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HomeMy WebLinkAbout18-20225 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20225 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20225 Address: 3432 PYRITE DR LOT 195 Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: MOBILE HOME PARK Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE Est. Value: Parcel Number: 24-26-21-0050-00000-1950 Improv. Cost: 31,500.00 OWNER INFORMATION Date Issued: 9/11/2018 Name: KELLEY LINDA S TRUST KELLEY L S Total Fees: 480.00 Address: 115 OLD CONYERS DR Amount Paid: 480.00 STOCKBRIDGE GA 30281-2641 Date Paid: 9/11/2018 Phone: 770-401-5307 Work Desc: REMODEL ADDITION BEDROOM 28 X 37 SQ FT CONTRACTORS APPLICATION FEES HOMEOWNER BUILDING FEE 247.50 HOMEOWNER ELECTRICAL FEE 67.50 HOMEOWNER PLUMBING FEE 67.50 HOMEOWNER MECHANICAL FEE 97.50 Onc/ 1 5 � Ins ections Required FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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 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. i CONTRA& O S ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: Site: Permit Type: r'm a ii V t-cr), Z& 3 7 Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ All Sd .1 r ir This comment sheet shall be kept with the permit and/or plans. Kal w' Plans Examiner, Date Contractor and/or mj er (Required whe. co sre present) 81378M020 City of Zephyr-hills Permit Application Fax-813-789-0021 Sulitfing Depa#Anent I Date Received Contact for Permitting Ph one J( i 7"'Xo a a a a Z 2 v a Owner's Name INDA -S. :A-01 Owner Phone Number Owneft Addressi V-3 Iq 13 Owner Phone Number- Fee Simple Titleholder Name F Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# SUBDIVISION J,:! MA PARCEL ID: )/-g/)b 0oo (OBTAINED FROM PROPFRWTA3"u:mcE) WORKPROPOSED NEIAICONSI`RrW'l ADDIALT r-Z;g SIGN = DEMOLISH R INSTALL rl REPAIR PROPOSED USE SFR O COMM OTHER TYPE OF CONSTRUCTION SLOCK' - FRAME STEEL DESCRIPTION OF WORK /Z�a -1 o 7— BUILDING SIZE I ZPX,?'7 SQ FOOTAGE l RFA014T . . . . . . . . . . . . . . . . . . . . .B UILDING r 45,-000 VALUATION OF TOTAL CONSTRUCTION FL71ELECTRICAL IS AMP SERVICE F/—.+*-I PROGRESS ENERGY = W.R.I-C. F71PLUMBING ,L- 7Z Za ©MECHANICAL Is B Q VALUATION OF MECHANICAL INSTALLATION TP4 =GAS = ROOFING Q SPECIALTY = OTHER Ci) FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YSS NO III PAa - - - - - - - - - - - - - C15� BUILDER 2101APANY SIGNATURE REGISTERED I YIN F=—CURREh I YIN Add. Licenser ow 4)L3 ELECTRICIAN R35y, IYN 9 SIGNATURE EGISTERE EECUR N Address License--E P PLUMBER SIGNATURE CYJ /�t I YIN F cutznEn YIN Add. License 9 F1 MECHANICAL SIGNATURE 1 REGISTERED I YIN Fakcumeh I YIN Add. A�pl License* OTHER COMPANY SIGNATURE F FEECuRRM YIN Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(i)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)warldng days after submittal date. Required onsite,Construction Plans,Stomwiater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Slte Work Permit for subtlMsions/large projects COMMERCIAL Attach(2)complete sets of 801 ding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days alter submittal date. Required onsite,Construction Plans.Stormwater Plans w/Silt Fence installed, Sanitary Facilides&1 dumpater.Site Work Permit for all now project,s.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Enlyneered Plans. PROPERTY SURVEY requi4ed for all NEW construction. ; ! I . . . . . . . . . . . . . . . . . . . . . Fill out application completely. Owner&Contractor sign back of application,notarized If over=00.a Notice of Commencement Is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letterfrom owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Remofs If shingles Sewers Service Upgrades AIC. Fences(PlotlSumayll'botage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE.OF DEED RESTRICTIONS.- The undersigned.understands:thaf this;peimit.may be subJect;ta.".deeds restrictions wfiich.maj�.be.mare•restricfive than Couiity:reg'Is ion The unclersignechassumes responsibltitSr or cornplian66 wit any applicable deed restrictions. UNLICENSED-:CONTRACTORS'ANb•COiH�'kAGTOR RESPONSIBii:ITIEs., Af`;the=owner has Hire .a contractor or contractors-to undertake work;they mayi,be.rbqulre&io be-licensed in accordance-with.state and;local regulations-::lfthe-!" contractor is-not licensed.as.required'by.