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Home My WebLink About07-7157 ;CITYOF ~ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 :SUILDING ,PERMIT 7157 Permit Number: 7157 'Permit Type: RE-ROOF Class of Work: ROOF REPLACEMENT Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 3,760.00 Date Issued: 10/31/2007 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 10/31/2007 Work Desc: RE-ROOF Address: 5718 6TH ST 2EPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OFZEPHYRHILLS Parcel Number: 11-26-21-0010-02700-0170 Name: GRINDLE, FREDERICK Address: 57186TH ST ZEPHYRHILLS, FL. 33542 Phone: 813 788-7057 ~ V")uk~ l\ h (07 (Uv- DRY END ROOF INSP TAPE JOINTS ROOF INSP FINAL ;REINSP.c~'lIlteN~EES:'tReinspectionfees will comply with Florida statute 553.80 (2)( c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction clrepairs 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 pennit, 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 pennits 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 pennits 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. n // ~ /~ t-,tONTRACT IGNATURE------ PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 09r-~ Date Received Owner's Name Owner's Address I 5 11Lt Fee Simple Titleholder Name I (n~ ~Vt ~ .L'Vli:\\, I Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I IS71~ I ~%\ b."" ~ti LOT # 111, t~.,." I ~ Zi:::. . JOB ADDRESS SUBDIVISION I o NEW CONSTR 0 D INSTALL D DSFR D o BLOCK D I ~'h\~'~ \ K(L~Q.~ 1 I SQ FOOTAGE I WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE G2f VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY 1$ o ELECTRICAL 1$ o PLUMBING 1$ o MECHANICAL 1$ o GAS ~ ROOFING FINISHED FLOOR ELEVATIONS I - - AJ~L~ 15q1/ U=> 301 ~~ c..;~,r::-J BUILDING PARCEL 10#1 l \ . '2."". 2..\ -O'::>\~ - OL'\).:'), 1)\ "'1(J RE: -.2..}J v (OBTAINED FROM PROPERTY TAX NOTICE) ADD/ALT 0 SIGN D MOVE D REPAIR COMM 0 FRAME D ~1 ?111...:) ....~ IL0u AMP SERVICE DEMOLISH OTHER I 'R!.-~OljF STEEL 0 OTHER I I I ~. M~~ l)~A~ I t- 03. O'.L;:l. Dl t:\... \"3Sl.-. .~ HEIGHT I .. .___"_1lllIll o D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION D I BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address SPECIALTY D OTHER FLOOD ZONE AREA DYES COMPANY REGISTERED aosa.3 I PLUMBER SIGNA TURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE I COMPANY REGISTERED Address Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance, ' Attach (2) sets of Engineered Plans. ---PROPERTY SURVEY required for all NEW construction. ... RESIDENTIAL COMMERCIAL SIGN PERMIT DNO .. .-- - r;ntV~t' ~~~E~TCh ~'0J? f License # I (lee. 05/ 6 U ~ Y/ N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/N Y/N Y/N Y/N --. ... --- ---M_.III_"_ll--"~.~-1IiiIIIIIIIIIII -' Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) (l..qel\t~Qt \~e OOI\\ta~~m Q~ ?o'tolet 0\ "'\\ome~ \\or the owner) would be someone with notarized letter from owner authorizing s.ame '!t"$Z(Frool {)f ApplicatIon On\~) Service Upgrades Ale Driveways-Not over Counter i' on ~ub'ic roao'INa'ls..neeos RQ\N Fences ~?\o\JSuNe~IFoo\a~e) 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'l 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: ;- 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 proniise 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 provi~ions 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 ~suance, 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 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. 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. 117.03W A OWNER OR AGENT A . It-~ CONTRACTOR '<-t l~~ Subscribed and s n to (or ffirmed) efore me this . Subscribed and swo n to (or affirmed) t)efore me this IJJ~je.n by 1 J<J/:l.