HomeMy WebLinkAbout20-209 0
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t: r on nn ' City Of Zephyrhilis PERMIT.NUMBER r'.=
5335 Eighth Street ;
Zephyrhills, FL 33542 BAC_000209_2020
Phone: (813) 780-0020
Fax: (813) 780-0021 Issue Date: 06/22/2020
Permit Type: Add/Alter (Commercial)
Property Number Street Address
02 26 21 0010 00800 0050 6930 Gall Boulevard
Owner.lnformation Permit Information, Contractor Information
Name: CENTERSTATE BANK OF FLORIDP Permit Type:Add/Alter(Commercial) Contractor: CENT POINT HOMES LL(
Class of Work:Add/Alter Commercial
Address: 6930 Gall Blvd Building Valuation:$11,500.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: Mechanical Valuation:$0.00
Plumbing Valuation:$0.00
Total Valuation:$11,500.00 )—
Total Fees:$146.25 �J
Amount Paid:$146.25
Date Paid:6/22/2020 3:14:17PM
Project Description
INSTALL AWNING OVER ATM
Application Fees -
Building Permit Fee $97.50 Building Plan Review Fee $48.75
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.
C CTOR SIGNATURE PE VIT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
rRec8sived
-780-0020 City of Zephyrhills Permit Application Fax-813-78Building Department
D (0 Phone Contact for Permitting Lao
Owner's Name
Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
//
JOB ADDRESS o O LOT#
SUBDIVISION F PARCEL ID# V - t%a 2-1 `00 "O
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED Fgq
NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR ® . COMM E:Y!l OTHER IGU
TYPE OF CONSTRUCTION Qw ' BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Ri VW (3 2(r 4 T M
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ j VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ / AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER /
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY C7,47f,
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# C
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
-SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
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.
.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(PlottSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
t"
1F DEED RESTRICTIONS: The undersigned understands that.this permit may be subject to"deed" restri
=
g` be more restrictive than County regulations. The undersigned assumes responsibility for compliance w'
deed restrictions.
UNL.., :LASED 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 maybe 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 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 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,.WaterM/astewater 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 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 AGENTFOR 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,
plum bing,;.sighs, wells, .pools, air conditioning, gas, or other installations not specifically included in the'application. A
permit iss.ued 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-OK-AN-ATTORNEY-BEFORE-REt;OkDlkG-YOUR-NOT-ICE-OF-COMMENCEMENT.—-- -- —
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and swo to ed)before a this
by
Who is/are personally known to me or has/have produced Who I* personally kno to me or has/have produced
as identification. as identification.
i
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i
Notary Public lu Notary Public
Commission No. Commis 0iono.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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To Whom It May Concern:
Please be advised that Center Pointe°Homes is giving Anthony Detrick permission to sign permits and
applications for the following site:
Center State Bank
6930 Gall Blvd.
Zephyrhills, FL 33542
This permit will include an aluminum awning at Centerstate Bank.
Thank You,
Harold R. Baxter
Center Pointe Homes, LLC
4900 Dundee Rd
Winter Haven,.FL33884
Harrold R. Baxter
STATE OF FLORIDA
COUNTY OF POLK
The foregoing instrument was acknowledged before me by means of ph fLsical presence or online
notarization,this IV day of Mkg .2020, by Harold R. Baxter as President of Center Pointe
Homes, LLC,on behalf of the company,who is personally known to me or has produced
as identification. T12
{AFFIX NOTARY SEAL}
Notary Public
1 *�o'• HALSE:GG
ARSON f1, n
o Print Name
:?fG� Notary Publictate of FloridaCommissio 357266My Comm.Exs Jul 22,2023Bonded through Na '{Notary Assn.
My Commission Expires
Office of the Comptroller of the Currency _. . . .... ._.._..._.__ --
Southern District
600 N.Akerd SL,Suite 1600
Dallas,7X 76201
March 8,2016 1
Mr.John P.Greeley
Smith Mackinnon,P.A.
P.O.Box 2254
Orlando,Florida 32802 M4
Re: Consummation of the business combination application for the bank merger of Community Bank of
Florida,hw-,homestead,Florida(Community)with and into CenterState Bank of Florida,National
Association,Winter Haven,Florida-OCC Control No.2015-SO-Combination-145717
Dear Mr.Greeley:
This letter is rite official certification of the Office of the Comptroller of the Currency(OCC) for the
bank merger of Community with and into CenterState Bank of Florida,National Association, Winter
Haven, Florida, Charter No. 22311 (Bank), effective as of March 2, 2016. This March 8, 2016 ,
certification letter supercedes our earlier certification letter dated March 3,2016,based upon subsequent
events as detailed in your correspondence to me dated March 8, 2016. This is also the official
authorization given to the Bank to operate the following nine target branches as branch offices of the
Hank. Branch information is as follows:
treet ddr s MY toe ZIP Code Certificati n
302 West Palm Drive Florida City FL 33034 172129A
28801 SW 157'"Avenue Homestead FL 33033 172130A
809 North Flogler Avenue Homestead FL 33030 172131 A
2804 NE 8'5 Street Homestead FL 33030 172132A
100150 Overseas Ilighway Key Largo FL 33037 172133A
19990 SW 177's Avenue Miami FL 33187 172134A
18765 South Dixie Highway Miami FL 33157 172135A
24701 South Dixie Highway Princeton FL 33032 172136A
91390 Overseas Highway Tavernier FL 133070 172137A
If you have any questions.please call me at(214)720-2823.