•law, dotti::the.owner::and'_contrdetoc<rnay,>f aifed fora`misdemeanor:vlolation . under state:law. If the owner or,Intended contractor are uncertain as.to what.licensing require.ftients,:inay a-oply fdethLi : intended work;.theyare advised to cantedf'tl a Pasco_County`Buitding i*bcfidh`Division�iaensingSection at 727 847 8009. -Furthermore, if the owner-has°hlred`a-contractor or contractors, he is advised to.shave the contractpr(s)sign. .,-:: portions of the'contractor Mock"of this application for which-.they,will.be.responsibte.:If:you,as#lia-owner sign at4hb' contractor,that may be an indicatibmthaf fie-Is not properly licerised and is not-entitled to permitting privileges.irr;Paseo.:.'.' County. TRANSPORTATION IMPACTItt€IIITiES-IMPACT AND RESOURCE RECOVERY FEES:-The undersigned understands..-. that Transportation Impact Fees and Recourse Recovery Feet'may.apply to:the construction of new buildings,:change use in existing buildings,.or:expansionof:existirig buildings,as specified in Pasco County Ordinance number-89=.07:and 90-07,as amended. Thw undersigned.also understands,;that such fees,as_may be due,will'pbtldentified--9Uth6 iMe o 1° ' permitting. it is-further understood that Transportation Impact-Fee-s:and kesourceiftecovery:.Feias must be paid prior to receiving a.°certificate of occupancy"or final power release. If the.project.does not involve a certificate of occuparicy_or-•I ' final power release;:the,fees-must be-paid prior to permit-issuance.._Furthermore,if Pasco County Water/Sewer4fnp- fees are due;.they must-be;paid prior to permitissuance in:aocordance-wiWappiicabie Pasco County ordinances. CONSTi2UCTION'LIEM LAW(Chapter 713;Florida-Statutes,as amended): If valuation of work is$2,500.00,or morej: certify that 1, the applicant, have been._provided with a.copy:of=the-"Florida.-Construction-JIen:Lavw-Ho-me own art 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,have obtained a copy of the above d6scribed document and promise:in good'fakkio..; deliver.it ta'the"oir nero-.Ofior:to-commencement CONTRACTOR'SIOWNER'S AFFIDAVIT:.-1 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-Ins tallatl6nti has commenced prior'to issuance of•a permit and-that ail work will be performed to.meet standards of all taws regulating construction, County and City codes, zoning regulations, and land development regulations-Iry-the jurisdiction. Palso 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:i, :Department of Environmental�.Prutection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water:Mastewater Treatment. - Southwest Florida Water Management District Wells, Cypress .Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable ilVaterways. - Department of Health.-&r Rehabilitative.Services/Environmental.Health:Unit-Welts,.Wastewater Treatment, SepficTanks.. - US Environmental Protection Agency-Asbestos.abatement, - Federal Aviation-Authority-Runways. I understand that.the.foilowingsestrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill.materialAt to be used-in Flood Zone W, it is understood that a-drainage plan addressing a .compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by.the'State of Florida. - 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.permitissued under the•attached.permit-.application,for Jots-less than one(1) acre which are elevated by fill,an engineered drainage plan is required. if I am the AGENT FOR T"E_QWNER;-I:promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencirig consirtiction..