HomeMy WebLinkAbout19-21380 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21380
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21380 Address: 3875 CORREIA DR
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: NEW CONST/COMM Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: PARK PLACE CENTER
Est. Value: Parcel Number: 19-26-21-0010-00000-0070
Improv. Cost: 10,000.00 OWNER INFORMATION
Date Issued: 10/15/2019 Name: CHANCEY PARTNERS LLC
Total Fees: 4,146.85 Address: 6154 FORT KING RD
Amount Paid: 4,146.85 ZEPHYRHILLS FL 33542
Date Paid: 10/15/2019 Phone:
Work De_ sc: CONSTRUCT 1,650 OFFICE/WAREHOUSE
CONTRACTORS APPLICATION FEES
SUNSTATE ALUMINUMN INC BUILDING FEE 121.80
FIRST CLASS ELECTRIC INC ELECTRICAL FEE 45.00
R. CARR, INC. WATER CONNECTION COMMERCIAL 499.95
BAHR'S PROPANE GAS &A/C, INC. PLUMBING FEE 45.00
TRAFFIC IMPACT FEE 99% 1,739.68
MECHANICAL FEE 45.00
TRAFFIC IMPACT FEE 1% 17.57
FIRE INSPECTION FEES 75.02
NA FIRE PLAN REVIEW FEES 49.50
SEWER CONNECTION COMMERCIAL 1,034.55
c WATER METER RES 3/4" 473.78
Ins ections Required
FO TER 2ND ROUGH PLUMB Misc INSULATION EILI G
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.
f
SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City.of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received:
Site: 3� (F7:4,
Permit Type: �
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
r—Plans Examiner Date on r meowner
(Required when comments are.present)
Sunstate Aluminumn-3875 Correia Rd-1650 sq ft Metal Building#2
buildout
Column Es
SQ. FEET PRICE
MAIN OR LIVING: 1,650 $ 69.00 type vb
i
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 10,000.00
FEE SHEET $ 90.00
ADDRESS $ 30.00
DRIVEWAY
BUILDING: $ 121.80
ELECTRICAL: $ 45.00
PLUMBING: $ 45.00
MECHANICAL: $ 45.00
SUB-TOTAL $ 256.80
PUBLIC FEE
TOTAL $ 256.80
SEWER: $ 1,034.55
WATER: $ 499.95
IRRIGATION: $ -
TOTAL: $ 1,534.50
WATER METER: $ 473.78
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 49.50
INSPECTION TOTAL: $ j 75.02
PERMIT TOTAL
TOTAL: $ 124.52
PUBLIC SAFETY IMPACT FEES
POLICE $ - PD AT SHELL
FIRE $ -
5% $ -
TOTAL: $ -
SUB-TOTAL $ 2,389.60
PARK IMPACT FEES1 na
SIF'S: na
100.0% $ -
1.0% $ -
TOTAL: $ -
T I F'S: $ 1,757.25
99% $ 1,739.68
1% $ 17.57
TOTAL: $ 4,146.85
Sunstate Aluminumn-3875 Correia Rd-1650 sq ft Metal Building#2
buildout
Column
SQ. FEET PRICE
MAIN OR LIVING: 1,650 $ 69.00 type vb
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 10,000.00
FEE SHEET $ 90.00
ADDRESS $ 30.00
DRIVEWAY
BUILDING: $ 121.80
ELECTRICAL: $ 45.00
PLUMBING: $ 45.00
MECHANICAL: $ 45.00
SUB-TOTAL $ 256.80
PUBLIC FEE
TOTAL $ 256.80
SEWER: $ 1,034.55
WATER: $ 499.95
IRRIGATION: $ -
TOTAL: $ 1,534.50
WATER METER: $ 473.78
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 49.50
INSPECTION TOTAL: $ 15.00
PERMIT TOTAL
TOTAL: $ 64.50
PUBLIC SAFETY IMPACT FEES
POLICE $ - PD AT SHELL
FIRE $ -
5% $ -
TOTAL: $ -
SUB-TOTAL $ 2,329.58
PARK IMPACT FEESI na
SIF'S: na
100.0% $ -
1.0% $ -
TOTAL: $ -
T I F'S: $ 1,757.25
99% $ 1,739.68
1% $ 17.57
TOTAL: $ 4,086.83
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received '5-/ Phone Contact
ontact for Permitting
.................
Owner's Name R'D cq Owner Phone Number
Owner's Address Owner Phone Number
Owner Phone Number
JOB ADDRESS co LOT#
SUBDIVISION PARCELID#F
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL R REPAIR
i
PROPOSED USE = SFR Q COMM OTHER I
TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL
N
DESCRIPTION OF WORK r lA (3 Q*
BUILDING SIZE F— SCI FOOTAGE= HEIGHT
...........
