HomeMy WebLinkAbout96-6247
BUILDING PERMIT N!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
-6247~
Date
/1... /~~~9t-
? s --.. u"'""V
BUILDING
.;.l 0 ~ tY7:?
ELECTRICAL
:.Lo. t-~
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
:~:::::~3/d;r !7t~Ci~
Parcell.D. # I () -;)6 - rJ-J- ~ G? 9'0 - 0 OJ C7 (} G - <.9 O-S 0
Zoning: Energy Code:) J Radon Gas:
Description of Work ~ !J~ ~( ~- ~--&-. ;--dJt=...? -rA...LP--
Water Meter:
T_I.F.'s:
FINAL J2- /0- q>~
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
~43
pe'm;tF~
s;gnaMe - _ - - _ h\ ~i.JL..
Company \..,
Address
Telephone#
Valuation or
Contract Price
II. -5'zn;. ~
,
City License Registration # ;:LI /'
State Certified License#
~f1z~p~
~... A J~.3,;r- t!~~ .;>./'1
ELECTRICAL PLUMBING
MECHANICAL
BUILDING
Ftr. J I t;1~ ~ L1- Tp. Serv,
Pre SLB 1/ / ok 1 Rough In
Lintel Meter Can
FRM. Const. Pole
Insul. CL Pool
WL Pre-Meter
Final
~.6,v~ //-dJ--'l~8ILL
SLB 11-' '1- 'il/P r~C') B
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
~ \1"1 't-qlo BoB
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15,00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site,
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER' S NAME .://:; AI e I l
OWNER' S ADDRESS ;1 q 0 ~ f'
JOB ADDRESS 3 q /) &.t~
x/de/)
-
/ c Th IJ /.;' e..
/~ th Ilu~
LEGAL DESCRlPl'ION: LOT(S)
BLOCK
PHONE yg;l - 3'1 Ii:.{
.2 Cf"if" h,. II~ '71/1 d, 35 ~ 0
L ~/nj itA. L P /1 s -:'1- /11 .5 .sSL/CJ
SUBDIVISION
PARCEL I. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition -Alteration _Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE: ___Single Faaily
_KIF
_' of Units ___K/H
_~ercial
_Indust.
""",*-Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:concrete pool
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$ 11500.00
Valuation of Total Construction
_ELECTRICAL
AKP Serv'ice
Florida Power Corp.
W.R.E.C.
_MECHAlIICAL
$
Valuation of Mechanical Installation
_PLUKBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _B1ock _Fraae _Steel
Other
FIlU.SHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
BUILDER
CONTRActOR SECTION
COMPANY HOMETOWN POOLS
State Cert. or Regist. 'CPC
City License Registration ,
******************************************
INC
025542
..J. J 7
Signature
::::-IL-
~ COMPANY DENNIS TRZNADEL ELEC. CaNT.
/ /.1 State Cert. or Regist. ,
~ 1J...A J/, City License Registration . .J.1. R'
***************************************
PLUMBER
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
Signature
..
..:iJ. /7
MECHANICAL COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
OTRF.R COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A.' NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands that this pemit lay be subject to Bdeed restrictions" whicb laY be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, they laY 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 laY be
ci ted for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licenSing
requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtheIlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
.Contractor Sections" of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to pemitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIl!OWIler's Protection
Guide" prepared by the Florida DepartJent of Agriculture and Conslller Affairs. If the applicant is sDlleOne other than the
nowner", I certify that I bave obtained a copy of the above described docutent and prOlise in good faith to deliver it to the
"owner" prior to COIlenCetent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and that all work will be done in coapliance with all
appliCable laws regulating construction, zoning, and land developlent.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas COMenced prior to issuance of a pemi t and that all work will be perforted to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developleJlt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDlental agenCies aay apply to the intended IOrt, and that it is
Iy responsibjlity to identify wbat actions I lust take to be in colpliance. Such agencies include but are not liJited to:
t DepartJent of Environtental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands,
Water/Wastewater Treatlent
t Southwest Florida Water Managel8nt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
t Arly Corps of Enqlneers - Seawalls, Docks, Havigable Waterways
t Departlent of Health & Qebabilitative Services; Environtental Health Unit - Wells, Wastewater Treattent, Septic Janks
t US EnvirODlental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "An or "A,etc.", it is understood that a drainage plan
addressing a .cQlpensating volDle" will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to pemit_ issuance.
