HomeMy WebLinkAbout21-3112Et�/ Zephyrhills
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5335 Eighth Street
Zephyrhills, FL 33542
-003112-2021
Phone: (813) 780-0020
Fax: (813) 780-0021
Issue Date:
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35 25 21 0010 11100 0041 7136 16Th Street
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Name: NOLAN & OAKLEY FARNSWORTH
Permit Type: Add/Alter (Residential) Contractor: NOLAN & OAKLEY
Class of Work: Add/Alter Residential FARNSWORTH
Address: 7136 16Th St
Building Valuation: $5,900.00
ZEPHYRHILLS, FL 33540
Phone: (813) 500-1993
Electrical Valuation: $1.00
Mechanical Valuation: $1.00 ` (®
Plumbing Valuation: $1.00
Total Valuation: $5,903.00
Total Fees: $104.25
Amount Paid: $104.25
Date Paid: 11/29/2021 10:34:49AM
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SHED & CARPORT W/ FREE STANDING 18 X 31
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Building Permit Fee $69.50 Building Plan Review Fee $34.75
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.
• * addition •o the requirementsof permit, there . be additional restrictions applicable to this
property
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.
OCCUPANCY
accordance with City Codes and Ordinances. NO 0 CUPANCY BEFORE C.O.
NO BEFORE C.O
M�
CONTRA( OrATURE PEfAIT OFFICE[)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting -113 qf V I
Owner's Name
Owner Phone Number
7
Owner Phone N
Owner's Address umber
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
/zw,
LOT #
SUBDIVISION
PARCEL ID4
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
R
N1W CONSTR ADDIALT
SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM
OTHER
TYPE OF CONSTRUCTION BLOCK FRAME 0
STEEL
DESCRIPTION OF WORK
Z V
BUILDING SIZE So FOOTAGE r
HEIGHT
1711—r-r-II'mr-r-w—ri—J!"r-
=BUILDING
4:q �1)11
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
E=
AMP SERVICE
PROGRESS ENERGY W.R.E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Directions:
--eOMPANY
� REGISTERED
A
E
COMPANY
REGISTERED
COMPANY
REGISTERED
E
COMPANY
REGISTERED
E
E
COMPANY
REGISTERED
L_y LN
FEE CURREN
L_IZ N_J
License #
F--
Ly L N
Y/N
FEE CURREN
License #
EY / N FEE CURREE Y / N�
License 4
,EED,RRE, I N
License #
LYL N] FEE CURREN L_Y_LN _J
License #
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
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
Attach (2) sets of Engineered Plans,
*—PROPERTY SURVEY required for all NEW construction.
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)
Remofs if shingles Sewers Service Upgrades A/C Fences (P]oUSurvey/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 IMPACTIUTILITIES 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 WateplSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law —Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner' prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water[Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit -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 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.
FLORIDA JURAT (F.S, 117 03�
OWNER OR AGENT_J�,
4%bpcn. _=a d sworn(o aft r m eye f
by 0 Ua Yir Xpre me I
is/ a person tlykEown to me or has/have produced
Public
sworn
this
2M
1_- asidentlfication.
Notary Public
Commission No.
Name ofNITty4o ' led IWO"WoWStAte of FWde
R® AN iC Nnn� A Rrmk_%
My Commission GG 178530
M� �;,t/ Expires 02tIM022
(4) For lots or parcels which are cleared,
silt screens shall be placed between the construction
site and the water body to prevent erosion and
siltation.
(E) All development shall control storm water
runoff for the purpose of preventing flooding in
adjacent areas or pollution of water bodies.
(F) Canals shall not be permitted in proposed
development or redevelopment, unless clear and
specific proof of public benefit is provided. The public
benefit shall be based upon the irrefutable need for
canal(s) for flood control, water quality management,
and/or resource management. Development proposals
containing proposed canals shall supply written
conceptual approval from SWFWMD, EDER, DNR,
and/or ALOE along with the application for
development proposal.
(G) Where a development proposal includes
provisions for deposition of fill, shores resulting from
the deposition shall not exceed a slope of 6: 1.
(H) Shorelines with existing slopes steeper than
10: 1 shall be protected by shallow filter or spreader
berms.
PART 7.09.00 SUPPLEMENTAL S ' TANDARDS
FOR SPECIAL USES
The purpose of the supplemental standards is to
set forth general rules and regulations for uses,
buildings, and structures applying to all zoning
districts, including properties that are a contributing
structure; as well as to provide for additional
regulations for restricted uses applying to specific
zoning districts as enumerated herein. Expansion of
nonconforming uses by the construction or addition of
accessory structures shall not be permitted.
(Ord. 1359-18, passed 6-25-2018)
n Reouirenients
§ 7.09.01 ACCESSORY USES AND
STRUCTURES.
