HomeMy WebLinkAbout05-4180
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
RESIDENTIAL SWIMMING POOL
4180
Permit Number: 4180
Permit Type: SWIMMING POOL RES.
Class of Work: POOL/NEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 18,871.00
Date Issued: 5/12/2005
Total Fees: 195.00
Amount Paid: 195.00
Date Paid: 5/05/2005
Work Desc: INGROUND POOL WITH DECK
Address: 5929 17TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s):7-9 & S 1/ Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-04200--007
Name: PALMER, JOHN & JENNIFER
Address: 5929 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
SCREEN ENCLOSURE PERMIT #4166
POOL STEEL POOL DECK & FOOTER
POOL PLUMBING/PRESSURE_ FINAL
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
nWarning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement. n
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
~.
CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
04/27/2005 14:37 FAX 813 715 0824
ZEPBYRHILLS OPS CTR
~ Progress Energy
April 27. 2005
PATIO POOLS
SUBJECf: PROPOSED SPAISWIMMJNG POOL CONSTRUcnON AT:
LOT - SUBDMSJON
5929 lim S'I"RI:ET
ZEPIIYRBILLS, FLORIDA
Thank you for notifying us ofyow proposed swimm... pool ~ at the above
location.
The pool proposed for ~ at the above address does DOt coaftict with My
underground or o\oQI..-d facilities of Progress Enagy, pmvidcd that the pool is iustaIJed
in the location shown on the attached site pJaR provided to us by the pool ~.dor.
Please calI SDlUlh~ State ODe CaD of Florida (l-lC)()..t32-4770) a minimmn of 41 hours
before you dig.
If you have any questions or require any additional iDfonuatioo, please call our office at
(813) 783-6944.
Sinc::ercly,
Progress E.ercY II10rida
~~:~.J
Danyl Foshee
Service Coordinator
OFlmw
Pntr- l-,y FIIIriU, ItIe.
36453 (ilanlllJMI,
Zepl1yrhal$, Fl33542
llJOOl
.::, I;~; dtJ.l.'W.!l-J~'): {
I FURTHER UNDERSTAND AND AGREE THAT THE OWNER AND/OR CONTRACTOR WILL
COMPLY WITH THE FOLLQWING<REGULA TIONS CONCERNING SWIMMING POOL, SPA AND/OR
HOT TU, 8 ENCLOSURES"..',M, ,M.~.E.,D" ',A,', r.,E,b,'~..UPON C.OM.,., P,~ET.ION OF. THE SWIMMING POOL, SPA
gS~TjTUB, IN COMPtlA~,G~~I,TH~~eCTION 539..4,(0), PA~<?O COUNTY LAND DEVELOPMENT
h"t,! !f, f:>,;'~
1. Construct around the swimmlng.pool, spa or hot tuba MINIMUM FOUR FOOT HIGH FENCE with self-
closing, self-latching gates. The"fence must not have any gaps, openings, indentations, protrusions, or
structural components that Co!Jld allow a young child to crawl under, squeeze through, or climb over the
fence. Gates must open outward away from pool area. The releasing mechanism of the latching device
must be located on the poolside of the gate and so placed that it cannot be reached by a young child
over the top or through any opening or gap. No opening in the fence may be large enough to admit a
four-inch sphere.
2. Construct a screen enclosure around the swimming pool, spa or hot tub with self-closing, self-latching
screen doors. Latches' on, exterior screen doors must be minimum 54 inches from the exterior access
standing surface. All screen enclosures require Building Permits. .
3. Provide and utilize an .pprov.,qs~fety swimming pool, spa or hot tub cover that complies with ASTM
F1346-91 (Standard Performance'Specifications for Safety Covers for Swimming Pools, Spas and Hot
Tubs). Such cover must be capable of being securely fastened over the swimming pool, spa or hot tub
when not in use.
I fURTHER UNDERSTAND AND AGREE TH~T one of the enclosures described above will be completed prior
to final in~pection of the pool, ~pa or hot tub.
