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HomeMy WebLinkAbout19-21798 CITY OF ZEPHYRHILLS i 5335-8TH STREET (813)780-0020 2179 BUILDING PERMIT PERMIT INFORMATION""r'"' LOCATION INFORMATION Permit Number: 21798 Address: 38614 2ND AVE HISTORIC Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-20600-0010 Improv. Cost: 64,181.00 OWNER INFORMATION Date Issued: 10/04/2019 Name: CALHOUN BARBARA Total Fees: 750.00 Address: 38614 2ND AV HISTORIC Amount Paid: 750.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/04/2019 Phone: (813)355-3444 Work,Pesc: RECONSTRUCT FRONT OF HOME 400 SQ FT DUE TO FIRE DAMAGE CONTRACTORS APPLICATION FEES L.R.E. CONSTRUCTION SERVICES , L BUILDING FEE 547.50 MARIO jiIR CONDITIONING AND HEATI ELECTRICAL FEE 67.50 TIM HERNDON PLUMBING INC PLUMBING FEE 67.50 HOMETOWN ELECTRIC MECHANICAL FEE 67.50 Ins ections Re uired F OTER 2ND ROUGH PL MB MI NSULATION 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. 901014tACTOR SIGNATURE PERMIT OFFICOR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department d Nam. Date Received Phone Contact for Permitting Owner's Name 4f b Owner Phone Number elk)3) $LIa-Q q-58 Oki Owner's Address _Olo14 JrAve., Znohrlhills Owner Phone Number Fee Simple Titleholder Name D7 Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS (p 14 s2r-J e• Zelphfghills LOT# SUBDIVISION F PARCEL ID# I O -_a"J— OO 10— 190600 —dd (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF*CONSTRUCTION = BLOCK FRAME STEEL = DESCRIPTION OF WORK Dc%m h fi o-F ko ,,ac BUILDING SIZE SQ FOOTAGE "I d® HEIGHT BUILDING $ / VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ SERVICE = PROGRESS ENERGY W.R.E.C. =PLUMBING $ !� � e�7 =MECHANICAL $ VA_LLUATION OF MECHANICAL INSTALLATION =GAS = ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY 4,& Coro LCc+ian SIGNATURE ' 1 REGISTERED ICU N FEE CURREN Y!N Address UD SU1112 346o) / License# / o�0U3 3 ELECTRICIAN COMPANY f�6o, 40" SIGNATURE REGISTERED Y/ N FEE CURREN Y/N _ Address License# �vv ,SI NATU F ��� �� COMPANY �— QN��gSI�GN.�ATURE REGISTERED Y/ N FEE CURREN Y!N Address License# vSIGN COMPANY —� 5 SIGN TOREE -- �/�L_ 7`f7 ii�� 11/` REGISTERED Y/ N FEE CURREN ti a Addres`,-- License# 000 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)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. 1 i 1 i t t i i i. . . . ' C�'..i. i i i 1 1 's i i i i i . . . . . Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,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 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 with any 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 1, 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 understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", 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 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 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 if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official 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 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. FLORIDA JURAT(F.S.117.03)� / \ OWNER OR AGENT w&. ( CONTRACTOR Su scnbed and sworA c(or affirmed)before me this Subscribe and sworn t r,a +rmed)bef, r e t�r}�+s /�`�bY 4S�.b�a C o 11.0 �. by Who is/ a persona ly known to me or has/have produced Who is/are p rsonally nown to me or has/have produced P LI O L, G 4 1 0 2 — as identification. as identification. rr--- Notary Public Notary Public Commission No. && 1 1233o Commis o No. 3,3 Name of Notary typed printed or stamped Name of Notary typed_grin d ot stamped + \C yp JENNIFER L. HARRIS JAMIE PEAK ;'z°, ,`�; Notary Public-State of Florida a` Commission# GG 012333 ;State of Florida-Notary Public �• * Commission N GG 172330 MY Commission Expires 'TF°FF�o�°;' My Comm.Expires NOV 11,2020 January 03.2022 '401III�1 Bonded through National Notary Assn. 09-25-'l 9 16:44 FROM- T-103 P0001/0001 F-237 e+a-7eDoozD CRy of Zephyrhihs Permit Application Fax-813-780-Mi DwIdmg Department Date ReceNed Phone CwdartTor Pem+iWng a I T I_ ` Owtlar'eNamo Qf 1'1 owner Phone Number Owmaft Address 3%I Vjr j AVE,7 gahNkf!s j ownerPhtsno Number Fee Simpla Tidehalder Name S Owner Phone Number Fee Simple Titleholder Address t `` 1 JOB ADDRESS (a 11-} g h lr j'7!1 LOT# 1 •SUBDIVISION PARCEL tas ��aVo"cam^t�clC>-o"�lo�-C+501U (OBTAINED FROM PROPM V TAX NDABE) WORK PROPOSED NEW CON STR ADDIALT SIGN Q Q DEMOLISH El INSTALL ® REPAIR PROPOSIM USE [� SFR COMM OTHER TYPE OF CONSTRUCTION 0 BLOCK d FRAME STEEL Q DESCRIPTM OF WORK BUILDING SIZE 10 SO FOOTAGE HEIGHT BUILDING VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AQ1P SERVICE 7.