HomeMy WebLinkAbout20-806 m
a
City of Zephyrhills eERMIT NUMBER
5335 Eighth Street
=_ Zephyrhills, FL 33542 BNR-000806-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 10/20/2020
Permit Type: Building New (Residential)
Pop RYT, umow; a' a` Street Address
25 26 210110 00000 1830 39672 Harmon Grove Court
' Owner Inf matio `7�,ZIT
awl
`° Contractor Information � `"
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Name: LENNAR HOMES LLC Permit Type:Building New(Residential) Contractor: LENNAR HOMES LLC
Class of Work:SFR Construct
Address: 4600 W Cypress St 200 Building Valuation:$267,656.40
TAMPA,FL 33607 Electrical Valuation:$40,148.46
Phone: (813)574-5700 Mechanical Valuation:$18,735.95
Plumbing Valuation:$26,765.64 Lam' I
Total Valuation:$353,306.45
Total Fees:$19,889.77 n
Amount Paid:$19,889.77 -�
Date Paid:10/20/2020 8:53:31AM
trgje t Des rtc ption `t
CONSTRUCT SINGLE FAMILY 2,372 SQ FT HIDDEN RIVER
ApplicationFe_es� "= yet;" .
Public Safety Impact Fee-Fire $273.00 Electrical Permit Fee $240.74
Transportation Impact Fee-City $36.32 Park Impact Fee-Single FamilylTownhome $769.56
Mechanical Plan Review Fee $66.84 Water Connection Residential Fee $1,010.00
Public Safety Impact Fee-Admin $26.35 Building Permit Fee $1,368.28
3/4 Water Meter Fee(Calc) $473.78 Building Plan Review Fee $684.14
Driveway Fee $45.00 Electrical Plan Review Fee $120.37
Sewer Connection Residential Fee $2,090.00 Public Safety Impact Fee-Police $254.00
School Impact Fee $8,328.00 Address Fee $30.00
Transportation Impact Fee $3,595.68 Mechanical Permit Fee $133.68
Plumbing Permit Fee $173.83 Plumbing Plan Review Fee $86.92
SIF 1 percent Fee $83.28
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 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 permit 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 add fee 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.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INVOICE1111
FOR OF
,
BILLING CONTACT
STEVE SMITH
LENNAR HOMES LLC
4600 W CYPRESS ST "
TAMPA, FL 33607 i
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00001525 10/07/2020 10/07/2020 Invoiced, Past Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNR-000806-2020 3/4 Water Meter Fee(Calc) $473.78
Address Fee r� $30.00
Building Permit Fee ^ 0 02` `I v $1,368.28
Building Plan Review Fee �j $684.14
Driveway Fee ++ $45.00
Electrical Permit Fee �J 1 , I $240.74
Electrical Plan Review Fee $120.37
Mechanical Permit Fee $133.68
Mechanical Plan Review Fee vv O t J $66.84
Park Impact Fee-Single Family/Townhome $769.56
Plumbing Permit Fee G} $173.83
Plumbing Plan Review Fee ?/�J0 / $86.92
1 Public Safety Impact Fee-Admin $26.35
Public Safety Impact Fee-Fire $273.00
Public Safety Impact Fee-Police $254.00
School Impact Fee $8,328.00
Sewer Connection Residential Fee $2,090.00
SIF 1 percent Fee $83.28
Transportation Impact Fee $3,595.68
Transportation Impact Fee-City, $36.32
Water Connection Residential Fee $1,010.00
39672 Harmon Grove Court Zephyrhills, FLORIDA 33540 SUB TOTAL $19,889.77
REMITTANCE INFORMATION TOTAL $19,889.77
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
October 08,2020 a 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting 813 363 2891
=, =
_11" I—F-t-I-T-1 I . . . . . . I I I I I I
Owner's Name Lermar Homes,LLC Owner Phone Number 00
Owner's Address 4600 W.Cypress St.Ste.200,Tampa,FL 33607 Owner Phone Number
Fee Simple Titleholder Name I N/A Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 39672 Harmon Grove Court LOT# 10183
SUBDIVISION Hidden River Phase 2 PARCEL to# 25-26-21-0110-00000-1830
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED N1W CONITRR ADDIALT SIGN Q DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL
DESCRIPTION OF WORK Single Family Residence/Pool/,Screen Enclosure i Fence
��[BUILDING SIZE UIR SF 2376 SQ FOOTAGE HEIGHT 1 Story
JOBUILDING $ $267,656 40 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL 1$ $4 0,148.46 1 AMP SERVICE F3(—1 PROGRESS ENERGY W.R.E.C.
