Loading...
HomeMy WebLinkAbout08-7245 CITY OFZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7245 Permit Number: 7245 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: RV PARK Square Feet: Est. Value: Improv. Cost: 11,000.00 Date Issued: 11/29/2007 Total Fees: 155.00 Amount Paid: 155.00 Date Paid: 11/29/2007 Work Desc: LANAI Address: 3516 MALACHITE DR LOT 131 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: EMERALD POINTE RV RESORT Parcel Number: 24-26-21-0040-00000-1310 Name: Address: ~~ 7\fJ , ?/~iY 00 ROUGH ELECTRIC PRE-SLAB CONSTRUCTION POLE LINTEL PRE-METER SHEATHING 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 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. DRIVEWAY MISC. MISC. ELECTRICAL FINAL BUILDING FINAL 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." i~Y ~ONTRACli SIGNATURE PERMIT EXPIRES :t MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 812,-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received 11...11...11 Owner's Name J e:r.ue. (. - Owner's Address 1.35U~ ~ALAC.~ln: Di2. ZeP/'bIIe.H 1'-'-5, F~ Fee Simple Titleholder Namel I Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I 1.35/10 H ALACN- Ire De..., 7 F PH VLHILLS. FL ;3 3~~ I El-fE./ZALD ~/Nr~ RV RvzJ JOB ADDRESS LOT # I~I SUBDIVISION PARCEL ID# I .)..'/ -ol4 -rL/ - 0 r) V d - aJOeJd - / J/ a (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D WORK PROPOSED ~ D D B D [Xl (51-ora J atAtiL SQ FOOTAGE I .3 8 tf NEW CONSTR INSTALL ADD/ALT REPAIR PROPOSED USE TYPE OF CONSTRUCTION SFR BLOCK COMM FRAME DESCRIPTION OF WORK I-a ntLC: BUILDING SIZE \3 ~ X I;)... 1$ I , /tJ,()l)O. 1$ 1,{)O8, I I$~I #0 /JIlt- I D MECHANICAL 1$ ,J fA I D GAS D ROOFING D FINISHED FLOOR ELEVATIONS I.L" I 'r (J.,,'EIZ. e.XIS/lNG S~ BUILDING D IRJ OTHER I SID t?-Ft-GF. D STEEL D OTHER I Sc,ee.v-- roo""" / c::<t-d eonc.r~fe- HEIGHT I I tJ I (;, Ii DEMOLISH ~ ELECTRICAL AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY ~ PLUMBING D IKI W.R.E.C, PASCO PERMIT SERVICE (813) 788-5314 VALUATION OF MECHANICAL INSTALLATION FAX 1-866-824-7894 SPECIALTY D OTHER FLOOD ZONE AREA DYES Address MECHANICAL It/a.- SIGNATURE, !( Address I OTHER I SIGNATURE Address I License # 111I1111I11111111111I1111111111111111111111111I111II1111I111II111111111111111111111I11111I11111111111111111111111111111111111I111111111I1111111111 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 wi 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 wI 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. BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE Address PLUMBER SIGNATURE COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED COMMERCIAL SIGN PERMIT 5{]NO License # t)wner- I Y I N I FEE CURRENT I Y/N /1 / t:U License # Y I N Y/N FEE CURRENT License # Y/N Y/N FEE CURRENT License # Y / N Y/N FEE CURRENT DI~~~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 , Fill oul 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 AlC 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 comp.liance 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 hot 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 ~hat a s.eparate perm~t. may ~e requir~d for elect~ica,1 work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n?luded.1n the application. A permit issued shall be construed to be a license to proce~d With the work a~d not as authorl~y ~o vlol~t~, cancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r requiring a correction of errors in plans, construction or violat~o~s o~ any codes. Every ~ermlt Issued. shall become, invalid unless the work authorized by such permit is commenced Within SIX months of permit Issu~nce, or If work authorized. by the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced., An extension may be requested, in writing, from the Building Official for a period not t~ exceed nln~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) , _~ JJUL /. 