'fiiteil`a contractor ar contractars, he is acivised ta�'have the con#rac#or(s,),�sign_,a�,,,;
�,.-15:4.''✓;'�_'�`_....s:.y ':Yy.r,7.t
portions of the "contractor Block"of this application.,for which they vvil! be_resp.onsible. =!f:ybu, ast#tie`ownet sign as��.the4� :-_,°�
contractoc, that may 6e an indication�#hat he-is not prope�ly�licerised�arit4 is not�erttitled�to permitting�priviteges,in�,Pasco.,,;ya:��;;�
County. � , _ ._ . ... . ' _ = : :.�
TRANSPORTATiON-tMPACTNTiLiTIES•iMPACT AND RESOURCE RECOVEERY FEES:�The undersigned undecs#ands _ ,�
� sj:i:_p.v�, t... .
thatTransporkation tmpact Fees.and Recourse.Reaovery Fee.s�may�applytorthe canstruction,of.new.builifings, change;af`�°;�`::;�
use in existing bitit#Ings,:or;expansiart�:of.';exist�rtg buildings, as spec�fied in Pasco Caunty Urdinance number 89'-07�.and =;` �
90-07, as amended. The�undersigned also ur;�derstands, that suc�i.z€ees, as"may,:b.e.due, rrvilt be�identified at:£tEie�.tiirieF3of�:����`y',
permitting. �It is further understoad that Transpo�tation 7mpact Fees�and Resource%Recovery Fees must be paid:pr.ior ta
receiving.a "certificate.of occupancy"�ar:final;,power release. If the.pr.oject does not�invalve a certificate of occupancy'cir==F<'�'`.�'�
finai.power release,_the,fees.must be,paid�prio�to permit issuance. ;Furtliermore, if Pasca County WaterlS.ewer;wlm�pact:�,-K•' �7
fees are due,tfieyy musf 6e.paid prior to permit`issuanee in accordance wi#h�applicable.vPasca County ordinances. � + � �
CONSTRUGTIQN�l:iEid�t�AilV{Chapter 713;Florida Statutes,as amendedj: If vatuation of work is$2,500.00 or mar,e,,i,u;r.. ;
• f �.
certify that I, the appllcant, :have been- pcavided with a copy. of.the "Fioricfa Construe#ion..�Lien.-Law=Nomeowner's ' .
Protection Guide" prepaied-by tk�e Florida Department of Agriculture and Consumer Affairs. If the applican# is someane..>,,
other than the"owner",��I:eertifiy,that L_have obtairied a copy of the above`descri6ed tlocument,and;prom�se��n goo,d'�<faith#o ::..,
deliver.it to.the;',owner"::priar:to=camrnencement: � � '
- CONTRACT�R'S%01NNER'S AFFIDAV�T t J.certify that ali the information in this application is accurate and'that alf work
will be dane in comptiance wifh a(I appl'icabie laws regulating canstruction, zoning�and land-develapment. Apptication,is -
hereby made to obtain,_a:,:permit to .do,,work=and instalfation.as indicated. 1 certify that no work or in"staiiation�has •
commenced prior,#o issuance of a permit and�that all work wil! be performed to meet standards of a!1 laws regulating
ca�nstruation, County and City codes, zoning regulations, and land development'regulations��iri-:the jurisdiction. i-! also
certify that I understand that the regulations af other gavernment agencies may apply to the intended work, and that it is �
my responsibiiify to identify what actions t must take to be in compliance. Such agencies include but are not�limited�to:
- ,Department of EnvironmentaC Prafectian-Cypress Bayheads, VVetland Areas and Environmen#ally Sensitive
Lartds,Water/Wastewater Treatment. ; r
- Southwest Florida Water Management Dis#rict Wells, Cypress 8ayheads, Wetland Areas, P►itering �
Watercaurses.
- , Army Carps of Engineers-Seawalls, Doaks, Navigable 1Naterways. �
;
- Department of Health & Rehabilitative Senrices/Environmental .Health Unit-Wells, Wastewater.Treatment,
Sepfiic Tanks. � �
- US Enviranmental Rrotection Agency-Asbestos abatement. _ ' _ `
Federal Aviation-Authority-Runways. , � '
I understand that�.the fo!lowing restrictions apply to the use of�ll:
- Use af fill is not allow�ed in Flood Zone"V"unless expressly permitted.