Sincerely,
Robert G.Gaffney
Senior Licensing Analyst
FRANK L.BENNARD P.E.
Digitally signed PE6
ALUMINUM CARPORT/CANOPY _ M `F b Frank VA420513FORZIPCODE: alQ
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"_°>__`, , FOR PERMIT USE WITHIN 14
MASTER PLAN SHEET
)°,"I„�; Date:
•:E,y-..,, .al; DAYS OF DIGITAL SEAL
��ttyi,i..i T;• zO20.Q5.1 2 PE0046549 CA-9885
Eastern MefaI supptY °
i 10:35:09-04'00' VALID FOR 1 PERMIT ONLY U N O
NOTICE:IF THIS SHEET DOES
"LOW WIND"(SEE SHEET 2) "HIGH WIND"(SEE SHEET 3) NOT CONTAIN AN ORIGINAL
SIGNATURERE&®ENGINEER SEAL:
MAX.WIND SPEED 115 MPH,EXP.C MAX.WIND SPEED 175 MPH,EXP.C IFTHERE IS A DIGITAL
MAX.ROOF LIVE LOAD 20 PSF MAX.ROOF LIVE LOAD 20 PSF S EET S PARTOFADIGITPLLY
SIGNED FILE,SHALL REMAIN IN
DIGITAL FORMAT,&PRINTED
COPIES OF THIS DOCUMENT
GENERAL NOTES• ARE SEALED IF THERO SIGNED
AND SEALED.IF THERE IS NO
DIGITAL SIGNATURE ON SHEET 1
OR THIS DOES N
1. THIS STRUCTURE HAS BEEN DESIGNED AND COMPLIES WITH THE DESIGN REQUIREMENTS OF CONTAINSHEET AN ENGINEER'S
THE 2012&2015 INTERNATIONAL BUILDING CODE AS WELL AS CURRENT VERSIONS OF THE ORIGINAL SIGNATURE&SEAL,
MN,NC,NJ,NY,OH,SC,&VA BUILDING CODES AS APPLICABLE.CONTRACTOR SHALL THIS SHEET IS A COPY/-
INVESTIGATE AND CONFORM TO ALL LOCAL BUILDING CODE REQUIREMENTS WHICH MAY w D a m
APPLY.DESIGN CRITERIA OR SPANS BEYOND STATED HEREIN MAY REQUIRE ADDITIONAL SITE y.0 v
SPECIFIC SEALED ENGINEERING.MAXIMUM LOADS BASED ON RISK CATEGORY II UP TO #m„�N.I o Z
Vult=175 MPH,Vasd=136 MPH,EXP`C',OPEN BUILDINGS,CLEAR WIND FLOW,Kd=0.8S, UJ J^i a: w
_ Kz=0.85,Kzt=1.0,1'5'MRH,5D'MAXIMUM-SLOPE,ZONE 3 FOR C&C LOADS PER ASCE 7-10. O D U•D`S
2. WIND LOADS ACTING SIMULTANEOUSLY WITH ROOF LIVE LOAD OF 20 PSF.DESIGN PRESSURES Q W=°�' c W i
HAVE BEEN BASED ON LOAD COMBINATIONS PER THE 2012&2015 INTERNATIONAL BUILDING < W¢i
CODE.DEFLECTION LIMIT OF L/60 USED FOR DETERMINATION OF ALLOWABLE DECKING SPANS Z¢a'` i
PER THE 2015 ALUMINUM DESIGN MANUAL AND THE 2012&2015 INTERNATIONAL BUILDING Iu L LU
CODE TABLE 1604.3 FOOTNOTE h. m" e o WW
_ 3. LIVE LOADS SPECIFIED HEREIN LIST THE ALLOWABLE ROOF LIVE LOAD AND MAY BE j.Ni
SUBSTITUTED WITH THE REQUIRED SNOW LOAD(NOT CONCURRENTLY WITH ROOF LIVE LOAD) w n z
Y3� 3
PROVIDED THE ACTUAL ROOF SNOW LOAD REQUIREMENT FOR THE PROJECT SITE IS CERTIFIED w a O w
BY A PROFESSIONAL ENGINEER BASED ON PROJECT CONDITIONS.ROOF SNOW LOADS IN Q No LU
FREE STANDING EXCESS OF 20 PSF ARE BEYOND THE SCOPE OF THIS CERTIFICATION. 19 o
16 ID wn k
1
HOST ATTACHED RAISED SEAL OF THE CERTIFYING P.E.SELECTED ABOVE.ALTERATIONS,ADDITIONS,OR OTHER
3 4 9 10 MARKINGS TO THIS DOCUMENT ARE NOT PERMITTED AND INVALIDATE OUR CERTIFICATION.
