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HomeMy WebLinkAbout04-3561 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3561 Permit Number: 3561 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: 27,348.00 Date Issued: 11/04/2004 Total Fees: 300.00 Amount Paid: 300.00 Date Paid: 11/04/2004 Work Desc: GARAGE Address: 37412 ILL AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: Name: GRAND HORIZON Address: 37412 GILL AVE ZEPHYRHILLS, FL. 33542 Phone: H ACE AIR CONDITIONING & ELEC, F T I DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC, INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC, MISC. REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35000) 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 nWarning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your propertyo If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement. n Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. 1?~ f) ~ ~-~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER '37 lflL (J ( L t +) \f , COI R'J- City of Zephyrhills Construction Requirements Survey markers shall be exposed for inspection of required minimum building setbacks. Termite treatment is required with final treatment sticker being posted at water heater or electrical panel. Minimum 6" separation from finish grade to wood frame walls/siding required for slab on grade construction. ri\iE. lI/liJ..nv.' . "- ~ .~.. .....~ c -. oo!:. tv. G Co '~~ '- Cl1y ~F~?Jv:lS;; ~Zo~ y fVI7'lt ~1-iYn-. ~CfJu, ~ 8VrLD -1J..i - '\I'flJ..l..So~CoDe 'llvc 'llv<4Jv~ --"'-~-------'._"._--"------'-"--"-'-"--'---~-'-._~--~-_..~~_.__._._--_.~--~~~--- CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8~ Stre.t, Zephyrhill., FL 33542 813-78P-0020 FAX:813-780-0021 DATE RECE IVIlD ? - ;2D- () f PLANS REVIEW FEE ,...--' OWNER'S NAME &!Zt4A1iJ 1-Io/2( Zo/J III I-IP JOB ADDRESS 3'7 '-1/ 2- 61 Lc fJ VE La r / 9' ,~ PHONE "'pI 7- '7Pz- I Dr; ( SU8DIVISION.&:I24f\O HOfZt co/v' /?1 f/f1 LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID i 71./ - 75 - 2- { - 001 0 - Oz?oO - D/95: (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~W CONSTRUCTION OSIGN PROPOSED USE: ~L FAMILY DWELLING OCOMMERCIAL l8"ADD I TI ON o MOVE OALTERATION o DEMOLISH o REPAIR ~TALL OMULTI-FAMILY o INDUSTRIAL Olt OF UNITS o SWIMMING POOL o MOBILE HOME lB(;;HER A lA../ M ( tV v /2Il. o DESCRIPTION OF WORK & HEALTH DEPARTMENT APPROVAL BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 13LPC. Ji.Lh-c. PERMITS REQUESTED & (1) SET ENERGY FORMS. 25'5,~~ ^f5"~ uC> FORMS, ~UILDING ~LECTRICAL $ '21?t./f. 23 AMP SERVICE VALUATION OF TOTAL CONSTRUCTION .. o FLORIDA POWER 0 ~;;;;;;;ji71E >1-1': // ,/ / ,! oC--- VALUATION OF MECHANCIAL INSTAiL~ON l~~ TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO , I ,-,. ,--. - "' . -. ... . , , . . .. . . . ::; :.:.,;:;:"j-,; .....'