PLUMBING $ $26,765.64
MECHANICAL $ $18,735.95 VALUATION OF MECHANICAL INSTALLATION
=GAS a ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA E]YES Do
. . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . .
BUILDER COMPANY I Lennar Homes,LLC
-71 SIGNATURE REGISTERED Y1 N FEE CURREN
Address 14600 W.Cypress St.Ste.200,Tampa,FL 33607 License J EGC1518166
ELECTRICIAN COMPANY Edmonson Electric, Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j
Address 11034 Skipper Road, Tampa, FL 3A613 License# FEC13005408
PLUMBER COMPANY Bayonet Plumbing, Heating & AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN T
Address P.O. Box 5308, Bayonet, FL 3467425308 License# I CFC042998
MECHANICAL COMPANY Bayonet Plumbing, Heating &AC, Inc
SIGNATURE REGISTERED Y/ N FEE CURREN
Address P.O. Box 5308, Bayonet, FL 34674-5 08 License# FcAC058062
OTHER - COMPANY C Sterling Quality Roofing, Inc
SIGNATURE CREGISTERED Y/ N FEE CURREN
Address 14211 Shoal Line Blvd' , Spring Hill, FL 34607 License# FccCO57991
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&I clumpster;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 wl Silt Fence installed,
Sanitary Facilities&1 clumpster.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.
. . .. I . . . . . . . .. . . . . . . . . .
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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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 jDivision—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the!construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner', I certify that I have obtained,a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performedi 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, CypresIs 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 W" 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 note 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.
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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 OKAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03
OWNER OR AGENT CONTRACTOR
-Subscribed—and.—sworn to(or.affirm, before me this Subscribed and sworn tol( r armed)before me this
LL-JeP-tu by Ashlee Callahan zaseo-zo by Ashleb Callahan — -Who is/are personally known to me or Who is/are personally known to me or has/have plFedueed
as identification. ! as identification.
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Notary Public Notary Public
Commission No. HH 000460 Commission No. HH' 000460
Elissa M.Holleran Elissa M.Holleran
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
��►{cy. ELISSA M.HOLLERAN V>: ELISSAKHOLLERAN
Commission#HH 000460 "t Commission#HH 000460
o` Expires June 6,2024 i. Expires June tl,2024
'Bonded Ttuu Troy Fein Insurance 800.30&J018 '„t4,•'Bonded Ttuu Troy Feln Insurance 000.388.7010
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PLOT PLAN NOT ASBOUNDARYKETCH ONLY SURVEY SEC. 25 TWP. 26 S, RNG. 21 E.
LOT 183 BEARING BASIS:
HIDDEN RIVER PHASE 2 WEST BOUNDARY OF SUBJECT PLAT BEING N 00*23-02" E
PASCO COUNTY, FLORIDA.
DO NOT SCALE THIS PRINT. DIMENSIONS AND
PRELIMINARY DRAWING: N NOTES TAKE PREFERENCE.
THIS PLAN IS FOR PERMITTING PURPOSES ALL DATA SHOWN HEREON BASED ON THE
ONLY, NOT FOR CONSTRUCTION. VERIFY ENGINEERING PLANS OF KIMLEY-HORN AND
ALL DIMENSIONS BEFORE ANY CONSTRUCTION. ASSOCIATES, INC., PROVIDED BY LENNAR HOMES.
LEGEND: 10' PUBLIC UTILITY EASEMENT
= PROPOSED DRAINAGE FLOW II
(00.00) = PROPOSED GRADE
E-00.00 EXISTING GRADE ON LOT AREA CALCULATIONS
LOT Fr.
LIVING AREA = 19,16--SQ. FT.
NOTES: in ENTRY -_24--_SQ. FT.
LOT GRADING TYPE = 9 GARAGE = 416 -SQ. FT.
