HomeMy WebLinkAbout03-2268
I.
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
MOBILE HOME SET-UP
2268
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 8/01/2003
Total Fees: 1,372.50
Amount Paid: 1,372.50
Date Paid: 7/31/2003_~_----L_Phone:
Work Desc: MOBILE HOME SET UP
2268
MOBILE HOME
MOBILE HOME SET-UP
MOBILE HOME SUBDIVISION
Address: 37650 NEWAL AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR RIDGE
Parcel Number:
Name: H & R INTERSTATE HOMES
Address: 37650 NEWAL AVE
ZEPHYRHILLS, FL. 33542
AT
JORDAN (INDIVIDUAL)
JORDAN (INDIVIDUAL)
BAHR'S PROPANE GAS & AlC. INC,
LE
MOBILE HOME SET-UP
MOBILE HOME MECHANICAL
WATER METER RES 3/4"
WATER CONNECTION MOBILE HC
MOBILE HOME PLUMBING
vN.J~'~ ,\ 0,07
.' 5.IO'}
ff/ ;J
0/.; 5)o3o
I
. I
-~. l_~____~ _ j
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($35.00) 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 (!o .
_ The payment of in~ection f~s shall~e ll!.C!de before (my.further permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
_._~!I work shall b~_ pe~orm~d in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O. f?MJ, ~ - ~~
---.-n--- ---------- -------------------.---------
-'W~ ,,' ~,
CONTRACTORS SIG ATU E PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
I ADDRESS fATI PERMIT ",. I
's7l.S'O I'kw~f ~ 8/IQ,03 '21~ P>
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
,
~ UI'l;-\-S t'\eecJ fv be 9f'O&.t",J -h1,(.u.v-
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the worK with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON,-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 F.O:l-INSPECTION
INSPECTOR ~ ~
N-iR ~-4ers~~ (Ylob;l-e f-{.omes
~ + ~ I rJ .eu)Q.( tw.e
Zephl.(!"- Ridge (Ylob:fe !/orne Mrk.
I/!;)o I
(03-J.~ -~,- OI30-00000-tJfs/~
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ALL WORKSHALLCO;v1?LYW/THALL
PREY AlLING CODES, FLORIDA BUll..DING
CODE. NA TlONAL ELECIRlCCODEANI'
CITY OF ZEPHYRl-llLLS ORDINANCES
&0'
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....~JL.
DATE ~L ~ REVIEWED
BUI~C'1 G DEPT APPROVED
b~s)
N e W(L/
!+ve.
Poeket PeDetrollrJeter Test
x /fpto
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,x 1.71)0
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t_ loclI.tioaI
This Site Rounded Down to... 15'0 () PSF
Liceased IasId.N_~~ ~~
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FOUNoA~Q:H AND SUP1PORT REQUI,REMENTS (Ccll~tlnued)
Pier
.pactn,
UncIw
Mag,
I....m.
(,..)
TABLE 2
PlEA LOADING UNDER Mil,iN I-BEAMS
DOUBLE-WIDE HO""'I!S
n' . z,ii WlDI "OM II' WIDI HOMES
....r' ~IIF:" LGIIt PIIr L.oIId .... LollI PIIr!..old
(I.b.) (LN) (Ute) (LN) (LM)
20 P'F ICa pa, 40 PP Ie ,.~ 30 P8F
'loot Roof "00' "oot Root
ZOM Zone Zon. Zone Zone
NOTeS:
1. See Table 4 for minimum tooting IIZ" baled on pIer loads and alloWable toll bearing c:apaeitl... The footing .izes and
pier loads are minimums requlmd for the appllcable conditions. The footing .l'Iall not be Imaller tl'lan the pier It supports
Of 144 IqUAre lnehN.
2, The mumum tpaCtng of aupp:lr18 I, not to uCHd 10 teet.
3. Where It II ImpractIcal to maintain spacing, IUch .. In the axle area, the lIVerage of the dlltane. to each adjacent
support may be used to de"nnlne support requirements: for e)campe: If the diatan<:e. to ~ ~t supports were
6'.()'" and 8'...()", the average ~J.ctng WOUld be 7'-(1".