ADDITIONALLY, I FURTHER UNOERST AND AND AGREE THAT the owner will require his/her pool contractor
and his/her screen enclosure cpntractor (if applicable) to request and successfully pass a final inspection
immediately following the completion/installation of the swimming pool, spa or hot t!J.b.
i':
IF THE SIGNATURE of the CO'ntractor, acting as agent for owner, appears below, the Contractor promises in
good faith to make the Owner aware of the above-described requirements and penalties before commencing
construction.
SWORN AND SUBSCRIBED BEFORE ME THIS
l~ ,DAY OF 14VRll-. 20 0:3
~~~ORSIGNATURE
vnUo~aw..v~
NOTARY PU C MELODY A. DAVIS
Notary Public, State of Florida
My comm. expo May 27, 2006
Com'm. No. DO 121054
~~IJ :PALM EI2-
PLEASE TYPE OR PRINT NAME ABOVE
This space for use by the Clerk of the Circuit Court only.
~
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~~~~~~~~1~111111I111111111I111I11I1II111111I111111
Rcpl:876905 Rec: 10.00
DS: 0. 00 IT: 0. 00
04/22/05 __ Dpty Clerk
JED PITTMAN, PASCO COUNTY CLERK
04/22/05 10: 27am 1 of 1
OR BK 6333 PG 1281
State of Florida
County of IlillsboFeuSijR
P~SQo
NOTICE OF COMMENCEMENT
~
The undersigned hereby gives notice that improvements will be made to a certain real property, and in accordance with section
713.13 of the Florida Statutes, the following Information Is provided In the NOTICE OF COMMENCEMENT.
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Ze.
Permit Number:
Parcell.D. Number: JI-:At? -J../ ~() ()/ 0 -O~ .J..iJ(7){)'7(}
General description of Improvements: Swimming Pool
Owner's Name: v-:; h b1 ..f (>en Y1 ~ ~ r Pa.l me r- P.
Owne(s Address: 6 '1 .A Cj' :;; !A cst :2 r Ii 'r /, ;t~) r L 3 3!J' Lf 1-.
Owner's interest in site: Owner s Primary Reslden e
Fee Simple Title Holder (of other than the owner) N/A
Address:
N/A
Contractors Name: Charles P. Foster, Patio Pools, Inc.
Address: 4118 Gunn Highway, Tampa, FL 33624
Surety Name: Old Dominion Ins. Co.
R
Phone:
813-962-0374
$5,000.00
Amount of bond:
Address: P.O.Box 2004, Keene, NH 03431 Phone: N/A
Lender Name: N/A......., Contact:
Address:
Phone:
Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by
Section 713.13(1 )(a)7, Florida Statutes.
Name:
N/A
Address:
Phone Number:
In addition to himself, Owner designates the following person to receive a copy of the'Lienor's Notice as provided in Section
713.13(1 )(b), Florida Statutes. "
Name:
Patio Pools, Inc.
Address: 4118 Gunn Hwy., Tampa, FL 33624
Phone Number: 813.962.0374
Expiration date of Notice of Commencement (expiration date is one (I) yeer from dat~o,f recording unless a different date is
specified). ~\J0 ~ '.
SI ature of Owner
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
The foregoing Instrument was acknowledged before me this
Jt:h V\ rptt I me, r-
or produced
I <g 1J.
. ~
date of r / 2001, by
Who is) (are)@irsonalli~
as identification, who didfQld not take an oat~ ,
(Drivers License #) MELODY A. DAVIS
l J/V1 01 n I J Notary Public, State of Florida
"-- 4-../-.{. 6Ld 'L:J/ My comm. expo May 27, 2006
Signature - Notary PUb~~(J~. . 'a.,J;' Comm. No. DO 121054
(NOTE: a copy of any bond must be ~ time of recordation of this Notice of Commencement.)
BOUNDARY:'SURVEY ,
LOTS 7,8,9, a SOUTH 1/2 OF LOT 6 BLOCK 42
' ,
CITY OF ZEPHYRHILLS, PASCO COUNTY, FLORIDA
. .--.....-..---............--.. ....--....
