Loading...
HomeMy WebLinkAbout18-19899 CITY OF ZEPHYRHILLS 5335-STH STREET (813)780-0020 19899 FENCE PERMIT PERMIT INFORMATION LOCATION INFORMATION. Permit Number: 19899 Address: 3173 MOULDEN HOLLOW DR Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: HIDDEN RIVER Est. Value: Parcel Number: 24-26-21-0060-00000-0380 Improv. Cost: 3,190.00 OWNER INFORMATION Date Issued: 7/02/2018 Name: MELNICHUK, OLIYA Total Fees: 65.00 Address: 3713 MOULDEN HOLLOW DR Amount Paid: 65.00 ZEPHYRHILLS, FL 33542 Date Paid: 7/02/2018 Phone: 813-838-8352 Work Desc: INSTALLATION VINYL FENCE 212 FT X 6 FT CONTRACTORS APPLICATION FEES, HOMEOWNER FENCE 65.00 �v �- 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 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. 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 a notice of commencement may result in your paying twice for improvements to your prope ou intend to obtain financing,consult with your lender or an attorney. .ore recording your notice of commencement." ,--'Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf 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 ' 2-. (g Phone Contact for Permitting — Owner's Name O cA �(1 )i C i Q Owner Phone Number Owner's Address (� ou\aeh (L[)GLU Owner Phone Number Fee Simple,Titleholder Name t.'A�C Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS `l , l �Q-v`� � LOT# SUBDIVISION "��'� ��"� PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH R INSTALL B REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION _; BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK vC� Q 212 rry BUILDING SIZE SQ FOOTAGE �� HEIGHT OBUILDING $ Q VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =P�UMBING $ I $ VALUATION OF MECHANICAL INSTALLATION MECHANICAL =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO a I BUILDER COMPANY t(9rn e ow yvex- SIGNATURE REGISTERED Y/ N FEE CURREN�j V-` Y/N i Address F License# I ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN I Address License# i PLUMBER' COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N i Address License# i MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# -OTHER i COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# RESIDENTIAL Attach(2y Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW'construction. Directions:' Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) ** Agent(for the contractor)or Power of Attorney.(for.the owner)would be someone with notarized letter from owner authorizing same. OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C "_Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance withrany applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and. 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior.to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. . CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all,work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and. Environmentally Sensitive Lands,Water/Wastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. i I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone"V' unless expressly permitted. i If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressng a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. l If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical,work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work.and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction ons of any codes. Every permit issued shall become invalid unless the work authorized by such perm menced within six months of permit issuance, or if work authorized by the permit is suspended or aban o period of