~ I
.L
Pier 0
Ie
1
PterA
8'Q
.' Ie
I
Pi.... B
8'.0"
The average spacing for pier IS 'NOYId be (8 + e) I 2 . 1 ft., therefore,
pier B would be cteelgntd 10r.1 t1. pltr lpaclng.
4. Concentrated loadI at tn8IflaO_lIne (1M Table 3).
5. T~ ~ line In 1hI abow T..... .. the weight per foot each ma,r, l~beflLln ie carrying. Multiply thll number by the span
a .....r .. carrying to d.rmlne U18 required capacity of that pier.
11
......-:.,. '..... .'- ~
OuNDATION AND SUPP.ORT REQUIREMENTS (Continued)
.. ~ .
TABLE 3
PIER LOADING UNDER CENTERLINE BEAM
DOUBLE-WIDE HOMES
20' WIDE HOMES 24' waDE HOMES 26' & 21' ;MDE HOMES 32' WIDE HOMES
Span PIer ao.d ,.. .... PIer INd ...... .... ......1Nd PIer 10M PIer.... pi. ao.d ...... load PIer iNd PIer load Pier load
...... (LBS) (L8S) (L88) (1.88) (L8S) (L88) (LIIS) (L88) (L88) (L.8S) (LBS1 (LaS)
oM.- 2G PSF 30 PSF 41 PSF : JOPSf -.., 40 PSF 201.F :!iO PSF 40 PSF 20 PSF 30 PSF 40 PSF
(FTJ Roof Raof Roof Roar RDof RDof ~oOI Roof ~ Roof Roof Roof
.. nc:a , Zone :zone Zone Zone Zone Zone S :zona. ZOne Zone Zone
r"'a"7 900 1200 1500 1080 1<&40 1800 '1AAn ~ 1350 1800 2250
-,0 1500 ~ 2500 1800 2400 3000 2"ioo 2800 2250 3000 3750
12 1800 2400 3000 2180 2880 3600 2!i20 : 3380 4200 2700 3600 4500
14 2100 2800 3600 2520 3360 4320 2940 3820 4900 3150 4200 5250
18 . 2400 3200 4000 2e80 3&40 4800 3:360 4480 5600 3600 4800 6000
18 2700 3800 4SOO 32..0 4320 0400 3'780 5040 8300 4050 5400 6750
20 3000 4000 5000 3CIOO 4800 6000 4200 5800 7000 4500 6000 7500
24 3600 4800 eooo 4320 5780 72()0 5040 8720 8400 5400 7200 9000
~T&S:
) WIwra . GlIIunIn .. .... ...... ... .......... __.. .... .... -- openInI. .....ltle .....cl... .....
!) See........ far................ __ ell,,,...... and......... aoII ..... ~..
I) The _..4ll",." 1.... oaIlIIIt fIl...,.... ..
') PIIr ....... ... ............ ....... ,......... - --..............
i) ..... .... .... ~ ..... .......... .........11_.. __ II -,
PIER LOADING AND INSTALLATION UNDER SiIDEY,'ALL DOORS AND WINDOWS
TWiDII- .. ~UIiA""'" ..~UlIil~
...... ......1-
w...-...
.... ..... A+-, 7"-
! ---
FlIOrjlllll ~M I . I I 7
I 1 ~ i ~ TYl** Pief
., /TYfI/IIA ,... ~
'.:: . ......... ! li....I,.~ '0 .
4lI4l111d. I/" :~ ..... ~ ! rr
.. ....... .
. 0 . .
......... ... ... it A +-I
........ 011 lPllr....... .... r~......-- t secTION'~ I
....... of.... jaIIt. -.... ',..;:--
jMlb. -....... TABLE3A
~ · OPENING 78.5" MAX. OPENING ~i MAX. OPENING 121" MAX. OPENING
PIer IoIlII PIer ..... PIer to'" PIer ..... PIer IMd PIer 10M 1'IeI' IwIll PIer ao.d rat.r IoaCl PIer lOad PIer lOad Pier load
NomInII! (LBS) (UIS) (Lan) (LBlI) (L8S) (L8S) (l..8S) (LBS) (LISS) (LBS) (LBS) (LBS)
UnIt 20 PSF 30 PSF 40PlIF JONF 30 PSF 40 PSF 20 PSF 30 PSF 40 PSF 20 PSF 30 PSF 40 PSF
WIdth Root Roell Roc' Roof Roof Roof Roof Root Roof Roof Roof Roof
1fT.) Zone Zone ZaII. Zone Zone Zone Zone Zone zone Zone Zone Zone.
