HomeMy WebLinkAbout03-2330
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2330
Permit Number: 2330 Issued: 8/28/2003 '
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 3,297.00 Total Fees: 50.001
Amount Paid: 50.00 Date Paid: 8/28/2003 i
Address: 5115 5TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: MILBAR CONSTRUCTION
Addr: 15911 US HWY 301
DADE CITY, FL 33523
Phone: 352)567-6047 Lic:
Work Desc: RE~ROOF
I
L
WATSON LUZ
51155TH ST
ZEPHYRHILLS, FL. 33542
Phone:
/' 0J ~ _ rO 3
(I' q -('1 l.JS-6
PRE-S~B I CONSTRUCTION POLE I ~ND ROUGH PLUMB DUCTS INSULATED
LINTEL i PRE-METER i WATER FINAL MECHANICAL
FRAME i MISC . SEWER MISC
INSULATION WALL ~' MISC MISC. I MISC.
INSULATION CEILING MISC. MISC. ' MISC.
DRIVEWAY. . MISC.. MISC. i FIRE 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
Th~paym~n_t, of inspection fees shall be mclde befgre 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
_~fore .recording your notice of commencemen~.-,,-_____.._,. '___'._,..__
~
NTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
NO OCCUPANCY BEFORE C.O.
~------
AUG-28-2003 10:35 AM MILBAR CONSTRUCTION INC. 352 567 4454 P.03
U.X.XCA'tIOlf 1'01\ .....IT MeI 3183
ctU or lJ:nXIUIILLI
BVIJ.DIRG DKPARiWRT DAB UC3IV8D
'LARI UY'ID fa
OWNER' 8 NAME LUZ WATSON PHONE 813/780-8989
JOB ADDRESS 5115 5TH STREET , ZEPHYRlfILLS, FL 33542
LEGAL DESCRIPTION: LOTlS)
BLOCK
SUBDIVISION
PARCF:I. 1.n ..
1126210010164000130
rORTATN FnOM pnOP~RTV TA~ NOT1C~1
WO~K PROPSED: DNEW. CONS'fRUCTION
o ADDITION
OALTEAATION
o REPAIR
o INSTALL
DS1GN 0 MOVE 0 DEMOLISH CROOFI~
PROPOSI!:D USI!:: OSGL l'AMILY DWELLING DMULU-JrAMILY 0# OF UNn'S 0 MOBILE HOME
o COMMI!:RCIAL
o INDUSTRIAl.
o SWIMMING POOL
o OTHER
CJ RESTJ\UIU\NT & HI!l1\L'rH DEl"J\nTMENT AI'I:'nOVA.t.
DESCRIPTION OF WORK
SHINGLE AND PLAT RE-ROOF
SHINGLE: 16"00
SQUARI!: FOOTAGE FLAT: .....IaOO
HEIGH1'
BUILDING SIZE
IU:SIDEHTIAL= ATTAcn (2) Pto')' PLANS & (2) SE'l'S Ol' BUILDING PlANS' (1) SET ENERGY FORMS.
COMMERCIAL I ATTACH (3) SI!:TS Ol' BUILDING PLANS & ( 1. ) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PE~T~ REgUESTED
o BUILDING
~
3,297.00
VALUATION O~ TOTAJJ CONSTRUCfION
o ELECTRICAL
AMI?' SERVICE
o FLORID1\ POWJ!:R
o W. R. E.C.
o PLUMBING
o H~CHANlCAL 0
o GAS <3rRooFI~ 0 SPECIAL'fY
TYPE OF CONST.RUCTION: 0 BLOCK
VJ\LUATION OJ!' HECIIA.NCIAL INSTALLATION
o o'rHER
o fRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE J\RE1\O YES 0 NO
BVILDD.
SIGNATURE
COMP~Y:
STAT&: CD:RT OR R&:QIST ff. .,--_.." .
