The URL can be used to link to this page

Home My WebLink About07-7055 CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 7055 Permit Number: Permit Type: Class of Work: Proposed Use: Contractor: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 7055 ELECTRICAL M ISC ELECTRICAL MISC SINGLE FAMILY RESIDENTIAL PATTIE ELEC. & REFRIGERATIO Address: 38633 2ND AVE ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-19400-0110 4,159.40 9/27/2007 35.00 35.00 9/27/2007 Phone: INSTALL NEW 200 A ENTRANCEIINT PANEL GFCIS IN KITCHEN BATHR/NEW DRYER Name: GREEN,MARYLOU Address: 38633 2ND AVE ZEPHYRHILLS, FL. 33542 ELECTRICAL FEE 35.00 b n o.-\.Qd) \dg-fc--, I~ ROUGH ELE TRIC CONSTRUCTION POLE PRE-METER FINAL ALSO FOR RANGE RECEPT/RECEPT FOR REFRIGERATION REINSPECTION 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 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. 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 payin 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." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. ~ ~,JJ ~ ~ CONTRACTOR ~M~ PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received ;l/ltl lNe 2~ Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name Owner's Address Fee Simple Titleholder Name JOB ADDRESS Fee Simple Titleholder Address 1.)'#-17'7 e I LOT # PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK I B D D PARCELID#III-..t.(,-':U-OtJIC- i9'ftJtJ-oll~ (OBTAINED FROM PROPERTY TAX NOTICE) SUBDIVISION WORK PROPOSED B o o ADD/ALT 0 SIGN D MOVE 0 DEMOliSH REPAIR COMM 0 OTHER I ?f~ir.4d(' Savll.t" ~/rlr.4ce -f" .2&t! 14 FRAME 0 STEEL D OTHER I ".{/t!'w~",.J- ;'" / - 6 f:C :r s I DESCRIPTION OF WORK A-oru..a .AJ~d 2LJN C"/r,,Nt' T.A.lI.,A"d- GFt:f; /; klM,,,.: B/ff,{-,l/('w/)r lY.t'u fr'Mrt t.' ~tt BUILDING SIZE SQ FOOTAGE I HEIGHT I I K'ec~('j Fw II< c i-" ''1'"('''~''' 111111111111'111'11111111111111111111111111""1111111111111111111111111111111""'111111111"111".11111111111111111111111111111111"111111111111 D BUILDING [2f ELECTRICAL D PLUMBING D MECHANICAL 1$ I 1$1/S9.Y~ I 1$ I 1$ I D GAS 0 ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111111111111111111/111111111111111111111'11111111111111111111111111111111111111111111111111111111I111111111111111111111I11111111111111I1111111 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE ;200 ~ PROGRESS ENERGY D WR.E.C, VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE /n./;)~ COMPANY REGISTERED Address 39111 /f,11/~ .fd' ~ /.. rA/f&.;:/ 33~~i' License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT PLUMBER SIGNATURE COMPANY REGISTERED Y/N COMMERCIAL Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # 1111111I11111111111I11111111111I1111111I1111111I1111111111I1111111I111I1111111111111111111I1111111111111111111111111I11111111111111111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. COMPANY REGISTERED Y/N '/ COMPANY REGISTERED Y/N SIGN PERMIT Di~~~i;~~~': . . . . , , , . . , , , . . , , . . . , , . , , , , . . . , , , . . . , , , . , , , , . . . . , , . . . . . . . . , , , . . . , , , , , . . , , , . . , . , . . . . . , , , . . , . . , , , , , , , . . . . , , , , , , , . , . . , , , , , , , , , , , . . . . . . . , . . , Fill out application completely. Owner & Contractor sign back of application, 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 NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. 