HomeMy WebLinkAbout03-2292
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2292
Permit Number: 2292 Issued: 8/12/2003 :
Permit Type: GENERAL BUILDING PERMIT I
Class of Work: ROOF REPLACEMENT II
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 3,820.00 Total Fees:
Amount Paid: 50.00 Date Paid:
Address: 39050 9TH AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: MILBAR ONSTRUCTION
Addr: 15911 US HWY 301
DADE CITY, FL 33523
Phone: (352)567-6047 Lic:
Work Desc: RE-ROOF
MCCLAIN FLORA
39050 9TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
'p
~.. ptl alO '3
Q II ;t:fO
PRE-SLAB .1 CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME I MISC SEWER MISC
I
INSULATION WALL I MISC ~' MISC. MISC,
INSULATION CEILING I MISC, MISC, MISC,
DRIVEWAY MISC,_MISC. ~E DEPT, FINAL
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
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
-''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
,?efore recording your notice of commencement." . ____._~_
NO OCCUPANCY BEFORE C.O.
>? -m -u a . ,,~ e~. .
CON~CT~RS &NATURE PER~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
AUG-12-2003 10:53 AM MILBAR CONSTRUCTION INC.
APPLlCATIOIf rem nlUUT
C.I'Q' 0.. UPH1'IUIILLs
aVI.LI)!.., I)UARTaIIRT
352 567 4454
P.02
Me! 3169
DA'l'JI MC31Vm
PLAM_ DVm. ....
OWNER' B NAME ~ Ma:LAm
PHONE 813/7A3-2220
JOB ADDRESS 39050 9TH AVD1UE, ZEPHYRHILLs,. FL 33542
LZGAL D&SCRIPTION: LOT(S)
PARCBL ID' .12 26 21 002A 02300 OO~O
SLOCK
SUBDIVISION
WORK PROPSEDI ONEW., CONSTRUCTION
OSIGN
rOBT.,." P'ROM PROPERTY 'j'AX NOTICP.l
o ADDITION
o MOVE
OALTERATION
o DEMOLt 911
o REPAIR
o INSTALL
ROOFING
PROPOSED uS~~IJ~gL F~ILY DweLLING
o COMMERCIAL
[JMULTl-r-AMILt
o INDUS1'RIAL
0" OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DBOCRIPTION Of" WORK
t:J RESTAURANT & HEJU.TH DEPARTMENT APPROVAL
SHINGLE M-ROOF
BUILDING SIZE
SQUARE FOOTAGE 2300
HEIGH'l'
RBSIDl!:N:Tl1\L:
COMMERCIAL:
ATTACH (2) PLOT PLANs & (2) SE~S OF BUILDING PLANS & (1) SET ENERGY FoRMS.
ATTACH (3) SETS OF BUlLDING PLANS & ('I) !ilE'f ENERCY FORHS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
VALUATION OF TOTAL CONSTRUCTION
[J BUILD1NG
. ~g2PJ
PERMITS JU:QUESTED
tJ ELECTRICAL
o PLUMBING,
o MECHANICAL
AMP SERVICE
o FLORI DA POWER
o W.ILF..r._
$
o GAS
III ROOFING
o SPECIALTY
VALUA'l'ION OF MI!:CIIANCIAL INSTALLATION
o OTHF.R
TYPE OF CONSTRUCTION: tJ BLOCK
o FRAME
o STEEL
o OTHER
l"INlSHED FLOOR IU.EVATIONS
IS PH-OJEC'f IN FLOOD ZONE AREAO YES 0 NO
BUILD"
COMPANy:
STATE CERT OR REGIST #
CITY l>ROC!iSSING fl"
SIGNATURI!:
...~~..............................*.*..*..*..*...**.*.."..**.....
&L&CTJUCIAlI
~IGNI\TURI!i
i COMPAN~
STATE CERT OR REGIST #
CITY PROCESSING H
.........*..~....."..**..**.*****...*.**...*.****.**....**t*......
PL'-&l\
COMPANY
STATE CERT OR REGIST H
CITY PROCESSING #
SIGNATURE
SIGNATURIi:
.............**........** ...... "'........ ....................................... ............ '" A A A
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
-CRAlnCAL
OTRD.