A perlit issued sball 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 tbe technical codes, nor sball issuance of a pemit prevent the Building Official frol thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIlit issued shall beCOle invalid
unless the work authorized by such pemit is COllenced within six IOnths of issuance, or if work authorized by the pemit is
suspended or abandoned for a period of six IOnths after the tile the work is cOll8llced. One 90 day extension of tile, lily be
allowed for the pem~t with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
WARMING TO omR: YOUR FAILURE TO RECORD A NOIICE OF COMMDCEIIINJ MAY RESULT IN YOUR PAYING !VICE FOR IMPROVEMmS TO YOUR
PROPERlY. IF YOU INJEJID TO OB!AIH FIWCING, COHSULJ WIIH YOUR LENDER OR AM AnORm' BEFORE RECORDING YOUR HarICE OF
COMMEHCEMENJ. JOBS UNDER $2,500 IN VALUE 00 NOI NEED TO RECORD AND POST A 'NOIICE OF COIIHEHCEMENJ'.
~ <to ~)
. . . SIGJIA : ~R OR AGENT
SIGNATURE: CONJIlAC'J'OR
STATE OF FLORIDA
COUN'lY OF PASCO
The foregoing instrument was acknowledged
before me this Nov~t12th, 19~ by
Janet L. Ri der
who is personally known to me or who has
produced PA Drivers I ;r.pn,p
as identificat' and Wh;;r' ~t .
take an oath. ~
ut - U
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19_____ by
(Signature)
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
OFFICIAL NOTARY SEAL I
DEBRA L NALES
NOTARY PUBLIC STATE OF FLORIDA.
, COf\ofMISSTON NO. CC2m19._ :
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~HE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS
DOES NOT CONFLICT WITH ANY UNDERGROUND OR OVERHEAD FACILITIES OF
FLORIDA POWER CORPORATION, PROVIDED THAT THE POOL IS INSTALLED IN
THE LOCATION SHOWN ON THE ATTACHED SITE PLAN PROVIDED TO US BY
THE POOL CONTRACTOR. ...
,
THE POOL PROPOSED FOR CONSTRUCTION AT THE ABOVE ADDRESS
DOES CONFLICT \VlTH O/H U/G FACILITIES OF FLORIDA POWER
COlWORATION. ..
~::'.~.;~~:~?? i:'
:'-- .............
ARRANGEMENTS HAVE BEEN MADE WITH US FOR RELOCATION OF THE
FACILITIES SO AS TO CLEAR THE POOL AREA SHOWN ON THE ATTACHED SITE
PLAN.
.....
....
FLOlUDA POWER CORPORA nON
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CGJ'tl'lAf.'ML a4....:s: ('mUSt 4u.- PeJrL CA-u..l.u<<,
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. ~ / &~W~ 1-fY/Pt:
STEPHEN F. BUNNER
DISTRlBUTION ENGINEERlNG
':. ::~~:~.~~ .
ewer ~.
ZEPHYRHlllS OPERATION CENTER: 364530011/0' ROld , Zophyrhill, I Flolldl 33541 , 18131 783,09""
A Fiorid. PrO~"11 Comp.ny
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Hometown Pools, Inc.
37008 Price Dr.
iephyrhiJIs, FL 33541
813-782-70n
rANOARO RESIOENTlA1.
MMING POOl. CONTRACT
Fl. iAMFA cAY CHAP'iE:i=I
This contract made as ot Ih. date ot Wflnen aCClttllanCe by Ihe mermber bUilder listed aCOve
"ereinatter lermed -Contractor"" and Ihe party named below. nerelnaner termed .Purcnase~
PURCHAS~
JANET RIDER
Ph. HOM F
MAILING AODRESS
,39048
10U-. ave
Ph. BUS
ZEPHYRHILLS
ZIP
Contnlctor aQr_lo COftS1NC'l . swimmirMIJ pool and --,,_nees 11'1""0 ., ""r..na"er l:lf'O"lded by tn. 0.-. soec:r'ic:.aliOns a"dlerm. 121 In. conlract ae:
INSTALLAnON AODFl'ESS
SAME
LEGAL OESC.
It. to
Iff MAX LENGi"H .
5
24
llf WATER ARE.A 250
,/'t. NSPf TYpe: A
sit
POOL SHAPt;
PERIMETEf'
CUSTOM
78
MAX wtOTH
IIf Ol::~. 3
12
ft. to
100
1,. Underwal.r IignunQ
12. Main draifl
13. OecJt ~OO .
1...
fiber optic
8 In.
21, Timer
22. TesI kit
2:1. Vac~!"
