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Home My WebLink About19-21305 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21305 FENCE PERMIT PERMIT INFORMATION LOCATION:INFORMATION Permit Number: 21305 Address: 3052 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: 24-26-21-0100-00000-0700 Improv. Cost: 2,993.00 OWNER INFORMATION Date Issued: Name: CORLISS, JEFFREY& LAURA Total Fees: 55.00 Address: 3052 MOULDEN HOLLOW DR Amount Paid: 55.00 ZEPHYRHILLS, FL 33540 Date Paid: 5/29/2019 Phone: 734-262-0649 Work Desc: INSTALLATION 66 FT X 4 FT PVC FENCE & 78 FT X 6 FTPRIVACY FENCE CONTRACTORS APPLICATION FEES ECONOMY FENCE LLC (813)388-5659 FENCE 55.00 l iU ! / Ins ections Required 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 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 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 INSPECTIO 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 JPhone Contact for Permitting ........... ........ .................31=3=13= L Owner's Name J 4f j LA! u Co oci s3 Owner Phone Number Owner's AddressF30Y2_ Mo LtLj)6,v, POLL 0 LU .Owner Phone Number _F777 LIV'd q32 oxef A Owner Phone Number _30,5'� MotiZ__��et,� "0UXA6 _b(".VE ZeeftAft JOB ADDRESS LOT SUBDIVISION P;pvtr) 21 y 6,a PARCEL ID#10q'-9-&'>-.L1- W00-00C)00 _ 0706 {OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q 0 DEMOLISH e INSTALL 8 REPAIR PROPOSED USE Q SFR Q Comm F_��,Z-4--WIS-p�L1. TYPE 00 CONSTRUCTION Q BLOCK 0 FRAME. STEEL QA 61 DESCRIPTION OF WORK 4 lvd Tor, BUILDING SIZE SQ FOOTAGE HEIGHT-. 4%kw , =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE 0 PUKE ENERGY. Q W.R:E.C. =PLUMBING $ 't,3S =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS,- FLOOD ZONE AREA- =Yts NO BUILDER COMPANY SIGNATURE REGISTERED I YIN FEECURREN ILYI/LN_J' Address License# F ELECTRICIAN COMPANY SIGNATURE REGISTERED Y N FEE CURREN LYIN J Address, License# PLUMBER -COMPANY SIGNATURE REGISTERED L]LLN_J - FEE PURREN Address License# MECHANICAL -COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License#, OTHER COMPANY. SIGNATURE: REGISTERED J Yj N FEECURREN - Address License# F7 RESIDENTIAL Aftachi(2)Plot Plans;.(2)sets of Building Plans;(1.)set of Energy Forms,R-O-W,Permit for new construction, . Minimum ten(10)woeldng'days after submittai date..-Required onilte,Constriction.Plans,-Stoirrnwater Plans w/Sift_-Fence'l,nstalled,* Sanitary Facilities&I 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. Requiredonsite,Construction Plans,Stormwater.Plans.w/Slit Fence installed, Sanitary Facilities.&I'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. 1,1"444 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/Fodtage) Driveways-Not over Counter if on public roadways..needs ROW | NOTICE OF PE-ED RESTRICTIONS: The undersigned understands that this p rmit may be subject to"deed"r estrictions" which may be more restrictive than County regulations. The undersigned licensed by the State of Florida. I UNLICENSED-CONTRACTORS AND CONTRACTOR RESPONSIBILITIES" lf*the owner has 'hired a contractor *or contractors to undertake work,-they may be required 10 be licensed in accorda�ice with state and local regulations. -If,the contractor is not licensed as required by law, both the owner and contractor 1may be citedJor a misdemeanor-violation under state law. If the owner--or-intended contractor are uncertain as..to what,licensing requirements may apply.forthe - intended work, they are advised to contact the Pasco County Building Inspectic!n'Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has-hired -a'contractor or' contractors, he s advised to have the contractor(s) sign portions,of the "contractor Block" of this-application-for which they will be resr onsible. 