six(6) months after the time the work is commenced. An extension may.be requested, in wri ' , rom t uilding Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for extension. work ceases for ninety(90)consecutive days,the job is considered abandoned,. WARNIN O R: YO FAILURE TO RECORD A NOTICE OF COMMENCEM RESULT IN YOUR PAYI E FOR IMPRO E ENTS TO YOUR PROPERTY. IF YOU INTEND TO T FINANCING, CONSULT WIT OUR LENDER OR A AT ORNEY BEFORE RECORDING YOUR NOTICE O MMENCEMENT. FLORIDA JURAT(F.S.117 ) _ OWNER OR AGENT _ CONTRACTOR-uI--= = Sulk,cribed and swo to or a d of a this Subscribed and swor o(or affirmed)before me this by �}l i 1 I i C�1 7 Z-1 t3 by G) Y p t'h�L ►C N to`f; Who is/areppersonallyy known to me or has have duced rho Is/Ke personal )known to me or has/have produced f bS1/lcWeSl��t¢AIP as identi S ce on. 7Z� fjr4 -e &4-&2 as identification. Notary Public Notary Public Co sio C issi �'Y JACQ E BOGES -,,=q��A�.eio�c: JACQUELINEBOGES =ia +« commission t Ex Tres December 12,2018 Name of N p rbs)DataemW8 Name of Noi,pf t�Q.° Banded Tiuu Troy Fein Insuran -7019 W_. DISCLOSURE STATEMENT FOR OWNER -CITY OF ZEPHYRHILLS BUILDING DEPARTMENT have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own 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 following conditions: I 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building 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 reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City ofZephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an 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 owner shall comply with all the safety codes issued by the Florida Industrial 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 owner of your property, to act as your own contractor with certain restrictions even though you do not' have a license. You must provide direct onsite supervision of the construction yourself. . You may build or' improve a one-family or two-family residence or a farm .outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. if you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It our responsibility to make sure that people employed by you have licpzrg drequired by state law and by county or municipal licensing ordinances u may not delegate the responsibility for supervising work to a ' need contractor who is not licensed to perform the work being do Any person working on your building who is not licensed must work under ur direct supervision and must be al li censing i p he w u t c oye en supervising n y yo ordinances employed " '5 n S 3. g arvI I work t work being do 2 a work under have J*2 i ances u to a ' need y person ur direct 13U employed by you, which means that au must deduct F.I.C.A. and withholding tax . 13 t r m y and provide workers' compensa for that e efe, all as prescribed by law. m 31 Your construction must cc w" h all cable laws, ordinances, building codes, and zoning re a ns. OWNER'S SIGNATURE DATE ADDRESS PHONE WITNESS PERMIT # RECORD SURVEY(FINAL) SEC. 24 TWP. 26 S, RNG. 21 E. LOT s38 1 BEARING BASIS: HIDDEN RIVER PHASE ONE A NORTH BOUNDARY OF SUBJECT PLAT BEING S 89*40'43" E PASCO! COUNTY, FLORIDA. THIS SURVEY IS SUBJECT TO ANY FACTS THAT LEGEND: N MAY BE DISCLOSED BY A FULL AND ACCURATE E-00.00 =,EXISTING GRADE TITLE SEARCH. ALSO SUBJECT TO SETBACKS, EASEMENTS AND RESTRICTIONS,OF RECORD. b 4'QUEEN PALMS UNDERGROUND FOOTER, STEM WALL, AND II UNDERGROUND UTILITIES ARE NOT LOCATED OR 0110 2" MAPLE SHOWN. DO NOT SCALE THIS PRINT. DIMENSIONS AND NOTES TAKE PREFERENCE. 