SEC. II
. TWP.2!..S., RNG. vt E:
PREPARED FOR AND CERTIFIED TO:
JOHN PALM~ &. JENNIFER L PALMER
GENERAL TITlE CDMPANY OF R..ORIDA
STEWART TITlE, GUARANTY CDMPANY
IRWIN MORTGAGE CORPORATION
THIS SURVEY IS SUBJECT TO ANY FACTS
THA T MAYBE DISCLOSED BY A FULL AND
ACCURA TE TITLE SEARCH. ALSO SUBJECT
TO SETBACKS. EASEMENTS AND RESTRICTIONS
OF RECORD.
UNDERGROUND FOOTER, OR STEM WALL NOT
LOCA TED' OR SHOWN. UNDERGROUND UnUTIES
NOT LOCATED OR SHOWN, ',"
Description: ,
Lots 7, 8, 9 and South 1/2 of Lot 6, Block 42,
map or plat entitled "CI1Y OF ZEPHYRHILLS" as
recorded in Plat Book 1, Page 54, of the
Public Records of Pasco County, Florida.
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This lot lies in Flood Zone "X" per Flood Insurance Rate Map, Community Panel
No. 120235 0005 C map revised 12/17/91 Na tional Flood Insurance
Program, Federal Emergency Management Agency.
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Patio Pools, Inc.
4118 Gunn Hwy.
Tampa, Florida 33624
(813) 962-0374
CPC 013686
MODEL RESIDENTIAL
SWIMMING POOL CONTRACT
NSPI, TAMPA BAY CHAPTER
F LOR I 0
This contract made as of the date of written acceptance by the member builder listed above
herein~fter termed "Contractor" and the party named below, hereinafter termed "Purchaser."
PURCHASER JO~~ z{ J ~tJ\FE..R P~L.'M.e.R..
MAILING ADDRESS 5 Ci:;tq I '1 ~ .5f
CITY, ST, -z::.,c P~'fR t\ ILL S FL 5?;f) 47.-
HOME PH.
BUS, PH,
ZIP
7e3-C131P
Contractor agrees to construct a swimming pool and appurtenances thereto as hereinafter provided by the plans, specifications and terms of the con-
tract at:
INSTAllATION ADDRESS
lEGAL DESC, OR FOLIO #
POOL SHAPE Gnz.~~)
..6AME,
1<~
CITY ZIP
MAXWIDTH ~ft, MAXlENGTH~ft, DEPTH~, Ton, To ~,
15, Pool Light \-lAL.O~e.,<<J 29, Start-upChemlcals~esIStriPs ~
16, Remote Light Switch 'I'fS.!7 30, Brush ~Leat Net 'jEfiAdj, Pole ~
17, Elec, Hook-up (to existing) "lE.~ 31, Automatic Pool Cleaner 12~'i V ~~
18, GFI Outlet (1 It required) "I:.~ Or Manual Vac and Hose -
19, Swlmout~Grabrall& 'i.e.~ 32, Spa ~ Therapy Jets
20, Love Seat ,<J() Sunbed f0'r) 33, Spa Light ,...} D
21, Handrail (fig 4) iJ'r> 34, Electronic Controls IJ' f)
22, Deck Type t<P'lA-l".. \S L..p..fJJ:) ~ 35, Air Blower ,..J a
23, Raised Deck lVO' Per Plan 36, Air Button Nt)
24, DeckDrlllnag~~O-OR. 37, Heat Pump 101> Size
25, Deck Removal' }...)O 38, Heater N~ BTU Type
26, Retop ~1 ~~ 39, Solar Panels iJn
27, Footer ~JZ.e.t:::-~""'f''l.p,:. 40, Screen ~Oet...e-rtZV Per Plan
28, Cantll~ver ype t:Zt:>'f At- \~ L.A-IV.D 41, Pan Root ~ D Per Plan
LfirciJ Q.bb~~UVV\ A-"'\Tf\C.\1F;1J 6 J.5 A-O.bEtJ.Dl)M R-"f-r~,:t\C:j)
1. 25 Yr. Transferable Shell Warranty ....,~7
2, Interior Finish QV l\~'1''Z-
,3, Water Line Tile ~a.A.,.{\JE.