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 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) sign 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 Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of 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 time 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 someone other than the "owner", I certify 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. 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, 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. 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 forth 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 invalid 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 extension may be requested, in writing, from the Building Officia~ for a period not t~ exceed nin~ty (,90) da~s and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the\Job IS conSidered abandoned. 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. FLORIDA JURAT (F.S. 117.03) ta. h /~ CONTRACTOR ~_'_- Su~scrib,d and sworn ,to (or affirmed) before me this 11 ~lL::}.. i f.Q:.L---EL. GCU"C.A vY\. LL:>(.:.;,~ ~ Who is/ar~l'5OnallY ~own to h,e or has/have produced as Identification. ~'Q---~~ Notary Public ~. ~ d.~' \L~' Notary Public Name of Commission No. Karen L. . SSion # DD609664 eo:xp,res October 29,2010 O<l Troy Fain. Insuronco, Inc 800-386-7019 -:asc.o ('- GlLn~. " ax. ("0:; c.~torr)J.rccl Search R~sult n~~., 1 ,A'l 1 d1;S"'t V.t t -10,.. .~. .. n ..'e U Ison ".['.~ \." T"f"\. i. 'Jf~/.',"'r".J'.'.\"f"'1 .. ..,. ... ... ./:L,/\. \..An .1...C\... 1 \,,}l\.L\S~"{J COr .\TY f tJH~U/.\ - _._-----~------------ ~-_.._.~ !-'OME Rea! Estate Search Ta!1gibl~ Sl!!arch Bu!:i!1@ss: Ta.x R@ceipt Sean::h Tax Driv~r ljt:~nil;p Motor Vehid.. I Boat Business Tax ~_@("I?ipt Fishing/Hunting tit:en~~ Real Estate Property Search Results CURRENT AS OF: 09/26/2007 19:02:41. ~ ~ t * * THE INfORMATION CONTAINED HEREIN DOES NOT CONSTITUTE A I \J '. I ITLE SEARCH AND SHOULD NOT BE RELIED ON AS SUCH. ADDITIONAL I ~ ~ LIENS AND DELINQUENCIES MAY EXIST THAT ARE NOT INCLUDED BElOW.1 ;:i -! ~ HE PASCO COUNTY TAX COLLECTOR ACCEPTS NO RESPONSIBIL TY FOR I ~ .~ HE ACCURACY OF THE INFORMATION PROVIDED. ALL FIGURES ARE r ~\~ r UBJECT TO CHANGE OR CORRECTION.'SEE FLORIDA STATUTE 191.122' "'t \ ~ I Par<;e' 10 2006 Tax Year I ~--i':) I~~ ~r~" ~~"~ "~.~~ ~""~ IIC'SC.C'C:r-., 111.1, "\ft082' '" ~ '" III Lb Ll UU1U 1. ;,lq.UU U1J.1' t-'I-:J L:=',JLU \i,-'L~= ,:.,4:1 .1 ~ ~ IOwnpr nf Rpt':nrrl HMS TD EXi:::MP nUN 25,0001 ~ '" I':.-,~:-.:-. ::.:.-~:-~--- OTHER EXEMPTION I ......." I'"1HII\Jr-Ir-VVI'-.!j I ~ ~ ~ 138633 2ND -AvE TAXL;SLE VALUE 4,8821 ~ ~~ ,IZEPHYP.HILLS i=L 33542-211SAREA ~. ~~Z~! ~ '-. . - "-' . MILLAGE 'II; hl"l iqlJI " '" i. II Lega! uescnptlon (First 4 Lines) rn,-.,rr -n \/ ~,-~,- --~, ~ I \) .~ ':;; 7H MP. 1 pG C;d 111 <:;1 n I..J!"'.V":>":> IM/\ I ""-~ \., ,_.. . ,- - -- - . ---, -~, - i,INCLUDING SPECIAL DISTRICTS) 162961 ~ ~ r\C '1 ~ 0 I 1/ '1"./1 . 'i-,~ ,:--~:~ _u=-r~ :~-= Special Districts I ~ '<i ' K 'jj'j t-'G Ib'j """"" T,...., ..,^ ,...-rr r~ ""I · ~ M "' T T f t" .::>ULIU VVH:::J I c: QL.VVI 'oJ al n n ~r"",=- Inn I ~ ~~ . - -........ ..._u_.. PASCO COUNTY STREETLIGHT, I ',j SAME AS ABOVE Current Tax ..--....-____1 AMUUI\J I t-'AlUl 156.441 I I ! I I I I Escrow." Code DATE NONE 11/30/06 RECEIPT 189888 Tax Lien (Homestead Denial) NONE Unpaid Deiinquent Taxes !'JONE Search Aaain Almraiser's Information Appraiser's Map Delinauent ~Jlap Delinauent Map Information ~. h"lllb-- ~ HOME Real Estate Search T~nnihl,p c;.,p.