-I understand that,a-separate permit may be required for electrical.work, plumbing, signs,wells, pools, air,conditioning;-gas;_or•oth'er installations not specifically included in the application.:A. permit Issued shall-be construed to be a ticense'to.proceed viith'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 or violations of any codes. Every permit issued shall'become invalid unless the work authorized by such permit is commenced.within six months of permit issuance,or 9 work authorized;by the permit lssuspended.or abandoned for period.,of six(6)months after the time the work ie commenced. An extension may be requested, in writing,from ttie Building-Offiblal for a period.not to exceed ninety(90)days and will demonstrate justifiable cause for.the extension. .If.work,ceases for ninety(90)consecutive days,the job Is considered abandoned. WARNING TO OWNER:'YOUR,FAILURE=T.,O.RECORD A.NOTICE.OE C®MMENCEMENT MAY RESULT IN YOUR PAYING.TWICE.FOR. Td?.YdUWP*k6PEkTY:.IF YOUsINTEW TOOl3TAIN:FINANCING;CONSULT WITH YOtJR-LENDER taFt Alt!A'i'fO ki'Y" SEECIE iWECORDiNG YC'UK- TICS OF'CIDMIWgNCdtAEMT. FLORIDA JURAT(F 3p•. OWNER OR AGE / CONTRACT S cribo -swo (or affirmed)belo a s "b sworn t (or affirmed}befo me is dWE are pelso I kpown to me or haslt�ave produced Wh are pew al wn to me or has/have produced- - L as Identliffi-ion. as Identilicatlon_ Notary Public - Notary Public Y-Ion Com I ion No +erse�.r3 Name ofP7o pi; VOdif6ftgfin#FF 150422 Name of No npn ed INE BODES- r Expires December 12,2018 =` Y Yr Commission#FF 150422 a+`"od,v�°�� Bonded Thor Troy Fain insuraneo 800.385.7019 ar.= Expires December 12,2018 7019" Bonded Thru Troy Flin lneuanas fl00385 Jacqueline Boges From: Bill Burgess Sent: Tuesday, September 11, 2018 10:52 AM To: Jacqueline Boges Subject: FW: Broach School Zephyrhills Ms.Jackie can you please schedule...Thanks, Bill From: Priscilla Kintigh<pkintigh@broachschool.org> Sent:Tuesday,September 11,201810:22 AM To: Bill Burgess<bburgess@ci.zephyrhills.fl.us> Subject: Broach School Zephyrhills Mr. Burgess— . I Good morning! I am the secretary at the Broach School Zephyrhills. It is that time of year when we need to schedule our fire inspection. We still have two campuses—main one at 5353 5th Street and the elementary at 38924 C. Ave. Please let me know when we will be scheduling these inspections for. And call me with any concerns or questions. Thank you sir! Priscilla Kintigh,Administrative Assistant The Broach School 5353 5th Street Zephyrhills, FL 33542 813.788.8384 FAX:813.788.0702 i i 1 DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRRILLS BUILDING DEPARTMENT q have read and fully understand and agree to the provisioijs 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: 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 of Zephyrhills 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. S. 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 is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and 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 construction must comply with all applicable laws, ordinances, building codes, and zoning re&ations. OWNER'S SIGNAT DATE ADDRESS ja4VA,&VA4 0 PHONE - 17-76 NO I- WITNESS PERMIT # . :Name 4- rU Lot# LETNPRCIVENT - PENT: :Ny EMERALI) POWTE B:Jq CIF DMECTC}RS" .• _ APPl2{ VED B DATE:. A li'h- 91- PROPERTY EVALUATION CONMT—TEE: _ :APPR.OVED BY: DATE: 3_ XPIR.AON TE TI�E DAJf•.::.IN BY: DATE: E,-M'li', FII`TAL T SPEGTIQN B'S : BATE: } PLEASE RETURN TO, LO!T IlY_IF!'Rt�►�E��EI�'T CO��iITTE�: OF Lot Improvemeiit l.doo_i 1 ZVIO14 Emerald Pointe lot improvement approval cover letter Name: J11'7) ///7a/A- �i� Project#: Lot#:- Address: -3it3P, 0, 17 You have been approved for your lot improvement request by the Board of Directors. Please be sure to review your application copy to see if there are any notes and chanzes with this approval. If any of the boxes are checked below you need to address these issues before proceeding with your project, or when your project is completed. City building permit,always check with the city to see if a permit is necessary. Call.DIG (811) if you are doing any ground work.