12 500 640 79) 810 1050 1280 -mo' 1440 1760 1250 1610 1980
14 550 710 870 890 1160 1430 1230' 1600 1960 1370 1780 2200
16 800 780 &eO 980 1270 1570 1340' 1750 2260 1500 1960 2420
18 650 &40 1~1O 1050 1380 1700 ~. 1890 2340 1620 2120 2620
20 440 570 890 720 920 1130 990' 1270 1550 1100 1420 1730
24 500 640 7g0 810 1050 1280 --vi1Q' 1440 1760 1250 1610 1980
28 520 680 ~O 860 1110 1380 1180 1520 1870 1320 1710 2'00
28 S40 700 &EiO 880 1140 1400 ---=i'21'O: 1570 1930 1350 1750 2160
32 SQO 780 9I~ 950 1240 1530 ~[ 1710 2110 1470 1910 2360
NOT&S:
1) fIteIs............ II -*'J.....................-- a-,....,
2)""..... ................................... II........ flU'"
3) '"*- ... not....... . cIoar.... wlndaw c...... ........ ... .........
4) '"*- ... _...... 1&.... .. ........ .......... ...... -- NiflIotCId lit the "'1I1Y. Con8IlCt.. division that buiJt your home to
............ Ie "I' .,.. YIU' ......' .
, 5) See e.llle . fill ......... ....... ... .....4411I pier ......... ............ ...... ... b. 1
8) WUImum pier....... f/'. ........ (110_..... ~ .12<10.... Of .... .... ...... unit wldIl. .'2'. 14'. 20'. 24'. 28' or 28' lhan seCbKk ma)/ be
10" IML r....loIld etent..... ~ "1a~'" Of...................... 11'. ,. or 32" ...ft......1MY be 10" lMlC.
... 11:_ __ __ ............ _,....... .................. ~......
.'
....
.,....'~~~===r=~r~~rr~.~:~:Q';~=~md
u" .... -. Page2of4,
---.
Sit. Inatall.G
t~ atrap
(lyplcal),
F.aory ~
~I.np
(typloaI), -------
See ~.~ tor
Stnlp to IIeem
Ihct1ment,
....J
, ,
u.o
~
Straps and Anchors to
be .pacM I'~" o.c.
. max. at WInd Zone II
and 4'~" O.e:. at Wind
Zone II.
F-*'Y ......1'.1
~Iltrap
~'~
Sill. i~ tie
dol'," Itrap on
5.11'2 root pkh
mc.:Iela,
I
I
>"" "'"
Strap An8Ie (typical)
~.~ 5/12 R~~.DDIIC.tlon.
Factory
InetaIle4
sid~ Itrap
'-~
1M __I'll.' for
Strap to B."
att8CfVMllt,
,../
,
Slratl Jl.n91e (typical)
Unit Width
24 ft.
32 ft,
24 It, 5/12 roof
28 ft, 5/12 roof
32 ft, 5/12 roof
Sit. Inalled
tie-down atrap
. (typil;8I);
.
NOTE:
Strap angl.. .nG pjllf'
heignta for trlpl..wldQ
life the _ .. alrap
angl.. and pier heighta
'or 28' WIde unita, "H
max~'may be InerNaed.
by 1/2 the depth 0' the
main I.beam when
method 1 0' delad'A' i.
used to attach tle-
down Itraplllo lhe
main I.beems,
"I
. The mmimum pi"r
hOl9ht 01 22" Is baaed
on iI 10" '.bum anG
a , 2" dialance from
the bottom of Ihe
I.beem to finished
grade, See nole 6.
_..,..'..-,.....
....
....$~~=.:\:I.~l'lriu,:~l~~~~'O~:;~..
. . Page 4 of 4,
12 ft.