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 TRANSPORTATION:.IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to tilp.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, a:;ai -will be-,identified at the time.of permitting. It is further understood that Transportation Impact Fees and R i ce 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. Furthermlore, 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)f If valuation of work is$2,500,00.or more, I certify that -1,' the-applicant, have been-provided with a-copy of the Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Con�' umer Affairs. If the applicant is someone other than the"owner", I certify that I,have obtained a copy of-the above descei..-ed document and-promise.in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'SIOWNER'SAFFIDAVIT: I-certify.that,all the,information in t is 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 dowork E.irld'Installation as ihdicat;d. 1 certify'.that no work or installation has commenced prior,to,1ssuance, of a permit and 'that all work will be performeY to meet'standards of all laws regulating construction, County and City'cddes, zoning regulations, and land develiDprrlient regulations in,the jurisdiction. I also- certify that I understand that the regulations of other government agencies mal y-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, Wet and Areas-and Environmentally Sensitive Lands,Water/Wastewater Treatment. ,. 11 - Southwest Florida Water Management District-Wells, Cypre s Baybeads, Wetland Areas, Altering - Army Corps of Engineers-Seawalls, Docks, Navigable,Watenvays-.1 - Department of Health & Rehabilitative Services/Environmental 'lealth Unit-Wells, Wastewater Treatment, Septic Tanks. - 'US-Environmental Protection Agency-Asbestos-abatement - Federal Aviation Auihority-Runways. I understand that the following:restrictions apply,to the use of'-fill: Use of fill is not allowed in Flood Zone"V" unless expressly permitt A,4 If the fill material is to be used in Flood Zone "N', it is unde, od that a'drainage pI an addressing a ,.compensating,-volume".will-be-submitted at time-of-permitting whil ch is..prepared.1py.a professional engineer ' If the fill. material-is,to-be used in. Flood-Zone "Xin,connection'with a permitted building using stem,wall construction, I certifythat fill will be used only to fill the area within 6 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 affectadjacent propl?rtiesi,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 req,ired. If I am the AGENT FOR THE OWNER, I promise in good faith to inform-the.,owner of the permitting-conditions,set forth in' thisaffidavit prior to commencing construction. I understand that a separatel permit maybe required for electrical work, plumbing, signs, wells, pools, air