- tf the fil)=material is to be used in Flaod Zane "A", it is understood that a drainage plan addressing a
"compensating volume" wiii be submitted at fime of permifting which is prepared by a professiona) en�gineer "
licensed°bythe Stafe:of Flarida. ;
- If the �II rriaterial is to be used in Flood Zane "A" in connection with a permitted building using ster;rm wali
canstruction, !certify that fill�will be used only to fil!_the area within the stem wall. ;
- If flIF rnaferial�is-�to -be used in any area, I certify that use of such�fill will nat adversely affect adjacent
properties. 1f use of fili is found to adverse(y affect adjacent properties, the owner may be cited for violating
#he conditions of the.building�pe�mif issued under the attached permit,application,.for lots less than ane (1) '
acre which are�elevated by fll, an engineered drainage plan is required. '
If I am the AGEN'P FOR TFIE t?WNER;=l.promise in good faith to in#orm #he owner of-the permitfing canditians set forth in
this affidavit prior�to commenciiig copstruction:";1 understand that a separate permit may be required for etectrical;work,. ,
ptumbing, signs, wells, pools,,,air.conditioning, gas, o� ot�e� installations nat specifically included in the application. A, , ,
permit issued�shall'�be construed�to�tie a license=to.proceed with the wark and not as authority.to violate, cancel, alter, or
,set aside any provisions of tfie�fechnical codes, nar shall issuance af a permit prevent the Building Official from thereafter
reqttiring a correctian af errars.�in plans,,canstruction or vioiations af any codes. �Every permit issuec!shall become invalid
unless the work authorized by such permit is commenced vuithin six months of permit issuance, ar if work authoriied by - -
the permit is suspended.or.abandoned-for,a period.:of six(6)months after the#ime the work is`cammenced. An extension
may be requested, in`writing, from the Building FJfficial for a period not to exceed ninety(90)days and will demonstrate -
justifiabie cause fior fhe extension, If work,ceases for ninety(90)consecutive days, #he job is considered abandoned`.
�'s
WARNlNG TO�QWNER:- YQUR.FAlLURE,T,O RECORD A.NOTtGE qF COMMENGEMENT MAY�RESUI:T tN YBUR
PAYING TWICE'FOR;IMPROVEMENI'S.xTQ Y0U_R:PROPER.TY. IF YOUxINTEND=TCI:OBT�1N FINANClNG, CONSULT ;
WITH�YOUR"LENDER 4R AN AT'fORNEY BEFORE RE�Ol�Dl�lG-Y�ddR�id)'���E O�=C�?i�ili�iEN�Eii9ENT: "���"�
--Ftt3RIDAJCJr"tAT"(F�S.117�03) ,,,,4 ` ` _
OWNER OR AGENT�:�`'�'� �^"— <`�`Sc`►�'s-�,�`.s�—, CANTFtACTOR �-'�'��1� 1---C��'��� �,
S scribed and sytem�t,o(ar affiirme ore me thts Su scribe and sw o(ar affirr�e4�befn{e me this - •
�2-� by�._`_..�..�rt, L._ �x--�.-, ��—�-�by�z..�t�,JY 1_.�-�„��o.-.
Who is/are er�,onall known t me or has/have roduced ' V�lo is/ e�agrs_onal,ly knov�m t e or has/have roduaed :
�L � �IFea�YL��m_,nS� as identifica�on. y"�L� �C tt+�'S'(.[`Co�-+�v-.- as identification. �
� �
.1 Notary Public Notary Pubtic
rwr+'
Commis ion Na. Co iss' n No
==°S�Y Pya`c",� Commission#FF 450�22 '_' ''°` Commi s' F 150422
;*: :.- s ion#F
Name af Rlatary " ' 'i�e Name af Natary typed ' ;�t c m er ,
':?�• o;','' �pndod T�r�Y oy a�n Ineurence BOOaB+`•7019 '•pPF;�q,�•
B ed ihru Troy foln Inoursiicu 840�385-TatB
�i:�' . ,
. �
.',s
' ]�IS,CLOSIIRT STATEI�;NT FOR OWNER
CITY OF ZEPHYRHILLS BU=LDINC DEPARTNlEPITT
I, Y'1 1-� ����`r��'�`� have read and fully uaderstand and
agree to the p v3sioas of ths:s ins�suaiezit:
The undersigaed states aad affiarms that he or she is desirous of coszstructing,
reaovatiug, adding to or reroofing his ar her owa domicile, that he ar she
� actually occupies, or,v�rill occupy by said domicile, aad same is not fox
rea�, lease or sale. That he or she sha11 camply urith the follcwiag conditioas:
�� 3. Tha� tha awn.er and he or she aloae shall act as the builder for all phases of
� constructioa. �
� 2. Tha� the owner wi11 camply v�rith all provisioas of�the City of Zephyrhills
� ordinaaces aad codes pertiaent �o the buildiag. �
3. That in �he event various phases of aonstiructioa are subcon�rac�ed, he will
eagage ouZy properZy Zicensed subaontrac�ors aad wilZ personalI.y supervise
such work.