PROPOSED PAD ELEVATION N/A COVERED LANAI =-W-A - SQ. Fr.
FRONT SETBACK = 20' PATIO = 23 SQ. FT.
SIDE SETBACK = 10' POOL AREA =--hZEMSQ. FT.
REAR.S'tTBACK = 10' CONC. DRIVE = 480—SQ. Fr.
A/C & CONC PAD =-2-----SQ- FT.
0\�o z - PRIVATE SIDEWALK = 29 SQ. FT.
IMPERVIOUS =-34 —%
=_2917 _ SQ. FT.
SOD 5771 SQ. FT.
OFF LOT AREA CALCULATIONS
RIGHT OF WAY =_2427.27 SQ. Fr,
DRIVE APRON 144 SQ. FT,
PUBLIC SIDEWALK =-713 -SQ. FT.
SOD = 1570 _SQ. Fr.
TOTALS
AREA
11114.86 SQ. FT.
—
DRIVEWAY =-&-24—SQ. Fr.
SIDEWALK =-742—SQ. FT.
SOD = 7341 SQ. FT.
bb
0 LOT 184
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LOT 183
J� \ \\ 50. 2 C?13
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LOT 182
PROPOSED:
LOWEST FLOOR ELEVATIONS:
PD LIVING AREA: 71.80'
GARAGE AREA: N/A
ELEVATIONS REFERENCED TO
DESCRIPTION: NATIONAL GEODETIC VERTICAL
LOT 183, MAP OR PLAT ENTITLED "HIDDEN DATUM OF 1929. MEAN SEA
LEVEL= 00.00 FT.
RIVER PHASE 2", AS RECORDED IN PLAT BOOK I CURVE RADIUS ARC CHORD BEARING DELTA I I I I I 079, PAGES 102 THROUGH 110, OF THE PUBLIC
v RECORDS OF PASCO COUNTY, FLORIDA. I C44 1 35.00- 1 53.18 1 48.21' 1 N 12-02.43" E 1 APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY PANEL N0. 12101 C0458F EFFECTIVE DATE: 09 f 26 f 2014
ISquare Feet: 8687.59 t LENNAR HOMES
POINT, PRM= PERMANENT
LEGEND:
z
(C)= CALCULATED DATA, (D)= DEED DATA, (M)= MEASURED DATA, (P)= PLAT DATA, %= CENTERLINE, A/C= AIR, CONDITIONER, B/Cm BACK OF CURB, C/S=
CONCRETE SLAB, CH= CHORD, CHB= CHORD BEARING, CLF= CHAIN LINK FENCE, CONC= CONCRETE, COV.= COVERED,-E/P= EDGE OF PAVEMENT, ESM'T- EASEMENT,
F/C= FENCE CORNER, FCM= FOUND CONCRETE MONUMENT, FIP= FOUND IRON PIPE, FIR= FOUND IRON ROD,'FN&r,,= FOU14D NAIL & DISK, FPP= FOUND PINCHED
PIPE,
LOW
IPE, LFE= LOWEST FLOOR ELEVATION, MAS.= MASONRY, OR= OFFICIAL RECORD BOOK, PB- PLAT BOOK,-PCP='PERMANENT-CONTRCL�P
REFERENCE MONUMENT, R/W= RIGHT OF WAY, R- RADIUS, SIR=SET 1/2" IRON ROD & CAP No. 4493, SN&D= SET NAIL -&-DISK-N-0.4493, -TBM= TEMPORARY
B U,
BENCHMARK U/P= UTILITY PME, W/F= WOOD FENCE
JOHN R.BEACH&ASSOCIATES,INC. Drawn SMS By:
SURVEYORS AND MAPPERS t Checked By:911 WEST ST. PETERSBURG DRIVE
C) ONE OLDSMAR, FLORIDA 34677 JRB
a Scale;
9 WAY (813) 854-1276 FAX (813) 855-8370
1"=30',
c: NOT VALID WITHOUT ORIGINAL SIGNATURE Date: PLOT PLAN 06/12/2020 RTM
0Vi AND SEAL OF A FLORIDA LICENSED D TE
5: SURVEYOR AND MAPPER JOH.N. R. BEAtM,,
jo Revisions: FLORIDA REG. LA% SURVEYOR No..2984 LB#4493
JEFF M. HAR&LDf-
dERjDF9SaX)VA-L SURVEYOR & MAPPER No.71
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PASCO COUNTY, FLORIDA
Permit No.