.24, Srus"
yes
4-1
healf-XXXX~i~~XXXXXX
1 I.eaf net 1
1
owner
Fill.r SySt.m de 6 5
1h.p.
Metl'lOCl 01 cnlonnalior1t. C 1
Surl.ca skimm"r S - 1 5
Ese... 1111
15.
16.
17.
OecJc ~lnaQ.
l..adCl.r IGrac';'...
SI~aJl
01","9 Bel. I. St.afl~XXXXXXXX~XXX
::..oe XXXXXXXXXXXX
~nlil.Y;;;COO"'91t11e b r i c k
el<<:rnc:a! hOOIWO - (" n n t
SQ. It. are---..2 c y r 1 i c
~ in. p/ft
rtd
25. Adiuslable gOle
2~. Sla~enem,ea'"
Pumo & mOlOl'
4 weeks
Tile
Col~6x66 .
la.
19.
20.
27. Healel': n' rl r 3TU TyCle_
z:;. .:.......7..::: ::IU"~~ bar r a S1,;1..9 a
r~.:...:..~ i....
Inlenor fI"..,. mar C':' i t ~
GFl-X-
29. l.ove seat
::10. Sw",'out
yes
911~l8
dlllonal Provision..
INSTALL 6 4x10 SOLAR PANELS
REMOVE AND REPLACE FENCE
TERMS
I... ._ally agreed ,and sel lort" nerein. ?urena,.r hereund.r aQ~ 10 make oroqress oaymenls based on Ihe lotal once sel lonn in In is canlract. 10 I".
ntractar. as 'ollows: -
CON,",Ac::T PRICe s 11 500 . 00 s
to'lll Down c:a-ymen'
SOCllt When ,ougn ,nell is in OIlICII
35' When olumbing IS comolel.-f
5.... Wh"" 0001 is camoleled. ready lor inlerior IIn,sn
ConstructIon arOQre.. may De arresled be"""..n alliin<! and reclllal cI OIImenl lor ..en Dnase 121 construCtion.
NOTICE TO PURCHASER
00 NOT SIGN THIS CONTAAC7" BEFORE YOU RE/.D IT OR IF p!RnNEHT INFORMAnON IS MISSING FROM BUNK SPACES.
s IS a nome solicnallcn sale. II YOU dO nol wanl tne gaoos cr sef'rice. contracted lor. you may cancel InlS aoreement ~ malllne; a notice 10 Ine seller. nlls nCIICe must
leal. In.' YOU do not want In. QOOda and se"..ces and mus' tI" DOSlmanced tJy mldftlQnl Ine In,I'd day atter you SIgned In. aQreem.nL
'. c""".c:- ~n.1I b. ~..'"rt1 ." off"r to ,,,. C""".r::l:lr ."t1 $"." b. "ull ."" "'0,1/ III"/~S$ .C~.Il'.rI II". dulv 4UI"O"'PfI G";~.ro''''. CO"".':Ior ~,,,,,, I,,,..,. (II'''' 0' tit. 0.'.
· "..'''01.. "Ca.. lit. Pu/r:".~.rJ $U;".'u,.s. TIt. $.'.S"'." It.. '"' ."'"0''''''''' O'''fI tit. COt'f,rect", All ~fJ'..,"."'$ """fI u"f1r~sr."tI."V$ ..,,, eo,,,.,,,.f1,ft ,,". eD"rI.n ."d
. Pu'~f':...' ...".",. ,".t '''..r. 6'."0 tl9'~.'"'"P"" tit u'''''.''''.''f1'~VS o"..~~ ~""".'" s*r I",.,,,,,, tn,s ::DI::.I'".'" AtCIID'."t:~~' ,". Ir~ r",. C",,,raCI tit" CI1"".CrOl IS to
CO'"""U"'C.'tlfl to ,ft. Pu~"...., 0'" "."$ff't,n",'1 . caD" 01 tn.. :a"'",t:t to :'''~m $"0"'''9 .ct:.",anCI OY.; . J ".,. ,Ov :ttr c-..e '11" 0/ dlll.,.UIn.OIt, '''11 tlf',err .f tit.
Jt".~,or 0' 0." t:o",m."c,,,'I co"r,~c"olt. , ,
~Tr;:~ PURCHASE
JaMmED ~ _ _' -~/<f-? PURCHASEi'<
:CEPTED 9Y. Dale OWNEi=I -
II gurcna,ers are "USOIl"d and w,'t!, both '"usl SOQn_ II own.r 'S dlttere"l Irom DUren.ser. ::Iwfler muat slC~n.