4. That ia the eveat the SuiZdiug Taspeator shall require correetioxis ta be made,
the owner will assvme full respousibility to insure they are made, aud upon
completion wi11 call for a xeinspectioa before praceediag with t�he buildiag.
5. That the owner" shall assvme. �full resgonsibili�y far the eaastructian aad wi31
aot expeat supervision of his work from �he City�of Zephyrhills 8uilding
Departmeat.
6. That prior to fiaal iaspection aay additional fees, includiag reinspectiaa
fees, must be paid in �ull. A writtea reque�t from th3s office shall
canstitu�e aa afficial uotice to pay additional fees.
7. That the owner sha11 camplyr with all City, State and Federal. laws ia regard ta
saaial securityr workmal�rs compensation, I.ien laws, etc. , where applicable.
8. That the owaer shall camply with all the safe�y codes issued by the Florida
Industrial Commission.
9. State law requires coastruatioa to be doue by Iiceaa.sed contraetars. You have
appl3.ed for a perm3t under an escemption �a that law. �he exemption allows
yau, as �he o`vner of your property, to aet as your own cantacactor with certaiu
restrictions even �hough you do aot have a license. You must provide direct
oasi�e supervision of the constructioa yaurself. You may build or improve a
one-�amily or two»famiZy resideace ox a �arm autbuildis�.g. You may al.so build
or improve a commercial buildiag, provided your costs do aot exaeed $75,000.
The buildiag or resideace must be for your owa use or occupaacy. It may aot
be built or substaaa�tially improved far sa].e or lease. If yau se].l or lease a
buildiag gou have buil� or substantially impraved yourself withixi 3 year after
the ooastruction is complete, the law wi11 presume that you built os
substaati.ally improved if foz sale or lease, which is a violatioa of this
exemption. Yau may nat hise an unlicensad person tio ac� as your coa�ractar ox
to supervise people working on yaur building. It is your responsibility to
make sure tha� peap3.e emgZoyed by you have liaenses reguired by state Zaw and
by county or muniaipal liceasing ordiaanc�s. You may not delega�e the
responsibility for supervisiug work to a licensed aoatractoz who is not
Iicensed to perform the work beiag daae. Any person waarkiag on your building
who is aat liceased must work vader �rour direct supervisioa aad must be
emploged by you, which meaas that yau mus� deduet F.I.C.A, aad w3thho2c3ing ta�c
� and provide warkers' compensatian fox tha�. employee, all as prescribed by law.
� Your construct�ioa must complg wi.th a11 appZicable laws, ordinances, buildiag
j oodes, aad zon.ing regul.atio�a,s. , • � �
- - „
O�+tNER'S SI URE \,�, 'M�r� ,r-�, DATE � —"'� - l�
' ADDRES S �-� 4`~►� V�...r��.,*,..- �
PIiONE 1`~�� '"°��.�_-'� i"1t {�A
WITNESS PSRM=T #
/ ..
CITY OF / / / / BUILDIN�
ZEPHYRHILLS DEPARTMENT
-OF ADDITION OR CORRECTION
� • • - •
ADDRESS DATE PERMIT,�,
3� � �� {�� � .��`7
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
,
c r /' / �t1�'!
�� � r . � � �� �' �¢' '
C���I�P ��c9 h L► G�� ic��� c-�cl C��►�i�� G�73(' ,� 1�1 �,P�'� �r�.�1�'�>'LT-
�_�r b v���,n� ����S,v.v�, �'� -
It is unlawtu�tor any Carpenter,contractar,Bui�der,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any paR of the woric with flooring,lath,earth 780-0020 FOR E-INS ECTION
or other material,until the proper inspectar has had ample time to approve
the instaflation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR
I Illilllill l lllil llll l l llll lll l l lllll lllll lllll llill llll llll
, .