14 ft,
16 fl
2
,
S't\o4veI COMeclOl ./
integ,.. atrap.
aile:" hole eefllerM in
Web of bMrn, Hole
~ be faelorl'
prO'o ldecl ,
--------:
LonglludlMI Beam Clampt
Tie-Down E~ part .
no, 58011 or Equivalent. .
Angle trame bracket - Tie-Down
Engineering Plrt no, 59009 or
Equivalent.
DetaU'B'. T
Itudlnal TI~t-DOwn Conn.
Swivel conn.ctor with intellr
l\rap.
NOTES:
1) Strap$ IhaU be Type 1, Fln~h II, Iteelltrapplng ,03:5" lIIlck x 1.1/..' mln, wide, U$ted for a nllnimum worlling load of 3150 lbs. ultimate load of .725
lbl. Finill\ B. hot dipped gaMonlzed lIinc coatlne of 0.80 OUI>C.. per lei. It" per "u"-ce, S':rap ahaU confDl1!llo ASTM s~ 03953-91.
2) Ground anc;horIllIan be bll~ fill' a minimum worldnllload of 3150 ~" and ulllmateloecl 01 4725 Ibl and be cerl~ by I Profe$lionll En;in..r
3) A pivoting frame clemp is requiled atlhe lop 011.... 1.lSeem fw lnelallelion of~n Ilraps IIonlllhe main I-Beaml. Any pjvotinll tram. clamp
.ppro....a by the State of FIoriaI m av be UMd,
4) Oltler I;..aown Iysteml mav be llMcl _h as Vector-D)onamics by t-.Oowrl Engineering, Illnslelled pel'th. manufllctur.r instillation Instructions,
approved by 1/wI Stat. of Florichl end celtilled by e ProIwMionaI Engi_.
5) LOrlllltucllnallleDlllz... device$ (1.250) by Tle-Oown E~"lII may be llMcl a. on altemallltothelongitudin.lliNown straps .nd .neho", snown in
detail'S', provided that the elM:.. ....IMlIIIocl per the menufKtIlret lnatatlatlon Instructlon'" approved by the Stllte of Florioa Ino c.rl~ by I
Profl,,1ONl E"lIIinMt.
6) Th. minimum d~"nce ~II'" bottom of the l-ee.m and ftniaheclllracle 1111'", W/wIn ':Mgrlde Illloped, 25" or Ih. IOW.11 m.mber may be
below ll'~ ttgw.....r under no c "um~ may the bottom 0I1he l-&Ieam be... below 12" frll/ft flllillIed gracal.
7) A radiua cUp II tequiNcj on fie.,")' IMtaIIocl centerline tiNOWM tllel .....". . slot dnlgMd to receive IIHewn strap.
8) Strap "".ob. buc..... end IleId ~uwcled lIuc:ldara.... not permitted, To Itllic. a map. double crtmp"'l II requit.d. S.. manLlfactur., instructions
S) AU equipment end CClMectlon dl'llle..1heI be getveni&~ end rated fw. minimUln wortdng Ioed of 3150 111I.
10) Wt\en the MIl eompec:1lon orlolllleeMg callKlty Is lICIt IInown, HI,,",e 1000 PSF or CC1~IU. witll the ~ bullclinlllLllhorily.
11)S... SkYline Cotporatlorl Manuhctured Homelnablllation ManII.1 for other informotioll not c::~ by this luppl.ment.
'\
JUL-28-2003 07:23 A~ HR IHTER$T
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMENT 5335 8th STRBBT ZEPHYRHILLS, PL 335.0
Phonet813-780-0020 Faxt813-780-0021 . / I
DATE RBCBIVBD 7! :z.P( t> ,)
PLANS RBVIBW PEE
OWNER'S NAMB It <1- R J;n >I-a s kd--e.. me b;/ e h6 Jrlf!!J'ONE CONTACT(frI3) 71'/-9 '1/ S
37~So ;Jew,,} /}v<-
LEGAL DESCRIPTION: LOT (sf 55 ,
JOB SITE ADDRESS
PARCEL ID # 03.- .Q ~ - ~J- () /3 D-- oooco - 0 <iff 0
WORK PROPSED: [JNEW CONSTRUCTION
D ADDITION
DSIGN
DMOVE
PROPOSED USE: [JSGL FAMILY DWELLING
BLOCK D
SUBDIVISION Z~hy. R/c0 e.
