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20-391
F>L'o oK City CI Of Z@ fl rhills 'PERMIT NUMBER`:' , p Y 5335 Eighth Street Zephyrhills, FL 33542 BNR-000391-2020 Phone: (813)780-0020 'w "•, I � Issue Date: 08/27/2020 1 Fax: (813)780-0021 \h._ • it Permit Type: Building New (Residential) Property:Number = Street Address 24 26 21 0110 00000 2610 3010 Nubbin Ridge Dr Owner'Information Permit_Information Contractor Information 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:$267,205.80 TAMPA,FL 33607 Electrical Valuation:$40,080.87 Phone: (813)574-5700 Mechanical Valuation:$26,720.58 Plumbing Valuation:$18,704.41 Total Valuation:$352,711.66 Total Fees:$19,885.30 Amount Paid:$19,885.30 0✓ Date Paid:8/27/2020 10:56:36AM Project Description CONSTRUCT SINGLE FAMILY 2,372 SQ FT Application Fees Sewer Connection Residential Fee $2,090.00 Electrical Plan Review Fee $120.20 Driveway Fee $45.00 Plumbing Permit Fee $133.52 Building Plan Review Fee $683.02 3/4 Water Meter Fee(Cale) $473.78 SIF 1 percent Fee $83.28 Electrical Permit Fee $240.40 Transportation Impact Fee $3,595.68 Address Fee $30.00 Park Impact Fee-Single Family/Townhome $769.56 Mechanical Plan Review Fee $86.80 School Impact Fee $8,328.00 Transportation Impact Fee-City $36.32 Plumbing Plan Review Fee $66.76 Mechanical Permit Fee $173.60 Public Safety Impact Fee-Admin $26.35 Water Connection Residential Fee $1,010.00 Public Safety Impact Fee-Police $254.00 Public Safety Impact Fee-Fire $273.00 Building Permit Fee $1,366.03 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 813-780-0020r City of Zephyrhills Permit Application A.Fax-813-780-0021 b Building Department Date Received Phone Contact for Pet-miffing 813 363 28 1111 111 1117717-1171 oil A NIF-11 a a 9:1 - Lermar Homes,LLC . . . r8 00 Owner's Name Owner Phone Number 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 3010 Nubbin Ridge Lane LOT# 0261. SUBDIVISION Hidden River Phase 2 PARCEL ID# 24-26-21-0110-00000-2610 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRF--] ADD/ALT SIGN DEMOLISH PINSTALL F__] REPAIR PROPOSED USE SFR F-] COMM OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL DESCRIPTION OF WORK Single Family Residence Pool/Screen Enclosure/Fence BUILDING SIZE I U/R SF 2372 SO FOOTAGE1936 HEIGHT 1 Story Ttr 1 -10BUILDING $ 1 $267,205.80 1 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL 1$ $40,080.87 1 AMP SERVICE FX_J PROGRESSENERGY W.R.E.C. PLUMBING $ $26,720.58 MECHANICAL 1$ $18,704.41 VALUATION OF MECHANICAL INSTALLATION =GAS 0 ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES Do BUILDER COMPANY Lennar Homes,LLC, SIGNATURE eREGISTERED Y/ N FEE CURREN Y/N Address 14600 W.Cypress St.Ste.200,Tampa,FL 13 License# I CGC 1518166 I. ELEC RICIAN COMPANY Edmonson Electric, Inc. SIGNATURE REGISTERED Y/ N FEE CURREN Address 11034 Skipper Road,Tampa, FL 3361/,,- License# FEC13005408 44� PLUMBER COMPANY BayonetPlumbing, Heating &AC, Inc SIGNATURE Z REGISTERED Y/ N FEE CURREN Y/N Address P.O. Box 5308, Bayonet, FL 34674-5308, License# I CFC042998 MECHANICAL COMPANY Bayonet Plumbing, Heating &AC, Inc SIGNATURE REGISTERED Y1 N FEE CURREN Address P.O. Box 5308, Bayonet, FL 34674-5308� License# I CAC058062 OTHER COMPANY C Sterling Quality Roofing, Inc SIGNATURE REGISTERED Y1 N FEE CURREN I Y/N Address 14211 Shoal Line Blvd, Spri/dHill, FL 34607 License# I CCC057991 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 wl 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 wl 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. . . . . . . . .. . . . . . . . . . . . . tirtitions: 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 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. 