=-.rrh - --'<::11'--'- --_. -.. Bus:in~s!; Tax Rec'.:!!pt s.ear!:~ Tax Driver lit"~nil;p Motor Vehkl.. I Boat Bus: in@ss Tax R@cf?ipt Fishing/H unting l.irP.'"~f':I' http: \\v\\'v. pascotaxcs ,com/scarch/prclmain,asp?parccl = 112621 00 1 0 194000 11 0 CI")'7 i") 1\"", f 4..-/''''::''''-''-1' A. U. S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT Sunstate Title Agency" Inc. 13937 7th Street Dade City, Florida 33525 352-567-1141 fax: 352-567-3830 B. TYPE OF LOAN 1. 0 FHA 2. 0 FMHA 3. 0 CONY. UNINS. 4. OVA 5. OCONV.INS. 6. File Number: 7. Loan Number: S-27011 8. Mortgage Ins. Case No.: C. NOTE: This form isfurnjsh~d to give y~u a statement of ac~l sett/e~ent cost,s. Amounts paid to and by /~e settle~enl agent are shown. Items marked (poc) were paid outsIde the closing. They are shown~"ere for In/orma/lanal purposes and are not Included In the totals. D. Bu er: MARY LOU GREEN, a sin Ie erson I E. Seller: DAVID LEWIS SHINE Indi idually and as Personal Representative of the Estate of LEWIS D. SHINE, deceased F. Lender: G. Property: 38633 2ND A VB. Zephyrhills, Pasco County, Florida 33542 Section 11, Township 26, Rapge 21, Lot 11, Block 194, CITY OF ZEPHYRIllLLS (formerly Town of Zephyrhills), Book 1, Page 54, Pasco County, Florida Sunstate Title Agency, Inc. 13937 7th Street, Dade City, Florida 33525 Pasco County S b 21 2007 H. Settlement Agent: Place of Settlement: 1 SID ett ement ate: eptem er , J. Summary of Buyer's Transaction K. Summary of Seller's Transaction 100. Gross Amount Due From Buyer: 400. Gross Amount Due To SeHer: 101. Contract Sales Price 60,000.00 401. Contract Sales Price 60,000.00 102. Personal Properly 402. Personal ProDerty 103. Settlement Charges to Buyer (line 1400) 2,064.50 403. 104. 404. 105. 405. Adiustments for Items Paid bv SeHer in Adyance: Adiustmentsfor Items Paid by SeHer in Adyance: 106. City / Town Taxes 406. City / Town Taxes 107. County / Parish Taxes 407. County / Parish Taxes 108. Assessments 408. Assessments 109. 409. 110. 410. 120. Gross Amount Due from Buyer: 62,064.50 420. Gross Amount Due to SeHer: 60,000.00 200. Amounts Paid by or in Behalf of Buyer: 500. Reductions in Amount Due to SeHer: 201. Deposit / Earnest Monev 1,000.00 501. Excess Deposit (see instructions) 202. Principal Amount of New Loan 502. Settlement Charges to Seller (Line 1400) 1,145.00 203. Existing Loan(s) 503. Existing Loan( s) 204. 504. Payoff of First Mortgage to 205. 505. Proceeds to Estate of Lewis D. Shine 58,727.00 206. 506. Purchase Monev Mortl!al!e to 207. 507. Adiustments for Items Unnaid by SeHer: Adiustmentsfor Items Unnaid by SeHer: 210. City / Town Taxes 510. City / Town Taxes 211. County / Parish Taxes ($179 yr e) Jan 1,2007 128.00 511. County /Parish Taxes ($179 yr e) Jan 1,2007 128.00 thru Seo 20, 2007 thru SeD 20, 2007 212. Assessments 512. Assessments 213. 513. 214. 514. 