{J1 by wl'fo is/are person wn to wh"o is/are personally k ~ MhfA dafilrll Notary Public {dk /l ~-;u Notary Public Commission No. f~.. ~.';:;;/i7;,.~... --- .ji& '";_o'-...~l"'-!>:i:. :D.D.. >.X5f.l ,... ~. ,"~ (},JV1n po, t.'~"ir:TT tlf ~ >~~..:,: '''('.'cA;'';;''::'l(.r,: tt r;T''137C'51 ;, .. ~Jr'd'," 1': t....,._.>; ,,;)..../.' v'. Name of Notary typed, 'n or mpe or YJ.jR,-: '.~;H ." p:or:'/j"'!Jt I, ,- ~ -'. '. '\'f'tr;-:o~'. 1.\' I H. '''~ 1<d'''.U: CC.....IPANy :I !, ".:n-I'1:.:\.nn.'{'fn.~'l:!~~.D:nrr<J Commission No. MILBAR CONSTRUCTION, INC. 15911 U.S. 301, Dade City, FL 33523 <::::>< Ph: 800/562-2393 Fax: 352/567-4454 Date: 31 October 2007 To: City of Zephyrhills Building Department 5335 8th Street Zephyrhills, FL 33540 Ph: Fax: 813/780-0020 813/780-0021 Re: License # CCC051562. To whom it may concern: Please accept this letter of authorization for JAMES HENAGAN to act on behalf of myself, David R. Abla, and MilBar Construction, Inc. in the procurement of all legal permits and/or licenses as required by the State of Florida and/or the various city and/or county governments located therein; authorization is also granted to sign in my stead as required in the acquisition of the aforementioned permits and/or licenses. MilBar Construction, Inc. ,- (l,~;{d~ David R. Abla MilBar Construction; Vice President State of Florida County of Pasco The foregoing instrument was acknowledged before me this _31_ day of _OCT_ 2007 _, by David R. Abla, who is personally known to me and did not take an oath. Notary Public: t'Ati<~ d a6/df ~,;;;;Jo:[;1;J~~':';"_~;,::~~;;;"~l ~:~--~" c:,~~j....,;.\ !', '~''-'-.:..~--~.('; 1 .L/q',,,.~ ..." ,,>""',' "~ C..' <J/5 , ~./jt-"'J.:: ,~..\.f\"-" ,'... I, 1~'{';'"\8 ' .~,"n"..(i .. ...Tp.... '., '. ~..~J, ~ t"~ - ;i~~-~'~f tJ>'l ~o:-,:'>>. ':):~:'~;~>~:'~,NY :~1 \:~ \F1.a:,.i)~ ~:!'\'."n''''"','' fYl'f\ ~~;~ttn~~c\~'rc:nYn!:.- ._- Comission: 01-01-1900 12:11PM ~ P.Ol 1 (.._.......~~ofthe.~I~r1da . : Roofing and Sheet Metal : i Association .. Jlrnpusal St$te Certified Builder #CBC023221 SUIte Cenified Roofer #CCCOS1562 State Certified Roofer fCCC1326211 Rei Registered RO<Jf Consultant :10149 of 2 ~ :1 U.S. Intee CertIfied Platinum Installer #5204 MilBar Construction Inc. Roofing' ConCI'ete . Commerclal . Residen3al 15911 US Hwy. 301 North. Dad$ City, Florida 3352:3 <::::>e 352/567-6047 · 800/562.2393 · FAX: 352/567-4454 i I'ROPQ$AL SUllMlTTED TO t GRINDLE. FREDERICK & SAIL STFlEeT 5714 6" STREET i CITY. ~TE lIlld ZIP CODE , ZEPHYRHILLS, FL 33542 PHQNE JDATIO 01/17/06 813/788-7057 JOS NAME 3 OAKS. CO" JOg LOCA'llON 5718 ~ft STREET ~ AAOHrtECT I OATl; OF p\,ANS . ,.... ........... _.:~.:~:~::-::L:7.':" .z:e:PI-4YRHILlS. FL I JOB PHONE Pages _._......,~ .1 'I ,. " il I; Ii ,I , I' ,. , \ w. l\9l'elly svbn'lit speeiliCalions a1'ld estimates lOr; .! ~LB RB-ROOP :1-...--............................ ................................--.. ......-.......-................... ... II 1. Tear off and haul away existing one-layer shingle roofing system. .-.... !i il i! '11 ii . .. ...... ........,; ., : ~ .. .. ......... ., ...... .... ........ ... .. .......--........ .....1 ! "'- II 3. Provide and install new IAMKO "Elite Glass-Seal AR" 2S-year 3-t;.,b algae-rS$htant i, " ..----... '-' ';''''fi'b'ergbgg--shingl:"elr.' ."Ol;Jner to' seleet. shinglU"'color 'from 'TAMtc:O"'.' .s-t'arrdcrrd ...... .... .-....... .... "'1 ~ .t____~~~__;~:;;;;~;;:r:~~~:g:a;;:~:d~::.::ya:::::M:~~~;. .1f~1~<-~4 ' . .; S. Provide ~nd install new lead boots for the plumbing vents. . ?",~~"--o._~_R~'_."_~_"_"_,,,,,,___,__,_u, ...__.........__.__ _ _.._._ __~_____ __. '.M 2. ; Provide and install ,new ~5 lb. saturated felt paper. ! 1----- h_____________.._.__..._.._....____..._..__.._.. 