MRIMIM 9 OMNA slaw"',
GARA-&�-, t'
UNITS.
201
The following regulations shall apply to all
accessory uses and structures incidental to any
permitted or conditional use (for garages and garages
with accessory suites see § 7.09.01,02).
(A) Zoning of accessory structures. All
accessory uses to a principal use shall be located in a
zoning district that permits the principal use.
Structures up to 15 % of the total square footage of the
principal structure, up to 300 square feet and no more
than 16 feet in height (or maximum height of principal
structure), at a maximum point of roof pitch, from the
grade, shall be permitted in residential and office
professional districts. Structures up to 300 square feet
can advance directly to the Building Department for
payment of proper permitting fee. Structures between
301 and 625 square feet, or in excess of 16 feet to the
peak of the roof, as measured from the grade (or
higher than the maximum height of the primary
residence) in residential and office professional
districts shall be reviewed and approved by the
Planning Department prior to the issuance of building
permit by the Building Department, information
submitted to the Planning Department shall include,
but may not be limited to, information pertaining to
height, design elements, increased setbacks, and
landscaping plans around the perimeter of the
accessory structure. In the event the Planning
Department denies the request, the applicant can
appeal the denial to the City Council. Structures larger
than 625 square feet require a conditional use permit.
(B) Construction tinnng° No accessory building
shall be constructed upon a lot or parcel or contiguous
lot or parcel except in conjunction with or after
construction of the primary building,
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1) All property markers shall be fully exposed at time of inspection, (RED TAG IF NOT
2) All sheds shall be installed and anchored per manufactures specifications, (RED TAG IF
NOT ANCHORED PER PLAN)
3) All set -backs shall be met,
4) Shall not be installed in easements,
5) Shall be set in the rear or side yards,
6) Only 2 accessory buildings per parcel.
7) Sheds shall not be rented or inhabited,
8) Must meet and follow all conditions of ordinance:780-01
9) No accessory building shall be larger than 300 sq ft without site -plan approval
10) Not to exceed 1.6" in height at peak.
11) No other work shall be permitted (framing, plumbing, electrical and mechanical) unless
otherwise specified,
12) Accessory buildings in residential zorkes that exceed 150 Sq ft shall be constructed of
masonry, wood frame, aluminum or vinyl Aluminum and vinyl shall be residential grade
and be consistent with existing architecture of the principle building and adjacent
13) Fence shall not encroach neighbor's private property or right of way.
14) Fence shall be no taller than 6 feet in the rear and sides of home, 4 feet from the front
15) Good sidis of fence shall face out,
M��. "�
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Fwd: the plans for carport
I message
Nolan Farnsworth <nfannuwodh53@gmuiioom^
To: mimskathyl955@gmaii.com
---------- Forwarded message ---------
From: <bnanda@theoarportcomponyoom>
Date: Thu, Sep 3U.2O21.7:57AM
Subject: The Carport Company
Attached are your digital prints, please let me know if you need anything else.
Florida Approval #
Window JELD-WEN
14462.1
Roof Panels TRI COUIT
9903.3
9901.2
Walk in door
7091.1
Thu, Sep 30, 2021 at 8:02 AM
4-19 IP M IN 13 -T- 92.' N, 5G,,iI 76% 0
JUD61L(� LeVeL Yeti
Building Images
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Perspective View Front Left Side
Right Side Back
Left
--------------------------
7,5
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7,
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10
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C2 W�' , ',6H'N1nnWS
Structure Details
Style: Shop -Port
Installation Surface: Dirt 1
0
a
CODES AND STANDARDS
1. WIND LOADS AS PER:
A. FLORIDA RESIDENTIAL BUILDING CODE 7TH EDITION (2020) WITH AN ULTIMATE DESIGN
WIND SPEED OF 150 MPH, EXPLOSURE B, NOMINAL DESIGN WIND SPEED
OF 117 MPH, BUILDING RISK CATEGORY I.
2. ROOF LIVE LOAD DESIGN IS 20 PST. seca�E.goTrorno wT ..
wTHa,z,4
3. THE PROJECT WAS DESIGNED IN ACCORDANCE WITH THE:
A. FLORIDA BUILDING CODE 7TH EDITION (2020).
B. BUILDING CODE REQUIREMENTS FOR REINFORCED CONCRETE
(ACI 318/ 2014 EDITION).
C. MANUAL OF STANDARD PRACTICE FOR WELDING REINFORCING STEEL,
INSERTS & CONNECTIONS IN REINFORCED CONCRETE CONSTRUCTION.
AWS D1.4/ LATEST EDITION
D. SPECIFICATION FOR THE DESIGN, FABRICATION & ERECTION OF
STRUCTURAL STEEL FOR BUILDINGS (AMERICAN INSTITUTE OF STEEL
CONSTRUCTION) AISC 13TH EDITION (ASD).