-.. ...., .. ", . C~MPANy_E ..;, COIV$T!'vCl/OIJ r.t: epv17i?A<- /? () _() STATE CERT OR REGIST if"'l3co!;;7f1?2- ~ CITY PROCESSING It 2(P BUILDER /::::"L. SIGNATURE ~ /~. ****************************************************************** SIGNATURE ~ j): ~ COMPANY Ac..-c E L--r: Drill L STATE CERT OR REGIST # CITY PROCESSING It Jcf 7 ELECTRICIAN ****************************************************************** " PLUMBER COMPANY STATE CERT OR REGIST * CITY PROCESSING # SIGNATURE ****************************************************************** MECHANICAL COMPANY STATE CERT OR REGIST i CITY PROCESSING It SIGNATURE ***************....**.******************************************** OTHER COMPANY STATE CERT OR REGIST i CITY P~OCESSING It SIGNATURE ***************************************************************** _ '"'......, ..... .... .... '-'..,...... "-".... ...-. '""'......10.. .clr..I.o J.. ... ,J...IJ:""'ol..II ..t.. J. A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictionslJ w~ich 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 intendep 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, h, 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 aocument 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 unl... the wo~k autho~ized 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 Ofticial, An approved inspection must be logged during each six month period, or the project will be considered ~bandoned. 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 YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". 1"1 ~ 7.~,_nR.'t S I GNATQ 0 R OR AGENT ~ ~ 1J,J"~ SIGNA RE: C MCTOR STATE OF FLORIDA PAS, COUNTY OF C 0 The foregoing instrument was acknowle~edlj Befor~ m~ thls~<!.ay of~US .,..-, Oh by tp(Zf G7 .-" { , (name of person acknowledged) ~o is personally known to me, or STATE OF FLORIDA P fJSt 0 COUNTY OF The foregoing instrument was acknorledae~u Before me this ~ay of At Yo vS , ZO 0-1- by 0~ l?tf./~~ (name of person acknowledged) ~is personally known to me, or III,.. ~ .aking acknowledgement and who Ddid ~ Dwho has produced (type of identification) ~d not take an oath A.~ ...roduced _ (type of identi(ication) ~ot take an oath. rSV3~ ~ Jru~JA A~iimped l My Commission 00116710 , Expires June 22, 2006 signa~ure of person taking acknowledgment Bf2-vU::: ;J, A sO € L- Name typed, printed or stamped J>"j' Bruce A Asbel ;.~ .; My Commission 00116710 ~or....:I' Expir~s June 22,2006 08/16/04 MON 13:34 FAX 8137823966 , ~~-~ ,~,~~~ ~HUM GRAND HORIZO~S HOMES B&H CONSTRUCTION OF CENTRAL FL. INe 4025 MORRIS BRIDGE ROAD FREE ESTIMATES ZEPHYRHILLS, FL. 33543 Li~e/"lsed · eQnded · Inswed · Skinina · St~s . Room Addilions · IlImitl"ln . Concrete ,. Lor !tt~SU~jVidionY1Y/:2.. teLL ,4o~>>- C:I'~ )/,RIZLJOr" ...Ta Co", b ~e..__ L3P S,ding Color C. ( a lJ Home Serial II I Home Model" C L - 4 t,.4, g' tV Barn Color All .hbnin&ml roofs include: PlIns, Trim. Ouft<<. DowD . spoul$.))