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HomeMy WebLinkAbout19-21893 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21893 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21893 Address: 6015 10TH ST 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: TYSON Est. Value: Parcel Number: 02-26-21-0080-00100-0260 Improv. Cost: 14,300.00 OWNER INFORMATION Date Issued: 10/16/2019 Name: WATSON, ROBERT Total Fees: 172.50 Address: 6015 10TH ST Amount Paid: 172.50 ZEPHYRHILLS, FL 33542 Date Paid: 10/16/2019 Phone: (239)209-4846 Work Desc: REPLACE 9 WINDOWS S/S CONTRACTORS APPLICATION FEES MORGAN EXTERIORS INC BUILDING FEE 172.50 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. /C90NTIUCTO0 SIGNA RE PERMIT OFFI R PER IT EXP RES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL OR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fa"13-7e0-0021 Building Department Date Received Phone Contact for PermittingI t1lr Owners Name Rdber-' /$ ON,CA �a'�Qn Owner Phone Number Owners Address 1 s, I�+h 5� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address Q�� JOB ADDRESS Go 157ss 6+� f h i 115 FL .�iZ7 LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = DESCRIPTION OF WORK C 10L n lM i n QLo ws I mil'O r- S I ZQ BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ �I G VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ V AMP SERVICE PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 7ThVS =GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY V OT SIGNATURE REGISTERED Y/ FE CURREK I Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREn Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LILN Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREr. L11 N Address (�/� License# OTHER l COMPANY (� ICf r y e U i QfS nG SIGNATURE 1r REGISTERED Y/ N FEE CURREK I YY/N Address ROrToIck License# 6RC057-7 1 1._LLILI_I 1 1_LLI_I 1.1 1 1 1_I_.1 t_1.1_I.t_I_I_I_I.1.1 1 1.1 LJ 1 1.1 11 1 1.1_I_I_I_I.1 1._LL1.1 1_1 1 1 1 1 1 1 VIA t. 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,Stormwaler 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 Fortes.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plaits,Storrmwater 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. (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-Welts, 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 E� PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN INANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OBAHMMENCEMENT. i FLORIDA JURAT(F.S.117.03 OWNER OR AGENT CONTRACTOR Mir Sub and sworn of affirmed)bef re me t is Subscribed an -to o"'— "edpb e s _ R. of jUare personal) own tome or has/have produced Who is/are personally kn`o rrCo�me-orh 'lhav pro as idenfification. as identWMfion. N CA d 2-�i A Notary Public otary Public OCL Commission No. Z 1 Commis �N � Cr . w' ame of olary red,printed or stamp Name of Nota t JACQUELINE BOGES o: =.: COMIsslOn#GG 276457 VExpires December 12 2022 1o11"T1JUT10yFainingurrince88038r,7oI9 a • Plan Review Windows & Doors 1) .Need, manufacturing installation specifications: 2) Must meet sections R308 and 116.12 of the 2017 F.B.C. 3) if:windows are to be installed inside the historical district,-they will need to be approved by the historical committee. 4:) No other work shall be permitted (framing, plumbing, and mechanical) unless otherwise specified. 5:) This is for replacement (glass for:glass) only.. If you wish to change from screen or vinyl windows to glass, then additional information is required. 6.) All windows to wall connections shall be left visible for inspection. -7) All.labeling and stickers shall remain on windows until final inspection. .8) No work shall start without permit first. 19 Florida Building Code Online � 0 ! 