- ( Provide lot improvement committee with a copy of the city permit and drawings. (when project is completed you must turn in the green permit for final inspection. Remember if there are any than es in yo ur plans they must be submitted before you can continue your project. If you have any questions or concerns about your project please contact the lot improvement committee or The Board of Directors. Procedure for Lot Improvement Requests (Please refer to the "Rules and Regulations") Permit No /f /y/1 All lot improvement requests must be submitted.no later than Wednesday by 2:00 to be processed on the following committee meeting day. i LAII requests are to be submitted in the Emerald pointe office or Chairman of the Lot Improvement Committee.The Chairman or committee member will review the request, visit the site if necessary to clarify improvements and will present it to the Lot Improvement Committee for their review on a weekly basis. 2.Any request which is NOT filled out properly,will be returned to the applicant without an action being taken. I 3.After the Committee has recommended approval or denial of the request, it will be presented to the Board of Directors for their approval or denial. Board will meet once a week for the lot improvement applications. 4.There will be NO one day approvals or last minute approvals. Request may take 7 to 14 days for appropriate review and consideration, (if necessary)thus giving the Committee and Board members time to review and consider the request in a thorough manner. 5.The original request will be dated and signed as approved or denied,and after being copied the original will go into to the members file and the copy returned to the Lot owner by the Board of Director liaison or the Chairman of the committee. 6.The committee will follow up on requests to determine that the request as presented and approved is being adhered to. 7.Any permit will be ACCEPTED FOR APPROVAL between October 15 and March 31 of each year, however,each owner must understand and know there must be enough members of the Committee to review and recommend to the Board for their approval. 8.Any changes made on a previously approved project must be resubmitted before beginning the changes.Amended permit will be issued at the time of approval. 9.It is recommended that property owners of major improvements or new construction projects request an appointment with the lot improvement committee to review plans and answer any questions that may arise. 10.All applications submitted must have locations of their city/well water shutoffs. As the owner of Lot# I understand the Lot Improvement Committee and/or the Board of Directors will enter the property to follow the external progress of the construction or improvement as submitted on the Lot Improvement Request. ALL REQUESTS MUST COMPLY WITH CURRENT REQUIRED PERMITS FROM THE CITY OF ZEPHYRHILLS, PASCO COUNTY, OR STATE OF FLORIDA CURRENT BUILDING CODES.A11 permits must be posted visible to the street. I i Lot Owner's (gnat re Date Page 1 of 4 i I All lot improvement requests must be submitted no later than Wednesday by 2:00 to be processed on the following committee meeting day. All permits must be posted visible to the street. Date Read—/--/— LOT IMPROVEMENT REQUEST Permit No To: EPPOA Lot Improvement Committee & Board of Directors Prom (please print '..�J�/V) V- LJA1fJJ'-? [j/4? 11PL1 Lot#/Address.- I 14�- � 11:115 09-5-1Z Voki-rh F Phone number where you can be reached: 1-11/VO4 15,1 r)e -,9e,) We request EPPOA approval for construction, addition to our installation, on the following: Shad ( )Lanai Rv Port Park Model Cottage Concrete Slab Pavers Concrete Painting RV Skirting Landscaping gKother All requests for construction/additions/remodeling are required to have a complete, detailed/sketch, to include footprint, setbacks, front elevation, back elevation, left & right side elevation and top elevation. All elevations • must include all sizes and locations of windows and doors, with length, width and height of the overall structure. Park models are to include pamphlet with pictures. in addition, all requests require and must include the full description, including color of siding, trim, shutters, doors, pavers and concrete painting if applicable. nPRXOR TO BEGINNING CONSTRUCTION" a copy of the Zephyrhills building permit and a copy of the completed engineering plans must be