(.) Potts. and Shinale Flash.... T~f1$sc~ ,rJ'll'Ntfic ~~ ~ N.#>,.., ?I'N)~OO _pans_Ft I..oA&..-Sq Ft x J.39 - J.1l aPms.J.j:Ftl.on&..1.&SqFtx ',)g.]... HO..... ~A _Pan~_Fl Lon&.............Sq ~ x 3.190 '.11 V~lan~--.._.____ D-LIF II 4.46 Gun. on HOCII~---~VF x ".60 (j&bl~ Bcam WeB Oft rrooc Loed---l44_72 2~. SM &.m------_lIF x 3.'5 2lc6 SM Som---- .L!L..LIf lit 5.)4 '7",- 7&, 17.7 SM 8eam---- _lJFx '067 Jd SM Beam----- LIf x 7,. ~x9SMhtn ~ -l.JFX.:J. 21110 SM Beam--------- _lIP x It.96 _~n~ , IN ~;..:~ SCREEN ROOM WALLS t~p KPil...+i"l+_. _=~VFx21.", Saeen Door lru:luder. Closer and ThteshoJd---L-VF x 94.3. Gable Fill one Side------- _llF It U.lO Insulated Kick Plu__ ~)C 3.63 FOUl Beam (not wired~- _EA x &2.92 711/.3;- "1'38 UTILITY ROOM WALLS WallV!L+1!L~li..+_- 7.2. UFx33.93 J9Y~.$6 2 x4 Sruds 16" OC Sh:d Door and I Wind~~ In x15I.01 Single Window ('Exu-.)..lo__- - EA X S6:63 811t) Shieldm-----;---. - ..J2....UF X 5.02 i ~ 4, 'ifF Mi~;..JI/~e- r IUJ flf Q.L/1.,iS q ...;. ~/j-, (il) ~ 'ltG-tJ"J7e'8~ nb#AJI/daI( ()CJ~ V1N't1. ROOM WALLS Vin.,,1 Wall ... · · .. LJF xSO.J4 Inside Kick ---pJat;::'.=-=---tJt l( .5.12 Lap Top Inside and Out---- LIF x IS.IO Florid.. (ilass---~-.----_L/F A '0.07 In$~l~lc T vp and Boaom--- _UF X S.3' Cl(lOI"~ inclu~ (2) 2 Track Units Thrc:shold and Closer-- _EA x 144.72 B&H '.vill nQ( be respOluible for an leab ;(1 VCNYl ROOMS X GLASS ROOM WALLS Wan.. + + + C! L.'F :It RSystantn~ -;- ""_SqFI),J4 Ol~ Door , 300.00 HMd Raila., LF x 2168 Stoep 1Wlil\a _EA lI; 90.97 o.r.,. DoGr ..iLl-LEA x---1- Oana~ Door Hcada'.- L- /~ ia II L alrlle Door Opener--. _ x 7 'Ea ~ L ~tisc; Ai UMI'NlJM TOT A L CONCRETE AND BRICK WORK Patio S~ /". x:J.L. -.ilR... Sq Pt x 2.33 Paio S~ ,1!Lxa.. -..f"'" Sq Pr Ie 2.3] Patio SI.t;...- L.,..lZ... · .LL... Sq ft )\ 41' PaIio Slat.-- Lx.t!.. = _Sq fit x 2.33 Side WaUc- L~.~Sq Fr)t 2.33 Dri~)I ..a:......g ~!iZLSq Vt x 2.ll I>rivewayfIairL~ -.lL.Sq F( l( _~ Raised Utility-- -L...I Jf.2" _40' x 33.93 !tailed PIno 6 CtLxl2..'" iL~ Ft x 8.51 Raised h1io 6 C- ~x_ · _Sq fl x a.sl OYer 6 per ft per- 41L~ -MUF llt 2.33 l'oorcr Ixl1 Jtc:ioballI- J.l..Uf 1Il 4.02 FO<<II' Jl:d1lt.ia.f<<ocd--.z;...LJF J( 6.00 FGGtcr SkirtiaS ~IA x 2-19 I Tread Step ~-'-EA x 102.23 2 TI'1IId S1ep---LEA. It 204.46 3 Tre.d Sf4lp EA x 306.69 4x4 Sloop. - _EA lit 2SO.12 8ridc SiDrtm, Ma S Hip 3".( S- i' stA{, SpJit Brick Air - _UF @_Courses x :II; 2.10 Split Bride SoJicl~ ALCounes"( 2.33 Fill Dirt - .../L Loeds l( .. 00.00 ' Prcu-Qf -. ~ -4~ _ )00.00 Mbc:l'ar 61Aef,vp S~ t:;V'? NOTE: A_cling to the F1a. Buil-din, Code · c:nck II nor a SII\ICIUraJ pr~ Ufttill is Sl~~' ~~ DATE ~-I'..DY PERMIT FAX TO 115-65&6 TAX FOR ENGINEERING TOTAl... All _r\-"'aNlIi,.,.. _..-u aN ~ .,..