1--also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPRO TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR TO NEY BEFORE RECORDING YOUR NOTICE O MMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER-OR AGENT CONTRACTOR -- - Subscribed and sworn to(or affirm e-me this Subscribed and sworn to(or affirmed) efore me this uy-cur-/_u by Ashlee Callahan °s-Dui-zo by Ashlee Callahan Who is/are personally known to me or Who is/are personally known to me or as identification. as identification. otary 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 � {�• ELISSAM.HOLLERANi�►Ye1 ELISSAM,HOLLERAN Commission#HH 000460 w; Commission#HH 000460 a;Expires June 6,2024 : ° �Q;Expires June 6,2024 Bonded TN°„t••' a Tray Fain Insurance 600.385.7019 „t`Z�` Bonded TNu Tray Fain Insurance 000.3e5.7010 a V ASCO COUNTY, FLORIDA - - Permit No. Date Permitted' o Builder Name/Owner Name zv r- Control County Parcel No. subDiv: ` Address/Locatlon I �r r Classification/Type of Use TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Exempt ❑Yes ❑ No How Determined Impact Fee Amount Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ (057) Mobile Home (058) Other Residential 123) Collection Fee Exempt [�Yes ..❑No How Determined PARKS AND RECREATION FEE- Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ Exempt ❑Yes ❑No How Determined`` LIBRARY FEE Land Account 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 BE ISSUEiD OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt of•a copy of this,form,placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY D Q Single Family Dwelling Plan Review Comments 1. F.. - shall be a minimum of 8"above the road elevation and an engineered site plan. 2. Lots shall be graded to comply with R401.3 of the F:B.C:. 3. Compaction test required if 24"or more,of fill,dirt is brought-in at any one place. 4: Tie in survey required before,pouring concrete. . -5: Driveways require.a R,O:W. use permit: All 4 sides of drive_ waythru the sidewalk shall have expansion material. -6. All setbacks shall be met. 7: All property markers shall be'uncovered,and.maiked at time of first inspection_ . 8: All A:D.A.'requirements shall be,met: 9: :No electric,.plumbin&mechanical, or framing shall.be covered without an inspection.and . approval first: 10:.All Garages shall comply with section R302:6 of the F.B.C. (Fire-Separation).: 1.1. Appliances shall not be installed in a location where subject to mechanical damage unless protecte ,by approved barriers. M303:4 of the F:B:C 12. Water heaters shall:comply with section P607.3 of the F.B.C; 13. Foundation supports for A/C_units shall be raised at least 3" above finished grade. M1308.1 14. Return air in all bedrooms. F.B.C. M1620:4 1.5. Smoke detectors.are to be installed in accordance with R3.13:1 of the_-F.B.C_. 16.All glazing requirements are to be in accordance-with R308A of the F.B.-C. 17. All means.of egress are.to be in accordance with R311 of the F.B.C. 18. "Green gypsum.board" shall not be used as a backer in showers or tubs. R702.4:2 F,B.C. 10. Combination-type AFCI-breakers are required at all locations requiring an AFCI type breaker. 20. Carbon monoxide alarms will be required in'new construction that.uses fossil-burning Beating or appliances or an attached garage.- They shall be installed in accordance with the-F.B.C: 21. All plumbing,mechanical; and electrical shall be separate from unit to unit: This includes all underground pluinhing and electric. 22. All 2016 N.E.C. Codes will be enforced. '23. Tamper- Resistant.Receptacles in accordance with 406.11 of the 2016 N.E.0 24. In accordance with the Land Development Code,lots.shall.be sodded before final at least 10 feet around the structure. 