MBUILDING VALUATION OF TOTAL CONSTRUCTION
F"
ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING 1$
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
!HHHHHHHHHH `4411111441 HHHHHHHHHHHHH HII HH H!HHH11H HHHHH!I H I lit HH I
BUILDER COMPANY I I
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address' License# I I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
—Address License# Fecot)Z)25-70
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL COMPANY
I I
SIGNATURE REGISTERED Y/ N FEE CURRR� Y/N
Address Ile 1�r V/ 4 4,v License# F4:—f,4 4,0
OTHER COMPANY
SIGNATURE REGISTERED LYL N J. FEE CURREN
Address I License J
I I
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/Slit 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&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.
...... . ........ ....... ..........------ ---------
Direcftons*
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(PlottSurvey/Footage)'
Driveways-Not over Counter if on public roadways..needs ROW
TICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
ch may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
olicable deed restrictions.
LICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
tractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
tractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
er state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
rided work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
9. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
:ions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
tractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
inty.
WSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY-FEES: The undersigned understands
Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
)7, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
nitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must,be paid prior to
iiving a "certificate of occupancy' or final power release. If the project does not involve a certificate of occupancy or
power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
JSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of work is,$2,500.00 or more, I
fy that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
action Guide" prepared by the Florida Department of Agriculture and-Consumer Affairs. If the applicant is someone
r than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
'er it to the"owner"prior to commencement.
ITRACTORISIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
)e done in compliance with all applicable laws regulating construction, zoning and land development. Application is
by made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
nenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
truction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
y that I understand that the regulations of other government agencies may apply to the intended work, and that it is
Dsponsibility 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, Weiland 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.
arstand 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 oneo)
acre which are elevated by fill, an engineered drainage plan is required.
i the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth.in
fidavit prior to commencing construction. I understand that a separate permit may be required foe electrical work,
ing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the"appli66tio,n.,, A
issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, ale r,, or
ide any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from\th6riafter
ng a correction of errors in plans, construction or violations of any codes. Every permit issued shall become,.invalid
the work authorized,by'-siublil permit is commenced within six months.of perm.
it-issuancia,-pr ACW&kauth-6rized'by
rmit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
a requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
ble cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
IING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
6 TWICE FOR IMPROVEMENT-$-TO-YOUR-"RPfiRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
YOUR LENDER OR AN AST N RE ORDING YOUR N_QMCS tMENT.
A.JURAT(F.S.117.03)
OR AGENT,
this.—
ad and sw ns-m—e this _d)150
b y_ -
re peFs&r_sWVn_own to me or has/have produced Who is/are personally known to me or hasthave produced
as identification, as identification.
Notary Public Notary Public
;!on No. Commission No.
Notary typed,printed or stamped Name of Notary typed,printed or stamped
ZEPHYR PLLLS FORE DEPARTMENT
38410 6th Ave Zephyrhills, FL 33542
FIRE SERVICE USER FEES increase 1/1/2018
Occupancy No.:
Plan No.: Contractor: 5 LT MZf
Business Name: Billing Address:
Business Address: ` '1 COW4 + (Pa.