CITY PROCESSING "
*******.*.********************************************************
J COMt'hNY
STATE CERT OR REGIST #
CITY PROCESSING #
ZLBC'II\ZCIM'
SlGN1\TURI!:
.........*.....**.......***.***.**.~.*.********.**..**.*......*...
PLUMlmI\
COMPANY
S'fA'l'E CER'l' on REGIS'l' #
CITY PROCESSING ff
.9 I GNATUf\E
SIGNATURE
* *~ I. * * ** ** *.****,** ***" * ** 1.*** * I. ***. * * ..* ** 'd, ** * * I. ** *.* * * * * *** ** ** * * I.
COMPANY
3TATE CERT OR REGIST ff
CtTY PROCESSING #
"'CRNUCAL
1It'** 1t' ****** 'llt ......1It.***.......... ..._.,.. *1"* ft1ll'.,.. .....,...,.. *11' ..,..1t1t1t*_.....,....,.. 11' .................. 'fit' ......,....,.......,..
arRQ ~
SIGNATURE' .. .
COMI?ANY MILBAR ~STRUCTIOO, INC.
STATE CI!:RT OR REGIST # OOC 051~62
CITY PROCESSINq #. 218'
*****************************************************************
AUG-28-2003 10:36 AM
MILBAR. CONSTRUCTION INC.
352 567 4454
P.04
CONDI'l'IONS Oil' PERMl'f AFFIlJAVl"I'
A. NOTICE or DEED RESTRICTIONS
The Qndersigned under.tands that thi. per.mit may be aubject to ~deed ~e.triction.H which
may be ~r. ~..~~ictive than City regulation.. Th. unders1gned a.sum.s re.ponsibility tor
compliance with any applicable deed r..trictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBrT.T'l'IES
If the owner has hired a eont~actor o~ contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the conlraetor is not
lioensed lUll required by l....w, bott) 1;he owner and cont~actor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensinq reQUirements may appl y ~n~ i:he int~mded work, they ClI.rc advitn:l'u Lu contact the
City of Zephyrhilh BuildJ.ruJ Departrnent, 813-788-6611.
rurthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractuL(S) sign port1ons of the ~Contractor Sections" of this application for which they
will be ~esponsible. If you, as the owner signs as the contractor, you ar.e indicating that
you, rather than the cont:rar:t:nr., a.re r..ponsible for the work. If the contracto~ wishes
you to siyn as contractor that may be an indication that he is not properly licensed and 18
not entitled Lo permitting priVileges in the City of Zephy.rhills.,
c. TAAkSPORTA~lON IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that: T, t:hl'! ~pplic:;ant, have bco::n pxov.1ded with d l.:UPY o~ "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Flod.da Departlnent of AgricultQre
and Consumer Affair.. If the applicant is .orneone other thaI'. "'hlt" "owner", I ceri.fy that 1.
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 AFFlbAVIT
I cert:ify that a1.1 the information in this application is accu.raLe and lhat all work will
be done in cornplial1ce with all applicable laws requlaUnlJ construct.1on, 2:oning, and land
development.
Applll::ation 1s her.by made to obtain a permit to do wo.a::k and installation as indicated. I
r..rt.1fy that no ,:",ork or installation hdtl ~ulm\enced prior, to l.SSQance of a permit and that
all work will be performed to meet standards of all laws regulating constructIon, City
codea, ~oning ~egulations, and land development regu 1 A.... ions .1n the j ur.icdl.ct:i.on. I alau
certify that I understand that t;he .regUlations of other governmental agencies may apply to
the intended work, and that it ia my responsibility to identify what actlons I must lake to
b. .in complianco::. Such agCI1Ciellf .lul.:l"de but: are not: .U.mited to: "Departm@nl of
Environmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatnlent
.Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Wat.~cour8e8 .
