HomeMy WebLinkAbout06-5669
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
/
5669
Permit Number: 5669
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 4,987.50
Date Issued: 4/11/2006
Total Fees: 55.00
Amount Paid: 55.00
Date Paid: 4/11/2006
Work Desc: FLAT RE-ROOF
Address: 38734 NORTH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-04200-0170
Name: FERRIS, LOUIS RICHARD
Address: 38734 NORTH AVE
ZEPHYRHILLS, FL. 33542
Phone: 813715-1918
REINSPEcnON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
- /2tktCl<lr(;zuJ_-e1tku f~ ~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
Mcr 3lqq
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME rcv-y\s Lou\S ~\chat<d
,
JOB ADDRESS 3"b 164- N.~c.\Iv1 A.\JC1Iue...
~ \"1 ~
LEGAL DESCRIPTION: LOT(S) .~ 1~ BLOCK Lt~
PARCEL ID It 1\-~.dl-ro\O. {)J.;tX)-()IIO
PHONE 3131./ \ 5 -1918
SUBDIVISION CJ.-r~ oQ- L- ~d\s
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATI ON o REPAIR o INSTALL
Os I GN o MOVE 0 DEMOLISH ~
USE: .~GL FAMILY o MOBILE
PROPOSED DWELLING OMUL'fI-FAMILY Olt OF UNITS HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL DOTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Bod- ?-e.l.<coC
BUILDING SIZE
SQUARE FOOTAGE
ISoO
HEIGHT
RESIDENTIAL:
COMMERCIAL:
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.
D BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
'\:=Lf~oppm"~ :
1=-L~oa . \
PERMITS REQUESTED
D ELECTRICAL
AMP SERVICE
D FLORIDA POWER
D W.R.E.C.
o PLUMBING
D MECHANICAL $
o GAS ~ ROOFING
TYPE OF CONSTRUCTION: 0 BLOCK
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
..~-----
o OTHER("~.:2_~~~..'SO ')
o FRAME 0 STEEL 0 OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
BUILDER
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING It
SIGNATURE
******************************************************************
ELECTRICIAN
· COMPANY
STATE CERT OR REGIST It
CITY PROCESSING It
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIS'!' It
CITY PROCESSING It
SIGNATURE
* * * * * **** **.* ***** **** * * ***** * * * * * *** * * ** * * * * ***** * **** *.* * * * ** * * * * *
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING It
SIGNATURE
*****************************************************************
SIGNATURE
~
~~/l
COMPANY MILBAR CONsTRucrrON', INC.
STATE CERT OR REGIST It CCC 051562
CITY PROCESSING # 218
OTHER
*****************************************************************
CONDITIONS OI~' PElU4I'1' AE'E'IVAVIT
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 pronlise 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 Ineet 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 Inust take to
be in compliance. Such agencies include but are not limited to: *Departnlent 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 p~rmit 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 PROPER~Y. 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".
SIGN~~AG~ R. ABU S"G'~C~~R' ABIA
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknn~"leclged
Before me this 11- day of A:pet-I , ~~~
by DAVID R. ABLA
(name of person acknowledged)
~who is personally known to me, or
PASCO
STATE OF FLORIDA
COUNTY OF
The fo::cgoing instrwnent was acknowledged
Before me this Ii day of ~(( ,~~
by DAVID R:-AI3LA
(name of person acknowledged)
~ho is personally known to me, or
PASCO
Owho has produced
(type of identification)
and WhW~ke an oath. .
Signature of person taking acknowledgement
Owho has produced
(type of identification)
and who ~id not take an oath
Signature
'-E
Name
typ" t 51 ~ 51
~ ~ ~~;C'G
i~ lSWTOFI EXP:~4~L~rt;g:J,?~8
i',:~ f"r:~i;-~ rw INS.iJr;':~NC: CCMtANY
i"vrr'~;"..~_"'':.~~,""~t 'Y~~lI',y..I.m__J
APR-11:2006 09:06A FROM:
TO: 7800021
P.4
C;5';'.<-"~
U.s. Intee Certified
Platinum Inetaller
"5204
~
'm 1 ---- Pa~e N~J.___m.o.f .. ._J_.h__n~~_Q~~
= 1F'rnpllsa - ---~'-~:=i.:::=21. .