� Q PROGRESS ENERGY W.R.E.C. QMECHANICAL S VALUATION OF KCCHANICAL DWALLATIINI MGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ©YES NO BUILDER COMPANY LQE CD01 KA-01) 1-V4V#CRS U-Q SIGNATURE REGISTERED ICXZN FW C UMB Y f N Address 111 Gt' � ucense# 02&03 ELECTRICIAN COMPANY SIGNATURE REW SIERED I YIN FEE MMREn Y/N Address License# PLUMBER COMPANY SIGNATURE RE04STEREO I YIN FEE 0^ift LILN Addem License# MECHANICAL y COMPANY iravit� IA%r COfla%'A.or1! 4 At A. SIGNATURE ReSWTEREo I YIN I FEEClnatu Y!N �t 11 a� �`d' aAddross : Ila1�(s Seheea %N-ja. PMA%"M PLS3Ax' Llrer�e# �Ael$f)- ap 5 tiL' 6pp?� OTt•!ER COMPANY SIGNATURE REawnMED YIN I FM CURRD Address License$ si111i111t111111111111111t11111i1i11111f11f11i1i1111I1111 [ [fllllllt RESIDENTIAL Attach(2)Ptot Plans:(21 sets of Building Plans;(1)sel of Energy Forms:R'O•W Permit for new consougior` Mkftum ten(1 D)working days after Submittal dam.Required oneile.Construction Plans,Smrmwater Ptans%f SM Fence installed, $anit"Facilities 6 1 dumpstec Site Work Permit for subaMtiondiatga projects COMMERCIAL Attach(2)complete sets of Building Plans plus a life Safety Page:(1)set of Energy Forms.R-O-W Permit for new construction. Minimpm ten 00)wahine days after sub(niftel data Raqutr0tl onalle,CanstArt on P►ams,Stormrratl r Purr,w4 SIR Fence installed, Sanitary Facikbes 81 dumpstor.Site Work Pe=h for all nowpfolecls.All commercial requirements must meet ranolisaw SIGN PERMIT Attach(2)sets of Engineered Plans. '*PROPERTY SURVEY required for all NEW eorlstruaion. . .. .■` ' '.idi L 1 1 1 1 T f 1 1 i T 1 i i f 1 i 1 1 T-f I li i. i.l I. Directions: FIR out applicalfotr completely. Owner$Contractor sign back of application,notarized If aver$2500,a Notice of Commancomemt Is required. WC upg►adas over$7500) Agent(for the contractor)or Power of Altomey(fords owner)world be someone with notarized fetter from owner suthoriYutg same OVER THE COUNTER PERMITTING (copy of contract required) Remora if shingles Sewers Service Upgrades A!C Fences(PloU8wmay/Feo"e) OrWeways•Not over Counter if on public madomys..needs ROW 813-78MG20 City of Zephyrhills Permit Application Fax-el3ae0-0021 Building Department Datn;Recelved / Phone Contact for PermittingJroZ —"a-a Owner's memo a,Qf O tk Owner Phone Number O.e.Address 3S1v1� 2rJ Ave,ZrAr4hds Owner Phone Number Foe Simple Titleholder Name S Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS (p14 OCAve., hf ills LOT# J~� SUBDIVISION - _ PARCEL ID# (OBTAINED FROrn PROPERTY TAT(NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN Q Q DEMOLISH El INSTALLa REPAIR PROPOSED USE = SFR 0 COMM OTHER TYPE OF CONSTRUCTION Q BLOCK [ FRAME STEEL = DESCRIPTION OF WORK beria� fi KGbv 1� �!'o, hp�j�1 BUILDING SIZE 2 arch SQ FOOTAGE HEIGHT CJ, BUILDING S VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AtAP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ 7 l ?1�?�t� =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY= OTHER l FINISHED FLOOR ELEVATIONS C� FLOOD ZONE AREA =YES NO i BUILDER j i COMPANY SIGNATURE ` �r1•E �f�17rLCC710n /IC375 u� ' REGISTERED Y N FEE CURREh - 'I Y I NN Address 1116, " Q' oe r i3 1 License# 334 ELECTRICIAN COMPANY SIGNATURE REGISTERED I YIN FEECuRREa Y/N I Address License# Irf PLUMBER COMPANY jn(1 e M I !:516`f, SIGNATURE REGISTERED I YIN FEE CURREN I Y I N Address License# y MECHANICALF COMPANY r (i SIGNATURE REGISTERED I YVN FEE CURREN I Y/N - Address License# Ism 1o0y) OTHER COMPANY SIGNATURE REGISTERED I YIN '" FEE CURREN Y/N Address License# Ir � � � rfll � lrrllri� r � � � � e � � � � ilrll � ll � ltllfflll � ril � lir � � � rrr >Irffaill RESIDENTIAL Attach(2)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 onsita,Construction Plans,Stormvaler Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions8arge 