::lIGNATURE._
..*.*.......****...~~*.........*....*..*...*....*.**..*,,*.**...**
Vf}lfj}J
COMPANY M:rLaAR cniSTRUCI'IOO, INC.
S1'A1.E CERT OR REGIS1' tt rrr 0';1562
. CI'l'Y' PROCESSING ft 218
..***....*.......*..*.......**.*,,***......****.***...************
AUG-12-2003 10:54 AM
MILBAR CONSTRUCTION INC.
352 567 4454
P.03
l;ONUJ.'.l'J.01Ui Ot' l!t;lijij,',L' At'r.l.IJAVl',L'
A. NO~ICE or DEED RESTRICTIONS
The undersJ,9ned understands that this p..mdt nlaY be .\lbj.ct to "d..d restl:ictions" which
m.y be ~re restrietive than C~~y ~.9ul.tioAs. The u~de~.i9ned as.umes r..PQnsibility fo~
compliance with any applicable deed r..trictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If! the owner has hired a contrBctor or contractors to undertake work, they may be requir~d
to be licensed in accordance with'state and local l:'egulations. If the contractor is not
IJ.cenaed aa required by li'1w, bot:.h tho owne~ and contract:or May bo cited fOJ: a llLl.~".1~lll~ilUOL
, violation under state law. If the owner or intended contractor are uncertain as 1.:0 what
licensing requirements hlay apply for the intended work. they are advised to contact the
City of Zephyrhills B\lilding Departme1lt, 813-780-6611-
Furthermore, if the owner has hired a contractor or cont~actors, he is advised to have the
cont~.ctor(.) 8iq~ portions o~ the ~coneraceor Sect10nsH of this appi1cat1on for which they
will be ~e8pon8ible. If you, as the owner signs as the contractor, you are indicating ,that
you, rather than the contractor, are responsible lor t:he wn...k. Tf. thl!' t:!ont:rac.t:or w~!lhes
you.to aignl8a contractor t.hat may be an indication that he is not properly licensed and is
not: entitled to permitting privJ.leges in the City of Zephyrhills..
C. TRANSPORTATION lMfACT FEES AND UTILITY CONNECTION FEES
D. CON9TR~CTUION LIEN J~W (CHAPTER 713, FLORIDA STATUT~S, AS AMENDED)
T n..,.H ~y thAt :1;" th'!' appllC'anl:~ h.". b.en provided ",,1\';h a COI'Y of. "Florida':oJ CouBLrucl;1on
lien Law - Homedw~ec's Protection GuideN prepared by the Florida Departlnent of. Agriculture
.nd Consumer AffaiJ:s. If the applicant 18 someono other that the "owner", I ce,dfy that I
have oht:ailu~d a copy of the above described document and promise in good .faith to deliver
it to the "owner" prior to commencement.
F.. CONTRACTOR' S/OWNER' S ^PFIDAVIT
I ctu:tify thaI: all the information .1.n this applicatiorl 1s accurate and Lhat all work wIll
he done in cOlnpliance with all applicable laws regulatinq constructioll. 1,uninQ. !!lnd land
development.
App116atJ,on i. hereby hlade to obtain a permit to do work and installation as indicated. I
I:'!/t'rt:ify tb.~ I~O work or 1nst:.allation haa COUllncnced prJ.or, to i:ssuanc"," oJ: a. !'It!(,mll and that:
all work wJ.ll be performed to tneet: standards ot all laws regulating conslr.uction, City
codes, :toning regulations, and land development requlaU.ons ill lhe jurisdlction. T al~n
certify that I understand that the .tegulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify whal actions 1 must take to
be in cgmpliGncc. Such ~genci~a ~nclude but dL" HuL l.l.lnlled to: "'Department or.
Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Land., Water/Wastewater Treatme~t
.Southwest ~lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Waterco\lrsee
J.Arlny Corps of e:ngineer8-Sed.wd.I+~, Ducku, Navigable Waterways
.Depart:ment: of lIealth & Rehabilj..tBtive Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
.U.S. Environmental Protection Agency-Asbestos abatement
I. .lao certify l:hal:, if fill material is to be used in f"J.ood Zone "^" or "A, etc. N I it 1s
underatood that a d~a1nage plan addressing a ~c~~ensat~ng volume" will be suhrutted which
is prepared by .. professional engineer registered in the Slate of ~l.()('.lda prior to pernt1t
i.suance.
