HomeMy WebLinkAbout08-8666 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8666
BUILDING PERMIT
Permit Number: 8666 Address: 38509 CR 54 EAST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-06100-0000
Improv. Cost: 20,000.00
Date Issued: 12/19/2008 Name: ASHVINI INC
Total Fees: 190.00 Address: 1537 SHADY OAK DR
Amount Paid: 190.00 KISSIMMEE FL 34744
Date Paid: 12/19/2008 Phone: (407)702-3760
Work Desc: REROOF
GUY'S DIVERSIFIED INC REROOF COMMERCIAL 190.00
- vq
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: Reinspection fees 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 c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
C NTRACTOR SIGN URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Parcel: 02-26-21-0010-06100-0000 001 Page 1 of 2
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
Other Parcel Cards: 1 1 2
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, December 13, 2008
Parcel ID I 02-26-21-0010-06100-0000 (Card: 001 of 002)
Classification I 11 - Retail Stores, One Story, All Types
Mailing Address Property Value
ASHVINI INC Ag Land $0
1537 SHADY OAK DR Land $130,300
KISSIMMEE, FL 347446655 Building $83,946
Physical Address - See All 3 addresses (First Shown) Extra Features $33,476
38509 COUNTY ROAD 54
ZEPHYRHILLS, FL 33542-6346 Market Value $247,722
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
ZEPHYRHILLS COLONY COMPANY Taxable Value $247,722
LANDS PB 1 PG 55 THE SOUTH
190.00 FT OF THE WEST 190.00
FT OF TRACT 61 AKA PARCEL
Land Detail (Card: 001 of 002)
Line Use IlDescriptionhi Zoning Units Type Price II Condition Value*
1 1100 II STORE 1FLRII 00C2 II 11,000.00 SF $5.00 1.00 $55,000
2 1100 IISTORE 1FLRII 00C2 H 25,100.00 SF $3.00 1.00 $75,300
Additional Land Information
Acres II
0.83 Area 30ZH Code EResidential Code CNOTE Commercial Code CMAJ2AI
Building Information - Use 95 - Convienience Stores (Card: 001 of 002)
Year Built 1972 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Rigid Frame w/Bar Joist Roof Cover Built-Up Tar and Gravel
Interior Wall 1 Plywood Panel Interior Wall 2 None
Flooring 1 Terrazzo Monolithic Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 SDA 2,280 $238,032
2 UST 120 $5,011
3 IICAN 600 $18,792
Extra Features (Card: 001 of 002)
Line Description J Year Units Value
1 PAV ASP 2004 2,800 $2,268
2 CLFENCE 1996 420 $266
3 CLFENCE �-2002 1,980 $1,908
4 PAV CON 2004 2,736 $4,104
5 CANOPY 2004 1 $24,930
Sales History
Previous Owner I SLEEPY HOLLOW MOBILE
Year Month Book/Page Type Amount
http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21&sbb=0010&... 12/19/2008
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittlng )[ 17131
Owner's Name V I r C I owner Phone Number T 07- 7P
Owners Address 153 >hCLL1 CXItSl )1 owner Phone Number
I•
Fee Simple Titleholder P4am.lCyp /A7/Yl Owner Phone Number
Fee Simple Titleholder Address
,p
JOB ADDRESS 8 C ��y-SLOT# I
SUBDIVISION PARCEL ID# O2 — Z — I,A,J CC(()
(OBTAINED OM PROPERTY TAX NOTICEI
WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = MOVE = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER
DESCRIPTION OF WORK r�(oo
BUILDING SIZE X c ) ISQ FOOTAGE I I HEIGHT I
I.
= BUILDING S VALUATION OF TOTAL CONSTRUCTION
= ELECTRICAL 1$ I AMP SERVICE Q PROGRESS ENERGY W.R.E.C.
= PLUMBING
= MECHANICAL I VALUATION OF MECHANICAL INSTALLATION
= GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO
BUILDER t COMPANY / /S
SIGNATURE ^� REGISTERED I Y/ FEE CURRENT(('(0/8
�3 YIN CB
Address 1O L c'License# (0/8/ir-1
ELECTRICIAN COMPANY I
SIGNATURE REGISTERED I Y/N I FEE CURRENT
Y/N
Address License# I
PLUMBER COMPANY I
SIGNATURE REGISTERED Y INI FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURRENT Y/N
Address License E I
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURRENT Y/NI
Address I License#
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)wodcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(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
SIGN PERMIT Attach(2)sets of Engineered Plans.
PROPERTY SURVEY required for all NEW construction.