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 teh(10)working days after submittal date. Required onsile,Construction Plans,Stomnvater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.AO commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. —PROPERTY SURVEY required for all NEW construction. DirecNoft F71 out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notioe of Commencement Is required. (AIC upgrades over$7500) Agent(for the contractor)or Powerof 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) i Driveways-Not over Counter if on public madways..needs ROW 1 Q � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: l � Date Received: Permit Type: �j ►'�.§ V� Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ n F ov�r This comment sheet shall be kept with the permit and/or plans. L�- I�, 'I I wf� Bill urgess—Buildi Official Date Contract d/or Homeowner (Required when comments are present) Q L.R.E. Construction Services, LLC P.O. Box 10263 Brooksville, FL 34603 Office: (352) 796-0229 I Facsimile: (352)754-4558 www.Irestart2finish.com www.lregsi.com �W CBC 1260334 L.R.E.CONSTRUCTION SERVICES.LLC August 15, 2019 City of Zephyrhills Permit Application 5335 81h Street Zephyrhills, FL 33542 .Attn: Building Official My employees listed below are hereby authorized to act as my agent in securing permits for the City of Zephyrhills. I understand that I am responsible for all work done by my agent. Business Name: L.R.E. Construction Services, LLC License No.: CBC1260334 License Holder Name: Frank V. Vit License Holder Signature: Agents Name: Sh n Skinner Agents Signature: Agents Name: Agents Signature: State of- ' ' & County ofNe-M(L�o This instrument was acknowledged before me on this day of $ ,2019 by Frank V.Vitale who is personally know to me. QuInLlo' 4,&&'LA) OAry Pub t Signature E `�p,{iV PVOi JENNIFER L.HARRIS Notary Public-state of Florida •= Commission #GG 012333 My Comm.Expires Nov 11,2020 �� Bonded through National Notary Assn. INSTR#2019092756 OR BK 9915 PG 2216 Page 1 of 1 06/04/2019 08:26 AM Rcpt:2059916 Rec:10.00 DS:0.00 IT:0.00 Paulo S.O'%eiC Ph.D.,Pasco County Clerk&ComytroCler Permit No. Parcel ID No 11.26-21-0010.20600.0010 NOTICE OF COMMENCEMENT State of FLORIDA County of PASCO THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real properly,and in accordance with Chapter 713,Florida Statutes, the following Information is provided in this Notice of Commencement: 1. Description of Property: Parcel Identification No. ZH P81 PG 54 W 70 FT OF LOT 1 TO 41NCL BLK 206 OR 8111 PG 1776 Street Address: 38614 2ND AVE ZEPHYRHILLS FL 33542 2. General Description of Improvement REPAIRS CAUSED BY FIRE 3. Owner Information or Lessee Information if the Lessee contracted for the improvement: BARBARA CALHOUN 38614 2ND AVER ZEPHYRHILLS FL 33542 Address City State Interest in Property: OwNLA Name of Fee Simple Titleholder. (If different from Owner listed above) Address City State 4. Contractor: FRANK VITALE-LRE CONSTRUCTION SERVICES,LLC Name PO BOX 10263 BROOKSVILLE FL 34603 Address City State Contractor's Telephone No.: 352-796.0229 5. Surety: Name Address City Slate Amount of Bond: $ Telephone No.: 6. Lender. Name Address City State Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon Mom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 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 IMPROVEMENTS 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penally of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA PASC — D /' n� COUNTY OF PASCO /✓�p,w Cj.Gi�'+" Signature of Owner or Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's s Idle! ce /t ` The foregoing instrument was acknowledged before me this 3 —T day of �ll Rl .201t by &AW k C..�Wq N as_ O WAftk (type of authority,e.g.,officer,trustee,attorney in fact)for �/ (name of party ehaif of who�tru t was rated). Personally Known L7 OR Produced Identification❑ Notary Signature Type of Identification Produced Name(Print) IF GREGORYG.CROSSLEY ! . i Notary Public-State of Florida Carrrdssion 0 GG 162551 • "' < Aty Comm.Expires Feb 5.2022 wpdata/beslnodcecommencement_pc053048 B d1d:hM rN?ZMN=yAW