2" OAK DESCRIPTION NOT CONTAINING PLAT BOOK AND PAGE INDICATES THAT PLAT IS IN PRELIMINARY PREPARED FOR&CERTIFIED TO: STAGE AND IS SUBJECT TO CHANGE AND/OR NORTH AMERICAN TITLE CO. REVISION. -NORTH AMERICAN TITLE INSURANCE CO. I CERTAIN DATA SHOWN HEREON BASED ON EAGLE HOME MORTGAGE,LLCjSAOA/ATIMA ENGINEERING PLANS PROVIDED BY CLIENT. _WALTER HAROLD SANTONI PURPOSE OF SURVEY. TO OBTAIN HORIZONTAL ';bbyAIMELNICHUK AND/OR VERTICAL DIMENSIONAL DATA TO SHOW CONSTRUCTION IMPROVEMENTS. BUFFER/DRAINAGE ___'_'b`RAi_NhGE/dTJLITY EASEME'NT------ LANDSCAPE EASEMENT � ZEPHYRHILLS C&ONY'COMPANY LOT 36, (P T BROW1, PAGE 55) 3. PR PLAT TRACT "D" DRAINAGE 03 I BOUNDARYrQ " LANDSCAPE EASEME %L FIR 5/8" C 6900 L 38 \-3 "N A71 1\1v 0 % %. 11 OT 37 e; try•a_ S f-le \ N_ - 40 (51. 4 Cov LOT 39' ENTRY '5NA r 00 " LINE BEARING DISTANCE LOWEST FLOOR ELEVATIONS: I I I T-1 I N 64.36-57- E 1 12.95' LIVING AREA: 7-2.73' GARAGE AREA: 72.31' DESCRIPTION: ELEVATIONS REFERENCED.JO.— LOT 38, MAP OR PLAT ENTITLED "HIDDEN RIVERS PHASE ON -NATIONAL"GEODETIC VERTICAL --AT-'B'00k--_4-4�--PAGES--TO`1 DATUM OF 1929. MEAN SEA D_ I NL'RL TkF�05H 121, OF A S CR E Q-0-RRE J� PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. LEVEL= 00.00 FT. APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY PANEL NO. 120230 0460 D. EFFECTIVE DATE: 9/30/1992 LEGEND: (C)= CALCULATED DATA, (D)= DEED DATA, (M)= MEASURED DATA, (P)= PLAT DATA, CL= CENTERLINE, A/C= AIR CONDITIONER, B/C= BACK OF CURB, C/S= CONCRETE SLAB, CH= CHORD, CHB= CHORD BEARING, CUF= CHAIN LINK FENCE, CONC= CONCRETE, COV.= COVERED, E/P= EDGE OF PAVEMENT, ESM'T= EASEMENT, F/C= FENCE CORNER, FCM= FOUND CONCRETE MONUMENT, FIP= FOUND IRON PIPE, FIR= FOUND IRON ROD, FN&D= FOUND NAI.L.& DISK, FPP= FOUND PINCHED PIPE,-LFE= LOWEST FLOOR ELEVATION, MAS.= MASONRY, OR= OFFICIAL RECORD BOOK, PEI= PLAT BOOK, PCP= PERMANENT CONTROL POINT, PRM= PERMANENT REFERENCE MONUMENT, R/W= RIGHT OF WAY, R= RADIUS, SIR= SET 1/2" IRON ROD & CAP No. 4493, SN&D= SET NAIL & DISK No. 4493, TBM= TEMPORARY BENCHMARK, U/P= UTILITY POLE, W/F= WOOD FENCE, (R) = RADIAL. ELEV.= ELEVATION JOHN R.BEACH&ASSOCIATES,INC. - Drawn By: SMS Square Feet: 6600.00__i,,­ LENNAR--HOMES t , SURVEYORS AND MAPPERS Checked By: -I HEREBY CERTIFY THAT-THIS SURVEY HAS-BEEN"'MADE UNDER MY 911 WEST ST. PETERSBURG DRIVE JRB RESPONSIBLE CHARGE AND -MEETS -THE MINIMUM TECHNICAL ONE OLDSMAR, FLORIDA 34677 STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF WAY Scale: PROFESSI L VXW �rrY RS IN CH TER 5J-17.050, FLORIDA (813) 854-1276 FAX (813) 855-8370 1"=30' NJ To S 1ADMI S 0 :-,,(URgi N 47 T7 Rio NOT VALID WITHOUT THE SIGNATURE AND Date: Z�I UT I 491L%S :":TH ORIGINAL RAISED SEAL OF A FLORIDA FINAL 1/30/18 OWE JOHN R..,6EXH DATIf :L ICENSED SURVEYOR AND MAPPER FLORID,<REG. 'ftD SURVEYOR No. 2984 LICiN �UARLVE JB#4493 Revisions: FORM BOARD TIE IN 11/2/17 DWB, FOUNDATION TIE IN 11/16/17 DWB Corporate Office 0 11/Kissimmee,FL 34744 NOTICE.OF APPROVAL. Junc e11,2018 Walter Harold-Santoni and Olrya.Melnichuk . .. 3173 Moulde i-Hollow Drive Zephyrhills fL 33540.. . .. . .. . RE:3173 Moulden Hollow Drive Dear Walter Harold Santoni and Oliya Melnichuk - Congiatulationsl The request for an architectural change,as:described:below,has been.approved: Your architectural request for-a fence is APPROVED as submitted as long:as all fence.posts are set in -- _. concrete.: lease ensure the$25.00 fee is remitted within 7 days of the date of this notice.feel free to utilize th niine services offered to ou through your communities' ortal for payment.