3. THE EXISTING STRUCTURE MUST BE CAPABLE OF SUPPORTING THE LOADED ALUMINUM
CARPORT/CANOPY STRUCTURE AS DETERMINED BY OTHERS OR BY SPECIAL ENGINEERING BY d d N
T UNDERSIGNED ENGINEER ATTACHED HERETO.NO WARRANTY IS CONTAINED HEREIN. d z N
ok 4. SYSTEM COMPONENTS SHALL BE AS NOTED HEREIN.ALL REFERENCES TO EXTRUSIONS AND U) o LL w
INSTALLATION SHALL CONFORM TO MANUFACTURER'S SPECIFICATIONS AS SUMMARIZED
HEREIN. F< Q Q N w Cu'5. NO CERTIFICATION IS OFFERED FOR WATERPROOFING,SIZING,OR OPERATION OF GUTTERS. O m N O z LD
6. ALL ALUMINUM SHALL BE 6063-T6 ALLOY AND TEMPER UNLESS NOTED OTHERWISE. Iy
E _ 7. ALL FASTENERS TO BE#14 OR GREATER AND 304/410 SS UNLESS NOTED OTHERWISE. w Q u
FASTENERS SHALL BE CADMIUM-PLATED OR OTHERWISE CORROSION-RESISTANT MATERIAL 3 d o f 12 'm
a AND SHALL COMPLY WITH"SPECIFICATIONS FOR ALUMINUM STRUCTURES"SECTION 5.2.1 BY Z Go N°' Z rn
THE ALUMINUM ASSOCIATION,INC.,&ANY APPLICABLE FEDERAL,STATE,AND/OR LOCAL Lu N"' f a oz
® CODES. W v 3 J F
® 8. FOR ALUMINUM MEMBERS ALL ANCHORS SHALL BE SPACED WITH 2xDIAMETER END DISTANCE ¢
AND 2.5xDIAMETER MIN.SPACING TO ADJACENT ANCHORS,UNLESS NOTED OTHERWISE.
R 9. ALUMINUM WELDING SHALL BE PERFORMED IN ACCORDANCE WITH WELD FILLER ALLOYS Q
MEETING ANSI/AWS A5.10 STANDARDS TO ACHIEVE ULTIMATE DESIGN STRENGTH IN Lu
ACCORDANCE WITH THE ALUMINUM DESIGN MANUAL PART I-A,TABLE A.3.6.ALL ALUMINUM 5555
m CONSTRUCTION SHALL BE IN CONFORMANCE WITH THE TOLERANCES,QUALITY,AND METHODS a gg
OF CONSTRUCTION AS SET FORTH IN THE AMERICAN WELDING SOCIETY'S STRUCTURAL
® WELDING CODE-ALUMINUM(D1.2).MINIMUM WELD IS 1/8"THROAT FULL PERIMETER FILLET o
WELD UNLESS OTHERWISE NOTED.