25:.14403.5.Mot.water pipe insulation Insulation-far hot:water.'pipe with a minimum thermal resistance (R-vaiue) of R-3 shall.lie applied to the following:. Piping_3j;inch (1.9.1 mm)and larger.in.nominal diameter.. Piping serving more than one dwelling unit. Piping located outside the conditioned space;. Piping from themater heater to.a distribution manifold:. .. Piping.located under a floor slab. Buried in piping. Supply and return piping in recirculation systems other than demand recirculation systems. -25. Blower door test shall be provided before C.O: 26.A copy of the enerey.cacls shall be with-permit at all times 27. Copy,of final insulation report shall be provided ivith permit before r1nal 28:No fence,pool or screen enclosure Is issued with this permit F.F.E.-Finished Floor Elevation F.B.C-Florida Building Code 6t'Edition R.O.W.-Right of Way, A.D.A.=Americans with Disabilities Act N.E.C. National Electric.Code(2016) PLOT PLAN SKETCH ONLY SEC. 24 , TWP. 26 S, RNG. 21 E. NOT A BOUNDARY SURVEY LOT 2 61 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: 1�. NOTES TAKE PREFERENCE. THIS PLAN IS FOR PERMITTING PURPOSES ALL DATA SHOWN HEREON BASED ON THE ONLY, NOT FOR CONSTRUCTION, VERIFY ENGINEERING PLANS OF KIML£Y—HORN AND ALL DIMENSIONS BEFORE ANY CONSTRUCTION. rai ASSOCIATES, INC„ PROVIDED BY LENNAR HOMES. LEGEND: II + = 10' PUBLIC UTILITY EASEMENT NAA— = PROPOSED DRAINAGE FLOW (00.00) = PROPOSED GRADE ON LOT AREA CALCULATIONS E-00.00 = EXISTING GRADE 0 LOT = 996077 SQ. FT. LIVING AREA 1936 SQ. FT. NOTES: ENTRY =__20 SQ. FT. LOT GRADING TYPE = A GARAGE =_416 SQ. FT. PROPOSED PAD ELEVATION = N/A COVERED LANAI = N/A _SO. FT. FRONT SETBACK = 20' PATIO —_ 23 SQ. FT. SIDE SETBACK = 10' CONC. DRIVE = 475 SQ. FT. REAR SETBACK = 10' A/C & CONC PAD = 9 —SQ. FT. PRIVATE SIDEWALK = 29—_SO. FT. IMPERVIOUS _ 29 — 2908 __SQ. FT. LOT 231 SOD _ 7053 Q. FT. OFF LOT AREA CALCULATIONS �a n RIGHT OF WAY __2498.29 SQ. FT. L / DRIVE APRON = 144 SQ. FT. + .' PUBLIC SIDEWALK —�784 SQ, FT. SOD = 1570 SQ. FT. LOT 262 TOTALSAREA = 12459.06 SQ, FT. 1�aO fro:. tia6o kp DRIVEWAY = 619 SO. FT. 1 SIDEWALK = 813_SQ. FT. SOD 8623 SQ. FT. I LOT 232 958� �O.90 `0 o.•• Ap •O. <01 �9.OM•a�iP y3�,'1' �a5� '' �uC,1 .20 .. �7. :\.` goo. `2$•y 65• ''`Po• r r,,,r' `h CP. kp ��. `rr, ryo5. Ln �o Ln 3?Ln . O 6) C5 Gfl 8 a ��ry,.q� •��. s��fl YV¢FG a PROPOSED: LOWEST FLOOR ELEVATIONS: LIVING AREA: 73.15' PCP(P) GARAGE AREA: ELEVATIONS REFERENCED TO r NATIONAL GEODETIC VERTICAL DESCRIPTION: DATUM OF 1929. MEAN SEA LOT 261, MAP OR PLAT ENTITLED "HIDDEN RIVER PHASE 2", LEVEL= 00.00 FT. Ln <r AS RECORDED IN PLAT BOOK 079, PAGES 102 THROUGH I CURVE I RADIUS I ARC I CHORD I BEARING I DELTA 110, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. I C56 1 25.00' 1 40.56' 1 36.25' 1 N 77r57'17"w 1 92'56'48" APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY PANEL NO. 12101 C 0458 F EFFECTIVE DATE: 09/26/2014 w Square Feet: 9960.77 LENNAR HOMES C] G S(C)= CALCULATED DATA, (D)= DEED DATA, (M)= MEASURED DATA, (P)= PLAT DATA, %= CENTERLINE, A/C= AIR CONDITIONER, B/C= 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, ql F/C= FENCE CORNER, FCM= FOUND CONCRETE MONUMENT, FIP= FOUND IRON PIPE, FIR= FOUND IRON ROD, FN&D= FOUND NAIL & DISK, FPP= FOUND PINCHED PIPE, LFE© LOWEST FLOOR ELEVATION, MAS.= MASONRY, OR= OFFICIAL RECORD BOOK, PB= PLAT BOOK, PCP= PERMANENT CONTROL POINT, PRM- PERMANENT REFERENCE MONUMENT, R/W= RIGHT OF WAY, R= RADIUS, SIR=SET 1/2" IRON ROD & CAP No. 4493, SN&D= SET 14A( W DISK No.4493, TBM= TEMPORARY BENCHMARK U P= UTILITY POLE, W F= WOOD FENCE }' JOHN R.BEACH&ASSOCIATES,INC. Drawn By: I—: SMS °�' SURVEYORS AND MAPPERS Checked B i 911 WEST ST. PETERSBURG DRIVE JRB y ONE OLDSMAR, FLORIDA 34677 ; - - WAY (813) 854-1276 FAX (813) 855-8370 Scale: ! - 1„=30' o NOT VALID WITHOUT ORIGINAL SIGNATURE Date: PLOT PLAN 6/1/2020 ACS AND SEAL OF A FLORIDA LICENSED IGN RE — DATE ? SURVEYOR AND MAPPER JOHN R. OH Revisions: FLORIDA RE