~. A FfHAHQ CNAAOI or I.J~,. --.II -.ill be _ On all ....r-:d ._Ir in.,..,. -'l'INUAL PlRCDlT40E 1lAT! 0""'''''' llIGflWy.'''' if~ ~ M"~, Oale I4J 001 P_ I 1-800-224-1206 ?..tit-oy y '; /..a::> ~ ~ ""'" 'A1~ "0 I~'" ?,~ ..1"~~ 10 / y.z,oa ,,, .I. ': ~ ']I /. 7~~ 7 !.2 ). '" () '1,V / ~ cf'..2. u 7h, r , ~ ,e ~ '2 ~~~ ,,, ""4., .,,_ 'sy,.9') ~ ~~q,:l-::j ~ACO ,""'~ -- 11'-3/'/1 I 5".3'- '?.11 ~ =7<;"('LOO :J? 3 <tJl,,2 ~ LEONARD Go "GEOFF" WOODo PoEo 4034 THE FENWAY MULBERRY, FLORIDA 33860 (863) 646-5517 Date: 8-16-04 B & H Construction Zephyrhills, Florida Re: Address 2005 Jacobsen 37412 Gill Ave Zephyrhills, Fl. Mod # CL 4 4668W Lot # 195 Dear Sirs, This letter is to certify that I have reviewed the above referenced structure to determine the structural adequacy of the existing structure to receive the attached structure. The proposed structure is roughly a 13x14 Raised Screen Room a 24x24 Shed. The existing mobile home, has been considered and is adequate as a host structure, with the blocking and anchoring at 5' 4" Based upon review and acceptance of other structure to home per manufacturers requirements. As always, should you have any questions, please feel free to ca1l me at any time. eo~ 4034 The Fenway Mulberry, Florida 33860 I t~5emc.v1 -E.. 1< , >[ '}O .31' ...- >I~ , lIS 'fr(J)~t.1< I' 17 I I!({K 1< fL;T /9-'- .J7'1JJ CI L {. JIvE GI<A~C'/ 1h12/ W~5 I JJ. ~71 , I' 1'1 ~II 1 /3 I' 100 ' i ~ /t'0 , ?I , 76 ' , JI /)R,Je aJl4 / >1 I E115Emc/(,/7 !v; ;{/;c# fi?/I1JI ~ '- \J ,'- .~ .~ C\ ~ ~ /'"\\.i ~ .......... '--.J ~ - ~ \ '~ "-.J " .-- ""'-Q ~ ""' -..... \ '''^I '~~ ~ ~~ " ........ ~~ \ ~ .~ :-...~ ,)...; ~" V\ ~ .~ ~ ~0 ~.~ ~~ ...... ~~ ~ J...::: ~ \..J"t'--- ~~ J '- "'-.ti \.i .......~ ~ '" ~ ~ ~ I~ ~ ~~....... .~~ ~ II-J ~~ ~ ~ ~~ ..... ..... ~~ ~~ ~~ ~ ~~ ~ \(; ~ '''\ ~~ " ~~ '~ ;-.... ~ 0...... .. '\.' .~ ..."->( \ --.&, \j ~tX ~ ~ \i\ ~~~ !'r\~ ~~~ 'D"" ...x ~'~ \-v \ \ .. :0 \\-.., '" I\'. ~,~ ;X ~" fi"'K I ~ k' ~ rolJ/1..>c!t} Ii ON FCorcJ<.5 '- ~ .......... >j< '\. s.J '" ...... 'i'0. '......: \. ~ r- ~ ~ r- ~ 'l:l: r.u 0.. C \C 8 f~ .~ 5 . r.:.. G: o 0 F. ]~l ~~- <"\ - ~~ '- >1 dJ/CUt/ q/;?tIy 1< ::::r- ~ ~~t- :~ I ~ \. \tJ ~ ~ \'- ~ () \~ , ~ ~ ~ ~ ~ ~ ~ " ~ ~ " ,~ '\J ~ () ~ ~ \;) ..... ~ ~ '\= ";t: \) ~ "~ Cl,;) ..... " ::r-- ,~ ~ ~~ I~ ~ ~~ '" ~ J J..J ~1J3 ~V\, ~~ ~~ ~~ ~ ~ '*" g: $ ~ >.00 ~ ~ ~ ~ a . . ~ ti: ~ u ~ '"O~2 ~~"3 ...l~~ )~ S-. ~ ~ c:~ ,~ '- \ ~o ~~ ~'J ~) \"J \.... \{) ~ ~ ~ ~ '""'\ ~~ (j '- ~ ~~ , '-S ~~ ~V'\ "-. \J ~ ~ ~ k -~ ~ ~ '- -/~ .. C'Y) ~-~ ~"'-J I..~ ~ Q (~ ~ ~ ~~ ~~ J~ ~ ~ ~ ~ T " ~ "" '- ~ ~ ~~ ~~ ~ ~o- V)~ ("\ '1::J~ ~ 11\ ~.-..FJ '-..J - ~ ~V', -......... " r:::: ~ V 'It ~ ] >.~ ~~~ ..J .~G: c.:> U . ~~ ] ~ i ~ ~8"3 ........ ...J 'It ~ 00 ~ '~ ~ I, , ~ ....... '" ~ 'tJ ~ \.t; ~ "-'\ ~ ,.-... ~ ~u <::J ~~ a(/) }:W-l g.-J ~~ z-- W-l~ ~:r: u;z: (/)0 b ~~~ ~S ~~I ~~ ~~ ""~~ oa:l~ _t:!- h~ ~o~ jl~~ ~8 V)~ t:;~;;\ o~ o ~ - , ~u~ ;""~ ~s t:;;8:i ffi!fllJDUS ~SOH ~"" ~~u :le.::e. a~~~ ~Z; if) ~ .