220. Total Paid by / for Buyer: 1,128.00 520. Total Reductions in Amount Due Seller: 60,000.00 300. Cash at Settlement from / to Buyer: 600. Cashat.Settlement to / from Seller: 301. Gross Amount due from Buver (line 120) 62,064.50 601. Gross Amount due to Seller (line 420) 60,000.00 302. Less Amount Paid by/for Buyer (line 220) 1,128.00 602. Less Reductions Amount due SeHer (line 60,000.00 520) 303. Cash From Buyer: $60,936.50 603. Cash From Seller: $0.00 v' (,,s rrvQ o-l HUD-I Nov 2006 September 21, 20071 :03 PM OMB No. 2502-0265 RESPA handbook 4305.2 Prepared by and Return to: Suns tate Title Agency, Inc. 13937 7th Street Dade City, Florida 33525 File Number: S-27011 Warranty Deed Made this September aJ ,2007, A.D. By DAVID LEWIS SIDNE Individually and as Personal Representative oftbe Estate of LEWIS D. SHINE, deceased, and CURTIS TRAVER SHINE and GABRIELLE DIETRICH and DENEEN RUTH CIRILLO alkta DENEEN RUTH CERELLA and DONALD LEWIS SHINE, hereinafter called the grantor, to MARY LOU GREEN, a single person, whose post office address is: ' hereinafter called the grantee: (Whenever used herein the term "grantor" and "grantee"; include all the parties to this instrument and the heirs, legal representa)ives and assigns of individuals. and the successors and assigns of corporations) Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confums unto the grantee, all that certain land situate in Pasco County, Florida, viz: Lot 11, and the South 1/2 of Lot 12, in Block 194, CITY OF ZEPHYRHILLS, as per plat of the Town of Zephyrhills thereof recorded in Plat Book 1, Page 54, Public Records of Pasco County, Florida. . Said property is not the homestead of the Grantor(s) under the laws and constitution of the State of Florida in that neither Grantor(s) or any members of the household of Grantor(s) reside thereon, nor is it contiguous thereto. Parcel ID Number: 11 2621 0010 194000110 Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing subsequent to December 31, 2006. DEED Individual Warranty Deed - Legal on Face Closers' Choice Prepared by and Return to: Sunstate Title Agency, Inc. 13937 7th Street Dade City, Florida 33525 File Number: S-27011 In Witness Whereof, the said grantor has signed and sealed these p~esents the day and year frrst above written. Signed. sealed and delivered in our presence: ~:- " Q~~L DAVID LEWIS SIDNE Address: 9511 SILVERBEND DRIVE, DADE CITY, FL 33525 (Seal) Witness Printed Name Wilnet1 Printed Name TWO DIFFERENT WITNESSES State of County of The foregoing instrument was acknowledged before me this ;:)...l day of September, 2007, by DAVID LEWIS SHINE, who islare personally known to me or who has produced driver's license identification and who did/did not take an oath. ~ Notary PuliU. Print Name: My Commission Expires: (Notary 8.,1) 8uIIn A. Morrow NolIrv Public. State of F10rida My CliInrn1lelon Explr18, Feb. 10,_' Com, Nn. 00282875 DEED Individual Warranty Deed - Legal on Face Closers' Choice ~ PATTIE ELECTRIC & AIR CONDITIONING 39111 PATTIE ROAD ZEPHYRHILLS FL 33540 Phone: (813) 782-3319 Time of Order: 1:26 PM Order made by: OWNER Order Date: 09/27/07 Request Date: 09/27/07 Order:20764 Paqe: 1 0027882024 cTw GREEN, J'v1ARY LOU 38633 2ND }.\.VE ZEPHYRHILLS FL 33541 Remarks UPGRADE SERVICE NEW PA~EL; NEW BREAKERS RE-LOCATE CIRCUITS FOR r~~GE\REFRIDG ALSO ADD DRYER CIR. RISER m~D WEATHERHEAD & (813) 788-2024 WORK ORDER OKED BY BRIDGET SEPTEMBER 27TH; 2007 UGRADE SERVICE, NEW PN~EL, NEW BRAKERS, RELOCATE CIRCUITS FOR RANGE, REFRIDGER~TOR, ALSO ADD DRYER CIRCUIT NEW RISER AND NEW WEATHERHEAD GFe:f~ ,;" "8",t*rh-r- r k,'ldl!'l1 P.S PER ESTIMATE PER,l\1IT AlJD NOTICE OF C0t1l'.1ENCEMENT WILL BE EXTRA MECH DATE TH1E Sub-Total Tax Total I hereby' acknowledqe the satisfactory completlon of the above mentioned work. Siqnature: 0~(JA~ ~'-' 415.9.40 4159.40 0.00 4159.40 