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HomeMy WebLinkAbout07-6852 , \ CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 6852 Permit : 6852 Permit Type: ALUMINUM Class of Work: ALUMINUM PACKAGE Proposed Use: MOBILE HOME SUBDIVISION Sq. Feet: Est. Value: Cost: 28,546.67 Total Fees: 297.50 Amount Paid: 297.50 Date Paid: 7/13/2007 Address: 37100 NEUKOM AVE LOT 353 ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: GRAND HORIZONS Parcel Number: 34-25-21-0180-00000-3530 Name: B & H CONSTRUCTION OF CENTRAL FL. Addr: 4025 MORRIS BRIDGE RD TAMPA FL 33543 Phone: 813782-1064 Lic: Phone: Work Desc: 10 X 16 SCRN RM, 10 X 20 SHED 17 X 20 CARPORT Name: JETTE,HELENI Address: 37100 NEUKOM AVE LOT 353 ZEPHYRHILLS, FL. 33542 r \ no_Lo(~ %123/c) 7 ~:t""""- SLAB RAISED SLAB DRIVEWAY FRAME ELECTRICAL ROUGH 1 ST ROUGH PLUMB REINSPEC1l0N 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." ~6~T~~~~~NATURE ~;~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER U I \.r I vV-Vu,"u vllY UI L.t:IJIlY 111111::> r t:11111 L MlJlJlIl.id LIUII Building Department , ~v~i6Y Date Rec':!ved \ Owner's Address t=i.d..~..-~ '\ ~~-=S~ \J Fee Simple Titleholder NamJ I I Fee Simple Titleholder Addres. I I~I\~ \D~\\r\nM. I LOTti ~~3 I PARCELID#I3\~~\ '(x)\CJ~~--cJt2i::)3 I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D 1\\\0~ ,\'Y.~ " OTHER I Owner Phone Number Owner Phone Number I Owner Phone Numb~r I Owner's Name JOB ADDRESS SUBDIVISION DESCRIPTION OF WORK o DEMOLISH WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION . I . , 1$ I 1$ I D ROOFING 0 AMP SERVICE D PROGRESS ENERG~ ~(~ ~m NOe- / D PLUMBING D D MECHANICAL VALUATION OF MECHANICAL INSTALLATION GAS SPECIALTY D FLOOD ZONE AREA OTHER ELEC SIGNATURE Address FINISHED FLOOR ELEVATIONS DYES DNO License # Y/N FEE CURRENT License # YI N FEE CURRENT License # YI N FEE CURRENT License # PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Addres. I COMPANY REGISTERED Y/N COMPANY RliGISTERED Y/N "1111111111 f 1111111111111111.1111 ~'III'!. ~ II' P ~ 1 nl~.,.n;~ 11.: !I, ~'1111,111111 ~ 1I11 !,II,IIIIIIIIIIIIIIIIII ',1111111"" 111111111111 J I fill' 111111111111111' III RESIDENTIAL Attach (2) Plot Plans; (2) sets of BuildIng Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL , Attach (3) sets of Building Plans; (1) ,.t of Energy Forms. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plan.. ....PROPERTYSURVEY required for all NEW construction. I I ~ . . I I I I I I I I I I & ~ I I I I I I I I I I I I I I I I I & & I . I I I I J I . I I I II I I J , I '1 I I I I I I , I J I I I I I I & . . . I I I I I I I I I I I ~ II & I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I , I I j Direction.: Fill out application completely. Owner & Contractor sign back of appllcaUon, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades Ale Driveways Fences (Plot/Survey/Footage) NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "peed" restrlctlollS which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance witrl ally applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor ur contractors. to und.ertake work, they may be required to be licensed in accordance with state and local regulations If tile contractor IS not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vlolatiull under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for tile intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to have the contractor(s) 51gl1 portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pascu County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understallUs that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change uf use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the tlrne of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someorle other than the "owner", I certify that I have obtained a copy of the above described document and promise in gOOd faiHl to deliver it to the "owner" prior to commencement. 