'MW'., 0... ",.. ..,_ ! ,.. " ." "~-' ,.... \ ". ',\l 'N'" .. \ ' ..,', ," .... . - '-'- .... .-.-. .... ............._-,.... " ... 6. Provide and install new pre~finished aluminum eavedrip (white or brown) ,I '----;~- ---~~~;~~~.;,:-;-~;:~..:.d (deek .f~e~i~~~:. fr""1n9. .to. );.;;;~~:-.:;~~n;;-;:ll lim-----:~~~o~:-:-~~~~:r ~~~:.~ckwm be' compI'tl>."".-co..r:~"l""lS.m"'- "bl>wm- nil ;j..-.---.........-..........----....--...-........................ ... ....... .-.. ...... ...... . ... ........... .... ......... ..... . ''''-'-.-''\1 I; 6. "'UOar Construction, Inc. to provide a 5~year workmanship warranty to.. the original.. .Ii .. . . -- --. -.. -'-pul'"cn-a'ser-tfjat- cloveri' sn,frigle' 'roof leaks;' t!xcli.iiiiIons:-storm''''ifamag'e:~' worK'donemo'r--'''- '1:' I ' . " damage by others, tree d/:lfl1age. and lor structural damage to roof deck. !: i ~ ....... ....... ...... .... .... ..... .... ..... ............. -.. I: ; 9. ~r to provide access to roof for d&livery truck for loading/unloading for roofing i i!..........~.-_.-.~.-ittatef..iarir~.--......-.. ...... '.m .. ..... ... ..... ...... ........ . ..-. ........... ......... . '.i: :1 ..-.-......._u.. ..----.... -- .. /1 if /III> Jlr1lJ'lW hereby;~ i,;';;i;.h_rlal and labor - com~;;;;;' in aCCOrd";~ with above .1>OCificatio~;, for tho ;';-m of: ! ! SEE PAGE TWO. i: :! -~.._"....., d~"'($). 'I :t , [, ! IIIVlIioed amounts not pai(l in ~ with 1119 paytnent terms shan be considered delin- quent and bear In'-$I at the "'te 01 one and onCo/'\aIll)Ot'Cef'lt per .month. Owner agrees to , I pay all ClO8ts inct,l~. !JJ.IOh 11$ IIltomey fees, collector fees. court costs. tltc.. fer collection ! i Of delinquent ir'Mlices including interest Owner to carry fl'e, tornado and otMr ~&Sa1Y II insurance. Our workel1i are fully COYBnId by Worianan'R ComperI$,'1tion Insurance. ...)'--....... --.......... . ............... rf' btmrlanu of ~ r.oposaI - The above priCEl5, specifICations i' and c~nditions are satlsf!fctory and hereby accepted. You are authorized I j to do the work Elll $PEl':i~&d. Payment will be made as outlinod above. ;,~ 0td1:J 0# Aoceptance; /~ y~ '/ .....,'- '. _. -.... "':M'::M_,' Authorized Signature NOle: This PI'OIX>$al ~ be withdrawn by us if not acceptEld within 30 S""~~__:!.~ SlgnalUre~ --- :",' .. ..., .-. .. . ""'" , j: !! Ii .i days. ! ~.~tj) . .<\ Ii I' ,. i. I! " // /'/ .:./ ~-Ol-1900 12:12PM P.02 Platinum In$tallor 15911 US Hwy. 301 North. Dade City, Florida 33523 <:::> Roofer '0001326217 #5204 Rei Registered 352/567-6047 . 800/562-2393 . FAX: 352/567-4454 Roof ConsulUmt #0149 .~"TO PHONE IOATi , GRINOLE. FREDERICK ;. GAIL 813/788-7057 01/17/0IS , I STREET JOB NAME i i I 6714 6ft STREET 3 OAKS.COM I crrv. STATe and liP CODE JOB LOCATION i . ZEPHYRHIL lS. Fl 33542 5718 6ft STREET i I~CT I DATE OF PLANS ZEPHYRHILLS. FL jJ06PHONE i .1 ...1 L ..'0_- .... .,.. --- ... __M'_"MOM_.._. ... _ ~ , .........M... ....---.. ._-. ,- .- - ------... u.s. Intec Certified ~ - ... JrnpnsnI Page No. 2 of 2 Pages . c-"-c.::~e~'1ed .-=~._.~ Builder ICBC023221 ; I State Certified i Roofer' tCCC051562 state Certified Member of the Florida Roofing and Sheet Metal Association MilBar Construction Inc. Roofing. ConcrC'\e . Commercial . R~8~al i \ WlIIlIGreby submit specltlcatlQn$ ~ estIma!&a for: , 10. MilBar Construction. Inc_ to provide General Liability and Worker's Compensation ./. ".. .....m....-_...rm:l.T'ri!ln"C'e..t'$2;000.'000..11l'hit)a."d..l"'l!lo~t'.~bf1t'1g . p$l"ml t.. .... ...... '_m Ii Ii ......_;! i ! ..-.....'1:1';;- j' !: ii I :r......-......-.-......a;.........RiCfgiif'X'mt... Pfovlae "and' cut~ih '50'1'. f~' .1 vent. :~ ..-............., ''', .... .A1)D.....175;OO. to . the . contract. price. 'i ; l . -...._....__. ................ _n... :1 :1 '1. ...........-..........-..-....-..-.... .1 . 1--........ ...-...-...-.... .. -.... ... .. of 'nw'''pre=finIsnea'-al'Lmlil@'''i"'idiife . cdJi;, ~ ..........-............ ... Ie: .~--... .... ... ......... 'I .... ,,,,''''',,.. .1, I! .....j: :f OPTIONS""'" ""'. ......... .... . Ii ........---/ :i i ! ..+ ;; ,.- ....... ...~... .-.-.., :i 'I 11 . I" .--~, -..-. ..-.,. ....,.",... .,,, ' .,. .w.... . ..._ , ... '. . , _... .. i !i "t-=:~::--=-:: _On - "_"" """0""""" 0 0 no_ _ _". ____ ____ _~-:::::---____~_ji i ,\ '1 II if ... ...... ....-.... .... .............. --.'''i\ I (. ..--------____..._...m.. ..........-.-.---..... ...-....-.... ..-...-.-. ..._n...._......... ....... ... ...... .. ..... ........-.........-.......--.... ..... ......... .... ""'''j i ; .-----_____u.._.__.___...._. -...--.--.--.......--. _.... ....... .. .. ..._.. ..... . . _..! i .t Jlrop-OSt hereby to furnish material and labor - complete in accordance with above specifications. for the sum of: !; 1 THREE THOUSAND ONe HUNDRED NINETY AND 00/100 - dollars ($ 3 _190. 00 ). .! _m'" ""'00...... _ ~I , 1. .'.... . ----- . ._~. ~~ . .1 IIMlIced amounls IlOl paid in aocordanoc With the paymllnt terms $I'lall be C<)tlsidered delin- quent an<! bear In\erest at the I8te 01 one and onc-nalll)eC'C9ftt per Month, Ovmer agree$lo p<<y lilt CO$III InculTed. such ill attorney fte$, coUQC1or illeS, court costs. 8\(., for collection of delinquent ilMJices including interest Owner to carry fire. tornado and other necessary insul&l1Ce. Our WorkelB BI'II fully CO\I8recf by Workman's Compen!llltlon IllRUmnce. Avthorize<:f Signature , .1 ..\'.. 'i" .---..... :.. ....... .. .-..-----.-_ _ " _ (1/' J\tteuUt1ttt af Jrrnp.asal - The abcNe prices, specifi~tion$ I; and conct'itions are $ath~~tory and hereby accepted. You are authorized j , to do the work as specified. Payment wlll be made as outlined above. '" . oateof~;...=-.~~~...-:---"-~ Note; This proposal may be withdrawn by US if not accepted within 30 !j I: ! days. . ;; -<<' '\:~ ~ ~ I: i ~ I! ~; /,~1"" I :~~~~~ ~.~_._-~- ---- '---- -" ."- TOTAL P.02 1111111111111111I1111I11111111111111I1111I111111111111111111 2007180748 Rept: 1139082 Ree: 10.00 DS: 0.00 IT: 0.00 10/31/07 Dpty Clerk f\A.L( II.' 8:J58 NOTICE OF COMMENCEMENT Permit No. JED PITT"AN~ PASCO COUNTY CLERK 10/31/07 1~:03.m 1 of 1 OR BK 7675 PG 1207 Property Identification No. l\- u..t.\. l\\~)\(). "l"~. L\\~ THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. I.Description of property (legal description:) &~ M uNl,t\", P9t i ~ I!A a) Street Address: 51 ~ ~ :f~ 2.General description of improvements: . ), ~~~ ~ l1. 1<<1, \~ " ~~ l:.\~ 2:"1 ~ JtS~ PC:S f.30 3.0wner Information , a) Name and address: ~\.. L WtA.r..ck.. J) .~ ~a~ \ 'i b) Name and address of fee simple titleholder (if other than owner) c) Interest in property ~. 4.Contractor Information ... a) Name and address: ---l'!\.\ \iIraI" ~~~\r\""~~ ft b) Telephone No.: ~S2..J'S\."7. 1.a)'r1 5.Surety Information a) Name and address: Ik\\~ b) Amount of Bond: c) Telephone No.: 6.Lender a) Name and address: r; 1 'if fn i.b 5 tre e +, z ~,#It)l' 4,1 f; \'A"-' l~~l\ V~~. ~\ \~a~~~'f FL a~ Fax No. (Opt.) 3'S2./ 5"'''' ~ Fax No. (Opt.) '~~Q Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: U Ib- b) Telephone No.: Fax No, (Opt.) 8.