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)
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/Slsvey/F otage)
DAveways-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 IMPACTIUTILITIES 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'SIOWNER'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 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: YOU FAILURE TO RECORD A NOTICE OF COMMENCEM NT MAY RESULT iN YOUR
PAYING TWICE FOR I OV NTS TO YOUR PROPERTY. IF YOU INTEND TO OB IN FINANCING,CONSULT
WITH YOUR LENDER O N ORNEY BEFORE RECORDING YO$R NOTICE OF CO MENCEMENT.
FLORIDA JURAT(F.S-117
OWNER OR AGEN1t .. CONTRACTOR
SubscribTd and swo o(o ffi afore m this ub ribed an sworn ( affir d) ore me t As
by
Who is/are personally known to e r has/h pt duced . Who ista rsonally known to r hasihave produc17
dent cation. as identification.
Notary Public v\ Notary Public
Commission ' Commission No.
Name of Notary typed,printed or sia pad Name of Notary typed,printed or stomped I
LINDSAY H.KING
L ]
MY COMMISSION A DD 491513
O1►O'Y•4B nlria,y Public State of Florida , .`= EXPIRES:Mardt f7,2010
Z .. K n Parikh Rf;t� W TyuN YPILMtlrtdnwr0-
a c ;Carrnission DD441002
9�OF�O f:;tliiF's)6114/2009
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y
WATERPROOFING MATERIALS AND INSULATING SYSTEMS
. c� �'' 'ANA 0, , R O G
ELASTOFLEX°SA V
CCSXZ, I ADHESIVE
ELASTOFLEXO SA V
(SB KSNGF ADHESIVE
HAc
j \
POLYTHERhA� ►
INSULATION
ELASTOFLEX®SA P
..: KING)ADHESIVE
R OPF DECIV
SUBSTRATE 1
(OR ACCEPTABLE
EXIST'l4G ROOFI
PART 1 -DESCRIPTION membrane has factory applied granules (available in black or white),
Provide all labor, materials, equipment, supervision and incidentals as except at selvage edges. This material is packaged in a roll providing
needed to install a complete POLYGLASS®reinforced, SBS modified approximately 100 square feet of finished roof coverage and weighs
bituminous roofing system over a new or approved, prepared existing roof approximately 90 lbs. Trade name: ELASTOFLEX®SA P
substrate. All details of installation shall conform to "POLYGLASS®
Specifications, Details and General Recommendations." ASPHALT PRIMER-POLYGLASS® 1 OOA or that meeting ASTM D 41
specification, applied in strict conformance to manufacturers
QUAUTY ASSURANCE recommendations.
Products used in the work of this Section shall be manufactured by
POLYGLASS®or approved for use in conjuction with the products INSULATION-POLYTHERM®polyisocyanurate board, or as specified,
manufactured by POLYGLASS®. and as accepted by POLYGLASS®-one or more layers. Follow the
instructions of the insulation manufacturer regarding storage and
The Roofing Contractor and his personnel shall be currently approved by installation requirements.
POLYGLASS®as qualified to install the materials of this section.
FASTENERS-POLYGRIP-Unless otherwise accepted by POLYGLASS®,
Do not apply roofing during inclement weather. Do not apply roofing fasteners shall be Factory Mutual Approved fasteners and membrane
membrane to damp, frozen dirty,or dusty surfaces. plates.POLYGRIP screws and plates,as supplied by POLYGLASS®.
PART 2-MATERIALS PRODUCT HANDLING
BASE PLY-ELASTOFLEX®SA V Base(one or more layers) modified All materials,except those that are shop fabricated shall be delivered to
bituminous membrane with SBS self adhesive coating and removable split- the job site with their original labels intact. Bulk materials shall be
backed polyolefin release film. Top surface of the membrane has a identified by the manufacturer as to specification issued.
polyolefin film covering embedded into the SBS roofing compound, All materials shall be stored in accordance with the instructions of the
reinforced with a glass fiber mat and weighing approximately 80 pounds manufacturer prior to their application or installation. No wet or
per roll. There are approximately 200 square feet of finished base sheet damaged materials will be used in the application. Materials stored on
coverage in each roll, the job site shall be a minimum 4"off the ground or the roof.
Tradename: ELASTOFLEX®SA V Application of all roofing shall be accomplished in such a way that each
area will be complete at the end of each days work. All roof edges and
INTERPLY SHEET-ELASTOFLEX®SA V Base(one or more layers) modified incomplete flashing shall be protected against water entry, particularly
bituminous membrane with SBS self adhesive coating and removable split- between work periods.
backed polyolefin release film. Top surface of the membrane has a When ambient temperature is below 40°F, care must be exercised in
polyolefin film covering embedded into the SBS roofing compound, handling and storing POLYGLASS®membrane. Only rolls for immediate
reinforced with a glass fiber mat and weighing approximately 80 pounds application shall be exposed to the elements.
per roll. There are approximately 200 square feet of finished base sheet All masonry,concrete and sheet metal surfaces incorporated into the roof
coverage in each roll, system shall be primed with asphalt primer meeting ASTM D 41
Tradename: ELASTOFLEX®SA V specification and allowed to dry prior to installing bituminous roofing
materials.