RCJ04ASeRIS1. BY SIGNING ABOVe. ~CXNOWL:DGcS AND .G~e=s TO AU notE Te~MS AND CONDITIONS ON Al..~ PAGES OF THIS ACiAe!:MeNT EVeN
CUCH SP"C~ \.IMITATIONSAEOUIRe TM...T SOME .U:~e ::'QINT:i:l :N SMAl..\.=~ TY"~
I
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LIMITED WARRANTY
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co,,-'i;.&::"'OA __eo-:': ...._-..C" ....-0".. .....,~ ....._I!"t. _....~ 1Our.:rIa.-:l0l..........-1ICC-- ----.-.--
.... CD-'~ 2.... ......v.lIC\"..... _....,.... .-c C004T1:\AC~1l _,_. ..",.",. 0'0"'''"'-'''''' _- -......- "" ___IIC'I_'
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cauMC:"'- COf'-OUI "".~1'''1='".''. O. ......-q..-:t VY' e-. ~..-=,. ...~ a: O\."~C"A.Sc~S ..~
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Th" .........:"fy oecO"'n ~ .....n ono~' oute-...... .....",..... O~OM: CW'~,
...... _"'=.1(0 WAAA&N!"t. AA:S'''c; ""'oPl',uno.. 0'" S'TATf, ~...... IS 1.'....:TED r.: n..e OUAATlO"t 0'" ~E 0"( ~.....AAAHTIES ..O'E1H
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DEFIN!TIONS
n.._ ."..::1,,'. ....~ :-eo"........, '0 ."EI'IFOQ"'" s.o.nSFACTOQII."''' co. 'Sll'UC':'VAALL. Y SOUNO. .., 'onG .."..._01__-......,.....'......-..-
...._,."......f . -,- 'e ) . S. De< aa,.. . -
POOl SHEL.\. ... or:Y.)L STQUCT\JAE os .... ......cr..... ...",. .....en ._M' lI>e __ ,....'......"9.,.n ,".-'- - """ C8" .. lI'e -
POOl 4'<lll.O...."' .....~ :>a..or.... .... ,u..et..." 10'.......,." _.. CIa'IO"'" ..... DO! ...........- 10 .!tEA"'='''''''' SATlSFACTOf'I\. T.
.OECl< ANO ".&Tlowe.hC' .nall De a........., .0"'-" ..cone...., \l" .na_............"..._"'CID""...".....-I'I.__a.caa - ..,.....- ,...",no-I&. '\'l"""~_ ,_,v-"
_e .
""'.'0'...,. ......,'.".. _...... ""_ ..'"'' ""..IT!:' IHTEQ'OClI'1HISH .....11 ~. .....u.. "" ........CIOfIt.... ."a Q">U""....~-" ..-.........,...- __.na_lIlla IT__
_a oe"WI AQQ."q.... ..... ~ '."" ..',.... a..."'Y" _,". ..._......,. ."'_' ol....-"". -'C1....,.., ,... -- ........... ._en - toe,,-,o -.... .............'''''"..
UOO" ,n. _""'0"'"' 0. Co-'" lift ,r. aoO'PQa,e uaed
LIMITATIONS
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AOu_. IaCtl .. OW"__ ~.. .... ... .....,......., _."'.....".... ,- ___.tOft: --...., ..... .. Good: .-- - - .-,
Jreezu"Q d ....alP ..n unctrcu&a.eG In cw.umOlncjJ .".... fin__. gum... hsTure. 01 0f'IWt" eGUfOI"W"t.
Suoa..'u"a.. ............". 0' _"~". t1I ....._ ""! onG."..... ...__ nO' ._..... ...'ltCf'lZecI OY ",. CDnt"""'.... """"" rraont - ,... ---...... 01 ... r;l - -
A...." '" ....ce 01 ,... 000l 0' _u._"' "T ,,_,-,sees .."_ _eft r....fttl .. ___ 10 01 I...".. t1IlIW ......_t.
w.,.. ,...... ........1 0CUf<:.. 01 _'"0 -n"'" ~'" _~ lne ""'"" 0' "-01'.