- The HOA reserves the right to rnake'afinal.ins.ection u on,com letion of a roved changesto-ensure P P P. PP. . compliance.Please lie advised that any modifications of the:origirial request will require an additional form. . to be submitted:: :Please erneinbet to adhere to all local building codes.and.setback requirements..If a building permit is necessary,it is-the:responsibility of the.applicant to obtain. . The HOA approval is based solely on-the aesthetics of the proposed change.. This approval should not be construed as,a-certification:of the'structural integrity of any construction.:Be aware that it is the responsibility of the applicant to contactthe appropriate utility companies prior.to digging:.: •Sincerely, John Atwell.. Community.Manager : :: On behalf of.Hidden River Homeowners Association;Inc. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIIIiI 2018118984 Permit No. Parcel IDNo 2�� '2l'•'DQ�O•-booc�o-63a0 NOTICE OF COMMENCEMENT ny State of ��Ct'i Act, Countyof 1 QSCQ THE UNDERSIGNED hereby glues notice that improvement will be made to certain real property,and In accordance with Chapter 713,Faft Statutes, the following Wonnallon Is provided In this Notice of Commencement �C 1. Description of Property:Parcel Identification No. I y —U- Q �� � SfreetAddiess: y 31�3uJ�� Q,1QVtJV �� , Z -Qrink%k1s � 2. General Description of lmpravament-_ W t W `1 in Z V w W W' J � (� Ll. —�i�-, J 3) Owner Irdonnatim or Lessee Information If the Lessee contracted for the Improvement o o¢N 0 a U.J �e� ctitl�S FL. N� U. Of w z Q.._ Lu Aderoes�3 �(Yloayn�a-ei }1aItew (�C�`� cry ` state �' o! �- LL Interest b Property is tp W LL O Name of Fee Simple Titleholder. O dr X } U O(different from Owner Mated above) ®I— W W Address , �'ea 01 T U0 U Co ( � City state rn B i 9� }}~. U m ¢ Name 3~1 LL Ltl Q V - Address CRY 3fete t0 Q- Q }� Contractors Telephone No.: O Ll 2 Q L" CW) >- Surely.toL NameOP K O t9 Lu W QW_t teas CRY state O j LL Z- j Amamtu>iBond:S TelephoneNo.: W � O j •... d Lender. Name Address ClW Stare , Lenders Telephone No.: �G a Persons within the State of Florida.designated by the owner upon whom notices or other documents may be served as Provided by D 9crSon 71'.1^o(1)(a)(r),Fioritia Statutes:' m i Name cc B � W J c., L G IrD •o , � � Address CRY Nhm CID Nhber of Designated Person: � State � , 7C w In addition to himself,the owner designates of— 19 m to receive a copy of the Llenoes Notice as provided In Sector 713.13(1)(b),Florida Statutes. WOD F: Tekphone Number of Person or Err*Designated by Owner r+v B. Expiration date of Notice of Commencement(the e)pftWn date may not be before the u:ompWdon of urorratruetlon and final payment to the y� contractor,but vNll be one year from the date of recording unless a dMerent date Is spedGeM. a� WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �3 0 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 NOTIC? OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN t:IN ONSULT M WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NO MMF NT. _ q� Under penalty of%q%1 declare thetl have read the foregoing notice of commencement an a ed therein are true to the best V a0 sp• of aW knowledge end bebaL n; STATE OF FLORIDA COUNTY OF PASCO SlgneWre of Owner or Xessee,or Owners or Lessee's Authorized /11L Ol car/Director/PartnedMenager ;? m SignatoyaThle/011fke /� ' The foregoing Instrument was eelamdodged before me this 9&of�20 A by 0 It a (type of auHn .e.9.,officer,trustee,attorney In fad)for - (namwW party on be f`f whonjiInstriment was ermarted). Personally Known❑Q@ Produced IIIdderneflcatkn16 Notary Signature — Type of Identification Produced ` w�f 3 lL ' e Name(Pdnl) ��e k i i"e = JACQUELI UM -' Commission#F 04 Expires D ber 12,2018 8onduitiniron Fah 1 �a38,.7af8 wpdatalbcenoMeecommencemenlpOS3046