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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally SenSitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Alterlflg Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment. Septic Tanks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within .the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise In good faith to Inform the owner of the permitting conditions set fortrl in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application 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 codes. Every permit issued shall become irwaliu unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized. by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extenslOfl may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job Is considered abandoned. '\ City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: fJct~ Site: '1 -I~ - 0', 3--' \ 0 0 ~e.~(JY1\ Au€.... .!J '"35~:) Date Received: Permit Type: f).",. ~ "YY\ PKc iT Approved wino comments~ Approved withe below comments: 0 Denied withe below comments: 0 ::").:)+uC> -- ,fi. ~7 7 f Tills ~uj :;be k~l Mfu fue ;::OC pillm Kalvifi Switzer..,... ~ Examiner Date Contractor and/or Homeowner (Required when comments are present) Ma~ 02 07 12:16p From: Grand Horizon Hom@s 813 7158585 p.5 1171 P. U~/~ 8137823966 01/29/2007 10:31 B & B CONSTRUCTION OF CENTRAL FL, INC. 4025 MORRIS BRIDGE ROAD ZEPHYRIIILLS, FL 33543 C SlISI06 FREE ESTIMATES !.MIll 1-800-224-1206 A.I~06 ....LICENSED · BONDED · INSURED .. SKIRTING' STEPS * ROOM ADDmONS .. ALUMINUM iii CONCRETE.' Lot #; 353 Subdivision: 37]00 NEUKOM AVE GRAND HORIZONS Date: 1/26107 Lap Siding Color: Home Serial #; Home Model #: Beam Color: All aluminum roofs iJK;ludc: Pans, Trim, Gutter, Down spouts. 3x3 Posts, and Flashinlil. l8 Pam.....E- Ft. Long 21 Pans 31 FL Long Pans _ Ft. Long Pans _ Ft. Long Valance...... ........ ......... ..... Gutter on Home...... ..... ....... Beam Wotk 2x4 SM Beam..................... 2x6 8M Beam......... ...... ...... '];x7 SM Beam......... ............ 2x8 SM Beam..................... 2x9 5MBeam..................... 40 2xlO 5MBeam..................n CarpDrtOable Fmmmi.......... _ SCREEN ROOM WAlLS Lap KP ....!... + .l + ....!L T _ = ~ UF II SCIeel1 Door Includes: Closer IIDd 'l'hRshold............ Gable Fill ODe Side... ..... ....... Insulated Kick Plate......... ..... Fan Beam (notwircd)............ 1 Misc.: UTn..ITY ROOM WAILS Walls- + + + 2x4 Studs 1611 OC - - - Shed Door and 1 Window....... 1 Single Window (Extra)........... 1 Bug Shield......................... III Double Shed Doors.............. Gable won. 10 + 2\1 + 20 + VlNYLROOMWAILS - - Vinyl Wall..,.... ...... ........ ..... Inside Kick Plate:.. .... ......... '" Lap Top Inside and 0Ut.......... Florida Glass........ ...... ........ ~ Top and Bottom. no' on Doors include (2) 2 Track Units Threshold and Closer...... ...... EA x - B&H will not be responsible for any leaks in VINYL ROOMS X = 0 ~Sq.Ft. II ~'1 Sq. Ft. II ~Sq.Ft. x o Sq. Ft. x 31 VF 11 - ]04 LIF II LIF II UF II ill II L'F II I1F II UP X EA II 1JF x IJF x EA II LIF II = ~ EA ]I EA x UF x EA $ UF " x 3.89 - 4,49 3.89 - 4.49 3.89 - 4.49 3.89 - 4.49 S4.90 S5.31 $157.9<i $4.28 $5.98 $6.44 $8.76 $9.51 $10.28 $102.00 GLASS ROOM WALLS Walls _ +_ +_ +_"" ~ LlF x R System Insulated ~ X ~ = ~ Sq. Ft. x $3.20 Glass Door........................... _ EA x 1357.00 Hanrl Railing.......................... 16 UF X $22.13 Step Railing........................... s EA x $92.85 !770.22GarageDoor........... _x_ _ EA X $2,.532.39 Garage Door Header _ x _ _ EA x $0.00 GIU'Ilge DoorOpc:ner _ x _ _ EA x $0.00 Mise: 5151.90 5552.24 $137.96 CONCRETE AND BRICK WORK. so.ooPatioSlab.............. ....!.!!...x..2!!..= ~ Sq.Ft. x 53.21 SO.DO Patio Slab.............. 17 X2!.. = ~ Sq. Ft x $3.21 so.oo Patio Slab..... ......... --!- x -2!... = ....!!!.... Sq. Ft. x $3.21 SO.oo Patio Slab........ ...... ... X 10 0= 40 Sq. Ft x $3.21 5380.40 Side Walk.............. -;- x 1),( = <102 Sq. Ft. x $3.21 50.00 Drivewlly............... ~ 1l....:2.. = ~ Sq. Ft. x $3.21 SO.oo Driveway Flair......... .2.... x ~ .. .2!.!.. Sq. Ft. x S3.21 Raised Utility........... _1112" 1 4" x 534.60 $1.181.81 Raised Patio 6 C- ....!!... x ~ 0= ~ Sq. Ft. x 59.74 Raised Patio 6 C. _ x _ = -.!... Sq. Ft. x $9.74 S 100.56 Over 6 per ft per - ~ x .2-'" -E!. L/F :x $3.04 $4.00 Foo~ 8x12 Reinforced............ 17 UF x 85.S3 suo Foota" J2x12 Rcinfon:ed........... ~ lJF x f:l.76 561.70 Skirting Footer....................... 12 IJF x $4.28 $0.00 I Tread Step...................... _ EA x 5110.12 2 Tread Step...................... _ EA x $221.59 $0.00 3 TrcadStcp...................... 4 EA x $333.22 4114 Sloop................. ........ 2 EA x $284.52 5166.20 Brick Skirting Max 5 High $60.00 Split Brick Air - _ UF Q! _ CO\II'8ICS X SS2.20 Split Brick Solid 14 LIF., 9 COlII'BCS X SO.oo Fill Dirt.. . . ...... .. . .. ...::=::. .. . ".. -;;- Loads X S2.165.SO PRlIR:at.................................. ................. Mise: "'x4S' wlllk SO.OO Lot Grading..... .......... ........... $C.OO INOTE: According to the FL Building Code $0.00 . crack is Dot a structural problem until it $0.00 reacbes~/4" in . S(lJlO CONCRElE SIGN: /~{ () 1 ALUMINUM $0.00 DATE: 6> PERMIT FAXTO: 813-715-6585 TAX FOR ENGINEElUNG. TOTAL ALUMINUM TOTAL $2.52 52.7:5 $1-40.00 $100.00 $S71.80 x $357.00 $0.00 52-72.0oOn $0.00 53.S".08 54604.2S $0.00 SO.OD 50.00 SO.OO 511,817.48 $6"1.00 51.1l91.40 S2S6.80 $128.40 S I ,290.-42 SI.60S.DO S539.18 5304.60 51."&.040 50.00 $547,20 . 594.01 5388.oD S35O.96 SO.OO SO.Oll 51,331.0 S569.04 SO.DO 53,663.00 51,S40.0lI $100.00 $S71.8O SO.OO $16.309.19 $11 877.48 $360.00 $0.00 $28,546.67 All "'orlcm.....lp ad matcriab an puuteed for on par. ,. FINANCE COAllGE OJ' 15~ pee' _.. wW br =-M en sllllllpllld _Ilb ba anaT&. ANNUAL PERCIJ'ITAGE jL\TE of J'% pip_naRY"_ rea It~.. NIIecI. ESTIMATES..uu: ONLY GOOD roR 30 DAYS. UF ll. I1F x LIF x LIF x UF x x 532.83 $100.56 516.71 $3.92 $67.10 537.19 $166.20 S60.00 SS.22 543.31 $51.34 $5.93 $15.40 $10.27 SS.49 $147.61 LEONARD G. "GEOFF" WOOD, P.E. 4034 THE FENWAY MULBERRY,FL 33860 (863)646-5517 Date: 05/02/07 B & H Construction Zephyrhills, FL Re: Address: 2007 Jacobsen 37100 Neukom Ave. Zephyrhills, FL. Mod. #: CL3 4568 B Lot #: 353 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 10x16 Raised Screen Room, a 10x20 Shed and a 17x20 Carport. 