4. MATERIALS AND ASSEMBLY TEST AS FOLLOWS:
A. EXTERIOR WINDOWS, SLIDING AND PATIO GLASS DOORS SHALL BE TESTED
BY AN APPROVED INDEPENDENT TESTING LABORATORY, AND SHALL BE
LABELED WITH ANAPPROVED LABEL IDENTIFYING THE MANUFACTURER,
PERFORMANCE CHARACTERISTICS AND APPROVED PRODUCT CERTIFICATION
AGENCY, TESTING LABORATORY, EVALUATION ENTITY OR FLORIDA STATE WIDE
PRODUCT APPROVAL NUMBER TO INDICATE COMPLIANCE WITH THE REQUIREMENTS
OF ONE OF THE FOLLOWING SPECIFICATIONS:
ANSI/AAMA/NW W DA 101/I.S. 2-97 OR TAS 202
B. EXTERIOR DOOR ASSEMBLIES SHALL BE TESTED FOR STRUCTURAL INTEGRITY
IN ACCORDANCE WITH ASTM E330 AT A LOAD OF 1.5 TIMES THE REQIRED
DESIGN PRESSURE LOAD.
C. SECTIONAL GARAGE DOORS SHALL BE TESTED FOR DETERMINATION OF
STRUCTURAL PERFORMANCE UNDER UNIFORM STATIC AIR PRESSURE
DIFFERENCE IN ACCORDANCE WITH ANSI/DASMA 115 OR TAS 201,202 AND 203.
5. STEEL FRAMES SHALL BE SPACED NO MORE THAN 60" O.C. U.N.O. ON PLAN, ALL TUBE
STEEL SHAPE STRENGTHS ARE 46 KSI STEEL. ALL CUPS ARE 36 KSI STEEL.
6. STEEL WELD STRENGTH SHALL BE 55 KSI TYP. ALL WELDS SHALL BE V8" MINIMUM
FILLET WELDS.
7, ANCHORING BUILDING:
A. BUILDING SHALL BE ATTACHED WITH HELICAL ANCHORS PER THE HELICAL ANCHOR DETAIL.
B. WHEN EMBEDDED INTO ASPHALT HELICAL ANCHORS OR 30" LONG #5 REBAR WITH A NUT
WELDED TO THE TOP, SHALL BE INSTALLED AT 12" ON CENTER FROM EACH SIDE AND
THE BALANCE o 56" ON CENTER.
C. WHEN PLACED ON A 4" CONCRETE SLAB, A 1/2" EXPANSION ANCHOR WITH 2-1/2" OF EMBEDMENT
SHALL BE INSTALLED 12" FROM EACH SIDE AND THE BALANCE O 56" ON CENTER. CONCRETE SHALL
BE MINIMUM COMPRESSIVE STRENGTH OF 2500 PSI AT 28 DAYS.
8. ALL STEEL TO STEEL FASTENERS ARE TO BE 12-14 x 1/4 HW U ULTRA-2 TCP3 CS.
9. EACH LOCATION WHERE THE FRAME IS JOINED TOGETHER WILL HAVE 2 SCREWS ON EACH SIDE OF THE JOINT.
WALL AND OPENING PRESSURES
COMPONENTS
AND CLADDING (VASD)
OPENING TYPE
HEIGHT
WIDTH
CODE
TYPE MATERIAL
PRESURE (PSF)
WINDOW
38 3/8'
37
23
SINGLE HUNG * ALUM.
+21.0 / 28.1
DOOR
96"
36
S 750
SINGLE CURTAIN STEEL
+20.1 / -26.3
DOOR
96"
72'
S 750
SINGLE CURTAIN STEEL
+19.2 / 24.6
DOOR
96" (
104"
S.-750
SINGLE CURTAIN STEEL
+18.61-23.4
DOOR
96"
120"
S. - 750
1 SINGLE CURTAIN STEEL
+18.2 / -22.6
DOOR
96"
144'
S 3100 I SINGLE CURTAIN STEEL
+18.1 / -22.2
"-
PROVIDE BARRIER
BETWEEN
ALUMINUM AND STEEL TO PREVENT CORROSION
CONNECTOR
SCHEDULE
CONNECTION
---
0
------------------------------._._.._._...._
LENGTH
TYPE
MATERIAL
- SPACING FROM
TYP. SPACING
EA CORNER
METAL SIDING ROOF
1/4"
3/4"
SELF TAPPING
GALV. MTL SCREW
1-1/2"
- 10" O.C.
CMETAL SIDING WALL
1/4"
3/4"
SELF TAPPING
GALV. MTL SCREW
1-1/2"
- 10" O.C.