.Army Corpa o~ mngincer~-SeAwdll~, bocks, NaVigable Waterways
.Department of lIealth & Rehabllit~tive Services, Environmental Health UnIt-Wells,
Wastewater Treatment, Septic Tanks
.U.S. Environment:al Protection Agency-ASbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or "A, etc.", it is
"nderstood that a drainage plan addressing a ~compensating volume" will be submitted which
is prepa~ed by a professional engineer registered in the State of. Florida prior to permit
i..uance.
A pe~mit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, ,1te~, or set aside any provisiohS of the technical r-nriAS,
nor Shall issuance of a permit prevent the Building Official from thereafter requirin9 a
correction of er~ors in plans, construction, or violations 'of any code. Every permit
i..".d .hall b.~om. ~nvalid unlcoo the work autho~.1z~u by 5uch permit is commenced within
six months of issuance, or if ~ork authorized by the permit i~ suspended or abandoned for a
period of six months after the ,time the work 1s COIllmt!lllced. One 90 day exbm~ion of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writIng to the Building Official. Au approved inspection must be logged during each six
Month pe~.i.od, or t:he project wi,ll bti: \;uJus.Lde.red abandoned.
WARNING TO OWNERl YOUR ~^ILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE !'OR IMPROVEMENTS TO YOUR l'ROPER'I\Y. IF YOU INTEND TO OBTA'I'N F'TN~NCING, CONSU1:l'
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE or COMMENCEMENT. JOBS UNDER
~2,SOO IN VALUE DO NOT NEED TO RECORD AND POST A ~NO 0 C NT".
,d~...
SIGNATURE: OWNER OR AGENT J::)AVID. Jl. ABLA DAvID R. AJ3LA
STATE OF l!'LORrDA
COUNTY OF PASCO
The foregolny instrument was acknOWledged
Before me this --.Z1&.. day of ,~ , ~~
by DAVID R. ART on
(name or pe.rson acknowledged)
~Who is personally known to me, or
o who has produced
(type of identification)
and WhoOd~e an oath. .
Signature of person taking acknowledgement
STATE OF I!'LOIUDA
COUNTY OF PABa>
'J'hp. for.go.lng instrument waR .ilcknow1edged
Before me this .'l.e. day of..ft,l'" , ~
by Dl\VID R:-AmA
(riame of person acknowledged)
bLho is personally known to me, or
o who has produced.
(typ@ of idlt"ntifi~ation)
and who O~ ,~id not take an oath
. ~~'.a
Signature of person I:aking acknowledgment
Name
typ,F.P", IMIiU.d.CWfTlttamped
~A'", Notary PlJblic. St~tQ Of ~lni'irlA
~ ~ ~ My Cornr~issi(Jn ExpireS July 28, 2004
(:(/!,\lIl'I$SiO!) No. CC954594
Name typed, ~tH~oQ~~tamped
..;~
......} .~ Notary Public, State Of F/orfda
~ Ii My Commlssion EI'Cpin;1J ,July 28. 2004
AUG-28-2003 10:37 AM MILBAR CONSTRUCTION INC.
352 567 4454
P.05
JAH-1-eeee 12telP FROM'
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AUG-28-2003 10:38 AM MILBAR CONSTRUCTION INC.
352 567 4454
Jr..al
~j-MiIBlr ConltrUctlon
.......0..-. 0Ifi........
113557<40454
..... No.
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1..11 US HwJ. 301 NcMI). D.-. ~
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AUG-28-2003 10:39 AM MILBAR CONSTRUCTION INC. 352 567 4454
P.07
NOTICE OF COMMENCEMENT
MCI II 3183
-,
Permit No.
Parcell.O/FOLIO t 11 26 21 001'0' 16400 0130
State of Florida
County of '~p~
THE UNDBRSIONBD hereby give notice that the improvement wilJ
be made to certain real property in accordance with Chapter 713, Florida Ropt: 7UH548 Reo: 8.H
Statues, the following infonnation is provided in this notice of DeS8/: ~e'./I.. IT: ..00
, · 3 Dpty Clerk
cOmmentement. _'._..