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 call me at any time. Sincerely, iJ/~ Leonard G. Wood 4034 The Fenway Mulberry, FL 33860 7~1J.f)7 REVIEW DATE CITY OF ZEPHYRH'LL/~) PLANS EXAMINER . t.. 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(' I ."~' __ - .', I, 0 - - ~. lQ . Of~' - . ..' . " .... ,.." ... ,.." - ~ ~ :g .. ,b l... · $~ l...0:: l.J ~,,~ WlL MMe> WW "',... ~z l>.~e I _..... d ,... I.:) . x <XI 'z :> c: 0 dCIJ I.:)w l.'.l~i:l:::M ~ ~~ fE~ ~~~~i 2d"S"O ,J"':C>-:Z: f:Q <I -.J (/) 101 (,) W <C l;! f- ;j Vl ~ W ~ CL Q U l! ex Z ~ 2i 0 z ::> U ~ g ltt Q I W ~ lo. (/) 0 ~ f--I <I z i CL <C ltt LL t:; 0 ;j ::a ~ z >= a 0 z ~ f--I lo. 101 f- ~ U ~ W ~ (/) ... i 101 i! -.J g <I z U f--I CL >- f- GrailieIlt, load intensity and erosion characteristics of slope 'Material. 1805 .4 Footings shall be designed an constructed in Allowable bearing capacity of the soil is not exceeded, and That differential settlement is minimized. The minimum Width of footings shall be 12 inches (305 mm) Footings in areas with expansive soils shall be designed In accordance with the provisions of Section 1805.8. 1805.4.11.1 Design loads, Footings shaJJ be designed for the most unfavorable effects due to the combinations of loads specified in Section 1605.3. The dead load shall in- clued the weight of foundations" footings and overlying filj Reduced live loads, as spccifted in Section 1607.9. Are permitted to be used in designing footings. 1 805.4.12 Vibratory loads. Where machinery opera- tions or other vibrations are transmitted through the foundation. consideration shall be KiVell in the footing design to prevent detrimental disturbances of the soil. 1 805.4.2 Conaete footinp, The design, materials and c0n- struction of concrete footings shall comply with Sections 1805.4.2.1 through 1805.4.2.6 and the provisions of Chap- ter 1805.4.2. Exceptioo: Where a specific design is not provided, coo- Crete footings supporting walls of light-frame construc- tion are permitted to be designed in accordance with Table 1805.4.2 1805.42.) Concrete strength. Concrete in footings Shall have a specified compressive strength (fc) ofoot Less than 2,500 pounds per square inch (PSi)(17 237 kPo) At 28 days. I &05.4 2 2 Reserved. SOILS AND FOUNDAAnONS J 805.4.2.3 Plain concrete footings. The edge thickness Of plain coocrete footings supporting walls of other than Light-frame construction shall not be less that 8 inches (203 mm) where placed on soil. Exception: For plain concrete footings supporting Group R-3 occupancies. the e<J2e thickness is permit- ted to be 6 inches (152 mm),provided that the footing Does not extend beyond a distance greater that the ThickneM of the footing OIl either side of the supported Wall. 1805.4.2.4 Placement of concrete. Concrete footings ShaJJ not be placed through water unless a tremie or other method approved by the building official is used, Where placed under or in the presence of water" the concrete shall be deposited by approved means to ensure mini- mum segregation of the mix and negligible turbulence of the water. 1805.4.2.5 Protection of concrete. Concrete footings shall be protected from freezing during depositing and for a period of not less than five days thereafter. Water shall Not be allowed to flow through the deposited coocrete. 