. . State Certified
MIIBar Construction Inc. Roofer'CCC051562
Roollng . Concrele . Commerciel . ReSident., State Reglatered
Roofer'RC0055215
15911 US Hwy.301 North. Dade City, Florida 33523 <::> RCI Reglatered
352/567-6047 · 800/562-2393 · FAX: 352/567-4454 Roof Conaultent .0149
f
1-=:: -.- .-
Member of the Florida
Roofing and Sheet Metal
Aaaoelatlon
PHON~I -7 JS'-l'll
DATE
JOB NAME
NUE
JOB LOCATION
ZEPHYR I LS FL 335
ARCHITECT
DATe OF PLANS
JOB PHONE
--.........---... .-- -.-.-.....-----.-.....-.-,-. -'-'--- -..-...
We her8bY-iubrri~-sp8CiflC8llons and estimates Ior:-----.- ---....-.-.-
....?;P_HVR.ti.J L L~.._.fJ...____.,.._,...___._.___.,
.,........ .___.___...~..-.,_ ......_ ".' _',. .,-._-______0... .. ...
---1
PIaU a-ROO!'
..l...__.J:ear. .atf.and...dispaseo,f the o.ld .ane.....,laye.r.: fla.t roo.fing sys.tem.
clean up work area daily.
2. Provide and mechanically fasten a 1/2" recovery board insulation and a Firestone I'IB
.."....,,,._.-t.1.b.r.gJ.-H&--.b.6&-&h88toV8.r theplywood.,d8Ck p.rio.... to the.i.nstallatlon of the
Firestone roofing membrane as per the manufacturer's requirements.
3. Provide and install a new Firestone APP-1B0 white granule-surface roofing membrane
... ,....-whJ.-ctl."J..6-...-tor-ch-..p~lled.full.Y-Bdher8d modified. bi tumeo .roof system that i. he.a.tm
welded at the seams to form one sheet; and offers Firestone's 12-year "Modified
.".,a.1tumer:l.,IIJ.m~ar:l. Li.ml-t8d.~roduct WarraFl-ty".
4_.-_....All metal.and.,conc.r-e.te su.r.f.acas. will be pr imed-wi.th an asphalt base prime.r p,rio r to
installation of the Firestone roofing membrane.
S. Provide and install new 2 1/2" 26 gauge galvanized metal eavedrip around the
.-pe.,.-ime-tel" o-f.the, ,.oaf as ne-eded.
6.AA.y.-ro.tten..or,~..maged, woad deck.. fascia. trim.. framing. etc.replace.-ment or re.-
nailing of the existing roof deck will be completed on a cost-plus basis above and
._.........--beyond1:he'--conera~pde8" ..
:r-.,., ..Own&~,-.t(). .p.r--ov!de- aoeess for delivery tr-uoks for loading/unloading for entire roof
area.
8. Mi18ar Construction. Inc. to provide General Liability and Worker's Compensation
-::::::;::::-.=.__-I-ASta':aEIee ($? ~l imi-t:'l-AAd:::..~.fi1e~~p.eemk..-_.:c__,;.. .:::::~.:::c::..:--:~:.;..... _ .... :::.:=:..;:=::==_~C:. I
r ~! 'tapas! hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: I
dollars ($ ~ . ~E17 _li~ ).
DUE UPON CONPLETION.
Invoiced amounts no! paid in accordance wtth the peymenllerms shall be considered deln- Authorized
quenlend beer Interest .tthe rale of one end one-hall percenl per month. Owner agreeB to Signature
~ay all COBtll incurred, sucl1 all allorney lees, COllector fess, court costs. etC., for collecllon
01 dellnquentlnvolc88 Including Inter881. OWoor to carry fire, tornado ond other neeesaary Nole: Thls proposal mar. be
Insurance. Our workers are fully cowred by Workman's Compen88f1on Insurance. withdrawn by us if not accepted within
~ -~..... .--....--.-"'-':'.. .. . .. ........:---.---'== ..:.;;;::.;:;:.=--=,:=:-=-=-.,...,..:;=:.="_:.:;;=::-:.,..:,,:;-~,--,;.. ".;'..::::-:.::=-:-::-:::..::<
// ~tt.eptant.e of JropOSal-Theeboveprices.sp8Clflcalions ~ /).. II (;\f~.:r-~ I'
and conditions are satisfactory and hereby accepted. You are authorized SignalureK~ ..h ~~ I::-~Jf.lM >J)~ I.
to do the work as specified. paY7m nl wIll be made as outlined above. ,
~ . ~~ r I
Date 01 Acceptance: IYJ 1'lA~ :l 7 ~ orJ {t:I SIgnature .