Business Phone No.:' Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
\ Annual-
Education,healthcare,De
tention&Correctional Public
Assembly,Business, schools,
Storage,Mercantile and Churches
Site Plan N/C Industrial. no charge Sprinkler $50
Multi-Family/Commercial .03 sf up to 800 sq ft $ 24.00 Standpipes $50
(Minimum Charge$24.00 801-1,500 sq ft $ 34.52 Fire Pump $50
E Plan Revisions DBL ,501-2,500 sq ft $ 60.02 Hoods $50
2,501-3,500 sq ft $ 90.02 Fire Alarm $50
SPRINKLER SYSTEMS 3,501-5,000 sq ft $ 127.52 LP Gas $50
80-25 Heads $50 5,501-7,500 sq ft $ .187.52 Natural Gas $50
:26 plus:Heads $100 7,501-10,000 sq ft $ 262.52 Fuel Tanks- pertank $50
STANDPIPE SYSTEM 10,001-15,000 sq ft $ 375.02 Sparklers $100
❑`Per Riser $50 15,001-20,000 sq ft $ 525.02 Fire Works $500
FIRE PUMP 20,001-30,000 sq ft $ 750.02 Camp Fire(recreation: $25
�.Per Pump $100 30,001-40,000 sq ft $ 1,050.02 Controlled Bum(15da: $100
FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1,500.02 Hood/Duct $50
0-25 Devices $50 60,001-80,000 sq ft $ 2,100.02 Place of Assembly $50 Annual
80,001-($2,100.02)per
26 plus Devices $100 ea add 1,000sq ft $ 0.06 X Fire Protection $25
SUPPRESSION SYSTEMS (Business closed until Flammable Application $50 Annual
Wet $50 violations corrected) Waste Tire Storage $50 Annual
Dry $50 SPRINKLER SYSTEMS Generator<KW $100
CO2 $50 Hydro Undergrounds $45 Generator>30 KW $100
Other $50 Hydrostatic Test $65 persystem Bio-Hazard Waste $100 Annual
KITCHEN EXHAUST Acceptance Test $45 per system Fumigation Tenting $50
Hood/Ducts $50 Hydrant Flow $75 Torch Pot/Applied $50
.OTHER Haz.Materials $50 Annual
8 LP Installation per tank $50 FIRE ALARM SYSTEM
Fuel Tank Installation $50.. System Acceptance $50
(Per Tank) $50_ Recall Acceptance $50
Natural Gas Installation $50 OTHER
(Per System) T
re Wall/Smoke Wall $15 perwall
Spray Booth $50P Gas $25 pertank
atural Gas $25 per system
Tent 101x10'or greater $15 per tent
Fire Pump $45
Fire Suppression $30
System Acceptance
Exhaust Hood/Duct $30
Re-inspection DBL
(other than annual)
Inspection scheduled DBL
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle Acce $50 `
PLANS TOTAL, INSPECTION TOTAL PERMIT TOTAL'
GRAND TOTAL C,�
Comments: T /�
Date: Inspector:
see.back
nth
F'Ci.";^•:,,:x�1.�'`7`,i'_�^.s+'_"F?'.'"..._>.....r-,.,-.,>__•...-T i£Y:iy%'�°r^.t7.„-,^�_..;'?:S':.:.�'.1:.v.T_�::r.�.';^.�.=s:��:;u:a-ze.N.-;-.--r_tr-...,w�..r.^,�s:-.rtrcs!rrt.srwcoM-za�cw�
FALSE ALARM FEE
1stAlarm N/C
2nd Alarm N/C
3rd Alarm -N/C
4th Alarm $100
5th Alarm $150
6th Alarm $200
NON COMPLIANCE $160
Coiit.'Annual Inspection Fees
3-11 Units price per unit $ 5.36
12-25 Units price per unit $ 4:82
26=50-Units price per unit
51-100 Units price per unit $ 3:75
100 or more Units price per unit $ 2.68
Fire Safety re4nspectioWtypes
First Re-inspectioi N/C
Second re-inspect $75
Third re-inspectior $ 125:00.
.„Inspectionitcheduled but-cancelled'-24•hrs ,. $ 50.00
i
r
4
f
t{
a=
3
P,0
Square Feet Dollar Amount
Valuation
Building
Electric
Plumbing
Mechanical
Radon
Connection Fees:
Sewer / *D-
/
Water �cfov
Meter 3 -7
School Impact Fee:
(?CIATransportation Impact Fee: Ot
-7, 2 S7
C-
Jacqueline Boges
From: City of Zephyrhills Support <support@zephyrhillsfl.zendesk.com>
Sent: Monday, October 21, 2019 3:43 PM
To: Jacqueline Boges
Subject: [Request received] 3875 Correia dr by#21380
EXTERNAL EMAIL
##- Please type your reply above this line -##
Hello Jacqueline Boges,
We are working to resolve your request promptly and will keep you updated. One of our Support Analysts will keep
you updated on the progress of your request.
Best Regards,
FATHOM Support Team
TO ADD ADDITIONAL COMMENTS, reply to this email or click the link below:
https://zei)hvrhillsfl.zendesk.com/hc/requests/295788
.......................................................................................................................................................................................................................................................................................................................................................................................
Jacqueline Boges
s Oct 21 , 12:43 PM MST
services 3875 correia dr by#21380
This email is a service from City of Zephyrhills Support .
1
Jacqueline Boges
From: Sebastian Montes (City of Zephyrhills Support) <support@zephyrhillsflzendesk.com>
Sent: Tuesday, October 22, 2019 9:41 AM
To: Jacqueline Boges
Subject: [FATHOM] Re: 3875;Correia dr by#21380
EXTERNAL EMAIL
##- Please type your reply above this line -##
Your request (#295788) has been updated. REPLY TO THIS EMAIL or click the link below:
https://zephyrhillsfl.zendesk.com/hc/requests/295788
.......................................................................................................................................................................!...............................................................................................................................................................................................................