NOTICE OF. COMMENCEMENT '7055 //111/111111 1111I1111I/11I1 1111111111 ""'1111I1111111111111 2007163071 ""-'- ..) -PemritNo. '7055 Prop~ Identification No. / J- zt, - '2-/- ()(>(~ -(7Y~d-"//~ Rcpt: 1132068 Rec: 10,00 DS: 0.00 IT: 0.00 09/27/07 ' Dpty Clerk . TIlE UNDERSIGNED hereby give' informs you that the improvement will be made to certBin ieal property, and in accordance with Section 713.13 ~fthe'Florida Statutes, the following informationU! provided in this NonCE. O~ ~O~CEMENT. l.DeScriPtionOf~roperty'(legald&r~rq,tion:) 2-1+ W\e> ) :P6-{~Lf II) SI/?'o('Q Blk. 19t.f-Rf/f51 P~7tq. . a} Street Addrcss: t..3 "'~. (! . ...ll,.'. .z.,. . "" . 2.0eneral :'Criptionofimpr9vements:~( W~ Jv/",.h,r_:E>I'';' /!"d~/' ~'.-J1- A/-euJ .,2"6" :r~o~ n~/- GreJ$ IfiI~IfM I("'/den -' ...-:c J,,-d../ s F~r" IIJ r " .'" . 3.0WIicr Information ". . . ". a) Name and'address: ,6ret::lL J1111i"1'~U. ".' 38t, 33 "2"", ilvr. Zef~('I111 Fl.. ~35'fz- " b) Name and address offce. simp'le titleholder (if other than oWner) "" """. . ~j. Interest in property . t:J#U4' er . . ~04.CoDtractor Information '. /). '. ." '. . "" ~)Nameandaddress: PI-f+lc e-/cd-(';c. 3.,111 J'~.f;~ ItJ. Z.e.fJ;:rrJJ,j/J' F/, 3,3"-P b)TelcphoneNo.: "7?n --?K2~~'31'l .". .' 'FaxNo.(opt.) pn:;".U~"-~f"I, r..surcty Infonnation . . :~ =C:W~:fa:::: i92~~~fIA': 'C~O fOUNT:, ~ERK c) Telephone No.: . Fax No. (9I:'1.). OR BK '. 764D . PG 21 tj 6.Lender . .. " a) Name and a.dc:lress:" . . . . . Phone No. 7. Identity' of person. within the State of Florida designated by own,er upon whom notices or otherdoCurncnts may be served: a) Name and addiess: - . b) Telephone No.: ':Pax No. (Opt.) . 8.In addi1;ion. to hiinself; o~ designates the follo~ person to receive a copy of the ~ienot's Notice as provided in: Section 713.13(1)(b), Fl~dil Statutes: .. . a) }\lame and address: . 'b) Telephone No.: .Fax'No.(Op1.) _ 9.Expiration datci of Notice of COD1JUcncement (the cxpiratiOIJ.. date is one year :fi:'qrP the date of recording. unIe~s a cli:ffetCnt date is SJJccified): . '. . . . '. . . . . " WARNING TO OWNER: ANY'PA~S MADE 'BY THE OWNER AFTER THE EXPlRATION.OF THE NOTICE Olr. COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER-CHAPTER 713, PART I, SECl'ION 713.13, . FLORIDA STATUTES, AND CAN REsuLT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMl\fENCEMENT MUST BE RECORDED AND POSTEl> ON THE JOB SITE BEFORE ~ FIRST _ .INSPECI:ION. IF YOU INTEND. TO OBTAIN FlNANCING,CONSULT YOUR LENDER OR AN AITORNEY BEFORE COMMENCING WORK OR RECORDING yOuR NOTICE OF COMMENCEMENT. =~= .v'~~~~____. Prin~~ . ;Lou. Grt?en . . Th~ "-'bog __..., acknow~ befu.e "'" ""' ~ day of . ~ ./1"T: . .' 2PJ?-1., boj:zzJ~' . tJ1A-'~4<-/as ()&l/:JI.A.J . . (typcofaut,hortty,c.g.o ccr. ~ m fact) for . . " (name of party on behalf of whom instrument t CXCC~l~,.... I /7 Personally Ktiown ~ ORPrQduced Ide~cationJL:: . Notary ~ignature i~ c:f!P~ .' \./ /. ~~ T~e ofI4~~~4i~Produced F.L,.~rLr.' :", Name (print) "2DJ3;8/,€:' ~ ? u.)F-="T"'-~)J;; I.;, Verific~tion p~~t to Section '92.525, ~pq~'statutcs. Undcr penalties ofpCIjury, I declare that I have read the foregoing and that the facts st,a~.It~it ue true to th~bcst of my-knOwledge and betief. . _ "~i~'\ Bobbie Swelland- . -Q . rLf~~ . r~ J; MY COMMISSION # 00268763 EXPIRES (~. ~ '. ;0 ~ .~.. 8ONDED~~TROarv 22, 2008 Signeture ofNIdi1nl PCI'IlOll Si~s Abov~ . FORMSlNOC.1Y . '. .....u YFAIIINSURANcf, lHe . .