ROOFING MEMBRANE -ELASTOFLEX®SA P modified bituminous Wood curbs or nailers,where required, shall be pressure treated with
membrane with SBS self adhesive coating and removable split-backed approved pressure treatment meeting AWAP Standard P-5.
polyolefin release film, reinforced with a polyester mat. Top surface of the
,t�
,.'try ' .. , his .. "
PART 3-APPUf ATION 6" wide POLYGLASS®stripping sheets. The stripping sheet shall be
PREPARATION installed with a minimum of three inches in both the horizontal and vertical
The roof surface which is to receive the POLYGLASS®roofing system shall surfaces. The flashing sheets shall be installed with a minimum of six
be smooth, clean, free from loose gravel, dirt and debris, dry and inches on the horizontal surface and extend a minimum of eight inches
structurally sound. above the finished roof surface.
FOR REROOFING APPLICATIONS: The flashing sheets shall be installed by the same method used for the roof
Remove existing roof flashings from curbs and parapet walls down to the membranes. In instances where adhesion may be questionable, the
surface of the roof. Remove existing fleshings at roof drains and roof membrane may be heat welded into place by utilizing an electric hot air
penetrations. gun,similar to those utilized in the single-ply industry. The top edge of the
Remove all wet, deteriorated, blistered or delaminated roofing membrane flashing sheet shall be secured using a termination bar(only when the wall
or insulation and fill in any low spots occuring as a result of removal work surface above is waterproofed), or nailed 4"on center and covered with
to create a smooth even surface for application of new roof membranes, an approved counter flashing.
Existing roof surfaces shall be primed as necessary with asphalt primer
meeting ASTM D 41 specification and allowed to dry prior to installing the Items related to re-roofing operations such as sheet metal gravel stops, roof
POLYGLASS®roofing system. vents,and similar items shall be incorporated into the new roof system in
accordance with the recommendations described in the current issue of the
INSTALLATION POLYGLASS®"SPECIFICATION S AND DETAILS" manual.
Decks: prime where required, in accordance with requirements and
recommendations of the primer&deck manufacturer(if applicable). IMPORTANT NOTE: Never use torch or apply torched materials to areas
of combustible materials. Any combustible materials must first
WHERE A VAPOR RETARDER IS REQUIRED BY THE SPECIFIER: be overlaid with a protective barrier or alternatively remove such materials
Follow the instructions with regard to the particular materials specified and from the location. Use common sense in the application of torches.
install in accordance with the recommendations of the manufacturer and ALWAYS keep a suitable, prepared, fire extinguisher available at each
the requirements of the architect. area where torching occurs.
INSULATION
Install insulation/recovery board over the prepared roof deck or vapor
retarder. The insulation shall be installed with hot bitumen or approved
cold adhesive in accordance with the recommendations of the component
manufacturers.
MEMBRANE
Directly over the approved insulation surface install two plys of
ELASTOFLEX®SA BASE with minimum 3" side laps and 6" end laps,
without wrinkles or fishmouths. (Unless the substrate surface is flat,voids
may occur which will be hard to seal and may not render a permanent,
waterproof roof. It is the installer's responsibility to ensure that substrate
conditions permit a wrinkle and void-free installation. Any voids occurring
may have to be sealed with a heat gun or other suitable mastic.
Cut and unroll the ELASTOFLEX®SA BASE and SA-P cap sheet
membrane to a suitable desired length (depending on conditions and
application etc.). Position the material in the desired location on the
substrate and proceed as follows: Align the membrane at the lowest edge
of the roof. Fold the material back onto itself(width wise)and remove the
split back release paper from the exposed side,gradually push/roll the
material into place(do not drop the material into place,air pockets may
occur that will be difficult to remove). Apply even pressure along the
entire length of the membrane, from center to outer edges, to avoid air
inclusions or wrinkles. Repeat for other side. Position the next sheet by
aligning the side lap of the upper sheet with the bottom of the factory
selvedge edge on cap sheet and factory paint line on base/interply
membrane. Overlap cut end laps minimum 6". Repeat the above
procedure for all subsequent sheets. At seam overlaps, remove the
protective seam tape and apply even pressure to seam area. After
adhering roll it is recommended that uniform pressure be applied to the
entire roll area by a weighted roller or water-filled lawn roller. Care must
be taken during rolling on sloped roofs.
The rolls of membrane shall be installed perpendicular to the slope of the
roof, starting at the lowest point of application,wherever possible. Laps of
sheets should be installed so as to shed water with the slope of the roof
wherever practical.