0 � a � • 0 • B BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications Contact Us BCIS Site Map I Links Sears a w. Product Approval yu USER:Public User d,0,F'0r",c i Product Approval Menu>Product or Application Search>Application List>A cation De 11, • FL# FL5414-R24 • Application Type Revision Code Version 2017 Application Status Approved roved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived i:; Product Manufacturer Simonton/Ply Gem Windows Address/Phone/Email 3948 Townsfair Way,Suite 200 Suite 200 Columbus,OH 43219 (6114)_532-359§ luanne.harris@plygem.com Authorized Signature Luanne Harris luanne.harris@plygem.com Technical Representative Luanne Harris Address/Phone/Email 3948 Townsfair Way Suite 200 Columbus,OH 43219 (614)532-3596 luanne.harris@simonton.com Quality Assurance Representative AAMA Address/Phone/Email 1827 Walden Office Square Suite 550 e Sc ,IL 60173 47)303-5664�'• webma er@aa et.org Category Win ws Subcategory gle Hun Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Validated By American Architectural Manufacturers Association Referenced Standard and Year(of Standard) Standard Year AAMA/WDMA/CSA 101/I.S 2/A440 2008 Equivalence of Product Standards Certified By https://www.floridabuilding.org/pr/pr app dU.aspx?param=wGEVXQwtDgtHJPwMo6eHrmRpFgO4NXGpunaJFFzGIL5ShpZeFD0/02be°/p2bQp/o3dp/o3d 1/4 l� "i3fW201!3 Florida Building Cade Online � BclS Home tog in t User Registration Hot Topics Submit Surcharge Stats&Fads Publications I Contact Us BaS Site Map Units 3 search F1Orld Product Approval USER:Public User Cx ^cLtu •�.+ Product Aoorovai Menu>Product or Ao�licatlon Search>gp !i lion ti teatji(in 0 t. FL# FL5179-R25 Application Type Revision I Code Version 2017 Application Status Approved *Approved SPR.Approvals by DBPR shall be reviewed and ratified by the P nd/or the Commission If necessary. i Comments Archived Product Manufacturer Simonton/Ply Gem Windows Address/Phone/Email 3948 Townsfair Way,Suite 200 Suite 200 Columbus,OH 43219 {�14)_532-3596 luanne.harris@plygem.com Authorized Signature Luanne Hams tuanne.harris@plygem.com A i Technical Representative Luanne Harris Address/Phone/Email 3948 Townsfair Way Suite 200 Columbus,OH 43219 I ( 144)532-3596 i luanne.harrts@simonton.com Quality Assurance Representative AAMA Address/Phone/Email 1827 Walden Office Square i Suite 550 Schaumh ,-fL 617173,, .(8 03-5664 ebmaster@aamanet.org Category Windows Subcategory Horizontal Slider i Compliance Method Certiflcati ark or Listing i Certification Agency American Architectural Manufacturers Association Validated By American Architectural Manufacturers Association i i 1 Referenced Standard and Year(of Standard) Standard Year AAMA/WDMA/CSA 101/I.S.2/A440 2008 5 Equivalence of Product Standards Certified By )s./Iwww.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXCwtDgtQclh%2bCtWN68rWgpmbdQgLj7cfUi7RM6NT07nS7TOFkA0/.'AriC/ar+ 4 W 9/30/2019 Florida Building Code Online II Fig-,.. . ,- BCIS Home ( Log In User Registration I Hot Topics I Submit Surcharge I Stats&Facts Publications Contact Us BCIS Site Map'I Links I Search Florida �a Product Approval " r USER:Public User i f.�•�.Y..�ni�q�am Product Approval Menu>Product or Application Search>9_plicationEeOC 2the FL# Application Type C) Code Version Application Status rovals by DBPR shall be reviewed and ratified by ission if necessary. Comments Archived Product Manufacturer Simonton/Ply Gem Windows Address/Phone/Email 3948 Townsfair Way,Suite 200 Suite 200 Columbus,OH 43219 luanne.harris@plygem.com Authorized Signature Luanne Harris luanne.harris@plygem.com Technical Representative Luanne Harris Address/Phone/Email 3948 Townsfair Way Suite 200 Columbus,OH 43219 (614)532-3596 luanne.harris@simonton.com Quality Assurance Representative AAMA Address/Phone/Email 1827 Walden Office Square Suite 550 Schaumburg,IL 60173 7ftrizontal et.or