1~llgllllllllllllllalllllllllllllll_111111
'''2~~n"14: lI:~O fUNT.", CLERK
OR 81< 5511 ..0 1ssie
, I
,1.Description of prope"y (It!8fIl daCripdon of prtJperty and address if available) 5115 5TH ~
Section 1 1 , 'lbwnshic 2 6 ..,~'. Ranqe 21 0 0 ~ 0 1 6 4 00 0 1 3 0 ZEPHYRHILT~~. FL 33542 ~,___
2.General description of improvements SHINGLE AND FLAT RE-ROOF
: . ~ I
3.0w8ermformatlon ~ :L:h~; ~:\ .~ i:?1:r~ ~
a)Name Bud add..... u:~ ~-(--_~Y\ _ \J\ _f\\" _.. __ ..- . .
b)lnterest ill property 100%
c)NaJne and address of fee simple titleholder. (if othcr, then owner)
4.Cotltractor (name and address)
5.Surety
a)Name and addrcss...~
b)AmoUflt, of boud
6.Lender (name and address)
MILBAR ~STRucrI~. INC. L VANCE L. MIL~
15911 US 301, DADE CITY', FL 33523
r
7.PcrSOll within the State of r'1orida designated by owner upon who nolices or other documents may be served as
I,rovided by Section 713. 13 (I)(a)(7). Florida Statues.
Name and address_
8Jn addition to him or herself, owner designates ,
of to receive n copy of the Lienor's Notice as provided in Section.
713.13(l)(b), Florida Statues. .
9. Expiratiolt date of notice of COlTuncnccmcnt
from the da '. 0 lftlM8 av. erel date is specified). "
i ,. My Commi8eion fCCl701i93 0
STATE OF ' DA ElCpirn September t2. 2003 lID. 's SIGlA'l'URE I.
COUNTY OP I 'If,~ '( (/ PRINTW NAME & 'l'I~
The following instrument was acknowledged before me thi " f day 0 WATSON
who is perSonally known to inecQr who produce~~ .. .", . Vr" ( r'(:>,[~;
:..,....
N ar Si n't
Name(print)
Tit Ie or rank
Serial number I if any CC8 70598
Ancr recording, return to:'>
NameMILBARC~~i[-!~:";,THUCTJON 'NC
Address 10911 U.S.30L .
Ci t Y Daae en}', .. L 33523
. '~.:':'
'j\
1 "',f
STATE OF j.l.ORIO~\
COUNTY OF PASCO. .. A
1'1W' I" TO t.:~flTlry ,!IAT IH~ I'OKI!GOING IS
'ri\lIE ^NO t:'O~Hf;r:T GlJP: o.r. ~~F IiOCUME~T ONsf~~
b 'f' "LI"I ,,' I:'FI~nR() III 1111;, ()Im:r. WI rNES
On U' t c' .",, 1'.. , , ". .'l-J Y OF
""0 ^~.,. ""'-",+-0'
.,. :l _~
'"j"["Q'PfrTMA ,G\. R ()l~ (;IHClJIT COllAT
BY , _' ~ -- D~Pllrv CLERK
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
MCI 3183
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
LUZ WATSON
PHONE 813/780-8989
5115 5TH STREET, ZEPHYRHILLS, FL 33542
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
11 26 21 0010 16400 0130
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: [JNEW CONSTRUCTION
[JADDITION
[JALTERATION
[J REPAIR
[J INSTALL
DSIGN 0 MOVE 0 DEMOLISH CROOFIND
PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS [J MOBILE HOME
[J COMMERCIAL
[J INDUSTRIAL
[J SWIMMING POOL
[J OTHER
DESCRIPTION OF WORK
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
SHINGLE AND FLAT RE-ROOF
SHINGLE: 15"00
SQUARE FOOTAGE FLAT: .1000
HEIGH'!'