. 2018@45686
Permit No. ��� • � Parcet tD No �—� ~�^� `� �' "1���'t�+�� '�
NOTICE OF COM�IiENCEMENT `���
Sfa#eaf R Wz "V�"�- Countyof ���..-C1
THE UNpERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Floride Statutes,
1he foitowing information is provided in this Notice of Gammencement r py�
a. Street AddressPro v.J V�I��cadon N . /3��-�t-r G,�c.� -.'�j[}� - C�� �
2. Generat Descriptian of tmprovement C�:.. �o�� Y1,*\'�'� \�
�
3. 4vme tion ortessee infortnation f(fhe Lessee contraded forthe improvement: ��
. � � �Cc�a`-y
� -.�c�.. ('� c� .� L�G�l\n , �l 'S �\�.-
`Address Clty�� State
interest►tt Pmperty:
Name of Fee Simple Titleholder.
(If different from Owner listed above)
���e� , City State
4. Contractar,�0 �-��t1�.1��x-�a.-,
Name
Address Gty Stete
Contractpr'e Telephane No.:
5. Surety.
� Neme
' Address Cfiy State
Ftmovnt of Bond: $ Tetephone No.:
8. Lender.
Name
Address City State
Lendefs Telephone Na.:
7. persons within the State of Florida designated by the owner upan whom notices or oiher documents may be served as provided by
, 3ection 718.13(1)(a)(7),Florida Statutes:
Name '
Address City State'
Tetephone(dumber of Designsted Person:
8. In addition to himseK,!he owner desfgnates of
to receive a cnpy oi the Lienofs Notice as prrnhded in fiection�13.13(1)(b),Florida Statufes.
Telephone Number ot Person or Endty Deslgnated by Owner:
9. �acpiration date of Notke oi Commencemer�t{t}se e�qriratian dafe may naf be befpre the cainptefion oi constructian and itnat payment to#he -
I , cuntractor,but will be one year from the dete of recarding unless a difterent date is specfied):
WARNING TQ QWNER: ANY PAYMENTS MADE BY TNE QWNER A�fE1Z THE EXPiRATtflN OF THE NOTIGE QF GOMMENC�MEM
ARE GONSt6ERED IMPROPER PAYiVIENTS UhIDER GHARTER 713, PART 1, SECTiON 793.t3, FLOR@A STATUTES, ANA CAN
RESULT 1N YOUR PAYING TWICE FOR iMPROVEMEt�iTS TO YOUR PRpPERTY. A NOTIGE OF COMMENCEMENT MUST BE
RECORDED AND P4STED ON THE JOB SITE BEFORE THE FIRST INSPECTIpN. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY.BEFORE COMMENCING WORK OR RECORL7ING YOUR NOTICE QF COMMENCEMENT.
ttnder penatiy of perjury,l declare fhat,t have read the faregoing noSce of commencement and that the fects stated therein are true to fhe best
of my knowledge and beGef. '
S7ATE 4F FLORiDA l
COUNTY OF PASCO � �-�h L--- `�T� 'Q��a'��
Signature of Owner ar see,or Owners ar Lessee's Authorized
QTficer/Diredor/Partner/Manager �
Sfgnatoys TiUe/Office +J
7!�1 `(�r (����
The foregoing insfrumenl was acknawledged Defore me thls�!day af,�����24LtJ,by � �L�•"��
as (type oi authority,e.g.,officer,Wstee,attamey in fed)for
-� y� . executed). �
(n o arty on dehatf oi aqu inst t was
� Persanatiy Known�,O�Produced Identifi Notary SignaWre .ti'C1
YP ( ) ..,.
, �
� T e of IdenMication Produced c � �Name Print G lk"L� '
x j
a�pt:1940947 �"'!"'`�"""" �
DS: 0 00 Ree: 10.00 �� ,����,,,
I7: 0.@0 , ;=Q�r.ev,�:_ CammUssion#BOG�4422
03119l20;$ i(, p, K, � ppty �1erk "� �= ExpiresDecember12,20i9 =
�
,
_ .
�•P��;;: f
•�•���°l• 8ondad Th�u Troy Fai�Inauronaa 800�385�7018
PAULA S 0'NEIt.,Ph 0 PASCO CLERK & COMPTR ELLO 6
i 03/19/2018 03:19 m 1 of 1 � �
�� B� �69� p� 28�� ' 3