~--;;=:==:.:;:.=::;:----_.
30
days.
._.___~_.._ ,... ____. _......_._n.~ __ ..'"" ._______
"'_'__'__.~_.'_" _____. '_'__._"'_ '.__'n
TO: 7800021
APR-11~2006 09:07A FROM:
P.5
NOTICE OF COMMENCEMENT MCJ# 31~q
Pennit No.
ParcellO/Folio rI~~-dl- Cf)IO' ()l-teCO.O,+10
State of Florida
County of 'P~
The UNDERSIGNED hereby give notice that the improvement will
be made to certain real property in accordance with Chapter 713, Floridn
Stntues, the following informntion is provided in this notice of
commencement.
1.
Description ofproperty(/egul description ofprop!f!1l and address ifavailabJe) 3&?~ ~attenu.e
Section I' , Township ~ , Range 0Lf 71""p~~
'11~~e-' AJ~M.b4! '" 1)- '1.1..,-2..' - 1)01 /)-IJ 'f LbO - tJ 171J 8364'J-
General description of improvements _______.___._.____
2.
3.
Owner Information
a) Name and address.l tJ "L' S" R...J=e.,. Y"' S" 3 f 73 ~ /tJt).... # IJve kp~ y~hi /h) fl 3 g r 't z,
b) Interest in property 0l11ner '"
c) Name and address offee simple titleholder (if other than owner)
4.
Contractor (name and address) MilBar Construction. Inc. 1 L:s.vid. /2. AbIeS.
15911 US 301 Dade City. FL 33523
5.
Surety
a) Name and address
b) AmotlOt of bond
Lender (name and address)
6.
7. Person within the State of Florida designated by owner upon who notices or other documents
may served as provided by Section 713.13 (1 )(a)(7), Florida Statues.
8. In addition to him or herself, owner designates
of to receive n copy of the Lienor's Notice as
provided in Section 713. 13( 1 }(b), Florida Statues.
9. Expiration date otnotice of commencement (the expiration
date is one year from the date of recording unless a different date is specified).
STATE OF FLORIDA OWNER'S SIGNATURE~~~
COUNTY OF tt9>&i) PRINTED NAME & TITLE L 0 "t.i sR. ~-e.r,.".s I O~
The fOllOWing. instrument was .cknowledged before me this 4" a d.y of '!/;.(Jlt~ i?/PP! ~ '
Lou 1..9]. FGIf e /$ who IS personally known to me or who produced _'/t J)~ ~
as identification. t:r~,-.s:t~-76-/?/- 0
After recording, return to: Notary Signature~ ~ c.;.. .
Name: MilBar Construction. Inc. Name(Print} ~ce t? It 's
Address: 15911 US 301 Title or Rank: ,4/d'!A72/
City: Dade City. FL 33523 Serial number, if any:
~ BE1TIE C. JOHNSON
MY COMMISSION' D0332616
EXPIRES: Scptllllbcr 16. 200&
,.... .Mn'IUlV P1.Nooooya.-,_ea.
APR-l1-2006 09:05A FROM:
TO: 7800021
P.l
~
~ MilBar Construction, Inc.
15911 u.s. 301 · Dade City, Florida 33523 <::>
352/567-6047. 800/562-2393. FAX: 352/567-4454
3~
to ~. (':or~p e~-
Ul " .__,
\ I - e'Jlp ,
_._---:----_.....-. . .....P
DATE:
a.run, t \ ~~
~hLUS?:'\dj.~ .
,,^.\\\:i)~ ~ Ci~rJ'.,(:-(~-t~ C~e.023L21
'-J ~01.~ '.'. . .~ - 3 (...-os- .
~ C1tJ-t Cer4 . 4 LO'~ --
FAX
FAX: ~\51~- tea\ .
Pn '. ~\2>\ 1 ~ \) . ('tS::J
TO:
FROM:
c.ne.l~ edo\
MilBar Construction
FAX: 352/567-4454
PH: 3521567-6047
RE:
~ APPLICATION FOR:
-~~ .
38164 ~~
"l--e.f'ht'\.( ~ US, tcc......