conditioning;-gas, or other installations notl 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 permiti 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 9f permit issuance, or if'work authorized.Ip the permit is suspended or abandoned for a period*of six(6) months after the tpe the work is commenced. An extension may.be requested,..in writing,'-from the Building Official for&period not-to ex8eed ninety(90) days and will demonstrate il justifiable cause for-the extension. If Work ceases,for ninety(90)consecutive days, the job is considered abandoned. - WARNING-TO-OWNER: YOUR FAILURE TO RECORD A,NOTICE OF C IMME�CEMENT MAY RESULT IN-YOUR WITH-Y.OUR,LENDEROR.-AN-'AT--TORNEY-BEFO'RE-RECORDING-YOUR'N'l,�TICEOF-COMMENCEMENT-.--- OWNER OR AGENT CONTRACTO Subscribe&and sworn;to(or affirrned)-before,me this Subscribed and sworn to Olir affirmed),before,me this by by Who Ware-personally known to me or hasthave produced is/are personaTiy'knov Wi to me or,has/have produced asidentification. -1 _as identification.. Notary Public Notary Public Commission No. Commission No. � Name~Notary typed,printed—stamped Name—Notary typed,. . ed U � || x � Proposal/Contract Office: 813-388-5659 6030 Saddletree Drive o M o econom fencetam a.com Man;;HBC EOEBQ➢H➢Q➢ccura HBQQ4HQHEQHHHG6QH000H noun ►wt y p Wesley Chapel, FL 33544 Email: info@economyfencetampa.com 811 Ticket (p j CUSTOMER NAME � ,,�Sr Lc u,h �fl ��i / IJ��+ C()+a -S%lo. 003185 n1c /1 ADDRESS 319SZ / D L>4 0t ly 0Lr�. CITY /14 �L LS STATE zip�� DATE SUBDIVISION OR CROSS SECTION: EMAIL ADDRESS e Co R_ 5S J t— /XOn d6 t4:11 C �_Cc-y-1- PHONE.ke� ,5/7 �b �'33T WOOD ALUMINUM CHAIN LINK � L PVC Feet7c`r' I / V Wood Feet Height 3'❑ A'❑ 5'❑ Cypress El PT Pine ❑ ALUMINUM Feet Chain Link Feet Style �i` � ' �(^ BOB ❑ STKD ❑ VSB ❑ Height 4' El5' ❑ 6' ❑ Height 4' ❑ 5' El6' ❑ Style Other Height Color r TC' Otherstyle Residential ❑ Commercial ❑ Other Style Residential El Commercial ElHeight 4' El 6' ❑ 8' ❑Gate t Size a� d Picket 112"x 4" El5l8"x 6' ❑ Black ❑ White ❑ Green ElLT Comm ❑ Industrial❑ Gate Size Runner 2"x 4" ❑ Post Size Galvanized ❑ Black Vinyl❑ Gate_ Size Gate— size Green Vinyl ❑ Brown Vinyl ❑ Flat Cap ❑ Ball Cap ElGate_Size Gate— Size Gate— Size Gate_ Size Gate Size Gothic ❑ New Eng. ❑ Metal Frames Gate— Size Coachman ❑ Tear Drop ❑ Concrete Posts Gate— Size Gate Size Good Side In ❑ Out ❑ Fence to Follow Contour of Ground ❑ Fence to be Level ( Remove existing Fence Ft. No ,_ �t •a � � rr,�� E. Fence Line to be Cleared by Economy Fence ❑ I Fence Line to be Geared by Owner d1' Corner Lot Yes ❑ NNo�dl--- Permit Needed Yes tV No ❑ Jurisdiction`]� �j, �s _ 8 z ❑ Credit Card (plus processing fee) 411 - ❑ Cash ❑ Check — — Total Due: o ' Eo Proposal is valid for 30 days Deposit$ �� GCG Due Upon Completion$I `�G, •t�v Economy Fence will assist the customer,upon request,in determining where the fence is to be erected,but under no circumstances does Economy Fence assume any responsibility concerning property lines or in any tray guarantee their accuracy.If property pins cannot be located,it is recommended that the customer have the property surveyed.Economy Fence does not assume the responsibility for locating underground cables and utilities,nor is Economy Fence responsible for any