4, Accent Tiles 'tES
5, Filter Type & Siz~ Le:AU t (!...U;Al2- \S~
6, Pump Type & Size UL.."'t AA- Ft..-Oc.U \.
7, Method ot Chlorination .s-nc.. KS
8, Surface Skimmer ~
""'1'.:"t.L>~
-1':"\"u~
J...)t>
f'J6
NO
~l)
L I E-J.J
9, Main Drain
10, Retum Lines
11, Pool Therapy Jets
12, Pool Fan Jets
13, Waterfall
14, Sheer Descent
Additional Provisions
TERMS
Unless specially agreed and set forth herein, Purchaser hereunder agrees to make progress payments ba;;ed on the total price set forth in the contract,
totheContractor,asfollowS/$J (7/ ~'&-l-\"'t'Eet-JTl-4.oC)~.t:J.b el~HT HvtJ.cl:!.E.D ~E-v~#JT'f oPe....
CONTRACT PRICE $ 2 ( .11 17 $ ~'.~'f ~IJ:. L~~t~)1J ~~ !.l tJ "f>V~ 7\ 1",';JJ61'I tj...~'€-I1
10% Down Payment
50% When rough shell Is In place
35% When plumbing Is complet~d
5% When pool Is ready for Interior finish. ,0(.
";',.;1""
Construction progress may be arrested between billing and receipt of payment for each phase of construction.
NOTICE TO PURCHASER
DO NOT SIGN THIS CONTRACT BEFORE YOU READ IT OR IF PERTINeNT INFORMATION IS MISSING FROM BLANK SPACES.
This is a home solicitation sale, It you do not want the goods or services contracted for, you may canceUtu.,agreement by mailing a notice to the seller, This notice must
indicate that you do not want the goods and services and must be postmarked by midnight the third day after you signed the agreement.
This contract shall be deemed a(l offer to lIle Contraptor and shall be null and void unless accepted by an duty authorized officer of the Contractor within fifteen days of the
date and year noted beside the EUrChaser'lI, signa,tures, The design consul/ant has no authority to bind the Contractor, All agreements and understandings are contained in
the contract and the Purchaser warrants that there are no agreements or understandings other than are set forth in this document. Acceptance of the terms of this contract
by Contractor is to be communicated to the Purchaser Py transmitting a copy of this contract to them showing acceptance by the sellers by the execution of a dulyauthor-
ized officer of the Contractor or by commencing con~p~on.\.
DATE t-f-18-:t)~
SUBMITTED BY' \ .I~'
ACCEPTED BY
PURCHASER
PURCHASER
Date OWNER
It purchnera are husband and wife, both roost sign, If property owner is different from purch
Date t~~~3
ate - -05
Date
PURCHASER(S), BY SIGNING ABOVE, ACKNOWLEDGES AND AGREES TO ALL THE TERMS AND CONDITIONS ON ALL PAGES OF THIS AGREEMENT EVEN
THOUGH SPACE LIMITATIONS REQUIRE THAT SOME ARE PRINTED IN SMALLER TYPE,
DATE RECEIVED 1- ~ ~'O-';-
PHONE CONTACT FOR PERMITTING C/(';2...tJ~1'1 \'0 it
JQ 91?/~lz~~l1~5/5-Dr;;;'
OWNER'S NAME ,-~A Y1 + (~n n'J Fe. r Pa! rh e.r PHONE ~ 1783 -7.5 Ite?
JOB ADDRESS ' 5' 1,:;/1 l'i f!l- sf. .z. etJA v ;--.}/I/ Is', ~ I- ' "53 542-
'5 0<< t4 Y'7- 0 t to ' I / I j,' ,
LEGAL DESCRIPTION: LOT(S) ~ '6) '] BLOCK 4~ SUBDIVISION/:>~v a-f' Ze(l"yr )/s
PARCEL ID it II - ;J.. ~ -,A I - 00 I 0 ~ ().i.( (),. 0 V'- lJa 70 (OBTAIN FROM PROPERTY TAX NOTICE)
CITY OF ZEPHYRHILLS !:'J:!A!<M.L'.L' .n.rr,LU.'-'roL.&.......,...