117p _ ).. ,L =:iLL' ~/c; -/-I' J nWNER OR AGENT 0-4-LV - "N;ONT~CTOR -, . ' rsubscrlbed and sworn to r affirmed) before me this Subscnbed and sworn to (or f1ffirm~d) befp~ m~ !hIll 10-..30-07 by JiLNt U(J/le /O-.JO-tr] by If'l--~(,", ~1 Who Is/are perso I known to me or has/have produced Who Is/are personally known to me or has/h~ve p~odu~ed . ~cation. as IdentificatIon. N t~. ,PUl:)lic~S~t ..'.IE vd: ~ o a. 'I ~~).~;~. e ON\;l6W~~_,. ....~~rJ:r~~'~~ta"p~I' :7~~ Nota"P,",", Comm..on No. 0 J tJ r "" '1,f, 3'5't. c;;;:,m',,'on . :~Tt\R~-m 'lJIJC C"'TI 9r PLORIflA .':\"\\'''''::'''.. c:.. .:~""! ,pc B h :~(" c, ,_~)n~ a r Name of Notary typed, printed..~!~,?8ltm'lk DD601110 "".,.., Ex' . U\!. 15,2010 1 '~~j,-, 3()~Dil\G CO'1 l\C. Name of Notary typed, printed or stamped ,J;;a,JC'i [eCJ;J E- Name 06/b Hfkftc#-ttc- ~ Addre~ ZCPH'jf--Ht US I ;LL .33.s;-tjo To Whom It May Concern, Please be advised that: Stacie Hartwig and Deborah Dokendorf of Pasco Permit Service have my permission until further written notice to act as my agent to sign and pick up permits. Sincerely, ~ ~if~ Si ture /tJ -~-rJl Date NOTARY STATE OF FLORIDA, COUNTY OF PASCO The ftigOing instrument was sworn to and subscribed before me this ~~ ~Jay of ~A) ,qt707. Personally known ~r Produced identification ANNE'f,L K. Wil\jDER Notary Public - State of New York Qualified in Erie County My Commission Expires June 24, 20ItJ Commissioned Stamp and Expiration Date ~~~ otary Signature DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRBILLS BUILDING DEPARTMENT I, JAUEI ~~ have read and fully understand and agree to the provisions of this instrument. The undersigned states and affir.ms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. )(OWNER'SSIGNATtJRE ~~/)~ . ADDRESS .E5U~ MALA NITc Dli.Il/.e. ;():PHY2..HILLr::.. Pi :~':s:/~-~C~ ;)~lwi1 . - DATE .3 3 S1fc;> /0 -3d-o] PERMIT # City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: \.-\(fYl'lQO( Cl !Yl \L.'..-. "- Le&-n.IL .3~ } Site: \\-d-.{-o, 3r:51 (p vYlQJJ)r>o r.h',~..u Dr ~ (31 Date Received: Permit Type: laX1~ Approved wino comments Approved withe below comments: 0 Denied withe below comments: 0 Date Contractor and/or Homeowner (Required when comments are present) .~, -~ tJ7 ./ f)5 q LOT IMPROVEMENT .REQUEST 011ft@B To EPPOA Property Evaluation Committee & Board of Directors: From 1:b.~J G;r/G jApe:( ~Jc... Lot# / Address J..{),/ IT /,3 I I .3 5 I tp H Ii LA CIW n:. , t Wereqllest PO:AapprovaJ for tbe.followmg(mustinclude drawing for any construction! additions / remodelfng / landscaping, etc.). . ,. I I . .~ wtOwner'sSigF1atuieiP~J0r ,D~~~~?'",,~1 ApproVed~.~ Denied. " ~. :.. .-74 ~D~.f If~ -/ t:4Y', I ~ (B~,~:, .Date: /-Z:. eJ?' Date: 9- 2-'" .;> ? _(..,(..A~ ~ 5CfA-~ f:n~ ku, n~';' ~a;- ' """7'~"':'~:''': , , " ',', ',' Jo>', ,.' ",.. . . ' , S' 5e+..~ ' ' I.. !,..l \\, -l ~ \' ~- \' /rJ1 .... 5'~ ~- . ,; '.... , , ;;'0 Se.J.1AC K -ft-, .~b t., " ,,,"' J. t' · '...s' -fl'~' , '"'~" ' ME" D' '. . . ':,', ," . "',,' .:":: -:~".' " ,'" . . . : '. . .' - - . _.} ~. - .:.; . . . . ,". '.. '" ....., " ' . . '. . .- ' " ' " " .' ~ " ' ;.. ',' " ',..,: ' : ,,' , . : , . ' . '. "-. . E,..""','".....,"".,',....:,',",~",:,,... ..... ... "'," ',', '.',-;,>; ;>" '-. ' , " : " ".. - ',', """'T'E p,'," "'0"," ,',,' J".," ,">N',':, "',",>".. ",', ..,"""'," ::,","',,' . . ", .. .,',. .... .' . . . , -" ", -0 '.' _ _, .. . . . '. .. ':.' .',' ',".