LAND S'JN•VEYOR No, 2984 LB 4493 � JEFF M. HA LEY AL SURVEYOR'& MAPPER No.7123 INsT.q#2020139935 OR BK 10164 PG 2141 page 1 of 1 0812612020 09:58 AM Rept:2197216 Rea 10.00 US;0.00 IT:0.00 Nikki Avarez-Sowles,Esq.,Pasco County Clerk&Comptroller Permit No. Parcel IDNo 24-26-21-0110.00300-2610 NOTICE OF COMMENCEMENT stow of Florida Courdy Of Pasco THE UNDERSIGNED hereby gives notice that Improvement wig be made to certain real property,and In accordance with Chapter 71 S.Florida Statutes, the(offowing Information Is provided In M Notice of Commencement 1. Deactiption of Property.Legal HIDDEN RIVER PHASE 2 PB 79 PGS 102-110 LOT 261 SbvetAddresa: 3010 Nubbin Ridge Lane Zeptirlthills FL 33541 2. General Desa"4n of Improvement Single Family Residence I Pool 7 Screen Fndosum Fence 3. Owner Information: Lennar Hornes,I.I.C. lCypria 4606 W as Hams 60 TafnrA FLM07 Address - - , - -- City State Interest In Property: Name ofFeaSimple Thisholder-rN11 •Address 4. Contractor. Lennar domes LLC Cily' state V GX V; -ite 2 4600 W C;�"&6� I p - Go Tampa FL,33807 Address CRY state CDnb2dtGftTeIeph.naN..; 813.574.5700, S. Barely. NIA Name Address —----- -city State Amountol'Band: Telephone No-, 8. Lander N/A Name Address city State Lenders Telephone No-, T. Persona WM the gate of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Fladda Statutes: ceppk&mg, • Nam 4600 W CVpress St,Ste 200 Tampa FIc_33607 Address city Mate Telephone Numb*ro!Designated Peman: 813.574.5700 8. In 266ftn to htmsO,the owner designates,NIA-- - - of LIJ to receive a copy of Lionar's Notice as provided In Section 71&1 3(l)(b).Fftdda Statutes. -j I LLI -j Telephone Number of Person or Entity Designated by Owner. Z !Z 0 0 LU U.. :L 9. Expiration date of Notice of Commencement Is one year from[he date of recording urdess a different date is specified: CD 0 F- I F- 0 z 0 M LU 0C) WARNING TO OVVNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT 0 Q LO -j cl� 0 ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1, SECTION 713.13, FLORIDA STATUTES,AND CAN fA 0 LLI RESULT IN YOUR PAYING TWCE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE (D 0 F- rj) RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT U.) WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK CR RECORDING YOUR NOTICE OF COMMENCEMENT. 1.Uj- Z -j 0 0 STATE OF FLORIDA 0 U. I, COUN TY O F PNELLAS C)�: W C) U- 'S UJ' Simsture of Owner or Owners Auth*riz OflicedUrecicy(PartnedManager z Y0 Uj Vice President 0- Ir Sfgnatorft THIel0fice C) 0 Thu famitaing Instrument was oclutowledged before me ING.L_day of JUly by Qin 0 LL Steve Robert Smith -as-Vice President (we of aftemay In fact)for Z 0 ix 0- < >-- :,—Ins"j1u'-rnwWdQwvs executed). ir X LL. 2: < Lenner Homes.-I-1.0 C9 �>Ve ago Personally Known III Da Produced Identification E:) Notary Sfgna&`�,�!- 0 LU 0 < Type of identflivation Produced Name{print) Ellssa Holleran LL 0 0 >1 Verification pursuant to Section 92.525,Florida Statutes. Under penatifies of pedwy I derriere It have mad the foregoing and that the facts stated In W _J LLI (j)LIJ tare Itue to the best of y knowledge and belief. U-1 M tbamlWseAkHogWBO Signature of Natural Person Signing Above W I-- vipdataftsIbcs form] 7 �C. . _ .. Rkcoipt Noffi4 log"" BUILDING: MIC.IgiensC)dV6 PA S c 'COUNTY FLIORII-A�/W11 P. iWt M 8 1 26 N "T PERMIT PW&SV: ZhiMAI dd Auth,# dashjerlb 'Workstation Chkk 01a04209 MLAAWLD, BCOC P69,VV Amount-Paid irnp'act'ri?e.k,e-sldehfial"8olid'Wastti Single Faiiiily. .16.1 2Z TotaiLP ayments: $1.50Z tmar Addi6gjs LtNNAR =(=ents- ' OJ'b,'WUBf3j4A10,08 LN PERMIT'301 .24:26 21.0140-'00000-26110 yduki g6os�.0 Ibri t _e4likkfe6j,NOT-- or :sh6wn ¢y First, n -.i.rvIces the ullamounfofihe�j6djjiEgra. myrqportslreportslIPASCOPRODIPASCQICustomer Redeipt vlf.rpt Print Date: 10113/2020 Page 1 Of'I .