sprinklers or other unmarked buried lines or objects. All material will remain the property of Economy Fence until payment in full is received.Right of access and removal is granted to Economy Fence in the event of non-payment per the terms of the contract.The customer agrees to pay all interest and any costs incurred in the collection of this debt including reasonable attorneys fees.If the buyer refuses to allow the seller to begin work or complete work already begun,or to accept materials contracted for.Buyer agrees to pay Economy Fence liquidated damages of a sum equal to 25 1/3%of the entire contract price plus cost of materials and labor already furnished or in the process.If tare job is delayed or cancelled once the crew has delivered the material. S20.00 per man hour will be charged.if the job remains unpaid(7)seven days after job completion,Economy Fence reserves the right to place a mechanic's lien on said property and/or repossess all materials used on this job without recourse.Customer assumes full responsibility for obtaining homeowner's association approval for the type and location offence. ACCORUING TO FLORID.NS CONSTRUCTION LIEN LAZY(SECTIONS 713.001—713.37,FLORIDA STATUTUES),THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY:THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN.IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCON- TRACTORS,OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAY,'IE•NTS.THE PEOPLE WO ARE OWED MONEY SLkY LOOK TO YOUR PROPERTY FOR I.YY\1EN1',EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL IF YOU FAIL TO PAY YOUR CONTRACTOR.YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY..'rHls,,lE.A.%S IF A LIEN IS FILED.YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR.MATERIALS,OR OTHER SERVICES THT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY 14AY'E FAILED TO PAY.FLORIDAS CONSTRUCTION LIEN LAY IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES,THAT YOU CONSULT WITH AN ATTORNEY. Notice'ro Purchasers of Wood Fens•. Wood fence materials are rough mill cut pieces.Wood fence has a tendency to shrink and warp in hot,humid weather and small gaps Hill appear between boards.Cracks in the wood are a common and accepted occurrence.Economy Fence will only guarantee the workmanship on wood fences for me yeas Acceptance of Terms Inspected&Approved by Salesma G Customer Customer EF-001 CH PLOT PLAN NOT ASBOUNDARYLSURVEY SEC. 24 , WP. 26 S, RNG. 21 E. LOT 70 BEARING BASIS: HIDDEN RIVER PHASE ONE B NORTH BOUNDARY OF SUBJECT PLAT BEING S 89.40'43"E PASCO COUNTY, FLORIDA. THIS SURVEY IS SUBJECT TO ANY FACTS THAT t/AY PEE DISCLOSED BY A FULL AND ACCURATE PRELIMINARY FDR P DRAWING: ON LOT AREA CALCULATIONS FT. TITLE SEARCH ALSO SUBJECT TO SETBACKS. hi15 PLAN 15(°OR PERM1T11N0 PURPOSCS LOT n 660 SO,FT. EASEMENTS AND RESTRICTIONS OF RECORD. ONLY•NOT FOR CONSTRUCTION,VERIFY LIVING AREA .—UM—SO.FT. ALL DIMENSIONS BEFORE ANY CCNSTRUCTON. ENTRY 4� SO,FT. UNDERGROUND FOOTER, STEM W LL, AND GARAGE 407 _,SO,FT C UNDERGROUND UTILITIES ARE NOT LOCATED OR LEGEND: COVERED LANAI =--_L9..