6 10. THE CONTRACTOR IS RESPONSIBLE TO INSULATE ALL MEMBERS FROM DISSIMILAR MATERIALS
TO PREVENT ELECTROLYSIS. aaDo
5 6 11. ANCHORS SHALL BE INSTALLED IN ACCORDANCE WITH MANUFACTURERS'RECOMMENDATIONS. c a
EMBEDMENT SHALL BE AS NOTED HEREIN.EMBEDMENT AND MINIMUM EDGE DISTANCE 3
7 C p EXCLUDES STUCCO,FOAM,BRICK,AND OTHER WALL FINISHES.
C7 12. NO 33-1/3%INCREASE IN ALLOWABLE STRESS HAS BEEN USED IN THE DESIGN OF THIS
SYSTEM. WIND LOAD DURATION FACTOR Cd=1.6 HAS BEEN USED FOR WOOD ANCHOR DESIGN. 6$
> 13. MINIMUM REBAR COVER FOR CONCRETE FOOTINGS IS 3"FOR CONCRETE CAST AGAINST AND x
CARPORT/CANOPY ISOMETRIC ALLOWAB"SOILTLY PBEARING PRESSURE ASSUMED TO BE 2000 PSF.SOIOSED TO EARTH AND 2"FOR CONCRETE EXPOSED L TO BE WELL EARTH OREATHER. §
COMPACTED TO 9S%OPTIMUM DENSITY. mPYRICHr ExcINEERwO EIF"ems°
>r 14. ENGINEER SEAL AFFIXED HERETO VALIDATES STRUCTURAL DESIGN AS SHOWN ONLY. USE OF
ABOUT THIS DOCUMENT THIS SPECIFICATION BY CONTRACTOR,et.al.INDEMNIFIES&SAVES HARMLESS THIS 17-5515
ENGINEER-CERTIFIED ORIGINALS,VARIATIONS E ENGINEER FOR ALL COST&DAMAGES INCLUDING LEGAL FEES&"APPELLATE FEES RESULTING
a &MORE INFORMATION CAN.BE FOUND BY FROM MATERIAL FABRICATION,SYSTEM ERECTION,&CONSTRUCTION PRACTICES BEYOND SCALE:NTS UNLESS NOTED
IUVMW DATE: VISITING ENGINEERINGEXPRESS.COM/STORE THAST WHICH IS CALLED FOR BY LOCAL,STATE,&FEDERAL CODES&FROM DEVIATIONS OF
' �{/ OR BY SCANNING OR USING m CC■• ' Cw zx# I y�►(/L THE WEB ADDRESS FOUND HERE > 15. EXCEPT AS EXPRESSLY PROVIDED HEREIN,NO ADDITIONAL CERTIFICATIONS OR AFFIRMATIONS
THIS l"G MARC'A•�' � lV ORIGNALUEN ENGINEER CERTIFICATION ecalc.io/175515 ARE INTENDED.
jm
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FRANK L BENN/OIDQ,P.E.
TO CONCRETE(3 FROM
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INSTR#2020131454 OR BK 10155 PG 3742 Page 1 of 1
08/12/2020 11:04 AM Rept:2192391 Rec:10.00 IDS:0.00 IT:0.00
Nikki Alvarez-Sowles, Esq.,Pasco County Clerk&Comptroller
This space for use by Clerk of the Circuit Court only.
NOTICE OF COMMENCEMENT
Permit Number.
Tax Folio No.
The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the
Florida Statutes,the following information Is provided In the NOTICE OF COMMENCEMENT.
1. Legal Description of property(street address required): l�cs NTn L�M�Z3 P.a IL
-1o93a (.4u. Z r.%Pt4Y ' {r , S 3SCNIL
UL •• 7� - Zi •- CX�IpD •- c7i^FYCY� •- CY3S<�
2. General description
/pof improvements: Q1Q&1L_ h-ZW— ll T
SQr
3a. Owner Name: In
Owner Address: VA 1 8 r l
3b. Owner's interest in site:
3c. Fee Simple Title holder(of other than owner)
Address:
4. Contractor Name: —1-kir. P—oi,1fc atuuh s LL&-
Address: �1�t 1rA1Y-Y 2 t,9sr!} f FL&3 CL 3 Phone: 3 7' ql3`(
5. Surety Name: Amount of bond:
Address: Phone:
6. Lender Name: Contact:
Address: Phone:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by
Section 713.13(lxa)7,Florida Statutes.
Name: Address:
Phone Number:
8. In addition to himself.Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes.
Name: Address:
Phone Number.
9. Expiration date of Notice of Commencement(expiration date is one(1)year from date of recording unless a different date is
specified).
WARNING TO OWNER ANY PAYMENTS MADE BY AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED ROPROPER PAYMENTS UNDER 113 AR ,SECTION 71113,FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE FOR DIIPROVEMENTS TO YOUR OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF Y A,FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDIN F COMMENCEMENT.
Sign of Owner or Lessee,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
V-'mil Y/aoCr.�i^7°
Signatory's Title/Office
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH T
Thee fore g nstrument was ocknowlee`�d�ge before me this .30 day of V!, �� )n 41)
by /' Gn Kr as J!'v� _for__: C'on/e! Sit?
Personally Known OR Produced Identifieatian
Type of Identification Produced
Signature-Notary Public
Under penalties of e h e read the foregoing and that the stated' of
"� JAMES LEWIS,III
Signature ofNaaaal Person Signing Above 69 MY COMMISSION 4 GG51345
Vo,rV EXPIRES:January 02,2021
(A copy efmy bond mmr be sawhed at the time ofmomvisfon ofthu Notim of Cam -m ) NOV2011
„ a
State Of Florida,County of Pasw
This Is to certify that the foregoing is a
true and correct copy of the document
on file or of public record in this office,
wit s h m and d officials al this
y
4 �tr *. CV'&
day of 2
Nikki Alvarez-Sowles, Clerk&Comptroller
Pasco County,FI
` By , Deputy Clerk