Category Subcategory Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Validated By American Architectural Manufacturers Association Referenced Standard and Year(of Standard) Standard Year i AAMA/WDMA/CSA 101/I.S.2/A440 2008 Equivalence of Product Standards Certified By ...... .....1-1— --- Aft i7n41 Ii7RPARAITn7.Q7Tn=L ho%lrio%Rrl '1/R 15915 N.Florida Ave. CONDO L1 t Lutz,FL 33549 MFH AA O r a an (813)931-HOME(4663) HOA Y o& Fax:( 963-0950 j Y o�j Exteriors, Inc• 502- #WINDOWS (727)502-5300 #SGD's ENERGY SAVING//WINDOWS ORDER , FORM/SA�L�E)SjAGREEMENT Window Color Mr, d c YV 1 SQ Email Address//J (�v Sw�r / /dl0 �� Int. Ext. Mrs. ON s6� Date White/White Address � _ S Home(Phone) Q �y6 an an city 1" •/1 state jR zp other(Phone) 2392_e g 3 O Whi!!f:e ECONOLINIF SMART CHOICE Fortress Glass Double Pane•Clear Glass•Ho Screwed Comers came• 5 Y arranty Low E Argon Gas•.22 SHGC+- •Reinforced Frame•Welded Frame Lifetime Guarantee•Free Glass Repair Free Screen Repair•Free Re-Caulking PERFORMANCE — PREMIUM- Double Pane•Low E Gla SHGC+-•Hollow Frame Fortress Glass•Impede ow E Argon Gas .20 SHGC+-•R ce reme•Welded Frame Welded Cor s• ear Warranty. Lifetime Guarantee•Free GI flepair•F Screen Repair•Free Re-Caulking r\C e a eQv c m c 8 ro0 p° p ov t m y cv m 0 �� rn °' N a) n° m 3 �h z' v3> `Q) to v c��a o°o �� \ to ~ may v ocx 4� ` rn c c° ° � 0� rnQ c a0� Uop Iv6 W H °max° I a 2x 2. LW 16qX SV 3 $ x 37 4 StCa Sx '7 5 Q2 SIV 37x3 ti 6 C /� 3-7 x 3 7 SS (, X2- 8 Ja S P 3 x3 9 6(- S x • 10 x _ 1.Firsl of all...No verbal agreements are recognized.Everything must be in writing on the contract.Please me a sure everything is written on your order.If something is not on your work order,please do not request Administration 010 i om our stall.They are not allowed to give anything not on the contract.The salesperson's measurements above are approxomale only and are not to be relied upon as we have an employee who will come to your komeafter contract formation to take the actual and precise measurements. y/ its..We pull permits on all jobs where they are required.Your permit cost is addition to your contract Total Price $ 1 would be unfair for us to add a standard permit charge to all contracts,since prices vary grealy rom,,INT ity and some cities do not require permits.It is impossible for your representative to determine your permit cost(usually between$100 and$400).We only charge what the city charges us,plus a 50%Deposit $ S29.00 service fee.Balance is due upon substantial completion and is not contingent upon final inspection or the occurrence of any other condition.Certain cities require final inspections.It it your responsibility to be Balance Due Upon home for your scheduled inspection. Substantial Completion $ Installation start time is approximately 9 to 14 weeks after approval of measure,financing and/or —"H approval.Sales reps are not allowed to change these times.You may not hear from us for a period of while we are waiting for your materials to arrive.Don't worryll We will call as soon as possible to Amount / schedule your job.It you are using our financing,the clock doesn't start ticking until your loan is approved. Financed $ It the start of your installation exceeds past the estimated time above,we will credit your account S50.00 per week for every week that we fall behind.This contract cannot be altered after the dale of the measure. Credit/Debit Card Information: 9 EAD SAFE PAINT PRACTICES Uwe hereby acknowledge receipt of a copy of the pamphlet, Type: Zip Code R ovate Right:Important Lead Hazard Information for families,Child care providers and schools", Number- rming me/us of the potential risk of lead hazard exposure from renovalion activity to be performed in CVC# .Exp.'