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: a) Name and address: ,..s"" b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FlRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT iYOUR LENDE OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CO . NCEMENT. STATE OF FLORIDA COUNTY OF PASCO foregoing instrument was acknowledged before me this -.J.L day of fu ,200, , by . t < as Ll ).J"",o-v (type of authority, e.g. officer, trustee, attorney m fact) fo 1)/0"'e.r (name of party on behalf of whom . ;; Notary Signature Personally Known ~R Produced Identification Type of Identification Produced N ame (print) allVLb-. A LOVETT CONIM\,:3iO!" M D0337951 e -L! li1 1 2008 AO',:;.1f.D r..;ROLGH RI.IINSU.....NC'O CO;"~ANY Verification pursuant to Section 92.525, Florida Statutes. Under penalties 0 the facts stated in it are true to the best of my knowledge and belief. /. FORMSINOC.rvsd2007 10/31/2007 08:32 a 13-780.0020 3525674454 MILBAR City of zepnymills Permit Application Building Oep~rtmenl PAGE 01/05 Fex'O 1 0-700-00Z 1 C3~~ Dato Racolvod Owner'. ~m. Owner'sAddnlSs I 5'~14 (,.'"^- ~:Y~LA- l"l."'~\\.... Fell Simple llUehold.r Namlll Ownor Phone Number Owner Phone Number I Fee Simple TItIoholder Mdress I ..""',,...... -~;9: l'*'o ~~ -;--:' ---E.. . f . PARCEL IlJtIl RE:.Q,.).)"" El NEW CONSTR 0 ADD/ALT INSTAl.L D REPAIR PROPOSED USE 0 SFR D COMM TYPE OF CO~TRUCTION D BLOCK' CJ FRAME DESCRIPllONOFWORK I ~'h\W1'1.f , KCL~ 3'31l.oo ~ BUILDING SIZE 'I sa FGOTAGE I J L ~ C2r :;ahV ~/~-I o ELe'cTRICAL 1$ I D PLUMBING 1$ I o MECHANICAL 1$ I o GAS ~ ROOFING 0 FINISHED FLOOR ELEVATIONS I I ~ I'" '%""1 .- .LOU f~.:l. tl- '2:.,",- '2..\ .o.:)\~- Q'2~O~. I"'\\L~ I (OIlTAINEO I'1tOM PR~ERTY TAX NOTICE) SIGN o MOVE o DEMOLISH WORK PROPOSED D D D OTHER I 'Rt.-ct~':- STEEL 0 OTHER I R... \,,\q.,.~ .~. ~ l'l.u.... I ~ O~. 010'1.'>, I) I HEIGHT I VALUATION OF TOTAL CONSTRUCTION. AMP SERVICE D PROGRESS ENERGY D W.R.I,:.C. OTHER DYES /,./ ~~1 DNO ....~.,.,..,,'" SPECIALTY D FLOOD ZONE AREA VALUATION OF MECHANICAL INSTALI.ATtON .. m i Ir.:nr- ~~l1d, ~e., I I tUN \ . FEE CURAIlNT V N Weense , I Ct'~ ()5/5 U :J.. I. '1 L.:!.L!:U I YI N I FEE CURRENT Ucense tI .1 I I I I V/N I I Y/N FIili CURRENT L.k:en1l8 ... I I I Y/N I I Y/N FEE CURRENT Licente ,. I I'Y IN \V/N I I FIE CURRENT License # I I BUILDER I- SIGNATURE . Address I J 5q /I U~!3DI COMPANY REGISTERED 'I.:'ode C;f!),~J a~3 I COMPANY . REGISTERED ELECTRICIAN SIGNATURE Address PLUMBER SIGNA 1\JRE COMPANY MGISTERED Address MeCHANICAL. SIGNATURE COMPANY REGIITlIIll!D Address .,. OTHER SIGNATURE COMPANY RElllateRED Address RESIDEN'nAL COMMERCIAL Attscl1 (2) Plot Plena; (2) selS of Building Plans; (1) set or Energy Forms MInimum len (10) working deys alter submittal dale. Required onsile, ConslnJctlon Plans, San"ely FaclIlUes.& 1 dumpster Altlch (3) sels of Building Plans; (1) eel of Energy Forms. Minimum len (10) WOrking days after submillBl data. Required onslle, ConslnJction Plans. Sanitary Fecll.llIS & 1 dUlllpsler ^" commercllll requirements mUlt meet compaanee. ' Attach (2) selS of Engineered Plens. """"PROPERTY SURVEY required for ell NEW construction. . SIGN PERMIT Dll'ectIons: FII out application completely. 0""'1)' & ConllllclOr sig" back of appMcallOn. notar\zl!d It over $1500, I Notice of Commencement Iv required. (AIC UPllI1lde$ over 56000) .. tcii..~~~~ '>.'~0r) ~U/d be soMltonel/lllltt n__ ~,from owner eu\horl2Jng "....... ~,:. ..."., ....... .jlblllill.Qnl'l)'".,,;_:';,'.'.,~::.: ... .. ,"':~-!":'?'::";~BiVli:6opgra_ . . ...I>JC f.ilceSl~UNeylf~) .D~ ""e, COII"''''\' 01\ ",,"lie "'aclw1l>f........as ~OW 10/31/2007 08:32 3525674454 MILBAR PAGE 02/05 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 Inspecllon Divisio~Licenslng 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 indicatior:1 that he is not property licensed and is not entitled to permitting privileges in Pasco County. . TRANSPORTATION IMPACT/UTILlTIES 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 Ordrnance 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 pi!!rmitting. Jt 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,Florlda 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 th& 'apPlicant is someone other than the "owner", I certify that 'I nave 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: -t 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, Counly 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 tilat 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 PTOtection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands. WaterJWastewater Treatment Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable WatelWaYs. 