Ct.=-'no. CI\eC>U..;. __""9, .-......... .~ton. poml'lQ. "'_~ _ ....noroQ of _ __ - c:a_ OY ... t1I ........- --.. I" cne o-uwno r;l ttw --
SUt........".... CI ....".... en3IC>" ..- OY ........._ _,.. '"'"' ..... "" na'..... ~ ............ - .. -- - - 01' -" --
_....no cO oeca '" _ as . ....." .. .- gr...." t1I .... rOOts .. _ """'...,. ,~ "".-." !r>e ..NO....,
Or_"'""' CII ".... ooot .. ...cae" 01 "...an1.t\8~ W'lfftOU1 crooet' .'-0..-1121 ...... ~nc ~,..
~, suroee 10 ...ctrICIU eau,OIftef" lrom tran.......'cn &in.. orlqmNnQ..
Th. ~..... _.......... anallDe........... .-m.. antl r_CO.....".... and _..ees '"~_"',............,..,..._I_,n'.,'..c.onmoc:nwantll..._U..--
CONDITIONS
_ "" eQuOOfIteftt -""'" ,_u". "0....... ,.............. .rom lime '..II.... -" _'lQ'" 0'-' _ QIU- """'"' _. - - ate...O n<IC" Ila cDna"'-'" .""""."......
..,....-y.
Sr_ ....ctU"9." ,............." ....._ __"'... ,.om a......... .....,no. ,,""""- 01' al.....___.....-.....:n ~ 01'01'1-"'0 -...- - -=-- -- _I_I"~
___"'., Pool !,.,.,..,.. _ .,.,oe.al-.cl DY ",. H."~ See.rtd POOl tn..IU'e.
..., ....".,OIacc>01>fW.-. .'_"'0. .....nlftO or _doroQ__IJCI:WIO ,......_11,..".. _ _ _It ..,_ __,. ___,.,...-._1.....""_......1.
_..,., '" _ _"'0'" _ c-......or. .
O>oc:ouno. _''"11. _....... .......no, ~_.._. .1......1f9o __ CIf _ttO t1I ",. ~ - -..,. -- AFi'ER T1iE POClt. IS "u.ED WITH ....An;A .... e.
_._ lMIO"", _. _ _ -..- _ _ecs_ ___0 01 __ - -- co-n OI_~.
EXCLUSIONS
~.. ..........,.....--..".. .no..ld... ......._ to... m. C.......Cl.. aIt.. _, "CIIIf'ca.tO'I ""._ Pun:"'-- _.10 -- aet1_""''''lIW~CIf. -ty................
"" _ WI ....1"'0.... __.. ....__.0 ,... eon,,"""'" """"'_ ___ "" __ __.1 - ""'.. '"- , cO n-.............
CL4.IM PROCEDURE
DATE'
PURCHASER
BY'
SIGNATURE OF CONTRACTOR
OR CONTRACTOR'S AGENT
PVRCHASER
. .
. .
11111111111111111111111111111111111111111111111111
96120524
Rept: 113676 Ree: 6.00
OS: 0.00 IT: 0.00
NOTICE OF COMMENCEMENT 11/15/96 Dpt, Clerll
State of
FLORIDA
County of
PASC')
TUB tmOERSIGNED hereby gives notice that improvement will be made to c2rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1.
Description of Property: Parcel No.
Al .2.v
,2...
o 0'9 cJ
(OOOao <3(130
(Legal description of the property and street address if available)
2.
General Description of Improvement
CONCRETE POOL
3 .
.lED PITTIIA., PASCO COUIITY CLEIbi
11/15/96 02:5Op. 1 of 1
OR SIC 3658 PG 1364
Owner Information: Name ~Ner 1. '~de..A..
AddressJ9o'lK' 10rA Ifvc::. City zt"pA(f~J,,-//s
State ~ / II
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
R
Contractor: Name
HOMETOWN POOLS INC.
Address 37008 PRICE DR.
City ZEPHYRHILLS
5. Surety: Name
Address
City
Amount of Bond: $
6 . Lender: Name
Q.C.
Address
City
7. Persons within the State of Florida designated y Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section- 713.13(1)(b), Florida Statutes.
g. (!:xp.lrllt.lon dat.e ot Notice ot COJnmencement. (t.he expiration date is 1 year
fr~m the date of recording unless a different date is specified.)
Signature of Owner: ~~/ ~ ~~.A)
Sworn tJ and subscribed before me this 12th day of
19 96 .I r;)
Notary ,l>ublic: W ~a ,;( flaLeA-
My Commission Expires:
November
,
COMMISSION NO. CC2'l7319
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UYJEWED FOR eOMPLlANCE WITH
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The pumith4 ~(awints shall be .
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