TUBE TO TUBE
1/4"
3/4"
SELF TAPPING
GALV. MTL SCREW
(2) SCREWS
EA. TUBE
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NONSTRUCTURALHEADEROR WINDOW RAIL
TO POST CONNECTION DETAIL
SCALE: NTS
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METAL CONNECTOR
PLATE
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o _
0
a O N
2'
METAL CLIP ANGLE
END WALL
FRAMING SCHEDULE
END WALL MEMBER TYP_ SPACING
VERTICAL SPAN
14 FT TO 15 FT j 3 6" O.C. (42' O.C.)
13 FT TO 14 FT o 4'-0" O.C. (48" O.C.)
1 V-6" TO 13 FT o 5'-0" O.C. (60" O.C.)
0 TO 11 -6" - U-0" O.0 (72 O.C.)
ROOF BEAM SCHEDULE
STRUCTURE TYP. SPACING
i
0'-20'WIDE 2.25X2.25X16 GAUGE
20'-24'WIDE 2.25 X 2.25 X 14 GAUGE
221111
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10'-0" WIDE END WALL FRAMING
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18'-0" WIDE END WALL FRAMING
24'-0" WIDE END WALL FRAMING
"C" FRAME BOW SECTION
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ANCHOR SCHEDULE
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36" EMBED FOR #5 REBAR
STRUCTURE
<- 120 MPH
5 130 MPH <- 140 MPH
5 150 MPH
0' - 24' W IDE
56" O.C.
56" O.C. 56" O.C.
20" O.C.
30' W IDE
30" O.C.
20" O.C.
16" O.C.
12" O.C.
40' W IDE
24" O.C.
16" O.C.
12" O.C.
N/A
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r 24'-0" MAX
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ANCHOR SCHEDULE
1/2" DIA. EXPANSION BOLTS TO THICKENED
EDGE FOOTING, 2 1/2" EMBED
STRUCTURE < 140 MPH < 150 MPH
0'- 24 W IDE 48' O.C. _48' O.0 J
30' W IDE 48" D.C.48' O.C.
40' W IDE 48" O.C. 36" O.C.
TO NONSTRUCTURAL HEADER RASE,
)R WINDOW RAIL CONNECTION DETAIL
SCALE: NTS
40' FT MAX
(2) 2.2Y.2.25" 16GA
HORIZONTAL
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DESIGN DATE:
09/29/2021
REVISION 1:
DATE
PAGE:
REVISION 2:
DATE
SCALE:
NTS
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>Y6'14,"A
Permit No.
INSTR# 202123122 OR BK 1 PG 246 Page 1 of 1
10/27/2021 03:57 PM Rcpt: 2370820 Rec: 10.00 IDS: 0.00 IT: 0.00
Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller
Parcel ID No
, NOTICE OF COMMENCEMENT
State of (i ,/fA County of ;; .
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following Information is provided In this Notice of Commencement: 6
1. Description of Property: Parcel Identification No.
Street Address: //�lD f r ort
2. General Description of Improvement/C3
3. Owner Information or Lessee Information If the Lessee contracted for the improvement:
Addresa 11 City State
Interest in Property: U L✓/1 1C -
Name of Fee Simple Titleholder:
(If different from owner listed above)
Address / City State
4. Contractor: / %
a e 1L f Zx�d YI f 6/� P' L-
Address (C�J City State
Contractor's Telephone No.:
8, ' Surety.,
Address City _ — State
Amount of Bond: S Telephone No.:
8, Lender:
Address City State
Lenders Telephone No.:
7. Persona wittlin the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(i)(a)(7), Florida Statutes:
Name
Address
Telephone Number of Designated Person:
City Stake
8. In addition to himself, the owner designates of —
to receive a copy of the Ltenors Notice as provided in Section 713.13(1)(b), Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
g. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be one year from the date of recording unless a different date Is spectfied):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ct 01nh CTATI tTFS Agin CAN
RECORDED AND POSTED ON THE JOB SITE BEI OUKtz I Ht HKb I rrtbrtt,ttUM tr 1— uv I I— ,., .,.,,.,.•. • •• __, __..___.
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, i declare that l have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and ballet.
STATE OF FLORIDA
COUNTY OF PASCO
&or
Signature of Ownere, Owatees or Lessee's Authorized
Officer/Diredtor/P ger
Signatory's TWOMce
�C 6 �i®fa.rl �'at'r1cJ(,cf®fit®
The foregoing instrument was acknowledged before ma this or �J day of(O @di7- . 20L4 by
as (type of authority, e.g.• officer, trustee, attorney In fact) for
{nor a of party on behalf 09 ipYhumant was executed).
Personalty Known Cl QS Produced Identific tion ( Nopptary Signature dcJ'A+4j`l
Type of Identification Produced v 1/ er5 NJ' a7Jeme (Print)
wpdatalbcs/no0cecommencernent_pc063048