BUILDING SIZE
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
[J BUILDING
$
3,297.00
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
[J PLUMBING
[J MECHANICAL $
o GAS ~ROOFI~ [J SPECIALTY
TYPE OF CONSTRUCTION: [J BLOCK
VALUATION OF MECHANCIAL INSTALLATION
[J OTHER
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES [J NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
lCOMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIAN
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST tI
CITY PROCESSING #I
SIGNATURE
**********~**************************~****************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #I
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER . ROOFIN~
SIGNATURE ~ .
COMPANY MILBAR CONSTRUcrION, INC.
STATE CERT OR REGIST # CCC 051562
CITY PROCESSING # 218
*****************************************************************
CONDITIONS Ol!~ PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit nlay be subject to. ~deed restrictians" which
may be mare restrictive than City regulatians. The undersigned assumes responsibility far
campliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the awner has hired a cantractar ar cantractars to undertake wark, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, bath the owner and cantractor may be cited for a misdelneanor
vialation under state law. If the owner or intended contractor are uncertain as to. what
licensing requirements may apply far the intended wark, they are advised to. cantact the
City af Zephyrhills Building Department, 813-788-6611.
Furthermare, if the owner has hired a cantractar or cantractars, he is advised to. have the
cantractar(s) sign partians af the ~Contractor Sections" af this applicatian far which they
will be respansible. If you, as the owner signs as the cantractar, yau are indicating that
yau, rather than the cantractar, are respansible far the wark. If the cantractar wishes
yau to. sign as cantractar that may be an indication that he is nat praperly 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 capy af ~Flarida's Canstruction
lien Law - Homeowner's Pratectian Guide" prepared by the Flarida Department af Agriculture
and Cansumer Affairs. If the applicant is sameane other that the ~awner", I cerify that I
have abtained a capy af the above described document and pramise in goad faith to deliver
it to. the ~owner" priar to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infarmation in this applicatian is accurate and that all wark will
be done in campliance with all applicable laws regulating canstructian, zaning, and land
develapment.
Applicatian is hereby made to. abtain a permit to. do. work and installatian as indicated. I
certify that no. wark ar installatian has cammenced priar, to. issuance af a permit and that
all wark will be perfarmed to. meet standards af all laws regulating canstructian, City
eades, zoning regulations, and land develapment regulations in the jurisdiction. I also
certify that I understand that the regulations af ather gavernmental agencies may apply to.
the intended work, and that it is my respansibility to. identify what actions I Inust take to.
be in campliance. Such agencies include but are nat limited to.: *Department af
Enviranmental Regulatian-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
Lands, Water/Wastewater Treatment
*Sauthwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercaurses . .
*Army Carps of Engineers-Seawall~, Dacks, Navigable Waterways
*Department of Health & Rehabilitative Services, Enviranmental Health Unit-Wells,
Wastewater Treatment, Septic Tan~5
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to. be used in Flaod Zone ~A" or ~A,etc.", it is
understood that a drainage plan addressing a ~campensating volume" will be submitted which
is prepared by a prafessional engineer registered in the State af Florida prior to permit
issuance.
A permit issued shall be const~ued to. be a license to proceed with the work and nat as
autharity to violate, cancel, alter, or set aside any provisions of the technical codes,
nar shall issuance af a permit prevent the Building Official from thereafter requiring a
correction of errars in plans, construction, or violations af any cade. Every permit
issued shall become invalid unl~ss the work autharized by such permit is cammenced within
six months af issuance, ar if wqrk authorized by the permit is suspended or abandoned for a
peri ad of six manths after the t~me the wark is cammenced. One 90 day extensian 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 appraved inspectian must be lagged during each six
manth periad, ar the praject will be cansidered abandoned. '"
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERny. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY. BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN UE DO NOT NEED TO RECORD AND POST A ~ENTN'
ABLA SIGNAT RE: CONTRACTOR DAVID R. ABLA
acknowledged)
knawn to. me, ar
STATE OF FLORIDA
COUNTY OF
The faregaing instrument was ~knawledged
Befare me this ~ day af (., ~~
by DAVID R~
(name of persan acknowledged)
~ha is personally knawn to. me, ar
PASCO
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknawledged
Befare me this 2.CJ. day of /Jt.J(.. ,:r9~
by DAVID R. ABLA
(name of person
~ who. is personally
PASCO
Dwho has produced
(type of identification)
and whoO did ~n not take an oath. .