At any intersection between different roof slopes, narrow valleys or gutters
(less than 3' wide) or similar details, install an additional ply of
ELASTOFLEX®SA BASE under the cap sheet, extending minimum 3"onto
each surface.
FLASHINGS
The flashing shall be installed using POLYGLASS®flashing sheets and min.
�' YG,ASS GUI ( 43SA ' A Y"
Guy's Diversi zed, Inc. -�
I D MICHAEL A. GUY,PRESIDENT
State Certification No.CC C048175
August 14, 2008
Rightway Fuel &Foods
7200 Lake Eleanor Drive
Orlando, FL 32809
Project: Sunoco
38509 E CR 54
Zephyrhills, FL
Reroof-Roof is 4,000 sq. ft.
• Remove existing roof down to decking, please note decking is in poor condition.
• Install 1.5" ISO Insulation.
• Install Polyglass Modified Bitumen Roof System Specification#343 SAP-SAV-SAV.
• 20 Year Material and Labor NDL Warranty.
• Install all new 24 gauge galvanized gutters, downspouts, eave trim and coping.
• Extra decking cost will be an additional 6.00 per sq. ft.
• Thorough clean up of all job related debris on a daily basis.
• Owner will be responsible for all A/C disconnects and reconnects.
Price: $20,000.00
Resp c ily Submi d,
�✓ Mich e y
President
Guy's Diversified, Inc:
Contract accepted by: Title:
Date:
P.O. Box 946 • Auburndale,FL 33823-0946 • (863)967-9773 •FAX(863)965-7628 . www.guysdiversifled.com
r .
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: U C S ✓e( 17e -r
Date Received: /2 / 9-o6
Site: b �,c�Y Y
Permit Type: Irbti?..'5
Approved wino comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comet t s eet all be kept with the permit and/or plans.
Kalvin witzer— s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
C o,, IS A 111111111111111111111111111111111111111111111111111111111111
�S T4C 'IF O'Tl ` ON
TR ARRRRRRDDGDDG Sbi>�ECT t;opt
OFTNE �lMENT ON FILE 2008180019
OF PUBLIC RECORD IN THIS,OFFICE` ITNESS MY
HAND i`I D� I IAL S TH' DAY OF Rcpt: 1218277 Rec: 10.00
2 DS: 0.00 IT: 0.00
,JE 1 1�i81iO j'iIFD I COURT 12/19/08 Dpty Clerk
BY I "DEPUTY CLERK
NOTICE OF COMMENCEMENT JED PITTMAN PASCO COUNTY CLERK
12/19/\``••... m OR BK 798 2L PG 1585
Permit No. —. —
? c� CCJ)1i C) Mal r.) t.'',C Cx�
Property Identification No.C.. "
TILE UNDERSIGNED hereby gives notice that improvements 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. r'r i (
jt��.jrYl{t1 Col �;I <_vrt+x ��f ( �r�c,t-S
1.Description of property(legal description:)
a)Street Address: '3`3 sZ C°s t—+��t i is r 4:1 C.__-z7Zit t ht 1 1, fi ?t/
2.General description of improvements:
3.Owner Information t�
a)Name and address: h y t• 1+ E nC 15 i_ Zt.� �L rl}� I�/ • t\ii YYl c FG 3L.j .4L/
b)Name and address of fee simple titleholder(if other than owner)-
: c)Interest in property
4.Contractor Information /� rS '
a)Name and address:_C";l ti S 1�t d Q eci .:'y C. }"l.`(7 X 9 tr> I'�a lJ >�r 1c�Cct c FL
b)'1'elephone No.: <_, �) i v7 rL��--.. —Fax No.(Opt)- u i-1_(c Z
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 documents 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 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING %V IC FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND PO ED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CO ' 'U I'YOUR LE - ER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF MENCEM T.
STATE OF FLORIDA
COUNTY OF PASCO --- —
u of Cr O s u omed O ice erect /Paruier/Manager
Print nre
The foregoi nstr ent was acknowledged bef me this Q y of _ 2 by ��
_(type of au honey e.g.officer,trustee,attorney
—
in fact)for (name party of on behalf of whom instrument exec
_ �_IYllri Id3_�.— —.-._
Personally Known `!OR Produced Identification,-_ Notary Signature
_Q L1_ .
Type of Identification Produced -__ _._ Name(print) ..
.
Verification pursuant to Section 92.525,Florida Statutes.Under penaltic perjury,I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief-.
Sig, fit I .I Person Signing Above
FORMSIrIOC,vsd2007
niI c, rria.r, c State of Fiui�a
I,, ]P
=` iy ,rission 00441002
y�r)F VvS' "4/2009