BUILDING DEPARTMENT 5335 STH st, Zephyrhills, FL 33542
813-780-0020 FAX:S13-7S0-0021
WORK PROPSED: ~'NEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI - FAMILY
o INDUSTRIAL
0* OF UNITS
~ SWIMMING POOL
o MOBILE HOMI
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
,/'
BUILDING SIZE
'J ..-
SQUARE FOOTAGE
HEIGHT
(l)lkET ENE~GY FORMS.
#!: 2-).-::::' l~ &
""2 - .;;= ~c
.,),
'~5.~ fLV;./?'
(lK
DESCRIPTION OF WORK
I:
"'0'
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS &
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENEft6
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIR~JY."" J
PROPERTY SURVEY REQUIRED FOR ALL NEW CONST~~~ N.
/ (
~ BUILDING
~ELECTRICAL
f
~. PLUMBING
o MECHANICAL
;gJ CJ11 PERMITS
,~-"-'---z't:i' n \29"
$ J:..~3'--d-+'1 VALUATION OF
i
(
REQUESTED
AMP
SERVICE 0 Progress Energy 0
'5:fV">WJ 14tA?J!JZ ~ fVvfyLl rr
VALUATION 6Fo,,~H2JcIA: ~AL1:A N: 1-/ /~?
W.R.E.C.
$
o GAS
o ROOFING
o SPECIALTY
0 OTHER / f,L ,go /
0 FRAME 0 STEEL t:/
OTHE /'
IS PROJECT IN /ZONE ARE).CJ YES ~ NO
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS
BUIIDER ~ COMPANY ,r:./-ro L"o<Jlr1lnL ,/
SIGNATURE //:_/ p ~ STATE CERT OR REGIST i C I't! ~/'f(,/I~
~~**************************************************************
ELECTRIClf':-J /J /J / / ,~x: COMPANY 4:)"'<"7" coA~ r ~c.Z"<'/ &. L/
SIGNATUREl/:;{~~? STATE . al'3ol:l~O
*************************************41
SIGNATURE
COMPANY ~ 17 [) ~!s I Ih <-
STATE CERT OR REGIST # C f/( t!J (56!?
PLUMBER
ME CHAN I
~~****************************************************************
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTI~E OF DEED RESTRICTIONS
Th~ 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, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions 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 indica~ion 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 F'EES
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.
Appli~ation 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 a~andoned.for ~a
period of six months after the tirne,the work is commenced. One 90 day extens1.on of t1.me
may be allowed for the permit with fee charge of $15.00. The extension shall b~ requeste~
in writing to 'the Building Official. An approved inspection must be logged dur1.ng each S1.X
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 ~O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2'5~ ~~~ AND PDST A "NDTICE OF COMMENCEME T".
SIGNAT : OWNER 0 ~
STATE OF FLORJJ;>A ",h
COUNTY OF --t"'" I \ \~ hrrcOLl .~. .
The foregoing instrument was acknowledged
Before me this.6i2:t:b- day of Ap(i \ , 2QQ?
by \ohn Rob"'d'+SlrY'\
(name of person acknowledged)
~ who is personally known to me, , or
STATE OF FLORIDA I L \ \ in a(1
COUNTY OF ,\ S mOll
The foregoing instrument was ack~owledged 5
Before me this ;z.~o::.,~y~f /+(11\ \ , 20Q.;;
by 0'n::u-\((, -,s.,\-CZf
(name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification)
and wlioO did Ndid not take an oath.
~ mU1'J<f:t a.~
Signature of person king acknowledgement
MELODY A. DAVIS
. N9tary PMlllifreStah: of Florida
Name typed, pnnted~affinr.xg p:'May 27, 2006
Comm. No. DO 121054
o who has produced
(type of identification)
~id not an oath
Name typed,
prin~oolr~~~;'~~~~~Orida
My camm. expo May 27, 2006
Camm. No. DO 121054