~0j)}d{
Signature aflp~f,~~~~ng acknawledgement
Dwho has produced
(type of identification)
and who O~ ~id not take ~oath
~~
Signature af persan taking acknawledgment
I
, , ,~ ,'" t", J';Iv 28. 2004
Name typed, printed io.rstart\{jed
;:")::::c. ~:'"att: Of Fk)r!da
Name
~ ~:~:-;'l_i\.n/\ 1\. LOVETT .
,e "'. \"" ,r,," C'.,t" n' Florida
iyped,! 'i?~~i;lt:e4" QXb,tatl11~~a004
,"".,)..".,.,.;,;)""/"
JAI-4-1-2~02 12~e1P FRC!'1i ~!!I:.._
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8131780-
JOt I'WIII
\of" T:~;f'lN ~
JCa lOClI'ION
5\J 55TH
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~ MilBar C~nstruction
, ~. 00nc:reI0t.~.
16911 US Hwy, 301 North. Dade City, Ro
3521567~047 · 8001562.2393 . F;
I"RJII'DSAL.
WATSON, WZ
STAEIT
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I sue '5TH STREET ,~.
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SE~ PAGf: TV". ".",,:;1-
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quenl Bnd beer 1nMeIl8l1M .... 'fIqfl9 ~ ~I,,* Il1lIf1lI\ Owner IVWt 10
l'Iay .. ..... ~, tlIdl at - ". . ClOlhatar fHe, 0IM1 ootle, et::.. lor llDIecIkx\
of delInqllent invrliaw tldudlng '" -.y rife, ~do Ilrld 01het ~
" 1nIurInce. w~.re ~ "WoIbnan'& CoIn~ InIuIMOe.
1:--:,-- __." I . ':"~'_
r'. AuenfnJ:tt:e J1f It;ptl' ul -ThB1ibQveprIca,Ipecllk:a1/onll
II .id"co;Jiti;;. are ..tisir',*fY~ h.reby accepteq. You are aUlhorl2ed
i 10 do the work a. lp8lified. . will be made .. ou1lined above.
II ~ of AcospIanoe; ~: ~r!L:
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A11\t1orm
S1gnalunt
Note:
Whhdrawn by UIi If
MemMt oIlhei I ;
Roo"", IItld I ,
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JAN-1-2002 12: 02P C'FO'I: ,.~. I.
. . III ~q:"
i U: 13:"c!:"bfit'\:,,'l
,~ 1.
_ 'rop.o~a:l -_~+~ Page N~
~. MilSer Construction
FIDaIng.~.~.
15811 us HWy. 301 NotIh. o.de cttv,
35~567-6047 · 8otV562.2393 ·
, nmw
WATSON. LUZ
3115 5TH STREET
cm.8W1i_lJP 00l)E
Z&:PHYRHILLS.
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I 3. PI'Q.;.~II' nd s."lItel1 a new Fb..to..... APP~ 1
.w~.~_'-.l.-;-. "IIIe._ . ih"lcn1if"'i'Torch....pplI.ty-fiiIly:iiDii-
.' , . 1" ~.~ lded at. -the lIiI.__ to :1:0'" one _beet
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to iii\RI.'" l.tian of tho F!rc.tono rool1ng .~~b
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:1. pJ'o>;if4iili' d .in_taU tie. 26 VIlIU\Jf' galVanized ..