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 "YO unless expressly permitted. If the fill material is to be used In Flood Zone "A", it is understood that a drainage plan addressinQ a "compensating volume" wlll 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 "N 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 prom'ise 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 pennit 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 pe/'lTlit is commenced within six months of permit i1Isuance, 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 Offlcial for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) con$E!cutive days, the Job.h~.con8idered abandoned. tf};PH~ i!~1rlI " CommlulOn No. Notllry Public IL. 4~~ Notlry Public Commission No. Name of Notary Iyplld. 10/31/2007 08:32 3525574454 e1-01-1900 12:1iPM ~ . MILBAR PAGE 03/05 F.~ll U.S.lntoc CertIfied Pta"nUIll'n&ta'l@r .. Jll"'OPDSa:! ~ MiI~!!.~~~~r.,lnC. 1 of 2 Pages .,-.-.-. _.._.. .. . ....__....~ stOlo Certified ~ 8under~U1 1,' $Ute Certified ; ~fer ICCC051562 ! I SUtO Corllflecl : I Roofer flCCC1326211 II /... r I Menber Of .... F1Drldll Roofing tUN' Sheet Meta' Association I ISl!04 '5911 US Hwy.301 North. Dade City, Fbrida 33623 <:::::>l RCt Registel'H 3521567-6047 . 8001562.2393 . FAX: 352/567-4454 Roof Consu'lant to149 I i , i ~lJ"L3U'IM~TO PHQNE jUMij ! 6RINDLE~ FREDERICK & SA~L 813/788-1057 01/17/06 I 9TAEET JO!I~"'E 5714 6ft. STREET 3 OAKS.COI'! I CnY, ~ IIlMI ZlI' CClOIt J08 LOOATlON i Ze:PHYRHILLS~ FL a3S42 5718 ~- STREeT ~ 1IACtm'eCT . ......_....._:;.J~~,~[~OI"Pl.A1llS I Joe PHONE , , ~l;:ptfYRHILLS. FL ,; ! II .. , . . . .. .. . . " ...-...-..... -.-.. ... .......-.....- .. _ 'n..._~ .. -- .. 'I w. IlmW IlUDnl1t 8POCIlICallOM allO ~IimIl\OO 10\': 'I ii--;:'-'-;;";~;-;;d-~i-~;~~ti~~2=;;;;:=.. . ~~~fi;;';;~:; ........ ... ,. ""'. '~I , !I ,j......__..._--~.._--~-_....._. ...-.....---.. .-....-..---- -. ....... -.._..._-~. ..' . ... ..'..1 .,. ...., .,.." ..,...' ." . ,.,. ... ..-........_ .... ....,. . ., ,... . "~:;'.'1\" ".' '. ...._ ... __. ....." ! 2.;provldC! and install ,new ~5 .lb. Scl'tLlI';i!tted f"lt: paper. . :! r-"-;~---I-;~:~-;;~-'~~~"~~:~~~~" ~~ .~~~~o Il~~;~e -~~~.~~~~~. ~~:;.' ;~~~~'r '~~;'~~~~~;;~~~~~n~-"'-"jl r ..._--n'_'-;-"-1"i'berghItm"""Shinglw': ''OgnU!'' 1:0' sel'etl't. shing:1;sr""l!O;1:o',,' 'fronr''TAlIIlC1>'''S' .9'tlilm:ta'rct ..._ ..~ .~ ...._..... ..~I~ i .. ./ 0010.0., Shlngl~O .~_~._~"':~..~llnll.~d...".~~~t~ fr... TAOf1(O. 3tJ'1' ~M1::-~~ }__~:_..._..!.~.~~:~~:~..~~..:.~~~~.n~~ (~~~.~~~. vent, or any wall flashi"g)~. ..... ~ . . ..-4 :. ~. Provide and install new lead boo~s for the plumbing vents. i! f............. "........,."...",.".. II, . . "'. ,....~."..... ......' ..,.... - ._- ..-..-... .-.._......_..._.~.....,..,., .., . .' _. ..... ._......__.___.......".,. ....._... .._.. "',: ! 6. Provi.de and 1nstIlll now pre-finished aluminLm eavedd.p (whib or bro,",") ;j ;-----...--.-..--..---...-. ..............--.--........... ",,'" ..,...... . .,..... .. . ... ....... ....-..- ...--.. . .... ......-.... _. .. ".. ..... ..........,........................... .....-.... ..... "'1 : 7. Any rottan or dl!llftllged wood (dQck, of.filCls. trim. framing. <<'to.) rC!!pillo~~ or ..e- J i.------.