1 &05.4.2.6 Forming of concrete. Concrete footinp an: permitted to be east against the earth where, in the opin- ion of the building official. soil conditions do not require forming. Where forming is required, it shall be In ~r- dance with Chapter 6 of ACI 318. 1805.4.3 Masonry-unit footings. The design, materials and construction of masonry-unit footings shall comply with Sectioos 1805.4.3.1 and 1805.4.3.2. and the provisions Of Chapter 21. Exception: Where II specific design is oot provided, ma- sonry-unit footings supporting walls of light-frame con- Struction are permitted to b designed in accordance with Table l8Oj.42. 1805.4.3.1 Dimensions, Masoory-unit footing shall be laid in Type M or S mortar complying with Section TABLE 1805.4.2 FOOTINGS SUPPORTING WALLS OF LIGHT-FRAME CONSTRUCfIONa.b.c.d W1DTIi OF nnCKNESS OF NUMBER OF FLOORS FOOTINGS FOOTING SUPPORTED BY THE FOOTINGS. (inches) (inches) I 12 6 2 15 6 3 18 8 For SI: ) inch = 25.4 mm, I foot = 304.8 rom. a. Depth offootings shall be in accordance with Section 18052. b. The ground UDder the floor is permitted to be excavated to the elevation of the top of the footing. c. Interior...wd-beariog walls are permitted to be supported by isolated footingJ. The footing width and length shall be twice the width shown in this table, and footings shall be spaced not more than 6 Feet on center. d. For thickness offoundation walls, see Section 1805.5. e. Footings are permitted to support a roof in addition to the stipulated number of floors, Footings supporting roof only Shall be as required for supporting ODe floor. ( Plain concrete footings for Group R-3 occupancies are permitted to be 6 inches thick. State of NOTICE OF COMMENCEMENT Abfl,./i) IT' County of ~.:5tl.[) THE UNDERSIGNED hereby gives notice that improvement will be made to certain real propcrl\. and in accordance with Chapter 713, Florida Statutes, the following informatiun is pnJ\ llkd III this Notice of Commencement: 1. Description of Property: Parcel No. 3" - J5',..;J.t-ljDID - u;)?!oO - 0353 37/0D Ne.u..kDrIl Au tF (Legal description of the property and street address if available) General Description of Improvement rr"~eb ~1l€EN re"l)mIS#~ v-- t!.11~1t!T " 1111111111111111111111111I1111111111111111111111111111111111 2007119064 3. Owner Information: Name (1rJ'tJ./)) !Io1Z1~()N fIome::S' Address 1~l/5 6/2€./W StOle' ))/Z.. City z..f"f/2.H/IL~ Interest in Property: State /=/ 339//. R. ~5 Name of Fee Simple Titleholder: (If other than owner) Address City C8ntractor: Name~tff/ I!O~La:nO/Y OF U:NTML R INe.. Address l.f/).J.~ moJLll..;~ 7?/Z/~(& Irh. City cey2l1-,fbHI LG.5 o / Rcpt: 1114046 Rec: 10.00 DS: 0.00 IT: 0.00 07/12/07 Dpty Clerk State StateFI 3..36"'1/(3 Surety: Name Address City State JED PITTMAN~ PASCO COUNTY CLERK 07/12/07 1~:22am 1 of 1 OR BK 7566 PG 423 Amount of Bond: $ . 6. Lender: Name Nil Address City State 7. 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) (n) (7), Florida Statutes: Name Address City Stare S. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice ~I) provided in Section 713.13 (1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the cl<tle uf recording unless a different date is specified.) Signa[L1re of Owner:~ Sworn to and,.,s.ubscribed re me this / I"'" Notary PLlbli~_: . /~. tl, W~ e-- day of ~L( , :2U~? - - My Commissio-n..Expi.r~,s:.\ :- PC93053048/A j ~ ~~;"',~~~' - '-..-- ,-~-::"':~::~.'~~--'-~;; I ., ~ . f;n-.~.;,.:.:. -';3~'-;,_':;j ;oc .;; ""o";II.,,,:D566734 ~ " '~->~ .;,o~, 'YO',' "";'''.C'",,,,'''''' :i L~~~"e<"-.., '."m,-"-_:~~~~:"_!::; :~~:=~~.J!