A permit issued shall. be construed to be a .licellse to proceec:l with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical code",
nol' shall iesuance of a pl!!rmH, pr.event the Building OffiCial from thereafter ,requiring a
correction of errors in plans, construction, OJ: violations.of any code. Eve.ry permit
:!...u.d .hall beoome invlllid "nleD" 1:hc .,orlc Qu\:horized by ;:I~ch lJf::!l:Jlu.l ~::i cUlIlmenced with1n
six months of issuance, or if work authorized by the p~l'In1l: is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day egtensioll of time
may be allowed for the pel:lnit with fee charge of $15.00. 'l'he extension shall be requested
ln writing to the BuildJ.n9 Offic.J.;1l. All approved inspection must be logged during each six
lIlonl:h period, or the pl.:oject w~ll be considered abandoned.
WARNING '1'0 OWNER: YOUR FArLU~E 'ro RECORD A NO'rICE OF COMMISNCEMEN'r MAY HESU,L'!' IN YOUR
PAYING TWICE fOR IMPROVEMENTS TO YOUR PROPER'UY. IF YOU INTEND 'ro Oh'l'AlN P'T.NANCING, CONSULT
WITlI YOUR LENDER on AN ATTORNEY DEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALU NOT NEED TO RECORD AND POSTA ~NOTICE OE. C CEMENTH.
I' ;
DAVID R. ABIA
DAVID R. ABLl\
:n'A'l'./!: Of!' FLORIDA
COUNTY OF PASCO
The foreQoino instrUlnant: w..... "r.knnwl.~dg~d
Before me this '''''l..- day or Aub . J:09..2UO!l
by DAVID R. ART.A
(naltle of person acknowledged)
J>.Q who is personally known to me, OJ;'
STATI!: Oil' FLOIUD^
COUNTY OF PASCD
The ,foJ;:.goinq inatXUlncnt Wi13 pckuowlcdgC!:d
Defore me I;h1s ~day of---LJl.k.a , M~'
by DAVID R~
(name of perSall acknowledyed)
1:l,ho i8 personally known It) llIe, or
D who has produced
(typl'!
and ~did not
.
o who has produoed
(type of ideutilic.tion)
and who. Odid ~id not take an oath
(;/~
Signature of persa takiug acknowledgment
OLIVIA A. LOVElT
NollilY Public, st. or FIortda
nf irlAn~~fiaati?n)
take an oath.
Name typed,
U"'I\'" tYPl!:!d, f,
AUG-12-2003 11:01 AM
MILBAR CONSTRUCTION INC.
352 567 4454
P.02
F.'RCtl': FLMC ~IL.I.S FL
PHDI'lS NO. ~ 81J 7S2 ~15
Jul. 17 ~ 04:53PM P1
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MILBAR CONSTRUCTION INC.
352 567 4454
P.01
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
MCI 3169
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME FLORA MCCLAIN
PHONE 813/783-2220
JOB ADDRESS 39050 9TH AVENUE, ZEPHYRHILLS, FL 33542
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # 12 26 21 002A 02300 0020
BLOCK
SUBDIVISION
{OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: (JNEWCONSTRUCTION
(J SIGN
(J ADDITION
(JALTERATION
(J REPAIR
(J INSTALL
(J MOVE
(J DEMOLISH
ROOFING
PROPOSED USE:KJSGL FAMILY DWELLING
(J COMMERCIAL
(JMULTI-FAMILY
(J INDUSTRIAL
(J# OF UNITS
o SWIMMING POOL
o MOBI LE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
SHINGLE RE-RooF
BUILDING SIZE
SQUARE FOOTAGE
2300
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
(J MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
(J GAS
IX] ROOFING
(J SPECIALTY
(J OTHER
TYPE OF CONSTRUCTION: (J BLOCK
(J FRAME
(J STEEL
(J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
ELECTRICIAN
· COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**** * ******.** * ******* * ** ****** * *** * * * ***" *** "***"" "***"" *"" ** *""" *
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
""********""***********"**"*************"*"**********************
OTHER
rJUk (jIJ
COMPANY MILBAR (X)NSTRUcrION, INC.