�} s Sebastian Montes (City of Zephyrhills Support )
Oct 22, 6:41 AM MST
Submitted SO #837103 to deliver 3/4 meter
Best Regards,
Sebastian I FATHOM Support
.......................................................................................................................................................................................................................................................................................................................................................................................
Joey Theel
--- - Oct 22, 5:41 AM MST
Private Sewer Liftstation.
......................................................................................................................................................................................................................................................................................................................................................................................
Sebastian Montes (City of Zephyrhilis Support )
Oct 21 , 2:26 PM MST
Created new commercial account
Sunstate Aluminumn
3875 Correia Dr
0001025928-003135434
Sent to GIS to map service
Best Regards,
Sebastian I FATHOM Support
1
Created new commercial account
Sunstate Aluminumn
3875 Correia Dr
0001025928-003135434
Sent to GIS to map service
Best Regards,
Sebastian I FATHOM Support
.......................................................................................................................................................................................................................................................................................................................................................................................
Jacqueline Boges
Oct 21 , 12:43 PM MST
services 3875 correia dr by#21380
This email is a service from City of Zephyrhills Support .
2
INSTR#2019179325 OR BK 9992 PG 2947 Page 1 of 1
10/21/2019 01:27 PM Rcpt:2101197 Rec: 10.00 IDS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. `- f 8O Parcel ID NA 240 LL. W I D Pc2nO
NOTICE OF COMMENCEMEbm,
State of County ot6�1�
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713.Florida Statutes,
the following intonation Is provided in this Notice of Commencement
1. Description of Property: Parcel Identification No.
streee Addr..s:s3 71 S C" 0—C2�1.16 It 0— Z�PLJ�+�fnl3354-
' 2. General Description of Improvement �:hU 1 L f l a;: r" L C-e
3. Owner Information or Lessee Information if the'Lessee contracted for the improvement•J'AQ� � y`- Q�,� U-C
Address
1 � City State
Interest In Property:
Name of Fee Simple Titleholder.
(If different from Owner listed above)
Address ity State
4. ContractorgiLl
Address City State
Contractor's Telephone No.:
5. Surety,. I
Name
� W Y
Q
Address City state (n W W LJL
Amount of Bond:$ Telephone No.: Ur 0 =,Z?J U
a. Lender. CO Name Q O U J N
Address
City State ILL LU Z (W/) � �p
Lenders Telephone No.: ® 0 M: Q ¢ O
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by � LL Of U
Section 713.13(l)(a)(7)•Florida Statutes: W
Z = DOLL 06
Name C) 0- W 0 Y
O
0 = LLI
U U Z��
Address city State -Q I"- F�- _J Q` U
Telephone Number of Designated Person: ® >-LL- W M 0 �
a. In addition to himself,the owner designates of IIx F— 0, a Q
— ® 1jr- Lt_ = Q
to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b),Florida Statutes. -J LLJ U 00 p
Telephone Number of Person or Entity Designated by Owner.
ly-
LL0o00
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the 0 1— Z
W L�
contractor. Q
• ncontractor.but cola be one year from the date of recording unless a different date is sped5ed): wc _! W
WARMNG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT co Lt
ARE CONSIDERED IMPROPER*PAYMENTS UNDER CHAPTER 713, PART I. SECTION 713.13. FLORIDA STATUTES.AND CAN _ Z L }-
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE 0 co
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 staled therein are We to the best
of my.knowledge-and betel.
STATE OF FLORIDA.
PASCO
o
COUNTY OF PASCO y�
see,ar ere or lessee's Authorized
cedO reclor/PartnerMtanager (� o .. cp •
Slgn/a�toys TiaelOffic ICJ z'� .Sf •�, �„%
The foregoing Instrument was acimowietl a 60efore me Wal day of y ,20dby ;/iTL- �� �� ��••
d as (type of authority,e.g.,officer.Wstee,attorney In fact)for
omifts �r �� (name party on behalf ofwhom in ant was ex ed).
Personally Known Produced Identification❑ Notary Sig K
Type of Identification Produced Name(Print) C L O TT tS
:►a:P„r,,� SHIRDE14A DEL.COTTO
Notary PUNIC-Sfi ll.of Flaldo
.• C6rttmllINN i ff W591
�,P:• My Corrim.ExplmJo 96,2020
"°�r��t•'• Bonded If�101111Wif Allen
v+pdatalbcsMoticecommencement�c053048 Y