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1ft_lln .. ,(02.090,080 U.:l.tl snd l'V-rQufing It
. ....... ..,_....'''11._...._'_...__-...;.. .............. .......-......,..."................. ........ _.._......"'"W_........"._...._....._......_.._......_
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THREE THOUSAHn TIO
furnish material and labor - complete in acco
~RED "IHETY-SEVEN ANn 00/100 -------
IIToOloIil atrIr;UQ not paid In ." ":
QUtnt end ....lrIltfltl II ....... .1
I' pay d tG&t&~. Iud! U - .
III ~ moIClIIlI'IaIlIllq
\ 1r1aInncIB.0.. 'lVUIIIn IAI ur ~
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.'/ ~tUPtauu d .; ".,
laM condition. are..t . .,.
10 do In. work .. eptqj"tCl.
,.,
o.ttof AQoIplaIlOt: .. ...,. ,
~
Ihe pavrnent llIl'fI\Il ChaI be ClQIlIidtred deIn-
~ PI/CIIlOMlrmant/loo Owntr 111I..10
~rttM, ooiul--. ..lor coIIccion
r ..Ifl.... totMdo n othef MCII8IrY
WoJtcman's ~ II\tUWlOt.
AulhoriDd
SlQMhmt
No":
w1l11dn1wn l7f LB n
al -TI'l\aDCMI prIc:et, ,,*,108tIOM
hereby accepted. You are authorIzed
wtll be /Mdt! .. oulllned lIbo\Ie.
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~1MlNIIl ~..I!.IHJI
NOTICE 0.' COMMENCEMENT
MCI # 3183
Pennit No.
Parcel tD/FOLIO # 11 26 21 0010 16400 0130
111111111111111111111111111111111111111111111111111111111111
2003158698
State of Florida
County of PASCO
THE UNDERSIGNED hereby give notice that the improvement wilJ
be made to certain real property in accordance with Chapter 713. Florida ~S~t.0 ~~0549
Statues. the following information is provided in this notice of 08i27/03
commencement.
Rec: 6,00
IT: 0,00
Dpty Clerk
JED PITTMAN~ PASCO COUNTY CLERK
08/27/03 0~:09pm 1 of 1
OR BK 5511 PG 1899
l.Description of property (legal description of property and address if available) 5115 5TH STREET
Section 11 . Township 26 Ranqe 21 0010 16400 0130 ZEPHYRHILLS. FL 33542
2.General description of improvements SHINGLE AND FLAT RE-ROOF
3.0wner information
a)Name and address
b)lnterest ill property 1 00%
c)Name and address of fee simple titleholder (if other then owner)
4.Contractor (name and address)
MILBAR CCNSTRUCI'ION. INC. / VANCE L. MILTON
15911 US 301, DADE CITY, FL 33523
5.Surety
a)Name and address
b )Atnowlt of bond
6.Lender (name and address)
"I.Person within the State of Horida 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.In addition to him or herself, owner designates
of to receive a copy of the Lienor's Notice as provided in Section
713.l3(1)(b), Florida Statues, .
9.Expiration date of notice of conunencemcnt
from the dat . .'f~Orm2.un ess a .ere date is specified).
I,}.'t.~\ R~MONO M, BR
~~{ m My Commission ICCII70598
STATE OF DA Expire. September 12,2003 ER 's SIGNA'LURE
COUNTY OF, ~/1..I'.,... "./ ,.,.7 PRINTED NAME & TI'.rLE.'. .,' ..' ~
rJ"I(' . "-
The fOlloWing/instrun:e~1 ~as acknowledged before me..!hisf p day 0 - ,Cf quo:! 11 by L~ Z N. WATSON
who IS personally known to me(2r who produced. L- .. (/ ~Y' i If" --(",( .5..1 ..v' '"-. as 1 entIficatIon,
.,-/\
/ '
>i--;/__/ L,j L~l)
NER
After recording, return to:
Name MILBAF1 CC:,il:3'(FiUCTION, INC
Address 1591" U,S. 301
City Dade L;lty, FL 33523
I , l'l,i