- . " . ., . - . .', .", ", ". . ,. . . . .. - , ~ ~ . . ~ . ""',' .;...,,", i'. ~. " ",'. ,. - ." . . '. . ' - , " . . ". . . . . - . ' . . '. -" : :.. ' .' ," : - . ~ -' , ,..-.. ".". .. -. . . leT 131 L,OT" I"M'-' - "p"".n,::d,Q,-"',-':'''l.TE,.:'''''M'' "..J-.:;'N,.T. , , , : ", -' ",.n.,...v ': " ,_,~ '. .. PERMIT#()7.~, .. Kc-y/seo EMERALD' POINTE BOARDOFDI.RECTORS' -' APPROVED: DATE: PROPERTY EVALUATION COMMITTEE APPROVED: pd~. DATEt/--/"r -C)? , EXPlRATIONDATE: I J ~, O() B 1 I / , I I IN ( ~ - I '-l ~ I I ~ l' I '>( \ ~ ~ ~4~\-\c' '\::) -i ~ ....... (,0 I ~ <::> ~ CY) - ~ I ~ '~ ~ I ~~~~ ~I~ ~ ~ -':1 ./. 0\ I / ~ I f j.\ oz-t:f~ ~, IJI~I c)J~ ~~~ ~ ~ I ~I d- \j ~ I ~(',~, I I I I I I I I I I~ I I \- ! 0 -.j 3j/6 !vJ/JI.ACIIITE iJ,erYF "\;'Tn~l:p , n 1_ I. 1 I, ! \ . \ - ~ I ~ , 1, 1, \,.r'>;P,'[' "1 \ LL, '., ' ',h., r ,'I\.. l\'-- .-",1,..,' ,,- - T, ,'- A,-~ ^1'11"'(' nf\l::;,ILUR\\);\ tAJ LL ,] ,)REVt\ L [, J .' ,JL J'~' r ('oril~ Xl".' , 'E~ },1l\Tl(1;,L\L LU:l \ l~k \, -' -' (OD . '''' ,n" )]1\'1, \ 1\',(', ' ',. OF "1 'lilViJil,\tL '-. \)~,J.' ,"\.",_u. (", '_ LLJ 1- ~ _\.~ ~~ , . /3/ ~ \~ ~ '-... I::::: ~ ~ ~ ~ ~ ~~ ~ ~ ~ ~~ ~ ~ ~ ~4J~ 'b~~ K~ . "=> ......... I) ~ .......... ~\E I(~ d~r[) REViE.\N ~~prftR~\cr;:q- "'rpl Or- ,1_,-" EO 7\""."" I.J '\{~ ;;"ll~i\\!WN "'..Jl...)..~- PLA.t'~v _.1'>- l.u ...j ~ 'J STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFI~2NESS MY HAND AND VICIAL SEAL THIS DAY OF /jJD 2m N, RK 0 RCU OURT ~ DEPUTY CLERK 1111/1111111 1111I 1111I1111111111 11I11 111111111111111 11I1111/ 2007193699 Rcpl: 1144480 Rec: 10.00 DS: 0.00 IT: 0.00 11/27/07 Dpty Clerk NOTICE OF COMMENCEMENT JED PITTMAN, PASCO COUNTY CLERK 11/27/07 11: 30am 1 of 1 OR BK 7697 PG 1331 Permit No, Property Identification No. :< I'j- c::< 6- ;< I- a ()If (;--000 (X) - /310 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 ;>royjdedi' thi~,NO'QCE OF C~MENCEMENT. -tn.e. ~ (d no"/ f<'V KL.sc:.vr f'11ttSe- TWo I ,Description of property (legal descriptijl,'J..:) P 3=:;- f'G5 9.7-/' 4J T /.3 a) Street Address: 357 ~ I r tel Cl / . ~ :5 .3"2.fO 2.General description of improvements: t:7l::n?1 Rer Information -- a) Name and address: i-eo n. .36:1 m ~ b) Name and address of fee simple titleholder ( f other than owner) U c) Interest in property p tV n8r 4.Contractor Information /J a) Name and address: IYtuner b) Telephone No.: Fax No, (Opt.) 5.Surety Information . a) Name and address: b) Amount of Bond: c) Telephone No,: Fax No. (Opt.) 6,Lender . a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other docwnents may be served: a) Name and address: 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: 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 FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO The foregoing instrum91t was acknowledged before me this cl7~day of ;JoveudJer , 20tl?, by cDehot"a.."'- S . , Dok~"-4 or f- as &.'3 ~....:t- (type of authority, e.g. officer, trustee, attorney in fact) for J a.n ~ T Leo., e.. (name of party on behalf of wh~ instrument was executed). Pe"onally Known V OR Pmduoed IdentiJkation _ Notary Signature \L)~ ~ / Type of Identification Produced Name (print) Ouz.a..V\ Vl€- Bah r- Verification pw:su~nt to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated m It are true to the best of my knowledge and belief. FORMS/NOC,rvsd2007 Signature of Natural Perso Signing Above NOTARY PUBLIC-STATE OF FLORIDA t\\lII'1 S B h --"'ii; d'" llzanne a r ~ ~1Jl'.U@ -: " ~. ~\'~ }CO;;~ll1lSSlOn #DD601110 '. '<'l;c " t."Pl'P'" NOY. 15 ?OlO 11"n~' L..... .1__.1. ., ..... BO,';DLD THRU ArL _;nc BOSD!l'iG CO., );-;c.