- - - my/oar home.I/we ieceived thls.parttphlet before the work began.This is a home solicitation sale,and if you do not went the goods or services,you may cancel this agreement by providing written notice to the sailer in person,by telegram or by mail.This notice must indicate that you do not want the goods or services and must be delivered of postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement,the Seller may keep all or part of any cash down payment,not to exceed the lesser of 10%of the cash price or$250.00. Executed in Triplicate ne copy of which was delivere o and receipt is hereby acknowledged by Buyer,this day of 2© f Approved and Accepted. A.Do not sign this home improvement contract in blank. B.You are entitled to a copy Ffth contract at the time you sign.Keep it to protect Your-le amght . By: We ( mhaser Sign Hera) (Salesmen) (Purchaser Sign Here) www.mor nexteriorsinc.com State Certified Residential Contractor•CRC 057216 window contract eVUM c PRODUCT APPROVAL SUBMITTAL FORM CONTRACTOR: MORGAN JOB ADDRESS: QTY MANUFACTURER DP APPROVAL# IMPACT NON-IMPACT U.F S.H.G.0 3 Simonton 30 5179.10 X 0.29 0.22 1 Simonton 45 5179.11 X 0.29 0.19 5 Simonton 50 5414.4 X 0.3 0.22 O o L►'fie X 3 LS, Back 1��►►.Q 5 37 X© 318 r 3 i J 095� �ewtiP M. bed. 5O 357/9 x 37`/8 SN Nl5edt © 35=/s x 3-r �N 14a:)I 13a-+� 36 Z,LS,056iT','r xv.gio�e �eA-4 2.: 6� 35zl8 X 371p SifX� Cleat "a, ® 35Yq x3TVS SF4 0 l u.. 'wozF- 0LL = Q � cnw © 11 *PEI City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: -*O —02/1� Tx�e f,� Date Received: Site: D CJ 1 Loll Permit Type: ta , Ia C S ),7( �Y- Approved w/no comments:El Approved w/the below comments: Denied w/the below comments: El This comment sheet shall be kept with the permitand/or plans. OCT 0 0 Yea"lvin S-yKitzer—Plans Examiner - -Vaie Contracto or fl-oAeowner Cred when cor ents a present) INSTR#2019166664 OR BK 9981 PG 1653 Page 1 Of 1 09/30/2019 11:34 AM Rcpt:2095013 Rec:10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller MIS INSTRUMENIT PREPARED BY: Nt me: Adtffats: Li NOTICE OF COMMENCEMENT Parmlt Number, :�2 1 V 1 5 Rsrgt id Nra»hsr: (� The undemost!hell'Shea notice MW Improvenwa vral be made to certaln real property,and In amniance wth Chagklr 713,Fb tda Swm%the foilmoft Information Is pmvWed In this Notloe of Commas avant 1. DESCRIeM OF PR (t�q U d n ress if MID) 2 GENERAL DISSCRIPITIN OF IMPROVEMENT: 3. OWNER DEFORMATION OR LESSEE INFORPATION IF THE LESSEE CONTRACTED FOR THE IWROVI;MENT: Name and addrasa: "p�A1 Imarsat in property 33 Foe Simple Tlda Hokler(It cow then owner Haled above)Name:_L't-I/k Addmw: a. CONTRACTOR:Name: Phone Number I 5. SURETY(N appilcawo,a copy of the paritn nt bond is stisched):Name Add Ammnl of Son& & L"ENDETE Nam: A/ems Phone Number: Address: T. Persons wHW the Stall ofFlarida Ceslyn&W by Owner upon whom notice or otter de mnwfft may be served sa Pmvldad by 13sotlar T13.13(1Ne)7.,Florida Stahrt a. Names Phone Number. Adidroes: e. In sd 10".Owner o"Ou tes /tl/t of to m*m a copy of fha UwWs No*x as pmvkW In Section 713.13(1)(b),Fiomda Sb Autwo.Phone number. Ik Expiration Data at tbtim of Commarowmam(Ths axplim5on Is 1 yfwt hm daft of mcorft unless s dtthmmt data is specIW 1-Z-Z-4 WARNU1Ki TO •ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF�ATE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713,13,FLORIDA STATUTES,AM CAN RESULT IN YOM PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT(MUST BE RECORDED AND POSTED ON THE JOH 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. 1,16—awd-a AAhMfmdnna�r Lo 0—es w u", s IAYerYnwere Rom Taer01rb) Stets of �� County of G l The faepoing Irntturrant was admowfedged before no the __day of F Y7 n4 by 6,f l (.1 r3�4s,�� .wttatopsrsoamyytuxownto_dne OR "w 0fwMffw"wewa �r G "7 0 who tw produced ItlenttlTcstlon�typs of 1110 lwtlon pmdttwd: AW 1� EXPIRES:Jan.A 2023 •,,,,,�` grup{911 IbM Aaron NA TV