__SO.FT. S'•O%m n PROPOSED DRAINAGE FLOW PATIO ?3 --SO.FT. CO`!C_DRIVE 475 __SO,FL DO NOT SCALE THIS PRIM.DLVENSIONS AND (00.00) n PROPOSED GRADE NOTES TAKE PREFERENCE, E-00.00=EXISTING GRADE A/C do CONC PAD =._2_—SO.FT. PRIVATE SIDEWALK --_Zli---SO.FT. DESCRIPTION NOT CONTAINING PLAT BOOR AND NOTES: IMPERVIOUS n- bQ � -I"' PAGE INDICATES THAT PLAT IS IN LOT GRADING TYPE=A "— - ---SO•FT. PRELIMINARY STAGE AND IS SUBJECT TO PROPOSED PAD ELEVATION . SOD > 4061 SO.FT, CHANGE AND/OR REVISIGN. FRONT SETBACK n 20' OFF LOT AREA CALCULATIONS CERTAIN DATA SHORN HEREON BASED ON SIDE SETBACK 10' RIGHT OF WAY -_ZW-R SO.FT. ENGINEERING PLANS PROVIDED BY CLIENT, REAR SETBACK 10' DRIVE APRON _ _'+4..,_..SO,FT. STRUCTURE TIES SHO'ON HEREON DENOTES PUDUC SIOEWAL K __2,<SL__.SO.FT. SOD , JUL.__SO,FT, MEASUREMENT LINE. FOR-V DOARDSJ%DUNDAIION i P16Y. ' TO PROPERTY LIRE. OTALS c SO• D.R-tiACE/UTILITY£ASEwENT �' - AREA 7,j20-0 S0.FT. ORf',iEYtAY n—M_-SO.FT. SIDEWALK —MI—So.FT. Sop 10/' SOD .V?.4?__..SD.FT. . , FLAT BOUNDARY # qLOT 71Nam,' t o V V -a- HIDDEN (� RIVER R PHASE ONE A 1 C) nYyo J (P1i,F SOC1t 74•P,t,'S 10:-121) v.EIU:A SR.;:TIOu . .� �aASE ,. ` iVtr• �� , REA IS P S. qq� o �•�Gr^•.` o0 1 � LOT 59 2 r T o BGhDARY . 4 \\\ PROPOSED: LOVIES T FLOOR ELEVATIONS: LIVING AREA: 72.30' ; GARAGE AREA: 71.76' DESCRIPTtON. ELEVATIONS REFERENCED TO c LOT 70, MAP OR PLAT ENTITLED "HIDDEN RIVER PHASE ONE B", NATIONAL GEODETIC VERTICAL y AS RECORDED IN PLAT BOOK 076, PAGES 077 THROUGH 082, DATUM OF 1929. MEAN SEA a OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA, LEVEL= 00.00 FT. APPARENT FI.000 HAZARD ZONE: •'X" COMMUNITY PANEL NO, 120230 0460 D 'EFFECTIVE DATE: 9 30/1992 CPrajeco .'lumber, SQIxIYC Fcel; 6600.00 t .ENNAR HOVES ELiENU: o(C)= CALCULATED DATA,(D)•-DEED DATA,(M). %fEASURED JIATA. 'P)- PLAT DATA, 4- CENTERUN£,A/C- AIR ODNOITIOK=R,B/C=BACK OF CURB.C/S- ' a CONCRETE S.AS. CH- CaHGRD. CIHB• CHORD BEARING.CLF- C•IAIN UNK F2ACE, CCNC-CCNCREIE.COV.- COVEREO,C/P- EDGE OF PAVEMENT.ES-.1'T. EASLt£nT. S F/C= FExCE CORNF-n, FCIA= FOUND CONCRETE MONUMENT, F:P-FOUND IRON PIPE.F{R- FO•JhD IRON ROD.FN&D.FOUND NAIL&DISK,FPP.FOUND PINCi_D PIPE.LFE-LOWEST FLOOR ELEVATION,MAS.- MASONRY,OR- OFFICIAL RECORD BOOK. PS- PLAT BOCK.PCP. PERMANENT CONTROL POINT,PRM= PERMANENT m REFERENCE MONUMENT, P.JW= R'OHT OF WAY,R_ RADIUS.SIR-SET 1/2-IRON RCD&CA-No. 4493. SN&O- SET NAIL&DISK TBL1= TEMPORARY BENCHMARK, UiP-UT ITY POLE.yr'F= WOOD FENCE ' 5 m's "�' N,S s JOHN R.BEACH&ASSOCIATES,INC. By: SURVEYORS AND-RAPPERS Chcck6a Ey= SIT vl:'ST ST.PETERSBURG ORivE y CAME oLDSMAR,F'LORIOA 3AG77 AsWAY (613) 54-1276 FAX(313) E55-8370 Scair. i t�y,��p 1-a30• �yL4C oo �^ NOT VALID VATHOUT 111E SIGNATURE ANp o.te: PLOT PLAN 9/13/18 ACS ---.._._.. THE ORIGINAL RAISED SEAL OF A F1.ORIDA I UKKTUN- DA:E ' LiCEaSEO SURVEYOR SEND!RAPPER d-H R. B H ' Re:.sions: FLORIDA REG. NO SURVEYOR N. 2934 _ L5 4493._ „EFF M. HART SURVEYOR&MAPPER Nm7123 INSTR#201 91 0041 0 OR BK 9922 PG 1228 Page 1 of 1 06/13/2019 12:26 PM Rcpt:2063334 Rec: 10.00 DS:0.00 IT:0.00 PauCa S. O'Wei6 Ph.D., Pasco County CCerk&ComptroCCer NOTICE OF COMMENCEMENT Permit No. Property Identification No. 14 ^2 L'a f" O/OD-'QX o Q70Q THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the fallowing information is provided in'the NOTICE OF COMMENCEMENT. I. Description of property(kpl descripflon:) :rldc 111�.ve-e. A"T ir r 0 PB 74 LPG 0 7Z 4p7~xro a) Street Address: --A e f-L Af ajj4 giro!fro LL a uv 2R T' hVA f7.a 1 Y VY.d 3 3 tJ o 2. General description ofimprovements L r PS yA ey farisc dr AAAc1 yTAdItLkWr F&Wa r Uj 'C 3. Owner Information a) Name and address: #-N 4C-9T Ur E X A 1, /3•U k A Cd 4 t,J.S JaSL Af&y4,4d-, + ZI1L4orAI D/t 7.14, b) Name and address of fee simple titleholder(if other than owner) c) Interest in property - 4. Contractor information a) Name and address: kkaft !