NOTES/COMMENTS:
..
Please process the following Roof Permit Application for the above referencCd IQcation. Call me
at 352/567-6047 with the permit number.
Maib\h~ pamit.aa:4___iyt l,,:
MilBat Construction
J5911 US 301
Dade City, FL 33523
... vJt wW pi ~
I {i~r~ .
. ,~.1 .
If you should have any questions or require any additional information, please call me at
352/567-6047. '
. .,
Thank your
~
o Total number of poges faxed.
..
.';
State Certified
nll;I,I,., nrnr.o"",
State CI!1ln~
nnolr" nr.r.r.Olimn,
Stale Reglelered
n"oln. Hrroor,r",r,
Rei RegIlt...
n"", ('",nAl ,lInnl .01411
-_.~~~
~
C:,o=.-"
u.s. Intec Certified
Platinum Installer
#5204
-T=CL.. ....~.~. - Jrorosal. - :3~'~~E~:~'i
MIIBar Construction Inc. Roofer#CCC051562
Roofing. Concrete. Commercial. Residenlial State Registered
Roofer #RC0055215
RCI Registered
Roof Consultant #0149
~
c'''-;c'
r(
II
II
II
Ii
I'
I PROPOSAL SUBMITTED TO
I
- Member of the Florida
Roofing and Sheet Metal
Association
15911 US Hwy. 301 North' Dade City, Florida 33523 <::::>c
352/567-6047 · 800/562-2393 · FAX: 352/567-4454
FERRIS
STREET
LOUIS RICH RD
PHON~I -7/5-1'11
DATE
JOB NAME
38734 NORTH AVENUE
CITY, STATE and ZIP CODE
JOB LOCATION
ZEPHYRHILLS FL 33542
ARCHITECT
We hereby submit specifications and estimates for:
c___~_~~_~~~.,. _
ZEPHYRHILLSL FL__p_
i
I
I
II
FLAT RB-ROOI'
1. Tea.r off and di.spose of the oldone,....layer flat roofing sys.tem;
clean up work area daily.
2. Provide and mechanically fasten a 1/2" recovery board insulation and a Firestone MB
fi-berglassbaseshe~tov~r the plywood deck prior to the installation of the
Firestone roofing membrane as per the manufacturer's requirements.
3. Provide and install a new Firestone APP-180 white granule-surface roofing membrane
whichlsatorch-ap.plied.fully-adhered modified bitumen roof system that is heat.....
welded at the seams to form one sheet; and offers Firestone's 12-year "Modified
8.itumen Membrane Limited Product Warranty" .
4. All metal and concrete surfaces will be primed with an asphalt base primer prior to
installation of the Firestone roofing membrane.
5. Provide and install new 2 1/2" 26 gauge galvanized metal eavedrip around the
perimeter of the roof as needed.
6. Any rotten or- dama.ged wood deck, fascia, trim, framing, etc. replace.....ment or re-
nailing of the existing roof deck will be completed on a cost-plus basis above and
beyond the contract price
7.
L."_
Owner to provide access for delivery trucks for loading/unloading for entire roof
area.
MilBar Construction, Inc. to provide General Liability and Worker's Compensation
Incurance ($2 ,000,000 limit) and re roofing permit. -C-====~=n
~t Jropost hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
P~~~~~to IeW~a~;ft~~ow~;rNE HUNDRED EIGHTY SE'/EN t.ND 60/100 dollars ($ '1. 9S7. a@ ).
DUE UPON COMPLETION.
Invoiced amounts not paid in accordance with the payment terms shall be considered delin- Authorized
quent and bear interest at the rate of one and one-half percent per month. Owner agrees to Signature
pay all costs incurred, such as attorney fees, collector fees, court costs, etc., for collection
of delinquent invoices including interest. Owner to carry fire, tornado and other necessary Note: This proposal may be
insurance. Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within
~
,,"-----------~----- ------....---------.- -----.-..----
a~~~~~;': ,~t!:,.~:~C :~=~~::,~;:;;~:~. s;goal"ref2~Q%~~
.to do the work as specified. PaYr1]fnt will be made as outlined above.
Date of Acceptance: IYl ~ ::L 7 ~'"' ~ orJ fa Signature
~-------==--:====:===-----_._~---
30
days. !
---------_---:,-~"
"
Ii
II
II
II
. ..d..