STATE CERT OR REGIST # CCC 051562
CITY' PROCESSING # 218
SIGNATURE
********"**"*******"***"*"*"******"""*********"******************
CONDITIONS Ol!' PERMIT AE'E'IVAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be m~re 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 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. 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
*Army 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 PROPERUY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALU 0 NOT NEED TO RECORD AND POST A "NOTICE OF C NCEMENT".
DAVID R. ABLA
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this 1'- day of Auls , H.l:u021
by DAVID R. ABLA
(name of person acknowledged)
~who is personally known to me, or
PASCO
STATE OF FLORIDA
COUNTY OF
The foregoing instrument wa~~knowledged
Before me this _l.2.......-day of - ~ , ~ Zs2.9j
by DAVID R. 7\BLA
(name of person acknowledged)
~ho is personally known to me, or
PASCO
of identificati?n)
take an oath.
Dwho has produced
(type of identification)
and who Ddid ~id not take an oath
W~
Signature of perso taking acknowledgment
OLIVIA A, LOVETT
Notary Public, State Of Florida
Name typed, p Y or s aIDe.
OnlnllSSIO NO-:~
Dwho has produced
(type
J&did not
Name typed, pri
~ROM FUMe ZEPHYRHILLS FL
PHONE NO. : 813 782 2315
u.s.lnfiK CM1lfltd
P1aUMlm IMtAI'-r
fI204
Jtnpl1'lutI
A " 'Bt(..'
I~I Mill!!!.~!t~~~~n.c.
15911 US Hwy. 301 Nol'lh- Dade CIty, Florida 33s2S'<::>
352/567-6047 · , '8001562-~: ..'" 'FAX: 952J567-4454
Page No,
Jul. 17 2003 04:51PM Pi
1 of 2 PDgos
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87/15/113
IlCCLAIH RESIDEHCE
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3989"91"8 AVENUE
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quenllIIId bsr lnterwllll.... .... of _ and onHlU PtIW'II per I'IV;V1Ih. 0wnltt....1O
I PIIl'f 11I1 CMlt ~ 'UOlIMIlIlomIy tNt, ooII8etor.. CIO\Irt IXISft, --. for cohltion
at <lelI~ Involees \rlcIudlnll me_I. OIlner 10 CIIII)' lire. flIl11l1l1o and oller IlIC8IAIy
~ .~rInCO. O\lr~ - fuly CXMmId byWolkrnan'8 Co/rpen8etIDn 1_.
~ ltaubt:tt(! of 1trnpniUlI -lMabcMtprice!l, speclk:allon8
I ! &~ condltlon& .... Ulisa'c;torv and hereby accepted. You are aulhorized
! to do 1M wcrk as ~lfled. PaymE!rlt will be mada :u: oudlnAd abovo,
~ Datl901~__ b"l/17/0.3 '
~ r::-:/ /P(--L..,
Note: TbIa propo&aI ""'" be
wittIlhwn by us if not IICOIlpteii Within
30
SiQnatu...J~ - I)" 'n1~
Signa\l.l,..
FROM FUMe ZEPHYRHILLS FL
PHONE NO. : 813 782 2315
JuJ.. ~.7 2003 2~: S3P~~ P~.
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u.n", CII" PJorldll
RoofIng MIl SMlt .....
AnooI8UOn
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PlatI....l1'Ilftstallet
11204
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~ MIII!!!.2~e~~lnC.
15911 OS Hwy.;lOt North. ~ CIty, F1oiida-33523 0
352m67-<<>47 . 800I562~239S.' · FAX: 3521567-4454
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II 12. Owner to provide .eo... to roof for delivery truck for lQ.ding/uft~o8d1ng for rnofing \
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,... ~ JrDJ'Ol'e hereby to furnish material and labOr - complote in accordan09 with abOve specbtlons, for thtl sum 01:
THRtB T1l0USAKD SIGHT HUNDRED TWENTY AND './100 --------------- dolll!lra($ 3.820. U ).
