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
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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
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i ances
u
to a ' need
y person
ur direct
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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
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