(OBTAIN FROM PROPERTY TAX NOTICE)
MINSTALL
DALTERATION
[J REPAIR
D DEMOLISH
[J COMMERCIAL
[JMULTI-FAMILY
[J# OF UNITS
~OBILE HOME
[J INDUSTRIAL
[J SWIMMING POOL
[J OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK N e UJ In!) b; it> IirJlnfJ '-7 laC' e 177 ~ 17 +
BUILDING SIZE d g X t.j ;)... SQUARE FOOTAGE 1/7&
RESIDENTIAL:
COMMERCIAL:
HEIGHT
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 REQUESTED
$ ~ ~ DOO/ dODO VALUATION OF TOTAL CONSTRUCTION
f
AMP SERVICE [J FLORIDA POWER 0 W . R. E. C.
gBUILDING
&' ELECTRICAL
e'PLUMBING
nr;;ECHANI CAL
$
o GAS
[J OTHER
VALUATION OF MECHANCIAL INSTALLATION
[J ROOFING
[J SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
FINISHED FLOOR ELEVATIONS
BUILDIIR ~i
SIGNATURE \ ~~l~
o STEEL
~OTHER
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
r tL
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIAN
******************************************************************
SIGNATURE
~~
COMPANY -().y-j 0 V\
STATE CERT OR REGIST
CITY PROCESSING #
******************************************************************
PLllMIlBR ~.
SIGNATURE' ~
COMPANY J <:;,'CdoV\. 'P( u..v,,-' I . .
STATE CERT OR REGIST # R - 00<-;-
CITY PROCESSING #
MBCHANICAL
r;-rt~
*****************************************!* *****~~***
COMPANY ~
STATE CERT OR REGIST
CITY PROCESSING #
SIGNATURE
OTHER
*****************************************************************
SIGNATURE
*****************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the ~Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of ~Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify 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.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the infoomation 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 peomit and that
all work will be perfoomed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdictlon. I also
certify that -I understand that the regulations of other governmental 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 Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Aomy Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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 OR AN ATTORNEY BEFORE RECORDING ~UR NOTICE OF COMMENCEMENT. JOBS UNDER
~OO IN VALUE DO/NOT NEED TO RECORD AND POST 1("NOTICE OF COMMENCEMENT".
0~L1?~<- ~ Cf/(~
SIGNATURE: OWNER O~~ . SIGNATURE: CONTRACTOR
o who has produced
(type of identification)
and whoD did Ddid not take an oath.
f' ..."1 ..-:J //
_k-a~ (~"'~~
Signature of person taking acknowledgement
STATE OF FLORIWl
COUNTY OF t->r.:.s (Z 0
The for.egoing inst~ment wa~af.~nowledged
Befox.e.me this ~ay of....lU ~ ' ,.(){)tJ3
by U n \'1 h ()-=---1-X-l- c () Y'.....
~ (name of person acknowledged)
kNho is ~ersonally known to me, or
Owho has produced
(type of identification)
and who Ddid DUd not take an oath
; ../) ~ ~
J'-V-4~-'v~ ~~ ~ ..'
Signature of person taking acknowledgment
STATE OF FW,.RIDA
COUNTY OF .J:::c.....s c...o
The foregoing i~strument wa!-acknowledged
Be.t_Q,re me this ~day of ,-kJ.." ~ ,~.3
by < \ ) () V\ \.IUl<- ~ r-......
-/'/ (name of person acknowledged)
~who is personally known to me, or
Name typed,
;llj
Printeff~~:" - '" a~~ ....NN LAVA~LEE
: ~. ,,~ . g Notary Pubfc ' state 0' Aaldu
: ",~I~JtcW Myeo",m, Exp'res Jon 1 a 2:.:G-1
'....:tr!FIIr;;~...... Comrn"~;:?Hn"" ?. Cc?:{1i7/~~
Name typed, prin
. Slate d AOOda
,., Ccr/I'Il. &I*UI Jun 18. 2004
CommIaIon t CC9257~
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