Payment ID be mad8 . 1ul1olV8:
.~
')
;;J
IIWOIoM! ..-n&lIllt peid In ~..., fie ~ -- .11811 lit CQI'IIldIrId dtlIn-
q.-tMd betr Inbrl'ett II" ,... c* _lIIId ~ r--lt l* monlft. 0lImer ~ to
p"y lIll anII tnoufNd,luch M ~fen. 1IlIl........ ClClIII'I 0lIIIS, lIIC.. far aoIdcIn
01 aaftnqll8lll hIDlCIIlnddlg lnl81WS\ OWner \0 r;tIIfY fire, 1IImlIdo ... aIt1IW MCaMIY
1n8U_. 0IIr ___ _ tully or,MlIIId by Wcmur8n'8 ~ ......"...
(r'AWulanr.t ~f 1ttIlfD$Ul -Thtt~ ~ ~~'QflO
: aid- cgnlti;;';. ..rll satl.tI;;tory and hereby accepted. You are .ut\1Qr~.d
to do thca work 8'IP9Cifled. ~mAnt will be made 88 outlined abow,
OIl.. al Ac;l$p1llnOO: 0 1 I I '1/ 0."3
~ ...' ,
ALl1hoI'Iwd
Signature
NcJlB; ThiB Ill'llPQQIII '!1IlY. be
withdraWn by us " not acCepted wittin 30
Sitnawre
r4-i~ lL rn ~
Signature
NOTICE OF COMMENCEMENT
MCI #
3169
Permit No.
Parcel I.D/FOLIO # l2 J~ J J ODd /I O!Hno OIJ~{J
111111111111111111111111111111111111I1111111I11111111111111I
2003143099
5h~Y\gles
CD {crY '. c;( Cle ~ e.r lv kIte
State of Florida
County of PASCO
THE UNDERSIGNED hereby give notice that the improvement will
be made to certain real property in accordance with Chapter 713, Florida
Statues, the following information is provided in this notice of
commencement.
D O\IJY' '5' pc.~' i e-h: -
UJh:~
Rcpl: 704070
OS: 0.00
08/05/03
Rec: 6.00
IT: 0.00
Dpty Clerk
l.Description of property (legal descriptioll of proputy and address if available) 39050 9 TH A VENUE
Section /:1 , Township d~ , Ranqetdl /J/J.1FJ 1J;3~1J /J()2() ZEPHYRHILLS, FL 3353~
2.General description of improvements -, SHINGLE RE-ROOF
3.0wner information
a)Name and address
b )lnterest in property 0 Lu VI oQ ......
c)Name and address of fee simple titleholder (if other then owner)
4.Contractor (name and address) MILBAR CONSTRUCTION, INC. / VANCE L. MILTON ~
15911 U. S. 301, DADE CITY, FL 33523 .' ,,1,
;~ '-[ 050 Cf+Cr-!tv €.
P , I, SU ~ "6 3 ' 2'<? k.- r~~ "s'
F\. "3 ~, '1
5.Surety
a)Name and address
b )Amount of bond
6.Lender (name and address)
JEO PITTMA~ PASCO COUNTY CLERK
08/05/03 0.:; : 32pm 1 of 1
OR BK 5478 PG 186
7.Person within the State of Florida designated by owner upon who notices or other documents may be served as
provided by Section 713.13(1)(a)(7), Florida Statues.
Name and address
8.1n addition to him or herself, owner designates
of to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statues.
9.Expiration date of notice of commencement (the expiration date is one year
from the date of recording unless a different date is specified).
OWNER I S SIGNAWRE <:-:4 -'e . .f,.), 1+1 c ac~..:"
PRINTED NAME & TITLEi~-c~, /v, c C (C\ ~ n / () IA." I'i? ,.
I I
lbe following instrument was acknowledged before me thisEday of fk.'G'-'ST, ,)tC3, by iic,<..A /J)c; t..L.J ,,,-
who is personally known to me or _~ho produced F.l PI-... m~L/.s--')</3- jj--b<S-- c as identification.
After recording, return to: Notary Si~nature ,'3t'(.t.i?<,~ a.,,/L
Name MILBAR CONSTRUCTION, rNO" Name(print) LI-h.. 1':1'/ j.., {' /",/1 K. I<
~~~ress ~~~~~:"I-~~~ ~~~;:IO~::~r, if ~:"::i::&t",< L~U~" 1 Clwk 00
~. .j.i~ E.'XPires Dec. 2,2003
f,.,fIf..-$ Bonded Thru
.."" A.t..lant,j,: Bondin!,\, Co" rnc
STATE OF FLORIDA
COUNTY OF
11 '~)<i