---ti..u1i1'fo-~"f'""Cff~--e)(t~'t1"n~.. t'~6'f' cr.cl( "win: th~ "cDffll5nnlf "fM'''.!!i' "c6gr:':;'Pl.i:l9 '1'J1~1)f" ~bove- ......-.. _. : )1.__._.._._.~~._~~~n~_.~_.:~.~~~~.~..~.~1,~e.~. ............,.... .... . '" '~'n... .... ......... ....... ...... '.... ..... . ...__-.1 Il.._.__~-=__......_ "'~~~':. co~~~~~-_~g~;....?>>l.P.:.:~~~del... ~k'~>!~~l.~~~~~~~..~~:.~~~r...~...~!.~~:.~.~~.~~_...11 I. purCn.se-rUlltcovers ~~n9 "roo, e. 9; eKe US.lOnlU 61,;0r", Damage, war" uone or II '; df!WlW!lge by et:hcrre. tree damage. and/or $truotural damage to roof d&ck. I,' I:' ..-.._.~.~.... ....~~.~ to provide ac~~~' ~ ~OOf ~r ~l~~';;"~~~~~' ;~;..~~.ft~~~~;~;~.~~~~~ "~~r ;:~~~~~9 .'i ir==~.=....~,_:.:~Jil'..-_.:: ~:_=. ... .... ".. '_~___...~~ "--.' ". . ."':.:'-:::,: '--':-.~~] ~I ~2 'r11JnlS! hereby to furnish material and labor - complete in accordance wltl1 above specifications, for the sum of: Ii " seE PAGE TWO. . dc/I;I ($ ) \i ; I ~nt to be made u follows: rc. 'I il I ., InvoiCed ~~ 1101 paM IIl.CCIOt'rlllllOll wfttI lhe payment tarll1lllihBIIlle ~81dl!red cIeIln-. AUlhorb:sd i. qUl!ll\ slid ...lnleteSl at !he l8le 01 one and oneo/l;l~ I*'COI'It pftr ,,",,"II\. Owner agnll!8lD Signature ; I p"y 8A llOIIl8 incun1.!d. such liS 8ttOmey fees. cOltoc1or f~. court COCl&. Gte.. for collection . ! I Of OO!lnqUlll'lt It'lVllitlH IncfuUlng Intere!lt. Owner 10 OQrry nre. lOm8do attfS ocnor I\eC8S$a1'y Wlthd Note:by' ~~ ~ ~ ~ lnGuml'lllA. Our Wl).~", IlfII "llly aCl\llll'fld by Workmsn'R ~'l;lliM ~urance. ~ US n ~.......... .....: ....,.":!:,..--.... ......-..-. . ... -.':':.::":'- ,......- :( ~ rrf !r.op.o:u! - The above prtces,speclflcatlone l~=~~~~:m=~~~~~_'a.:.=~t~~ .I II days. . i /) "~ I: II /) ~.~; 30 10/31/2007 08:32 3525574454 ,1-01-1900 12: 12PM MILBAR PAGE 04/05 F.fJ2 ,--.- n 'rnpD~Utr ' .. J6fI MiI~!!;.~~~~lnc. 15911 US Hwy.301 North. DedI CIty, Florida 33S23 c:::::>o 3521567..6047 · 800/562-2393 · FAX: 3521567..4454 PlIgl'l No. 2 of 2 Pages -....--&&... ~........- .' .._._~ .. "- SiaN CI!lrilfled --~I BuDder 1CBC023~1 i Stem Cl!rtlfied i Roofer lJCCCOS1ll82 S't.ata Certified Roofer "CCC1U6211 RCIReglsten,d Roof Consultent 110149 Membor of the ADria RooffrIg _ 9IMet Mete' A.ocbdlon t .. .. -" . '.---.-.-.-------.....-..--..---.............. I '1 I .1 I ~~~ow p !, 9RXNOLE, FREDERICK .. SAIL 813/7S6-7057 i I sm:IEIrr JOIl NAMIi' ~I 5714 6~ STReeT 3 OAKS.COJII · CITY. ~ n ZIP coo; JOB LOCjI(fION . ZEPHYRHILLS, FL ~3542 6718 6~STREET .1 A~CT 041'1;01= PLANS JOe PHONe i : ZEPHYRHILLS, ~L i :\1' "-we~~-:==t=:~ I~~-.-~:..~.~~~~~.~~~e~:.~..~~~bi~itY ond ~rker's c~ens.~o~ . . "11 :. ."..............-- Ir1liiil.(rm1ttrr('$'2';1lC!J0~'0CIl0..-1t"'it') .a."d.'.I"'~;.:.,..~~flt'tg 'j:1ermI't; '".-'.'-''' ..,...... ,.. ..... ... ....... ...... .., ....... ..' .... i! :i .......-:tI": 0 OMS .-.". ...... .....~..,. ...., ...... '.. ... ..... .. ...... ....,... . . ..... .... . ..... .. ... .... .,..... ... ... ........ . ............... ..... .. ,.... .".",.", ... ! : 1-..--....._._..1!I~~~.. ..ltt-.Vel';.. .. -mil/laW '~nd CUt-'i~ 501. f; of 'i\i!Wpr'iFl'iriIsnea "':iM",@ "r'lCfgil !: .. ;1 " " ;! I: ii ....~.......-..-.-..--.--.. -.....--......-.--.-........ .................. -- '. ........ .... ... ....... ..... . .,. ..-. ..,.. .. .. ....... .-.. ... .. ...... ~ "..... .....--. .......... -..-.. .-.......Ii 'l~~~ ..~~.::~ _ ~:_._..~....::' ..:: .. .'. . . . '.: ....': ... ....--: . ..~:~:.: :..:.__._ :.-~-jl I: ----- .....-. ., ...... .... '. . ...... ....,.....". ,.. ...... .'" .' " ,. , '~"'. ......... ..... '..-.. .-' ........-....-.-----.... -.-.....-...-........,.. . ............ '---'.'---ji II .- .... .."........ ............_..,__..JI II ....... .... ........ . ., .. ..... .. .. .............. ~__..._.. ._._.._.._...._..... ................,...,ji II .