~
3~
~1~~=1~D:~~F~~~~~~n, Inc. tJtlulD~r
352/567-6047. 800/562-2393. FAX: 352/567-4454
FAX
DATE:
G.pluD, Il ~~
Z-hiLl$ 6\dj.~ .
FAX: <6.\3l~<6D- ~l .
Pn '. ~\3\ '1 ~ b . Ct€f:)
TO:
FROM:
L'ne1~e~
MilBar Construction
FAX: 352/567-4454
PH: 352/567-6047
RE:
ROOF PERMIT APPLICATION FOR:
}--cri\.S B~~
38154- "ttw4-h ~
"Z--€.{J\rv\.{ hi.US\ H......
NOTES/COMMENTS:
Please process the following Roof Permit Application for the above referenced location. Call me
at 352/567-6047 with the permit number.
MailJftjIQ~ ......,~..wjpt tv:
MilBar Construction
15911 US 301
Dade City, FL 33523
. ~~ WiU f/~
ktLL~ r (l{ .
If you should have any questions or require any additional information, please call me at
352/567-6047.
Thank. you!
CNl/.ULL
o Total number of pages faxed.
Slale Certified
Ill/ildrr HrnrO:>1ryry1
Slale Certified
nnnfr>r Hr.r.r.O~ 1 ~r,?
Slale Registered
Rnnff'r HnrOO~~?1~
Rei Registered
Rnnf r.nn~II"rtnt #014!l
1111I111111111I11111111111111I111111111111111111111111111111
2006073279
NOTICE OF COMMENCEMENT MCI# .:3-)CJq
Permit No.
Parcel IDlFolio rr'~~dl- tf)IQ. ('l4Q(..--x). 0170
Rcpt: 987647
DS: 0.00
04/11/06
Rec: 10.00
IT: 0.00
---- Dpty Clerk
State of Florida
County of 'P~
JED PITTMAN~ PASCO COUNTY CLERK
04/11/06 0~:15pm 1 of 1
OR BK 6931 PG 1050
The UNDERSIGNED hereby give notice that the improvement will
be made to certain real property in accordance with Chapter 7I3, Florida
Statues, the following information is provided in this notice of
commencement.
1.
Des~ription of property(legal. description of property and address if available) 3<6 ?.3-fNOJCJhauenu.e
Section II , Township ~ , Range 52-1 2.eph'''P.{tA::lls. ~
P4...c:.e/ AJ....M.b\?\r IJ-2G,-'21-001f.J,-lJlfLIJO-O 170 339VJ-
General description of improvements
')
3.
Owner Information ,
a) Name and address-Lol.L\ S' R ~e\'"r-\ S
b) Interest in property Oll1nt'f
c) Name and address of fee simple titleholder (if other than owner)
~ i 73 Lf ttJoY' thlfv.e :ref), vyhills) A 3 ~ S" it z.
, ;/
H
Contractor (name and address) MiIBar Construction. Inc. / L:::avid (2, R-bla
15911 US 301 Dade City. FL 33523
5.
Surety
a) Name and address
b) Amount of bond
Lender (name and address)
6.
7.
8.
Person within the State of Florida designated by owner upon who notices or other documents
may served as provided by Section 713.13 (1)(a)(7), Florida Statues.
In 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.
Expiration date of notice of commencement (the expiration
date is one year from the date of recording unless a different date is specified).
9.
STATE OF FLORIDA _ OWNER'S SIGNATUREf~~~
COUNTY OF (Ii;> &iJ PRINTED NAME & TITLE L () 0.1-15 (\. ~..:..(,f'15 I O\.O'(1('f
;;t..
The following instrument was acknowledged before me this .;?t; day of llkhef, #t1f.. by ?
LOti is -,. ':':(jf'( e /S who is personally known to me or who prod,!ced ?.;, lJ/z;.",,"c<-~ .f~ce"""'-c.-/
as identification. /-C;':<t?~5")'? -7S-.l7/- D
J /)
Notary Signature4./~'::~ L-'~ )o/i::.~. .
Name(Print) ;5: r:: 77:' /:. f ("7. (J~Jl,tu' Sc:.-./
Title or Rank: /V,"'-7/vz I
Serial number, if any:
After recording, ret;jrn to:
Name: MiIBar Copstruction. Inc.
Address: 15911 US 301
City: Dad_~ City, FL 33523