Date Permitted- �c.T
Builder Name/Owner Name Zee Control
County Parcel No. SubDiv:
Address/Location '7 2_. rri
Ciassiftcationrrype of UsQ f
TRANSPORTATION IMPACT FE Rate: Sq.Ft Un1f4 C 26
Exempt ❑Yes -[Q No How Determined
Impact Fee Amount $. .IOc3Z. Zone No. TAZ:
r
SCHOOL IMPACT FEE
Account (666) Single-Family Detached House, Amount $
(057) Mobile Home
s (058) Other Residentlal
123) Collection Fee
Exempt Yes . ❑No How Determined
PARKS AND RECREATION FEE-
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreations Total
Zone TOTAL AMOUNT $ !% Wws
Exempt ❑Yes ❑ No How Determined'
LIBRARY FEE
Land Accounf Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt []Yes ❑ No How Determined Total Amount
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By Checked By
NO CERTIFICATE OF OCCUPANCY WILL'RE ISSUED OR.FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOt1NTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY
Acknowiedgementbelow does not Imply acceptance of concurrence,but simply receipt of•a copy of this form,placing
the building pannit ownei on notice of this assessment and the conditions of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
INSTR# 2020175456 SK 10199PG 1935
10/20/2020 10:00'am Page 1 of I
Ropt: 2217014 Rea: 10.00
0s; 0.00 IT: 0.00
Nikki Alvarez—Sawles, Esq.
Pasco County Clerk & Comptroller
PermftND.-- Parcel ID No.26-26-21-0110-0 0000-1830
NOTICE OF COMMENCEMENT
state of .Florida countirof
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain Teal property,and In accordance with Chapter 713,Florida Statutes,
the following Information is provided In this Notice of Commencement:
1. Description of Property: Legal HIDDEN RIVER PHASE 2 Pe 79 PGS 102-110 LOT 183-
Street Address: 39672 Harmon Grove Court Zephrybills FL33541
2. General Description of Improvement Single Family Residence/Pool/-Screen.Enclosure I Fence
3. Owner Information: Lenpar Homes,I.I.C.
Name 4500 W Pjbir-ess St..Ste 200- Tampa FL 3_3607
Address city State
Interest In Property.
Name of Fee Simple Titleholder.AA
(if other than owner)'
Address city state
4. Contractor. Lennar Homes,LLQ
Name 4600 W CYpre,,Zk St.200 Tarri0a FL,33607
Address city State
Contractoes Telephone No,: 813-574-5700
5. Surety: NIA
Name
Address city state
Amount of Bond: $ Telephone No.:
6. Lender. N/A
Name
Address City State
Lender's Telephone No.:
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)(a)(7),Florida Statutes:
— -LennarHomesjLLC
Name
4600W-yp 8SSt,.Ste 200. --- -- Tampa FL,33607
Address city. state
Telephone Number of Designated Person: 813.574.5700
3, In addition to himself,the owner designates N16 -of
to nicelve-a copy oftha Llenoes,Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Eniity Designated by Owner.
9. Expiration data of Notice of Commencement 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 CHAPTER713, PART 1, SECTION71313 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A N6ficg 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.
STATE OF FLORIDA
COUNTY OF PINELLAS
"Signature of OvMr or Owner's Authorized Officar/Olrector/PartnerfManager
VicePresident
Signatory's Tide/Office
The Ibnagolng Instrument was acknowledged before me this.2Z_day of September by,
Steve-Robert Smith as Moe President of5car,trustee,attorney In Not)for
of authority, g.�
Leiinai Homes.LLC (name of party Dnlu" I rMtrument,was executed),
Personally Known A OR Produced Identification[3 Notary Signatu
11 C�l
Type of Identification Produced- Name(Plot) EMsa.Holleran
Verifiratlan pursuant to Section 92.625,Florida Statutes. Under penalties of perjury,I declare that I have read the foregoing and that the facts stated In
it am true to the best of my knowledge and-belief.
ELISSAR HOLLERM
Signature of Natural Person Signing Above
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