`��++ " any CA W'4y b) Telephone No.: /3-"Y&D --"S dy Fax No.(Opt.) ^ 5. Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No.(Opt.) 6. Lender a) Name and address: 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: b) Telephone No.: Fax No.(Opt.) 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b),Florida Statutes: a) Name and address: b) TelephoneNo.: FaxNo.(Opt.) 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER-ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR 1PROVEMENTS TO YOUR PROPERTY,A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT. STATC OF FLORIDA � COUNTY OF PASCO p /')-r—ge l 5w f� Siglmture OF Owner ar DwrWs Audwraod 0f icer/DiredWftAae/Meneger Lam« Print Name The foregoing instrument was acknowledged before me this 241 day of t"luy .20 11_,by LCA.l. 'V-a. C•D()i S5 as CX V, (type ofmitharity,e.g.officer,trustee,Womey in 11M)for (name of party on behalf of w instrument was exe/cute4 Personally Known�L OR Produced,ldentif ition_ Notary Sigoatum �"<- Type ofldentification Produced Name(prim) G 1 Ck CDv� Verification pursuant to Section 92.525,Florida Statutes.Under,penalties of perjury,I declare tint I have mad the foregoing and that the facts stated in it are true to the best of my knowledge and bc11cf. F01UW&9 Cmd= %%%%'%`^, rr 11,f+<</i orlJoud liar XVft Abaft ... `.• Public Stele of Floridt+ T Q ,1 rL = PA tCWW GG 28794'& , r NotaryR • My F.xp' o. d,•. ce a ' i� Ii I� I I !I I i' { (I Ii I I Ii l f, i �I c S o FLORIDA, 0 CERTIFY O H U TY OF PASCO STATETHIS AT THE FOREGOING IS A dop TRUE AND CORRECT COPYIOF THE DOCUMENT ON FILE OR OF PUBLIC,RECpRD IN THIS OFFICE WITNESS MY HAND AND In OFFIICIAL SEAL THIS yott'lyc 9'ru, ox, ,:•, o �DAY OF 2 .. PAULA S.O'NEIL,CLERK&COMPTROLLER BY f�(�~-�� DEPUTY CLERK i� T M May 22,2019 Jeffrey and Laura Corliss 3052 Moulden Hollow Drive Zephyrhills FL 33540 NOTICE OF APPROVAL RE:3052 Moulden Hollow Drive Dear Jeffrey and Laura Corliss Congratulations!The request for an architectural change,as described below, has been approved. Ticket#13109-Fence The architectural request to install a fence has been APPROVED as proposed. The HOA reserves the right to make a final inspection upon completion of the approved changes to ensure compliance.Please be advised that any modifications of the original request will require an additional form to be submitted. Please remember 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 contact the appropriate utility companies prior to digging. Sincerely, Mark Alan Costa LCAM Community Association Manager On behalf of Hidden River Homeowners Association, Inc. Corporate Office Championsgate Lake Mary Palm Coast 1631 E.Vine St.I Suite 300 8390 Championsgate Blvd I Suite 304 725 Primera Blvd I Suite 225 6 Meridian Home Ln.I Suite 201 Kissimmee,FL 34744 Championsgate,FL 33896 Lake Mary,FL 32746 Palm Coast,FL 32137 0:407-705-2190 1 F:407-744-2071