RETURNED to the BLOT IMPROVEMENT COMITTENO, these will be returned to you for construction. Upon completion of your construction a complete copy of the engineering drawings of the structure, (as built) Permits, inspections and final permit approvals must be returned to the Emerald Points Lot improvement Committee for Office filing. ALL REQUESTS MUST COMPLY WITH CURRENT REQUIRED PERMITS PROM THE CITY OF ZEPHYRHILLS, PASCO COUNTY, OR STATE OF FLORIDA CURRENT BUILDING CODES. Comments- C) adlde7i L Lot Owner's Signatur r. Date /__� f Page 2 of 4 36' Permit No l8`I*A$ 5ft Setback nIPICAL 36' X 68'LOT With MAX Concrete 26' x 63' v i E t 5ft Setback 5ft Setback ( 1` 68' t Lot# Address: y 3 " (1 i Owner:.•iA&?! L Date: J E 20 ft Setback from Inside of Curb to building 15 ft Setback to coach. Page 3 of 4 JL LotLayout 2015-01-12 E Date Reed /�/ LOT IMPROVE MU REQUEST Permit NO /�3 611 AA Lot Improvement Committee; Q Reacu ends Approval Date j / j� Reaomm do Denial Date / f Committee Members: 77 Remarks: &A1 Ct%� . Board of Directors Approval Dateln Date Denied 1 i Board Member\ �1�`.�.. {- I Remarks: i ALL REQUESTS MUST COMPLY WITH CURRENT REQUIRED PERMITS FROM THE CITY OF ZEDRYRHILLS, PASCO COUNTY, OR STATE OF FLORIDA CURRENT BUILDING CODES. All permits must be posted visible to the street i ( ) SEE ATTACHED DRAWINGS/SKETCHES FOR ALL REQUIRED DETAILS. Page 4 of 4 2018139837 'J I Permit No. , Pared ID No t a�a a0050r�nQo� NOTICE OF COMMENCEMENT State of county of THE UNDERSIGNED herebygives notice Brat Improvement will be made to certain reel property,and In aeaordmee with Chapter 713,Florida Statutes, the following hdormation Is provided In this Notice of Commencement I. Description of Property:Parch I No. 10 StreatAderess: A. Ah 2. �o GenereiDea loonoftmprovement 3. Owner Information or Lessee Information tithe Losses coribectad for"improvemerd: L tL , Address —� Clirgir rState+ Interest in Property: Name of fee Simple Tiitleholder Of different from Owner listed above) Address CRY State 4. Address 1716 Combectots Telephone No: a� — D 5. Surety • Name Address CITY Slate Amount of Bond: $ Telephone No.: ' a. Lander. Name Rop4.:1983247 Roe: 10.00 �� Address DS: 0.00 IT: 0.00 Lenders Telephone No.- 08I1712018 M. F. , Opty Clerk x 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)(o)(7),Florida Statutes: Name j PAULA S.0'NEIL.Ph.D.PASCO CLERK & COMPTROLLER 1 Address 08OR BK 18 29774m PG 1627 Telephone Number of Designated Person: s. in addition to himself,the owner designates of to receive a copy Mthe Uences NoUce as provided In Section 713.13(l)(b),Florida Statutes. Telephone Number of Parton or Entity Designated by Owner. g. Expiration date of Notice of Commencement(the e)#mffon date may not be before the completion of consWLlion and final psymont to the contractor,but wM be one your from the date of recording unless a different date Is spedtied): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT RESULT INIYOUR PAYING FOR MPROVEEMENTS OORYOURP RP OARTY ttA NOTICE FLORIDA F COMMENCE�MEa MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under perWty of Pao%t dedare thetl have read the foregoing no of commencement and that the fads stated therstn ore low to the beef of my knaeAedoe and beget. STATE OF FLORIDA COU77 , " ISON S' M Owner or l esees,or s or Lessee's ti Ff 48S811r/D'vector/PadnedMan t"t">�,ccrmber28,2019 a�'�vW'w The rog0hsg lifsbrmien/woo adinowledged Wave me this L?day of RV 0- .20 j,%y I-t^f aH 967LLCY es (type of authority,a g.,officer:trustee.attorney In fad)for (name of patty on behalf of whom Instrument was execu ). ! Personalty Knorr Q DE Produced Identification Notary Slgnatuae a � Oj�^' Type sf ldantlilc m prodwiod TA D-4' Name(PrW) PAr&1C f4 G• 'T"Am k/ I I t i , I i wpdatatbcstnotwsoo—temenL-054300 i I I STATE OF FLORIDA,COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A ® • " , , TRUE AND CORRECT COPY OF THE DOCUMENT ON.FILE OR OF PUBLIC RECORD IN THIS OFFICE -V WITNES MY HAND AND OFFICIAL SEAL THIS *yP � DAY OF 2a1� r,_- � Ss'..'°die C � 13 1,a PAULA S. IL,CLER &COMPTROLLER g A�,a1 �R B — - DEPUTY CLERK