- > - - r: o ai ...) ~~ 00 ~~ a; 2525 o . u... ~ 00_ z < < . -< ~ 0 V'lo.. 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UIO - ~~ r~-, I - I- - ~... - \ i n SlIWHHOOH ~ g ~~ i>lS~~k ~ ~u~ I "~~i or ~d~r!~ ~l ~Irh' ~ ~~g u ~~~ Si , ~ X , (,J'I I / I I qUo I nil. ~~~~I elf;I' ..... I h~ I!lk~~~ li~ :s~ II! J I ~ a I ~ ~ . ,.~ It'. !~ I "'~mr. I. i 1;;1 R .:. ,w~J . i ~U ~ . :::- "" ! 10 K ... . : '~I ~ . ~~I :=.:: ( C I" , I " - \', z o ~ o z ~ 6 .~ I u... f~~ ~ . ~!~u 5 !~Ji~ 0 Fi~ e ~ ~~i4f! w '~~3i~ ~ I ~ w :i < I JJ '"" : ~ J I !!! ! 'I, q g :i Ii ~ o' ...~.. h i ~y ~~ .' . ~ ' ~! ~~ '!u '".. ~. u ~~ 'f' ,~ f= II ii .u Ii" I ~ ! 5 g .. ..~ """ ,0- ',9 SJll$1I1t \ I I - \ This space for use by Clerk of the Circuit Court only, ." ,', 1111I111111111I111111I11I111111I1111111I111111111111111I1111 2004210253 Repl:830088 OS: 0. 00 11/10/04 Ree: 10.00 IT: 0. 00 Dpty Clerk JEO PITTMRN, PASCO COUNTY CLERK 11/10/04 09: 05am 1 if 1.. OR BK 6103 PG 404 NQIICE! OF PQM~E~CEMEN! State of Florida The undersigned hereby gives notice that Improvements will be made to certain real property, and In accordance with Section 713.13 of the Florida Statutes, the following Information Is provided In the NOTICE OF COMMENCEMENT, 1, Legal Description of property (street addreu required): 31 Lf / l- C, LL If V E: 1_ 0 r / 9 S- 3lf.:...zS--2..I- 00/'0-02-1"(;:;>0 -(I){ tfs 2, General description of Improvements: fI-/.-JJ'V1/ jJi./dl fA-de IJc;/~ 3a, Owner Name: c;/2It-f'J1J J-JOfL/ Z 0 JV fVllff7 Owner Address: rr b I.f t;; (;R.fj=).J ..?/.-oflE JJrz I Zt/l1t0l1J / fA:- f PL { .3 J ~<.f 1-7 (,,(p o' 3b. Owner's Interest In site: 3c. Fee Simple Title holder (ot olher than owner) Address: ::/~M-C /~ L , tC, ? J 5'-1 ? Phone: 5. Surety Name: Address: Amount of bond: Phone: 6. Lender Name: Address: Contact: Phone: 7. Person within the State of Florida designated, by owner upon whom noUces or other documents may be served as provided by Section 7.13.13(1)(a)7, Florida Statutes. Name: Address: Phone Number: 8. In addiIJon to himself, Owner designates the fQllowlng person to receive I copy of lhe Lienor's Nollce as provided In Seclion 7.13.13(1 )(b), Florida Statut.., ' Name: Addr,,,: Phone Number: 9. Expiration date of Notice of Commencement (explrallon date Is one (1) y,ar from date of recording unless a different dale Is specified). .' STATE OF FLORIDA 12((. /f /JM L ( illZ-/f;Jiiz t Signature of own." .. ,/ '" Th foregoing instrument was I . produced If) date ot /VWi:-MPfiz , 20.12!::(, by who (Is) (are) personally known to me or IIldenllOcaUon, who did/did not take an oath, \ GA/c{ ,4, rbeo-P Signature. Nolary Public ' R'it\. Elruce A Astlel ,~ .: MyCommissionDD116710 OI...;! Expires June 22, 2006 (A copy of any bond must be attached at the lime of recordallon of this Nollee of Commencement) ,