--.-. ...... ..... "-- .-.. .... . . -.II '---.2 '.Jt-hereb; ;-fu;'~h rnaterial~~d labor - complete in acoo;;~ ~it/'I above speolflCations, for the sum of: ': THREE THOUSAND ONE H D eD NINETy ~eJD GJ0/100 doUa~ ($ ---,,,",190.00 ), ~ 111 be IN\CIt! ...', ror""'tll u.s. 'ntec Certified Pttltlnum In..... ts204 01/17 e6 ! Ii ., l) r; .. ..,.........__......u.__._._... _........... ., ........l........_... ._.....__.. ..--.....-....--.-..-... ..--_........." ..... of' ..." ,.,,' ,.... .' .... ."" ,................. ,......- ..............., .". . . .... ......' . , .., '" . ...-.. ..........., ..... . , " /) days. . : J!; ~, II n I! ;; /.' ,,(,or lrMIfr.cI MlOllntlJ not paid In accordance Wi" \IIQ Plymlltlt \Oft'Il$ Sha" be c~rIfll'Od dOlln,. Authorized . i quem and bear Imerest at tile late Cll one lIfI(I onc-llaW CtfCOIlt IMlr ~. ~ agrees to slgnabJre '1 ~!Ill ~D 1ft0Ulfed. euoh., .\1Ofney r.es. collector (0.., court eosts. ~, for CllIlIlGIllll\ Note; ThIs proposal ~ be I of d91~ lr1\IDlcn Includlnglnll!res.t. OWner to carry fire. lOmlldo and other fl40eSsery WIlhdrawn by us it not ~ within 30 ',,( inlIltniInOs. Our workers eN filly 0lI\IMId by Workman's ComplmlltdlolllnBumnce. (~!!=G;:~6==_~ L:::':.'::~~:p~~:~:::~. _. '. _' ~ * ,_: ~_ _ TOTAL P.B2 113/31/213137 138:32 3525674454 MILBAR PAGE 135/135 ~ It' 8"8 NonCE OF COMMENCEMENT Pennit No. Property Idcntification No. h. 2.c...z..\. l1~\Ch D2'1~. nna THE UNDERSIGNED !lereby give infonns you that tbe improvement will be made to certain real property, and in accordance with Section 713,13 of the Florida Statute" tbe following iJ1f01'llllltion is provided in this NOTICE OF COMMENCEMENT. I.Description ofpropcny (l~l ducrlpti",,:) _C\~O!..~ kt\~ Pi! 1 M ~ a) Street AddrcS$: "11t ~ :c;; 2.General description ofimproveTllent!: . ~8-or," ~ ~ 1'1, ~..,;: J!.l.E~~ ~ 1C~ ~C'ilc;.~ 3.0wner Information a) Name and addre.'I.~: ~. K..",.r..~ ~ ~~)J y b) Name and address ofke simple titleholder (if other t!lan oWfJ.er) e) Intel:e$t in property ~. 4.Contraetor Information a) Name and addre.~5: ~\ ~ ~~n.. \'4lL I l~~l\ \I, !to. b) Telephone No.: ~S2.:!~"J. L..lft"J Fax No. (Opt.) S.Surety Information a) Name and address: ~ b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: .tJ \Cl ~, \~M. ~"t't FL ~?61J 3'S;7./ !'it..'"I. ~ Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notice., or other documents may be served: a) Name IUId address: lJjk h) Telephone No.: Fax No. (Opt.) 8.In addition to !lim.~elf, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a) Name and ad~s: IS.,... b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is ODC ycar from the date of recording unless a different date is specified): W ARNTNG TO OWNER: ANY.l'Al'MENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHA.PTJ!:R 713, PART I, SECTION 713.13, FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR l'ROl'ERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TIlE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSUL iYOUR LENDE OR AN ATTORNEY BEFORlj; COMMENCING WORK OR RECORDING YOUR NOTICE OF CO NCEMENT STAnOJlJlLORIDA COVNTY OF I'ASCO Th~~Jg instntmcnt was ackn.owledged before me this ....2L day of fu . 20.!!:1...... by . (X'd"'''' as /J. Ut.,-G< (type ofauthority, e.g. officer, trustee, attorney In fact) D,d"'...... (name of party on behalf of whom . ent was executed), v Personally Known o./QR Produccd Identification _ Notary Signat\It'C Type ofIdcntitication Produced Name (print) OllVl.6, A LOVETT COIAMl~StQ!'.1 ~ D033~51 008 nONND~ au INStJRItK:!: CQMMM'I" Verification pursuant to Section 92.525, Florida Statutes. Under penalties 0 the facts stated in it are ttue to the bcst of my knowledge and belief. FOllMS/NOC.Md200r